Past Webinars


Friday Sep 18th, 2020 to Saturday Sep 19th, 2020—9:00am to 12:00pm
ABN 9th Annual Conference
See Agenda

Ethical and Legal Challenges in a Pandemic

The COVID-19 pandemic has identified ethical and legal challenges that arise when a health care system is stretched to its limits in providing care to those affected by the pandemic. Health professionals, attorneys, social workers, and the general public have faced these challenges. How does a pandemic triage plan get developed and adopted by a state in the midst of a pandemic? What is the algorithm health care professionals can use to assess provision of care? How can social workers and clinicians prepare and support families of patients? Who is vulnerable? Who is served? What is the responsibility for health care for incarcerated persons, Native persons, and homeless persons? What are the ethical challenges in dealing with long-term care for patients who have a slow recovery? What legal challenges arise when dealing with end of life care in a pandemic? Are our health care professionals safe?

We've invited professionals who have been working tirelessly to address these questions. This is a virtual conference, over two mornings, with an optional post-morning session discussion period each day. You can earn 5 CEUs: CME, CNE, or ACE, plus IPCE as well. Full brochure is available here. 

 

Agenda
Friday, September 18, 2020
9:00–9:05  Welcome and Introduction
Patricia Bayless, MD, Chairman of Board, Arizona Bioethics Network
9:05–9:45 Health Care Heroes: But at What Cost? Moral distress, Moral Injury, and Moral Residue in Health Care Workers
Michelle Weaver, RN, BSN, MBA, COHNS
9:45–10:30 Homelessness and the Pandemic
Sharon Dipasupil, MSN, RN
10:30–11:15 Viruses Don’t Stop at Prison Walls: The Ethical Implications of COVID-19 Behind Bars
Corene Kendrick, JD, MPA
11:15–12:00 Pandemic Post-acute Setting and Ethics
Chikal Patel, MD
12:00-12:05 Break
12:05-12:45 Optional Individualized Break-out Rooms for Further Discussion
Saturday, September 19, 2020
9:00–9:05 Welcome and Introduction
Patricia Bayless, MD, Chairman of Board, Arizona Bioethics Network
9:00–9:45 Considerations in Caring for Native Americans During COVID-19 Pandemic
Bridget Bonsall Stiegler, DO
9:45–10:20 Advanced Care Planning: Important Now More Than Ever
Neila Keener, LMSW, ACHPC-SW
10:20-10:55 POLST
Stephanie Desiderio, RN, CHPN
11:00-12:00 “No One Left Behind”: Arizona’s Response to Crisis Standards and Triage
Patricia Mayer, MD, MS, HEC-C, & Hannah Dillon, MD
12:00 –12:05 Break
12:05–12:45 Optional Individualized Break-out Rooms for Further Discussion
Disclosure Statement:  There have been no actual or potential conflicts of interests found or disclosures needed in relation to this activity

Wednesday Aug 19th, 2020—4:00pm
Duty to Treat
Patricia Bayless, MD, FACEP, MIHM

Watch this webinar: https://bit.ly/3hgX1Qj

Patricia Bayless, MD, FACEP, MIHM, discusses the "Duty to Treat" which health professionals promise under the social contract.  The social contract is generally defined as an implicit agreement in which society has granted certain privileges (such as status, financial reward, and self-regulation,) to professionals, and in return for those privileges expects the individuals providing health care in all capacities to be competent, moral, and altruistic and also expects them to treat the medical needs of individual patients. Dr. Bayless discusses the duty to treat as one of the principle tenets of professionalism. She also discusses how duty to treat applies in a pandemic.

Dr. Bayless is Chairman of the Board of Arizona Bioethics Network, is an Emergency Medicine Physician with District Medical Group, Valleywise Health Medical Center, a Clinical Assistant Professor of Emergency Medicine at University of Arizona, College of Medicine-Phoenix and Assistant Professor of Emergency Medicine at Creighton University School of Medicine.


Wednesday Jul 15th, 2020—4:00pm
This Ain't Your Father's World Anymore - or your Mother's: Professionalism Across the Generations.
Lorree Ratto, PhD, FT

Watch this webinar: https://bit.ly/2Wuc2G6

In this webinar Dr. Ratto explores how different generations are interacting in the workplace, education, and life. Ratto explores differences between the silent gens, the boomers, gen x, millennials, and gen z and talks about how these generations came to be and how those differences are creating cultural and equality differences in our society. In addition, she looks at case examples of how these generations clash when it comes to ethical principles and decision making and the impact it could have on future generations. 

Dr. Ratto is Associate Professor Communication/Chair, Medical Humanities and Healthcare Leadership/Director of Medical Simulation and Standardized Patients, School of Osteopathic Medicine in Arizona (SOMA), AT Still University, and Adjunct Professor, Maricopa Community Colleges, Department of Communication at Rio Salado College and Chandler-Gilbert Community College.


Wednesday Jun 17th, 2020—4:00pm to 5:00pm
Is Just Culture Truly Just? Who decides?
Lynn Belcher RN, BSN, MHA, CLNC, NLCP

Watch this webinar: https://bit.ly/3fEmJwC

This presentation uses case examples to generate thought and conversation around the perceived use of just culture in the health care system to improve care through shared accountability and the interpretation of just culture from a legal standpoint when patient injury occurs. Who decides between mistakes, risky behavior, and reckless behavior? Who decides between system errors and practice errors?  Who takes responsibility for errors from a legal standpoint?

Lynn Belcher is CEO/President of Lynn Belcher Legal Nurse Consulting Associates.  She has a distinguished career as a healthcare administrator, nursing educator, and legal nurse consultant.


Wednesday May 20th, 2020—4:00pm
Exposed: Why Our Health Insurance is Incomplete and What Can Be Done About It
Christopher Robertson, JD, PhD

Watch this webinar: https://bit.ly/2Xaz6Je

Christopher Robertson, JD, PhD, authored Exposed;  Why Our Health Insurance is Incomplete and What Can Be Done About Itin 2019. The book is a culmination of a decade of scholarly research and Robertson shares the findings in his book with us in this webinar.The passage of the Affordable Care Act in 2010 was an initial attempt of the US government to reshape and reimagine health care insurance for Americans, but that insurance still leaves patients with cost-sharing their health costs through deductibles, copayments, and coinsurances. While the economic theory of cost-sharing "empowers patients to make cost–benefit tradeoffs, encourages thrift and efficiency in a system rife with waste, and defends against the moral hazard that can arise from insurance," Robertson finds that the reality is that patients are avoiding care or being driven to bankruptcy or foreclosure. In this webinar, Robertson describes an alternative framework and avenues of reform that can lead to more promising models.

Christopher Robertson is Associate Dean for Research and Innovation and Professor of Law at the University of Arizona. He is affiliated faculty with the Petrie Flom Center for Health Care Policy, Bioethics and Biotechnology at Harvard, and a reporter for the Health Law Monitoring Committee of the Uniform Law Commission. Robertson also founded the Regulatory Science Program, with support from the University’s four health science colleges. 

This webinar is an opportunity to earn 1 CEU: either CME - AMA PRA Category 1 Credit™, or CNE. Register today!


Wednesday Apr 15th, 2020—4:00pm to 5:00pm
Hospice and COVID-19
Lorree Ratto, PhD, FT

Watch this webinar: https://bit.ly/3enFXHc
Download: Plain text icon GMT20200415-225937_lratto-ats.txt

The COVID-19 pandemic has been in the international conversation among health care professionals and the public. We have invited a panel of hospice owners and hospice workers to share with us some of the ethical, legal, and physical challenges they are facing in this pandemic. Please join us for this discussion by registering below. We are compiling questions for our panel. Please send any that you might have to info@azbioethicsnetwork.org

  1. Are hospices prepared to scale up their services for those with COVID? Will the facility admit a COVID positive or presumptive positive patient? 
  2. Have hospices considered prehospital DNR with their current patients to avoid transport to EDs? Will living wills be honored? 
  3. If no more in-home visits, how are reimbursements handled? What at home services are being provided?
  4. Have hospices experienced the shortages of pain meds as is being reported for intubations and sedations?
  5. To what extent are hospices prepared to use tele-health capabilities?
  6. With staff (i.e. CNAs) potentially losing hours (since they are unable to provide care in certain facilities), how does the hospice adapt?
  7. Hospices appear to be lower on the priority list for PPE (compared to hospitals and first responders).  How has that impacted the operations?
  8. Is compassion fatigue escalating? If so, what steps are hospice facilities/workers doing to mitigate it? 

Our panelists include: Dan Peterson, MBA, CEO Valor Health/Valor Hospice Care, Tucson, AZ; Jessica Empeno, MSW, Director, Strategic Development, LightBridge Hospice and Palliative Care, San Diego, CA: Rhea Go-Coloma, MSW, Chief Administrative Officer, Hospice of the West, LLC, Phoenix, AZ; LIsa Cheney, BSN, Director of Hospice Services, Hospice of the West, LLC, Phoenix, AZ. Additional contributors to the conversation will be Tara Sklar, JD, MPH, from the UA College of Health Law, and Jeri Donahue, ARNP ACHPN, Franciscan Hospice Care, University Place, WA.

Dr. Ratto is Associate Professor Communication/Chair, Medical Humanities and Healthcare Leadership/Director of Medical Simulation and Standardized Patients, School of Osteopathic Medicine in Arizona (SOMA), AT Still University, and Adjunct Professor, Maricopa Community Colleges, Department of Communication at Rio Salado College and Chandler-Gilbert Community

We offer one CME or CNE if you participate online and complete the evaluation form sent you after the webinar.


Wednesday Mar 18th, 2020—4:00pm to 5:00pm
Genetic Testing: Overview Of Testing In Medicine And The Ethical Considerations Associated With Testing
Amanda Courtright-Lim, MA

Watch this webinar: http://bit.ly/2QqmgnI

How has the field of genetics entered medical practice? There are two states in which a physician reaches ethical crossroads with genetic testing. The first is determining whether or not to order genetic testing for a patient. Like any diagnostic criteria, the physician assesses the patient history and symptoms and may refer the patient to a specialist or directly order a specific genetic test. A patient, too, may initiate a request for genetic testing. In recent years, however, a physician may also find that the patient has already decided to use a direct-to-consumer (DTC) commercial company for health-related genetic testing and brings the results into the office for discussion. Whether it is those results or physician-ordered results, the second state of ethical crossroads has been reached; namely, how are the results conveyed to the patient and what are the potential interventions and/or outcomes. Genetic testing results can have both a mental and physical impact, depending on the type of testing, therefore returning results is not always straightforward. Using a number of case studies, this webinar will highlight some of the ethical considerations of genetic testing that a physician needs to deliberate at each of these crossroads. Although specialists in this space often consider these ethical topics, this talk will provide insight into genetic testing for those outside of the specialist setting.
 
Amanda Courtright-Lim, MA is a doctoral student at Cardiff University who studies how people perceive the possibility of genetic testing. Her work utilizes a method of anticipatory analysis she has developed to evaluate how people with a number of disabilities that are not currently tested for genetically believe genetic testing should be implemented. That information is then used to create a broader discussion with the general public. Although her current focus is driven by social science methodology, her background is grounded in molecular biology. Courtright-Lim has spent a decade in her career as a research scientist with Translational Genomics Research Institute (TGen) working hands-on with genetic testing. Her work there has allowed her to apply not only the science of genetic testing, but also the ethical considerations in the use of thie growing technology. 

This webinar is an opportunity to earn 1 CEU: either CME - AMA PRA Category 1 Credit™, or CNE. Register today!


Wednesday Feb 19th, 2020—4:00pm to 5:00pm
Case Study: A Bedside Ethics Consultation
Kathleen O'Connor, DPS, MBA, LMSW

Watch this webinar: http://bit.ly/2STYOje
Download: PDF icon Guides.pdf, PDF icon Bibliography for ABN Bedside Bioethics Consultation.pdf

Join us as Kathleen O'Connor leads us through an ethics bedside consultation.  O’Connor starts at the bedside of the patient and prepares the case for presentation to the ethics committee.

Dr. O’Connor has a Masters degree and a Doctorate in bioethics and extensive experience in healthcare and bioethics committees.  She developed and managed a stage-wide palliative care program that was the first in the state of AZ.  She served as the executive director of a non-profit cancer-support center; managed a pediatric hospice program; and re-structured and enhanced an institutional bioethics committee.  She is the owner of a consultancy business that assists clients with healthcare operations, bioethics and policy development. She is also currently employed at Hospice of Payson as a patient and family advocate, social worker and educator.


Wednesday Jan 15th, 2020—4:00pm
Death: Current Controversies
Patricia A. Mayer, MD, MS

Watch this webinar: http://bit.ly/2NvcaAu

Dr. Mayer leads the discussion on the current controversies on determining death. How have new technologies, definitions,  and transplant requests challenged the Uniform Determination of Death Act of 1981?

Mayer currently serves as Director, of Clinical Ethics, Banner Gateway/MD Anderson Campus, AZ, and holds adjunct faculty positions at Case Western Reserve University Bioethics, Clarkson University Bioethics Masters Program, Cleveland Clinic Department of Bioethics, Mayo Clinic Alix School of Medicine and University of Arizona College of Medicine.


Wednesday Nov 20th, 2019—4:00pm to 5:00pm
Digital Health Privacy and Age: Legal and Ethical Considerations in Long-Term Care
Tara Sklar, JD, MPH

Watch this webinar: http://bit.ly/2qpgadL
Download: PDF icon Chart of Wearables.pdf

Sensor monitoring technologies provide a promising avenue for improving quality and safety in long-term care at senior residential facilities and directly in the home. The growth in the use of sensors reduces staffing challenges, enables older adults to have a greater degree of self-management, and decrease overall costs of care. The advantages of sensor monitoring technology are not, however, without their risks: the necessary trade-offs between innovation and privacy are heightened when applied to an older population where decreased cognitive function plays a larger role. While there is emerging scholarship on privacy concerns in health care settings and for patient data sharing, there is limited literature that explores privacy and acceptance of sensors by seniors in long-term care settings. This Article raises legal and ethical considerations around the continuous use of sensors in long-term care and suggests optimal integration approaches to align with the emerging privacy protections in digital health.

Tara Sklar, JD, MPH, is a Professor of Health Law and Director of the Graduate Health Sciences Programs at the University of Arizona James E. Rogers College of Law. At the University of Arizona, Sklar launched and oversees multidisciplinary, online graduate programs in Health Law, including a future Graduate Certificate in Aging Law & Policy. Professor Sklar teaches and writes on how laws and policies influence the health and well-being of older adults. Her research has appeared in the Journal of Empirical Legal Studies, Annals of Health Law & Life Sciences, and The Elder Law Journal, among others. Prior to her current role, Sklar was the inaugural Director of Aging Programs and established the first online Master of Aging degree across eight colleges at the University of Melbourne in Australia. In collaboration with Coursera, she designed and led a Massive Open Online Course (MOOC) that has registered nearly 20,000 students called Rethinking Aging: Are We Prepared to Live Longer?.


Wednesday Oct 16th, 2019—4:00pm to 5:00pm
The Ethics of Uterine Transplantation
Hilary Mabel, JD

On July 9, the Cleveland Clinic announced a successful birth by a woman who had received a uterine transplant from a deceased donor. Now that it has been proven successful, we ask Hilary Mabel, JD, from the Cleveland Clinic to lead us in a discussion of the ethics of the procedure. We know we can do it, but should we continue to do it? 

This webinar will not be recorded at the request of Ms. Mabel, so register today to participate!


Friday Sep 13th, 2019—9:00am to 4:00pm
ABN Annual Conference
ABN

In lieu of our September webinar, ABN is hosting its 8th Annual Conference entitled "Current Controversies in Bioethics." Join us at Banner Baywood Hospital as we learn about the ethical issues and current controversies in bioethics. We'll spend the day exploring the bioethical controversies in the news. What or who determines if "Do Not Resuscitate" orders should be honored for a patient with dementia? What are the ethical stances to medical assistance in dying? What can we foresee as issues when artificial intelligence takes a prominent place in medicine? Should your genomic data be collected and used in a public space? We hope you'll join us to hear from experts in their fields and share with them. Registration fee of $50 includes lunch. Students and residents pay a discount fee of $25. Full agenda and link to registration form is here.


Wednesday Aug 21st, 2019—4:00pm to 5:00pm
Sex and gender: Binaries or bimodal?
Melissa Wilson, PhD

Watch this webinar: http://bit.ly/2P3MRsn

Understanding sex as a biological variable (SABV) is now considered one of the top priorities of the National Institutes of Health, spanning all institutes. This is because for most of clinical genetics, only one sex was studied, and now drugs, treatments, and therapies are failing at higher proportions in the unstudied (or understudied) sex, typically women. Layering on top of this, is the recognition that sex chromosomes, reproductive hormones, and gender identity all play unique rolls in both how disease manifests, and how patients are treated. Dr. Wilson leads the discussion on sex and gender in human health. 

Melissa Wilson, PhD is a computational evolutionary biologist whose main research interests include sex-biased biology. She studies the evolution of sex chromosomes (X and Y in mammals), why mutation rates differ between males and females, and how changes in population history affect the sex chromosomes differently than the non-sex chromosomes. Generally she studies mammals and regularly engages the public in discussions about the difference between sex and gender, the importance (or not) of genetic inheritance, and understanding evolution.

Dr. Wilson is one of the authors of the recently published article: "The Pregnancy Pickle: Evolved Immune Compensation Due to Pregnancy Underlies Sex Differences in Human Diseases"

Note:Recording was begun late. Dr. Wilson is affiliated with the Center of Evolution and Medicine, the College of Life Sciences at ASU. Her twitter handle is @sexchrlab


Wednesday Jul 17th, 2019—4:00pm to 5:00pm
Human research: What can we believe? How do we protect subjects? Reflections of a journal editor and former research subject participant.
David Sklar, MD

Watch this webinar: http://bit.ly/2JMnyFF

Dr. David Sklar is editor of Academic Medicine and an emergency physician. He does research in health services and health professions education. He's former chair of emergency medicine and associate dean of graduate medical education at the University of New Mexico. He's a professor at Arizona State University in the School for the Science of Health Care Delivery and senior advisor to the university provost in health policy and health professions education and author of the book Atlas of Men.

Dr. Sklar asks that you please read Atlas of Men prior to session, if possible, as he will refer to it in his presentation. He will be discussing the following:

  • Ethics and research
  • History of human subjects protection
  • The use of expert review of research including decisions about publications and what we can do to publish more replicable and useful research

Wednesday Jun 19th, 2019—4:00pm to 5:00pm
Recent Updates in the Law: Public Health and Government Regulation of Behavior
Valerie Gutmann Koch, JD

Watch this webinar: http://bit.ly/2Y5DRXj

Join us as Valerie Gutmann Koch highlights recent updates in the law where public health officials and the government have taken steps to regulate behavior. A recent law in Arizona regarding the ownership of embryos is just one of the laws on this list.

Valerie Gutmann Koch is a Visiting Fellow at DePaul University College of Law and the Director of Law and Ethics at the University of Chicago’s MacLean Center for Clinical Medical Ethics. Professor Koch earned her J.D. degree from Harvard Law School, where she was the co-editor of the recent developments section of the Journal of Law, Medicine & Ethics. Professor Koch iserves as the Chair of the ABA’s Special Committee on Bioethics and the Law and Co-Chair of the Law Affinity Group for the American Society for Bioethics and the Humanities.

Pages

Previous webinars that were hosted by Hospice of the Valley:

To access recordings of previous webinars, enter the following on the adobe connect login screen:
Username: abn_guest[@]hov.org (remove the brackets)
Password: guest:

October 2012: The Patient-Practitioner Relationship and Conscientious Refusal
Bruce D. White, MD

November 2012: Decision-making for Patients with Declining Capacity
Jalayne J. Arias, JD, MA

January 2013: Ethical Issues to Consider in Terminal Psychiatric Cases
JA Moore, DHCE and GG Enck, PhD

March 2013: Exploring the Nature and Meaning of Medical Futility: A Case Involving a Neurologically Devastated 2 Year Old
Rebecca L Volpe, PhD

May 2013: Who Owns My Organs: Ethical Considerations in Organ and Tissue Donation
Sara Pace Jones and Patricia Pace Anderson