Dr Hilary Bowman-Smart

Research Fellow

School of Public Health

College of Health

Eligible to supervise Masters and PhD (as Co-Supervisor) - email supervisor to discuss availability.

Available For Media Comment.


Hilary Bowman-Smart is a Research Fellow in the School of Public Health at Adelaide University, with an adjunct appointment in the School of Humanities.
 
Hilary works within applied ethics, empirical bioethics and philosophy of medicine. Her research examines reproductive technologies, genomics, digital health, machine learning, and diagnosis. 
 
Her methodological approach involves ethical and philosophical analysis informed by empirical research. She is a mixed-methods researcher with experience in surveys, data linkage, document analysis, and qualitative interview studies. She is currently Empirical Ethics stream lead for the Australasian Association of Bioethics and Health Law. 
 
Prior to her role at Adelaide University, she held a position as Researcher in the Ethics of Prenatal Genetics and Genomics at the University of Oxford between 2021 and 2023. In this role, she worked on a project comparing the implementation of non-invasive prenatal testing (NIPT) in England, France and Germany, with her research conducted in both English and German. She has also been a visiting fellow at the University of Augsburg, and held honorary positions at the Murdoch Children's Research Institute and Monash University. 
 
She was awarded her PhD by the University of Melbourne in 2022, receiving the Dean's Award for Excellence in Graduate Research. Her thesis examined the moral permissibility of non-medical uses of prenatal testing. She has an interdisciplinary background and training in biomedical science, philosophy, classics, and public health.

Date Position Institution name
2025 - ongoing Research Fellow, School of Public Health Adelaide University
2025 - 2025 Lecturer (Teaching), Faculty of Health & Medical Sciences University of Adelaide
2023 - 2025 Research Fellow, Clinical & Health Sciences University of South Australia
2022 - 2022 Visiting Fellow, Centre for Ethics in Medicine University of Augsburg
2022 - ongoing Honorary Fellow, Biomedical Ethics Research Group Murdoch Children's Research Institute
2021 - 2025 Adjunct Research Fellow, Monash Bioethics Centre Monash University
2021 - 2022 Research Associate, Uehiro Centre for Practical Ethics University of Oxford
2021 - 2023 Researcher in the Ethics of Prenatal Genetics and Genomics, Ethox Centre University of Oxford

Language Competency
English Can read, write, speak, understand spoken and peer review
German Can read, write, speak and understand spoken

Date Institution name Country Title
2022 University of Melbourne Australia PhD
University of Newcastle Australia Master of Public Health
Monash University Australia Bachelor of Arts
Monash University Australia Bachelor of Science (Hons)
Monash University Australia Diploma in Languages

Year Citation
2026 Prince, S., McGee, A. J., Bowman-Smart, H., & Savulescu, J. (2026). In vitro fertilisation mix-ups and contested parenthood. Journal of Medical Ethics, 52(7), jme-2025-111285.
DOI Scopus3 WoS3 Europe PMC1
2026 Bowman-Smart, H., Gyngell, C., Hui, L., Mand, C., Pertile, M. D., Savulescu, J., & Delatycki, M. B. (2026). Sex Ratios at Birth Following Non-Invasive Prenatal Testing in Victoria, Australia. Prenatal Diagnosis, 46(3), 406-416.
DOI
2026 Bowman-Smart, H., & Carter, D. (2026). Conceptual Distinctions Between Clinical and Personal Utility Reflect Moral Judgements. American Journal of Bioethics, 26(5), 18-20.
DOI
2025 Abdulcadir, J., Adler, P. W., Almonte, M. T., Anderson, F. W. J., Bowman Smart, H., & Ziyada, M. M. (2025). Genital modifications in prepubescent minors: when may clinicians ethically proceed?. American Journal Of Bioethics, 25(7), 53-102.
DOI Scopus23 WoS23 Europe PMC8
2025 Perrot, A., Bowman Smart, H., Nov Klaiman, T., & Horn, R. (2025). Decision-making for termination of pregnancy following non-invasive prenatal testing: a qualitative exploration of french, english and German healthcare professionals' perceptions and concerns. Reproductive Health, 22(1, article no. 216), 1-13.
DOI
2025 Bowman-Smart, H., Johnston, M., Taylor-Sands, M., Hui, L., & Mills, C. (2025). The Function of Non-invasive Prenatal Testing (NIPT) Request Forms in the Australian Context. Health Care Analysis, online, 25 pages.
DOI Scopus2 WoS1
2025 Hempeler, C., Bowman Smart, H., Nov Klaiman, T., & Horn, R. (2025). Reproductive self-determination and regulation of termination of pregnancy in Germany: current controversies and developments. Journal of Medical Ethics, online(2), 1-6.
DOI Scopus2 WoS3 Europe PMC3
2025 Nov Klaiman, T., Bowman Smart, H., & Horn, R. (2025). Women's wellbeing as an empty declaration? A qualitative exploration of challenges in accessing termination of pregnancy due to fetal anomaly in Germany. BMC Medical Ethics, 26(1, article no. 40), 1-13.
DOI Scopus2 WoS2 Europe PMC2
2025 Pynaker, C., Johnston, M., Mills, C., Vasey, K., Taylor Sands, M., Bowman Smart, H., & Hui, L. (2025). 'Screening should not be based on ability to pay': Australian healthcare providers' and consumers' perspectives on public funding for non-invasive prenatal testing. Australian and New Zealand Journal of Obstetrics and Gynaecology, 65(3), 409-419.
DOI Scopus3 WoS4 Europe PMC3
2025 Nov Klaiman, T., Bowman Smart, H., & Horn, R. (2025). Negotiating severity behind the scenes: prenatal testing in Germany. European Journal Of Human Genetics, 33(2), 220-225.
DOI Scopus8 WoS10 Europe PMC9
2025 Gyngell, C., Lynch, F., Vears, D., Bowman Smart, H., Savulescu, J., & Christodoulou, J. (2025). Storing paediatric genomic data for sequential interrogation across the lifespan. Journal of Medical Ethics, 51(3), 205-211.
DOI Scopus8 WoS9 Europe PMC6
2024 Bowman Smart, H., Savulescu, J., O'Connell, M., & Sinclair, A. (2024). World Athletics regulations unfairly affect female athletes with differences in sex development. Journal of the Philosophy of Sport, 51(1), 29-53.
DOI Scopus17 WoS14 Europe PMC4
2024 Marks, I. R., Devolder, K., Bowman Smart, H., Johnston, M., & Mills, C. (2024). NIPT for adult-onset conditions: Australian NIPT users' views. Bioethics, 38(6), 566-575.
DOI Scopus1 WoS1 Europe PMC1
2024 Johnston, M., Hui, L., Bowman Smart, H., Taylor Sands, M., Pertile, M. D., & Mills, C. (2024). Disparities in integrating non-invasive prenatal testing into antenatal healthcare in Australia: a survey of healthcare professionals. BMC Pregnancy and Childbirth, 24(1), 1-12.
DOI Scopus11 WoS12 Europe PMC9
2024 Bowman Smart, H., Perrot, A., & Horn, R. (2024). Supporting patient decision-making in non-invasive prenatal testing: a comparative study of professional values and practices in England and France. BMC Medical Ethics, 25(1, article no. 34), 1-13.
DOI Scopus8 WoS8 Europe PMC7
2024 Claesen-Bengtson, Z., Bowman-Smart, H., Vermeersch, E., Vermeesch, J. R., Henneman, L., & Borry, P. (2024). Should non-invasive prenatal testing (NIPT) be used for fetal sex determination? Perspectives and experiences of healthcare professionals. European Journal of Human Genetics, 32(3), 309-316.
DOI Scopus4 WoS5 Europe PMC4
2023 Haining, C. M., Bowman Smart, H., O'Rourke, A., de Crespigny, L., Keogh, L. A., & Savulescu, J. (2023). The 'Institutional Lottery': Institutional variation in the processes involved in accessing late abortion in Victoria, Australia. Women's Studies International Forum, 101, 102822.
DOI Scopus9 WoS7 Europe PMC7
2023 Bowman Smart, H., Keogh, L., Haining, C. M., O'Rourke, A., de Crespigny, L., & Savulescu, J. (2023). 'The tabloid test': a qualitative interview study on the function and purpose of termination of pregnancy review committees in Victoria, Australia. Reproductive Health, 20(1, article no.104), 1-14.
DOI Scopus8 WoS7 Europe PMC3
2023 Bowman Smart, H., Gyngell, C., Mand, C., Amor, D. J., Delatycki, M. B., & Savulescu, J. (2023). Non-invasive prenatal testing for 'Non-medical' traits: ensuring consistency in ethical decision-making. The American Journal of Bioethics, 23(3), 3-20.
DOI Scopus29 WoS28 Europe PMC17
2023 Taylor-Sands, M., Warton, C., & Bowman-Smart, H. (2023). Regulating non-invasive prenatal testing (NIPT) for fetal sex determination. Medical Law Review, 31(4), 521-537.
DOI Scopus2 WoS2 Europe PMC1
2023 Porsdam Mann, S., Earp, B. D., Nyholm, S., Danaher, J., Møller, N., Bowman-Smart, H., . . . Savulescu, J. (2023). Generative AI entails a credit–blame asymmetry. Nature Machine Intelligence, 5(5), 472-475.
DOI Scopus65 WoS61
2022 Bowman Smart, H., Wiesemann, C., & Horn, R. (2022). Non-invasive prenatal testing in Germany: a unique ethical and policy landscape. European Journal of Human Genetics, 31(5), 562-567.
DOI Scopus15 WoS14 Europe PMC11
2022 Bowman Smart, H., Vears, D. F., Brett, G. R., Martyn, M., Stark, Z., & Gyngell, C. (2022). 'Diagnostic shock': the impact of results from ultrarapid genomic sequencing of critically unwell children on aspects of family functioning. European Journal of Human Genetics, 30(9), 1036-1043.
DOI Scopus22 WoS20 Europe PMC21
2022 Taylor-Sands, M., & Bowman-Smart, H. (2022). NON-INVASIVE PRENATAL TESTING FOR ADULT-ONSET CONDITIONS: REPRODUCTIVE CHOICE AND THE WELFARE OF THE FUTURE CHILD. Melbourne University Law Review, 45(2), 728-777.
Scopus7 WoS5
2021 Bowman Smart, H. (2021). Orphans by design: the future of genetic parenthood. Bioethics, 35(1), 23-30.
DOI Scopus3 WoS4 Europe PMC2
2021 Bowman Smart, H., & Savulescu, J. (2021). The ethics of motivational neuro-doping in sport: praiseworthiness and prizeworthiness. Neuroethics, 14(S2), 205-215.
DOI Scopus7 WoS4 Europe PMC3
2021 Bowman Smart, H., & Taylor Sands, M. (2021). Fetal information as shared information: using NIPT to test for adult-onset conditions. Monash Bioethics Review, 39(S1), 82-102.
DOI Scopus7 WoS8 Europe PMC4
2020 Bowman Smart, H., Savulescu, J., Gyngell, C., Mand, C., & Delatycki, M. B. (2020). Sex selection and non-invasive prenatal testing: a review of current practices, evidence, and ethical issues. Prenatal Diagnosis, 40(4), 398-407.
DOI Scopus54 WoS53 Europe PMC41
2019 Bowman Smart, H., Savulescu, J., Mand, C., Gyngell, C., Pertile, M. D., Lewis, S., & Delatycki, M. B. (2019). 'Is it better not to know certain things?': views of women who have undergone non-invasive prenatal testing on its possible future applications. Journal of Medical Ethics, 45(4), 231-238.
DOI Scopus45 WoS43 Europe PMC33
2019 Gyngell, C., Bowman Smart, H., & Savulescu, J. (2019). Moral reasons to edit the human genome: picking up from the Nuffield report. Journal of Medical Ethics, 45(8), 514-523.
DOI Scopus52 WoS42 Europe PMC29
2019 Bowman Smart, H., Savulescu, J., Mand, C., Gyngell, C., Pertile, M. D., Lewis, S., & Delatycki, M. B. (2019). 'Small cost to pay for peace of mind': women's experiences with non-invasive prenatal testing. Australian and New Zealand Journal of Obstetrics and Gynaecology, 59(5), 649-655.
DOI Scopus41 WoS40 Europe PMC34
2019 Bowman Smart, H., Gyngell, C., Morgan, A., & Savulescu, J. (2019). The moral case for sign language education. Monash Bioethics Review, 37(3-4), 94-110.
DOI Scopus14 WoS9 Europe PMC5
2019 Gyngell, C., Bowman-Smart, H., & Savulescu, J. (2019). Genome editing, Goldilocks and polygenic risk scores. Journal of Medical Ethics, 45(8), 530-531.
DOI Scopus2 WoS2 Europe PMC1

Year Citation
2021 Savulescu, J., & Bowman-Smart, H. (2021). MORAL BIOENHANCEMENT AND FUTURE GENERATIONS: Selecting Martyrdom?. In Oxford Handbook of Intergenerational Ethics (pp. 824-840). Oxford University Press.
DOI Scopus1

Year Citation
2024 Klaiman, T. N., Bowman-Smart, H., & Horn, R. (2024). Negotiating severity behind the scenes: prenatal testing in Germany. In EUROPEAN JOURNAL OF HUMAN GENETICS Vol. 32 (pp. 1841). GERMANY, Berlin: SPRINGERNATURE.

Lead

  • Community tools for navigating digital health services and online prescribing, auDA Foundation, 16/01/2026 - 02/02/2027
     
  • Epistemic authority and machine learning in diagnosis: perspectives from Australian healthcare professionals, University of South Australia, 01/07/2025 - 31/07/2026
     

Co-investigator

  • Assessing the feasibility and laying the groundwork for applying the ‘recall by genotype’ design in MS research, Multiple Sclerosis Australia, 01/08/2025 - 31/12/2026

Courses Coordinated

Date Course Title Course Level/ Code
2026  Ethical Challenges in Modern Health Care PUBH5007

Date Role Research Topic Program Degree Type Student Load Student Name
2025 Co-Supervisor Navigating pelvic pain in adolescence Doctor of Philosophy Doctorate Full Time Miss Nayab Mehar

Date Role Research Topic Location Program Supervision Type Student Load Student Name
2025 - ongoing External Supervisor The Philosophy of Medically Unexplained Symptoms University of Melbourne - Doctorate - Lea Merone
2023 - ongoing External Supervisor An Ethical Analysis of Mandatory Mediation as a Tool for Dispute Resolution in the NICU and PICU University of Notre Dame - Master - Elizabeth Lily Gordon

Date Role Committee Institution Country
2026 - ongoing Vice-Chair Research Policy Working Group, College of Health Adelaide University Australia
2024 - 2025 Chair UniSA ECR Network University of South Australia Australia
2024 - ongoing Founder Adelaide Bioethics Adelaide Bioethics Australia
2024 - ongoing Co-Chair Empirical Ethics Stream Lead Australasian Association of Bioethics and Health Law (AABHL) Australia
2022 - 2023 Member Athena SWAN Research Staff Career Progression Working Group University of Oxford United Kingdom
2020 - 2021 Member Low and Negligible Risk Research Ethics Committee Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne Australia
2019 - 2020 Member Paediatric Human Ethics Advisory Group Royal Children's Hospital Melbourne Australia

Date Institution Department Organisation Type Country
2026 - 2029 Office of the Gene Technology Regulator Gene Technology Ethics and Community Consultative Committee (GTECCC) Legislative and political Australia
2025 - 2025 Government of South Australia AI in Health pilot Health services and related Australia

Date Role Editorial Board Name Institution Country
2023 - ongoing Associate Editor Monash Bioethics Review Monash University Australia

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