The Resurrection Trade: Finding Poetry in Medical Archives

Leslie Miller Department of English University of St. Thomas

Bioethics and Humanities Newsletter

PROGRAM IN BIOETHICS AND HUMANITIES, CARVER COLLEGE OF MEDICINE

March 2017

Ethics in Healthcare 2017 A One-Day Conference for

Collaborative Dialogue and Inter-Professional Exchange

Date: May 19, 2017 Time: 7:45 AM – 4:30 PM

The Program in Bioethics and Humanities at the University of Iowa Roy J. and Lucille A. Carver College of Medicine will host its annual Ethics in Healthcare conference on May 19, 2017 in the Medical Education and Research Facility (MERF). This conference is designed to help healthcare professionals meet the challenges of the increasing number and range of ethical challenges in healthcare as they surface in their work as clinicians, members of ethics committees or ethics consult teams, and administrators. For a printable brochure, click here. Intended Audience: Physicians,

Nurses, Social Workers,

Chaplains, Attorneys, Physician

Assistants, Trainees, Students,

and Others

For more information about the

conference and to register, click

here.

UPCOMING EVENTS

Welcome to the monthly Bioethics and Humanities Newsletter provided by the Program in Bioethics and Humanities at the University of Iowa Carver College of Medicine. Program in Bioethics and Humanities: Our Mission We are committed to helping healthcare professionals explore and understand the increasingly complex ethical questions that have been brought on by advances in medical technology and the health care system. We achieve this through education, research, and service within the Carver College of Medicine, University of Iowa Health Care, University of Iowa, and the wider Iowa community. More Details About The Program

THE UNIVERSITY OF IOWA HISTORY OF MEDICINE SOCIETY

ANNOUNCES THE R. PALMER HOWARD DINNER FOR 2017

Date: Friday, April 28, 2017 Time: 6:00 pm (reception); 7:00 pm (dinner); 8:00 pm (presentation) Location: Kinnick Center, Radisson Hotel in Coralville For more information and to register, click here.

For a list of more upcoming events related to bioethics and humanities, click here.

Although a host of factors can contribute to burnout and engagement, these can largely be grouped into 7 dimensions: workload, efficiency, flexibility/control over work, work-life integration, alignment of individual and organizational values, social support/ community at work, and the degree of meaning derived from work.

Shanafelt & Noseworthy. (Mayo

Clin Proc; 2017)

UPCOMING EVENTS

QUOTATION OF THE MONTH

UIHC ETHICS

CONSULT SERVICE

This service is a resource for patients, family members, or health professionals at UIHC who would like help addressing an ethical question or problem related to a patient’s care. Consults can be ordered by UIHC clinicians through EPIC. Consults can also be requested by calling (319) 356-1616 and asking for the ethics consultant on call. For more information, click here.

READING ETHICS AT UIHC

If you are interested to see what the UIHC Ethics Subcommittee was reading in February, click here.

WEBINAR ANNOUNCEMENT

HOSTED BY PUBLIC RESPONSIBILITY IN MEDICINE AND RESEARCH

(PRIM&R)

Webinar Title: Electronic Informed Consent: Ethical, Regulatory, and

Practical Implications

Webinar Overview: In recent years, there has been increased interest in

and greater use of electronic methods of informed consent (eIC) in

research. In December 2016, the Food and Drug Administration (FDA) and

the Office of Human Research Protections (OHRP) published joint

guidance on the use of eIC for IRBs, investigators, and sponsors. As the

prevalence of eIC increases, IRBs and investigators need to anticipate and

address its specific challenges, and be prepared to take advantage of its

potential benefits.

Speakers include Cheryl Grandinetti, PharmD, a health science policy

analyst at the FDA and Christian Simon, PhD, a bioethicist at the

University of Iowa who conducts empirical research on eIC. Speakers

will be joined by additional panelists from the FDA and the University of

Iowa (David Klein, PhD, and Helen A. Schartz, PhD, JD).

Webinar Date: March 7, 2017

Webinar Time: noon-1:30 PM

The UI Human Subjects Office and Institutional Review Board will

broadcast the webinar at the above date and time in the Stuart Cullen

Conference Room (6426 JCP). In order to register for this broadcast, click

here.

For more information about this webinar, click here.

PUBLICATION HIGHLIGHT

INTRODUCTION OF TELE-ICU IN RURAL HOSPITALS: CHANGING

ORGANIZATIONAL CULTURE TO HARNESS BENEFITS

Cassie Cunningham Goedken, Jane Moeckli, Peter M. Cram,

Heather Schacht Reisinger

Objective: This study evaluates rural hospital staff perceptions of a telemedicine ICU (Tele-ICU) before and after implementation. Methods: We conducted a longitudinal qualitative study utilising semistructured group or individual interviews with staff from three rural ICU facilities in the upper Midwest of the United States that received Tele-ICU support.

PUBLICATION HIGHLIGHT (CONTINUED)

Interviews occurred pre-implementation and at two time points post-implementation. Interviews were conducted with: ICU administrators (n = 6), physicians (n = 3), nurses (n = 9), respiratory therapists (n = 5) and other (n = 1) from July 2011 to May 2013. Transcripts were analysed for thematic content. Findings: Overall, rural ICU staff viewed Tele-ICU as a welcome benefit for their facility. Major themes included: (1) beneficial where recruitment and retention of staff can be challenging; (2) extra support for day shifts and evening, night and weekend shifts; (3) reduction in the number of transfers larger tertiary hospitals in the community; (4) improvement in standardisation of care; and (5) organisational culture of rural ICUs may lead to under-utilisation. Conclusions: ICU staff at rural facilities view Tele-ICU as a positive, useful tool to provide extra support and assistance. However, more research is needed regarding organisational culture to maximise the potential benefits of Tele-ICU in rural hospitals. For the full text of the article, click here.

HISTORY OF MEDICINE SOCIETY OPEN HOUSE

The University of Iowa History of Medicine Society and the University Libraries

invite you to an Open House in the John Martin Rare Book Room:

Early Modern England:

Medicine, Shakespeare, and Books

Thirty seven books from 1531 to 1697 will be on display highlighting

general medical beliefs, herbals, monsters, poisons and cures,

contemporaries of Shakespeare, and doctors in Shakespeare’s plays.

Date: Thursday, March 23, 2017

Time: 4:00-7:00 p.m.

Location: John Martin Rare Book Room

Fourth Floor, Hardin Library for the Health Sciences

Wolfsbane. Henry

IV, Part II

Robert Burton, The

Anatomy of

Melancholy, 1624

Sir Francis Bacon.

Sylva Sylvarum, or A

natural history, 1670

CLINICAL RESEARCH

ETHICS SERVICE

We provide free consultation on ethical issues related to research design, tissue banking, genetic research results, informed consent, and working with vulnerable patient populations. In particular, we assist clinical investigators in identifying and addressing the ethical challenges that frequently arise when designing or conducting research with human subjects. These include ethical challenges in sampling design; randomized and placebo-controlled studies; participant recruitment and informed consent; return of individual-level research results; community engagement processes; and more. For more information, click here.

HISTORY OF MEDICINE SOCIETY

The University of Iowa History of Medicine Society invites you to read “Notes from the John Martin Rare Book Room, February 2017.” The University of Iowa History of Medicine Society and the John Martin Rare Book Room now have a large number of video and audio recordings of HOMS lectures from 1985-2016. To access the recordings, click here.

RESOURCE HIGHLIGHT

HUMAN GENOME EDITING: SCIENCE, ETHICS, & GOVERNANCE

Genome editing is a powerful new tool for making precise alterations to an organism’s genetic material. Recent scientific advances have made genome editing more efficient, precise, and flexible than ever before. These advances have spurred an explosion of interest from around the globe in the possible ways in which genome editing can improve human health. The speed at which these technologies are being developed and applied has led many policymakers and stakeholders to express concern about whether appropriate systems are in place to govern these technologies and how and when the public should be engaged in these decisions.

In this new report, Human Genome Editing: Science, Ethics and Governance, from the National Academy of Sciences and the National Academy of Medicine, an expert committee considers important questions about the human application of genome editing including: balancing potential benefits with unintended risks, governing the use of genome editing, incorporating societal values into clinical applications and policy decisions, and respecting the inevitable differences across nations and cultures that will shape how and whether to use these new technologies. This report proposes criteria for heritable germline editing, provides conclusions on the crucial need for public education and engagement, and presents 7 general principles for the governance of human genome editing. To read or download a free PDF of the full report, click here.

Deadline for entry: March 21, 2017 For more information, click here.

ROBERT D. SPARKS WRITING CONTEST

The purpose of this contest is to examine the influences of history, ethics, culture, literature, philosophy, sociology, or related frameworks on medicine, the practice of medicine, and the human condition. Two $1,200 awards will be given to the best submissions that examine a significant issue in medicine using ethical, historical, or cultural perspectives. This competition is open to all medical students and physician assistant students enrolled in the UI Carver College of Medicine. Submission should be 2500-5000 words in length, double spaced with 1-inch margins in a 12 point font (approximately 12 to 20 pages).

BIOETHICS IN THE LITERATURE

Bandini JI, Courtwright A, Zollfrank AA, et al. The role of religious beliefs in ethics committee

consultations for conflict over life-sustaining treatment. J Med Ethics. 2017 Jan 30. [Epub ahead of print]

Bing-You R, Hayes V, Varaklis K, et al. Feedback for learners in medical education: What is known? A

scoping review. Acad Med. 2017 Feb 07. [Epub ahead of print]

Brown RC. Social values and the corruption argument against financial incentives for healthy behaviour.

J Med Ethics. 2017 Mar; 43: 140-144.

Cervantes L, Fischer S, Berlinger N, et al. The illness experience of undocumented immigrants with end-

stage renal disease. JAMA Intern Med. 2017 Feb 06. [Epub ahead of print]

Krubiner CB, Merritt MW. Which strings attached: Ethical considerations for selecting appropriate

conditionalities in conditional cash transfer programmes. J Med Ethics. 2017 Mar; 43: 167-176.

Lazaro-Munoz G, Conley JM, Davis AM, et al. Which results to return: Subjective judgments in selecting

medically actionable genes. Genet Test Mol Biomarkers. 2017 Feb 01. [Epub ahead of print]

Lo B, Grady D. Addressing ethical lapses in research [editorial]. JAMA Intern Med. 2017.Feb 21. [Epub

ahead of print]

Menikoff J, Kaneshiro J, Pritchard I. The common rule, updated. N Engl J Med. 2017 Feb 16; 376: 613-615.

Partain DK, Ingram C, Strand JJ. Providing appropriate end-of-life care to religious and ethnic minorities.

Mayo Clin Proc. 2017 Jan; 92: 147-152.

Robinson EM, Cadge W, Zollfrank AA, et al. After the DNR: Surrogates who persist in requesting

cardiopulmonary resuscitation. Hastings Cent Rep. 2017 Jan; 47: 10-19.

Shanafelt TD, Noseworthy JH. Executive leadership and physician well-being: Nine organizational

strategies to promote engagement and reduce burnout. Mayo Clin Proc. 2017 Jan; 92: 129-146.

Younge N, Goldstein RF, Bann CM, et al. Survival and neurodevelopmental outcomes among periviable

infants. N Engl J Med. 2017 Feb 16; 376: 617-628.

BIOETHICS IN THE NEWS

Researchers Failed to Tell Testosterone Trial Patients They Were Anemic. NPR, February 21, 2017.

If Sex Reassignment Surgery is the Answer, What is the Question? BioEdge, February 18, 2017.

Could your Fitbit Data be Used to Deny you Health Insurance? The Conversation, February 17, 2017.

Could Gene Editing Help Avoid Disease? Maybe. The Associated Press, February 15, 2017.

Terminally Ill Obese People Less Likely to Get Hospice Care. HealthDay, February 6, 2017.

Why the Bar Needs to be Raised for Human Clinical Trials. ScienceDaily, January 30, 2017.

Scientists Needn’t Get A Patient’s Consent to Study Blood or DNA. NPR, January 18, 2017.

To unsubscribe from the Bioethics and Humanities monthly newsletter, click here.

Questions or comments? Email the Newsletter Editor.