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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
Director, Ethics Center
Attending Physician, 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.
Michelle M. Ernst, PhD Clinical Psychologist, Behavioral Medicine and Clinical Psychology
Clinical Psychologist, Behavioral Medicine and Clinical Psychology
Director, Consultation-Liaison Service
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 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.
Jane B. Florer Senior Research Assistant, Division of Human Genetics
Anne M. Lovell, RN, MSN, CPNP Clinical Nurse Specialist, Neurofibromatosis Center
Clinical Nurse Specialist, Neurofibromatosis Center
Advanced Practice Registered Nurse; Adjunct Clinical Instructor / Genetic Counseling Program, University of Cincinnati, College of Applied Health Sciences
Pediatrics; neurofibromatosis; bioethics
Prows CA, Hetteberg C, Johnsno N, Latta K, Lovell AM, Saal H, Warren NS. Outcomes of a genetics education program for nursing faculty. Nursing Education Perspectives. 2003 24(2):81-85.
Sebold CD, Lovell A, Hopkin R, Noll R, Schorry E. Perception of disease severity in adolescents diagnosed with neurofibromatosis type 1. J Adol Health. 2004;35(4):297-302.
Lovell AM. Ethical Issues in the Care of Neonates and Infants. In Conversations in Ethics in Nursing, Vicki Lachman (Ed.). Springer Publications.
Judith W. McBride, Rev., MDiv, BCC Staff Chaplain II, StarShine Hospice
William Scrivener, MDiv, BCC Senior Director, Department of Pastoral Care
Curtis A. Sheldon, MD Founding Director, Urogenital Center
Founding Director, Urogenital Center
Professor, Division of Pediatric Surgery
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
Stefanie W. Benoit, MD, MPH Staff Physician, Cancer and Blood Diseases Institute
Staff Physician, Cancer and Blood Diseases Institute
MD: Case Western Reserve University, Cleveland, OH, 2010.
Residency: Cincinnati Children’s Hospital Medical Center, Cincinnati, OH.
C. Jan Borgman, MSW, LISW, FT Bereavement Program Manager, Pastoral Care
Heather A. Ciesielski, PhD Clinical Psychologist, Behavioral Medicine and Clinical Psychology, Center for ADHD
Clinical Psychologist, Behavioral Medicine and Clinical Psychology, Center for ADHD
Assistant Professor, UC Department of Pediatrics
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
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.
Jennifer L. Green, MS, CCLS Child Life Specialist, Child Life and Integrative Care
Mary V. Greiner, MD Director, CHECK Foster Care Clinic
Director, CHECK Foster Care Clinic
Child Abuse Pediatrician, Mayerson Center for Safe and Healthy Children
Child abuse; foster care health
Mary Greiner, MD, is a child abuse pediatrician who is doing clinical research in child abuse and foster care health. She is studying abusive head trauma, with specific interest in the role of diagnostic radiology to determine risk factors for subdural hemorrhages, as well as looking at outcomes of children with head injury. Research in the disparities of foster care health as well as the impact of interventions, such as specialized care and focused screenings, is a second clinical focus.
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.
Makoroff K, Greiner M, Keeshin B. Sexual Abuse. In: Humphries R, Drigalla D, Stone M, Stephan M, eds. Current Diagnosis and Treatment: Pediatric Emergency Medicine. New York, NY: McGraw-Hill; 2014. In press.
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.
Sophia M. Hufnagel, MD Resident, Pediatric Residency Training Program
Resident, Pediatric Residency Training Program
There are many reasons Sophia Hufnagel, MD, chose to come to Cincinnati Children's: The atmosphere is thick with warmth and teamwork, between all levels of trainees/caretakers. Further, the training itself is fantastic, with learning opportunities present daily. It is impossible to not learn or not make friends in the midst of helping to change the outcome!
MD: George Washington University Medical Center, Washington, DC, 2010.
David J. Krier Vice President, Access Services and Family Relations
Nancy J. Morwessel, MSN, APRN, CNP Pediatric Nurse Practitioner, Diabetes Center
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.
Norbert J. Weidner, MD Anesthesiologist
Medical Director, StarShine Hospice
Medical Director, Pediatric Palliative Care / PACT
Associate Professor, UC Department of Anesthesia
Norbert J. Weidner, MD, is a board-certified pediatrician as well as a board-certified anesthesiologist. Following training in pediatrics Cincinnati Children's Hospital Medical Center, as well as Dayton Children's Hospital, he pursued a fellowship in pediatric anesthesia/critical care/regional anesthesia in Melbourne, Australia, for one year.
Upon completion of his fellowship in 1988, Dr. Weidner joined the Department of Anesthesia at Cincinnati Children's. In addition to his staff duties as an anesthesiologist, Dr. Weidner was an attending staff in the pediatric intensive care unit for approximately two years.
To incorporate the fellowship training he received in Australia, Dr. Weidner began the pain management group at Cincinnati Children's. He has participated in the pain management group both in the care of acute postoperative pain as well as chronic pain management.
In 2004, Dr. Weidner received Board Certification with the American Board for Hospice and Palliative Medicine. Dr. Weidner has been affiliated with the hospice service at Cincinnati Children's since its inception and currently serves as StarShine Hospice's Medical Director .
Dr. Weidner is passionate about partnering with families to offer a range of comprehensive, family-centered care to children with chronic, complex or life-threatening conditions. His vision to address the needs of this patient population resulted in the development of the Pediatric Palliative and Comfort Care Team (PACT) here at Cincinnati Children's. Dr. Weidner serves as the director of this consulting service.
MD: Temple Medical School, Philadelphia, PA, 1975.
Residency: Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 1975-77; Pediatrics, Dayton Children's Hospital, Dayton, OH 1981-82; Anesthesia, University of Cincinnati College of Medicine, Cincinnati, OH, 1985-87.
Fellowship: Pediatric Anesthesia, Royal Children's Hospital, Melbourne, Australia, 1988.
Certification: American Board of Anesthesiology, 1983; American Board of Pediatrics, 1989; Diplomat, American Board Medical Acupuncture, 2001; Hospice and Palliative Medicine, 2004.
Goldschneider KR, Racadio JM, Weidner NJ. Celiac plexus blockade in children using a three-dimensional fluoroscopic reconstruction technique: case reports. Reg Anesth Pain Med. 2007 Nov-Dec;32(6):510-5. Weidner NJ. Pediatric palliative care. Curr Oncol Rep. 2007 Nov;9(6):437-9. Review Cripe LH, Barber BJ, Spicer RL, Wong BL, Weidner N, Benson DW, Markham LW. Outpatient continuous inotrope infusion as an adjunct to heart failure therapy in Duchenne muscular dystrophy. Neuromuscul Disord. 2006 Nov;16(11):745-8.
Weidner NJ. The evolution of pediatric palliative medicine and its integration with anesthesia. Int Anesthesiol Clin. 2006 Winter;44(1):109-18. Review. Weidner NJ. Developing an interdisciplinary palliative care plan for the patient with muscular dystrophy. Pediatr Ann. 2005 Jul;34(7):546-52. Review.
Susan E. Wiley, MD Co-Director, Division of Developmental and Behavioral Medicine
Co-Director, Division of Developmental and Behavioral Medicine
Pediatrician, Division of Developmental and Behavioral Pediatrics
UC Department of Otolaryngology, Head & Neck Surgery
Pediatric hearing loss; dual sensory impairment; deaf/hard of hearing plus; children with neurodevelopmental disabilities
Dual sensory impairment; deaf/hard of hearing plus; more than hearing loss
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.
Network of 12 academic sites to promote collaborative research in the field of developmental and behavioral pediatrics Funding Source: Maternal and Child Health Research Program. Site Principal Investigator. Developmental Behavioral Pediatrics Research Network (DBPNet). 2013–2016. UA3MC20218.
Collaboration between WIC and EHDI to Improve Follow-up of Newborn Hearing Screen. Co-Investigator. National Center on Birth Defects and Developmental Disabilities, Disability Research and Dissemination. 2013–2014.
Partnerships that Promote Integrated, Multidisciplinary Training Models and Increase Healthcare Access for the Ohio Medicaid Population in collaboration with the University of Cincinnati College of Nursing, Family Medicine, and Cincinnati Children's Hospital Medical Center Division of Child Psychiatry. Co-Investigator. 2013–2014.
Early Language and Functional Expectations (LIFE) Study of Infants and Toddlers with Hearing Loss. Co-Investigator. March of Dimes. Ohio Department of Medicaid/Ohio Medicaid Technical Assistance Policy Program (MEDTAPP) Healthcare Access Initiative. 2014–2015.
The Ethics Committee also includes:
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