Tag: decision aids

Listen: Shared Decision-Making in Colorectal Cancer Screening

No Easy Answers in Bioethics logoNo Easy Answers in Bioethics Episode 20

This episode features guests Dr. Karen Kelly-Blake, Associate Professor in the Center for Ethics and Humanities in the Life Sciences, and Dr. Masahito Jimbo, Professor in the Department of Family Medicine at University of Michigan Medical School. Drs. Kelly-Blake and Jimbo discuss their NIH-funded study known by the acronym DATES—Decision Aid to Technologically Enhance Shared Decision Making—which addressed shared decision-making, decision aids, and patient-physician communication regarding colorectal cancer screening. The two researchers provide insight into the study and its results, also reflecting on what the process of shared decision-making means to them in the present day.

Ways to Listen

This episode was produced and edited by Liz McDaniel in the Center for Ethics. Music: “While We Walk (2004)” by Antony Raijekov via Free Music Archive, licensed under a Attribution-NonCommercial-ShareAlike License. Full episode transcript available.

About: No Easy Answers in Bioethics is a podcast series from the Center for Ethics and Humanities in the Life Sciences in the Michigan State University College of Human Medicine. Each month Center for Ethics faculty and their collaborators discuss their ongoing work and research across many areas of bioethics. Episodes are hosted by H-Net: Humanities and Social Sciences Online.

Dr. Kelly-Blake a co-author of shared decision-making article in ‘American Journal of Preventive Medicine’

Kelly-blakeCenter Associate Professor Dr. Karen Kelly-Blake is co-author of a research article in the July 2019 issue of the American Journal of Preventive Medicine. The multi-institution research team includes lead author Dr. Masahito Jimbo of the University of Michigan.

“Interactivity in a Decision Aid: Findings From a Decision Aid to Technologically Enhance Shared Decision Making RCT” reports on a study that used a randomized control trial to compare the effect of a web-based decision aid that addressed colorectal cancer screening. They concluded that the interactive decision aid did not improve the outcome compared to the non-interactive decision aid.

The full text is available online via Science Direct (MSU Library or other institutional access may be required to view this article).

How can we protect patient rights and improve patient safety?

bbag-blog-image-logoEnding Medical Self-Regulation: Does Less Physician Control Improve Patient Safety and Protect Patient Rights?

Event Flyer

Medicine has long been one of the most self-regulating of all professions. In the 1970s, the new field of bioethics was designed to challenge this prevailing system. As Senator Ted Kennedy explained at the founding of Georgetown’s Kennedy Institute of Ethics, “Human life is too precious and the decisions regarding it too important to leave to any one group of specialists.” Still, even fifty years later, medicine remains largely self-regulating. And patients have suffered. In this presentation, Professor Pope will discuss recent initiatives to constrain the scope of physician discretion and how these initiatives improve patient safety and protect patient rights. He will place particular emphasis on the growing transition from traditional informed consent to shared decision-making with patient decision aids.

October 10 calendar iconJoin us for Dr. Pope’s lecture on Wednesday, October 10, 2018 from noon until 1 pm in person or online.

Thaddeus Mason Pope, JD, PhD, is Director of the Health Law Institute and Professor of Law and at Mitchell Hamline School of Law in Saint Paul, Minnesota. He is also: (1) Adjunct Professor with the Australian Centre for Health Law Research at Queensland University of Technology; (2) Adjunct Associate Professor with the Alden March Bioethics Institute at Albany Medical College; and (3) Visiting Professor of Medical Jurisprudence at St. Georges University. Professor Pope has over 140 publications in: leading medical journals, law reviews, bar journals, nursing journals, bioethics journals, and book chapters. He coauthors the definitive treatise The Right to Die: The Law of End-of-Life Decisionmaking. And he runs the Medical Futility Blog (with over three million page views).

In person: This lecture will take place in E4 Fee Hall on MSU’s East Lansing campus. Feel free to bring your lunch! Beverages and light snacks will be provided.

Online: Here are some instructions for your first time joining the webinar, or if you have attended or viewed them before, go to the meeting!

Can’t make it? All webinars are recorded! Visit our archive of recorded lectures. To receive reminders before each webinar, please subscribe to our mailing list.

Announcing the Fall 2018 Bioethics Brownbag & Webinar Series

bbag-icon-decThe Center for Ethics and Humanities in the Life Sciences at Michigan State University is proud to announce the 2018-2019 Bioethics Brownbag & Webinar Series, which features a variety of bioethics topics. The series will begin on September 19, 2018. You are invited to join us in person or watch live online from anywhere in the world! Information about the fall series is listed below. Please visit our website for more details, including the full description and speaker bio for each event.

Fall 2018 Series Flyer

sept19-bbagTherapeutic Privilege in Psychiatry? The Case of Borderline Personality Disorder
Why do behavioral health care professionals often hesitate to discuss BPD with their patients even when it is clear they have this disorder?
Wednesday, September 19, 2018; C102 Patenge Room, East Fee Hall
Dominic A. Sisti, PhD, is Director, The Scattergood Program for Applied Ethics of Behavioral Health Care; Assistant Professor, Department of Medical Ethics & Health Policy; Assistant Professor, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania.

oct-10-bbagEnding Medical Self-Regulation: Does Less Physician Control Improve Patient Safety and Protect Patient Rights?
Wednesday, October 10, 2018; E4 Fee Hall
Thaddeus Mason Pope, JD, PhD, is Director of the Health Law Institute at Mitchell Hamline School of Law.

In person: These lectures will take place from 12:00-1:00 PM (Eastern Time) in East Fee Hall on MSU’s East Lansing campus. Feel free to bring your lunch! Beverages and light snacks will be provided.

Online: Here are some instructions for your first time joining the webinar, or if you have attended or viewed them before, go to the meeting!

Can’t make it? Every lecture is recorded and posted for viewing in our archive. If you’d like to receive a reminder before each lecture, please subscribe to our mailing list.

Episode 2: Shared decision-making in medicine

No Easy Answers in Bioethics logoEpisode 2 of No Easy Answers in Bioethics is now available! Guests Dr. Henry Barry, Professor in the Department of Family Medicine and Senior Associate Dean for Faculty Affairs and Development in the College of Human Medicine, and Dr. Margaret Holmes-Rovner, Professor Emerita in the Center for Ethics and Humanities in the Life Sciences and the Department of Medicine, discuss their often-overlapping and collaborative work in the areas of shared decision-making and evidence-based medicine. They reflect back on how they got started working in these areas at Michigan State University in the 1980s, and provide insight on where things currently stand.

Ways to Listen

This episode was produced and edited by Liz McDaniel in the Center for Ethics. Music: “While We Walk (2004)” by Antony Raijekov via Free Music Archive, licensed under a Attribution-NonCommercial-ShareAlike License. Full transcript forthcoming.

About: No Easy Answers in Bioethics is a podcast series from the Center for Ethics and Humanities in the Life Sciences in the Michigan State University College of Human Medicine. Each month Center for Ethics faculty and their collaborators discuss their ongoing work and research across many areas of bioethics—clinical ethics, evidence-based medicine, health policy, medical education, neuroethics, shared decision-making, and more. Episodes are hosted by H-Net: Humanities and Social Sciences Online.

Libby Bogdan-Lovis published in ‘AIDS Patient Care and STDs’

bogdanlovis-crop-facCenter Assistant Director Libby Bogdan-Lovis co-authored the article “‘‘She Told Them, Oh That Bitch Got AIDS’’: Experiences of Multilevel HIV/AIDS-Related Stigma Among African American Women Living with HIV/AIDS in the South,” published in the July 2016 issue of AIDS Patient Care and STDs.

The article, authored by Faith Fletcher, PhD, MA, Lucy Annang Ingram, PhD, MPH, Jelani Kerr, PhD, MSPH, Meredith Buchberg, MPH, Libby Bogdan-Lovis, and Sean Philpott-Jones, PhD, MSB, uses narrative data to explore the stigma that HIV-positive African American women living in the southern United States face in their daily lives. The text is available in full on the AIDS Patient Care and STDs website.

Abstract: African American women bear a disproportionate burden of HIV/AIDS in the United States. Although they constitute only 13% of the US population, African Americans account for nearly 65% of all new HIV infections among American women. In addition, this population suffers comparatively greater adverse health outcomes related to HIV status. African American women living with HIV in the South may be further burdened by HIV/AIDS stigma, which is comparatively more pronounced in this region. To further explore this burden, we used narrative data and the Social Ecological Model to explore how African American women living with HIV in the US South recount, conceptualize, and cope with HIV/AIDS stigma at interpersonal, community, and institutional levels. Our narrative analysis suggests that HIV-positive African American women living in the South are vulnerable to experiences of multilevel HIV stigma in various settings and contexts across multiple domains of life. Stigma subsequently complicated disclosure decisions and made it difficult for women to feel supported in particular social, professional and medical settings that are generally regarded as safe spaces for noninfected individuals. Findings suggest that the debilitating and compounded effect of multilevel HIV/AIDS stigma on HIV-positive African American women in the South warrants closer examination to tailor approaches that effectively address the unique needs of this population.

To learn more about Dr. Faith Fletcher’s work in this area, visit our webinar archive to watch her lecture “Ethical Implications of HIV Pre-Exposure Prophylaxis (PrEP) for African American Women and Adolescent Girls,” recorded in February 2016 as part of our Bioethics Brownbag & Webinar Series.

Join us for the upcoming Bioethics Brownbag & Webinar Series lecture with Karen Kelly-Blake

Shared Decision-Making: The Gold Standard in Patient-Centered Care, But is it Achievable?

Shared Decision-Making (SDM), with patients requires that clinicians communicate effectively with patients and help them review screening and treatment options to make an informed decision. Implementation of SDM in routine practice, however, has been challenging. Physician challenges to engaging in SDM include patient literacy, numeracy barriers, and patient cultural backgrounds that do not foster autonomous decision-making. Clinicians worry that adding deliberation over medical evidence may take extra time in the encounter, and that patients may not have the skills to evaluate their options. This suggests that improving SDM implementation may require increased provider SDM skills supported by increased training.

Dr. Karen Kelly-Blake will present results of a program that expands a previously tested and frequently presented workshop in patient-centered interviewing to engage primary care providers (PCP) in SDM using a Decision Aid that described choices between no treatment and active treatment for stable coronary artery disease (CAD).

Karen Kelly-Blake, PhD, is a medical anthropologist and Research Associate in the Center for Ethics and Humanities in the Life Sciences at MSU. Her research interests include health services research, medical shared decision-making, physician training, and medical school curriculum development. Dr. Kelly-Blake was recently awarded the National Cancer Institute’s Research Supplement to Promote Diversity in Health-Related Research to conduct research on the use and acceptability of information technology (IT) to improve clinician-patient communication about colorectal cancer screening options.

Join us for Dr. Kelly-Blake’s lecture on Wednesday, December 12, 2012 from noon till 1 pm in person or online:

In person: The lecture will take place in East Fee Hall on MSU’s East Lansing campus, in the Patenge Room (C102). Directions. Feel free to bring your lunch! Beverages and light snacks will be provided.

Online: Here are some instructions for your first time joining the webinar, or if you have attended or viewed them before, go to the meeting!

Event flyer: BB_Webinar ad dec 12_13

Join us for the upcoming Bioethics Brownbag & Webinar Series lecture with Karen Kelly-Blake

Shared Decision-Making: The Gold Standard in Patient-Centered Care, But is it Achievable?

Shared Decision-Making (SDM), with patients requires that clinicians communicate effectively with patients and help them review screening and treatment options to make an informed decision. Implementation of SDM in routine practice, however, has been challenging. Physician challenges to engaging in SDM include patient literacy, numeracy barriers, and patient cultural backgrounds that do not foster autonomous decision-making. Clinicians worry that adding deliberation over medical evidence may take extra time in the encounter, and that patients may not have the skills to evaluate their options. This suggests that improving SDM implementation may require increased provider SDM skills supported by increased training.

Dr. Karen Kelly-Blake will present results of a program that expands a previously tested and frequently presented workshop in patient-centered interviewing to engage primary care providers (PCP) in SDM using a Decision Aid that described choices between no treatment and active treatment for stable coronary artery disease (CAD).

Karen Kelly-Blake, PhD, is a medical anthropologist and Research Associate in the Center for Ethics and Humanities in the Life Sciences at MSU. Her research interests include health services research, medical shared decision-making, physician training, and medical school curriculum development. Dr. Kelly-Blake was recently awarded the National Cancer Institute’s Research Supplement to Promote Diversity in Health-Related Research to conduct research on the use and acceptability of information technology (IT) to improve clinician-patient communication about colorectal cancer screening options.

Join us for Dr. Kelly-Blake’s lecture on Wednesday, December 12, 2012 from noon till 1 pm in person or online:

In person: The lecture will take place in East Fee Hall on MSU’s East Lansing campus, in the Patenge Room (C102). Directions. Feel free to bring your lunch! Beverages and light snacks will be provided.

Online: Here are some instructions for your first time joining the webinar, or if you have attended or viewed them before, go to the meeting!

Event flyer: BB_Webinar ad dec 12_13