The Evolution of Demand for Ethics Services at the Royal Alexandra Hospital

1
The Evolution of Demand for Ethics Services at
the Royal Alexandra Hospital

• Gary Goldsand
• Coordinator, Clinical Ethics Services, RAH
• Marie Edwards
• Resident in Clinical Ethics, RAH.

2
Clinical Ethics Services at RAH

• Clinical Ethics Residency Established in 2000
• Clinical Ethics Program in 2001
• Activities
• Consultations
• Education
• Policy Review and Development
• Ethics Committee and subcommittees

3
Ethicist as Team Member or External Consultant?

• Various Models of Ethics Consultation
• Advantages of Familiarity (Trust)
• Benefits of pre-crisis ethics consultation

4
Interdisciplinary Rounds

• Key time of Team interactions
• Opportunity for learning
• Opportunity for informal exchange of information.
• Opportunity to build critical relationships

5
The Strange Nature of Demand

• Demand Active and Latent
• Gauging success and failure in the clinic
• Managing latent demand
• Controlling growth rates
• Beware of success
• Empowering and Educating while consulting

6
Observations of a Clinical Ethics Resident

• Common Themes
• Value of Visibility
• Moral Space

7
Questions?

• Thank-you.
• Gary Goldsand
• Coordinator, Clinical Ethics Services, RAH.
• Email garygoldsand_at_cha.ab.ca
• Marie Edwards
• Resident in Clinical Ethics, RAH.
• Email Marieedwards_at_cha.ab.ca