Stanford Center for
Biomedical Ethics

The Implications of Individualizing Medicine Through Genomics

Stanford University Program in Genomics, Ethics, and Society

Conference Graphic Major Conference:

Individual Genetic Variation:

Implications of the Coming Transformation of Medicine

Saturday, October 17, 1998

Kresge Auditorium, Stanford University

Program Description

As we understand more about the medical implications of individual genetic variation and as sequencing genes becomes less expensive, medicine and public health will be transformed: It will become possible to use information about specific genetic variations to tailor personalized interventions. These genetic variations may be that of a pathogen, tumor, genetic disease, or healthy human tissue. The implications may be in prevention, treatment, diagnosis, or prognosis. In all of these realms, rapid technological advances have the potential to make large-scale genetic testing and screening programs possible, driving a change in medicine and public health based on targeting practice to individuals' genetic variations.

In this day-long symposium, the Stanford Program in Genomics, Ethics, and Society (PGES) presented its report on the ethical, legal, and social implications arising from health promotion, disease prevention, and disease treatment based on individual genetic information. Leaders in the fields of genetics, medicine, public health, law, ethics, and biotechnology commented on the PGES report. Conference speakers reflected on future transformations in health care brought about by the genomics revolution.

What's Next?

Conference Program

8:30 - 9:00 a.m.
Registration

9:00 - 9:10
Welcome and Introductory Remarks

Thomas A. Raffin, M.D., Professor and Chief, Division of Pulmonary and Critical Care Medicine, Stanford Health Services; Co-Director, Stanford Center for Biomedical Ethics; Co-Director, Stanford Program in Genomics, Ethics, and Society

9:10 - 9:30
Individualizing Medicine Through Genomics: A Report From the Stanford Program in Genomics, Ethics, and Society *

Henry T. Greely, J.D. , Professor of Law, Stanford University; Co-Director, Stanford Program in Genomics, Ethics, and Society

* The PGES Report does not necessarily represent the views of SmithKline Beecham Corp., the U.S. Department of Energy, or other funders, nor has it been reviewed or approved prior to presentation at this conference..

9:30 - 10:00
Technological Advances in Genomic Analysis

Anthony V. Carrano, Ph.D., Director, Biology and Biotechnology Research Program , Lawrence Livermore National Laboratory

10:00 - 10:40
Individual Genetic Variation: Imagining the Future of Medicine and Public Health

Francis S. Collins, M.D., Ph.D., Director, National Human Genome Research Institute

10:40 - 10:55
Break

10:55 - 11:35
Problems in Research Ethics: How Do We Get From Here to There?

Speaker:
R. Alta Charo, J.D., Professor of Law and Medical Ethics, University of Wisconsin; Member, National Bioethics Advisory Commission ; Fellow, Stanford Program in Genomics, Ethics, and Society

Commentator:
Norman Fost, M.D., M.P.H., Professor, Department of Pediatrics, and Director, Program in Medical Ethics, University of Wisconsin

11:35-12:15
Targeted Prevention: A New Paradigm in Public Health Practice

Speaker:
Laura McConnell, M.P.H., Associate Director, Stanford Program in Genomics, Ethics, and Society

Commentator:
Muin Khoury, M.D., Ph.D., Acting Director, Office of Genetics and Disease Prevention , Centers for Disease Control and Prevention

12:15-1:15 p.m.
Lunch

1:15-1:55
Ethical Issues in Genetically-Tailored Clinical Care

Speaker:
Henry T. Greely, J.D.

Commentator:
Laurie Zoloth-Dorfman, Ph.D., Associate Professor and Director of Jewish Studies, San Francisco State University

1:55-2:35
The Exponential Growth of Genetic Information: Challenges to Privacy

Speaker:
Rachel Cohon, Ph.D., Assistant Professor of Philosophy, Stanford University; Fellow, Stanford Program in Genomics, Ethics, and Society

Commentator:
Thomas Rindfleisch, M.D. , Director, Lane Medical Library and Senior Research Scientist, Departments of Medicine and Computer Science, Stanford University

2:35-3:15
Does 'Race' Have Meaning in the New Genetic Medicine?

Speaker:
Barbara A. Koenig, Ph.D., Executive Director and Senior Research Scholar, Stanford Center for Biomedical Ethics; Co-Director, Stanford Program in Genomics, Ethics, and Society

Commentator:
Pilar Ossorio, Ph.D., J.D., Director, Genetics Section, Institute for Ethics , American Medical Association

3:15 - 3:30
Break

3:30-4:20
Capitalizing on Genetic Variation: Dilemmas of Commercialization

Speaker:
Margaret Eaton, Pharm.D., J.D., formerly Clinical Risk Management and Legal Counsel, Stanford University Medical Center; Fellow, Stanford Program in Genomics, Ethics, and Society

Commentators:
Rebecca Eisenberg, J.D., Professor of Law, University of Michigan Law School

Robert Cook-Deegan, M.D., Director, National Cancer Policy Board , Institute of Medicine & Commission on Life Sciences, National Academy of Sciences; Author, The Gene Wars: Science, Politics and the Human Genome

4:20 - 5:10
Closing Panel - Ethical, Legal, and Social Implications of the Coming Genomic Era

Moderator:
Paul Berg, Ph.D. , Robert W. and Vivian K. Cahill Professor in Cancer Research and Biochemistry; Director, Beckman Center for Molecular and Genetic Medicine, Stanford University

Panelists:

Additional Information

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