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James L. Bernat, MD

Title(s):
Emeritus Professor of Neurology

Department(s):
Neurology

Education:
Cornell University Medical College, MD 1973
University of Massachusetts, BA 1969

Programs:
SYNERGY

Websites:
http://www.dhmc.org/providers/dhmc_provider_475.html

Contact Information:

Neurology Department
Geisel School of Medicine at Dartmouth
1 Rope Ferry Road
Hanover NH 03755

Phone: 802-649-1346
Email: bernat@dartmouth.edu


Professional Interests:

Brain death and the definition of death.
Coma, vegetative states, and other disorder of consciousness.
Ethical and philosophical issues in neurology.

Grant Information:

SYNERGY: Dartmouth Center for Clinical and Translational Science. Director: Research Ethics

Biography:

James L. Bernat, M.D., formerly the Louis and Ruth Frank Professor of Neuroscience at Dartmouth Medical School, earned a B.A. from the University of Massachusetts (1965-69) and an M.D. from Cornell University Medical College (1969-73). He trained in internal medicine and neurology at the Dartmouth-Hitchcock Medical Center (1973-77). Dr. Bernat has been a Dartmouth Medical School faculty member since 1976 and has held the rank of Professor of Medicine and Neurology since 1989. Dr. Bernat was the Director of the Program in Clinical Ethics at the Dartmouth-Hitchcock Medical Center. Previously he served as Assistant Dean of Clinical Education at Dartmouth Medical School. He served for 28 years on the American Academy of Neurology Ethics, Law & and Humanities Committee, with 10 years as chairman. Dr. Bernat has been elected to Phi Beta Kappa, Alpha Omega Alpha, and fellowships in the American College of Physicians, the American Academy of Neurology, and The Hastings Center. He is a member of the Dana Alliance for Brain Initiatives. In 2011, he received the Presidential Award from the American Academy of Neurology for lifetime service to American neurology.

Dr. Bernat's scholarly interests are in ethical and philosophical issues in neurology. He has authored over 250 articles and chapters on topics in neurology and clinical ethics. He is the author of Ethical Issues in Neurology, 3rd ed. (Lippincott Williams & Wilkins, 2008), coeditor of Palliative Care in Neurology (Oxford University Press, 2004), and coeditor of Ethical and Legal Issues in Neurology (Elsevier, 2013) He testified on the vegetative state before the United States Senate Health Committee and was a consultant on brain death to the Institute of Medicine, the Vatican Pontifical Academy of Sciences, and the Pontifical Academy for Life. He chaired the US DHHS HRSA Division of Transplantation panel on determining death in organ donors and served on the World Health Organization international committee on standards for death determination.


Selected Publications:

 

Correction to: Expanding controlled donation after the circulatory determination of death: statement from an international collaborative.
Dominguez-Gil B, Ascher N, Capron AM, Gardiner D, Manara AR, Bernat JL, Miñambres E, Singh JM, Porte RJ, Markmann JF, Dhital K, Ledoux D, Fondevila C, Hosgood S, Van Raemdonck D, Keshavjee S, Dubois J, McGee A, Henderson GV, Glazier AK, Tullius SG, Shemie SD, Delmonico FL
Intensive Care Med. 2021 Sep;47(9):1059-1060. doi: 10.1007/s00134-021-06435-w.
PMID: 34129053

Ethical Issues in Stroke Management.
Bernat JL, Lukovits TG
Neurol Clin Pract. 2021 Feb;11(1):3-5. doi: 10.1212/CPJ.0000000000000925.
PMID: 33970165

On Shared Decision-making and Informed Consent.
Bernat JL, McQuillen MP
Neurol Clin Pract. 2021 Apr;11(2):93-94. doi: 10.1212/CPJ.0000000000000823.
PMID: 33842060

The Limits of Advance Directives in Maintaining Autonomy in Patients with Advanced Dementia.
Kollisch DO, Santulli RB, Bernat JL
Am J Med. 2021 Aug;134(8):963-967. doi: 10.1016/j.amjmed.2021.02.032. Epub 2021 Apr 1.
PMID: 33811883

Expanding controlled donation after the circulatory determination of death: statement from an international collaborative.
Dominguez-Gil B, Ascher N, Capron AM, Gardiner D, Manara AR, Bernat JL, Miñambres E, Singh JM, Porte RJ, Markmann JF, Dhital K, Ledoux D, Fondevila C, Hosgood S, Van Raemdonck D, Keshavjee S, Dubois J, McGee A, Henderson GV, Glazier AK, Tullius SG, Shemie SD, Delmonico FL
Intensive Care Med. 2021 Mar;47(3):265-281. doi: 10.1007/s00134-020-06341-7. Epub 2021 Feb 26.
PMID: 33635355

Financial Conflicts of Interest of United States-Based Authors in Neurology Journals: Cross-Sectional Study Using the Open Payments Database.
Smith JE, Wahle C, Bernat JL, Robbins NM
Neurology. 2021 Apr 6;96(14):e1913-e1920. doi: 10.1212/WNL.0000000000011701. Epub 2021 Feb 25.
PMID: 33632804

What Should We Do About the Mismatch Between Legal Criteria for Death and How Brain Death Is Diagnosed?
Robbins NM, Bernat JL
AMA J Ethics. 2020 Dec 1;22(12):E1038-1046. doi: 10.1001/amajethics.2020.1038. Epub 2020 Dec 1.
PMID: 33419505

Language and Meaning: Then and now.
Shevell M, Bernat JL
Pediatr Neurol. 2020 Oct;111:87. doi: 10.1016/j.pediatrneurol.2020.08.006. Epub 2020 Aug 18.
PMID: 32861581

Determination of Brain Death/Death by Neurologic Criteria: The World Brain Death Project.
Greer DM, Shemie SD, Lewis A, Torrance S, Varelas P, Goldenberg FD, Bernat JL, Souter M, Topcuoglu MA, Alexandrov AW, Baldisseri M, Bleck T, Citerio G, Dawson R, Hoppe A, Jacobe S, Manara A, Nakagawa TA, Pope TM, Silvester W, Thomson D, Al Rahma H, Badenes R, Baker AJ, Cerny V, Chang C, Chang TR, Gnedovskaya E, Han MK, Honeybul S, Jimenez E, Kuroda Y, Liu G, Mallick UK, Marquevich V, Mejia-Mantilla J, Piradov M, Quayyum S, Shrestha GS, Su YY, Timmons SD, Teitelbaum J, Videtta W, Zirpe K, Sung G
JAMA. 2020 Sep 15;324(11):1078-1097. doi: 10.1001/jama.2020.11586.
PMID: 32761206

Ethical Justifications for Pandemic Rationing Strategies.
Bernat JL
Ann Neurol. 2020 Sep;88(3):433-435. doi: 10.1002/ana.25848. Epub 2020 Aug 4.
PMID: 32662219

View more publications on PubMed