Teaching Dossier Barbara Seckerjcb.utoronto.ca/people/documents/secker_teachingdossier.pdfBarbara...

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Teaching Dossier Barbara Secker Associate Director, Education and Practice, Joint Centre for Bioethics Assistant Professor, Department of Occupational Science and Occupational Therapy Associate Member, School of Graduate Studies University of Toronto Cross-Appointments: Institute of Health Policy, Management and Evaluation Graduate Department of Rehabilitation Science Lawrence S. Bloomberg Faculty of Nursing Institute of Medical Science Address: Joint Centre for Bioethics 155 College Street, Suite 754 Toronto, ON M5T 1P8 (416) 978-1909 [email protected] Date prepared: June 2014 A. Statement of teaching philosophy Philosophical Approach to Teaching Good teaching is a multi-faceted practice that actively engages both learners and teacher in the shared ends of processing, understanding and reflecting critically on how things are or appear to be, how they ought to be, and why. It is an occupation in its richest sense that--at its best --supports the self- development and empowerment of learners and teachers-as-learners, who contribute their unfolding knowledge, skills, and passion to improving global life. My teaching philosophy, or my pedagogical approach, combines two complementary, mutually reinforcing influences: (1) feminist theory’s call for social justice to end oppression in social relations and conditions, and (2) occupational therapy’s emphasis on occupational justiceor just participation in occupations”— that are fundamental to human existence, health, and well-being. I aim to enable meaningful and purposeful occupation through education toward bringing about a more socially just world that necessarily includes “an occupationally just world, governed to enable all individuals to flourish in diverse ways by doing what they decide they can do that is most meaningful and useful to themselves and to their families, communities, and nations” (Wilcock & Townsend, in CAOT, Profile of Occupational Therapy in Canada, 2007, p. 19). Teaching Background I have been teaching philosophy and bioethics in university and healthcare settings for over 20 years. This is still surprising to me when I remember my younger self. I was shy, too shy for the teaching or performing world for which my university music program would have prepared me. I left music, and gained some confidence in the workforce. Career counseling suggested law as a profession. I enrolled in some “pre-law” courses as a mature student. It was an ethics, law and society course where I met the exceptional teacher, then mentor (and later PhD supervisor) who would inspire me to pursue philosophy and bioethics in academic and applied settings. I will never forget the intellectual rush of learning with him. As master’s student and terrified new teaching assistant, I used to try to “channel” him. Since then, through some pedagogical training and gradual skill- and confidence-building through experience, I have been evolving my own style. And the most fulfilling roles in my work over the past 10 years have been as a teacher and a mentor.

Transcript of Teaching Dossier Barbara Seckerjcb.utoronto.ca/people/documents/secker_teachingdossier.pdfBarbara...

Page 1: Teaching Dossier Barbara Seckerjcb.utoronto.ca/people/documents/secker_teachingdossier.pdfBarbara Secker, Teaching Dossier Page 3 my own experience as a teacher, feedback from students

Teaching Dossier

Barbara Secker Associate Director, Education and Practice, Joint Centre for Bioethics

Assistant Professor, Department of Occupational Science and Occupational Therapy Associate Member, School of Graduate Studies

University of Toronto

Cross-Appointments: Institute of Health Policy, Management and Evaluation

Graduate Department of Rehabilitation Science Lawrence S. Bloomberg Faculty of Nursing

Institute of Medical Science

Address: Joint Centre for Bioethics 155 College Street, Suite 754 Toronto, ON M5T 1P8 (416) 978-1909

[email protected]

Date prepared: June 2014

A. Statement of teaching philosophy Philosophical Approach to Teaching Good teaching is a multi-faceted practice that actively engages both learners and teacher in the shared ends of processing, understanding and reflecting critically on how things are or appear to be, how they ought to be, and why. It is an occupation in its richest sense that--at its best --supports the self-development and empowerment of learners and teachers-as-learners, who contribute their unfolding knowledge, skills, and passion to improving global life. My teaching philosophy, or my pedagogical approach, combines two complementary, mutually reinforcing influences: (1) feminist theory’s call for social justice to end oppression in social relations and conditions, and (2) occupational therapy’s emphasis on occupational justice—or “just participation in occupations”—that are fundamental to human existence, health, and well-being. I aim to enable meaningful and purposeful occupation through education toward bringing about a more socially just world that necessarily includes “an occupationally just world, governed to enable all individuals to flourish in diverse ways by doing what they decide they can do that is most meaningful and useful to themselves and to their families, communities, and nations” (Wilcock & Townsend, in CAOT, Profile of Occupational Therapy in Canada, 2007, p. 19). Teaching Background I have been teaching philosophy and bioethics in university and healthcare settings for over 20 years. This is still surprising to me when I remember my younger self. I was shy, too shy for the teaching or performing world for which my university music program would have prepared me. I left music, and gained some confidence in the workforce. Career counseling suggested law as a profession. I enrolled in some “pre-law” courses as a mature student. It was an ethics, law and society course where I met the exceptional teacher, then mentor (and later PhD supervisor) who would inspire me to pursue philosophy and bioethics in academic and applied settings. I will never forget the intellectual rush of learning with him. As master’s student and terrified new teaching assistant, I used to try to “channel” him. Since then, through some pedagogical training and gradual skill- and confidence-building through experience, I have been evolving my own style. And the most fulfilling roles in my work over the past 10 years have been as a teacher and a mentor.

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Since 1991 I have taught as a teaching assistant, guest lecturer, co-instructor, instructor, course director, thesis committee member, thesis supervisor, practicum supervisor, fellowship supervisor, and post-graduate fellowship director. I have taught undergraduate students, professional- and research-stream graduate students, post-graduate trainees, and health practitioners from many disciplines including philosophy, law, theology, medicine, nursing, occupational therapy, physical therapy, speech-language pathology, social work, pharmacy, journalism, health policy, public health, and so on. Teaching Goals Given I teach a range of students, which range is diverse within and across student groups, my goals and approaches vary but have the following cross-cutting aims. I strive to enable and empower students in safe, inclusive, respectful environments that encourage them to engage with personally and professionally meaningful material in experientially-based, practically relevant ways. I stress the importance of a theory practice “reflective equilibrium” that moves back and forth among moral intuitions about cases to ethical principles to ethical theories, revising and refining these until an “equilibrium” (or a coherence) is achieved among these intuitions, principles, and theories (Daniels, 1996). In doing so, I encourage students to challenge assumptions (mine, others’, their own) in a self-reflective and critically constructive way. I teach and try to role model mutual respect—an appreciation for, not simply a tolerance of, diversity and difference. My hope is to inspire and develop leaders who are also always learners. I believe the most effective, meaningful way to do this is by demonstrating the necessary interrelationship among education, research and practice, and thus the importance of an on-going, integrative approach. In my view, the best way to sustain such leaders is by fostering communities of scholarship and practice that include students, trainees, teachers, researchers and practitioners. Teaching Methods and Approach My methods are many, and include: discussion facilitation; didactic-interactive lectures; large and small group problem-based and case-based learning, including the divergent case method; video/film clips, media clips or news stories, and cases; use of standardized patients in role plays and mock consults; reflective practice sessions; and one-on-one mentoring and coaching. Most importantly, I make every effort to be approachable, available, and accessible. Given I am usually teaching the theoretical foundations of bioethics, I introduce students who are new to this subject matter to basic key concepts. I use relevant illustrative examples and exercises, as well as humor, to help the issues come alive and to lessen the intimidation factor. I also consciously work to provide environments based on mutual respect rather than on authority or other hierarchies, including disciplinary and professional ones. As part of this, I aim to minimize the power imbalance in the learner-teacher relationship without losing sight of the fact that there is, inherently, an unequal power dynamic. I make it clear to students at all levels that they enhance my learning and the learning of their colleagues. I also emphasize that especially at graduate and post-graduate levels, students and trainees should work with teachers and mentors to customize their learning experiences to their individual learning needs and interests. I encourage students and trainees to provide formal and informal feedback and input on every aspect of the course or program. I do this through mid-point and end-point course evaluations, as well as through formal and informal focus groups held during class- or program-time. I also invite on-going written or verbal comments. Given I also direct some of the programs in which I teach, I offer others to whom they can speak (e.g., JCB Director) if they are not comfortable speaking with me. I also seek informal feedback from my colleagues (e.g., co-instructors), as well as specific or general input and ideas that arise in forums such as a curriculum committee or education advisory committee. I am generally energized by feedback. I welcome the opportunity to continually improve my courses and teaching, and also appreciate knowing what seems to enhance learning. Some “Lessons Learned” In order to give some concrete example of my pedagogical approach, what follows is my list “lessons learned” over the past 20 years. These are the top things (in no particular order) I’ve learned about teaching—things I’ve found work well and less well. These “lessons” are based on critical reflection on

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my own experience as a teacher, feedback from students and colleagues, and the literature on teaching and bioethics education.

1. I learned the hard way, relatively early on but not early enough, that undergraduate students and professional master’s students (or anyone without previous experience with philosophy) should not be assigned primary philosophical texts (by, e.g., Immanuel Kant or even John Stuart Mill). I use good secondary sources for beginning students, and suggest the primary literature if an interest is expressed to “go deeper.”

2. On a related note, but much later, I learned health professional students, e.g., OT master’s students, are not best served by a condensed version or “short-course” in bioethics theory of the kind that students specializing in bioethics receive. I am grateful to the OT student who said so clearly and respectfully in a course evaluation that they were studying to become an OT, not a bioethicist. With the assistance of my co-instructors in OT, I’ve been able to significantly revise the readings, lectures, and assignments to focus on providing core knowledge and skills related to “professional” role in the CAOT profile for OTs, including ethical awareness, concepts, principles and reasoning. We use the COTO conscious decision-making framework to “work through” ethical issues and cases that OTs face in practice.

3. Co-teaching with an academic and/or professional from the discipline in question is my ideal. I believe it is most engaging and effective for students, whether or not they are professional students, and most illuminating for the co-teachers.

4. It really is effective to “start with a case.” Students and fellows have taught me, however, that I

should include not only cases that went (usually horribly) wrong but also cases that went well—in order to give learners a non-abstract sense of what good or reasonable outcome looks like.

5. I love engaging my students in discussion. There is such a thing, however, as “too much discussion,” as my students have told me gently over the years. I am better now at more structure didactic-interactive lectures or seminars that give students the content and guidance they need, while still engaging them in discussion. I’ve also enhanced the quality of that discussion by assigning, for a portion of a participation grade, two comments or questions on one or more of the readings for the given session. Even if students are able to do only some of the assigned readings, having formulated a couple of questions or comments really improves the quality of the interactions.

6. Students in large undergraduate or graduate lecture-based courses can be effectively engaged in discussion. I developed my favorite way of doing this when I was a teaching assistant for an introductory bioethics course of 150 students. The professor supported my suggestion to break the students into 10 discussion groups of 15. Each week during the first hour of a three-hour lecture, they met in the break-out rooms for semi-self-directed discussion of a case or issue with guiding questions. A rotating secretary took notes on the discussion and all students present signed the attendance sheet. The other TA and I would circulate among the 10 rooms to provide any needed guidance. Student feedback on this approach was overwhelmingly positive, and received a credit/no-credit portion of a participation grade for each discussion.

7. Connecting with students between sessions, particularly in a course taught in a modular format, enhances their learning experience as well as mine. My favorite way to do this is in my philosophical foundations of bioethics course where I post on Blackboard an optional multiple choice quiz between sessions to help guide the students identify the most important theoretical concepts and ideas. Students email me their responses, and they can try as many times as they like before the next session to get the answers correct. Those who get the answers correct by the next class are entered into an in-class draw for a small-yet-decadent-prize. I have been doing this for many years and the vast majority of my mostly mid-career professionals participate enthusiastically, and have said not only is it fun but it helps them understand difficult material.

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8. One of the most effective ways to train Ethics Fellows in the core knowledge and skill competencies for ethics consultation is to develop mock consultations (based on my past consultation experience and those of colleagues) and to role play these with the Fellows and actors from the Standardized Patient Program (SPP). The SPP actors are expert at providing feedback, I offer feedback based on my actual experience, and the Fellows also give input to each other.

Areas for Further Development I have several areas I’d like to improving in my teaching, including my ability to better use distance/on-line methods, including innovative teaching and learning technologies. Also, based on my concern that no longer having a clinical ethics practice of my own will lead to fewer rich cases for teaching and training, I want to consider how I might better engage practicing healthcare ethicists, health practitioners, administrators, patients and family members in my teaching. I would also like to learn about other teaching, curriculum and program evaluation methods, including a better more strategic approach to integrating my own teaching and my educational scholarship.

B. Clinical fieldwork/education supervision of students 2001-2008 Rotation Supervisor, Fellowship in Clinical and Organizational Ethics, University of Toronto Joint Centre for Bioethics: Kevin Reel, BSc, MSc (September 1--November 30, 2008) Debbie Rolfe, MSW, MHSc (July 1--September 15, 2008) Jennifer Bell, MA (December 1, 2007--February 29, 2008) Leah McClimans, MA, PhD(c) (December 1, 2006--February 28, 2007) Cheryl Cline, PhD (September 1, 2006--November 30, 2006) Blair Henry, MTS (December 1, 2005--February 29, 2006) Sharon Reynolds, RN, MHSc (September 1, 2005--November 30, 2005) Shawn Richard, MA (March 1, 2005--August 31, 2005) Eoin Connolly, MA (December 1, 2004--February 29, 2005) Jonathan Breslin, PhD (September 1, 2004--31 December 2004) Shawn Winsor, MHSc (January 1, 2004--June 30, 2004)) Dianne Godkin, PhD (March 1, 2003--May 31, 2003) Laurie Hardingham, MA (July 1, 2002--June 31, 2003) Paula Chidwick, PhD (September 1, 2001--December 31, 2001) 2000-present Practicum Supervisor, MSC3008Y (Practicum/Applied Learning in Bioethics), MHSc in Bioethics Program, University of Toronto:

Anne Moulton, RN, MN (40 hours; 2012-13) Brogen Singh Akoijam, MD (40 hours; 2011-12) Theresa Burgess, BSc, PhD (40 hours; 2011-12) Mahjabeen Khan, MD (40 hours; 2011-12) Triveni Krishnan, PhD (40 hours; 2011-12) Nabeel Mangadan, MD (40 hours; 2011-12) Oliva Rabozakandraina, MD (40 hours; 2011-12)

Isabelle Carpentier, OT (20 hours; 2004) Andrew Cooper, MD (20 hours; 2003-04) Doreen Ouellet, RN (40 hours; 2002-03) Jerome Singh, SJD (20 hours; 2002-03) Monique Fourcaudot, SLP (40 hours; 2001-02) Jackie Smith, RN (40 hours; 2001-02) Jeff Blackmer, MD (40 hours; 2000-01)

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C. Coordinated student clinical fieldwork/education administration 2005-present Director, Collaborative Graduate Program in Bioethics, University of Toronto 2007-present Director, Fellowship in Clinical and Organizational Bioethics, Joint Centre for Bioethics, University of Toronto 2009-present Director, Master of Health Science (Bioethics) Program, Institute of Medical Science, University of Toronto 2011-13 Practicum Director, MSC3008Y Applied Learning in Bioethics (Practicum), MHSc in Bioethics Program, Institute of Medical Science, University of Toronto 2002-03 Practicum Co-Director, MSC3008Y Applied Learning in Bioethics (Practicum), MHSc in Bioethics Program, Institute of Medical Science, University of Toronto

D. Structured clinical fieldwork/education sessions E. Teaching (courses designed and taught) 2013-14 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Course Co-Director, 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto

Course Director, SRM3333Y/SRD4444Y Collaborative Program in Bioethics Student Seminars, School of Graduate Studies, University of Toronto

2012-13 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Course Co-Director, 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto

Course Director, SRM3333Y/SRD4444Y Collaborative Program in Bioethics Student Seminars, School of Graduate Studies, University of Toronto

2011-12 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Course Co-Director, 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto

2010-11 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Course Co-Director, MSC3006Y Independent Study (Writing and Publishing Course), Institute of Medical Science, University of Toronto

2009-10 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Course Co-Director, 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto

Guest Lecturer, "Less Acute, Just as Critical: Ethical Issues in Rehabilitation," Unit 5, MHSc (PT) Program, Physical Therapy Department, University of Toronto, August 2009.

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2008-09 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Course Co-Director, 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto

Guest Lecturer, "Less Acute, Just as Critical: Ethical Issues in Rehabilitation," Unit 5, MHSc (PT) Program, Physical Therapy Department, University of Toronto, August 2008.

2007-08 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Course Co-Director, 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto

Course Director, PHL440H Clinical Bioethics, Department of Philosophy, University of Toronto

Guest Lecturer, "Less Acute, Just as Critical: Ethical Issues in Rehabilitation," Unit 5, MHSc (PT) Program, Physical Therapy Department, University of Toronto, November 2007

2006-07 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Course Co-Director, 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto

Guest Lecturer, "Ethical Issues in Rehabilitation" (with Barbara Gibson), Unit 5, MHSc (PT) Program, Physical Therapy Department, University of Toronto, October 2006

2005-06 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Course Co-Director, Oct 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto

Guest Lecturer, "Ethical Issues in Rehabilitation," Unit 5, MHSc (PT) Program, Physical Therapy Department, University of Toronto, October 2005

2004-05 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Course Co-Director, Oct 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto

2003-04 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Guest Lecturer, “Capacity and Consent,” OCT1121H Occupational Therapy Practice 2, Department of Occupational Therapy, University of Toronto, February 2004

Guest Lecturer, “Less Acute, Just as Critical: Defining Ethics Issues in Rehab and Complex Continuing Care Ethics,” N460 Rehabilitation Nursing, Faculty of Nursing, University of Toronto, February 2004

Guest Lecturer, “Clinical Ethics Consultation in Rehab and Continuing Care,” MSC3004Y Clinical Ethics Consultation and Committees, MHSc in Bioethics, University of Toronto, September 2003

2002-03 Course Director, PHL2146Y Bioethics, Department of Philosophy, University of Toronto

Guest Lecturer, “Clinical Ethics Consultation in Rehab and Continuing Care,” MSC3004Y

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Clinical Ethics Consultation and Committees, MHSc in Bioethics, University of Toronto, March 2003

Guest Lecturer, “Capacity and Consent,” PHL283H5S Medicine, Morality and the Law, Department of Philosophy, University of Toronto, March 2003

Guest Lecturer, “Capacity and Consent,” OCT1121H Occupational Therapy Practice 2, Department of Occupational Therapy, University of Toronto, January 2003

2001-02 Instructor, PHL383H1S Ethics and Mental Health, Department of Philosophy, University of Toronto

Co-Instructor (with Dr. Neil Lazar), MSC1052H Clinical Bioethics, Institute of Medical Science, University of Toronto Facilitator, “Understanding The New World Of Health Care” (an intensive course for health care leaders on managing health care policy), Harvard University and University of Toronto (Rotman School of Management and Joint Centre for Bioethics), Toronto, June 18-23 Co-Instructor (with Dr. Denyse Richardson), Bioethics Short-Course, Division of Physiatry, Faculty of Medicine, University of Toronto

2000-01 Guest Lecturer, “Capacity and Consent,” OCT101H Professional Issues, Department of Occupational Therapy, University of Toronto, March 2001

Guest Lecturer, “Women’s Health,” MSC3001 Foundations I Seminar, University of Toronto Joint Centre for Bioethics, February 2001

1999-00 Guest Lecturer, “A Feminist Analysis of Mental Competence,” PHL383 Ethics and Mental Health, Department of Philosophy, University of Toronto, October 1999 1998-99 Guest Lecturer, “Rehabilitation Ethics,” MSC1052 Clinical Ethics, University of Toronto Joint Centre for Bioethics, March 1999

Guest Lecturer, “A Feminist Social-Constructionist Analysis of Mental Competence,” Equity Studies class, New College, University of Toronto, February 1999

1997-98 Instructor, PHL383S Ethics and Mental Health, Department of Philosophy, University of Toronto

Co-Instructor (with Professor Janet Mosher), LAW362S Legal Ethics: Dominant Paradigms and Critical Perspectives, Faculty of Law, University of Toronto

1996-97 Co-Instructor (with Professor Janet Mosher), LAW362S Legal Ethics: Dominant Paradigms and Critical Perspectives, Faculty of Law, University of Toronto Teaching Assistant, PHL281Y Bioethics, Department of Philosophy, University of Toronto 1995-96 Co-Instructor (with Ms. Mary Eberts, LL.M), LAW362S Legal Ethics: Dominant Paradigms and Critical Perspectives, Faculty of Law, University of Toronto Teaching Assistant, PHL281Y Bioethics, Department of Philosophy, University of Toronto

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1994-95 Teaching Assistant, PHL267H Philosophy of Human Sexuality, Department of Philosophy, University of Toronto

Teaching Assistant, PHL382F Ethical Issues in Death and Dying, Department of Philosophy, University of Toronto

1993-94 Teaching Assistant, PHL281Y Bioethics, Department of Philosophy, University of Toronto

Pedagogical Training 1997 Teaching Philosophy, PHL3000S, Department of Philosophy, University of Toronto (an

elective graduate course devoted to the art of teaching philosophy to undergraduates) 1994-96 Teaching Mentorship Programme, Department of Philosophy, University of Toronto,

PHL281Y Bioethics and PHL382F Ethical Issues in Death and Dying (with Professor W.R.C. Harvey)

F. Student/group research supervision Fellows in Clinical and Organizational Bioethics (post-graduate)

2013-14 Rosalind Abdool, MA, PhD candidate (CCE/JCB Fellow) 2012-13 James A. Anderson, MHA, PhD (JCB Fellow) Christopher De Bono, MDiv, PhD (CCE/JCB Fellow) Hong Lee, PhD (JCB Fellow) 2011-12 Michelle Allain, BHSc, MSc (JCB Fellow) Jill Oliver, BA, MA, PhD (JCB Fellow) Lucie Wade, BSc, MSc (JCB Fellow) 2010-11 Michael Campbell, BA, MHSc (UHN, Senior Fellow) Jean Daou, BA, MA (JCB/CCE Fellow) Rosanna Macri, BSc (RT), MHSc (JCB Fellow) Kevin Rodrigues, BA, MTS, PhD(c), (JCB/CCE Fellow) Kelley Ross, BA, MSc (JCB Fellow) Michael Szego, PhD, MHSc (JCB Fellow) 2009-10 Michael Campbell, BA, MHSc (JCB Fellow) Jennifer Flynn, PhD (JCB Fellow) Christine Jamieson, PhD (JCB/CCE Fellow) Nisha Wijeratne, MD, MHSc (JCB Fellow) 2008-09 Sally Bean, JD, MA (Sunnybrook, Senior Fellow) Rebecca Bruni, RN, PhD (JCB Fellow) Thomas Foreman, DHCE (JCB Fellow) Kevin Reel, BSc (OT), MSc (JCB Fellow)

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2007-08 Sally Bean, JD, MA (Trillium, Senior Fellow) Jennifer Bell, MA (JCB Fellow) Louise Campbell, PhD (JCB Fellow) Hannah Kaufman, MSW, MHSc (JCB Fellow) Debbie Rolfe, MSW, MHSc (JCB Senior Fellow) Victoria Seavilleklein, PhD (JCB Fellow) Linda Sheahan, MD, MA (JCB Fellow) Graduate Students Leah Justason. Exploring Health Provider Obligations in Patient Care Transitions: Defining a Shared Standard of Care. MSc Student. 2013-present. Institute of Health Policy, Management and Evaluation. Committee Member. **Mervis-Simon Family Award in Bioethics winner.

Debra Rolfe. Ethical Issues in Maternal/Infant Reproductive Health. PhD Candidate. Lawrence S.

Bloomberg Faculty of Nursing, University of Toronto. 2009-present. Committee Member. **Ontario Graduate Scholarship Winner. Barry Pakes. An Ethical Analysis in Public Health Practice. PhD Candidate. Department of Public Health Sciences, University of Toronto. 2005-present. Committee Member. **CIHR Fellowship Award Winner Evelyne Durocher. Ethics in Discharge Planning and Placement. PhD Candidate. Graduate Department of Rehabilitation Science, University of Toronto. 2008-2011. Comprehensive Examination Committee Member. Mark Wickus Camp. Patient Views on Financial Relationships between Orthopaedic Surgeons and Orthopaedic Device Manufactures. MSc Candidate. Institute of Medical Science, University of Toronto. Completed November 2011. Internal Examiner. Kelley Ross. Organ Transplantation Ethics. MSc Candidate. Department of Health Policy, Management and Evaluation, University of Toronto. 2007-2010. Completed January 2010. Supervisor. **CIHR Master's Award Winner Angie Andreoli. Understanding the Balance between Respect for Autonomy and Maximizing Safety for Patients, Families and Clinicians following Discharge from Brain Injury Rehabilitation. MSc Candidate. Department of Health Policy, Management and Evaluation, University of Toronto. 2007-2009. Completed December 2009. Committee Member. Cécile Bensimon. Bringing Public Health and Human Rights into Dialogue: Towards an Increased Public-Private (Intersubjective) Agency. PhD Candidate. Institute of Medical Science, University of Toronto. 2005-2009. Completed June 2009. Committee Member. Pam Kolopack. Putting Participation into Perspective: The Experiences of Participants and Their Family Members Involved in a Novel Gene Transfer Trial. MSc Candidate. Institute of Medical Science, University of Toronto. Completed April 2008. Internal Examiner. Robin Hayeems. Informed Consent and Genetic Databases: An Exploration of the Authorization Model. PhD, Department of Public Health Sciences, University of Toronto. Completed November 2007. Voting Member of Thesis Examination Committee. **CIHR Fellowship Award Winner Heather Sampson. Developing a Practical and Uniquely Canadian System of National Research Ethics Education and Review. MSc to PhD Qualifying Examination, Institute of Medical Science, University of Toronto. June 2007. Internal Examiner.

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Rob Sibbald. Case Studies in Organisational Healthcare Ethics: Healthcare Foundations, Business Development and the Commercialisation of Research. MSc, Institute of Medical Science, University of Toronto. Completed June 2006. Committee Member. Andrew Taylor. Biotechnology for Development: An Opportunity for Canada's Private Sector to Establish a Role in the World. MSc, Department of Health Policy, Management and Evaluation, University of Toronto. Completed November 2005. Internal Examiner. Jeff Nisker. Examining Theatre as a Tool for Public Engagement in Policy Development Related to Adult Genetic Testing. MSc to PhD Qualifying Examination, Institute of Medical Science, University of Toronto. June 2003. Completed June 2005. Internal Examiner.

I. Divergent Case Method (DCM) development and facilitation 2013-14 DCM Ethics: Professional and Ethical Obligations, Oct 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto (co-developed and facilitated; revised for 2014) 2012-13 DCM Ethics: Professional and Ethical Obligations, Oct 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto (co-developed and facilitated; revised for 2013) 2011-12 DCM Ethics: Professional and Ethical Obligations, Oct 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto (co-developed and facilitated; revised for 2012) 2009-10 DCM Ethics: Professional and Ethical Obligations, Oct 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto (co-developed and facilitated; revised for 2010) 2008-09 DCM Ethics: Professional and Ethical Obligations, Oct 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto (co-developed and co-facilitated; substantially revised for 2009)

2007-08 DCM Ethics: Professional and Ethical Obligations, Oct 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto (co-developed and co-facilitated) DCM Bioethics, PHL2146Y Bioethics, Department of Philosophy, University of Toronto (developed and facilitated) 2006-07 DCM Ethics: Professional and Ethical Obligations, Oct 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto (co-developed and facilitated) DCM Bioethics, PHL2146Y Bioethics, Department of Philosophy, University of Toronto (developed and facilitated) 2005-06 DCM Ethics: Professional and Ethical Obligations, Oct 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto (helped further develop; facilitated) DCM Bioethics, PHL2146Y Bioethics, Department of Philosophy, University of Toronto (developed and facilitated)

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2004-05 DCM Ethics: Professional and Ethical Obligations, Oct 1132H Occupational Therapy Practice II, Department of Occupational Science and Occupational Therapy, University of Toronto (helped further develop; facilitated)

L. Service to the University a. University Committees Department of Occupational Science and Occupational Therapy 2004-present Member, MScOT Admissions, Department of Occupational Science and

Occupational Therapy, University of Toronto 2012-present Member, Global Health/Population Health/SDOH Working Group (priority curriculum

content areas), Departmental Advisory Committee, Department of Occupational Science and Occupational Therapy, University of Toronto

Institute of Medical Science 2009-present Member, IMS Curriculum Committee, Institute of Medical Science, University of

Toronto Joint Centre for Bioethics 2001-present Chair (2009-present), Member (2001-08), Graduate Courses Committee (formerly

MHSc in Bioethics Program Committee), Joint Centre for Bioethics, University of Toronto

2005-present Member (ex officio), Leadership Team, Joint Centre for Bioethics, University of

Toronto

Chair, Bioethics Seminar Series, Joint Centre for Bioethics, University of Toronto 2006-present Member (ex officio), Executive Committee, Joint Centre for Bioethics, University of

Toronto Member (ex officio), Advisory Council, Joint Centre for Bioethics, University of Toronto

2011-present Chair, Joint Centre for Bioethics Education Advisory Committee, University of Toronto

1998-2013 Member, Chair (2005-13), Clinical, Organizational and Research Ethics (CORE)

Network (formerly the Clinical Ethics Group), University of Toronto Joint Centre for Bioethics

2006-2013 Chair (2007-2013), Member (2005-07), CORE Network Advisory Committee

(formerly Fellowship Advisory Committee), Joint Centre for Bioethics, University of Toronto

2008-2013 Co-Chair (2008-09), Member (2009-2013), Professionalization Working Group,

CORE Network, Joint Centre for Bioethics, University of Toronto

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Co-Chair (2008-09), Member (2009-2013), Accreditation Working Group, CORE Network, Joint Centre for Bioethics, University of Toronto

1998-2012 Member, Strategic Forum (2006-2012); Advisory Committee (1998-2006), University

of Toronto Joint Centre for Bioethics 2010-2011 Co-Chair, Ethics Consult Documentation Task Force, CORE Network, Joint Centre

for Bioethics, University of Toronto

Member, Ethics and Health Systems Integration Working Group, Joint Centre for Bioethics, University of Toronto

School of Graduate Studies 2005-present Chair, Collaborative Program in Bioethics Executive Committee, University of

Toronto Other 2007-present Member, Executive Committee, Centre for Ethics, University of Toronto 2005-06 Member, Search Committee, Director, Joint Centre for Bioethics, Faculty of

Medicine, University of Toronto 1997-98 Member, Search Committee, Bioethics and Genetics, University of Toronto Joint Centre for Bioethics, Faculty of Medicine

b. Other university service 1998-2000 Bioethics Counsellor, Undergraduate Bioethics Program, Department of

Philosophy, University of Toronto

M. Scholarly Activity a. Subjects of interest and activity Bioethics; ethics program development, evaluation, quality improvement and innovation; professionalization of healthcare ethics practice (including certification and accreditation); disability, rehabilitation and community care ethics; global health ethics; patient/client autonomy and decision-making capacity in health and research contexts

b. Research awards (past 5 years) 2013 $24,883

Canadian Institutes of Health Research (CIHR), Meetings, Planning and Dissemination Grant. Co-Principal Applicant. Topic: Ethics Program Evaluation in Canada: Synthesizing Research Evidence and Expert Practice to Improve Ethics Quality in Healthcare (December 3-4, 2013) to hold a national workshop on training of practicing healthcare ethicists and evaluation of institutional ethics programs.

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2008-10 $ 92,144 Canadian Institutes of Health Research (CIHR), Co-

Principal Investigator. Secker, B. and Gibson, B. (Co-PIs) and Parke, B. and Wagner, F. (Co-Investigators). Topic: There's No Place Like Home: What Constitutes an 'Adequate' Home Environment for Younger Adults with Physical Disabilities?

2007-09 $133,380 Canadian Patient Safety Institute ($66,640) with matching funds from Toronto Rehab ($66,640), Co-Applicant #1. Tardif, G. and Baker, R. (Co-Leads), Secker, B., Velji, K., Fancott, C., Aimone, E., Bolt, L. Topic: Partnering with Patients and Families to Address Potential Conflicts between Patient Safety and Patient Autonomy in Rehabilitation and Complex Continuing Care

2003-05 $23,355 Associated Medical Services, Inc., Co-Investigator.

DuVal, G. (PI), Brands, B., Lavery, J., Secker, B. Topic: Informed Consent to Drug Treatment Research: A Pilot Qualitative Study

2002-05 $85,000 University of Toronto Joint Centre for Bioethics, Co-Investigator. Upshur, R (PI) and the UofT Joint Centre for Bioethics Clinical Ethics Group. Topic: Project Examining Effectiveness in Clinical Ethics (PEECE)

2004-05 $10,000 University of Toronto Joint Centre for Bioethics, Project Leader with the JCB Rehab and Community Care Ethics Research Group. Topic: Health Care Regionalization and Implications for People with Disabilities and Chronic Illnesses

c. Publications Peer-reviewed 2014 Secker B, Bensimon C, Cline C, Godkin D, Heesters A, Reel K. Examining Methods to Assess

Core Knowledge Competencies: A Canadian Perspective. The American Journal of Bioethics 14(1): 30-33. http://dx.doi.org/10.1080/15265161.2013.861881

2012 Cline C, Heesters A, Secker B, Frolic A. Education for Ethics Practice: Tailoring Curricula to

Local Needs and Objectives. HEC Forum 24(3): 227-43.

Frolic A and Practicing Healthcare Ethicists Exploring Professionalization (PHEEP) Steering Committee. Grassroots Origins, National Engagement: Exploring the Professionalization of Practicing Healthcare Ethicists in Canada. HEC Forum 24(3): 153-64.

2011 Gibson BE, Secker B, Rolfe D, Wagner F, Parke B, Mistry, B. Disability and Dignity-Enabling

Home Environments. Social Science & Medicine 74(2): 211-19 http://dx.doi.org/10.1016/j.socscimed.2011.10.006

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2006 Secker B, Goldenberg MJ, Gibson BE, Wagner F, Parke B, Breslin J, Thompson A, Lear JR, Singer PA.

Just regionalisation: Rehabilitating care for people with disabilities and chronic

illnesses. BiomedCentral Medical Ethics 7:9. http://www.biomedcentral.com/1472-6939/7/9/abstract

2005 MacRae S, Chidwick P, Berry S, Secker B, Hébert P, Zlotnik Shaul R and Faith K. “Clinical

Bioethics Integration, Sustainability and Accountability: The Hub-and-Spokes Strategy,” Journal of Medical Ethics 31: 256-61. http://jme.bmjjournals.com/cgi/content/full/31/5/256?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&author1=macrae&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT

2002 Secker, B. “The Appearance of Kant's Deontology in Contemporary Kantianism: Concepts of Patient Autonomy in Bioethics," Reprinted in Applied Ethics: Critical Concepts in Philosophy, edited by Ruth Chadwick and Doris Schroeder (London: Routledge), pp. 117-139.

1999 Secker, B. "Labelling Patient (In)competence: A Feminist Analysis of Medico-Legal Discourse,"

Journal of Social Philosophy: XXX(2), Summer 1999: pp. 295-314.

Secker, B. "The Appearance of Kant's Deontology in Contemporary Kantianism: Concepts of Patient Autonomy in Bioethics," The Journal of Medicine and Philosophy 24(1), February 1999: pp. 43-66.

Manuscripts 2011 Barbara E Gibson, Barbara Secker, Debbie Rolfe, Frank Wagner, Bob Parke, Bhavnita Mistry.

Disability and Dignity-Enabling Home Environments: Key Messages from an Ontario Study (white paper), University of Toronto Joint Centre for Bioethics.

2005 Barbara Secker, Frank Wagner, Maya Goldenberg, Barbara Gibson, Bob Parke, Jonathan

Breslin, Alison Thompson, Jonathan Lear and Peter A. Singer. 2005. Ethics of LHINs: Implications for People with Disabilities and Chronic Illnesses (white paper), University of Toronto Joint Centre for Bioethics.

d. Papers presented at meetings and symposia (refereed) 2014 Secker B, Bensimon C, Gibson J. “‘Looking back and looking forward’ through ethics program

evaluation: The rationale and theory guiding a comprehensive review of a training program for practicing healthcare ethicists.” 25

th Annual Canadian Bioethics Society Conference, Vancouver,

BC, May 2014.

Secker, B, Gibson J, Bensimon C. “Report on Ethics Program Evaluation in Canada: Synthesizing Research Evidence and Expert Practice to Improve Ethics Quality in Healthcare,” 25th Annual Canadian Bioethics Society Conference, Vancouver, BC, May 2014.

2013 Secker B, Wade L, Librach L. “Improving Quality and Evaluation in Clinical and Organizational

Ethics Practice: A Case Study of a Canadian Fellowship Program.” 9th International Conference on

Clinical Ethics Consultation, Munich, Germany, March 2013. 2012 D'Agincourt-Canning, L, Cline, C, Frolic, A, Goldsand, G, Heesters, A, Kirby, J, Reel, K, Roigt, D,

Secker, B, Simpson, C. “The Future of Canadian Healthcare Ethics Practice: The Innovation of a Deliberative Process to Professionalization.” 23

rd Canadian Bioethics Society Conference,

Montreal, Quebec, June 2012.

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D'Agincourt-Canning, L, Cline, C, Frolic, A, Goldsand, G, Heesters, A, Kirby, J, Reel, K, Roigt, D, Secker, B, Simpson, C. “The Future of Canadian Clinical Ethics Practice: A Deliberative Process to Professionalization.” International Association for Bioethics, Rotterdam, The Netherlands, June 2012.

2011 Secker, B (presenter), Gibson, BE, Rolfe, D, Wagner, F, Parke, B, Mistry, B. "Excellence in

Health Care and Excellent Health? Understanding 'Home' as a Social Determinant of Health for Younger Disabled Adults," 22nd Canadian Bioethics Society Conference, Saint John, NB, June 2011.

Secker, B, Daou, J, and Rodrigues, K (presenters) on behalf of Winsor, S, Anstey, K, Bean, S, Bruni, B, Macri, R, McDonald, M and Secker, B for the University of Toronto Joint Centre for Bioethics CORE Network Ethics Consult Documentation Task Force, "What Counts as Best Practice in Documenting Ethics Consultations?," 22nd Canadian Bioethics Society Conference, Saint John, NB, June 2011. D'Agincourt-Canning, L, Cline, C, Frolic, A, Goldsand, G, Heesters, A, Kirby, J, Reel, K, Roigt, D, Secker, B, Simpson, C. Developing Practice Standards for Healthcare Ethics: The Canadian Approach. International Congress on Clinical Ethics Consultation, Amsterdam, The Netherlands, May 2011.

2009 Cline, C., Frolic A., Heesters A. and Secker, B. "New Developments in Clinical Ethics Profession-

Building," Pre-Conference Workshop on "Professional Issues In Clinical Ethics: Working Conditions and Professionalization," 20th Canadian Bioethics Society Conference, Hamilton, Canada, June 2009. (Co-organizer, panelist and facilitator.)

2008 Secker, B. and Stanisic, K. "The Moral Imperative of a Truly Patient-/Family-Centred Bioethics" 19th Canadian Bioethics Society Conference, St. John's, Canada, June 2008.

2007 Secker, B. and Wagner, F. "Just Regionalization: Rehabilitating Care for People with Disabilities

and Chronic Illnesses," Joint Ethics Conference 2007 (18th Canadian Bioethics Society Conference and the 3rd International Conference on Clinical Ethics and Consultation), Toronto, Canada, June 2007.

Wagner, F., Pape, D., Russell, B., Secker, B. and Sasaki, K. "Enhancing Health Care Providers' Core Competencies in Ethics: Educational Modules of Ethics Awareness, Imagination and Reasoning," Joint Ethics Conference 2007 (18th Canadian Bioethics Society Conference and the 3rd International Conference on Clinical Ethics and Consultation), Toronto, Canada, June 2007.

Secker, B., Sasaki, K., and Lordly, R. "Improving Patient Care Through Clinical and

Organizational Ethics Innovation: A Revitalized Decentralized Ethics Program for an Academic Rehabilitation Centre," 2007 RehabNet Conference, Toronto, Canada, June 2007.

Secker, B. "Just Regionalization: Rehabilitating Care for People with Disabilities and Chronic

Illnesses," 2007 RehabNet Conference, Toronto, Canada, June 2007.

2005 “Less Acute, Just as Critical: Defining Ethical Issues in Rehab and Complex Continuing Care,”

with Cheryl Cline, 2nd

International Conference on Clinical Ethics Consultation, Basel, Switzerland, March 2005.

“Clinical Bioethics Integration, Sustainability and Accountability: Hub-and-Spokes Strategy,” with

members of Joint Centre for Bioethics Clinical Ethics Group, 2nd

International Conference on Clinical Ethics Consultation, Basel, Switzerland, March 2005.

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2004 “Less Acute, Just as Critical: Defining Ethical Issues in Rehab and Complex Continuing Care,” with Cheryl Cline, 7

th World Congress of Bioethics, International Association of Bioethics, Sydney,

Australia, November 2004. “Less Acute, Just as Critical: Defining Ethical Issues in Rehab and Complex Continuing Care,”

with Cheryl Cline, Canadian Bioethics Society annual conference, Calgary, October 2004. “Clinical Bioethics Integration, Sustainability and Accountability: Hub-and-Spokes Strategy,” with

members of Joint Centre for Bioethics Clinical Ethics Group, Canadian Bioethics Society annual conference, Calgary, October 2004.

“Improving Patient Care through Clinical Ethics Innovation: A Revitalized Ethics Program for an

Academic Rehabilitation Centre,” with Karima Velji and Sue MacRae, GTA Rehab Network Best Practices Day, Toronto, February 2004.

2002 “Mental Capacity and Its Assessment: Special Challenges for Psychiatry,” workshop with Drs.

Gordon DuVal and Mona Gupta, Canadian Bioethics Society Annual Conference, Victoria, October 2002.

2001 “The Causal Social Construction of Mental Incompetence: A Typology, Case Study and Proposal,”

Canadian Bioethics Society Annual Conference, Winnipeg, October 2001; also presented at:

International Congress on Law and Mental Health, Montréal, July 2001. “A Not So Kind of Gentle World”: Ethical Issues in Disability and Aging, Chicago, June 2001. Gender and Disability Studies Conference, Rutger’s University, New Brunswick, NJ, 2001.

2000 “A Feminist Social Constructionist Philosophy of Mental (In)competence,” Feminist Utopias: An

International Feminist Conference, Toronto, November 2000. “A Social Constructionist Philosophy of Mental (In)competence,” (part of panel “It’s All in Your Head: Gendered Social Constructions of Three Diagnostic Categories” with Licia Carlson and Kathryn Morgan), 5

th World Congress of Bioethics, Feminist Approaches to Bioethics, London, UK,

September 2000. 1999 “Individual Autonomy and the Medicalization of Decision-making,” (part of a panel on “Women’s

Bodies, Medicalization, and Feminist Medicine,” with Laura Purdy, Rosemarie Tong, and Virginia Warren), North American Society for Social Philosophy, Eastern Division American Philosophical Association annual conference, Boston, December 1999.

"Medico-legal Jurisdiction over Mental Competence,” International Association of Law and Mental Health, Toronto, June 1999.

1998 "Medico-legal Jurisdiction over Mental Competence: A Feminist Critique of the Medicalization of

Decision-Making," Canadian Bioethics Society 10th Annual Conference, Toronto, October 1998;

also accepted but not presented for: International Network on Feminist Approaches to Bioethics, in conjunction with the Fourth World Congress of the International Association of Bioethics, Tokyo, Japan, November 1998.

1996 "Destroying the Power/Right to Decide: The Gender Politics of Incompetence Labelling,"

Conference on Feminist Approaches to Bioethics, in conjunction with the Third International Congress of the International Association of Bioethics, San Francisco, November 1996; also presented at:

International Teaching to Promote Women's Health Conference, Toronto, June 1996. International Social Philosophy Conference, De Pere, Wisconsin, August 1996.

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"Power, Politics and Ethics in Assessing Patient Competence: Gender, and the Social Construction of Decisional Competence," Canadian Bioethics Society 8th Annual Conference, Montréal, October 1996.

"Women, Health Care, and the Social Construction of Mental (In)competence," Incorporating the

Antibody: Women, History, and Medical Discourse Conference, London, Ontario, October 1996. "What Constitutes an Adequate Health Care Ethics for Women? Feminine Versus (?) Feminist

Standpoint Theory," (co-presented with Professor K. Morgan), International Teaching to Promote Women's Health Conference, Toronto, June 1996.

"The Will to Live or the Living Will? Ontario's New Legislation and the Status of Mentally Incapable Persons' Current Wishes with Respect to Treatment," 7th Annual Canadian Bioethics Society Conference, Vancouver, November 1995. "Bioethics Admits the Ethic of Care: A Feminist Analysis of Strategic Assimilation and Methodological Relativism in Contemporary Bioethics," Canadian Society for Women in Philosophy Annual Conference, London, Ontario, November 1995.

"Eliminating the Power/Right to Consent: The Gender Politics of Incompetence Labelling,"

National Women's Studies Association Annual Conference, Norman, Oklahoma, June 1995. "The Appearance of Kant's Deontology in Contemporary Kantianism: Concepts of Patient

Autonomy in Bioethics," Canadian Philosophical Association, Learned Societies Conference, Montréal, June 1995.

1994 "Women, Health Care, and the Social Construction of Mental Competency," Canadian Society for

Women in Philosophy (at the Canadian Philosophical Association), Learned Societies Conference, Calgary, June 1994.

"Women and the Social Construction of Mental Competency," Women's Health: Key Research and Health Care Issues--A National Multidisciplinary Conference, Faculty of Health Sciences, McMaster University, Hamilton, April 1994.

1993 "Feminism and Community: A Critical Analysis of Friedman's Alternative Model of `Dislocated'

Community," Canadian Society for Women in Philosophy (at the Canadian Philosophical Association), Learned Societies Conference, Ottawa, May 1993.

1991 "The Criminal Law and Battered Women: A Critical Commentary on the Supreme Court of

Canada's Decision in R. v. Lavallee," Canadian Society for Women in Philosophy, Winnipeg, September 1991.

e. Invited lecturers 2014 “What Constitutes a Dignity-Enabling Home Environment?”, 8

th Annual Stephan M. Salzberg

Memorial Lecture, Sunny Hill Health Centre, Children's & Women's Health Centre of British Columbia, Vancouver, BC, May 2014.

2012 “There’s No Place Like Home: Dignity-enabling Home Environments” (with B. Mistry and B.

Gibson), Ontario Association of Independent Living Service Providers (OAILSP) Meeting, Huntsville, Ontario, October 2012

“There’s No Place Like Home: Dignity-enabling Home Environments” (with Dr. Barbara Gibson), West Park Healthcare Centre, Toronto, June 2012.

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2010 "Some Like It Not: Ethical Challenges in Enabling Human Intimacy and Sexuality in Medical Care Settings," Bioethics Grand Rounds, Cleveland Clinic, Cleveland, December 2010.

"Integrating Normative Ethical Analysis and Qualitative Inquiry: Experience in a CIHR Study of "Adequate" Home Environments for Disabled Younger Adults" (with Dr. Barbara Gibson), Child Health Evaluative Sciences Rounds, Research Institute, Hospital for Sick Children, Toronto, November 2010.

"There's No Place Like Home: What Constitutes an 'Adequate' Home Environment for Younger Adults with Physical Disabilities?" (with Dr. Barbara Gibson), Joint Centre for Bioethics Seminar Series, University of Toronto, March 2010.

2009 "Less Acute, Just as Critical: Ethical Issues in Rehabilitation," Unit 5, MHSc (PT) Program,

Physical Therapy Department, University of Toronto, August 2009. "Practicing Healthcare Ethicists and the Question of Professionalization" (Panelist), MSC3004Y

Clinical Ethics Consultation and Committees, MHSc in Bioethics Program, University of Toronto, April 2009.

"Ethical Processes and Assessment," Ethics Committee, Southlake Regional Health Centre, Newmarket, March 2009.

"Ethical Challenges in Consent and Capacity: Case Studies," Lakehead University, Thunder Bay, March 2009.

2008 "Challenges in Consent and Capacity: Case Studies," Ethics for Lunch, Kingston General

Hospital, Kingston, December 2008.

"Ethical Reasoning and Justification," Ethics Forum, Credit Valley Hospital, Mississauga, November 2008.

"Ethical Processes and Assessment," Ethics Forum, Credit Valley Hospital, Mississauga, November 2008.

"Challenges in Consent and Capacity: Case Studies," Ethics Grand Rounds, Credit Valley Hospital, Mississauga, October 2008.

"Less Acute, Just as Critical: Ethical Issues in Rehabilitation," Unit 5, MHSc (PT) Program, Physical Therapy Department, University of Toronto, August 2008. "There's No Place Like Home: Ethics Research and Advocacy to Improve Discharge

Planning/Placement and Quality of Life" (with Barbara Gibson), Ethics Grand Rounds, Toronto Rehabilitation Institute, Toronto, May 2008.

"Ethical Decisions in Day to Day Practice" (panelist with Dianne Godkin and Doreen Ouellet),

Ontario Association of Rehabilitation Nurses, Toronto, February 2008. 2007 Keynote speaker, "Challenges in Consent and Capacity: Case Studies," Ethics Week, Ethics

Program, Trillium Health Centre, Mississauga, Ontario, November 2007. “Just Regionalization: Rehabilitating Care for People with Disabilities and Chronic Illnesses,"

Neuropsychiatry Rounds, Department of Psychiatry, Toronto Western Hospital, University Health Network, Toronto, November 2007.

"Less Acute, Just as Critical: Ethical Issues in Rehabilitation," Unit 5, MHSc (PT) Program, Physical Therapy Department, University of Toronto, November 2007.

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2006 “Ethics of LHINs: Implications for People with Disabilities and Chronic Illnesses" (panelist), Brave

New LHINs--Meeting Priority Needs of People Living with a SCI, 2nd National Spinal Cord Injury Conference, Toronto, October 2006.

"Ethics Committees: Mandate, Membership and Momentum," Clinical Ethics Summer Institute.

University of Toronto Joint Centre for Bioethics, July 2006.

"Privacy and Confidentiality" (with Gaetan Tardif and Walt Greenway), for Physiatry Residents Forum, Toronto Rehab/University of Toronto, June 2006. "Clinical Bioethics Integration, Sustainability and Accountability: The Hub-and-Spokes Strategy," Symposium on Moral Theory and Health Care Practice, National University of Ireland, Galway, March 2006. "Teaching for Ethical Practice" (panelist), Symposium on Moral Theory and Health Care Practice, National University of Ireland, Galway, March 2006. "Think Tank on Ethics for Local Health Integration Networks (LHINs)" (invited guest participant), Health Results Team, System Integration (LHINs), Ministry of Health and Long-Term Care, Toronto, February 2006. "Ethical Decision Making: Walking the Tight Rope in Rehabilitation Care...Continuing the Dialogue" (panelist), Ontario Association of Rehabilitation Nurses, Toronto, February 2006. "Patient Sexuality in Continuing Care Contexts" (with Cheryl Cline), Ethics Grand Rounds, St. Joseph's Health Care, London, Ontario, January 2006.

2005 “Ethics of LHINs: Implications for People with Disabilities and Chronic Illnesses” (with Frank

Wagner), University of Toronto Joint Centre for Bioethics Seminar Series, November 2005.

“Ethics of LHINs: Implications for People with Disabilities and Chronic Illnesses” (with Frank Wagner), Community Ethics Network Forum, Toronto, October 2005.

“Patient Sexuality in Continuing Care Contexts,” 2

nd Canadian National Undergraduate Bioethics

Conference, Toronto, February 2005.

“Less Acute, Just as Critical: Defining Ethics Issues in Rehab and Complex Continuing Care Ethics,” N460 Rehabilitation Nursing, Faculty of Nursing, University of Toronto, February 2005.

“Ethical Decision Making: Walking the Tightrope in Rehabilitation Care,” panelist for Ontario Association of Rehabilitation Nurses annual conference, Toronto, January 2005.

2004 “Patient Sexuality in Rehab and Continuing Care,” Joint Centre for Bioethics Undergraduate

Initiative, Toronto, October 2004.

“Less Acute, Just as Critical: Defining Ethics Issues in Rehab and Complex Continuing Care Ethics,” Ethics Grand Rounds, Centre for Clinical Ethics, Providence Centre, Toronto, February 2004.

2003 Keynote Speaker, “Building Their Tomorrows Together: Tackling Ethics Issues in Pediatric Rehabilitation,” Ontario Association of Children’s Rehabilitation Services OACRS 2003

Conference, Toronto, October 2003.

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“Capacity and Consent in Data Linkage Research,” Conference: Research Ethics in Complex Continuing Care: Toward an Ethical Process For Data Linkage Research, University of Toronto, October 2003. “Capacity and Consent,” Core Resident Integrated Scholarly Program (CRISP) PGY1, Faculty of Medicine, University of Toronto, October 2003. “What Does a Clinical Ethicist Do Anyway?,” Joint Centre for Bioethics Summer Student Group, University of Toronto, July 2003. “Capacity, Consent and Cultural Pluralism,” Everyday Ethics, Hospital for Sick Children, January 2003.

2002 “Women’s Health and Feminist Bioethics,” MSC3001Y Foundations Seminar I, MHSc in Bioethics,

University of Toronto, November 2002. “Less Acute, Just as Critical: Defining Issues in Rehab and Continuing Care Ethics,” Grand Rounds, Bloorview MacMillan Children’s Centre, June 2002. “Why Do We Have the Ethics Review Process?” Panel discussion on The Ethics Review Process, Collaborative Research Program in Rehabilitation and Long Term Care, Toronto, June 2002. “Capacity and Consent,” OCT1121H Occupational Therapy Practice 2, Department of Occupational Therapy, University of Toronto, March 2002. “Clinical Ethics Consultation,” MSC3004Y Clinical Ethics Consultation and Committees, MHSc in Bioethics, University of Toronto, February 2002. “Capacity and Consent,” PHL283H5S Medicine, Morality and the Law, Department of Philosophy, University of Toronto, January 2002. “Women’s Health and Feminist Bioethics,” MSC3001Y Foundations Seminar I, MHSc in Bioethics, University of Toronto, January 2002.

2001 “Less Acute, Just as Critical: Defining Issues in Rehab and Continuing Care Ethics,” Bioethics

Seminar Series, University of Toronto Joint Centre for Bioethics, November 2001. “Capacity, Consent and Cultural Pluralism,” Medical Grand Rounds, Toronto Western Hospital, University Health Network, November 2001

“Informed Consent for Special Populations,” Research Ethics and Regulatory Affairs course, Mohawk McMaster Institute of Applied Health Sciences, Hamilton, October 2001 (with Cathy Craven), October 2001. “Women’s Health and Feminist Bioethics,” International Medical Graduate Program, Toronto, April 2001.

2000 “Developing and Ethics Framework in Your Institution,” and “Ethics: Case Studies,” RehabNet

National Conference, Mont Tremblant, Québec, June 2000.

“Ethical Challenges in Obtaining Informed Consent for Research in Rehab and Complex Continuing Care” (with Heather Campbell), Brown Bag Ethics Series, University of Toronto Research Services, Toronto, May 2000.

“The Right Frame of Mind: A Philosophical Typology of the Social Construction of Mental

(In)competence,” Department of Philosophy, University of Toronto, March 2000.

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“The Experience of Designing an Advance Care Planning Approach: How to Plug It Into Practice” (with Heather Campbell and Law Bowles), Advance Care Planning: Ethics, Policy and Practice conference, Toronto Rehabilitation Institute and the Ontario Seniors’ Secretariat, Toronto, Ontario, February 2000. “Ethical Issues in Rehab and Complex Continuing Care,” Ethics Committee Network of South-Central Ontario, Toronto, January 2000.

1999 “An Ethical Framework for Toronto Rehab’s Advance Directive Initiative,” CQI Network, Toronto,

November 1999.

“What’s Unique about Ethical Issues in Rehab and Complex Continuing Care?,” Ethics Grand Rounds (separate presentations to each of The University Centre, The Queen Elizabeth Centre, The Hillcrest Centre, and The Lyndhurst and Rumsey Centres), October 1999. “Competence and Consent,” PGY2 Ethics and Psychiatry, Department of Psychiatry and Centre for Addiction and Mental Health, April 1999.

1998 "The Will to Live, or the Living Will?," Department of Philosophy and Faculty of Health Sciences, University of Western Ontario, February 1998.

1997 Keynote Speaker, "Gender and Justice in Assessing Patient Competence: Challenges to Current

Theories and Practices," Health Ethics Law and Policy Research Group, Institute of Social Change and Critical Inquiry, University of Wollongong, Australia, September 1997.

"Labelling Patient (In)competence: A Feminist Analysis of Medico-Legal Discourse," Centre for the

Mind, Australian National University, September 1997. "An Introduction to Mental Competence and Consent," nursing ethics course, University of

Wollongong, Australia, September 1997. "Mental Competence: A Feminist Analysis," Bioethics Plenary Session panel on Interdisciplinary

Approaches to Research on Informed Consent and Capacity, Institute of Medical Science Scientific Day, University of Toronto, May 1997.

"Power, Politics and Ethics in Assessing Patient Competence: Gender and the Social Construction

of Mental (In)competence," Women's Health Research Network, University of Toronto Joint Centre for Bioethics, March 1997.

1996 "Power, Politics and Ethics in Assessing Patient Competence: Gender and the Social Construction

of Mental (In)competence," Consent and Capacity Research Network, University of Toronto Joint Centre for Bioethics, December 1996.

1995 "Women, Health Care, and the Social Construction of Mental (In)competence," Centre for

Bioethics, University of Toronto, October 1995. "Women, Health Care, and the Social Construction of Mental (In)competence," special

presentation of paper winning Martha Lile Love Essay Award, Department of Philosophy, University of Toronto, September 1995.

"An Introduction to Ethical Theory," invited lecturer in advanced law course on legal ethics, Faculty

of Law, University of Toronto, January 1995.

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1993 "On the Relationships Between Concepts of Autonomy and Mental Competence," invited lecturer in advanced undergraduate seminar on Competence and Consent, Department of Philosophy, University of Toronto, October 1993.

"Autonomy and Health Care," Graduate Student Philosophy Colloquium, Simon Fraser University,

March 1993. 1992 "A Philosophical Analysis of Some Ethical Issues Surrounding Mental Competency and Its

Assessment," Graduate Student Philosophy Colloquium, Simon Fraser University, October 1992. 1991 "The Criminal Law and Battered Women: A Critical Commentary on the Supreme Court of

Canada's Decision in R. v. Lavallee," Philosophy Students' Union Colloquium, Simon Fraser University, October 1991; also presented at: Philosophy Colloquium, Simon Fraser University, September 1991.

c. Posters 2010 Andreoli, A, Baker, R, Secker, B. "Balancing Risk-Taking and Autonomy among Patient, Families

and Clinicians during Transitions in Care from Brain Injury Rehabilitation," GTA Rehab Network Annual Conference, March 2010.

Available on request:

1. Student evaluations of teaching (past 5 years)

2. Syllabi and assignments for current courses