David D. Howell, M.D.
Education and Training
B.S., with High Distinction, Zoology. University of Michigan College of Literature, Science and the Arts Ann Arbor, Michigan
M.D. University of Michigan Medical School Ann Arbor, Michigan. Honors in Otorhinolaryngology and Geriatrics.
Transitional Internship, Henry Ford Hospital Detroit, Michigan
Residency, Department of Radiation Therapy Hospital of the University of Pennsylvania and the Fox Chase Cancer Center Philadelphia, Pennsylvania
Certificate in MBA Essentials and Entrepreneurship (non-degree), University of Michigan Ross School of Business, Ann Arbor, Michigan
Special Skills and Training
High Dose Rate Brachytherapy for Gynecologic Malignancies
High Dose Rate Brachytherapy for Pulmonary Malignancies
Prostate Permanent Seed Implantation
Intraoperative Radiation Therapy
Intracoronary Radiation Therapy
Gamma Knife Radiation Therapy
Certification and Licensure
Board Certification
Diplomate, American Board of Medical Examiners
American Board of Radiology (lifetime) in Radiation Oncology
American Board of Hospice and Palliative Care (time limited)
American Board of Radiology in Hospice and Palliative Medicine
Research Interests
- The intersection of radiation oncology and palliative care.
- Radiation oncology targets.
- Patient education in risk assessment and natural frequencies.
- Direct and indirect costs of cancer care.
- Heuristics in knowledge of clinicians, patients, and caregivers.
Honors and Awards
Cum Laude Award, RSNA 2010 Educational presentation for Howell, DD and Lutz ST. Practical Pain Management for the Diagnostic Radiologist and Radiation Oncologist. Radiological Society of North America Annual Meeting. December 1, 2010.
Awarded Fellow of American Academy of Hospice and Palliative Medicine (FAAHPM).
Awarded Fellow in the American College of Radiology (FACR).
2011 Marquisʼ Who's Who in Medicine and Healthcare.
Teaching
Lectures
7/1996 – 9/2000 | Lecturer at Lake Erie College of Osteopathic Medicine, to second year medical students. Lectures given each year to the entire class on various topics including Pediatric Malignancies, Lymphomas, and Lung Cancer. Consistently received excellent student evaluations. |
10/2003 – 3/2004 | Clinical Assistant Professor, Case Western Reserve University School of Medicine Department of Radiation Oncology. Cleveland, OH. Involved in clinical care, primarily breast, also gynecologic and neck and head malignancies. Residency program. |
3/2004 - 6/2005 | Assistant Professor, Wayne State University School of Medicine Department of Radiation Oncology Detroit, MI. Involved in resident education on management of gynecologic malignancies, soft tissue sarcomas, CNS malignancies and GU malignancies as well as palliative care. Involved in direct supervision of residents on resident rotations. Instructed residents in techniques of high dose rate brachytherapy for gynecologic malignancies. |
2005 - Present | Assistant Professor, University of Michigan Medical School Department of Radiation Oncology, Ann Arbor, MI. Coordination and preparation of a six hour lecture series for the radiation oncology residents on Hospice and Palliative Care issues in Radiation Oncology, including management of cancer pain, management of selected non-pain symptoms, approach to the terminally ill patients and their family, prognostication of the hospice patient, addressing the spiritual issues of the terminal patient, communicating with the terminal patient and their family, end-of-life issues. Involved in morning conference resident education, and direct resident supervision. |
2/2006 | Pain Management: Narcotic and Non-Narcotic analgesics in the Oncology Patient. University of Michigan Department of Radiation Oncology Resident Conference. February, 2006. |
3/2006 | How to Share Bad News with Patients and their Families. University of Michigan Department of Otorhinolaryngology, Head and Neck Oncology Resident Conference. March 29, 2006 |
3/2006 | Pain Management of Patients with Neck and Head Malignancies. University of Michigan Department of Otorhinolaryngology, Head and Neck Oncology Resident Conference. March 29, 2006 |
5/2006 | How to Share Bad News with Patients and their Families. University of Michigan Department of Radiation Oncology Resident Conference. May 11, 2006 |
6/2006 | Symptom Management in Palliative Care. University of Michigan Department of Radiation Oncology Resident Conference. June 16, 2006. |
2006 | Oncology Education Core Unit—6 hour course planned and delivered for Second Year Physician Assistant students at Central Michigan University. Fall, 2006.
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2006 | Oncology Education Core Unit - 6 hour course planned and delivered for Second year Physician Assistant students at Central Michigan University. May-June, 2006.
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2007 | Oncology Education Core Unit - 6 hour course planned and delivered for Second year Physician Assistant students at Central Michigan University. Winter, 2007.
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2008 | Supportive Care, Hospice and End of Life Education Core Unit—6 hour course planned and delivered for Second year Physician Assistant students at Central Michigan University. Spring, 2008. Comprehensive course on palliative care, supportive care and end of life issues. |
2008 | Oncology Education Core Unit—12 hour course planned and delivered for Second year Physician Assistant students at Central Michigan University. Winter, 2008. |
5/2009 | Radiation Oncology in Supportive Care. Lecture to the Hospice and Supportive Care fellows and faculty. University of Michigan School of Medicine May 14, 2009. |
6/2009 | Oncology Education Core Unit - 4 hour course planned and delivered for Second year Physician Assistant students at Central Michigan University. June 30, 2009.
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2009 | Hospice and Supportive Care Lecture Series —Coordination of 6 hour course for Radiation Oncology Residents at the University of Michigan. Spring-Summer, 2009. |
4/2010 | Radiation Oncology in Supportive Care. Lecture to the Hospice and Supportive Care fellows and faculty. University of Michigan School of Medicine April 1, 2010. |
9/2010 | Radiation Oncology in Palliative Care Part I. Lecture to the Hospice and Supportive Care fellows and faculty. University of Michigan School of Medicine September 8, 2010. |
9/2010 | Affective Forecasting in Prostate Cancer Decision Making for the Physician and Patient. Lecture to the UM Urology Dow Group Health Services Research Team. September 8, 2010. |
6/2011 | Oncology Education Core Unit - 8 hour course planned and delivered for First and Second year Physician Assistant students at Central Michigan University. May 18-June 30, 2011.
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11/2011 | Radiation Oncology in Palliative Care-Part One. Lecture to the Hospice and Supportive Care fellows and faculty. University of Michigan School of Medicine. November 4, 2011. |
12/2011 | Radiation Oncology in Palliative Care-Part Two. Lecture to the Hospice and Supportive Care fellows and faculty. University of Michigan School of Medicine. December 9, 2011. |
Visiting Professorships, Seminars, and Extramural Invited Presentations
International
- The Role of Radiation in Locally Advanced Rectal Cancer. 2nd International Qatar National Cancer Institute GI and GU Oncology Conference, Doha, Qatar. April, 2005. (by invitation)
- Single Fraction Radiation For Extra cranial Metastatic Disease. First Sino-American Network Therapeutic Radiation Oncology (SANTRO) Symposium Beijing, China. August 30, 2008.
- Recent Advances in Radiation Oncology in the Treatment of Breast Cancer. 1st Annual Scientific Conference of the King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia. October 25, 2008. (by invitation)
- Organ Preserving Protocols for Bladder Cancer. 3rd Annual Scientific Conference of the Saudi Cancer Foundation, Al-Khobar, Saudi Arabia. April 29, 2009. (by invitation)
- Non-Invasive Ablative Therapies for Genitourinary Malignancies. 3rd Annual Scientific Conference of the Saudi Cancer Foundation, Al-Khobar, Saudi Arabia. April 29, 2009(by invitation)
- The Role of Radiation Therapy in the Adjuvant Treatment of Germ Cell Tumors. 3rd Annual Scientific Conference of the Saudi Cancer Foundation, Al-Khobar, Saudi Arabia. April 30, 2009 (by invitation)
National
- Evidence-based Palliative Radiation Therapy: How much, how often, at what stage? National Hospice and Palliative Care Organization 7th Clinical Team Conference and Scientific Symposium. San Diego, CA. April 28, 2006.
- Radiation Therapy and the Role of the Radiation Oncologist in Palliative Care. American Academy of Hospice and Palliative Medicine National Annual Assembly. Tampa, FL. February 2, 2008.
- Metastatic Spinal Cord Compression and Painful Vertebral Body Metastases: Similar Entities, Different Management, Different Prognosis. M.D. Anderson 12th Annual Symptom Control, Palliative and Hospice Case Conference. Houston, TX. October 4, 2008.
- Randomized trial of short- versus long-course radiotherapy for palliation of painful vertebral bone metastases: a retrospective analysis of RTOG 97-14. American Society of Clinical Oncology Annual Meeting May 31,2009 Orlando, FL. Poster discussion.
- Hospice Referral: The Four “W”s and How. Annual Oncology Symposium, Doylestown Hospital Doylestown, PA. September 18, 2009.
- Cancer Pain Management: Perils and Pitfalls. Annual Oncology Symposium, Doylestown Hospital Doylestown, PA. September 18, 2009.
- Cost comparisons for a course of radiation therapy for painful bone metastases from breast cancer using different technologies and fraction schema. ASCO Breast Cancer Symposium October 8, 2009. San Francisco, CA. Poster discussion
- Hospice and Palliative Medicine Sub specialization: A New Opportunity for ABR-Certified Radiologists and Radiation Oncologists through the American Board of Hospice and Palliative Medicine (ABHPM). Radiological Society of North America Annual Meeting. December 1, 2009. Educational Session.
- Radiation Oncology in Palliative Care. AAHPM Intensive Board Review Course August 12, 2010. Chicago, IL. (by invitation)
- The Role of Radiation Oncology in Pain Management and Palliative Care. Michigan Hospice Palliative Care Organization 2nd Annual Conference on Pain. Howell, MI. September 17, 2010. (by invitation)
- Practical Pain Management for the Diagnostic Radiologist and Radiation Oncologist. Radiological Society of North America Annual Meeting. December 1, 2010. Educational Session
Regional
- The Role of Radiation Therapy in Orthopedics: Soft Tissue Sarcomas, Heterotopic Ossification, Osseous Metastatic Disease. Department of Orthopedic Surgery Grand Rounds, Wayne State University School of Medicine, October, 2004.
- Gamma Knife Radiation: Current indications and management. Neuro-Oncology Seminar, Neuro-Oncology Multidisciplinary Review. Wayne State University School of Medicine, November 2004.
- Role of Gamma Knife Radiation Therapy in Pituitary Tumors. Seminars in Endocrinology, Division of Endocrinology, Diabetes and Metabolism. Wayne State University School of Medicine, February 2005.
- Cancer Care Update. Kiwanis Club, Mt. Pleasant, MI. August, 2005.
- Strategies for Cancer Risk Reduction. Grosse Pointe Memorial Church. Grosse Pointe, MI. September, 2005.
- Cancer Risk Assessment and Risk Reduction. Mt. Pleasant Rotary Club. Mt. Pleasant, MI. October, 2005.
- Prostate Cancer and Breast Cancer Overview. Isabella County Veterans of Foreign Wars. Mt. Pleasant, MI. October, 2005.
- CMU Storytellers—cancer survivorship and storytelling--introduction. Central Michigan University. October 2005.
- Panel Discussant, Ask the Doctor. WCMU television show. December, 2005.
- Early Detection and Screening for Cancer. City of Mt. Pleasant Municipal Employees. Mt. Pleasant, MI. January, 2006.
- Cancer Care and Management Strategies in Mt. Pleasant. Mt. Pleasant Chamber of Commerce Mt. Pleasant, MI. February, 2006.
- Cancer: Risks and Reduction Strategies. Mt. Pleasant West Intermediate, Mt. Pleasant, MI. February, 2006.
- The State of Cancer Care in 2006: America and Mt. Pleasant. Mt. Pleasant Lions Club Mt. Pleasant, MI. February 27, 2006.
- The Four Most Common Cancers: Risk, Diagnosis, Management, Recovery. The Norval K. Morey Cancer Center: Innovations in Oncology Care in Isabella County. Weidman Lions Club. Weidman, MI. April 10, 2006.
- Cancer Screening and Risk Reduction Update: How to advise your patients. Isabella-Clare Bicounty Medical Society Meeting. Mt Pleasant, MI. April 18, 2006.
- Putting Cancer Risk into Perspective. CMCH Health Services Lecture, Central Michigan Community Hospital. Mt. Pleasant, MI. May 18, 2006.
- The State of Cancer Care in Mt. Pleasant, Michigan. Kiwanis Club, Mt. Pleasant, MI. September 11, 2006.
- Gynecologic Malignancies—the Role for Radiation Therapy. CMCH Department of Obstetrics and Gynecology. Mt Pleasant, MI. October 18, 2006.
- Breast Cancer: Breast Conserving Techniques and Indications. CMCH Breast Cancer Awareness Luncheon Lecture Mt. Pleasant, MI. October 18, 2006.
- Cancer Screening and Risk Reduction 2008. CMCH Community Educational Review Mt Pleasant, MI. February 26, 2008.
- Prostate Cancer Treatment and Screening. Isabella-Clare County Medical Society Mt. Pleasant, MI. March 18, 2008.
- Breast Cancer: Screening, Early Detection and Prevention. Canadian Lakes, MI. August 20, 2008.
- Prostate Cancer: Screening, Early Detection and Prevention. Canadian Lakes, MI. September 10, 2008.
- Hospice Referral and How To Assess Hospice Providers For Your Patients. Isabella-Clare County Medical Society Meeting Mt. Pleasant, MI. September 16, 2008
- How to Get into Medical School. Are You Really Sure??? Central Michigan University Pre-Medical Pre-Osteopathic Society Meeting. Mt. Pleasant, MI. September 16, 2008
- The Four Horsemen of the Apocalypse of Reason: Anecdote, Analogy, Bias and Extrapolation. University of Michigan Department of Radiation Oncology Grand Rounds. December 4th, 2008.
- Panel Discussant, Ask the Doctor. WCMU-PBS station television show. February, 2009.
- Radiation Oncology in Michigan: Linac, Cyber, Gamma, Tomo: Is it the Wand or the Magician? 3rd Annual CMCH CME Conference Soaring Eagle Conference Center Mount Pleasant, MI. May 7, 2009.
- Radiation Therapy in Palliative Care--A Potent Weapon for Symptom Management. University of Michigan Hospice and Palliative Care Grand Rounds May 14th, 2009.
- Painful Vertebral Body Metastases: How Much Treatment Do You Need? Karmanos Cancer Center Genito-Urinary Multidisciplinary Conference Detroit, MI. June 24, 2009.
- Breast Cancer in Saudi Arabia. Nancy Carey Organization. Mount Pleasant, MI. Oct. 28, 2009.
- Cancer: Risks and Reduction Strategies. Mt. Pleasant West Intermediate, Mt. Pleasant, MI. February, 2010.
- Panel Discussant, Ask the Doctor. WCMU-PBS station television show. February, 2010.
- Cancer: Risks and Reduction Strategies. Mt. Pleasant West Intermediate, Mt. Pleasant, MI. February, 2011
- Radiation Therapy and Chemotherapy in Palliative Care for Cancer. Three hour workshop for the 2011 Michigan Hospice and Palliative Care Organization Annual Conference. Mount Pleasant, MI. April 18, 2011.