Staff Profile

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Career Summary

Biography

Dr. Douglas is a relatively early career academic, having not taken an academic appointment, or commenced a PhD until establishing himself in his clinical career in 2004. He originally studied mathematics and physics at the University of Adelaide, and worked as a school teacher, which gave him a strong background in science generally and in teaching. He commenced medical training at the University of Newcastle in 1985, and completed his B Med with honours in 1990, having also completed a Bachelor of Medical Science in transplantation with first class honours, further strengthening his research background. Dr. Douglas then undertook post-graduate training in surgery, taking a break from this in 1999 to do a year of research in ethics (relating to surgery). Soon after completion of his surgical training, an opportunity arose to take an academic position at the University of Newcastle as a Lecturer in Clinical Ethics and Health Law. He has continued in this role while developing his surgical expertise in the areas of breast cancer and melanoma surgery. He now works as a consultant surgeon at the Breast Centre, Gateshead, and at the Newcastle Melanoma Unit, and as a VMO surgeon at the Calvary Mater and Lake Macquarie Private Hospitals. In 2008 he was promoted to Senior Lecturer. Dr. Douglas has developed a very wide range of research interests in ethics, clinical decision making, basic science and surgery. He was awarded his PhD (on end-of-life decision making) in 2012. He was holder of a Royal Australasian College of Surgeons Research Scholarship in 1999 and a Fellowship of the Federation of European Cancer Societies in 2003. He is also winner of the inaugural General Surgeons Australia Best Paper Prize for his work on the ultrasound diagnosis of appendicitis and the winner of the Sir Edward Hughes Memorial Research Prize for this project (1999). He was shortlisted again for the Sir Edward Hughes Memorial Research Prize for his work on surgeons attitudes to euthanasia (2000). He is the winner of the Ethel and Olive Hewitt Medical Research Scholarship in 2001. He won two ECR grants relating to his work on interviews with palliative care physicians regarding the use of palliative sedation at the end of life in 2007 and 2009, and is already internationally recognised for his work in this area.

Qualifications

  • Bachelor of Medicine (Honours), University of Newcastle, 11/05/1991
  • Bachelor of Medical Science (Honours), University of Newcastle, 13/05/1989
  • Bachelor of Science, University of Adelaide, 03/05/1984

Research

Research keywords

  • Breast surgery
  • Clinical decision making
  • End-of-life decision-making
  • Ethics
  • Informed consent
  • Moral philosophy
  • Surgery

Research expertise

I have a very wide range of expertise, covering a number of different areas. My doctorate (submitted August 2011) is on 'end-of-life decision making' and incorporates 5 papers, two of which relate to moral psychology / philosophy, and 3 of which are sociological studies of doctors, in both qualitative and quantitative research traditions. While working on my PhD I have also published or am conducting clinical studies (a randomised controlled trial on the diagnosis of appendicitis using ultrasound), studies on clinical decision making (using decision aids, using different forms of communication), basic science studies (on the transplantation of thyroid tissue in mice, and on the tension properties of human skin as it relates to reconstructive surgery), and papers on bioethics, particularly the issue of informed consent.

Languages

  • English

Fields of Research

CodeDescriptionPercentage
170199Psychology Not Elsewhere Classified50
111799Public Health And Health Services Not Elsewhere Classified50

Memberships

Body relevant to professional practice.

  • Fellow Royal Australasian College of Surgeons

Awards

Research Award.

1999Sir Edwin Hughes Memorial Research Prize
Royal Australasian College of Surgeons (Australia)

Administrative

Administrative expertise

Program Convenor, Bachelor of Medical Science

School Student Academic Conduct Officer

HES course coordinator

Discipline Lead, Clinical Ethics and Health Law

Director, Melanoma Unit, Calvary Mater Newcastle

Teaching

Teaching keywords

  • Breast cancer
  • Clinical ethics
  • Health Law
  • Moral philosophy
  • Oncology
  • Surgery

Teaching expertise

I am the Discipline Lead for ethics and I teach clinical ethics and health law to all years of the JMP program with the exception of Year 5, having developed this course myself. I have a broad interest in other areas of ethics, and have given talks to a variety of other schools in the past. I also teach into the surgery program and am involved in assessment of most years of the JMP program in a number of different areas, most importantly in clinical assessments.

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Highlighted Publications

For publications that are currently unpublished or in-press, details are shown in italics.

YearCitationAltmetricsLink
2009Douglas CD, 'End-of-life decisions and moral psychology: Killing, letting die, intention and foresight', Journal of Bioethical Inquiry, 6 337-347 (2009) [C1]
2008Douglas CD, Kerridge I, Ankeny R, 'Managing intentions: The end-of-life administration of analgesics and sedatives, and the possibility of slow euthanasia', Bioethics, 22 388-396 (2008) [C1]

Publications

For publications that are currently unpublished or in-press, details are shown in italics.

Click on a category title below to expand the list of citations for that specific category.

Journal article (20 outputs)

YearCitationAltmetricsLink
2014Douglas C, 'Moral concerns with sedation at the end of life', Journal of Medical Ethics, 40 241-241 (2014)
2014Douglas CD, Kerridge IH, Ankeny RA, 'Double meanings will not save the principle of double effect.', J Med Philos, 39 304-316 (2014)
2014Douglas C, Morris O, Donovan L, 'The keystone flap: is your 'unclosable' wound really unclosable?', ANZ J Surg, 84 496-497 (2014)
2014Douglas C, 'Moral concerns with sedation at the end of life', JOURNAL OF MEDICAL ETHICS, 40 241-241 (2014)
2013Douglas CD, Kerridge IH, Ankeny RA, 'NARRATIVES OF 'TERMINAL SEDATION', AND THE IMPORTANCE OF THE INTENTION-FORESIGHT DISTINCTION IN PALLIATIVE CARE PRACTICE', BIOETHICS, 27 1-11 (2013) [C1]
2013Douglas CD, Low NCK, Seitz MJ, 'The Keystone Flap: Not an Advance, Just a Stretch', ANNALS OF SURGICAL ONCOLOGY, 20 973-980 (2013) [C1]
2013Douglas C, Proudfoot E, 'Nudging and the Complicated Real Life of ┬┐Informed Consent┬┐', The American Journal of Bioethics, 13 16-17 (2013) [C2]
2013Douglas C, Morris O, 'The 'keystone concept': time for some science', ANZ Journal of Surgery, 83 498-499 (2013) [C3]
2012Papeix G, Zardawi IM-A, Douglas CD, Clark DA, Braye SG, 'The accuracy of the 'triple test' in the diagnosis of papillary lesions of the breast', Acta Cytologica, 56 41-46 (2012) [C1]
2012Douglas CD, Jansen M, Kerridge I, 'The devil is in the detail: Best practice, or catholic practice?', American Journal of Bioethics, 12 38-39 (2012) [C3]
2011Harwood RC, Douglas CD, Clark D, 'Decision aids for breast and nodal surgery in patients with early breast cancer: Development and a pilot study', Asia-Pacific Journal of Clinical Oncology, 7 114-122 (2011) [C1]
2009Douglas CD, 'End-of-life decisions and moral psychology: Killing, letting die, intention and foresight', Journal of Bioethical Inquiry, 6 337-347 (2009) [C1]
2008Douglas CD, Kerridge I, Ankeny R, 'Managing intentions: The end-of-life administration of analgesics and sedatives, and the possibility of slow euthanasia', Bioethics, 22 388-396 (2008) [C1]
2007Douglas CD, McPhee JR, 'Informed consent: A review of the ethical and legal basis for medical decision-making for the competent patient', ANZ Journal of Surgery, 77 521-522 (2007) [C1]
2004Winn RD, Laura S, Douglas C, Davidson PM, Gani JS, 'Protocol-Based approach to suspected appendicitis, incorporating the alvarado score and outpatient antibiotics', ANZ Journal of Surgery, 74 324-329 (2004) [C1]
2001Douglas C, Kerridge I, McPhee J, Parkinson L, Spigelman AD, Rainbird K, 'The intention to hasten death: a survey of attitudes and prctices of surgeons in Australia', Medical Journal of Australia, 175 511-515 (2001) [C1]

Co-authors: Lynne Parkinson

2001Douglas C, 'Diagnosis of acute appendicitis - Appendicitis is a separate clinical entity in men and women - Reply', BRITISH MEDICAL JOURNAL, 323 50-50 (2001)
2000Douglas CD, MacPherson NE, Davidson P, Gani JS, 'Randomised controlled trial of ultrasonography in diagnosis of acute appendicitis, incorporating the Alvarado score', British Medical Journal, 321 919 (2000) [C1]
1999Davidson PM, Douglas CD, Hosking CS, 'Graded compression ultrasonography in the assessment of the "tough decision" acute abdomen in childhood', PEDIATRIC SURGERY INTERNATIONAL, 15 32-35 (1999)
1989Douglas C, 'Combined effects of donor tissue culture and single-dose recipient immunosuppression on the survival of murine thyroid allografts.', Transplant Procedures, 21 3761-3762 (1989) [C1]
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Grants and Funding

Summary

Number of grants5
Total funding$425,541

- Indicates that the researcher may be seeking students for this project.

Click on a grant title below to expand the full details for that specific grant.

2014 (2 grants)

Who decides and at what cost? Comparing patient, surrogate and oncologist perspectives on end of life care$256,038
Funding Body: NHMRC (National Health & Medical Research Council)

Project Team
Laureate Professor Robert Sanson-Fisher, Emeritus Professor Neil Rees, Ms Gill Batt, Doctor Charles Douglas, Professor Ian Olver, Doctor Nick Zdenkowski, Associate Professor Frans Henskens
SchemeRole
Partnership ProjectsInvestigator
Total AmountFunding StartFunding Finish
$256,03820142016
GNo:G1300011

Who decides and at what cost? Comparing patient, surrogate and oncologist perspectives on end of life care$130,303
Funding Body: Cancer Council NSW

Project Team
Laureate Professor Robert Sanson-Fisher, Emeritus Professor Neil Rees, Ms Gill Batt, Doctor Charles Douglas, Professor Ian Olver, Doctor Nick Zdenkowski, Doctor Scott Twaddell, Associate Professor Frans Henskens
SchemeRole
NHMRC Partnership Projects Partner Funding Investigator
Total AmountFunding StartFunding Finish
$130,30320142016
GNo:G1300851

2013 (1 grants)

Reducing psychosocial burden among women diagnosed with breast cancer and their support persons: A randomised controlled trial of a web-based intervention.$20,000
Funding Body: Hunter Medical Research Institute

Project Team
Laureate Professor Robert Sanson-Fisher, Doctor Charles Douglas, Doctor Jamie Bryant, Doctor Mariko Carey, Associate Professor Frans Henskens
SchemeRole
Near MissInvestigator
Total AmountFunding StartFunding Finish
$20,00020132013
GNo:G1300705

2009 (1 grants)

A qualitative study of terminal sedation in end-of-life care, involving in-depth interviews with health care providers in palliative care$9,600
Funding Body: University of Newcastle

Project Team
Doctor Charles Douglas
SchemeRole
Early Career Researcher GrantChief Investigator
Total AmountFunding StartFunding Finish
$9,60020092009
GNo:G0190227

2007 (1 grants)

A qualitative study of terminal sedation in end-of-life care, involving in-depth interviews with health care providers in palliative care$9,600
Funding Body: University of Newcastle

Project Team
Doctor Charles Douglas
SchemeRole
Early Career Researcher GrantChief Investigator
Total AmountFunding StartFunding Finish
$9,60020072007
GNo:G0187405
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Research Supervision

Number of current supervisions3
Total current UoN PhD EFTSL0.15

For supervisions undertaken at an institution other that the University of Newcastle, the institution name is listed below the program name.

Current Supervision

CommencedProposed
Completion
ProgramSupervisor TypeResearch Title
20112019PhD (Medical Radiation Sc)Co-SupervisorInformed Consent for Clinical Examinations Involving Ionising Radiation
20072007Honours Medical Science
University of Newcastle
Principal SupervisorInformed consent and management of probably benign breast lesions
20072008Honours Medical Science
University of Newcastle
Principal SupervisorInformed consent and the management of probably benign breast lesions

Past Supervision

YearProgramSupervisor TypeResearch Title
2000Honours Accounting
University of Newcastle
Co-SupervisorUltrasound diagnosis of appendicitis
1999Honours Medical Science
University of Newcastle
Co-SupervisorUltrasound diagnosis of appendicitis - randomised controlled trial
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Dr Charles Douglas

Work Phone0400 390 748
Email
PositionSenior Lecturer
School of Medicine and Public Health
Faculty of Health and Medicine
The University of Newcastle, Australia
Focus AreaClinical Ethics and Health Law
Office
BB107,
Bowman Building,
Callaghan
University Drive
Callaghan NSW 2308
Australia
URL:www.newcastle.edu.au/profile/charles-douglas