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BIOE 5101 and 5102:
BIOETHICS and
MEDICAL HUMANITIES I and II
Instructors:
Janet Dolgin, Alvan Ikoku, and Tia Powell
Credit: 6
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DESCRIPTION:
This year-long course can be taken independently to earn a Certificate and/or as required coursework for the Master of Science in Bioethics. Faculty collaborate with students in a combination of two retreats and weekly seminars to offer an intellectually rich year introducing the foundations of bioethics as a field, key principles in moral theory, methods of legal and literary analysis, and the skills necessary to apply the insights of bioethics in our daily practice and research. We examine core bioethics issues using a multiplicity of perspectives and draw upon the depth of expertise not only of faculty but also of our participants, many of whom bring years of clinical, legal and other professional experience to the program. Prerequisites: none. |
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BIOE 5300:
DISABILITY and
PUBLIC HEALTH
Instructor:
Adrienne Asch
Credit: 2 |
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DESCRIPTION:
Public health seeks to improve the health of populations, but has not always understood the ethical impact of its role for approximately 20 percent of the world's people with congenital or acquired diseases or disabilities. This course will examine the ways in which living with a disease or disability is, and is not, strictly a health problem. Using the same framework that argues for public health to combat poverty, pollution, and unsafe work places, this course will examine the environmental and policy, as well as ethical, medical and health care implications for the well-being of people with chronic diseases and disabilities. Prerequisites: permission of the instructor. |
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BIOE 5301:
ETHICAL ISSUES in REPRODUCTIVE MEDICINE:
Instructor:
Adrienne Asch
Credit: 2
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DESCRIPTION:
The emerging methods of procreative technologies are generating ethical dilemmas for clinicians, policy-makers, and prospective parents. What is the moral status of embryos and fetuses? How are new technologies changing our medical and societal views of abortion? Can a fetus be considered a patient while in a woman’s body? Should reproductive freedom entail the freedom to provide gestation or gametes for others, and to sell those materials and services at any price the market will bear? Does the notion of “best interests” of children suggest whether or not children should be told of the means of their coming-into-being? These are some of ethical questions to be addressed in this course. The course will first look at the ethics of abortion, move toethical issues during pregnancy, and then turn to the ethical, legal and psycho-social questions raised by existing and future procreative technologies such as in-vitro fertilization, gamete donation, surrogate motherhood, in utero fetal modification, and cloning. Prerequisites: permission of the instructor. |
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BIOE 5302:
ETHICAL ISSUES in HIV TESTING, TREATMENT
and RESEARCH
Instructor:
Ethan Cowan
Credit: 1
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DESCRIPTION:
This seminar examines ethical controversies surrounding the HIV/AIDS pandemic in the early twenty-first century. It covers both domestic and international issues. The seminar is divided into several parts. Part I, HIV Testing, covers the controversies surrounding HIV testing and the evolution of HIV testing models from Voluntary Counseling and Testing (VCT) to the current recommendations for opt-out provider initiated testing. Part II, HIV Treatment, provides an introduction to human rights discourse as it relates to access to HIV treatment. The first session of Part II will cover general topics of human rights and HIV treatment. The second session will focus on global inequalities in HIV treatment. Part III, HIV research, will focus on ethical considerations surrounding HIV research in developing nations. The second session will focus on unique ethical issues with HIV prevention research.
Class sessions are scheduled for two hours. All courses will be taught in seminar fashion. The majority of the class will be dedicated to analysis and discussion of the readings and case studies pertinent to the topic being covered.
Prerequisites: Certificate program or instructor permission.
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BIOE 5310
ETHICAL ISSUES IN PEDIATRICS
Instructors:
Alan Fleischman
Credit: 2
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DESCRIPTION:
The course will focus on ethical issues as they relate to children. Beginning with an exploration of what it means to be a child in America and the unique kinship relationships and obligations engendered by the decision to have a child, the course will focus on ethical issues in labor, delivery, and neonatal care, current controversies in caring for a dying child and his family, ethical issues concerning adolescents, research ethics as it relates to children, and issues about surgical and medical enhancement of children. Students will be expected to read assigned materials and be prepared to discuss relevant ethical questions during each session. Each student will choose a relevant topic of interest and develop a 3000-5000 word essay that will describe the issue and elucidate the ethical concerns utilizing and citing peer reviewed literature.
Prerequisites: Certificate program or instructor permission. |
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BIOE 5303:
GENDER, SEXUAL ORIENTATION, LAW
and MEDICINE
Instructors:
Ed Stein and Tia Powell
Credit: 2
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DESCRIPTION:
This course looks at sexual orientation and gender through a broad array of lenses, including legal and medical texts and fiction. We will address the ways that understanding of these issues has evolved over time and across cultures. The class will consider the role and changing nature of medical views of these issues as well as constitutional and statutory matters. Prerequisites: Certificate program or instructor permission.
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BIOE 5304:
LITERATURE OF GLOBAL HEALTH
Instructor:
Alvan Ikoku
Credit: 2
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DESCRIPTION:
This course examines the ways writers of several professions have used the narrative form to explore the ethics of care in resource-constrained communities abroad and at home. We will begin by developing a set of ethical questions associated with practicing medicine in what has been called the developing world. How, for instance, have physicians used scenes of practice in Africa, the Caribbean, or Latin America to advance ideas of mercy, charity and beneficence? How differently have they imagined such practice when examining issues of autonomy, paternalism, and communication in the US? To what extent, then, are ethical struggles abroad reflective of those at home? And how does literary analysis reveal the dynamics of power implicit in narrating care for underserved communities? We will address these questions via attention to various narrative forms, namely prose fiction, the narrative essay, reportage, testimony, memoir and ethnography. Assessment will be based on weekly critical discussion and two medium-length essays involving narrative and analytic writing. Prerequisites: permission of the instructor. |
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BIOE 5305:
HUMAN SUBJECTS RESEARCH
Instructors:
Nancy Dubler and Tia Powell
Credit: 2
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DESCRIPTION:
This course will begin with a history of medical research, including research into biological warfare by the US, Germany and Japan during the Second World War. We will track the involvement of medicine in ethically questionable research activities and then focus on the development of the federal regulations governing research with human subjects. The course will examine such topics as informed consent, the risk-benefit ratio and confidentiality. We will address research with vulnerable subjects, including children, prisoners and adults without decision-making capacity. We will examine the interaction between race, class and human subjects research. We will review topics of current ethical and regulatory interest, reviewing recent and proposed changes in federal regulations. Some weekly seminars will feature presentations from visiting scholars and officials who are nationally recognized leaders in the field of human subjects research. Prerequisites: permission of the instructor. |
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BIOE 5306:
PHARMACEUTICAL
ETHICS
Instructor:
Elizabeth Kitsis
Credit: 2
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DESCRIPTION:
The pharmaceutical industry is under intense scrutiny by medical journals, regulators, and the lay public. Yet drug companies have translated scientific discoveries into products that have improved and extended the lives of millions of people. This course will familiarize students with the drug development process, and examine the factors that have contributed to the commercial successes and failures of drug companies. With this information as a backdrop, the course will then focus on the multiple ethical issues that arise in commercial drug development, including the promotion of unapproved uses of drugs, ghostwriting, the medicalization of conditions to expand markets, and conflicts of interest. Prerequisites: permission of the instructor. |
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BIOE 5307:
RELIGION
and BIOETHICS
Instructor:
Tia Powell
Credit: 2
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DESCRIPTION:
This course explores how religious beliefs and practices influence the delivery of health care, from the perspectives of both the patient and physician. We review various faith traditions, specifically looking at how issues such as end-of-life care, refusal of medical treatment, abortion, assisted reproduction and other medical decisions are shaped by different religious traditions. The course explores how religious doctrine impacts medical decision-making at the patient level, as well as how legal/ethical issues sometimes encroach on patient autonomy (especially in the case of minors). It also investigates the ethical obligations of religious hospitals and the larger health care system in addressing issues of faith for patients and/or providers. Finally, the course examines how physicians balance their professional obligations and religious beliefs, by investigating, among other examples, whether it is appropriate for doctors to join with patients and/or their families in prayer. Prerequisites: permission of the instructor. |
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BIOE 5308:
EMPATHY in THEORY
and PRACTICE
Instructor:
Gina Campelia
Credit: 2 |
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DESCRIPTION:
The goal of this course is to investigate the meaning of empathy and its application in the medical field and care work more generally. We will be exploring the concept of empathy through philosophy, psychology, neuroscience and cognitive science. We will cover the genealogical development of the concept with an eye towards understanding and problematizing its increasing popularity in the applied sciences, social sciences, and in the field of medicine. |
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BIOE 5309:
ETHICAL AND SOCIAL ISSUES IN GENETICS
Instructor: Asch
Credit: 2 |
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DESCRIPTION:
The genomic era has now begun. Genetic information is expected to revolutionize our understanding of health and disease. It may also affect our sense of personal identity, family, and community. This class will examine current and future implications of genetics by addressing such questions as: selecting genetic traits in future children, behavioral genetics and the question of determinism, the psychosocial implications of genetic testing for ourselves, genetic enhancement, and genetics and the concept of race. |
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BIOE 5900:
BIOETHICS RESEARCH
ELECTIVE
Instructor: TBA
Credit: 1-2 |
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DESCRIPTION:
This course provides an opportunity for fully matriculated MBE students to design and carry out a semester-long research project, under the supervision of a faculty advisor, with the intent to present work at a regional, national or international meeting and/or for publication. Details and application. |
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BIOE 5901:
BIOETHICS PRACTICUM
ELECTIVE
Instructor: TBA
Credit: 1-2 |
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DESCRIPTION:
This course provides an opportunity for fully matriculated MBE students to design and carry out a semester-long practice-based academic project, under the supervision of a faculty advisor, with some preliminary reading on method of practice (e.g. scholarship on consultation or pedagogy) and writing submitted by term’s end. Details and application. |
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BIOE 5902:
BIOETHICS INDEPENDENT
STUDY
Instructor: TBA
Credit: 1-2 |
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DESCRIPTION:
This course provides an opportunity for fully matriculated MBE students to design and participate in a semester-long, seminar-style independent study, under the supervision of a faculty advisor, with significant reading and writing to be completed. Details and application. |
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BIOE 5400:
CAPSTONE/THESIS
PROJECT
Instructor: TBA
Credit: 2-4 |
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DESCRIPTION:
This course is a fundamental requirement for the masters degree. It consists of the post-proposal research, practice, writing and revision for an extended project, under the guidance of an advisor in the relevant field, selected from the faculty of Cardozo, Einstein or Yeshiva. A student may register for all 4 credits in one semester, or for 2 credits each in two consecutive semesters. Details and application. |
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| INTENSIVES |
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BIOE 5200:
BIOETHICS MEDIATION (INTENSIVE)
Instructors:
Nancy Dubler, Carol Liebman, and Tia Powell
Credit: 2
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DESCRIPTION:
This four-day course is taught by the national leaders in bioethics mediation. Mediation is a vital tool in the management and resolution of conflicts between and among health care staff and families. Mediation helps all parties to articulate their values and acknowledges the perspectives of all participants. The course covers essential techniques and procedures in lectures, exercises, small group role-plays and intensive individual feedback. Topics covered include: mediation skills, stages of bioethics mediation, special challenges, and how to write a chart note. Attendance at all four days of the course is required.
Prerequisites: Certificate program or instructor permission.
Dates for the 2014 course are (TBA)
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BIOE 5201:
BIOETHICS CONSULTATION SKILLS
Instructors:
Hannah I. Lipman, Elizabeth Kitsis, and Tia Powell
Credit: 2
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DESCRIPTION:
Drawing upon the decades of experience of Montefiore’s Bioethics Consultation service, the faculty of the Montefiore-Einstein Center for Bioethics will cover selected topics from the ASBH's Core Competencies. The course will help students develop communication skills, master the process of bioethics consultation and gain practical experience in approaching ethical dilemmas in clinical medicine. Note that this course is designed for those currently serving on a hospital ethics committee or in a consultation service or with a background in bioethics and seeking clinical training. It may be taken on its own or as part of the Masters Program.
Prerequisites: Certificate program or instructor permission.
Dates for the 2013 course are May 13, 14 and June 3, 4. |
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BIOE 5203:
JEWISH MEDICAL
ETHICS
Instructor:
Edward Reichman
Credit: 2
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DESCRIPTION:
Judaism is one of the world’s oldest religions with a rich heritage and an expansive legal literary tradition dating back to the times of the Bible and Talmud. Judaism has a unique approach to medical ethical dilemmas that can contribute to modern ethical discourse. This course will provide students with a basic introduction to the principles of Jewish law as they relate to medical ethics. These principles will then be applied to issues in contemporary medical ethics ranging from beginning of life to end of life. Topics analyzed will include abortion, contraception, infertility, genetics, cloning, organ transplantation, the definition of death, autopsy and stem cell research. In addition, new frontiers in science and medicine will be explored through the lens of Jewish law. The contribution of principles of Jewish medical ethics to the broader dialogue of modern bioethics will be discussed. Readings will be drawn from ancient rabbinic texts, as well as modern authors on Jewish bioethics. Emphasis will be placed on textual analysis of primary and secondary sources (in English translation) culled from over two thousand years of rabbinic literature.
Prerequisites: Certificate program or instructor permission.
Dates for the 2013 course are May 8, 22, 29 and June 5.
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BIOE 5204:
NARRATIVE ETHICS and BIOETHICS
Instructors: Alvan Ikoku, Rita Charon, Craig Irvine and Maura Spiegel
Credit: 2
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DESCRIPTION:
The course is an innovative collaboration between the Montefiore-Einstein Center for Bioethics and Columbia's Program in Narrative Medicine. Students will gain a substantive understanding of three important fields: narrative ethics, narrative medicine, and narrative bioethics. They will become well-versed in the ethics of reading, the ethics of writing, and the power both practices have to affect decision-making and care. Together, we will read Toni Morisson's Beloved, Rebecca Skloot’s The Immortal Life of Henrietta Lacks and select short stories. We will also study Ari Folman's Waltz with Bashir alongside filmed clinical and ethics encounters. Our writing will involve critical reflection, the analysis of emotion and imagination in medicine, and narrative approaches to interviewing, case-writing and clinical ethics. Students will thus substantially enhance their ability to attend to literature, with the aim of becoming adept at narrative attention in ethics practice, research and teaching.
Prerequisites: Certificate program or instructor permission.
Dates for the 2013 course are (TBA) |