Patient rights

News

Prof. Consuelo H. Wilkins

"Law, Genomic Medicine & Health Equity" Event Tackles Policy Needs

December 3, 2018

On Thursday, Nov. 29 a group of eminent scholars and researchers convened at Meharry Medical College in Nashville to evaluate the current state of precision medicine and how access to it can be improved. Conference presenters shared a wide-ranging array of information about obstacles and solutions to delivering genomic medicine in clinical settings, with a particular focus on policies to promote health equity. The event, which involved several dozen in-person attendees and 200 webcast viewers, concluded with a talk by Consuelo H. Wilkins (Meharry-Vanderbilt Alliance). Prof. Wilkins described her work with the federal All of Us Research Program, for which she serves as head of the Engagement Core. She emphasized the need to address the underrepresentation of minority populations in research, as well as mistrust and limited genomic literacy. One of the important takeaways from Prof. Wilkins' talk was the need to reframe the benefits to research participants of collaborating in studies, from returning results to returning value – that is, information these communities find useful. The event was presented by the Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center, the Consortium, and the Minnesota Precision Medicine Collaborative. A special symposium based on the conference will be published in and issue of Ethnicity & Disease guest edited by Marino Bruce (Vanderbilt University), Vence L. Bonham (National Human Genome Research Institute - NHGRI) and Consortium Chair Susan M. Wolf (University of Minnesota). Video of conference sessions will be posted in the next 10 days; to receive notification, please email consortm@umn.edu

News

Science Magazine logo

Wolf, Evans Critique Recent National Academies' Return of Results Report

October 11, 2018

In an article appearing in the Oct. 12 issue of Science, Consortium Chair Susan M. Wolf and Barbara J. Evans of the University of Houston Law Center sound the alarm about a recent report from the National Academies of Sciences, Engineering, and Medicine. The Academies' report on "Returning Individual Research Results to Participants" makes recommendations on how to share research results and data with people who agree to participate in research studies and calls for problematic changes to federal law. In Science, Wolf and Evans argue that the Academies' recommendations are "rooted in confusion about the law." They maintain that "The Academies' report endorses the idea of participant access to results and data, but then builds daunting barriers. The report rejects established legal rights of access, two decades of consensus guidelines, and abundant data showing that participants benefit from access while incurring little risk. The report too often prefers paternalistic silence over partnership. . . . True progress on return of results requires accepting participants' established rights of access and respecting the value that participants place on broad access to their data and results. The next step is not to build barriers but to promote transparency." Read the entire Science article here

News

Star Tribune logo

Ketamine Study, Performed Without Patient Consent, Raises Alarms

June 25, 2018

An article in the Minneapolis Star Tribune describes concerns over a program in which paramedics from Hennepin Healthcare administer the sedative ketamine when responding to reports of extremely aggressive or agitated people. The newspaper obtained a draft report that examined the protocol, which was apparently driven by a study "which began last August, requires no consent from patients whose data can be used for research, but gives the subject the option to opt out afterward." The report alleges that in some cases, police encouraged or directed use of the drug. Representatives of Hennepin Healthcare explain that ketamine and and other sedatives "can be a lifesaving tool when paramedics encounter people showing signs of 'excited delirium,' a condition when severe agitation can lead to death." However, "a recent paper published by the hospital [noted that] 57 percent of study patients given ketamine required intubation — inserting a tube in the throat to help deliver oxygen." According to Carl Elliott, who is on the faculty of the Center for Bioethics, a Consortium member, “If I were asked to consent to this study in advance, I would refuse. I would never want to be in this study. And yet they’re describing it to people like it’s so uncontroversial that they can enroll them without even asking them.”

News

Datahead guy

MobileELSI Explores Ethical Issues in Health Research with Mobile Devices

May 17, 2018

Patient-led medicine, powered by mobile technology like smartphones and wearable fitness trackers, is transforming health research. While these new tools have powerful potential, some of this research is not subject to federal regulations, raising quandaries about how to ensure adherence to independent review, informed consent and privacy standards. A new NIH-funded project, MobileELSIwill develop and disseminate recommendations for the ethical conduct of this emerging research. It's led by Consortium collaborators Mark Rothstein (University of Louisville), Charlisse Caga-anan (National Cancer Institute) and John Wilbanks (Sage Bionetworks); Consortium chair Susan M. Wolf is serving on the Working Group. The Consortium hosted an event, How Patients Are Creating Medicine's Future, in Dec. 2016, featuring four experts in the field; video can be viewed here

News

Sharon Terry

Citizen Science Pioneer Diagnoses Medical Research Shortcomings

June 22, 2017

In a newly-released TEDMED talk, Sharon Terry of Genetic Alliance describes her journey to becoming a citizen scientist after her two children were diagnosed with the genetic condition pseudoxanthoma elasticum (PXE), which causes the symptoms of premature aging. She quickly learned “that there was no systematic effort to understand PXE . . . researchers competed with each other because the ecosystem is designed to reward competition rather than alleviate suffering.” In response, Terry and her husband, Patrick, educated themselves on the disease and gathered thousands of similarly affected people to initiate studies and clinical trials. The message of her talk is that “citizen scientists, activists using do-it-yourself science, and crowdsourcing are all changing the game.” Ms. Terry is a member of the working group for the LawSeq project, which is laying the policy groundwork to translate genomic medicine into clinical application; the principle investigators are Consortium Chair Susan M. Wolf, JD; Ellen Wright Clayton, MD, JD of Vanderbilt University; and Frances Lawrenz, PhD of the University of Minnesota. Last December, the Consortium sponsored an event on patient-led medicine and citizen science; video can be viewed here.

News

Logo for Petrie Flom Center, Harvard Law School

Patient-led Medicine Symposium on Harvard Bill of Health Blog

March 6, 2017

A symposium published today on Bill of Health, a blog edited by the Petrie-Flom Center at Harvard Law School, expands on discussions held at the Consortium's Deinard Memorial Lecture last December, "How Patients Are Creating Medicine’s Future." The Deinard lecture featured four speakers – Ernesto Ramirez of Fitabase, Jason Bobe of the Mount Sinai School of Medicine, Barbara Evans of the University of Houston Law Center, and Kingshuk K. Sinha of the Carlson School of Management at the University of Minnesota. The Bill of Health symposium provides commentary on their lectures and further reflections on the ways citizen science and wearables are transforming both health care and medical research. A video of the entire Deinard lecture can be viewed here

News

Logo for Dept. of Health and Human Services

Final Version of Common Rule Announced

January 18, 2017

The long-awaited updated version of the Common Rule – the regulations safeguarding individuals who participate in research – was announced today by the US Department of Health and Human Services. The goal of the revision is to strengthen protections of research participants without adding undue administrative burdens for researchers, particularly in low-risk studies. The Common Rule revisions will inform the expert presentations at the Consortium's research ethics events on March 8-9, consisting of a national conference, "The Future of Informed Consent in Research and Translational Medicine" on March 8 and the University of Minnesota's "Annual Research Ethics Day" on March 9. These events will be webcast; for more information and to register, visit the Consortium's events page. The Annual Research Ethics Day on March 9 will conclude with in-person workshops and trainings on practical research topics. To learn more, visit z.umn.edu/researchtr

News

Datahead guy

Experts Explore the Opportunities and Perils of Patient-Led Medicine

December 7, 2016

Yesterday's Deinard Memorial Lecture on Law & Medicine was a fitting conclusion to a visionary series. Hundreds of attendees heard from a multidisciplinary panel on the fast-moving, emerging field of patient-led medicine. Prof. Jason Bobe (Mount Sinai School of Medicine) kicked things off by examining the obstacles to broad patient engagement in research, and shared his efforts to empower potential research participants through the Personal Genome Project and Open Humans. Ernesto Ramirez of Fitabase discussed the move toward gathering, analyzing and sharing personal data, and how that has both sparked patient-driven collaborations and led to the development of devices such as the "artificial pancreas," for those with Type 1 Diabetes. Prof. Kingshuk K. Sinha (Carlson School of Management, University of Minnesota) broadened the conversation to include business perspectives, such as supply-chain management, that can be used to increase access to new health-care products, and also highlighted some potential pitfalls of self-treatment, such as patients using unproven or dangerous approaches. Prof. Barbara Evans (University of Houston Law Center) wrapped up with remarks about the ways laws and regulations meant to protect patients have, in some cases, served as an obstacle to participation in research. An article about the event from the Minneapolis Star Tribune can be read here

News

Logo for the Americans with Disabilities Act

Disability and End-of-life Medical Options

July 26, 2016

In an editorial in today's MinnPost, Bobbi Jacobsen, who has lived with amyotrophic lateral sclerosis (ALS) for 20 years, commemorates the passage of the Americans with Disabilities Act 26 years ago today by calling upon "the leaders of major disability organizations. . . to recognize that we want to be empowered in our end-of-life medical options, too." The article was written to raise awareness and support for Minnesota's Compassionate Care Act, which is modeled on an Oregon law that permits aid in dying but not assisted suicide. Jacobsen notes that the former only applies to terminally ill people: "Medical aid in dying applies to people who want more than anything to live, but a deadly disease is ending their lives." The bill was introduced in the Minnesota state legislature during the last session and was heard by the Senate Health Committee. It was withdrawn before a vote was taken, but is expected to be introduced again during the next session, which begins in January, 2017. 

News

Sophia Vinogradov

New Psychiatry Department Head Appointed

April 4, 2016

The University of Minnesota has hired a new leader for its Department of Psychiatry. Dr. Sophia Vinogradov, a schizophrenia researcher who has recently served as vice chair of the psychiatry department at the University of California, San Francisco School of Medicine, will start in August. New leadership for the department is one of several steps being taken to address issues raised in external reviews of the University’s protection of human research participants. Dr. Vinogradov replaces interim department head Dr. Mark Paller, senior associate dean of the Medical School, who has led the department since last August when Dr. Charles Schulz resigned. Learn more in articles from the Star Tribune, Pioneer Press, and Minnesota Daily.

News

Scan of brain with injury

Football Concussion Safety Guidance Inadequate, Say Two U Professors

November 11, 2015

An editorial in the January, 2016 issue of the American Journal of Bioethics responds to recent football safety recommendations for children and teens from the American Academy of Pediatrics (AAP). Dr. Steven Miles of Consortium member the Center for Bioethics, and Dr. Shailendra Prasad, who specializes in family medicine and community health, co-authored the commentary, which states that the AAP guidelines don't go far enough. They cite increased understanding of the dangers of concussion, especially for young people who are more susceptible than adults to long-term damage from head trauma. Miles and Prasad conclude by calling on "the medical community [to] help students, schools and society leave a sport on which the sun is setting." 

Publication

Research

Logo for Patient-centered Outcomes Research Institute

Patient-Centered Network of Learning Health Systems (LHSNet) – Phase II

This grant provides funds for the Patient-Centered Network of Learning Health Systems (LHSNet) to participate in PCORnet, a unique collaborative designed to link researchers, patient communities, clinicians, and health systems in productive research partnerships that leverage the power of large volumes of health data maintained by the partner networks. LHSNet includes partners across six states and nine academic medical centers, healthcare systems, public health departments and private health plans touching approximately 10 million individual lives, including patients in underserved and rural areas.

Symposia

Symposia