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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
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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
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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
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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