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How Can Newborn Toxicology Testing Be More Equitable? An Interactive Ethics Workshop.

Kelsey Ryan1, Rakhi Gupta Basuray2, Christy Cummings3

  • 1Associate Professor, Department of Pediatrics, Medical College of Wisconsin.

Mededportal : the Journal of Teaching and Learning Resources
|September 11, 2024
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Summary
This summary is machine-generated.

This workshop addressed practice variations in newborn toxicology testing, highlighting how indiscriminate testing can worsen healthcare inequities. Participants explored ethical considerations to improve newborn care practices.

Keywords:
EquityEthics/BioethicsHealth EquityNeonatal-Perinatal MedicineNewbornPediatricsSocial ConstructivismToxicology

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Area of Science:

  • Medical Ethics
  • Pediatric Toxicology
  • Healthcare Inequity

Background:

  • Practice variation in newborn toxicology testing is prevalent across healthcare institutions and legal jurisdictions.
  • Indiscriminate toxicology testing can exacerbate existing healthcare inequities, particularly in the context of the opioid epidemic.
  • A charged medicolegal landscape necessitates a reevaluation of newborn toxicology testing protocols.

Purpose of the Study:

  • To guide healthcare professionals in reexamining newborn toxicology testing practices.
  • To foster a shared ethical framework for addressing newborn toxicology testing.
  • To explore the ethical implications of toxicology testing in newborns.

Main Methods:

  • A 90-minute live workshop was conducted at an international pediatric conference.
  • Physicians, residents, and fellows engaged in large- and small-group discussions and case-based analyses.
  • Anonymous online surveys were used to assess the impact on participant knowledge, behavior, and clinical practice.

Main Results:

  • 94% of respondents reported encountering new ideas, and 82% considered practice changes immediately after the workshop.
  • A low response rate for the 3-month follow-up survey limited interpretation.
  • Some participants reported self-perceived changes in their clinical practice post-workshop.

Conclusions:

  • The workshop successfully facilitated discussions among physicians regarding newborn toxicology testing and healthcare inequities.
  • An ethical framework was utilized to address complex issues in pediatric healthcare.
  • Further research is needed to fully assess long-term practice changes resulting from such educational interventions.