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Ernest D. Frugé, PhD


Texas Medical Center

Cancer and Hematology
Phone: 832-822-4665
Fax: 832-825-1503


1102 Bates Ave., Ste. 1550.04
Houston, TX 77030

Ernest D. Frugé, PhD

Professor, Department of Pediatrics, Section of Hematology/Oncology, and Center for Medical Ethics and Health Policy, Baylor College of Medicine


School Education Degree Year
Texas Research Institute for Mental Sciences Fellowship Family Therapy 1978
University Of Georgia PhD Doctor of Psychology 1978
University of Georgia Postgraduate Training Doctor of Philosophy 1978
Texas Research Institute for Mental Sciences Internship Clinical Psychology 1976
University Of Georgia Masters Master of Science 1976


Dr. Ernest Frugé is a clinical psychologist with specialized training in group and organizational behavior.

Dr. Frugé’s research primarily focuses on the development of educational methods to enhance decision making, collaboration and leadership in medicine. Dr. Frugé is particularly interested in educational and organizational strategies that help health care providers develop the capacity for “reflective practice,” effective communication, cultural competence and team work. His current projects include the design of conferences to enhance ethical reasoning in critical care settings, coordination of complex care across specialties, and improving the follow-up care for long-term survivors of childhood cancer. He received a grant from the Arthur Vining Davis Foundation to translate methods developed in collaboration with our faculty and fellows in Pediatric Hematology/Oncology to other medical specialties and institutions.

Dr. Frugé and his principle collaborators (Marc Horowitz, MD and Jan E. Drutz, MD) launched a website that provides a comprehensive introduction to Reflective Practice and Leadership educational methods ( The Reflective Practice and Leadership methods have been successfully replicated in other institutions and adapted to learners in various specialties and stages of professional development.

He is past board member and executive director of the International Society for the Psychoanalytic Study of Organizations and a Fellow of the A.K. Rice Institute for the Study of Social Systems. A substantial portion of his effort is dedicated to strategic planning, program development and organizational consultation, including support for the Global Hematology/Oncology Pediatric Excellence (HOPE) program at Texas Children’s Cancer and Hematology Center.


Organization Name Role
A.K. Rice Institute for the Study of Social Systems Fellow
Harris County Protective Services for Children and Adults Past President and Board Member
International Society for the Psychoanalytic Study of Organizations Member and Past Executive Director

Selected Publications

Selected Book Chapters:

Frugé, E., Sprehe, M., Loftis, L., Brown-Hellsten, M. & Bruce, C.  Managing conflict when there’s disagreement in care between medical providers, caregivers, and/or patient. In Mazur, K. & Berg, S. (Eds.) Ethical Issues in Pediatric Hematology/Oncology. Berlin: Springer, 2020. 

Myerson, W., Wolfe, H., Hirschhorn, L., Myerson, D. & Frugé, E.  Consultation to Organizations.  In S. Akhtar & S. Twemlow (Eds.) Textbook of Applied Psychoanalysis. New York: Routledge, 2018.

Drutz, J.E., Frugé, E., McCullough, L. & Swan, D.B. Ethical Considerations in Communicating with or about a Child.  In D.L. Palazzi, M.I. Lorin, T.L. Turner, M.A. Ward & A.G. Cabrera (Eds.)  Communicating with Pediatric Patients and their Families: The Texas Children’s Hospital guide for physicians, nurses and other health care professionals. Houston, Texas: Texas Children’s Hospital, 2015.

Frugé, E. & Horowitz, M. Leadership dimensions of the physician’s role:  A transitional approach to training in Pediatric Hematology/Oncology.  In G. Amado & L. Vansina (Eds.) The Transitional Approach in Action: The Harold Bridger Transitional Series. Vol. II, London: Karnac, 2005.

Frugé, E. & Adams, C. …and then the missionaries became cannibals…: Resuscitation of Empathy in a Pediatric Oncology Nursing Service and the Principles and Practice of Application in the Group Relations Tradition.  In S. Cytrynbaum & D. Noumair (Eds.) Group Dynamics, Organizational Irrationality, and Social Complexity: Group Relations Reader III.  Washington, D.C.: A.K.  Rice Institute 2004.

Selected additional articles (Non pub med):

Frugé, E., Sprehe, M., Brown-Hellsten, M., Loftis, L.  Managing accelerating complexity and inter-group conflict in the care of critically ill children.  Organisational and Social Dynamics.  In press. 

Lubega, J., Namazzi,R.,  Airewele, G., Allen, C., Slone, J., Fasipe, T., Mehta, P., Kansiime, R. & Frugé, E.   A Case-Based Approach to Medical Leadership Education is Effective and Reproducible in Diverse Graduate Medical Education Settings.  Journal of Medical Practice Management.  September/October, 2021, 67-71.  

Lee-Kim, Y.J., Frugé, E.D., Turner, T.L., Scheurer, M.E., Steuber, C.P.  Fellow onboarding.  Academic Pediatrics.  August 2016, 16, Issue 6, e54-e55.

Ishigami, E., Airewele, G., Mehta, P., Cubbage, M., Frugé, E., Salgado, S. & Wilson-Lewis, K.  Developing a logistical plan for deploying full and part-time healthcare providers abroad – Texas Children’s Cancer and Hematology Centers’s experience.  Annals of Global Health.  May-June 2016, 82, Issue 3, 367-368.

Brackett, J., Frugé, E. & Lorin, M.  Using standardized patients to improve delivery of bad news by pediatric hematology-oncology fellows.  Journal of Clinical Oncology.  October 2015, 33, No. 29 Supplement, 29-29.

View publications on PubMed

View publications on VIICTR



* Texas Children's Hospital physicians' licenses and credentials are reviewed prior to practicing at any of our facilities. Sections titled From the Doctor, Professional Organizations and Publications were provided by the physician's office and were not verified by Texas Children's Hospital.