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Stephanie M. Fullerton – Practicing Precision: Reflections on the Pursuit of Genomic Research in Clinical Settings

April 14, 2017, 12:00 pm - 1:00 pm

Vagelos Education Center, Auditorium 201
104 Haven Avenue
New York, NY 10032

Stephanie M. Fullerton, PhD, Associate Professor of Bioethics & Humanities, Adjunct Associate Professor of Epidemiology and Genome Sciences, University of Washington

Precision medicine, defined by NIH as “an emerging approach for disease treatment and prevention that takes into account individual variability in environment, lifestyle and genes,” is predicated on programs of biomedical (especially genomic) research that gather, aggregate, and store for indefinite open-ended use patients’ biological specimens, self-reported (and soon mobile-mediated) lifestyle and environmental exposure data, as well as private health information. The scale of such research, which combines features of longitudinal cohort-based (epidemiological) investigation with information-centered ‘big data’ analytics, is unprecedented – both in the degree to which it insists on unfettered access to intimate individual data and in the extent that such efforts are pursued in the context of on-going healthcare delivery. Though risks to privacy associated with re-identification are well-recognized, other consequences of pursuing genomic discovery in the context of clinical care, including laying novel (frequently uncertain) information at the feet of patients, providers and their healthcare institutions, remain underexplored. Drawing on qualitative research with a diverse range of stakeholders at the forefront of clinical genomic implementation, Dr. Fullerton will describe current tensions and discuss their implications for the achievement of medical precision in the post-genomic era.

For further information or to convey suggestions about future speakers, contact Paul S. Appelbaum, MD, Director, Center for Research on Ethical/Legal/Social Implications of Psychiatric, Neurologic & Behavioral Genetics, Department of Psychiatry, at 646-774-8630 or

This event is sponsored by the Center for Research on Ethical/Legal/Social Implications of Psychiatric, Neurologic & Behavioral Genetics, and the Department of Psychiatry, Columbia University Medical Center. This seminar is part of the Seminar on Ethical, Legal and Social Implications of Genetics series.


April 14, 2017
12:00 pm - 1:00 pm
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Vagelos Education Center, Columbia University
104 Haven Avenue
New York, NY 10032 United States
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