DESCRIPTION
Hospitals, nursing homes, and other health care organizations are finding that there is a pressure to establish ethics committees and to conduct ethical review of cases. Of the many functions that ethics committees might perform-policy development, education, and case review-case review is by far the most compelling and difficult activity for ethics committees to undertake within their institutions. Because ethics consultation places the ethics committee's credibility and expertise with respect to medical ethics matters on the line, there is an understandable ambivalence about case review. This ambivalence in part is rated to the lack of access to trained clinical bioethics and to the relative lack of expertise among ethics committee members about the field of bioethics. This course is designed with a focus on practical issues and questions involved in developing a format for case review, basic skills and knowledge necessary for conducting ethics case reviews, and directions for establishing a structure for successful ethics consultation services. It should also give participants suggestions regarding how to utilize effectively ethics consultation.

OBJECTIVES
Kinds of case review
Advantages and disadvantages of each approach to case review
Education and skill levels needed to provide ethics consultation
The goal of ethics consultation
The pitfalls of ethics consultation
The place of ethics in ethics consultation
The role of communication in ethics consultation
The role of law in ethics consultation
The physician's role in ethics consultation
The nurse's role in ethics consultation
A family view on ethics consultation
The relation of ethics consultation to education
The relation of ethics consultation to policy development
Discussion of sample cases to illustrate different approaches
Filtering out noise in ethics consultation

TARGET AUDIENCE
All physicians, nurses, administrators, ethics committee members, and other health care professionals interested in ethics consultation. This workshop will be of particular interest to administrators and ethics committee members undertaking or beginning ethics consultation or case review.

PRESENTATIONS/SPEAKERS
"Ethics Consultation: The What, Why, and How." and "A Summary How to Guide." - George J. Agich, Ph.D.
Professor of Medical! Humanities and Psychiatry, Southern Illinois University School of Medicine, Springfield, Illinois and Director of the Clinical Ethics Center, Memorial Medical Center, Springfield, Illinois.

"Where is Ethics in Ethics Consultation?" - Thomas May, Ph.D.
Clinical Ethicist, Clinical Ethics Center, Memorial Medical Center, Springfield, Illinois and Adjunct Assistant Professor, Department of Medical Humanities, Southern Illinois University School of Medicine, Springfield, Illinois.

"The Place of Law in Ethics Consultation." - Bethany Spielman, Ph.D., J.D.
Assistant Professor of Medical Humanities, Southern Illinois University School of Medicine, Springfield, Illinois.

"Communication in Ethics Consutlation" - Andrew J. Varney, M.D.
Assistant Professor of Internal Medicine and Medical Humanities, Southern Illinois University School of Medicine, Springfield, Illinois and Chair of the Human Values and Ethics Committee, Memorial Medical Center, Springfield, Illinois.

"Contribution of Ethics Consultation to Quality Care" - Panel Discussion
Chairman - Andrew J. Varney, M.D. Assistant Professor of Internal Medicine and Medical Humanities, Southern Illinois University School of Medicine, Springfield, Illinois and Chair of the Human Values and Ethics Committee, Memorial Medical Center, Springfield, Illinois.
Jan Boyd, BA, MT (ASCP) SHSupervisor, Hematology/Blood Bank/Coagulation, Memorial Medical Center, Springfield, Illinois.
Max Hammer, M.D. Surgeon, Private Practice, Member Of The Human Values & Ethics Committee, Memorial Medical Center, Springfield, Illinois.
Alison Seiz, RN, BSN, MS, OCN Oncology Clinical Nurse Specialist/Care Manager, Memorial Medical Center, Springfield, Illinois.
Glenda Todt Patient Representative, Customer Service, Memorial Medical Center, Springfield, Illinois.

"Institutional Aspects of Ethics Consultation." - Panel Discussion
Chairman - Theodore LeBlang, J.D. Professor and Chairman, Department of Medical Humanities, Southern Illinois University School of Medicine, Springfield, Illinois.
Donna Crompton, BSN, RN, MBA Director Of Nursing, Clinical Operations & Special Projects, Memorial Medical Center, Springfield, Illinois.
Edgar J. Curtis Executive Vice-President & Chief Operating Officer, Memorial Medical Center, Springfield, Illinois.
Daniel J. Raab, FACHE President & Chief Executive Officer, St. Vincent Memorial Hospital, Taylorville, Illinois