CURRICULUM VITAE - University of Missourihmi.missouri.edu/people/resumes/faculty/fleming_CV.pdfCV of David A. Fleming, M.D., MA, FACP Page 2 of 29 ACADEMIC POSITIONS: 2009- Professor

_____________________________________________________________________________________________

CV of David A. Fleming, M.D., MA, FACP Page 1 of 29

CURRICULUM VITAE

David A. Fleming, M.D., MA, F.A.C.P.

August 25, 2010

OFFICE ADDRESS: Department of Internal Medicine

University of Missouri School of Medicine

MA 412 Health Sciences Center

1 Hospital Drive

Columbia, MO 65212

Phone: 573-884-2013

Fax: 573-884-1996

Email: [email protected]

Website: www.hmi.missouri.edu/ethics/

DATE AND PLACE OF BIRTH: May 9, 1948

Moberly, Missouri

U.S.A.

EDUCATION:

2008 Georgetown University, Washington, DC - MA Liberal Studies

(Ethics and the Professions)

Graduate Thesis: Teaching Professionalism: The Rediscovery and

Redefinition of Professionalism in Medical Education

1976 University of Missouri School of Medicine, Columbia, Missouri - M.D.

1972 University of Missouri, Columbia, Missouri - MA Microbiology

1970 University of Missouri, Columbia, Missouri - BA Zoology

POSTGRADUATE MEDICAL TRAINING:

1999-2001 United States Health and Human Services Fellow in Primary Care Research,

Center for Clinical Bioethics, Georgetown University, Washington, DC

1988-1995 Advanced Bioethics Courses, Kennedy Institute of Ethics, Georgetown

University, Washington, DC: I-January 6-9, 1988; II-March 11-15, 1990;

III-March 8-12, 1992; V-March 5-9, 1995

1985 Intensive Bioethics Course XI, Kennedy Institute of Ethics, Georgetown

University, Washington, DC

1979-1980 Chief Resident, Department of Internal Medicine, University of Missouri School

of Medicine. Columbia, Missouri

1977-1979 Resident, Department of Internal Medicine, University of Missouri School of

Medicine. Columbia, Missouri

1976-1977 Intern, Department of Internal Medicine, University of Missouri School of

Medicine. Columbia, Missouri

mailto:[email protected]

https://webmail.um.umsystem.edu/exchange/flemingd/Inbox/FW:%20Annual%20Faculty%20Reviews.EML/rastj/Local%20Settings/Temporary%20Internet%20Files/OLK9B0/www.hmi.missouri.edu/ethics/

_____________________________________________________________________________________________


ACADEMIC POSITIONS:

2009- Professor and Chairman, Department of Internal Medicine, University of

Missouri School of Medicine, Columbia, Missouri

2009- Adjunct Faculty, Sinclair School of Nursing, University of Missouri

2006- Professor, Internal Medicine and Health Services Management, University of


2005-2007 Medical Director, Woodrail Internal Medicine Clinic, University Physicians,

University of Missouri Health Care, Columbia, Missouri

2003-2005 Associate Program Director, Department of Internal Medicine, University of


2001- Director, MU Center for Health Ethics, University of Missouri School of

Medicine, Columbia, Missouri

2001-2005 Director, resident continuity clinic, Department of Internal Medicine,

University of Missouri School of Medicine, Columbia, Missouri

2001-2006 Director, Internal Medicine ACP Summer Externship Program

2001-2006 Associate Professor of Health Services Management and Internal Medicine,

University of Missouri School of Medicine, Columbia, Missouri

2000 Lecturer, School of Nursing, The Catholic University of America,

Washington, DC

1999-2001 Associate Professor, Department of Internal Medicine, Georgetown

University, Washington, DC

1998-1999 Vice Chairman, Department of Internal Medicine University of Missouri

School of Medicine Columbia, Missouri

1995-2006 Associate Professor, Department of Internal Medicine, University of Missouri

School of Medicine, Columbia, Missouri

1987-1999 Medical Ethics Group, University of Missouri Medical School, Columbia,

Missouri

1980-1994 Clinical Faculty, Department of Internal Medicine, University of Missouri

School of Medicine, Columbia, Missouri.

1979-1980 Chief Resident in Internal Medicine, University of Missouri Medical Center at

the Harry S. Truman Memorial Veterans Administration Hospital

CERTIFICATIONS:

1996 ECG EXAM Certification - American College of Cardiology

1994 Fundamental Critical Care Support Provider - Society of Critical Care Medicine

1992-2002 Certification in Geriatric Medicine, American Board of Internal Medicine

1984-1998 Certified Provider in Advanced Cardiac Life Support February 1984;

February1990; June 1992; June 1994; April 1996; April 1998

1980 Diplomate of the American Board of Internal Medicine

1977 Diplomate of the National Board of Medical Examiners

LICENSURE: Missouri

District of Columbia

_____________________________________________________________________________________________


SOCIETY MEMBERSHIPS:

2010- Southern Society for Clinical Investigation

2009- Association of Professors of Medicine

2002- American Telemedicine Association

2002- American Society of Bioethics and Humanities

2001- Boone County Medical Society, Member

1986- American College of Physicians, Fellow

1985- Kennedy Institute of Ethics, Associate

1980- Missouri State Medical Association

1980- American Medical Association, Member

1980-1999 Randolph County Medical Society

1980-1998 Missouri Society of Internal Medicine

1980-1998 American Society of Internal Medicine

1980- Missouri Chapter of the American College of Physicians

1980-1999 Four County Medical Society (CMMR)

1980-1986 American College of Physicians, Member

AWARDS:

2010 The Jane Hickman Teacher of the Year Award, University of Missouri School of

Medicine

2009 Evergreen Award for member outreach, as Governor, Missouri Chapter of the

American College of Physicians

2009 Distinguished Service Award, University of Missouri Medical Alumni

Association

2009 Service Excellence Hero for spring 2009, University Hospital/University of

Missouri

2008 Order of Socrates II, Office of Medical Education, University of Missouri School

of Medicine, recognizing excellence in teaching

2008 Faculty Member of the Year, Graduate Student Association of the Department of

Health Management and Informatics, University of Missouri School of

Medicine

2008 Evergreen Award for innovative student involvement activities, as Governor,

Missouri Chapter of the American College of Physicians

2008- 2010 Chapter Excellence Award each year as Governor of the Missouri Chapter of the

American College of Physicians

2006 Alpha Omega Alpha

2005 Outstanding Presentation Award, Introduction to Patient Care, Block 8, Office of

Medical Education, University of Missouri School of Medicine

2005 Responsible Conduct of Research Training Award, University of Missouri,

Graduate School

2004 Excellence in Clinical Education Award, Medical Student Affairs Council,

University of Missouri School of Medicine

2003 International Catherine Pouget Award, MAPI Research Institute, for research in

telehospice and end of life care

_____________________________________________________________________________________________


2003 Order of Socrates, Office of Medical Education, University of Missouri School of

Medicine, recognizing excellence in teaching

2000 Prince Charitable Trust Scholar in End of Life Care, Georgetown University,

Washington, DC

1998 Silver Beaver Award, Great Rivers Council, Boy Scouts of America

1997 Students' Excellence in Education Award, University of Missouri School of

Medicine, Department of Internal Medicine

1986 Fellowship conferred, American College of Physicians

1986 Young Internist of the Year, Missouri Society of Internal Medicine

1980, 1983, 1986, 1989, 1992, 1996, 1999, 2002, 2005, 2008 (With Commendation)

Physician’s Recognition Award, American Medical Association

PROFESSIONAL COMMITTEES, PANELS, AND OTHER LEADERSHIP:

University of Missouri:

2009- Chairs Hospital Operations Committee, University of Missouri Health Care

2009- Clinical Chairs Committee, School of Medicine

2009- Council of Chairs, School of Medicine

2009- Committee on Student Promotions, School of Medicine

2009- Conflict of Interest Committee, School of Medicine

2009- Medical Education Planning Group, Office of Medical Education

2008- The Missouri 100, University President’s Advisory Group

2008- Data Safety Monitoring Committee, School of Medicine; Co-Chair

2008- Faculty Professionalism Committee; Co-Chair

2007- Health Professionals for Quality Care, student organization, faculty advisor

2007-2008 Department of Psychiatry chair, search committee

2005-2007 Wellness Research Committee

2004- Fellow, Center for Excellence on Aging

2004-2010 Quality, Patient Safety, and Education Group

2003-2007 Education Committee, Department of Internal Medicine

2003- Organizational Ethics and Patient Rights Committee

2003-2005 Governor’s Advisory Council on Accessibility and Affordability of Health

Insurance Coverage (The Missouri State Planning Grant from Health

Resources and Services Administration to the Missouri Department of

Health and Senior Services); chairman, subcommittee on communications

2002-2004 Patient Safety Committee

2001- UMHC Clinical Ethics Committee; Co-Chair, 2003-

2001-2008 Resident Policy Scholar, Center for Health Care Quality

2001- Perez-Mesa Lectureship Committee; Co-Chair 2003-

2001- Center for Health Policy Affiliate

2001- Palliative Care Committee

2001- Medical Student Professionalism Committee, faculty advisor

2001-2006 Committee on Medical Affairs, University Physicians

2001-2002 Bariatric Surgery Oversight Committee

2000- Medical School Foundation; President 2004-2005

1998-1999 Committee on Strategic Planning, Department of Internal Medicine (Chair)

_____________________________________________________________________________________________


1998-1999 Ethics Curriculum, School of Medicine

1997-1999 University Physicians Management Committee

1995-1999 Outreach Initiative Task Force, Department of Internal Medicine

1995-1997 Rural Health Initiative Task Force, Department of Internal Medicine

1990-1993 Health of the Public Steering Committee, Dept. Family and Community Medicine

Georgetown University:

1999-2001 Coordinator, Clinical Ethics Consult Service, Georgetown University Hospital,

Washington, DC

2010- Search committee member for the Director, Center for Clinical Bioethics

Local/Community:

2010 Medical Mission to Guatemala; United Methodist Church, Columbia, MO

2005 Coordinator and presenter, Training for Ethics Committee Members; Harry S.

Truman Veterans Hospital, Columbia, Missouri

1995-1999 Medical Director, University Physicians-Woodland Clinic, Moberly, Missouri

1995-1999 Medical Director, Hospice Home Care of Mid-Missouri

1994-1999 Nurse Practitioner Collaborating Physician Randolph County Health Department

1994-1999 Nurse Practitioner Collaborating Physician Moberly Area Community College-

University of Missouri Nursing School Collaborative Nurse Clinic

Program

1994-1995 Medical Director, Chariton Park Nursing Home, Brunswick, Missouri

1989-1996 Medical Director, Skilled Nursing Facility, Moberly Regional Medical Center,

Moberly, Missouri

1989-1994 PRO Physician Advisor and Utilization Review Physician for Moberly Regional

Medical Center, Moberly, Missouri

1989-1994 Chairman, Quality Assurance Screening Committee, Moberly Regional Medical

Center, Moberly, Missouri

1989-1990 President of the Medical Staff, Moberly Regional Medical Center, Moberly,

Missouri

1987-1999 Ethics Committee, Moberly Regional Medical Center, Moberly, Missouri

1986-1991 Medical Director, Moberly Caring Center Nursing Home, Moberly, Missouri

1985 Chief of Medicine, Moberly Regional Medical Center, Moberly, Missouri

1984-1999 Medical Director, Cardiac and Pulmonary Rehabilitation and Wellness Program,

Moberly Regional Medical Center, Moberly, Missouri

1984-1988 Home Care of Mid-Missouri, Advisory Board

1982-1986 Hospital Epidemiologist, Moberly Regional Medical Center, Moberly, Missouri

1982-1983 Area II Health Systems Agency, Mark Twain Sub Area Council

1981 President, Four County (CMMR) Medical Society of the American Medical

Association

1980-1995 Medical Director, Cardiopulmonary Section, Moberly Regional Medical Center,

Moberly, Missouri

1980-1994 President, Woodland Internists Group, P.C., Moberly, Missouri

1980-1985 President, Moberly Professional Arts Building Partnership, Moberly, Missouri

1980, 1985, 1987, 1992-1995 Medical Director, Critical Care Unit, Moberly Regional Medical

Center, Moberly, Missouri

_____________________________________________________________________________________________


State:

2008- Missouri Professional Services Payment Committee (Gubernatorial appointment)

2008-2010 MoHealthNet Chronic Care Improvement Program Quality Improvement Council

2008-2010 Missouri Department of Health and Senior Services Committee on Alternative

Standards of Care for Pandemic and Mass Casualty

2006-2007 First Vice President, Missouri State Medical Association

2006- Contributing editor, Missouri Medicine Editorial Board

1998-1999 Peer Review Committee, Missouri Care (Missouri Medicaid Managed Care)

1987-1989 Missouri State PRO Quality Review Committee and Physician Reviewer

1980-1998 Missouri Society of Internal Medicine (ASIM); President 1991-1992; President

Elect 1989; Secretary-Treasurer 1988; Councilor 1980-1998; Delegate to

the national meeting ASIM 1985, 1986, 1987, 1988, 1990, 1991, 1992;

Program Director, MO ACP/MSIM Annual Meeting 1985-1987

1980- Missouri Chapter, American College of Physicians (MO ACP) Governor, 2007-

2011; Governor Elect, 2005-2006; annual resident poster competition

judge, 2004-

National:

2009 Institute of Medicine workshop participant: Standards of Care during a Mass

Casualty Event; May 8, 2009, Chicago, Illinois

2006- 2010 National Institute of Health Study Section: Literature Selection Technical Review

Committee of the National Library of Medicine (Chair 2009-2010)

2003-2004 American Medical Association Ethical Force Oversight Body Expert Advisory

Panel

1999-2006 American Medical Association (AMA): Ethical Force Program Oversight Body

1980-1998 American Society of Internal Medicine (ASIM): Board of Trustees 1997-1998;

Task Force on Certification and Managed Care 1996; Clinical Practice

Expert Panel for Review of CPT Coding-HCFA 1996; Chairman,

Utilization and Quality Improvement Committee 1995-1996; Chairman,

Committee on Physician Reimbursement 1994; Committee on Physician

Reimbursement 1992-1993

1980- American College of Physicians (ACP): Ethics and Human Rights Committee

1998-2003; Foundation Program Development Committee and Grants

Subcommittee 2001-2002; Foundation Programs Committee 2002-2006;

Health and Public Policy Committee 2007- 2010 (vice chair 2008-2010);

Executive Committee, Board of Governors 2009-2012; Governance Policy

Committee 2010-2011; Vice Chair, Finance Committee 2010-2011;

Chair-elect, Board of Governors 2010-2011; Chair, Board of Governors

2011-2012; Board of Regents 2010-

DIDACTIC TEACHING AND STRUCTURED CURRICULUM ACTIVITY:

(University of Missouri unless otherwise indicated)

2009- Health Literacy Education Committee of Health Literacy Missouri; curriculum

_____________________________________________________________________________________________


development to enhance health literacy competency for students and

physicians

2008- Problem Based Learning (PBL) case writing and evaluation team for office of

medical education

2007- Objective Structured Clinical Evaluation (OSCE) case writing team member for

office of medical education

2005- HMI 7565 Healthcare Ethics, graduate seminar for health management each

Spring semester

Panel discussion moderator, annual medical student seminar: ―Drawing the Line‖

Introduction to Patient Care (IPC) Ethics Lecture Series for medical students:

―Introduction to Medical Ethics‖, ―The Physician-Patient Relationship‖,

―Confidentiality‖, ―Truth-telling‖, ―End of Life Care‖,

―Health Care Disparities‖ and ―Ethics on the Wards‖

Introduction to Patient Care (IPC) Group Facilitator: Blocks 1, 2, 3, 4, and 5

Grading Team Member for M-1 and M-2 IPC Exams

2005-2008 HMI 7460 Administration of Healthcare Organizations (Brown), annual lecture:

―Foundations of Ethics‖

HMI 8450 Methods of Health Services Research (Rathert), annual lecture:

―Research Ethics‖

2005-2006 HMI 8575 Health Policy and Politics (Alber) lecture: ―Health Ethics and Policy:

how one informs the other‖

2004- SOM 354 Problems in Medical Ethics, senior medical student clinical ethics

elective offered as a one month rotation

2003-2006 Family and Community Medicine ELI Conference presenter

2003-2004 HMI 8575 co-director, executive graduate seminar, ―Contemporary Issues in

Healthcare Policy and Ethics‖

2002- Training in Interdisciplinary Partnership and Services (TIPS) for Kids Seminar,

annual lecture: ―Ethical Issues in the Care of the Neuro-Disabled‖

2002- Internal Medicine resident lecture series—ethics and end of life care;

professionalism

2002- Internal Medicine student clerkship ethics curriculum: ―The Ethics Workup‖

2002-2004 Health Professions Seminar (Hagglund) annual lecture: ―Ethics in Health Care

Delivery‖

2002-2004 Health Care Policy seminar annual lecture: ―Ethics and Health Care Systems‖

2002-2005 HSM 450 Research Methods, annual lecture: ―Ethics in Health Services

Research‖

2002-2005 HSM 8575 graduate seminar, (Alber) annual lectures ―Contemporary Issues in

Healthcare Policy,‖ residential class

2002 Family and Community Medicine student clerkship lectures

2001- Lecturer and coordinator, medical school ethics curriculum

2000 Lecturer, Catholic University of America, School of Nursing, Washington, DC

2000-2001 Coordinator, ―Works in Progress‖ monthly research conference, Center for

Clinical Bioethics, Georgetown University, Washington, DC

1999-2001 Resident lecture series in bioethics, Department of Internal Medicine,

Georgetown University School of Medicine, Washington, DC

1999-2000 Lecturer, Cornell-in-Washington annual Health Policy Seminar, Washington, DC

1987-1995 Medical Ethics Seminar Facilitator, Office of Medical Education, University of


_____________________________________________________________________________________________


CLINICAL TEACHING AND MENTORING:

(University of Missouri School of Medicine unless otherwise indicated)

2009- Chairman’s Rounds, Internal Medicine Clerkship

2008- MedZou Community Outreach Clinic; faculty advisor and volunteer preceptor

2007- MO M1 annual statewide first year medical student conference; faculty advisor

2005- Key Faculty (Ethics and Professionalism), Department of Internal Medicine

2005- Preceptor, resident palliative care training, Department of Family and

Community Medicine

2004-2007 Preceptor and coordinator, resident geriatrics outpatient elective, Department of

Internal Medicine

2002- Advice, Support and Career Planning (ASC) Advisor for medical students

2002-2007 Preceptor, Ambulatory Clinical Experience (ACE) 1st year medical student

outpatient experience

2001- Preceptor, Internal Medicine resident clinic

2001- Faculty Advisor, Department of Health Management and Informatics

2001-2007 Preceptor, Internal Medicine clerkship outpatient rotation

2001-2006 Director, American College of Physicians student summer externship program

2000-2001 Coordinator, monthly ethics case conference, Center for Clinical Bioethics,

Georgetown University, Washington, DC

1999-2001 Preceptor, medicine resident clinic, Georgetown University, Washington, DC

1980-2007 Preceptor, American College of Physicians student summer externship program

1980-1999 Preceptor in Family and Community Medicine, University of Missouri School of

Medicine, Columbia, Missouri

CIVIC POSITIONS AND COMMUNITY SERVICE:

1998-1999 Moberly School District Health Advisory Board

1996-1998 Moberly Public Schools Facilities Committee

1996- Great Rivers Council, Boy Scouts of America, Executive Board

Chair, Exploring Committee (2007- 2010)

1995-1996 Chairman, Bee Trace District-Great Rivers Council, Boy Scouts of America

1991-1999 Drug Free Council, Moberly School District

1988-1999 Moberly Area Junior College Foundation Board, Moberly, Missouri

1987-2005 National Eagle Scout Association

1985-1999 Parents-as-Teachers (Moberly School System) Advisory Board

1985-1990 Community Chorus, Moberly, Missouri

1985-1986 American Heart Association, Local Advisory Board

1983-1999 City Bank &Trust Company, Board of Directors, Moberly, Missouri

1982-1999 Randolph County Historical Society, Board of Directors

1982-1990 House Corporation Sigma Nu Fraternity, Rho Chapter

1982-1986 American Cancer Society, Chairman Professional Education Committee

1982-1985 Child Protection Team, Randolph County Family Enhancement Council, Division

of Family Services

1982 United Way, Co-Chairman of Trades and Professions Fund Raising Committee

_____________________________________________________________________________________________


1981-2004 Rotary International

1980-1999 Little Dixie Concert Association, Moberly, Missouri

INVITED ORAL PRESENTATIONS:

―Prevention and Screening-Its Value in the Nursing Home" Caring for the Frail Elderly

Conference, sponsored by the Missouri Association of Long Term Care Physicians and

Health of the Public Program, Columbia, Missouri. October 4, 1991

―End of life Decisions and the Patient's Health Determination Act" CMH Medical Seminar,

British Columbia, Canada. March 13, 1993

"Clinical Evaluation of Chest Pain" University of Missouri School of Medicine, Sinclair School

of Nursing, Graduate Nursing Program, University of Missouri, Columbia Missouri, Fall

1995

"The State of our Union‖ ASIM Trustee Report to the Virginia Society of Internal Medicine.

Virginia ACP-VSIM annual meeting, Richmond, Virginia, February 2, 1998

"Physician Impairment" Medicine Grand Rounds, Department of Internal Medicine, University

of Missouri, Columbia, Missouri. August 20, 1998

―Informed Decision-making‖ Meet The Professor Session at the ACP-ASIM Annual Session

Philadelphia, Pennsylvania April 15, 2000

―Clinical Ethics: Theory and Practice‖ Graduate Nursing Seminar, Catholic University of

America, Washington, DC. June - July 2000

‖Issues in Ethics‖ ACP Board Review Course, Washington, DC. July 16-21, 2000 and July 19-

20, 2000

‖Physician Assisted Suicide‖ Medicine Grand Rounds, Georgetown University, Washington,

DC. September 21, 2000 and February 23, 2001

‖Physician Assisted Suicide‖ HOPE EPEC Training Seminar, Falls Church, Virginia. September

1, 2000

‖Decision-Making in Today’s Market-Driven Environment‖ Ethics Workshop, Center for

Clinical Bioethics, Georgetown University, Washington, DC. November 10, 2000

―Legalizing Euthanasia and Assisted Suicide in the Netherlands‖ Netherlands National

Television, Live television interview. November 29, 2000

‖Professionalism: What it’s Like in the Real World‖ Lecturer for Professionalism in Medicine

Week, Georgetown University School of Medicine. Washington, DC. May 5, 2001

_____________________________________________________________________________________________


―Telemedicine: Clinical, Legal, and Ethical Issues‖ Workshop, ACP-ASIM Annual Session,

Atlanta, Georgia. April 2001

―Physician Assisted Death”. Medicine Grand Rounds, Department of Internal Medicine,

University of Missouri School of Medicine, Columbia, Missouri. October 11, 2001

―Genetics in the Office-Rethinking Loyalties‖ Meet-the-Professor session, ACP-ASIM Annual

Session. Philadelphia, Pennsylvania. April 12, 2002

―Disclosing to Patients When Things Go Wrong: Why is it so Difficult?‖ Medicine Grand

Rounds, Department of Internal Medicine, University of Missouri School of Medicine,

Columbia, Missouri; April 24, 2003

―Medical Error Disclosure‖ Medical Grand Rounds, Department of Internal Medicine,

Georgetown University, Washington, DC; May 22, 2002

Carlos Perez-Mesa Lectureship in Medical Humanities ―One Year Later: Rethinking Terrorism,

Healthcare, & the Public Interest‖ Panel Moderator, University of Missouri, Columbia,

Missouri; September 13, 2002

―Disclosure to Patients and Families when Things Go Wrong‖ Patient Safety Conference,

University of Missouri School of Medicine, Columbia, Missouri; October 11, 2002

―Revisioning the Creative Role of Ethics Committees in Corporate Culture‖ Keynote Address for

the Midwest Bioethics Center workshop for ethics committee members, St. Joseph Health

Center, Kansas City, Missouri; October 25, 2002

―Hospital Ethics Committees in the 21st Century‖ Missouri Assoc. of Social Work Leaders,

Missouri Hospital Assoc. Annual Meeting, Lake Ozark, Missouri; November 7, 2002

―Patient Rights: Enabling the Rights to Choose and Refuse‖ Cardiology Grand Rounds,

University of Missouri School of Medicine, Columbia Regional Hospital, Columbia,

Missouri; November 14, 2002

―Do Ethics Committees Work?‖ Medicine Grand Rounds, Department of Internal Medicine,

University of Missouri School of Medicine, Columbia, Missouri; November 14, 2002

―Preparing Students for the Moral and Ethical Dimensions of their Professional Career‖

University of Missouri Annual Teaching Renewal Conference, Columbia, Missouri;

February 28, 2003

―The Role of Ethics Committees in Corporate Health Care‖ Ozarks Health Care Ethics

Collaboration annual meeting, Hammons Institute, Springfield, Missouri; March 5, 2003

―Ethical and Legal Issues in Pain Management‖ American College of Physicians Annual

Session, San Diego, California; April 5, 2003

_____________________________________________________________________________________________


―Disclosing to Patient when Things go Wrong: Why is it so difficult?‖ Medicine Grand

Rounds, Departments of Internal Medicine, University of Missouri School of Medicine

April 24, 2003 and Georgetown University School of Medicine, Washington, DC;

May 22, 2003

―Limiting or Withdrawing Treatment When Death in Near: Balancing the Proportionality

Equation‖ Medicine Grand Rounds, Department of Internal Medicine, University of

Missouri School of Medicine, Columbia, Missouri; November 6, 2003

eHealth: Current Status and Future Trends in the EU and the US. Member of the reactor panel

for a presentation entitled: ―Evidence based Retrieval in eHealth and Health Captology‖

Reynolds Alumni Center, University of Missouri, Columbia, Missouri; February 12, 2004

―The Value of Telehealth for Vulnerable Populations at Home‖ Outcomes Research Program,

VA Medical Center, Columbia, Missouri; February 18, 2004

Symposium on the Social and Cultural Implications of Human Genetics. Discussant for

―Professional & Ethical Challenges in the practices of Genetic Counseling,‖ Dept of

Sociology, University of Missouri, Columbia, Missouri March 9, 2004

―Current Issues in Ethics for Christian Physicians‖ Christian Medical and Dental Society,

Missouri State Medical Association Meeting, St. Louis; Missouri April 4, 2004

―End of Life Care and Treatment‖ Missouri Association of Homes for the Aging Annual

Conference, Lake of the Ozarks, Missouri; September 9, 2004

―Making Difficult Choices at the End of Life‖ Missouri Chapter, American College of

Physicians annual scientific meeting, Lake Ozark, Missouri; September 10, 2004

―Medical Futility vs. Medical Technology‖ Ethical Dilemmas in Palliative Care Regional

Conference, Boone Hospital Center, Columbia, Missouri; November 18, 2004

―Modern Application of Telehealth: the Missouri Experience‖ Medicine Grand Rounds,

Department of Internal Medicine, University of Missouri, Columbia, Missouri;

January, 13, 2005

Second Annual Life Sciences & Society Symposium, ―The Social and Cultural Implications of

New Biomedical Technologies‖ Discussant for ―Technology, (Im)mortality and Rhetoric

or Choice‖ Department of Sociology, University of Missouri, Columbia, Missouri;

March 10, 2005

―Ethical Issues in Receiving Gifts or Educational Grants from Pharmaceutical Companies,‖

Physical Medicine and Rehabilitation Grand Rounds, University of Missouri School of

Medicine, Columbia, Missouri; March 25, 2005

―Importance of Cultural Competency in the Delivery of Health Care,‖ Medicine Grand Rounds,

Department of Medicine, St. John’s Mercy Medical Center, St. Louis, Missouri;

March 29, 2005

_____________________________________________________________________________________________


―End of Life Issues: The Terry Shiavo Case,‖ Surgery Grand Rounds, University of Missouri

School of Medicine, Columbia, Missouri; March 31, 2005

―Informed Consent and End of Life Decisions,‖ Anesthesiology Grand Rounds, Department of

Anesthesiology, University of Missouri School of Medicine; May 4, 2005

―Caring for the Caregivers at the End of Life,‖ Missouri Hospice and Palliative Care Association

Spring Conference for Volunteer Coordinators, Lake Ozark, Missouri; May 6, 2005

―Difficult Choices at the End of Life,‖ Continuing Medical Education Program, Fitzgibbon

Hospital, Marshall, Missouri; June 16, 2005

―Defining Futility and Limiting Treatment,‖ Family and Community Medicine Grand Rounds,

University of Missouri School of Medicine, Columbia, Missouri; June 22, 2005

―MU Curriculum Development in Ethics and Profession‖, Ethics Faculty Forum, Panelist,

Association of University Professors in Health Administration annual meeting, Boston,

Massachusetts; June 25-26, 2005

Missouri State Long Term Care Ombudsmen Meeting, Discussant for ―Telehealth and Electronic

Consults‖ Department of Health and Senior Services, Capital Regional Medical Center,

Jefferson City, Missouri; November 16, 2005

―Stem Cell Research in the Heartland‖ Symposium on the Social, Ethical, Cultural, Legal and

Economic Implications, Summary remarks, Life Sciences Center; University of Missouri;

Columbia, Missouri; March 9, 2006

―Futility and End of Life Care‖ MO Southern State University, Joplin, Missouri; March 16, 2006

―Ethics Committees and Consultations‖ Freeman Hospital, Joplin, Missouri; March 16, 2006

―Ethics Committees and Consultation- When and How‖, Health Ethics Grand Rounds,

University of Missouri School of Medicine, Columbia, Missouri; March 20, 2006

―Ethics Committees and Consultation-the Missouri Experience‖, Capital Region Medical Center,

Jefferson City Missouri, April 20, 2006

―Futility: Withholding and Withdrawing Treatment‖, Capital Region Medical Center, Jefferson

City Missouri, April 20, 2006

―Ethical Issues in Treating the Elderly Patient‖, Department of Physical and Rehabilitative

Medicine, University of Missouri, April 21, 2006

―Protection of Research Subjects with Diminished Capacity‖ Roundtable, sponsored by the

Center for Practical Bioethics, Kansas City Library, Kansas City, MO, May 3, 2006

―Ethical Issues Regarding Feeding Tubes‖, Grand Rounds for the Department of Physical

_____________________________________________________________________________________________


Medicine and Rehabilitation, University of Missouri School of Medicine.

August 18, 2006

―Ethics Consultation in the Nursing Home‖, Annual Fail Elderly Conference, University of

Missouri Center on Aging, August 19, 2006

―The Hospital Ethical Climate and End-of-Life Moral Conflict in Care Teams‖, Rathert C and

Fleming D.A. Annual meeting of the Midwest Academy of Management, Louisville,

Kentucky, October, 2006

―Ethics Workup: I and II‖, Second Annual MU Health Ethics Conference, University of

Missouri School of Medicine, Holiday Inn Executive Center, Columbia, Missouri,

October 13 and 14, 2006

"Dignity and Dispensing of Futility", Annual MU Health Ethics Conference, Columbia,

Missouri, October 14, 2006

―The History and Future of the Ethics Committee‖, Missouri Baptist Medical Center,

St. Louis, Missouri, October 24, 2006

―Doing Ethics: Approaching Ethical Problems at the Bedside‖, Missouri Baptist Medical Center

Grand Rounds, St. Louis, Missouri, October 25, 2006

―Caregiver Burden‖ at the Annual Nursing Gerontology Conference, Sinclair School of Nursing,

Columbia, Missouri, December 1, 2006

―Breaking Bad News‖, Geriatrics Interest Group Seminar, Interdisciplinary Center on Ageing,

University of Missouri School of Medicine, January 20, 2007

―How to Prepare and Execute the Medical (Durable) Power of Attorney‖, 27th

Annual

Conference on Dialysis, Denver, Colorado; February 20, 2007

―Religious, Psychological, and Cultural Challenges to Rational Ethical Decision-Making at the

End of Life‖, 27th

Annual Dialysis Conference, Denver, Colorado; February 20, 2007

Missouri End of Life Coalition Second Annual Community Campaign, ―Dying in America:

Conversations before the Crisis‖, Panelist, Columbia, Missouri, February 8, 2007

Fourteenth Annual Hospice Foundation of America Teleconference, Living with Grief: Before

and After the Death, panel moderator and site coordinator, University of Missouri,

Columbia, Missouri, March 22, 2007

―Futility‖, Orthopedic Grand Rounds- Geriatrics Conference, Department of Orthopedic Surgery,

University of Missouri School of Medicine, Columbia, Missouri; April 25, 2007

―Ethics Committees and Consultations‖, Bothwell Regional Health Center, Sedalia, Missouri;

May 25, 2007

_____________________________________________________________________________________________


―End of Life Issues‖ and ―Practical Ethics Consultation by Community Hospital Ethics

Committees‖, Hannibal Regional Hospital, Hannibal, Missouri; June 28, 2007

―PM&R Ethics Case Discussion‖, Ethics Rounds presentation, Rusk Rehabilitation Center,

Columbia, Missouri; August 24, 2007

―Futility‖, Missouri End of Life Coalition Policy Summit, Capital Plaza, Jefferson City Missouri,

September 14, 2007

―Research Ethics‖, Office of Compliance and Quality Seminar Series, University of Missouri,

School of Medicine, Columbia, Missouri, September 19, 2007

―Futility: Medical and Otherwise‖, Greater St. Louis Hospice Organization Medical Directors’

Meeting, St. Louis, Missouri; September 20, 2007

―Health Literacy: Communicating Effectively when Patients Don't Understand‖. Annual

Scientific Conference, Missouri Chapter of the American College of Physicians, Lake of

the Ozarks, Missouri; September 28, 2007

―The Ethics Workup‖, 3rd

Annual MU Health Ethics Conference, Columbia, Missouri;

October 13, 2007

―Ethical Issues with Care of the Neurodevelopmentaly Disabled‖. TIPS for Kids Program.

Columbia, Missouri; November 9, 2007

AOA and MU Center for Health Policy Health Literacy Discussion Panelist, University of

Missouri, School of Medicine, Columbia, Missouri; January 23, 2008

―History and Development of the MU Center for Health Ethics‖, Family and Community

Medicine Colwill Seminar, University of Missouri, School of Medicine, Columbia,

Missouri; January 23, 2008

―An Interdisciplinary Health Ethics Discussion Panel‖, sponsored by MU Health Professionals

for Quality Care, Moderator, University of Missouri, Columbia; February 20, 2008

―Improving Care by Improving Health Literacy‖, Alaska Native Medical Center, Anchorage,

Alaska; March 27, 2008

―Making Sense Out of Do Not Attempt Resuscitation and Limitations of Treatment‖, Medicine

Grand Rounds; University of Missouri School of Medicine, Columbia, Missouri;

July 16, 2008

―Universal Access: Lessons Learned‖, Annual meeting of the Missouri Chapter of the American

College of Physicians, Lake Ozark, Missouri; September 12, 2008

―Universal Access: What we can Learn from Other Countries‖, Panel moderator and presenter,

American College of Physician Board of Governors Fall meeting, Minneapolis,

Minnesota; September 20, 2008

_____________________________________________________________________________________________


―Futility‖, Missouri Society for Respiratory Care District III meeting, Holiday Inn Select,

Columbia, Missouri; October 3, 2008

―Patients Who Demand Futile Treatment‖, 4th

Annual MU Health Ethics Conference,

Columbia, Missouri. October 10, 2008

―The Ethics Workup‖, 4th

Annual MU Health Ethics Conference, Columbia, Missouri.

October 11, 2008

―Research Ethics‖, Cardiology Grand Rounds, University of Missouri School of Medicine,

Columbia, Missouri; October 30, 2008

―The Missouri Health Literacy and Diabetes Communication Initiative‖, Health Literacy Panel,

Missouri Health Policy Summit, Columbia, Missouri; October 31, 2008

―Futility in the Nursing Home‖, Missouri Academy of Family Physicians Annual Meeting, Big

Cedar Lodge, Branson, Missouri; November 7, 2008

―Health Literacy—barriers to clear understanding‖, Missouri Academy of Family Physicians

Annual Meeting, Big Cedar Lodge, Branson, Missouri; November 7, 2008

―Responsible Research‖, Compliance and Quality Seminar Series, University of Medicine

School of Medicine. Columbia, Missouri; November 19, 2008

―Making Sense Out of Do Not Attempt Resuscitation and Limitation of Treatment Orders‖,

Clinical Update fort Gerontology Healthcare Professionals in Hospitals, LTC Facilities,

Home and Community Settings, Columbia, Missouri; December, 4, 2008

―Determining Futility when Prognosis is Poor but Death is not Eminent‖, Neurology Grand

Rounds, University of Medicine School of Medicine, Columbia, Missouri; January 7,

2009

―Altered but Ethical Altered Standards of Care‖, State Emergency Medical Services Task Force

On Altered Standards of Care, Department of Health and Senior Services. Jefferson City,

Missouri; January 29, 2009

―Health Literacy‖, Psychiatry Grand Rounds, University of Missouri School of Medicine,

Columbia, Missouri; February 4, 2009

―Universal Access: What we can Learn from Other Countries‖, Internal Medicine 2009 (ACP

Annual Session), Philadelphia, Pennsylvania; April 25, 2009

―Local and State Standards of Care Protocols‖ panel for an Institute of Medicine Regional

Workshop, ―Standards of Care During a Mass Casualty‖, Chicago, Illinois; May 8, 2009

―Altered Standards of Care‖, Telehealth Training Presentation to the Missouri Telehealth

Network. June 23, 2009

_____________________________________________________________________________________________


―Ethical Dilemmas in Long Term Care‖, panel moderator for the 19th

Annual Caring for the Frail

Elderly Conference, Columbia, Missouri. August 22, 2009

―Universal Access: What we can Learn from Other Countries”, 5th

Annual MU Health Ethics

Conference, Columbia, Missouri. October 9, 2009

―Altering Standards of Care when Some Must be Sacrificed‖, panel for the 5th

Annual MU

Health Ethics Conference, Columbia, Missouri. October 10, 2009

―Applying Altered but Ethical Standards of Care‖. Annual Surveyor Training Meeting, Missouri

Department of Health and Senior Services, Division of Regulation and Licensure.

Columbia, Missouri. November 18, 2009.

―Clinical Ethics‖, ethics panel moderator for the statewide MOM1 Conference, sponsored by

first year medical students of the University of Missouri School of Medicine.

January 16, 2010

―Breaking Bad News‖, Ethics Grand Rounds and Teleethics Conference, University of Missouri

School of Medicine, Columbia, Missouri. March 15, 2010

―The Role of Health Information Technology in our Changing Health Care System.‖ Third

Annual Health Professionals for Quality Care (HPQC) Ethics Panel (Moderator).

Columbia, Missouri. March 17, 2010

―Responding to Ethical Issues in the Nursing Home‖ Missouri State Medical Association Annual

Meeting. St. Louis, Missouri. March 27, 2010

―Ethical Challenges: Do We Have an Ethical Duty to Provide Care?‖ Internal Medicine 2010,

Toronto, Ontario, Canada. April 22, 2010

‖The Ethical Challenges of Limiting Treatment for Ventilator Patients‖ Annual Missouri

Society for Respiratory Care Conference. Lake of the Ozarks, Missouri. April 30, 2010

―The Importance of Cultural Competency in patient Care.‖ Cardiology Grand Rounds.

Department of Internal Medicine. University of Missouri School of Medicine. Columbia,

Missouri. May 13, 2010

―Health Literacy in the Elderly‖ 20th

Annual Conference on Caring for the Frail Elderly,

Columbia, Missouri. August 21, 2010

PEER REVIEWED ORAL PRESENTATIONS:

“Telemedicine: The Ethical Challenges of a New Technology‖ International Conference on

Telemedicine. Fleming, David A. Regensburg, Germany. September 24, 2002

_____________________________________________________________________________________________


―Participating in Death at the End of Life: Compassionate Killing or Letting Die?‖ Midwest

Regional Conference on End-of-Life Care. Fleming, David A. Kansas City, Missouri.

October 6, 2003

―Caring for the Caregivers at the End of Life‖ Midwest Regional Conference on End of Life

Care, Missouri Hospice and Palliative Care Association. Fleming, David A. Kansas City,

Missouri. October 25, 2004

―MU Curriculum Development in Ethics and Profession‖, Ethics Faculty Forum, Panelist,

Association of University Professors in Health Administration Annual Meeting, Boston,

Massachusetts; June 25-26, 2005

―The Science and Ethics of Feeding Tubes‖, Midwest Regional Conference on End of Life Care,

Missouri Hospice and Palliative Care Association, Fleming, David A. and Sarah Breier.

Kansas City, Missouri. November 14, 2005

―History and Structure of Clinical Ethics Committees and Consultation Services‖ Annual MU

Health Ethics Conference, University of Missouri School of Medicine. Fleming, David

A. Columbia, Missouri. October 28, 2005

―Sharing Stories: Successes, Defeats, and Opportunities of Hospital Ethics Committees‖ Panel

Discussion, Annual MU Health Ethics Conference, University of Missouri School of

Medicine, Holiday Inn Executive Center, Columbia, Missouri. October 28, 2005

―Futility and Ethical Implications of Hospice Referral‖, 17th

Annual Gerontological Nursing

Conference, University of Missouri School of Medicine, Sinclair School of Nursing.

Fleming, David A. Columbia, Missouri, December 1, 2005

―The Hospital Ethical Climate and End of Life Moral Conflict in Care Teams‖, Rathert, Cheryl

and David A. Fleming. Annual Meeting of the Midwest Academy of Management,

Louisville, KY. October 2006

―Internal Medicine Telehealth Training Evaluation Project‖ (IMTTEP), Annual American

Telehealth Association Meeting. Fleming, David A. San Diego, California. May 9, 2006

―Using Remote Monitoring for Chronic Disease Management in a Rural Home Health

Population.‖ American Telehealth Association Fall Forum. Fleming, David A. Orlando

Florida. September 27, 2006

"Virtual Clinical Ethics Consultation for Long Term Care Facilities‖, American Society of

Bioethics and Humanities Annual Session, Fleming, David A. Washington, DC. October

19, 2007

―Understanding the Effect of Computer-Supported, Case-Based Instruction on Third Year

Medical Student’s Ethical Reasoning.‖ 2008 American Educational Research Association

Annual Meeting. Lu, Wei-Hsin; David A. Fleming; Madiha Arif; Julie Caplow. New

York, NY. March 25, 2008

_____________________________________________________________________________________________


―Teamwork in Acute Care: Contextual Effects of the Ethical Climate and Unit Leadership‖ 2008

Academy of Management Annual Meeting. Rathert, Cheryl and David A. Fleming.

Anaheim, CA. August 8, 2008

―Speaking up in a Short White Coat‖ 39th

Annual Meeting of the Association for Behavioral

Sciences and Medical Education. Blanner, Chris, David A. Fleming, and James D.

Campbell. Santa Fe, New Mexico. October 8, 2009

―Telehealth Ethics‖ 2009 American Society of Bioethics and Humanities (ASBH) Annual

Meeting. Fleming, David A. and Karen E. Edison. Washington, DC. October 17, 2009

―Ethical Challenges Encountered in an Experimental Research Protocol for Rabies Encephalitis‖

62nd Annual Meeting of the American Academy of Neurology. Aarti Sarwal, Joshua

Botdorf, and David A. Fleming. Toronto, Ontario, Canada. April 7, 2010

―Content & Style Comparison of Physician Communication in Teledermatology and In-Person

Visits.‖ Annual Meeting of the American Telehealth Association. Edison, Karen E.,

David A. Fleming, and George Demiris. San Antonio, Texas. May 19, 2010.

PEER REVIEWED POSTER PRESENTATIONS:

Demiris, George, David A. Fleming, Karen E. Edison, and Debra Oliver. Utilizing Telemedicine

for Hospice Patients. 7th

International Conference on the Medical Aspects of

Telemedicine, Regensburg, Germany. September 22-25, 2002.

Fleming, David A., George Demiris, Karen Edison. The Value of Telehomecare for the Frail

Elderly. American Telemedicine Association 8th

Annual Meeting, Orlando, Florida April

28-29, 2003

Demiris, George, David A. Fleming, Karen Edison, Debra Oliver. The Missouri Telehospice

Project. American Telemedicine Association 8th

Annual Meeting, Orlando, Florida, April

28-29, 2003

Biber, Rachel and David A. Fleming. Medical Students as Professional: Responding to a Dying

Patient’s Request for Assisted Suicide. Research Day, University of Missouri School of

Medicine, Columbia, Missouri,. November 17, 2003

Vasee Sivaloganathan, Kevin Harris, Patricia Alafaireet, Kenneth Bopp, David A. Fleming,

Howard Houghton. Improving the Quality of Care through Evidence Based Response to

No-Show Behavior. Center for Health Care Quality annual Symposium: Measuring and

Promoting Excellence across the Continuum of Care. Columbia, Missouri. April 27, 2006

Lu, Wei-Hsin, David A Fleming, Caroline Kerber, Kimberly Hoffman. Assessing Third Year

Medical Students’ Ethical Reasoning Skills Using Clinical Vignettes. Annual Spring

Conference of the Association of American Medical Colleges (AAMC) Region Group on

Education Affairs (CGEA). Indianapolis, Indiana. March 22-24, 2007

_____________________________________________________________________________________________


Edison, Karen, Stan Hudson, James Campbell, David A. Fleming, Kimberly Hoffman, , Dena

Higbee, and Ioana Staiculescu. Clinical Simulation Workshop for Health Care Providers.

Institute for Healthcare Advancement (IHA) Ninth Annual Health Literacy Conference.

Irvine, California. May 5-6, 2010

Hudson, Stan, Karen Edison, James Campbell, Kim Hoffman, David Fleming, Diane

Smith, Dena Higbee, Nick Butler, and Ioana Staiculescu. Using Simulated Visits to

Enhance Health Literacy. 2010 North Carolina Health Literacy Conference. Greensboro,

North Carolina. September 21, 2010

RESEARCH, GRANTS, AND CONTRACTS:

Title Period Amount Federal and Private

National Institute of Nursing Research 5/01/01-4/30/03 $351,276.00

(NRO5255-02) Total

―Needs and Quality of Life among Cancer Patients and Caregivers‖

Co- Inv.

Agency for Healthcare Research and Quality 9/1/01-8/29/05 $50,000.00

(IP20HS115558-01) Annually

Rand Center for Patient Safety at the End of Life

Consultant

Pew Charitable Trust 2005-2007 $1.5 million

Center for Religion, Professions, and the Public Total

Professional Ethics Consortium

Co-Inv. - 3%

State

Missouri DHSS with HRSA 2003 $880,361.00

(6 P09OA01684-01-01) Total

Governor’s Advisory Council on the Accessibility and Affordability of Health

Insurance Coverage; council member and subcommittee chair

Missouri Telehealth Resource Center 8/1/04-7/30/05 $71,500.00

Missouri Residential Telecare Project Total

Co-Prin. Inv. - 10%

Missouri Foundation for Health 8/1/07-7/30/10 $1,703,761

Missouri Health Literacy and Total

Diabetes Communication Initiative; effectiveness evaluation of the American

College of Physicians Foundation Diabetes Guide

Co-Inv.

_____________________________________________________________________________________________


Missouri Foundation for Health 7/1/07-6/30/10 $884,951.00

Missouri Health Literacy Enhancement Resource Center Total

Consultant -10%

Missouri Foundation for Health 7/1/10-6/30/11 $170,329.00

Health Literacy Missouri Project Total

Consultant - 2% Missouri DHSS/Ctr for Practical Bioethics 2008-2009 $30,000.00

Caring Communities Program, Prin. Inv. Total Missouri DHSS 2009 $50,000

Ethical Considerations: Statewide Pandemic Planning & Response Total Co-Prin. Inv. Training Grants HHS-HRSA 7/1/99-6/30/01 $41,268.00

Primary Care Research Fellowship Annually

HHS-HRSA, Bureau of Health Professions 1999-2001 N/A

and Center for Clinical Bioethics at

Georgetown University, ―Medical Legal and Ethical Tutorial Development‖

Consultant

Donald W. Reynolds Foundation, 7/1/03 – 6/30/08 $1.9 million

A Comprehensive Program to Total

Strengthen Physicians' Training in Geriatrics

Co-Inv. - 20%

HHS Office of Research Integrity 2005 $1000.00

Responsible Conduct of Research Curriculum Development Award

Educational Technologies at Missouri 7/1/06 – 6/30/07 $5000.00

Examining the Effectiveness of a Medical Ethics Workup in the Internal Medicine

Clerkship, Prin. Inv.

Other

University of Missouri, Dept. Internal Medicine 2002 N/A

“E-Physician - evaluating the utility of on-line patient-physician communication,

Co-Prin. Inv.


Internal Medicine Telehealth Training Evaluation Program (IMTTEP) Project,

Prin. Inv.

_____________________________________________________________________________________________



ACP Summer Externship Evaluation Project

Prin. Inv.

University of Missouri, University Physicians 2005 N/A

Adherence to Treatment in Continuity Care

Prin. Inv.

University of Missouri Center for Health Ethics 2008-2009 N/A

Influence of Spirituality and Religious Belief on Research Willingness,

Prin. Inv.

Pended

Agency for Healthcare Research and Quality

Telehomecare for the Frail Elderly, Prin. Inv. ~$100,000

EDITING, REVIEWING, AND JUDGING

Editorial consultant to the Physicians’ Information and Education Resource (PIER), an

electronic evidence based decision support tool published by the American College of

Physicians. http://pier.acponline.org

Coordinating Editor and contributing author for two series of articles in Missouri Medicine:

“Care of the Dying Patient‖ Special Series (5 articles). Missouri Medicine. 2002;

99(10):556-576

―End of Life Issues‖ Special Series (6 articles). Missouri Medicine. 2003;100(1):62-90

Contributing Editor for Missouri Medicine since 2006

Coordinating editor and author to a third ethics series of 5 articles in Missouri Medicine 2006

Literature Selection Technical Review Committee of the National Library of Medicine, 2006-

2010; Chair 2009-2010

Poster Judge, each annual session, Missouri Chapter of ACP, Lake Ozark, Missouri, since 2004

Abstract Reviewer, ―Bridging the Quality Gap in Mid-America‖, sponsored by the Center for

Health Care Quality, University of Missouri, Columbia, Missouri, April 21-22, 2005

Invited Reviewer for BioMed Central (BMC) Palliative Care, 2008

Invited Reviewer for Milbank Quarterly, 2006

Invited Reviewer for Missouri Medicine, 2005

Invited Reviewer for Medical Decision Making, 2003

Invited Reviewer for Lancet, 2009

PEER REVIEWED JOURNAL PUBLICATIONS

Fleming, David A., J. Stephen Scherer, W. Kirt Nichols, Michael P. Harrington, and Charles S.

Brooks. Prazosin HCL in Treating Hypertension Associate with Pheochromocytoma. So

Med J. 1981;74(8):1010-1012

http://pier.acponline.org/

_____________________________________________________________________________________________


Fleming, David A. Relieving Pain: What are Today’s Ethical and Legal Risks? Missouri

Medicine. 2002;99(10):550-555

Fleming, David A. The Endless Challenges of End of Life Care. Missouri Medicine. 2002;

99(10):522-523

Fleming, David A. Ethical Considerations of Genetic Testing. J Clin Ethics. 2002;13(4):316-323

Fleming, David A. The Opportunities of Caring at the End-of-Life. Missouri Medicine. 2003;

100(1):6-8

Fleming, David A. Cultural Sensitivity in End of Life Discussions. Missouri Medicine. 2003;

100(1):67-73

Fleming, David A. The Burden of Caregiving at the End of Life. Missouri Medicine.

2003;100(1):80-84

Mangan, Patricia A., Kathryn L. Taylor, Robin Yabroff, David A. Fleming, and Jane Ingham.

Caregiving at the End if Life: Unmet Needs and Potential Solutions. Palliative and

Supportive Care. 2003;1: 247-259

Demiris, George, Debra Parker Oliver, David A. Fleming, Karen E. Edison. Hospice Staff

Attitudes toward Telehospice. American Journal of Hospice and Palliative Care. 2004;

21(5):343-347

Oliver Debra R, George Demiris, David A. Fleming, Karen E. Edison. A Needs Assessment

Study for the Missouri Tele-hospice Project. Am Med Infor Assoc Fall Symp. 2003:959 Wynia, Matthew, K., Deborah Cummins, David A. Fleming, Kari Karsjens, Amber Orr, James

Sabin, Inger Saphire-Bernstein, and Renee Witlen. Improving Fairness in Coverage

Decisions: Performance Expectations for Quality Improvement. Am J Bioethics. 2004;

43(3):87-100

Wynia, Matthew, K., Deborah Cummins, David A. Fleming, Kari Karsjens, Amber Orr, James

Sabin, Inger Saphire-Bernstein, and Renee Witlen. A Response to Commentators on

―Improving Fairness in coverage Decisions: Performance Expectations for Quality

Improvement‖. Am J Bioethics. 2004;4(3):W40-W42

Biber, Rachel, David A Fleming. Medical Student as Professional: Responding to a Dying

Patient’s Request for Assisted Suicide. Ann Behav Sci and Med Ed. 2004;10(2):74-79

Campbell, James D. and David A. Fleming. Separation Anxiety Between Religion and Medicine:

Reclaiming the Sacred Dimensions of Healing, RPP Journal Reports.

http://rpp-dev.missouri.edu/e-journal/. 2004

Fleming, David A. Making Difficult Choices at the End of Life: A Personal Challenge for All

Participants. Missouri Medicine. 2005;02(2):147-152

http://rpp-dev.missouri.edu/e-journal/

_____________________________________________________________________________________________


Snyder L. and Leffler C. for the Ethics and Human Rights Committee, American College of Physicians, David A. Fleming, committee member. Ethics Manual, Fifth Edition. Ann Int Med. 2005;10(7):560-582

Wasson, Sanjeev, David A. Fleming, and Hanmanth K. Reddy. Pathology, Prognosis, and

Prevention of Heart Failure. Missouri Medicine. 2005; 102(5):480-484 Wasson, Sanjeev, David A. Fleming, and Hanmanth K. Reddy. Evidence-Based Drug Treatment

for Heart Failure, Missouri Medicine, November/December, 2005; 102 (6) 540-548 Fleming, David A. Futility: A Prudential Calculus that Still Pertains. Health Ethics Committee

Forum. 2005;17(4):260-275

Wasson, Sanjeev, David A. Fleming, and Hanmanth K. Reddy. Modern Surgical and

Interventional Management of Heart Failure, Missouri Medicine. 2005;103(2):185-188 Brummel, Nathan and David A. Fleming. Medical Students Should Obtain Informed Consent

Prior to Participation in Patient Care Activities. Spring edition, Ann Behav Sci Med Ed.

2006;12(1):1-6

Fleming, David A., Vanessa Sheppard, Patricia Mangan, Kathryn Taylor, Michele Tallarico, Inez

Adams, Jane Ingham. Caregiving at the End of Life: Perceptions of Healthcare Quality

and Quality of Life among Patients and Caregivers. J Pain Sym Mgt.2006; 31(5):407-420

Harrison, Bradley and David A. Fleming. The Military Physician as a Noncombatant: the

Concept of Over Identification. Military Medicine. October, 2006;171:iv-vi

Rathert, Cheryl and David A. Fleming. The Hospital Ethical Climate of HCO’s and End of Life

Moral Conflict in Care Teams. Organizational Ethics: Healthcare, Business and Policy,

2006;104(2):1-11

Breier-Mackie, Sarah and David A. Fleming. The Science and Ethics of Feeding Tubes.,

Missouri Medicine. May/June, 2007;104(3):191-195

Fleming, David A. Addressing Ethical Issues in the Nursing Home. Missouri Medicine.

2007;104(3):382-386

Ahmed, Abrar, Bishal Gupta, David A. Fleming, and Kul Aggarwal. Case Report: Pulmonary

Tuberculosis Causing Lipoid Pneumonia. Missouri Medicine. 2007;104(5):446-447

Fleming, David A. Responding to Ethical Dilemmas in Nursing Homes: Do We always Need an

Ethicist? Health Ethics Committee Forum. 2007; 19(3):245-259

Levine, Mark, Matthew K. Wynia, Paul M. Schyve, J. Russell Teagarden, David A. Fleming,

Sharon King-Donahue, Ron J. Anderson, James Sabin, and Ezekiel J. Emanuel.

Improving Access to Health Care: A Consensus Ethical Framework to Guide Proposals

for Reform. Hastings Center Report. 2007;37(5):14-19

_____________________________________________________________________________________________


Ginsburg JA, Doherty RB, Ralston JF Jr, Senkeeto N, Cooke M, Cutler C, Fleming DA, Freeman

BP, Gluckman RA, Liebow M, McLean RM, Musana KA, Nichols PM, Purtle MW,

Reynolds PP, Weaver KM, Dale DC, Levine JS, Stubbs JW. Achieving a High-

Performance Health Care System with Universal Access: What the United States Can

Learn from Other Countries. Ann Intern Med. 2008;148(1):55-75. Epub 2007 Dec 3.

Erratum in: Ann Intern Med.2008;15(8):635

Fleming, David A. and Don Reynolds. Being Directly Responsive and Accountable to Human-

Research Participants: a response to ―Strangers at the Benchside.‖ Am J Bioethics.

2008;8(3):1-2

Rathert, Cheryl and David A. Fleming. Hospital Ethical Climate and Teamwork in Acute Care:

The Moderating Role of Leaders. Health Care Management Rev. 2008;33(4):1-9

Fleming, David A. and Don Reynolds. Ethical Human-Research Protections: Universal but Not

Uniform. Am J Bioethics. 2008;8(11):1-2

Reynolds, Don and David Fleming. Randomization and the Transactional Framework for

Informed Consent. Am J Bioethics. 2009; 9(2):16-17

Fleming, David, Shari Riley, Sue Boren, Kimberly Hoffman, Karen Edison, and Charles Brooks.

Incorporating Telehealth into Primary Care Resident Outpatient Training. Telemedicine

Journal and eHealth. 2009;15(3):277-282

Lubinski, Christine, Judith Aberg, Arlene D. Bardeguez, Richard Elion. Patricia Emmanuel,

Daniel Kuritzkes, Michael Saag, Kathleen E. Squires, Andrea Weddle, Jennifer Rainey,

M. Renee Zerehi, J. Fred Ralston, David A. Fleming, et al. HIV Medicine Association of

the Infectious Diseases Society of America and the American College of Physicians.

CID. 2009;48:1335-1344

Hicks, Lanis and David A. Fleming. Feasibility and Effectiveness of Remote Monitoring to

Improve Health Outcomes to a Rural Area. Telemedicine Journal and eHealth.

2009;15(7)1-8

Fleming, David A., Karen E. Edison, and Hon Pak. Telehealth Ethics. Telemedicine Journal and

eHealth. 2009;15(8):1-7

Phillips, Win and David A. Fleming. Ethical Concerns in the Use of Electronic Medical Records.

Missouri Medicine 2009;106(5):258-263

Blanner, Chris, David A. Fleming, and James D. Campbell. Speaking up in a Short White Coat:

How Isolation, Fear and Uncertainty Empower Student Silence. Academic Medicine. Ann

Behav Sci Med Ed. 2009;15(2):37-41

Phillips, Win and David A. Fleming. Moral and Prudential Considerations in Adopting

Electronic Medical Records. Missouri Medicine. 2010;107(4):234-239

Sanford, Dominic and David A. Fleming. We Meant no Harm, Yet We Made a Mistake; Why

_____________________________________________________________________________________________


Not Apologize? A Student’s View. Health Ethics Committee Forum. 2010; (In Press)

Chokkalingam, Siva, Kenneth Lawlor, Karen Smarr, Bin Ge, David Fleming. Physicians’ use of

and attitudes toward e-mail communication with patients: a Survey of Missouri Chapter

Members of the American College of Physicians. Missouri Medicine. 2010 (In Press)

Moparty, Eswar and David A. Fleming. Conducting Randomized Clinical Trials Ethically:

Expanding the Concepts of Clinical Equipoise. Ann Behav Sci Med Ed.

(In Consideration)

Breier, Sarah and David A. Fleming. Would the Clinical Ethicist Please Stand Up? J Clin Ethics.

2010; (In Consideration)

Fleming, David, Shari Riley, Sue Boren, Kimberly Hoffman, Karen Edison, and Charles Brooks.

Resident Telehealth Training: Evaluation of Expectations. Telemedicine Journal and

eHealth. 2009; (In Progress)

LaMonda, Justin and David A. Fleming. Intravenous Drug Abusers and Outpatient Intravenous

Therapy: Review of Evidence, Ethics, and Standard of Care. (In Progress)

PEER REVIEWED ABSTRACTS:

Mangan, Patricia A., Kathryn L. Taylor, Robin Yabroff, David A. Fleming, and Jane Ingham.

Caregiving at the End of Life: Unmet Needs and Potential Solutions). Ann Behav Med,

(Spring) 24 Supplement: S169, 2002.

Fleming, David A. The Ethical Challenges of New Technology. Eur J Med Res, 7 Supplement

1:25, 2002.

Demiris, George, David A. Fleming, Karen E. Edison. Utilizing Telemedicine for Hospice

Patients. Eur J Med Res, 7 Supplement 1:19, 2002.

Fleming, David A., George Demiris, Karen Edison. The Value of Telehomecare for the Frail

Elderly. Telemedicine and e Health, 9 Supplement 1: S-102, 2003.

Demiris, George, David A. Fleming, Karen Edison, Debra Oliver. The Missouri Telehospice

Project. Telemedicine and e Health, 9 Supplement 1: S-100, 2003.

Demiris, George, Karen Edison, Swetha Sridhar, Timothy Patrick, David A. Fleming. Human

Factors in Implementing Telemedicine Programs: Part 2. Telemedicine and eHealth, 10

Supplement 1: S-58, 2004.

Fleming, David A., Sue Boren, Shari Alber, Kim Hoffman, Karen Edison, Charles S.

Brooks. Internal Medicine Telehealth Training Evaluation Project (IMTTEP).

Telemedicine Journal and eHealth. 2006; 12(2):210

_____________________________________________________________________________________________


BOOKS AND BOOK CHAPTERS:

Fleming, David A. Ethical Implication in the use of Telehealth and Teledermatology. In

Teledermatology: A Users Guide. Ed Pak H, Edison K, and Whited J. Cambridge

University Press. 2008

Fleming, David A. Ethics Conflicts in Rural Communities: Health Information Technology

In: Nelson WA, ed. Handbook for Rural Health Care Ethics: A Practical Guide for

Professionals. Hanover, NH:Dartmouth College. 2009

http://dms.dartmouth.edu/cfm/resources/ethics/

Fleming, David A. and John Hagan (Ed). Care of the Dying Patient. University of Missouri

Press:Columbia. 2010

Fleming, David A. Relieving Pain: What are today’s ethical and legal risks? In Care of the Dying

Patient. Ed Fleming D and Hagan J. University of Missouri Press:Columbia. 2010

Fleming, David A. The Burden of Caregiving at the End-of-Life. In Care of the Dying Patient.

Ed Fleming D and Hagan J. University of Missouri Press:Columbia. 2010

Fleming, David A. Cultural Sensitivity in End of Life Discussions. In Care of the Dying Patient.

Ed Fleming D and Hagan J. University of Missouri Press:Columbia. 2010

Fleming, David A. Final Comments on Difficult Choices. In Care of the Dying Patient. Ed

Fleming D and Hagan J. University of Missouri Press:Columbia. 2010

Fleming, David A. Most Memorable Moment in Teaching. In Theory and Practice of Teaching

Medicine, Book One. Ed Jack Ende. American College of Physicians. 2010

IOM (Institute of Medicine). Crisis Standards of Care: Summary of a workshop series. Response

panelist, ―Local and State Standards of Care Protocol.‖ Washington, DC: The National

Academic Press. 2010

BULLETINS, REPORTS, VIDEOS, CIRCULARS, PAMPHLETS, AND FACT SHEETS:

Ethical Issues. A monthly column for Inside Track, the newsletter of University of Missouri

Health Care. Ongoing monthly contributions since September 2003

Ethics Manual (5th

Edition). American College of Physicians’ Ethics and Human Rights

Committee member and contributing author of two sections: ―Reproductive Decision-

Making‖ and ―Genetic Testing‖ 2004

Ensuring Fairness in Health Care Coverage Decision: A Consensus Report on the Ethical

Design and Administration of Health Care Benefits Packages. Member, AMA

Ethical Force Oversight Body writing group. 2004

http://dms.dartmouth.edu/cfm/resources/ethics/

_____________________________________________________________________________________________


Improving Communication-Improving Care: An Ethical Force Program Consensus Report

Member, AMA Ethical Force Expert Oversight Body expert advisory panel. 2006

Protecting Research Subjects with Diminished Capacity. Roundtable Participant May 5, 2006;

Center for Practical Bioethics, Kansas City, MO. The Science and Ethics Literacy

Project: Issue 2, summer 2006

Breaking Bad News. Instructional video, Office of Medical Education, University of Missouri

School of Medicine. 2006

The Ethics Workup: A Panel Discussion of Cases. Instructional video, Office of Medical

Education, University of Missouri School of Medicine. 2006

Advance Care Planning. Editorial Consultant for Module Update. In Physicians’ Information

and Education Resources (PIER) of the American College of Physicians.

http://pier.acponline.org/physicians/ethical_legal/el143/el143.html. 2007

Do Not Attempt Resuscitation and Limitations of Treatment Orders: an education pamphlet for

patients. Clinical Ethics Committee, University of Missouri Health Care. 2008

Health Ethics Considerations: Planning for and Responding to Pandemic Influenza in Missouri.

Report of the Missouri Ethics Consortium to the Missouri Department of Health and

Senior Services. December 23, 2009.

http://ethics.missouri.edu/docs/Health_Ethics_Considerations.pdf

INTERVIEWS, PROFILES, AND QUOTES:

Live interview for Netherlands National Television regarding the recent legalization of

euthanasia in that country. November 2000

Gleba, Rich. ―Timeless Values and new Dilemmas.‖ Missouri Medical Review. Winter 2002. 15

Firing Patients. Audio Health Journal. Program 03-16. April 20, 2003

Kelly, Christine. ―Is it OK to Practice on Patients who have Just Died?‖ ACP Observer.

April 8, 2003.

Lerner, Maura, Glenn Howatt, and Paul McEnroe. ―Clinic Pumped up its Doctors’ Credentials.‖

Star Tribune-Minneapolis, MN. December 22, 2003. A1

Wisneski, Adam. ―Doctors Advocate Openness.‖ Missourian. April 21, 2005

Elliott, Victoria. ―’Relationship’‖ new Buzzword in Patient-centered Care.‖ amednews.com.

January 16, 2006

http://pier.acponline.org/physicians/ethical_legal/el143/el143.html

_____________________________________________________________________________________________


Wakabayashi, Daisuke. ―Seattle Parents Defend Treatment for Disabled Daughter.‖ Yahoo News

(Reuters). January 5, 2007

Healthcare Reform Panelist for ―Intersection‖, a weekly live on air talk program for KBIA

Radio, Columbia, MO. December 14, 2009

Iva Skoch. Should IVF Be Affordable for All? Newsweek. June 21, 2010

David Lyle interview about Care of the Dying Patient for KFRU Radio, Columbia, MO.

July 7, 2010

Conversations about Health & Aging. Instructional DVD. Interdisciplinary Center on Aging,

University of Missouri School of Medicine. July 2010

NON-PEER REVIEWED PUBLICATIONS:

Fleming, David A. Common Issues in Medical Ethics. In: Internal Medicine Board Review

Syllabus. Georgetown University Press (July): 375-382, 2001.

Fleming, David A. Physician Obligations. Are There Limits Based on the Patient’s Ability to

Pay? Am Med News 25, October 1, 2001.

Fleming, David A. A Global Perspective on End of Life Issues. Reg Affairs Focus, October 14-

18, 2001.

Fleming, David A. Bumps Needn’t Derail Pursuit of New Drugs. Omaha World-Herald.

February 4, 2003 (Op-Ed).

Fleming, David A. Vision for New Cures Must Overcome Fears. The Kansas City Star. March

24, 2003 (Op-Ed).

Fleming, David A. Fear of Frankenplants? Time. June 16, (letter): 11, June 16, 2003

Fleming, David A. Just Because it’s New Doesn’t Mean it’s Best. Am Med News. 47(42):23.

November, 2004

Fleming, David A. A Discovery Point for Many Physicians: Patients Often Don’t Understand.

Health Literacy Month. www.healthliteracy.com/hlm_article.asp?PageIG=9159 October 4, 2009

OTHER WRITINGS AND WORKS IN PROGRESS:

Fleming, David A. Collective Negotiations and Responsibilities of Physicians. August 27, 1999

Fleming, David A. Euthanasia: Historical Perspectives and Future Imperatives. November 5,

1999

http://www.healthliteracy.com/hlm_article.asp?PageIG=9159

_____________________________________________________________________________________________


Fleming, David A. Peeling the Onion: Finding Moral Agency for Universal Health Care.

December 17, 1999

Fleming, David A. Rebalancing the Autonomy Equation: Physician Autonomy is Integral to the

End of Medicine. December 17, 1999

Fleming, David A. Grounding the Ethical Norms of the Hippocratic Tradition. July 21, 2000

Fleming, David A. Abortion: Ethical Reasoning by a Common Physician. November 6, 2000

Fleming, David A. Euthanasia: Making it Legal Doesn’t Make it Right. January 7, 2001

Fleming, David A. The Pain Relief Promotion Act of 2000: Improved but Still Imposing

January 7, 2001

Fleming, David A. New and Experimental Procedures: The Virtue of Justice as a Moral Defense.

May 15, 2001

Documents

CURRICULUM VITAE - University of Missourihmi.missouri.edu/people/resumes/faculty/fleming_CV.pdfCV of David A. Fleming, M.D., MA, FACP Page 2 of 29 ACADEMIC POSITIONS: 2009- Professor