Jason D . Keune - Academia.edu (original) (raw)

Jason D . Keune

Experienced gastrointestinal surgeon and inclusive leader with roles in surgery, education, and bioethics. Jason is a business-savvy creative thinker with expertise in innovative institution building, the big picture of healthcare tech and clinical culture, and strategy. Proven success at organizational change management through communit(ies)* engagement and working with all levels of the organization.

Successfully led the Bander Center at Saint Louis University creatively implementing in-depth programming, real growth in terms of visibility, endowment, and presence, and substantial positive change.

Jason talks about #healthtech #artificialintelligence #DEI #startups #surgicalculture #innovation #devices #fintech #privacy and #ethics.

Jason’s unique set of business skills, academic leadership and medical accomplishments lead to unparalleled vision. Open to networking, connection, consulting

Published in:

Surgery on surgical ethics
Academic Medicine on conducting GME education on residents
Annals of Surgery on universal design in surgery
American Journal of Bioethics on alcohol addiction and power relations in citizen science
Disability Studies Quarterly on universal design in surgery (a deeper dive).
Cambridge Quarterly of Healthcare Ethics on ways of knowing

Formerly Associate Professor and Executive Director of the Bander Center for Medical Business Ethics at Saint Louis University. MD from Washington University and MBA from SLU. Surgical training at Wash U.

*startup CEOs, bioethicists, journalists, philosophers, healthtech engineers, physicians, historians, and people with no particular title or station
Phone: 3142394460
Address: St Louis, Missouri, United States

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Papers by Jason D . Keune

BMC Medical Informatics and Decision Making, 2021

BackgroundHealthcare is expected to increasingly integrate technologies enabled by artificial int... more BackgroundHealthcare is expected to increasingly integrate technologies enabled by artificial intelligence (AI) into patient care. Understanding perceptions of these tools is essential to successful development and adoption. This exploratory study gauged participants’ level of openness, concern, and perceived benefit associated with AI-driven healthcare technologies. We also explored socio-demographic, health-related, and psychosocial correlates of these perceptions.MethodsWe developed a measure depicting six AI-driven technologies that either diagnose, predict, or suggest treatment. We administered the measure via an online survey to adults (N = 936) in the United States using MTurk, a crowdsourcing platform. Participants indicated their level of openness to using the AI technology in the healthcare scenario. Items reflecting potential concerns and benefits associated with each technology accompanied the scenarios. Participants rated the extent that the statements of concerns and b...

Cambridge Quarterly of Healthcare Ethics, Apr 3, 2023

DeckerMed Surgery, 2013

To be a good surgeon, one must be technically good and scientifically sound, but also ethical to ... more To be a good surgeon, one must be technically good and scientifically sound, but also ethical to the degree that has traditionally been demanded by our profession. In this chapter, the authors discuss what ethical problems in surgery are and how they might be approached. Respect for autonomy, nonmaleficence, beneficence, and justice define Principlism that forms the backbone of most discourse in clinical medical ethics. Consequentialism/utilitarianism, deontology, virtue ethics, “ethics of care”, and casuistry are all covered. The authors then scrutinize several contemporary problems in surgical ethics. Described and discussed in depth are issues associated with the ‘end of life’; surrogate decision making, futility, “do not resuscitate” orders in the operating room, conflicts of interest, industry payments, and surgical innovation, informed consent, and refusal of care. This review is not meant to be an exhaustive treatment of surgical ethics but a survey highlighting the most comm...

Cambridge Quarterly of Healthcare Ethics

Teaching healthcare ethics at the doctoral level presents a particular challenge. Ethics is often... more Teaching healthcare ethics at the doctoral level presents a particular challenge. Ethics is often taught to medical students, but rarely is medicine taught to graduate students in health care ethics. In this paper, Medicine for Ethicists [MfE] — a course taught both didactically and experientially — is described. Eight former MfE students were independently interviewed in a semi-structured, open-ended format regarding their experience in the experiential component of the course. Themes included concrete elements about the course, elements related to the broader PhD student learning experience, and themes related to the students’ past and future career experiences. Findings are related to the educational philosophy of John Dewey and David Kolb’s experiential learning theory. Broader implications of this work are explored.

The ASCRS Textbook of Colon and Rectal Surgery, 2016

Ethics, at its most fundamental level, is a way to answer the question, “what should we do?” In t... more Ethics, at its most fundamental level, is a way to answer the question, “what should we do?” In this chapter, I define what “ethical dilemmas” are and discuss one approach for resolving them. I discuss informed consent, surrogate decision-making, futility, and refusal of care. I analyze the current state of disparities in surgical outcomes by race and socioeconomic status. Finally, I consider the problem of financial conflicts of interest, and the recent “Sunshine law.”

Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduct... more Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Cholecystectomy is one of the most commonly performed surgical procedures in the United States. A common complication is dropped gallstones, and the diversity of their presentation poses a substantial diagnostic challenge. We report the case of a 58-year-old man presenting with chronic right upper quadrant hours status post cholecystectomy. Imaging demonstrated retained gallstones in the perihepatic space and symptoms remitted following their removal via laparoscopic operation. Gallstones are lost in roughly 1 in 40 cholecystectomies and are usually asymptomatic. The most common presentations are months or years status post cholecystectomy due to fistula, abscess, or sinus tract formation.We report this case hoping to bring light to a rare presentation for dropped gallstones and provide advice on the management of this comm...

Ethics, Medicine and Public Health

Summary Disparities in surgical outcomes by race are well-documented. Especially distinct across ... more Summary Disparities in surgical outcomes by race are well-documented. Especially distinct across a broad range of oncologic operations, disparities persist when the social determinants of health are “solved for”. Intersectionality has yet to be considered. This creates friction within surgical culture, since explanations alternative to ones that suggest surgeons are exhibiting a tacit, dark and mysterious racism are hard to construct. In this abstract, I will review knowledge-making practices within surgery and suggest that the epistemological framework that sustains them is too thin to capture reasons for these disparities. Surgery has a well-established research mechanism, which is remarkable for its plethora and persistence. I approach the disparities problem in a way that offers future directions for surgical research. First, I assert a critique of surgical knowledge based on the work of Miranda Fricker: making sense of the experience of being a marginalized cancer patient in the perioperative period is at the very root of the injustice. When this is realized, what matters is not only which interpretations count, but the structure of the research apparatus that could elicit them. The same voices that can powerfully emerge from a hermeneutical lacuna, if appropriately elicited, are the same ones that can collaborate as knowledge-makers and shine in a hybrid forum, as described by Michel Callon et al. I note the deep rift between “secluded research” and “research in the Wild” in surgery, and develop Callon's dialogical space to plot a trajectory towards a richer, more just common surgical world.

Disability Studies Quarterly

No abstract available.

Surgical endoscopy, Jan 30, 2018

While SAGES prides itself on diversity and inclusivity, we also recognize that as an organization... more While SAGES prides itself on diversity and inclusivity, we also recognize that as an organization we are not impervious to blind spots impacting equity within the membership. To address this, the We R Sages task force was formed to identify the barriers and facilitators to creating a diverse organization and develop a strategic plan for the implementation of programing and opportunities that promote diversity and inclusivity within our membership. As the first step in the process, a survey was administered to gauge the current organizational climate. In September of 2017, a validated climate survey was administered to 704 SAGES committee members via SurveyMonkey®. Climate was assessed on: overall SAGES experience, consideration of leaving the organization, mentorship within the organization, resources and opportunities within the organization, and attitudes and experiences within the organization. Additional free text responses were encouraged to generate qualitative themes. The sur...

Annals of surgical oncology, Sep 11, 2016

Contralateral prophylactic mastectomy (CPM) is commonly performed for the treatment of breast can... more Contralateral prophylactic mastectomy (CPM) is commonly performed for the treatment of breast cancer, despite its limited oncologic benefit. Little is known about surgeons' perceptions of performing CPM. We hypothesized that a proportion of surgeons would report discomfort with performing CPM, particularly when there is discordance between patients' perceived benefit from CPM and the expected oncologic benefit. A survey was sent to members of the American Society of Breast Surgeons seeking self-reports of surgeons' practice patterns, perceptions, and comfort levels with CPM. Of the 2436 members surveyed, 601 responded (response rate = 24.7 %). The median age of respondents was 52 years, and 59 % of responders were women. The majority (58 %) reported that 80 % of their practice was devoted to the treatment of breast disease. Fifty-seven percent (n = 326) of respondents reported discomfort with performing CPM at some point in their practice. While most surgeons (95 %) were...

The American Journal of Bioethics

In "The Rise of Citizen Science in Health and Biomedical Research," Wiggins and... more In "The Rise of Citizen Science in Health and Biomedical Research," Wiggins and Wilbanks present an analysis of the ethics of citizen science (Wiggins and Wilbanks 2019). The breadth of the analysis does not reach what is one of the more important features of contemporary life, however: an analysis of the power imbalances inherent in this social activity. Science is given a unique position of power in contemporary culture, and from this position has the potential to influence individuals who are less powerful in multiple ways.

Annals of surgery, Jan 17, 2018