Advocacy Pathway
Diversity, Equity and Inclusion
Education Pathway
Global Neonatal & Children's Health
Health Equity/Social Determinants of Health
Immigrant Health
Medical Education
Neonatology
Public Health
Luca Brunelli, MD, PhD (he/him/his)
Professor
Peds
University of Utah
Salt Lake City, Utah, United States
Lisa Forman, LLB, MA, SJD
Associate Professor
University of Toronto, Ontario, Canada
Audrey Chapman, MA, StM, PhD
Professor
UConn School of Medicine
Farmington, Connecticut, United States
Ranit Mishori, MD MHS FAAFP
Professor of Family Medicine
Georgetown University School of Medicine
Washington, District of Columbia, United States
Joe Kaempf, MD (he/him/his)
Medical Director - Value, Research, Innovation
Providence Health System
Portland, Oregon, United States
“Dual loyalty” can be a problem for doctors and healthcare providers in any setting: duties to patients and society can conflict with obligations to employers (government, military, correctional facilities, large healthcare system) or even personal financial interests. Although these concepts can be taught to medical and healthcare students as a warning before they begin their careers, innumerable opportunities for "failure" have occurred throughout the history of medicine. Moreover, when a doctor or healthcare provider's paycheck or job security derive from unproven or questionable clinical practices or from a prison operator or government carrying out policies that might arm patients, the conflict becomes all the more severe. Doctors and healthcare providers have in the past compromised themselves by enabling or even participating in practices like the administration of unnecessary medications, or by signing off on punishments. Lapses of omission are also a risk, where providers may recognize clear signs of abuse but neither record nor report them lest they jeopardize their own job security. This workshop will provide an opportunity to participate in three real life scenarios in which doctors and healthcare providers might find themselves entangled during the exercise of their profession. We will also discuss the legal and ethical knowledge necessary to overcome these challenges and hopefully better fulfill the calling of the medical profession toward our patients and society. Finally, we will explore possible "next steps" such as research, educational, and advocacy activities which participants could pursue to address some of the challenges discussed in the Workshop.