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Topic: Education
December 22, 2014 | Posted By Zubin Master, PhD

Recently Dr. Christopher Thomas Scott of Stanford University wrote a great paper titled “The Case of Stem Cell Counselors” in Stem Cell Reports which draws parallels from the field of genetic counseling arguing for the need for stem cell counsellors (1). Scott outlines that due to increases in the number of stem cell trials combined with fraudulent therapies being offered around the world, the time is ripe for having counsellors help patients navigate the clinical stem cell research/therapy landscape. These experts can help patients identify and distinguish legitimate trials from unproven interventions, explain the risks, benefits and therapeutic options, and serve as a resource to provide them with educational information.

On a related topic, my colleagues and I at AMBI were going to write a paper arguing that clinical ethics consultants should be involved in countering the impact of stem cell tourism and serve as a resource for patients who are contemplating undertaking an unproven stem cell based intervention (SCBI). We thought that clinical ethics consultants are in a unique position to offer advice and counselling to patients seeking unproven SCBIs for a few reasons.

The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our website. 

August 11, 2014 | Posted By Wayne Shelton, PhD

In my last blog I asked the question, “What is ethics doing?” where I contrasted the armchair, academic ethics that I knew as a graduate student with the clinical ethics cases in which I am now involved in clinical ethics consultations. I alluded to the famous paper by Stephen Toulmin (1922-2009), “How medicine saved the life of ethics” by providing ethics with many practical value laden problems to address. The very process of becoming involved with applied ethics and ethical problems of practicing physicians in the healthcare system was itself as, or perhaps more, transformational for ethics than it was for medicine. Even though medicine needed a serious study of its value-laden issues, which has evolved into bioethics and clinical ethics, the very activity of doing applied ethics has evolved into a better defined field of inquiry with a clearer purpose. But what about the armchair, academic pursuits of philosophical ethics of old? Is there anything left for it to do? This is the question I will attempt to answer in this blog.

The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our website. 

July 22, 2014 | Posted By Wayne Shelton, PhD

I recall being a PhD candidate in philosophy in the 1970’s, I often pondered the subject matter of my graduate courses in ethics. I would ask myself, what does any of this have to do with ethics? What are we doing?

As our courses went from Kant to Mill to G.E. Moore to the Emotivists and others, I couldn’t help but have a sense of unreality about the content of what I was learning.

How can we use reason to find a basis for knowing right action? What are the ways we can define right action based on a normative moral theory?

What is the meaning of good? Right? And obligation? Can these terms be defined within a theoretical, substantive moral framework or are they just expressions of feelings and emotions without any cognitive content? If they are more than the latter, what do they mean?

The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our website.

July 10, 2014 | Posted By Zubin Master, PhD

Both parts I and II of this blog were originally published as a commentary in the Office of Research Integrity’s Newsletter (http://ori.hhs.gov/newsletters) Volume 22, Number 2, March 2014 and has been reproduced with permission for the AMBI blog.

In Part I, published last month, I discussed my experience organizing and developing a responsible conduct of research (RCR) workshop for stem cell scientists that was held at the Till and McCulloch Meeting in October 2013 as part of Canada’s Stem Cell Network at http://www.stemcellnetwork.ca. In Part 2, I discuss the importance of developing RCR pedagogy that includes both lecture and informational components, and provides ethical cases such that students have a rich understanding of normative, policy, and practical aspects to different RCR topics.

The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our website.

June 19, 2014 | Posted By Zubin Master, PhD

By sharing a recent experience in which I delivered a lecture and case at a responsible conduct of research (RCR) workshop for biomedical science trainees, I will comment on why I believe that pedagogy on the RCR, specifically for biomedical scientists, needs two essential ingredients: delivering knowledge/information and providing case-based learning. The art is to determine how much of each element is needed and how to most effectively deliver information on an RCR topic and ensure trainees get the most from the ethical analysis of cases.

Ethics Workshop: Responsible Research Conduct & Misconduct in Stem Cell Research

As part of Canada’s Stem Cell Network at http://www.stemcellnetwork.ca, I had the unique opportunity to organize and present an Ethics Workshop as part of the Network’s annual Till & McCulloch Meetings in October 2013. The workshop was a lecture followed by an interactive ethical case using “The Lab: Avoiding Research Misconduct” video hosted by the Office of Research Integrity (ORI) athttps://ori.hhs.gov/thelab. The 50 to 60 workshop attendees were primarily master’s, doctoral, and post-doctoral trainees, and almost all were biomedical researchers working with stem cells. Most attendees had never heard of RCR. Thus, the goals of the workshop were modest and involved introducing attendees to the following: RCR, research misconduct (fabrication, falsification, and plagiarism), the RCR link to scientific retractions, issues of authorship and publication ethics, and Canada’s RCR framework.

The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our website.

June 12, 2014 | Posted By Wayne Shelton, PhD

For over a decade the faculty of the Alden March Bioethics Institute has been designing and developing simulated cases for our graduate students who wish to learn the core skills of clinical ethics consultation. The model that we use is called “mock consultations”, which provides students the opportunity to perform an ethics consultation on a simulated case from the beginning when the request is made, to data collection, interviewing key players in the case, and on to case analysis the final recommendation.

In the process of developing simulated cases we have made every effort to make them as real to life as possible. All of the cases we use are from ethics consultation cases that have been deidentified and made into anonymous teaching cases. We have benefitted immensely from working closely with Albany Medical College’s (AMC) Patient Safety Clinical Competence Center (PSCCC). Those involved in medical education will recognize the importance of simulated cases using standardized patients (SP) and the role they play in training new doctors to communicate effectively with patients and families.

The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our website. 

May 8, 2014 | Posted By John Kaplan, PhD

The Graduate Studies Program of AMC has provided education and training in research integrity and the responsible conduct of research (RCR) since the early 1990s. This program has been directed to graduate students in the basic sciences working toward masters and doctoral degrees and to post-doctoral fellows in the basic sciences. The impetus for initiation of such education and training was the mandate issued by the National Institutes of Health that required a description of activities related to instruction in RCR in institutional training grant applications. We will describe the initiation, development, evolution, and current status of our curriculum.

The individual training grant directors were responsible for the initial activities of this endeavor, which were sporadic, inconsistent, and undocumented. Subsequently, in 1994, the Dean of AMC charged the Associate Dean for Graduate Studies, who happened to be me, with the task of developing a formal graduate course to address this mandate.

This task was initially addressed by identifying faculty who would develop and teach this course, create curriculum plans and objectives, and identify materials useful in teaching. This process also included self-education because this area had not been previously taught here. It also involved a good deal of public relations because most students and faculty resisted the implementation of training in RCR as an intrusion upon time that should be most profitably spent in the laboratory.

The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our website.

February 10, 2014 | Posted By John Kaplan, PhD

I have written before on the subject of stupidity in government. In most cases I have focused on the federal government and, in particular, the parts of congress that make science policy including the funding and regulation of those agencies in the federal government which fund scientific research. However, the stupidity of government is not limited to the federal. Today I will discuss the stupidity governing several states regarding what is allowed to pass as scientific education. Unlike scientific research where most public financial support and policy oversight comes from the federal government, the public support for education and education policy comes primarily from the states. Chris Kirk writing in Slate has recently described the state-by-state distribution of publically funded education that includes the teaching of creationism in science curricula.

The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our website.

December 31, 2013 | Posted By Zubin Master, PhD

Bioethics research is closely tied with policy. While discrepancies exist, I classify bioethics as an interdisciplinary field of study. As most interdisciplinary fields, one aim of bioethics is to develop practical solutions for real world problems in the biomedical and clinical sciences among other fields it impacts. Thus much of bioethics scholarship is closely intertwined and aims to inform health, social and science policy. Bioethics scholarship is also meaningful in attempting to raise awareness and educate researchers, practitioners, patients and the public on many areas of ethics in the health sciences. As a bioethics academic who has worked in both Canadian and U.S. institutions, I have enjoyed the benefit of examining policy and educational landscapes in both countries. Today, I want to specifically talk about research integrity policies, practices and education in Canada and compare it to the U.S.

What is research integrity?

Academics in every discipline including the fundamental and applied sciences (i.e., biomedical science, engineering), the social sciences, and humanities are self-governed professionals who conduct research upholding principles of research integrity. Research integrity (a.k.a. scientific integrity or the responsible conduct of research) captures a range of principles and practices governing ethical research. It includes practices such as research misconduct (commonly known as fabrication, falsification, and plagiarism), authorship and publication ethics, peer review, mentoring, conflicts of interest, research involving animals and humans and social responsibility. Yet beyond outlining principles and practices, there is a growing field of research on research integrity where scholars try and improve our understanding of the normative and practical aspects of research integrity. I’ve written about different topics within research integrity including what is conceptual bioethics research? and peer review in previous AMBI blogs.

The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our website.

October 2, 2013 | Posted By Zubin Master, PhD

I have previously discussed the topic of stem cell tourism in previous AMBI blogs. To provide a brief introduction from another blog, stem cell tourism is used to an internet-based direct-to-consumer advertised industry where clinics offer untested and unproven stem cell interventions as bonafide therapies to patients with a range of diseases and injuries including Parkinson’s disease, multiple sclerosis, ALS, blindness, cancer, cerebral palsy, spinal cord injury and many others. Basically there is no scientific evidence of safety of efficacy of these modalities to offer them on a for-profit basis to patients. The term was originally coined as a form of tourism because patients traveled from countries like the U.S., U.K., Canada and Australia to clinics in countries with lax regulations, but this simply is not the case anymore. There are several clinics within highly regulated countries like U.S. that offer stem cell interventions.

The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our website.

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BIOETHICS TODAY is the blog of the Alden March Bioethics Institute, presenting topical and timely commentary on issues, trends, and breaking news in the broad arena of bioethics. BIOETHICS TODAY presents interviews, opinion pieces, and ongoing articles on health care policy, end-of-life decision making, emerging issues in genetics and genomics, procreative liberty and reproductive health, ethics in clinical trials, medicine and the media, distributive justice and health care delivery in developing nations, and the intersection of environmental conservation and bioethics.
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