Spring 2006 Brown Bag Series

Wednesday, January 25, 2006, C 102 East Fee Hall
Harriet A. Squier, MD, MA
"The Relevance of Creative Writing in the Medical School Curriculum"

With an ever-expanding scientific knowledge base and crowded medical school curriculum, it can be difficult to justify non-clinical courses, not to mention medical humanities. And compared with humanities courses directly linked to current medical issues, creative writing may sound even further irrelevant. Yet, in the process of teaching creative writing at MSU's College of Human Medicine (CHM), it has become clear to me that this course targets and nurtures some of the most essential characteristics of competent physicians. In this presentation I will discuss the ways that MSU's medical humanities creative writing curriculum fosters desired physician attributes. Participants will learn how students use creative writing to explore differences and similarities between each other and between themselves and their patients; to identify and address fears, stereotypes, and emotional needs; to express themselves in ways that are largely discouraged in the rest of their medical education (but expected by patients); and to explore the kinds of meaning they hope to find in their medical careers. I will also show how this course helps students address the competition, isolation, defensiveness, and insecurity fostered by the medical school environment.

Harriet Squier, MD, MA, is an adjunct Associate Professor at the Center for Ethics and Humanities. In the past, she developed literature and medicine material for CHM's medical humanities curriculum, and published a number of articles and textbook chapters related to literature and medicine and doctor patient communication. Currently, Dr. Squier is a family practitioner who provides medication management at a local psychology clinic and also works as a medical chart reviewer and quality consultant for a community health center in Jackson, Michigan. She writes in her spare time

Wednesday, February 22, 2006, C 102 East Fee Hall
Raymond De Vries, Ph.D.
"Researching Research Ethics: Can Sociology Promote More Ethical Research?"

The relationship between the social sciences and bioethics remains unclear. Is social science an ally, adjunct, or adversary in the bioethical task? Has bioethics displaced the sociology of medicine and health? In this presentation, De Vries explores the value of sociology for the field of research ethics. Drawing on his ongoing study of Institutional Review Boards (IRBs) and his research on "normal misbehavior" in science, he shows the emptiness of an empirically-uninformed normative ethics. While the principles and rituals of research ethics are formally comforting, they do not necessarily insure that subjects are being treated properly. The majority of IRB members take their task seriously, but like any evaluative body, they develop routines that allow "repeat players" to escape with less scrutiny than "one-shotters" - in spite of the degree of risk involved in the research. Policymakers and compliance officers work hard to insure the responsible conduct of research, but their efforts have little to do with the behaviors that scientists find most threatening to the integrity of their work. Participants will learn about certain examples of this dynamic in the functioning of IRBs and in the oversight of research by compliance officers. Building on these examples, De Vries will then present to the audience for their consideration his model for collaboration between normative and empirical approaches to bioethics and research ethics.

Raymond De Vries, Ph.D. is associate professor in the bioethics program at the University of Michigan School of Medicine. In 2003-2004 he was a member of the School of Social Science at the Institute for Advanced Study, Princeton, New Jersey. He is presently at work on two NIH-funded research projects: an investigation of the influence of work environment on the (mis)behavior of scientists, and an ethnographic study of clinical trials of genetic therapies. He is the author of A Pleasing Birth: Midwifery and Maternity Care in the Netherlands (Temple University Press, 2005), and co-editor of The View from Here: Bioethics and Social Science (Blackwell, forthcoming, 2006).

Friday, March 17, 2006, A 131 East Fee Hall
Co-Presenters: J. Ricardo Guzman, MSW, MPH, Executive Director, Community Health and Social Services, Inc., Detroit, Michigan and Barbara A. Israel, DrPH, MPH, Professor, Department of Health Behavior and Health Education, School of Public Health, University of Michigan
"Community-Based Participatory Research: Principles, Rationale and Practice"

** NOTE - This event will be held in A 131 East Fee Hall**

Wednesday, April 12, 2006, C 102 East Fee Hall
David Ubogy, MD
"Deschapelles, Haiti: Ethical Dilemmas Facing Physicians Working in a Setting of Great Need but Limited Resources"

This lecture is a presentation of a research project conducted in July 2005, at Hôpital Albert Schweitzer (HAS) in Deschapelles, Haiti. Haiti is the poorest country in the Western hemisphere, with an extreme burden of disease, but scarce healthcare resources. HAS is a private NGO institution, employing both long and short-term physicians of various specialties, from Haiti, the United States, and other countries. Currently, the hospital is facing a financial crisis that threatens its continued existence. Physicians working there are forced to balance the needs of their patients against greater institutional and public health needs. This perplexing dilemma places them in dual conflict - both with the Hippocratic Oath, which emphasizes duty to the individual patient, as well as with the expressed belief that healthcare is a universal human right. The project sought to examine strategies used by the physicians to resolve this conflict. Participants will learn about Haiti's major causes of morbidity and mortality and the resource limitations of clinical practice in that country. They will also consider ongoing ethical dilemmas facing physicians practicing in this resource-limited setting and learn about physician strategies to resolve such ethical conflicts.

David Ubogy is a physician specializing in Pediatric Critical Care Medicine, who trained at Case Western Reserve University, The University of Arizona, and the University of Michigan. He currently works at the Pediatric Intensive Care Unit in Saginaw, Michigan, and is a graduate student in the Bioethics, Humanities, and Society Program at Michigan State University. In addition to his clinical specialization, he is studying bioethics and medical anthropology, and in the past he has worked in several overseas settings including Zimbabwe, Honduras, and Haiti.

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Michigan State University, College of Human Medicine and the Center for Ethics and Humanities in the Life Sciences. The Michigan State University College of Human Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Michigan State University College of Human Medicine, designates this educational activity for a maximum of 1 hour in category 1 credit per session towards the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the activity.

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Michigan State University, College of Human Medicine and the Center for Ethics and Humanities in the Life Sciences. The Michigan State University College of Human Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Michigan State University College of Human Medicine, designates this educational activity for a maximum of 1 hour in category 1 credit per session towards the AMA Physician's Recognition Award.  Each physician should claim only those hours of credit that he/she actually spent in the activity.

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