Meet-the-Professor Breakfast Registration Form

Meet-the-Professor Breakfast
Friday, October 22, 7:30-9:00 AM
Registration Form
Fax this form or send an email to:
Chris Welber Fax: 847/375-6425 [email protected]
Name_____________________________________________________________________________
Phone_____________________________________Email_________________________________
Faculty Selection
First choice: _______________________________
Second choice: _____________________________
This session offers students and early career scholars the opportunity to meet distinguished faculty in
bioethics and the medical humanities. This breakfast session is included in the registration fee, but advance
registration is required. If you have already registered for the meeting and would like to sign up for this
session, please send an email to Chris Welber with your preferences or fax this form to 847/375-6425. You
will receive confirmation of your assignment. Faculty is available on a first-come, first-served basis.
Please see the ASBH Wiki for Faculty biosketches:
http://www.awebsource.com/clients/asbh/wiki/index.php/Annual_Meeting
Tom Beauchamp, PhD
Assistant Professor of Medical Humanities and Bioethics at Northwestern University’s Feinberg School of Medicine
Carl Elliott, MD, PhD
Director of the Institute for the Medical Humanities and John P. McGovern Centennial Chair in Family Medicine at
the University of Texas Medical Branch, Galveston
Tess Jones, PhD
Daniel Noyes Kirby Professor of Law and Professor of Ethics in Medicine at Washington University in St. Louis
Delese Wear, PhD
Deputy Chief of the Clinical Center’s Bioethics Department
Nancy King, JD
Professor, Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, CoDirector, WFU Center for Bioethics, Health, and Society
Cynda Rushton, PhD, RN
Associate Professor, Nursing & Pediatrics; Faculty, Berman Institute of Bioethics; Program Director, Harriet Lane
Compassionate Care, Johns Hopkins University School of Nursing, Baltimore, MD
John Lantos, MD
Pediatrician and Bioethicist Director of Children's Mercy Hospital Bioethics Center, Kansas City, MO