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  • 1.  Understanding Ethics Resources/Capacity

    Posted 06-08-2023 18:13

    Hi everyone! In our June 1st Ethics KEG meeting, we recognized just how little we know about how clinical ethics consultation is provided in ICUs across the country. What sort of ethics consultation resources do SCCM members have access to at their different facilities? How often and for what sort of problems do they request ethics consults? Who provides the consultation? How many SCCM members participate in providing ethics consultation, and what sort of training/expertise do they have?

    Those questions are just a start. I'm wondering if anyone would be interested in developing some survey questions for our membership. If we develop a set of questions (as well as a rationale for asking them), we could potentially investigate the possibility for an officially sanctioned survey, or just figure out a different way to try to sample widely.

    Feel free to reply here or email me at sderrington@chla.usc.edu.

    - Sabrina Derrington



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    Sabrina Derrington
    Associate Professor of Pediatrics; Director, CHLA Center for Pediatric Bioethics
    Childrens Hospital Los Angeles
    Los Angeles CA
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  • 2.  RE: Understanding Ethics Resources/Capacity

    Posted 06-09-2023 09:38
    There have been previous surveys from the other side of this coin. Let me ask my ethics consultant friends if we can get access to the survey they used. I still think surveying SCCM is a good idea, but always better to not have to create an instrument from scratch. 

    Thomas Bice, MD, MSc
    Pronouns: He/Him
    TeleIntensivist
    Novant Health
    Adjunct Assistant Professor, UNC School of Medicine
    Cell: 507-206-8017

    The most dangerous phrase in the language is "We've always done it this way!"

    -Grace Hopper


    Be curious, not judgmental.

    -Walt Whitman


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  • 3.  RE: Understanding Ethics Resources/Capacity

    Posted 06-10-2023 09:20

    Hi  Sarah,

     

    Great idea about the survey, I would like to help out as well.

     

     

     

     

     

    Regards,

     

     

     

    Susan

     

     

     

    Maria Susan Gaeta MD, FACP

    Chair, Inpatient Clinical Informatics

    Patient Safety Quality Officer

    Assistant Professor, Department of Emergency Medicine

    University of Texas, MD Anderson Cancer Center

    Acute Cancer Care Center  713-792-3722

    Cell  832-266-3918

     

     

     

     

     

     

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  • 4.  RE: Understanding Ethics Resources/Capacity

    Posted 06-09-2023 09:39

    Hey Sabrina,

     

    I LOVE this idea. I'd be happy to help with a survey. One of the PICO questions for the EOL Guidelines panel deals with ethics and moral distress consultation. It would be great if we could include access to moral distress consultation in the survey. Beth Epstein may be interested in joining us on this project, and likely has experience in this sort of survey work. Happy to discuss.

     

    Awesome idea!!!

     

    All the best,

     

    Mary Faith

     

     




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  • 5.  RE: Understanding Ethics Resources/Capacity

    Posted 06-09-2023 13:33

    Sabrina, I love this idea!

     

    Let me know if Ethics Committee can help in any way.

     

    ~Josh

    (Chair, SCCM Ethics Committee)

     

    Joshua B. Kayser, MD, MPH, MBE, FCCM (He/Him)

    Professor of Clinical Medicine & Medical Ethics

    Department of Medicine

    Division of Pulmonary, Allergy and Critical Care

    Department of Medical Ethics and Health Policy

    Penn Perelman School of Medicine

    Mobile: 215-370-3111

    Email : joshua.kayser@pennmedicine.upenn.edu

     




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  • 6.  RE: Understanding Ethics Resources/Capacity

    Posted 06-10-2023 19:33

    Great to see interest in Sabrina's post about what was discussed at the last Ethics KEG meeting! Would be interesting to see how many SCCM members have formal training/education in Ethics (advanced degree, clinical fellowship, health care ethics certification), what legal / risk management / chaplain service resources our members are able to access, etc. (Do we have any SCCM members with training in law/theology?)  

    In addition to Claudia Drath from SCCM, there were 5 KEG members who attended this virtual session -  hopefully we will see more attendance and participation at the next one!

    We also discussed having a joint meeting with the Palliative Medicine KEG and Claudia is going to look into arranging this. 

    Best wishes,

    -Preeti



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    Preeti R. John MD, MPH, FACS, FCCM, HEC-C
    Surgeon, Intensivist, Certified Healthcare Ethics Consultant,
    Veterans Affairs Maryland Health Care System,
    Clinical Associate Professor, Dept. of Surgery,
    University of Maryland School of Medicine,
    Baltimore, MD
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