Working at the intersection of sociology, end-of-life care, and ethics to foster humanistic and ethical care in the culture and practice of medicine

Elizabeth Dzeng, MD, PhD, MPH, is a sociologist and hospitalist physician conducting research at the nexus of sociology, medical ethics, palliative and end-of-life care, and human-centered design. She is an Associate Professor at the University of California, San Francisco (UCSF) in the Division of Palliative Medicine and Social and Behavioral Sciences, Sociology program and a Senior Research Fellow at the Cicely Saunders Institute at Kings College London. She is a Senior Atlantic Fellow for Equity in Brain Health based at the Global Brain Health Institute at UCSF’s Memory and Aging Center, a Visiting Research Fellow at Kings College London’s Department of Global Health and Social Medicine, and a Visiting Assistant Professor in General Internal Medicine at UCLA.

Her current research examines the influence of neoliberalism and specifically the culture and ethical implications of neoliberalism on an institution’s ethical priorities in the United States and United Kingdom and its effects on the provision of non-beneficial high-intensity life-sustaining treatments near the end of life in older adults with dementia and serious illness. Through a comparative ethnography employing semi-structured in-depth interviews and participant observation, Dr. Dzeng seeks to understanding the macro-, meso-, and micro-sociological factors (and in particular ethical decision-making climate) that contribute to potentially non-beneficial high-intensity care near the end of life. Using this ethnographic data, she is co-design a systems-level intervention using human-centered design to mitigate the culture of burdensome end-of-life care. Other areas of research include clinician moral distress and clinician experiences and ethical perspectives around the COVID-19 pandemic.

Among her national leadership roles, Dr. Dzeng currently serves as the Chair of the Ethics Committee at the Society of General Internal Medicine (SGIM), Chair of the Innovations in Health Care Delivery and SGIM Annual Meeting planning committee, and an Associate Editor for the Journal of General Internal Medicine (JGIM). In addition, she has been on the SGIM’s special work group on the Social Determinants of Health which recently released a position statement for SGIM. She is also on the Scientific Review Committee for the National Palliative Care Research Center (NPCRC) and on the Annual Meeting planning committee for Clin-STAR.

Dr. Dzeng completed her PhD in Medical Sociology and an MPhil in Development Studies at the University of Cambridge at King’s College as a Gates Cambridge Scholar where she wrote her doctoral thesis on the influence of institutional cultures and policies on physicians’ ethical beliefs and how that impacted the way they communicate in end of life decision-making conversations. She was also a General Internal Medicine post-doctoral clinical research fellow and palliative care research fellow at the Johns Hopkins School of Medicine. As an undergraduate and engineering graduate student at Stanford, she participated in the first class of Stanford’s Biodesign Innovation program where she co-invented and patented a device to non-invasively cool the heart through the esophagus to prevent myocardial damage during a myocardial infarction (US Patent 7,758,623; 2010). In August, 2019 this patent was licensed to Attune Medical.