"Trust me, I'm a researcher": Human Research Ethics in Practice

Marilys Guillemin (Director, Centre for Health and Society)
Lynn Gillam (Associate Professor, University of Melbourne/Clinical Ethicist, Royal Children’s Hospital)

It is widely agreed that conducting research in an ethical manner is important and that trust in the research process is crucial. However, there is little research that has systematically investigated what happens in the practice of research ethics. Findings will be presented from a three year project funded by the Australian Research Council to examine how human research ethics committee members and health researchers make decisions about ethical issues in health research.

Eighty-eight individual, in-depth interviews were undertaken: 34 ethics committee members across all categories of membership, and 54 health researchers in fields including biomedicine, epidemiology, clinical and qualitative health research. The research examined how health researchers and ethics committee members understand and think about research ethics and how, in practice, they address ethical issues in research. The cultures and practices of ethics committee members engaged in the process of ethics review will be discussed, together with how the relationship between ethics committee members and health researchers both assists and impedes trust in the human research enterprise.

The presentation will focus on the ways that health researchers, in particular health researchers using social science approaches, understand and practice research ethics. For this group of health researchers, research ethics is not separate or distinct to their practice of doing research; ethics is embedded in their research practice, from the early stages of research design, to their relationships with their participants, through to the dissemination of findings. These findings will be discussed in context of establishing and ensuring trust in the process of human research.

When 9:00am – 1:00pm, Tuesday, 21 September 2010
Where Medical Foundation Auditorium
92-94 Parramatta Rd, Camperdown
RSVP Please email Cathy Flitcroft for catering purposes

About the Speakers

Marilys Guillemin is the Director and Associate Professor at the Centre for Health and Society at the University of Melbourne. Her professional academic experience is in sociology of health and illness, particularly in the areas of understandings of illness, health and technology studies, and women’s health. Marilys is an established health researcher whose past major research projects include the management of menopause within specialised clinic settings examining the needs and practices of both women and medical practitioners; research on mid-age women and heart disease particularly focusing on women’s understanding of risk and prevention of heart disease; and research on deafness and genetic testing.

Lynn Gillam holds appointments as Associate Professor in Health Ethics at the Centre for Health and Society at the University of Melbourne, and the Murdoch Children’s Research Institute and is also the Clinical Ethicist at the Royal Children’s Hospital, Melbourne. Lynn’s background is in philosophy, theology and bioethics. She teaches ethics in the medical curriculum and the postgraduate social health program. Her research interests include pre-natal diagnosis, genetic testing, and clinical ethics. She also has a strong interest in the intersections between ethics and sociology, and the development of inter-disciplinary qualitative methods suitable for research in ethics. Lynn has 15 years experience on human research ethics committees. She is currently a member of the Human Research Ethics Committee of the University of Melbourne, and the clinical ethics committee of the Royal Children’s Hospital. Lynn has published widely in bioethics, on a range of issues, including clinical ethics, research ethics and ethics committees, the use of human foetal tissue, reproductive technologies and genetic testing.

How We Can Make Our Cities Healthy Places to Live

Prof. Ed Blakely (University of Sydney)
A/Prof. Ruth Colagiuri (Menzies Centre for Health Policy)

Healthy communities are the centre of wealth creation and Australia must make its urban areas healthy because they are the fulcrum of the economy. In this presentation Prof. Ed Blakely will discuss the urban policy and how we can make our cities healthy places to live. He will also outline how Australia’s new economy will make Asia’s growing cities healthy as a larger national export rather than natural resources. A/Prof. Ruth Colagiuri will respond and discuss what public health research is needed to support this.

When 1pm – 2pm, Tuesday, 7 September 2010
Where Carlaw Lecture Theatre 275

About the Speakers

Prof. Ed Blakely has more than 40 year of international experience in all aspects of urban and regional planning, disaster management and sustainable development. Until 2009 he headed the recovery of the City of New Orleans. In this role he coordinated all aspects of municipal government from planning and financing to construction of major infrastructure related to the recovery of the City from the worst modern urban disaster in the United States. He is currently the Professor of Urban Policy at the United States Study Center at the University of Sydney where he coordinates the Centres programs on global urban issues with an honorary professor appointment.

Ruth Colagiuri is an Associate Professor in the School of Public Health and director of Health and Sustainability Unit at the Menzies Centre for Health Policy. She was recently awarded a University of Sydney Medical Foundation Fellowship. She is also a Vice President of the International Diabetes Federation and leads the activities of the Oxford Health Alliance Asia Pacific Centre. Ruth has worked extensively in the clinical services, health policy, population health plans, health professional training and competencies, and the evidence base for diabetes prevention and care both in Australia and internationally – most notably in the Pacific Islands, Africa and India.

Australian of the Year – Professor Patrick McGorry

When 7:00pm, Friday, 3 September 2010
Where Great Hall, University of Sydney

The 2010 Lambie-Dew Oration will be delivered by the current Australian of the Year, leading international researcher, clinician, mental health reform advocate and Sydney Medical School alumnus, Professor Patrick McGorry AO.

This year’s oration will be held at its traditional venue of the Great Hall, on Friday the 3rd of September, commencing at 7.00 pm. Refreshments will be provided from 6.00 pm. Admission is free, and we welcome all students and the general public to be part of the audience at this prized event in the Sydney University Medical Society’s calendar.

Professor McGorry’s Australian of the Year award recognised “his extraordinary 27-year contribution to the improvement of the youth mental health sector [that] has transformed the lives of tens of thousands of young people the world over.” He is currently the Executive Director of Oxygen Youth Health (OYH), Australia’s largest youth mental health organisation, Professor of Youth Mental Health at the University of Melbourne, and a founding member of the National Youth Mental Health Foundation (headspace) board. Professor McGorry’s work has played an integral role in the development of safe, effective treatments and innovative research involving the needs of young people with emerging mental disorders.

The Lambie-Dew Oration is an annual event that has been held by the Sydney University Medical Society since 1958 in honour of Charles Lambie and Harold Dew, the first Bosch Chairs of Medicine and Surgery respectively. Recent past speakers include Dr Rowan Gilles, Professor Ian Frazer, Professor Chris O’Brien, Professor Peter Doherty and Professor Marie Bashir.

If you would like further information, please contact Stuart Napier. snap6003@uni.sydney.edu.au

Diabetes and Sustainable Development: A Global Crisis

Professor Jean-Claude Mbanya (President of the International Diabetes Federation)

The world is experiencing unprecedented national debt and an uncertain economic future. The diabetes epidemic is at crisis point and challenges current global health and development approaches and priorities.

With 80% of the current 285 million cases of diabetes in LMCs, increasingly affecting people aged 35 to 64 ‐ the productive years ‐ diabetes has become a significant determinant of personal poverty, and transgenerational hardship and loss of life chances.

There is an insidious relationship between diabetes and key development indicators such as poverty and malnutrition; gender inequity and maternal mortality; major infections such as TB; and climate change. The impact of forgone income resulting from lost productivity due to diabetes is of concern to both developing and developed countries. In LMCs it undermines progress towards achievement of the Millennium Development Goals and contributes to state fragility.

This lecture will provide insights into these issues and discuss possible solutions for consideration by the 2011 UN Summit on Non‐Communicable Diseases.

When 5.30pm-7.00pm, Thursday, 2 September 2010
Where Lecture Theatre 101, New Law School

About the Speaker

Jean Claude Mbanya is Professor of Medicine and Endocrinology at the Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Cameroon and Consultant Physician, Director of the National Obesity Centre University of Yaounde and Chief of the Endocrinology and Metabolic Diseases Unit at the Hospital Central in Yaounde.

His primary research interests are in the distribution, determinants and consequences of diabetes and related chronic diseases including cultural diabetes‐related factors, which are often unique to the African countries and communities he studies. His practice and research have largely contributed to increase the world’s awareness on diabetes in Africa, a continent where the devastating personal and macroeconomic economic impact of non‐contagious diseases like diabetes are too often overlooked.

Professor Mbanya was instrumental in the International Diabetes Federation (IDF) led ‘Unite for Diabetes’ campaign which resulted in the UN Resolution on Diabetes in December 2006. As President of IDF, he steers IDF strategic direction to encourage governments to implement policies for the treatment, care and prevention of diabetes and is currently leading the development of a global diabetes plan in preparation for the 2011 UN Summit on Non‐ Communicable Diseases.

Treating an Epidemic: HIV/AIDS

Bernard Gardiner (Red Cross Global HIV Program)
Dr Jonathan Anderson (ViiV Healthcare Australia, a joint venture by GlaxoSmithKline and Pfizer)
Bridget Haire (journalist, editor, policy analyst and advocate for HIV/AID prevention)

How do we begin combating the HIV/AIDS epidemic, and what progress has been made so far? This panel discussion explores the current issues facing the prevention and treatment of HIV/AIDs as well as the progress being made every day in eradicating the disease.

When 12:00pm-1:00pm, Monday, 23 August 2010
Where Pharmacy Lecture Theatre
RSVP Please email aphq@goldenkey.org

About the Speakers

Bernard Gardiner was a volunteer in the early HIV response in Australia and served two term as Vice President of the Victorian AIDS Council, and then was later its General Manager for three years. He managed the HIV Unit of the Victorian Human Services Department and chaired the 1st national conference of the Chronic Illness Alliance. His overseas work has been within the Red Cross Movement, first as Manager of the Australian Red Cross HIV Programme in East and South-East Asia for five years based in Bangkok, and then 7 years based in Geneva as Manager of the International Federation of Red Cross and Red Crescent Societies Global HIV Programme. He has visited more than 50 countries to assist with HIV programming, and during his tenure the Red Cross HIV work expanded from $3 million per year to over $100 million per year.

Dr Jonathan Anderson is the Medical Director of ViiV Healthcare Australia, a joint venture by GlaxoSmithKlein and Pfizer that is 100% focused on treatment and care of HIV. He was a primary care doctor with a special interest in HIV, sexual health and gay men’s health at the Carlton & Northside clinics in Melbourne from 1993-2010. As an active member of the National Centre in HIV Epidemiology and Clinical Research network, he was involved in multiple clinical research studies and helped found the Australian HIV Observational Database. He was President of the Australasian Society for HIV Medicine and member of the Federal and state ministerial advisory committees. In 2004 he worked in Botswana for the African Comprehensive HIV/AIDS Development Partnership (ACHAP) a collaboration between the government of Botswana and the Gates Foundation. Currently, Jonathan is an Adjunct Associate Professor at Sydney Medical School and is the author of 26 peer-reviewed publications on HIV treatment and care, health economics, HPV and pandemic influenza.

Bridget Haire has worked in the HIV community sector for more than 15 years as a journalist, editor, policy analyst and advocate. She sits on the steering committee of the International Rectal Microbicides Advocates and is a graduate of the University of Sydney’s Masters of Bioethics program. Bridget works as Senior Policy Analyst for Family Planning NSW and is completing a PhD in Bioethics at the Centre for Values, Ethics and the Law in Medicine, University of Sydney.

A Cautionary Welcome to New Innovations in Diagnostic Imaging

Professor Patrick Brennan (Faculty of Health Sciences, University of Sydney)

The current rate of technological development within diagnostic imaging is not unlike a century ago when X-rays were first described. Professor Brennan will discuss how his research career has been based on exploring the efficacy and safety of new innovations and will focus on two new but rapidly adopted technologies: digital X-ray acquisition and handheld mobile devices such as the iPhone or iPod Touch.

This lecture will also describe some of the work being done in the Faculty of Health Sciences that highlights the cautionary approach that should prevail each time a new innovation is introduced.

When 5:00pm-7:00pm, Wednesday, 18 August 2010
Where Room E101, Building E, Lidcombe Campus

Careers & Research Forum: Medicine, Nursing, Pharmacy, Health Sciences, Dentistry

This is your opportunity to get practical career tips and advice from people working in a wide variety of disciplines in medicine, public health, nursing, pharmacy and health sciences.

Meet staff from a wide variety of health-related organisations. Don’t miss this chance to find out about career opportunities and get career advice from people working in your field of interest!

When 4:00pm-6:30pm, Thursday, 12 August 2010
Where MacLaurin Hall
RSVP Please contact Insert Name
Please click here

The Dynamic Brain

Professor Peter Robinson (Double Australian Research Council Federation Fellow)

The brain’s activity varies around the clock in response to stimuli, light inputs, and the build-up and clearance of sleep-promoting chemicals – somnogens. Signatures of brain activity have been observed for over a century and are widely used to probe brain function and disorders, often via the electroencephalogram (EEG) recorded by electrodes on the scalp, or through functional magnetic resonance imaging (fMRI), which measures a combination of blood volume and deoxygenation.

Learn more about a quantitative physiologically based model of the working brain is described that responds correctly to the day-night cycle, somnogens, caffeine and pharmaceuticals, and generates activity in the cortex consistent with brain imaging measurements. Successful applications to numerous experiments are described, including EEGs, seizures, sleep deprivation and recovery, fatigue, and shift work. Aside from its scientific uses, this working brain model is currently finding clinical and industrial applications to brain function measurement and to prediction and monitoring of alertness.

When 7:00pm-8:00pm, Wednesday, 4 August 2010
Where The Darlington Centre
Cost FREE for members of the Royal Society of NSW
Otherwise: $5
RSVP Please contact Insert Name
Please click here

End of Evidence Based Medicine

Professor Victor Montori (The Mayo Clinic)

The past 20 years saw an evolution in the idea of evidence based medicine (EBM) founded on two principles: one is most confident about a decision based on high-quality evidence, and evidence from clinical care research alone is insufficient to make a sound decision requiring the incorporation of patient context and preferences.

In this same period there is evolving realisation of the multitude of ways in which the evidence can be corrupted by poor methods, misleading design and dissemination of results, and fraud. As a result, this paradigm of practice is in crisis. This talk will substantiate these points and offer some ideas on a way out.

When 1:00pm-2:00pm, Tuesday, 25 May 2010
Where Conference Rooms, Darlington Centre
RSVP Please email sphseminars@health.usyd.edu.au


Professor Stewart Truswell

Malnutrition affects one in three people in the world, and is especially common among the poor and those with inadequate access to health education and to clean water and good sanitation. Chronic food deficits have been worsening as the world food crisis hits the most vulnerable.

This seminar will outline the types of malnutrition and strategies to improving nutrition in developing countries.

When 6:00pm-7:30pm, Tuesday, 18 May
Where Eastern Avenue Auditorium