202228 "A Life Worth Living?": Introducing Young Health Professionals to Perinatal Bioethics

Wednesday, November 11, 2009

Tami Rowen, MS, MD , Department of Obstetrics Gynecology and REproductive Sciences, University of California, San Francisco, San Francisco, CA
Context

There is a growing body of literature addressing the importance of training healthcare professionals in ethical decision making relating to life with a disability. In addition, there have been several studies highlighting the differences between patient and provider attitudes towards living with a disability. These studies demonstrate the importance of training future healthcare providers in ethics and critical disability studies.

Objectives

The objective of the project was to design a session for medical student during their clinical core rotations. This curricula includes an interactive session to introduce the current literature on the subject matter in addition to panel speakers. The main objectives included encouraging students to:

· understand new research relating to the difference between physician and patient's understanding of life with a disability

· articulate how disability studies can be applied to ethical questions in medicine

· discuss how physician attitudes about a “life worth living” can influence our counseling patients

Key Message:

The third year of medical school provides a good opportunity to apply clinical experiences to ethical questions relating to treating patients facing life with a disability.

Conclusion

Given the universal exposure medical students have to patients with disabilities, new curricula should be designed to address ethical decision-making taking into account patient and provider attitudes towards disability. This project seeks to ensure a permanent curriculum devoted to providing an interactive learning session introducing bioethics through an evidence based approach to the clinical and social literature relating to ethics and critical decision-making regarding living with a disability.

Learning Objectives:
1.Introduce the current literature that addresses the importance of training healthcare professionals in ethical decision making relating to life with a disability 2.Review recent studies highlighting the differences between patient and provider attitudes towards living with a disability 3. Introduce a new educational approach to teaching young health professionals about the importance of a self reflective and evidence-based approach to counseling patients about withdrawal of care and prenatal testing

Keywords: Education, Disability Studies

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Publications Rowen, Tami. “What Can Disability Studies Contribute to the Treatment of People with Obesity?” Bariatric Nursing and Surgical Patient Care, Sep 2006, Vol. 1, No. 3 : 185 -193 GRANTS and AWARDS UCSF Social and Behavioral Sciences Clerkship Innovation Award, June 2008 -“A Life Worth Living”, special medical student education session on the ethics of prenatal testing and end-of-life decision making Teaching Discussion Leader, UC Berkeley 2002 -Undergraduate Interdisciplinary Studies 110, 112: “Introduction to Disability” and “Women and Disability”
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.