Barbara Couden Hernandez, PhD, LMFT, RN Director of Physician Vitality and Professor of Medical Education and Palliative Care, Loma Linda University School of Medicine Barbara Hernandez, PhD, LMFT, RN is Director of Physician Vitality and Professor of Medical Education at Loma Linda University School of Medicine. She is a Clinical Diplomate of the American Association of Marriage and Family Therapy, and has directed five university counseling offices, maintained a private psychotherapy practice, and worked as a professor in mental health graduate programs since 1995. Her publication and research interests pertain to ambiguous loss, physician well-being, and spirituality.