The Ethics of Rationing Care during the COVID-19 pandemic

Join EDU Prof. Dr. med. Elliot Goodman (Icahn School of Medicine at Mount Sinai, New York City, USA) as he hosts a public lecture on the topic of rationing care during the COVID-19 pandemic. Our main lecturer will be Kristina Orfali, PhD., Professor of Bioethics at Columbia University, Vagelos College of Physicians and Surgeons in New York, USA.   

The world faced dramatic shortage of resources when it came to ICU beds, ventilators, masks and staff during the COVID-19 pandemic. Consequently, especially during the first wave, countries have been bound to consider ethical issues raised by allocating scarce resources.

Despite a common recognition of the need of triage, responses and debates differ around which criteria should be used, how guidelines should be implemented and who should ultimately decide. In this presentation, Kristina Orfali, PhD. will compare discussions and guidelines around triage and the reality of triage decisions in the United States and Europe, both in anticipation of and during the pandemic. Important lessons in transparency, trust and accountability for policy-makers can be drawn from this comparison, demonstrating that fostering public involvement remains the critical element for the sustained acceptance of any triage.

Dr. Elliot Goodman

Dr. Elliot Goodman (UK) is a general surgeon, who trained at the Maimonides Medical Center in New York. He was active as a research fellow at Columbia University from 1992 to 1994During his career, Dr. Goodman has been internationally affiliated with multiple hospitalssuch as the Icahn School of Medicine of Mount Sinai and Bar Ilan. Dr Goodman is currently pursuing his interest in healthcare leadership and management, where he hopes to complete his MBA in 2022.  

Dr. Elliot Goodman grew up in England and went to Cambridge University for his undergraduate and medical education. He moved to the USA in 1990 and trained in general surgery at Maimonides Medical Center in Brooklyn, NY. He was a research fellow at Columbia University from 1992 to 1994.  

After completing his training, he joined the surgical faculty of the New Jersey Medical School (1997-1999). Since then, he has been on the faculty of the Albert Einstein College of Medicine (1999-2015) and the Icahn School of Medicine of Mount Sinai.  

Dr Goodman is a visiting professor at two medical schools in Israel (Bar Ilan University and Ben Gurion University) and, as of 2020, EDU. For the last few years, he has developed an interest in studying and teaching leadership, strategy and change management in the field of healthcare. He hopes to complete his MBA in healthcare leadership and strategy from the University of London at the end of 2022. 


Kristina Orfali, PhD.

Kristina Orfali, PhD., is a Professor of Bioethics at Columbia Medical Center, a clinical ethicist and a member of the NY Presbyterian Morgan Stanley Children’s Hospital Clinical Ethics Committee. Trained in France at the Ecole Normale Supérieure and the Institut d’Etudes Politiques de Paris, she holds a PhD. in Social Sciences from the Ecole des Hautes Etudes en Sciences Sociales in Paris. She is currently the co-director of the course on Clinical Pediatrics Ethics for medical students at Columbia University Medical Center. Her most recent work is on ethical issues around triage during the Covid-19 pandemic. 

Before joining Columbia University Medical Center, Kristina Orfali has been an Assistant Professor in Medicine and Associate Director at the MacLean Center for Clinical Ethics at the University of Chicago and a Research Scholar at the Institute for Social and Economic Research and Policy (ISERP) at Columbia. Kristina Orfali’s comparative research and publications span a variety of ethical issues and her work has been extensively published in Social Science & Medicine, Sociology of Health & Illness, Journal of Clinical Ethics, American Journal of Bioethics, Hastings Center Report and many others.  She has authored or co-edited several books, including The View from Here: Bioethics and the Social Sciences (2007), Who is my Genetic Parent? Assisted Reproduction and Donor Anonymity: a cross- cultural perspective (2012), Families and End of Life Treatment. An international perspective (2013), The Female Body: A Journey through Law, Culture and Medicine (2014), Reproductive Technology and Changing Perceptions of Parenthood around the world (2014), Protecting the Human Body: Legal and Bioethical Perspectives around the World (2016) and The Reality of Human Dignity in Bioethics and Law: Comparative Perspectives (2018). As a sociologist with broad cross-cultural experience in the study of the practice of bioethics, medicine and clinical ethics, she has published work on clinician and family decision making, on neonatal ethics and on comparative bioethical issues. Her most recent work is on ethical issues around triage during the Covid-19 pandemic. 

She is an Associate Editor for the Journal of Bioethical Inquiry, and a member of the Advisory Board of the Columbia Maison Francaise, of the International Academic Network on Bioethics (IANB), of the Paris Faculty Advisory Committee of Columbia Global Centers and of the Scientific Advisory Board of the Master Program Law, Economics and Bioethics at University of La Sapienza in Rome, Italy. rector of the course on Clinical Pediatrics Ethics for medical students at Columbia University Medical Center. 

Leadership in Healthcare Series

Welcome to the third presentation in EDU’s series of lectures on healthcare strategy and change management. This event series will feature prominent speakers who have worked in leadership positions during some of the most trying healthcare crises of our lifetime. They will share their often-painful personal experiences and hard-earned lessons to provide participants a deeper understanding of managing teams and executing strategy in times and conditions of volatility, uncertainty, complexity, and ambiguity (VUCA).  

These introductory lectures will show how effective crisis management in healthcare can be boiled down to just a few areas of concentration: putting people first, managing operations flexibly and creatively, focusing on teamwork and communication, creating outside partnerships, and embracing clear, and humble leadership. 

If you missed the first event, find the write-up here.

In light of the current crisis in Ukraine we made the decision to postpone EDU’s next Healthcare in Leadership event until further notice. We hope you understand and we will keep you updated about the rescheduled date. 

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