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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 39
40 MILITARY MEDICAL ETHICS: ISSUES REGARDING DUAL LOYALTIES 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 9:00â10:00 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 10:00â10:30 Panel Discussion 10:30â10:45 General Discussion 10:45 Break 11:00 Case Study 2: Treatment of Detainees: Role of Military Health Professionals Moderator: Richard Bonnie, University of Virginia 11:00â12:15 Panel Presentations ⢠Introduction and Outline of the Case Richard Bonnie, University of Virginia
APPENDIX B 41 ⢠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 12:15â12:45 Panel Discussion 12:45â1:00 General Discussion 1:00 p.m. Lunch 1:45 General DiscussionâFollow-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) 2:15â2:55 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 2:55â3:15 Panel and General Discussion 3:15 Ethical ValuesâOrganizational Structure and Culture
42 MILITARY MEDICAL ETHICS: ISSUES REGARDING DUAL LOYALTIES Moderator: Linda Emanuel, Northwestern University 3:15â3:50 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 3:50â4:15 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