Public Health Ethics and Research ethics deliberately public health

1
Public Health Ethics and Research ethics
deliberately public health

• Nancy E. Kass, ScD
• Johns Hopkins University
• JHU Bloomberg School of Public Health
• JHU Berman Bioethics Institute

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History of public health ethics courses at JHSPH

• Anomalous public health ethics preceded medical
  ethics
• ?1979? 1st course in public health ethics
• 1986 advanced (justice) PHE course added
• 1992-97 AIDS, ethics, and public policy
• 1993 research ethics course added
• 1995 research ethics became School wide
  requirement for many students public health
  ethics recommended for others

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Other specialty courses

• Ethics of public health practice in developing
  countries
• Genetic technologies, policy, ethics
• Reproductive ethics
• Privacy
• Bioethics and the Law
• Public health history and ethics
• Ethics and the changing health care marketplace

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Public health ethics within the SPH

• Guest lectures in multiple courses
• health services research, health policy,
  environmental health, etc.
• Ethics faculty required on IRBs
• Research ethics lecture series through Deans
  offices of JHSPH and JH Medicine
• PhD program bioethics and health policy (core
  training in public health, health policy,
  bioethics)
• PhD seminar
• Methods courses philosophical methods
  non-philosophical methods
• NEW MPH required course 2005
• New faculty recruitment necessary for program
  rather than courses
• Supportive Dean!!!

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Bioethics Institute

• Larger infrastructure with staff, faculty from
  other Divisions
• Research
• Teaching
• Collaborative interaction
• Greenwall postdoctoral program
• Endowed lectures

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Research Ethics through a PH lens

• Somewhat typical of research ethics courses
  taught elsewhere
• Particular focus on PH research
• Cluster randomized trials and consent
• Genetic testing implications for populations,
  rather than individuals
• Research ethics and human rights
• HIV vaccine research and ethics
• Epidemiologic methods and ethics
• Privacy/confidentiality in peer network studies,
  in HIV testing studies, and military
  population-epi studies

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Summary

• Courses
• Integrated into other courses
• School wide events Deans lectures, etc.
• IRB presence
• PhD program postdoctoral program
• Larger faculty
• Independent research projects scholarship
• More teaching, advising, guest lecturing
• Better programs
• Build it and they shall come