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OCR for page 39
Military Medical Ethics: Issues Regarding Dual Loyalties - Workshop Summary
B
Workshop Agenda
INSTITUTE OF MEDICINE
National Academy of Sciences
Workshop on Military Medical Ethics: Issues Regarding Dual Loyalties
Monday, September 8, 2008
National Academy of Sciences
Lecture Room
2100 C Street, NW
Washington, DC
Workshop Goals
Examine ethical challenges for physicians and other health professionals serving in the military that arise from conflicts between their responsibilities to patients and their duties as military officers
Discuss parallels with other fields of health and draw on their efforts to develop ethical guidelines and training models
Discuss effective organizational structures that support and promote a just work culture
7:30 a.m.
Continental Breakfast
OCR for page 40
Military Medical Ethics: Issues Regarding Dual Loyalties - Workshop Summary
8:00
Welcome and Opening Remarks
James Childress, Chair
Harvey Fineberg, President, Institute of Medicine
Joseph Kelley, Deputy Assistant Secretary of Defense for Clinical and Program Policy
8:40
Setting the Context for the Discussion
James Childress, Chair
9:00
Case Study 1: Return to Duty: Ethical Issues for Military Health Professionals
Moderator: Paul Appelbaum, Columbia University
9:00–10:00
Panel Presentations
• Outline of the Case and Issues
Paul Appelbaum, Columbia University
• Military Policy and Data
Elspeth Cameron Ritchie, U.S. Army
• Parallels in Occupational Health
Myron Harrison, ExxonMobil
• Parallels in Sports Medicine
Kurt Spindler, Vanderbilt University
10:00–10:30
Panel Discussion
10:30–10:45
General Discussion
10:45
Break
11:00
Case Study 2: Treatment of Detainees: Role of Military Health Professionals
Moderator: Richard Bonnie, University of Virginia
11:00–12:15
Panel Presentations
• Introduction and Outline of the Case
Richard Bonnie, University of Virginia
OCR for page 41
Military Medical Ethics: Issues Regarding Dual Loyalties - Workshop Summary
• Overview of the Issues
Hernan Reyes, International Committee of the Red Cross
• Military Policy
Jack Smith, Department of Defense
• Parallels in Correctional and Custodial Facilities
Scott Allen, Brown University
• Human Rights Issues
Leonard Rubenstein, Physicians for Human Rights
• Intercultural and Religious Issues
Mahmud Thamer, Johns Hopkins University
12:15–12:45
Panel Discussion
12:45–1:00
General Discussion
1:00 p.m.
Lunch
1:45
General Discussion—Follow-up from Morning Discussions
Moderator: James Childress
2:15
Ethics Training for Military Health Professionals
Moderator: Randy Howe, Uniformed Services University of the Health Sciences (USUHS)
2:15–2:55
Panel Presentations
• Ethics Training at the Uniformed Services University of the Health Sciences
Randy Howe, USUHS
• Ethics Training in the Field and Continuing Education
Kenneth Schor, USUHS
• Improving the Teaching of Ethics
Joshua Hauser, Northwestern University
2:55–3:15
Panel and General Discussion
3:15
Ethical Values—Organizational Structure and Culture
OCR for page 42
Military Medical Ethics: Issues Regarding Dual Loyalties - Workshop Summary
Moderator: Linda Emanuel, Northwestern University
3:15–3:50
Panel Presentations
• Overview of the Issues
Linda Emanuel, Northwestern University
• Nurturing a Just Culture
David Ozar, Loyola University, Chicago
• Leadership and Vertical Integration
Daniel Federman, Harvard University
• Learning and Accountability Within Organizational Structures: Where Next?
Linda Emanuel, Northwestern University
3:50–4:15
Panel and General Discussion
4:15
Next Steps
James Childress, Chair
Joseph Kelley, Deputy Assistant Secretary of Defense for Clinical and Program Policy
5:00
Adjourn