Recorded Talks

The Bioethics and Humanities department presents a Harborview Ethics Forum presentation by Dr. Alexandra Hernandez, MD, MCR on "Trauma Informed Care." This presentation will review the definitions of trauma and trauma informed care and discuss ways in which we can apply trauma informed care in our daily practice. Dr. Alexandra Hernandez will also describe the current American College of Surgeons initiative to embed trauma informed care training in trauma centers nationally.

Objectives:

• Create a shared definition of trauma and trauma informed care
• Define the six principles of trauma informed care
• Apply trauma informed care principles to the care of clinical patients

Speaker Bio: Alex Hernandez is currently a University of Washington PGY-4 General Surgery Resident. Originally from Los Angeles, CA, she completed her bachelor’s degree at University of Washington and medical doctorate at Oregon Health and Science University (OHSU). She was introduced to trauma informed care (TIC) as a medical student through work on a TIC in structural competency coursework and in designing a course for surgical interns. As a resident she has been involved in the American College of Surgeon’s Trauma Informed Care curriculum since her first year in residency. She plans to pursue a fellowship in Trauma and Surgical Critical Care after residency.

Ethics of Access: Abortion Care and Reproductive Justice in Tumultuous Times

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(Please note: you will need your UW Net ID to access per speaker request).  

Speaker

Katie Watson, JD

Katie Watson is an Associate Professor of Medical Education, Social Science in Medicine, and OB/GYN, as well as a core faculty member in the graduate program in Medical Humanities and Bioethics, and a long-time member of the Northwestern Memorial Hospital ethics committee at the at Northwestern University, Feinberg School of Medicine. She received her JD from New York University School of Law and practiced public interest law before completing fellowships in Clinical Medical Ethics (University of Chicago Medical School MacLean Center) and Medical Humanities (Feinberg School of Medicine) and joining the Northwestern faculty.

Objectives

• Describe the current state of abortion law in states across the US
• Analyze abortion access within the conceptual framework of reproductive justice

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Panel

Featuring (left to right below):

Laura Katers, PA-C, MCHS, MS, Jim Kirkpatrick, MD, Jamie Shirley, PhD, RN, Keri Nasenbeny, MHA)

Description

Endocarditis in the context of substance use disorder raises multiple ethical issues and is well-recognized as presenting challenging conundrums. A not-infrequent complication of intravenous drug use, endocarditis is a life-threatening disease with a high morbidity and mortality. Care planning must directly and realistically address addiction, while also implementing complex clinical interventions. This interactive, case-based session will equip participants with skills to discuss resource utilization, futility, and moral distress, in the context of providing compassionate care.
 

Objectives

• Recognize ethical dilemmas related to managing care of patients with endocarditis and substance use disorder
• Describe strategies for discussing resource utilization and futility in this context
• Identify causes and approaches to addressing moral distress in these cases

Race and the Trouble with Predicting Violence with Brain Technologies

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Speaker

Oliver Rollins, PhD is an Assistant Professor of American Ethnic Studies at the University of Washington. Rollins is a qualitative sociologist who focuses on issues of race/racism in and through science and technology. Specifically, his research explores how racial identity, racialized discourses, and systemic practices of social difference influence, engage with, and are affected by, the making and use of neuroscientific technologies and knowledges. Rollins’s book, Conviction: The Making and Unmaking of The Violent Brain (Stanford University Press, 2021), traces the development and use of neuroimaging research on anti-social behaviors, with special attention to the limits of this controversial brain model when dealing with aspects of social difference, power, and inequality. Currently, he is working on a project that examines the neuroscience of implicit bias, chiefly the challenges, consequences, and promises of operationalizing racial prejudice and identity as neurobiological processes. He is also developing a new project that seeks to elucidate and speculate, the socio-political dilemmas, ethical vulnerabilities, and anti-racist potentials for contemporary neuroscientific practices. Rollins received his Ph.D. in Sociology from the University of California, San Francisco.

Objectives

•  Define the social construction of race, express how it relates to normative practices of scientific racism, and formulate new ways to dismantle practices of racial inequity that operate through biomedicine, science, and bioethics. 
•  Explain the limits of using neuroscientific technologies to predict complex social behaviors, and examine the ways that bioethics may address the potential social harms of using prediction behavior from brain data.  
•  Recognize how scientific technologies can shape our democratic understanding of criminality and safety, and how such knowledges are often uncritically built into larger scientific and biomedical practices at the expense of the health and well-being of historically marginalized populations. 

An Option of Last Resort Near the End of Life

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Speaker:

David Gruenewald, MD, FACP
Section Chief, Palliative Care & Hospice Service
Geriatrics/Extended Care Service Line
VA Puget Sound Health Care System
Associate Professor of Medicine
Co-Director, Palliative Medicine Fellowship
Division of Gerontology & Geriatric Medicine
University of Washington

Dr. Gruenewald is Section Chief of the Palliative Care and Hospice Service at VA Puget Sound Health Care System. He is Co-Director of the Palliative Medicine Fellowship and Associate Professor of Medicine in the Division of Gerontology and Geriatric Medicine at the University of Washington School of Medicine.

His varied clinical interests in patient care near the end of life include the management of symptoms, especially difficult pain management problems; palliative treatments of “last resort” including palliative sedation and voluntarily stopping eating and drinking (VSED); conducting goals of care conversations; and communication skills. He co-founded the Palliative Care & Hospice Service at VA Puget Sound in 2004 and the UW Palliative Medicine Fellowship in 2008.  He was project leader of a Dept. of Veterans Affairs initiative to improve family meetings in intensive care units, and co-chairs the national Hospice-Palliative Care Workgroup for the VA Electronic Health Record Modernization program.

Objectives:

• Describe ethical arguments for and against VSED near the end of life
• Identify reasons patients near the end of life may choose VSED
• Discuss steps health care providers should take in evaluating requests for hastened death, including VSED
• Discuss management of symptoms during VSED
   

Cardioethics of Heart Procurement after Cardiac Death

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Speakers:

James Kirkpatrick, MD
Professor of Medicine, UW Cardiology and Bioethics and Humanities
 

Denise Dudzinski, PhD, HEC-C
Professor, UW Bioethics and Humanities
 

Jay Pal, MD
Professor of Medicine, UW Surgical Director of Heart
Transplantations
 

Objectives:
Upon completion of this program, attendees should be able to:
• Explain the DCD donation and procurement processes.
• Discuss novel clinical and technical dimensions of procurement.
• Analyze and debate ethical issues raised by DCD in the context of heart transplantation.

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Speakers: 

Helen Jack, MD, MA completed Internal Medicine residency at University of Washington in 2021 and is now an Acting Instructor in the Division of General Internal Medicine. She splits her time between providing primary care at a prison in eastern Washington with the Washington Department of Corrections and conducting both domestic and global research on the integration of behavioral health into primary health care.

Marissa Marolf, MD, MPH completed Internal Medicine residency at the University of Washington in 2021, and is now doing a second residency in psychiatry.

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Speaker:

Naomi Shike, MD is an internist with the hospital medicine group, providing care to patients while they are hospitalized at Harborview Medical Center. She previously served as a Chief Resident and Clinician Teacher Fellow at the Puget Sound VA Medical Center in the Primary Care Clinic, and during residency she completed the HIV Pathway, and remains interested in both medical education and HIV care.

In addition to her clinical interests and responsibilities, Dr. Shike is interested in the application of social psychology, in which she completed a masters degree prior to beginning her career in medicine, to research, patient care and teaching. She is passionate about furthering equity in healthcare, better understanding health-related behavior and her patients’ diverse beliefs and practices surrounding health, and teaching students and trainees to identify and work to mitigate the effects of bias in our healthcare system.

Dr. Shike came to Seattle after attending medical school at Weill Cornell Medical College in New York City. She completed her residency and chief residency at UW, and is now a proud and dedicated Pacific Northwesterner and Seattlite.

Speakers:

Sherronda Jamerson, SUD, MA has worked in a wide array of psychiatric and chemical dependency treatment settings for the past 15 years, from hospital-based inpatient and day treatment, to methadone and outpatient. She currently sits on Harborview Medical Center’s Equity, Diversity, and Inclusion Committee and the African American Health Board. She has experience working in community support services for clients with mental health, substance abuse, chemical dependency, and/or co-occurring disorders using evidence-based and promising practices. 

Robert S. Lewis is a certified Instructor for teaching Enhanced Non-Violent Crisis Intervention and Trauma Informed Care approaches to de-escalation through the Crisis Prevention Institute program since 2009. Robert has spent the last 32 years working in hospitals and schools advocating for the safety of others and those most vulnerable to violence. The programs he teaches provides advocacy for the safety of those staff providing care, treatment, and education. He has spent the last 18 years at Harborview.

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Speakers:

Martine Pierre-Louis, MPH is Director of Equity, Diversity and Inclusion at Harborview Medical Center.  She holds a master in public health with a focus in international health.  A leader in language access for three decades, she was a founding member and past board member for both the Society of Medical Interpreters and the National Council on Interpreting in Health Care.  She has collaborated on multiple community-based public health efforts focusing on health care access and quality outcomes for refugee and immigrant families.   She has partnered with the Medical Center’s Quality Improvement department to track and measure disparities by race, ethnicity and language and has collaborated with health care teams and community partners to develop innovative programs to decrease disparities in vulnerable communities. 

Maralyssa Bann, MD

Dr. Bann works clinically as a Hospital Medicine physician caring for a breadth of inpatient clinical care needs. She has previously served as the Director of Hospital Medicine and is currently the Associate Medical Director for Acute Care at Harborview Medical Center.

Denise Dudzinski, PhD, MTS

Dr. Dudzinski is Professor & Chair of the Department of Bioethics & Humanities, Adjunct Professor in the School of Law and in the Departments of Pediatrics & Family Medicine at the University of Washington.  She earned her PhD in Ethics from Vanderbilt University and her Masters of Theological Studies (MTS) from Vanderbilt Divinity School.  She is Chief of the UW Medicine Ethics Consultation Service, which is active in three UW Medicine hospitals.

Dr. Malia Fullerton participated in a panel titled "Death in the 21st Century: What is Left Behind" at the 2020 American Association for Advancing Science Annual Meeting.  The panelists explored sustainable burial practices; social and legal dimensions of a digital “afterlife,” and questions of long-term curation, access and use of genetic data, and other health information. In discussing such topics, the aims were to develop socially and scientifically informed policies relating to these issues. 

Location: UW Medical Center, Plaza Cafe A/B, 1959 NE Pacific St #110, Seattle, WA 98195

Abstract: Patience, will, hope, humor, self-belief, knowing, not knowing: the seven powers that end-stage and critical cardiac care patients have within their grasp but often don’t take advantage of during prolonged mentally and physically painful hospital stays. And social workers, techs, psychiatrists, fellows, residents, cardiologists, oncologists, other ologists, and surgeons alike can help encourage, inspire, and extract these powers in their patients, particularly those who are unable to benefit from them on their own.  Although these seven powers can all be difficult to extract, that is precisely (and ironically) what makes them so beautiful and so precious and what can well be the difference—and even the deciding factor—between life and death.  This lecture is largely based on one of the many insights author Bob Mitchell pondered during and after his 100-day hospital stay and subsequent twelve-hour heart and kidney transplant surgery.   

Biography: Bob Mitchell studied at Williams College, Columbia, and Harvard, where he earned a PhD in French and Comparative Literature.  He is a novelist, essayist, poet, memoirist, and heart and kidney transplant survivor.  Bob has published eleven books, including a recent memoir about his transplant surgery with a foreword by Larry King and an afterword by Dr. Jon A. Kobashigawa, upon which his lecture is largely based.