Joseph Carrese, M.D., MPH, FACP
Joseph Carrese, M.D., MPH, FACP is Professor of Medicine and a core faculty member of the Berman Institute of Bioethics, Johns Hopkins University. His scholarship focuses on clinical ethics and professionalism, with a particular interest in medical education and examining ethical issues in the context of cultural diversity.
Dr. Carrese graduated from Williams College and the University at Buffalo School of Medicine. He completed a fellowship in the Robert Wood Johnson Clinical Scholars Program at the University of Washington in Seattle, where he studied medical ethics and anthropology. Dr. Carrese joined the faculty in the Division of General Internal Medicine at the Johns Hopkins University School of Medicine in 1994. He was supported by a Robert Wood Johnson Generalist Physician Faculty Scholars award from 1997-2002 and was a Blaustein Scholar in Clinical Ethics at the Berman Institute from 2005 -2010.
Dr. Carrese was on the Board of Directors for the American Society for Bioethics and Humanities from 2012-15 and is the immediate past-Chair of the Board of Directors of the Academy for Professionalism in Healthcare. He is Chair of the Ethics Committee at the Johns Hopkins Bayview Medical Center and Chair of an Institutional Review Board at the Johns Hopkins University School of Medicine.
Dr. Carrese is a primary care doctor who sees patients in the general internal medicine practice on the Johns Hopkins Bayview Medical Center campus.
The Challenge of Patients Who Refuse Recommended Management: An Ethically-Grounded, Practical Approach
Refusal of recommended management is a common problem in clinical practice. It is also a challenging problem because core ethical obligations are in conflict with each other when patients decline to do what health care professionals recommend. This presentation will identify the core ethical tension involved when patients refuse what is recommended; examine the possible reasons why patients might do this; and propose a systematic, ethically grounded and practical approach for assessing and responding to patient refusal of recommended management.
- Identify the core ethical tension involved when patients refuse what health care professionals recommend.
- Describe possible reasons why patients might refuse what is recommended.
- Use a systematic, ethically grounded and practical approach for assessing and responding to patient refusal of recommended management.
Responding to Cultural Diversity in Clinical Practice: Revisiting Core Ethical Principles Using a Patient-Centered Approach
We live in an increasingly diverse society. Consequently, health care professionals can expect to encounter cultural differences in the course of everyday patient care. Studies show that if ignored or inadequately addressed, cultural differences can result in conflict, decreased patient satisfaction, misdiagnosis, poor adherence to medical advice, and/or sub-optimal patient outcomes. This presentation will invite discussion about specific examples of encountering diversity in clinical practice that present challenges and concerns. An approach for responding to differences and diversity in clinical practice that is ethically sound and patient-centered will be presented and discussed.
- Recognize that we live in an increasingly diverse society and appreciate the implications of this reality for clinical practice.
- Review specific examples of encountering diversity in clinical practice that present challenges and concerns.
- Learn an approach for responding to differences and diversity in clinical practice that is ethically sound and patient-centered.
Both presentations will be recorded and posted here approximately two weeks after the live presentations. We recommend registering and selecting “Online Viewing.” Once the presentations are posted, an email will be sent to those who registered with links to both presentations and information on how to attain continuing education credit.