Undergraduate Degree

  • University of Pennsylvania , Philadelphia , PA

Graduate Degree

Clinical Psychology
  • University of Rhode Island , 1990 , Kingston , RI


  • Boston Children's Hospital , 1990 , Boston , MA


  • University of North Carolina , 1991 , Chapel Hill , NC



Publications powered by Harvard Catalyst Profiles

  1. Aligning Family-Clinician Expectations During Pediatric Surgical Informed Consent: Development and Implementation of an Innovative Communication Skills Workshop. J Contin Educ Health Prof. 2021 Oct 01. View abstract
  2. The Case of Billy Best: 25 Years Later. Pediatrics. 2021 09; 148(3). View abstract
  3. The Complicated Legacy of Cassandra Callender: Ethics, Decision-making, and the Role of Adolescents. JAMA Pediatr. 2021 Apr 01; 175(4):343-344. View abstract
  4. The impact of visiting the Intensive Care Unit on children's and adolescents' psychological well-being: A systematic review. Intensive Crit Care Nurs. 2021 Aug; 65:103036. View abstract
  5. Twelve Years of the Italian Program to Enhance Relational and Communication Skills (PERCS). Int J Environ Res Public Health. 2021 01 08; 18(2). View abstract
  6. Health care Professionals' Reflections on Their Learning as Spiritual Generalists and Integration Into Practice. J Contin Educ Health Prof. 2020 Oct 28. View abstract
  7. Guidelines for the Responsible Use of Deception in Simulation: Ethical and Educational Considerations. Simul Healthc. 2020 Aug; 15(4):282-288. View abstract
  8. Innovative Communication Learning: Combining TED Talks and Reflective Writing for Nursing Students. Creat Nurs. 2020 Aug 01; 26(3):182-188. View abstract
  9. Widening the Ethical Lens in Critical Care Settings. AACN Adv Crit Care. 2020 Jun 15; 31(2):210-220. View abstract
  10. Alone, the hardest part. Intensive Care Med. 2020 10; 46(10):1974-1976. View abstract
  11. "Miracles Can Happen, Can't They?" Simul Healthc. 2020 Apr; 15(2):67-68. View abstract
  12. Location of Clinician-Family Communication at the End of Life in the Pediatric Intensive Care Unit and Clinician Perception of Communication Quality. J Palliat Med. 2020 08; 23(8):1052-1059. View abstract
  13. Reflections on Simulation. Simul Healthc. 2020 02; 15(1):1-2. View abstract
  14. Compassionate and Clinical Behavior of Residents in a Simulated Informed Consent Encounter. Anesthesiology. 2020 01; 132(1):159-169. View abstract
  15. Health Care Professionals' Reflections on Their Learning as Spiritual Generalists and Integration Into Practice. J Contin Educ Health Prof. 2020; 40(4):228-234. View abstract
  16. Interprofessional Spiritual Care Training for Geriatric Care Providers. J Palliat Med. 2019 10; 22(10):1236-1242. View abstract
  17. Little Sparrow. Am J Nurs. 2019 02; 119(2):72. View abstract
  18. Interprofessional Learning to Improve Communication in Challenging Healthcare Conversations: What Clinicians Learn From Each Other. J Contin Educ Health Prof. 2019; 39(3):201-209. View abstract
  19. Navigating Communication Challenges in Clinical Practice: A New Approach to Team Education. Crit Care Nurse. 2018 Dec; 38(6):15-22. View abstract
  20. Identifying intangible assets in interprofessional healthcare organizations: feasibility of an asset inventory. J Interprof Care. 2019 Sep-Oct; 33(5):583-586. View abstract
  21. Care for Dying Children and Their Families in the PICU: Promoting Clinician Education, Support, and Resilience. Pediatr Crit Care Med. 2018 08; 19(8S Suppl 2):S79-S85. View abstract
  22. Communication Skills Training in Ophthalmology: Results of a Needs Assessment and Pilot Training Program. J Surg Educ. 2018 Mar - Apr; 75(2):417-426. View abstract
  23. Development of a Standardized Kalamazoo Communication Skills Assessment Tool for Radiologists: Validation, Multisource Reliability, and Lessons Learned. AJR Am J Roentgenol. 2017 Aug; 209(2):351-357. View abstract
  24. Voices emerging from the shadows: Radiologic practitioners' experiences of challenging conversations. Patient Educ Couns. 2017 01; 100(1):133-138. View abstract
  25. Family Perspectives on Whiteboard Use and Recommendations for Improved Practices. Hosp Pediatr. 2016 07; 6(7):426-30. View abstract
  26. Clinicians' strategies for managing their emotions during difficult healthcare conversations. Patient Educ Couns. 2016 09; 99(9):1461-6. View abstract
  27. Efficacy of Training Interprofessional Spiritual Care Generalists. J Palliat Med. 2016 08; 19(8):814-21. View abstract
  28. Upholding Family-Centered Care in the Face of High-Consequence Pathogens--Thinking Inside the Room. JAMA Pediatr. 2016 Mar; 170(3):298-9. View abstract
  29. The Influence of Communication and Relational Education on Radiologists' Early Posttraining Practice. J Am Coll Radiol. 2016 Apr; 13(4):445-8. View abstract
  30. The Importance of Deception in Simulation: A Response. Simul Healthc. 2015 Dec; 10(6):387-390. View abstract
  31. Radiologic Professionalism in Modern Health Care. Radiographics. 2015 Oct; 35(6):1779-88. View abstract
  32. Clinicians' recognition and management of emotions during difficult healthcare conversations. Patient Educ Couns. 2015 Oct; 98(10):1248-54. View abstract
  33. Deception and simulation education: issues, concepts, and commentary. Simul Healthc. 2015 Jun; 10(3):163-9. View abstract
  34. Ethics and etiquette in neonatal intensive care: the value of parents' engagement in everyday ethics and recommendations for further advancing the field. JAMA Pediatr. 2015 Feb; 169(2):190. View abstract
  35. Microethics: the ethics of everyday clinical practice. Hastings Cent Rep. 2015 Jan-Feb; 45(1):11-7. View abstract
  36. Epidemiology of death in the PICU at five U.S. teaching hospitals*. Crit Care Med. 2014 Sep; 42(9):2101-8. View abstract
  37. The educational value of improvisational actors to teach communication and relational skills: perspectives of interprofessional learners, faculty, and actors. Patient Educ Couns. 2014 Sep; 96(3):381-8. View abstract
  38. Courage, brains and heart: lessons from the Wizard of Oz for difficult healthcare conversations. Aust Crit Care. 2014 Aug; 27(3):108-9. View abstract
  39. Integrating actors into a simulation program: a primer. Simul Healthc. 2014 Apr; 9(2):120-6. View abstract
  40. 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. View abstract
  41. Deception and death in medical simulation. Simul Healthc. 2013 Feb; 8(1):1-3. View abstract
  42. "What would you do if this were your child?": practitioners' responses during enacted conversations in the United States. Pediatr Crit Care Med. 2012 Nov; 13(6):e372-6. View abstract
  43. "I was able to still be her mom"--parenting at end of life in the pediatric intensive care unit. Pediatr Crit Care Med. 2012 Nov; 13(6):e350-6. View abstract
  44. Parent presence during invasive procedures and resuscitation: evaluating a clinical practice change. Am J Respir Crit Care Med. 2012 Dec 01; 186(11):1133-9. View abstract
  45. Uncovering and validating clinicians' experiential knowledge when facing difficult conversations: a cross-cultural perspective. Patient Educ Couns. 2012 Jun; 87(3):307-12. View abstract
  46. Family conferences in the pediatric intensive care unit: how meaningful and memorable? Pediatr Crit Care Med. 2011 Nov; 12(6):685-7. View abstract
  47. Cross-cultural adaptation of an innovative approach to learning about difficult conversations in healthcare. Med Teach. 2011; 33(2):e57-64. View abstract
  48. How Italian students learn to become physicians: a qualitative study of the hidden curriculum. Med Teach. 2011; 33(12):989-96. View abstract
  49. Parents and interprofessional learning in pediatrics: integrating personhood and practice. J Interprof Care. 2011 Mar; 25(2):152-3. View abstract
  50. An interdisciplinary, family-focused approach to relational learning in neonatal intensive care. J Perinatol. 2011 Mar; 31(3):212-9. View abstract
  51. Multi-rater feedback with gap analysis: an innovative means to assess communication skill and self-insight. Patient Educ Couns. 2010 Sep; 80(3):321-6. View abstract
  52. Difficult conversations: improving communication skills and relational abilities in health care. Pediatr Crit Care Med. 2009 May; 10(3):352-9. View abstract
  53. [Between science and suffering: difficult conversations in healthcare]. Recenti Prog Med. 2009 May; 100(5):239-46. View abstract
  54. Anesthesiology trainees face ethical, practical, and relational challenges in obtaining informed consent. Anesthesiology. 2009 Mar; 110(3):480-6. View abstract
  55. Assessment of communication skills and self-appraisal in the simulated environment: feasibility of multirater feedback with gap analysis. Simul Healthc. 2009; 4(1):22-9. View abstract
  56. Assumptions and blind spots in patient-centredness: action research between American and Italian health care professionals. Med Educ. 2008 Jul; 42(7):712-20. View abstract
  57. Parent presence during complex invasive procedures and cardiopulmonary resuscitation: a systematic review of the literature. Pediatrics. 2007 Oct; 120(4):842-54. View abstract
  58. Difficult conversations in health care: cultivating relational learning to address the hidden curriculum. Acad Med. 2007 Sep; 82(9):905-13. View abstract
  59. On being a spiritual care generalist. Am J Bioeth. 2007 Jul; 7(7):24-6. View abstract
  60. Reflections on love, fear, and specializing in the impossible. J Clin Ethics. 2007; 18(4):373-6. View abstract
  61. Toward interventions to improve end-of-life care in the pediatric intensive care unit. Crit Care Med. 2006 Nov; 34(11 Suppl):S373-9. View abstract
  62. Matters of spirituality at the end of life in the pediatric intensive care unit. Pediatrics. 2006 Sep; 118(3):e719-29. View abstract
  63. Sudden traumatic death in children: "we did everything, but your child didn't survive". JAMA. 2006 Jun 14; 295(22):2646-54. View abstract
  64. Improving the quality of end-of-life care in the pediatric intensive care unit: parents' priorities and recommendations. Pediatrics. 2006 Mar; 117(3):649-57. View abstract
  65. On speaking less and listening more during end-of-life family conferences. Crit Care Med. 2004 Jul; 32(7):1609-11. View abstract
  66. Parental experience of highly technical therapy: survivors and nonsurvivors of extracorporeal membrane oxygenation support. Pediatr Crit Care Med. 2003 Apr; 4(2):214-9. View abstract
  67. Parental perspectives on end-of-life care in the pediatric intensive care unit. Crit Care Med. 2002 Jan; 30(1):226-31. View abstract