Provider Grand Rounds are held from 8 to 9 a.m. every Thursday in Wright Auditorium at Seattle Children's Hospital (use the River entrance). Visiting physicians may park in  Lot 1  (PDF).

Each year, the Center for Pediatric Bioethics sponsors three Grand Rounds focusing on ethical issues in pediatric medicine. The January and May programs are case-based presentations sponsored by the Sconyers/Godfrey Endowment for Pediatric Bioethics. The annual Treuman Katz Endowed Lecture in Pediatric Bioethics takes place in October, and features an in-depth presentation on an ethical topic.

Past Grand Rounds

  • Parental Refusal of a Solid Organ Transplant: Exploring the Ethical Issues

    Parental Refusal of a Solid Organ Transplant: Exploring the Ethical Issues (1:02:56)

    Provider GR 2013-05-16

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  • Super-Sized Ethics: Obesity and Child Protective Services

    Super-Sized Ethics: Obesity and Child Protective Services (0:49:15)

    Provider_GR_2013-01-17.wmv

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  • The Truth, the Whole Truth or Nothing But the Truth?

    The Truth, the Whole Truth or Nothing But the Truth? (1:01:58)

    Dr Macklin examines ethical issues related to disclosure to children about their disease, and the implications of disclosure using HIV as the example. She also discusses disclosure to parents about... cont.

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  • Congenital Complexities: Ethical Challenges in Prenatal Diagnosis

    Congenital Complexities: Ethical Challenges in Prenatal Diagnosis (1:00:07)

    The panel discusses a case related to parental decisions for post delivery interventions after a prenatal diagnosis of Down syndrome, esophageal atresia, and congenital heart disease

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  • Hope, Emotions and the Provision of Pediatric Palliative Care

    Hope, Emotions and the Provision of Pediatric Palliative Care (1:04:18)

    Dr Feudtner discusses strategics for improving communication for about end of life discussions, with an emphasis on emotional support and redirecting hope.

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  • Aiming Higher: Ethical Challenges in the Care of Children Without Parents

    Aiming Higher: Ethical Challenges in the Care of Children Without Parents (1:04:18)

    Dr Kelley discusses the ethical challenges when children do not have parents who can advocate on their behalf, and the implications for care providers, researchers, and social service providers in... cont.

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  • The Baby Will Tell Us

    The Baby Will Tell Us (1:01:13)

    Dr Jonsen discusses how ethical issues related to decisions about providing care to newborns with disabilities have evolved over this last 40 years. For more information, visit:... cont.

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  • Research Involving Benefit to Others: When 'Others' May Be Hard to Appreciate

    Research Involving Benefit to Others: When 'Others' May Be Hard to Appreciate (0:57:29)

    Drs. Wendler and King discuss a case of a child with autism enrolled in a research study that involved videotaping, and how to respond to a videotaped request by the child to stop. Dr Wendler... cont.

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  • Parental Requests for Long-Term Mechanical Ventilation in Children with Overwhelming Neurological Injury

    Parental Requests for Long-Term Mechanical Ventilation in Children with Overwhelming Neurological Injury (1:01:44)

    Drs. Robinson, Hood, and Gospe discuss how to navigate disagreements between parents and providers about the use long-term mechanical ventilation, tracheostomies and gastrostomy tubes in children... cont.

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  • Why We Play: Ethics, Drugs and the Future of Sport

    Why We Play: Ethics, Drugs and the Future of Sport (01:00:22)

    Dr Murray discusses the ethical issues related to the use of drugs in sports with special attention to the implications for children. For more information, visit:... cont.

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  • Use of Placebos

    Use of Placebos (00:58:49)

    Drs. Walco and Wilfond discuss some of the ethical challenges of using placebos to assess pain in children. There may be limited role for placebos, with the patient's agreement.

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  • When Parents Make Life-and-Death Decisions in the NICU Based on Cultural Views About Disability

    When Parents Make Life-and-Death Decisions in the NICU Based on Cultural Views About Disability (00:58:26)

    Drs. Sayeed and Woodrum discuss a case related to an infant with moderate disabilities whose parents plan to return to a country that does provide medical support for children with disabilities.

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  • Determining Adolescent Competency and Decision-Making Capacity: An 18-Year-Old with an Eating Disorder

    Determining Adolescent Competency and Decision-Making Capacity: An 18-Year-Old with an Eating Disorder (01:00:24)

    Drs. Appelbaum and Ahrens discuss a case involving an adolescent with an eating disorder who was passively refusing treatment. They explore the nature of decision making capacity, and how it can be... cont.

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  • Faith, Hope and Informed Consent: Ethical Challenges in Maternal-Fetal Research

    Faith, Hope and Informed Consent: Ethical Challenges in Maternal-Fetal Research (0:59:36)

    Dr Churchill discusses the challenges of fetal surgery for meningomylocele. He discusses the challenges of parental motives and expectations, and the challenges providers face in communicating about... cont.

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  • Challenges of Direct-to-Consumer Genetic Testing in Children

    Challenges of Direct-to-Consumer Genetic Testing in Children (0:54:52)

    Dr Tabor discusses how genetics tests that are available directly to consumers, can create challenges for providers and parents. Providers may have difficulty interpreting results of these tests,... cont.

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  • Ethical Issues in Organ Donation After Cardiac Death

    Ethical Issues in Organ Donation After Cardiac Death (1:01:19)

    Dr Truog discusses the evolution of criteria for deciding when it is acceptable to take organs from people for transplant. He contrasts the standard approach of "brain death" where the heart is still... cont.

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  • Should Children Be Told They Have a Serious Illness?

    Should Children Be Told They Have a Serious Illness? (1:01:47)

    Drs. Fleishman and Melvin discuss how providers should respond to parents who do not want to tell their child that he/she as HIV. They also explore whether the issues change if the parents wish to... cont.

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  • Physician Obligation to Inform Families About Alternatives They Consider Unethical: Hypoplastic Left Heart Syndrome and Palliative Care

    Physician Obligation to Inform Families About Alternatives They Consider Unethical: Hypoplastic Left Heart Syndrome and Palliative Care (1:03:08)

    Drs. Feudtner, Lewin, and Cohen discuss the challenges that emerge when the community of providers have different and strong opinions about the benefit of innovative surgical interventions.. Using... cont.

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  • Parental Requests for Reconstructive Surgery in Children with Profound Developmental Disabilities

    Parental Requests for Reconstructive Surgery in Children with Profound Developmental Disabilities (1:02:51)

    Drs. Brosco, Hieke, and Hopper discuss a case concerning a parent's request for surgery to repair a skull defect in child with profound disabilities. The providers were concerned that the primary... cont.

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  • Growth Hormone for Non-GH-Deficient Children, or What's Wrong With the American Healthcare System?

    Growth Hormone for Non-GH-Deficient Children, or What's Wrong With the American Healthcare System? (01:03:10)

    Norman Fost, MD, MPH, University of Wisconsin

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  • Discharging a Child When Their Local Medical Care Is Not Adequate: Should There Be a Double Standard for the Developing World?

    Discharging a Child When Their Local Medical Care Is Not Adequate: Should There Be a Double Standard for the Developing World? (01:02:37)

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