Table of Contents

• • From the summit directors

    Eric Kodish, MD and Allen Bashour, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S1;
  • Editors and Contributors

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S4-S5;

Welcome

• • Ethics in surgical innovation: Vigorous discussion will foster future progress

    Delos M. Cosgrove, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S6;

Panel 1: Surgical Innovation and Ethical Dilemmas

• • Surgical innovation and ethical dilemmas: Precautions and proximity

    Joseph J. Fins, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S7-S12;
  • Surgical innovation and ethical dilemmas: A panel discussion

    Isador Lieberman, MD, James Herndon, MD, Joseph Hahn, MD, Joseph J. Fins, MD and Ali Rezai, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S13-S21;

Panel 2: Transplant Innovation and Ethical Challenges

• • Pushing the envelope in transplantation: Three lives at stake

    Pauline W. Chen, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S22-S23;

Transplant Innovation

• • Transplant innovation and ethical challenges: What have we learned?

    Denton A. Cooley, MD, John J. Fung, MD, PhD, James B. Young, MD, Thomas E. Starzl, MD, PhD, Mark Siegler, MD and Pauline W. Chen, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S24-S32;
  • We have come far, but selecting organ recipients remains an ethical minefield

    Denton A. Cooley, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S24-S25;
  • Despite the odds, the transplant field has progressed rapidly

    John J. Fung, MD, PhD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S25-S26;
  • A continued need for evidence-based guidance

    James B. Young, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S26-S28;
  • What does—and does not—spur innovation?

    Thomas E. Starzl, MD, PhD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S28-S29;
  • Panel discussion

    Mark Siegler, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S30-S32;

Keynote Address

• • Medical professionalism in a commercialized health care market

    Arnold S. Relman, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S33-S36;
  • Will the United States maintain its position as a world leader in medical technology?

    Thomas J. Fogarty, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S55-S60;

Panel 3: Inside the Operating Room

• • Inside the operating room—balancing the risks and benefits of new surgical procedures: A collection of perspectives and panel discussion

    Joel D. Cooper, MD, Ralph V. Clayman, MD, Thomas M. Krummel, MD, Philip R. Schauer, MD, Christopher Thompson, MD, MHES and Jonathan D. Moreno, PhD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S37-S54;
  • How should we introduce and evaluate new procedures?

    Joel D. Cooper, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S37-S40;
  • Idea to implementation: A personal perspective on the development of laparoscopic nephrectomy

    Ralph V. Clayman, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S40-S42;
  • Special perspectives in infants and children

    Thomas M. Krummel, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S43-S45;
  • Bariatric surgery: What role for ethics as established procedures approach new frontiers?

    Philip R. Schauer, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S45-S47;
  • Natural orifice transluminal endoscopic surgery: Too much too soon?

    Christopher Thompson, MD, MHES

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S47-S49;
  • Panel discussion

    Jonathan D. Moreno, PhD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S49-S54;

Panel 4: Outside the Operating Room

• • Outside the operating room—economic, regulatory, and legal challenges: A collection of perspectives and panel discussion

    Lawrence K. Altman, MD, Michael A. Mussallem, Rebecca Dresser, JD, Paul A. Lombardo, PhD, JD, Peter A. Ubel, MD and Christopher L. White, Esq

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S61-S73;
  • Preface

    Lawrence K. Altman, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S61;
  • A device company perspective: Serving patients is the key to sustainable success

    Michael A. Mussallem

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S61-S62;
  • A regulatory and legal perspective: Issues in off-label device use

    Rebecca Dresser, JD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S63-S64;
  • A historical perspective: The more things change, the more they remain the same

    Paul A. Lombardo, PhD, JD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S65-S66;
  • An economic value perspective: Setting limits on health care can be ethical

    Peter A. Ubel, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S67-S69;
  • An industry perspective: Proactive self-regulation through an industry code of ethics

    Christopher L. White, Esq

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S69-S70;
  • Panel discussion

    Lawrence K. Altman, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S70-S73;

Panel 5: New Surgical Devices and Ethical Challenges

• • New surgical devices and ethical challenges: A collection of perspectives and panel discussion

    Daniel Schultz, MD, Mary H. Mcgrath, MD, MPH, Thomas H. Murray, PhD, Roy K. Greenberg, MD and Thomas J. Fogarty, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S74-S84;
  • An FDA perspective on device regulation

    Daniel Schultz, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S74-S77;
  • Responsibilities of the media, FDA, and professional societies

    Mary H. McGrath, MD, MPH

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S77-S80;
  • Promoting swift, safe, and smart innovation

    Thomas H. Murray, PhD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S80-S81;
  • Panel discussion

    Roy K. Greenberg, MD

    • Cleveland Clinic Journal of Medicine November 2008, 75 (11 suppl 6) S82-S84;