Jack P. Freer MD

Jack Freer

Jack P. Freer
MD

Clinical Professor, Geriatrics & Palliative Medicine

Department of Medicine

Jacobs School of Medicine & Biomedical Sciences


Specialty/Research Focus

Geriatric Medicine; Palliative Medicine

Contact Information
Hertel Elmwood Internal Medicine Clinic
900 Hertel Avenue
Buffalo, NY 14216
Phone: (716) 871-1571
Fax: (716) 871-1113
jfreer@buffalo.edu


Patient Care

Looking for a doctor? This faculty member is affiliated with UBMD, the group comprised of practicing physicians who are also professors in the UB Jacobs School of Medicine and Biomedical Sciences.

View this faculty on UBMD


Professional Summary:

I am a general internist by training, and I practice primary care at a UBMD/Kaleida Health ambulatory center in North Buffalo. I am also a member of the ECMC Geriatrics Consultation Service. I provide medical care to a diverse population of adults, and I specialize in caring for chronically ill and frail elders. I strive to integrate my patients’ values, circumstances and preferences with evidence from high-quality medical research in order to make the best possible care decisions for my patients—a decision-making process that often includes quality-of-life discussions with my patients and their families.

My main research and teaching areas are biomedical ethics (particularly in regard to incapacitated patients), research ethics and palliative medicine. I am also interested in the study of medical decision making, decision analysis and evidence-based medicine. I am responsible for research ethics at the UB Clinical and Translational Research Center (CTRC) where I founded and chair the monthly Clinical and Research Ethics Seminar.

My teaching centers on ethics and palliative medicine. I teach medical students communication skills in the preclinical years. I am the course coordinator for the required medical student ethics course, a leadership role I have filled since 1990. I organized the first palliative medicine elective for medical students in 1999 and continue to serve as course coordinator. I also designed an innovative standardized patient exercise that forms a central part of the elective. I supervise internal medicine trainees, and my focus includes general internal medicine as well as evidence-based medicine.

Education and Training:

  • MD, Unversity at Buffalo (1975)
  • BS, Biology, University at Albany, Cum Laude (1971)

Employment:

  • Co-Director, Romanell Center for Clinical Ethics and the Philosophy of Medicine, University at Buffalo (2017-present)
  • Medical Director, The Bristol Home (2014-present)
  • Medical Director, Elderwood Long Term Care at Cheektowaga (2014-present)
  • Clinical Professor, Social and Preventive Medicine, University at Buffalo (2009-present)
  • Professor, Medicine, University at Buffalo (2003-present)
  • Co-Director, Center for Clinical Ethics and Humanities in Health Care, University at Buffalo (2016–2017)
  • Associate Director, Center for Clinical Ethics and Humanities in Health Care, Center for Clinical Ethics and Humanities in Health Care, University at Buffalo (1996–2016)
  • Director of Clinical Research Ethics, Buffalo Clinical Translational Research Center (2010–2014)
  • Chief, Division of Palliative Medicine, Medicine, University at Buffalo (2009–2013)
  • Medical Director, Palliative Medicine Consultation Service, Millard Fillmore Gates Circle Hospital (Kaleida Health) (2007–2012)
  • Associate Clinical Director, Kaleida Health Department of Medicine (2000–2012)
  • Hospice Buffalo Liaison Physician, Millard Fillmore Hospitals (Kaleida Health) (1990–2012)
  • Medical Director, Ethics, Kaleida Health (2010–2011)
  • Clinical Associate Professor, Social and Preventive Medicine, University at Buffalo (2000–2009)
  • Medical Director, North Buffalo Medical Park, Kaleida Health (2000–2007)
  • Medical Director, Hertel Elmwood Internal Medicine Center (1993–2007)
  • Clinical Associate Professor, Medicine, University at Buffalo (1995–2003)
  • Clinical Assistant Professor, Medicine, University at Buffalo (1987–1995)
  • Staff Physician, Niagara Family Health Center; Department of Family Medicine, Millard Fillmore Hospitals (1989–1993)
  • Medical Director, Millard Fillmore Hospital Skilled Nursing Facility (1985–1991)
  • General Internist, Private Practice (1979–1990)
  • Associate Medical Director, Roberto Clemente West Side Health Center, Erie County Dept of Health (1979–1989)
  • Staff Physician, Roberto Clemente West Side Health Center, Erie County Dept of Health (1979–1989)
  • Clinical Instructor, Medicine, University at Buffalo (1976–1986)
See all (14 more)

Awards and Honors:

  • Kaleida Health Golden Stethoscope Award (2001)
  • Center for Hospice and Palliative Care, Medical Director's Award (1998)
  • Of Counsel Magazine's "Best Guidebook" Award (1990)


Journal Articles:

See all (3 more)

Books and Book Chapters:

  • Wear SE, Freer JP, Koczwara B. The Commercialization of Human Body Parts: Public Policy Considerations. Persons and Their Bodies: Rights, Responsibilities and Relationships. 1999.
  • Freer JP, Bentley DW. The Role of Antibiotics in Comfort Care. Controversies in Ethics and Long-Term Care. 1995.

Professional Memberships:

  • American Geriatrics Society (2015–present)
  • Public Responsibility in Medicine and Research (PRIM&R) (2012–2014)
  • American Academy on Communication in Healthcare (2011–2013)
  • Society for Medical Decision Making (1999–2001)
  • American Society for Bioethics and Humanities (1999–present)
  • American Academy of Hospice and Palliative Medicine (1996–2015)
  • Society for Health and Human Values (1995–1998)
  • American Association of Bioethics (1994–1998)
  • Society for Bioethics Consultation (1994–1998)
  • American Society of Law, Medicine, and Ethics (1993–present)
  • Society of General Internal Medicine (1992–2001)
  • Kennedy Institute of Ethics (1991–2005)
  • American Geriatrics Society (1985–2010)
  • Hastings Center (1979–2005)
  • Medical Society, County of Erie; Ethics Committee, 1987-1993 (1979–2002)
  • American College of Physicians; Became Fellow in 1993 (1979–present)
See all (6 more)

Presentations:

  • "Decision Making Capacity and Aphasia" Monthly Clinical and Research Ethics Seminar, University at Buffalo JSMBS, CTRC (2016)
  • "Decision Making Capacity and Aphasia" Grand Rounds, University at Buffalo, Department of Neurology (2016)
  • "The Research-Treatment Distinction.an obsolete concept?" Clinical and Research Ethics Seminar, Clinical and Translational Research Center (2014)
  • "Vulnerability and Research at the End of Life" Clinical and Research Ethics Seminar, Clinical Translational Research Center (2013)
  • "Return of Individual Research Results" Clinical and Research Ethics Seminar, Clinical Translational Research Center (2012)
  • "Opening remarks" Swallow Evaluation of the Palliative Patient: A Clinical Conversation, Kaleida Health/University at Buffalo (2011)
  • "Palliative Care – Barriers and Opportunities" City Wide Grand Rounds, University at Buffalo, Department of Medicine (2010)
  • "A Day with Meg Campbell" Lecture series at Hospice Buffalo and Buffalo General Hospital, UB Center for Clinical Ethics and Center for Hospice and Palliative Care (2009)
  • "Palliative Care: focusing on life" Mini-Med School, University at Buffalo, School of Medicine and Biomedical Sciences (2009)
  • "Managing Death" Spring Clinical Symposium, Wyoming County Community Hospital, Medical Staff (2009)
  • "Profound Disorders of Consciousness: Ethical and Clinical Issues" City-Wide Grand Rounds, University at Buffalo, Department of Medicine (2008)
  • "MOLST: Critical Issues" Joining the Conversation: Medical Orders for Life Sustaining Treatment (MOLST), Erie County Medical Center, Ethics Committee (2007)
  • "Breathlessness" Kaleida Gates Department of Medicine Grand Rounds, Kaleida Health (2007)
  • "Legal, Ethical, and Societal Implications of Blocking Access to Care" Limited Health Care Resources: Prioritizing Access in a Community Emergency, UB Law School, The Baldy Center for Law and Social Policy (2007)
  • "Breaking Bad News" Staff Education Conference, Hematology Oncology Associates (2007)
  • "Breathlessness" City-Wide Ethics/Palliative Grand Rounds, University at Buffalo (2007)
  • "Respiratory Symptom Management in Palliative Care" UB Palliative Medicine Core Lecture Series, University at Buffalo (2007)
  • "Difficult Problems in Neurosurgery End of Life Care" Grand Rounds, University at Buffalo, Department of Neurosurgery (2007)
  • "Breaking Bad News" Central New York Area Health Education Center, CNYAHEC (2007)
  • "Models of Medicial Decision Making" City-Wide Ethics/Palliative Grand Rounds, Center for Clinical Ethics and Humanities in Health Care (2007)
  • "Bioethics Breakfast" Educational Seminar, Christian Medical and Dental Association of WNY (2007)
  • "Advance Care Planning Workshop" Community Health Foundation Workshop, Community Health Foundation of Western and Central New York, "Sharing Your Wishes Coalition" (2007)
  • "Health Care for Incapacitated Patients--a fantasy" Dept of Medicine Grand Rounds, ECMC Dept of Medicine, Erie County Medical Center (2006)
  • "Health Care for Incapacitated Patients--a fantasy" City-Wide Ethics/Palliative Grand Rounds, Center for Clinical Ethics and Humanities in Health Care (2006)
  • "Schwartz Center Rounds" VA Schwartz Rounds, Kenneth B. Schwartz Center (2006)
  • "Access to Health Care" Ethics Core Curriculum Master Session, University at Buffalo, Office of Graduate Medical Education (2006)
  • "Schwartz Center Rounds" VA Schwartz Rounds, Kenneth B. Schwartz Center (2006)
  • "End of Life Issues after Schiavo" Religion in the Public Square, American Jewish Committee, Buffalo/Niagara Chaper (2005)
  • "Bioethics Breakfast: working together to resolve dilemmas" CME Conference, Christian Medical Dental Association of Western New York (2005)
  • "Medical Decision Making and Case Management" Educational Program, Blue Cross Blue Shield of Western New York, Case Managers (2005)
  • "Advance Care Planning in Primary Care" Research Conference, UB Dept of Family Medicine, Primary Care Research Faculty Development Progra (2005)
  • "End of Life Communications in Neurosurgery" Resident Lecture, University at Buffalo SMBS, Department of Neurosurgery (2004)
  • "Conflict of Interest in Biomedical Research" Commttee Meeting, Roswell Park Cancer Institute, Conflict of Interest Committee (2004)
  • "Advance Directives" Nursing Grand Rounds, Kaleida Health, Nursing Service (2004)
  • "Hospice and Judaism" Adult Education Series, Temple Sharey Zedek (2004)
  • "New York State Law vs. the Evolved Standard of Practice" Achieving Meaningful Improvements In End-Of-Life Care: Insights And Tools For Clinicians, Patients And Families, UB Center for Clinical Ethics and Humanities in Health Care, and Hospice Buffalo (2003)
  • "Palliative Care and Internal Medicine Training" City-Wide Grand Rounds, Department of Medicine (2003)
  • "Pain Management" EPEC Training--Education for Physicians on End-of-life Care, Center for Hospice & Palliative Care (2003)
  • "Effect of Framing in Ethical Dilemmas" Medical Ethics Weekend, Temple B‘rith Kodesh (2002)
  • "Medical, Ethical and Legal Aspects of End-of-Life Care" Clergy/Caregiver Conference, Roswell Park Cancer Institute (2002)
  • "Advance Medical Directives" Greater Buffalo Memorial Society, Greater Buffalo Memorial Society, Annual Meeting (2002)
  • "History of the Family Health Care Decisions Act" Bridging the Gap, SUNY Upstate Medical University, Center for Bioethics and Humanities (2002)
  • "Innovative Treatments in Palliative Medicine" Grand Rounds, UB Department of Medicine, Division of General Internal Medicine (2002)
  • "Innovative Treatments in Palliative Medicine" Grand Rounds, KALEIDA Health, Millard Fillmore Gates Hospital, Department of Medicine (2002)
  • "Jewish Perspectives on Medical Ethics" Limud Lecture Program, Jewish Community Center (2002)
  • "Recent Developments in Surrogate Decision Making Legislation" Health Law Section Meeting, Erie County Bar Association, Health Law Section (2001)
  • "Explanation of Various Diagnostic Tests" Public Educational Program, Amherst Center for Senior Services (2001)
  • "History of Surrogate Decision Making in NYS" Family/Surrogate Decision-Making for Incapacitated Patients: Ethical, Social and Clinical Issues, Center for Hospice and Palliative Care (2001)
  • "Pain Management" Buffalo Psychiatric Center CME Program, Buffalo Psychiatric Center, Medical Staff (2001)
  • "The Last Days of Living" Grand Rounds, KALEIDA Health, Millard Fillmore Gates Hospital, Department of Medicine (2001)
  • "Funding Relief of Pain and Suffering: Who's Responsible?" Daybreak Dialogue Series, D'Youville College (2001)
  • "Pain Management in Palliative Care" Grand Rounds, KALEIDA Health, Buffalo General Hospital, Department of Medicine (2001)
  • "The Physician's Role in End-of-Life Care" "Patient Care at End-of-Life" Series, Roswell Park Cancer Institute, CME Program (2001)
  • "Pain Management in Palliative Care" Grand Rounds, KALEIDA Health, Millard Fillmore Gates Hospital, Department of Medicine (2001)
  • "Jewish Perspective on Assisted Suicide" Chautauqua Institution Fall Series, Chautauqua Institution, Abrahamic Program (2000)
  • "Decision-Making for Incapacitated Patients in New York State" Elder Law Section Meeting, Erie County Bar Association, Elder Law Section (2000)
  • "Issues of Physical and Mental Capacity of the Elderly and Community Alternatives" Network in Aging Conference at Center for Hospice and Palliative Care, Network in Aging of Western New York (2000)
  • "Health Maintenance for Men and Women" Luncheon Conference, New York State United Teachers Retirees of Western New York (1999)
See all (48 more)

Service Activities:

  • Jacobs School of Medicine & Biomedical Sciences Curriculum Task Force; Member (2002–2003)
  • Jacobs School of Medicine & Biomedical Sciences Phase II; Member (2000)
  • Jacobs School of Medicine & Biomedical Sciences Year III & IV; Member (1991–2000)
  • Narrative Inquiry in Bioethics:; Journal Reviewer: Narrative Inquiry in Bioethics: A Journal of Qualitative Research; Reviewer (2013–present)
  • NYSBA FHCDA Information Center Editorial Board; The NYS Bar Association Health Law Section has created an Information Center website concerning the new Family Health Care Decisions Act. I am a member of that editorial board.; Editorial Board Member (2010–present)
  • Buffalo Museum of Science Ethics Committee; Ad hoc committee created to respond to presentation of "Body Worlds" exhibition; Committee Member (2009–2010)
  • Ethics Committee, New York Chapter, American College of Physicians; Chair (2008–2015)
  • Patient Education and Counseling; Journal Reviewer; Reviewer (2007–2016)
  • Ethics Committee, New York Chapter, American College of Physicians; Member (2007–present)
  • Food Shuttle of Western New York; Transport excess and unused food from restaurants, caterers, bakeries, grocery stores, hotels and hospitals to soup kitchens and shelters for homeless individuals. http://www.foodshuttlewny.org/; Volunteer (2006–present)
  • Journal of General Internal Medicine; Journal Reviewer; Reviewer (2005–present)
  • World of Yiddish Website; http://yiddish.haifa.ac.il Volunteer for The World of Yiddish website. I transcribe Yiddish literature text for posting on the website.; Volunteer (2005–present)
  • Legal Services for the Elderly, Disabled or Disadvantaged of Western New York; Board of Directors (2005–2008)
  • Community Health Foundation; Clinical Advisory Committee for Community Health Foundation of Western and Central New York Quality Improvement Collaborative.; Advisory Committee (2005–present)
  • Journal of Palliative Medicine; Journal Reviewer; Reviewer (2004–2016)
  • American Bar Association; Member of working group sponsored by ABA Commission on Legal Problems of the Elderly, to produce a report, "Incapacitated and Alone: Health Care Decision-Making for the Unbefriended Elderly." Met in NYC for conference on 11/1/02.; Invited Participant (2002–2003)
  • Medical Care; Journal Reviewer; Reviewer (2002–present)
  • Annals of Internal Medicine; Journal Reviewer; Reviewer (2002–present)
  • Western Journal of Medicine; Journal Reviewer; Reviewer (2000–2002)
  • Buffalo Friends of Folk Music; Webmaster for Buffalo Friends of Folkmusic website http://folkmusic.bfn.org/ 1998-2008 Publicity Chair 2009--; Volunteer (1998–present)
  • Family Decisions Coalition Member; The Family Decisions Coalition was formed in the 1990s as an advocacy group created to change the laws in New York State concerning surrogate medical decision making. The New York Task Force on Life and the Law had recommended passage of the Family Health Care Decisions Act (FHCDA) as a means to rectify the legal status quo in NY (a result of judicial decisions in the 1980s). I was a member of this coalition, meeting with the Task Force in the early 1990s until passage of the law in 2010, and was webmaster for the group (http://bioethics.buffalo.edu/fhcda/). Following passage, I became a member of the NYS Bar Association Health Law FHCDA Information Center Editorial Board.; Volunteer (1992–2010)

School News:

In the Media:


Clinical Specialties:

Clinical Offices:

Insurance Accepted:



Contact Information

Hertel Elmwood Internal Medicine Clinic
900 Hertel Avenue
Buffalo, NY 14216
Phone: (716) 871-1571
Fax: (716) 871-1113
jfreer@buffalo.edu

Looking for a doctor? This faculty member is affiliated with UBMD, the group comprised of practicing physicians who are also professors in the UB Jacobs School of Medicine and Biomedical Sciences.

View this faculty on UBMD