(Rev.) John F. Tuohey, Ph.D.
Endowed Chair, Applied Health Care Ethics
(Rev.) John F. Tuohey, Ph.D., is founder and senior director of Providence Center for Health Care Ethics and is the first holder of the center's Endowed Chair in Applied Health Care Ethics, a position he has held since 1998. His role as chair includes working with the internal medicine and family practice residency programs for ethics education, as well as providing clinical ethics consultation and ethical discernment (organizational ethical consultations), throughout Providence Health & Services' health care ministries. As holder of the endowed chair, Dr. Tuohey also engages in ethics research and scholarship, representing the work of the center in professional publications and conferences.
In addition to numerous local and national presentations, Dr. Tuohey lectures internationally as faculty for the Applied Health Care Ethics program at Imperial College in London, UK, and has presented papers in Croatia, Taiwan and Brazil. His most recent presentation, "Prudential Judgment: It's not just about the rules," was given at the American Society of Bioethics and Humanities in Atlanta, Ga. in 2013. Other publications include POLST Reflects Patient Wishes and Clinical Reality in Health Progress. He is on the editorial board of The Physician's Index for Ethics in Medicine.
Dr. Tuohey earned his Ph.D. from the Katholieke Universiteit Leuven, Belgium, writing his dissertation on the topic of palliative care.
Dr. Tuohey holds a Ph.D. in religious studies with an emphasis in ethics, magna cum laude from Katholieke Universiteit Leuven, Belgium; Baccalaureate in sacred theology and Master of Arts in theology with an emphasis in ethics, cum laude, Katholieke Universiteit Leuven, Belgium.
Nicholas J. Kockler, Ph.D., MS
Director of ethics education, senior ethicist
Nicholas J. Kockler, Ph.D., MS, is director of ethics education and senior ethicist at Providence Center for Health Care Ethics. In this role, he helps develop, manage, and teach ethics curricula to residents, nurses, and other clinical staff; participates in clinical rounds with care teams; provides ethics consultation; assists with ethical discernment (organizational ethical consultations); reviews and develops organizational policies; and conducts research. He is the point person for clinical ethics consultations at Providence Portland Medical Center while also supporting ethics consultation throughout the Oregon Region of Providence Health & Services.
Dr. Kockler's research interests center on the intersection of a broad array of disciplines including health sciences, philosophical ethics, theology, and anthropology. He publishes articles in health care ethics. In addition, he presents scholarly work internationally, nationally, and regionally. He co-authored "An Introduction to Bioethics" (Fourth Edition, Paulist Press) with Professor Emeritus Thomas A. Shannon, Ph.D.
He holds an interdepartmental doctorate in health care ethics as well as other graduate degrees in the humanities and sciences.
Nicholas J. Kockler, Ph.D., holds a Doctorate in Health Care Ethics from Duquesne University, a Master of Science in biotechnology from Northwestern University, a Master of Arts in health care ethics from Loyola University Chicago, and a Bachelor of Arts in theology from Loyola University Chicago.
Kevin Dirksen, M.Div., MSc.
Kevin Dirksen is clinical ethicist at Providence Center for Health Care Ethics. In this role, he works closely with the family medicine residency programs at Providence Milwaukie Hospital and Providence Hood River Medical Center; collaborates with Ethics Center faculty in teaching ethics to Providence providers statewide; participates in clinical rounds with health care teams; provides clinical ethics consultation upon request; assists with ethical discernments (organizational ethics consultations); participates in hospital policymaking activities (developing and reviewing); and engages in clinical ethics research activities.
Kevin is the point person for clinical ethics consultations at Providence Willamette Falls Medical Center, Providence Milwaukie Hospital, and Providence Hood River Memorial Hospital while also supporting consultation throughout Providence Health & Services in the Oregon Region.
Kevin has published in international, peer-reviewed publications on decision-making capacity, neuroethics, palliative care, organizational ethics, moral theology and clinical ethics consultation. He has been a part of a research team examining physicians’ perspectives on early indicators for ethical conflict in health care settings (publication forthcoming). Kevin has lectured on a range of ethical topics throughout clinical medicine and has presented at national conferences on ethics consultation and advance care planning.
Kevin holds an advanced graduate degree in biomedical ethics and a graduate degree in theology, specializing in ethics and health.
Kevin Dirksen holds a Master of Science in biomedical ethics, summa cum laude with congratulations from the examination committee from Katholieke Universiteit Leuven (Belgium), Radboud Universiteit Nijmegen (The Netherlands), and Università degli Studi di Padova (Italy); Master of Divinity from Boston University cum laude; and a Bachelor of Arts in philosophy from the University of Portland.
Barbara A. Segal, MS, MA
Director of programs
Barbara Segal, director of programs, joined Providence Center for Health Care Ethics in 2001. As Director of Programs, Barbara is instrumental in developing and administering center educational programs and endowed lectureships and has administrative and supervision responsibilities. Barbara has taken the lead in creating and is faculty for Core Curriculum IV: Critical Issues in Managing Patients with Life-threatening Illnesses from Diverse Cultures.
Prior to working at Providence, she served for eight years as Director of International Student Services and Adult Programs at the University of Portland. She has worked internationally and in the United States for several faith-based advocacy and development organizations and has extensive program administration and cross-cultural experience.
Barbara Segal holds a Master of Science degree from Portland State University in counseling psychology.
Barbara Segal holds a Master of Science degree from Portland State University in counseling psychology, Master of Arts degrees from University of California, Los Angeles in international planning and Latin American studies, and was a 1986 Fulbright Scholar in Mexico.
Marian O. Hodges, M.D., MPH
Bain Chair of Geriatric Medicine
Regional medical director for geriatrics
Affiliate faculty member
Dr. Hodges is the Bain Chair of Geriatric Medicine and regional medical director for geriatrics in Oregon where she provides expertise and strategic direction to compliment the coordination of care planning across Providence services and clinical programs. She joined Providence Health & Services in 1992 as assistant director of medical education at Providence Portland Medical Center. She continues to lead educational programs for internal medicine residents in geriatric medicine, medical ethics and palliative medicine.
In 2005, she joined the staff of Providence Center for Health Care Ethics on a part-time basis as a physician-ethicist to deepen her focus on ethics and palliative medicine education. She also expanded her teaching to include Core Curriculum on ethical issues at the end-of-life and cross-cultural issues.
Dr. Hodges has a part-time private practice where she sees primarily older patients. In 2011, she received a grant to work on a tool to support families of patients with dementia and has co-authored "Help is Here: When someone you love has dementia" with Anne Hill, J.D., which was published in 2014. She received a second grant in 2013 to design an educational program in dementia for employed caregivers. Dr. Hodges also sits on the Oregon Region Community Ministry Board, Providence Health & Services.
Dr. Hodges holds a Master of Public Health degree from the University of Washington and a certificate in health care ethics from the University of Washington and Oregon Health & Science University.
Dr. Hodges studied medicine at Columbia University College of Physicians and Surgeons, New York, and completed postgraduate studies in theology and ethics at Wolfson College, Cambridge, England. She received a Master of Public Health degree with focus on medical ethics from the University of Washington, and a certificate in health care ethics from the University of Washington and Oregon Health & Science University. She received a certificate in palliative care from the American Academy of Hospice and Palliative Medicine. Dr. Hodges is currently board certified in internal medicine and geriatric medicine.
Tina D. Castañares, M.D.
Affiliate faculty member
Tina Castañares, M.D. is an affiliate faculty member at the Providence Center for Health Care Ethics, specializing in intercultural communications and special population health. Prior to joining the faculty in 2013, Dr. Castañares had collaborated in presentations sponsored by the center while working as the medical director for Providence Hospice of The Gorge and palliative care physician for Providence Connections in the Gorge. A family physician for 30 years, she has retired from practicing clinical medicine, but continues to be in demand as a speaker and lecturer on a wide variety of topics.
The founder and longtime chair of Providence Hood River Memorial Hospital's Institutional Ethics Committee, Dr. Castañares still serves as a committee member as well as a volunteer senior scholar for the Center for Ethics in Health Care at Oregon Health & Science University. She has been an active participant in the development of the POLST form and its associated instructional materials, as well as with other community and professional educational tools.
Dr. Castañares has authored and co-authored several published articles in health policy, public health, multiculturalism in end-of-life care, and the utilization of community health workers in the United States. Her special interests in ethics, in addition to intercultural communication, relate to social justice, health equity, resource allocation, and public policy. She was a member of Oregon's first Health Services Commission, which pioneered the use of transparent priority-setting of health diagnoses and treatments for direction in public spending. In this role she frequently lectured regionally, nationally and internationally.
Tina Castañares, M.D., originally a double-major in philosophy and literature, was awarded a Bachelor of Arts in general sciences from the University of California at Santa Cruz before graduating from the University of Southern California School of Medicine in 1980. She was board certified in hospice and palliative medicine through 2013.
Coordinator of ethics services
Patty Goss, coordinator of ethics services, joined Providence Center for Health Care Ethics in 2003. Prior to coming to Providence, she was employed for ten years in the Offices of Campus Ministry and Residence Life at the University of Portland.
Administrative assistant III
Eileen Mooney, administrative assistant, joined Providence Center for Health Care Ethics in 2012. Prior to coming to Providence, she worked in the development office for thirteen years at Ronald McDonald House Charities of Oregon and Southwest Washington.