601 West Lombard Street
Baltimore MD 21201-1512
Reference: 410-706-7996
Circulation: 410-706-7928
Activity 1
“We Want Everything Done for Mama”: Withholding and Withdrawing Treatment at the End of Life
Location: Southern Management Corporation Campus Center, Room 349
The session will describe the benefits and burdens of anti-infective therapy and artificial hydration/nutrition in patients with life-limiting illness. The participants will be able to identify ethical issues and principles (autonomy, beneficence, nonmaleficence and justice) as well as therapeutic issues. Each group will participate in a facilitated discussion of two cases with a focus on the role of each discipline and how the team approach optimizes therapeutic outcomes.
Activity 2
“My dentist told me I may have HIV. Now what?”
Location: Pharmacy Hall-PH N310
Students will work in interprofessional teams to identify and discuss key issues surrounding HIV diagnosis, disclosure, care and treatment, using the core values of medical ethics: autonomy, beneficence, non-maleficence and justice. Students will consider a person newly diagnosed with HIV in the context of their personal and professional life and the role of the interprofessional team in assisting that person to live well.
Activity 3
Location: Southern Management Corporation Campus Center, Elm Room A
Participants will explore factors such as fatigue, desire for control, psychological stress and poor self-care that lead to clinician discomfort with treatment non-compliance and learn strategies for addressing them. Integrative modalities such as mind-body medicine, motivational interviewing, acupuncture, nutrition, yoga and meditative breathing techniques will be discussed. The ethical principle of patient autonomy will be actively explored.
Activity 4
Location: Health Sciences and Human Services Library (HSHSL), Distance Ed Room
Aiding Decision-Making among Cognitively Compromised Young Adults Living with HIV
Participants will be introduced to a simulated 21 year old patient living with HIV who has limited cognitive abilities, and who recently aged out of the child welfare system, having spent most of his life in foster care. Participants will work in both interprofessional and discipline-specific groups to identify patient needs and obstacles surrounding consenting to medical care, ethical challenges for providers, possible solutions, and patient counseling.
Activity 5
Location: School of Nursing Room 307
Interprofessional Cultural Competency to Improve Equitable Care
Participants will be asked to discuss the knowledge, attitudes, and difficulties that various health professionals may have toward cultural competence and discriminatory care for people living with HIV and other vulnerable populations. Participants will also engage in an exercise that allows participants to explore ways that health professionals enjoy privilege within the American healthcare system. The session will delineate ways that we can seek to use our privileged positions to advocate for change. Participants will be challenged to consider how they can enhance their organization’s ability to ensure culturally competence care so that systematic inequity in care can be eliminated.
Activity 6
Ethical Considerations in Genetics and Prenatal Counseling
Location: School of Nursing Room 730
Health professionals and patients frequently face ethical and psychosocial dilemmas as a result of genetic and prenatal counseling. Understanding and managing these cases can be complex and benefit from an interprofessional team approach. Participants will work as a team to interview and advise a standardized patient family requesting prenatal and genetics counseling.
Activity 7
Location: Pharmacy Hall- PH N103
What Improves Patient Outcomes the Most?
Students will be grouped by discipline to evaluate and recommend a course of action following an adverse patient event involving a middle aged man with a hypertensive crisis who is admitted to the ER. Subsequently, the students will be divided into interdisciplinary teams before reconsidering the same case. Faculty will facilitate a discussion among the students addressing the difference in their recommendation under each group composition. The reasons for the differences will be explored.
Activity 8
Location: School of Nursing Room W208
Interprofessional Strategies for Enabling Autonomy of the Vulnerable Adult
Students, divided into small interprofessional discussion groups, will examine the case of a community dwelling older adult who lives independently, who has become progressively ill and who relies on hospital and emergency room care - as her ability to manage her illnesses diminishes. Participants will be asked to provide an interprofessional assessment and treatment plan for the individual. Faculty will be available to advise/consult with each team in formulating the assessment and plan. The program will conclude with a town hall meeting format to discuss how the collaboration among disciplines fosters understanding of the roles of the team members and how this interprofessional interaction can benefit the client/patient.
Activity 9
Location: HSL/HS Gladhill Boardroom
The scenario to be discussed is based on issues that arose during the four years of the Malawi project and raises several questions about research ethics and professionalism. The Malawi project involved an interprofessional team of students and faculty who conducted the World Health Organization (WHO) Safe Motherhood Needs Assessment to evaluate interventions pertaining to safe mother motherhood in a rural Malawi town.
Activity 10
Location: School of Nursing Room 259
End of Life Decision-making: Ethical and Legal Issues
Participants will act as members of an interprofessional ethics committee to discuss the case of an elderly man with advanced cancer. An ethics consultant will review the provisions of the Maryland Health Care Decision Act as it relates to medically ineffective treatment. Attendees will discuss what recommendations they consider ethically justifiable in this case.
Activity 11
Location: School of Nursing Room 150
Unraveling the Impact of Medicare Coverage on Continuity of Care
The purpose of this activity will be an examination of the ethical principles and issues of Medicare reimbursement in an interprofessional setting. Participants will work as an interprofessional team to address the problem of provider and client responsibility in negotiating the limits of insurance coverage.