Margaret Moon, MD, MPH
Mark T. Hughes, MD, MA
In addition to his work in ethics, Dr. Hughes is co-developer and associate editor of the Internet Learning Center, an Internet-based curriculum utilized by medical residency programs across the nation. From 2005 to 2009, he was a facilitator in the course Curriculum Development in the Longitudinal Johns Hopkins Bayview Faculty Development Program, and he is co-editor of the book “Curriculum Development for Medical Education,” now in its third edition. Dr. Hughes previously served as a core faculty member in the Florence R. Sabin College in the School of Medicine. He has been an associate editor for the Journal of General Internal Medicine and was coordinator of the End-of-Life Interest Group for the Society of General Internal Medicine..
Michael Erdek, MD, MA
Kate Neubauer, MD
Daniel Kabonge Kaye
Mary Catherine Beach, MD, MPH
Dr. Beach is on the editorial board for Patient Education and Counseling and on the Advisory Board for Communication in Medicine. At Johns Hopkins, Dr. Beach serves as co-chair of an Institutional Review Board (IRB), Course Director of the Scholarly Concentrations Program (a course spanning 2 years in the School of Medicine curriculum that guides students through a mentored scholarly project), and Director of the TL1 Predoctoral Clinical Research training program (a year-long interdisciplinary program).
Zackary Berger, MD, PhD
Dr. Berger is Associate Professor in the Johns Hopkins Division of General Internal Medicine and Core Faculty at the Johns Hopkins Berman Institute of Bioethics, with joint appointment in the Johns Hopkins Bloomberg School of Public Health. With an active practice in primary care internal medicine at Johns Hopkins, Dr. Berger focuses his clinical, educational, and research work, as well as his widely read publications for the lay public, on the ways in which shared decision making in the doctor-patient encounter might be in conflict with medical evidence and the political, social, and psychological realities of the patient.
Dr. Berger teaches residents in their internal medicine clinic and medical students on the wards at Johns Hopkins Hospital, and is part of a Berman faculty team which teaches bioethics to residents in a number of Johns Hopkins specialty programs. He is also staff physician at the Esperanza Clinic Health Center, a free clinic serving undocumented Spanish-speaking immigrants.
Dr. Berger is the author of two books for the lay public on doctor-patient communication and on patient preference in the context of medical evidence.
Yoram Unguru, MD, MS, MA
Full Bio
Dr. Unguru is a pediatric hematologist/oncologist with joint faculty appointments at The Herman and Walter Samuelson Children’s Hospital at Sinai and The John Hopkins Berman Institute of Bioethics, where he is a Core Faculty member. He is also Associate Professor in the School of Medicine, Johns Hopkins University. His B.A. in historical studies and M.A. with a concentration in the history of medicine and medical ethics were granted at the University of Maryland, Baltimore County. Dr. Unguru also received a Master of Science (valedictorian) in interdisciplinary studies in biological and physical science at Touro College / Barry Z. Levine School of Health Sciences. He earned his M.D. (valedictorian) at the Technion – Israel Institute of Technology / Bruce Rappaport Faculty of Medicine. He completed his pediatric residency at the Children’s Hospital at Sinai and his pediatric hematology/oncology fellowship at Children’s National Medical Center in Washington DC. Dr. Unguru was a postdoctoral Greenwall Fellow in Bioethics and Public Policy at Johns Hopkins University. Dr. Unguru is board certified both in pediatrics and in pediatric hematology/oncology.
Dr. Unguru’s research interests include clinical and research ethics. His scholarship and publications have focused on the role of children and providers in facilitating shared decision-making, end-of-life decision-making, allocation of scarce lifesaving medications, and ethics education. Dr. Unguru has served as a consultant to the American Academy of Pediatrics Committee on Pediatric Research, the American Medical Association Council on Ethical and Judicial Affairs, the Food Drug and Administration, and the US Senate Committee on Homeland Security and Governmental Affairs. He is on the Editorial Board of Pediatric Ethicscope and serves as a peer reviewer for leading academic medical journals. Dr. Unguru is Chair of the Children’s Oncology Group, Bioethics Steering Committee and past member of the American Society of Clinical Oncology, Ethics Committee.
Dr. Unguru is the Chairman of the Ethics Committee at Sinai Hospital of Baltimore where he implemented and directs a clinical ethics curriculum for the pediatric house staff at The Herman and Walter Samuelson Children’s Hospital at Sinai. He is past recipient of “Teacher of the Year” as chosen by the pediatric house staff at The Herman and Walter Samuelson Children’s Hospital.
Dr. Unguru leads a multidisciplinary, transnational working group examining the ethical and policy implications of chemotherapy shortages in childhood cancer and is a member of the Maryland health system consortium tasked with operationalizing scarce resource allocation processes for public health catastrophes, including the COVID-19 pandemic.
Select Media Appearances
- New York Times, “Drug Shortages Forcing Hard Decisions on Rationing Treatments” (Jan. 29, 2016)
- NPR’s Diane Rehm Show, “Shortages of Children’s Cancer Drugs and How to Allocate Them” (Feb. 1, 2016)
- MSNBC, “Colorado governor signs nation’s first ‘Right to Try’ law” (May 18, 2014)
Ethics for Lunch Discusses Decision-Making Capacity and Mental Illness
The monthly Ethics for Lunch discussion used a case in which a young man with a complex history of mental illness is refusing treatment for a blood infection as the basis for a broader discussion of decision-making capacity and mental illness.
The healthcare team is concerned about how to manage his care if he were to go into septic shock after having refused the needed interventions. Given the background of his mental illness and past self-injurious behavior, they request an ethics consult to discuss whether they would be obligated to allow him to die or if it would be ethically permissible to go against his wishes and treat him once he lost decision making capacity.
Ethics for Lunch Discusses Care of Transgender Patients
The panel, led by Paula Neir, Clinical Program Director of the John Hopkins Center for Transgender Health, discussed three cases involving transgender patients. The panel discussed the principle of respect for persons when it comes to transgender health care and explored issues of equity when aspects of routine care within the healthcare system can be viewed as harmful to patients in gender and sexual minorities.
Cynda Hylton Rushton, PhD, RN
Dr. Rushton’s seminal work on nurse suffering and moral distress was selected for inclusion in the U.S. Nursing Ethics History project chronicling the evolution of nursing ethics in the United States. As part of her RWJ Fellowship, she also tested an intervention to reduce moral distress and burnout by cultivating resilience in nurses working in critical care, oncology and neonatal/pediatrics. Dr. Rushton is currently designing, implementing and evaluating the Mindful Ethical Practice and Resilience Academy (MEPRA) to build moral resilience in novice nurses. Her forthcoming book, Moral Resilience: Transforming Moral Suffering in Health Care, to be published by Oxford University Press aims to transform current approaches for addressing moral distress by focusing on innovative methods to cultivate moral resilience and designing a culture in health care that supports ethical practice.
Dr. Rushton is also an internationally recognized expert in ethics and palliative and end-of-life care. In 2001, she received the American Association of Critical-Care Nurses Pioneering Spirit Award for her work in advancing palliative care across the life-span. Dr. Rushton was appointed by Maryland’s governor as the first chair of the State Council on Quality Care at the End-of-Life and served from 2002-2008. She has provided leadership to a variety of national projects focusing on palliative and end-of-life care, including the National Nursing Academy on Palliative and End-of-Life Care Open Society Institute (PDIA), an innovative, experiential interdisciplinary communication training model (HRSA), the Initiative for Pediatric Palliative Care (IPPC) a research, education and quality improvement project, the End of Life Nursing Education Consortium (ELNEC) and the Upaya Institute’s Being With Dying Professional training program. Dr. Rushton served as a member of the Institute of Medicine’s Committee on Increasing Organ Donation and as a consultant to the IOM’s project “When Children Die.” She also served on the board of directors of the Coalition to Transform Advanced Care (CTAC). She led (with Dr. Gail Geller) an international collaboration to improve the lives of children affected by life-threatening neuromuscular diseases and a related project, focusing on the ethical issues faced by neuromuscular clinicians.
In 2008 and 2014, Dr. Rushton was honored as one of Maryland’s Top 100 Women. She is also an American Academy of Nursing’s Edge Runner and in 2014 received the Milestone Award for Bioethics Leadership from the Centre for Health Care Ethics at Lakehead University. Dr. Rushton is a Fellow of the Hastings Center and the American Academy of Nursing.
Dr. Rushton received her Master’s of Science in Nursing, with specialization as a pediatric clinical nurse specialist, from the Medical University of South Carolina. She completed her undergraduate degree in nursing at the University of Kentucky and received a doctorate in nursing at the Catholic University of America, with a concentration in bioethics. Dr. Rushton is the recipient of three post-doctoral fellowships: a Robert Wood Johnson Nurse Executive Fellowship (2006-2009), a Kornfeld Fellowship in end-of-life, ethics and palliative care (2000), and a Mind and Life Institute Fellowship in Contemplative Science (2013-2014).