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Additional Title:

MD, FACP Assistant Professor Department of Medicine



827 Linden Ave. Baltimore MD 21201

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Education and Training


8/76-5/80       Williams College, BA Cum Laude, Major: History of Ideas

8/80-5/81        University of Rochester School of Medicine & Dentistry, Year One

6/81-4/82        Volunteer at International SOS Village of Hope, Honduras CA 

5/82-5/85        University of Rochester School of Medicine & Dentistry, MD with Honors                                          

Post Graduate Education and Training    

6/85-6/90          Residency, Internal Medicine & Psychiatry, University of Virginia Health Systems

1/11-1/15          Masters in Public Health, (minus capstone) University of Southern Maine, Portland ME

8/13-1/15          Certificate in Bioethics and Health Policy, Neiswanger Institute, Loyola University

8/13-3/14          McAfee Fellowship, Hanley Center for Physician Executive Leadership, Portland ME

7/14-6/15          Hearst Foundation/AAHPM Designated Fellowship, Palliative, Geriatric and Hospice                                       Medicine, University of Virginia Health Systems      



09/1989                       American Board of Internal Medicine          

10/1991                       American Board of Psychiatry and Neurology

10/2016                       American Subspecialty Board for Hospice and Palliative Medicine


Born, raised and attended medical school in Rochester NY.  Dual internal medicine and psychiatry residency at the University of Virginia in Charlottesville, VA.  Lived in Maine for 24 years, first as practicing academic psychiatrist with focus on consultation liaison, pain management and geriatric psychiatry for 14 years, then as primary care traditional internist at an Adventist Hospital in Brunswick ME.  After raising 4 children to adulthood left Maine and did fellowship followed by appointment in Palliative Care at University of Virginia from 2014 to 2017.  Pursued an interest in geriatics, health care reform and public policy along with medical ethics through my entire career.  Hospitalist since 2017 with academic appointment here at UMMC Midtown in 2019.

Research/Clinical Keywords

Pain management, opiate diversion, ethical decision making, institutional ethics in palliative care

Highlighted Publications


“Hospital Management of a Patient with Intractable Factitious Disorder,” Psychosomatics, Vol 34, No. 3, May-June 1993

Book and Media Reviews. "Hospice Ethics: Policy and Practice in Palliative Care," for Journal of the AAHPM, March 2015



Additional Publication Citations

“News You Can Use” Monthly newsletter regarding mental health care in the primary care setting, 1996 -2000, Portland ME

“Twelve Session Cognitive – Behavioral Group Therapy for Anxiety Disorders,” Falmouth ME

Invited Speeches/Papers/Posters

2015    “DNR Orders: Ethical and Accurate Decision-Making,” Grand Rounds, University of Virginia,                              Department of Medicine, Charlottesville VA

2015    “Relational Ethics in Palliative Opioid Prescribing” Poster Presentation AAHPM, Chicago

2016    “Do You Really Want Everything Done?  Prognosticating CPR Outcomes,”  Edward Hook Recent                          Advances in Clinical Care Symposium, Charlottesville VA

2016     “Where Policy and Ethics Collide: The Complex Palliative Care Clinic,” Paper,  American Society for                     Bioethics and Humanities, Washington DC  

Clinical Specialty Details

Hospitalist Medicine.  I bring in the perspectives of a former psychiatrist, pain management team member, geriatric care provider, primary care provider, palliative care provider, student of health care system reform  and medical ethicist.

Awards and Affiliations

Society of Hospital Medicine

American College of Physicians- Fellowship since 2020

American Society of Bioethics and Humanities

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