University of Alabama at Birmingham
School of Medicine Faculty
May 22, 2019
PERSONAL INFORMATION
Name: Thomas Stewart Huddle, M.D., Ph.D., FACP
Citizenship: USA
Foreign Language(s): None
Place of Birth: Bath, Maine USA
RANK/TITLE
Professor of Medicine
Department: Medicine
Business Address: FOT 720
1530 3rd Avenue South
Birmingham, AL 35294
Phone: (205) 934-3007
Email: thuddle@uab.edu
HOSPITAL AND OTHER (NON ACADEMIC) APPOINTMENTS:
July 1991– 2010 Active Staff of Medicine Service
University of Alabama Hospital
Birmingham, Alabama
July 1991 – Present Physician, Medical Service
Birmingham Veterans Affairs Medical Center
Birmingham, Alabama
EDUCATION:
Institution Degree Year
University of Illinois at Urbana-Champaign B.S. May, 1977
University of Illinois at Urbana-Champaign M.D. May, 1985
University of Illinois at Urbana-Champaign M.A. May, 1982
University of Illinois at Urbana-Champaign Ph.D. May, 1988
MILITARY SERVICE:
None
LICENSURE:
State of Alabama – 16031
BOARD CERTIFICATION:
American Board of Internal Medicine – Certification Date September 13, 1989
POSTDOCTORAL TRAINING:
Year Degree Institution
July 1986-June 1989 Residency University of Wisconsin Hospitals & Clinics
July 1989-June 1991 Fellowship Robert Wood Johnson Clinical Scholars Program at the University of Pennsylvania
ACADEMIC APPOINTMENTS: (In reverse chronological order)
Year Rank/Title Institution
October 2008-present Professor University of Alabama at Birmingham
October 1999-October 2008 Associate Professor University of Alabama at Birmingham
July 1991 – Sept 1999 Assistant Professor University of Alabama at
Birmingham
AWARDS/HONORS:
Master Reviewer, Academic Medicine 2015
Fellowship, American College of Physicians 2014
Award for Excellence in Reviewing, Academic Medicine, 2009, 2010.
“Circle of Excellence” Compassion Award, UAB Health Services Foundation, December 1995
University Fellowship, University of Illinois, 1981-82.
William Osler Medal of the AAHM, for the best paper on the history of medicine by a medical student, 1982.
Joseph Ward Swain Prize, University of Illinois Department of History, best unpublished graduate student paper, 1985
Phi Beta Kappa
Phi Kappa Phi, national undergraduate honor society.
Sigma Xi, national scientific research society.
“Professor of the Year” nominations by general internal medicine clinical clerks at UAB Hospital: August 1997, March 1996.
PROFESSIONAL SOCIETIES:
American College of physicians (fellow)
American Society for Bioethics and Humanities
COUNCILS AND COMMITTEES:
Member, Independent Patient Safety Advisory Board, Boston Scientific. 2019-present.
Member, Ethics Professionalism and Human Rights Committee, American College of Physicians, 2018-present.
Fellow, Health Care Ethics and Law Institute, Samford University 2013-present.
National Board of Medical Examiners, USMLE Step 3 Standard Setting Committee, 2015.
Academic Advisory Board, Pfizer Fellowship in Bioethics 2010-2012.
Organizing Committee for the annual meeting of the American Association for the History of Medicine, 2004-2005.
Member, Annual Meetings Committee of the American Association for the History of Medicine, 1995-96
Chairman, Osler Medal Committee, American Association for History of Medicine 1999-2000.
Member, Welch Medal Committee, American Association for History of Medicine, 1999-2000.
President, British History Association, University of Illinois Department of History, 1983-84.
UNIVERSITY ACTIVITIES:
Provision of ethics instruction for UAB’s Center for Clinical and Translational Science, 2013-present.
LCME self-study for accreditation, educational objectives committee, 2012-2013
Member, Department of Medicine mentoring committee, 2011-2016
Member, UAB Distinguished Faculty lecturer committee, 2011-2014
Member, Reynolds Scholarship selection committee, 2009-2017.
Member, Professionalism Task Force, School of Medicine 2008-2016.
Chairman, Clinical Ethics Committee, Birmingham VA Medical Center, 1997-2004, 2006-2014; member, 1997-present.
Coordinator, independent scholarly inquiry in the medical humanites for medical students, 2008-2012
Member, University of Alabama at Birmingham Institutional Review Board (IRB) 2000-2009.
Co-director, themes in the new medical curriculum, 2008-2009.
Member, University of Alabama at Birmingham Reynolds Library Steering Committee, 1996-present
Member, Advisory Committee for developing the Patient, Doctor and Society Course for the MS1 year as part of the UAB SOM curriculum reform 2006-2007.
Member, Physician Advisory Council for the PIN replacement Core Clinical Initiative, 2006.
Member, University of Alabama at Birmingham Archives Committee, 1995-1998
Chairman, Medical Records Committee, Birmingham VA Medical Center, 1994-1997
Faulty Mentor, Medical Student Mentorship Program, UAB School of Medicine, 1997-2005
Reynolds Library Associate Director Search Committee 1999
Judge, Frederick W. Connor Prize in the History of Ideas, University of Alabama at Birmingham, 1996, 2002
EDITORIAL ACTIVITIES:
Associate Editor- Philosophy, Ethics and Humanities in Medicine, 2005-2017.
Member, Editorial Board, Medicolegal and Bioethics, 2010-present
Thematic Section Editor, “Ethical Considerations: organ transplantation and the definition of death in medical practice,” Philosophy, Ethics and Humanities in Medicine 2008-09
Assistant Editor – American Journal of Medicine, 1992-1997
Referee – American Journal of Medicine
Annals of Internal Medicine
Bulletin of History of Medicine
Journal of the History of Medicine and Allied Sciences
Academic Medicine
Journal of General Internal Medicine
Bioethics
American Journal of Bioethics
AJOB Neuroscience
Journal of Business Ethics
MAJOR RESEARCH INTERESTS:
Medical Education and History of medical education
Medical ethics and medical professionalism
Medical knowledge and judgment
TEACHING EXPERIENCE:
University of Alabama at Birmingham – Housestaff and clinical student teaching on the wards and in clinic, including conference presentations, mentoring of medicine resident senior talks, and Tinsley Harrison Society Medical Student Presentations, 1991- Present
UASOM “Patient, Doctor and Society” Module for 1st year medical students, Director, 2010-2018
Ethics teaching for housestaff;
presentation of ethics topics to medicine housestaff in debate format with F. Amos Bailey MD, 2003-2014; 2014 to present without him.
Coordinator monthly resident ethics conference 2013-present
visiting lecturer, UAB history department, 2019.
Coenrolled seminar for 2nd-4th year medical students, “Rights, Justice and Health Care”, Spring 2016.
Introduction to Clinical Medicine Preceptor, 2007-2013
Independent Scholarly Activity in the medical curriculum UASOM,
sub-director for medical humanities, 2008-2012
mentor, student independent scholarly activity 2008-present
special topics for medical students, “Rights and a Right to Health Care;” seminar taught with Dr Stefan Kertesz, Fall 2011, Spring 2012, Fall 2013.
Patient, Doctor and Society Course for 1st year medical students, lecturer, 2007-present
Themes in the medical curriculum UASOM, co-director, 2008-2009
History of Medicine lecture course for medical students, developed with Hughes Evans, M.D., Ph.D., taught each year Fall 1998-2006.
History of Medicine elective course for medical students, 9 week seminar taught each year with Hughes Evans, M.D., Ph.D., 1995-1997
Faculty, GCRC Resident Research Rotation, lecturing on research ethics, biannually Fall 2001-2006
Occasional invited lectures in UAB courses outside of the School of Medicine: Psychology July 1998, Minority Medical Scholars Program, January 2000.
Senior Fellow, Leonard Davis Institute of Health Economics, Wharton School of the University of Pennsylvania, 1990-1991
Teaching Assistant, History and Physical Examination Course, UI College of Medicine M2 year, 1982-1986
Clinical Associate, Tutorials Program, UI College of Medicine M2 year, 1984-1986
CONFERENCE DEVELOPMENT
“The Ethics and Policy of Drug Pricing in the U.S.” Health Care Ethics and Law Institute, Samford University, 15 April 2016. Selected speakers and worked on conference logistics with HEAL Program Director, Lori Bateman, PhD and L. Jack Nelson JD, LLD.
“Ethical Pain Management in an Era of Opioid Abuse” Health Care Ethics and Law Institute, Samford University, 21 April 2017. With HEAL fellows and program committee.
LECTURES AND VISITING PROFESSORSHIPS:
Moral distress in the clinical setting. Nursing Grand Rounds, Birmingham VA Medical Center 15 June 2017.
Medical Professionalism and Political Advocacy: Natural Bedfellows or an Odd Couple? Grand Rounds, St Vincents East Medical Center, Birmingham AL 28 February 2017.
The implications for professional conscientious objection of alternative construals of professional practice. Health Care Ethics and Law Institute Conference, Samford University, Birmingham, AL. 17 April 2015.
Why we need to talk less and better about medical professionalism. Medical Grand Rounds, UAB Montgomery, AL. 9 October 2014
Turning off a pacemaker near the end of life; assisted death or withdrawal of support? UAB GRECC Scientific Seminar Series on Aging, 30 May 2014
Should academic medical centers exclude smokers from employment: a debate (with Peter Hendricks), Medical Grand Rounds UAB, 12 June 2013
When is Deactivating Durable MCS Devices Physician-Assisted Death? Society of Critical Care Medicine Webcast Discussant, 15 November 2012
“Medical education and physician advocacy”; discussant. Annual Meeting of the American Medical Student Association, 9 March 2012.
“Residency in the 1880s”. Alabama Chief Medical Residents Society Annual Meeting, New Orleans, LA. 11 March 2006.
“Osler’s Internal Medicine and Ours”. Medical Grand Rounds, UAB Department of Medicine, 14 April 2004.
“Osler in Philadelphia: Why was the Clinical Clerkship Delayed?” at the annual meeting of the American College of Physicians, 14 April 2000.
“Disease and Society in the 20th Century: Anorexia Nervosa and Lyme Disease” New Horizons at UAB 5 January 1999.
Clinicopathological Conference Case Discussant; University of Alabama at Birmingham Department of Medicine, 4 August 1993, 13 March 1996, 26 March 1997, 15 April 1998.
“The Clinical Clerkship in America: One hundred Years of Learning from Experience” Annual Meeting of the Robert Wood Johnson Clinical Scholars Program, 12 November 1992.
Keynote Address. Annual Retreat of the Medical Scholars Program at Allerton Park. College of Medicine, University of Illinois at Urbana-Champaign 27 August 1993.
“Looking Backward: the 1871 Reforms at Harvard Medical School Reconsidered”; Colloquium, Francis C. Wood Institute for the History of Medicine, College of Physicians of Philadelphia, 4 October 1990.
“The Fulltime Controversy”; History Colloquium, University of Illinois at Urbana Department of History, 19 April 1989.
“The Fulltime Controversy”; Dowling Medicine in Society Lecture at the University of Illinois College of Medicine in Chicago, Illinois Infectious Diseases Day, 17 April 1986.
GRANT SUPPORT: (PAST AND CURRENT)
None
BIBLIOGRAPHY
MANUSCRIPTS:
“Science, Practice and the Reform of American Medical Education”, (Ph.D. Dissertation, University of Illinois, 1988)
“Looking Backward: The 1871 Reforms at Harvard Medical School
Reconsidered”. Bulletin of the History of Medicine 1991;65: 340-365.
“Basic Science and the Undergraduate Medical Curriculum”. Consulting paper written for the Robert Wood Johnson Commission on the Sciences in Medicine. Perspectives in Biology and Medicine 36 (Summer 1993): 550-64.
“Osler’s Clinical Clerkship: Origins and Interpretations”. T. Huddle, J. Ende. Journal of the History of Medicine and Allied Sciences 49(1994): 483-503.
“Competition and Reform at the Medical Department of the University of Pennsylvania 1847-1877” Journal of the History of Medicine and Allied Sciences 51(July 1996): 251-92.
“Taking Stock at the Green Journal” American Journal of Medicine 105(August 1998): 131-34.
“American Internal Medicine in the 21st Century: Can an Oslerian Generalism Survive?” T. Huddle, R. Centor, G. Heudebert. Journal of General Internal Medicine 18 (September 2003): 764-67.
“Teaching Professionalism: Is medical morality a competency?” Academic Medicine 80(October 2005): 886-91.
“Academic General Internal Medicine—Past, Present, Future. Robert M. Centor and Thomas S. Huddle, American Journal of Medicine. 119(February 2006): 172-75.
“Philosophy, Ethics, and Humanities in Medicine: Expanding the open-access conversation on health care” Stein, Dan J, Derek Bolton, Damian Denyss, Thomas Huddle and Tia Powell. Philosophy, Ethics and Humanities in Medicine 1(17 March 2006):1.
“Taking Apart the Art: the Danger of Anatomizing Clinical Competence”. Huddle TS and Heudebert GR. Academic Medicine 2007;82:536-41.
“The Limits of Objective Assessment of Medical Practice” Huddle TS. Theoretical Medicine and Bioethics 28(2007)6: 487-96.
“Drug Reps and the Academic Medical Center: a Case for Management rather than Prohibition” Huddle TS. Perspectives in Biology and Medicine 51(2008)2: 251-60.
Editorial Commentary: Death, Organ Transplantation and Medical Practice,” Huddle TS, Schwartz MA, Bailey FA, Bos MA Philosophy, Ethics and Humanities in Medicine 2008 3:5; 1-5. 4 February.
“Internal Medicine Training in the 21st Century,” Huddle TS and GR Heudebert. Academic Medicine 83(2008): 910-15.
“The Pitfalls of Deducing Ethics from Behavioral Economics: Why the Association of American Medical Colleges is Wrong about Pharmaceutical Detailing” Huddle TS. American Journal of Bioethics 10(2010)1: 1-8.
“Medical Professionalism and Medical Education Should Not Involve Commitments to Political Advocacy” Huddle TS. Academic Medicine 86(2011)3: 378-383.
“Retainer Medicine is an Ethically Legitimate Form of Internal Medicine Practice that will Likely Improve the Status of Primary Care in the United States” Huddle TS and Centor RM. Annals of Internal Medicine 155(2011): 633-35.
“Pacemaker deactivation: withdrawal of support or active ending of life?” Huddle TS and FA Bailey. DOI 10.1007/s11017-012-9213-5 Theoretical Medicine and Bioethics 33(2012)6: 421-33.
“Moral Fiction or Moral Fact? The Distinction between Doing and Allowing in Medical Ethics” Huddle TS. doi:10.1111/j.1467-8519.2011.01944.x Bioethics 27(2013): 257-62.
“The Limits of Social Justice as an Aspect of Medical Professionalism” Huddle TS. The Journal of Medicine and Philosophy 38(2013)4: 369-87.
“Academic medical centers should not exclude smokers from employment.” Huddle TS, Kertesz SG, Nash R. Academic Medicine 89(June 2014)6: 843-47.
“Putting patient autonomy in its proper place; a professional norm-guided medical decision making model.” Huddle TS. Kennedy Institute of Ethics Journal 26(2016)4: 457-482.
“The implications for professional conscientious objection of alternative construals of medicine as a social practice.” Huddle TS. Theoretical Medicine and Bioethics 38(2017)6: 429-445.
“A Moral Argument against turning off an implantable cardiac device: why deactivation is a form of killing, not simply allowing a patient to die” Huddle TS. Cambridge Quarterly of Health Care Ethics 28(2019)2: 329-337.
“Reply to Sulmasy/Courtois: why it is sometimes unethical to deactivate cardiac implantable electrical devices” Huddle TS. Cambridge Quarterly of Health Care Ethics 28(2019)2: 347-352.
“Last Words: Seeking understanding if not agreement on killing and allowing-to-die” Huddle TS. Cambridge Quarterly of Health Care Ethics 28(2019)2: 359-360.
BOOK CHAPTERS
Huddle, TS. “Suicide, Physician-Assisted Suicide, The Doing-Allowing Distinction and Double Effect,” in Davis, JK (ed.) 2017. End of Life Ethics London: Routledge.
ESSAY REVIEWS:
Educating Competent and Humane Physicians. Eds. Hugh C. Hendrie and Camille Lloyd. Bloomington, Indiana, Indiana University Press, 1990. Journal of General Internal Medicine, 1991, 7: 129-130.
A History of Yale’s School of Medicine: Passing Torches to Others.Gerard N. Burrow, M.D. New Haven: Yale University Press, 2002 and Making the Modern Medical School: The Wisconsin Stories. Robert Oliver. Canton MA: Science History Publications, 2002. Journal of the History of Medicine and Allied Sciences 59 (January 2004): 158-64.
INVITED COMMENTARY
Clarifying the dispute over academic industry relationships,” The American Journal of Bioethics 11(January 2011):1, 47-49.
“Clinical Case. Physician Involvement with Politics—Obligation or Avocation? Virtual Mentor 13(2011): 757-764. http://virtualmentortest.ama-assn.org/2011/11/ccas2-1111.html. Accessed November 1, 2011.
“Honesty is an internal norm of medical practice; and the best policy.” The American Journal of Bioethics 12(2012)3: 15-17.
“Don’t ban the sunset in pharmaceutical advertising if it doesn’t darken the sky.” The American Journal of Bioethics. 13(May 2013): 27-30.
Fumbling toward the future: internal medicine and clinical care teams. Annals of Internal Medicine 159(5 November 2013): 644-45.
Political activism is not mandated by medical professionalism. American Journal of Bioethics 14(September 2014)9: 51-53.
OPINION and OCCASIONAL PIECES
“Survey or show trial? Allegations that industry-physician ties corrupt medical practice may make headlines, but evidence is lacking” Stossel TP and Huddle TS
Medical Progress Today 18 May 2007, the Manhattan Institute.
http://www.medicalprogresstoday.com/spotlight/spotlight_indarchive.php?id=1674; Accessed 2 December 2008.
“Aim for competence, not continuity” Huddle TS and Heudebert GR
SGIM Forum 32(2009)1: 1,13.
“Counterpoint: More Thoughts on Continuity Clinc” Huddle TS and Heudebert GR. SGIM Forum 32(2009)4: 5.
“Physician Advocacy is Not Demanded by Professional Norms” Huddle TS. SGIM Forum 32(2009)10: 4-5.
“Response to Open Peer Commentaries on The Pitfalls of Deducing Ethics from Behavioral Economics: Why the Association of American Medical Colleges is Wrong about Pharmaceutical Detailing,” Huddle TS. American Journal of Bioethics 10:1, w1-w3, First published on 12 January 2010 (iFirst).
http://dx.doi.org/10.1080/15265160903493088
“Conflict of Interest” (comment on Partner’s Healthcare conflict-of-interest policy), Medical Progress Today 28 January 2010, the Manhattan Institute.
http://www.medicalprogresstoday.com/second_opinion/index.php
Accessed 1 February 2010.
“Lets have Health Care Reform…But First, Kill the Democratic Reform Proposal” Huddle TS. SGIM Forum 33(2010)5: 4, 11.
“SGIM and the limts of combining scholarship and advocacy” Huddle TS, Shaneyfelt, TM and Curry WA. SGIM Forum 33(2010)8: 5, 11.
Response to Correspondence regarding “Medical Professionalism and Medical Education Should Not Involve Commitments to Political Advocacy” Academic Medicine 86(2011)3: 378-383; Academic Medicine. 85(2011): 1065.
Further response to Correspondence regarding “Medical Professionalism and Medical Education Should Not Involve Commitments to Political Advocacy” Academic Medicine 86(2012)3: 378-383; Academic Medicine 87(2): 132.
Response to correspondence in regard to “Retainer Medicine is an Ethically Legitimate Form of Internal Medicine Practice that will Likely Improve the Status of Primary Care in the United States” Huddle TS and Centor RM. Annals of Internal Medicine 155(2011): 633-35. 156(2012): 401.
Making peer review fulfilling work. Contribution to the official blog of the journal Academic Medicine, Accessible at http://academicmedicineblog.org/2013/11/07/peer-reviewer-resources-making-peer-review-fulfilling-work/ 7 November 2013.
Reply to Berman and Crane, Huddle TS, Kertesz SG and Nash RR. Academic Medicine 90(February 2015)2: 127.
BOOK REVIEWS:
In Sickness and in Wealth: American Hospitals in the Twentieth Century. Rosemary Stevens, Ph.D. New York: Basic Books, 1989. Journal of General Internal Medicine 1991, 6: 271.
The Caring Physician: The Life of Dr. Francis W. Peabody. Oglesby Paul, M.D. Boston: Harvard University Press, 1991. Journal of General Internal Medicine 1992, 7: 570.
Beyond Flexner: Medical Education in the Twentieth Century. Edited by Barbara Barzansky and Norman Gevitz. New York: Greenwood Press, 1992. Journal of General Internal Medicine 1993, 8: 287-88..
A History of Education in Public Health; Health that Mocks the Doctor’s Rules. Edited by Elizabeth Fee and Roy M. Acheson. New York: Oxford University Press, 1991. Journal of General Internal Medicine 1994, 9: 240.
Medical Lives and Scientific Medicine at Michigan, 1891-1969. Edited by Joel Howell. Ann Arbor: The University of Michigan Press, 1993. Journal of General Internal Medicine 1996, 11: 65-66.
Internal Medicine and the Structures of Modern Medical Science: The University of Iowa 1870-1990. Lee Anderson. Ames: Iowa State University Press, 1996. Journal of General Internal Medicine 1997, 12: 587-88.
Osler: Inspirations of a Great Physician. Charles S. Bryan. Oxford: Oxford University Press, 1997. Reviewed for Doody Publishing, database at www.doody.com, June 1997.
The Deadly Truth: A History of Disease in America. Gerald N. Grob. Cambridge: Harvard University Press, 2002. Pharmacy in History 2003, 45(4): 157-58.
Our Present Complaint: American Medicine Then and Now. Charles E. Rosenberg. Baltimore: Johns Hopkins University Press, 2007. Journal of the History of Medicine and Allied Sciences 2009, 64(7): 388-90.
LETTERS TO THE EDITOR:
“When to sustain life” First Things January 2004: 4.
“religion and medicine-responses” medscape 12/2000; http://www.medscape.com/viewarticle/408078