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Bioethics Grand Rounds

“What Does Patient-Centered Care Demand in Deep Cultural Conflict?"

Autumn Fiester, Ph.D.

February 11, 2015
4:00 - 5:00 pm
Room T-747 HSB

reception to follow

Dr. Fiester will address the recent movement to provide “patient-centered care” has been hailed as a progressive step forward in meeting the needs of the very diverse patient population of the United States. But while the ideal of patient-centered care is universally endorsed, the ethical obligations it entails have only begun to be explored. One of the most difficult circumstances in which to provide patientcentered care is in deep cultural conflict, where the values and priorities of the patient are in direct opposition to those of the clinical team. Given the mandate to provide care that is culturally and linguistically sensitive, what obligations do providers have to meet patient demands when it is
inconvenient, challenging, or, at the extreme, offensive and antithetical to clinical values? To answer this question, Dr. Fiester employs a strategy of searching for common values that might provide a bridge between patients and providers in deep cultural conflict.

Autumn Fiester, Ph.D., is the Director of Education in the Department of Medical Ethics and Health Policy at the Perelman School of Medicine at the University of Pennsylvania. She is also the Director of the Penn Clinical Ethics Mediation Program and the Co-Director of the Project on Bioethics, Sexuality, and Gender Identity. Her research interests include clinical ethics, mediation, and bioethics education.

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We invite you to join us for Bioethics Grand Rounds, co-sponsored by the Department of Bioethics & Humanities and the Ethics Advisory Committee at the University of Washington Medical Center.

Sign up to receive information about Bioethics Grand Rounds at the bioethics mailing list at

Date Speaker Topic
Feb 14 Paul Menzel, PhD and Bonnie Steinbock, PhD "Advance Directives, Dementia, and Assisted Death"
Nov 2014 David Schenck, PhD "Death's Broker: Ethics Consultation in the ICU"
Feb 2014 Wylie Burke, MD, PhD "Delivering Precision Medicine: The Role of
Practical Wisdom"
Nov 2013 Doug Opel, MD, MPH Shared Decisiion-Making in Medicine: A Decrepit Concept
Oct 2013 Panel Discussion w/ UW Ethics Advisory Committee:
Moderators: Laura Webster, RN MA and Jamie Shirley, RN, PhD
The Capacity Conundrum: When Should We Compel Life-Sustaining Treatments Over the Objection of Incompetent Patients?
Arp 2013 Rebecca Levine, JD, MPH From Congress and Courts to the Bench and Bedside: Promoting Dialogue between the Health Care and Disability Communities
Nov 2012 Douglas S. Diekema, MD, MPH

Eyes Wide Open: Physician Relationship
with the Pharmaceutical Industry

Sep 2012 Sallie Thieme-Sanford, J.D.

The Supreme Court’s ACA Decision and “the neediest among us”

Apr 2012 Kelly Edwards, Ph.D.

"People Matter: Innovative Approaches to Engage Participants in Research"

Feb 2012 Michael J. Souter, M.B.Ch.B
"Donation after Cardiac Death –Shades of Grey"
Nov 2011 John T. Slattery, Ph.D. and
S. Malia Fullerton, D.Phil
“Promoting Responsible Collection and Use of Residual Clinical Specimens in Research: the Washington Phenotyped Biospecimen Resource”
Sep 2011 J. Randall Curtis, MD, MPH "Integrating palliative and critical care: An empirical approach to providing ethical and high quality end-of-life care"
Apr 2011 Mark Tonelli, MD MA "The End of Evidence: The Ethics and Epistemology of Clinical Decision Making"
Feb 2011 Paul W. Zarutskie, MD "From Babies to Stem Cells: The Ethics of Reproductive Technologies"
Nov 2010 Denise M. Dudzinski, PhD MTS; Thomas Gallagher, MD;
Mary Beth Foglia, PhD RN

“Should hospitals disclose adverse events that might harm multiple patients?”

Sep 2010 James Gordon, MD, FRCPC, FAAN

"Neurological Enhancement and Moral Decision making in Medicine"

Apr 2010 Sarah E. Shannon, PhD, RN ‘Why Do Families Request “Futile” Life-Sustaining Treatments?’
Feb 2010 Pat Kuszler, MD, JD and
Sallie Sanford, JD
“How about Health Care Reform? What’s the Prognosis?” 


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