C LINICAL E THICS S UMMER I NSTITUTE 2008 Building a Foundation for Effective Ethics Programs July 14, 15, 16, 17 – 2008 Art Gallery of Hamilton, Hamilton, ON PROGRAM Monday, July 14: Awakening the Ethical Imagination 7:30 - 8:30 Registration and Continental Breakfast 8:30 - 8:45 Welcome from Hamilton Health Sciences Murray Martin, President and CEO Welcome form the CESI 2008 Organizing Board Andrea Frolic, Paula Chidwick, Michael Coughlin, Karen Faith, Dianne Godkin, Laurie Hardingham 8:45 - 9:45 Building a Foundation for Effective Ethics Programs Andrea Frolic, Paula Chidwick, Michael Coughlin, Karen Faith, Dianne Godkin, Laurie Hardingham 1. Discuss the role of ethics in healthcare and the theme of CESI 2008 2. Explore the concept and benefits of a “community of practice” approach to ethics 3. Identify catalysts and challenges in developing a successful ethics program 9:45 - 10:30 Ethics Communities of Practice: Stories from the Frontlines Marie-Eve Bouthiller, Judy King, Cheryl Cline, and Jim Watters 1. Learn about the successes and challenges of ethics communities of practice (COPs) from across Canada 10:30 - 11:00 Refreshment & Networking Break (Sign up for Art Tour at Information Desk) 11:00 - 12:30 Ethics, Imagination and Expression Laurie Kilgour-Walsh 1. Engage the ethical imagination through interpretation of visual images 2. Explore how personal values and experiences influence interpretation 3. Create a visual expression of ethics through colour and images 12:30 - 1:30 1:30 - 3:00 Lunch (Sign up for Art Tour at Information Desk) Awareness, Imagination and Ethics Deborah Pape and Barbara Russell 1. Understand how sound ethical judgment involves various critical skills 2. Understand how awareness and imagination relate to skilled clinical practice 3. Participate in exercises to clarify and hone these two skills 3:00 - 3:30 Refreshment & Networking Break (Sign up for Art Tour at Information Desk) 3:30 - 5:00 Awareness, Imagination and Ethics (continued) 5:00 - 6:30 CESI 2008 Reception 1 Tuesday, July 15: Integrating Ethical Decision-making 7:45 - 8:30 Continental Breakfast 8:30 - 10:00 The Role of Clinical Ethics in Ethically Complex Situations Karen Faith 1. Understand how to analyze complex patient care situations using a systems-based approach 2. Discuss the roles of clinical ethics resources in these complex situations 3. Recognize effective strategies for approaching complex ethical situations 10:00 - 10:30 Refreshment & Networking Break (Sign up for Concurrent Session; Book Sale in Lobby) 10:30 - 12:00 Bringing Peace to the Workplace Jane Hastie 1. Create successful communication strategies for yourself and your organization 2. Discuss the phenomenon of the ‘difficult person’ and effective responses 3. Understand your role as a ‘peace keeper’ in situations of conflict 12:00 - 1:00 Lunch (Sign up for Concurrent Session; Book Sale in Lobby) 1:00 - 2:30 Ethical Decision-making in Community Health Care Frank Wagner 1. Develop an understanding of community-based ethics and why they are important 2. Learn to use an ethical decision-making framework and worksheet to facilitate ethics assessment and to guide ethical reasoning 3. Describe ways to encourage clinical ethics facilitators or members of ethics committees to build and sustain ethics capacity in your organization 2:30 - 3:00 Refreshment & Networking Break (Sign up for Concurrent Session; Book Sale in Lobby) 3:00 - 4:30 Role play: Integrating ethical decision-making into daily healthcare practices Facilitators: Andrea Frolic, Paula Chidwick, Michael Coughlin, Karen Faith, Dianne Godkin, Laurie Hardingham, Frank Wagner 1. Practice applying ethical decision-making frameworks and tools to diverse clinical cases 2. Gain experience using role playing as a technique to build ethics capacity within your organization 3. Discuss strategies for integrating ethical decision-making at the frontline 5:00 - 6:15 Optional Event: Tour of the AGH Banner Exhibitions and Downtown sites ($10.00 per person) 2 Wednesday, July 16: Practicing Ethics Consultation 7:45 - 8:30 Continental Breakfast 8:30 - 10:00 Moral Distress and Ethics Consultation George Webster 1. Understand the nature of “moral distress” 2. Identify the experience of moral distress and “moral residue” in the context of ethics consultation 3. Learn strategies (1) to help prevent moral distress in ethics consultation and (2) to intervene appropriately in situations where one identifies “moral distress” as an important factor in an ethics consultation 2. 10:00 - 10:30 Refreshment & Networking Break (Check group and location for afternoon session on information board) 10:30 - 12:00 Creating and Sustaining Ethics Consultation Services Andrea Frolic and members of the Hamilton Health Sciences Ethics Consultation Team 1. Understand the Core Competencies for ethics consultation and strategies to evaluate and develop competencies 2. Identify the infrastructure and resources required to create and sustain a competent and effective ethics consultation service 3. Understand the strengths and weaknesses of different models and methods of ethics consultation 12:00 - 1:00 Lunch (Check group and location for afternoon session on information board) 1:00 - 2:30 Practicing Ethics Consultation Facilitators: Hamilton Health Sciences Ethics Consultation Team 1. Understand the complexity of ethics consultation practice through participation in small group simulations 2. Discuss the importance of teamwork, debriefing and evaluation in ethics consultation 3. Define the role of the ethics consultant in different ethical scenarios 2:30 - 3:00 Refreshment & Networking Break (Sign up for Concurrent Session at Information Desk) 3:00 - 4:30 Practicing Ethics Consultation (continued) 5:30 - 9:00 Optional Event: Hamilton Waterfront Tour and/or Hamilton Harbour Dinner Cruise 3 Thursday, July 17: Creating an Ethical Climate 7:45 - 8:30 Continental Breakfast 8:30 - 10:00 Navigating the 2008 Accreditation Canada Standards Joni Boyd 1. Understand Accreditation Canada’s revised ethics standards - what to expect 2. Discuss the profile of ethics standards compliance from early 2008 accreditation surveys 3. Opportunity for Q&A 10:00 - 10:30 Refreshment & Networking Break 10:30 -12:00 Concurrent Sessions Policy Development for Ethics (Art Studio) Paula Chidwick and Laurie Hardingham 1. Explore creating and building effective ethics policies 2. Discuss the role of the ethicist/ethics committee in this process 3. Identify strategies for developing, implementing and evaluating new policies Resource Allocation in Health Care: Theory and Practice (Pavilion) Eoin Connolly 1. Discuss the primary theoretical approaches to resource allocation 2. Identify practical considerations and strategies for resource allocation decision-making 3. Discuss resource allocation challenges in diverse organizations Measuring Effectiveness in Clinical Ethics: Considerations, Challenges and Conclusions Dianne Godkin (Fischer Gallery) 1. Identify rationale for measuring clinical ethics effectiveness 2. Explore challenges to quantifying clinical ethics effectiveness 3. Discuss possible indicators of clinical ethics effectiveness 12:00 - 1:00 Lunch 1:00 - 2:00 Q & A with CESI Faculty A panel of CESI Faculty will field questions from participants in an open forum 2:00 - 2:15 Refreshment & Networking Break 2:15 - 3:30 Insights into Leadership: Empathy and Ethics; Power and Personality Peter Smyth 1. Living your stated values: the importance of self-awareness/consciousness in leadership 2. Relating to others: to have fun in understanding the four main personality styles 3. Understanding behaviour: the ethics of behavioural responses 3:30 - 3:45 Reflecting Back on CESI 2008 and Looking Forward to CESI 2009 Andrea Frolic 3:45 – 4:00 Evaluation and Wrap Up 4