Neurosurgical ethics in daily practice - Integrated workshop

Note: The workshop will be held only on August 30, 2018. The workshop on August 31 has been cancelled.

How to register

Please use the email address ethicworkshop@guarant.cz. Write your name, surname and send us your request. 

The workshop is free of charge.

Introduction

The modern medical practice in general and neurosurgical practice in particular is dominated by technology and evidence based medicine emphasizing the importance of scientific data to guide our daily practice. But through the years, as medicine has crossed different cultures and borders, it has been and will be always be the ultimate value based activity, much of which is not necessarily based in evidence. Over the last 200 years, medical ethics has attracted the attention of philosophers, theologians, researchers, and scholars. It has become an independent and well-studied branch of ethics, called bioethics. Most hospitals all over the world have established their own ethics committees. All professional medical and surgical (including neurosurgical) societies have their own ethics committees as well. However new challenges constantly arise with the expansion of technology and changes in patients' level of knowledge and expectations which require vigilant attention to the ethical dimensions of what we do.

Good neurosurgical practice is not only based on evidence, skills, and modern equipment but also on good values and ethical approaches to problems (i.e. value-based medicine). Young neurosurgeons learn about ethical issues in neurosurgery largely through observation of the behavior of their staff who can act as role models, but there do exist more formal processes for approaching ethical dilemmas which we try to demonstrate and discuss in this workshop.

Workshop objectives

The workshop aims to achieve these objectives:

  • Introduction of the principles of medical ethics.
  • Introduction of the concept of Values based medicine and the relationship with the principles of Evidence Based Medicine
  • Patient's right, patient's family right and Doctor-patient- patient's family complex relationship
  • Decision making, (interfere or no interfere) consent
  • Solving ethical problems. Developing ethical quid line to help in solving the ethical problems which we may face in daily practice

Who should attend?

  • All neurosurgeons
  • Medical students
  • Nurses and paramedical staff
  • Hospital administration staff
  • Members of the ethics committees.

The workshop faculties

  • Ahmed Ammar, MBChB, DMSc,FICS, FACS, FAANS - Course coordinator
    Editor with Dr. Mark Bernstein, the book "Neurosurgical ethics in practice-Value based Medicine" published by Springer in November 2014.
  • Tiit Mathiesen, MD, Ph.D
    The (previous) president of Ethics committee, World federation of Neurosurgery
  • Karen Landry, BS.
    Co-founded Brad Peery Capital

The programme

The workshop will be conducted on August 30, 2018 

Course duration: 60 minutes from 13:00 to 14:00 in both days.
Venue: Vienna House Diplomat Hotel Prague

The scientific programme

I. Introduction - Ahmed Ammar (5 minutes)

II. Solving and identifying ethical problems
Ethical cases presented by the faculties.

1. The group will be divided into 3 groups (A,B,C) for integrated discussions.
2. Each faculty will move between the groups every 10 minutes.
3. In each rotation, the faculty will present a clinical case (could be research or Publication case as well), which has ethical question.

The group should:

a. Identify the ethical questions
b. Discuss the different approaches to solve that problem
c. Come up with the most proper ethical answer to that problem.

III. Cases presented by the delegates, 
Integrated open session (15 minutes)

1. Each group will present one case.
2. The faculties will moderate and guide the discussion.

IV. Take home messages and workshop evaluation

1. Take home messages - Tiit Mathiesen (5 minutes)
2. Feedback and workshop evaluation - Karen Landry (5 minutes)
3. Closing remarks