

Stephanie Harman
Palliative medicine doctor
Clinical Associate Professor, Medicine - Primary Care and Population Health
Bio:
Dr. Harman graduated from Case Western Reserve University School of Medicine. She then completed a residency in Internal Medicine at Stanford and a Palliative Care fellowship at the Palo Alto VA/Stanford program before joining the faculty at Stanford. She is the founding medical director of Palliative Care Services for Stanford Health Care and a 2017 Cambia Sojourns Scholar Leader Awardee. She is a Clinical Associate Professor in the Department of Medicine and a faculty member in the Stanford Center for Biomedical Ethics. She serves as the clinical section chief of Palliative Care in the Division of Primary Care and Population Health and co-chairs the Stanford Health Care Ethics Committee. Her research and educational interests include communication training in healthcare, bioethics in end-of-life care, and the application of machine learning to improve access to palliative care.
Professional Education
- Fellowship: Stanford University Hospice and Palliative Care Fellowship (2007) CA
- Residency: Stanford University Internal Medicine Residency (2006) CA
- Medical Education: Case Western Reserve School of Medicine (2003) OH
- Board Certification: American Board of Internal Medicine, Internal Medicine (2006)
- Board Certification: American Board of Internal Medicine, Hospice and Palliative Medicine (2008)
Honors & Awards
- Arnold P. Gold Professorship, Arnold P. Gold Foundation (2011-2014)
- Cambia Sojourns Scholar Leadership Award, Cambia Health Foundation (October 1, 2017)
- Fellow, Stanford Faculty Fellows Program, Stanford University School of Medicine (2013-2014)
- Isaac Stein Award for Compassionate Care, Stanford Hospital and Clinics Board of Directors (September 23, 2009)
Administrative Appointments
- Associate Chair for Women in Medicine, Stanford Department of Medicine (2021 - Present)
- Associate Residency Program Director, Department of Medicine (2011 - 2017)
- Chairperson, Jonathan King Lectureship Committee, Stanford Center for Biomedical Ethics (2011 - 2020)
- Ethics Committee, Co-Chair (2013), Stanford University Medical Center (2007 - Present)
- Leadership Council on Clinical Excellence, Stanford Department of Medicine (2014 - 2019)
- Professional Practice and Evaluation Committee, Stanford Department of Medicine (2009 - 2017)
- Stanford Senior Physicians Disaster Management Committee, Stanford University Medical Center (2011 - Present)
Publications
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Palliative Care Rounds: Toward Evidence-Based Practice
Dy, S. M., Harman, S. M., Braun, U. K., Howie, L. J., Harris, P. F., & Jayes, R. L. (2012). Palliative Care Rounds: Toward Evidence-Based Practice. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 43(4), 795–801. -
Update in Palliative Care-2011
Harris, P. F., Arnold, R. M., Braun, U. K., Fromme, E., Ghermay, R., Harman, S., … Walling, A. M. (2012). Update in Palliative Care-2011. JOURNAL OF GENERAL INTERNAL MEDICINE, 27(5), 582–587. -
Late referral to palliative care consultation service: length of stay and in-hospital mortality outcomes.
Humphreys, J., & Harman, S. (2014). Late referral to palliative care consultation service: length of stay and in-hospital mortality outcomes. The Journal of Community and Supportive Oncology, 12(4), 129–36. -
Patients Who Lack Capacity and Lack Surrogates: Can They Enroll in Hospice?
Effiong, A., & Harman, S. (2014). Patients Who Lack Capacity and Lack Surrogates: Can They Enroll in Hospice? JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 48(4), 745–U277.
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Curricular innovations for medical students in palliative and end-of-life care: a systematic review and assessment of study quality.
Decoste-Lopez, J., Madhok, J., & Harman, S. (2015). Curricular innovations for medical students in palliative and end-of-life care: a systematic review and assessment of study quality. Journal of Palliative Medicine, 18(4), 338–49.
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Curricular Innovations for Medical Students in Palliative and End-of-Life Care: A Systematic Review and Assessment of Study Quality
DeCoste-Lopez, J., Madhok, J., & Harman, S. (2015). Curricular Innovations for Medical Students in Palliative and End-of-Life Care: A Systematic Review and Assessment of Study Quality. JOURNAL OF PALLIATIVE MEDICINE, 18(4), 338–49.
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Patients who lack capacity and lack surrogates: can they enroll in hospice?
Effiong, A., & Harman, S. (2014). Patients who lack capacity and lack surrogates: can they enroll in hospice? Journal of Pain and Symptom Management, 48(4), 745–50 e1.
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The State of Medical Student Performance Evaluations: Improved Transparency or Continued Obfuscation?
Hom, J., Richman, I., Hall, P., Ahuja, N., Harman, S., Harrington, R., & Witteles, R. (2016). The State of Medical Student Performance Evaluations: Improved Transparency or Continued Obfuscation? Academic Medicine , 91(11), 1534–39.
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A resident-created hospitalist curriculum for internal medicine housestaff.
Kumar, A., Smeraglio, A., Witteles, R., Harman, S., Nallamshetty, S., Rogers, A., … Ahuja, N. (2016). A resident-created hospitalist curriculum for internal medicine housestaff. Journal of Hospital Medicine, 11(9), 646–49.
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TRIAD VIII: Nationwide Multicenter Evaluation to Determine Whether Patient Video Testimonials Can Safely Help Ensure Appropriate Critical Versus End-of-Life Care.
Mirarchi, F. L., Cooney, T. E., Venkat, A., Wang, D., Pope, T. M., Fant, A. L., … Gordon, B. D. (2017). TRIAD VIII: Nationwide Multicenter Evaluation to Determine Whether Patient Video Testimonials Can Safely Help Ensure Appropriate Critical Versus End-of-Life Care. Journal of Patient Safety.
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A high value care curriculum for interns: a description of curricular design, implementation and housestaff feedback.
Hom, J., Kumar, A., Evans, K. H., Svec, D., Richman, I., Fang, D., … Shieh, L. (2017). A high value care curriculum for interns: a description of curricular design, implementation and housestaff feedback. Postgraduate Medical Journal.
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Early Experience With the California End of Life Option Act: Balancing Institutional Participation and Physician Conscientious Objection.
Harman, S. M., & Magnus, D. (2017). Early Experience With the California End of Life Option Act: Balancing Institutional Participation and Physician Conscientious Objection. JAMA Internal Medicine.
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Improving palliative care with deep learning.
Avati, A., Jung, K., Stephanie, H., Lance, D., Ng, A., & Shah, N. (2017). Improving palliative care with deep learning. Presented at the IEEE International Conference on Bioinformatics and Biomedicine, Kansas City, MO.
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The SDM 3 Circle Model: A Literature Synthesis and Adaptation for Shared Decision Making in the Hospital.
Rennke, S., Yuan, P., Monash, B., Blankenburg, R., Chua, I., Harman, S., … Satterfield, J. (2017). The SDM 3 Circle Model: A Literature Synthesis and Adaptation for Shared Decision Making in the Hospital. Journal of Hospital Medicine, 12(12), 1001–8.
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PALLIATIVE CARE AND ANTI-CANCER CARE INTEGRATION: DESCRIPTION OF THREE MODELS OF CARE DELIVERY AT A TERTIARY MEDICAL CENTER
Ramchandran, K. J., Fronk, J., Trieu, S., Wakelee, H. A., Das, M., Neal, J. W., … Blayney, D. (2013). PALLIATIVE CARE AND ANTI-CANCER CARE INTEGRATION: DESCRIPTION OF THREE MODELS OF CARE DELIVERY AT A TERTIARY MEDICAL CENTER. JOURNAL OF THORACIC ONCOLOGY, 8, S1324.
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Shared Decision-Making During Inpatient Rounds: Opportunities for Improvement in Patient Engagement and Communication.
Blankenburg, R., Hilton, J. F., Yuan, P., Rennke, S., Monash, B., Harman, S. M., … Xie, L. (2018). Shared Decision-Making During Inpatient Rounds: Opportunities for Improvement in Patient Engagement and Communication. Journal of Hospital Medicine.
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SHARED DECISION-MAKING DURING INPATIENT ROUNDS: DISSIMILAR YET CORRELATED PERSPECTIVES OF PATIENTS/GUARDIANS AND PHYSICIAN OBSERVERS
Rennke, S., Monash, B., Blankenburg, R., Yuan, P., Harman, S. M., Hilton, J. F., … Satterfield, J. (2015). SHARED DECISION-MAKING DURING INPATIENT ROUNDS: DISSIMILAR YET CORRELATED PERSPECTIVES OF PATIENTS/GUARDIANS AND PHYSICIAN OBSERVERS. JOURNAL OF GENERAL INTERNAL MEDICINE, 30, S252.
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GOT SDM?: A MULTIMODAL INTERVENTION TO IMPROVE SHARED DECISION-MAKING DURING INPATIENT ROUNDS ON MEDICINE AND PEDIATRIC SERVICES
Blankenburg, R., Rennke, S., Sakai, D. S., Harman, S. M., Yuan, P., Hosamani, P., … Monash, B. (2016). GOT SDM?: A MULTIMODAL INTERVENTION TO IMPROVE SHARED DECISION-MAKING DURING INPATIENT ROUNDS ON MEDICINE AND PEDIATRIC SERVICES. JOURNAL OF GENERAL INTERNAL MEDICINE, 31, S233–S234.
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SHARED DECISION MAKING DURING INPATIENT ROUNDS: OPPORTUNITIES FOR IMPROVEMENT IN PATIENT ENGAGEMENT AND COMMUNICATION
Harman, S. M., Hosamani, P., Shieh, L., Huynh, E., Rennke, S., Monash, B., … Satterfield, J. (2015). SHARED DECISION MAKING DURING INPATIENT ROUNDS: OPPORTUNITIES FOR IMPROVEMENT IN PATIENT ENGAGEMENT AND COMMUNICATION. JOURNAL OF GENERAL INTERNAL MEDICINE, 30, S251.
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HOW PATIENT-CENTERED ARE YOU? THE IMPLEMENTATION AND ASSESSMENT OF A TRAIN-THE-TRAINER SHARED DECISION MAKING CURRICULUM FOR HOSPITAL BEDSIDE ROUNDS
Rennke, S., Monash, B., Blankenburg, R., Sakai, D., Harman, S. M., Khan, A., … Satterfield, J. (2014). HOW PATIENT-CENTERED ARE YOU? THE IMPLEMENTATION AND ASSESSMENT OF A TRAIN-THE-TRAINER SHARED DECISION MAKING CURRICULUM FOR HOSPITAL BEDSIDE ROUNDS. JOURNAL OF GENERAL INTERNAL MEDICINE, 29, S520.
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A Qualitative Study on Inappropriate ICU Admissions: One Step Closer to Preventing Inappropriate ICU Care
Harman, S., Marks, N. R., Kruse, K., Bruce, J., & Magnus, D. (2018). A Qualitative Study on Inappropriate ICU Admissions: One Step Closer to Preventing Inappropriate ICU Care. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 55(2), 686.
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Improving Palliative Care with Deep Learning
Avati, A., Jung, K., Harman, S., Downing, L., Ng, A., & Shah, N. H. (2017). Improving Palliative Care with Deep Learning. 2017 IEEE INTERNATIONAL CONFERENCE ON BIOINFORMATICS AND BIOMEDICINE (BIBM), 311–16.
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"Don't Limit Me'': Discussing Serious News with Intellectually Disabled Adults
Vega, C., Hui, F., Harman, S., Mildred, L., & Schroeder, K. (2018). "Don't Limit Me'': Discussing Serious News with Intellectually Disabled Adults. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 55(2), 622.
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Psychiatric and Palliative Care in the Intensive Care Unit
Harman, S. M. (2017). Psychiatric and Palliative Care in the Intensive Care Unit. CRITICAL CARE CLINICS, 33(3), 735-+.
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Update in Hospital Palliative Care: Symptom Management, Communication, Caregiver Outcomes, and Moral Distress
Havyer, R. D., Pomerantz, D. H., Jayes, R. L., Harris, P. F., Harman, S. M., & Ansari, A. A. (2018). Update in Hospital Palliative Care: Symptom Management, Communication, Caregiver Outcomes, and Moral Distress. JOURNAL OF HOSPITAL MEDICINE, 13(6), 419–23.
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INAPPROPRIATE ICU ADMISSIONS: ONE STEP CLOSER TO ADDRESSING INAPPROPRIATE ICU CARE FOR PATIENTS
Marks, R., Kruse, K., Magnus, D., Bruce, J., & Harman, S. (2018). INAPPROPRIATE ICU ADMISSIONS: ONE STEP CLOSER TO ADDRESSING INAPPROPRIATE ICU CARE FOR PATIENTS. CRITICAL CARE MEDICINE, 46(1), 229.
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Prevalence and Financial Impact of Inappropriate Thrombophilia Testing in the Inpatient Hospital Setting: A Retrospective Analysis
Mou, E., Kwang, H., Hom, J., Shieh, L., Ahuja, N., Harman, S., … Berube, C. (2016). Prevalence and Financial Impact of Inappropriate Thrombophilia Testing in the Inpatient Hospital Setting: A Retrospective Analysis. BLOOD, 128(22).
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The State of Medical Student Performance Evaluations: Improved Transparency or Continued Obfuscation?
Hom, J., Richman, I., Hall, P., Ahuja, N., Harman, S., Harrington, R., & Witteles, R. (2016). The State of Medical Student Performance Evaluations: Improved Transparency or Continued Obfuscation? ACADEMIC MEDICINE, 91(11), 1534–39.
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Improving palliative care with deep learning.
Avati, A., Jung, K., Harman, S., Downing, L., Ng, A., & Shah, N. H. (2018). Improving palliative care with deep learning. BMC Medical Informatics and Decision Making, 18(Suppl 4), 122.
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Implementing a Bereaved Family Survey to Improve Palliative and End of Life Care at Academic Medical Centers
Kaltman, J., Walling, A., Lorenz, K., Casarett, D., & Harman, S. (2019). Implementing a Bereaved Family Survey to Improve Palliative and End of Life Care at Academic Medical Centers. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 57(2), 402.
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Women in Leadership: Pathways for Empowerment, Leadership, Action and Culture Change (CAMBIA)
Bernacki, R., Davidson, P., Harman, S., Kutner, J. S., Lafond, D., Maguire, P., & Ritchie, C. (2019). Women in Leadership: Pathways for Empowerment, Leadership, Action and Culture Change (CAMBIA). JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 57(2), 440.
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When Worlds Collide: Decision Making and Palliative Care for Patients with Mental Illness
Harman, S., Hsin, G., & Kilbane, E. (2016). When Worlds Collide: Decision Making and Palliative Care for Patients with Mental Illness. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 51(2), 378.
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Lights! Camera! Feedback! Video-Based Coaching to Improve Teaching and Communication Skills
Harman, S., Arnold, R., & Carey, E. (2015). Lights! Camera! Feedback! Video-Based Coaching to Improve Teaching and Communication Skills. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 49(2), 348–49.
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EARLY VS. LATE ACCESS TO PALLIATIVE CARE CONSULTATION: DOES IT MAKE A DIFFERENCE?
Humphreys, J., & Harman, S. (2012). EARLY VS. LATE ACCESS TO PALLIATIVE CARE CONSULTATION: DOES IT MAKE A DIFFERENCE? JOURNAL OF GENERAL INTERNAL MEDICINE, 27, S174.
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Outpatient palliative care at a tertiary cancer center: Perceptions, pathways, and pitfalls
Ramchandran, K., Trieu, S., Harman, S., Passaglia, J., Rodriguez, J., Dwyer, P., & Oden, R. (2012). Outpatient palliative care at a tertiary cancer center: Perceptions, pathways, and pitfalls. JOURNAL OF CLINICAL ONCOLOGY, 30(34).
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Promoting Shared Decision-Making Behaviors During Inpatient Rounds: A Multimodal Educational Intervention.
Harman, S. M., Blankenburg, R., Satterfield, J. M., Monash, B., Rennke, S., Yuan, P., … Hilton, J. F. (2019). Promoting Shared Decision-Making Behaviors During Inpatient Rounds: A Multimodal Educational Intervention. Academic Medicine : Journal of the Association of American Medical Colleges.
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Promoting Shared Decision-Making Behaviors During Inpatient Rounds: A Multimodal Educational Intervention
Harman, S. M., Blankenburg, R., Satterfield, J. M., Monash, B., Rennke, S., Yuan, P., … Hilton, J. F. (2019). Promoting Shared Decision-Making Behaviors During Inpatient Rounds: A Multimodal Educational Intervention. ACADEMIC MEDICINE, 94(7), 1010–18.
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Thrombophilia testing in the inpatient setting: impact of an educational intervention.
Kwang, H., Mou, E., Richman, I., Kumar, A., Berube, C., Kaimal, R., … Hom, J. (2019). Thrombophilia testing in the inpatient setting: impact of an educational intervention. BMC Medical Informatics and Decision Making, 19(1), 167.
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Protecting the Sanctity of the Patient-Physician Relationship.
Harman, S., & Verghese, A. (2019). Protecting the Sanctity of the Patient-Physician Relationship. JAMA.
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THE RELATIONSHIP BETWEEN DO-NOT-RESUSCITATE AND NO ESCALATION OF TREATMENT
Batten, J., Taylor, G., Blythe, J., Porter-Williamson, K., Dzeng, E., Cotler, M., … Magnus, D. (2019). THE RELATIONSHIP BETWEEN DO-NOT-RESUSCITATE AND NO ESCALATION OF TREATMENT. CRITICAL CARE MEDICINE, 47.
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Protecting the Sanctity of the Patient-Physician Relationship
Harman, S., & Verghese, A. (2019). Protecting the Sanctity of the Patient-Physician Relationship. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 322(20), 1957–58.
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Power and perils of prediction in palliative care.
Porter, A. S., Harman, S., & Lakin, J. R. (2020). Power and perils of prediction in palliative care. Lancet (London, England), 395(10225), 680–81.
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Power and perils of prediction in palliative care
Porter, A. S., Harman, S., & Lakin, J. R. (2020). Power and perils of prediction in palliative care. LANCET, 395(10225), 680–81.
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What If I Get Seriously Ill? A Virtual Workshop for Advance Care Planning During COVID-19.
Smith, G. M., Hui, F. A., Bleymaier, C. R., Bragg, A. R., & Harman, S. M. (2020). What If I Get Seriously Ill? A Virtual Workshop for Advance Care Planning During COVID-19. Journal of Pain and Symptom Management.
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Variation in the design of Do Not Resuscitate orders and other code status options: a multi-institutional qualitative study.
Batten, J. N., Blythe, J. A., Wieten, S., Cotler, M. P., Kayser, J. B., Porter-Williamson, K., … Magnus, D. (2020). Variation in the design of Do Not Resuscitate orders and other code status options: a multi-institutional qualitative study. BMJ Quality & Safety.
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The Palliative Care-Promoting Access and Improvement of the Cancer Experience (PC-PAICE) Project in India: A Multisite International Quality Improvement Collaborative.
Lorenz, K. A., Mickelsen, J., Vallath, N., Bhatnagar, S., Spruyt, O., Rabow, M., … DeNatale, M. (2020). The Palliative Care-Promoting Access and Improvement of the Cancer Experience (PC-PAICE) Project in India: A Multisite International Quality Improvement Collaborative. Journal of Pain and Symptom Management.
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A framework for making predictive models useful in practice.
Jung, K., Kashyap, S., Avati, A., Harman, S., Shaw, H., Li, R., … Shah, N. H. (2020). A framework for making predictive models useful in practice. Journal of the American Medical Informatics Association : JAMIA.
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