Robert Joseph Miller, M.D.

Current Position: Medical Director, Wellspring Oncology, and former medical director The Cancer Care Center St. Anthony's Hospital and Bayfront Medical Cancer Center in St. Petersburg, Florida.

Hospice Positions:

American Academy Of Hospice and Palliative Medicine (formerly Academy of Hospice Physicians)

          Founding Member and first national President, 1988 -1989 (see certificate)
          Board of Directors 1988-1992
          Treasurer 1990-1992

Suncoast Hospice

          Board of Directors
          Past Executive Editor, Physician Newsletter
          Past Chairman, Physicians Advisory

The Hospice Institute of the Florida Suncoast

         Board of Directors

International Hospice Institute Board of Directors 1988 – 1992
Past. Editorial Review Board, The American Journal of Hospice & Palliative Care
Editorial Board. The Hospice Journal

Presentations:

The Palliative Benefit of Aggressive Therapy on the Overall Quality of Life of the Terminally Ill Patient. Trends and Issues in Hospice Care, Hospice Care Inc., Innisbrook Hotel, Tarpon Springs, FL, September 5, 1985.

Aggressive Management in the Terminally Ill Patient. The Second Annual Conference, Hospice Care in Terminal Illness, International Hospice Institute, Airlie, Virginia, July 19, 1986.A

The role of the Physician in the Care of the Terminally Ill and Their Families. Innovations in Hospice Care. Hospice Care Inc., Sheraton-Sand Key, Clearwater, FL. August 12, 1986.

What was the Doctor Trying to tell us? Coping with Loss. Hospice Care Inc., Las Fontanas, Clearwater FL., October 29,1987.

Pain Management. Inservice Hernando-Pasco Hospice Inc., Hudson, FL., November 11,1987.

Is Chemotherapy ever justifiable in Terminal Illness? Fourth Annual Symposium, Management of Terminal Illness: an Update. International Hospice Institute, Granby, Colorado. July 20, 1988.

The role of the Medical Director, Programmatic and Legal Responsibilities; What is Proposed to be vs. What Is. Hospice Network of Maryland, Church Hospital, Baltimore MD. October 12, 1988.

Indications for Chemotherapy and Radiation Therapy in Advanced Cancer. Fifth Annual Symposium, Management of Terminal Illness: An Update, International Hospice Institute, Estes Park, Colorado. June 6, 1989

The Role of the Hospice Physician. Who's in Charge and of What? Role of the Hospice Physician: Psychosocial Response to Patient, Family, Staff, Community, Societal and Personal Needs. The Foundation of Thanatology, New York Psychiatric Institute., NY, NY. June 23,1989

The Role for Active Therapy in Patients with Terminal Cancer. Presentation at quarterly CME Cancer Conference at Mary Bird Perkins Cancer Center, Baton Rouge, LA, February 15,1990.

 Predicting Survival in the Advanced Cancer Patient. Management of Terminal Illness: The Hospice Concept. Henry Ford Hospital, Detroit MI, April 18, 1990.

Communicating with Patient and Family: Breaking Bad News. Management of Terminal Illness: An Update. Sixth Annual Symposium International Hospice Institute, Estes Park, Colorado, July 19, 1990.

The Physician's Role in Reimbursement for Hospice Care, Communication between Physician/Family, Ethical Issues, Principles and Practice of Hospice Medicine, West Palm Beach, Florida, September 13,14, 1990, and Amarillo, Texas, October 11, 12, 1990.

Bioethical Issues in Hospice Care, Preconference Seminar, National Hospice Organization Annual Meeting, Detroit, MI, November 8, 1990

After Cruzan: Impact of the Supreme Court Decision Upon Hospice Care. Preconference Seminar, National Hospice Organization Annual Meeting, Detroit, MI, November 8, 1990

Medical Ethics and Terminal Care. Florida Hospice Symposium, Ocala Florida, May 9, 1991

Hospice and Palliative Care - Defining the Scope & Identifying the Needs of the Dying, and Communication with Patients & Families - The Basis for Good Palliative Care, Clinical and Ethical Decision Making in Palliative Care for the Dying: A model Hospice Approach, Myrtle Beach, South Carolina, October 12, 1991.

Dilemmas in Medical Ethics: Hospice - An Alternative to Euthanasia?, Dying with Dignity: How Much Pain and Suffering is Necessary?, West Palm Beach, FL, November 11, 1991.

Physician Communication with Patient and Family, Ethical Issues, Physician's Role in Reimbursement and Patient Survival Issues, at Principles and Practice of Hospice Medicine, Adam's Mark Hotel, Philadelphia, April 2-3, 1992.

Ethical Issues in Hospice Care, Hospice Teaching Day, Central New York Academy of Medicine, New Hartford, New York, June 18, 1992.

How, When, & What to Tell the Patient. Sixth Annual Current Concepts in Cancer Management. Sheraton Sand Key Resort, Clearwater, Florida August 21, 1992.

Euthanasia and Physician-Assisted Suicide. Topics in Terminal and Palliative Care, Gainesville Hilton, Gainesville, Florida, November 21, 1992.

Ethical and Other Issues in Care of the Terminally Ill. Principles and Practices of Care for the Terminally Ill. Tampa Airport Marriott, Tampa, FL March 27,1993

Effective Management of Bone Pain. Advanced Cancer Pain Management Symposium, San Antonio, Texas, December 2, 1995.
Hospice, Euthanasia, Assisted Suicide, What’s the Difference?
Contemporary Issues in Palliative Care, Orlando, Florida, May 16, 1997.

The Appropriate Use of Radiation Therapy. Advanced Pain Management Symposium, Seattle WA, March 11, 1998.

Publications:

Miller RJ. Pain Control and the Hospice Patient. Hospice Care Inc. Physician Bulletin. 1988;2:1-2.

Miller, RJ. The football approach to treating cancer patients. The American Journal of Hospice Care 1989;6:3:13-14.

Miller RJ. The role of chemotherapy in the hospice patient. The American Journal of Hospice Care 1989;6:3:19-26.

Miller RJ, Albright PG. What is the role of nutritional support and hydration in terminal cancer patients? Hospice Care, Inc. Physician Bulletin 1989;3:1.

Miller RJ. Force-feeding the dying. An act of kindness or cruelty? The American Journal of Hospice Care 1989:6:6:13-14.

Miller RJ, Albright PG. What is the role of nutritional support and hydration in terminal cancer patients? The American Journal of Hospice Care 1989:6:6:33-38.

Miller RJ. More on the role of chemotherapy in the hospice patient.(letter) The American Journal of Hospice Care 1990;7:1:8,11.

Miller RJ. Commentary on the NHO ethical guidelines. The American Journal of Hospice Care 1990;7:1:22-24.

Miller RJ. Predicting Survival in the Advanced Cancer Patient. Henry Ford Hospital Medical Journal, 1991;39(2):81-84.

Miller RJ. Predicting Survival in the Advanced Cancer Patient, Hospice Care, Inc. Physician's Bulletin, 1990:4:1.

Miller RJ. Ethics and Hospice Physicians, The American Journal of Hospice & Palliative Care. 1991;8(1):17-26.

Miller RJ. The impact of treating AIDS patients in hospice. The Hospice Journal, 1991;7(1/2):1-12.

Miller RJ. Medical Ethics in Terminal Care, Hospice Care, Inc. Physician's Bulletin, 1991:5:1.

Miller RJ. Hospice and the Do-Not-Resuscitate Order. The Hospice Journal,1992, Vol. 7(4):67-77.

Miller RJ (letter) Advance Directives for Medical Care. New England Journal of Medicine 1991;325:1254-55.

Miller RJ. Hospice Care: An Alternative to Euthanasia?. Law, Medicine and Health Care 1992;20(1,2):127-132.

Miller RJ. On Death Without Dignity, Book Rvw. The Hospice Journal 1992, Vol 8 (3):95-97.

Miller RJ. The Changing Role of the Physician in the Care of the Dying. Medicine Unbound. The Human Body and the Limits of Medical Intervention. Columbia U Press, N.Y, 1994, p242.

Miller, RJ. Hospice:Who's in Charge of What? The Physician and Hospice Care: Roles, Attitudes, and Issues. Hawthorne Press, New York, 1992,p 27-32.

Miller, RJ. Supporting a Cancer Patient’s Decision to Limit Therapy. Seminars in Oncology 1994:21(6):787-791.