AMA Journal of Ethics®

Illuminating the art of medicine

Journal of Ethics Header

AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. July 2010, Volume 12, Number 7: 600-602.


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About the Contributors

Theme issue: Pediatric Palliative Care

Theme Issue Editor

David Buxton, MD, is a resident in adult psychiatry at Brown University in Providence, Rhode Island. He graduated from Emory University with a bachelor’s degree in religious studies with a focus in Tibetan Buddhism. Dr. Buxton studied medicine at the Medical College of Virginia Campus at Virginia Commonwealth University, graduating with honors in psychiatry. During medical school, Dr. Buxton founded the Honduras Outreach Medical Brigade Relief Effort, a nonprofit student-driven medical mission group that provides health care and sustainable development to local communities in Honduras. He was introduced to the field of pediatric palliative care when working with Noah’s Children, a pediatric palliative care program in Richmond, Virginia.


David M. Browning, MSW, BCD, is a senior scholar at the Institute for Professionalism and Ethical Practice of Children’s Hospital Boston, an instructor in anesthesia at Harvard Medical School, and a senior research scientist at Education Development Center, Inc., where he directs the Initiative for Pediatric Palliative Care. He can be reached at

Chris Feudtner, MD, PhD, MPH, is director of the Department of Medical Ethics at The Children’s Hospital of Philadelphia and associate professor of pediatrics at the University of Pennsylvania School of Medicine. He is board certified in palliative and hospice medicine and an NIH and AHRQ RO1-funded investigator studying pediatric palliative and complex care.

Sarah Friebert, MD, is the director and founder of the Haslinger Family Pediatric Palliative Care Center at Akron Children’s Hospital in Akron, Ohio, where she is president of the medical staff and director of the ACGME-accredited palliative care fellowship program. Dr. Friebert founded and chairs the Ohio Pediatric Palliative End-of-life care Network (OPPEN), a statewide coalition representing pediatric palliative care and hospice providers. She is an associate professor of pediatrics at Northeast Ohio Universities College of Medicine and Pharmacy (NEOUCOM) and a consulting medical director for the National Hospice and Palliative Care Organization (NHPCO).

Christi and David Hancock from Richmond, Virginia, are the parents of 4-year-old twins, Sierra and Dawson, and baby Ella, who would have been 2 years old this spring. The Hancocks continue to have celebrations of her life on her birthday with family and close friends. The twins continue to talk about their baby sister and draw pictures of her, happy and healthy in heaven.

Monique M. Karaganis, MD, is a board-certified pediatrician in Anchorage, Alaska. She received her BS in biology from Creighton University and her MD from the University of Illinois. Dr. Karaganis has taught at the University of Illinois and the University of Colorado as a clinical pediatric instructor for both medical students and pediatric residents and has served as a volunteer in Bolivia and at the World Health Organization in Geneva, Switzerland.

Anne Keeler, RD, MEd, CSP, is a pediatric nutrition specialist at Virginia Commonwealth University Health Systems in Richmond. She has a bachelor of science in public health degree from the University of North Carolina at Chapel Hill, a master of education degree from Virginia Commonwealth University, and is certified as a specialist in pediatric nutrition by the American Dietetic Association. Her areas of interest include nutrition care of critically ill children and neonates, pediatric nutrition support, pediatric palliative care, and education in nutrition for medical residents and dietetic interns

Kathleen O’Kane Kreutzer, MEd, is a curriculum consultant in faculty affairs at the Virginia Commonwealth University School of Medicine in Richmond. She co-directs the medical longitudinal ethics curriculum and designs development programs for teaching faculty.

Hannah L. Kushnick is the associate editor of Virtual Mentor. She graduated from the University of Chicago in 2007 with a major in English language and literature.

Kathy Lesher, LCSW, is a social worker at Noah’s Children in Richmond, Virginia. She received her MSW from Virginia Commonwealth University. Her background is in the creative arts, and she integrates the arts into her work with children and families. Kathy is a member of NASW (the National Association of Social Workers), ADEC (the Association for Death Education and Counseling), and the Bereavement Coalition of Central Virginia and is on the advisory board of Full Circle Grief Center. She can be reached at

Laurie Lyckholm, MD, is a professor of hematology/oncology, palliative medicine, and bioethics and humanities at Virginia Commonwealth University School of Medicine in Richmond. Her research concerns the provision of palliative and cancer care to indigent patients.

Robert Macauley, MD, is director of the pediatric advanced care team at Vermont Children’s Hospital and clinical associate professor of pediatrics at the University of Vermont College of Medicine, in Burlington. His primary research interests are ethics, spirituality, and end-of-life care.

Wynne Morrison, MD, MBE, is a pediatric intensivist and director of the fellowship program in pediatric critical care at The Children’s Hospital of Philadelphia (CHOP) and The University of Pennsylvania School of Medicine. Dr. Morrison’s research interests are physician-patient-family communication, ethics, family-centered care, and end-of-life care.

Amy Spangler is the mom of three children—two sons, one who has a terminal illness, and a daughter. She returned to the workforce after 5 years of being the primary caregiver to her children. She is grateful to all those who have contributed to making Rae’s life memorable and for all the memories that have been created through their generosity.

Paula Tironi, JD, LLM, is a Chicago-area health attorney. She received her BA from the University of Notre Dame, her JD from the University of Michigan Law School, and an LLM in health law from the Loyola University Chicago School of Law. Ms. Tironi is the author of “The ‘Stark’ Reality: Is the Federal Physician Self-Referral Law Bad for the Health Care Industry?” and “Pharmaceutical Pricing: A Review of Proposals to Improve Access and Affordability of Prescription Drugs.” Both articles appeared in the Annals of Health Law.

Kathryn L. Weise, MD, MA, is a pediatric intensivist who now divides her time between bioethics and pediatrics at the Cleveland Clinic in Cleveland, Ohio. She is the program director for the Cleveland Fellowship in Advanced Bioethics and a member of the American Academy of Pediatrics Committee on Bioethics. Dr. Weise is also director of pediatric palliative medicine at the Children’s Hospital, Cleveland Clinic, and a hospitalist at the Cleveland Clinic Children’s Hospital for Rehabilitation. Her interests include professional ethics, ethics education, pediatric end-of-life care, and care of children with multiple impairments.