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Mini-tutorials [on human subjects research]. Year Developed: 2017. Source: U.S. Department of Health and Human Services, Office of Human Research Protections. Presenter(s): n.a.. Type: Video. Level: Introductory. Length: Series, various lengths.

Annotation: This series of short tutorials (about 15 minutes each) focus on specific aspects of U. S. Department of Health and Human Services' Office for Human Research Protections (OHRP) human subjects regulations and policy. They include Institutional Review Board (IRB) review criteria, quorum and voting in IRB meetings; membership requirements for IRBs, prisoner research series, and OHRP reporting requirements.

Institutional Review Board (IRB) Challenges in QI & Research. Year Developed: 2015. Source: U.S. Agency for Healthcare Research and Quality, Pratice-Based Research Networks. Presenter(s): Holly A. Taylor, PhD, MPH; Mark S. Schreiner, MD; Alex Fiks, MD, MSCE, CHOP. Type: Webinar Archive. Level: Introductory Intermediate Advanced. Length: 87 minutes.

Annotation: This webinar discusses (1) how to distinguish between clinical research and quality improvement (QI), (2) how to identify the need for IRB approval in the grey zone between QI and clinical research, and (3) how bulleted fact sheets and Q&A sessions for patients enrolled in clinical trials can be applied to quality improvement efforts. It includes a video, presentation slides, and links to critical reference information.

Continuing Education: American Academy of Family Physicians, 1.25 credits

Public Health Ethics Training Series. Year Developed: 2014. Source: North Carolina Institute for Public Health. Presenter(s): n.a.. Type: Online Course. Level: Introductory Intermediate Advanced. Length: Self-paced.

Annotation: The "Public Health Ethics" training series is designed to promote the ethical practice of public health by teaching about the ethical principles of public health and by providing resources for creating an ethical climate in public health agencies and schools of public health. This 8 Module series includes the following topics: • 1-Distinguishing Public Health Ethics from Medical Ethics • 2-Values and Beliefs Inherent to a Public Health Perspective • 3-The Public Health Code of Ethics • 4-Law and Ethics in Public Health • 5-Pandemic Influenza: A Justice Case Study • 6-Decision-making in Public Health Ethics • 7-Barriers to the Ethical Practice of Public Health • 8-Responding to Unethical Events

Learning Objectives: Module 1--Distinguishing Public Health Ethics from Medical Ethics • Describe the common practice settings from which medical ethics and public health ethics emerge. • Explain “the tyranny of the majority”. • Explain why the medical ethics principle of autonomy does not work as well in public health. Module 2--Values and Beliefs Inherent to a Public Health Perspective • Explain how a given value or belief from the list is important to public health. Module 3--The Public Health Code of Ethics • Describe how an aspirational code can guide an ethical discussion. • Describe a situation where a given ethical principle applies in public health. • Identify means of creating an ethical environment within public health organizations. Module 4--Law and Ethics in Public Health • Describe three of the several legal powers given to public health. • Describe an ethical principle in public health that is not encoded in public health law. • Describe how the exercise of any power is an ethical issue. Module 5--Pandemic Influenza: A Justice Case Study • Provide examples of how concepts of justice are applied to anticipated responses in an influenza pandemic. Module 6--Decision-making in Public Health Ethics • Describe how to recognize an ethical issue. • Describe the elements of a fair process. • Describe the steps of ethical decision-making in a group. Module 7--Barriers to the Ethical Practice of Public Health • Identify the facets of human nature and our social environment that are particularly relevant in leading to unethical behaviors in public health. Module 8--Responding to Unethical Events • Describe the range of possible responses to an event that is clearly unethical.

Special Instructions: To access this course, you first need to create an account.

Continuing Education: 0.92 Certificate of Attendance

Good Decision Making in Real Time: Practical Public Health Ethics for Local Health Officials. Year Developed: 2014?. Source: National Association of County and City Health Officials. Presenter(s): n.a.. Type: Online Course. Level: Intermediate. Length: 114 minutes. Public Health Ethics Training Materials (provides information about facilitator and student manuals, a case repository, accreditation statements, and method of participation)

Annotation: Public health officials regularly balance competing ethical and professional obligations (e.g., efficiently but fairly allocating scarce resources, respecting individual rights while safeguarding the public’s health, protecting underserved and marginalized communities while engaging and sharing information in a transparent manner, and ensuring data confidentiality and individual privacy while conducting surveillance). The field of public health ethics provides a theoretical basis and practical frameworks for addressing challenges that commonly arise in public health practice. Because of the ethical challenges that public health officials face, there is an increasing need to demonstrate competence in public health ethics and an interest in public health ethics training. In order to address this need, the Centers for Disease Control and Prevention (CDC) and the National Association of County and City Health Officials (NACCHO) developed a Web-on-Demand e-Learning module, Good Decision Making in Real Time: Practical Public Health Ethics for Local Health Officials. This training provides public health professionals with tools and practical examples to address ethical challenges that commonly arise in the practice of public health. The 1 hour 54 minute training presents the basics of public health ethics; examines the complementary role that ethics and law play in decision making; and reviews strategies for analyzing ethical issues, exploring the ethical dimensions of alternative courses of action, and justifying public health decisions. The training also presents an interactive case study that puts the learner in the role of a health official and walks through the steps of an ethical analysis using a real-life case scenario. This interactive case study illustrates how to use ethics frameworks, such as the Principles of the Ethical Practice of Public Health, developed by the Public Health Leadership Society, in the decision making process.

Learning Objectives: • Define the field of public health ethics. • Describe how to use ethical frameworks. • Describe a common public health ethics challenge. • Describe the process of case analysis. • State how public health ethics and law can work together to address ethical challenges and impact decision making. • Describe tools for helping public health officials make ethically informed choices, including illustrating the value of the case study approach. • List specific ways to integrate ethical considerations in the day-to-day decision-making in public health departments. • Promote health improvement, wellness, and disease prevention in cooperation with patients, communities, at-risk populations, and other members of an inter-professional team of health care providers.

Special Instructions: To access this content, register on the NACCHO site, add the chosen sections to your shopping cart (no charge), and use back button to access the content list. It is also available in TRAIN at <https://www.train.org/main/course/1050534/>.

Continuing Education: This course is available for up to 2 hours of CEU credits from the Centers for Disease Control and Prevention. To obtain credit, all sessions must be completed along with the final assessment. Once you have completed viewing all of the sessions, the “Take Assessment” link will open up at the top of the page. For further instruction on obtaining CEU credit or to add the course to the CDC Training Portal for CDC employees, go to https://client.blueskybroadcast.com/naccho/2014/pdf/CE%20Instructions%20-%20Basic.pdf

Introduction to Ethical Frameworks for Public Health Emergencies and Disasters. Year Developed: 2010. Source: University of Minnesota Center for Public Health Preparedness. Presenter(s): Lisa Pogoff, MPH, MSW; Susan Larson, MPH, RN. Type: Online Course. Level: Introductory. Length: 120 minutes.

Annotation: The discusses the application of public health frameworks in emergency situations. Specific challenges and issues in disasters using ethical standards are discussed and interactive questions help guide the learner. The demands in emergencies on health care workers and different methods to allocate resources, as well as worker’s communication with the public, are additionally covered.

Learning Objectives: •Define what behaviors are morally acceptable. •Specify how people should act in various situations. •Reflect historical/cultural values and principles.

Special Instructions: Registration to the University of Minnesota School of Public Health is required. If direct link doesn't work, see their main menu under URL2 field and scroll down to "Introduction to Ethical Frameworks for Public Health Emergencies and Disasters."

Continuing Education: 1 Continuing Education Hour . A post test and certificate are available upon completion.

Facing Ethical Challenges; Dealing with Outcomes: Stories from the Field. Year Developed: 2009. Source: Northwest Center for Public Health Practice. Presenter(s): Harvey Kayman, MD, MPH. Type: Webinar Archive. Level: Intermediate Advanced. Length: 40 minutes.

Annotation: With an intended audience of local and state public health workers, this presentation draws on stories from public health professionals of scenarios demonstrating ethical dilemmas they’ve encountered. Participation from audience members centered on how they think a given struggle should be resolved makes this an interactive webinar. Dr. Kayman discusses the differences in biomedical and public health ethics and frames his discussion around beneficence and justice. A protocol plan that public health professionals might use to guide decision-making during crises also is presented. Slides and handouts area available for use.

Learning Objectives: • List and describe public health ethical principles and an ethical framework to resolve moral tensions disasters might bring up. • Explain how the scenarios presented illustrate how the framework and principles can be used. • Develop methods to make decisions with collaborators in the midst of a disaster.

Special Instructions: To access the presentation, scroll to the bottom of the landing page and click “Play Recording.”

Protecting Human Research Participants. Year Developed: 2008. Source: National Institutes of Health. Presenter(s): n/a. Type: Online Course. Level: Intermediate Advanced. Length: 180 minutes.

Annotation: This course is intended for use by individuals pursuing human subject research. It includes 7 modules and 4 quizzes. Topics addressed include the history of human subject participation, including War Crimes, and the Tuskegee Syphilis Study, the three ethical principles made in the Belmont Report, and the informed consent process. Justice, equity and special group consent also are covered, as are risks and benefits of participatory research, the role of Institutional Review Boards (IRB), and clinical trial requirements . The course has been retired as of Sept. 28, 2018; archival materials are available as a reference.

Learning Objectives: • Describe the history and importance of human subjects protections. • Identify research activities that involve human subjects. • Discover the risks a research project might pose to participants. • Understand how to minimize the risks posed by a research project. • Describe additional protections needed for vulnerable populations. • Understand additional issues that should be considered for international research. • Describe appropriate procedures for recruiting research participants and obtaining informed consent. • Identify the different committees that monitor human subjects protections. • Understand the importance of study design in the protection of research participants.

Special Instructions: Registration is required then click on "Registration".

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This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UE8MC25742; MCH Navigator for $180,000/year. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.