Dr. Patrick
Hopkins occupies a place where science and the public interest intersect.
Twice a month, that intersection is a seat around the conference table
where the University of Mississippi Medical Center Institutional Review
Board (IRB) meets.
The IRB regulates
research involving human subjects to ensure that it is humane, necessary
and in compliance with all federal and institutional regulations.
All members
but Hopkins are UMC personnel - nurses, pharmacists, dentists, physicians,
scientists and others who have a vested interest in research.
Only Hopkins
speaks for the man or woman whose last encounter with science may
have been in ninth grade and who may not know a petri dish from
a placebo.
And only Hopkins
is indispensable. If he or his designated alternate, Millsaps professor
Ted Ammon, is not present, the board cannot meet. According to the
federal regulations that govern the board, no meeting can take place
without the person who represents the public's viewpoint.
The Assistant
Professor of Philosophy at Millsaps is hardly Everyman. Hopkins
has edited two books and written numerous articles in scholarly
journals. Among his topics: civil rights for cyborgs, custody battles
over frozen embryos, biology and the Bible, artificial wombs and
pig parts. Hopkins is a scholar, perfectly at home with abstract
concepts and the art of debate. But when he's seated around the
table with other IRB members, he assumes the posture of a layman.
"I try to put
myself in the place of my niece, my 85 year-old grandmother and
the person who checks my groceries," Hopkins said.
The board spends
much of its time reviewing the forms that document informed consent
from research subjects.
"I always think
of a person, perhaps already sick, who may read at only an eighth
grade level and then try to determine if he can understand it,"
Hopkins said. "We spend a lot of time translating doctor- and science-speak
into eighth grade-speak." Even though Hopkins pursued a science
career as an undergraduate and has worked in a research lab, he
is not as familiar with medical terms as most of his IRB colleagues.
"It was a little
difficult at first," he said. "I didn't want to be the only one
around the table who didn't understand something. But it's not a
problem at all now. Part of overcoming that was my own willpower.
I refused to let my embarrassment stand in the way of what I needed
to do. But the group also welcomed me. They didn't roll their eyes
when I asked a question. It's a very free environment in which I
can express whatever concerns I have, and I'm grateful for that."
Nancy Olson,
IRB administrator, estimates that IRB members spend six to eight
weeks a year reviewing research, looking over as many as 78 separate
proposals for one meeting. In that respect, Hopkins' scholarly background
and experience in reading esoteric manuscripts work to his advantage.
All of it is
voluntary. No one on the board, including Hopkins, is paid.
"It does take
a lot of time," Hopkins agrees. "But I look at it as my tiny contribution
to the community. At some point, some person lying in a hospital
bed will be the beneficiary of a decision we made."
And Hopkins
likes being around scientists. "Academics like me don't often have
the opportunity to talk to scientists," he said. "It's a good experience
for me. And I hope that once in a while I will bring a perspective
to the table the others haven't thought of."
According to
Dr. Richard Summers, an Associate Professor of Emergency Medicine
and IRB member, Hopkins
does that frequently. "We tend to get wrapped up in the science
of the thing," he said.
"Patrick gives
us a patient's point of view, as well as an ethical perspective.
He'll ask us, would we want this done to us? Or ‘is this ethical?'
He's not afraid to speak up when he has a concern. And he reads
each proposal in detail. I'm always amazed at how thoroughly he
prepares for the meetings."
IRB chairman
Dr. Stan Chapman, director of the Division of Infectious Diseases,
agrees. "I can always count on him to have read every proposal thoroughly,"
Chapman said. "He knows exactly what his charge is on the board,
and he takes it very seriously. He is absolutely essential to the
board, and he makes my life much easier."
Chapman credits
Hopkins with the first use of the word "metaphysical" in the history
of IRB at the Medical Center.
"I was looking
at something in one of the proposals," Hopkins said, "and I commented
that whatever it said was ‘metaphysically impossible.' Dr. Chapman
said it was probably the first time that word had been used in that
room."
Hopkins is a
native Mississippian. He earned his B.A. at the University of Mississippi,
and his M.A. and Ph.D. at Washington University in St. Louis, Mo.
He did post-doctoral research at Bowling Green State University
in Ohio.
"I loved science
in school and actually thought I would end up doing neuroscience,"
Hopkins said. "I still love science, but discovered that the day-
to-day life of the scientist is not for me. I found I was more interested
in the big implications of science and technology and for that I
needed to study social theory and philosophy."
In the classroom,
he teaches courses in biomedical ethics, computer ethics, death
and dying, and gender and technology. He once taught an introduction
to philosophy course using some of the classics of science fiction
and "Star Trek."
A veteran of
30 or 40 IRB meetings now, Hopkins says his disappointment has been
in seeing how little regard corporate enterprises have for human
subjects. "I see how much information they obtain from the subjects
and how little they give them in return," he said.
On the other
hand, he says he has been very impressed by his fellow IRB members.
"I'm amazed at how thoughtful and serious they are about protecting
the rights of human subjects," he said. "I come away from the meetings
knowing that we're really doing work here that helps people."
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