Ethics Colloquium: The Ethics of Extraordinary Care (E)

Session Description

This session has been identified and designated as Credit to Address Regulatory Mandate for Ethics. Learn more about state regulatory mandates.

The Ethics Colloquium will explore the challenges surgeons face in the setting of rapid innovations in care. We will consider examples of extraordinary care including extra corporeal membrane oxygenation (ECMO), uterine transplant, Hyperthermic Intraperitoneal Chemotherapy (HIPEC), and fetal surgery to examine how these treatments affect patients, families, surgeons, and the health care system. We will use case-based learning to evaluate important ethical dilemmas raised by these remarkable innovations: 1. How to best respect patient autonomy for treatments that have high burdens, both for patients with life-limiting illness, and those who are not actually sick; 2. What are the surgeon’s obligations to provide extraordinary care?; 3. How best to provide stewardship of health care resources; and 4. Are standards required to protect the just distribution of extraordinary care?

Moderator: Catherine J. Hunter, MD, FACS, Chicago, IL

Co-Moderator: Eric A. Singer, MD, FACS, New Brunswick, NJ

Presentations

The Ethics of Hyperthermic Intraperitoneal Chemotherapy (HIPEC)—I
Andrea A. Hayes Jordan, MD, FACS, Chapel Hill, NC

The Ethics of Hyperthermic Intraperitoneal Chemotherapy (HIPEC)—II
Ryan P. Merkow, MD, Chicago, IL

The Ethics of Fetal Surgery—I
Diana L. Farmer, MD, FACS, FRCS, Sacramento, CA

The Ethics of Fetal Surgery—II
Aimen F. Shaaban, MD, FACS, Chicago, IL

The Ethics of Uterine Transplant—I
Anji Wall, MD, Dallas, TX

The Ethics of Uterine Transplant—II
Giuliano Testa, MD, FACS, Dallas, TX

The Ethics of Extra Corporeal Membrane Oxygenation and Left Ventricular Assist Device: A Bridge to Nowhere—I
Lena M. Napolitano, MD, FACS, Ann Arbor, MI

The Ethics of Extra Corporeal Membrane Oxygenation and Left Ventricular Assist Device: A Bridge to Nowhere—II
Shunichi Nakagawa, MD, New York, NY

Sponsored by the Committee on Ethics

Target Audience

  • Practicing surgeons
  • Residents

Learning Objectives

  • Apply new knowledge and ideas to improve their surgical practice
  • Adapt concepts and quality measures in support of research advancements
  • Enhance the quality of patient care

Contact

For questions about the course, please contact elearning@facs.org.

Course summary
Available credit: 
  • 3.00 AMA PRA Category 1 Credit™
  • 3.00 Certificate of Completion
  • 3.00 Self Assessment Credit
Course opens: 
11/15/2019
Course expires: 
02/28/2021

Disclosure Information

In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all relevant financial relationships with any commercial interest. For additional information, please visit the ACCME website.

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity. Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during a activity, please report it on the evaluation.

(Download the full list of disclosures).

Faculty and Disclosures

Aimen F. Shaaban MD, FACS - Nothing to Disclose
Andrea A. Hayes-Jordan MD, FACS - Nothing to Disclose
Anji Wall MD - Nothing to Disclose
Catherine J. Hunter MD, FACS - Nothing to Disclose
Diana L. Farmer, MD, FACS, FRCS - Alliance for Global Surgery, Global Initiative for Children's Surgery (GICS): Board Membership; Briopryme, Inc: Founding scientific advisor; CIRM, Shriners,March of Dimes: Grants/research support: PI
Eric A. Singer MD, FACS - Nothing to Disclose
Giuliano Testa MD, FACS - Nothing to Disclose
Lena M. Napolitano MD, FACS - Nothing to Disclose
Ryan P. Merkow MD - Nothing to Disclose
Shunichi Nakagawa MD - Nothing to Disclose

Program Committee and Disclosures

CHAIR: Henri R. Ford, MD, MHA, FACS, FAAP, FRCSEng(Hon), Miami, FL - Nothing to Disclosure
VICE-CHAIR: David T. Cooke, MD, FACS, Sacramento, CA - Nothing to Disclosure

Members

David C. Borgstrom, MD, FACS, Morgantown, WV - Nothing to Disclosure
Daniel L. Dent, MD, FACS, San Antonio, TX - Nothing to Disclosure
Roger R. Dmochowski, MD, FACS, Nashville, TN - Allergen: Honoraria: Consultant
Cynthia D. Downard, MD, FACS, Louisville, KY - Nothing to Disclosure
Audra A. Duncan, MD, FACS, London, ON - Nothing to Disclosure
Mariam F. Eskander, MD, Boston, MA - Nothing to Disclosure
Paula Ferrada, MD, FACS, Richmond, VA - Nothing to Disclosure
Neil H. Hyman, MD, FACS, Chicago, IL - Nothing to Disclosure
Martin S. Karpeh, Jr., MD, FACS, New York, NY - Nothing to Disclosure
Dennis H. Kraus, MD, FACS, New York, NY - Nothing to Disclosure
Kenneth W. Sharp, MD, FACS, Nashville, TN - Nothing to Disclosure

Ex-Officios

Daniel M. Herron, MD, FACS, FASBMS, New York, NY - Nothing to Disclosure
Edith Tzeng, MD, FACS, Pittsburgh, PA - Nothing to Disclosure

Consultants

Barbara Lee Bass, MD, FACS, FRCSEng(Hon), FRCSI(Hon), FCOSECSA(Hon), Houston, TX - Nothing to Disclosure
Quan-Yang Duh, MD, FACS, San Francisco, CA - Nothing to Disclosure
B. J. Hancock, MD, FACS, FRCSC, Winnipeg, MB - Nothing to Disclosure
Ronald V. Maier, MD, FACS, FRCSEd(Hon), Seattle, WA - Nothing to Disclosure

Continuing Medical Education Credit Information

Accreditation

The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 3 credits meets the requirements for Self-Assessment.

American College of Surgeons and ACGME Logos

Note: Residents will receive a Certificate of Completion.

Available Credit

  • 3.00 AMA PRA Category 1 Credit™
  • 3.00 Certificate of Completion
  • 3.00 Self Assessment Credit
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This course is available as part of the Clinical Congress 2019 Webcast Packages