Faculty for Clinical Ethics

Philosophy of Clinical Ethics and Health Policy


Griffin Trotter, MD, PhDSt. Louis University


In addition to his appointment as a Professor at the Albert Gnaegi Center for Health Care Ethics (CHCE), Griffin Trotter has a secondary appointment in the Department of Surgery, Emergency Medical Division. He is a board certified emergency physician and retired after 15 years of practice. He received his PhD in philosophy in 1995 from Vanderbilt University and his MD in 1985 from Saint Louis University.

Dr. Trotter is CHCE Director of Clinical Consultation and co-Director of Plenary Mentoring for Graduate Students in Health Care Ethics. He teaches several courses in the PhD program in Health Care Ethics at St. Louis University.



His research focuses on disaster ethics, clinical ethics, health policy reform, and the relevance of American pragmatism to bioethics. Trotter is the author of The Loyal Physician (Vanderbilt University Press, 1997) On Royce (Wadsworth, 2001), and The Ethics of Coercion in Mass Casualty Medicine (Johns Hopkins University, 2007), as well as over 70 essays and articles in bioethics and emergency medicine.

Gina Fullam, BS St. Louis University


Ms. Fullam is a PhD Student in Health Care Ethics and a Graduate Assistant at the Albert Gnaegi Center for Health Care Ethics. She graduated summa cum laude from the University of Scranton in 2010 with majors in Political Science and Philosophy and minors in Spanish and History with a concentration in Latin American Studies. Her undergraduate curriculum included study at the Pontificia Universidad Catolica de Chile where her Spanish classes were in political science, law and Spanish and her English coursework took place at the International Academy of Philosophy. Ms. Fullam is a frequent reviewer of articles for Doody’s Review Service, an electronic source of timely, expert reviews of newly published books and software in the health sciences.

 



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Practice of Clinical Ethics and Health Policy

 

Tarris Rosell, DMin, PhDCenter for Practical Bioethics


Tarris “Terry” Rosell, DMin, PhD, serves in the Rosemary Flanigan Chair at the Center for Practical Bioethics. He teaches in the Center’s Certificate in Clinical Ethics and Health Policy program, and is also Professor of Pastoral Theology (Ethics and Ministry Praxis), at Central Baptist Theological Seminary in Shawnee, Kansas; Clinical Associate Professor (Ethics), Department of History and Philosophy of Medicine, School of Medicine, University of Kansas Medical Center; and Adjunct Professor, Department of Bioethics, at Kansas City University of Medicine and Biosciences. 

Rosell completed a fellowship in clinical ethics at Vanderbilt University and earned the PhD there in Ethics and Society from the graduate department of religion. His first doctorate is in Pastoral Theology from Colgate-Rochester Divinity School.
 
From 2006-10, he served as co-director of Sabbaths of Hope, a grant-funded project with Mental Health America of the Heartland, which empowers faith leaders to address the stigma of depression and inequitable access to treatment. He recently directed another disparities initiative ultimately incorporated as MetroCARE, a referral network of volunteer healthcare providers for low income uninsured persons. Dr. Rosell provides ethics consultation for the University of Kansas Hospital, where he co-chairs the Ethics Committee for adult patients. He is facilitator of the Schwartz Center Rounds at Saint Luke’s Cancer Institute and Hospital, Compassionate Caregiver Rounds for Saint Luke’s Home Care and Hospice, and facilitates Human Values Rounds for internal medicine residents. He serves on numerous other institutional committees and groups pertaining to medical education, research ethics, and clinical ethics, including the Clinical Ethics Consultation Affairs committee of the American Society of Bioethics and Humanities. 

For three years, Rosell was a consultant for Duke University’s Institute on Care at the End of Life for the St. John Health—Duke Collaboration for Palliative Care in metro Detroit.



Dr. Rosell lectures widely, especially in the Greater Kansas City area and throughout the Midwest. He also gave ethics lectures in June 2009 and 2010 at institutions affiliated with Central Philippine University in Iloilo, the Philippines.
 
Ethics articles by Tarris Rosell are found in numerous periodicals, both print and electronic. He contributed a chapter to the 2008 Cambridge University publication, Complex Ethics Consultation: Cases that Haunt Us, and another to a 2011 publication by Johns Hopkins University Press, Controversial Bodies, on the ethics of plastinated bodies exhibition. 



Kim Fuller, MSW, MBAShawnee Mission Medical Center


Ms. Fuller is the Administrative Director of Case Management at Shawnee Mission Medical Center (SMMC), a 445-bed, faith-based, community hospital located in the suburbs of Kansas City serving more than 200,000 patients annually.  She is Chair of the Ethics Committee at SMMC and facilitator of the consult service in addition to serving as the Chair of the Utilization Review committee and Project Leader of SMMC’s Transition in Care Program. She also works with the University of Kansas to provide practicum assignments to students in the graduate programs as well as various schools of nursing for short-term shadowing experiences for nursing students. Kim has a special interest in end-of-life issues and is serving as the lead to implement the Transportable Physician Orders for Patient Preferences (TPOPP) initiative at SMMC.



Fuller has worked in healthcare for 37 years and has over 19 years of experience serving on hospital ethics committees.  Kim started her career in Warm Springs State Hospital in Warm Springs, Montana before relocating to the Kansas City area in 1979 where she became a hospital social worker at Research Medical Center. Her leadership positions include 18 years of service at Research Medical Center and Baptist Medical Center as Director of Social Work and Case Management. Kim has been with SMMC for 10 years.



Kim attended the University of Kansas where she earned both her Bachelor’s and Master’s degree in Social work. She received her MBA from Webster University in Kansas City. Kim completed the Center for Practical Bioethics Certificate Program in 2010 and has also recently attended the Harvard Clinical Bioethics Course and conflict resolution training at the University of Pennsylvania. She has participated in the Kansas City Region Ethics Consortium since 1991.


Kim has taught in the graduate program of social work at the University of Kansas, Edwards Campus and in the BSW program at the University of Central Missouri (UCM). Additionally she has taught in the Masters of Health Administration program at UCM. She has made multiple presentations both regionally and nationally on her current work on prevention of readmissions and other ethics related topics.

Guest Faculty (CPB 500 & 501)

Annette Prince, JD, LCSWUniversity of Oklahoma


Annette Prince, LCSW, J.D., created and serves as director of the Oklahoma Palliative Resource Center and is a clinical assistant professor of Advance Healthcare Planning and Bioethics for medical students and residents at the Oklahoma University (OU) Health Sciences Center. Ms Prince has completed post-graduate bioethics studies in bioethics and health policy at Harvard Medical School and Loyola University. 



Prior to her work in palliative care and bioethics, she was in legal private practice for 20 years, licensed to practice by the Supreme Court of Oklahoma, Federal District Courts and United States Supreme Court. A life-long educator and public servant, she has directed inpatient psychiatric units for children and adults for the OU and Children’s’ Hospitals; served as assistant attorney general for the State of Oklahoma with a key role as health coordinator for the Oklahoma Attorney General in planning national healthcare conferences for the National Association of Attorneys General; directed continuing education programs for the University of Oklahoma College of Law; and served as adjunct professor for the OU College of Nursing, OU College of Law and the Oklahoma City University Law School. She received the 2003 President’s Award from the National Association of Attorneys General in appreciation for her “Outstanding Leadership on End-of-Life Health Care”. She was selected as the Oklahoma Social Worker of the Year 2011.  She is currently primary investigator for a research project to create an instrument to allow health providers to measure the components of a “good” death. 



Annette is a member of the American Society for Bioethics and Humanities and a contributor to the American Journal of Bioethics and other professional journals.

 

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Adjunct Faculty - 7 Day Intensive

 

Barbara Atkinson, MDMember, Presidential Commission for the Study of Bioethical Issues


Dr. Atkinson began a long and meritorious career when she graduated from Jefferson Medical School in 1974.  She was drawn to the field of pathology because it combined her strong interests in science and research.  She rose to national prominence as an assistant professor of pathology, medical educator, clinician, researcher and administrator at the University of Pennsylvania. 
 
She was ultimately appointed as Executive Vice Chancellor of the University of Kansas Medical Center, the first woman to do so. She was responsible for 2,500 faculty and staff and a $317 million annual budget.  Dr. Atkinson retired from the University of Kansas Medical Center in June 2012. 
 
Atkinson has received teaching awards from both the University of Pennsylvania and the Medical College of Pennsylvania. She is a trustee and past president of the American Board of Pathology, a member of the AAMC Committee on Increasing Women's Leadership in Academic Medicine, Chair of the Ethics Committee of the American Society of Cytopathology, and a council member of the American Society for Investigative Pathology. She was elected to the Institute of Medicine of the National Academy of Sciences in 1997.

The Presidential Commission for the Study of Bioethical Issues was created by Executive Order 13521 on November 24, 2009, at which time Dr. Atkinson was appointed by President Barack Obama as one of thirteen members of the Commission. 



John Carney, MEdPresident & CEO, Center for Practical Bioethics


John G. Carney became the President and CEO of the Center for Practical Bioethics on December 1, 2011.  He succeeds Myra Christopher who served in that role since the Center’s inception in 1985. 


 

Two decades of hospice, palliative care and healthcare management experience prepared John Carney for his first leadership role at the Center as its vice president of Aging and End of Life from 2004 through 2010.

Following a brief appointment in 2011 as executive director of Crossroads Hospice to launch its Kansas presence, Carney returns to serve as the Center’s second president.   He holds an undergraduate degree in philosophy from Newman University (Wichita, KS) and masters in counseling from Wichita State University. 

His executive leadership positions include professional and volunteer organizations at the local provider, state and national associations levels. His passionate voice advocating for families facing difficult healthcare decisions has been heard in rural town halls to national forums from coast to coast. 

His policy and advocacy work has entailed testifying in state capitals, co-authoring a report to Congress and working with the Centers for Disease Control and the National Institutes of Health on improving end of life care for all Americans. 

Prior to his return to the Midwest in 2004, he spent time in the nation’s capital in leadership positions with the National Hospice and Palliative Care Organization and America’s Health Insurance Plans.



Myra ChristopherKathleen M. Foley Chair, Center for Practical Bioethics


Myra Christopher holds the Kathleen M. Foley Chair in Pain and Palliative Care at the Center for Practical Bioethics.  Prior to Dec. 2011, Ms. Christopher was President and CEO of the Center for Practical Bioethics since its inception in 1985. 



From 1998-2003, Christopher served as the national program officer of the Robert Woods Johnson Foundation’s National Program Office for State-based Initiatives to Improve End-of Life Care that was housed at the Center.

These roles have allowed Christopher to continue her lifelong mission to improve care for seriously ill people and their families.
 
Because of Christopher’s involvement with the Nancy Beth Cruzan case, Senator John Danforth sought her assistance in drafting and introducing the Patient Self-Determination Act that became law in 1990. She consulted with the Joint Commission on the Accreditation of Healthcare Organizations on patients’ rights and organizational ethics standards and developed Beyond Compliance, resource materials and a seminar for the Joint Commission that was presented across the country. 

Her many accomplishments include: 


• Public outreach advisor to Bill Moyers on for his PBS documentary On Our Own Terms, 


• Worked with the Centers for Medicare and Medicaid to present the first national conference on palliative care in nursing homes, 


• Directed Community State Partnerships to Improve End-of-Life Care (an $11.25m grant award program),


• Collaborated with the National Association of Attorneys General to establish palliative care as a consumer protection issue, 


• Edited State Initiatives to Improve End-of-Life Care, and 


• Collaborated with the RAND Institute to develop a report to congress on advance care planning in 2009.
 
Since the late 1990s, Christopher has expanded the scope of her work to include the under treatment of chronic pain.  She speaks and writes about both pain and palliative care.  She is currently the principal investigator on the Pain Action Initiative: A National Strategy (PAINS).  From 2010-11, she served as a member of Pain Study Committee at the Institutes of Medicine focused the under treatment of pain.  The IOM report, Relieving Pain In American: A Blueprint for Transformation in Prevention, Care, Education and Research, was submitted to Congress in June 2011.  



Christopher is currently on the board of the American Association of Critical Care Nurses Certification Corporation, a member of the editorial board of the American Journal of Bioethics (AJOB), a consultant for the Duke Institute for Care at the End-of-Life after serving on their national advisory board for 10 years, and serves on advisory boards for the Federation of State Medical Boards, and the University of Kansas School of Nursing.  She was formerly on the board of the American Pain Foundation.
 
Christopher has received many awards for the work she has done to improve care for those suffering from advanced illness and chronic pain, including The American Academy of Pain Medicine’s Patient Advocacy Award, the American Academy of Pain Management’s “Head Heart Award, the W.F. Yates Medallion for Distinguished Service/William Jewell College, the American Academy of Critical Care Nursing’s Pioneering Spirit Award, the Marian Gray Secundy SANKOFA Award for work to improve palliative and end-of-life care for African Americans, the National Association of Attorney’s Generals President’s Award and Alumni Achievement Award from the College of Arts and Sciences at the University of Missouri Kansas City and Honorary Alumnus of the Year Kansas University School of Nursing, and Nonprofit Professional of the Year from the Kansas City Council on Philanthropy.



In December 2011, Christopher received an Honorary Doctorate from National University Health Sciences in Chicago.

Helen Emmott, RN, MAAdjunct Faculty, Rockhurst University


Ms. Emmott is a nurse ethicist with several years’ experience in the intensive care setting in both adult and pediatric areas. She served as a program consultant for the Center for Practical Bioethics managing projects in advance care planning, cultural diversity, nursing leadership and many related to end-of-life care and currently serves on their Board of Trustees co-chairing the committee for fundraising and development. In the past, Emmott consulted with the Tuskegee National Center for Bioethics, AARP, and the Robert Woods Johnson National Program Office in Kansas City and Birmingham, Alabama. She served on the St. Luke’s Hospital Ethics Committee of Kansas City, Missouri for over ten years, acting as co-chair of the committee and as a member of the hospital board.  Emmott presents frequently in areas of healthcare ethics and cultural diversity and has published several cases in the Bioethics Forum, an ethics journal. In 2004 she received a Vision to Action award for service as a compassionate educator in the area of bioethics. 



Ms. Emmott studied philosophy and ethics at the University of Missouri – Kansas City and graduated with departmental honors in 1994. She completed her M.A. in Bioethics and Health Policy through Loyola of Chicago’s Neiswanger Institute in May of 2007 and currently teaches as adjunct faculty at Rockhurst University in Kansas City, Missouri.

Karin Porter-Williamson, MDAssociate Professor, Medical Director for Palliative Care Services, Kansas University Medical Center



As part of the General and Geriatric Medicine Division at Kansas University Medical Center, Karin’s role as Medical Director for Palliative Care Services aligns with her clinical interests of promotion and integration of high quality, patient centered Palliative Care for patients and families dealing with progressive illness and life change. Her research interests include the integration of Palliative Medicine Principles into the structure, process, and outcomes of medical delivery systems as well as the integration of Palliative Medicine curricula into medical education.


Porter-Williamson graduated from the University of Kansas Medical Center in 1998. Her internship in Internal Medicine as well as her Residency, which included her position as Chief Resident in Internal Medicine from 2001-2002 was also at KU. After the completion of her residency, Karin’s fellowship work was in Hospice and Palliative Medicine at San Diego Hospice and Palliative Care in San Diego, California. She returned to KU and accepted her faculty appointment in July 2003.



Karin also acts as the Medical Director for the Center’s Transportable Physician Orders for Patient Preferences (TPOPP) initiative, an effort that began over 4 years ago and has created the foundational work for the Kansas-Missouri TPOPP Coalition.

Porter-Williamson’s most recent honor was to be one of two faculty members recognized by The University of Kansas School of Medicine Chapter of the Gold Humanism Honor Society, sponsored by the Arnold P. Gold Foundation, recognizing third year medical students and faculty who have displayed outstanding humanistic and professional behaviors and the highest standards of compassion and sensitivity in their interactions with patients, faculty, student peers, and institutional administration. Karin has "demonstrated excellence in clinical care, leadership, compassion and dedication to service."



Annette Prince, JD, LCSWClinical Assistant Professor, Director Oklahoma Palliative Care Resource Center, Department of Family Medicine Center, University of Oklahoma

Annette Prince, LCSW, J.D., created and serves as director of the Oklahoma Palliative Resource Center and is a clinical assistant professor of Advance Healthcare Planning and Bioethics for medical students and residents at the Oklahoma University (OU) Health Sciences Center. Ms Prince has completed post-graduate bioethics studies in bioethics and health policy at Harvard Medical School and Loyola University.  



Prior to her work in palliative care and bioethics, she was in legal private practice for 20 years, licensed to practice by the Supreme Court of Oklahoma, Federal District Courts and United States Supreme Court. A life-long educator and public servant, she has directed inpatient psychiatric units for children and adults for the OU and Children’s’ Hospitals; served as assistant attorney general for the State of Oklahoma with a key role as health coordinator for the Oklahoma Attorney General in planning national healthcare conferences for the National Association of Attorneys General; directed continuing education programs for the University of Oklahoma College of Law; and served as adjunct professor for the OU College of Nursing, OU College of Law and the Oklahoma City University Law School. She received the 2003 President’s Award from the National Association of Attorneys General in appreciation for her “Outstanding Leadership on End-of-Life Health Care”. She was selected as the Oklahoma Social Worker of the Year 2011.  She is currently primary investigator for a research project to create an instrument to allow health providers to measure the components of a “good” death. 


 

Annette is a member of the American Society for Bioethics and Humanities and a contributor to the American Journal of Bioethics and other professional journals. 


Sandra Silva, JDVice President of Education/TPOPP Managing Director

Sandra Silva has three primary areas of focus at the Center as the Director of Graduate Studies, the Program Director for Transportable Physician Orders for Patient Preferences (TPOPP) and as the Program Director for Caring Conversations®. Graduate Studies includes the Center’s Certificate Program in Clinical Ethics and Health Policy and the Center’s Graduate Intern Program. 



Sandy directs Transportable Physician Orders for Patient Preferences (TPOPP) a bi-state initiative based on the belief that individuals have the right to make their own health care decisions.  The work is founded on a paradigm originated in Oregon approximately 20 years ago (POLST:  Physician Orders for Life Sustaining Treatment) that is being implemented throughout the United States.



Additionally, Sandy is active in training individuals and organizations in the use and implementation of the Center’s Caring Conversation® workbook. She recently led the effort that produced the newest edition of the workbook which emphasizes the role and responsibilities of the individual appointed by a loved one to serve as an agent under a Durable Power of Attorney for Healthcare Decisions.


 

Her others interests include consciousness research and the interplay between personal development, values and ethics in professional environments. 


 

Sandy is a graduate of the University of Missouri-Kansas City School of Law, earning her J.D. in 1994 and is also Harvard-trained in the areas of mediation and negotiation.  She has worked with families in crisis for over 25 years.  Prior to law school Sandy served in the US Army Military Corps assigned in both the United States and Germany.

Christian Sinclair, MD - National Hospice Medical Directors with Gentiva Health Services


Christian Sinclair, MD, is currently one of five National Hospice Medical Directors with Gentiva Health Services, Inc. that serves nearly 500,000 patients annually from more than 380 locations in 39 states.  Dr. Sinclair is responsible for education, pharmaceutical/medical consultation and regulatory oversight for Hospice Medical Directors, Nurse Practitioners and strategic planning for the North Central Region covering 30 sites and nearly 80 physicians.   Prior to joining Gentiva Health Services, Christian was the Associate Medical Director with Kansas City Hospice & Palliative Care from July 2004 through December 2011. 
 


 

Christian is the Editor of Pallimed: A Hospice & Palliative Medicine Blog having joined the initiative in 2005 as a contributor and working as co-editor since January 2007 until becoming Editor.      
 


 

Dr. Sinclair earned his Bachelor of Arts in anthropology and his MD in Medicine at the University of California, San Diego.  He was an Internal Medicine Resident at Wake Forest University Baptist Medical Center and a Fellow in Palliative Medicine at the Hospice & Palliative CareCenter both in North Carolina.


MC Sullivan, RN, MTS, JDDirector of Ethics & Education, Covenant Healthcare Systems


M. C. Sullivan is a nurse-bioethicist-attorney who is Director of Ethics at Covenant Health Systems in Tewksbury, MA.  Prior to joining Covenant, she worked as an independent consultant providing strategic counsel in communications, ethics, and public policy for many years.  She has worked extensively with not-for-profit organizations as well as commercial organization, advising them in organizational growth and development, media relations and corporate/organizational social responsibility.

 



Ms. Sullivan earned a degree in philosophy from Emmanuel College and a diploma in nursing from the Newton-Wellesley Hospital School of Nursing. She has a Master’s degree in Theological Studies in Ethics from Harvard University and received her Juris Doctor from the Massachusetts School of Law. She is admitted to the bar in the Commonwealth of Massachusetts.



 

Ms. Sullivan serves on the Executive Committee of the Board of Directors for the American Society for Law, Medicine and Ethics.  She was President of the Society in 2001, 2007 and 2008. She is a charter member of the Thomasma International Bioethics Consortium. She was a Kornfeld Fellow for 2000-1, and she served on the Scientific Commission of the Centro Internazionale de Cultura e Arte in Parma, Italy.  She is on the Advisory Board of Alexandra’s House, a perinatal hospice and infant refuge.

 

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