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Biomedical Ethics Seminar Series
 Back to Calendar 2004

Wednesday, May 19, 2004

Topic: The Use of Patient Data Without Consent
Presenter: Matthew Allison, M.D., M.P.H., UCSD
Location: Medical Teaching Facility (MTF) 175
Discussion
Questions:
  1. What motivates medical data mining? What can we learn from such data?

  2. What ethical issues does medical data mining raise?
    1. How do The Declaration of Helsinki and The Belmont Report bear on the question of medical data mining?
    2. What issues of privacy and confidentiality does research using such data raise?

  3. Does the storage of individual genetic information present special issues?

  4. What Institutional requirements govern research using existing patient data without consent? How good are these requirements in protecting patient rights?

  5. In what respects is data mining in a medical setting the same as, or different from, what airline companies and the federal government do for security purposes?
Discussion
Summary:
Readings:
  • World Medical Association Declaration Of Helsinki - Ethical Principles for Medical Research Involving Human

  • The Belmont Report - Ethical Principles and Guidelines for the Protection of Human Subjects of Research. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research

  • UCSD HRPP Criteria for Waiver of Informed Consent

  • Cios KJ and Moore GW. Uniqueness of medical data mining. Artificial Intelligence in Medicine. 2002; 26, 1-24.

  • Berman JJ. Confidentiality Issues for Medical Data Miners. Artificial Intelligence in Medicine. 2002; 26, 25-36.

  • Robertson JA. The $1000 Genome: Ethical and Legal Issues in Whole Genome Sequencing of Individuals. AM J Bioethics. 2003; 3, W35 - 42.

Note: Electronic access to the essays specified above is available through electronic Reserves in the UCSD Biomedical Library. Website is http://reserves.ucsd.edu. Search "Devereaux" or "SOM 100". Click on the link for the course page, accept the copyright statement and you will be able to view the pdf files.