(CIT): NIH Clinical Center Grand Rounds, Ethics Rounds. Researchers often encounter situations where a patient's designated surrogate decision maker seems to be making decisions not in the best interest of the patient. What should a clinician do when such a conflict arises? Ned Cassem, MD, a Professor of Psychiatry from Harvard University/Mass General will discuss the ethical implications in a case presented by Joanne Pomponio, SW, NIH, NBS.