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Course Criteria
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1.00 - 2.00 Credits
Preclerkship Bioethics II, a continuation of Preclerkship Bioethics I, is provided to the second-year medical students. While the overall goals are the same, Preclerkship Bioethics II introduces more advanced topics, such as: decision-making capacity, ethics and reproductive health, disclosing medical errors, public health ethics, ethical issues in cross-cultural care, and a special symposium on spiritual and religious needs at the end of life.
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1.00 - 2.00 Credits
This course consists of organized sessions during the 3rd and 4th year that promote professional development by exploring ethical, social, and individual facets of care on the wards. Talks and discussions focus on end-of-life decision making, informed consent, medical errors, conflicts between physician recommendation (paternalism/beneficence) and patient wishes (patient autonomy), and the obligations and duties of each individual in a clinical team. Such sessions are meant to deepen knowledge of ethics concepts and cases taught in the pre-clerkship years.
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1.00 - 2.00 Credits
The advances in end-of-life care have spawned a wide variety of ethical dilemmas in such areas as the determination of death, organ, transplantation, euthanasia and assisted suicide. While the secular ethical approach to these issues is often well publicized and adequately represented at many medical schools, the religious viewpoint, and in particular, that of Orthodox Judaism, is rarely given a voice. This half-module (one month) course will provide an overview of the Orthodox Jewish approach to the aforementioned issues by analyzing texts from the Bible, Talmud and Rabbinic commentaries throughout the ages. As many of the texts are in the Hebrew language, a rudimentary knowledge of Hebrew would be helpful, although not essential.
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2.00 Credits
This four-day course is taught by the national leaders in bioethics mediation. Mediation is a vital tool in the management and resolution of conflicts between and among health care staff and families. Mediation helps all parties to articulate their values and acknowledges the perspectives of all participants. The course covers essential techniques and procedures in lectures, exercises, small group role-plays and intensive individual feedback. Topics covered include: mediation skills, stages of bioethics mediation, special challenges, and how to write a chart note. Attendance at all four days of the course is required. Prerequisites: Certificate program or instructor permission.
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2.00 Credits
Drawing upon the decades of experience of Montefiore’s Bioethics Consultation service, the faculty of the Montefiore-Einstein Center for Bioethics will cover selected topics from the ASBH's Core Competencies. The course will help students develop communication skills, master the process of bioethics consultation and gain practical experience in approaching ethical dilemmas in clinical medicine. Note that this course is designed for those currently serving on a hospital ethics committee or in a consultation service or with a background in bioethics and seeking clinical training. It may be taken on its own or as part of the Masters Program. Prerequisites: Certificate program or instructor permission.
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2.00 - 4.00 Credits
This is a one-month fourth-year elective offered in March, designed to build upon the medical school's bioethics curriculum during the preclinical and third years, and to better prepare students for the ethics dilemmas they will face as residents. Each week, students read, present and discuss classic cases and papers in bioethics. A separate weekly seminar is devoted to discussing current controversies in bioethics, the details of which will vary and depend on current events when the course is given. Students also participate in the Bioethics Consultation Service and experience first-hand the process of working through difficult decisions. At the conclusion of the elective, students present two projects: a researched paper or lecture on a topic of interest, and a creative work of writing or art relating to bioethics. Evaluation is based on participation during the seminars as well as the quality of the final submissions. Two-four students are accepted per session. To apply, please contact Drs Kitsis or Lipman. Pre-requisites: enrollment in the fourth year of Einstein's MD program. Students who do not meet this criteria could be considered on a case-by-case basis.
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2.00 Credits
Judaism is one of the world’s oldest religions with a rich heritage and an expansive legal literary tradition dating back to the times of the Bible and Talmud. Judaism has a unique approach to medical ethical dilemmas that can contribute to modern ethical discourse. This course will provide students with a basic introduction to the principles of Jewish law as they relate to medical ethics. These principles will then be applied to issues in contemporary medical ethics ranging from beginning of life to end of life. Topics analyzed will include abortion, contraception, infertility, genetics, cloning, organ transplantation, the definition of death, autopsy and stem cell research. In addition, new frontiers in science and medicine will be explored through the lens of Jewish law. The contribution of principles of Jewish medical ethics to the broader dialogue of modern bioethics will be discussed. Readings will be drawn from ancient rabbinic texts, as well as modern authors on Jewish bioethics. Emphasis will be placed on textual analysis of primary and secondary sources (in English translation) culled from over two thousand years of rabbinic literature. Prerequisites: Certificate program or instructor permission.
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2.00 Credits
The course is an innovative collaboration between the Montefiore-Einstein Center for Bioethics and Columbia's Program in Narrative Medicine. Students will gain a substantive understanding of three important fields: narrative ethics, narrative medicine, and narrative bioethics. They will become well-versed in the ethics of reading, the ethics of writing, and the power both practices have to affect decision-making and care. Together, we will read JM Coetzee's Disgrace, Toni Morisson's Beloved and select short stories. We will also study Nanni Moretti's film, The Son's Room, a production of Two Men Talking at Barrow Street Theater, and filmed clinical and ethics encounters. Our writing will involve critical reflection, the analysis of emotion and imagination in medicine, and narrative approaches to interviewing, case-writing and clinical ethics. Students will thus substantially enhance their ability to attend to literature, and they will become adept at narrative attention in ethics practice, research and teaching. Prerequisites: Certificate program or instructor permission.
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2.00 Credits
Public health seeks to improve the health of populations, but has not always understood the ethical impact of its role for approximately 20 percent of the world's people with congenital or acquired diseases or disabilities. This course will examine the ways in which living with a disease or disability is, and is not, strictly a health problem. Using the same framework that argues for public health to combat poverty, pollution, and unsafe work places, this course will examine the environmental and policy, as well as ethical, medical and health care implications for the well-being of people with chronic diseases and disabilities. Prerequisites: permission of the instructor.
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2.00 Credits
The emerging methods of procreative technologies are generating ethical dilemmas for clinicians, policy-makers, and prospective parents. What is the moral status of embryos and fetuses? How are new technologies changing our medical and societal views of abortion? Can a fetus be considered a patient while in a woman’s body? Should reproductive freedom entail the freedom to provide gestation or gametes for others, and to sell those materials and services at any price the market will bear? Does the notion of “best interests” of children suggest whether or not children should be told of the means of their coming-into-being? These are some of ethical questions to be addressed in this course. The course will first look at the ethics of abortion, move to ethical issues during pregnancy, and then turn to the ethical, legal and psycho-social questions raised by existing and future procreative technologies such as in-vitro fertilization, gamete donation, surrogate motherhood, in utero fetal modification, and cloning. Prerequisites: permission of the instructor.
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