Video Library

These presentations contain views that are those of the speaker and not necessarily those of Providence Center for Health Care Ethics.

Recent Presentations

Introduction to Structural Competency

Presenter: Seth M. Holmes, MD PhD
Recorded: February 15, 2022

Series: Allen M. Boyden, MD Memorial Lectureship

Research on disparities in health and health care has demonstrated that social, economic, and political factors are key drivers to poor health outcomes. The framework of structural competency offers a paradigm for training health professionals to recognize and respond to the impact of upstream, structural factors on patient health and health care. In this talk, Dr. Holmes guides the viewer in recognizing the influences of social structure and will share useful strategies for responding to these structures.


Medical Anthropology: How Social Inequity Creates Health Inequity

Presenter: Seth M. Holmes, MD PhD
Recorded: February 15, 2022

Series: Allen M. Boyden, MD Memorial Lectureship

In this talk, Dr. Holmes examines structural and symbolic violence, medicalization and the clinical gaze as they affect the experiences and perceptions of migrant farmworkers and their health care providers. His work describes the ways in which socially structured suffering comes to be perceived as normal and natural in society and in health care, especially through imputations of ethnic body difference.


Ten Years of Clinical Ethics Consultation at Providence: A Retrospective Analysis

Presenter: Nicholas Kockler, PhD MS HEC-C
Recorded: June 15, 2021

Series: Innovation & Excellence in Health Care Ethics Lectureship

What are ethics consultations in general and within Providence in Oregon? How does one identify clinical scenarios in which an ethics consult may be helpful? And how does one understand the impact of ethics consults on select health outcomes and measures? Dr. Kockler explores these thought provoking questions from the insights the past ten years have provided as a professional staff of the Center for Health Care Ethics. This presentation provides a deep understanding of the value of the integrated clinical ethics program at Providence.


We Tell Ourselves Stories in Order to Live: Writing the Experience of Medicine

Presenter: Sunita Puri, MD MA
Recorded: May 18, 2021

Series: Goldman-Berland Lectureship in Palliative Medicine

In this workshop-style talk, Dr. Puri offers the tool of writing to allow for meaningful reflection on the challenges and joys of practicing medicine today. There is discussion on the impact of writing about, and sharing experiences, of caring for patients.

 


Reclaiming Language to Reclaim the Practice of Medicine

Presenter: Sunita Puri, MD MA
Recorded: May 18, 2021

Series: Goldman-Berland Lectureship in Palliative Medicine

Dr. Puri will explore how thinking of language as a tool, and communication as a procedure, can improve the approach to family meetings to discuss subjects ranging from breaking difficult news to discussing end-of-life care. She will draw upon both medical literature and fiction/nonfiction to illustrate helpful and unhelpful approaches to having high-stakes discussions with patients, families and colleagues.


Graphic Medical Education: One ICU Doctor’s Use of Comics to Humanize the Medical Experience

Presenter: Molly Osborne, MD, PhD
Recorded: February 23, 2021

Series: Allen M. Boyden, MD Memorial Lectureship

Drawing upon her own experience as a critical care physician and medical educator, Dr. Osborne discusses the important role comics can play in examining health and illness from the perspectives of the patient, the caregiver and the provider. Participants are introduced to educational resources that can lead to improved communication and patient care.


From AIDS and EBOLA to COVID-19

Presenter: Molly Osborne, MD, PhD
Recorded: February 23, 2021

Series: Allen M. Boyden, MD Memorial Lectureship

Dr. Osborne describes the evolution of recent pandemics, along with notable themes that have emerged – particularly as they relate to COVID-19. Using bioethical principles as a lens, she examines the complex ethical challenges that accompany pandemics, including the allocation of scarce resources and principles of equity in caring for these patients.

Recommended Resources

Disability, Vulnerability, and COVID-19

Presenter: Dominic Sisti, PhD
Recorded: October 27, 2020

Series: Curtis R. Holzgang, M.D., MACP Visiting Scholar

During the early months of the COVID19 pandemic, critical care resources and protective equipment were in very short supply across the world. Triage plans were updated and issued across the country. Dr. Sisti will discuss how considerations about intellectual, mental, and physical disabilities have entered into conversations around scoring for scarce ventilators and triage protocols. He will explore how risk mitigation approaches and public health guidelines—such as no visitor policies in long term care facilities—are possibly based on ableist calculations of risk and benefit, and have harmed individuals with serious mental illness and their families.


Bedless Psychiatry: Rebuilding Behavioral Health Service Capacity

Presenter: Dominic Sisti, PhD
Recorded: October 27, 2020

Series: Curtis R. Holzgang, M.D., MACP Visiting Scholar

With deinstitutionalization came the unfulfilled promise of community psychiatry and new powerful and safe medications that would finally free society of the need for inpatient psychiatry. The lack of a comprehensive continuum of care for mentally ill individuals—which should include hospitals for seriously mentally ill people—represents an injustice. Dr. Sisti will offer recommendations to increase bed capacity and to advance “conceptual parity”—where mental and physical health are indistinguishable as health care services and priorities. Achieving conceptual parity will require not just behavioral health providers, but all clinicians.


Battle Forged: How the Military has Shaped Medicine

Presenter: Torree McGowan, M.D., FACEP
Recorded: February, 25, 2020

Series: Allen M. Boyden, M.D. Memorial Lectureship

In this video, Dr. McGowan will explore how the military has influenced medical practice, especially as it relates to trauma care and emergency medicine. From critical care transport, hemorrhage control, damage control resuscitation, and tactical casualty management, the legacy of certain medical advancements can be traced to the battlefield before becoming widely-accepted practice. Through this unique view into the history of medicine, viewers will learn the origins and development of certain medical interventions which can promote a better appreciation of the storied care clinicians provide to their patients.


The Forgotten Denouement: Writing to Finish Doctors Stories

Presenter: Torree McGowan, M.D., FACEP
Recorded: February, 25, 2020

Series: Allen M. Boyden, M.D. Memorial Lectureship

Emergency physicians occupy a unique space in patient’s journeys. Often, they are at the height of the action, but rarely are party to the final outcomes of the case. Torree McGowan, M.D., FACEP, began writing as a way to finish these interrupted conversations, fragmented by transfers and critical illness, in the emergency department. She will explore the role of writing in combatting physician burnout and post-traumatic stress disorder (PTSD) through creating greater engagement in her patients’ stories.


Archives

Cultural Variances in Bioethics: Differing Approaches to Common Clinical Dilemmas
Presenter: Daniel Fu-Chang Tsai, M.D., PhD
Recorded: April 30, 2019
Series: Goldman-Berland Lectureship in Palliative Medicine

End-of-Life Decisions and Eastern Religious Perspectives: Exploring Buddhism, Confucianism and Taoism
Presenter: Daniel Fu-Chang Tsai, M.D., PhD
Recorded: April 30, 2019
Series: Goldman-Berland Lectureship in Palliative Medicine

Cultivating the Medical Mind: An Interactive Exploration of Uncertainty
Presenter: Alexa Miller, MA
Recorded: February 12, 2019
Series: Allen M. Boyden, M.D. Memorial Lectureship

Looking with Uncertainty: Inquiries into Visual Art, Practices for Good Medicine
Presenter: Alexa Miller, MA
Recorded: February 12, 2019

When the Family has Other Ideas: A Case Discussion of Shared Decision-Making
Presenter: Mark Kuczewski, PhD
Recorded: October 2, 2018
Series: Curtis R. Holzgang, M.D., MACP Visiting Scholar

Who is My Neighbor in Catholic Health Care? Caring for Undocumented Immigrants in Our Community
Presenter: Mark Kuczewski, PhD
Recorded: October 2, 2018
Series: Curtis R. Holzgang, M.D., MACP Visiting Scholar

How to make sense of it all: Prognosis and surrogate decision making in the ICU
Presenter: Douglas B. White, M.D., MAS
Recorded: April 10, 2018
Series: Goldman-Berland Lectureship in Palliative Medicine

Primary Palliative Care in the ICU: Barriers, advances, and unmet needs
Presenter: Douglas B. White, M.D., MAS
Recorded: April 10, 2018
Series: Goldman-Berland Lectureship in Palliative Medicine

Improvisation and the Art of Medicine: Adaptable Skills for an Uncertain World
Presenter: Belinda Fu, M.D.
Recorded: February 13, 2018
Series: Allen M. Boyden, M.D. Memorial Lectureship

What They Don’t Say: Non-verbal Patient Behavior and its Role in Medical Decision Making
Presenter: Ralf J. Jox, M.D., Ph.D
Recorded: October 17, 2017
Series: Curtis R. Holzgang, M.D., MACP Visiting Scholar

1,001 Ethical Issues with Voluntarily Stopping of Eating and Drinking
Presenter: Ralf J. Jox, M.D., Ph.D
Recorded: October 17, 2017
Series: Curtis R. Holzgang, M.D., MACP Visiting Scholar

An Interdisciplinary Approach to Managing Eating Disorders
Presenter: Jennifer L. Gaudiani, M.D., CEDS
Recorded: April 4, 2017
Series: Goldman-Berland Lectureship in Palliative Medicine

When They Can't 'Just Eat': Palliative Approaches and End-of-Life Considerations in Adults with Eating Disorders
Presenter: Jennifer L. Gaudiani, M.D., CEDS
Recorded: April 4, 2017
Series: Goldman-Berland Lectureship in Palliative Medicine