WarDocs - The Military Medicine Podcast
Health & Fitness:Medicine
Join the conversation with Lieutenant Colonel Dr. Jeanne Krick, as she brings the weighty world of medical ethics into focus, sharing her journey from Neonatology to being the Army Surgeon General's consultant for Medical Ethics. Our discussion orbits the moral quandaries that surface in military medicine, dissecting the intricate balance between patient autonomy and the rigors of military policy and regulations. Dr. Krick provides a riveting narrative on the daily impact of ethical decision-making and the burgeoning field of bioethics. Join us for a candid discussion about what it takes to make life-and-death decisions when duty, honor, and humanity intersect.
As we unpack the layers of Dr. Krick's expertise, the fabric of military medical ethics is revealed in its full complexity. The establishment and significance of ethics committees take center stage, as we navigate through complex scenarios where commanders and medical professionals must align on treatment decisions for service members. Dr. Krick's role in shaping policies at a non-deployed level juxtaposes the high-stakes ethical calls required in active war zones, sparking a conversation on the critical need for robust ethical guidelines and training.
The forecast for military medical ethics is a combination of change, challenges, and innovation as we look to the horizon where artificial intelligence and human enhancement technologies promise to redefine the boundaries of healthcare. Dr. Krick's insights on the ethical dimensions of AI in medicine, the military's stance on pandemic responses, and the intricacies of cultural sensitivity within patient confidentiality offer a guide for navigating these uncharted waters. Her perspective underscores the importance of early ethicist involvement in policy-making and the role of shared decision-making in aligning medical actions with patients' values. For medical professionals, ethicists, or anyone intrigued by the moral challenges of healthcare, this episode is an indispensable look into the courageous work of those who serve in medicine's toughest arenas.
Chapters:
(00:00) Exploring Medical Ethics and Consultations
(10:21) Military Medical Ethics and Committees
(18:23) Ethics in Healthcare and Deployed Settings
(30:28) Cultural Differences and Patient Confidentiality
(36:19) AI Impact on Medical Ethics
(44:54) Medical Ethics and Decision-Making Challenges
(50:03) Future of Military Medical Ethics
Chapter Summaries:
(00:00) Exploring Medical Ethics and Consultations
Dr. Jeanne Krick discusses the impact of her bioethics training and education on her problem-solving approach in military medicine and the evolving horizon of medical ethics.
(10:21) Military Medical Ethics and Committees
Military medical ethics, diverse committees, and educational opportunities for ethical training within the military healthcare system.
(18:23) Ethics in Healthcare and Deployed Settings
Patient-centered care, organizational ethics, resource allocation, and treatment of enemy combatants in deployed environments.
(30:28) Cultural Differences and Patient Confidentiality
Cultural differences in medical ethics, patient autonomy, confidentiality, and military readiness are discussed with real-life scenarios.
(36:19) AI Impact on Medical Ethics
Ethical considerations in AI healthcare, human enhancement in the military, and balancing autonomy and mission readiness during pandemics.
(44:54) Medical Ethics and Decision-Making Challenges
Equipping medical students with ethical tools, understanding principles and care, reconciling legal constraints, and debating neonatology.
(50:03) Future of Military Medical Ethics
Future of medical ethics in military medicine, involving ethicists in policy-making, rapid decision-making in emergencies, and balancing guidance with patient wishes.
Take Home Messages:
Episode Keywords:
Medical Ethics, Military Medicine, Bioethics, Ethical Decision-Making, Patient Autonomy, Military Protocol, Ethics Committees, Artificial Intelligence, Cultural Sensitivity, Patient Confidentiality, Healthcare, Ethics Consultations, Military Healthcare System, Ethical Training, Organizational Ethics, Resource Allocation, Combat Operations, Cultural Relativism, AI Algorithms, Human Enhancement, Informed Consent, Pandemic Response, Vaccinations, Harm Principle, Ethical Toolkit, Ethics of Care, Legal Constraints, Neonatology, Formal Ethics Training, Shared Decision-Making, Emergency Situations, Guidance
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicalEthics #DrJeanneKrick #BioethicsInUniform #HealthcareOnTheFrontlines #EthicalDecisionMaking #ArtificialIntelligenceEthics #PatientAutonomy #MedicalEthicsTraining #NeonatologyEthics #CulturalSensitivityInMedicine
Other Medical Ethics Resources:
-DoD Medical Ethics Center- https://www.usuhs.edu/research/centers/dmec The DMEC is situated out of USUHS and has several resources for those in uniform on medical ethics (I am a little embarrassed that I forgot to mention them in the actual interview last night...). Their website has a link to their internal training course, which is really a series of YouTube videos that cover some basic bioethics topics. They also have an app (I believe it's available through all the usual sources and on all devices) that is free to download and has plenty of resources. The app could be a great resource for folks looking for more material, especially in austere environments.
-American Society for Bioethics and Humanities- https://asbh.org/ This is the main organization for medical ethics within the US. There are links to many helpful resources on their site, including professional development, endorsed meetings, and guidelines/standards for clinical ethics consultation.
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
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WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
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COL Michael Wirt, M.D., Ph.D: Radiology on the Battlefield, Neuroradiology, and Commanding a Level 1 Trauma Center during the COVID pandemic.
COL Will Bimson, D.O.- Combat Cardiologist, Ranger Qualified- Supporting COVID Missions at Home in the USA and Deployments Across the Globe
Dr. Benjamin Starnes- Surgeon Stepping Up to Lead During 9/11 and in Austere Locations Across the Globe
COL(R) Dr. Peter Napolitano- OB/GYN WarDoc- Improving Surgical Patient Safety on the Battlefield and Beyond.
COL(R) Dr. Matthew Hepburn- Military Infection Disease Doc Uniquely Prepared for Operation Warp Speed and Global Pandemic Response.
Lt. Gen. (Ret) Dr. Paul K. Carlton Jr.-Evolution of Critical Care in the Air- Past, Present and Future
Major General (Ret) Dr. Sean L. Murphy- Taking Care of Military Members and their Families from the Far East to Europe to the Pentagon
CAPT (Dr.) Joel Schofer- Deputy Chief of the Navy Medical Corps- Coaching and Mentoring Physicians in Career Development both Online and In-person.
The Journey to Zero Harm- Exploring Quality and Safety in Military Medicine- COL(Ret) Evan Renz, MD, MPH (Part 2 of interview)
COL(Ret) Dr. Evan Renz: From Jumpmaster in the 82nd Airborne Division to Burn/Critical Care Surgeon Extraordinaire.
COL(Ret) Alfonso “Al” Alarcon: Orthopedic Surgery and Military Medical Leadership Around the Globe
Dr. Kevin C. Kiley: 41st Army Surgeon General- Loyalty Down and Choosing the Harder Right- Reflections from a Distinguished Career
Colonel Paul Parker- British Army Surgeon: Drones, Advanced Tourniquets and Blood Products-Future Combat Care Innovations at the Tip of the Spear.
Major General (Dr.) Jeff Clark MC Mission Lessons- Desert Storm to Kosovo to Katrina to Abu Ghraib
Major General Daniel Walrath- Combat Casualty and Inspirational Leader: An Inside look at the Military Medical System from Point of Injury to Recovery
Center for the Intrepid: Lessons Learned from Combat Injuries Have Revolutionized Rehabilitation Care (with Dr. Alderete)
COL (Dr.) Joseph Alderete- Orthopedic Surgery in Combat and in Support of Special Operations Forces
COL(Dr.) Laurel Neff- Three “No Fail” Missions- Mom, Army Officer and Family Medicine Physician
CDR(Dr.) Ramon Cestero: Surgery at Sea and Innovating Surgery at the OR table
LTC(Dr.) Ali Turabi: A Military Anesthesiologist‘s Close Call with ISIS Terrorists in Kabul, Afghanistan
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