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Ethics Sessions at Thoracic Surgery Meetings

Updated January 2019

Abbreviations
AATS: American Association for Thoracic Surgery
STS: The Society of Thoracic Surgeons
STSA: Southern Thoracic Surgical Association
WTSA: Western Thoracic Surgical Association

STSA, November 2019
Painting a Vivid Picture: Persuasion Versus Manipulation in the Consent Process.
Moderator: Robert Sade; Pro: Emile A. Bacha; Con: John Mayer, Jr.

WTSA, June 2019
Compensation models drive competitive behavior and productivity.
Moderator: Richard Whyte; Pro: Vincent Gaudiani; Con: Vaughn Starnes

STS, January 2019
Bespoke Babies: Genome Editing in Cystic Fibrous Embryos.
Moderator: Thomas D'Amico; Pro: Mary Devereaux; Con: Kyle B. Brothers

STSA, November 2018
TAVR for Short Term Benefit, Social Indications.
Moderator: Robert Sade; Pro: Andrea J. Carpenter; Con: William Novick

WTSA, June 2018
Must Surgeons Disclose How Many of a Particular Procedure They Have Done Before Attempting Their First Case?
Moderator: Scott Millikan; Pro: Joseph Woo; Con: John Handy

AATS, May 2018
The Patient Would Rather Die: Should You Let Him?
Moderator: Robert Sade; Pro: Dov Fox; Con: Joseph Coselli

STS, January 2018
Cardiothoracic Ethics Forum: Neighborly Help or Itinerant Surgery?
Moderator: Robert Sade; Pro: James Allan; Con: Alberto Ferreres


STSA, November 2017
Cardiothoracic Ethics Forum: Battling the Chimera: How Much Disclosure of Rare Risks Is Necessary?
Moderator: Robert Sade; Pro: Richard Prager; Con: Gregory Trachiotis

WTSA, June 2017
Ethics and End-of-Life Care: Does Everyone Need High Technology Intervention Before They Die?  
Moderator: Robert Sade; Pro: Nicholas G. Smedira; Con: Richard Whyte 

AATS, May 2017
Final Exit with Medical Help: Should State Law Legitimize Physician-Assisted Suicide?
Moderator: Robert Sade; Pro: Haider J. Warraich; Con: Robert Sewell

STS, January 2017
Cardiothoracic Ethics Forum: When a child’s heart is failing.
Moderator: Robert Sade; Pro: Minoo Kavarana; Con: Jessica Turnbull


STSA, November 2016
Cardiothoracic Ethics Forum: Should hospital policy forbid surgeons to schedule concurrent cases in the operating room?
Moderator: Robert Sade; Pro: Richard Whyte; Con: Vinod Thourani

AATS, May 2016
Cardiothoracic Ethics Forum: Should a surgeon comply with hospital administration’s demand to change valve preference?
Moderator: Robert Sade; Pro: Scott Millikan; Con: Robert J. Cusimano

STS, January 2016
Cardiothoracic Ethics Forum: An advance directive limits postoperative care — should a surgeon accept limits on care?
Moderator: Robert Sade; Pro: Constantine Mavroudis; Con: Jeffrey Gaca


STSA, November, 2015
Cardiothoracic Ethics Forum: Families should be invited to be present during cardiopulmonary resuscitations.
Moderator: Robert Sade; Pro: Karen Brasel; Con: John Entwistle

AATS, April 2015
Cardiothoracic Ethics Forum: Should a physician inform an innocent contact about HIV exposure, against state law?
Moderator: Robert Sade; Pro: Richard Whyte; Con: Steve O’Neill

STS, January 2015
Cardiothoracic Ethics Forum: Are attending surgeons in residency programs obligated to allow thoracic surgery residents to operate on their patients so the residents can achieve their ABTS requirements? Moderator: Robert Sade; Pro: Richard Ohye; Con: James Jaggers


STSA, November, 2014
Cardiothoracic Ethics Forum: Should a thoracic surgeon transfer a complicated case to a competing medical center against the hospital's order?
Moderator: Robert Sade; Pro: Jennifer Ellis; Con: Kathleen Fenton

AATS, April 2014
Ethics Forum: Can a physician ever justifiably euthanize a severely disabled newborn?
Moderator: Robert Sade; Pro: Udo Schuklenk; Con: Gilbert Meilaender

STS, January 2014
Ethics Forum: Another surgeon’s error — must you tell the patient?
Moderator: Robert Sade; Pro: Susan Moffatt-Bruce; Con: Chadrick Denlinger


STSA, November 2013
Ethics Forum: Is it ethically permissible for a medical center to deny employment to a physician on grounds that he smokes tobacco products?
Moderator: Robert Sade; Pro: James Jones; Con: William Novick

AATS, May 2013
Ethics Forum: Is a surgeon who does not perform VATS lobectomy ethically obligated to inform early stage lung cancer patients of the VATS option and offer referral to a VATS surgeon?
Facilitator: Thomas D’Amico; Pro: Scott Swanson; Con: Garrett Walsh

STS, January 2013
Ethics Forum: Patients declared dead for organ donation are not really dead—the dead donor rule should be abandoned.
Facilitator: Robert Sade; Pro: Franklin Miller; Con: Alexander Capron


STSA, November 2012
Ethics Forum: Thoracic surgery societies should evaluate and rate the quality of international cardiothoracic surgery centers to help patients who wish to benefit from low-cost high-quality surgery.
Moderator: Robert Sade; Pro: Jeffrey Jacobs; Con: Constantine Mavroudis

AATS, April 2012
Ethics Forum: Are surgeons ethically obligated to treat Medicare patients despite substantial reductions in reimbursement?
Moderator: Robert Sade; Pro: Edward Verrier; Con: Tea Acuff

STS, January 2012
Ethics Forum: Sleep deprived surgeons should not be allowed to operate without patient's consent.
Moderator: Robert Sade; Pro: George Czeisler; Con: Carlos Pellegrini


STSA, November 2011
Ethics Forum: Prisoners on death row should be accepted as organ donors.
Moderator: Robert Sade; Pro: Shu Lin; Con: Jay Pal

AATS, May 2011
Ethics Forum: Use of transcatheter aortic valve implantation should be rationed.
Moderator: Robert Sade; Pro: John Mayer; Con: Grayson Wheatley

STS, January 2011
Ethics Forum: Blood transfusion may be given for imminent exsanguination of a Jehovah’s Witness patient.
Moderator: Robert Sade; Pro: Keith Naunheim; Con: Charles Bridges


STSA, November 2010
Ethics Forum: Must surgeons tell mitral valve repair candidates about a new percutaneous repair device that is only available elsewhere?
Moderator: Robert Sade; Pro: Eric Skipper; Con: Kevin Accola

STS, January 2010
Ethics Forum: Financial links between industry and physician consultants should be severed.
Moderator: Robert Sade; Pro: Stephen Immelt; Con: Vincent Gaudiani.


STSA, November 2009
Ethics Forum: Impending loss of insurance coverage is an indication to proceed with complex, expensive surgery.
Moderator: Robert Sade Pro: Tony Estrera; Con: John Ikonomidis

STS, January 2009
Ethics Forum: Saving lives is more important than abstract moral concerns: financial incentives should be used to increase organ donation.
Moderator: Robert Sade; Pro: Benjamin Hippen; Con: Lainie Ross.


STSA, November 2008
Ethics Forum: Ethical obligation of surgeons to non-compliant patients: Can a surgeon refuse to operate on an intravenous drug-abusing patient with recurrent aortic prosthesis infection?
Moderator: Robert Sade; Pro: Michael DiMaio; Con: Tomas Salerno

AATS, May 2008
Live surgery at national and regional cardiothoracic meetings should be outlawed.
Moderator: Craig Miller; Pro: Duke Cameron; Con: Hugo Vanermen

STS, January 2008
Ethics Forum: No heroic measures—how soon is too soon to stop?
Moderator: Robert Sade; Pro: Thomas D’Amico; Con: Mark Krasna.


STSA, November 2007
Ethics Forum: Cardiothoracic surgical outcomes should be published in the lay press.
Moderator: Robert Sade; Pro: Jeffrey Jacobs; Con: Robert Cerfolio

STSA, November 2007
Ethics Forum: A clash of rights: should smoking tobacco products in public places be legally banned?
Moderator: Robert Sade; Pro: Carolyn Dresler; Con: Mark Cherry

STS, January 2007
Ethics Forum: Professionalism meets commerce: tighter regulation of conflicts of interest in surgeon-industry relations is needed.
Moderator: Robert Sade; Pro: Jerome Kassirer; Con: Thomas Stossel.


STSA, November 2006
Ethics Forum: Politely refuse the pen and note pad: gifts from industry to physicians harm patients.
Moderator: Robert Sade; Pro: Kenneth Iserson; Con: Robert Cerfolio

AATS, April 2006
Developing the Academic Surgeon Symposium: Dealing with conflict of interest in academics.
Andrew Wechsler

STS, January 2006
Medical Legal Symposium: As a practicing surgeon, when should I quit?  
Robert Sade

STS, January 2006
Medical Legal Symposium: As surgeons, are we ethically obligated to serve as the plaintiff’s expert witness, or do we have a free choice?
Robert Sade

STS, January 2006
Ethics Forum: Our health care system at the crossroads: single payer or market reform?
Moderator: Robert Sade; Single payer: David Himmelstein; Market reform: John Goodman.

STS, January 2006
The ethics of conflicts of interest.
Richard Sanderson


STSA, November 2005
Ethics Forum: surgical innovation is too dangerous to remain unregulated.
Moderator: Robert Sade; Pro: Haavi Morreim; Con: Mike Mack

AATS, April 2005
Controversies in cardiothoracic surgery: therapeutic cloning should be supported to provide stem cells for CT research and treatment.
Pro: Paul Berg; Con: Eric Cohen.

STS, January 2005
Ethics Forum: Medical ethics collide with public policy: LVAD for a patient with leukemia.
Moderator: Robert Sade; Speakers: Gov. Richard Lamm; Patrick McCarthy.


STSA, November 2004
Ethics Forum: Surgical errors should always be disclosed to the patient.
Moderator: Robert Sade; Pro: Gus Mavroudis; Con: Keith Naunheim.

AATS, April 2004
Controversies in Cardiothoracic Surgery: "The legal profession is the guardian of medical standards.”
Moderator: Joseph Bongiovi; Pro: John Romano; Con: Michael Royce

STS, January 2004
Patient safety as an ethical issue.
Charles Bosk


STSA, November 2003
Ethics Forum: Are thoracic surgeons ethically obligated to serve as expert witnesses for the plaintiff?
Moderator: Robert Sade; Pro: Donald Watson; Con: Francis Robicscek

WTSA, June 2003
Medicare and Lung Volume Reduction Surgery.
Joel Cooper

AATS, May 2003
Developing the Academic Surgeon Symposium: "Do no harm? Is it immoral to utilize living persons as sources of organs and tissues for transplantation?"
Arthur Caplan
Panel Discussion: Ethical dilemmas in cardiothoracic surgery.
Moderator: Ralph Damiano; Panel: Arthur Caplan, Bruce Lytle, Martin McKneally, Richard Weisel

AATS, May 2003
Controversies in Cardiothoracic Surgery: Attending cardiothoracic surgeons should also be subject to work-hour regulations.
Moderator: Craig Miller; Pro: David Dinges; Con: Irving Kron

STS, January 2003
Ethics Forum: Surgeons are ethically obligated to refer patients to other surgeons who achieve better results.
Moderator: Robert Sade; Nicholas Kouchoukos; Con: Lawrence Cohn


STSA, November 2002
Ethics Forum: Reduced work hours: Surgeons should spend more time with family, community, and life outside the hospital.
Moderator: Robert Sade; Pro: Ross Ungerleider; con: Joe Coselli

WTSA, June 2002
Controversies in Thoracic Surgery. Lung volume reduction surgery and the NETT: A good concept gone awry?
Moderator: John Benfield; Pro: Douglas Wood; Con: Richard Whyte

AATS, May 2002
Controversies in Cardiothoracic Surgery. Peer review is the best way to ensure quality patient care; Public reporting of surgical results is unnecessary (and misleading).
Moderator: James Cox; Pro: William Nugent; Con: Mark Chassin

STS, January 2002
Educational Forum Honorary Lecture. “Ethical issues in surgery.”
Robert Sade


STSA, November 2001
Ethics Forum: Cardiothoracic surgeons should make decisions to operate solely on medical grounds: It is wrong to consider insurance coverage, practice mortality data, and cardiologist pressures.
Moderator: Robert Sade; Pro: Randolph Chitwood; Con: Ronald Elkins

WTSA, June 2001
C. Walton Lillehei Point-Counterpoint: The influence of industry on the practice of cardiothoracic surgery: Appropriate or inappropriate?
Moderator: Richard Sanderson; Pro: Robert Sade; Con: Thomas Fogarty

AATS, May 2001
Controversies in Cardiothoracic Surgery. Is it ethical to advertise surgical results to increase referrals?
Moderator: Tirone David; Pro: Delos Cosgrove; Con: Craig Miller

STS, January 2001
Post-Graduate Course Ethics Lecture. Ethical issues in introducing new technology.
Martin McKneally

STSA, November 1999
Post-Graduate Course Lecture. Why surgeons don’t talk about ethics.
Robert Sade