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> Metropolitan New York Palliative Care Network > Metropolitan New York Ethics Network |
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The Center for Urban Bioethics seeks to create a new and important focus for clinical ethics-the care of inner city populations. The Center endeavors to facilitate multidisciplinary discussion and inquiry; identify and study the diverse factors which influence individual and community values and assumptions relevant to health, illness, and healthcare; explore the implications of the pluralistic beliefs and values characteristic of urban life for health policy development; and, educate the professional and academic communities as well as the public in areas related to cultural diversity, respect for difference, and the importance of sensitivity in the clinical transaction.
The Center for Urban Bioethics is viewed as an extension of the 150-year commitment of the Academy to enhancing the health of the public through education of clinicians, basic and applied research, and policy development and advocacy. The Academy's recent focus has been on "urban health," the study of the multiple factors which impact on the quality of life and health of those people who dwell in cities, with a particular emphasis on the problems of inner city, socially marginalized and vulnerable populations.
The Center for Urban Bioethics conducts analytic research on ethical issues impacting vulnerable populations and will convene expert groups to produce consensus documents and reports on relevant issues. The initial research focus of the Center is to develop quantitative and qualitative analyses of the impact of cultural, religious, ethnic, and racial perspectives on health related values and beliefs. The participation of a multidisciplinary faculty will facilitate analytic and conceptual work. The Center will produce scholarly and pragmatic publications and disseminate its findings broadly.
Among the research topics that the Center for Urban Bioethics has recently pursued:
- The ethical issues in research involving victims of terror, inspired by the Sept. 11, 2001 terrorist attacks in New York City
- Ethics and trusteeship for health care
- Development of a palliative education assessment tool for medical student education
- Addressing racial disparities in health care delivery
Recent programs of the Metropolitan New York Palliative Care Network include:
The Economics of Palliative Care: Burdens on the Patient, Family and Health Care Delivery System
In this program, a panel of New York area professionals discussed the economic issues surrounding palliative care. The program focused on national funding concerns, the creation and implementation of palliative care and hospice programs at the institutional level, and how funding concerns can affect patients, families, and providers.
Palliative Care and the Young Adult: Symptom Management, Psychosocial Issues and Family Involvement
In this program, a panel of New York area professionals discussed various issues surrounding the treatment of young adults in palliative care. The program focused on medical, social, and family concerns, particularly how these concerns differ from those of geriatric or pediatric palliative care patients.
Palliative Care and the Elderly
In this program, a panel of New York area experts discussed palliative care issues surrounding the elderly.
Recent programs of the Metropolitan New York Ethics Network include:
Seeking the Perfect Baby through Cesarean Delivery: What's at Stake?
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| Click on photo to view event program with speakers’ biographies. |
Is it the physician’s decision?
What are the legal precedents and the ethical concerns?
What ought society do in these situations?
Moderated by Alan R. Fleischman, MD, Senior Advisor of The New York Academy of Medicine, with commentary provided by Nancy N. Dubler, LLB, Professor and Director of the Division of Bioethics at Montefiore Medical Center and Albert Einstein College of Medicine, three prominent leaders from the medical, legal, and birthing communities provided their insights on the controversy surrounding the ethics of cesarean delivery.
To view copies of the panelists’ presentations, click on the titles below.
Elective Primary C-Section: Should Obstetricians be Pro-Choice?
Howard L. Minkoff, MD
Distinguished Professor of Obstetrics and Gynecology, SUNY Downstate
Chairman, Department of Obstetrics and Gynecology, Maimonides Medical Center
www.maimonidesmed.org
Do Women Lose Their Civil Rights Upon Becoming Pregnant?
Lynn M. Paltrow, JD
Executive Director
National Advocates for Pregnant Women
www.advocatesforpregnantwomen.org
National Listening to Mothers Survey: New Mothers Report Cesarean Views and Experiences
Maureen P. Corry, MPH
Executive Director
Childbirth Connection (formerly Maternity Center Association)
www.childbirthconnection.org
Bioethical End-of-Year Program: International Bioethics
This program explored traditionally complex and challenging bioethical issues from an international perspective. Two experts specializing in bioethical issues in Japan and Australia addressed the areas of reproductive and end-of-life ethics. Ethics experts from the United States responded to these discussions from a more customary Western standpoint. In examining these difficult topics in a culturally diverse context, the program sought to add to the current discussion of these issues and provide interested persons with a different approach to ethical dilemmas that these subjects raise.
Smallpox Vaccination: Medical, Public Health and Ethical Implications
Given the concerns regarding the possibility of a smallpox outbreak and the potential vulnerability of the unvaccinated population, this program explored the heated debate over whether smallpox vaccinations should be made available to health professionals and the general population and if so, when and how that should be accomplished. Issues of vaccine risk and the complex logistics of administering the vaccine to large numbers of people were discussed. This program examined the issue of smallpox vaccination from several perspectives and attempted to clarify some of the implications of various vaccination strategies.
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