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Public Health Ethics and Research ethics – deliberately public health

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. History of public health ethics courses at JHSPH. Anomalous: public health ethics preceded medical ethics

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Public Health Ethics and Research ethics – deliberately public health

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  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

  2. 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

  3. 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

  4. 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!!!

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

  6. 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

  7. Summary • Courses • Integrated into other courses • School wide events – Dean’s 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…

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