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    Annual Summer Workshop in Clinical Ethics

    For Hospital Ethics Committee Members
    Saturday June 7, 2014
    California Pacific Medical Center (Pacific Campus)

    Brain Death and other Ethical Challenges in Clinical Medicine

    Summer Workshop IX

    When is a person dead and how do we know? Recent cases in California and Texas have again demonstrated the ethical, cultural, and legal issues surrounding the end of life, specifically, the determination of death using the neurological criteria. Dr. Albert R. Jonsen, co-founder of Sutter West Bay Region’s Program in Medicine and Human Values (PMHV), and Bioethics Scholar Emeritus, served on the President’s Commission that formulated the Uniform Determination of Death Act. He will discuss how the determination of death using the brain criteria was developed and became law in all states. A physician-bioethicist will present the neurological criteria for death and will discuss how physicians and hospital ethics committees should respond in challenging situations involving brain death.

    PMHV’s two clinical bioethicists will present the standardized ethics consultation process currently used in Sutter Health West Bay ethics consultations. Dr. Jonsen, who developed the Four Box Method of ethical analysis, will explain its origins and the application of the method. Ethics committee members from Sutter West Bay hospitals will present some difficult cases which will be analyzed by PMHV’s bioethics experts.

    Modern medicine brings many new ethical challenges. Ethics committee members can be ready for these challenges when they are up-to-date on ethics issues and have the tools to think through a case in order to provide appropriate recommendations.


    • Albert R. Jonsen, PhD
    • David W. Campbell, PhD
    • Ruchika Mishra, PhD
    • William S. Andereck, MD

    9:00Determining Death using the Brain Criteria
    History of the Definition of Death: President's Commission 1981
    Clinical Determination of Death
    Albert Jonsen

    William S. Andereck
    10.45A Framework for Ethical Decision Making: Overview of the Standardized Ethics Consultation ProcessDavid W. Campbell & Ruchika Mishra
    1:00Ethics at the Bedside: Origin and Use of the Four Box Method of Ethical AnalysisAlbert R. Jonsen
    1.45Analyzing Complex Ethics Consultations: Cases from West Bay Hospital Ethics CommitteesResponse Panel
    4:00Conclusion & Evaluation 

    Continuing Education
    Medicine: 6.0 CEUs.
    California Pacific Medical Center (CPMC) is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. CPMC takes responsibility for the content, quality and scientific integrity of this live CME activity. CPMC designates this live educational activity for a maximum of 6 AMA PRA Category 1 Credits™.

    Nursing: this activity approved for 7.2 contact hours of BRN credit. Provider approved by the California Board of Registered Nursing, Provider #CEP 1956.Attendees must attend the course in its entirety.

    Social Work: CPMC provider #2245. Course meets the qualifications for 6.0 hours of continuing education credit for MFT's or LCSWs as required by the California Board of Behavioral Science.


    $125.00 – physicians
    $75.00 – non-physicians

    For more information contact:

    Program in Medicine & Human Values
    Attn: Antonio Kruger
    (415) 600-1647
    California Pacific Medical Center
    2395 Sacramento Street, 3rd Floor
    San Francisco, CA 94115