This is the third in our series about student elective rotations. Second year students in the UC/CCHMC GCP who are on track to complete their clinical logbook requirements are given the option to develop their own elective rotation. Students choose these rotations based on their interests or on skills they would like to obtain. Along with input from program faculty, they develop the learning objectives and outcomes for their rotation. Previous elective rotation posts were about the International Adoption Center and Starshine Hospice.
I was fortunate enough to rotate with the Cincinnati
Children’s Hospital Ethics Committee for the entire academic year, steadily
increasing my involvement as the year progressed. The Ethics Committee is an interdisciplinary
team made up of doctors, nurses, pastoral care, social workers, lawyers, and
even parents and families from the community. Ethics consultations can be
requested by any hospital employee, patient, or family member. When an ethics
consultation is requested, that request is first reviewed by a committee member
to ensure that it is within the scope of practice for the committee. Next, the
consultation is assigned to two committee members and they begin gathering
information. Once all information is gathered, the consultation is presented to
the consult team (a subcomponent of the Ethics Committee) for discussion and
development of recommendations.
I began my rotation by observing the committee meetings,
where we discussed cases that were at or near their resolution. These meetings
are opportunities to get a wide array of opinions on a topic and take the time
to learn important lessons from each case. I later began attending the consultation
meetings, in which new and ongoing consultations are discussed among the
smaller consult team. Here I was able to get a glimpse into the process of
coming to a recommendation on difficult cases that are currently developing.
My next step is to attend consultations when they are
called, which would be an opportunity for me to follow a case from start to
finish and see the evolution of ideas as the case is discussed in the meetings.
Overall this rotation has been a wonderful learning
experience and has allowed me to push myself to continue my well-rounded
education and to grow as a professional. I know the principles I learned in
this rotation will allow me to better understand the process of ethical
decision making and make more informed decisions when faced with an ethical dilemmas
as a practicing genetic counselor and I will be able to understand when I need
to get a hospital committee involved in the decision-making process.
--Sara Fernandes