Marc Epstein is a Palliative Care Nurse Practitioner and nurse ethicist. After getting his initial undergraduate degree from Rutgers University, he pursued a career in urban planning. However, he soon realized this career track was not personally fulfilling, switched gears, and set course on becoming a nurse. He completed his BSN at Johns Hopkins University School of Nursing and then moved to Chicago where he became a board-certified oncology nurse at the University of Chicago Medical Center. Marc found he was especially drawn to the precious and vulnerable experience of patients and their families as they approached the end of life and worked to ensure excellent symptom management. Following completion of an ethics fellowship at the University of Chicago McLean Center for Clinical Medical Ethics, he decided to advance his career to become a nurse practitioner. While working on his MSN at the University of Illinois at Chicago School of Nursing, he worked at the University of Illinois at Chicago Medical Center as a bone marrow transplant patient intake coordinator. As part of his master's program, he completed a palliative medicine certificate program. Upon completion of his master's, Marc decided to make the pivotal decision of going into palliative medicine after years of experience in oncology. He then worked for Midwest Palliative and Hospice Care Center (now Journey Care), and after several years, built a palliative program from the ground up at Advocate Illinois Masonic Medical Center. Enticed by the opportunity to work in management, he pursued an opportunity at the Community Hospital of the Monterey Peninsula in California, where he oversaw an inpatient palliative medicine program and began the development of an outpatient program. Looking to be closer to family, and put down roots, he decided to move back to Baltimore where he joined the palliative medicine team at Johns Hopkins Hospital.