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D Hester

TitleProfessor
InstitutionUniversity of Arkansas for Medical Sciences
DepartmentDepartment Chairs, College of Medicine
Address500 Freeway Medical Tower
5800 W. 10th
Mail Slot # 646
Little Rock AR 72204
Phone501-661-7970
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    Other Positions
    TitleProfessor
    InstitutionUniversity of Arkansas for Medical Sciences
    DepartmentPediatrics, College of Medicine

    TitleProfessor
    InstitutionUniversity of Arkansas for Medical Sciences
    DepartmentPharmacology and Toxicology, College of Medicine

    TitleAdjunct Professor
    InstitutionUniversity of Arkansas for Medical Sciences
    DepartmentNursing Education, College of Nursing


    Collapse Overview 
    Collapse overview
    I am the Chair of the Department of Medical Humanities & Bioethics and a clinical and research ethicist here at UAMS since 2004. I have a PhD in philosophy from Vanderbilt University. My scholarly work has been in the areas of patient-provider relationships, end-of-life issues, pediatric ethics, and ethics education. I am deeply concerned by issues of transparency in consent processes for research, including challenges posed by what has been called "therapeutic misconception"--when would-be participant are focused on therapeutic outcomes, and blind to the fact that they are agreeing to be research subjects. I have done work in assent in pediatric research protocols, as well. I also have over two decades of IRB service experience, and provide research ethics consultations, as requested.

    I am available to discuss ethical issues that are raised by specific research, and thereby to help think through and monitor ethical challenges in research, from protocol development to consent issues to IRB considerations.


    Collapse Affiliation 
    Collapse clinical activities
    Clinical Ethicist

    Collapse Biography 
    Collapse Leadership and Administrative Roles
    Research Ethics Consultant

    UAMS IRB member

    NCI Pediatric CIRB member

    Collapse awards and honors
    2011 - 2011Expert Education Award - Certified Reserach Specialist Program, UAMS
    2010 - 2013Education Excellence Award, UAMS COM

    Collapse Research 
    Collapse research activities and funding
    R24MH085104     (CURRAN, GEOFFREY M)Sep 1, 2010 - May 31, 2017
    NIH
    Partnership for Implementation of Evidence-Based Practices in Rural Primary Care
    Role: Co-Investigator
    UL1TR000039     (JAMES, LAURA P)Jul 14, 2009 - Mar 31, 2016
    NIH
    Arkansas Center for Clinical and Translational Research
    Role: Co-Investigator
    UL1RR029884     (LOWERY, CURTIS L)Jul 14, 2009 - Mar 31, 2014
    NIH
    Arkansas Center for Clinical and Translational Research
    Role: Co-Investigator

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions. Don't see publications published under other names? Login to add alternative names.
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    1. Harris KW, Cunningham TV, Hester DM, Armstrong K, Kim A, Harrell FE, Fanning JB. Comparison Is Not a Zero-Sum Game: Exploring Advanced Measures of Healthcare Ethics Consultation. AJOB Empir Bioeth. 2021 Apr-Jun; 12(2):123-136. PMID: 33215975.
      View in: PubMed
    2. Hester DM. Determining Death and the Scope of Medical Obligations. Am J Bioeth. 2020 06; 20(6):37-39. PMID: 32618504.
      View in: PubMed
    3. Hester D. Dissection notes: first day. CMAJ. 2020 05 04; 192(18):E486. PMID: 32366473.
      View in: PubMed
    4. Antommaria AHM, Gibb TS, McGuire AL, Wolpe PR, Wynia MK, Applewhite MK, Caplan A, Diekema DS, Hester DM, Lehmann LS, McLeod-Sordjan R, Schiff T, Tabor HK, Wieten SE, Eberl JT. Ventilator Triage Policies During the COVID-19 Pandemic at U.S. Hospitals Associated With Members of the Association of Bioethics Program Directors. Ann Intern Med. 2020 08 04; 173(3):188-194. PMID: 32330224.
      View in: PubMed
    5. Purvis RS, Long CR, Eisenberg LR, Hester DM, Cunningham TV, Holland A, Chatrathi HE, McElfish PA. First Do No Harm: Ethical Concerns of Health Researchers That Discourage the Sharing of Results With Research Participants. AJOB Empir Bioeth. 2020 Apr-Jun; 11(2):104-113. PMID: 32163009.
      View in: PubMed
    6. Hester DM, Eisenberg L, Guidry-Grimes L. Regulating Decisions for Incapacitated Pregnant Women. JAMA. 2019 09 03; 322(9):894-895. PMID: 31479132.
      View in: PubMed
    7. Hester DM, Swota A. Choosing to Stop a Heart: The Ethical Status of Deactivating an Implantable Cardiac Device. Camb Q Healthc Ethics. 2019 04; 28(2):327-328. PMID: 31113517.
      View in: PubMed
    8. Hester DM. Offering the "Reasonable Interests Standard" in Response to Ross's Analysis of the Best Interests Standard. J Clin Ethics. 2019; 30(3):196-200. PMID: 31573961.
      View in: PubMed
    9. Hester DM, Lang KR, Garrison NA, Diekema DS. Agreed: The Harm Principle Cannot Replace the Best Interest Standard … but the Best Interest Standard Cannot Replace The Harm Principle Either. Am J Bioeth. 2018 08; 18(8):38-40. PMID: 30133400.
      View in: PubMed
    10. Higginson J, Lang KR, Ransom H, Parker C, Ledoux M, Hester DM, Lantos JD. When a Mother Changes Her Mind About a DNR. Pediatrics. 2018 07; 142(1). PMID: 29929996.
      View in: PubMed
    11. Willig L, Paquette E, Hester DM, Warady BA, Lantos JD. Parents Refusing Dialysis for a 3-Month-Old With Renal Failure. Pediatrics. 2018 03; 141(3). PMID: 29490907.
      View in: PubMed
    12. Guidry-Grimes LK, Hester DM. Posthumous HIV Disclosure and Relational Rupture. J Clin Ethics. 2018; 29(3):196-200. PMID: 30226820.
      View in: PubMed
    13. King AB, Alvis BD, Hester D, Taylor S, Higgins M. Randomized trial of a novel double lumen nasopharyngeal catheter versus traditional nasal cannula during total intravenous anesthesia for gastrointestinal procedures. J Clin Anesth. 2017 May; 38:52-56. PMID: 28372678.
      View in: PubMed
    14. Mathews DJ, Hester DM, Kahn J, McGuire A, McKinney R, Meador K, Philpott-Jones S, Youngner S, Wilfond BS. A Conceptual Model for the Translation of Bioethics Research and Scholarship. Hastings Cent Rep. 2016 09; 46(5):34-9. PMID: 27649827.
      View in: PubMed
    15. Fausett JK, Gilmore-Szott E, Hester DM. Networking Ethics: A Survey of Bioethics Networks Across the U.S. HEC Forum. 2016 Jun; 28(2):153-67. PMID: 26055879.
      View in: PubMed
    16. Swota A, Lew CD, Hester DM. What Is a Parent to Do?: The Case of Baby G. Perspect Biol Med. 2016; 58(3):320-1. PMID: 27157348.
      View in: PubMed
    17. Hester DM, Lew CD, Swota A. When Rights Just Won't Do: Ethical Considerations When Making Decisions for Severely Disabled Newborns. Perspect Biol Med. 2016; 58(3):322-7. PMID: 27157349.
      View in: PubMed
    18. Merrick A, Green R, Cunningham TV, Eisenberg LR, Hester DM. Introducing the Medical Ethics Bowl. Camb Q Healthc Ethics. 2016 Jan; 25(1):141-9. PMID: 26788954.
      View in: PubMed
    19. Hester DM. Procuring Pressure. Narrat Inq Bioeth. 2016; 6(1):23-6. PMID: 27346816.
      View in: PubMed
    20. Pipon CB, Lemoine MÈ, Laliberté M, Williams-Jones B, Bustillos D, Fernandes AK, Harter TD, Hester DM, Marshall MF, Rosoff PM, Scofield GR. Narrative Symposium: Political Influence on Bioethical Deliberation. Narrat Inq Bioeth. 2016; 6(1):3-36. PMID: 27763418.
      View in: PubMed
    21. Morrison W, Womer J, Nathanson P, Kersun L, Hester DM, Walsh C, Feudtner C. Pediatricians' Experience with Clinical Ethics Consultation: A National Survey. J Pediatr. 2015 Oct; 167(4):919-924.e1. PMID: 26210945.
      View in: PubMed
    22. Alvis BD, Hester D, Watson D, Higgins M, St Jacques P. Randomized controlled trial comparing the McGrath MAC video laryngoscope with the King Vision video laryngoscope in adult patients. Minerva Anestesiol. 2016 Jan; 82(1):30-5. PMID: 25881731.
      View in: PubMed
    23. Hester DM. Vulnerability as the Human Condition. Perspect Biol Med. 2015; 58(4):466-74. PMID: 27397051.
      View in: PubMed
    24. Eisenberg L, Cunningham TV, Hester DM. Closure but no cigar. Am J Bioeth. 2015; 15(1):44-6. PMID: 25562227.
      View in: PubMed
    25. Hester DM, Swota A. Common morality: introduction. Camb Q Healthc Ethics. 2014 Jan; 23(1):73-5. PMID: 24256602.
      View in: PubMed
    26. Hester DM. What could justify physician refusal of puberty suppressive therapy? Am J Bioeth. 2014; 14(1):46-8. PMID: 24422934.
      View in: PubMed
    27. Schonfeld T, Hester DM. Nonadherence to medications. JAMA. 2013 Oct 09; 310(14):1504-5. PMID: 24104378.
      View in: PubMed
    28. Wilfond BS, Magnus D, Antommaria AH, Appelbaum P, Aschner J, Barrington KJ, Beauchamp T, Boss RD, Burke W, Caplan AL, Capron AM, Cho M, Clayton EW, Cole FS, Darlow BA, Diekema D, Faden RR, Feudtner C, Fins JJ, Fost NC, Frader J, Hester DM, Janvier A, Joffe S, Kahn J, Kass NE, Kodish E, Lantos JD, McCullough L, McKinney R, Meadow W, O'Rourke PP, Powderly KE, Pursley DM, Ross LF, Sayeed S, Sharp RR, Sugarman J, Tarnow-Mordi WO, Taylor H, Tomlinson T, Truog RD, Unguru YT, Weise KL, Woodrum D, Youngner S. The OHRP and SUPPORT. N Engl J Med. 2013 Jun 20; 368(25):e36. PMID: 23738513.
      View in: PubMed
    29. Hester D, McGrane S, Higgins MS. Respiratory parameters as a surrogate marker for duration of intubation: potential application of automated vital sign collection. J Clin Monit Comput. 2013 Oct; 27(5):561-5. PMID: 23584572.
      View in: PubMed
    30. Hester DM. Guidance for Ethics Committees - an anthology of newly written material to help educate ethics committee members. 2012.
    31. Hester DM. Guidance for Ethics Committees. 2012.
    32. Campbell AT, Derrington SF, Hester DM, Lew CD. Her own decision: impairment and authenticity in adolescence. J Clin Ethics. 2012; 23(1):47-55. PMID: 22462383.
      View in: PubMed
    33. Hester DM. Guidance for Ethics Committees. Cambridge University Press. 2012.
    34. Hester DM. Guidance for Ethics Committees - an anthology of newly written material to help educate ethics committee members. 2012.
    35. Hester DM, Green J. It's all about the brain. Am J Bioeth. 2011 Aug; 11(8):44-5. PMID: 21806439.
      View in: PubMed
    36. Swota AH, Hester DM. Ethics for the pediatrician: providing culturally effective health care. Pediatr Rev. 2011 Mar; 32(3):e39-43. PMID: 21364011.
      View in: PubMed
    37. Hester DM. What role should moral intuitions play when dealing with children? Am J Bioeth. 2010 Jan; 10(1):56. PMID: 20077342.
      View in: PubMed
    38. Hester DM, Swota A. Human rights and genetic technologies. Camb Q Healthc Ethics. 2010; 19(1):126-7. PMID: 20050401.
      View in: PubMed
    39. Hester DM. End of Life Care and Pragmatic Decision Making - A Bioethical Perspective. Cambridge University Press. 2010.
    40. Hester DM, Talisse RB. Physician deception and patient autonomy. Am J Bioeth. 2009 Dec; 9(12):22-3. PMID: 20013490.
      View in: PubMed
    41. Hester DM, Schonfeld T. Pardon my asking: what's new? Am J Bioeth. 2009 Aug; 9(8):11-3. PMID: 19998147.
      View in: PubMed
    42. Hester DM. Opting-out: the relationship between moral arguments and public policy in organ procurement. Camb Q Healthc Ethics. 2009 Apr; 18(2):159-65. PMID: 19263599.
      View in: PubMed
    43. Levi B, Hester DM. Establishing common ground in a one-time patient encounter. Virtual Mentor. 2009 Mar 01; 11(3):215-22. PMID: 23194902.
      View in: PubMed
    44. Hester DM. Adolescent decisionmaking, part I: Introduction. Camb Q Healthc Ethics. 2009; 18(3):300-2. PMID: 19460232.
      View in: PubMed
    45. Hester DM, Brown J, Schonfeld T. Pragmatism, principles, and protection. Am J Bioeth. 2008 Apr; 8(4):32-4. PMID: 18576249.
      View in: PubMed
    46. Hester DM. Pediatric Ethics – Why It Deserves Special Attention. Practical Medicine and Bioethics. 2008; 3(4):1,5-6.
    47. Hester DM. Ethics by Committee: A Textbook on Consultation, Organization, and Education. Rowman & Littlefield. 2008; 312.
    48. Hester DM. Contemporary Issues in Bioethics,. Why We Must Leave Our Organs to Others. 2008; 7.
    49. Hester DM, Denise Dudzinski (ed.), Paul J. Ford (ed.). Cases That Haunt Us. "Access to an Infant's Family: Lingering Effects of Not Talking with Parents". 2008.
    50. Hester DM. Entries: James, Wiliam: Radical Empiricism; Mind-Dust; Perry, Ralph Barton; Pure Experience. 2008; 421-423;511;576;630-631.
    51. Hester DM. Bioethical Pragmatism and Pragmatic Bioethics: What Are We Really Talking About?. Newsletter on Philo & Med. 2008; 7(2):2-4.
    52. Keshava-Prakad KH, Safar AM, Hester DM, Thompson AR, Mehta P. "Informed Consent in Medical Onocology". Federal Practitioner. 2008; 25(7):26-31,35.
    53. Hester DM, Schonfeld T, Amoura J. Gatekeeping and personal values: misuses of professional roles. Am J Bioeth. 2007 Jun; 7(6):27-8. PMID: 17558986.
      View in: PubMed
    54. Hester DM. Whither authenticity: ADHD, medication, and Striving for the'good life'--a commentary on Singh. Clin Child Psychol Psychiatry. 2007 Apr; 12(2):183-7; discussion 189-90. PMID: 17533933.
      View in: PubMed
    55. Hester DM. Interests and neonates: there is more to the story than we explicitly acknowledge. Theor Med Bioeth. 2007; 28(5):357-72. PMID: 17985107.
      View in: PubMed
    56. Schonfeld TL, Romberger DJ, Hester DM, Shannon SE. Resuscitating a bad patient. Hastings Cent Rep. 2007 Jan-Feb; 37(1):14; discussion 14-6. PMID: 17348256.
      View in: PubMed
    57. Dewey J, Hester DM, Talisse RB. Essays in Experimental Logic. So. Ill. Univ. Press. 2007; 303.
    58. Hester DM. Guest Editorial (Special Section on Technology and the Body). Cambridge Quarterly of Health Care Ethics. 2007; 16(3):254-255.
    59. Gentry RW, Mehta J, Thompson AR, Hester DM, Mehta P. When is the Best Time to Refer to Hospice?. Fed Pract. 2007; 24(11):51 - 53.
    60. Schexnayder SM, Hester DM. A new perspective on community consultation in pediatric resuscitation research. Crit Care Med. 2006 Oct; 34(10):2684-5. PMID: 16983270.
      View in: PubMed
    61. Hester DM, Hackler C. Improving medicine through research and the constitutive nature of altruism. Am J Bioeth. 2006 Sep-Oct; 6(5):51-2. PMID: 16997828.
      View in: PubMed
    62. Hester DM. Why we must leave our organs to others. Am J Bioeth. 2006 Jul-Aug; 6(4):W23-8. PMID: 16885086.
      View in: PubMed
    63. Midathada M, Mehta J, Govindarajan R, Schexnayder SM, Hester DM, Kovach K, Mehta P. When Substance Abuse Interferes with Cancer Treatment. Fed Pract. 2006; 23(9):39 - 40, 42, 51.
    64. Gentry RW, Mehta J, Safar AM, Kayasa MJ, Thompson AR, Hester DM, Mehta P. Disclosing Prognosis: When Patients Don’t Ask. Fed Pract. 2006; 23(4):14 - 16, 33.
    65. Hackler C, Hester DM. Age and the allocation of organs for transplantation: a case study. Health Care Anal. 2005 Jun; 13(2):129-36. PMID: 16013526.
      View in: PubMed
    66. Hester DM, Kovach K. Trumping professionalism. Am J Bioeth. 2004; 4(2):51-2. PMID: 15186696.
      View in: PubMed
    67. Hester DM. What must we mean by "community"? A processive account. Theor Med Bioeth. 2004; 25(5-6):423-37. PMID: 15690943.
      View in: PubMed
    68. Talisse RB, Hester DM. On James: Philosophy As Vision. Wadsworth. 2004; 96.
    69. Lachs J, Hester DM. A William Ernest Hocking Reader with Commentary. Vanderbilt University Press. 2004; 400.
    70. Hester DM. Pragmatism and the Problem of Race. Situating the Self: Concerning an Ethics of Culture and Race. 2004; 5.
    71. Hester DM. Is pragmatism well-suited to bioethics? J Med Philos. 2003 Oct-Dec; 28(5-6):545-61. PMID: 14972760.
      View in: PubMed
    72. Hester DM. Pragmatic Bioethics. Significance and the End of Life. 2003; 9.
    73. Hester DM. "Dead donor" versus "respect for donor" rule: putting the cart before the horse. Am J Bioeth. 2003; 3(1):24-6. PMID: 12859837.
      View in: PubMed
    74. Hester DM. Pragmatic Bioethics. Habits of Healing. 2003; 4.
    75. Hester DM. What Constitutes a Just Match?: A Reply to Murphy. Camb Q Healthc Ethics. 2003; 12(01):78 - 82.
    76. Hester DM. Reproductive technologies as instruments of meaningful parenting: ethics in the age of ARTs. Camb Q Healthc Ethics. 2002; 11(4):401-10. PMID: 12360711.
      View in: PubMed
    77. Hester DM. Narrative as bioethics: the "fact" of social selves and the function of consensus. Camb Q Healthc Ethics. 2002; 11(1):17-26. PMID: 11868414.
      View in: PubMed
    78. Burke FT, Hester DM, Talisse RB. Dewey's Logical Theory: New Studies and Interpretations. Vanderbilt University Press. 2002; 318.
    79. Nitt-Gray JL, Hester DM, Mathiyakom W, Munkasy BA. Mechanical demand and multijoint control during landing depend on orientation of the body segments relative to the reaction force. J Biomech. 2001; 34(11):1471 - 1482.
    80. Hester DM. Rethinking the residency matching process and questioning the value of competition in medicine. Acad Med. 2001; 76(4):345 - 347.
    81. Hester DM. Rethinking the residency matching process and questioning the value of competition in medicine. Acad Med. 2001 Apr; 76(4):345-7. PMID: 11299146.
      View in: PubMed
    82. Hester DM. The need for further research into the influences on research subjects. Am J Bioeth. 2001; 1(4):W16. PMID: 12862009.
      View in: PubMed
    83. Hester DM. The anatomy of bioethical consultations. Am J Bioeth. 2001; 1(4):57-8. PMID: 11954645.
      View in: PubMed
    84. Hester DM. The concern for foundations and the function of narrative. Am J Bioeth. 2001; 1(1):47-8. PMID: 11808599.
      View in: PubMed
    85. Hester DM. What to Do about the Mere Potential for Disabilities?. Am J Bioeth. 2001; 1(3):W.
    86. Hester DM. Letter to: The need for further research into the influences on research subjects. Am J Bioeth . 2001. 2001; (4):W16 - .
    87. Hester DM. Community As Healing: Pragmatist Ethics in Medical Encounters. Rowman & Littlefield. 2001; 107.
    88. Hester DM. The need for further research into the influences on research subjects. Am J Bioeth. 2001; 1(4):W16 - .
    89. Hester DM. Rethinking the residency matching process and questioning the value of competition in medicine. Acad Med. 2001; 76(4):345 - 347.
    90. Hester DM, Ford PJ. Computers and Ethics in the Cyberage. Prentice Hall. 2001; 498.
    91. Hester DM. The concern for foundations and the function of narrative. Am J Bioeth. 2001; 1(1):47 - 48.
    92. Hester DM. The anatomy of bioethical consultations. Am J Bioeth. 2001; 1(4):57 - 58.
    93. Fowler EG, Hester DM, Oppenheim WL, Setoguchi Y, Zernicke RF. Contrasts in gait mechanics of individuals with proximal femoral focal deficiency: Syme amputation versus Van Nes rotational osteotomy. J Pediatr Orthop. 1999; 19(6):720 - 731.
    94. Hester DM. The place of community in medical encounters. J Med Philos. 1998; 23(4):369 - 383.
    95. Hester DM. The place of community in medical encounters. J Med Philos. 1998 Jun; 23(4):369-83. PMID: 9831283.
      View in: PubMed
    96. Hester DM. The place of community in medical encounters. J Med Philos. 1998; 23(4):369 - 383.
    97. Hester DM. Progressive Dying: Meaningful Acts of Euthanasia and Assisted Suicide. J Med Humanit. 1998; 19(4):279 - 298.
    98. Radka SF, Hester DM, Polak-Vogelzang AA, Bolhuis RL. Detection of mycoplasma contamination lymphoblastoid cell lines by monoclonal antibodies. Hum Immunol. 1984; 9(2):111 - 116.
    99. Hester DM. Family-Center Care Ethics Exam Questions and Analysis.
    100. Hester DM. Clinical Ethics Perspective (case commentary on "Her Own Decisions: Impairment and Authenticity in Adolescence). Journal of Clinical Ethics. (39-40).
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