SURGICAL ETHICS COURSE Saturday April 25, 2015 Washington State Convention Center, Seattle Presented by the Cardiothoracic Ethics Forum American Association.

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Presentation transcript:

SURGICAL ETHICS COURSE Saturday April 25, 2015 Washington State Convention Center, Seattle Presented by the Cardiothoracic Ethics Forum American Association for Thoracic Surgery Society of Thoracic Surgeons Introduction Martin McKneally & Robert Sade

As member and chair of ethics committees of both the STS and the AATS, his Ethics Editorship of the Annals of Thoracic Surgery, and his clinical background in congenital heart surgery, Bob Sade has become the dean of surgical ethics education. The 28 chapters in this excellent book exemplify his collaborative and highly effective teaching. Book review, Ann Thor Surg 2015

The CT Ethics Forum “….Both members of the STS Standards & Ethics Committee at the time, [we] explored the possibility of creating an organization for providing ethics education for cardiothoracic surgeons… Martin and I invited a few surgeons who were interested in ethics to join us, and this group subsequently met regularly to plan programs on ethical issues for presentation at national meetings of surgical societies. It gradually evolved to comprise the entire membership of the ethics committees of the STS and the AATS, as well as a few former members of those committees who had sustained an interest and scholarly involvement in surgical ethics.” Preface, The Ethics of Surgery

Filling the Ethics Gap Papers published (CTEF): 343 Meeting presentations: 49 Scholarships: 3 Kathleen Fenton Jennifer Ellis John (Trey) Entwistle Courses: 2 Toronto 2014 Seattle 2015

Surgical Ethics Course, Seattle 2015 Delegation of decision making Understand as well as informed Explaining errors to families Other surgeons’ errors Innovation vs research Oversight of innovation Sham operations and placebos Abandon the dead donor rule? Should organ donors be paid? Live broadcast

Ethics M&M Rationed health resources Abandon the dead donor rule? Who gets the LVAD? VIP treatment Consent for life sustaining treatment Ethics of social media Live broadcast Adderall for surgeons? Terminal sedation Surgical Ethics Course, Toronto, 2015

Real world problems in surgical ethics Lengthened life Technology Cost Industry Managing error Innovation

“Always do the right thing. It will please some people, and astonish the rest.” Mark Twain