Alexandra F. M. Cist

Alexandra F. M. Cist, MD

Pulmonary & Critical Care Medicine, Massachusetts General Hospital (MGH)
Faculty, Harvard Medical School and the Center for Bioethics

Alexandra F. M. Cist, MD, is an active member of several Ethics committees and performs clinical ethics services at MGH. She completed fellowships in Pulmonary and Critical Care Medicine and in Clinical Ethics at Harvard Medical School, and has combined these interests in her clinical work at MGH since 1992.  She focuses on clinical ethics—especially in end-of-life care and in intensive care units; and she trains new members of Ethics committees in ethics consultation at MGH and other Partners hospitals.  She advocates for holding multidisciplinary Ethics Rounds in many venues around the hospital as a means of “keeping moral spaces open."  Her particular interest in manifestations of religion and spirituality among patients, families and staff informs her bio-psycho-social-spiritual support approach to ethics consultation and conflict resolution.  She is a consultant to the MGH Emergency Preparedness group and to the Disaster Relief Ethics and Management team (DREAM team). She teaches in the ethics curriculum at Harvard Medical School; and she serves on the MGH Optimum Care Committee, the MGH Ethics in Clinical Practice Committee, the Partners Ethics Leaders Group, the Harvard Ethics Leaders Group, and the Harvard Task Force on Ethical Issues in Emergency Preparedness. She particularly enjoys going for walks in the woods with her dog and anyone interested in having a long conversation about matters of consequence.

Publications View
"Mrs
Authors: Authors: Cist, A
Smith"
Recommendations for nonheartbeating organ donation
Authors: Authors: A Position Paper by the Ethics Committee, American College of Critical Care Medicine, Society of Critical Care Medicine

Special Article
A Position Paper by the Ethics Committee, American College of Critical Care Medicine, Society of Critical Care Medicine

"Treatment Decisions at the End of Life"
Authors: Authors: Kim S, Cist AFM
Massachusetts General Hospital Guide to Primary Care Psychiatry
The Renaissance of Medical Ethics: The Emergence of the Bioethics Movement in the late l960's
Authors: Authors: Flather-Morgan AW
1989.
Life Sustaining Treatment: Resolving Conflict Over Possibly Inapropriate or Harmful Life Sustaining Treatment
Authors: Authors: Krakauer E and members of the MGH Life Sustaining Treatment Policy committee
1999.
Life Sustaining Treatment Policy, Clinical Policy, Massachusetts General Hospital
Authors: Authors: Krakauer, E and members of Life Sustaining Treatment Policy committee
2004.
Scurvy: Eighteenth Century British Naval Medicine
Authors: Authors: Flather-Morgan AW
1985.
"Get to Know Me" Poster
Authors: Authors: Cist, A; Wise, M; and other members of the MGH Ethics and Clinical Practice Sub-Committee
2003.
"Get to Know Me" Poster
Authors: Authors: MGH Ethics in Clinical Practice working group
2002.
Ventilator Withdrawal Guidelines
Authors: Authors: Cist AFM, Keeley A, Thompson BT, Wise M, Coakley E, Billings JA
2005.