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The Ethics Center is dedicated to helping Cincinnati Children's patients, families and staff address the ethical issues that arise in patient care, research and administrative activities.
Armand H. Matheny Antommaria, MD, PhD, FAAP Director, Ethics Center 513-636-3656 email@example.com
Director, Ethics Center
Lee Ault Carter Chair of Pediatric Ethics
Attending Physician, Division of Hospital Medicine
Associate Professor, UC Department of Pediatrics
Bioethics; pediatric hospital medicine
Dr. Antommaria received his MD from Washington University School of Medicine and his PhD (religious ethics) from the University of Chicago Divinity School in 2000. He completed his pediatric residency at the University of Utah School of Medicine in 2003 and joined its newly established Division of Pediatric Inpatient Medicine. He moved to Cincinnati Children’s Hospital Medical Center in 2012 to become the director of its Ethics Center and the Lee Ault Carter Chair in Pediatric Ethics.
Dr. Antommaria has extensive experience as a clinical ethicist. He has chaired hospital ethics committees and directed clinical ethics consultation services. His research focuses on issues related to his clinical and administrative work such as donation after circulatory death and ventilator triage.
Dr. Antommaria is active in professional organizations including having completed a term on the American Academy of Pediatrics’ Committee on Bioethics and serving on the American Society of Bioethics and Humanities’ Clinical Ethics Consultation Affairs Committee.
Dr. Antommaria is also an experienced hospitalist. He cares for both previously healthy children and children with complex chronic conditions who require hospitalization.
MD: Washington University School of Medicine, St. Louis, MO, 2000.
PhD: Religious Ethics, University of Chicago Divinity School, Chicago, IL, 2000.
Residency: Pediatrics, University of Utah, Salt Lake City, UT, 2003.
Antommaria AH, Sweney J, Poss WB. Critical Appraisal of: Triaging Pediatric Critical Care Resources During a Pandemic: Ethical and Medical Considerations. Pediatr Crit Care Med. 2012;11:396-400.
Antommaria AH, Powell T, Miller JE, Christian MD. Ethical Issues in Pediatric Emergency Mass Critical Care. Pediatr Crit Care Med. 2011;12(6 Suppl):S163-8.
Antommaria AH, Trotochaud K, Kinlaw K, Hopkins PN, Frader J. Policies on Donation After Cardiac Death at Children’s Hospitals: A Mixed-Methods Analysis of Variation. JAMA. 2009;301:1902-8.
Committee on Bioethics. Antommaria AH Lead Author. Physician Refusal to Provide Information or Treatment Based on Claims of Conscience. Pediatrics. 2009;124;1689-93.
Antommaria AH. Defending Positions or Identifying Interests: The Uses of Ethical Argumentation in the Debate over Conscience in Clinical Practice. Theor Med Bioeth. 2009;29:201-12.
Antommaria AH, Firth SD, Maloney CG. The Evaluation of an Innovative Pediatric Clerkship Structure Using Multiple Outcome Variables including Career Choice. J Hosp Med. 2007;2:401-8.
Antommaria AH. Who Should Survive?: One of the Choices on Our Conscience:’ Mental Retardation and the History of Contemporary Bioethics. Kennedy Inst Ethics J. 2006;16:205-224.
Jennifer E. deSante, MD, MBE, FAAP Member, Division of Hospital Medicine 513-803-8368 firstname.lastname@example.org
Member, Division of Hospital Medicine
Assistant Professor, UC Department of Pediatrics
Jennifer deSante is a pediatrician focused on the care of chronically ill children, particularly children with multiple medical diagnoses. She has been studying bioethics since high school and her research has spanned beginning of life issues, organ transplantation procurement, embryonic stem cell research policy, and vaccine ethics. She did her undergraduate work at Princeton University, where she majored in molecular biology. Her senior thesis was entitled "Catholic Views on the Human Embryo and Their Impact on the Embryonic Stem Cell Debate."
Upon graduating from Princeton University, Jennifer enrolled in University of Pennsylvania School of Medicine, where she has taught as a preceptor in the School of Medicine's professionalism class and their bioethics class. She graduated with a combined Doctorate of Medicine and Master of Bioethics degree in 2010. She completed her pediatric residency at the Children's Hospital of Philadelphia in 2013 and continued to work as a general pediatrics attending on their Hospital Physician Team until 2015.
In her work as a postdoctoral fellow in the NIH Department of Bioethics from 2013-2015 she focused on issues related to children with special healthcare needs and the ethical challenges their caregivers face. She has written descriptive and normative accounts of the parent-child relationship in families with young adults with special needs and principles to guide resource allocation within a family of a child with special healthcare needs. She plans to focus her career on her dual interests in clinical pediatric care and clinical ethics education.
MD: University of Pennsylvania, PA, 2010.
Residency: Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.
Certification: Pediatrics, 2013.
deSante J, Degrazia D, Danis M. Parents of Adults with Diminished Self-Governance. Camb Q Healthc Ethics. 2016 Jan;25(1):93-107.
deSante J, Caplan A, Hippen B, Testa G, Lantos JD. Was Sarah Murnaghan treated justly? Pediatrics. 2014 Jul;134(1):155-62.
deSante J, Caplan A, Shofer F, Behrman AJ. Physician attitudes towards influenza immunization and vaccine mandates. Vaccine. 2010 Mar 16;28(13):2517-21.
Caplan A, deSante J. Can any System of Rationing Withstand the Plea of a Ten-Year-Old Girl? In Arthur L. Caplan, James J. McCartney, and Daniel Reid (ed) Replacement Parts: The Ethics of Procuring and Replacing Organs in Humans. Georgetown University Press. January 2016.
Judith W. McBride, MDiv, MA, LPC, BCC
Staff Chaplain II, StarShine Hospice 513-636-7211 email@example.com
Curtis A. Sheldon, MD Founding Director, Urogenital Center 513-636-4975 firstname.lastname@example.org
Founding Director, Urogenital Center
Professor, UC Department of Surgery
Complex genitourinary reconstructive surgery; renal transplantation; hypospadias
MD: University of California, San Diego School of Medicine, La Jolla, CA, 1972 to 1976.
Residency: Urology, University of Minnesota, Minneapolis, MN, 1976 to 1981; General Surgery, University of Minnesota, Minneapolis, MN, 1981 to 1983.
Fellowship: Pediatric Surgery, Children's Hospital Medical Center, Cincinnati, OH, 1983 to 1985; Pediatric Urology, Hospital for Sick Children, Toronto, Canada, 1985 to 1986; Visiting Fellow, Pediatric Urology, Children's Hospital of Philadelphia, Philadelphia, PA, 1986.
Certification: Adult and Pediatric Urology, 1982; Surgery, 1985; Pediatric Surgery, 1988.
Ivancić V, Defoor W, Jackson E, Alam S, Minevich E, Reddy P, Sheldon C. Progression of renal insufficiency in children and adolescents with neuropathic bladder is not accelerated by lower urinary tract reconstruction. J Urol. 2010 Oct;184(4 Suppl):1768-74.
DeFoor WR, Jackson E, Minevich E, Caillat A, Reddy P, Sheldon C, Asplin J. The risk of recurrent urolithiasis in children is dependent on urinary calcium and citrate. Urology. 2010 Jul;76(1):242-5.
Traxel E, DeFoor W, Reddy P, Sheldon C, Minevich E. Risk factors for urinary tract infection after dextranomer/hyaluronic acid endoscopic injection. J Urol. 2009 Oct;182(4 Suppl):1708-12.
DeFoor WR, Heshmat S, Minevich E, Reddy P, Koyle M, Sheldon C. Long-term outcomes of the neobladder in pediatric continent urinary reconstruction. J Urol. 2009 Jun;181(6):2689-93.
DeFoor W, Clark C, Jackson E, Reddy P, Minevich E, Sheldon C. Risk factors for end stage renal disease in children with posterior urethral valves. J Urol. 2008 Oct;180(4 Suppl):1705-8.
Heshmat S, DeFoor W, Minevich E, Reddy P, Reeves D, Sheldon C. Use of customized MIC-KEY gastrostomy button for management of MACE stomal complications. Urology. 2008 Nov;72(5):1026-9.
Alam S, Sheldon C. Urological issues in pediatric renal transplantation. Curr Opin Urol. 2008 Jul;18(4):413-8.
DeFoor W, Minevich E, Jackson E, Reddy P, Clark C, Sheldon C, Asplin J. Urinary metabolic evaluations in solitary and recurrent stone forming children. J Urol. 2008 Jun;179(6):2369-72.
Alam S, Levitt MA, Sheldon CA, Peña A. The posterior sagittal approach for recurrent genitourinary pathology. J Urol. 2007 Oct;178(4 Pt 2):1668-71
Alam S, Goebel J, Pacheco MC, Sheldon C. Papillary urothelial neoplasm of low malignant potential in a pediatric renal transplant recipient (PUNLMP): a case report. Pediatr Transplant. 2007 Sep;11(6):680-2.
Yvonne Stepter, MSW, LISW
Social Worker, Division of Social Services 513-636-8221 email@example.com
C. Jan Borgman, MSW, LISW, FT
Bereavement Program Manager, Pastoral Care 513-636-0069 firstname.lastname@example.org
Heather A. Ciesielski, PhD Pediatric Psychologist, Clinical, Behavioral Medicine & Clinical Psychology 513-636-4336 email@example.com
Pediatric Psychologist, Clinical, Behavioral Medicine & Clinical Psychology
Center for ADHD
Assessment and treatment of attention deficit/hyperactivity disorder (ADHD) and related issues
PhD: Southern Illinois University Carbondale, Carbondale, IL.
Internship: Centerstone, Inc., Bloomington, IN.
Postdoctoral Fellowship: Medical College of Wisconsin, Milwaukee, WI.
Michael W. Crossman, MD, PhD Attending Neonatologist, Neonatology and Pulmonary Biology 859-301-3850 firstname.lastname@example.org
Attending Neonatologist, Neonatology and Pulmonary Biology
Intestinal function and host-microbial interactions; bioethics and neonatal palliative care
PhD: Biochemistry, St. Louis University, St. Louis, MO, 1985.
MD: St. Louis University, St. Louis, MO, 1986.
Residency: Pediatrics, Children's Hospital Medical Center, Cincinnati, Ohio, 1986-1989; Chief resident, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, 1989-1990.
Fellowship: Neonatal- Perinatal Medical Fellowship, Washington University School of Medicine, 1990-1993.
Certification: Neonatal - Perinatal Medicine, 1995, 2003.
Crossman MW. For Whom the Bells Toll… J Pediatrics. 2007;151(1):4-5.
Mishra A, Hogan SP, Brandt EB, Wagner N, Crossman MW, Foster PS, Rothenberg ME. Enterocyte expression of the eotaxin and interleukin-5 transgenes induces compartmentalized dysregulation of eosinophil trafficking. J Biol Chem. 2002 Feb 8;277(6):4406-12.
Arrese M, Trauner M, Sacchiero RJ, Crossman MW, Scheider BL. Neither Intestinal Sequestration of Bile Acids nor Common Bile Duct Ligation Modulate the Expression and Function of the Rat Ileal Bile Acid Transporter. Hepatology. 1998;28:1081-1087.
Shneider BL, Setchell KDR, Crossman MW. Fetal and Neonatal Expression of the Apical Sodium-Dependent Bile Acid Transporter in the Rat Ileum and Kidney. Pediatric Research. 1997;42:189-194.
Michelle M. Ernst, PhD Pediatric Psychologist, Clinical, Behavioral Medicine & Clinical Psychology 513-636-4336 email@example.com
Inpatient consultation-liaison; coping with medical illness and procedures; stress management / relaxation
Michelle M. Ernst received her PhD in clinical psychology from SUNY-Buffalo in 2000, where she conducted research on pediatric obesity. She did her internship training in the O’Grady Residency in psychology at Cincinnati Children’s Hospital Medical Center in 1999-2000. She returned to Cincinnati Children's in 2005 as an assistant professor within the UC Department of Pediatrics to develop the inpatient Behavioral Medicine Consultation-Liaison Service. Her clinical interests include coping with medical illness and procedures, pain and loss of functioning, anxiety/stress management and parent support. She conducts clinical effectiveness research promoting use of evidence-based care with pediatric inpatients.
PhD: SUNY, Buffalo, NY, 2000.
Residency: O'Grady Residency in Psychology, Cincinnati Children's Hospital Medical Center.
Ernst MM, Johnson MC, Stark LJ. Developmental and psychosocial issues in cystic fibrosis. Child Adolesc Psychiatr Clin N Am. 2010 Apr;19(2):263-83, viii. Review.
Ernst MM, Wooldridge JL, Conway E, Dressman K, Weiland J, Tucker K, Seid M. Using quality improvement science to implement a multidisciplinary behavioral intervention targeting pediatric inpatient airway clearance. J Pediatr Psychol. 2010 Jan-Feb;35(1):14-24.
Streicher RP, Arnold JE, Ernst MK, Cooper CV. Development of a novel derivatization reagent for the sampling and analysis of total isocyanate group in air and comparison of its performance with that of several established reagents. Am Ind Hyg Assoc J. 1996 Oct;57(10):905-13.
Mary V. Greiner, MD, MS Medical Director, CHECK Foster Care Center 513-636-9979 firstname.lastname@example.org
Medical Director, CHECK Foster Care Center
Foster care health; child abuse pediatrics
Mary Greiner, MD, MS, completed training as a child abuse pediatrician in 2011 and subsequently established the Comprehensive Health Evaluations for Cincinnati’s Kids (CHECK) Foster Care Center at Cincinnati Children’s Hospital Medical Center. The CHECK Center contracts with Job and Family Services to provide comprehensive medical evaluations and assessments of overall functioning for foster youth at the time of entry into foster care and with each placement change.
Dr. Greiner has used her work with the CHECK Foster Care Center to inform a program of research in health issues for youth in foster care. Current research projects include examining knowledge of health and behavioral issues among foster caregivers; piloting and studying interventions to address identified needs for youth in foster care (including traumatic stress prevention, developmental and behavioral evaluations, and dental care); and examining knowledge of healthcare systems and self-management of health for foster youth preparing to age out of foster care.
MD: Medical College of Virginia, Richmond, VA, 2005.
Residency: Pediatrics, Wake Forest University Baptist Medical Center, Winston-Salem, NC, 2008.
Fellowship: Child Abuse, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2011.
Beal SJ, Greiner MV. Children in nonparental care: health and social risks. Pediatric research. 2016 Jan;79(1-2):184-90.
Greiner MV, Greiner HM, Caré MM, Owens D, Shapiro R, Holland K. Adding Insult to Injury Nonconvulsive Seizures in Abusive Head Trauma. Journal of child neurology. 2015 Nov;30(13):1778-84.
Greiner MV, Ross J, Brown CM, Beal SJ, Sherman SN. Foster Caregivers’ Perspectives on the Medical Challenges of Children Placed in Their Care Implications for Pediatricians Caring for Children in Foster Care. Clinical pediatrics. 2015 Aug;54(9):853-61.
Wilson PM, Chua M, Care M, Greiner MV, Keeshin B, Bennett B. Utility of head computed tomography in children with a single extremity fracture. The Journal of pediatrics. 2014;164(6):1274-1279.
Greiner MV, Richards TJ, Care MM, Leach JL. Prevalence of subdural collections in children with macrocrania. American Journal of Neuroradiology. 2013;34(12):2373-2378.
Greiner MV, Berger RP, Thackeray JD, Lindberg DM, Examining Siblings to Recognize Abuse (ExSTRA) Investigators. Dedicated retinal examination in children evaluated for physical abuse without radiographically identified traumatic brain injury. The Journal of pediatrics. 2013;163(2):527-531.
Greiner MV, Palusci VJ, Keeshin BR, Kearns SC, Sinal SH. A preliminary screening instrument for early detection of medical child abuse. Hospital pediatrics. 2013;3(1):39-44.
Wilson PM, Greiner MV, Duma EM. Posterior rib fractures in a young infant who received chiropractic care. Pediatrics. 2012 Oct 1.
Greiner MV, Lawrence AP, Horn P, Newmeyer AJ, Makoroff KL. Early clinical indicators of developmental outcome in abusive head trauma. Childs Nerv Syst. 2012 Jun; 28 (6): 889-96.
Greiner, MV, Kerrigan JR. Puberty: Timing is Everything. Pediatric Annals. 2006 Dec;35(12):916-22.
Anna J. Ipsaro, MD, MBE Member, Division of Hospital Medicine 513-636-4214 email@example.com
Anna Ipsaro, MD, MBE, graduated from the Massachusetts Institute of Technology in 2008, earning a BS in chemical biological engineering and biology. She was inducted into Tau Beta Pi national engineering honor society.
Throughout her college years Dr. Ipsaro conducted several research projects which led to publications and a conference poster. She attended graduate school at the University of Pennsylvania, earning an MD and Master of Bioethics (MBE) degree in 2012. While a medical student, she participated in the Healthcare Leadership in Quality Track at the Hospital of the University of Pennsylvania and worked on a project surrounding the timing of physical therapy consults on a general medicine inpatient floor.
MD: University of Pennsylvania, Philadelphia, PA, 2012.
MBE: University of Pennsylvania, Philadelphia, PA, 2012.
Friedle S, Kodanko JJ, Morys AJ, Hayashi T, Moënne-Loccoz P, Lippard SJ. Modeling the syn disposition of nitrogen donors in non-heme diiron enzymes. Journal of the American Chemical Society. 2009;131(40):14508-14520.
Kodanko JJ, Morys AJ, Lippard SJ. Synthesis of Diethynyltriptycene Linked Dipyridyl Ligands. Organic Letters. 2005;7(21):4585-4588.
David J. Krier
Vice President, Access Services and Family Relations 513-636-2091 firstname.lastname@example.org
Nancy J. Morwessel, MSN, APRN, CNP Pediatric Nurse Practitioner, Diabetes Center 513-636-2444 email@example.com
Pediatric Nurse Practitioner, Diabetes Center
General pediatric diabetes care and intensified insulin therapy; quality-of-life and well-being measurement; bioethics consultation and education; bereavement follow-up.
BSN: University of Cincinnati, Cincinnati, OH, 1975.
MSN: Child Health Nursing, University of Cincinnati, Cincinnati, OH, 1981.
Certification: Pediatric Nurse Practitioner, 1981.
Rachel Thienprayoon, MD, MSCS Medical Director, StarShine Hospice 513-803-4687 firstname.lastname@example.org
Medical Director, StarShine Hospice
Attending Physician, Palliative Care Team
Attending Physician, Hemangioma and Vascular Malformation Program
Assistant Professor, UC Department of Anesthesiology
UC Department of Pediatrics
Pediatric oncology; pediatric hospice and palliative medicine
Dr. Thienprayoon was a St. Baldrick's Fellows Grant recipient from 2011 to 2013. She was an ASH Clinical Research Training Institute participant in 2012. In 2014 she was part of the James M. Anderson Center for Health Systems Excellence Quality Scholars Program.
BS: Chemistry, Georgia Institute of Technology, Atlanta, GA, 2003.
MD: Medical College of Georgia, Augusta, GA, 2007.
Residency: General Pediatrics, Children's Medical Center Dallas, Dallas, TX, 2010.
Fellowship: Pediatric Hematology-Oncology, UT Southwestern, Dallas, TX, 2013.
Fellowship: Pediatric Hospice and Palliative Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2014.
Board certification: General Pediatrics, 2012; Hospice and Palliative Medicine, 2014; Pediatric Hematology-Oncology, 2015.
Thienprayoon R, Campbell R, Winick NJ. Attitudes and practices in the bereavement care offered by children’s hospitals: a survey of the Pediatric Chaplains Network. Omega: Journal of Death and Dying. Accepted for publication.
Thienprayoon R, Lee SC, Leonard D, Winick NJ. The association between race/ethnicity and hospice enrollment in children with cancer. Pediatric Blood and Cancer. 2013 Jun 3.
Thienprayoon R, Heym KM, Pelfrey L, Bowers DC. Accidental cytarabine overdose in childhood: a case series. Annals of Pharmacotherapy. 2013 May;47(5):e24.
Susan E. Wiley, MD Co-Director, Division of Developmental and Behavioral Pediatrics 513-636-4611 email@example.com
Co-Director, Division of Developmental and Behavioral Pediatrics
Pediatrician, Division of Developmental and Behavioral Pediatrics
Fellowship Director, Division of Developmental and Behavioral Pediatrics
Professor, UC Department of Pediatrics
UC Department of Otolaryngology, Head & Neck Surgery
Pediatric hearing loss; dual sensory impairment; deaf/hard of hearing plus; children with neurodevelopmental disabilities
Dr. Wiley has served on state and national organizations to improve the early hearing detection and intervention activities across the United States. She served as the faculty chair on Improving Hearing Screening and Information Systems Initiative for the National Initiative for Children’s Healthcare Quality (2011-2013) and is a taskforce member with the American Academy of Pediatrics to identify strategies to improve linkage of Universal Newborn Hearing Screening (UNHS) to the medical home.
MD: University of Cincinnati, OH, 1994.
Residency: Pediatrics, Children's Hospital Medical Center of Cincinnati, OH.
Fellowship: Developmental Pediatrics, Cincinnati Center for Developmental Disorders, Cincinnati, OH.
Certification: Pediatrics, 1997.
Certification: Developmental-Behavioral Pediatrics, 2002.
Meinzen-Derr J, Wiley S, Grether S, Phillips J, Choo D, Hibner J, Barnard H. Functional communication of children who are deaf or hard-of-hearing. J Dev Behav Pediatr. 2014 Apr;35(3):197-206.
Wiley S, Gustafson S, Rozniak J. Needs of parents of children who are deaf/hard of hearing with autism spectrum disorder. J Deaf Stud Deaf Educ. 2014 Jan;19(1):40-9.
Meinzen-Derr J, Wiley S, Bishop S, Manning-Courtney P, Choo D, Gustafson S, Murray D. Autism spectrum disorders in children who are deaf or hard of hearing. Int J Pediatr Otorhinolaryngol. 2014 Jan;78(1):112-8.
Wiley S, Meinzen-Derr J. Use of the ages and stages questionnaire in young children who are deaf/hard of hearing as a screening for additional disabilities. Early Hum Dev. 2013 May;89(5):295-300.
Wiley S, Meinzen-Derr J,Stremel-Thomas K, Schalock M, Bashinksi S, Ruder C. Outcomes for children with deaf-blindness with cochlear implants: a multisite observational study. Otol Neurotol. 2013 Apr;34(3):507-15.
Wiley S, Arjmand E, Jareenmeinzen-Derr, Dixon M. Findings from Multidisciplinary Evaluation of Children with Permanent Hearing Loss. Int J Pediatr Otorhinolaryngol. 2011 Aug;75(8):1040-4.
Meinzen-Derr J, Wiley S, Grether S, Choo DI. Children with cochlear implants and developmental disabilities: a language skills study with developmentally matched hearing peers. Res Dev Disabil. 2011 Mar-Apr;32(2):757-67.
Meinzen-Derr J, Wiley S, Choo DI. Impact of Early Intervention on Expressive and Receptive Language Development among Young Children with Permanent Hearing Loss. Am Ann Deaf. 2011 Winter;155(5): 580-91.
Wiley S, Meinzen-Derr J. Access to cochlear implant candidacy evaluations: who is not making it to the team evaluations. Int J Audiol. 2009 Feb;48(2):74-9.
Wiley S, Choo D, Meinzen-Derr J, Hilbert L, Greinwald J. GJB2 mutations and additional disabilities in a pediatric cochlear implant population. Int J Pediatr Otorhinolaryngol. 2006 Mar;70(3):493-500.
The Ethics Committee also includes:
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