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On January 18th, 2024, Dr. Meg Gaffney gave the latest iteration of our Bioethics Grand Rounds. For several decades, biomedical ethics has relied heavily on using four major ethical principles, or ethical theory to address and resolve ethical dilemmas. But what happens when theories, or two or more principles conflict, or contradict, or are simply inadequate to address an important question of care, policy, or relationship? Conscience-sensitive ethics augments the principle and theory approaches specifically by addressing moral emotions and moral attachments, two aspects of any human encounter which are ignored by traditional approaches to medical ethics. Bioethics Grand Rounds is a monthly lecture series hosted by the IU Center for Bioethics on a variety of topics in Bioethics and related fields. The sessions are hybrid, held in person on the IU School of Medicine campus, accessible over the internet, and will include time for Q&A and discussion. The sessions will be recorded and archived on the IU Center for Bioethics website (https://bioethics.iu.edu/).