{"id":23662,"date":"2024-10-08T11:47:43","date_gmt":"2024-10-08T03:47:43","guid":{"rendered":"https:\/\/medicine.nus.edu.sg\/cbme\/?page_id=23662"},"modified":"2024-12-05T11:41:11","modified_gmt":"2024-12-05T03:41:11","slug":"ethical-and-legal-challenges-in-surgical-innovation-frameworks-for-responsible-practice","status":"publish","type":"page","link":"https:\/\/medicine.nus.edu.sg\/cbme\/ethical-and-legal-challenges-in-surgical-innovation-frameworks-for-responsible-practice\/","title":{"rendered":"Ethical and Legal Challenges in Surgical Innovation: Frameworks for Responsible Practice"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"23662\" class=\"elementor elementor-23662\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6618c335 elementor-section-height-min-height elementor-section-content-middle elementor-section-stretched nus-page-banner elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"6618c335\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-75f142ce\" data-id=\"75f142ce\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6fe623a9 elementor-widget elementor-widget-heading\" data-id=\"6fe623a9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ethical and Legal Challenges in Surgical Innovation: Frameworks for Responsible Practice<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-183155aa\" data-id=\"183155aa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-407b03e9 e-transform elementor-widget elementor-widget-image\" data-id=\"407b03e9\" data-element_type=\"widget\" data-settings=\"{&quot;_transform_translateY_effect&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-48,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1042\" height=\"527\" src=\"https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/BannerEthicalLegal.png\" class=\"attachment-full size-full wp-image-23712\" alt=\"\" srcset=\"https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/BannerEthicalLegal.png 1042w, https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/BannerEthicalLegal-300x152.png 300w, https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/BannerEthicalLegal-1024x518.png 1024w, https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/BannerEthicalLegal-768x388.png 768w\" sizes=\"(max-width: 1042px) 100vw, 1042px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-202a733e nus-row-breadcrumb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"202a733e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7b32427c\" data-id=\"7b32427c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-63988e7d elementor-widget elementor-widget-shortcode\" data-id=\"63988e7d\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\t<div class=\"breadcrumb-ss-container\">\n\t\t<div class=\"breackrum\">\n\t\t\t<div class=\"container\">\n\t\t\t\t<ul><li class=\"home\"><a class=\"bread-link bread-home\" href=\"https:\/\/medicine.nus.edu.sg\/cbme\" title=\"Home\"><span class=\"bread-icon\"><\/span><span class=\"bread-text\">Home<\/span><\/a><\/li><\/ul>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4623b7dd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4623b7dd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-668f9047\" data-id=\"668f9047\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7abecdc elementor-widget elementor-widget-text-editor\" data-id=\"7abecdc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Venue: Level 1, Saffron Room, Shaw Foundation Alumni House, 11 Kent Ridge Drive, Singapore, 119244 (<a href=\"https:\/\/maps.app.goo.gl\/Vva9FekUSGV3HZP58\">Map<\/a>)<br \/>Date: Friday 15 November 2024<br \/>Time: 9.00am to 12.00pm<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6f3562c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6f3562c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ef76962\" data-id=\"ef76962\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ea31a2b elementor-widget elementor-widget-heading\" data-id=\"ea31a2b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Programme<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2afd06 elementor-widget elementor-widget-text-editor\" data-id=\"d2afd06\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table border=\"1\" cellspacing=\"0\" cellpadding=\"0\" title=\"\" summary=\"\" style=\"width: 100%;\">\n<tbody>\n<tr>\n<td width=\"116\" valign=\"top\" style=\"width: 20.8334%;\">\n<p><span lang=\"EN-US\">9:00am \u2013 9:10am<\/span><\/p>\n<\/td>\n<td width=\"485\" valign=\"top\" style=\"width: 79%;\">\n<p><span lang=\"EN-US\">&nbsp;Introduction<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"116\" valign=\"top\" style=\"width: 20.8334%;\">\n<p><span lang=\"EN-US\">9:10am \u2013 10:00am&nbsp; <\/span><\/p>\n<\/td>\n<td width=\"485\" valign=\"top\" style=\"width: 79%;\">\n<p><span lang=\"EN-US\">&nbsp;Talk by <i>Professor Richard Huxtable<\/i><\/span><\/p>\n<p><b><span lang=\"EN-AU\">&nbsp;Title: Conceptualising, evaluating, and regulating surgical innovation<\/span><\/b><span lang=\"EN-AU\"><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"116\" valign=\"top\" style=\"width: 20.8334%;\">\n<p><span lang=\"EN-US\">10:00\u2013 10: 20<\/span><\/p>\n<\/td>\n<td width=\"485\" valign=\"top\" style=\"width: 79%;\">\n<p><span lang=\"EN-US\">&nbsp;Break<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"116\" valign=\"top\" style=\"width: 20.8334%;\">\n<p><span lang=\"EN-US\">10:20 \u2013 11:10<\/span><\/p>\n<\/td>\n<td width=\"485\" valign=\"top\" style=\"width: 79%;\">\n<p><span lang=\"EN-US\">&nbsp;Talk by <i>Dr Naomi Holbeach<\/i><\/span><\/p>\n<p><span lang=\"EN-US\">&nbsp;<b>Title: <\/b><\/span><b>Confidence-based Surgical Innovation: A framework for responsible surgical innovation<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"116\" valign=\"top\" style=\"width: 20.8334%;\">\n<p><span lang=\"EN-US\">11:10 -12:00<\/span><\/p>\n<\/td>\n<td width=\"485\" valign=\"top\" style=\"width: 79%;\">\n<p><span lang=\"EN-US\">&nbsp;Panel Discussion<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5f6217 elementor-widget elementor-widget-heading\" data-id=\"f5f6217\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Workshop Synopsis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-30c9dbc elementor-widget elementor-widget-text-editor\" data-id=\"30c9dbc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Surgical innovation promises significant advancements in patient care but also introduces complex ethical and legal challenges. This workshop brings together experts in bioethics, law, and medicine to explore these challenges and provide frameworks for responsible innovation.<br \/><br \/>The workshop will delve into the ethical dilemmas and patient safety considerations of introducing new surgical techniques. Participants will gain insights into ensuring informed consent, the importance of professional consensus, and balancing the ethical duty to innovate with legal obligations. By examining case studies and expert frameworks, attendees will be equipped with the knowledge and tools needed to navigate the ethical and legal landscapes of surgical innovation, ensuring both patient safety and the advancement of medical practices.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d205c17 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d205c17\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8db778b\" data-id=\"8db778b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-39f320c elementor-widget elementor-widget-heading\" data-id=\"39f320c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Our Speakers<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fc5538c elementor-widget elementor-widget-spacer\" data-id=\"fc5538c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-8f5bd67 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8f5bd67\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ffc4069\" data-id=\"ffc4069\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a90ce3d elementor-widget elementor-widget-spacer\" data-id=\"a90ce3d\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73e4b20 elementor-widget__width-initial elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"73e4b20\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/Richard-Huxtable.png\" class=\"attachment-full size-full wp-image-23664\" alt=\"\" srcset=\"https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/Richard-Huxtable.png 500w, https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/Richard-Huxtable-300x300.png 300w, https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/Richard-Huxtable-150x150.png 150w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/figure><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">Professor Richard Huxtable<\/h3><p class=\"elementor-image-box-description\">University of Bristol<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-47270c1\" data-id=\"47270c1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-44047e8 elementor-widget elementor-widget-spacer\" data-id=\"44047e8\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dfe1af6 elementor-widget elementor-widget-heading\" data-id=\"dfe1af6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Biography<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e71fc5d elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"e71fc5d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"MsoNormal\" style=\"text-align: justify;\"><b><span style=\"font-family: 'Calibri',sans-serif;\">Professor Richard Huxtable<\/span><\/b><span style=\"font-family: 'Calibri',sans-serif;\">\u00a0is the Professor of Medical Ethics and Law in University of Bristol. His research primarily concerns legal and ethical issues in end-of-life decision-making, surgery and paediatrics. He is the author of<i>\u00a0Law, Ethics and Compromise at the Limits of Life: To Treat or Not to Treat?\u00a0<\/i>(Routledge-Cavendish, 2012),\u00a0<i>Euthanasia, Ethics and the Law: From Conflict to Compromise\u00a0<\/i>(Routledge-Cavendish, 2007) and (with Dickenson &amp; Parker)\u00a0<i>The Cambridge Medical Ethics Workbook<\/i>\u00a0(CUP, 2nd edn, 2010), plus numerous articles and chapters. His research has been funded by organisations including the Wellcome Trust and the European Commission and he has given invited presentations at the Royal Society of Medicine and the Royal College of Surgeons, as well as conferences worldwide.<o:p><\/o:p><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b1b31f2 elementor-widget elementor-widget-heading\" data-id=\"b1b31f2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Abstract<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c08683 elementor-widget elementor-widget-text-editor\" data-id=\"2c08683\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"MsoNormal\" style=\"text-align: justify;\">In promising to offer new \u2013 and presumably improved \u2013 ways of benefitting patients, surgical innovation appears to merit support and encouragement. Complications and controversies worldwide nevertheless reveal that the promise can transform into peril, with patients reportedly coming to harm from innovations involving (for example) vaginal mesh and trachea transplants. Surgical innovation, then, evidently needs careful evaluation and oversight. There are, however, at least three obstacles in the path of assessment and, ultimately, safe regulation. First, neither \u201csurgical innovation\u201d nor, indeed, \u201csurgery\u201d itself are easy to define. Even if we assume the phenomena can be satisfactorily defined, then, second, it is unclear which ethical governance or authorisation paradigm best suits surgical innovation: for example, should such innovation fall within the purview of a Research Ethics Committee (or IRB), a Clinical Ethics Committee, or some other mechanism? Finally, and perhaps most surprisingly, the very basis on which surgery can be lawfully performed continues to prove elusive. Drawing on work undertaken with colleagues at Bristol\u2019s NIHR Biomedical Research Centre, this presentation will explore the concepts and challenges, making reference to the position in England and Wales, but with anticipated relevance beyond that jurisdiction<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-25f99da elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"25f99da\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-d725d3d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d725d3d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a7cee7c\" data-id=\"a7cee7c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ac2bd34 elementor-widget elementor-widget-spacer\" data-id=\"ac2bd34\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d5f1874 elementor-widget__width-initial elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"d5f1874\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/Naomi-Holbeach.png\" class=\"attachment-full size-full wp-image-23665\" alt=\"\" srcset=\"https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/Naomi-Holbeach.png 500w, https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/Naomi-Holbeach-300x300.png 300w, https:\/\/medicine.nus.edu.sg\/cbme\/wp-content\/uploads\/sites\/14\/2024\/10\/Naomi-Holbeach-150x150.png 150w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/figure><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">Dr Naomi Holbeach<\/h3><p class=\"elementor-image-box-description\">Mercy Hospital for Women in Melbourne, Australia<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a8c8c7b\" data-id=\"a8c8c7b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8024c2b elementor-widget elementor-widget-spacer\" data-id=\"8024c2b\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-822aa1f elementor-widget elementor-widget-heading\" data-id=\"822aa1f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Biography<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-391a16f elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"391a16f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"MsoNormal\" style=\"text-align: justify;\">Dr Naomi Holbeach is an Obstetrician and Gynaecologist from the Mercy Hospital for Women in Melbourne, Australia. She holds dual qualifications in law and medicine and has recently completed a PhD in bioethics on surgeons\u2019 legal and ethical obligation about surgical innovation. Naomi is also the Academic Coordinator for Learning and Teaching and a senior lecturer in the Department of Obstetrics, Gynaecology and Newborn Health at the University of Melbourne. In this role she teaches medical students medicine, law and ethics.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-791d35b elementor-widget elementor-widget-heading\" data-id=\"791d35b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Abstract<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-013ca99 elementor-widget elementor-widget-text-editor\" data-id=\"013ca99\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"MsoNormal\" style=\"text-align: justify;\">Confidence-Based Surgical Innovation is a framework that promotes responsible surgical innovation by combining evidence-based medicine and philosophical reasoning to provide surgeons with a step-by-step guide to thinking clearly about innovation that aligns with their legal and professional obligations. Using this framework addresses the problems faced by surgical innovation related to surgeons\u2019 obligations and clinical decision-making behaviours that I identify from Australian examples.<br \/>Surgical innovation is an essential part of surgical practice, but it is inherently risky. Despite a long history of innovation in surgery and many extraordinary advances in patient care, patients can be harmed by surgical innovation. While it is appropriate to approach innovative surgery with caution in the interests of patient safety, this must be balanced with active promotion of responsible innovation.<br \/>Having analysed the legal and professional obligations of surgeons in Australia, I find that existing obligations do not support surgical innovation. Surgeons have legal and professional obligations with respect to their care of patients. These obligations apply to all care provided to patients, whether the care is innovative or not and require surgeons to have a rational basis for the treatment they offer. Usually, the rational basis for treatment arises from clinical evidence and peer professional support. However, clinical evidence and peer support may be limited or lacking for surgical innovation, and in such circumstances is not clear how to proceed so that obligations are met. This culminates in general uncertainty around surgeons\u2019 obligations, which leads to two problems for surgical innovation \u2013 first, that much-needed surgical innovation is at risk of not happening when it should, and, second, that when it is undertaken it is not reliably undertaken responsibly.<br \/>To address this, I propose a framework to provide surgeons with a clear, stepwise approach to good reasoning about surgical innovation that meets their obligations and promotes responsible implementation of innovation. This framework combines well-established evidence-based medicine principles with philosophical reasoning. The framework, which I have called Confidence-Based Surgical Innovation, provides a structured approach to therapeutic reasoning that has to date been missing. I argue that by using philosophical reasoning alongside evidence-based medicine, we can formalise and defend conclusions about safety and efficacy of surgical innovation. Ultimately resulting in responsible innovation being offered to patients and implemented in ways that more autonomy-enhancing and more defensible in legal and disciplinary proceedings.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5e6590 elementor-widget elementor-widget-spacer\" data-id=\"f5e6590\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb2f008 elementor-widget elementor-widget-spacer\" data-id=\"bb2f008\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e960666 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e960666\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-72e360d\" data-id=\"72e360d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b1ac1b4 elementor-widget elementor-widget-heading\" data-id=\"b1ac1b4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">CME \/ CPE Points<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1103065 elementor-widget elementor-widget-text-editor\" data-id=\"1103065\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>CME (non-core) points for doctors, CPE points for nurses and pharmacists are being applied and subjected to approval.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Ethical and Legal Challenges in Surgical Innovation: Frameworks for Responsible Practice Venue: Level 1, Saffron Room, Shaw Foundation Alumni House,&#8230;<\/p>\n","protected":false},"author":8998,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-nobanner-title.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-23662","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - 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