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Lack of Capacity? Poor Judgment? Differing Priorities? WHO DECIDES?

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Bernard Baruch College,Vertical Campus, Room 14-220

One Bernard Baruch Way (Lexington @ 24th St.)

New York, NY 10010

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In some cases patients clearly lack capacity commensurate to making a decision based on principles of informed consent. In other instances there is conflict: is the patient lacking capacity, exhibiting poor judgment or do the clinical team and patient have differing goals and priorities? Deliberations are complicated by mental status, cognitive ability, pathology and culture. Further complications can include proxy, surrogate or guardian participation. Cases requiring determination of capacity are among the most complicated and nuanced confronted by care providers and administrators.

The goal of this conference is to shine the light of ethical perspectives on the issue of decision making capacity so that attendees will be able to better deliberate cases that arise in practice.

Learning Objectives include:

  • Identification of ethical considerations when deliberating capacity determinations
  • Identification of practical considerationas and legal considerations used for determining capacity
  • Learning through deiberation of actual cases involving capacity determination
  • Exploring ethical dilemmas and principles on the national issue of Ethicalo Principals of Compassionate Release of Investigationsl Drugs fgor Patient Use

Who Should Attend?

Physicians, Nurses, Social Workers, Lawyers, Risk Managers, Patient Advocates, Administrators, Pharmacisits and anyone interested in ethical issues of capacity or ethical issues of compassionate release of investigational medications.

Annual John Corser Memorial Conference

Thursday, May 26, 2016

8:00 am—3:30 PM

Bernard Baruch College

One Bernard Baruch Way

Room 14-220

Lack of Capacity? Poor Judgment? Differing Priorities?

Who Decides?

8:00 am Registration and Breakfast

8:45 am Welcome and Introductions

Susan Sanelli-Russo, MD

Chair, NYC Health and Hospitals Ethics Council, Moderator

Ross Wilson, MD, FRACP, FCICM

Senior Vice President, Chief Medical Officer, NYC Health + Hospitals

9:00-9:15 Disorders of Consciousness, Capacity and the Challenge of Mosaic Decision-making Joseph J. Fins, MD, E. William Davis, Jr. M.D. Professor of Medical Ethics and Chief of the Division of Medical Ethics at Weill Cornell Medical College, Professor of Medicine, Professor of Public Health, Professor of Medicine in Psychiatry, Director of Medical Ethics, NY-Presbyterian Weill Cornell Medical Center.

9:15-10:15 Case Presentation: Audience Deliberation and Expert Feedback

10:15-10:30 Coffee Break

10:30-10:45 Do Pain and Lack of Support Compromise Cognition and Capacity?

Nessa Coyle, PhD, Palliative Care Consultant, Former Director of the Supportive Care Program of the Pain and Palliative Care Service at Memorial Sloan-Kettering Cancer Center (MSKCC), and founder of the Service’s nurse practitioner clinical fellowship Program (42 years). Member of the Center’s Ethics Committee and of the Clinical Ethics Consultation Team.

10:45-11:45 Case Presentation: Audience Deliberation and Expert Feedback

11:45-12:00 Assessment of Decision-Making Capacity: State of the Art

Paul Appelbaum, MD, Dollard Professor of Psychiatry, Medicine, and Law and Director, Division of Psychiatry, Law, and Ethics, Department of Psychiatry, College of Physicians and Surgeons of Columbia University

12:00-1:00 Case Presentation: Audience Deliberation and Expert Feedback

1:00-2:00 Lunch

2:00-3:15 Discussion: Compassionate Release of Investigational Drugs for Patient Use

Alison Bateman-House, PhD, Moderator

Rudin Postdoctoral Fellow in the Division of Medical Ethics, NYU Langone Medical Center and Deputy chairperson of the Compassionate Use Advisory Committee.

3:15-3:30 Wrap up and Evaluation

The speakers have no conflicts of interest to disclose.

CME, CNE and CSW accreditation for continuing education has been applied for

Those wishing continuing education credits should also register after April 1 at http://cme.nychhc.org



Date and Time

Location

Bernard Baruch College,Vertical Campus, Room 14-220

One Bernard Baruch Way (Lexington @ 24th St.)

New York, NY 10010

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