About

Margaret Moon, MD, MPH, is an Associate Professor of General Pediatrics and Adolescent Medicine at Johns Hopkins School of Medicine and a faculty member at the Johns Hopkins Berman Institute of Bioethics. She completed a fellowship in Clinical Medical Ethics at the McLean Center for Clinical Medical Ethics of the University of Chicago and was a Robert Wood Johnson Clinical Scholar at the University of Chicago. Dr. Moon is a graduate of the Johns Hopkins University School of Medicine and the Johns Hopkins University School of Public Health, holding a BS from Michigan State University. Her clinical work is based at the Johns Hopkins Harriet Lane Primary Care Clinic, where she teaches residents in the acute care setting and contributes to the Harriet Lane Continuity Clinic Curriculum Internet Learning Center. She actively engages in teaching clinical and research ethics to fellows, residents, and students throughout Johns Hopkins Hospital and School of Medicine. Dr. Moon is involved in research focusing on empirical evaluation of ethics in everyday clinical practice, teaching and evaluating housestaff education in ethics, and the ethics of community-based research. She is supported as the Freeman Family Scholar in Clinical Ethics at the Berman Institute and serves on various IRBs and ethics committees within Johns Hopkins.

Research topics

• Internal medicine
• Medicine
• Intensive care medicine
• Environmental health
• Pediatrics
• Gynecology
• Virology
• Geography
• Surgery

Selected publications

• Adherence to the AAP’s Institutional Ethics Committee Policy Recommendations

  Hospital Pediatrics · 2023-08-29 · 3 citations

  articleOpen access

  OBJECTIVES: In 2019, the American Academy of Pediatrics (AAP) outlined 8 operational recommendations for pediatric institutional ethics committees (IECs). The study purpose was to quantify the extent to which pediatric IECs adhere to the AAP IEC Policy Statement recommendations. METHODS: A convenience sample of ethics points of contact from Children's Hospital Association membership were invited to complete an electronic survey on their ethics programs and practices in spring 2022. Nineteen survey questions were preidentified as reflecting measures specific to best practice standards previously published by the AAP. This subset of questions was analyzed using frequencies and categorized to assess for adherence to the AAP IEC policy recommendations. RESULTS: A total of 117 out of 181 surveys were completed (65%). Stark IEC practice gaps include: lack of diversity of membership, training needs to maintain members' competencies, quality improvement within the organization, and scope of ethics service. Over one-quarter of IECs do not have a systematic way of informing hospital staff about ethics consultancy services and how to place an ethics consult. Nineteen percent of responding IEC services do not inform patients or families about the existence of ethics consult services. One-third of responding children's hospitals do not provide resources for the IECs to engage in ethics education at the facility. CONCLUSIONS: IECs in children's hospitals are not consistently abiding by operational recommendations. Next steps should include assessment of recommendation barriers and enablers with a goal of enhancing strong practices across IECs in children's hospitals.

  PublisherOA PDFDOI

• Everyday Ethics in the Clinical Practice of Pediatrics

  Pediatric Clinics of North America · 2023-10-11 · 1 citations

  editorial1st authorCorresponding
  PublisherDOI

• The Imperative of Ethics in Everyday Clinical Pediatrics

  Pediatric Clinics of North America · 2023-11-14 · 1 citations

  review1st authorCorresponding
  PublisherDOI

• Management of Uncertainty in Everyday Pediatric Care

  Pediatric Clinics of North America · 2023-09-11 · 1 citations

  reviewSenior author
  PublisherDOI

• Everyday Ethics In The Clinical Practice Of Pediatrics And Young Adult Medicine

  Pediatric Clinics of North America · 2023-11-14 · 1 citations

  article1st authorCorresponding
  PublisherDOI

• Ethics In and For the Organization

  Cambridge University Press eBooks · 2022-02-17 · 1 citations

  book-chapter1st authorCorresponding

  HECs exist in almost every hospital in the USA. While their history started with specific conflicts created as advancing medical technology challenged traditional approaches to death, dying, and consent for care, most HECs currently accept three main duties: resolution of conflicts related to clinical care, review of policies related to ethical clinical practice, and education of providers, staff, and patients and families.

  PublisherDOI

• Ethical Issues in the Care of Children with Necrotizing Enterocolitis

  2021-01-27

  book-chapter1st authorCorresponding

  Moral values are involved in every clinical encounter. The moral values of the patient and individual family members are primary, but those of the physicians and other members of the clinical care teams are also influential. In addition to the moral component, clinical encounters are influenced by professional duties and standards, health system structure, and social norms. Ethical concerns arise when there are conflicts between obligations, values, and duties. Clinical ethics is a means to explicate those conflicts and seek the most ethically justifiable resolution. This chapter will focus on practical consideration of ethical concerns that can be anticipated when very young children are very sick.

  PublisherDOI

• Beyond Biobanking: Future Use of Specimens and Data from Pediatric Participants

  The Journal of Pediatrics · 2020-05-29 · 3 citations

  article
  PublisherDOI

• Fertility Preservation for Pediatric and Adolescent Patients With Cancer: Medical and Ethical Considerations

  PEDIATRICS · 2020 · 94 citations

  • Medicine
  • Gynecology
  • Pediatrics

  Many cancers presenting in children and adolescents are curable with surgery, chemotherapy, and/or radiotherapy. Potential adverse consequences of treatment include sterility, infertility, or subfertility as a result of gonad removal, damage to germ cells as a result of adjuvant therapy, or damage to the pituitary and hypothalamus or uterus as a result of irradiation. In recent years, treatment of solid tumors and hematologic malignancies has been modified in an attempt to reduce damage to the gonadal axis. Simultaneously, advances in assisted reproductive technology have led to new possibilities for the prevention and treatment of infertility. This clinical report reviews the medical aspects and ethical considerations that arise when considering fertility preservation in pediatric and adolescent patients with cancer.

  PublisherOA PDFDOI

• Shoring up the safety net for children in the COVID-19 pandemic

  Pediatric Research · 2020 · 50 citations

  • Virology
  • Medicine
  • Geography
  PublisherDOI

Frequent coauthors

• Raquel Hernandez

  55 shared

• Stephen D. Sisson

  Johns Hopkins University

  54 shared

• John D. Cowden

  Research Triangle Park Foundation

  51 shared

• Darcy A. Thompson

  University of Colorado Anschutz Medical Campus

  51 shared

• Mark T. Hughes

  23 shared

• Joseph A. Carrese

  Johns Hopkins Medicine

  23 shared

• Erin McDonald

  Tampa General Hospital

  13 shared

• Holly A. Taylor

  12 shared

Awards & honors

• Freeman Family Scholar in Clinical Ethics