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Stephen D.  Brown, MD

Stephen Brown, MD
Department:
Radiology Research
Hospital Title:
Staff Radiologist
Academic Title:
Assistant Professor of Radiology, Harvard Medical School
Research Focus Area:
Ethics and Professionalism
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Research Overview

Dr. Brown’s work explores professional norms and ethical values that underlie clinical decision-making and communication in the setting of advanced diagnostic and therapeutic technologies. His objective is to create and implement innovative solutions for optimizing ethical practice and patient-provider communication in an age of rapid technological innovation. His approach combines policy analysis, empirical research, and educational program development. His projects as a PI have included a national survey of prenatal care providers’ attitudes about pregnancy management in the setting of various fetal and maternal conditions, and development of communication skills training programs for prenatal care providers and radiologists.

About Stephen D. Brown, MD

Dr. Brown specializes in prenatal and pediatric body imaging.  A graduate of the University of Pennsylvania School of Medicine, he completed a residency in Diagnostic Radiology at Massachusetts General Hospital and fellowships in Pediatric Radiology and Pediatric Interventional Radiology at Boston Children's Hospital. He received his obstetrical ultrasound training at Diagnostic Ultrasound Associates in Boston.

Dr. Brown completed the 2003-2004 Fellowship in Medical Ethics at Harvard Medical School. He is a longstanding member of the Children’s Hospital Ethics Advisory Committee and an Associate Ethicist in the Hospital’s Office of Ethics. He is Chair of the Professionalism Committee of the Radiological Society of North America, and a member of the RSNA Patient-Centered Radiology Steering Committee.

Dr. Brown received a 2006 Children's Hospital Faculty Career Development Award, and he was named an Eleanor and Miles Shore 50th Anniversary Scholar in Medicine at Harvard Medical School. He is the inaugural recipient of the American Roentgen Ray Society Leonard Berlin Scholarship in Medical Professionalism, and a recipient of grants from the Kornfeld Program in Bioethics and Patient Care, the Greenwall Foundation, and the Harvard University Milton Fund. Dr. Brown received a 2011 RSNA Education Scholar Award, and a 2014 Boston Children’s Hospital Academy Medical Educator Award for Innovative Scholarship in Medical Education. 

Key Publications

Brown SD, Truog RD, Johnson JA, Ecker JE, Do Differences in the AAP and ACOG Positions on the Ethics of Maternal-Fetal Interventions Reflect Subtly Divergent Professional Sensitivities to Pregnant Women and Fetuses? Pediatrics. 2006 Apr; 117 (4):1382-1387.

Brown SD, Daly JC, Kalish LA, McDaniel S, Financial Disclosures of Scientific Papers Presented at RSNA 2003: Association with the Reporting of Non-FDA-Approved Uses of Industry Products. Radiology 2006 Jun; 239(3):849-855.

Brown SD, Lyerly AD, Little MO, Lantos, JD. Pediatrics-based Fetal Care: Unanswered Ethical Questions. Acta Paediatr 2008; 97(2):1617-1619.

Brown, SD. The “Fetus as Patient”: A Critique.  Am J Bioeth. 2008 Jul;8(7):47-50

Brown, SD, Goske, MJ, Johnson, CM, Beyond Substance Abuse: Stress, Burnout, and Depression as Causes of Physician Impairment and Disruptive Behavior. Journal of the American College of Radiology 2009; 6(7):479-485.

Brown, SD. The Intersection of Ethics and Communication in Prenatal Imaging: Challenges for the Pediatric Radiologist. Pediatr Radiol 2010; 40(4):514-517.

Brown SD, Lehman CD, Truog RD, Browning DM, Gallagher TL, Stepping Out Further from the Shadows: Disclosure of Harmful Radiologic Errors to Patients. Radiology, February 2012; 262(2):381-386.

Brown SD, Ecker JL, Ward JRM, Halpern EF, Sayeed SA, Buchmiller TL, Mitchell C, Donelan K, Prenatally Diagnosed Fetal Conditions in the Age of Fetal Care: Does Who Counsels Matter? Am J Obstet Gynecol 2012 May;206(5):409-e1-409-e11.

Brown SD, Professional Norms Regarding How Radiologists Handle Incidental Findings. Journal of the American College of Radiology, 2013;10:253-257.

Brown SD, Donelan K, Martins Y, Burmeister K, Buchmiller TL, Sayeed SA, Mitchell C, Ecker JL. Differing Attitudes Toward Fetal Care By Pediatric And Maternal-Fetal Medicine Specialists, Pediatrics. 2012, 2012 Dec;130(6):e1534-40

Brown SD, Donelan K, Martins Y, Sayeed, SA, Mitchell C, Buchmiller TL, Burmeister K, Ecker, JL. Does Professional Orientation Predict Ethical Sensitivities? Attitudes Of Pediatric And Obstetric Specialists Toward Fetuses, Pregnant Women, And Pregnancy Termination. J Med Ethics 2014;40:117–122.

Brown SD, Callahan MJ, Browning DM, Lebowitz, RL, Bell SK, Jang J, Meyer EC, Radiology trainees’ comfort with difficult conversations and attitudes about error disclosure: Effect of a communication skills workshop. Journal of the American College of Radiology 2014, 10.1016/j.jacr.2014.01.018

Bruno MA, Petscavage-Thomas JM, Mohr MJ, Bell SK, Brown SD, The “Open Letter”: Radiologists reports in the era of patient web portals, Journal of the American College of Radiology 2014, in press.


Publications

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  1. Brown SD. Should Incidental Simple Renal Cysts Be Considered Normal Variants and Ignored in Radiologic Reports? Review of a Proposed Framework. J Am Coll Radiol. 2016 Oct; 13(10):1169.
  2. Luff D, Fernandes S, Soman A, Meyer EC, Brown SD. The Influence of Communication and Relational Education on Radiologists' Early Posttraining Practice. J Am Coll Radiol. 2016 Apr; 13(4):445-8.
  3. Hryhorczuk AL, Hanneman K, Eisenberg RL, Meyer EC, Brown SD. Radiologic Professionalism in Modern Health Care. Radiographics. 2015 Oct; 35(6):1779-88.
  4. Brown SD. Communication of Radiology Reports to Patients: Does One Size Fit All? J Am Coll Radiol. 2015 Oct; 12(10):1007-8.
  5. Brown SD, Feudtner C, Truog RD. Prenatal Decision-Making for Myelomeningocele: Can We Minimize Bias and Variability? Pediatrics. 2015 Sep; 136(3):409-11.
  6. Truog RD, Brown SD, Browning D, Hundert EM, Rider EA, Bell SK, Meyer EC. Microethics: the ethics of everyday clinical practice. Hastings Cent Rep. 2015 Jan-Feb; 45(1):11-7.
  7. Brown SD, Serveas S, Hayes LL. SPR Child Abuse Committee Response regarding classic metaphyseal lesion. AJR Am J Roentgenol. 2014 Aug; 203(2):W232.
  8. Bruno MA, Petscavage-Thomas JM, Mohr MJ, Bell SK, Brown SD. The "open letter": radiologists' reports in the era of patient web portals. J Am Coll Radiol. 2014 Sep; 11(9):863-7.
  9. Brown SD, Callahan MJ, Browning DM, Lebowitz RL, Bell SK, Jang J, Meyer EC. Radiology trainees' comfort with difficult conversations and attitudes about error disclosure: effect of a communication skills workshop. J Am Coll Radiol. 2014 Aug; 11(8):781-7.
  10. Brown SD, Donelan K, Martins Y, Sayeed SA, Mitchell C, Buchmiller TL, Burmeister K, Ecker JL. Does professional orientation predict ethical sensitivities? Attitudes of paediatric and obstetric specialists toward fetuses, pregnant women and pregnancy termination. J Med Ethics. 2014 Feb; 40(2):117-22.
  11. Show all
  12. Brown SD. Professional norms regarding how radiologists handle incidental findings. J Am Coll Radiol. 2013 Apr; 10(4):253-7.
  13. Brown SD, Donelan K, Martins Y, Burmeister K, Buchmiller TL, Sayeed SA, Mitchell C, Ecker JL. Differing attitudes toward fetal care by pediatric and maternal-fetal medicine specialists. Pediatrics. 2012 Dec; 130(6):e1534-40.
  14. Brown SD, Ecker JL, Ward JR, Halpern EF, Sayeed SA, Buchmiller TL, Mitchell C, Donelan K. Prenatally diagnosed fetal conditions in the age of fetal care: does who counsels matter? Am J Obstet Gynecol. 2012 May; 206(5):409.e1-11.
  15. Brown SD, Lehman CD, Truog RD, Browning DM, Gallagher TH. Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. Radiology. 2012 Feb; 262(2):381-6.
  16. Brown SD. The intersection of ethics and communication in prenatal imaging: challenges for the pediatric radiologist. Pediatr Radiol. 2010 Apr; 40(4):514-7.
  17. Brown SD, Goske MJ, Johnson CM. Beyond substance abuse: stress, burnout, and depression as causes of physician impairment and disruptive behavior. J Am Coll Radiol. 2009 Jul; 6(7):479-85.
  18. Brown SD, Lyerly AD, Little MO, Lantos JD. Paediatrics-based fetal care: unanswered ethical questions. Acta Paediatr. 2008 Dec; 97(12):1617-9.
  19. Brown SD. The "fetus as patient": a critique. Am J Bioeth. 2008 Jul; 8(7):47-50; discussion W4-6.
  20. Brown SD, vanSonnenberg E. Issues in imaging-guided tumor ablation in children versus adults. AJR Am J Roentgenol. 2007 Sep; 189(3):626-32.
  21. Brown SD, Zurakowski D, Rodriguez DP, Dunning PS, Hurley RJ, Taylor GA. Ultrasound diagnosis of mouse pregnancy and gestational staging. Comp Med. 2006 Aug; 56(4):262-71.
  22. Brown SD, Daly JC, Kalish LA, McDaniel SA. Financial disclosures of scientific papers presented at the 2003 RSNA Annual Meeting: association with reporting of non-Food and Drug Administration-approved uses of industry products. Radiology. 2006 Jun; 239(3):849-55.
  23. Brown SD, Truog RD, Johnson JA, Ecker JL. Do differences in the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists positions on the ethics of maternal-fetal interventions reflect subtly divergent professional sensitivities to pregnant women and fetuses? Pediatrics. 2006 Apr; 117(4):1382-7.
  24. Morrison PR, Brown SD, vanSonnenberg E. Pediatric return electrodes for radiofrequency ablation in children. AJR Am J Roentgenol. 2005 Jul; 185(1):84-5.
  25. Brown SD, Kasser JR, Zurakowski D, Jaramillo D. Analysis of 51 tibial triplane fractures using CT with multiplanar reconstruction. AJR Am J Roentgenol. 2004 Nov; 183(5):1489-95.
  26. Gervais DA, Brown SD, Connolly SA, Brec SL, Harisinghani MG, Mueller PR. Percutaneous imaging-guided abdominal and pelvic abscess drainage in children. Radiographics. 2004 May-Jun; 24(3):737-54.
  27. Fauza DO, Barnewolt C, Brown SD, Jennings RW. Ultrasound-guided fetal tracheal occlusion. J Pediatr Surg. 2002 Mar; 37(3):300-2.
  28. Mitri RK, Brown SD, Zurakowski D, Chung KY, Konez O, Burrows PE, Colin AA. Outcomes of primary image-guided drainage of parapneumonic effusions in children. Pediatrics. 2002 Sep; 110(3):e37.
  29. Brown SD, Vansonnenberg E, Morrison PR, Diller L, Shamberger RC. CT-guided radiofrequency ablation of pediatric Wilms tumor in a solitary kidney. Pediatr Radiol. 2005 Sep; 35(9):923-8.
  30. Kaste S, Laningham F, Stazzone M, Brown SD, Emery K, Newman B, Racadio J, Estroff J, Brill P, Mendelson KL, Slovis TL, Frush D. Safety in pediatric MR and cardiac CT: results of a membership survey of the Society for Pediatric Radiology-2006. Pediatr Radiol. 2007 Apr; 37(4):409-12.
  31. Brown SD, Von Sonnenberg E, Mueller P. Interventional Radiology of the Liver, Biliary System, and Gallbladder. Lippincott-Raven, 1999.
  32. Servaes S, Brown SD, Choudhary AK, Christian CW, Done SL, Hayes LL, Levine MA, Moreno JA, Palusci VJ, Shore RM, Slovis TL. The etiology and significance of fractures in infants and young children: a critical multidisciplinary review. Pediatr Radiol. 2016 May; 46(5):591-600.
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