Transcript
Page 1: Current Issues in Bioethics, Cleveland Clinic, Cleveland OH

MARTIN L. SMITH, S.T.D.CURRICULUM VITAE

PERSONAL INFORMATION_____________________________________________

Name: Martin L. Smith, S.T.DBirthdate: July 8, 1949Place of birth: Elyria, OhioCitizenship: U.S.

Education

Borromeo College, Wickliffe, OH Bachelors of Arts (B.A.) 1971Philosophy and Classical Languages

St. Mary Graduate School, Cleveland, OH Master of Divinity (M.Div.) 1975

Gregorian University, Rome, Italy Licensure in Sacred Theology (S.T.L.) 1978

Gregorian University, Rome, Italy Doctorate of Sacred Theology (S.T.D.) 1980

Contact Information

Office Address Cleveland ClinicDepartment of Bioethics9500 Euclid Avenue, JJ60Cleveland, OH 44195

Office Phone 216-445-2769Pager 1-216-464-8410, #27049E-mail [email protected] 216-636-0712

Home Address 37181 Stone Creek DriveNorth Ridgeville, OH 44039

Home Phone 440-353-0318Marital Status Married

Professional Appointments______________________________________________________

Director of Clinical Ethics Cleveland Clinic, Department of Bioethics, 2006 – Cleveland, OH Present

Associate Professor, Critical Care The University of Texas M. D. Anderson Cancer 2001-Center, Division of Anesthesiology and Critical Care, 2006Houston, TX

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Chief, Clinical Ethics Service The University of Texas M. D. Anderson Cancer 2001-Center, Houston, TX 2006

Director, Clinical Ethics The University of Texas M. D. Anderson Cancer 2001-Fellowship Program Center, Clinical Ethics Service, Houston, TX 2006

Professional Staff Cleveland Clinic, Department of Bioethics, 1994-Cleveland, OH 2000

Associate Staff Cleveland Clinic, Department of Bioethics, 1993-Cleveland, OH 1994

Assistant Staff Cleveland Clinic, Department of Bioethics, 1991-Cleveland, OH 1992

Bioethicist Cleveland Clinic, Department of Bioethics, 1987-Cleveland, OH 1990

Director, Bioethics Fellowship Cleveland Clinic, Department of Bioethics, 1989-Program Cleveland, OH 2000

Part-time/Evening Instructor Cuyahoga Community College, Parma, OH 1988-2000

Chairman, Systematic Theology St. Mary Graduate School, Cleveland, OH 1981-Department 1985

Professor, Systematic Theology St. Mary Graduate School, Cleveland, OH 1980-Department 1985

Other Appointments/Responsibilities______________________________________________

Executive Director Second Harvest Food Bank of North Central 1985-Ohio, Vermilion, OH 1987

Associate Pastor Sts. Philip and James Church, Cleveland, OH 1975-1976

Certification and Licensure______________________________________________________

N/A

Honors/Awards________________________________________________________________

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Pope John Paul II Medallion – Most Scholarly “Magna Cum Laude” Dissertation, Gregorian University, Rome, Italy, 1980.

Bernard A. Loeschen Pastoral Care Award, Department of Pastoral Care, Cleveland Clinic, Cleveland, OH, 1994.

Outstanding Educator Award, Trainee Support Services, The University of Texas M. D. Anderson Cancer Center, Houston, TX, 2003.

Outstanding Contributor to Nursing Education Award, Department of Professional Nursing Development and Education, The University of Texas M. D. Anderson Cancer Center, Houston, TX, 2003.

Outstanding Contributor to Nursing Education Award, Department of Professional Nursing Development and Education, The University of Texas M. D. Anderson Cancer Center, Houston, TX, 2004.

Membership in Professional Societies_____________________________________________

American Society for Bioethics and Humanities (ASBH) 1998 - PresentAmerican Society for Law, Medicine, and Ethics, ASLMA) 2000 - PresentBioethics Network of Ohio (BENO) 1990 - PresentCatholic Theological Society of America (CTSA) 1981 - PresentSociety for Bioethics Consultation (SBC) 1987 - 1998Society for Critical Care Medicine (SCCM) 2001 - PresentSociety for Health and Human Values (SHHV) 1987 - 1998

Professional Service____________________________________________________________

Journal ReviewerCancer 2001 - PresentClinical Pediatrics 1995 - 2000Cleveland Clinic Journal of Medicine 1995 - PresentThe Hastings Center Report 1998 - 2002IRB, Ethics & Human Research 2004 - PresentThe Journal of Clinical Ethics 1995 - PresentThe Journal of the National Cancer Institute 2001 - PresentThe Journal of Medical Ethics 2006 - Present

Editorial BoardIRB, Ethics & Human Research 2004 - Present

Committee Service_____________________________________________________________

National and State

National Institutes of Health (NIH) Review Panel for Research Ethics Grants (“Short-term Courses in Research Ethics,” and

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“Mentored Scientist Development Award in Research Ethics”), Washington, DC 1998

Society for Bioethics Consultation (SBC) Annual Conference Planning Committee 1995

Bioethics Network of Ohio (BENO) Board of Trustees 1990 - 2000 Member, Annual Conference Planning Committee 1992 – 1994, 1997 Co-Chair, Annual Conference Planning Committee 1995 President 1995 - 2000 Educational Services Committee 1996 Grantsmanship Advisory Group 1997 - 1998

Ohio Department of Health’s Do-Not-Resuscitate Advisory Committee, Columbus, OH 1998

Cleveland Clinic (2006 – Present)

Member, Advanced Heart Failure Transplant Committee 2007 – PresentMember, Donation/Transplantation Committee 2006 – PresentMember, Donor Advocacy Team, Liver Transplantation 2007 – PresentMember, Institutional Ethics Committee 2006 – Present

Chair, Task Force on Solicitation of Directed Organ Donors 2006 – PresentChair, Annual Retreat Planning 2007 – PresentChair, Task Force on Medical Mistakes and Apology 2007 – Present

Member, Joint Commission Ethics, Rights, and Responsibilities Team 2006 – PresentMember, Liver Transplant Selection Committee 2007 – PresentMember, Professional Advisory Committee for Clinical Pastor Education (CPE) 2007 – PresentMember, Stewart Award Advisory Committee 2007 – Present

Cleveland Clinic (1987 – 2001)

Advisor, Stewart Award and Fellowship Advisory Committee 1993 - 2000Member, AIDS Patient Care Subcommittee 1987 - 1996Member, Allied Health Education Council 1993 - 2000Member, Professional Advisory Committee for Clinical

Pastoral Education (CPE) 1987 - 2000Member, Graduate Medical Education Appeals Task Force 1996Member, Guidelines Committee for Scientific Misconduct 1988 - 1989Member, Institutional Ethics Committee 1988 - 2000Member, Institutional Review Board (for Human Research) 1988 - 2000Member, Pastoral Care Director Search Committee 1998Member, Prevention of Error in Medicine (POEM) Task Force 2000Member, Task Force on Sexual Harassment (Division of Education) 1993 – 1994

Task Forces and Subcommittees of the Ethics Committee

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Member, Anencephalic Infants as Organ Donors 1987 - 1988Member, Bioethics Charting 1995 - 1996Chair, Brain Death Policy Revision 1999 - 2000Member, Business Ethics 1997 - 1998Member, Bylaws/Guidelines Revision 1988 – 1989Chair, Bylaws/Guidelines Revision 2000Chair, Communication of DNR Orders 1996 - 1997Member, Education Subcommittee 1988 - 1999Member, Effectiveness and Awareness Survey I 1990Member, Effectiveness and Awareness Survey II 1995Chair, Ethics Policies’ Revisions 1995 - 1996Chair, Euthanasia Writing Group 1990 - 1991Chair, Medical Futility 1991 - 1993Member, Patient Consultation Assessment Survey 1991 - 1993Chair, Patient Refusal of Life-saving Treatment 1990 - 1992Co-Chair, Psychogenic Seizure Inductions 1994 - 1995Member, Quality of Care Issues 1993 - 1994Member, Tenth Anniversary Planning 1993 - 1994

The University of Texas M. D. Anderson Cancer Center (2001 – 2006)

Member, Blood Transfusion Policy Committee 2001Member, Blue Ribbon Research Advisory 2002 - 2003Member, Bone Marrow Transplant Bioethics Task Force 2003 - 2006Advisor, Clinical Ethics Committee 2001 – 2006Member, Conflict of Interest Committee 2001 - 2006Member, Conflict of Interest, Special Challenges 2002Member, Faculty Health Program Ad Hoc Response Committee 2002Member, ICU Committee 2001 - 2004Member, ICU Operations Committee 2003 - 2006Member, ICU Operations Subcommittee on End of Life 2004 - 2006Member, Institutional Review Board 2001 – 2006Co-Chair, Joint Commission Ethics Chapter Team, 2003 - 2006Member, Joint Commission and CMS Steering Committee 2001 - 2006Member, Pain Collaborative Steering Committee 2001Member, Patient/Pathways (for Faculty Senate Executive Committee) 2001Member, Patient Safety Committee 2001 - 2006Member, Professional Advisory Committee for Clinical

Pastoral Education (CPE) 2001 - 2006Member, Uncompensated Charity Care Committee 2004 - 2006

Task Forces and Subcommittees of the Clinical Ethics CommitteeAdvisor, Allocation of Resources Policy Committee 2001 – 2002Co-Chair, Annual Retreat Planning 2001, 2003, 2004Member, Bylaws Revision Task Force 2002Member, Criteria for Ethics Consultation Task Force 2002 - 2003Member, DNR Education Module Task Force 2003 - 2006Chair, DNR Policy Revision Task Force 2002 – 2006Member, Education Task Force 2002 - 2003

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Member, Ethics Consultation Task Force 2003 - 2006Advisor, Institutional Issues Subcommittee 2004 - 2006Advisor, Recruitment and Rotation Task Force 2001 - 2006

Teaching Activities_____________________________________________________________

Curriculum/Course Development

Current Issues in Bioethics, Cleveland Clinic, Cleveland OH, Co-Director, March 10, 1993.

Ethics Committee in the 1990’s, Cleveland Clinic, Cleveland OH, Co-Director, March 16, 1994.

Bioethics Module for Clinical Pastoral Education Residents, Cleveland Clinic, Cleveland, OH, 12 hours/year, 1995-2000.

Ethics Controversies at the End of Life, Cleveland Clinic, Cleveland OH, Co-Director, March 20, 1996.

Religious and Cultural Diversity in Health Care: Clinical Ethics for the 21st Century, Cleveland Clinic, Cleveland OH, Co-Director, March 18, 1998.

Bioethics Module for Clinical Pastoral Education Fellows, The University of Texas M. D. Anderson Cancer Center, 12 hours/year, 2001-2006.

Clinical Ethics Reflections, Evolution and Prospective: A Symposium on the 10th Year of Clinical Ethics at M. D. Anderson Cancer Center, The University of Texas M. D. Anderson Cancer Center, Houston TX, Co-Director, September 6, 2003.

Bioethics for Hematology-Oncology Fellows, Cleveland Clinic, Cleveland, OH, 1 hour/month, 2006 – 2007.

Bioethics for Internal Medicine Residents, Cleveland Clinic, Cleveland, OH, 1 hour every two months, 2006 – 2007.

Presentations (including post-graduate and continuing medical education)

The Process of Bioethical Decision-Making, Cleveland West Episcopal Deanery, Cleveland OH, 11/1987.

Ethical Aspects of HIV Testing, Current Status and Indications, First Annual AIDS Update, Cleveland Clinic, Cleveland OH, 4/1988.

Ethical Issues in the ICU You Never Dreamed Possible, Bioethics Grand Rounds, Cleveland Clinic, Cleveland OH, 8/1988.

DNR in the OR, Anesthesiology Grand Rounds, Cleveland Clinic, Cleveland OH, 2/1989

The Ethics of Human Fetal Tissue Transplantation, The Cleveland Society of Obstetrics andGynecologists, Independence OH, 3/1989.

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Autonomy: Does Doctor Know Best, Center for Professional Ethics, Case Western Reserve University, Cleveland OH, 10/1989.

Withholding and Withdrawing Life Supports, Hospice Network of Northern Ohio, Cleveland OH, 12/1989.

Panelist Respondent, Conference on the Holocaust and Biomedical Ethics: The Contemporary Use of Nazi Data, Kent State University, Akron OH, 3/1990.

Beginning and Maintaining a Hospital Ethics Committee, Conference on Institutional Ethics Committees in the 1990's, Youngstown OH, 5/1990.

Withdrawal of Artificial Nutrition and Hydration, A Case Conference, Pediatric Neurology Grand Rounds, Cleveland Clinic, Cleveland OH, 5/1990.

Living Wills, DNR, and the Durable Power of Attorney, Annual Conference of the Ohio Academy of Family Physicians, Cleveland OH, 8/1990.

On Being an Authentic Scientist, Research Institute Continuing Education Conference, Cleveland Clinic, Cleveland OH, 9/1990.

Withdrawing Dialysis: What Are the Ethical Issues, American Nephrology Nurses Association, Greater Cleveland Chapter, Cleveland Ohio, 9/1990.

Medical Futility, Bioethics Grand Rounds, St. Luke Hospital, Cleveland, OH, 1/1991.

Current Issues In Bioethics, American Society for Medical Technologists, Berea OH, 3/1991.

A Good Death: Is Euthanasia the Answer, Conference of the Medical-Spiritual Society of Ohio, Toledo OH, 4/1991.

Forgoing Life-Supports in the ICU: Nurses’ Dilemmas, Neurosurgical and Neurological IntensiveCare Update Program, Cleveland Clinic, Cleveland OH, 5/1991.

Hospital and Pre-Hospital DNR Orders, First Annual Conference of the Bioethics Network of Ohio, Cleveland OH, Ohio, 6/1991.

Advance Directives and the Patient Self-Determination Act, The Ethics Committee of the Cleveland VAHospital, Cleveland OH, 8/1991.

Discussion of Final Exit (by Derek Humphry), Department of Radiation Therapy, Cleveland Clinic, Cleveland OH, 1/1992.

The Ethics of Fetal Tissue Transplantation: Promise or Peril, Bioethics Grand Rounds, Cleveland Clinic, Cleveland OH, 3/1992.

Medical Futility: An Exception to Informed Consent, Bioethics Grand Rounds, St. Luke Hospital, Cleveland OH, 3/1992.

Advance Directives, Critical Care Nursing Symposium, Cleveland OH, 4/1992.

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To Feed or Not to Feed, Symposium on Nutrition Practice, Cleveland OH, 5/1992.

Living Wills and the Patient Self-Determination Act, Annual Conference of the Ohio State Bar Association, Columbus OH, 5/1992.

Quality of Life Issues, Annual Burkons Geriatric Nursing Symposium, Cleveland OH, 8/1992.

Doctor, I Want Everything Done for My Wife! Ethical Perspectives on Medical Futility, Bioethics Grand Rounds, Cleveland Clinic, Cleveland OH, 10/1992.

When Our Medical Miracles Cannot Cure -- Decisions at the End of Life, Symposium of the American Association of Neuroscience Nursing, Cleveland Clinic Foundation, Cleveland OH, 11/1992.

Rationing: Its Time Has Come, Bioethics Grand Rounds, St. Luke Hospital, Cleveland OH, 3/1993.

Medical Futility, Medical Grand Rounds, Meridia Euclid Hospital, Euclid OH, 4/1993.

The Present and Future of Ethics Committees, Continuing Education Course on Current Issues in Bioethics, Cleveland Clinic, Cleveland OH, 3/1993.

Can We Afford Health Care for All, The College Club, Cleveland OH, 5/1993.

Medical Futility, VA Hospital Ethics Conference, Brecksville OH, 5/1993

Ethical Issues and Cases for Hospice, Hospice of Tuscarawas County, New Philadelphia OH, 10/1993.

End-of-Life Decisions, American Medical Writers’ Association, Cleveland Chapter, Cleveland OH, 11/1993.

Ethical Values and Principles for Health Care Reform, Division of Nursing Panel on Health Care Reform, Cleveland Clinic, Cleveland OH, 11/1993.

Fetal Tissue Transplantation, Pediatric Grand Rounds, Cleveland Clinic, Cleveland OH, 11/1993.

Induction of Psychogenic Seizures, Epilepsy/Neurology Grand Rounds, Cleveland Clinic, Cleveland OH, 1/1994.

Ethics Issues for Podiatric Medicine, The Ohio College of Podiatric Medicine, Cleveland OH, 1/1994.

Prolongation of Life in Dialysis Patients, Hypertension-Nephrology Grand Rounds, Cleveland Clinic, Cleveland OH, 2/1994.

Truth-telling in a Multi-Cultural Context, Cancer Center Grand Rounds, Cleveland Clinic, Cleveland OH, 2/1994.

Pediatric Euthanasia, Pediatric Grand Rounds, Cleveland Clinic, Cleveland OH, 3/1994.

End-of-Life Decisions, Medical Grand Rounds, St. Joseph Hospital, Warren OH, 5/1994.

Advance Directives and Professionals’ Responsibilities, Medicare Agency of the Cleveland Clinic Alternate Site Program, Cleveland OH, 5/1994.

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Physician-Assisted Suicide, Ethics Committee, St. Vincent Charity Hospital, Cleveland OH, 9/1994.

National Survey on Epilepsy Inductions, Epilepsy-Neurology Grand Rounds, Cleveland Clinic, Cleveland OH, 11/1994.

When patients and Families Demand Medically Futile Treatment, Psychiatry Grand Rounds, Cleveland Clinic, Cleveland OH, 12/1994.

Diagnosing by Deception: The Ethical Dilemma of “Inducing” Psychogenic Seizures, Bioethics Grand Rounds, Cleveland Clinic, Cleveland OH, 1/1995.

DNR Orders Revisited: Complexities and Controversies. Bioethics Grand Rounds, St. Luke Hospital, Cleveland OH, 4/1995.

Panel on Physician-Assisted Suicide, 1995 Health and Human Services Institute, Cleveland Convention Center, Cleveland OH, 4/1995.

How I See This Case, Society for Bioethics Consultation, Cleveland OH, 9/1995.

DNR Revisited: Ethical Controversies and Complexities, Internal Medicine Residents’ Noon Conference, Cleveland Clinic, Cleveland OH, 9/1995.

Frameworks for Ethical Decisions, Fairhill Institute for the Aging, Cleveland OH, 10/1995.

Managed Care or Mangled Care? Where Are We Going? Western Reserve Care Center, Cleveland OH, 12/1995.

DNR Revisited, Endocrinology Grand Rounds, Cleveland Clinic, Cleveland OH, 1/1996.

Ethical Concerns for Nursing in the 21st Century, Beyond the 90's Health Care Professionals’ Conference, Cleveland Clinic, Cleveland OH, 4/1996.

Continuing Ethical Dilemmas for Care Givers, Ohio Hospital Association Joint Educational Summit andConvention, Columbus OH, 4/1996.

How I See This Case, Regional Conference of the Society for Bioethics Consultation, Morgantown WV, 5/1996.

Introduction to Principles and Concepts for Ethics Committee Members, Annual Conference ofthe Bioethics Network of Ohio, Columbus OH, 5/1996.

Case Studies in Research Ethics, Department of Biomedical Engineering, Cleveland Clinic, Cleveland OH, 8/1996.

End of Life Choices, The Cleveland Ostomy Association, Southwest General Hospital, Berea OH, 10/1996.

Dilemmas and Decisions at the End of Life, The Tri-State Chaplaincy Committee, East Liverpool OH, 10/1996.

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Ethical and Religious Issues in Transfusion Medicine, Transfusion Medicine Update Symposium, Cleveland Clinic, Cleveland OH, 11/1996.

Health Care Ethics Committees: Current Practice and Future Developments, 1997 Joint EducationalSummit, The Ohio Association of Hospital and Health Systems, Columbus OH, 4/1997.

A Case Study: Ethics, The Law and End of Life, 1997 Joint Educational Summit, The Ohio Association of Hospital and Health Systems, Columbus OH, 4/1997.

Managed Care or Mangled Care: Ethical Considerations, Cleveland Bar Association, Health Section, Cleveland OH, 4/1997.

Ethical Considerations in the Care of the Dying, Franciscan Sisters of Chicago Corporate Ethics Committee, Parma OH, 4/1997.

Bioethics Intensive Workshop: Basic Principles and Concepts for Ethics Committee Members, Annual Conference of the Bioethics Network of Ohio, Columbus OH, 5/1997.

Religious Insistence on Medical Treatment: Christian Theology and Re-Imagination, Annual Conference of the Bioethics Network of Ohio, Columbus OH, 5/1997.

Ethical Issues Faced by the Multi-disciplinary Team, Multi-disciplinary HIV/AIDS Traineeship in Long-term Care Program, St. Augustine Manor, Cleveland OH, 9/1997.

Ethical Considerations in Rehabilitation: Patients, Patience, and Limitations, Grand Rounds, Cleveland Clinic Department of Rehabilitation Medicine, Cleveland OH, 9/1997.

Physician Assisted Suicide and Euthanasia, Cleveland Clinic Health Talk, Cleveland OH, 11/1997.

Use of Placebo Induction Procedures in Diagnosing Psychogenic Seizures: Ethical and Psychiatric Considerations, Joint Meeting of the American Association of Bioethics, Society for Bioethics Consultation, and Society for Health and Human Values, Baltimore MD, 11/1997.

Use of Artificial Nutrition and Hydration: Ethical Issues, Legal Precedents, Outcomes and Practical Suggestions, Medical Grand Rounds, Summa Health Systems, Akron OH, 2/1998.

Ethical Decision Making and Ethics Consultation, Institutional Ethics Committee, St. Vincent Charity Hospital, Cleveland OH, 3/1998.

Pain Management and the Principle of Double Effect, Institutional Ethics Committee, Mt. Alverna Home, Parma OH, 3/1998.

Decision Making at the End of Life: Commentary on the Washington Report on Assisted Suicide andEuthanasia, Episcopal Diocese of Southern Ohio, Newark OH, 3/1998.

Ethics Case Consultation: Goals, Objectives, Models and Outcomes, The Association for Hospitals and Health Systems, Joint Educational Summit, Columbus OH, 4/1998.

Morally Managing Medical Mistakes, Annual Conference of the Bioethics Network of Ohio, Columbus OH, 5/1998.

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Cultural Pluralism and Ethical Considerations: Clashes or Connections? Samaritan Regional Health System, Ashland OH, 5/1998.

A Good Death: Is Assisted Suicide the Answer?, St. John Westhore Hospital, Westlake OH, 6/1998.

Ethical Considerations for an Epilepsy Surgery Program: Informed Consent, Ninth Annual International Symposium for Epilepsy Surgery, Cleveland OH, 6/1998.

Ethics Committees and Ethics Consultation, Ohio Hospital Association Conference on Re-Writing theRules for End-of-Life Care, Columbus OH, 9/1998.

Managed Care or Mangled Care? Ethical Considerations, Ohio Association for Healthcare Quality, District 8, Walnut Creek OH, 11/1998.

Ethics Committees: Agency, Advocacy and Accountability Along the Pathway, Conference on Ethical Pathways to Palliative Care, Cincinnati OH, 10/1998.

Moral Management of Medical Mistakes, American Society for Bioethics and Humanities, Houston TX,11/1998.

The Amish and Bioethics: A Conversation Between Cultures about Health Care, Samaritan Regional Health System, Ashland OH, 1/1999.

Revisiting Advance Directives, and the New Ohio DNR Rules, Catholic Council on Older Adults, RockyRiver OH, 3/1999.

Informed Consent in Transfusion Medicine, Annual Conference of the Ohio Association of Blood Banks, Columbus OH, 4/1999.

Maximizing Legal, Organizational and Ethical Resources in Difficult Patient Situations, Ohio Hospital Association Educational Summit, Columbus OH, 4/1999.

Cultural and Religious Diversity: Curse or Connections, St. John Westshore Hospital, Westlake OH, 4/1999.

Dilemmas and Decisions at the End of Life, Marietta Memorial Hospital, Marietta OH, 6/1999.

Dilemmas, Decisions, Dying and Death: Ethical Considerations, Annual Conference of the Ohio Association of Physician Assistants, Toledo OH, 9/1999.

Medically Managing Medical Mistakes, Annual Conference of the Ohio Society for Health Care Advocacy, Columbus OH, 9/1999.

The Amish, Health Care, and End-of-Life Issues: A Clinical Ethics Conversation Between Cultures and Its Application to Medical Education, 1999 Spirituality, Culture, and End-of-Life Conference (Association of American Medical Colleges), Denver CO, 9/1999.

Maximizing Legal, Organizational and Ethical Resources in Difficult Patient Situations, AmericanHospital Association’s Society for Health Care Consumer Advocacy, Toronto, Canada, 10/1999.

Panelist, End-of-Life Care: An Interdisciplinary Perspective, Gerontological Society of America, San

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Francisco CA, 11/1999.

Doctors, Dying and Death: Ethical Considerations, Medical Staff Meeting, Grace Hospital, Cleveland OH, 12/1999.

Morally Managing Medical Mistakes, Neuro-Science Grand Rounds, Cleveland Clinic Cleveland OH, 3/2000.

Morally Managing Medical Mistakes, Euclid General Hospital, Euclid OH, 4/2000.

Ethics Session, Case Studies, Ohio Association of Blood Bankers’ Annual Conference, Mohican State Park, Perrysville OH, 4/2000.

Dispelling Myths about Dehydration and Starvation, Lake West Hospital, Wickliffe OH, 5/2000.

Assessing Patient Decisional Capacity Prior to Epilepsy Surgery: Ethical and Clinical Considerations, Epilepsy Grand Rounds, Cleveland Clinic, Cleveland OH, 5/2000.

The Old Order Amish and Health Care: Ethical Considerations, Annual Conference of the Bioethics Network of Ohio, Westlake OH, 5/2000.

Setting Up An Ethics Program At Your Hospital, Society for Health Care Consumer Advocacy, San Antonio TX, 9/2000.

Morally Managing Medical Mistakes, Society for Health Care Consumer Advocacy, San Antonio TX, 9/2000.

Unresolved Issues in Pediatric Research: Assessing Harms for Placebo Arms, American Society for .Bioethics and Humanities, Salt Lake City UT, 10/2000.

Partners in Decision Making: Patients’ Rights and Physicians’ Obligations, Community Health Partners, Elyria OH, 10/2000.

Workshop and Panel on Mistakes in Medicine, OHIC Insurance Co., Lancaster OH, 1/2001.

To Tell the Truth, the Whole Truth or Nothing … You Be the Judge, Panel Presentation, 3rd Annual Texas Patient Safety Conference, Austin TX, 6/2001.

Advance Care Planning: Past Disappointments, Future Directions, 6th Annual Conference on Human Dimensions in Cancer Care, Houston TX, 6/2001.

When Patients and Families Demand ‘Futile Treatment, Institutional Grand Rounds, The UniversityTexas M. D. Anderson Cancer Center, 8/2001.

Ethics Consultation and End-of-Life Issues, Medical Staff, Livingston Memorial Hospital, Livingston TX, 9/2001.

Ethics/End-of-Life Issues, Medical Oncology Board Review Course, The University of Texas M. D.Anderson Cancer Center, Houston TX, 10/2001.

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Ethics Involved in Caring for the Cancer Patient, Fourth Annual Meeting of the Association of Physician Assistants in Oncology, Houston TX, 10/2001.

Panelist, How I See This Case: Minor Bone Marrow Donor, American Society for Bioethics and Humanities, Nashville TN, 10/2001.

Clinical Ethics: Foundations and Dilemmas, Neuro-Oncology Faculty and Fellows, The University of Texas M. D. Anderson Cancer Center, 1/2002.

The Ethics of Embryonic Stem Cell Research: Point and Counter-Point, Institutional Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 2/2002.

Panelist, Models of Palliative Care: Palliative Care in the ICU, American Pain Society’s 21st AnnualScientific Meeting, Baltimore MD, 3/2002.

Ethics in Research: Duties, Decisions and Dilemmas, Department of Cancer Prevention, The University of Texas M. D. Anderson Cancer Center, 6/2002.

Ethical Anchors for Decision Making: Resources, Roles and Recommendations, Texas Alliance for Patient Services Annual Conference, Galveston TX, 6/2002.

Ethics Consultation at M. D. Anderson Cancer Center Since 1993: What Do We Do With the Dilemmas You Raise? What Lessons After Nine Years, Institutional Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 8/2002.

Clinical Ethics at M. D. Anderson Cancer Center Since 1993, Public Affairs Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 9/2002.

Watch Your Language: Patients and Families Are Listening, Institutional Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 9/2002.

Rights, Wrongs and Rules for Asserting Your Patient Rights, 14th Annual “Living Fully with Cancer” Anderson Network Conference, Houston TX, 9/2002.

Ethical Challenges and Choices in the Care of Cancer Patients, The 24th Annual Pharmacy Symposium on Cancer Chemotherapy, Houston TX, 10/2002.

Clinical Ethics: Foundations and Methods, Dilemmas and Resources, The American College of Health Care Executives, Northwest Texas Region, Abilene TX, 11/2002.

ICU, CPR, and Palliative Care: Ethical Considerations, Controversies, and … Incompatibilities?, 7th

Multidisciplinary Approach to Palliative Care, Pain and Symptom Management Conference, Houston TX, 1/2003.

The Moral Dimension of Clinical Practice, Tall Pines Dietetic Association, Houston TX, 3/2003.

I shouldn’t have allowed you to write a DNR order for my wife! A Case of Medical Futility, The FirstInternational Assessment Summit on Clinical Ethics Consultation, Cleveland OH, 4/2003.

Criteria, and Advantages and Disadvantages for Three Methods of Ethics Consultation, The First International Assessment Summit on Clinical Ethics Consultation, Cleveland OH, 4/2003.

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When Medical Mistakes Are Made: Ethical, Regulatory and Risk Management Considerations, Cancer Medicine Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 7/2003.

Controversies in End-of-Life Care: A Conversation about Cases, Institutional Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 8/2003.

ICU, DNR, and Palliative Care: Ethical Considerations, Controversies, and … Incompatibilities? ClinicalEthics Symposium in the 10th Year of Clinical Ethics, The University of Texas M. D. Anderson Cancer Center, Houston TX, 9/2003.

Ethical Complexities and Conflicts in Cancer Care, 6th Annual Meeting of the Association of Physician Assistants in Oncology, Austin TX, 9/2003.

Ethics/End-of-Life Issues, Medical Oncology Board Review Course, The University of Texas M. D. Anderson Cancer Center, Houston TX, 10/2003.

Limits on Patient/Family Autonomy: The Response of University of Texas Teaching Hospitals toDemands for Inappropriate Medical Treatment, The American Society for Bioethics and Humanities 6th Annual Conference, Montreal, Canada, 10/2003.

DNR and the Cancer Patient – How Aggressive Should We Be? 4th Annual Oncology Update: Advances and Controversies, Steamboat Springs CO, 1/2004.

Ethical Considerations of Genetic Testing and Screening for Cancer, Institutional Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 2/2004.

Discussing End-of-Life Options: Initiating Difficult Conversations and Promoting Meaningful Dialogue, The Methodist Hospital, Houston TX, 1:00 hour, 2/2004.

Dilemmas, Decisions and Duties about Death and Dying: Ethical Considerations, Ben Taub Hospital, Houston TX, 1:00 hour, 3/2004.

Ethical Principles, Parameters, and Painful Choices, Cancer Pain Management Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 4/2004.

The Radiologist’s Role in Assessing Patient Best Interests, Diagnostic Imaging Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 6/2004.

Physician-Assisted Suicide, Institutional Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 8/2004.

Ten Years of Experience: The Ethics Consultation Service at the University of Texas M. D. Anderson Cancer Center, Internal Medicine and the Cancer Patient, Houston TX, 9/2004

When Patients Demand Medically Inappropriate Treatment: How We Respond, What We Have Learned, Sentara Health System, Williamsburg VA, Virginia, 10/2004.

Informed Consent and Interventional Radiology: Ethical and Legal Considerations, Houston Radiological Society, Houston TX, 11/2004.

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Information Disclosure Revisited, Division of Internal Medicine Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 11/2004.

Physician-Assisted Suicide, Ethical and Legal Justifications, Anesthesiology Grand Rounds, TheUniversity of Texas M. D. Anderson Cancer Center, 12/2004.

Physician-Assisted Suicide, 5th Annual Oncology Update: Advances and Controversies, Park City UT, .1/2005.

Physician-Assisted Suicide: Ethical and Legal Justification, Diagnostic Imaging Grand Rounds, TheUniversity of Texas M. D. Anderson Cancer Center, 2/2005.

Due Process: Review of Medical Appropriateness at The University of Texas Teaching Hospitals in theTexas Medical Center, 2nd International Conference: Clinical Ethics Consultation, Basel, Switzerland, 3/2005.

Organizational Ethics: A Model for Addressing Institutional Issues Arising During Ethics Consultation, 2nd International Conference: Clinical Ethics Consultation, Basel, Switzerland, 3/2005.

Participants Evaluation of Clinical Ethics Consultation, 2nd International Conference: Clinical Ethics Consultation, Basel, Switzerland, 3/2005.

The Terri Schiavo Case: What Lessons Can We Learn? Cancer Pain Management GrandRounds, The University of Texas M. D. Anderson Cancer Center, 4/2005.

Futility Policy: Can Ohio Learn Anything from Texas, Annual Conference of The Bioethics Network of Ohio, Westlake OH, 5/2005.

The Terri Schiavo Case: What Lessons Can We Learn? Division of Radiation Oncology Grand Rounds, The University of Texas M. D. Anderson Cancer Center, 6/2005.

Ain’t Misbehavin’? The Good and Bad News About Scientific Integrity: The Survey Says…Are We Reducing Instances of Scientific Misconduct, Institutional Grand Rounds, The University of Texas M.D. Anderson Cancer Center, 8/2005.

Advance Care Planning: Lessons after the Terri Schiavo Case, Anderson Network 17th Annual LivingFully With Cancer Conference, Houston TX, 9/2005.

Difficult Decisions and Dilemmas at the End of Life, College Station Medical Center, 1:00 hour, College Station TX, 9/2005.

Five Years of Futility Follow-Up: A Survey of Texas Hospitals, 2005 Annual Meeting of the American Society of Bioethics and Humanities, Washington DC, 10/2005.

Guardianship Challenges at the End of Life, 2005 National Guardianship Association Conference, Cleveland OH, 11/2005.

Aligning Hope: Lessons from Reflections on Challenging Communications between Patients, Families,and Clinicians, World Cancer Congress, Washington, DC, 7/2006.

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Difficult Decisions Leading to Death and Dying: Ethical Considerations, Kidney Foundation Annual Renal Symposium, Kidney Foundation, Aurora, OH, 9/2006.

Bedside Meets Boardroom: Organizational and Professional Dilemmas When Admitting and DischargingPatients with Inadequate Psychosocial and Financial Resources, The American Society for Bioethics and Humanities 9th Annual Conference, Denver, Colorado, 10/2006.

DNR Orders: Still Challenging After All These Years, Potomac Hospital, Potomac, Virginia,11/2006.

An Ethical Framework for Evaluating New Cancer Genetic Tests and Information, National Society of Genetic Counselors (NSGC), Nashville, TN, 11/2006

Morally Managing Medical Mistakes, Cleveland State University, Cleveland, OH, 12/2006.

Morally Managing Medical Mistakes, 17th Annual Conference of the Bioethics Network of Ohio, Columbus, OH, 5/2007.

Visiting Professorships

Fetal Tissue Transplantation: Ethical Considerations, Medical Grand Rounds, Children’s Hospital of Orange County, California, 10/1990.

Advance Care Planning: Advantages, Barriers, and Challenges, University Health Care System, Augusta GA, 3/2005.

Difficult Decisions and Dilemmas at the End of Life, University Health Care System, Augusta GA, 3/2005.

Morally Managing Medical Mistakes, Southern Illinois University School of Law, Carbondale IL,4/2005.

When Patients and Families Demand Medically Futile Treatment, Southern Illinois Health System, Carbondale IL, 4/2005.

Rewarding and Paying Research Participants: What are the Ethical Issues? Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 3/2006.

Family Demands, DNR Orders, and End-of-Life Decisions. Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 3/2006.

“Our Child Needs a Liver! Will You Donate?” An Ethical Assessment of Public Solicitation of Directed Organ Donations. Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 3/2006

Trainees/Mentees

Cleveland Clinic, Department of Bioethics, Dena Davis, PhD, 1/1989-6/1989, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Scott Dunbar, PhD, 1/1989-6/1989, Bioethics Fellow.

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Cleveland Clinic, Department of Bioethics, Charles Radey, MD, 7/1989-6/1990, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Joanna Rogers, RN, MA, 7/1989-6/1990, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Giles R. Scofield, J.D., 7/1990-6/1991, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Lawrence W. Foster, PhD, 7/1991-6/1992, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Michael Veshecco, J.D., 7/1991-7/1992, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Joal M. Hill, J.D., MPH, 7/1992-6/1993, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Patrick McCormick, STD, 7/1993-6/1994, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Larita N. Kaspar, MSN, 6/1994-6/1995, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Susan J. Stagno, MD, 1/1993-6/1995, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Thomas May, PhD, 7/1995-1/1996, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Heidi P. Forster, JD, 8/1997-7/1998, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Anne L. Flamm, JD, 7/1998-6/1999, Bioethics Fellow.

Cleveland Clinic, Department of Bioethics, Karen J. Maschke, PhD, 7/1999-6/2000, Bioethics Fellow.

UT M. D. Anderson Cancer Center, Clinical Ethics Service, Andrea N. Frolic, MA, 2/2001-8/2002, Clinical Ethics Fellow.

UT M. D. Anderson Cancer Center, Clinical Ethics Service, Richard Royal, MD, 1/2002-7/2002, Clinical Ethics Intern.

UT M. D. Anderson Cancer Center, Clinical Ethics Service, Deborah K. Cruze, MA, JD, 9/2002-8/2003, Clinical Ethics Fellow.

UT M. D. Anderson Cancer Center, Clinical Ethics Service, Barbara J. Evans, PhD, JD, LLM 9/2003-6/2004, Clinical Ethics Fellow.

UT M. D. Anderson Cancer Center, Clinical Ethics Service, Kate M. Kraycirik, MA, 8/2004-8/2005,Clinical Ethics Fellow.

UT M. D. Anderson Cancer Center, Clinical Ethic Service, Chad F. Slieper, J.D., 7/2005-6/2006, Clinical Ethics Fellow.

Teaching Administration

Director, Bioethics Fellowship Program, Cleveland Clinic, Cleveland, OH, 1989 – 1998.

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Director, Clinical Ethics Fellowship Program, The University of Texas M. D. Anderson Cancer Center, Houston, TX, 2001 – 2006.

Co-Coordinator, Physician-Scientist Training Program (six sessions), 6:00 hours, The University of Texas M. D. Anderson Cancer Center, 3 - 4/2003.

Teaching Activities

Discontinuing Mechanical Ventilation: Killing or Letting Die, Forum for Respiratory Technologists, Akron OH, 10/1988.

Bioethics for Critical Care Nurses, Cleveland Clinic, Cleveland OH, 11/1991

Ethical implications of the Ohio Advance Directive Law, Cleveland State-Marshall Law School, Cleveland OH, 9/1992.

Case Studies in Psychiatric Issues, Cleveland Area Behavioral Therapists, Cleveland OH, 6/1994.

Euthanasia and End-of-Life Choices, Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland OH, 2/1995

Ethical Issues for Death and Dying, Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland OH, 3/1996.

Ethics Committees: What They Do and How They Do It, Ohio University College of Medicine, North West Region, Sandusky OH, 11/1996.

End of Life Decisions, Ohio State University Medical Students, Columbus OH, 12/1996.

Physician-Assisted Death, Ohio State University College of Medicine, Columbus OH, 1/1997.

Case Studies and Managed Care, Ohio University College of Medicine, Cleveland OH, (Teleconferenced to 4 Ohio Osteopathic Hospitals), 1/1997.

Case Studies and Patients with AIDS, Ohio University College of Medicine, (Teleconferenced to 4 Ohio Osteopathic Hospitals), Cleveland OH, 2/1997.

Case Studies and Vulnerable Patients, Ohio University College of Medicine, (Teleconferenced to 4 Ohio Osteopathic Hospitals), Cleveland OH, 1997.

Patient Decision Making in Medicine, Ohio State University College of Medicine, Columbus OH, 11/1997.

Case Studies and Managed Care, Ohio University College of Medicine (Teleconferenced to 4 Ohio Osteopathic Hospitals), Cleveland, OH, 1/1998.

Case Studies for the Medical Profession, Ohio University College of Medicine (Teleconferenced to 4 Ohio Osteopathic Hospitals), Cleveland OH, 2/1998.

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The Old Order Amish and Health Care: Ethical Considerations, Conversations in Ethics, Case Western Reserve University’s Center for Biomedical Ethics, Cleveland OH, 1/2000.

Ohio’s New DNR Regulations, Cleveland Academy of Ambulatory Nursing, Cleveland OH, 2/2000.

ICU Didactics for Trainees, The University of Texas M. D. Anderson Cancer Center, Houston TX, 1:00 hours/monthly, 2001 – 2006

Ethical Consideration of Cases: The Nursing Perspective, A & M Prairie View School of Nursing, Houston TX, 10/2001.

Clinical Ethics I, II and III, Fellows’ Core Curriculum Lecture Series, The University of Texas M. D. Anderson Cancer Center, Houston TX, 1/7, 1/14 and 1/28, 2002.

Closing the Gap: Pain, Quality of Life, and End-of-Life Issues, The University of Texas M. D. Anderson Cancer Center, Houston TX, 4/2002.

End-of-Life Issues, for Ethics in Health Care, The University of Texas School of Public Health, Houston TX, 10/2002.

Clinical Ethics I and II, Fellows’ Core Curriculum Lecture Series, The University of Texas M. D. Anderson Cancer Center, ½, 1/9 and 1/16/2002.

Basic Bioethics for the Clinical Social Worker, American Cancer Society, Houston TX, 1/2003.

Clinical Ethics I and II, Fellows’ Core Curriculum Lecture Series, The University of Texas M. D. Anderson Cancer Center, 1/3 and 1/10/ 2003.

Closing the Gap: Pain, Quality of Life, and End-of-Life Issues, The University of Texas M. D. Anderson Cancer Center, 2/2003.

The Delicate Balance Between Physician Advice and Patient Autonomy, Authorization andAssent, The University of Texas Medical School, Houston TX, 1/2004.

Clinical Ethics I and II, Fellows’ Core Curriculum Lecture Series, The University of Texas M. D. Anderson Cancer Center, 1/5 and 1/12/2004.

Closing the Gap: Pain, Quality of Life, and End-of-Life Issues, The University of Texas M. D. Anderson Cancer Center, 1/2004.

Closing the Gap: Pain, Quality of Life, and End-of-Life Issues, The University of Texas M. D. Anderson Cancer Center, 1/2004.

Ethics of Clinical Trials, Graduate School of Biomedical Sciences, The University of Texas M. D. Anderson Cancer Center, 9/2004.

Discussion Facilitator, Ethics and Professionalism, The University of Texas Medical School, HoustonTX, 11/8 and 11/22/2004.

Discussion Facilitator, Ethics and Professionalism, The University of Texas Medical School, HoustonTX, 1/10 and 1/24/2005.

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Closing the Gap: Pain, Quality of Life, and End-of-Life Issues, The University of Texas M. D. Anderson Cancer Center, 1/2005.

Discussion Facilitator, Ethics and Professionalism, The University of Texas Medical School, HoustonTX, 2/7 and 2/14/2005.

Ethical Issues in Transplantation, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, 3/2007.

Research Support______________________________________________________________

Protocols (funded and unfunded)

Principal Investigator, “Survey of Hospitals Concerning Implementation of the ‘Inappropriate Treatment’ Section of the 1999 Texas Advance Directives Act (TADA),” PCR03-0502, 2004 – 2007.

Principal Investigator, “Limits of Patient/Family Autonomy: Implementation of a Statutory Mechanism for Managing Demands for Inappropriate Medical Treatment by The University of Texas Teaching Hospitals in the Texas Medical Center,” RCR04-469, 2004 – 2006.

Co-Investigator, “Retrospective Review of Patients Undergoing CPR at the Emergency Center of Comprehensive Cancer Center,” Principal Investigator: Jessica P. Hwang, MD, MPH, RCR02-573, 2003 – 2006.

Co-Investigator, “The Influence of a Common Polymorphism in the Human ACE Gene on Ability to Predict Major Pulmonary Events After Thoracic Surgery,” Principal Investigator: Andrew Shaw, MD, LAB02-657, 2003 – 2006.

Collaborator, "Ethics Study to Understand the Decision-Making Process of Phase I Cancer Patients” (Collaborative Study with NIH/NCI), Principal Investigators: Ezekiel Emanuel, MD and Manish Agrawal, MD), The University of Texas M. D. Anderson Cancer Center, Houston, TX, Protocol ETH02-699, 2003 – 2005.

Principal Investigator, “Physicians’ Practices and Attitudes Toward Writing Unilateral Do-NotResuscitate Orders in a Tertiary Cancer Center,” PCR03-0502, 2003.

Principal Investigator, “A Pilot Study to Identify Satisfaction with the Ethics Consultation Process,” ETHP00-364, Co-Investigator, Andrea Frolic, MA, 2002.

Bibliography (Published or in press)______________________________________________

Peer-reviewed Articles

Smith M. Ethics Issues and Fetal Tissue Transplantation. Cleveland Clinic Journal of Medicine 57:251-254, 1990.

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Vinicky J, Smith M, Connors R, Kozachuk W. The Jehovah’s Witness and Blood: New Perspectives On An Old Dilemma. The Journal of Clinical Ethics 1:65-71, 1990.

Smith M. Burleigh D. Pastoral Care Representation on the Hospital Ethics Committee, HEC Forum 3: 269-276, 1991.

Smith M, Orlowski J, Radey C, Scofield G. A Good Death: Is Euthanasia the Answer? Cleveland Clinic Journal of Medicine 59:99-109, 1992.

Smith M. On Being an Authentic Scientist. IRB, A Review of Human Subjects Research 14: 1-4, 1992.

Orlowski J, Smith M, Zwienen J. Pediatric Euthanasia. American Journal of Diseases of Children 146:1440-1446, 1992.

Smith M, Day J, Erenberg G, Collins R. A Survey of Awareness and Effectiveness of Bioethics Resources. HEC Forum 4: 187-197, 1992.

Smith M. Futile Medical Treatment and Patient Consent.The Cleveland Clinic Journal of Medicine 60:151-154, 1993.

Orlowski J, Smith M, Zwienen J. Pediatric Forum: Medical Decisions Concerning the End of Life in Children in the Netherlands. American Journal of Diseases of Children 147:613-614, 1993.

Smith M, Martin K. Confidentiality in the Age of AIDS: A Case Study in Clinical Ethics. The Journal of Clinical Ethics 4:236-241, 1993.

Day J; Smith M, Erenberg G, Collins R. An Assessment of a Formal Ethics Committee Consultation Process. HEC Forum 6:18-30, 1994.

Smith M, Lawry K, Planavsky L, Segel H, Solar L, Burleigh D. Document Exchange: Guidelines for Patient Refusal of Life-Sustaining Treatment. HEC Forum 6:64-68, 1994.

Smith M. The Future of Health Care Ethics Committees. Trends in Health Care, Law and Ethics 9(2):7-10, 1994.

Stagno S, Smith M, Hassenbusch SJ. Reconsidering “Psychosurgery”: Issues of Informed Consent and Physician Responsibility. The Journal of Clinical Ethics 5(3):217-223, 1994.

Segel H, Smith M. To Feed or Not to Feed. American Journal of Speech-Language Pathology 4:11-14, 1995.

Connors R, Smith M. Reconciliation and the Reign of God: Command, Call and Possibility. Chicago Studies 34:89-104, 1995.

Connors R, Smith M. Religious Insistence on Medical Treatment: Christian Theology and Re-Imagination. The Hastings Center Report 26 (4):23-30, 1996.

Stagno S, Smith M. The Use of Induction Procedures in Diagnosing Psychogenic Seizures. Journal of Epilepsy 9:153-158,1996.

Smith M. Ethical Perspectives on Jehovah’s Witnesses’ Refusal of Blood. Cleveland Clinic Journal of

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Medicine 64:475-481, 1997.

Stagno S, Smith M. The Use of Placebo in Diagnosing Psychogenic Seizures: Who Is Being Deceived? Seminars in Neurology 17:213-218, 1997.

Smith M, Stagno S, Dolski M; McConnell C, Kosalko J, Kaspar L, Lederman R. Induction Procedures for Psychogenic Seizures: Ethical and Clinical Considerations. The Journal of Clinical Ethics 8:217-229, 1997.

Slomka J, Agich G, Stagno S, Smith M. Physical Restraint Elimination in the Acute Care Setting: Ethical Considerations. HEC Forum 10:244-262, 1998.

Smith M, Morgan R. Bioethics Education in a Clinical Pastoral Education (CPE) Program. The Journal of Pastoral Care 52:377-387, 1998.

Volk E, Domen R, Smith M. An Examination of Ethical Issues Raised in the Pretreatment of Normal Volunteer Granulocyte Donors with Granulocyte Colony-Stimulating Factor. Archives of Pathology and Laboratory Medicine 123:508-513, 1999.

Smith M, Forster H. Morally Managing Medical Mistakes. Cambridge Quarterly for Health Care Ethics 9:38-53, 2000.

Lauritzen P, McClure M, Smith M, Trew A. The Gift of Life and the Common Good, The Need for a Communal Approach to Organ Donation. The Hastings Center Report 31(1):29-35, 2001.

Weise K, Smith M, Maschke K, Copeland L. National Practices Regarding Payment to Research Subjects

for Participating in Pediatric Research. Pediatrics 110(3):577-582, 2002.

Domen R, Smith M. Professionalism and Ethics in Transfusion Medicine: A Focus on Medical Errors and Patient Safety. Blood Therapies in Medicine 3(2):42-48, 2003.

Smith M, Bisanz A, Kempfer A, Adams B, Candelari T, Blackburn R. Criteria for Determining the Appropriate Method for an Ethics Consultation. HEC Forum 16(2):95-113, 2004.

Hwang J, Smith M, Flamm A. Challenges in Outpatient End-of-Life Care: Wishes to Avoid Resuscitation. The Journal of Clinical Oncology 22 (22): 4643-4645, 2004.

Smith M, Gremillion G, Slomka J, Warneke C. Texas Hospitals’ Experience with the Texas Advance Directives Act. Critical Care Medicine 35(5): 1271-1276, 2007.

Invited, Non-peer Reviewed

Smith M. Power, Advocacy, and Informed Consent Forms. The Journal of the California Alliance for the Mentally Ill 5:25-27, 1994.

Cancian S, Smith M. 1994. Advocacy, Ethics, and Empowerment. Cleveland Clinic Nurse 2(1):22-24.

Smith M. Road Closed for Repairs: A Response to Mary Ellen Waithe’s Reflections on Dr. Jack Kevorkian. Newsletter, Bioethics Network of Ohio 3(2)9-11, 1994.

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Smith M. Options, Images, and Actions. Physician’s Management 37 (12):56-57, 1997.

Smith M, Forster H. Handling Medical Mistakes: What Should a Conscientious Physician Do? Cardiovascular Fellows Forum 2(1):12-13, 2000.

Smith M, Forster H, Hewson M, Weiker G. Physicians’ and Patients’ Preferences Concerning Medical Advice-Giving. Medical Encounter 16(3):2-4, 2001.

Smith M, Flamm A. Bigger than a Blood Test: Ethical Cautions about Genetic Testing. OncoLog 47(9):8, 2002.

Smith, M., Should Possible Disparities and Distrust Trump Do-No-Harm? The American Journal of Bioethics 6(5): 28-30, 2006.

Smith, M, Kodish E. Helping Patients Decide Whether to Participate in Clinical Trials. Virtual Mentor 9:16-20, 2007. Available at: http://www.ama-assn.org/ama/pub/category/17134.html.

Smith, M, Weise, K. The Goals of Ethics Consultation: Rejecting the Role of “Ethics Police.” The American Journal of Bioethics (2): 42, 2007.

Smith, M, Kraycirik K. The Terri Schiavo Case: What Lessons Can We Learn? Nurse Investigator 2007 (In press).

Book Chapters

Stagno S, Smith M. The Presurgical Workup: Evaluation of Psychiatric Issues and Informed Consent. In: Epilepsy Surgery. Luders H (ed), Raven Press, New York, pp. 453-459, 1991.

Smith M. Ethical Considerations in the Treatment of Persons with Epilepsy. In: The Treatment of Epilepsy: Principles and Practice, Wyllie E (ed), Lea and Febiger, Philadelphia, pp. 1178-1183, 1992.

Kanoti G, Smith M. Ethical Considerations and the Quality of Life. In: Clinical Preventive Medicine. Matzen R, Lang R (eds), Mosby-Year Book, St. Louis, pp. 41-45, 1993.

Smith M, Slomka J. Ethical Considerations. In: Primary Podiatric Medicine, Robbins J (ed). W.B. Saunders Co, Philadelphia, pp. 103-114, 1994.

Smith M. Ethical Issues in Physician Assistant Practice. In: Physician Assistant: A Guide to Clinical Practice, Ballweg R, Sullivan E, Stolberg S (eds), W. B. Saunders Co., Philadelphia, pp. 70-86, 1994.

Smith M. Ethical Issues in Physician Assistant Practice. In: Physician Assistant: A Guide to Clinical Practice, Second Edition. Ballwig R, Stolberg S, Sullivan E (eds), W.B. Saunders Co., Philadelphia, pp. 92-113, 1999.

Smith M, Frank J. Conflict Management in the ICU: Intervention and Prevention. In: Ethics in Critical Care Medicine. Orlowski J. (ed), University Publishing Group, Hagerstown MD, pp. 423-445, 1999.

Domen R, Smith M. Confidentiality and Informed Consent Issues in Transfusion Medicine. In: Ethical Issues in Transfusion Medicine, Macpherson C, Domen R, Perlin T (eds.), American Association of

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Blood Banks Press, Bethesda MD, pp. 39-54, 2000.

Smith M, Stagno S. Ethical Considerations: Informed Consent. In: Epilepsy Surgery, Second Edition, Luders H, Comair Y (eds), Lippincott, Williams and Wilkins, Philadelphia, pp. 69-74, 2001.

Smith M. Ethical Issues. In: Physician Assistant: A Guide to Clinical Practice, Third Edition. Ballwig R, Stolberg S, Sullivan E (eds), W.B. Saunders Co., Philadelphia, pp. 102-126, 2003.

Smith M. Jehovah’s Witness Refusal of Blood Products. In: Encyclopedia of Bioethics, 3rd Edition (Post S, ed.). Macmillan Reference, Farmington Hills MI, pp. 1341-1346, 2004.

Smith M. Case Commentary 6: Must Health Care Professionals Always Tell the Truth? In: Moral Dilemmas in Community Health Care. White B, Zimbelman J (eds), Longman Publishing, White Plains NY, pp. 123-125, 2005.

Smith M. Case Commentary 20: When Bad Things Happen to Good Doctors. In: Moral Dilemmas in Community Health Care. White B, Zimbelman J (eds), Longman Publishing, White Plains NY, pp.361-363, 2005.

Smith M, Flamm A, Pawlik T. Clinical Trials in Oncology: Ethical Issues. In: Acute Care of the CancerPatient. Shaw A, Riedel B, Burton A, Fields A, Feeley T (eds), Taylor & Francis Group, Boca Raton FL, pp. 165-175, 2005.

Smith M, Flamm A, Slieper C. Ethical Issues in the Cancer Pain Patient. In: Cancer Pain Management, Fisch M, Burton A (eds), McGraw-Hill Medical, New York, pp. 127-135, 2007.

Holm M, Selvan M, Smith M, Markman M, Theriault R, Rodriguez M, Martin S. Quality Improvement for Research: Defining and Supervising QI at The University of Texas M. D. Anderson Cancer Center. In: Health Care Quality Improvement: Ethical and Regulatory Issues, Jennings B, Baily M, Bottrell M, Lynn J (eds), The Hastings Center, Garrison, New York, pp. 145-168, 2007.

Letters to the Editor

Flamm A, Smith M. Reply to Fine R, Mayo T (Resolution of Futility by Due Process: Early Experience with the Texas Advance Directive Act. Annals of Internal Medicine, 2003; 138: 743-746) Annals of Internal Medicine 140 (5):403-404, 2004.

Other

Smith M. Book Review in: Religious Studies Review, 16:337, 1990. Becoming a Good Doctor: The Place of Virtue and Character in Medical Ethics, by James F. Drane. Sheed and Ward, Kansas City MO, 1988.

Smith M. Book Review in: Religious Studies Review, 19:246, 1993. Choosing Wisely: How Patients and Their Families Can Make the Right Decisions About Life and Death, by Charles Radey. Image Books, New York, 1992.

Smith M, Slomka J (Co-Editors). HEC Forum 6:1, January 1994. (Commemorating the 10th

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Anniversary of the Cleveland Clinic Foundation's Ethics Committee and Department of Bioethics).

Smith M. Book Review in: Religious Studies Review, 22:342, 1996. Ethics at the Bedside, by Charles M. Culver. Hanover: University Press, New England, 1990.

Smith M. Book Review in: Religious Studies Review, 22:342, 1996. Clinical Bioethics, Theory and Practice in Medical-Ethical Decision Making, by James F. Drane. Sheed & Ward, Kansas City MO.

Smith M. Book Review in: BIO Quarterly (Newsletter of the Bioethics Network of Ohio), 5:1, Spring 1996. Wrong Medicine: Doctors, Patients, and Futile Treatment, by Lawrence Schneiderman and Nancy Jecker. The Johns Hopkins University Press, Baltimore MD, 1995.

Smith M. Book Review in: Academic Medicine, 73(4):443-444, 1998. Helping and Healing, Religious Commitment in Health Care, by Edmund D. Pellegrino and David C. Thomasma. Georgetown University Press, Washington, D.C., 1997.

Smith M. Book Review in: Religious Studies Review, 24: 279, 1998. Health Care Ethics: A Theological Analysis, Fourth Edition, by Benedict M. Ashley and Kevin D. O’Rourke. Georgetown University Press, Washington, D.C., 1997.

Smith M. Book Review in: BIO Quarterly (Newsletter of the Bioethics Network of Ohio), 9:2, Summer 2000. Ethical Dilemmas, A Values Guide for Medical Students, by George A. Kanoti. Sage Publications, Inc., Thousand Oaks CA, 2000.

Smith M. Book Review in: The Journal of the American Medical Association, 285:2134-2135, 2001. Margin of Error, The Ethics of Mistakes in the Practice of Medicine, Edited by Susan B. Rubin and Laurie Zoloth. University Publishing Group, Hagerstown MD, 2000.

Smith, M. Book Review in: Journal of Palliative Medicine, 8(6):1295-1296, December 2005.The CaseAgainst Assisted Suicide, For the Right to End-of-Life Care, edited by Kathleen Foley and Herbert Hendin. The Johns Hopkins University Press, Baltimore MD, 2002.

Smith M. Book Review in: Journal of Palliative Medicine, 8(6):1298-1300, December 2005. Bioethics Mediation, A Guide to Shaping Shared Solutions. By Nancy N. Dubler and Carol B. Liebman. United Hospital Fund, New York NY, 2004.

Posters

Vinicky J, Smith M. Clinical Bioethicists' Needs and Assessment. Society for Health and Human Values, Washington, D.C., 10/1989.

Scesny A, Powazki R, Smith M. Empowerment and Effectiveness Through a Course in Bioethics for the Clinical Social Worker. International Congress of Psychosocial Oncology, Beaune, France, 10/1992.

Thompson D, Furlan A, Smith M. Bioethical Issues in Stroke. National Stroke Association, Denver CO, 6/1995.

Smith M, Frank J, Forster H. Multidisciplinary Intervention for ALS Patients Requesting Withdrawal of Mechanical Ventilation. American Academy of Neurology, Annual Meeting,Minneapolis MN, April 1998.

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Smith M, Forster H, Hewson M, Weiker G, Preferences Regarding Style and Approach to Giving Medical Advice, American Society for Bioethics and Humanities, Annual Meeting, Houston TX, 11/1998.

Smith M (Co-presenters: Forster H, Weicker G), Giving Medical Advice: Patient and Physician Views, Ninth International Ottawa Conference, Capetown, South Africa, 3/2000.

Weise K, Smith M, Maschke K, Copeland L. Payment to Research Subjects for Participation in Pediatric Research, Third World Congress on Pediatric Intensive Care, Montreal, Canada, 6/2000.

Elsayem A, Jenkins R, Parmley C, Smith M, Palmer J, Braiteh F, Bruera E. The Impact of a Palliative Care Service on Overall Hospital Mortality in a Comprehensive Cancer Center, American Society of Clinical Oncology, New Orleans LA, 6/2004.

Revised_05.16.2007

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