Education – College of Medicine

CBHX 2400 Bioethics at the Bedside

The goal of this required bioethics course is to improve the student's ability to identify and analyze common ethical issues in health care. Using a case-based approach and presented concurrently with the clinical clerkships, this course focuses on identifying and addressing ethical conflicts, and developing understanding of the legal consensus and moral arguments about common bioethical issues.

Group Schedules:

For individual group schedules, click on your group number: one, two, three, four, five, six, seven, eight

Course Description 2012-2013

Course Title: Bioethics at the Bedside (CBHX 2400)
Type of Course: Concurrent, required course for MSIIIs; 1 credit
Course Director: Gregory Eastwood, MD
eastwood@upstate.edu
Phone: 464.8454
Office: 618 Irving Ave.
Lecturers: Jay Brenner, MD
brennerj@upstate.edu
Phone: 530.5817
Office: Emergency Medicine, Jacobsen
  Thomas Curran, MD
currant@upstate.edu
Phone: 464.8457
Office: 618 Irving Ave.
  James Dwyer, PhD
dwyerj@upstate.edu
Phone: 464.8455
Office: 618 Irving Ave.
  Gregory Eastwood, MD
eastwood@upstate.edu
Phone: 464.8454
Office: 618 Irving Ave.
  Kathy Faber-Langendoen, MD
faberlak@upstate.edu
Phone: 464.8464
Office: 618 Irving Ave.
  Pamela Horst, MD
pamela.horst@sjhsyr.org
Phone: 448.5537
Office: St. Joseph's Hospital
Family Medicine - 301 Prospect Ave
  Deirdre Neilen, PhD
neilend@upstate.edu
Phone: 464.8452
Office: 618 Irving Ave.
  Robert Olick, JD, PhD
olickr@upstate.edu
Phone: 464.8453
Office: 618 Irving Ave.
Format: Students are assigned to small groups by their original "track." Students whose schedules deviate from the original track or are assigned elective time are still responsible for attending all sessions in their assigned group. This course is case-based, and each session deals with a particular topic using specific cases from actual experience. Many of these cases are adapted from cases written by previous medical students.
Time: Twelve monthly sessions on Thursdays, 4:30 p.m. - 6:00 p.m.
Course Objectives: This course has no large lectures. All of the sessions are conducted as seminars, in small groups. At the beginning of each session, your instructor will take time to discuss ethical aspects of your recent clinical experience. Then the class will focus on the topic and the cases for the session. Your instructor may ask you to present the relevant cases and discuss how the ethical issues should be addressed. Many of the cases are based on the experience of students, residents, attending physicians, and ethics consultants.

If you make a diligent effort in this course, you will be better able to:
  • Identify ethical issues and values in the practice of medicine.
  • Discuss and reason through ethical issues that you may encounter.
  • Reflect on and integrate important values in your conduct.
Sessions:
  1. The patient first: the clinical experience and learning on patients
  2. Speaking up
  3. Telling the truth and keeping secrets
  4. Ethics consultations and how to analyze and deal with ethical dilemmas
  5. Discussion of Ethics Case Analysis Papers
  6. Cultural, religious, and personal practices
  7. Advance directives, surrogate decision-making, and the NY Family Health Care Decision Act
  8. Futility, palliative care, and physician-assisted suicide
  9. The U.S. health care "system"
  10. Self-regulation of the profession
  11. The limits of altruism: difficult patients and professional conscience
  12. Physician involvement in professional organizations and reflections on the graduating oath
Readings: Bernard Lo's Resolving Ethical Dilemmas: A Guide for Clinicians, 4th edition. Articles, cases and questions will be posted on Blackboard.
Attendance: Attendance is required. Your group assignment and schedule are posted on Blackboard. If you are unable to attend a session, you must contact your small group leader in advance.

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