About the Meeting
The Impact of Recording on the Practice of Surgery
Surgical activities were classically a public affair – the operating “theatre” was open to colleagues, family members, and even the interested public. In the 20th century, however, the operating room became increasingly sequestered for clinical, social, and legal reasons, leading to a substantial disconnect between what patients and the public expect occurs during surgery and what operating room insiders know about surgical proceedings. Decreasing trust in most institutions (e.g., medicine, government, law enforcement), increasing demands for transparency from these institutions, and a desire for more patient empowerment have brought about a new environment of accountability regarding operating room activities. Such trends are beneficial in many ways, but have complex ethical, legal and practical consequences that need clarification and careful attention as increased surgical surveillance develops.
An important part of this new environment of accountability are technological innovations that enable continuous recording of operating room activities (video, audio, and other sensor data). These are designed to support quality improvement, performance assessment, and patient safety, and they have shown significant promise in enhancing surgical care. Furthermore, both nationally and internationally, lawmakers have proposed mandatory operating room recording for these reasons. However, the potential for widespread recording of operating room activities combined with expectations of transparency raises many difficult, unanswered questions in need of close study and analysis.
This first global conference on the Ethical, Legal and Social Implications of Surgical Video brought together experts in ethics, law and surgery to examine the potential impact of this paradigm shift towards objective recording. The meeting included public panel sessions, as well as breakout groups to identify knowledge gaps and set research agendas for the coming year.
The leadership of this conference values inclusion and diversity, the voice of the public, and elevation of early-stage researchers and scholars; this meeting was planned and conducted in accordance with these values.
InTroduction and Opening Speakers
Alexander Langerman, MD SM FACS
Alexander Langerman, MD SM FACS
Alexander Langerman, MD SM FACS
Conference Chair
Associate Professor
Director of Surgical Analytics Lab
Director of Surgical Ethics Program
Center for Biomedical Ethics and Society
Vanderbilt University Medical Center
Nashville TN USA
Teodor Grantcharov, MD PhD FACS
Alexander Langerman, MD SM FACS
Alexander Langerman, MD SM FACS
Professor of Surgery, University of Toronto
Keenan Chair in Surgery, St. Michael's Hospital
Director, International Center for Surgical Safety
Toronto ON Canada
Gerald M Fried, MD FRCSC, FACS
Alexander Langerman, MD SM FACS
Gerald M Fried, MD FRCSC, FACS
Professor of Surgery
Associate Dean for Educational Technology & Innovation
McGill University
Montreal QC Canada
Ethics Panel Speakers
Andrew Shuman, MD FACS HEC-C
Andrew Shuman, MD FACS HEC-C
Andrew Shuman, MD FACS HEC-C
Moderator
Associate Professor
University of Michigan
Ann Arbor MI USA
Celia M Divino, MD
Andrew Shuman, MD FACS HEC-C
Andrew Shuman, MD FACS HEC-C
Edelman Professor of Surgery
Vice Chair for Education
Mount Sinai Hospital
New York NY USA
Sabha Ganai, MD PhD MPH FACS FSSO
Sabha Ganai, MD PhD MPH FACS FSSO
Sabha Ganai, MD PhD MPH FACS FSSO
Associate Professor of Surgery
University of North Dakota
Fargo ND USA
Anji Wall, MD PhD
Sabha Ganai, MD PhD MPH FACS FSSO
Sabha Ganai, MD PhD MPH FACS FSSO
Abdominal Transplant Surgeon
Baylor University Medical Center
Dallas TX USA
Legal Panel Speakers
Ellen W Clayton, MD JD
Erin C Fuse Brown, JD MPH
Erin C Fuse Brown, JD MPH
Moderator
Professor
Vanderbilt University Medical Center
Nashville TN USA
Erin C Fuse Brown, JD MPH
Erin C Fuse Brown, JD MPH
Erin C Fuse Brown, JD MPH
Catherine C Henson Professor of Law
Director of Center for Law, Health & Society
Georgia State University College of Law
Atlanta GA USA
Nathan Cortez, JD
Michelle Mello, JD PhD
Michelle Mello, JD PhD
Adelfa Botello Callejo Endowed Professor of Law in Leadership and Latino Studies
Southern Methodist University Dedman School of Law
Dallas TX USA
Michelle Mello, JD PhD
Michelle Mello, JD PhD
Michelle Mello, JD PhD
Professor of Law
Professor of Medicine
Stanford University
Palo Alto CA USA
Social/Professional Panel Speakers
Catherine Hammack-Aviran, JD MA
Catherine Hammack-Aviran, JD MA
Catherine Hammack-Aviran, JD MA
Moderator
Associate in Health Policy
Center for Biomedical Ethics and Society
Vanderbilt University Medical Center
Nashville TN USA
Aalok V Agarwala, MD MBA
Catherine Hammack-Aviran, JD MA
Catherine Hammack-Aviran, JD MA
Chief Medical Officer
Massachusetts Eye and Ear
Harvard Medical School
Boston MA USA
Caprice Greenberg, MD MPH
Catherine Hammack-Aviran, JD MA
Caprice Greenberg, MD MPH
Chair, Department of Surgery
Surgeon in Chief, AU Health
Augusta University, Medical College of Georgia
Augusta GA USA
Daniel A Hashimoto, MD MS
Joslin Swanfeldt, MSN RN, CNOR, NE-BC
Caprice Greenberg, MD MPH
Associate Director of Research
Surgical AI and Innovation Laboratory
Massachusetts General Hospital
Harvard Medical School
Boston MA USA
Carla Pugh, MD PhD
Joslin Swanfeldt, MSN RN, CNOR, NE-BC
Joslin Swanfeldt, MSN RN, CNOR, NE-BC
Professor of Surgery
Director of the Technology Enabled Clinical Improvement (TECI) Center
Stanford Medicine
Palo Alto CA USA
Joslin Swanfeldt, MSN RN, CNOR, NE-BC
Joslin Swanfeldt, MSN RN, CNOR, NE-BC
Joslin Swanfeldt, MSN RN, CNOR, NE-BC
OR Manager
UT Southwestern Medical Center
Dallas TX USA