Vol. 13, No. 5 - January 2008 Page 1

JOINT CENTRE FOR BIOETHICSN E W S L E T T E R

University of Toronto

January 2008Inside This Issue:

Featured Article: “Community Based Ethics”

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Student Perspectives:“How I Got Started in Bioethics”

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Awards 7

Recent Publications 7

Fellowships in Clinical & Organizational Ethics 2008-09

8

Call for Papers 9

Call for Abstracts 10

Seminars, Events & Conferences 10

Jobs 11

ePresence Archives 12

JCB 10-Year Report 12

Newsletter Contact Information 13

Bioethics This Month

January 9, 2008Angus Dawson, PhD, Visiting Faculty Fellow, Centre for Ethics, University of Toronto and Senior Lecturer in Ethics & Philosophy, Centre for Professional Ethics, Keele University, UK. “Children’s vaccinations, parental disagreement and the limitation of the ‘best interests’ test,” 4:10–5:00 pm, Great Hall, JCB. This seminar will also be webcast.

January 16, 2008Robert S. Williams, PhD. “Experiences of Duty of Care of Hospital Staff Reporting to Work During the 2003 SARS Outbreak in Toronto,” 4:10–5:00 pm, Great Hall, JCB. This seminar will not be webcast.

January 23, 2008Ann Kerr-Linden, MSW, RSW, Psychotherapist and Story Teller and Karen Faith, Med, MSc, RSW, Director, Clinical Ethics Centre, Sunnybrook Health Sciences Centre. “Jean’s Story: A Narrative on the Toronto Flu Epidemic of 1918,” 4:10–5:00 pm, Great Hall, JCB. This seminar will also be webcast.

January 30, 2008OGI-JCB Benchside Ethics Seminar Series - TBD, 4:10–5:00 pm, Great Hall, JCB. (Details will be posted on the JCB website when they become available - http://www.utoronto.ca/jcb.) This seminar will also be webcast.

The Joint Centre for Bioethics (JCB) is a partnership among the University of Toronto; Baycrest Centre for Geriatric Care; Bloorview Kids Rehab; Centre for Addiction and Mental Health; Centre for Clinical Ethics a shared service of Providence Centre, St. Joseph’s Health Centre, and St. Michael’s Hospital; The Hospital for Sick Children; Humber River Regional Hospital; Mount Sinai Hospital; North York General Hospital; Ontario Genomics Institute; Sunnybrook Health Sciences Centre; Toronto Community Care Access Centre; Toronto East General Hospital; Toronto Rehabilitation Institute; Trillium Health Centre and University Health Network.

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Contributed by:

Hannah Kaufman, Fellow, Clinical & Organizational Ethics, JCB

and Frank Wagner, Bioethicist, Toronto Community Care Access Centre and the JCB

In recent years, community-based care has been increasingly recognized and appreciated as a viable and desirable alternative to institutionalization for the elderly, for those with disabilities or chronic conditions, and for recovery and rehabilitation after acute treatment. People are living longer and they want to maintain their independence in their homes and communities as long as possible. At the same time, for a variety of reasons, hospitals are under pressure to discharge patients as soon as they can, often to recuperate at home.

Ongoing advances in assistive technology have resulted in increased availability and affordability of products and services designed to support people in their homes and in their community. While these products and services have erased many barriers for individuals wanting to remain in their homes, they don’t always address the possibility of ethical dilemmas involving clients, their families or caregivers, and health care workers. These are further exacerbated

by the lack of investment in human health infrastructures and chronic care management programs in the community.

Ethics in community care are not typically at the forefront of attention in health care. Eclipsed by serious issues raised by the pressures to discharge patients from acute settings, home health staff often face alone concerns stemming from patients discharged ‘sicker and quicker’. Their moral distress and residue needed a common approach and language.

As the case below illustrates, situations in the community are often framed as a series of practical and personal problems rather than being seen as ethical issues. However, a decision-making framework using ideas expressed in terms of community values statements facilitates identification, communication, and resolution of ethical dilemmas (such as conflicts between respecting a client’s wish to return home and her/his realistic understanding of limitations).

In response to the complex issues facing staff providing care in the community, the Toronto Central Community Care Access Centre (CCAC) and the Community Ethics Network (CEN), a consortium of 30 community-based agencies, have developed the Community Ethics Toolkit (http://www.utoronto.ca/jcb/ethics/cen.htm). Access to a language of communication for ethical decision-making -- regardless of their discipline or the organization in which they are employed -- assists team members in approaching ethical dilemmas similarly, facilitates collaboration, improves worker satisfaction, and achieves greater consistency in practice.

The toolkit includes a Code of Ethics, a decision-

Featured Article - “Community Based Ethics”

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JOINT CENTRE FOR BIOETHICS

Featured Article

making framework and worksheet. Its concepts and language have a minimum of jargon, making it accessible, easy to learn, and simple to use on one’s own or with team members. But the toolkit is just a tool, one that presupposes educating and supporting staff in its use.

Case Scenario

The composite case of Mrs. V. (which has no identifiable personal information) de-monstrates the types of ethical issues that arise in the community and, in this case, the transition from hospital to home. Patient wishes clash with the well being of a family unit. Complex issues regarding risk assessment vs. duty of care can erode the patient’s and family’s trust in the health care system.

Mrs. V. is an 83 year old Spanish-speaking woman who, although she has live in Canada for 20 years, has never learned to speak English. She lives in the basement apartment of her brother and sister-in-law’s home. They too are in their eighties.

Mrs. V. has severe arthritis which makes it difficult for her to bend her arms and legs. She can barely bend from the waist. She spends most of her time alone in her apartment. Once a day she pulls herself up the stairs using the railings for support, to have dinner with her family.

Mrs. V. recently was admitted to hospital after a fall. Her arm is broken. Now it is impossible

for her to get up the stairs or perform everyday tasks. When she is ready for discharge, her medical team wants her to be transferred to a long-term care home. Mrs. V. very much wants to go home, which her CCAC Care Coordinator believes possible with equipment and services, and some additional personal support from her family. However, Mrs. V.’s brother does not

want to spend the money on equipment: “If the hospital is sending her home, she must be recovered enough to manage as she did before. We’re too old, and can’t help much. She’ll just have to come home without the equipment or the help, since CCAC won’t supply enough.” The case manager feels stuck between differing needs,

opposing assessments of risk, honouring Mrs. V.’s desire to live at home, and her understanding of her family’s vulnerability.

Using the Ethical Decision-Making Worksheet helps the Care Coordinator pinpoint and weigh the conflicting factors at play in this case scenario. Based on this information, the Care Coordinator can formulate, analyze, implement and assess the best possible decisions with Mrs. V. She can discuss her analysis with the care team in a logical, non-threatening manner.

The worksheet consists of four basic steps, IDEA: Identify the facts; Determine the ethical principles in conflict; Explore the options and Act on the decision and evaluate.

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The facts of Mrs. V.’s situation are outlined above, so the next step is to determine the ethical principles involved. Using the Community Code of Ethics, the Care Coordinator identified three principles.

Informed Choice and Empowerment: Mrs. V. is capable of making her own decisions. The Care Coordinator chose to advocate for the client’s preference, as both the hospital team and her family were ready to impose their wishes without consulting her.

Fair and Equitable Access: Funding constraints made it almost impossible to provide the hours of care Mrs. V. needs to return home.

Health and Well Being: Mrs. V. is definitely at risk in her home, but is capable of making the decision on her own behalf.

The third step is to explore options, defining the strengths and weaknesses of each. Option one is to accede to the hospital’s wishes and place the client in a long-term care home. She would get the care she needs, decreasing the risk. However, this is not what she wants and she would be separated from her family.

Option two is to go along with the family’s plan and send her home with no supports. She’d be happy, and family does not incur extra expenses. Unfortunately, her risk of falling would increase, and she might become isolated in her basement apartment. Day-to-day tasks would be difficult, including preparing the two meals she does not share with her family.

A third option is to make an exception and procure equipment not usually supplied. Home supports then may be welcomed by the family. Mrs. V.’s risk of falls is still present, and she will have to manage much of her own care, which may be difficult for her.

The Care Coordinator acts on option three, but also realizes that she needs more facts. An Occupational Therapist is requested to assess mobility and other issues, and make recommendations for any additional services. A local agency that provides services to shut-in seniors agrees to provide a friendly visitor and telephone reassurance, which Mrs. V. is happy to accept. Lastly, a social worker starts to meet with Mrs. V. and her family with a trained interpreter, to facilitate their ability to communicate their concerns with each other and develop solutions to maintain Mrs. V. in her home.

In evaluating her final decision, the Care Coordinator recognized it was not ideal, but was happy Mrs. V.’s wishes were respected. The social worker discovered that the family were concerned they couldn’t cope with Mrs. V.’s care needs alone, so refused to buy equipment hoping Mrs. V. would not want to return home without it. Once they realized support would be offered to them, they were willing to explore solutions, such as equipment rental, and having dinner downstairs with Mrs. V. The Worksheet helped the Care Coordinator work through a conflicted situation.

Featured Article

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Student Perspectives - “How I Got Started in Bioethics”

Toronto to study Master’s in Bioethics (MHSc) at the Joint Centre for Bioethics (JCB). I am glad to be an international student at the JCB and I think the Master’s program has enriched my knowledge and achieved high standards of education. Besides study, we at the JCB have many activities including, but not limited to, attending conferences and Research Ethics Board (REB) meetings, hosting experts in the field to come and talk, and attending many seminars on various topics. I consider the MHSc in Bioethics as a new and essential step in my career development and a strong pillar for the sake of future expansion of bioethics principles around the world.

By: Sadaf Sheikh, MHSc Student, International Stream, Joint Centre for Bioethics, University of Toronto

Although I started medical school with an inclination toward primary care, my

choice of doing research in bioethics after graduation was not a foregone conclusion. First, it provided me the in-depth flavour of burning issues of health care. Health care is one of the negligent fields in Pakistan. It also allowed for acquiring skills to get connected with patients, societies, and common people living in communities who are facing these real life difficulties.

After working for a project on the situation analysis of bioethics in the Universities of Pakistan, we found out there was almost nothing in there.

By: Zaid Gabriel, MHSc Student, International Stream, Joint Centre for Bioethics, University of Toronto

With the current in-novations and the advent of technology in health

care and medicine, many bioethical issues have raised to the surface. In such a challenging environment, health professionals are in need of policies and guidelines based on ethical theories and principles to support their practice ethically. Being a dentist, I personally faced many ethical challenges throughout my clinical practice, in which the community is involved as well as individuals.

In 2005, I started my Master’s study at University of Helsinki. I gained a scientific theoretical background in health research, health service quality improvement, as well as medical ethics. Honestly, the course of Medical Ethics was new to me at that time. Nevertheless, the course director Prof. John Williams was successful in raising many concerns regarding current ethical issues in health research and medical practice. Issues like euthanasia, persistent vegetative state and end of life decisions, genetic manipulation and research ethics, I was not aware of during my previous practice. I felt practitioners and health researchers around the world have an ethical obligation, which goes side-by-side with the scientific one, to protect and work for the utmost benefit of the patient.

In 2007, I was accepted at the University of

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Student Perspectives

With this motivation to build capacity in bioethics in my university and in the public sector, I armed myself with this notion of pursuing a Master’s course at the University of Toronto. Bioethics offers me the most interesting spectrum of patient care too. Although some may view this variety as a daunting challenge, I see it as a constant spark of excitement in the practice of medicine.

Pakistan has a beautiful landscape comprised of lands for cultivation, mountains, and rivers but with a primitive health care system. Efforts are ongoing but with the lack of concrete systems for providing basic health care, we have a long way to go. Access to health care is a privilege for common people in my country and while eyeballing them it brings up an enormous amount of research ethics questions in my mind. This thought process provided me with a starting point to look into these significant and, of course, basic issues of health care systems.

I believe that scarce resources is not the only response, it also depends on the existing cultural and political behaviours. Partially knowing the answers and issues related to bioethics brings me much closer to the reality. That was the deciding moment when I thought about taking up the MHSc course at U of T. I realized that without getting overwhelmed how can I prepare myself to provide strategies which I am learning everyday in my Master’s course under the valuable supervision of my professors and kind faculty at the JCB.

To begin with my clinical years and public health

rotations in Pakistan showed me the diverse colours of it initiating from conducting commu-nity surveys to an establishing cancer tumour bank. It always seems challenging to me, the ethical dilemma in health care and the ethical considerations in Research designs. Spanning from evidence based medicine to philosophy, from legal cascades to critical appraisals research skills, genomics, palliative care, geriatric care, and pediatrics, you name it and ethics has it.

As a field that continuously changes through medical and technological advances, bioethics encourages the ability to engage in research. One of my great motivations in studying medicine is the opportunity to study and learn throughout my career. My introduction to bioethics in medical school generated great interest and a desire to

learn much more about its practice and new de-velopments. I appreciate the expanse of mate-rial involved and knowledge yet to be acquired in the study of bioethics.

The Master’s program at the Joint Centre for Bioethics, University of Toronto, provides an unparalleled opportunity for students to cover much of the issues and methodologies in bio-ethics, from ethics and advances in biomedical science, to ethics and public health and health policy, to ethics and clinical care. I am looking forward to gaining exposure to research ethics, clinical medical ethics with clinically oriented op-portunities with the formation and evaluation of public policy. My other interests are the ethical issues of surgical innovations and genomics. It’s a great opportunity to identify and concentrate

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Recent Publications

Bensimon CM, Tracy CS, Bernstein M, Zlotnik Shaul R, Upshur REG. A qualitative study of the duty to care in communicable disease outbreaks. Social Science & Medicine 2007; 65: 2566-75.

Gordon M. Pull the plug on the living will. The Medical Post Dec 4, 2007: 138-150.

Nie JX, Wang L, Upshur REG. Mortality of el-derly patients in Ontario after hospital admission

for chronic obstructive pulmonary disease. Cana-dian Respiratory Journal 2007; 14(8): 485-9.

Schwartz B. Access to Care: A Social Justice Dis-cussion. Alpha Omegan International Journal Sept 2007; 100(3): 143-7.

on my research objectives and to find appropriate faculty who can contribute as critical readers and mentors.

Everyone who goes to medical school has unique experiences that lead them to discover their own personal niches. In this way, I can share in the lessons learned from other people’s journeys while I continue on

Student Perspectives

my own. The bridge and rela-tionship between bioethics and medicine are well connected. They hold a common approach and their corresponding knowl-edge funds are both diverse and comprehensive. I look forward to being able to employ that knowledge competently and ef-fectively throughout the course of my career.

Awards

Two awards are being administered by the On-tario Council of Graduate Studies (full details on the OCGS website):

1. The Autism Scholars Awards (http://ocgs.cou.on.ca/_bin/home/autism.cfm)2. Ontario Women’s Health Scholars Awards (http://ocgs.cou.on.ca/_bin/home/women-shealth.cfm)

The deadline for students to submit their appli-cation for these awards to the Fellowship and Loans Office, School of Graduate Studies (63 St. George St. Room 202) is Friday, January 18, 2008 (no extensions). All applications for both rewards require the “Signature of the Dean of Graduate School”. Questions should be directed to Shelley Eisner at shelley.eisner@utoronto.ca.

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Fellowships in Clinical & Organizational Ethics 2008-09 University of Toronto

The University of Toronto Joint Centre for Bioethics (JCB) invites applications for paid Fellowships in Clinical and Organizational Ethics starting in September 2008. The Fellows will spend one year supporting ethics programs in JCB

healthcare partner organizations, contributing to the intellectual/ scholarly activities of the JCB, and thereby enhancing skills in clinical and organizational ethics activities (consultation, policy development, teaching, research ethics, research, and other organizational/clinical ethics program initiatives). There will be an emphasis on developing leadership capacity in these areas. Through the JCB, Fellows will have numerous opportunities for multi-disciplinary ethics networking, continuing education, and access to a wide range of clinical ethics and organizational ethics expertise in a variety of health care settings. The Fellowships provide a unique opportunity for Fellows to make significant contributions to the ethics programs at the JCB healthcare partner organizations, and to broaden and deepen their own scholarly and clinical expertise. The stipend for this fellowship is CAD $38,000/year.

The ideal candidates will hold a graduate degree in bioethics or have a professional degree with significant bioethics training, and will have had some previous experience in applied clinical and/or organizational ethics, including consultation and teaching. Applicants will be ranked based

on five criteria: 1) previous training in bioethics, 2) experience in an applied clinical and/or organizational setting (preferably in clinical and/or organizational ethics), 3) commitment to a future in clinical and/or organizational ethics, 4) potential to make intellectual/scholarly contributions to bioethics, and 5) interpersonal skills.

If currently enrolled in a degree program, graduate students must have completed their degree or have formally submitted their thesis for defense before start of the Fellowship. Graduate students must have their supervisor send a letter confirming their graduation or formal submission of the thesis before the start of the fellowship.

Please send: a) a curriculum vitae, b) a letter of intent describing your interest in clinical ethics and in this Fellowship and explaining how your experience prepares you for the Fellowship, and c) three letters of reference, to:

Administrative Assistant for Barbara SeckerUniversity of Toronto Joint Centre for Bioethics

88 College StreetToronto, ON M5G 1L4

Applications can be emailed to: adrienne.grapko@utoronto.ca

For questions, please contact Adrienne Grapko via email as above, telephone (416) 978-1898 or fax (416) 978-1911.

The selection committee will accept applications until January 15, 2008.

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Call for Papers

The Ninth Asian Bioethics Conference of the Asian Bioethics Association in Yogyakarta, Indonesia, November, 3-7, 2008 - Bioethics in Asia: Healthy and productive life in harmony with nature.

Preliminary call for papers: Research findings, discussion papers, and other contributions dealing with topics in bioethics and related disciplines are welcomed. Papers are invited on, but not limited to, the following themes:

Asian BioethicsBioethics EducationCan virtues be taught?Cross-cultural BioethicsIslamic BioethicsEnvironmental EthicsBiomedical and Biosciences EthicsEthical Issues in Disaster Research and ManagementEthnic Conflicts and Peaceful CoexistenceEthical Issues in Biomedical ResearchEthical Issues on Organ TransplantationEthics and Intellectual PropertyPublic Health EthicsScience and SocietyTechnology and CultureEthics of Emerging Technologies - NanoethicsNeuroethics

Preliminary deadline for receipt of abstracts for papers (200 words max)* and proposed sessions

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(with lists of speakers and titles) is January 31,2008. Email: nazif.amruhydari@yahoo.com, amru96@cbn.net.id

The specific objectives of the 9th ABC are:

To identify issues in the enforcement of law, rules and guidelines and other regulatory means of ‘good research practice’ of basic and applied researches leading to quality health care involving human subjects in accordance with the universally accepted bioethical norms; to interpret and apply the precautionary approach; where there are threats of serious or irreversible damage, lack of full scientific certainty shall not be used as a reason for postponing cost-effective measures to prevent environmental degradation; and to recognize and duly support the vital role in environmental management and development of local communities because of their knowledge and traditional practices.

This event will be organized by the ABA and Indonesian National Bioethics Commission, with the cooperation of UNESCO, WHO, and FAO. The local cooperating bodies and agencies will include industries, universities, and NGOs. The updated information will be placed on the website: http://www.kbnindonesia.org/en/

*Persons who wish to apply for limited scholarship support should also submit a letter of explanation and resume. The conference will also make judgments for the best student presentations.

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Call for Abstracts

World Association for Medical Law (WAML) Call for Abstracts - World Congress on Medical Law, Beijing, China, Oct 17-21, 2008. Conference theme “Legal Construction on Health Law and a Harmonious Society”. Please note the deadline for abstracts has been extended to January 15, 2008. For more information and to access the abstract submission form please go to: http://www.2008wcml.com/

2008 Canadian Bioethics Society Conference. Call for Abstracts. Conference theme “family...”. The Conference Abstract Committee invites proposals for papers, workshops and posters that reflect the diversity of philosophies, disciplines, and methodologies relating to the examination of family as a construct and a clinical reality. Proposals on other topics are welcomed. Abstracts must be received by February 15, 2008. For further information please visit: http://www.easternhealth.ca/cbsc2008/

Issues in Clinical Research. Shane K. Green, PhD, Program Director, Ethics, Social Impact & Outreach, Ontario Genomics Institute, “Personal Genomics - Hope, Hype and Hyper-speed”. January 10, 2008 at 12:00pm - 1:00pm. St Michael’s Hospital, 30 Bond Street, in the 2-010 Bond Assembly Hall. Bring your own lunch, coffee and cookies will be available. For more information please call (416) 864-6060 x. 2557.

Everyday Ethics. Mark Handelman, BA, LLB, MHSc (Bioethics) “The Consent and Capacity Board: No more myths, ands or buts - a primer for end of life decisions”. January 1�, 2008 at 12:00pm - 1:00pm The Hospital for Sick Children, Room 1250 Elm. This session will be videoconferenced with Bloorview Kids Rehab.

The Centre for Addiction and Mental Health Brown Bag Research Ethics Discussion Groups. Dr. Russ Callaghan, Scientist, Social, Prevention & Health Policy Research Department, “A researcher’s experience of working with the

ethical guidelines for health research involving Aboriginal peoples in northern British Columbia” January 31, 2008 at 12:00pm - 1:00pm, CAMH, 250 College St. Room 801. Bring your own lunch, coffee will be served. For more information contact: susan_pilon@camh.net.

Humanities Interest Group. Discussions on healing, the arts and humanities, and the role of

narrative in health care. Last Thursday of every month starting January 31, 2008 at �:00 pm. Mount Sinai Hospital, Large Group, Room 939, 9th floor. Please RSVP to Liz Konigshaus lkonigshaus@mtsinai.on.ca.

Seminars, Events & Conferences

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Jobs - “Director, Biomedical Ethics Center”

Director, Biomedical Ethics CenterThe University of North Carolina at Chapel Hill

The Biomedical Ethics Center at the University of North Carolina at Chapel Hill is seeking an out-standing faculty member to assume the role of Center Director. This Center is charged with two primary missions: (1) engaging in and leading re-search, education, and training activities related to biomedical ethics; and (2) supporting those who must make biomedical ethical decisions on the UNC campus. The person in this position will assume a leadership role within the UNC School of Medicine and will have academic appointment(s) congruent with his/her professional background. The Direc-tor, who will represent the Center at the University, community, state, and national levels, will have di-rect involvement in such activities as:

Fostering new collaborative partnerships while sustaining and strengthening existing relationships between/among many of the Schools and Centers here on the UNC-CH campus as well as across the entire 16 campus UNC system;Training students, residents, physicians and scientists in biomedical ethics;Disseminating research results, innovations, and findings across diverse communities of the state/nation;Developing policy statements about the leading ethical issues facing research and clinicians;Working to assure long-term success of the Center and its mission by developing a strategic plan for the Center;Supporting clinical biomedical ethics programs at UNC Healthcare System;Sustaining and/or expanding his/her own research portfolio in areas related to biomedical ethics.

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The successful candidate is expected to be a strong leader with a demonstrated ability to communicate and lead discussions on complex and controversial topics involving biomedical ethical issues. He or she should also have the ability to teach others to work in the same manner. Applicants should be vision-ary, able to think creatively about solving problems, and to persuade others to do likewise. Experience with federal granting agencies, particularly the Na-tional Institutes of Health (NIH), Center for Disease Control and Prevention (CDC), and the Agency for Healthcare Research and Quality (AHRQ) is essential and a strong record of support from sources such as private foundations and industry is highly desir-able. Experience in developing, organizing, and mentoring interdisciplinary teams would be viewed very positively. The ability to identify and develop talented young faculty combined with mentoring experience at multiple levels (undergraduate, mas-ter’s, PhD, MD) is highly desirable. This position re-quires an MD and/or PhD degree.

Consideration of candidates will begin immediately and continue until the search has been successfully concluded. Letters nominating qualified candidates are requested and may be sent to:

Etta Pisano, MD Chair, Biomedical Ethics Center Director Search

Committee Office of the Dean, School of Medicine

University of North Carolina at Chapel Hill CB# 7000, 4060 Bondurant Hall

Chapel Hill, N.C. 27599-7000 Attn: Jennifer Nall, ethicssearch@med.unc.edu.

Interested Individuals should submit a cover letter, current CV, and the names/addresses/email/phone numbers of four or more references via the following website: http://www.med.unc.edu/chairsearch.

The University is an equal opportunity employer.

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ePresence Archives

ePresence Registration Instructions:

At the present time, ePresence only supports PC and not MAC videostreaming. If you are on a Windows system you can register to view archived and participate in live events by following the steps below. Please note this registration process should be done well before the event itself:

Go to the Centre for Global eHealth Innovation’s ePresence website at:

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http://epresence.ehealthinnovation.org/epresence

Click on the register button (at the top blue bar) and ensure that your system meets all requirements.

Run System Check.

Enter your information, including userid and password.

You will need remember your userid and password so that you can join future seminar web casts.

Please report by email to brenda.knowles@utoronto.ca if you have any difficulties registering.

You will only need to register once.

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JCB 10-Year Report

The Joint Centre for Bioethics is pleased to announce the publication of the report “Working For An Ethical Future: The First Decade of the University of Toronto Joint Centre for Bioethics”.

If you would like copies mailed to you, please email your mailing address to Adrienne Grapko at: adrienne.grapko@utoronto.ca. Alternatively, copies can be picked up at the JCB, 88 College St., Toronto.

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Newsletter Contact Information

The purpose of this newsletter is to facilitate communication among people interested in bioethics throughout the Joint Centre for Bioethics, participating institutions and elsewhere. The newsletter is published and distributed by e-mail at the beginning of each month. If you would like to receive the newsletter, please contact:

Submissions to the newsletter must be made by the 25th of the preceding month.

Previous issues of the newsletter are posted on our website at: http://www.utoronto.ca/jcb/home/eNewsletter_archive.htm

Editor: Adrienne GrapkoEmail: newseditor.jcb@utoronto.caFax: (�16) 9�8-1911

Joint Centre for Bioethics University of Toronto 88 College Street Toronto, Ontario M5G 1L4 Canada

Phone: (416) 978-2709 Fax: (416) 978-1911 Email: newseditor.jcb@utoronto.ca

http://www.utoronto.ca/jcb

NCI