About

Joseph A. Carrese, MD, MPH, FACP is an emeritus Professor of Medicine at the Johns Hopkins University School of Medicine and an emeritus faculty member of the Johns Hopkins Berman Institute of Bioethics. His scholarship focuses on clinical ethics and professionalism, with a particular interest in medical education, examining ethical issues in the context of cultural diversity and clinical ethics consultation. Dr. Carrese has published peer-reviewed articles in leading medical and bioethics journals and has been a visiting professor at several academic medical institutions, as well as an invited speaker at many national and international meetings. He has served on the Board of Directors for the American Society for Bioethics and Humanities and was a founding Board member and Chair of the Academy for Professionalism in Healthcare. Dr. Carrese is a Fellow of the Hastings Center and holds leadership roles such as Chair of the Ethics Committee at the Johns Hopkins Bayview Medical Center and Chair of an Institutional Review Board at the Johns Hopkins School of Medicine. His research interests include clinical ethics, professionalism, and medical education, with a focus on ethical issues in diverse cultural contexts. He has received awards for his contributions to medical ethics education and has been actively involved in various professional organizations and committees.

Research topics

• Medicine
• Medical education
• Psychology
• Family medicine
• Nursing

Selected publications

• Correction to: Exploring Patients’ and Chaplains’ Perspectives About a Spiritual Care Program in the Primary Care Setting

  Journal of General Internal Medicine · 2025-05-20

  erratumOpen access
  PublisherOA PDFDOI

• Well-Being

  2025-01-01

  book-chapter1st authorCorresponding

  Abstract Physician well-being is inextricably linked to medical professionalism . Historically, the stressful nature and circumstances of clinical work and operationalizing professionalism to require extreme levels of self-sacrifice, have together undermined physician well-being. This chapter explores the relationship between physician well-being and medical professionalism and argues that a modern and robust version of professionalism requires well-being to be a key element of professionalism as opposed to the historical experience that well-being is often a casualty of professionalism.

  PublisherDOI

• Ethical Considerations for Acutely Injured and Future Burn Patients Who Smoke While on Home Oxygen Therapy

  Journal of Burn Care & Research · 2024-04-25 · 1 citations

  review

  Home oxygen therapy (HOT) is prescribed to patients with pulmonary dysfunction to improve survival and quality of life. However, ignition of oxygen can lead to burns with significant morbidity and mortality. Providers who routinely treat this patient population face an ethical issue: balancing the obligation to provide beneficial treatment to a patient with the responsibility to protect that patient from suffering avoidable burn injuries. A thorough review was conducted to assess the literature regarding ethical considerations involved in managing patients who have been burned while smoking on HOT and who continue to smoke. Various aspects of this problem and potential approaches to address it were analyzed with respect to 4 core ethical principles of health care: beneficence, nonmaleficence, autonomy, and justice. For patients who repeatedly present with burns acquired secondary to smoking while on oxygen, the authors consider it ethically unacceptable to withhold standard-of-care intervention for acute burns because refusal to treat acute burns conflicts with all 4 ethical principles. A preventive strategy would encourage a more judicious prescription of HOT, supporting the principles of nonmaleficence and beneficence. Additional preventive strategies include upstream solutions such as longitudinal patient education about smoking cessation and the risks of smoking on HOT. Physicians are tasked with the responsibility of both providing optimal care for this patient population and preventing future burn injuries. They may be able to address this challenging situation by thinking more critically about potential solutions while bearing in mind key ethical considerations and obligations.

  PublisherDOI

• Patient and Physician Perspectives on Discussing Addiction Recovery and Spirituality in the Primary Care Setting

  Journal of General Internal Medicine · 2024-07-19

  articleOpen access
  PublisherOA PDFDOI

• Exploring Patients’ and Chaplains’ Perspectives About a Spiritual Care Program in the Primary Care Setting

  Journal of General Internal Medicine · 2024-02-12 · 3 citations

  articleOpen access
  PublisherOA PDFDOI

• Everyday Ethics in Ambulatory Pediatrics

  Pediatric Clinics of North America · 2023-09-19 · 1 citations

  review1st authorCorresponding
  PublisherDOI

• Success, Regret, and the Struggle for Balance

  2022-01-27

  book-chapter1st authorCorresponding

  IN A ROLE REVERSAL, I ASKED MY PERSONAL PHYSICIAN, JOE, WHO IS A mid-career faculty member, “How are you doing?” And he replied, “Oh, I'm fine, but trying to balance career and family is not easy. I juggled my schedule a few weeks ago so I could teach a course to medical students in the evening – a time of the day that I usually reserve for my family. As it turned out, my daughter's high school soccer team made it to the regional finals, and the game was scheduled at the same time as the course. This created a major conflict for me: teach this special class (which is partly about balance in your life!) or attend my daughter's soccer game.”

  PublisherDOI

• “I’m a Survivor”: Perceptions of Chronic Disease and Survivorship Among Individuals in Long-Term Remission from Opioid Use Disorder

  Journal of General Internal Medicine · 2021-05-23 · 11 citations

  articleOpen access
  PublisherOA PDFDOI

• Barriers to and Facilitators of Postpartum Follow-Up Care in Women with Recent Gestational Diabetes Mellitus: A Qualitative Study

  UNC Libraries · 2020-11-05

  articleOpen access1st authorCorresponding

  Women with a history of gestational diabetes mellitus (GDM) have an increased risk of developing type 2 diabetes (T2DM) but often do not return for follow-up care. We explored barriers to and facilitators of postpartum follow-up care in women with recent GDM.

  PublisherDOI

• A medical student scholarly concentrations program: scholarly self-efficacy and impact on future research activities

  Medical Education Online · 2020-01-01 · 20 citations

  articleOpen access

  BACKGROUND: The Scholarly Concentrations program was established at Johns Hopkins University School of Medicine in 2009 with the aim of instilling passion for scholarship. OBJECTIVE: Our study aimed to determine whether the Scholarly Concentrations program achieves positive changes in medical student self-efficacy in conducting research and, if so, whether this results in future career aspirations toward scholarship. DESIGN: We used the Clinical Research Appraisal Inventory-Short Form (CRAI-SF) to assess changes in self-efficacy among students completing the Scholarly Concentrations program between 2014 and 2017. We calculated composite mean scores of six domains. We included outcomes on whether students published a manuscript, overall program perceptions, and likelihood of future research careers. We analyzed relationships between CRAI-SF scores and outcomes using paired t-tests and multivariable-adjusted logistic regression. RESULTS: A total of 419 students completed the Scholarly Concentrations program. All 6 CRAI domain scores showed significant improvements in self-efficacy between the pre-Scholarly Concentrations and post-Scholarly Concentrations ratings (range of changes 0.76-1.39, p < 0.05 for all). We found significant associations between post-Scholarly Concentrations self-efficacy ratings and course satisfaction (adjusted OR 1.57 [95% CI 1.20, 2.07]) and mentor satisfaction (OR 1.46 [1.15, 1.86]), as well as students' intent to conduct future research (OR 1.46 [1.15, 1.86]). These results were robust to sensitivity analyses, and pronounced in the group of students without prior research experience. CONCLUSIONS: Our findings suggest that a Scholarly Concentrations program is associated with an increased self-efficacy for research, and these changes in self-efficacy are associated with higher satisfaction in the scholarly experience and increased likelihood of pursuing scholarly work. Other medical schools could use such a tool of self-efficacy to both investigate the overall Scholarly Concentrations experience and understand factors that may increase interest in future physician-scientist pathways.

  PublisherOA PDFDOI

Frequent coauthors

• Darrell G. Kirch

  Association of American Medical Colleges

  179 shared

• Stephen Wear

  University at Buffalo, State University of New York

  179 shared

• David J. Doukas

  175 shared

• Michael J. Green

  Penn State Milton S. Hershey Medical Center

  172 shared

• Laurence B. McCullough

  172 shared

• Lisa Soleymani Lehmann

  172 shared

• Lois LaCivita Nixon

  University of South Florida

  170 shared

• Johanna Shapiro

  Day Family Medicine

  170 shared

Awards & honors

• Fellow of the Hastings Center
• National Award for Scholarship in Medical Education at the S…
• ASBH Presidential Citation Award (2011)