Ryan M Antiel
Assistant Professor of Surgery
Ryan M. Antiel, MD, MSME is Assistant Professor of Pediatric Surgery at Duke University School of Medicine and a core faculty member at the Trent Center for Bioethics, Humanities, and History of Medicine. He is focused on improving the lives of children and families confronted with difficult decisions such as surgical decision-making in the face of uncertainty and end-of-life issues.
His research combines empirical approaches from the fields of epidemiology, decision-making sciences, and child outcomes with conceptual work grounded in moral philosophy and theology. He applies these approaches to address ethical challenges surrounding the care of seriously ill fetuses and neonates. He is also interested in how surgical residency shapes the character of surgeons-in-training and how best to form the virtues of character necessary for good surgical practice.
His research combines empirical approaches from the fields of epidemiology, decision-making sciences, and child outcomes with conceptual work grounded in moral philosophy and theology. He applies these approaches to address ethical challenges surrounding the care of seriously ill fetuses and neonates. He is also interested in how surgical residency shapes the character of surgeons-in-training and how best to form the virtues of character necessary for good surgical practice.
Current Research Interests
Pediatric Surgery Outcomes
Health Equity and Social Justice
Decision Making for Critically Ill Neonates
Moral Formation of Surgical Trainees
Medical Humanities
Health Equity and Social Justice
Decision Making for Critically Ill Neonates
Moral Formation of Surgical Trainees
Medical Humanities
Current Appointments & Affiliations
- Assistant Professor of Surgery, Surgery, Pediatric General Surgery, Surgery 2022
Contact Information
- 2301 Erwin Road - Rm 6680 Hafs, Durham, NC 27710
- DUMC 3815, Durham, NC 27710
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ryan.antiel@duke.edu
(919) 681-5077
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Duke Pediatric Surgery
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Duke Trent Center
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Ryan Antiel Twitter
- Background
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Education, Training, & Certifications
- Pediatric Surgery Fellow, Surgery, Washington University in St. Louis 2019 - 2021
- General Surgery Resident, Surgery, Mayo Clinic 2016 - 2019
- Postdoctoral Research Fellowship, University of Pennsylvania, School of Medicine 2014 - 2016
- M.S., University of Pennsylvania 2016
- General Surgery Resident, Surgery, Mayo Clinic 2012 - 2014
- M.D., Mayo Clinic, Alix School of Medicine 2012
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Medical Licensure
- 309238. North Carolina. 2023
- Expertise
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Subject Headings
- Publications & Artistic Works
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Selected Publications
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Academic Articles
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De Bie FR, Tate T, Antiel RM. Maternal-fetal surgery as part of pediatric palliative care. Semin Fetal Neonatal Med. 2023 Apr 20;101440.Full Text Link to Item
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Markham JL, Richardson T, Teufel RJ, Hersh AL, DePorre A, Fleegler EW, et al. Impact of COVID-19 on Admissions and Outcomes for Children With Complex Chronic Conditions. Hosp Pediatr. 2022 Apr 1;12(4):337–53.Full Text Link to Item
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Robbins KJ, Antiel RM, Shakhsheer BA. Omental cyst: a case report and review of the literature. Annals of Pediatric Surgery. 2021 Dec 1;17(1).Full Text
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Traynor MD, Antiel RM, Camazine MN, Blinman TA, Nance ML, Eghtesady P, et al. Surgical Interventions During End-of-Life Hospitalizations in Children's Hospitals. Pediatrics. 2021 Dec 1;148(6).Full Text Link to Item
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Fry J, Antiel RM, Michelson K, Rowell E. Ethics in prenatal consultation for surgically correctable anomalies and fetal intervention. Semin Pediatr Surg. 2021 Oct;30(5):151102.Full Text Link to Item
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Markham JL, Richardson T, DePorre A, Teufel RJ, Hersh AL, Fleegler EW, et al. Inpatient Use and Outcomes at Children's Hospitals During the Early COVID-19 Pandemic. Pediatrics. 2021 Jun;147(6).Full Text Link to Item
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MacGregor RM, Antiel RM, Najaf T, Said AS, Warner BW, Raval MV, et al. Extracorporeal Membrane Oxygenation for Pediatric Patients With Coronavirus Disease 2019-Related Illness. Pediatr Crit Care Med. 2020 Oct;21(10):893–7.Full Text Link to Item
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Antiel RM, Curlin FA, Persad G, White DB, Zhang C, Glickman A, et al. Should Pediatric Patients Be Prioritized When Rationing Life-Saving Treatments During COVID-19 Pandemic. Pediatrics. 2020 Sep;146(3).Full Text Link to Item
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Traynor MD, McKenna NP, Habermann EB, Antiel RM, Moir CR, Klinkner DB, et al. Pouchogram Prior to Ileostomy Reversal after Ileal Pouch-Anal Anastomosis in Pediatric Patients: Is it Useful in the Setting of Routine EUA? J Pediatr Surg. 2020 Aug;55(8):1499–502.Full Text Link to Item
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Warsame R, Riordan L, Jenkins S, Lackore K, Pacyna J, Antiel R, et al. Responsibilities, Strategies, and Practice Factors in Clinical Cost Conversations: a US Physician Survey. J Gen Intern Med. 2020 Jul;35(7):1971–8.Full Text Link to Item
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Antiel RM. Oedipus and the Coronavirus Pandemic. Jama. 2020 Jun 9;323(22):2231–2.Full Text Link to Item
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Stevens EM, Patterson CA, Tchume-Johnson T, Antiel RM, Flake A, Smith-Whitley K, et al. Parental Attitudes Towards Prenatal Genetic Testing For Sickle Cell Disease. J Pediatr Hematol Oncol. 2019 Nov;41(8):579–85.Full Text Link to Item
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Riley JS, Antiel RM, Flake AW, Johnson MP, Rintoul NE, Lantos JD, et al. Pediatric neurosurgeons' views regarding prenatal surgery for myelomeningocele and the management of hydrocephalus: a national survey. Neurosurg Focus. 2019 Oct 1;47(4):E8.Full Text Link to Item
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Riordan L, Warsame R, Jenkins S, Lackore K, Pacyna JE, Antiel RM, et al. US Physicians' Reactions To ACA Implementation, 2012-17. Health Aff (Millwood). 2019 Sep;38(9):1530–6.Full Text Link to Item
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Brown SES, Antiel RM, Blinman TA, Shaw S, Neuman MD, Feudtner C. Pediatric Perioperative DNR Orders: A Case Series in a Children's Hospital. J Pain Symptom Manage. 2019 May;57(5):971–9.Full Text Link to Item
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Riley JS, Antiel RM, Rintoul NE, Ades AM, Waqar LN, Lin N, et al. Reduced oxygen concentration for the resuscitation of infants with congenital diaphragmatic hernia. J Perinatol. 2018 Jul;38(7):834–43.Full Text Link to Item
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Antiel RM, Curlin FA, Lantos JD, Collura CA, Flake AW, Johnson MP, et al. Attitudes of paediatric and obstetric specialists towards prenatal surgery for lethal and non-lethal conditions. J Med Ethics. 2018 Apr;44(4):234–8.Full Text Link to Item
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Hernandez MC, Antiel RM, Balakrishnan K, Zielinski MD, Klinkner DB. Definitive airway management after prehospital supraglottic rescue airway in pediatric trauma. J Pediatr Surg. 2018 Feb;53(2):352–6.Full Text Link to Item
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Antiel RM, Janvier A, Feudtner C, Blaine K, Fry J, Howell LJ, et al. The experience of parents with children with myelomeningocele who underwent prenatal surgery. J Pediatr Rehabil Med. 2018;11(4):217–25.Full Text Link to Item
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Antiel RM, Flake AW, Collura CA, Johnson MP, Rintoul NE, Lantos JD, et al. Weighing the Social and Ethical Considerations of Maternal-Fetal Surgery. Pediatrics. 2017 Dec;140(6).Full Text Link to Item
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Antiel RM, Flake AW. Responsible surgical innovation and research in maternal-fetal surgery. Semin Fetal Neonatal Med. 2017 Dec;22(6):423–7.Full Text Link to Item
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Antiel RM, Lin N, Licht DJ, Hoffman C, Waqar L, Xiao R, et al. Growth trajectory and neurodevelopmental outcome in infants with congenital diaphragmatic hernia. J Pediatr Surg. 2017 Dec;52(12):1944–8.Full Text Link to Item
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Antiel RM, Halpern SD, Stevens EM, Vrecenak JD, Patterson CA, Tchume-Johnson T, et al. Acceptability of In Utero Hematopoietic Cell Transplantation for Sickle Cell Disease. Med Decis Making. 2017 Nov;37(8):914–21.Full Text Link to Item
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Keating EM, Antiel RM, Weiss KE, Wallace D, Antiel SJ, Fischer PR, et al. Parental Perceptions of Pediatric Pain and POTS-Related Disability. Clin Pediatr (Phila). 2017 Nov;56(13):1185–92.Full Text Link to Item
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Antiel RM, Collura CA, Flake AW, Johnson MP, Rintoul NE, Lantos JD, et al. Physician views regarding the benefits and burdens of prenatal surgery for myelomeningocele. J Perinatol. 2017 Sep;37(9):994–8.Full Text Link to Item
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Gibreel W, Zendejas B, Antiel RM, Fasen G, Moir CR, Zarroug AE. Swallowing Dysfunction and Quality of Life in Adults With Surgically Corrected Esophageal Atresia/Tracheoesophageal Fistula as Infants: Forty Years of Follow-up. Ann Surg. 2017 Aug;266(2):305–10.Full Text Link to Item
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Danzer E, Hoffman C, D’Agostino JA, Gerdes M, Bernbaum J, Antiel RM, et al. Neurodevelopmental outcomes at 5years of age in congenital diaphragmatic hernia. J Pediatr Surg. 2017 Mar;52(3):437–43.Full Text Link to Item
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Antiel RM, Flake AW, Johnson MP, Khalek N, Rintoul NE, Lantos JD, et al. Specialty-Based Variation in Applying Maternal-Fetal Surgery Trial Evidence. Fetal Diagn Ther. 2017;42(3):210–7.Full Text Link to Item
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Antiel RM, Riley JS, Cahill PJ, Campbell RM, Waqar L, Herkert LM, et al. Management and outcomes of scoliosis in children with congenital diaphragmatic hernia. J Pediatr Surg. 2016 Dec;51(12):1921–5.Full Text Link to Item
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Antiel RM, Adzick NS, Thom EA, Burrows PK, Farmer DL, Brock JW, et al. Impact on family and parental stress of prenatal vs postnatal repair of myelomeningocele. Am J Obstet Gynecol. 2016 Oct;215(4):522.e1-522.e6.Full Text Link to Item
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Bayer-Topilsky T, Suri RM, Topilsky Y, Marmor YN, Trenerry MR, Antiel RM, et al. Mitral Valve Prolapse, Psychoemotional Status, and Quality of Life: Prospective Investigation in the Current Era. Am J Med. 2016 Oct;129(10):1100–9.Full Text Link to Item
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Antiel RM, Blinman TA. To Leave or to Lie: Duty Hour Restrictions and Patient Ownership. Am J Bioeth. 2016 Sep;16(9):13–5.Full Text Link to Item
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Aho JM, Nourallah A, Samaha MJ, Antiel RM, Dupont SC, Ballman KV, et al. Patient-Reported Outcomes after Laparoscopic Ventral Hernia Repair. Am Surg. 2016 Jun;82(6):550–6.Link to Item
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Antiel RM. Ethical challenges in the new world of maternal-fetal surgery. Semin Perinatol. 2016 Jun;40(4):227–33.Full Text Link to Item
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Antiel RM, Blinman TA, Rentea RM, Gonzalez KW, Knott EM, Juang D, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016 Mar;137(3):e20153828.Full Text Link to Item
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Fahy AS, Antiel RM, Polites SF, Ishitani MB, Moir CR, Zielinski MD. Pretransfer computed tomography delays arrival to definitive care without affecting pediatric trauma outcomes. J Pediatr Surg. 2016 Feb;51(2):323–5.Full Text Link to Item
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Antiel RM, Bos JM, Joyce DD, Owen HJ, Roskos PL, Moir C, et al. Quality of life after videoscopic left cardiac sympathetic denervation in patients with potentially life-threatening cardiac channelopathies/cardiomyopathies. Heart Rhythm. 2016 Jan;13(1):62–9.Full Text Link to Item
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Winkelman TNA, Lehmann LS, Vidwan NK, Niess M, Davey CS, Donovan D, et al. Medical Students' Views and Knowledge of the Affordable Care Act: A Survey of Eight U.S. Medical Schools. J Gen Intern Med. 2015 Jul;30(7):1018–24.Full Text Link to Item
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Antommaria AHM, Collura CA, Antiel RM, Lantos JD. Two infants, same prognosis, different parental preferences. Pediatrics. 2015 May;135(5):918–23.Full Text Link to Item
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Maldonado C, Daroch D, Maiz C, Bachler J, Crovari F, Boza C, et al. Topic: Abdominal Wall Hernia - Epigastric hernia: choice of approach, repair, results, follow up. Hernia. 2015 Apr;19 Suppl 1:S208–11.Full Text Link to Item
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Bayer-Topilsky T, Suri RM, Topilsky Y, Marmor YN, Trenerry MR, Antiel RM, et al. Psychoemotional and quality of life response to mitral operations in patients with mitral regurgitation: a prospective study. Ann Thorac Surg. 2015 Mar;99(3):847–54.Full Text Link to Item
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Antiel RM, Humeniuk KM, Tilburt JC. Spanning our differences: moral psychology, physician beliefs, and the practice of medicine. Philos Ethics Humanit Med. 2014 Nov 4;9:17.Full Text Link to Item
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Morreim H, Antiel RM, Zacharias DG, Hall DE. Should age be a basis for rationing health care? Virtual Mentor. 2014 May 1;16(5):339–47.Full Text Link to Item
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Antiel RM, Hashim Y, Moir CR, Rodriguez V, Elraiyah T, Zarroug AE. Intra-abdominal venous thrombosis after colectomy in pediatric patients with chronic ulcerative colitis: incidence, treatment, and outcomes. J Pediatr Surg. 2014 Apr;49(4):614–7.Full Text Link to Item
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Joyce DD, Antiel RM, Oderich G, Gloviczki P, Tung J, Grothe R, et al. Pediatric median arcuate ligament syndrome: surgical outcomes and quality of life. J Laparoendosc Adv Surg Tech A. 2014 Feb;24(2):104–10.Full Text Link to Item
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Antiel R, O’Donnell E, Humeniuk K, Curlin F, Hardt J, Tilburt J. Physician opinion and the HHS contraceptives mandate. Ajob Empirical Bioethics. 2014 Jan 1;5(1):56–60.Full Text
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Morreim H, Antiel RM, Zacharias DG, Hall DE. Should age be a basis for rationing health care? Commentary 1. Virtual Mentor. 2014 Jan 1;16(5):339–44.Full Text
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Bayer-Topilsky T, Trenerry MR, Suri R, Topilsky Y, Antiel RM, Marmor Y, et al. Psycho-emotional manifestations of valvular heart diseases: prospective assessment in mitral regurgitation. Am J Med. 2013 Oct;126(10):916–24.Full Text Link to Item
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Antiel RM, Curlin FA, James KM, Tilburt JC. The moral psychology of rationing among physicians: the role of harm and fairness intuitions in physician objections to cost-effectiveness and cost-containment. Philos Ethics Humanit Med. 2013 Sep 8;8:13.Full Text Link to Item
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Heidenreich MJ, Antiel RM, Dean DS, Farley DR. Muscle spasms after thyroidectomy: What went wrong? World Journal of Endocrine Surgery. 2013 Jul 9;5(1):16–7.Full Text
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Antiel RM, Kinghorn WA, Reed DA, Hafferty FW. Professionalism: etiquette or habitus? Mayo Clin Proc. 2013 Jul;88(7):651–2.Full Text Link to Item
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Antiel RM, James KM, Egginton JS, Sheeler RD, Liebow M, Goold SD, et al. Specialty, Political Affiliation, and Perceived Social Responsibility Are Associated with U.S. Physician Reactions to Health Care Reform Legislation. J Gen Intern Med. 2013 Jun 25;Full Text Link to Item
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Antiel RM, Reed DA, Van Arendonk KJ, Wightman SC, Hall DE, Porterfield JR, et al. Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. Jama Surg. 2013 May;148(5):448–55.Full Text Link to Item
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Tilburt JC, James KM, Jenkins SM, Antiel RM, Curlin FA, Rasinski KA. "Righteous minds" in health care: measurement and explanatory value of social intuitionism in accounting for the moral judgments in a sample of U.S. physicians. Plos One. 2013;8(9):e73379.Full Text Link to Item
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Winkelman TNA, Antiel RM, Davey CS, Tilburt JC, Song JY. Medical students and the Affordable Care Act: uninformed and undecided. Arch Intern Med. 2012 Nov 12;172(20):1603–5.Full Text Link to Item
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Antiel RM, Curlin FA, James KM, Sulmasy DP, Tilburt JC. Dignity in end-of-life care: results of a national survey of U.S. physicians. J Pain Symptom Manage. 2012 Sep;44(3):331–9.Full Text Link to Item
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Antiel RM, Van Arendonk KJ, Reed DA, Terhune KP, Tarpley JL, Porterfield JR, et al. Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. Arch Surg. 2012 Jun;147(6):536–41.Full Text Link to Item
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Kirschner KL, Smith GR, Antiel RM, Lorish P, Frost F, Kanaan RAA. "Why can't I move, Doc?" Ethical dilemmas in treating conversion disorders. Pm R. 2012 Apr;4(4):296–303.Full Text Link to Item
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Suri RM, Antiel RM, Burkhart HM, Huebner M, Li Z, Eton DT, et al. Quality of life after early mitral valve repair using conventional and robotic approaches. Ann Thorac Surg. 2012 Mar;93(3):761–9.Full Text Link to Item
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Antiel RM, Jacobson RM, Fischer PR. Ethics for the pediatrician: a brave new pediatrics? Managing the desire for better children through biotechnological enhancement. Pediatr Rev. 2012 Feb;33(2):e13–7.Full Text Link to Item
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Antiel RM, Thompson SM, Camp CL, Thompson GB, Farley DR. Attracting students to surgical careers: preclinical surgical experience. J Surg Educ. 2012;69(3):301–5.Full Text Link to Item
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Antiel RM, Tilburt JC, Hafferty FW, Brennan MD, Mueller PS. Whose best interest? Minn Med. 2011 Dec;94(12):47–9.Link to Item
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Antiel RM. A like sufferer. J Palliat Med. 2011 Oct;14(10):1176–7.Full Text Link to Item
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Antiel RM, Caudill JS, Burkhardt BEU, Brands CK, Fischer PR. Iron insufficiency and hypovitaminosis D in adolescents with chronic fatigue and orthostatic intolerance. South Med J. 2011 Aug;104(8):609–11.Full Text Link to Item
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Combs MP, Antiel RM, Tilburt JC, Mueller PS, Curlin FA. Conscientious refusals to refer: findings from a national physician survey. J Med Ethics. 2011 Jul;37(7):397–401.Full Text Link to Item
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Kritzberger CJ, Antiel RM, Wallace DP, Zacharias JD, Brands CK, Fischer PR, et al. Functional disability in adolescents with orthostatic intolerance and chronic pain. J Child Neurol. 2011 May;26(5):593–8.Full Text Link to Item
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Antiel RM, Curlin FA, Hook CC, Tilburt JC. The impact of medical school oaths and other professional codes of ethics: results of a national physician survey. Arch Intern Med. 2011 Mar 14;171(5):469–71.Full Text Link to Item
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Antiel RM, Thompson SM, Hafferty FW, James KM, Tilburt JC, Bannon MP, et al. Duty hour recommendations and implications for meeting the ACGME core competencies: views of residency directors. Mayo Clin Proc. 2011 Mar;86(3):185–91.Full Text Link to Item
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Antiel RM, Thompson SM, Hafferty FW, James KM, Tilburt JC, Bannon MP, et al. Inconclusive findings on effects of duty hour reduction: Reply-I. Mayo Clinic Proceedings. 2011 Jan 1;86(7):706–7.Full Text
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Antiel RM, Thompson SM, Reed DA, James KM, Tilburt JC, Bannon MP, et al. ACGME duty-hour recommendations - a national survey of residency program directors. N Engl J Med. 2010 Aug 19;363(8):e12.Full Text Link to Item
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Antiel RM, Curlin FA, James KM, Tilburt JC. Physicians' beliefs and U.S. health care reform--a national survey. N Engl J Med. 2009 Oct 1;361(14):e23.Full Text Link to Item
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Jacobson RM, Antiel RM, Fischer PR. Ethics in everyday pediatrics. J Pediatr. 2009 Jun;154(6):781-2.e1.Full Text Link to Item
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Antiel RM, Risma JM, Grothe RM, Brands CK, Fischer PR. Orthostatic intolerance and gastrointestinal motility in adolescents with nausea and abdominal pain. J Pediatr Gastroenterol Nutr. 2008 Mar;46(3):285–8.Full Text Link to Item
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Conference Papers
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Tilburt JC, Antiel RM, James KM, Egginton J, Sheeler R, Liebow M, et al. PREDICTORS OF US PHYSICIAN REACTIONS TO THE AFFORDABLE CARE ACT. In: Journal of General Internal Medicine. 2013. p. S151–S151.Link to Item
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- Teaching & Mentoring
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Advising & Mentoring
- Dr. Antiel mentors Duke medical students, residents and fellows in scholarly projects at the intersection of medicine, ethics, and decision making sciences. He also does work in the moral formation of medical trainees. He is able to serve as a mentor on analytical and normative projects, as well as empirical research in this domain.
Available to mentor:
- Fellow
- Masters
- PhD
- Post-Doc
- Professional
- Resident
- Undergraduate
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