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CENTER FORMEDICAL ETHICS& HEALTH POLICY2021 ANNUAL REPORT

It has been almost two years since the first COVID-19 diagnosis in theU.S. The pandemic continues to hold a tight grip on us all, and it’s deeplypersonal.Each of us has been impacted and/or knows someone impacted byCOVID-19 and the ongoing uncertainty the pandemic has created.During this time of upheaval, I am proud to report that our Center hascontinued to drive change through the work that we do.DIRECTOR’SCORNEROur team of clinical ethicists have been on the front lines helping patients,families, providers, and hospitals make challenging decisions through thepandemic. They have had to have very emotional meetings with sick anddying patients and their families, and have done their best to support ourfront-line healthcare providers to cope in the face of shortages in staffing,ICU beds, and life-saving equipment. They have also provided guidance toour hospital partners on the most pressing ethical issues they are facing as institutions, including scarceresource allocation, visitation policies, and vaccine mandates. I am extremely proud of the resilience,dedication, and agility of our team and our partners, who are doing everything they can to help providethe best care possible to everyone who needs it.Through our research and commentary, we have objectively assessed the landscape and identifiedopportunities for improvement as it relates to COVID-19 and beyond. We studied the psychologicalimpact of COVID-19 among the general population and addressed the importance of transparencyin vaccine research and the ethical allocation of future COVID-19 vaccines. We have also continuedimportant work related to advancing equity and inclusion in bioethics and public health, examining theethical, legal, and social implications of emerging technologies, and asking difficult questions aboutpatient decision aids, genetic genealogy, nudging, hospital education, and governance of human data.We have also been incorporating our learning and experience into our teaching and outreach programs.We are thinking critically about the benefits we’ve seen this past year of online learning and how to usethe increased accessibility to create new, more effective ways of connecting and engaging studentsand our community. We are committed to diversifying the field of both bioethics and clinical ethicsand launched our first-ever summer internship programs. And we are continuing to host regular GrandRounds and other events with our community on key topics in ethics and health policy.We are proud of what we’ve achieved this year, but we know there is still much more to do. As we lookahead to 2022 we see this as a time to REBOOT, REFRAME, and REIMAGINE what our new normalwill be. This is the theme of our upcoming TEDxBaylorCollegeofMedicine event in February 2022, andwe will continue to integrate it into our lives and our work throughout the year. And so I invite you tojoin us as we move into 2022 to take stock, reconsider, prioritize, and push the limits by asking the big,challenging questions and inspiring positive change, individually and collectively.We hope that what you read in our report excites and inspires you, our incredible partners,collaborators, and supporters. We’re excited to move forward together into the future and create abetter, more inclusive tomorrow.With gratitude and optimism, I hope to see and connect with you in 2022.Amy Lynn McGuire, J.D., Ph.D.1

OUR CENTER AT A GLANCE39YEARS CONDUCTINGRESEARCH AND INFLUENCINGPOLICY ON TODAY’S MOSTPRESSING ETHICAL ISSUESHOUSED ON THE MAINBAYLOR CAMPUS IN THETEXAS MEDICAL CENTER18PRIMARY FACULTYMEMBERS33SECONDARYFACULTY 24SCHOLARS40FELLOWSAND STAFFKEY AREASEducation: recognized leader in developing and providing top-rated medical ethics andhealth policy education Medical Ethics Pathway and Health Policy Pathway for Baylor students nMed Program, teaching ethics to medical students enrolled in aEcollaboration between Texas A&M’s College of Engineering andCollege of Medicine and Houston Methodist Hospital EP3 (Ethics, Professionalism and Policy Program) for Baylor residents rand Rounds in partnership with Baylor St. Luke’s Medical Center andGHouston Methodist for physicians, nurses, physician assistants and relatedprofessionals to stay abreast of ever-changing topics arrative Medicine Program, exploring the importance of story in the livesNof patients, learners and healthcare professionals ioethics Intensive Course, with Houston Methodist, for individuals whoBencounter complex ethical challenges in clinical practice and/or conductclinical ethics consultationsClinical Ethics Fellowship, a two year opportunity to develop the skills,training and experience to be competitive for positions in clinical ethics andacademic bioethics ummer internship program (research and clinical ethics) for college and/Sor graduate students hilosophical Ethics Program that involves collaborative activities withPlocal, national, and international partners2more

KEY AREAS (continued)Research: conducting comprehensive and original bioethics research32EXTERNALLYFUNDED PROJECTS60 3.9MGENERATED INTOTAL REVENUE1711%INCREASEFROM 2020NEW GRANTSSUBMITTED IN 2021PIECES PUBLISHED IN LEADING JOURNALS SUCH AS THE AMERICAN JOURNAL OF BIOETHICS,AMA JOURNAL OF ETHICS, GENETICS IN MEDICINE, JOURNAL OF THE AMERICANMEDICAL ASSOCIATION Clinical Ethics Consultation: one of the largest clinical ethics programs in the country500 L eading Clinical Ethics Services at Baylor St. Luke’s Medical Centerand Houston Methodist, providing 24/7 consultation, ethicseducation, policy development, and serving as chair andco-chair of ethics committeesETHICSCONSULTATIONSA YEAR Leading the Texas Ethics Consortium and TMC Ethics WorkstreamStrategic Initiatives & Community Outreach: creating a meaningful connection betweenthe work we do and the people whose lives are impactedEvents:TEDxBaylorCollegeofMedicineHealth Policy Research DayBaruch A. Brody Award & Lectureship Bringing together leadingthinkers and doers to shareideas. Register to attend.Highlighting and discussingcontemporary issues in healthand science policy.Communications P osition Statements on behalf ofBaylor College of Medicine andspecial projects S ocial Determinants of Healthjournal club Ongoing media relations,engagement and conferences 4 0 quotes in key outlets suchas The Atlantic, STAT, HoustonChronicleRecognizing junior and midlevel scholars making importanttheoretical contributions tobioethics. Register to attend.PolicyWise Blog 44posts published/year4,000views averageSocial Medial Presence 2,700followers 10,000 tweets3

2021 HIGHLIGHTS: Our Efforts to Reboot, Reframe andReimagine Medical Ethics and Health PolicyREBOOT: Evolving and expanding how learners and our community engagewith ethics and policyLike everything else this past year, the pandemic caused us to rethink how we approachour work. Instead of “business as usual,” we used this year to create new opportunities toreach more people in more places.Shaping the Future by Growing our Learning Community RECRUITED 3 FELLOWSGraduated our first cohortof Health Policy Pathway(HPP) students and largestever cohort of MedicalEthics Pathway (MEP)students OUR RESIDENT EDUCATIONALINITIATIVE (EP3) ENGAGEMENTSESSIONS REMAINED ROBUSTI ntegrated 40 PhysicianAssistant students intoour small group sessionsas part of our MedicalEthics Pathway 42 577SESSIONSPARTICIPANTSHolland Kaplan, M.D.BIOETHICS & HEALTHPOLICY FELLOWMedical Degree, Internal MedicineResidency & Chief Residency,Baylor College of MedicineFaculty, Harris Health System’sBen Taub HospitalCompleted our first year directing andteaching the ethics and professionalismcurriculum for students at Texas A&M’sEngineering in Medicine program atHouston Methodist Hospital (ENMED)Maggie Taylor, Ph.D.CLINICAL ETHICS FELLOWDoctorate in PhilosophyUniversity of Colorado, BoulderSuccessfully executed a virtual version of our BioethicsIntensive Course with 60 attendees from 27 differentstates covering topics such as informed consent andcapacity, drafting and implementing ethics policies,quality improvement strategies, professionalization ofclinical ethics consultation, facilitating family meetings,responding to religious reasoning, and more!Eleanor Gilmore-Szott, Ph.D.CLINICAL ETHICS FELLOWDoctorate in PhilosophyUniversity of Utah4

Bringing Creativity through New Methods of Teaching, New Collaborations & New Topics eveloped innovative supplementalDactivities to replace clinical shadowingto help give our students the experiencewithout being in person. This includedcurated podcasts, books, and interviewswith different members of the care team,including clinicians and chaplains. ffered 8 Virtual Grand Rounds inOpartnership with Baylor St. Luke’s MedicalCenter and Houston Methodist with higherattendance than ever before on topics suchas research ethics during a pandemic, braindeath, human trafficking, and more!Held our annual Health Policy Day with 200 participants acrossthe TMC focused on collaborations during the pandemic andbeyond with speakers from Baylor College of Medicine, BaylorSt. Luke’s Medical Center, University of Houston - College ofMedicine, Rice University’s Baker Institute for Public Policy,Episcopal Health Foundation, Harris Health System, Aetna BetterHealth of Texas, and Arcadia. Former Assistant Secretary ofHealth at the U.S. Department of Health and Human ServicesDr. Brett Giroir gave the keynote. aunched a Philosophical Bioethics Program including partners at the OxfordLUehiro Centre for Practical Ethics, Georgetown’s Kennedy Institute of Ethics,and NYU’s Center for Bioethics, and local collaborations with Rice University’sPhilosophy Department and philosophers in UTMB’s Institute for Bioethics &Health Humanities. LAUNCHED OURFIRST EVER SUMMERINTERNSHIP TERNSAs part of our Narrative Medicine Program,collaborated with: R ice Medical Humanities and the Office ofProfessionalism at Baylor College of Medicine tohost novelist and essayist Esmé Weijun Wang I nprint to develop a series of reflective writingworkshops involving healthcare providers’ reflectionson taking care of patients during the pandemic I nternal Medicine Residency Program to develop aseries of medical humanities lectures as part of theirweekly didactics5

Driving Meaningful Impact by Increasing our Clinical Ethics Consult FootprintRyan Nelson, Ph.D. CLINICAL ETHICS FELLOWbecame a full-time faculty memberat our Center Ledthe development of an ECMO (extra-corporealmembrane oxygenation) pathway program foracute lung and/or heart failure in partnershipwith critical and palliative care colleaguesthat was instituted at both Baylor St. Luke’sMedical Center and St. Luke’s The Woodlands. ARTNERED WITH HOUSTON METHODIST TOPDEVELOP INTENTIONAL RESPONSE TO MORALDISTRESS AND OTHER HOSPITAL INITIATIVES.Bryanna Moore, Ph.D.CLINICAL ETHICS FELLOWaccepted a full-time facultyposition at UTMB ontinued to build the TMC Ethics Workstream and Texas EthicsCConsortium to coordinate across institutions and our response to thepandemic and other pressing clinical ethics challenges6

REFRAME: Challenging stereotypes and perceptions around equity, health,ethics and policyWe as a Center have a profound desire to spark action, inspire new commitments, change mindsand change outcomes, especially around traditionally taboo topics in ethics and policy, and tobring new and different voices, perspectives, and analysis to the forefront.Adding New Talent to Expand our Depth and ReachWelcomed 4 new faculty membersJon Wesley Boyd, M.D., Ph.D., M.A. Professor in the Menninger Department ofPsychiatry and Behavioral Sciences; Professor in the Center for Medical Ethicsand Health Policy. His areas of interest include social justice, access to care, humanrights, asylum and immigration, humanistic aspects of medicine, physician health andwell-being, the pharmaceutical industry, mass incarceration, and substance use.*Faith E. Fletcher, Ph.D., M.A. Assistant Professor in the Center for MedicalEthics and Health Policy. Her integrated public health and bioethics research agendainvestigates the healthcare and research experiences of traditionally marginalizedpopulations to inform ethically grounded and community-centered strategies.Kristin Kostick, Ph.D. Assistant Professor in the Center for Medical Ethics andHealth Policy. She is a medical anthropologist whose research focuses on ethical, social,and cultural factors related to emerging bio- and neurotechnologies. She has been at ourCenter as a staff scientist and research associate since 2014.*Ryan Nelson, Ph.D. Assistant Professor in the Center for Medical Ethics andHealth Policy. His research addresses the role of values in medical science and practice,with a particular focus on disability, psychiatry, neurodiversity, and end-of-life care.* Wes and Kristin started in 2020 but weren't highlighted in our last annual reportAdded 3 new scholarsHealth PolicyBindi Jayendra Naik-Mathuria,M.D., M.P.H. Associate Professorof Surgery and Pediatrics,Division of Pediatric Surgery,Baylor College of Medicine.Research Interests: Clinicaloutcomes, quality improvement,injury prevention, public health, gunviolence prevention, comparativeeffectiveness research.Nicholas J. Diamond, J.D., L.L.M.,M.Be. Global Health PracticeLeader at Crowell & MoringInternational, Adjunct Professorof Law at the GeorgetownUniversity Law Center andAssociate Scholar in the Centerfor Global Health at the Universityof Pennsylvania. Research Interests:Public health law, health policy,business and human rights, bioethics,public international law.Medical EthicsLinessa Zuniga, M.D.,M.Ed. Assistant Professorof Pediatrics, PediatricResidency Associate ProgramDirector, Baylor College ofMedicine, Texas Children’sHospital. Research Interests:graduate medical education,burnout, and professionalism.Starting in July 2021, she becamethe co-associate sirector of ourEP3 program.7

Added 2 former Health Policy scholars as Secondary FacultyAlison Haddock, M.D. Assistant Professor, Department Emergency Medicine,Baylor College of Medicine. Research Interests: Social determinants of health foremergency department patients and representation of women in depictions of physicians.She is a member of Harris Health Ethics Committee.Michelle Lopez, M.D., MPH Assistant Professor, Pediatrics - Hospital Medicine,Baylor College of Medicine, Texas Children’s Hospital. Research Interests: Inpatientresource utilization, patient communication, cultural competency, health disparities;, and socialdeterminants of health. Starting in July 2021, she became the director of our EP3 program.Covering New Ground through Innovative Grants B RAINshare: Sharing Data in BRAIN InitiativeStudies from National Institute of MentalHealth and the BRAIN initiative to identifychallenges and concerns and generateempirically-informed policy and practiceoptions that facilitate responsible data sharingwithin the BRAIN Initiative. Center PI: Amy L.McGuire, J.D., Ph.D. Implementation of Whole GenomeSequencing (GS) as Screening in a DiverseCohort of Healthy Infants: “The BabySeqProject” from the National Center for AdvancingTranslational Sciences to study how GSin infants can be implemented in diverse,resource-limited, “real-world” outpatientprimary care settings. Center PI: Amy L.McGuire, J.D., Ph.D. P olygenic Embryo Screening: TowardsInformed Decision-Making from the NationalHuman Genome Research Institute to quantifythe utility of polygenic embryo screening(PES), assess stakeholders’ perspectives andexamine its ethical implications. Center PI:Stacey Pereira, Ph.D. P olygenic Risk Scores in Child and AdolescentPsychiatry: Ethical, Clinical, and LegalImplications from the National Institute ofMental Health and National Human GenomeResearch Institute to study challenges in theclinical use of psychiatric polygenic risk scores(PRS), key stakeholders’ perspectives, and gapsin legal protections against privacy violationsand discrimination based on psychiatric PRS.Center PI: Stacey Pereira, Ph.D. P hilosophical Bioethics “Bootcamp” (SeminarSeries) from the Greenwall Foundation to increasethe quality and quantity of normative andconceptual work in the field of bioethics. CenterPI: Jenny Blumenthal-Barby, Ph.D.*Funded at the end of 2020 M easuring Perceptions of Utility of ClinicalGenome Sequencing (GS): Instrument Testingand Validation a supplement from NationalHuman Genome Research Institute to develop acomprehensive instrument that measures patientperceived utility of GS, assess the instrument’spsychometric properties, and validate theinstrument across the Clinical SequencingExploratory Research (CSER) sites. Center PI:Amy L. McGuire, J.D., Ph.D. S elf-governance in the Human GenomeEditing (HGE) Era: Can Science Rise to theChallenge? a supplement from National HumanGenome Research Institute; this project will be thefirst case-study to evaluate self-governance in therealm of human genome editing technologies.The findings of the case study will be furthertested and validated through a survey of workingHGE scientists. Center PI: Christopher Scott, Ph.D. M easuring the Effect of Medical HumanitiesActivities on Empathy, Burnout, andCommunication in Students and OtherLearners from the Association of AmericanMedical Colleges (AAMC) to sponsor andfacilitate a range of interactive and educationalactivities to improve the education, practiceand well-being of physicians through deeperintegrative experiences with the arts andhumanities. Center PI: Andrew Childress, Ph.D. C ORA: Cardiac Outcomes Risk Assessment*from the Agency for Healthcare Researchand Quality to develop an integrated clinicaldecision support platform for left-ventricularassist device (LVAD) therapy for heart failure,combining a patient decision aid with acomputer-based personalized risk predictiontool that uses AI/machine learning. Center PI:Jenny Blumenthal-Barby, Ph.D.8

C areer Development Awards from theNational Human Genome Research Institute» D eveloping Evidence-Based Guidancefor Engaging Rural Residents in theDeep South in Genomics Research usingstakeholder-engagement methods to informevidence-based guidelines to promoteequitable participation and partnership ingenomic discovery and translation. Thisstudy has the potential to serve as a modelto guide genomics research for othermedically underrepresented populationsto ultimately identify best practicesfor community translation of genomicdiscoveries. Center PI: Faith Fletcher, Ph.D.» A n ELSI-Integrated Evaluation of theFamily-Level Utility of Pediatric GenomicSequencing will develop an empiricallyinformed framework of normativevalues important to families of pediatricpatients, including ethical, legal and socialimplications (ELSI), which will then beused to elicit preferences for features ofsequencing from a nationally representativesample of parents in the U.S. Center PI:Hadley Stevens Smith, Ph.D.Disseminated our Insights through Publications, Media and Position StatementsWrote 1 position statement on behalf of the collegeExpanding Our Role In Promoting Trust In Science For COVID-19 Vaccine Acceptanceand BeyondPublished innovative findings and commentary in leading, high-impact journalsAccountability in Research: BeyondBabies: Implications of Human GenomeEditing for Women, Children, and FamiliesFrontiers in Psych: Psychological DistressAmong the U.S. General Population Duringthe COVID-19 PandemicAJOB Neuroscience: National Institutesof Mental Health Data Archive: Privacy,Consent, and Diversity Considerationsand OptionsGenetics in Medicine: Genetic Testing InAmbulatory Cardiology Clinics RevealsHigh Rate of Findings With ClinicalManagement ImplicationsAmerican Journal of Bioethics: Payingthe Right Amount to Challenge TrialParticipants – We Need to Use BehavioralScience Insights to Sell What’s RightJournal of the American MedicalAssociation: Determination of Brain DeathAmerican Journal of Bioethics: The Placeof Philosophy in Bioethics TodayAmerican Medical Association Journal ofEthics: How Can the Experiences of BlackWomen Living With HIV Inform Equitableand Respectful Reproductive HealthCare Delivery?Journal of the American MedicalAssociation Pediatric: PsychosocialEffect of Newborn Genomic Sequencingon Families in the BabySeq Project: ARandomized Clinical TrialNature Biotech: Voices of Biotech LeadersNature Genetics: Toward BetterGovernance of Human Genomic DataSpotlighting the Next Generation of Rising Stars in BioethicsThis year, the Brody Award recognized Dr. Camisha Russell, assistant professorof philosophy at the University of Oregon. Dr. Russell is pioneering the conceptof race as a technology. Her distinguished lecture covered “Meeting theMoment: Bioethics in the Time of Black Lives Matter”. Listen here; read theaccompanying piece in AJOB9

Provided thought-provoking perspective in top-tier media outletsSTAT:Can Parents Handle Finding Out Their Newborn Is At Higher RiskOf Certain Diseases? A Small Study Suggests They CanThe Biden Harris FDA Should Make Friends With IndependentResearchersThe Atlantic: Booster Shots: Is it Ethical to Get an Illicit One NowHuffingtonPost:3 Myths About COVID-19 Vaccine MandatesThat Need To Go AwayWSJ:Texas Bans Vaccine PassportsNPR:OPINION: Doctors Should Be More CandidWith Their PatientsLos AngelesTimes:Column: Why Spend Billions For Ancestry’sDNA Data If You Don’t Plan To Use It?Science:Controversy Flares Over Informing ResearchSubjects About ‘Incidental’ Genetic FindingsWIRED:The Pandemic Can’t End While WealthyNations Hoard ShotsEthics of Vaccinating Teachers — and KeepingSchools ClosedHoustonChronicle:They Are Like Gold: The Hunt For Houston’s ExtraCovid Vaccines Involves Strategy, Ethics And LuckWant A Vaccine At NRG Park’s Super Site?Show Up With WheelsTook on new roles with leading journals and organizations and received recognitionTrevor Bibler, Ph.D. RECIEVED A PRESIDENTIAL CITATION FROM ASBHJenny Blumenthal-Barby, Ph.D. SELECTED TO THE AJOB EDITORIAL BOARD; ASBH BOARD OF DIRECTORSJanet Malek, Ph.D. SELECTED TO CONTINUE TO SERVE ON THE ASBH CORE COMPETENCIES 3RD EDITION TASKFORCEFaith Fletcher, Ph.D. ELECTED AS A HASTINGS FELLOW; RECEIVED THE FIRST ANNUAL DR. CLARETTA DUPREEAWARD IN RECOGNITION OF VISION AND COMMITMENT TO JUSTICE IN BIOETHICSAndrew Childress, Ph.D. RECEIVED THE NORTON ROSE FULBRIGHT FACULTY EXCELLENCE AWARD IN THECATEGORY OF TEACHING AND EVALUATIONAmanda Gutierrez (Sr RA)RECEIVED BAYLOR’S NEWLY CREATED EQUITY TRAILBLAZER AWARD, WHICHRECOGNIZES SIGNIFICANT CONTRIBUTIONS AND ACCOMPLISHMENTS IN MOVING BAYLOR TOWARD BEING A MOREDIVERSE AND INCLUSIVE COMMUNITY10

REIMAGINE: Looking at 2022 with an eye towards finding new ways toadvance and improve policy and medical ethicsAs the world has changed, we’ve changed too. We’re approaching 2022 with a renewed, optimisticoutlook and are focused on bringing you new opportunities to learn and engage with us.Featuring Events to Challenge Your Thinking andEmpower You to Become an Agent of ChangeFEBRUARY1, 2022, 121:30PM CTBaruchA. BrodyAward andLectureshipTitle: “Fair Allocation in an Unfair World: The Ethics of AllocatingScarce Medical Resources” We are pleased to announce our2022 recipient is Govind Persad, J.D., Ph.D., Assistant Professorat the University of Denver Sturm College of Law and a GreenwallFoundation Faculty Scholar in Bioethics. Register to attendvirtually.FEBRUARY8, 2022,6-9:30PM CTIN PERSON;7-9:30PM CTLIVESTREAMTEDxBaylorCollegeof MedicineTheme: Reboot, Reframe, Reimagine Featuring 6 influential Baylorfaculty and 4 community leaders. Our goal is to build a meaningfulconnection between the work we do and the people we serve inthe community and to share inspirational stories of how we areimproving health through science, scholarship, and innovation.Don’t miss the opportunity to support and attend this unforgettableevening by becoming a sponsor!Please contact Emily Thiel at 713.798.6104 or Emily.Thiel@bcm.edu for sponsorship information and register to participate in our livestream event.APRIL 18-22,2022BioethicsIntensiveCourseProviding advanced knowledge, experience and leadership inclinical ethics and ensuring the agenda reflects how our currenttimes are changing. Learn more.MAY 2022HealthPolicy DayBringing together leaders to discuss and explore ideas for thefuture. Stay tuned for more details here.ONGOING EVENTSBioethics Grand Rounds: Covering topics such as vaccination mandates,research ethics, interfaith panel on emerging bioethics issues, surrogatedecision making, professional nursing and tolerance vs. inclusion. Learn more.Narrative Medicine Events: O ff Script: The Texas Medical Center’s storytelling hour features stories by doctors,nurses, medical students, undergrads and others. Off Script is a collaborationbetween Baylor College of Medicine’s Narrative Medicine Program and the UTHealth’s McGovern Center for Humanities and Ethics. We hold several events per year.Learn more. I nprint Partnership: We’re inviting all medical students and residents to attend oneor several Inprint readings for free — on a first come, first served basis. Each eventwill feature one or two renowned authors reading from and talking about their newbooks View schedule and sign up.11

CONTINUING TO EXPAND OURLEADERSHIP IN KEY AREAS:Our Goals for the Year Ahead 2022Continue to be a premier hub for tacklingthe most pressing ethical and policy-relatedissues by attracting, retaining and supportingrenowned researchers and teachers with diversebackgrounds and perspectives in the fieldtoday—and thereby promising students, fellowsand research associates who will be leading thefield tomorrowIncrease enrollment in all of our educationalofferings to help more people develop greaterknowledge and expertise in medical ethics andlearn how to apply policy concepts to currentproblems and questions in the healthcareenvironmentGrow our research portfolio so we can thinkmore expansively about emerging controversialtopics, especially those that are more high-riskand enable us to be bigger, broader and fasterin our response, which is needed to informpolicy locally, nationally, and internationallyContinue to expand our clinical ethics consultservice to improve patient care and integrateeducation into existing training programs atBaylor College of Medicine and at our affiliatedhospitals Deepen our connection and engagement withthe community on issues we see during clinicalethics consults and address in our research,with an eye towards improving understandingof medical ethics, promoting quality medicalcare and improving diverse representation in thebioethics fieldHow Your Contributions Can Help Support our Center: Resources to help recruit and retain world-class faculty and expand ourwork into new areas of research and education Pilot projects that enable us to respond quickly and think moreexpansively about controversial ethical and policy issues Fellowships to attract the best students and grow our field Stipends for bioethics and clinical ethics internships Support for our Center’s initiatives in the communityMake a donation. To learn more about specific philanthropicopportunities, contact us.COMMITTING TOBRINGING COMFORTAND GOOD DECISIONMAKING TO PATIENTSTHROUGH CLINICALETHICS CONSULTS“ A s clinicalethicists,we doour bestto helppatients,families,andhealthcare professionals worktogether to make good decisions– even when it seems all thebest options are off the table.Usually the results of our workare outside of our control,so we have to concentrateon what we can control:the conversations we have,the analysis we provide, thepromises we make. Sometimes,when everything falls intoplace, we make a concretedifference in a patient’s care.We know that if we weren’tinvolved, a patient would havecontinued to be confused, afamily would have made ahasty decision based on theirown emotions rather thanthe values of the patient, or ahealthcare professional wouldhave remained uncertainabout what they owe theirpatient. These are the casesthat keep me motivated. Seeingthat our analyses, actions,and guidance make confusingor conflict-ridden situationsbetter is a great motivatorand reminder.”– Trevor Bibler, Ph.D.Assistant Professor,Center for Medical Ethicsand Health Policy12

CENTER FORMEDICAL ETHICS& HEALTH POLICYB C M . E D U/ E T H I C SThank you for taking the time to read our annual report. We’d welcome the opportunity tohear from you and get to know you better.JOIN US!DONATEHelp support our mission of conducting innovative multidisciplinary research on ethical issues arising inclinical practice and biomedical research. This research informs the education of trainees at all levels andcontributes to the development of health policy at the local, national, and international levels. If you’reinterested in learning more, click here or please contact the Office of Institutional Advancement and AlumniRelations at 713.798.4714.WORK WITH USWe are a fast growing Center with new opportunities. Check out our latest openings here.CONNECT & GET INVOLVEDFollow us on Twitter @BCMEthics, like us on Facebook and read our Blog.Check out our upcoming events. Subscribe to our mailing list to stay updated on the latest developments. GC98828

EnMed Program, teaching ethics to medical students enrolled in a collaboration between Texas A&M's College of Engineering and College of Medicine and Houston Methodist Hospital EP3 (Ethics, Professionalism and Policy Program) for Baylor residents Grand Rounds in partnership with Baylor St. Luke's Medical Center and