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Fellowships

Cleveland Fellowship in Advanced Bioethics

The Cleveland Fellowship in Advanced Bioethics (CFAB) is a two-year, full-time program designed to train the next generation of leaders in the field of bioethics. Applications will be considered from professionals with terminal post-graduate degrees in medicine, philosophy, nursing, social work, religious studies, law, and other fields related to the practice of clinical and academic bioethics. Completed applications must be submitted by November 1 and the starting date for the fellowship is July 1 of each year.

Full details about this fellowship are provided below.

About This Fellowship

The Cleveland Fellowship in Advanced Bioethics (CFAB) is a two-year, full-time program designed to train the next generation of leaders in the field of bioethics. Applications will be considered from professionals with terminal post-graduate degrees in medicine, philosophy, nursing, social work, religious studies, law, and other fields related to the practice of clinical and academic bioethics. Completed applications must be submitted by November 1 and the starting date for the fellowship is July 1 of each year.

CFAB represents an educational partnership among five premier institutions in Cleveland: Cleveland Clinic, Case Western Reserve University (CWRU), MetroHealth Medical Center, University Hospitals Case Medical Center and the Louis Stokes Cleveland VA Medical Hospital. Through a solid history of collaboration in training students in the CWRU Master of Arts Program in Bioethics, and working together to provide educational opportunities for colleagues at area hospitals and universities, these institutions have cemented the relationships that ensure fellows access to broad resources in the field. Each partner organization offers the following:

  • Cleveland Clinic's Department of Bioethics, one of the oldest and most well-established departments of its kind in the country, serves as the organizational home for the program.
  • The CWRU Department of Bioethics has world-renowned faculty, rich graduate and undergraduate bioethics programs, and strong collaborative relationships with bioethics centers in other countries.
  • University Hospitals' Case Medical Center, with one of the region's most active Ethics Consultation Services, offers a broad array of training experiences both on the Main Campus and through its relationships with community hospitals, nursing homes, and rehabilitation facilities.
  • MetroHealth Medical Center, Center for Biomedical Ethics provides education, service and research regarding the ethical dimensions of the delivery and practice of health care in support of MetroHealth Medical Center, Cuyahoga County's primary hospital and de facto safety-net for the region's poor.
  • Louis Stokes Cleveland Veterans Affairs Medical Center - providing health services and education for Northeast Ohio veterans.
Curriculum

Program Description

The CFAB program is designed to train the next generation of highly skilled bioethicists whose expertise is well-grounded in the clinical environment. This full-time two-year program ensures a strong foundation in clinical, scholarly and institutional components of the bioethics profession while advancing fellows' individual interests and career goals. Requirements for graduation from the program include completion of the CFAB curriculum, ethics consultation training, an empirical or conceptual research contribution, and involvement in a community engagement initiative. In conjunction with an adviser, each fellow develops a two-year program plan encompassing core activities and concentration in either a clinical- or research-oriented track. CFAB offers faculty expertise and the resources of multiple health care organizations in Cleveland to support each fellow’s ability to contribute to the field of Bioethics.

Components of the CFAB Fellowship

CFAB components for all fellows include:

  • Engaging in advanced study of key issues in Bioethics
  • Observing and conducting clinical ethics consultation, encompassing a minimum of 16 weeks of clinical ethics consultation service over the two years of fellowship
  • Participating in departmental bioethics activities at affiliated institutions
  • Completing a scholarly project
  • Submitting at least one manuscript for publication
  • Presenting research at works-in-progress meetings
  • Participating in CFAB seminar series and journal club
  • Developing and presenting formal lectures
  • Submitting abstracts for presentation at conferences
  • Completing a community engagement initiative

Overall Goals

  • Comprehensive knowledge of key bioethics topics
  • Proficiency or expertise in clinical ethics consultation (please refer to CFAB Areas of Concentration section below)
  • Skills in locating and critically reading bioethics literature
  • Experience in presenting and discussing core concepts in clinically-grounded bioethics at a post-graduate level
  • Acquisition of professional skills for academic achievement in the field of bioethics, including research, CV development, and career building

July/August

First-year fellows’ orientation to the medical environment and healthcare literacy

  • Ward basics
  • Introduction to ethics consultation
  • Common consult case types; ICU issues
  • Teaching/Learning Seminar series
  • Research Team Meetings
  • Rotations at partner institutions (VA/Metro; UH)
  • Introduction to key issues in clinical ethics
    • Scope of practice of the bioethics consultant
    • Defining ethical issues during consultation
    • Futility, unwarranted treatments; unilateral decision-making by medical staff
    • Withholding medically provided nutrition/hydration
    • Surrogate decision-making
    • Assessing capacity
    • Institutional policies on informed consent and resuscitation
    • Review of ASBH Core Competencies

Clinical Ethics Consultation Training

  • Initiation to the practice of ethics consultation through observing and shadowing faculty
  • Participation in on-call ethics consultation services at affiliated institutions, with growing independence over two-year program (please refer to CFAB Areas of Concentration section below)
  • Maintenance of individual consultation portfolio

Core Skills in Bioethics

  • Seminars in research methods and professional advancement skills:
    • Research methods
    • Publication skills
    • Grant writing
    • Career development
    • Collaborative writing
    • Local/national service
    • Leadership development

Journal Club

  • Goals: Critical literature review and related teaching skills
  • Topics and discussion driven by fellows’ research interests
  • Faculty partner for each session
  • Meets every other month

Core Issues Seminars

  • Goal: In-depth, post-graduate level understanding of core areas of bioethics
  • CFAB faculty members provide key articles and facilitate discussion
  • Fellows responsible for advancing discussion by contributing additional readings
  • Meets every other month over two years
  1. End of life issues
  2. Informed consent and capacity
  3. Organ transplantation
  4. Reproductive ethics
  5. Pediatric ethics
  6. Neuroethics
  7. Genetics
  8. Public Health, Policy, Health Care Systems
  9. Research ethics
  10. Religion, culture, and ethics
  11. Enhancements and innovative therapies
  12. Euthanasia and PAS

Community Engagement:

CFAB faculty recognize that the public sector receives information about bioethical complexities from a number of sources, many of which lack a firm grounding in the realities of medical practice or ethical theory. For this reason, CFAB fellows help local community members learn about important issues in bioethics through engagement in educational offerings. In general, CFAB Community Engagement initiatives target and encourage dialogue with various constituencies such as community organizations, health care professionals practicing outside of the collaborating CFAB institutions, students, government officials, religious groups, or businesses.

CFAB Areas of Concentration

Fellows will choose either the Clinical Ethics or Bioethics Research track.

Clinical Ethics Track:

The Clinical Ethics Track is designed to prepare the fellow to achieve independence as a clinical bioethicist. The CFAB curriculum fosters multiple areas of expertise, including ethics consultation, teaching and scholarship, policy development and other institutional service activities. Through integration in the ethics programs at Cleveland Clinic, MetroHealth Medical Center, the Louis B. Stokes VA Medical Center, and University Hospitals Case Medical Center, fellows will have the opportunity to develop ethics consultation skills, analyze ethical dilemmas, and become familiar with organizational, disciplinary, and policy influences on clinical ethics. Fellows begin gaining experience in ethics consultation during the first year through accompanying staff ethicists on consults at Cleveland Clinic and at least one other site, and through participation in case review activities. Second year fellows take on increasing consultation responsibilities beyond the core activity requirements, with a goal of developing independence in ethics consultation by the end of the fellowship. Fellows also attend ethics committee meetings at participating institutions, provide clinical ethics education in multidisciplinary rounds and other clinical and classroom settings, and develop skills in presenting case analyses both for teaching and quality improvement purposes. Most CFAB fellows on the Clinical Ethics Track will have participated in over 100 ethics consultations by the end of the second year of fellowship.

Bioethics Research Track:

The research track is designed to provide fellows with the experience and tools to launch a career in clinically grounded bioethics research. Fellows are paired with a research adviser to assist in identifying appropriate goals with respect to research development and productivity, and to develop a timeline for achieving objectives appropriate for each fellow's career goals. The substantial and diverse resources within CFAB-affiliated institutions include coursework in empirical research methods; administrative, regulatory and biostatistical support for research projects conducted during the fellowship; and mentoring assistance with preparation of scholarly manuscripts, grant-writing and other skills supporting a career in research. While some clinical ethics consultation service continues during the second year of the fellowship for research track fellows, the balance of experiences facilitates participation in research. Research track fellows are expected to develop a strong publication and teaching portfolio, as well as to gain exposure and presence in the national bioethics arena through conference attendance and participation.

CWRU Master of Arts in Bioethics Program

Fellows may choose to obtain a masters degree in Bioethics. CWRU offers CFAB fellows a special tuition rate, to be paid by the fellow. If enrolling in the master’s program, fellows must complete all degree requirements before starting the second year of fellowship unless special permission has been obtained from both the CFAB Program Directors and the master’s program director.

Stipends

Fellows receive stipends of $43,000 plus health benefits and $1200 travel funds per year. Health insurance is provided through the Cleveland Clinic health system. Funds are not provided for relocation expenses.

If you are interested in learning more or applying as a candidate for the Cleveland Fellowship in Advanced Bioethics, please contact:

Mary Adams
CFAB Program Coordinator
Cleveland Clinic
9500 Euclid Avenue - JJ60
Cleveland, OH 44195
Phone: 216.445.2739
Email: adamsm@ccf.org

or

Kathryn L. Weise, MD, M.A.
CFAB Program Director
Cleveland Clinic
9500 Euclid Avenue - JJ60
Cleveland, OH 44195
Phone: 216.444.8720
Email: weisek@ccf.org

Current and Former Fellows

Class of 2014-2016

Bryn Esplin
Bryn Esplin, JD

JD, William S. Boyd School of Law, Las Vegas, Nevada
BA, Rhetoric & Philosophy of Mind, University of California, Berkeley

Bryan Kibbe, PhD
Bryan Kibbe, PhD

PhD, Philosophy, Loyola University, Chicago, IL
BA, Media Production and Philosophy, Calvin College, Grand Rapids, MI

Executive Committee
Eric Kodish, MD

Eric Kodish, MD

CFAB Executive Director
Director, Center for Ethics, Humanities and Spiritual Care
F.J. O'Neill Professor and Chairman, Department of Bioethics, Cleveland Clinic
Professor, Case Western Reserve University
Staff, Cleveland Clinic Pediatric Hematology and Oncology
Staff, Cleveland Clinic Genomic Medicine Institute
Interests: Pediatric Ethics; Clinical Research; Informed Consent; Oncology and Transplantation


Kathryn Weise, MD, MA

Kathryn Weise, MD, MA

Program Director, Cleveland Fellowship in Advanced Bioethics
Staff, Cleveland Clinic Pediatric Institute
Adjunct Faculty, Case Western Reserve University Department of Bioethics
Adjunct Faculty, Cleveland State University Bioethics Center
Interests: Pediatric Critical Care; Pediatric Ethics; Professional Ethics; Pediatric Palliative Medicine


Stuart Youngner, MD

Stuart Youngner, MD

Chairman of Bioethics, Case Western Reserve University
Professor of Bioethics, Case Western Reserve University
Professor of Psychiatry, Case Western Reserve University School of Medicine
Interests: End-of-Life Decision Making; Organ Transplantation; Clinical Ethics Consultation; Definition of Death; Malpractice


Mark Aulisio, PhD

Mark Aulisio, PhD

Director, Center for Biomedical Ethics, MetroHealth Medical Center
Director, MA Program in Bioethics, Case Western Reserve University
Associate Professor of Bioethics, Case Western Reserve University
Interests: Intersection of Political Philosophy and Bioethics; Ethics Consultation; Principle of Double Effect; Organ Donation


Barbara Daly

Barbara Daly, RN, PhD, FAAN

Director of Clinical Ethics, University Hospitals Case Medical Center
Professor of Bioethics, Case Western Reserve University
Professor of Nursing, Case Western Reserve University
Professor of Medicine, Case Western Reserve University
Interests: Clinical Ethics Consultation; End of life Decision Making and Treatment Limitation; Healthcare Allocation Issues


Murray Altose, MD

Murray Altose, MD

Chief of Staff, Louis Stokes Cleveland Veterans Affairs Medical Center
Professor of Medicine, Case Western Reserve University
Interests: Health care quality improvement and systems redesign


Margot Eves, JD, MA

Margot Eves, JD, MA

Assistant Staff, Department of Bioethics, Center for Ethics, Humanities, and Spiritual Care
Interests: End-of-life issues, roles of physicians in ethics consultation, surrogate decision making, decision making among large families

Application Process

To apply, candidates must submit the following by November 1:

  1. A cover letter explaining your qualifications for this fellowship with a statement of your objectives.
  2. A current curriculum vitae including education and/or activities pertaining to bioethics.
  3. Three letters of recommendation, at least one commenting on your abilities as an adult learner (submitted directly)
  4. One to three examples of scholarly written work

Priority will be given to applicants with strong potential for leadership in the field and who will most benefit from the rich clinical environment this program offers.

Applications will not be considered until all materials are received. If you are accepted into the program, further documentation will be required including transcripts. Please send materials electronically (electronic applications are preferred) or in hard copy to:

Mary Adams

Fellowship Coordinator
Department of Bioethics
Cleveland Clinic Foundation
9500 Euclid Ave., JJ-60
Cleveland, OH 44195
Phone: 216.445.2739
Email: adamsm@ccf.org

Non-smoking hiring policy

To take further steps in preserving and improving the health of all its employees and patients, Cleveland Clinic has implemented a nonsmoking hiring policy requiring all job applicants and individuals receiving appointments to take a cotinine test during their pre-placement physical exam. This is a pre-employment test only. The cotinine test will detect the presence of nicotine in all forms of tobacco. Anyone testing positive will have their employment offer rescinded and receive a referral to a tobacco cessation program paid for by Cleveland Clinic.

Learn More

If you are interested in learning more or applying as a candidate for the Cleveland Fellowship in Advanced Bioethics, please contact:

Mary Adams
CFAB Program Coordinator
Cleveland Clinic
9500 Euclid Avenue - JJ60
Cleveland, OH 44195
Phone: 216.445.2739
Email: adamsm@ccf.org

or

Kathryn L. Weise, MD, M.A.
CFAB Program Director
Cleveland Clinic
9500 Euclid Avenue - JJ60
Cleveland, OH 44195
Phone: 216.444.8720
Email: weisek@ccf.org


Transplant Ethics Fellowship

Cleveland Clinic's Fellowship in Transplant Ethics will enter its second year in July 2014. Cleveland Clinic is an ideal environment for the study of ethics in transplantation, given its history of promoting advances in medicine and surgery, as well as its high volume of successful liver, kidney, intestinal, lung, bone marrow, and heart transplants.

Full details about this fellowship are provided below.

About This Fellowship

Cleveland Clinic's Fellowship in Transplant Ethics will enter its second year in July 2014. Cleveland Clinic is an ideal environment for the study of ethics in transplantation, given its history of promoting advances in medicine and surgery, as well as its high volume of successful liver, kidney, intestinal, lung, bone marrow, and heart transplants.

Training requires a one-year commitment with a possibility of a second year depending on performance and other considerations. Fellows focus on scholarly activities in combination with clinical involvement in ethical issues surrounding organ donation and transplantation. In addition, transplant ethics fellows will benefit from sharing educational opportunities with those engaged in the Cleveland Fellowship in Advanced Bioethics, as described above.

Applications will be considered from professionals with terminal post-graduate degrees in a field related to the practice of clinical or academic Bioethics, such as medicine, philosophy, nursing, social work, religious studies, and law. Priority will be given to applicants with strong potential for leadership in the field and those who will most benefit from the rich clinical environment this program offers.

Completed applications must be submitted by November 1 for training beginning on July 1 of the following year.

Stipend: $40,000 plus medical benefits. In addition, each fellow receives a $1,200 stipend for travel to one conference per year.

Current and Former Fellows

First Year Fellow

Jed Gross

Jed Adam Gross, JD
BA, History and Sociology, University of Pennsylvania
MA, History of Science & Medicine, Yale University
JD, Yale Law School MPhil, History, Yale University

Second Year Fellow

David Shafran, MD

David Shafran, MD
BA, Greek Classical Literature, University of Michigan
MA, Bioethics, Case Western Reserve University
MD, Sackler School of Medicine, Tel Aviv, Israel

Executive Committee

The program director is Kathryn Weise, MD, MA, who also directs the Cleveland Fellowship in Advanced Bioethics. The steering committee includes David Goldfarb, MD., Director of the Renal Transplant Program; Charles Miller, MD., Director of the Liver Transplant Program; Martin L. Smith, STD, Director of Clinical Ethics; and Eric Kodish MD, Chair of the Center for Ethics, Humanities, and Spiritual Care.

Application Process

To apply, candidates must submit the following by November 1:

  1. A cover letter explaining your qualifications for this fellowship with a statement of your objectives.
  2. A current curriculum vitae including education and/or activities pertaining to bioethics.
  3. Three letters of recommendation, at least one commenting on your abilities as an adult learner (submitted directly)
  4. One to three examples of scholarly written work related to bioethics.

Priority will be given to applicants with strong potential for leadership in the field and who will most benefit from the rich clinical environment this program offers.

Applications will not be considered until all materials are received. If you are accepted into the program, further documentation will be required including transcripts. Please send materials electronically (electronic applications are preferred) or in hard copy to:

Mary Adams
Fellowship Coordinator
Department of Bioethics
Cleveland Clinic Foundation
9500 Euclid Ave., JJ-60
Cleveland, OH 44195
Phone: 216.445.2739
Email: adamsm@ccf.org

Non-smoking hiring policy To take further steps in preserving and improving the health of all its employees and patients, Cleveland Clinic has implemented a nonsmoking hiring policy requiring all job applicants and individuals receiving appointments to take a cotinine test during their pre-placement physical exam. This is a pre-employment test only. The cotinine test will detect the presence of nicotine in all forms of tobacco. Anyone testing positive will have their employment offer rescinded and receive a referral to a tobacco cessation program paid for by Cleveland Clinic

Learn More

If you are interested in learning more or applying as a candidate for the Transplant Ethics Fellowship, please contact:

Mary Adams
CFAB Program Coordinator
Cleveland Clinic
9500 Euclid Avenue - JJ60
Cleveland, OH 44195
Phone: 216.445.2739
Email: adamsm@ccf.org

or

Kathryn L. Weise, MD, M.A.
CFAB Program Director
Cleveland Clinic
9500 Euclid Avenue - JJ60
Cleveland, OH 44195
Phone: 216.444.8720
Email: weisek@ccf.org