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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.

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Summary
Clinical Trials

Summary
Clinical Trials

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)

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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)

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Administrative Appointments

Associate Residency Program Director, Department of Medicine (2011 - 2017)
Chairperson, Jonathan King Lectureship Committee, Stanford Center for Biomedical Ethics (2011 - Present)
Ethics Committee, Co-Chair (2013), Stanford University Medical Center (2007 - Present)
Leadership Council on Clinical Excellence, Stanford Department of Medicine (2014 - Present)
Professional Practice and Evaluation Committee, Stanford Department of Medicine (2009 - 2017)
Stanford Commitee on Professional Satisfaction and Support, Stanford University Medical Center (2012 - Present)
Stanford Senior Physicians Disaster Management Committee, Stanford University Medical Center (2011 - Present)

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Publications

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.
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.
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.
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.
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.
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.
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.
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.
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.
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-+.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
"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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
Protecting the Sanctity of the Patient-Physician Relationship. Harman, S., & Verghese, A. (2019). Protecting the Sanctity of the Patient-Physician Relationship. JAMA.
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.
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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A ProspectiveTrial Using Video Images in Advance Care Planning in Hospitalized Seriously Ill Patients With Advanced Cancer Any Cancer or Solid Tumor, Cancer

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Stephanie Harman