ABN 10th Annual Conference Ethical Challenges in Mental Health September 17 & 18, 2021 The COVID-19 pandemic has identified ethical challenges that arise when a health care system is stretched to its limits in providing care. Health professionals, social workers, and the public have faced these challenges. Healthcare professionals saw an increase in suicides or burnout, and they have expressed concern at the lack of support for mental/behavioral health needs for their members. The dynamics of healthcare changed during the pandemic through its extensive reliance on telemedicine. Some challenges are persistent, such as questions of suitable research subjects, the use of genomic data, and difficulties placing children in treatment facilities. Agenda Friday, September 17, 2021 9:00–9:05 Welcome and Introduction Patricia Bayless, MD, Chairman of Board, Arizona Bioethics Network 9:05–9:45 Mental Health Stigma & Health Professionals Tala Dajani, MD, MPH 9:45–10:30 Reset and Rejuvenate! Shelley J. Tom, MS, LPC, RYT 200, CDWF 10:30–11:15 Ethical Concerns in the Treatment of Incapacitated Patients Joanna Kowalik, MD, MPH, FAPA 11:15–12:00 Ethics in Research: Subjects with Mental Illness Gwen A. Levitt, DO, DFAPA 12:00-12:05 Break 12:05-12:45 Optional Individualized Break-out Rooms for Further Discussion Saturday, September 18, 2021 9:00–9:05 Welcome and Introduction Patricia Bayless, MD, Chairman of Board, Arizona Bioethics Network 9:05-9:45 Divided Medicalization and the Neurodevelopmental Turn: Using Genomic Data to Predict a Changing Future Elizabeth Fein, PhD 9:45–10:30 The Pipes are Clogged: Finding Flow in Children’s Higher Levels of Behavioral Health Care Sala Webb, MD, CPH, FAPA, DFAACAP 10:30-11:15 Ethics in Providing Telepsychiatric Services During the Pandemic Lisa Cobourn, MD, & Wendy Watson, MD, MPH 11:15-12:00 The Ethics and Laws Regarding Patients who Report Homicidal Thoughts Zhi Y. Wu, 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.

ABN 9th Annual Conference Ethical and Legal Challenges in a Pandemic September 18, 2020 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? 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

ABN 8th Annual Conference Current Controversies in Bioethics September 13, 2019 Hosted at the Banner Baywood Hospital as we will 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? 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

Past events – AZ Bioethics Network

Q: 2024

ABN 11th Annual Virtual Conference Friday April 26th, 2024 – 9:00AM-4:00PM MST Arizona Bioethics Network 12th Annual Conference Arizona Bioethics Network is hosting its 12th Annual Conference on April 26th, 2024. This will be a hybrid conference with the ability to attend in person at the ASU Health Futures Center, or virtually via Zoom. The conference will take place from 9:00am to 4:00pm MST with an optional networking hour at the end. The Arizona Bioethics Network 12th annual conference titled ‘Chasing Progress – the Ethics of Innovation’ delves into the ethical complexities inherent in healthcare innovation. As biomedical research advances, questions arise regarding equitable access to emerging treatments and technologies. This conference seeks to navigate these dilemmas, exploring how to foster innovation while ensuring healthcare accessibility for all. Through interdisciplinary dialogue, attendees will examine the ethical dimensions of healthcare innovation and strive to chart a path forward that prioritizes both progress and inclusivity. Join us as we grapple with the challenges and opportunities of healthcare innovation in pursuit of a more ethical future.

Q: 2023

ABN 11th Annual Virtual Conference Making Space: Ethics & Neurodiversity April 14th, 2023 — 8:30am to 1:00pm (MST/AZ Time) Arizona Bioethics Network is hosting its 11th Annual Conference on April 14th, 2023 on Zoom. The presenters will be examining topics associated with neurodiversity and ethics. This includes looking historically at the position of neurodiversity in medicine, the ethics of diagnosis in searching for genetic causes, how there is a lack of neurodiverse perspective in research, and the need to consider lived experiences of populations to inform medical care. These topics help demonstrate how the focus on the treatment of the neurodiverse can make them vulnerable to stigmatization, inequalities in medical care, ineffective treatment/intervention, and involvement in biased research. This conference aims to invoke critical thinking about the ethical concerns associated with improper considerations of neurodiversity in medicine and how that can be changed to make space for those that are neurodiverse.

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Past Webinars

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Wednesday September 18th, 2024 – 4:00PM MST

Panel Discussion: Ethical Decision Support

Dr. Patricia Bayless, Dr. Kathleen O’Connor, and Dr. Alexandra C. White

This webinar, hosted by the Arizona Bioethics Network (ABN), aims to provide an interactive educational experience for healthcare professionals, particularly those unfamiliar with or newly introduced to the ethics consultation process. Through expert-led discussions, the program will demonstrate how the fundamental principles of bioethics inform ethical decision-making in various clinical encounters. Participants will gain a deeper understanding of how these principles shape patient interactions and professional conduct, outline general models for ethical decision-making, and apply these frameworks to hypothetical cases.

Panelists include Dr. Patricia Bayless, President of the Arizona Bioethics Network and an Emergency Medicine physician at Valleywise Health Medical Center; Dr. Kathleen O’Connor, ABN Board Member; and Dr. Alexandra C. White, Clinical Ethics Director at Banner Thunderbird Medical Center. Each will share their expertise, offering valuable insights into the ethical dimensions of clinical practice.

By the end of the webinar, participants will be equipped to:

Illustrate how bioethics principles inform patient interactions and professional behavioral norms.
Outline general models for ethical decision-making.
Apply ethical decision-making processes to hypothetical clinical scenarios.

Wednesday July 17th, 2024 – 4:00PM MST

How do you know when to attempt to remove a legal surrogate due to incapacity?

Karen Smith, Ph.D

A number of ethical and legal issues are involved in cases where ‘Medical Power of Attorney’ capacities are faulty or questionable. Central issues are whether the surrogate’s decision represents the patient’s own best interests and whether the decision is a fully-informed, reasonable choice. When issues of incapacitated surrogates arise, the healthcare system has limited options for removing the incapacitated decision maker. Failure to effectively manage such situations can result in poor outcomes for patient care and excessive burdens for the healthcare system. Instead, care teams must look for ways to evaluate those whose decision-making we question and seek alternatives to the decision-making process while still providing optimum patient care. Many cases where surrogate decision-making is questionable lead to inappropriate or overly lengthy hospital stays. This presentation will offer a reasonable way to evaluate when steps need to be taken to legally remove a surrogate.

Wednesday June 19th, 2024 – 4:00PM MST

Heat & the Healthcare System – Who is responsible when ethics, public health policy & clinical care collide?

David Sklar & Fred Hafferty

Join us for an engaging webinar where we delve into the intersection of heat illness, ethics, and healthcare disparities. Our speakers will explore the ethical dimensions of heat illness alongside its medical and environmental implications. We’ll examine how healthcare disparities can exacerbate the risk of heat illness and discuss strategies for promoting justice and fairness in response to future heat waves. Don’t miss this opportunity to contribute to a vital discussion on how public health agencies, public/private utilities, and private companies can work together to address this pressing issue. Register now to be part of the conversation.

Wednesday March 20th, 2024 – 4:00PM MST

Large Language Models for Healthcare

Roxana Daneshjou, MD, PhD, FAAD

Watch this webinar: http://bit.ly/4adPsUX

Dr. Roxana Daneshjou, MD, PhD, FAAD, Assistant Professor of Biomedical Data Science and Dermatology at Stanford School of Medicine, explores the dynamic landscape of large language models (LLMs) within the healthcare domain. This presentation provides an examination of the processes involved in constructing LLMs and the limitations of these models. Furthermore, it illuminates shifts in incorporating LLMs in clinical practice and highlights inherent biases embedded within LLMs that raise deep concerns about their usage in the healthcare setting. She will argue that the lack of standardized frameworks for rigorous testing and validation emerges as a pivotal consideration. As Dr. Daneshjou navigates the frontiers of biomedical data science, she advocates for the development of robust bias mitigation strategies and comprehensive measures to ensure the responsible and equitable deployment of LLMs in clinical contexts.

Wednesday January 17th, 2024 – 4:00PM MST

Harming Dying Patients as a Legal Requirement

Adrienne Jones-Adamczyk MBE, RN, ACNP-BC, ACHPN, HEC-C

Jesse’s Law, passed in Arizona as a reaction to a surrogate acting against the interests of a specific patient, now prevents intensivists and surrogates who are acting appropriately from discontinuing unwanted interventions in dying hospice patients. The law prohibits statutory surrogates from authorizing discontinuance of artificial nutrition and hydration unless they can present “clear and convincing evidence” to a court that the patient would agree. This law is causing undue harm to hospice patients at end of life by delaying withdrawal of unwanted medical interventions, interfering with accepted and established surrogate decision-making precepts, and negating informed consent because surrogates are unaware that artificial nutrition and hydration cannot be easily discontinued after initiation. The presenter offers a case example and ethical analysis of this presumably unintended consequence of the law.

Wednesday November 15th, 2023 – 4:00PM MST

Next Generation: Ethics and the Education of Healthcare Professionals

Hannah Dillon, MD

Watch this webinar: https://bit.ly/4dAOx3M

A look at the paradox between the rights of patients, both to choose who participates in their care and their entitlement to the best possible care, vs. the societal need to train future healthcare providers by allowing them hands-on experience.

The objectives:

1. Define the ethical paradox in healthcare education.

2. Apply the 4 pillars of medical ethics to the conflict of patient care and autonomy vs. social need for healthcare providers.

3. Identify the negative and positive aspects to patients of hands-on patient care by trainees.

4. Identify the negative and positive aspects to society of hands-on patient care by trainees.

5. Identify practical ways to minimize the negative impact of healthcare education on patients, while maximizing social benefit.

Speaker Bio:

Dr. Hannah Dillon is an anesthesiologist, critical care physician, and medical ethicist. She practices in Tucson, AZ, where she has participated on and chaired ethics committees at several hospitals. She has a primary interest in the ethics of end-of-life care, and she was a Fulbright Fellow in the Netherlands where she examined different cultural perspectives on medical aid in dying (MAID). During the Covid-19 pandemic, she was active in healthcare ethics at both state and national levels, helping to create triage plans and guidance for ethical decision-making in the most severely ill patients.

Wednesday October 18th, 2023 – 4:00PM MST

Strategies for Managing Oncology Drug Shortages

Brain Palmer, PharmD, BCOP

Watch this webinar: http://bit.ly/3ye03SC

Drug shortages can adversely affect patient care, and this fact is more prevalent in oncology, where all of our studies link effective therapy to patient survival. While we as providers cannot avoid drug shortages, we have strategies that can reduce the impact to patient care. We will review what causes drug shortages, how we can improve our response to drug shortages, how different professions can contribute to shortage mitigation, and how to ethically allocate drug supply.

Wednesday September 20th, 2023 – 4:00PM MST

U.S. Eugenics: Legacies, Resurgences, and Bioethics

Charlene Galarneau, PhD, MAR

Watch this webinar: https://bit.ly/48F33VV

Dominant narratives of US eugenics portray a by-gone era, led by academic elites promoting pseudo-science, and concluding when the harms of Nazi eugenics became known. Emerging critical analyses reveal a more complex history entailing diverse eugenic experiences by race, ability, gender, indigeneity, and national origin that reflect a mutable, multilayered eugenic logic that endures to the present day. Bioethics has a role to play both in addressing past harm (what is a just response?) and in identifying
and analyzing eugenic features present today in genetic technologies, reproductive health care, as well as land conservation and immigration policy. Considerations of who is “fit” continue to enervate social, political, and health care decision-making in the U.S.

Learning Objectives
After this session, attendees will be able to
1) understand the ways social inequities (e.g. racism) undergird U.S. eugenics,
2) identify expressions of eugenics logic in the present day, and
3) articulate ways that bioethics can contribute to a non-eugenic future.

Wednesday July 19th, 2023 – 4:00PM MST

Trauma Informed Approaches in Clinical Ethics Consultation and Beyond

Devora Shapiro

Watch this webinar: http://bit.ly/3t5ZrMw

By acknowledging the presence of trauma in patients’ and providers’ experiences, it is possible to consider the ethical and practical implications of that experience. Reflecting on the ethical grounding for a trauma informed approach and its role in building mutually respectful relationships between patients and their care providers demonstrated how this approach can be applied in practice in clinical ethics consultation and beyond.

Wednesday June 21st, 2023 – 4:00PM MST

‘Do No Harm’ – Responding to Requests for Potentially Inappropriate Treatments

The panel will include ABN board members Lexi C. White, JD, PhD, Christy Torkildson, Ph.D., RN, PHN, FPCN, HEC-C, Patricia Bayless, MD, FACEP, MIHM, HEC-C, and Patricia Mayer, MD, MS, HEC-C and will be moderated by Kathleen O’Connor, DPS, MBA, LMSW, as they discuss the lesson learned from both an adult and pediatric patients cases.

Watch this webinar: http://bit.ly/3Py36KC

The ABN’s June webinar will discuss the challenges a healthcare team faces when responding to requests for potentially inappropriate treatments and will examine diverse pathways to manage these ethical dilemmas. They will consider how core ethical principles (autonomy, beneficence, non-maleficence, and justice) are weighed against each other in the context of a case that has futility and public health implications and a case with futility and a terminal diagnosis. The discussion will unpack the differences between futile and potentially inappropriate treatment to identify how to develop potential action plans to use in related situations.

Wednesday May 17th, 2023 – 4:00PM MST

Parental Autonomy and Anticipated Harms: Ethical Considerations Concerning Parental Discretion in the Neonatal ICU

Jeffery Pannekoek, PhD

Watch this webinar: http://bit.ly/461xILm

Parental autonomy is foundational to our approach to decision-making in the neonatal ICU. This talk will explore complications that can arise when we treat patients according to values and preferences that are not necessarily their own. The discussion will focus on different considerations regarding potential treatment limits and avoiding harm to the patient.

Objectives:

Following this presentation, attendees should be able to:

Identify different approaches to parental decision-making.
Define the parental zone of discretion and when it is relevant to decision-making.
Recognize complications with parental decision-making in the neonatal ICU.

Wednesday Mar 15th, 2023 – 4:00PM MST

Reimagining Bioethics: Taking the Entanglement of Health and Environment Seriously

Kristien Hens

Watch this webinar: http://bit.ly/3t3aZ37

The environment and health are closely entangled. Remarkably, bioethics and environmental ethics are often seen as differing fields with limited interaction. Various fields such as the philosophy of science, specifically the philosophy of medicine, and feminist posthumanism will be called upon to bridge this gap. This talk will delve into these subjects to explore what it would take for bioethics to integrate environmental concerns.

Wednesday Feb 15th, 2023 – 4:00PM MST

Making Ethical Decisions Based on Consensus Decision Making

William Quigg

Watch this webinar: http://bit.ly/3JRNU7V

Corporate values have been identified as a critical resource that is often missing as a foundational component for decision-making. William Quigg has devised a simple four-to-five-part ethical guideline for resolving difficult problems rooted in corporate value statements. He considers the six key steps in consensus decision-making to increase team collaboration. This helps to establish an ethical system based on living the truth and measuring actions based on benefits.

William Quigg is the president of Discovery Learning International, a seminar and consulting company. For almost 30 years, he has served as Executive Vice President and President of the Central Broadcasting Corporation. His previous hospital experience includes serving as Board Chair for Reid Hospital in Richmond, IN for 18 years. For the past 17 years, William has served on the Bioethics Committee for Honor Health Hospitals in Phoenix and in the Spiritual Care Center. Another area of expertise includes the Ethics Awareness Inventory©, designed to assist people in the development of a deeper understanding of their personal ethical perspective and style. In association with The Williams Institute in Phoenix, William is a Master Trainer in Ethics Related programs.

Wednesday Jan 18th, 2023 – 4:00PM MST

Bioethics in Neurosurgery: More than Informed Consent

Margot Kelly-Hedrick and Sasha White

Watch this webinar: http://bit.ly/3ZgH6Xb

There are many ethical issues that can arise when a patient is referred to a neurosurgeon. Beyond informed consent, how does the neurosurgeon recognize these issues and respond to them? Ethical issues can arise in the clinic, during a scheduled operation, or in the trauma bay of the emergency department. How does one deliver care in an equitable and just way? What are the ethical challenges in recruiting a patient for research? Who are the stakeholders in neurosurgical care and how can they work together?

Wednesday Nov 16th, 2022 – 4:00PM MST

Health, Well-Being, and Transformative Experiences in Healthcare

Nathanael Pierce, BA

Watch this webinar: http://bit.ly/3XcOItU

Oftentimes, the duty to “do no harm” is implicitly implied to assume another duty: a duty to promote health and well-being. But, what is “health” and what is “well-being”? Our answer has large implications on the goals in medicine. Further complicating is the fact that much patient-physician interaction is, for the patient, during a time of transformative experience — necessitating from healthcare providers a large degree of finesse for the everchanging patients’ preferences and self-identity. This talk aims to elucidate these problems surrounding the goals of healthcare and provide a platform for healthcare professionals to discover strategies for successful patient interaction.

Nathanael Pierce is a graduate student studying philosophy at Arizona State University, focusing on issues related to bioethics and social philosophy. He serves as board member to the Arizona Bioethics Network and an editorial assistant to the Erasmus Journal for Philosophy and Economics.

Wednesday Oct 19th, 2022 – 4:00PM MST

Advancing immigrant health equity: unpacking and ameliorating the ethical consequences of ICE raids through population health science

Gregory Rogel, MA

Watch this webinar: https://bit.ly/3SqE3sk

Discussions regarding U.S. immigration enforcement efforts occur primarily within the social/political dimension. These debates focus on the legality of U.S. immigration policies; however, there is another important dimension here. Namely, the health consequences of U.S. immigration enforcement efforts. I argue that population health science demonstrates how U.S. immigration enforcement efforts can directly impact the health of migrant communities. I will use the social determinants of health to unpack the various health injustices of immigration raids, including reproductive injustice. In addition, I argue that population health has the potential to help ameliorate these injustices. Population health science needs to engage with the political realm. A politically neutral research environment obfuscates the macro social determinants that play a significant role in creating and reproducing health disparities. Health researchers should investigate the non-health sectors influencing population health, and policymakers should engage with this research. This collaboration can lead to policies that are better suited to advancing health equity.

Objectives:

By the end of the presentation:

Develop greater understanding of the ethical consequences of US immigration enforcement efforts
Link the cause of immigrant health inequities to larger macro-social determinants
Formulate how population health science can be leveraged toward advancing immigrant health equity

Wednesday Aug 17th, 2022 – 4:00PM MST

The State of Pharmaceutical Shortages

Summer Peregrin, PharmD

Watch this webinar: https://bit.ly/3QU8gPQ

Recent shortages of pharmaceuticals have caused physicians, pharmacists, and patients to make tough decisions. Dr. Summer Peregrin leads us in a discussion of the effects of drug shortages on patient care from the perspective of the hospital pharmacist.

Dr. Peregrin is a clinical pharmacist with Dignity Health and has previously taught at the School of Pharmacy at University of Arizona, Creighton, and Midwestern University.

Wednesday Jul 20th, 2022 – 4:00PM MST

Ethical and Historical Considerations in Population Health Research

Michael Yudell, PhD, MPH

Watch this webinar: http://bit.ly/3cq03E9

Download: nejmms2004740.pdf

Michael Yudell, PhD, MPH examines the history of the use of race concepts in health and genetics research, considering the evolution of thinking on this topic, ethical issues associated with the use of race and other population identifiers, and practical and policy challenges related to the use and misuse of population identifiers in this webinar. He is the author of Race Unmasked: Biology and Race in the 20th Century (Columbia University Press, 2014), winner of the 2016 Arthur J. Viseltear Award from the American Public Health Association. The book examines the way biologists shaped the race concept during the 20th century from eugenics to the sequencing of the human genome.

Michael Yudell is public health ethicist and award-winning historian whose work focuses on the history and ethics of genomics, the history of the race concept, and the history and ethics of autism research. Yudell received his PhD and MPH from the Mailman School of Public Health at Columbia University, an MPhil in U.S. History from the Graduate Center at the City University of New York, and his BA in History and Soviet and Eastern European Studies from Tufts University.

Wednesday Jun 15th, 2022 – 4:00PM MST

Nursing Today: Hazards for Nurses and Patients

Leah Veschio, RN, MSN, CLNC, Pamela A. Adzima MHA, BSN, RN, Chief Nursing Officer, Jennifer A Hutchinson, RN, BSN, Wellness Director (DON) , Yvonne Valdes RN, BSN, RN Care Coordinator

Watch this webinar: https://bit.ly/3HvxW1V

Recently a nurse was criminally prosecuted after a medical mistake that caused the death of a patient. In this panel discussion moderated by Leah Veschio, RN, MSN, CLNC, we will hear some of the demands asked of nurses and administrators in today’s medical environment. Join the conversation. Here are some case examples:

https://www.denverpost.com/2022/05/04/donquenick-joppy-lawsuit-medical-center-aurora/amp/

https://www.npr.org/sections/health-shots/2022/05/13/1098867553/nurse-sentenced-probation

Wednesday May 18th, 2022 – 4:00PM MST

The Bioethics of Biomarkers: Increasing health equity through Indigenous genomic data sovereignty

Krystal Tsosie, PhD, MPH, MA

Watch this webinar: https://bit.ly/3FYIF40

Indigenous people still constitute <1% of participants in precision and genomic medicine research despite endeavors to increase inclusivity. Past ethical issues related to Indigenous genomics have not been adequately reconciled and are now being repeated in the new era of Big Data. Concerns persist about the collectivization of Indigenous data into open-access databases that circumvent tribal research oversight, the underestimation of socioeconomic and cultural factors contributing to health disparities, and continued biocommercial exploitation of Indigenous biomarkers.

Krystal will describe community-engaged research in two tribal communities and describe paths forward that center Indigenous people as the agents of access for their own genomic and health data. The future of Indigenous genomics is not mere inclusion but through recognition of Indigenous genomic and data sovereignty.

Krystal Tsosie (Diné/Navajo), MPH, MA, is completing her PhD in Genomics and Health Disparities at Vanderbilt University. As a geneticist-bioethicist, she co-founded the Native BioData Consortium, the first US Indigenous-led biobank and 501c3 nonprofit institution. Her research centers on ethical engagement with Indigenous communities in genomics and precision health. Utilizing dual quantitative and qualitative methods, she incorporates biostatistics, genetic epidemiology, public health, and computational approaches to disparities in, particularly, women’s health. Krystal’s research and educational endeavors have received international media attention in The Washington Post, NPR, New York Times, The Atlantic, Forbes, Boston Globe, among others.

Wednesday Apr 20th, 2022 — 4:00pm

Cybersecurity, Ransomware, and EHRs

Christian Dameff, MD

Watch this webinar: https://bit.ly/38gykUA

Download: 7.20.21-House-EC-Subcmte-Hearing-on-Ransomware.pdf, hs.2019.0123.pdf, Cybersecurity_Challenges_and_the_Academic_Health.39.pdf

As cyberhackers become more sophisticated, we’ve seen instances where they have infiltrated the electronic record systems of hospitals. What does it mean to a hospital system when such a cyberattack occurs? In the case linked here, no ransomware was paid, but the cost to the hospital system was $50 million, and created delays in care for patients.

Dr. Christian Dameff is an Emergency Physician, Clinical Informaticist, and researcher. He is the Director of Cybersecurity at University of California, San Diego. Dr. Dameff is also a hacker and security researcher interested in the intersection of healthcare, patient safety, and cybersecurity. He has spoken at some of the world’s most prominent hacker forums including DEFCON, RSA, Blackhat, Derbycon, BSides: Las Vegas, and is one of the cofounders of the CyberMed Summit, a novel multidisciplinary conference with emphasis on medical device and infrastructure cybersecurity. Published cybersecurity topics include hacking 911 systems, HL7 messaging vulnerabilities, and malware. In this webinar he will share some of the vulnerabilites in the current health systems and the ethical challenges of paying ransomware.

Wednesday Mar. 16th, 2022 – 4:00PM MST

Ethical Issues in Caring for Mentally Ill Incarcerated Youth

Teresa Mayer, MD

Watch this webinar: https://bit.ly/3KW38bf

Dr. Mayer is the Psychiatric Medical Director, Division of Youth Services, Colorado. She is Board Certified in Adult, Child and Adolescent Psychiatry and is a Forensic Psychiatry Fellow at University of Colorado. In this webinar she discusses some of the ethical challenges in providing mental health services to incarcerated youth.

Wednesday Feb. 16th, 2022 – 4:00PM MST

The Ins and Outs of Managing an Incarcerated Patient in the Hospital

Marc Stern, MD

Watch this webinar: https://bit.ly/34P77qy

It can be challenging managing a patient in the hospital who is under guard by jail or prison officers. This webinar will address the common challenging questions that arise, such as: What are their rights with regard to medical decision-making? What do you do with a patient who lacks decision-making capacity? If a patient is a ward of the state, who calls the shots? Is the prison warden the “next of kin”? How does one interact with the officers who stand guard over the patients? What can they know about the patient’s condition? Does HIPAA apply to these patients? What is the standard of care for an incarcerated patient? Should I force feed a patient sent from the jail because they’re on hunger strike?

Dr. Marc Stern was previously the chief medical officer of the correctional facilities for the state of Washington. When the Washington began using lethal injection as its capital punishment, Dr. Stern resigned his position because of the use of his office for the procurement of the pharmaceuticals. Marc Stern received the B.S. degree from the University of Albany in 1975, and the M.D. degree from the University of Buffalo in 1982. He completed a residency in Internal Medicine, and obtained an MPH from Indiana University School of Public Health in 1992. He is currently an assistant professor at U. Washington, School of Public Health. He is also a member of the National Commission on Correctional Health Care and has published extensively on that subject in NEJM, Journal of Nephrology, Annals of Internal Medicine, and the American Journal of Public Health. He is on the editorial boards of the International Journal of Prison Health and the Journal of Correctional Health Care.

Wednesday Jan. 19th, 2022 – 4:00PM MST

Implications of the Approval of Aduhelm for the Stewardship of Public Trust

Lauren Sankary, JD, MA

On June 7, 2021, the US Food and Drug Administration (FDA) approved aducanumab (Aduhelm; Biogen Inc), the first new drug for the treatment of Alzheimer disease in 2 decades. The approval of the drug, however, by FDA has not been without controversy and therefore, ethical challenges, as there are questions about its value. Lauren Sankary, JD, shares with us some of the ethical challenges that arise with this drug, and the state of FDA approvals.

Lauren Sankary is Associate Director of the Neuroethics Program, and Clinical Ethicist at Cleveland Clinic Neurological Institute, Department of Bioethics.

Wednesday Nov. 17th, 2021 – 4:00PM MST

Documenting a Bioethics Consultation in the Medical Record

Patricia Mayer, MD, MS, HEC-C

Watch this webinar: https://bit.ly/3cs8P18

Download: DocumentEthicsConsult.pdf

You’ve held a bioethics consult, now what? A previous webinar by Kathleen O’Connor DPS, MBA, LMSW discussed how to prepare a patient case for an ethics committee consultation. In this webinar, Patricia Mayer, MD, MS, HEC-C will lead us through a best practice manner of entering the documentation following the consultation into the medical record. Ensuring all the required information is entered helps the team deliver the appropriate patient-centered care and Dr. Mayer elaborates on those details and the procedure.

Dr. Mayer is Director of Clinical Ethics at Banner Gateway/MD Anderson, has been a member of the COVID-19 Pandemic Committees since March 2020, and teaches clinical ethics and medical humanities in her positions at Cleveland Clinic, the UA College of Medicine-Phoenix, Case Western University, and Mayo Clinic School of Medicine.

Wednesday Oct. 20th, 2021 – 4:00PM MST

Providing Gender-Affirming Healthcare

Leonardo Candelario Pérez, PhD

Watch this webinar: https://bit.ly/3G2t2Zb

Leonardo Candelario Pérez, PhD is a sexual health psychologist and co-chair of Adolescent Gender Services at Health Partners, a consultant for the National Center for Gender Spectrum Health, and the LGBTQI+ consultant for Centro Tyrone Guzman. Dr. Leo will be sharing with us the importance and methods of providing gender-affirming healthcare.

Wednesday Aug. 18th, 2021 – 4:00PM MST

Buprenorphine: Data-waived Providers’ Geographic Distribution in Arizona

Benjamin Brady, DrPH

Watch this webinar: https://bit.ly/3j2jweQ

Download: 1-s2.0-S0955395919301847-main.pdf, BupDriveTimeBrady.pdf

Buprenorphine is used to treat opioid use disorder. In order to prescribe it, however, professionals are required to take training and apply for a waiver. That requirement was set to be removed in January 2021, but President Biden withdrew that option. Dr. Brady will share the data regarding the geographic distribution of the providers’ waivers and discuss best practice policies for the future in opioid use disorder.

Update: Even though the Biden administration removed some of the restrictions on medical professionals’ ability to give buprenorphine, there is much to learn still from the geographic distribution of the waivers.

Wednesday Jun. 16th, 2021 – 4:00PM MST

Dementia Advance Directives – Stop Eating and Drinking Directives

Professor Thaddeus Mason Pope, JD, PhD, HEC-C

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

Download: PopeCLE.pdf, chat.txt

In this webinar, Dr. Pope will detail some of the options available for advanced directives for persons with dementia, and the legal structure to voluntarily stop eating and drinking.

Thaddeus Mason Pope, JD, PhD, HEC-C, is a professor at Health Law Institute, Mitchell Hamline School of Law, and holds adjunct positions at the Australian Centre for Health Law Research, Queensland University of Technology and the Alden March Bioethics Institute. He also serves as Visiting Professor of Medical Jurisprudence, St. George’s University (Grenada, West Indies) and Affiliate Faculty, University of Minnesota Center for Bioethics. As a law professor and bioethicist, he examines using the law both to improve medical decision making and to protect patient rights at the end of life.

Wednesday May 19th, 2021 – 4:00PM MST

Contraceptive Justice: Why We Need a Male Pill

Lisa Campo-Engelstein, PhD

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

Dr. Campo-Engelstein, PhD is the Director of the Institute for Bioethics & Health Humanities as well as the Harris L. Kempner Chair in the Humanities in Medicine. She is also Associate Professor, Preventive Medicine and Population Health at University of Texas Medical Branch. In this webinar she discusses the ethics of contraceptive justice and the need for a male contraceptive pill.

Wednesday Apr. 21st, 2021 – 4:00PM MST

Secondary Medical Research and Consent-Requirements

Kyle Van Oosterum, MA Phil

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

Download: ABNHandout.docx

There is considerable debate in legal and bioethical circles about consent-requirements for secondary medical research. Secondary research is often distinguished from primary research. For example, where primary medical researchers collect blood samples from a participant, secondary medical researchers conduct research on collected blood samples in biobanks. However, if consent is required to conduct secondary research on each of the samples, a variety of complications arises. For one, it imposes significant administrative burdens on the effectiveness of secondary research. Even if consent is solicited at time of sample-collection, the nature and purpose of future secondary research is rarely foreseeable, meaning that disclosure of research to participants is not possible, thereby straining the notion that such consent is informed This presentation critically focuses on the question of whether consent is required for secondary research and proposes a novel contractualist account of biomedical research: Consent Once, Use Many Times (COUMT.)

Kyle Van Oosterum is a MPhil in Philosophy candidate at the University of Cambridge (2020-2021). He has been awarded several honors in his educational career. He will be joining us from the UK for this webinar. For this particular webinar, ABN posted a call for papers on the Philosophy forum PhilEvents, and Mr. Van Oosterum’s abstract was chosen from that call.

Earn one CME, CNE, or ACE, as well as IPCE by participating in this webinar online and completing the evaluation form afterward.

Wednesday Mar. 17th, 2021 – 4:00PM MST

Reporting on Arizona Department of Corrections: Healthcare, Vaccines, Software

Jimmy Jenkins

Watch this webinar: https://bit.ly/3ttv0ug

Download: chat.txt, ContactInfo.pdf

Jimmy Jenkins is a reporter at KJZZ and has been reporting recently on the health and health care access of prisoners under the supervision of Arizona Department of Corrections. He will share some of his reporting with us as we discuss the ethical responsibility of Arizona in providing health care for incarcerated persons. If you attended our conference in September, you’ll remember we had Corene Kendrick present information on the Parsons case. There has been recent activity on that case as well.

Earn one CME or CNE for participating in this webinar and completing an evaluation form afterward.

Wednesday Feb. 17th, 2021 – 4:00PM MST

Healthcare Directives and the HIE: Considerations for Developing an Effective Healthcare Directives Registry

Chase J. Millea, JD

Watch this webinar: https://bit.ly/3s84OFc

Download: chat.txt

The pandemic has highlighted the need for persons having not only an advanced care directive, but also having it accessible across communities and providers. Chase Millea is In-House Counsel and Director of Regulatory Compliance of Health Current. In this webinar he will describe efforts to record advanced care directives on Health Current.

Wednesday Nov. 18th, 2020 – 4:00PM MST

Waiving Students’ Rights Goodbye? The Legal and Ethical Implications of Liability Waivers

Bryn Esplin, JD, HEC-C

Watch this webinar: https://bit.ly/38TTExj

The pandemic has disrupted education at all levels. In the context of medical education, the requisite that students’ training consists of in-person patient encounters during their clinical rotations has presented new dilemmas. Some schools introduced so-called ‘liability waivers’, wherein students would waive their right to legal action should they develop COVID-19 resulting from clinical rotations. Professor Esplin discusses the contractual legality, overarching ethical implications, and the feasibility of releasing a school from responsibility in that instance, Looking ahead, too, this presentation will explore how medical education may change if patient contact is reduced for students to reduce spread of the disease. This discussion will explore those topics and many more. Bring your experiences and questions!

Professor Esplin is an assistant professor of medicine at University of North Texas Health Center.

Wednesday Oct. 21st, 2020 – 4:00PM MST

COVID-19 and Vaccine(s): Ethics and Allocation

Patricia Mayer, MD, MS, HEC-C

Watch this webinar: https://bit.ly/3klwu5E

Download: ABN Webinar 10-21 Vaccines.pdf

COVID-19 has enlightened the biomedical and medical community to challenges and ethical decisions that need to be deliberated or ameliorated in a community. One of the recent deliberations looks at the distribution schema to the population should a vaccine be shown to be effective and become available. If/when a vaccine becomes available, it is unlikely that the production volume will meet the demand right away. Who should get the vaccine first? What would be a fair distribution? What would be a just distribution? What complications (such as refrigeration, or providers, or observation time) do the logistics of a vaccine present? Dr. Patricia Mayer will lead us in a discussion so that we might understand the current efforts to develop a COVID-19 vaccine, the ethical allocation in distribution, and the ethical challenges to developing, releasing, marketing and providing vaccine.

Dr. 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 Aug. 19th, 2020 – 4:00PM MST

Duty to Treat

Patricia Bayless, MD, FACEP, MIHM

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

Download: Webinar Duty to treat.pdf

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 MST

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 MST

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 MST

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 MST

Hospice and COVID-19

Lorree Ratto, PhD, FT

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

Download: GMT20200415-225937_Iratto-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

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

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 MST

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 MST

Case Study: A Bedside Ethics Consultation

Kathleen O’Connor, DPS, MBA, LMSW

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

Download: Guides.pdf, 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 MST

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 MST

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: 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 MST

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!

Wednesday Aug. 21st, 2019 – 4:00PM MST

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 MST

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 MST

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.

Wednesday May 15th, 2019 – 4:00PM MST

Ethical Dilemmas in Deep Brain Stimulation

Lauren Sankary JD MA

Watch this webinar: http://bit.ly/2Jod7u8

Deep brain stimulation (DBS) was approved by the FDA as a treatment for Parkinson’s Disease in 1997, and has since been approved for use in the treatment of dystonia, obssessive-compulsive disorder, and in 2018 as a treatment for epilepsy. Beyond the potential complications from surgery as the device and its electrodes are implanted, there are also potential neuropsychiatric side effects after DBS and ongoing considerations related to battery replacement or device removal. What ethical considerations arise when implanted neurotechnology alters the brain?

Lauren Sankary, JD MA is a NIH BRAIN Initiative Postdoctoral Research Fellow at the Cleveland Clinic. She leads the discussion on these dilemmas.

Wednesday Apr. 17th, 2019 – 4:00PM MST

When Uninsured Immigrant Patients Need Long-Term Care: Ethical and Practical Challenges

Nancy Berlinger, PhD

Watch this webinar: http://bit.ly/2IFF5Ak

Nancy Berlinger, PhD will lead us in the exploration of the ethics of medical repatriation, that is, the practice of returning an uninsured, indigent immigrant who needs long-term care to his/her native country. What are the moral duties of our institutions? What are the moral duties of the patient and/or their families? In some cases, the patient would be covered by insurance in the native country. Does that change the moral claim of the patient? In a previous article, Berlinger lays out all the possible courses of action, using a realistic case study of an injured construction worker who is undocumented and who could benefit from appropriate rehabilitative care.

Dr. Berlinger is a Research Scholar at The Hastings Center, an independent, nonpartisan, and nonprofit bioethics research institute founded in 1969 and located in Garrison, New York. Her interests include health care ethics and social ethics in aging societies; health care access for migrants; the management of safety and harm in health care systems, and problems at the intersection of these issues. Berlinger directed the research project that produced a revised and expanded edition of the landmark Hastings Center Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life (OUP, 2013). She is also the author of Are Workarounds Ethical? Managing Moral Problems in Health Care Systems (OUP, 2016) and After Harm: Medical Error and the Ethics of Forgiveness (Johns Hopkins, 2005).

Wednesday Mar. 20th, 2019 – 4:00PM MST

Medical assistance in dying in Canada: Lessons from the Great White North

Jocelyn Downie, JD

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

Due to operator error, the first two minutes of this webinar were not recorded, in which she discussed some of the history of MAID in Canada. I encourage you to watch the recording because it is full of much more information regarding the challenges still facing MAID in Canada.

Jocelyn Downie, JD is the James S. Palmer Chair in Public Policy and Law; Professor of Law; Pierre Elliott Trudeau Foundation Fellow; University Research Professor, Faculties of Law and Medicine; Adjunct Professor, Australian Centre for Health Law Research – QUT. In this webinar she leads us through the history, process, policies, ethics, and shortcomings of the Canadian law “Medical Assistance in Dying.”

Wednesday Feb. 20th, 2019 – 4:00PM MST

To Share or Not to Share (my data): That’s only (part of) the question

Anita Murcko, MD, FACP , M. Adela Grando, PhD

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

Download: 20192020Murcko.pdf

Patient-centered, total-person care means attending to body, mind, and spirit. It also means sharing and integrating behavioral and physical health data with social determinants of health. That’s the focus of the 5-year, NIMH-supported project, My Data Choices, that is, evaluation of effective consent strategies for patients with behavioral health conditions. In this webinar, Drs. Murcko and Grando share insights on the project, as well as lessons learned about clinical, ethical, policy, regulatory, and technological implications of data sharing.

Dr. Anita Murcko, MD, FACP is a Clinical Associate Professor at the College of Health Solutions at ASU with nearly 30 years of healthcare experience. She also leads Cambiare, LLC, the e-health consulting company she founded in 2009. M. Adela Grando, PhD, is an Assistant Professor, College of Health Solutions at ASU. Adela Grando joined the Department of Biomedical Informatics at Arizona State University in 2013. She leads projects focused on building portable decision aids that support patient’s decision process.

Wednesday Jan. 16th, 2019 – 4:00PM MST

Algorithms in Kidney Exchange: Ethics in Artificial Intelligence

Patricia A. Mayer, MD, MS, Duncan McElfresh, MSe

Watch this webinar: http://bit.ly/2AP6P0y

Join us as Dr. Mayer and Mr. McElfresh describe the ethical challenges in the algorithms used for transplant pairing. Who decides what the choices in transplant pairing should be?

Dr. Mayer is a palliative care physician and ethicist with Banner Baywood and Heart Hospitals, who has extensive experience in transplant programs. Mr. McElfresh is PhD student with an interest in artificial intelligence.

Wednesday Dec. 12th, 2018 – 4:00PM MST

Religious Identity and Workplace Discrimination

Aasim I. Padela, MD, MSc, FACEP

Watch this webinar: http://bit.ly/2QVfZO8

Aasim Il Padela, MD, MSc, FACEP

University of Chicago School of Medicine

Director of Program on Medicine and Religion

Director of Initiative on Islam and Medicine

Associate Professor, Section of Emergency Medicine

Faculty, Maclean Center for Clinical Medical Ethics

Dr. Padela is an emergency medicine physician, health services researcher, and bioethicist whose scholarship focuses on the intersection of minority health and bioethics through the lens of the healthcare experiences of American Muslim patients and health care providers. He will share his research regarding the discrimination in the workplace American Muslim physicians experience.

Wednesday Oct. 17th, 2018 – 4:00PM MST

Updates on Compassionate Use, Right to Try, and Access to Unapproved Medicines: Ethical and Practical Issues

Alison Bateman-House, PhD, MPH, MA

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

Dr. Alison Bateman-House gave a webinar to ABN in November 2015 in which she discussed the ethical and practical issues with compassionate use, right to try, and unapproved medicines. Now that Right to Try has become federal policy, in part because of work done by the Goldwater Institute here in AZ, Dr. Bateman-House will give us updates on what the policy means for patients and clinicians.

Wednesday Sep. 19th, 2018 – 4:00PM MST

An Ethical Comparison of Health Care in the US and Canada: Why it’s an Impossible Dream for the US to have a System like Canada’s

Kathleen O’Connor, DPS, MBA, LMSW

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

Kathleen O’Connor, DPS, MBA, LMSW, has researched, as well as experienced, the medical system in Canada and the United States and in this presentation she will provide the philosophical and ethical tenets/differences between the US and Canadian healthcare systems. She will detail the evolution of the current healthcare systems in the US and Canada and finally, consider the current concerns, possible solutions and future options for in both countries.

Wednesday Sep. 19th, 2018 – 4:00PM MST

Protecting the Rights of Conscience Objection in Health Care

Thomas Shellenberger. MD

Watch this webinar: http://bit.ly/2H5QgRR

In this presentation, Thomas Shellenberger, MD, argues in support of the recent HHS regulations regarding conscience objection in health care. As you may recall, at our April webinar, Richard Koo. Esq. argued that the HHS regulations could be challenging in practice. Before attending this July webinar, please feel free to watch the recording of the April webinar and join us for the discussion on this topic.

Wednesday Jun. 20th, 2018 – 5:00PM MST

The Ethics that Guide Good Clinical Practice in Cancer Clinical Trials

Gayle Jameson, NP

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

Join us as Gayle Jameson, NP an investigative researcher from the Honor Health Virginia G. Piper Cancer Center guides us through the recruitment and placement in a clinical trial. She will also talk about compassionate use and the “right to try” legislation, and how it might affect clinical trials, both for the researcher and the patient.

Gayle Jameson is a Nurse Practitioner who has cared for adults living with cancer for nearly 40 years. She is certified as an Advanced Oncology Nurse (AOCN) and is especially interested in the care of patients with pancreatic cancer, early cancer drug development and symptom management.

In her role as Associate Investigator at the Oncology Clinical Trials Department, HonorHealth Research Institute in Scottsdale, Arizona, she has been Principal Investigator (PI) on multiple phase I and investigator initiated studies and Sub-investigator on 50+ phase I anti-tumor clinical trials. She has an Adjunct Faculty appointment at the Translational Genomics Research Institute (TGen) and incorporates translational science in clinical trial designs by working with bench science colleagues at TGEN and as a member of the SU2C Pancreatic Cancer Dream Team. Gayle also was the site Principal Investigator on an international study that led to the approval of Onivyde™ plus 5FU and leucovorin for patients with metastatic pancreatic cancer. She has presented her work nationally and internationally. Gayle also specializes in symptom management, working with patients in managing fatigue, cachexia and other problems related to cancer and cancer treatments. Prior to coming to Arizona in 2006, Gayle had various nursing roles at the University of Pittsburgh Cancer Institute.

Wednesday May 16th, 2018 – 5:00PM MST

Inmates and Immigrants: Federal Provision of Healthcare

Mary Drago

Watch this webinar: http://bit.ly/2Ll1fpa

Download: InmatesReferences.docx, Inmates and ImmigrantsABN a.pdf

The federal government is responsible for providing health care to three citizen populations: veterans through the Veteran’s Administration (VA) system; American Indians/Alaska Natives (AI/AN) through the Indian Health Services (IHS); and federal inmates through the Department of Justice/Bureau of Prisons (BOP) system. In recent years, the federal government has optioned to provide funding rather than directly providing care. Some AI/AN tribes through contracting or compacting arrangements with the IHS gained control of their health services. Veterans optioned for private care facilities when wait times at the VA were extraordinary. The BOP has over 180,000 inmates in its charge of whom approximately 20% of BOP inmates are non-citizens. Most federal inmates are housed in BOP facilities, although 12% are now housed in privately contracted facilities, and an additional 7% in “other types of facilities.” The previous administration outlined plans to discontinue contracts with private prison companies, but the current administration reversed that decision. The Immigration and Customs Enforcement division of the Department of Homeland Security did not join BOP in earlier attempts to end contracts with private prisons. As many as 70% of the immigrants awaiting deportation are housed in private prisons. This presentation examines health care access and outcomes for federal prisoners, comparing health care in contract prisons, federally operated prisons, and the general US population. This presentation invites discussion on the role and responsibility of the federal government to provide health care to prisoners regardless of citizenship status.

Wednesday Apr. 18th, 2018 – 5:00PM MST

The HHS Proposed Regulations for the Enforcement of Conscience Protections: A Bioethical Perspective

Richard Koo, Esq.

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

Download: HHSProposedRegulations.pdf

US Dept of Health and Human Services (HHS) has proposed a new rule entitled: “Protecting Statutory Conscience Rights in Health Care; Delegations of Authority.” HHS states that the new rule will: “ensure that persons or entities are not subjected to certain practices or policies that violate conscience, coerce, or discriminate, in violation of such Federal laws. Through this rulemaking, the Department proposes to grant overall responsibility to its Office for Civil Rights (OCR) for ensuring that the Department, its components, HHS programs and activities, and those who participate in HHS programs or activities comply with Federal laws protecting the rights of conscience and prohibiting associated discriminatory policies and practices in such programs and activities.”

Richard Koo, Esq. will look at the bioethical issues that may be a consequence of such a rule.

Richard Koo is a business/transactional lawyer who also serves as an adjunct professor at The Bioethics Program, a graduate level program offered jointly by Clarkson University and the Icahn School of Medicine at Mt. Sinai, and on two institutional ethics committees. He is an alumnus of Columbia College, Columbia Law School and the Bioethics Program.

Wednesday Feb. 21st, 2018 – 5:00PM MST

Case Study: In crisis, unconscious bias and opioids

Mary Drago, PhD

Watch this webinar: http://bit.ly/2M90GQl

Download: CaseReferences.pdf

Our first webinar presents a case study asking us to look at how the opioid crisis and unconscious bias may increase healthcare disparities.

Thursday Mar. 17th, 2016 – 12:00PM MST

Case Study: Ethical Decision-making in Disasters

Dr. Kathleen E. Powderly, Director of the John Conley Division of Medical Ethics

Watch this webinar: http://bit.ly/2TcYQ8L

Case Study: Ethical Decision-making in Disasters

Dr. Kathleen E. Powderly, Director of the John Conley Division of Medical Ethics and Humanities, SUNY Downstate Medical Center will lead us in a discussion of a case study.

Thursday Feb. 18th, 2016 – 12:00PM MST

“‘Dachschaden’ or ‘Not my cup of tea’; Determining Decisional Capacity”

Larry Parsons, MD , Director, Inpatient Palliative Care, Yavapai Regional Medical Center

Watch this webinar: http://bit.ly/2Th4iTk

Dr. Parsons leads the discussion on tools for determining decisional capacity.

Thursday Jan. 21st, 2016 – 12:00PM MST

Ethics Dilemmas in the Accountable Care Model

Craig Westling, DrPH, MPH, MS

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

Craig Westling, the Managing Director, Professional Education and Outreach of The Dartmouth Institute, reports on his research of the ethical dilemmas realized with the Accountable Care Model, and mitigation strategies to avoid the accompanying moral distress.

Thursday Dec. 17th, 2015 – 12:00PM MST

Toward an Interprofessional Code of Ethics: Rationale, Design and Implementation

Mary Drago, MA

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

In light of the need for a code of ethics that will establish a baseline for ethical conduct amongst professionals from many disciplines, and from those same professionals to the patient, a group of health care professionals and students were invited to draft a preliminary code of ethics. This presentation reports on their work and invites discussion and evaluation of the code.

Thursday Nov. 19th, 2015 – 12:00PM MST

“Compassionate Use, Right to Try, and Access to Unapproved Medicines: Ethical and Practical Issues”

Alison Bateman-House, PhD, MPH, MA, Division of Medical Ethics, New York University Langone Medical Center

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

Download: BatemanHouseArizona Bioethics webinar.pdf

Starting with the AIDS epidemic, patient advocates successfully challenged the norms of clinical research and gained access to investigational drugs based upon “compassionate use”. In this presentation, Dr. Bateman-House will discuss the evolution from the AIDS epidemic to current “Right to Try Laws” enacted by several states and what that means ethically and practically.

Thursday Oct. 15th, 2015 – 12:00PM MST

Ethics in Transitions: Minimizing Transfers of Nursing Home Residents to Hospital EDs

Paula Chidwick, PhD

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

Dr. Chidwick provides ethics services to health care organizations throughout Ontario. She publishes and lectures widely on a variety of topics including ethics in transitions, ethics quality improvement, ethics and error, end-of-life, and advance care planning. She has served on the Canadian Bioethics Society Executive, Health Canada’s Scientific and Expert Advisory Panels, Ministry of Health and Long-Term Care Critical Care Coaching Teams and Critical Care Services Ontario. She is also currently a member of the Education and Training Committee of Technology Evaluation in the Elderly Network and a founding member of the Clinical Ethics Summer Institute (CESI) and the Healthcare Consent Quality Collaborative (HCQC).

Thursday Sep. 17th, 2015 – 12:00PM MST

Native American Concepts on Health and Disability

Lavonna Lovern, PhD

Watch this webinar: http://bit.ly/2UIe0zu

Dr. Lovern and Carol Locust co-authored “Native American Communities on Health and Disability: Borderland Dialogues.” Lavonna L. Lovern received her PhD from the University of Missouri-Columbia, USA in Philosophy. Currently, she is Assistant Professor at Valdosta State University in the department of Philosophy & Religious Studies. Dr. Lovern is a founding member and Professor in the VSU Native American Studies Program. Recent publications include Health and Disability Care in Native American and Alaska Native Communities, Native American Concepts Involving Human Difference and Trampling the sacred: multicultural education as pedagogical racism. Dr. Lovern serves on Florida America Indian Health Advisory Council.

Thursday Jul. 16th, 2015 – 12:00PM MST

From Accused to Advocate

Barbara Mancini, RN

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

Barbara Mancini has been a nurse for over three decades. In this webinar she describes her experience in 2013 when she was arrested and prosecuted in Pennsylvania on the charge of aiding the attempted suicide of her dying 93-year old father after handing him his prescribed morphine four days before his death.

Thursday Jun. 18th, 2015 – 12:00PM MST

Valuing Personhood in Dementia: Considerations for Humane and Dignified Care

Maribeth Gallagher, DNP, FAAN

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

Maribeth Gallagher, DNP, FAAN, serves as director of the dementia program at Hospice of the Valley and speaks on “Valuing Personhood in Dementia: Considerations for Humane and Dignified Care” in our June 18 webinar.

Thursday May 21st, 2015 – 12:00PM MST

Competent persons deciding to stop eating and drinking: Should we intervene?

Sarah Bird, VP Clinical Operations, Hospice of the Valley

Watch this webinar: http://bit.ly/2UEmh7E

Here is the link to the video referred to in this webinar: http://hovvideo.org/mary_choice/

Thursday Mar. 19th, 2015 – 12:00PM MST

Ethics in Palliative Care: Dispelling the Myths

Steven Oppenheim MD FAAHPM Palliative Care Medical Director at Banner Thunderbird Hospital

Steven Oppenheim, MD, the Palliative Care Medical Director at Banner Thunderbird Hospital, clears up some misconceptions about palliative care in this webinar.

Thursday Feb. 19th, 2015 – 12:00PM MST

Too Young to Say No: Forcing Minors to Undergo Treatment They Don’t Want

James Bowen

Watch this webinar: http://bit.ly/2uqo6JY

In our February webinar, James Bowen will discuss the discuss legal and ethical considerations in requiring minor patients to undergo medical treatment against their wishes.

Thursday Jan. 15th, 2015 – 12:00PM MST

Bioethics 101

Jason Robert, PhD (Please note that all slides are reviewed at end There was a technical issue in the recording)

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

Download: Bio101chat.pdf

Jason Robert, PhD, presents some of the foundations of bioethics.

Thursday Dec. 18th, 2014 – 12:00PM MST

Connecting with Difficult Patients

Christy A Rentmeester, PhD

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

Christy A Rentmeester, PhD, Associate Professor of Health Policy and Ethics at the Creighton University School of Medicine speaks on Connecting with the Difficult Patient

Past Conferences

2024

ABN 11th Annual Virtual Conference

Friday April 26th, 2024 – 9:00AM-4:00PM MST

Arizona Bioethics Network 12th Annual Conference

Arizona Bioethics Network is hosting its 12th Annual Conference on April 26th, 2024. This will be a hybrid conference with the ability to attend in person at the ASU Health Futures Center, or virtually via Zoom. The conference will take place from 9:00am to 4:00pm MST with an optional networking hour at the end.

The Arizona Bioethics Network 12th annual conference titled ‘Chasing Progress – the Ethics of Innovation’ delves into the ethical complexities inherent in healthcare innovation. As biomedical research advances, questions arise regarding equitable access to emerging treatments and technologies. This conference seeks to navigate these dilemmas, exploring how to foster innovation while ensuring healthcare accessibility for all. Through interdisciplinary dialogue, attendees will examine the ethical dimensions of healthcare innovation and strive to chart a path forward that prioritizes both progress and inclusivity. Join us as we grapple with the challenges and opportunities of healthcare innovation in pursuit of a more ethical future.

2023

ABN 11th Annual Virtual Conference

Making Space: Ethics & Neurodiversity

April 14th, 2023 — 8:30am to 1:00pm (MST/AZ Time)

Arizona Bioethics Network is hosting its 11th Annual Conference on April 14th, 2023 on Zoom.

The presenters will be examining topics associated with neurodiversity and ethics. This includes looking historically at the position of neurodiversity in medicine, the ethics of diagnosis in searching for genetic causes, how there is a lack of neurodiverse perspective in research, and the need to consider lived experiences of populations to inform medical care. These topics help demonstrate how the focus on the treatment of the neurodiverse can make them vulnerable to stigmatization, inequalities in medical care, ineffective treatment/intervention, and involvement in biased research. This conference aims to invoke critical thinking about the ethical concerns associated with improper considerations of neurodiversity in medicine and how that can be changed to make space for those that are neurodiverse.

2021

ABN 10th Annual Conference

Ethical Challenges in Mental Health

September 17 & 18, 2021

The COVID-19 pandemic has identified ethical challenges that arise when a health care system is stretched to its limits in providing care. Health professionals, social workers, and the public have faced these challenges. Healthcare professionals saw an increase in suicides or burnout, and they have expressed concern at the lack of support for mental/behavioral health needs for their members. The dynamics of healthcare changed during the pandemic through its extensive reliance on telemedicine. Some challenges are persistent, such as questions of suitable research subjects, the use of genomic data, and difficulties placing children in treatment facilities.

Agenda
Friday, September 17, 2021
9:00–9:05	Welcome and Introduction
	Patricia Bayless, MD, Chairman of Board, Arizona Bioethics Network
9:05–9:45	Mental Health Stigma & Health Professionals
	Tala Dajani, MD, MPH
9:45–10:30	Reset and Rejuvenate!
	Shelley J. Tom, MS, LPC, RYT 200, CDWF
10:30–11:15	Ethical Concerns in the Treatment of Incapacitated Patients
	Joanna Kowalik, MD, MPH, FAPA
11:15–12:00	Ethics in Research: Subjects with Mental Illness
	Gwen A. Levitt, DO, DFAPA
12:00-12:05	Break
12:05-12:45	Optional Individualized Break-out Rooms for Further Discussion
Saturday, September 18, 2021
9:00–9:05	Welcome and Introduction
	Patricia Bayless, MD, Chairman of Board, Arizona Bioethics Network
9:05-9:45	Divided Medicalization and the Neurodevelopmental Turn: Using Genomic Data to Predict a Changing Future
	Elizabeth Fein, PhD
9:45–10:30	The Pipes are Clogged: Finding Flow in Children’s Higher Levels of Behavioral Health Care
	Sala Webb, MD, CPH, FAPA, DFAACAP
10:30-11:15	Ethics in Providing Telepsychiatric Services During the Pandemic
	Lisa Cobourn, MD, & Wendy Watson, MD, MPH
11:15-12:00	The Ethics and Laws Regarding Patients who Report Homicidal Thoughts
	Zhi Y. Wu, 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.

2020

ABN 9th Annual Conference

Ethical and Legal Challenges in a Pandemic

September 18, 2020

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?

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

2019

ABN 8th Annual Conference

Current Controversies in Bioethics

September 13, 2019

Hosted at the Banner Baywood Hospital as we will 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?

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

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Past Conferences

ABN 11th Annual Virtual Conference

ABN 11th Annual Virtual Conference

Making Space: Ethics & Neurodiversity

ABN 10th Annual Conference

ABN 9th Annual Conference

ABN 8th Annual Conference

email: azbioethicsnetwork@gmail.com