• College Hall 3

Current Course Offerings


Fall 2014


BIOE 601 401/402 - Introduction to Bioethics

Instructor: Autumn Fiester
Time: Tuesdays OR Thursdays, 4:30-7:00, August 28-December 9
Location: 3401 Market St, Room 331

This course is intended to serve as a broad introduction to the field of bioethics. The course will focus on the central areas in research and clinical ethics: genetics, reproduction, end-of-life, informed consent, the history of human subjects research, and surrogate decision-making. In this course we will study case analysis, bioethics concepts, relevant legal cases, and classical readings on the themes.


BIOE 551 001 - Bioethics and Film

Instructor: Lance Wahlert
Time: Thursdays, 4:30-7:00, August 28-December 4
Location: 3401 Market St, Room 321

In reality and metaphorically, cinema has served for generations of moviegoers as a site of communal congregation, pedogogical dissemination, and sometimes disease infection. Accordingly, how and where we watch films are just as important as what films have to say about doctors, disease, and death. This course will consider the epidemiological and cultural implications of cinema on bioethics, including how movies and movie theaters themselves have functioned as spaces of contentious discourse regarding public health. Bearing in mind the recent scholarship of film and medical theorists such as Lisa Cartwright, Paula Triechler, and David Serlin, we will study not only the possibility for film to register and comment on cultural understandings of the clinic, but also the ways cinema itself works out, reimagines, and even changes how the clinic is put into practice. Focusing on themes such as quarantine, vaccination, sexual health, end of life care, professional competence, and globalization, we will be watching and discussing public health films and feature-length films by directors such as Alfred Hitchcock, David Croneberg, Tamara Jenkins, and Todd Haynes. No background in either cinema studies or bioethics is required for this course.


BIOE 575 401 - Health Policy

CROSS-LISTED: BIOE 575 | HCMG 250 | HCMG 850
Instructors: Ezekiel Emanuel & J. Sanford Schwartz
Time: Tuesdays & Thursdays, 4:30-6:00, August 28-December 9
Location: Stiteler B6

The U.S. health care system is the world's largest, most technologically advanced, most expensive, with uneven quality, and an unsustainable cost structure. This multi-disciplinary course will explore the history and structure of the current American health care system and the impact of the Affordable Care Act. How did the United States get here? The course will examine the history of and problems with employment-based health insurance, the challenges surrounding access, cost and quality, and the medical malpractice conundrum.

As the Affordable Care Act is implemented over the next decade, the U.S. will witness tremendous changes that will shape the American health care system for the next 50 years or more. The course will examine potential reforms, including those offered by liberals and conservatives and information that can be extracted from health care systems in other developed countries. Throughout, lessons will integrate the disciplines of health economics, health and social policy, law and political science to elucidate key principles. This course will provide students a broad overview of the current U.S. health care system. The course will focus on the challenges facing the health care system, an in-depth understanding of the Affordable Care Act, and its potential impact upon health care access, delivery, cost, and quality.


BIOE 590 001 - Ethics in Mental Healthcare

Instructor: Dominic Sisti
Time: Mondays, 4:30-7:00, September 8-December 8
Location: 3401 Market St, Room 321

Mental healthcare—which includes but is not limited to psychiatry, psychology, and clinical social work—is an especially ethically fraught subdiscipline of the larger medical enterprise. Issues range from garden-variety problems related to informed consent, patient capacity, and clinical professionalism to novel issues related to involuntary treatment, research on mentally ill persons, questions about free will and nosological categories. This course will present a survey of these ethical issues by first introducing foundational concepts from ethical theory and the philosophy of psychiatry and mind. Students will be expected to become conversant in several bioethical approaches and methods and be able to use them to critically examine both historical and contemporary questions in mental healthcare and research.


BIOE 603 001 - Advanced Clinical Ethics

Instructors: Steven Joffe & Jennifer Walter
Time: Wednesdays, 4:30-7:00, August 27-December 3
Location: 3401 Market St, Room 331

Since the 1960s, medical technology has rapidly expanded our capacity to intervene in people's lives. At the same time, profound changes in the health professions as well as in society at large have led to a renegotiation of the relationship between medicine and society. The field of clinical ethics has worked to understand and to shape these radical changes. Although the reality of human vulnerability to illness may not have changed over the millennia, who qualifies for personhood or what it means to respect human dignity have been up for debate. In this advanced course in clinical ethics, we will explore key ethical debates across the entire life course. We will emphasize an interdisciplinary approach that acknowledges a variety of health care providers' experiences, and will consider some of the challenges in clinical decision-making for and with patients, such as rationing at the besdie and requests for assistance in ending a patient's life. We will also examine policies that impact clinical practice, including systems for organ allocation in transplantation. We will draw upon theories from moral philosophy, clinical cases from our practices and from the media, and seminal legal cases to demonstrate the live ethical challenges of clinical practices today.


BIOE 570 001 - Bioethics and National Security

Instructor: Jonathan Moreno
Time: Tuesdays, 4:30-7:00, September 2-December 9
Location: 3401 Market St, Room 321
Limited Enrollment

At least since Augustine proposed a theory of “just war,” armed conflict has been recognized as raising ethical issues.  These issues have intensified along with the power and sophistication of weapons of war, and especially with increasing engineering capabilities and basic knowledge of the physical world.  The life sciences have had their place in these developments as well, perhaps most vividly with the revelations of horrific experiments conducted by the Nazi and Imperial Japanese militaries, but with much greater intensity due to developments in fields like genetics, neuroscience and information science, and the widely recognized convergence of physics, chemistry, biology and engineering.

The fields of bioethics and national security studies both developed in the decades following World War II.  During the cold war little thought was given to the fact that many national security issues entail bioethical questions, but this intersection has been increasingly evident over the past two decades.  In spite of the overlapping domains of bioethics and national security, there has been remarkable little systematic, institutional response to the challenges presented by these kinds of questions:

  • What rules should govern the conduct of human experiments when national security is threatened?
  • Is it permissible to study ways that viruses may be genetically modified in order to defeat available vaccines, even for defensive purposes?
  • What role may physicians or other health care professionals play in interrogation of suspected terrorists?
  • Must warfighters accept any and all drugs or devices that are believed to render them more fit for combat, including those that may alter cognition or personality?
  • What responsibilities does the scientific community have to anticipate possible “dual purpose” uses or other unintended consequences of its work?

Deploying the resources of ethics, philosophy, history, sociology and political theory, this course will address these and other problems.




 

Spring 2015


BIOE 551 001 - History of Medicine

Instructor: Lance Wahlert
Time: Tuesdays, 4:30-7:00, January 20-April 28
Location: 3401 Market St, Room 321

While concerns over patient care, research ethics, and vocational duty have been hallmarks of the medical profession for over two millennia, bioethics (as a distinct and unified disciple) is a relatively new enterprise.   And yet the history of medicine informs the ways in which clinical practices are effectively conducted and ethically scrutinized even today.  Accordingly, this course introduces students to a comprehensive history of the Western Medical Tradition—from the Hippocratic-Galenic method (which dominated Europe and the Middle East from the Classical period to the eighteenth century); to the dawn of Paris Medicine (which reorganized clinical practice and professional training in the nineteenth century); to the global proliferation of biomedical research methods (which has demarcated medicine in the twentieth century).  Engaging in a trans-historical study of Western medicine that features textual, archival, and artistic forms of evidence, we will be focusing on a range of canonical topics: the systematization and triumph of Galen; the development of the fields of physick and surgery; the plague in the early modern period; the role of the asylum in the eighteenth century; the birth of specialties such as gynecology, phrenology, and eugenics; the creation of the teaching hospital; and the infusion of laboratory science into clinical research.  In addition, students will learn about the methodological principles central to the study of the histories of science, medicine, and technology in academia.


BIOE 540 - Challenging Clinical Ethics: Managing Patient/Caregiver Conflict Through Mediation

Instructor: Edward Bergman
Time: Thursdays, 4:30-7:00, January 15-April 23
Location: 3401 Market St, Room 321

In the contemporary healthcare system patients, families, institutions and a multiplicity of caregivers engage in disputes over a myriad of issues - appropriate care, authorized decision-makers, managed care, information disclosure, and behavior/personality conflicts - sometimes with life and death hanging in the balance. Such disputes are rife with legal, ethical, emotional and scientific complexity. They are frequently highly charged and are often emergent in nature. In recent years, mediation has grown exponentially as a dispute resolution mechanism of choice. Not surprisingly, the success of mediation, and a wider understanding of the process, has led to its application in the realm of healthcare disputes with encouraging results. This course will provide an overview of negotiation fundamentals critical to the practice of mediation followed by an introduction to classical mediation theory and practice. Similarities and differences between mediation in the healthcare field, as distinct from other contexts, will be examined as will special problems highlighted by various commentators in the field. All class members will participate in mediation role-plays designed to simulate disputes prevalent in the healthcare landscape.


BIOE 550 - Ethics of Public Health

Instructor: Anne Barnhill
Time: Mondays, 4:30-7:00, January 14 (Monday schedule)-April 27
Location: 3401 Market St, Room 321

The uncontrolled 2014 Ebola outbreak in West Africa has been called a “moral failure.”  The former mayor of New York City, Michael Bloomberg, has been called a “finger-wagging nanny” because of his public health initiatives.  What do these claims mean?  What are the ethical values and the assumptions about public health underlying claims like these?  This course examines these and other questions about the ethics of public health intervention.  What are the ethical values and moral imperatives that support public health interventions?  How does the pursuit of public health come into conflict with individual autonomy, privacy, and social justice?  How have the primary public health threats changed over the last century, and how has this reshaped the ethics of public health?


BIOE 572 001 - Global Bioethics

Instructors: Ezekiel Emanuel and Harald Schmidt
Time: Wednesdays
Location: TBD

According to the WHO, around 30 million people with HIV/AIDS should receive anti-retroviral treatment.  But only 10 million do. Drugs containing tenofovir--the standard of care in developed countries—are expensive.  Stavudine-based treatments are much cheaper but have worse side-effects.  Is it ethical to use stavudine-based rather than tenofovir-based treatments in sub-Saharan Africa?   Smoking rates have decreased drastically in most developed countries. But they are increasing in many developing countries. Established public health measures are not implemented, and the tobacco industry pursues a range of marketing activities that would be unacceptable in developed countries. As a consequence, global deaths from smoking are expected to increase to 1bn by the end of the 21st century, with 80% of deaths in developing countries. Is industry’s behavior immoral or normal in a global market? ARDS is a disease of premature newborns.  Is it ethical to test a new ARDS drug in Bolivia if the drug--if proven to be effective-- will be very expensive and accessible only to the richest people in Bolivia and other developing countries?   An overarching question that these different cases raise is whether there are universal ethical standards that should apply to all people, or whether regional variations should be acceptable.  Universalists typically argue that there must be no double standards, and that people should be treated the same regardless of where they live.  Pragmatists raise concerns about moral imperialism, neo-colonialism, or insufficient respect for cultural or other differences. Increasing globalization fuels debates about which of competing sets of moral standards is the right one.  Looking at a range of diverse cases including healthcare research, health policy, flu pandemics, family planning, smoking and obesity policy, and genetically modified crops, this course explores controversies in the cross winds of market forces, politics and ethics, and examines the roles and responsibilities of key actors and international policy guidance.


BIOE 602 401/402 - Conceptual Foundations of Bioethics

Instructor: Autumn Fiester
Time: Tuesdays OR Thursdays, 4:30-7:00, January 15-April 28
Location: 3401 Market St, Room 331

This course is one of the 2 foundational courses in the MBE program, which together provide students an entre into the field of Bioethics. In Conceptual Foundations, students examine the various theoretical approaches to bioethics and critically assesses their underpinnings. Topics to be covered include an examination of various versions of utilitarianism; deonotological theories; virtue ethics; ethics of care; the fundamental principles of bioethics (autonomy, beneficence, distributive justice, non-maleficence); casuistry; and pragmatism. The course will include the application of the more theoretical ideas to particular topics, such as informed consent, confidentiality, and end of life issues.


BIOE 545/547 - Mediation Intensive I/III

Instructors: Edward Bergman, Autumn Fiester, Lance Wahlert
Time: Friday-Monday, January 16-19, 2015, 9:00am-5:00pm
Location: 3401 Market St., Room 321

This is an immersion experience of learning through role-playing mediation simulations. It has the same format of the other Mediation Intensives, but will NOT duplicate simulations. Students will:

  • Learn to effectively manage clinical disputes among and between caregivers, patients and surrogates through mediation
  • Discover how to define problems and assess underlying interests to generate mutually acceptable options
  • Role-play in a variety of clinical situations as both disputants and mediators
  • Practice mediation with professional actors
  • Receive constructive feedback in a supportive environment
 
 
 

Recent Courses 

BIOE 590 900 - Animal Ethics

Summer 2014
Instructor: Anne Barnhill
Time: Tuesdays 4:30-7:00, May 27-August 5, 2014

Humans use non-human animals for food, research, companionship, and entertainment, among other things. Which ways of relating to non-human animals are ethical? Which are unethical? Why? Do non-human animals have moral rights, on a par with human rights? Should any non-human animals have legal rights? Are there ethically better and worse forms of animal agriculture, animal research, zoos, hunting, and keeping animals as companions? If some ways that we relate to non-human animals are unethical, why do they continue? What are some psychological barriers to reform?


BIOE 552 900 - Pharmaceutical Ethics

Summer 2014
Instructor: Jason Schwartz
Time: Wednesdays 4:30-7:00, May 28-August 6, 2014

The testing, regulation, marketing, cost, and safety of pharmaceuticals are among the most complex and controversial topics in contemporary medicine and health policy. In the United States and throughout the world, pharmaceuticals have transformed the practice of medicine, approaches to prevention and treatment, and the creation and evolution of disease definitions, among their many other effects. At the same time, they are a frequent focus of critics who question the conduct of the pharmaceutical industry, the competence of national and international regulators, and the unacknowledged or unidentified risks of pharmaceuticals for patients.

This course will explore the critical yet highly contested place of pharmaceuticals in efforts to protect or improve the health of individuals and populations. In this work, we will direct particular attention to the often underappreciated effects of ethical considerations, individual and community values, and value judgments throughout these activities. Among the specific topics we will examine are: the global pharmaceutical industry, U.S. and international drug clinical trials, drug regulation by the FDA and international authorities, the role of risk-benefit and cost-effectiveness assessments, drug pricing and advertising, global access to pharmaceuticals, and the role of pharmaceuticals in medicalization.


BIOE 560 900 - The Patient-Provider Relationship

Summer 2014
Instructor: Ed Bergman
Time: Thursdays 4:30-7:00, May 29-August 7, 2014

In recent years the significance of dysfunctional caregiver-patient communications as a cause of patient dissatisfaction and clinical conflict has drawn heightened attention. This course examines the elements of caregiver-patient communications in the formation and maintenance of the physician-patient relationship and considers the status of effective clinical communication as an ethical and legal imperative. “Clinical empathy” is posited as a paradigm for productive management of emotional content within the physician-patient relationship. The concept of “the difficult patient” is explored as a possible misnomer, representing systemic inadequacies in caregiver responsiveness. The prospect of reduced conflict in the clinical setting, and a potential reduction in malpractice claims, are considered as potential by-products of enhanced communication skills. Evolution of the physician-patient relationship from the “physician as expert” to a negotiated “shared decision-making model” is explored through participation in clinical role plays. The implications of “patient autonomy” and “informed consent” for communication within physician-patient relationships are examined. Finally, the course introduces clinical ethics mediation as a preferred methodology for the management of clinical conflict where third-party intervention is required.


BIOE 545 910/547 910 - Mediation Intensive I/III (1 CU)

Summer 2014
Instructors: Edward Bergman, Autumn Fiester, and Lance Wahlert
Time: Friday-Monday, May 30-June 2, 2014, 9-5pm daily
Location: Room 321

This is an immersion experience of learning through role-playing mediation simulations. It has the same format of the other Mediation Intensives, but will NOT duplicate simulations. Students will:

  • Learn to effectively manage clinical disputes among and between caregivers, patients and surrogates through mediation
  • Discover how to define problems and assess underlying interests to generate mutually acceptable options
  • Role-play in a variety of clinical situations as both disputants and mediators
  • Practice mediation with professional actors
  • Receive constructive feedback in supportive environment

BIOE 546 920/548 920 - Mediation Intensive II/IV (1 CU)

Summer 2014
Instructors: Edward Bergman, Autumn Fiester, and Lance Wahlert
Time: Thursday-Sunday, August 14-17 2014, 9-5pm daily
Location: Room 321

For course description, see BIOE 545/547 Mediation Intensive I/III above.



 

BIOE 505 001 - Bioethics, Sexuality, and Gender

Spring 2014
Instructor: Lance Wahlert
Time: Tuesdays 4:30-7:00, January 21-April 29, 2014

Are sexual and gender diversities a sin?  A crime?  A pathology?  Or a fact of life?  And what’s the difference?

While sexual and gender diversity have been consistent features in most cultures throughout history, how such gender- and sexual-based discussions have been articulated, understood, condoned, or condemned has varied.

If medical historians and queer theorists have paid almost obsessive attention to these subjects, bioethicists have intervened to a lesser degree and on only a handful of relevant subjects.  Bearing in mind the social and medical legacies related to sexual and gender identities, this course will consider a range of historical and contemporary topics which speak to the intersection of bioethical dilemmas on medicine, sexuality and gender identity, including: the gay adolescent, the intersex person, gay-conversion therapies, the prospect of gay gene studies, sex addiction, queer blood/organ donation policies, and the wake of the global HIV/AIDS pandemic.

Specifically, we will focus on literary sources (memoirs, diaries, and films) as well as non-literary accounts (medical texts, bioethical scholarship, and historical records) that explore the emotional and somatic aspects of matters related to sexuality, gender identity, and bioethics.


BIOE 571 001 - Global Health Policy: Justice, Governance and Reform

Spring 2014
Instructor: Jennifer Prah Ruger
Time: Wednesdays 4:30-7:00, January 22-April 30, 2014

This course considers various theoretical approaches to global justice and global governance and analyzes their implications for global health.  The course includes two parts.  The first part examines accounts of cosmopolitanism, nationalism and other theories of global justice, critically assessing duties ascribed by each that may be owed universally to all persons or confined within associative boundaries of communities or nations.   The second part explores applications to global health governance encompassing consideration of human rights and the operation and accountability of global institutions such as the United Nations, the International Monetary Fund, the World Bank, and the World Health Organization. The course scrutinizes the relevance of global justice for governing the global health realm, evaluating the current global health system and proposals for reforming it.


BIOE 558 001 - Ethical Issues in Reproductive Health and Rights

Spring 2014
Instructor: Frances Kissling
Time: Thursdays 4:30-7:00, January 16-April 24, 2014

Whether dealing with personal decisions or public policy, reproductive health matters are almost always controversial and often intractable. It is almost 50 years since the Supreme Court decision Griswold v Connecticut "settled" the right to contraceptives yet the last several years have been marked by increasing legislative action and judicial review of this right. This course will explore the ethical dimensions of reproductive health controversies including  1) the moral and legal status of the human embryo and fetus in the context of assisted reproduction, embryonic stem cell research and abortion; 2) contraception, including over-the-counter provision of emergency contraception and contraceptives and legislation challenges to contraceptive insurance coverage in the Affordable Care Act; 3) attempts to restrict access to abortion by restricting later term abortion, mandating informed consent and waiting periods,  and regulating abortion clinics; 4) maternal-fetal relationship including prenatal testing and the regulation of women's behavior while pregnant; 5) assisted reproduction and 6) global concerns such as sex selective abortion; forced abortion and sterilization and reproductive rights in relation to population dynamics and environmental concerns.


BIOE 565 001 - Rationing and Resource Allocation

Spring 2014
Instructors: Ezekiel Emanuel & Harald Schmidt
Time: Wednesdays 4:30-7:00, January 22-April 30, 2014

You have one liver but three patients awaiting a liver transplant.  Who should get the liver?  What criteria should be used to select the recipient? Is it fair to give it to an alcoholic?  These are some of the questions that arise in the context of rationing and allocating scarce health care resources among particular individuals, and concern what are called micro-allocation decisions.  But trade-offs also need to be made at the meso- and macro-level.  Budgets of public payers of healthcare, such as governments, and of private ones, such as health plans, are limited: they cannot cover all drugs and services that appear beneficial to patients or physicians.  So what services should they provide? Is there a core set of benefits that everyone should be entitled to? If so, by what process should we determine these? How can we make fair decisions, if we know from the outset than not all needs can be met? Using the cases of organs for transplantation, the rationing for vaccines in a flu pandemic, and drug shortages, the course will critically examine alternative theories for allocating scarce resources among individuals.  Using both the need to establish priorities for global health aid and to define an essential benefit package for health insurance, the course will critically examine diverse theories for allocation decisions, including cost-effectiveness analysis, age-based rationing and accountability for reasonableness.


BIOE 580 001 - Research Ethics

Spring 2014
Instructors: Jon Merz & Jennifer Walter
Time: Mondays 4:30-7:00, January 15-April 28, 2014

This seminar is intended to give students a broad overview of research ethics and regulation. The students will come out of the class with an understanding of the historical evolution, moral bases and practical application of biomedical research ethics. The course includes reading assignments, lectures, discussions and practical review of research protocols and in-class interviews with researcher and study subjects. Course topics include history of human subjects protections, regulatory and ethical frameworks for biomedical research, informed consent theory and application, selection of fair research subjects and payment, confidentiality, secondary uses of data and stored tissue, ethics of international research, pediatric and genetic research and conflicts of interest in biomedical research.


BIOE 602 001 - Conceptual Foundations of Bioethics

Spring 2014
Instructor: Autumn Fiester
Time: Tuesdays OR Thursdays 4:30-7:00, January 16-April 24, 2014

This course is one of the 2 foundational courses in the MBE program, which together provide students an entre into the field of Bioethics. In Conceptual Foundations, students examine the various theoretical approaches to bioethics and critically assesses their underpinnings. Topics to be covered include an examination of various versions of utilitarianism; deonotological theories; virtue ethics; ethics of care; the fundamental principles of bioethics (autonomy, beneficence, distributive justice, non-maleficence); casuistry; and pragmatism. The course will include the application of the more theoretical ideas to particular topics, such as informed consent, confidentiality, and end of life issues.

BIOE 550 001 - Bioethics and the Law

Fall 2013
Instructor: Jon Merz
Time: Mondays 
4:30-7:00; September 2-December 9, 2013
Location: Rm. 321

This course will present a broad survey of topics at the intersection of law and bioethics. Much of bioethics deals with topics of public policy, and law is the tool of policy. Areas to be covered will range from an overview of American law making to enforcement mechanisms, on topics including FDA regulations, state interventions into beginning and end of life issues, privacy, malpractice, healthcare reform, and international issues, including those related to innovation and access to medicines.


BIOE 551 001 - Introduction to Medical Humanities

Fall 2013
Instructor: Lance Wahlert

Time: Thursdays 4:30-7:00; August 29-December 5, 2013
Location: Rm. 321

How do literature, theater, the visual arts, the history of medicine, and contemporary social media affect and change the terrain of present-day bioethics?  In contrast to clinical and philosophical approaches to bioethics, this course embraces a study of scientific and biomedical topics from the disciplinary perspectives of the Humanities: literary studies, history, cultural anthropology, communications, cinema studies, and beyond.  Accordingly, we will spend each week in this class studying the reciprocity that exists between the fields of medicine and the Humanities—each influencing the other.  In addition to disciplinary and historical topics related to the medical humanities, this course will offer specific emphasis on biomedical topics related to race, gender, class, sexuality, and disability.


BIOE 553 001 - The Canon of Bioethics: Classic Works Then and Now

Fall 2013
Instructors: Jonathan Moreno  & Dominic Sisti

Time: Mondays 
4:30-7:00; September 2-December 9, 2013
Location: Rm. 331

This course will offer a survey of key documents in the history of bioethics such as the Hippocratic Oath, the Nuremberg Code, and the Belmont Report--alongside important works in the philosophy of medicine that collectively created the foundation for the young field.  We will also consider the documentary value of certain films, such as Who Should Survive? and Dax's Case. The great documents will be supplemented by important readings that place them in context and help show how understandings of bioethical principles and themes have been modified and refined, revealing how these documents have responded to key contemporary triggers of ethical reflection.


BIOE 556 001 - Evidence in Bioethics and Health Policy

Fall 2013
Instructor: Chris Feudtner
Time: Tuesdays 4:30-7:00; September 3-December 10, 2013

The ability to critically appraise scholarly work is a necessary skill for effectively contributing to bioethics and  health policy debates, and for developing and implementing health interventions.  The objective of this course is to provide students with the skills needed to become fluent in the reading and assessment of empirical bioethics and health services research.  The course will review and evaluate a wide range of qualitative and quantitative methods used in bioethics, health policy, and medical research.  Specifically, students will learn the conceptual rationale for standard qualitative and quantitative methods, including their strengths and weakness.  At course completion, students should be able to critically evaluate empirical research published in top bioethics,  health policy, and medical journals.


BIOE 570 001 – Bioethics and Genetics

Fall 2013
Instructors: Pamela Sankar & Angela Bradbury
Time: Wednesdays
 4:30-7:00; August 28-December 4, 2013
Location: Rm. 331

More than 20 years have passed since the inception of the Human Genome Project.  Where are we now?  The results of the HGP have shaped medical practice and have changed the way people talk about themselves and their relationships.  In this course students will be introduced to basic genetics and to recent advances in the genetic and genomic sciences.  We will explore the ethical, legal, and social implications  of these trends while discussing topics such as whole genome testing, ancestry and race, forensic genetics, and the relationship of genetics to health disparities.

 

BIOE 575 401 – Health Policy

Fall 2013
Instructors: Ezekiel Emanuel  and J. Sanford Schwartz
Time: Tuesdays AND Thursdays, 4:30-6:00 pm; August 29-December 10, 2013

This course will provide students a broad overview of the current U.S. healthcare system. The course will focus on the challenges facing the health care system, an in-depth understanding of the Affordable Care Act, and its potential impact upon health care access, delivery, cost, and quality.

The U.S. health care system is the world's largest, most technologically advanced, most expensive, with uneven quality, and an unsustainable cost structure. This multi-disciplinary course will explore the history and structure of the current American health care system and the impact of the Affordable Care Act. How did the United States get here? The course will examine the history of and problems with employment-based health insurance, the challenges surrounding access, cost and quality, and the medical malpractice conundrum.

As the Affordable Care Act is implemented over the next decade, the U.S. will witness tremendous changes that will shape the American health care system for the next 50 years or more. The course will examine potential reforms, including those offered by liberals and conservatives and information that can be extracted from health care systems in other developed countries. The second half of the course will explore key facets of the Affordable Care Act, including improving access to care and health insurance exchanges, improving quality and constraining costs through health care delivery system reforms, realigning capacity through changes in workforce and medical education, and potential impact on biomedical and other innovation. The course will also examine the political context and process of passing major legislation in general and health care legislation in particular, including constitutional arguments surrounding the Affordable Care Act. Throughout, lessons will integrate the disciplines of health economics, health and social policy, law and political science to elucidate key principles.


BIOE 601 001 – Introduction to Bioethics

Fall 2013
Instructor: Autumn Fiester

Time: Tuesdays OR Thursdays
 4:30-7:00; August 29-December 10, 2013
Location: Rm. 331

This course is intended to serve as a broad introduction to the field of bioethics. The course will focus on the central areas in research and clinical ethics: genetics, reproduction, end-of-life, informed consent, the history of human subjects research, and surrogate decision-making. In this course we will study case analysis, bioethics concepts, relevant legal cases, and classical readings on the themes.