Revised February 19, 2014 Douglas John Opel, M.D., M.P.H. Curriculum Vitae CONTACT INFORMATION Doug Opel, MD, MPH 1900 Ninth Avenue, M/S: C9S-6 Seattle, WA 98101 (p) 206-987-6894 douglas.opel@seattlechildrens.org PERSONAL DATA Place of Birth: Citizenship: Date of Birth: Rochester, Minnesota USA May 12, 1974 EDUCATION 1996 B.S. (Biology and Philosophy), Duke University Durham, North Carolina 2002 M.D., University of Chicago Pritzker School of Medicine Chicago, Illinois 2009 M.P.H., Health Services/Health Policy and Research, University of Washington School of Public Health Seattle, Washington POSTGRADUATE TRAINING 2002-2005 Pediatric Resident University of Washington School of Medicine Seattle, Washington 2005-2006 Chief Pediatric Resident University of Washington School of Medicine Seattle, Washington 2006-2009 Fellow Treuman Katz Center for Pediatric Bioethics Seattle Children’s Hospital Division of Bioethics, Department of Pediatrics University of Washington School of Medicine 1 Revised February 19, 2014 Seattle, Washington FACULTY POSITIONS HELD 2006-2009 Acting Instructor Department of Pediatrics University of Washington School of Medicine Seattle, Washington 2009-2012 Acting Assistant Professor Division of Bioethics Department of Pediatrics University of Washington School of Medicine Seattle, Washington 2011-2012 Acting Assistant Professor Division of General Pediatrics Department of Pediatrics University of Washington School of Medicine Seattle, Washington 2012- Assistant Professor Divisions of Bioethics and General Pediatrics Department of Pediatrics University of Washington School of Medicine Seattle, Washington 2012- Adjunct Assistant Professor Department of Bioethics and Humanities University of Washington School of Medicine Seattle, Washington 2013- Affiliate Investigator Group Health Research Institute Seattle, Washington HOSPITAL POSITIONS HELD 2004-2006 Neonatal Ground Transport Physician University of Washington Seattle Children’s Hospital Seattle, Washington 2005-2009 Urgent Care Physician Emergency Department 2 Revised February 19, 2014 Seattle Children’s Hospital Seattle, Washington 2007-2009 Attending Physician Level I and II Newborn Nursery University of Washington Medical Center Seattle, Washington 2009-2012 Attending Physician Inpatient Medicine Seattle Children’s Hospital Seattle, Washington 2006-2009, 2012- Attending Physician Pediatric Care Center, Roosevelt Clinic University of Washington Medical Center Seattle, Washington HONORS 1996 Magna Cum Laude, Duke University 1996 Howard Hughes Chemistry Student Research Award 2002 Top 25% of 2002 Graduating Class, University of Chicago Pritzker School of Medicine 2005 Award of Excellence in Healthcare Quality, Qaulis Health, for “A Multidisciplinary Parental Nutrition Ordering Model” 2006 National Association of Children’s Hospitals and Related Institutions (NACHRI) Spring Conference Quality Improvement and Patient Safety Poster Winner 2012 Member, Society of Pediatric Research 2013 Best Junior Faculty Abstract Award, Center for Clinical and Translational Research Science Day, Seattle Children’s Research Institute BOARD CERTICATION 2005 General Pediatrics, American Board of Pediatrics 3 Revised February 19, 2014 CURRENT LICENSE TO PRACTICE 2005 State of Washington, #MD00045369 PROFESSIONAL ORGANIZATIONS 2002- Member, American Academy of Pediatrics 2006- Member, American Society for Bioethics and Humanities 2009- Member, Academic Pediatric Association TEACHING RESPONSIBILITIES Medical Students and Students in Allied Health Professions 2009 UWSOM HuBio 548, Cases in Clinical Ethics 2009- UW Law School, Law H510, Topics in Law and Medicine 2008- UWSOM Third Year Medical Student Pediatrics Clerkship Lecture, Pediatric Bioethics, (approx. every 16 weeks) Pediatric Residents 2006-2009, 2012- UWMC-Roosevelt General Pediatrics Outpatient Attending: didactic sessions to pediatric residents on various topics in general pediatrics. 2007- Medically Complex Child Inpatient Pediatric Service, Seattle Children’s Hospital: Monthly ethics rounds with pediatrics interns to discuss ethical issues in the care of admitted patients. 2009-2011 General Pediatric Inpatient Attending, Seattle Children’s Hospital: clinical teaching and supervision of residents Subspecialty Fellows 4 Revised February 19, 2014 2009- Bioethics Fellow Seminar Series, Seattle Children’s Hospital Other 2008-2009 Biomedical Research Integrity Series EDITORIAL RESPONSIBILITIES 2007- Editor, Grants and Fellowships Section, Pediatric Ethics Consortium Website 2012- Consulting Editor, AAP Grand Rounds SPECIAL NATIONAL RESPONSIBILITIES 2006-2007 Member, Steering Committee, Pediatric Ethics Advisory Group, American Society for Bioethics and Humanities 2013 Member, American Academy of Arts and Sciences Workshop on “Public Trust in Vaccines: Defining a Research Agenda”, Cambridge, MA SPECIAL LOCAL RESPONSIBILITIES 2002-2006 Pediatric Residency Committee, University of Washington/Seattle Children’s Hospital 2005-2006 Quality Improvement Leadership Committee, Seattle Children’s Hospital 2005-2006 Institutional Review Board, University of Washington 2005-2010 Ethics Committee Member, Seattle Children’s Hospital 2007-2009 Leader, Working Group on Human Participant Protection in Quality Improvement Projects, Seattle Children’s Hospital 2007-2009 Cultural Consultation Committee, Seattle Children’s Hospital 2007-2012 Faculty Participant, Second Year Resident Annual 5 Revised February 19, 2014 Retreat, Seattle Children’s Hospital 2008-2009 Consultant, Research Ethics Consult Service, University of Washington School of Medicine 2010-2012 Consultant, Clinical Ethics Consult Service, University of Washington School of Medicine 2013 Selection Committee, Fellow and Resident Research Day, Department of Pediatrics, University of Washington School of Medicine 2006- Pediatric Resident Advisor, University of Washington/Seattle Children’s Hospital 2006- Consultant, Clinical Ethics Consult Service, Seattle Children’s Hospital 2010- Vice Chair, Ethics Committee, Seattle Children’s Hospital RESEARCH FUNDING Active 1K23HD069467 (PI) National Institute of Child Health and Human Development, NIH Increasing Childhood Immunization Rates through Improved Provider-Parent Communication 8/6/2011 – 6/30/2016 $129,022 (75% FTE) Group Health Foundation (co-investigator; PI: David Grossman MD, MPH) Vaccine Hesitancy over Time 1/1/2014 – 12/31/2014 $29,893 (0% FTE) Translational Research Ignition Projects Program (TRIPP), Centers for Clinical and Translational Research, Seattle Children’s Research Institute (co-PI) Parental Vaccine Hesitancy and Acceptance of Seasonal Influenza Vaccine in the Pediatric Emergency Department 11/4/2013 – 9/30/2014 $49,600 (0% FTE) Group Health Foundation (co-investigator; PI: David Grossman MD, MPH) 6 Revised February 19, 2014 Randomized controlled trial of provider intervention to improve childhood immunizations in hesitant parents 7/1/2011 – 3/31/2014 $30,242 (5% FTE) [total award] Past Mentored Scholars Program, Center for Clinical and Translational Research, Seattle Children’s Research Institute (PI) Predictive Validity and Reliability of the Parent Attitudes about Childhood Vaccines Survey 9/1/2010 – 8/31/2012 $132,658 (30% FTE) [total award] Centers for Disease Control and Prevention (co-investigator; PI: Eileen Klein MD, MPH) Rotavirus Vaccine Communication: Parents’ and Providers’ Perspectives 7/1/2010 – 8/31/2011 $20,000 (5% FTE) Pediatric Pilot Fund, Center for Clinical and Translational Research, Seattle Children’s Research Institute (PI) Development of a Questionnaire to Identify Vaccine-Hesitant Parents 9/1/09 – 8/30/10 $20,000 (0% FTE) BIBLIOGRAPHY Manuscripts in Refereed Journals: 1. Han X, Kobzik L, Zhao YY, Opel DJ, Liu WD, Kelly RA, Smith TW. Nitric oxide regulation of atrioventricular node excitability. Canadian Journal of Cardiology 1997; 13(12): 1191-201. 2. Zhao YY, Sawyer DR, Baliga RR, Opel DJ, Han X, Marchionni MA, Kelly RA. Neuregulins promote survival and growth of cardiac myocytes: persistence of ErbB2 and ErbB4 expression of neonatal and adult ventricular myocytes. Journal of Biological Chemistry 1998; 273(17): 10261-69. 3. Han X, Kubota I, Feron O, Opel DJ, Arstall MA, Zhao YY, Huang P, Fishman MC, Michel T, Kelly RA. Muscarinic cholinergic regulation of cardiac myocyte ICa-L is absent in mice with targeted disruption of endothelial nitric oxide synthase. Proceedings of the National Academy of Sciences, USA 1998; 95(11): 6510-15. 4. Feron O, Dessy C, Opel DJ, Arstall MA, Kelly RA, Michel T. Modulation of the endothelial nitric oxide synthase-caveolin interaction in cardiac myocytes: implications for the autonomic regulation of heart rate. Journal of Biological Chemistry 1998; 273(46): 30249-54. 7 Revised February 19, 2014 5. Kubota I, Han X, Opel DJ, Zhao YY, Baliga R, Huang P, Fishman MC, Shannon RP, Michel T, Kelly RA. Increased susceptibility of triggered activity in myocytes from mice with targeted disruption of endothelial nitric oxide synthase. Journal of Molecular and Cellular Cardiology 2000; 32(7): 1239-48. 6. Opel DJ, Lundin DA, Stevenson KL, Klein EJ. Glass foreign body in the spinal canal of a child: case report and review of the literature. Pediatric Emergency Care 2004; 20(7): 468-72. 7. Opel DJ, Diekema DS. The Case of A.R.: The Ethics of Sibling Donor Bone Marrow Transplantation Revisited. Journal of Clinical Ethics 2006; 17(3): 207-219. 8. Opel DJ, Shugerman R, McPhillips H, Swanson WS, Archibald S, Diekema DS. Professionalism and the Match: A Pediatric Residency Program’s Postinterview No-call Policy and its Impact on Applicants. Pediatrics 2007; 120: e826-831. 9. Opel DJ, Diekema DS, Marcuse EK. A Critique of Criteria for Evaluating Vaccines for Inclusion in Mandatory School Immunization. Pediatrics 2008; 122(2):e504-510. 10. Opel DJ, Diekema DS, Lee NR, Marcuse EK. Social Marketing as a Strategy to Increase Immunization Rates. Archives of Pediatric and Adolescent Medicine 2009; 163(5): 432-437. 11. Opel DJ, Wilfond BS, Brownstein D, Diekema DS, Pearlman RA. Characterisation of Organisational Issues in Paediatric Clinical Ethics Consultation: A Qualitative Study. Journal of Medical Ethics 2009; 35: 477-482. 12. Opel DJ, Brownstein D, Diekema DS, Wilfond BS, Pearlman RA. Integrating Ethics and Patient Safety: The Role of Clinical Ethics Consultants in Quality Improvement. Journal of Clinical Ethics 2009; 20:220-7. 13. Opel DJ, Wilfond BS. Cosmetic Surgery in Children with Cognitive Disabilites: Who Benefits? Who Decides? Hastings Center Report 2009; 39(1): 19-21. 14. Opel DJ. Denial (Case Study). Hastings Center Report 2010; Nov-Dec: 11-12. 15. Lantos J, Jackson MA, Opel DJ, Marcuse EK, Myers AL, Connelly BL. Controversies in Vaccine Mandates. Current Problems in Pediatric and Adolescent Healthcare 2010; 40(3): 41-46. 16. Opel DJ, Korfiatis C, Wiese C, Catz S, Mangione-Smith R, Taylor JA, and Martin DP. Development of a Survey to Identify Vaccine Hesitant Parents: The Parental Attitudes about Childhood Vaccines Survey. Human Vaccines 2011; 7(4): 419-425. 8 Revised February 19, 2014 17. Opel DJ, Taylor J, Mangione-Smith R, Solomon C, Catz S, and Martin D. Construct Validity of a Survey to Identify Vaccine-Hesitant Parents. Vaccine 2011; 29: 6598-6605. 18. Payne DC, Humiston S, Opel DJ, Klein E, Kennedy A, Wikswo M, Downing K, Kobayashi A, Albertin C, Chesley C, Staat M. A Multi-Center, Qualitative Assessment of Pediatrician and Parental Perspectives in Addressing the Detection of Porcine Circovirus in Rotavirus Vaccines. BMC Pediatrics 2011; 11:83. 19. Wightman A, Opel DJ, Marcuse E, Taylor J. Washington State Pediatricians’ Attitudes towards Alternative Childhood Immunization Schedules. Pediatrics 2011; 128:1094-1099. 20. Opel DJ, Diekema DS, and Marcuse EK. Assuring Research Integrity in the Wake of Wakefield: Not Just a Bad Apple, but a Defective Barrel? British Medical Journal 2011; 342:d2. 21. Opel DJ, Olson ME. Ethics for the Pediatrician: Bioethics Education and Resources. Pediatrics in Review 2012: 33(8): 370-373. 22. Opel DJ, Robinson JD, Heritage J, Korfiatis C, Taylor JA, and Mangione-Smith R. Characterizing Providers’ Immunization Communication Behaviors during Health Supervision Visits with Vaccine-Hesitant Parents: A Pilot Study. Vaccine 2012; 30: 1269-1275. 23. Taylor JA, Opel DJ. Choriophobia: A One-Act Play. Pediatrics 2012; 130: 342-6. 24. Opel DJ. Physician, Parent, Patient: Where Exactly Is the Line. Hastings Center Report 2012; 42(6): 14-18. 25. Opel DJ, Diekema DS. Finding the Proper Balance between Freedom and Justice: Why We Should Not Eliminate Personal Belief Exemptions to Vaccine Mandates. Journal of Health Policy, Politics, and Law 2012; 37(1): 111-117. 26. Opel DJ, Banerjee A, King P, Paul C, Glassy D, and Yasuda K. Washington State Licensed Child Care Facility Directors’ Perspectives on Childhood Immunization. Journal of the Pediatric Infectious Disease Society 2013; 2(1): 40-49. 27. Opel DJ, Taylor JA, Phillipi CA, Diekema DS. Who Decides What Constitutes Acceptable Risk in the Care of Children? Hospital Medicine 2013: 3(2): 87-91. 28. Opel DJ, Marcuse EM. The Enigma of Alternative Childhood Immunization Schedules: What Are the Questions? JAMA Pediatrics 2013; 167(3): 304-5. 29. Opel DJ, Marcuse EM. Window or Mirror: Social Networks' Role in Immunization Decisions. Pediatrics 2013; 131(5): e1619-20. 9 Revised February 19, 2014 30. Opel DJ, Taylor JA, Zhou C, Catz S, Myaing M, and Mangione-Smith R. The Relationship between Parent Attitudes about Childhood Vaccines Survey Score and Future Child Immunization Status: A Validation Study. JAMA Pediatrics 2013;167(11): 1065-1071. 31. Wong CA, Taylor JA, Wright JA, Opel DJ, Katzenellenbogen RA. Missed Opportunities for Adolescent Vaccination, 2006-2011. Journal of Adolescent Health 2013; 53(4):492-7. 32. Opel DJ, Banerjee A, Taylor JA. Use of Alternative Childhood Immunization Schedules in King County, Washington, USA. Vaccine 2013; 31(42):4699-701. 33. Opel DJ, Heritage J, Taylor JA, Mangione-Smith R, Salas HS, Nguyen V, Zhou C, Robinson J. The Architecture of Provider-Parent Vaccine Discussions at Health Supervision Visits. Pediatrics 2013;132(6):1037-46. 34. Opel DJ, Marcuse EM. Rethinking Vaccine Policy-Making in an Era of Vaccine Hesitancy: Time to Rebuild, Not Remodel? Human Vaccines 2013; 9(12): 1-2. 35. Opel DJ, Feemster K, Omer S, Orenstein W, Richter M, and Lantos J. A Six-Month Old with Vaccine-Hesitant Parents. Pediatrics 2014;133:526-530. Book Chapters: 1. Opel DJ, Diekema DS. Parental Refusals of Vaccination and School Vaccine Mandates: Balancing Parental Freedom, Child Welfare, and Public Health. In: Clinical Ethics in Pediatrics: A Case-based Approach; Diekema, Mercurio and Adam (Eds). Cambridge University Press. 2. Poland CM, Jacobson RM, Opel DJ, Marcuse EK, and Poland, GA. Political, Ethical, Social and Psychological Aspects of Vaccinology. In: Vaccinology: An Essential Guide; Milligan and Barrett (Eds.): Wiley-Blackwell, Inc.: in press. 3. Opel DJ, Diekema DS. Finding the Proper Balance between Freedom and Justice: Why We Should Not Eliminate Personal Belief Exemptions to Vaccine Mandates. In: Contemporary Issues in Bioethics, 8th Edition; Beauchamp, Walters, Kahn, and Mastroianni (Eds.), Thomson Learning: in press. Published Books, Videos: None. Other publications: 10 Revised February 19, 2014 1. Opel DJ, Taylor J, Mangione-Smith R, and Robinson JD. Re: Presumptive initiations in vaccine discussions with parents: acquiescence but at what cost? [E-letter], Pediatrics (January 11, 2014), http://pediatrics.aappublications.org/content/132/6/1037/reply#pediatrics_el_56975 (accessed January 21, 2014). Manuscripts Submitted to Refereed Journals: 1. Wolf ER, Opel DJ, DeHart MP, Warren J, and Rowhani-Rahbar A. The Impact of the 2011 – 2012 Pertussis Epidemic on Infant Vaccination in Washington State. Pediatrics. Abstracts: 1. Organizational Roots of Clinical Cases. Opel DJ. American Society for Bioethics and Humanities 11th Annual Meeting, Washington, D.C., 2009. Panel presentation (Improving Ethics Quality in Health Care). 2. Development of a Survey to Identify Vaccine-Hesitant Parents. Opel DJ, Korfiatis C, Wiese C, Mangione-Smith R, Taylor JA, Martin DP. Pediatric Academic Societies, Vancouver, BC, 2010. Poster presentation. 3. Rising to the Occasion: Strategies for Communicating With Vaccine Hesitant Parents. Opel DJ, Diekema DS, Marcuse EK. Pediatric Academic Societies, Vancouver, BC, 2010 and Denver, CO, 2011. Workshop presentation. 4. Vaccine Mandates: Public Health, Popular Perception, and the Reach of Public Policy. Opel DJ, Brosco J, Mastroianni A, Lantos J. American Society for Bioethics and Humanities, 11th Annual Meeting, San Diego, CA, 2010. Panel presentation. 5. A Multi-Center, Qualitative Assessment of Pediatrician and Parental Perspectives in Addressing the Detection of Porcine Circovirus in Rotavirus Vaccines. Payne DC, Humiston S, Opel DJ, Klein E, Kennedy A, Wikswo M, Downing K, Kobayashi A, Albertin C, Chesley C, Staat M. 45th National Immunization Conference, Washington, DC, March 201. Poster presentation. 6. Washington State Pediatricians’ Attitudes towards Alternative Childhood Immunization Schedules. Wightman A, Opel DJ, Marcuse E, Taylor J. Pediatric Academic Societies Annual Meeting, April 30 – May 3, 2011, Denver, CO. Poster presentation. 7. Validity and Reliability of a Survey to Identify Vaccine-Hesitant Parents. Opel, DJ, Taylor J, Mangione-Smith R, Solomon C, Catz S, and Martin D. Pediatric Academic Societies Annual Meeting, April 30 – May 3, 2011, Denver, CO. Poster presentation. 11 Revised February 19, 2014 8. A Multi-Center, Qualitative Assessment of Pediatrician and Parental Perspectives on the Detection of Porcine Circovirus in Rotavirus Vaccines. Payne DC, Humiston S, Opel DJ, Klein E, Kennedy A, Wikswo M, Downing K, Kobayashi A, Albertin C, Chesley C, Staat M. Pediatric Academic Societies Annual Meeting, April 30 – May 3, 2011, Denver, CO. Poster presentation. 9. Blurring the Boundaries of Research and Clinical Care: A Constructive Ambiguity? Unguru Y, Saltzman M, Opel DJ, Kodish E. American Society for Bioethics and Humanities, 12th Annual Meeting, Minneapolis, MN, 2011. Panel presentation. 10. Performance of the Parent Attitudes about Childhood Vaccines survey in a primary care population in Tennessee. Williams SE, Opel DJ, Rothman R, Edwards KM. Pediatric Academic Societies 13th Annual Meeting, Boston, MA, 2012. Poster presentation. 11. Negative Immunization Content in Parent-Aimed Blogs and Online Forums. Crawford J, Opel DJ. Pediatric Academic Societies Annual Meeting, 13th Annual Meeting, Boston, MA, 2012. Poster presentation. 12. Washington State Licensed Child Care Facility Directors’ Perspectives on Childhood Immunization. Opel DJ, Banerjee A, King P, Paul C, Glassy D, Yasuda K. 1st National Immunization Conference Online, 2012. Poster presentation. 13. Use of Alternative Childhood Immunization Schedules in King County, WA. Opel DJ, Banerjee A, and Taylor JA. Pediatric Academic Societies Annual Meeting, Washington, D.C., 2013. Poster presentation. 14. Perceived Quality of Providers’ Immunization Communication Among VaccineHesitant and Non-Hesitant Parents. Opel DJ, Nguyen V, Robinson J, Heritage J, Mangione-Smith R, and Taylor JA. Pediatric Academic Societies Annual Meeting, Washington, D.C., 2013. Poster presentation. 15. Missed Opportunities for Adolescent Vaccination, 2006-2011. Wong C, Taylor JA, Wright J, Opel DJ, and Katzenellenbogen R. Pediatric Academic Societies Annual Meeting, Washington, D.C., 2013. Poster presentation. 16. Score on the Parent Attitudes about Childhood Vaccines Survey Predicts a Child’s Immunization Status. Opel DJ, Taylor JA, Zhou C, Catz S, Myaing M, and MangioneSmith R. Pediatric Academic Societies Annual Meeting, Washington, D.C., May 2013. Platform presentation. 17. Risk factors for vaccine hesitancy in mothers of newborns. Henrikson N, Opel DJ, Grothaus L, Dunn J, Marcuse EK, Grossman D. 35th Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine, Philadelphia, PA, 2014. Poster presentation. 12 Revised February 19, 2014 OTHER National Invited Lectures The Ethics of Quality Improvement: Provider Obligation and the Role of External Oversight Pediatric Academic Society Annual Meeting, Quality Improvement Special Interest Group. Toronto, Ontario. May 2007. Should We Make Our Children Taller, Smarter and Stronger? The Temptations of Enhancement Bioethics Interest Group, Pediatric Academic Societies,Vancouver, BC. May 2010. Increasing Childhood Immunization through Improved Provider-Parent Communication Pediatric Grand Rounds, University of Oklahoma Health Science Center. Oklahoma City, OK. November 11, 2011. Findings on Alternative Immunization Schedule Practices Institute of Medicine Committee on Assessment of Studies of Health Outcomes Related to the Recommended Childhood Immunization Schedule. Seattle, WA. March 8, 2012. Taking Talk to the Next Level: In Search of Communication Practices that Increase Parental Immunization Acceptance National Immunization Conference Online. March 27, 2012. Rising to the Occasion: Strategies for Communicating with Vaccine Hesitant Parents American Academy of Pediatrics National Conference and Exhibition, New Orleans, LA; October 22, 2012. The Parent Attitudes about Childhood Vaccine (PACV) Survey: Development, Evaluation, and Future Directions National Vaccine Advisory Committee, Vaccine Hesitancy Working Group, Web Conference, September 9, 2013. Rising to the Occasion: New Tools and Strategies for Communicating with Vaccine Hesitant Parents Plenary Session, Annual Immunization Conference, Minnesota Department of Health, Bloomington, MN; October 10, 2013. A Discussion about the Dilemmas Clinicians Face When Parents Refuse Vaccines Annual Immunization Conference, Minnesota Department of Health, Bloomington, MN; October 10, 2013. Local and Regional Invited Lectures The Ethics of Sibling Donor Bone Marrow Transplantation North Pacific Pediatric Society 172nd Conference, Vancouver. British Columbia. 2006. 13 Revised February 19, 2014 Ethical Dilemmas Involving Hospitalized Foster Care Children: Can We Improve the Quality of Their Care? Foster Care Assessment Program Seminar Series, Children’s Hospital and Regional Medical Center. 2007. The Childhood Vaccination Controversy: Historical, Legal, and Ethical Aspects Northwest Association for Biomedical Research, Mid-Year Ethics Dinner. Seattle, WA. January 2010. Ethical Issues in the Treatment of Children Patient Navigators Educational Session. Seattle Children’s Hospital. September 15, 2010. Clinical Ethics at Seattle Children’s: Theory and Practice Medical Unit Nurse In-service. Seattle Children’s Hospital. November 5, 2010. Validity and Reliability of Survey to Identify Vaccine-Hesitant Parents Science Day, Seattle Children’s Research Institute Center for Clinical and Translational Research. Seattle, WA. June 2, 2011. The Basics of Ethics Committees 24th and 26th Annual Summer Seminar in Health Care Ethics, University of Washington School of Medicine; Seattle, WA; August 5, 2011 and August 9, 2013. Physician, Patient, Parent: Where Exactly is the Line? 8th Annual Pediatric Bioethics Conference, Treuman Katz Center for Pediatric Bioethics, Seattle Children’s Hospital; Seattle, WA; July 27, 2012. Approaching Challenging Ethical Issues in Pediatrics: Implications for Nursing Annual Nursing Competency Days, Seattle Children's Hospital; Seattle, WA; September 17-18, 2012. The Relationship between Parent Attitudes about Childhood Vaccines Survey Scores and Future Child Immunization Status: A Validation Study Science Day, Seattle Children’s Research Institute Center for Clinical and Translational Research. Seattle, WA; April 11, 2013. Everyday Ethics: A Discussion about the Dilemmas We Face When Parents Refuse Vaccines Spokane Pediatric Society, Spokane, WA; June 11, 2013. Rising to the Occasion: New Tools and Strategies for Communicating with Vaccine Hesitant Parents Grand Rounds, Providence Sacred Heart Children’s Hospital, Spokane, WA; June 12, 2013. 14 Revised February 19, 2014 Shared Decision-Making in Medicine: A Decrepit Concept Bioethics Grand Rounds, UWMC, Seattle, WA; November 14, 2013. Shared Decision-Making in Medicine: A Decrepit Concept Pediatric Advance Care Team Staff Meeting, Seattle Children’s Hospital, Seattle, WA; January 9, 2014. Suffering and Personhood Schwartz Center Rounds, Seattle Children’s Hospital, Seattle, WA; January 27, 2014. 15