The Division of Medical
Ethics and Humanities

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Jay A. Jacobson, M.D.

Professor of Internal Medicine
Chief, Division of Medical Ethics
Member, Division of Infectious Disease
- LDS Hospital & Department of Medicine
University of Utah School of Medicine
Salt Lake City, Utah

Correspondence:
Division of Medical Ethics
LDS Hospital
8th Ave and C Street
Salt Lake City, Utah 84143
Phone: (801) 408-1135, FAX: (801) 408-5171
Email Addresses: jay.jacobson@intermountainmail.org, JAJ@sisna.com

Interests

  • Clinical and classroom teaching related to medical ethics
  • Microbiology and infectious diseases
  • Subspecialty consultation and patient care
  • End of life care in Utah
  • Research on informmed consent and medical decision-making

Current Appointments

  1. Chief, Division of Medical Ethics, LDS Hospital and the University of Utah School of Medicine
  2. American College of Physicians - American Society of Internal Medicine, Ethics and Human Rights Committee
  3. Member, American College of Physicians Ethics and Human Rights Committee
  4. Member, Bioethics Committee, LDS Hospital
  5. Member, Faculty Advisory Committee for the Utah Resource for Genetic and Epidemiologic Research
  6. Member, DNA Oversight for the Beta-Blocker Evaluaion of Survival Trial
  7. Member, Science and Literature Symposium Advisory Board
  8. Member, University of Utah Tanner Lecture Nominations Committee
  9. Member, University of Utah Continuing Medical Education (CME) Committee
  10. Member, Cultural Competency Advisory Committee
  11. Member, Utah Medical Association Ethics Committee

Editorial Activities

  • Referee for: Archives of Internal Medicine, Journal of American Medical Association, American Journal of Hospital Pharmacy, American Journal of Epidemiology, International Journal of Epidemiology, Reviews of Infectious Diseases, Journal of Infectious Diseases, Annals of Internal Medicine, American Journal of Medicine, Clinical Infectious Diseases
  • Reviewer for Annals of Internal Medicine
  • Member, Advisory Editorial Committee, Utah's Health
  • Editorial Board, Healthcare Ethics Committee Forum
  • Editorial Advisory Panel, Moral Community

Original Bioethics Publications

  1. Jacobson, J.A., Stocking, C.W., Gramelspacher. G.M., 1989: Dental care experience of HIV-infected men in Chicago. J Am Dent Assoc 119:605-608.
  2. Jacobson, J.A., Tolle, S.W., Stocking, C.W., Siegler, M., 1989: Internal medicine residents' preferences regarding medical ethics education. Acad Med 64:760-764.
  3. Jacobson, J.A., White, B.E., Battin, M.P., Francis, L.P., Green, D.J., Kasworm, E.S., 1994: Patient Awareness, Understanding and Use of Advance Directives. Western J Med 160:232-236.
  4. Jacobson, J.A., 1994: Informed consent: pondering a new piece of the puzzle (editorial comment). J Clin Eth 5:244-246.
  5. Jacobson, J.A., Foubert P.J., 1994: A Dramatic Approach to Ethics Committee Education. HEC Forum 6:329-354.
  6. Jacobson, J.A., Kasworm, E.M., Battin, M.P., Botkin, J.R., Francis, L.P., Green, D, 1995: Decedents' reported prefer-ences for physician-assisted death: a survey of informants listed on death certificates in Utah. Journ Clin Ethics 6(2):149-157.
  7. Jacobson, J.A., Mann, H., Gully, J., 1996: DNR orders in the radiology department: an interpretation. Radiology 198:21-24.
  8. Jacobson, J.A., Gully, J., 1996: Dialogue to Action. HEC Forum 8:20-43.
  9. Roberts L.W., McCarty T., Lyketsos C., Hardee J.T., Jacobson J.A., et al., 1996: What and How Psychiatry Residents at Ten Programs Wish to Learn About Ethics. Acad Psych. 20:131-143.
  10. Jacobson, J.A., Kasworm, E.M., Battin, M.P., Botkin, J.R., Francis, L.P., Green, D., Johnson, S, 1996: Advance directives in Utah: information from death certificates and informants. Arch Int Med. 156:1862-1868.
  11. Jacobson, J.A., Francis, L.P, Battin, M.P., Green, D., Grammes, C., VanRiper J., Gully, J., 1997: Dialogue to action: lessons learned from some family members of deceased patients at an interactive program in seven Utah hospitals. J Clin Eth. 8(4):359-371.
  12. Jacobson, J.A., 1997: Preaching to the choir: new voices in the end of life discussion. J Clin Onc. 15:413-415.
  13. Jacobson, J.A., 1997: Physician assisted suicide. Eklektikos. 7:7-10.
  14. Battin, P., Botkin, J., Francis, L.P., Jacobson, J., 1997: Quick easy questions for analyzing medical ethical cases. APA Newsletters. 97:1 Fall.
  15. Jacobson, JA, 1998: First Aid and Primary Care: A Speculation on the Future of Medicine. Eklektikos. 8:11.
  16. Jacobson, JA, Kasworm, E., 1999: May I Take Your Order: A User Friendly Resuscitation Status and Medical Treatment Plan Form. Quality Management in Health Care. 7(4), 13-20.
  17. Jacobson, JA, Kondo, DG, Bishop, FM, Spring 2000: Residents' and Patients' Perspectives on Informed Consent in Primary Care Clinics. J Clin Eth. 11(1):39-48.
  18. Roberts, LW, Warner, TD, Carter D., Frank E., Ganzini L., Lyketsos C., Jacobson, J.A., et. al., 2000: Caring for medical students as patients: Access to services and care seeking practices of 1027 students at nine medical schools. Academic Medicine, 75(3), 272-277.
  19. Roberts, LW, Warner, TD, and The Collaborative Research Group on Medical Student Health Care, Perceptions of Academic Vulnerability Associated with Personal Illness: A study of 1027 students at nine medical schools. Comprehensive Psychiatry (In press).
  20. Jacobson, JA, Aronsky, D, Kasworm, EM, Suchyta, MR, Dean, NC, Do not resuscitate orders for hospitalized patients with pneumonia: Patterns of preference and practice. (in preparation)
  21. Jacobson, JA, 2002: Disclosing a Medical Error. PIER: Clinical Guidance from ACP-ASIM. http://pier.acponline.org/physicians/ethical_legal/el442/el442.html, Approved for release 4/02/2002.
  22. Jacobson, JA, 2002: Keeping the Patient in the Loop - Ethical Issues in Outpatient Referral and Consultation. J Clin Eth. 13(4):301-309.
  23. Smith C.B., Battin, M.P., Jacobson, J.A., Francis, L.P., Botkin, A.R., Asplund, E.P., Domek, G.J., Hawkins, B., 2004:Are There Characteristics of Infectious Disease That Raise Special Ethical Issues? Developing World Bioethics, 4(1):1471-8731.
  24. Coyle SL, for the Ethics and Human Rights Committee, American College of Physicians - American Society of Internal Medicine, 2004:Physician - Industry Relations. Part 1: Individual Physicians. Ann Intern Med, March;136(5)396-402.
  25. Coyle SL, for the Ethics and Human Rights Committee, American College of Physicians - American Society of Internal Medicine, 2004:Physician - Industry Relations. Part 2: Organizational Issues. Ann Intern Med, March;136(5)403-406.
  26. Aronsky D, Kasworm E, Jacobson J, Haug PJ, Dean NC, 2004: Electronic Screening of Dictated Reports to Identify Patients with Do-Not-Resuscitate Status. J. Am Med Inform Assoc, (in press)
  27. Jacobson, J.A., 2005: Disclosing a Medical Error. PIER: Clinical Guidance from ACP-ASIM. http://pier.acponline.org/physicians/ethical_legal/el442/el442.html, Approved for release 11/2004.
  28. Snyder L, Leffler C for the Ethics and Human Rights Committee, American College of Physicians (Jacobson JA), 2005:Ethics Manual, 5th Edition. Ann Intern Med, April, 2005;142:560-582.
  29. Battin M, Botkin J, Francis L, Jacobson J, Smith C, How infectious disease got left out - and what the omission might have meant for bioethics, 2005:Bioethics ISSN 0269-9702 Volume 19:4
  30. Jacobson J.A., 2005: Toxic Shock. PIER: Clinical Guidance from ACP-ASIM. http://pier.acponline.org/physicians/ethical_legal/el442/el442.html, Approved for release 4/02/2006.
  31. Jacobson JA, The Effect of Patients' Noncompliance on Their Surgeons' Obligations. Thorac Surg Clin 15 (2005) 461-468
  32. Jacobson J.A., 2006: Toxic Shock. PIER: Clinical Guidance from ACP-ASIM. http://pier.acponline.org/physicians/ethical_legal/el442/el442.html, Approved for release 6/8/06
  33. Jacobson, J.A., 2006: Disclosing a Medical Error. PIER: Clinical Guidance from ACP-ASIM. http://pier.acponline.org/physicians/ethical_legal/el442/el442.html, Approved for release 5/5/06

Bioethics Review Articles and Book Chapters

  1. Jacobson, J.A., 1989 book review: Intensive care: facing the critical choices. Am J Med 87:A24-A27.
  2. Thomas, F., Jacobson, J.A., 1991: Applying ethical principles in air medical transport. Emerg Care Quart 6:1-6.
  3. Jacobson, J.A., White, B, 1991: Are ethics committees of an enduring nature? Hosp Eth Comm Forum 3:351-353.
  4. Jacobson, J.A., 1992: Medical ethics and family affairs. Utah Law Review (3):891-901.
  5. Jacobson, JA, 1994: Informed Consent: Pondering a New Piece of the Puzzle (commentary). J Clin Ethics 5:244-246.
  6. Jacobson, J.A., 1995: Potential Harm to a Third Party, In Ethics in Emergency Medicine, Second Edition. Iserson K., Sanders A., Mathieu D. eds., Galen Press Ltd., Tucson, Arizona, pp. 172-179.
  7. Jacobson, J.A., 1999: Implications for Vulnerable Populations, In Managed Care: Financial, Legal, and Ethical Issues. Benahum D., ed., Pilgrim Press, Cleveland, Ohio, pp. 36-51.
  8. Jacobson, J.A., 2000: Compliance and Adherence, In 20 Common Problems: Ethics in Primary Care. Sugarman, J., ed., McGraw-Hill, New York, pp. 39-48.

Other Bioethics Publications

  1. Jacobson, J.A., 1988. Biological weapons research. Am Soc Microbiol News 54:343.
  2. Hendricks, M., 1988: Germ wars (report of an interview). Science News 134:392-395.
  3. Jacobson, J.A., Rosenberg, B.H., 1989: Biological defense research: charting a safer course. JAMA 262:675-676.
  4. Jacobson, J.A., 1991: Physicians and medical ethics: making the unspoken audible. UMA Bulletin, 39(1):1-2.
  5. Jacobson, J.A., 1994: Should physician-assisted suicide be considered a legitimate aspect of health care for the dying? Health Sciences Report, 18(2):32.
  6. Jacobson, J.A., 1996: Are surgeons becoming secret agents for managed care? American College of Surgeons Medical Meeting Highlights, pages 14-15.
  7. Jacobson, JA. 2002: End-of-Life Care Update. UMA Bulletin, 49(5):1-3.
  8. Jacobson, JA. Point/Counterpoint: Is "Boutique Medicine" Ethical? Physician's Weekly, 7 Jan. 2002,Vol.XIX, No.2
  9. MaGuire P. 2003: Surrogate Decision-Makers and End-of-Life care: no "right" answers, but plenty of tough choices. ACP Observer. June, 2003.
  10. Lerner M. 2003: Cancer Clinic's Ads Stir Passions Pro and Con. Star Tribune. September 21, 2003.
  11. Carroll J. 2003: Concierge Care by Any Name Raises Ethical Concerns. Managed Care Magazine. November, 2003
  12. Jacobson J, Kasworm E, Beck S. 2004: End-of-Life Care in Utah: The Report Card. 31. Bryson AJ. 2004: From My Arms to Yours. Deseret Morning News. May 8, 2004.
  13. Jacobson J, Snyder L. 2004: Considering Costs and Coverage in Treatment: Scenario - What approaches promote your patients' best interests? (Reply) AMA News,. July 5, 2004.

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