Posted: Tuesday, November 13th, 2018
||Thursday, December 13th, 2018
Danville, Pennsylvania, United States
The Center for Translational Bioethics and Health Care Policy is the outgrowth of an effort launched in 2012 to integrate bioethics across Geisinger's key functions in research, innovation, quality improvement, education, and patient care. The Center's overarching aim is to advance “ethics quality” at Geisinger by aligning individual, group and organizational behaviors with established or emergent norms. Reporting to the chief bioethics officer, professor and director of the Center, the individual recruited to the position of clinical ethicist will play a key role in staffing the Clinical Ethics Advice and Consultation Service; in conceiving, designing, and implementing preventive ethics initiatives within the framework of a learning health care system; and, in conceiving, designing, and implementing programs of education in clinical ethics for medical students, residents, nurses, and learners and practitioners in other health care professions and disciplines.
MAJOR DUTIES AND RESPONSIBILITIES:
1.In in- as well as out-patient settings, the clinical ethicist will play a key role in staffing the 24/7, system-wide Clinical Ethics Advice and Consultation Service: upon receipt of a request for clinical ethics consultation (CEC), s/he will conduct preliminary analyses and information-gathering; meet with patients/families and team members to elicit concerns, perspectives, and needs; seek to mediate and resolve conflicts within teams, within patients' families, and between teams, on the one hand, and patients and their families on the other; provide required follow up and communication; conduct assessments of CEC quality by administering and analyzing the results of feedback surveys; evaluate consultation trends and effectiveness (e.g., by conducting electronic health record reviews, etc.).
2.The clinical ethicist will also collaborate with clinicians, health service researchers, and staff in quality and safety, as well as in clinical innovation in designing initiatives in “preventive ethics” within a learning health care system framework. Examples of such initiatives include: (a) the development, implementation, and evaluation of tools, interventions, or decision aids to improve the process of shared, informed decision making; (b) efforts to improve the accessibility and clarity of consent forms and processes for clinical procedures and interventions; (c) efforts to enhance the conduct of advance care planning in patients with advanced illness.
3.The clinical ethicist will be responsible for coordinating, delivering, and evaluating programs of education in clinical ethics for medical students, residents, nurses, and learners and practitioners in other health care professions and disciplines. The specific expectation here is that the clinical ethicist will assume “lead” responsibility for educational programs within the Center for Translational Bioethics and Health Care Policy.
SKILLS AND ABILITIES:
• Excellent oral and written communication skills, including confident, well organized public speaking as well as well organized, lucidly written prose;
• Demonstrated ability to analyze the various dimensions (clinical, communicative, ethical) of problems and challenges in patient care quality;
• Demonstrated ability to analyze and assess the ethical rationales for different goals and treatment options in the care of specific patients, including a facility with the language, concepts, and methods of clinical ethics;
• Ability to conduct and facilitate ethics-specific communications within multidisciplinary teams and between teams and patients/families; and
• Skills in qualitative, quantitative, and “mixed methods” research are preferred.
EDUCATION AND/OR EXPERIENCE:
• A doctoral degree (PHD, MD/DO, DNP, etc.) is required along with specialized education and training in clinical ethics; completion of a fellowship in clinical ethics is strongly preferred.
• Three to five years' experience in addressing, analyzing, and resolving clinical-ethical challenges and problems including experience in teaching and in designing educational programs in clinical ethics is required.
• Experience in designing and conducting qualitative, quantitative, or mixed methods research is preferred.
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