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Test-Writing Committee on Hospice and Palliative Medicine

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Martha L. Twaddle, MD, Chair

Dr. Twaddle, board certified in Internal Medicine and Hospice and Palliative Medicine, combines nearly thirty years of experience in the care of seriously ill people and their families in a variety of areas of service. She currently serves as Senior Vice President for the Home Centered Care Institute (HCCI), developing curriculum guidelines to facilitate the training of highly competent healthcare professionals to provide home-based primary care through HCCI national Centers of Excellence. As Senior Medical Director for Aspire Health, she is oversees specialty palliative care teams providing home-based supportive care in Illinois and Northwest Indiana. In addition, at Northwestern University Feinberg School of Medicine, she works with teams that are evaluating the impact of communication skills training on healthcare culture and creating and testing systems of care for seriously ill people and their families across settings of care. She was most recently appointed as co-Chair for the National Consensus Project for Community-based Palliative Care, representing the American Academy of Hospice & Palliative Medicine.

Dr. Twaddle serves on the American Board of Internal Medicine Test-Writing Committee on Hospice and Palliative Medicine. Her unique talents and contributions to the field of Palliative Medicine have helped increase the understanding of and access to this continuum of care, regionally and nationally. In 2013, she was named one of the 30 most influential visionaries in hospice and palliative medicine by the American Academy of Hospice and Palliative Medicine (AAHPM). She served as President of the AAHPM from 2002 to 2003 and on the AAHPM Board of Directors from 1997 to 2004. She was honored with the inaugural AAHPM Josefina B. Magno Distinguished Hospice Physician Award in 2005.

She is active in research, speaks regularly to local and national groups and is published extensively in peer-reviewed articles and other publications.

Dr. Twaddle graduated summa cum laude from Purdue University. She received her medical degree from the Indiana University School of Medicine in Indianapolis and completed a residency in internal medicine through Northwestern University Feinberg School of Medicine, where she was Chief Resident and currently serves as an Associate Professor of Medicine.

As of January 2017, Dr. Twaddle reported the following external relationships:

Dr. Twaddle serves in a significant role with the following organizations, receiving reimbursement or compensation as listed:

  • American Hospital Association, Committee Chair for the Circle of Life Award, receiving reimbursement for travel expenses.
  • California Health Care Foundation, grant review group member for a Rural Palliative Care Initiative, receiving consulting fees.

Nathan Fairman, MD, MPH

Dr. Fairman is an Associate Clinical Professor in the Department of Psychiatry and Behavioral Sciences at the University of California (UC) Davis School of Medicine. He is board certified in both General Psychiatry and Hospice and Palliative Medicine. Dr. Fairman currently serves on the American Board of Internal Medicine Test-Writing Committee on Hospice and Palliative Medicine.

Dr. Fairman’s clinical expertise lies at the interface of palliative medicine, psychiatry and bioethics. He serves as Director of Supportive Oncology and Survivorship at the UC Davis Comprehensive Cancer Center. His clinical service includes work as an attending physician on the inpatient palliative care consult service at the UC Davis Medical Center and in the psycho-oncology clinic at the UC Davis Comprehensive Cancer Center. As a Faculty Associate in the Bioethics Program, Dr. Fairman directs bioethics education in the UC Davis School of Medicine. Dr. Fairman also maintains a variety of teaching responsibilities throughout the health system, focused primarily on palliative care, serious illness communication and bioethics.

Dr. Fairman received his bachelor’s degree from Swarthmore College, where he was a National McCabe Scholar. He obtained his medical degree from the UC Davis School of Medicine, followed by a master’s degree in public health from Harvard University, where he was a Zuckerman Fellow. He completed residency training in general psychiatry at UC Davis. Prior to joining the academic faculty, Dr. Fairman was a fellow in palliative care psychiatry at The Institute for Palliative Medicine at San Diego Hospice.

As of July 2018, Dr. Fairman reported no external relationships.

Joanne G. Kuntz, MD

Dr. Kuntz is Associate Professor of Emergency Medicine at Emory University School of Medicine. She is board certified in Emergency Medicine and Hospice and Palliative Medicine. Her clinical practice includes time in both the emergency department and the in-patient palliative care consultation service at Emory University Hospital Midtown (EUHM) in Atlanta, Georgia, where she is the Medical Director of Palliative Medicine, Site Medical Director and Site Director for the Hospice and Palliative Medicine fellowship. Additionally, she is an Affiliate Associate Professor at the University of Maryland School of Pharmacy for their on-line certificate program in Advanced Post-Graduate Education in Palliative Care, which is offered by the Department of Pharmacy Practice and Science.

Prior to joining Emory, she was at the University of Connecticut (UConn) where she was the Founding Director of Palliative Medicine and Supportive Care. Dr. Kuntz was also a member of the Emergency Medicine Core Faculty and also served as the Emergency Medicine Residency Site Director at UConn Health. She spent a short time as an Emergency Medicine Staff Physician at Bristol Hospital in Connecticut. Prior to moving to Connecticut, she was Clinical Instructor of Emergency Medicine at the University of Pittsburgh and an attending physician at Mercy Hospital of Pittsburgh.

Dr. Kuntz is an active participant of the American Academy of Hospice and Palliative Medicine, having served on the State Health Policies Working Group and the Public Policy Committee. She was appointed to the Connecticut Governor’s Palliative Care Advisory Council, and was selected to represent Connecticut on the National Physician Orders for Life-Sustaining Treatment Paradigm Program. She was a member of the Connecticut Medical Orders for Life-Sustaining Treatment Steering Committee and served as Chair of their Education sub-committee, and she received the 2015 Connecticut Coalition for End-of-Life Care Annual Award. Additionally, she is a member of the American Board of Internal Medicine Test Writing Committee on Hospice & Palliative Care.

Dr. Kuntz earned her bachelor’s degree in medical microbiology from the University of Wisconsin-Madison and her medical degree from the Medical College of Wisconsin. She completed a residency in emergency medicine at the University of Pittsburgh. She gained additional training in palliative medicine through completing a non-ACGME mid-career fellowship in palliative care. She is a member of the Vital Talk faculty and is a trained facilitator.

As of October 2017, Dr. Kuntz reported no external relationships.

Elizabeth A. Kvale, MD

Dr. Kvale is an Associate Professor in the Department of Medicine at the University of Alabama at Birmingham (UAB) and joined the Center for Palliative and Supportive Care at UAB as a faculty member in 2004. She is an Associate Scientist at the UAB Comprehensive Cancer Center and Director of the Supportive Care and Survivorship Clinic at UAB. She is board certified in both Family Medicine and Hospice and Palliative Medicine.

Dr. Kvale served as Section Chief, Palliative Care at the Birmingham, Alabama VA Medical Center from 2014 to 2015. While at the VA, she worked with the BEACON research group to develop strategies for dissemination of primary palliative care skills for non-palliative providers. Prior to joining the palliative care program at UAB, Dr. Kvale was a primary care physician in Dixon, Illinois.

Dr. Kvale serves as a member of the American Board of Internal Medicine Test-Writing Committee on Hospice and Palliative Medicine. She is also a member of the American Academy of Hospice and Palliative Medicine Quality Committee and is on guideline committees for the National Comprehensive Cancer Network for palliative care, distress assessment and survivorship. Dr. Kvale led creation of the first set of guidelines related to management of chemotherapy-related cognitive dysfunction.

Dr. Kvale received a bachelor of science degree from MacMurray College and her medical doctorate from Southern Illinois University. She completed her residency in family and community medicine at the University of Missouri- Columbia, and a two-year fellowship in palliative medicine at UAB, where she also received a master's degree in public health.

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As of January 2017, Dr. Kvale reported no external relationships.

Robert C. Macauley, MD

Dr. Macauley, who is board certified in both Pediatrics and Hospice and Palliative Medicine by the American Board of Pediatrics, is Professor of Pediatrics at the University of Vermont College of Medicine.

Previously, Dr. Macauley was Interim Director of Pediatrics at Kuluva Hospital in Arua, Uganda. Prior to this, he was a Pediatric Hospitalist at Stamford Hospital in Connecticut.

Dr. Macauley serves on the American Board of Internal Medicine Test-Writing Committee on Hospice and Palliative Medicine. He also serves on the American Academy of Pediatrics Committee on Bioethics and is the co-Chair of the Annual Assembly Planning Committee for the American Academy of Hospice and Palliative Medicine, where he also formerly served on the Ethics Committee. He is the recipient of numerous teaching awards as well as the John Templeton Spirituality and Medicine Curricular Award for Medical Schools.

Dr. Macauley received a philosophy degree from Wheaton College and his medical degree from Yale University, completing residency training in pediatrics at Johns Hopkins. He also holds graduate degrees in theology from Oxford and Yale, and a master of fine arts degree in fiction from Vermont College of Fine Arts.

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As of January 2017, Dr. Macauley reported no external relationships.

Maisha T. Robinson, MD

Dr. Robinson is a Senior Associate Consultant in the Department of Neurology at Mayo Clinic in Florida, with a joint appointment in the Department of Family Medicine. Dr. Robinson holds the academic rank of Assistant Professor of Neurology, Mayo Clinic College of Medicine. At Mayo, she established a Neuropalliative Care program and she serves as the Medical Director of Palliative Medicine and as an Associate Program Director for the Palliative Medicine Fellowship.

Previously, Dr. Robinson was an Instructor in Neurology at the University of California, Los Angeles where she practiced neurology and completed a postdoctoral fellowship in health services and health policy research as a Robert Wood Johnson Clinical Scholar.

Dr. Robinson serves as Chair of the Medical Student Diversity Program, as a member of the Meeting Management and Leadership Development Committees, and as past Vice Chair of the Pain and Palliative Care Section at the American Academy of Neurology. She is also a member of the American Board of Internal Medicine Test Writing Committee on Hospice & Palliative Medicine, and of the Medical Advisory Board of Neurology Now. Dr. Robinson was selected for participation in the Emerging Leaders Forum and in the Palatucci Advocacy Leadership Forum of the American Academy of Neurology, and as a National Institutes of Medicine/National Medical Association Academic Medicine Fellow.

Dr. Robinson earned her undergraduate degree in ecology and evolutionary biology from Princeton University and her medical degree from Tufts University. She completed her residency training in neurology at the Mayo Clinic in Rochester, Minnesota, where she was named Chief Resident in her final year. She continued her training through a fellowship in hospice and palliative medicine at Memorial Sloan Kettering Cancer Center and she returned to Mayo Clinic for a neurohospitalist fellowship. She earned a master's degree in health policy and management at the University of California Los Angeles.

As of July 2017, Dr. Robinson reported the following external relationships:

Dr. Robinson serves in significant roles with the following organization, receiving reimbursement or compensation as listed:

  • American Academy of Neurology; Meeting Management Committee Member, Leadership Development Committee Member, Neurology Now Editorial Board Member; receiving reimbursement for travel expenses.

Thomas J. Smith, MD

Dr. Smith is the Harry J. Duffey Family Professor of Palliative Medicine and Oncology, and Director of Palliative Medicine, Johns Hopkins, Baltimore, Maryland. He is board certified in Internal Medicine, Medical Oncology, and Hospice and Palliative Medicine.

He is the Director of Palliative Medicine for Johns Hopkins Medicine, charged with integrating palliative care into all the Johns Hopkins venues, including a consult service, inpatient unit, clinics, home visiting program and research. He attends on the Longcope Osler Service. Dr. Smith has a long track record of starting innovative programs with concurrent evaluation of their impact on quality and costs, including the Virginia Rural Cancer Outreach Program, the Thomas Palliative Care Program, the Virginia Initiative on Palliative Care and the Rural Palliative Care Program, among others.

Dr. Smith received the national Humanism in Medicine Award in 2000, and in 2000 and 2006, was voted the Distinguished Clinician on the Virginia Commonwealth University-Medical College of Virginia Faculty. He is a Fellow in the American College of Physicians, the American Society of Clinical Oncology (ASCO) and the American Academy of Hospice and Palliative Medicine (AAHPM). In 2012, he and Bruce Hillner, MD, received the American Board of Internal Medicine (ABIM) Foundation Professionalism Prize for their New England Journal of Medicine article, “Bending the Cost Curve in Cancer Care” and leading “Choosing Wisely®” initiatives for AAHPM and ASCO. His current funded research includes an RO1 for a randomized trial of palliative care versus usual care for Phase I cancer patients, patient decision aids that give truthful information and "Scrambler Therapy” for chemotherapy-induced neuropathic pain. He is a member of the American Board of Internal Medicine Test-Writing Committee on Hospice and Palliative Medicine.

Dr. Smith received his undergraduate degree from the University of Akron, Ohio, and his medical degree from Yale University. He completed internal medicine training at the University of Pennsylvania. He served for two years with the Indian Health Service in Belcourt, North Dakota, and then completed fellowship training at Virginia Commonwealth University.

As of January 2017, Dr. Smith reported the following external relationships:

Work as an author or editor for following company, with compensation as listed:

  • UpToDate, receiving compensation as co-Editor for Non-Pain Symptoms.

Dr. Smith serves in significant roles with the following organizations, receiving reimbursement or compensation as listed:

  • American Academy of Hospice and Palliative Medicine, Board of Directors, receiving reimbursement for travel expenses.
  • National Coalition of Cancer Survivors, Board of Trustees, without compensation

Dr. Smith works with the California HealthCare Foundation to create free public access websites for cancer patients to learn their prognosis and treatment effects. Funding for staff and other project expenses is provided through a grant and paid directly to The Johns Hopkins Hospital.

He also works with the Milbank Foundation to study the effect of chaplains on patients and providers. Funding for staff and other project expenses is provided through a grant and paid directly to The Johns Hopkins Hospital. Dr. Smith is also a co-Principal Investigator on a National Cancer Institute grant, an investigator on a National Institutes of Health/National Institute of Nursing Research grant, and an investigator on a Patient-Centered Outcomes Research Institute grant, with funding is provided to The Johns Hopkins Hospital.

Norbert J. Weidner, MD

Dr. Weidner is Director of the Palliative and Comfort Care Team at Cincinnati Children's Hospital Medical Center (CCHMC) and Associate Professor of Clinical Anesthesia and Pediatrics at the University of Cincinnati College of Medicine, CCHMC. Dr. Weidner is board certified in Pediatrics, Anesthesiology, Pediatric anesthesiology, and Hospice and Palliative Medicine by the American Board of Anesthesiology.

He is founding member (1990) of the Pediatric Acute and Chronic Pain Service at Cincinnati Children's Hospital. In 2008, Dr. Weidner organized the Pediatric Palliative and Comfort Care Team within the division of Pediatric Anesthesia at Cincinnati Children's Hospital Medical Center. He and his team of specialists are nationally recognized for their contribution to improving life and alleviating suffering for children facing life-threatening and chronic/complex conditions and their families. Previously, Dr. Weidner was the Medical Director of CCHMC's StarShine Pediatric Hospice and Director of the Palliative Medicine division at CCHMC. Although he has stepped down from these leadership positions within the Palliative and Hospice Service, he continues to be an active practicing member of the Palliative Service and the Department of Anesthesiology.

Dr. Weidner serves as a member of the American Board of Internal Medicine Test-Writing Committee on Hospice and Palliative Medicine.

He received his medical training at Temple University School of Medicine. He completed his residency in pediatrics at CCHMC and at Children's Hospital Medical Center in Dayton, Ohio, and his fellowship in pediatric anesthesia at The Royal Children's Hospital in Melbourne, Australia.

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As of January 2017, Dr. Weidner reported no external relationships.