Researcher Profile

Researcher Profile

Michael Green, MS, MD

Michael Green, MS, MD

Professor, Department of Humanities
Professor, Department of Medicine
Division of General Internal Medicine and Hospital Medicine
Scientific Program:Cancer Control
mjg15@psu.edu

Research Interests

Dr. Michael Green joined the faculty of Penn State College of Medicine in 1996. His research has focused on decision-making, bioethics and communication, and has received funding through the NIH, the American Cancer Society and several foundations.

Most recently, Dr. Green’s research has focused on helping patients and their family members make informed decisions at the end-of-life. Together with long-time collaborator Dr. Benjamin Levi, Dr. Green is the co-creator of “Making Your Wishes Known,” an interactive computer-based decision aid that helps individuals be better prepared to make medical decisions when they can no longer speak for themselves. In diverse populations and settings, this decision aid has been shown to reliably and accurately represent patients’ wishes for life-sustaining care, to help physicians more accurately predict what patients would want, and to increase concordance between what spokespersons would choose on behalf of patients and what patients say they would actually want.

Dr. Green also is a pioneer in the use of comics in medical education. He helped establish the field of “Graphic Medicine” and has published landmark articles on the topic as well as being one of the authors of the Graphic Medicine Manifesto from Penn State University Press. He is guest editor of the Graphic Medicine section of the Annals of Internal Medicine, and he teaches a course on Comics and Medicine to 4th-year medical students, whose comics can be viewed online.

In the area of professionalism and medical training, Dr. Green has authored several important articles on truth-telling, professional identify formation, informed consent and communication, and is co-author of the book Breaking the Cycle: How to Turn Conflict into Collaboration When You and Your Patients Disagree from ACP Press.

  • Advance Care Planning
  • Physicians
  • Decision Making
  • Neoplasms
  • Decision Support Techniques
  • Advance Directives
  • Software
  • Medicine
  • Medical Students
  • Breast Neoplasms
  • Genetic Testing
  • Students

Recent Publications

2019

Schubart, JR, Levi, B, Bain, MM, Farace, E & Green, M 2019, 'Advance Care Planning Among Patients With Advanced Cancer' Journal of Oncology Practice, vol. 15, no. 1, pp. e65-e73. https://doi.org/10.1200/JOP.18.00044
Van Scoy, L, Green, M & Volpe, R 2019, 'Evaluating an Advance Care Planning Curriculum: a Lecture, a Game, a Patient, and an Essay', Medical Science Educator, vol. 29, no. 2, pp. 453-462. https://doi.org/10.1007/s40670-019-00713-5
Foy, A, Levi, B, Van Scoy, L, Bucher, A, Dimmock, A & Green, M 2019, 'Patient preference to accept medical treatment is associated with spokesperson agreement' Annals of the American Thoracic Society, vol. 16, no. 4, pp. 518-521. https://doi.org/10.1513/AnnalsATS.201806-428RL
Green, M 2019, 'Reimagining the cape: Exploring new metaphors for emerging medical professionals', Annals of internal medicine, vol. 170, no. 3, pp. 205-206. https://doi.org/10.7326/M18-3466

2018

Stewart, RR, Dimmock, AEF, Green, M, Van Scoy, L, Schubart, JR, Yang, C, Farace, E, Bascom, R & Levi, B 2019, 'An Analysis of Recruitment Efficiency for an End-of-Life Advance Care Planning Randomized Controlled Trial' American Journal of Hospice and Palliative Medicine, vol. 36, no. 1, pp. 50-54. https://doi.org/10.1177/1049909118785158
Van Scoy, L, Watson-Martin, E, Bohr, TA, Levi, B & Green, M 2018, 'End-of-Life Conversation Game Increases Confidence for Having End-of-Life Conversations for Chaplains-in-Training', American Journal of Hospice and Palliative Medicine, vol. 35, no. 4, pp. 592-600. https://doi.org/10.1177/1049909117723619
George, D, de Boer, C, Hammer, J, Hopkins, M, King, T & Green, M 2018, 'Evaluating the benefits of hospital room artwork for patients receiving cancer treatment: A randomized controlled trial', Journal of Hospital Medicine, vol. 13, no. 8, pp. 558-561. https://doi.org/10.12788/jhm.2915
Schubart, JR, Reading, JM, Penrod, JL, Stewart, RR, Sampath, R, Lehmann, LS, Levi, B & Green, M 2018, 'Family Caregivers’ Characterization of Conversations Following an ACP Event' American Journal of Hospice and Palliative Medicine, vol. 35, no. 9, pp. 1161-1167. https://doi.org/10.1177/1049909118760302
Green, M & Mahato, M 2018, 'Graphic Medicine: The Best of 2018' JAMA - Journal of the American Medical Association, vol. 320, no. 24, pp. 2510-2511. https://doi.org/10.1001/jama.2018.18009
Volpe, R & Green, M 2018, 'Medical Schools Should Admit More Guitar Players', Journal of general internal medicine, pp. 1-2. https://doi.org/10.1007/s11606-018-4379-9
McCormick, J, Green, M & Shapiro, D 2018, 'Medication Nonadherence: There's an App for That!' Mayo Clinic Proceedings, vol. 93, no. 10, pp. 1346-1350. https://doi.org/10.1016/j.mayocp.2018.05.029
Andrews, H, Soni, A, Green, M, Ely, A & Quillen, D 2018, 'Parent attitudes toward resident involvement in their child's strabismus surgery', Journal of AAPOS, vol. 22, no. 4, pp. 262-265.e3. https://doi.org/10.1016/j.jaapos.2018.03.008

2017

George, D, De Boer, C & Green, M 2017, '"that Landscape Is Where I'd Like to Be" offering patients with cancer a choice of artwork', JAMA - Journal of the American Medical Association, vol. 317, no. 9, pp. 890-892. https://doi.org/10.1001/jama.2017.1233
Green, M, Van Scoy, L, Foy, A, Stewart, RR, Sampath, R, Schubart, JR, Lehman, EB, Dimmock, AEF, Bucher, AM, Lehmann, LS, Harlow, AF, Yang, C & Levi, B 2018, 'A Randomized Controlled Trial of Strategies to Improve Family Members’ Preparedness for Surrogate Decision-Making', American Journal of Hospice and Palliative Medicine, vol. 35, no. 6, pp. 866-874. https://doi.org/10.1177/1049909117744554
Kraft, SA, Constantine, M, Magnus, D, Porter, KM, Lee, SSJ, Green, M, Kass, NE, Wilfond, BS & Cho, MK 2017, 'A randomized study of multimedia informational AIDS for research on medical practices: Implications for informed consent', Clinical Trials, vol. 14, no. 1, pp. 94-102. https://doi.org/10.1177/1740774516669352
Levi, B, Simmons, Z, Hanna, C, Brothers, A, Lehman, E, Farace, E, Bain, M, Stewart, R & Green, M 2017, 'Advance care planning for patients with amyotrophic lateral sclerosis', Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, vol. 18, no. 5-6, pp. 388-396. https://doi.org/10.1080/21678421.2017.1285317
Schubart, JR, Camacho, F, Green, M, Rush, KA & Levi, B 2017, 'Assessing the internal consistency and temporal stability of advance directives generated by an interactive, online computer program' BMJ Supportive and Palliative Care, vol. 7, no. 1, pp. 67-72. https://doi.org/10.1136/bmjspcare-2014-000814
Myers, K, Green, M & George, D 2017, 'Authorship negotiation at an interdisciplinary impasse' Academic Medicine, vol. 92, no. 2. https://doi.org/10.1097/ACM.0000000000001525
Van Scoy, L, Green, M, Reading, JM, Scott, AM, Chuang, C & Levi, B 2017, 'Can Playing an End-of-Life Conversation Game Motivate People to Engage in Advance Care Planning?', American Journal of Hospice and Palliative Medicine, vol. 34, no. 8, pp. 754-761. https://doi.org/10.1177/1049909116656353
Green, M & George, D 2017, 'Commentary on Boxed In: Lessons From the Margins of Medical Student Comics', Academic Medicine, vol. 92, no. 12. https://doi.org/10.1097/01.ACM.0000527353.34595.7b
Van Scoy, L, Reading, JM, Hopkins, M, Smith, B, Dillon, J, Green, M & Levi, B 2017, 'Community Game Day: Using an End-of-Life Conversation Game to Encourage Advance Care Planning', Journal of Pain and Symptom Management, vol. 54, no. 5, pp. 680-691. https://doi.org/10.1016/j.jpainsymman.2017.07.034
Wilkes, MS, Day, FC, Fancher, TL, McDermott, H, Lehman, E, Bell, RA & Green, M 2017, 'Increasing confidence and changing behaviors in primary care providers engaged in genetic counselling', BMC medical education, vol. 17, no. 1, 163. https://doi.org/10.1186/s12909-017-0982-4
Volpe, R, Bruce, C & Green, M 2017, 'Integrating second-year medical students and first-year physician assistant students into a 12-week ethics course', Journal of Physician Assistant Education, vol. 28, no. 4, pp. 223-225. https://doi.org/10.1097/JPA.0000000000000175
Holland, DIE, Vanderboom, CE, Dose, AM, Ingram, CJ, Delgado, A, Austin, CM, Green, M & Levi, B 2017, 'Nurse-Led Patient-Centered Advance Care Planning in Primary Care', Journal of Hospice and Palliative Nursing, vol. 19, no. 4, pp. 368-375. https://doi.org/10.1097/NJH.0000000000000358
Sudore, RL, Heyland, DK, Lum, HD, Rietjens, JAC, Korfage, IJ, Ritchie, CS, Hanson, LC, Meier, DE, Pantilat, SZ, Lorenz, K, Howard, M, Green, M, Simon, JE, Feuz, MA & You, JJ 2018, 'Outcomes That Define Successful Advance Care Planning: A Delphi Panel Consensus', Journal of Pain and Symptom Management, vol. 55, no. 2, pp. 245-255.e8. https://doi.org/10.1016/j.jpainsymman.2017.08.025
Shapiro, D, Abbott, LM, Wolpaw, D, Green, M & Levi, B 2018, 'Using a Simulation of a Frustrated Faculty Member during Department Chair Searches: A Proof of Concept Project', Academic Medicine, vol. 93, no. 2, pp. 224-228. https://doi.org/10.1097/ACM.0000000000001788

2016

Haidet, P, Jarecke, J, Adams, NE, Stuckey, HL, Green, MJ, Shapiro, D, Teal, CR & Wolpaw, DR 2016, 'A guiding framework to maximise the power of the arts in medical education: A systematic review and metasynthesis', Medical education, vol. 50, no. 3, pp. 320-331. https://doi.org/10.1111/medu.12925
Van Scoy, L, Reading, JM, Scott, AM, Green, M & Levi, B 2016, 'Conversation Game Effectively Engages Groups of Individuals in Discussions about Death and Dying', Journal of Palliative Medicine, vol. 19, no. 6, pp. 661-667. https://doi.org/10.1089/jpm.2015.0390
Green, MJ, Myers, K, Watson, K, Czerwiec, M, Shapiro, D & Draus, S 2016, 'Creativity in Medical Education: The Value of Having Medical Students Make Stuff', Journal of Medical Humanities, vol. 37, no. 4, pp. 475-483. https://doi.org/10.1007/s10912-016-9397-1
Van Scoy, L, Reading, JM, Scott, AM, Chuang, C, Levi, B & Green, M 2016, 'Exploring the Topics Discussed During a Conversation Card Game About Death and Dying: A Content Analysis', Journal of Pain and Symptom Management, vol. 52, no. 5, pp. 655-662. https://doi.org/10.1016/j.jpainsymman.2016.03.021
Van Scoy, L, Scott, AM, Reading, JM, Chuang, C, Chinchilli, V, Levi, B & Green, M 2017, 'From Theory to Practice: Measuring end-of-life communication quality using multiple goals theory', Patient Education and Counseling, vol. 100, no. 5, pp. 909-918. https://doi.org/10.1016/j.pec.2016.12.010
Van Scoy, L, Green, M, Dimmock, AEF, Bascom, R, Boehmer, J, Hensel, JK, Hozella, JB, Lehman, EB, Schubart, JR, Farace, E, Stewart, RR & Levi, B 2016, 'High satisfaction and low decisional conflict with advance care planning among chronically ill patients with advanced chronic obstructive pulmonary disease or heart failure using an online decision aid: A pilot study', Chronic Illness, vol. 12, no. 3, pp. 227-235. https://doi.org/10.1177/1742395316633511
Green, M 2016, 'In Reply to Kato and Nishigori' Academic Medicine, vol. 91, no. 3, pp. 290-291. https://doi.org/10.1097/ACM.0000000000001081
George, D & Green, M 2017, 'Mentors, monsters, and medical education' Medical Teacher, vol. 39, no. 3, pp. 321-322. https://doi.org/10.1080/0142159X.2016.1248920
Volpe, R, Benrud, J, Gordon, EJ & Green, M 2016, 'Perceived low-quality communication is not associated with greater frequency of requests for ethics consultation: Null findings from an empirical study' AJOB Empirical Bioethics, vol. 7, no. 4, pp. 235-239. https://doi.org/10.1080/23294515.2016.1229699
Schubart, JR, Green, M & Levi, B 2016, 'Response to letter "End-of-Life Preferences in Advanced Cancer Patients"' Journal of Palliative Medicine, vol. 19, no. 1, pp. 7. https://doi.org/10.1089/jpm.2015.0467
George, D & Green, M 2016, 'Social media and storytelling in medicine: Probing deeper' Academic Medicine, vol. 91, no. 5, pp. 610-611. https://doi.org/10.1097/ACM.0000000000001143

2015

Green, M, Schubart, JR, Whitehead, MM, Farace, E, Lehman, E & Levi, B 2015, 'Advance care planning does not adversely affect hope or anxiety among patients with advanced cancer', Journal of Pain and Symptom Management, vol. 49, no. 6, pp. 1088-1096. https://doi.org/10.1016/j.jpainsymman.2014.11.293
Schubart, JR, Green, M, Van Scoy, L, Lehman, E, Farace, E, Gusani, NJ & Levi, B 2015, 'Advanced Cancer and End-of-Life Preferences: Curative Intent Surgery Versus Noncurative Intent Treatment', Journal of Palliative Medicine, vol. 18, no. 12, pp. 1015-1018. https://doi.org/10.1089/jpm.2015.0021
Green, M 2015, 'Comics and medicine: Peering into the process of professional identity formation', Academic Medicine, vol. 90, no. 6, pp. 774-779. https://doi.org/10.1097/ACM.0000000000000703
Pentz, RD, Hendershot, KA, Wall, L, White, TE, Peterson, SK, Thomas, CB, McCormick, J, Green, M, Lewis, C, Farmer, ZL, Hlubocky, FJ, Dossul, T, Dixon, MD, Liu, Y, Switchenko, JM, Salvador, C, Owonikoko, TK, Harvey, RD & Khuri, FR 2015, 'Development and testing of a tool to assess patient preferences for phase i clinical trial participation', Psycho-Oncology, vol. 24, no. 7, pp. 835-838. https://doi.org/10.1002/pon.3731
Green, M 2015, Enhancement technologies: The incredibles. in The Picture of Health: Medical Ethics and the Movies. Oxford University Press, pp. 1-6. https://doi.org/10.1093/acprof:osobl/9780199735365.003.0057
Bell, RA, McDermott, H, Fancher, TL, Green, M, Day, FC & Wilkes, MS 2015, 'Impact of a Randomized Controlled Educational Trial to Improve Physician Practice Behaviors Around Screening for Inherited Breast Cancer', Journal of general internal medicine, vol. 30, no. 3, pp. 334-341. https://doi.org/10.1007/s11606-014-3113-5
George, D & Green, M 2015, 'Lessons learned from comics produced by medical students: Art of darkness', JAMA - Journal of the American Medical Association, vol. 314, no. 22, pp. 2345-2346. https://doi.org/10.1001/jama.2015.13652
Carrese, JA, Malek, J, Watson, K, Lehmann, LS, Green, M, Mccullough, LB, Geller, G, Braddock, CH & Doukas, DJ 2015, 'The essential role of medical ethics education in achieving professionalism: The romanell report', Academic Medicine, vol. 90, no. 6, pp. 744-752. https://doi.org/10.1097/ACM.0000000000000715
Markham, SA, Levi, B, Green, M & Schubart, JR 2015, 'Use of a computer program for advance care planning with african american participants', Journal of the National Medical Association, vol. 107, no. 1, pp. 26-32. https://doi.org/10.1016/S0027-9684(15)30006-7

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