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20th Annual Thomas A. Pitts Lectureship in Medical Ethics

ETHICAL AND LEGAL ISSUES IN PEDIATRICS

Friday, October 18, 2013
7:30REGISTRATION
8:00Welcome
Mark Sothmann, PhD, Interim President, Vice President for Academic Affairs & Provost
8:05Introductory Comments
Robert Sade, MD, Director, Institute of Human Values in Health Care
Session I: NEWBORN SCREENING
Moderator: Dorothea Jenkins (Associate Professor of Pediatrics)
8:15Screening of Newborns for Disorders with High Benefit-Risk Ratios Should Be Mandatory —Melissa Wasserstein, MD, Associate Professor, Genetics and Genomic Sciences and Pediatrics; Director, Program for Inherited Metabolic Diseases, Mount Sinani School of Medicine, New York
8:45

Parents Should Be Asked for Consent to Newborn Screening, Even for Disorders with High Benefit-Risk Ratios— Norman Fost, MD, MPH, Professor of Pediatrics and Bioethics, School of Medicine and Public Health; Director, Medical Ethics Program, University of Wisconsin

9:30

Panel: Wasserstein and Fost

10:00COFFEE BREAK
Session II:  VACCINATION REFUSAL
Moderator: Walter Jones (Professor of Healthcare Leadership and Management)
10:30Refusing the Refusers: When Parents Refuse Vaccination for Their Children — Stan L. Block, MD, Professor of Clinical Pediatrics, University of Kentucky College of Medicine, Lexington, and University of Louisville Medical School, Louisville, KY, President, Kentucky Pediatric and Adult Research Inc.
11:00

Pediatricians Should Accept Care of Children Whose Parents Refuse Vaccination —Douglas Diekema, MD, MPH, Professor of Pediatrics, Adjunct Assistant Professor of Medical History and Ethics, University of Washington, Seattle, WA

11:30Panel: Block and Diekema
12:00LUNCH:  TABLE-TALK SESSIONS, INDIVIDUAL FACULTY MEMBER DISCUSSIONS
Session III: INFANT MALE CIRCUMCISION
Moderator: Sally Webb (Associate Professor of Pediatrics)
1:00Newborn Male Circumcision with Parental Consent, as Stated in the AAP Circumcision Policy Statement, is Both Legal and Ethical —Michael T. Brady, MD, Professor and Chair, Department of Pediatrics, Ohio State University; Physician-in-Chief, Nationwide Children's Hospital, Columbus, Ohio
1:30
Newborn Male Circumcision Is Unethical and Should Be Illegal—J. Steven Svoboda, JD, Founder and Executive Director of Attorneys for the Rights of the Child, Berkeley, CA
2:30Panel: Brady and Svoboda
2:45COFFEE BREAK
Session IV:  SURGERY FOR TRISOMY 18 INFANTS
Moderator:  Ross Ungerleider (Professor of Surgery, Wake Forest University)
3:15Open Heart Repair Should Be Offered to Infants with Trisomy 18 and VSD and Interrupted Aortic Arch— Minoo Kavarana, MD, Assistant Professor of Surgery, Division of Cardiothoracic Surgery, Section of Pediatric Cardiac Surgery, MUSC
3:45Infants with trisomy 18 and VSD and Interrupted Aortic Arch should not undergo open heart surgery—Eric Graham, MD, Associate Professor of Pediatrics, Division of Pediatric Cardiology, MUSC
4:15

Panel: Kavarana and Graham

5:00ADJOURN FOR THE DAY
Saturday, October 19, 2013
8:30REGISTRATION
Session V: INTERACTIVE AUDIENCE AND FACULTY DISCUSSION
Moderator: Robert Sade, MD (Professor of Surgery, MUSC)
9:00

Seminar on Pediatric Controversies— Audience and Lecturers: Block, Brady, Diekema, Fost, Graham, Kavarana, Svoboda, and Wasserstein

12:00ADJOURN