Uploaded November 2025 | Updated September 2026, 1 week ago

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Ethical questions arise commonly as part of medical practice, whether in the intensive care unit or in the clinic. This Grand Rounds will explore complex clinical ethical cases, share a practical framework to provide scaffolding for ethical reasoning, and reflect on how moral distress can shape clinicians’ experiences in patient care.

Sirisha Narayana, MD, is professor of medicine at UCSF Health and chair of the UCSF Medical Ethics Committee. Her work focuses on complex medical decision-making, ethics, and medical education.

Program:
Bob Wachter: Introduction
1:45-44:55 — Sirisha Narayana, MD
44:56-55:56 — Q&A

See previous Medical Grand Rounds:

October 21: ARDS: New Global Definition, Current Therapies, and Implementing Precision Critical Care
• youtu.be/FYDCUthuKkA
October 14: Advances in Care for Hospitalized Patients with Inflammatory Bowel Disease
• youtu.be/uJfzOCPNjfc
October 7: Updates in Anticoagulation
• youtu.be/Rznl-GHZzV8
September 30: From Microplastics to Macro-Impacts: The Plastic Life Cycle and Its Effects on Human Health
• youtu.be/1R1tYwc35F0