MU Logo Department of Internal Medicine at MUMu Health Care

Faculty Profiles

David A. Fleming , MD, FACP

Professor of Medicine
Director, Center for Health Ethics

Dr. Fleming's broad areas of expertise include internal medicine, health ethics, geriatrics, telehealth, end of life care, and home care for the elderly. He recently completed research at Georgetown University examining caregiver burden at the end-of-life. He has also published and given presentations addressing end of life care and the ethical concerns in the use of telehealth technology in the care and treatment of vulnerable populations.


Board Certification:

  • Internal Medicine
Photo of Dr. David Flemming

Medical School

University of Missouri
Columbia, Missouri


Residency

University of Missouri
Columbia, Missouri


Fellowship

Primary Care Research, Center for Clinical Bioethics
Georgetown University
Washington, DC

Honors, Awards:

  • Alpha Omega Alpha, Honor Medical Society
  • Outstanding Presentation Award, Introduction to Patient Care, Block 8, Office of Medical Education, University of Missouri School of Medicine
  • Responsible Conduct of Research Training Award, University of Missouri, Graduate School
  • Excellence in Education Award: Clinical 2004, Medical Student Affairs Council, University of Missouri School of Medicine
  • International Catherine Pouget Award, MAPI Research Institute, for research in telehospice and end of life care 
  • Order of Socrates, Office of Medical Education, University of Missouri School of Medicine, recognizing individuals repeatedly cited for excellence in teaching 
  • Prince Charitable Trust Scholar in End of Life Care, Georgetown University, Washington, DC
  • Students' Excellence in Education Award, University of Missouri School of Medicine, Department of Internal Medicine

Society Memberships:

  • Governor, Missouri Chapter of the American College of Physicians
  • American College of Physicians, Fellow
  • American Medical Association
  • American Telemedicine Association
  • American Society of Bioethics and Humanities
  • Boone County Medical Society, Member
  • Kennedy Institute of Ethics, Associate
  • Missouri State Medical Association

Recent Publications:

  1. David A Fleming. Making Difficult Choices at the End of Life: A Personal Challenge for All Participants. Missouri Medicine. 2005;02(2):147-152
  2. Snyder L. and Leffler C. for the Ethics and Human Rights Committee, American College of Physicians, David A. Fleming, committee member. Ethics Manual, Fifth Edition. Ann Int Med. 2005;10(7):560-582
  3. Wasson, Sanjeev, David A. Fleming, and Hanmanth K. Reddy. Pathology, Prognosis, and Prevention of Heart Failure. Missouri Medicine. 2005; 102(5):480-484
  4. Wasson, Sanjeev, David A. Fleming, and Hanmanth K. Reddy. Evidence-Based Drug Treatment for Heart Failure, Missouri Medicine, November/December, 2005; 102 (6) 540-548
  5. Fleming, David A. Futility: A Prudential Calculus that Still Pertains. Health Ethics Committee Forum. 2005;17(4):260-275
  6. Wasson, Sanjeev, David A. Fleming, and Hanmanth K. Reddy. Modern Surgical and Interventional Management of Heart Failure, Missouri Medicine. 2005;103(2):185-188
  7. Brummel, Nathan and David A. Fleming. Medical Students Should Obtain Informed Consent Prior to Participation in Patient Care Activities. Ann Behav Sci Med Ed. 2006;12(1):1-68
  8. Fleming, David A., Vanessa Sheppard, Patricia Mangan, Kathryn Taylor, Michele Tallarico, Inez Adams, Jane Ingham. Caregiving at the End of Life: Perceptions of Healthcare Quality and Quality of Life among Patients and Caregivers. J Pain Sym Mgt. 2006;31(5):407-420
  9. Fleming, David A., Sue Boren, Shari Alber, Kim Hoffman, Karen Edison, Charles S. Brooks. Internal Medicine Telehealth Training Evaluation Project (IMTTEP). Telemedicine and eHealth. 2006; 12(2):210
  10. Harrison, Bradley and David A. Fleming. The Military Physician as a Noncombatant: the Concept of Over Identification. Military Medicine. 2006;171:iv-vi Fleming, David A., Sue Boren, Shari Alber, Kim Hoffman, Karen Edison, Charles S. Brooks. Internal Medicine Telehealth Training Evaluation Project (IMTTEP). Telemedicine and eHealth. 2006; 12(2):210
  11. Ahmed, Abrar, Bishal Gupta, David A. Fleming, and Kul Aggarwal. Case Report: Pulmonary Tuberculosis Causing Lipoid Pneumonia. Missouri Medicine. 2006 (In Press)
  12. Fleming, David A. Responding to Ethical Dilemmas in Nursing Homes: Do We always Need an Ethicist? HEC Forum. 2006 (In Press)
  13. Fleming, David A. Ethical Implication in the use of Telehealth and Teledermatology. In Teledermatology. Pak H and Edison K. 2006 (In Press)
  14. Rathert, Cheryl and David A. Fleming. The Hospital Ethical Climate and End of Life Moral Conflict in Care Teams. 2006 (Under Consideration)
  15. Levine, Mark, Matthew K. Wynia, Paul M. Schyve, J. Russell Teagarden, David A. Fleming, Sharon King-Donahue, Ron J. Anderson, James Sabin, and Ezekiel J. Emanuel. Improving Access to Health Care: A Consensus Ethical Framework to Guide Proposals for Reform. 2006 (Under Consideration)
  16. Moparty, Eswar and David A. Fleming. Conducting Randomized Clinical Trials Ethically: Expanding the Concepts of Clinical Equipoise. 2007 (Under Consideration)
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Last Revised: 04/11/2006