APPENDIX: Faculty Research Projects 2009-2010...1. Health literacy assessment and of health outcome measures 2. Health literacy interventions evaluation 3. Few case reports and review

1

APPENDIX: Faculty Research Projects 2009-2010

Faculty Name Page

Daren Anderson, MD 2

Steven Aronin, MD 3

Lydia Barakat, MD 4

William Becker, MD 5

Gretchen Berland, MD 6

Sarwat Chaudhry, MD 7

John Concato, MD, MPH 8

David Fiellin, MD 9

Auguste Fortin, MD, MPH 10

Michael Green, MD, MSc 11

Cary Gross, MD 12

Sally Haskell, MD 13

Stephen Holt, MD, MPH 14

Leora Horwitz, MD 15

Amy Justice, MD, PhD 16

Walter Kernan, MD 17

Nancy Kim, MD, PhD 18

Marcella Nunez-Smith, MD 19

Patrick O’Connor, MD, MPH 20

Rebecca Papas, PhD 21

David Podell, MD, PhD 22

Peter Rabinowitz, MD 23

Carrie Redlich, MD, MPH 24

Anna Reisman, MD 25

Julie Rosenbaum, MD 26

Majid Sadigh, MD 27

Lisa Sanders, MD 29

Andre Sofair, MD, MPH 30

Lynn Sullivan, MD 31

Jeanette Tetrault, MD 32

Donna Windish, MD, MPH 33

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Faculty Name: Daren Anderson, MD [http://www.med.yale.edu/intmed/faculty/anderson.html]

Email: [email protected]

Phone: 2039325711 ext 4532

a. Please describe ideas for new projects where a resident may be able to take on a scholarly role.

1. Medication Reconciliation: The VA has implemented a system-wide approach to reconciling medications for all veterans in primary care. All veterans receive a copy of their medication list at the time of their primary care visit, and are prompted to review it with their doctor to ensure accuracy and to make any changes necessary. Discrepancies between medical record medication lists and patient's actual medication use at home have been widely documented, and cited as a common reason for adverse drug events. We are studying the impact of this simple system change on physician behavior and patient behavior. There are several "spinoff" projects that would lend themselves nicely to a resident research project in this area.

2. Poorly controlled diabetes: The VA tracks many clinical measures carefully and places major emphasis on diabetes. Each month, primary care providers get a list of their diabetic patients with an A1C>9.0. This population is at especially high risk for diabetes-related complications, and yet providers express frustration that the A1C>9 cohort represent a population that is not responsive to most typical interventions. Often, they are simply labeled as "non compliant". In order to develop more effective interventions for the poorly controlled diabetic patients, we need to understand more about them. The first step in this process would be to do a detailed record review of this cohort. What is their burden of comorbidity, degree of chronic pain, and comorbid psychiatric disease? What is their adherence rate to medications, and what barriers to they face to adhere to such regimens. How many are on insulin, and how many who are not are simply unwilling to consider using insulin? Such information will form the basis of a new initiative to improve diabetes care at the VA for this challenging cohort of high risk patients.

b. Do you have any specific research skills (e.g., survey research, designing randomized trials,

data analysis, etc.) that you are willing to assist residents with? Yes x

1. My area of expertise and interest is in clinical systems redesign.

Select Recent Publications

1. Anderson D, Christison-Lagay J. Diabetes Self Management in a Community Health Center. Improving Health Behaviors and Clinical Outcomes for Underserved Patients. Clinical Diabetes. 2008;26:22-27.

2. Anderson D, Horton C, O'Toole ML, Brownson CA, Fazzone P, Fisher EB. Integrating Depression Care With Diabetes Care in Real-World Settings: Lessons From the Robert Wood Johnson Foundation Diabetes Initiative. Diabetes Spectr. 2007;20:10-16.

3

Faculty Name: Steven Aronin, MD


Phone: 203-573-7332


1. Report of experience with HIV testing in the ER (Program just started 12/1/08)

2. Evaluate whether there is any correlation between rising MICs to Vancomycin for strains of MRSA and clinical outcome

3. Evaluate resistance patterns, choice of empiric antibiotics and outcome for patients with community-acquired infections vs community-acquired but hospital associated i.e. recent admission, ECF, dialysis

4. Utility of absolute lymphocyte count in acutely ill vs asymptomatic HIV-infected patients in predicting cd4 counts

5. Evaluate the impact of the new (7/1/09) HIV testing law whereby separate HIV consent is no longer required and an opt-out approach can be used.

b. Do you have any specific research skills (e.g., survey research, designing randomized trials, data analysis, etc.) that you are willing to assist residents with? Yes

1. Case reports

2. Basic study design

3. Basic statistical analysis of data

c. (OPTIONAL) Please list any past residents you have mentored and their research topic area.

1. Resident Name: Jonathan Mosovich Topic: HIV screening in the Chase Clinic

2. Resident Name: Michael Corvini Topic: Report of recurrent aseptic meningitis in a man with complement deficiency

3. Resident Name: Rita Das Topic: Use of the CDC’s risk-assessment tool in HIV positive patients in a Primary Care setting

4

Faculty Name: Lydia Barakat, MD


Phone: 203-573-6746


1. Health literacy assessment and of health outcome measures

2. Health literacy interventions evaluation

3. Few case reports and review of the literature


1. Survey research

2. Retrospective chart review case control

3. Some knowledge in scoring model


1. Resident Name: Rita Das Topic: Risk reduction intervention in an HIV clinic

2. Resident Name: Sarita Soares Topic: Quality of life measure of patient linked to

medical homes

3. Resident Name: Several Topic: Clinical vignettes


1. Complicated left-sided native valve endocarditis in adults: risk classification for mortality. Hasbun R, Vikram HR, Barakat LA, Buenconsejo J, Quagliarello VJ. JAMA 2003 Apr 16;289(15):1933-40.

2. Fatal inhalational anthrax in a 94-year-old Connecticut woman. Barakat LA, Quentzel HL, Jernigan JA, Kirschke DL, Griffith K, Spear SM, Kelley K, Barden D, Mayo D, Stephens DS, Popovic T, Marston C, Zaki SR, Guarner J, Shieh WJ, Carver HW 2nd, Meyer RF, Swerdlow DL, Mast EE, Hadler JL; Anthrax Bioterrorism Investigation Team. JAMA 2002 Feb 20;287(7):863-8.

5

Faculty Name: Will Becker


Phone: 203-573-7667


1. We are starting a chronic pain management clinic within Chase and are planning to study different aspects of this intervention. One of the questions is can a brief, patient-centered ‘tool kit’ of pain management strategies improve pain levels/functionality compared to usual care? Residents could help design the intervention, determine what outcomes are relevant/measurable and help analyze results.

2. We are looking to do a ‘rational clinical exam’ type manuscript on the question ‘how can I tell if a patient has pain or addiction?’ and are looking for residents to help with lit searches and write-up.


data analysis, etc.) that you are willing to assist residents with? Yes

1. SAS programming, especially logistic regression

2. Secondary data analysis of large data sets (using SAS)


1. Barry DT, Irwin KS, Jones ES, Becker WC, Tetrault JM, Sullivan LE, Hansen H, O'Connor PG, Schottenfeld RS, Fiellin DA. Integrating buprenorphine treatment into office-based practice: a qualitative study. J Gen Intern Med. 2009 Feb;24(2):218-25.

2. Becker WC, Sullivan LE, Tetrault JM, Desai RA, Fiellin DA. Non-medical use, abuse and dependence on prescription opioids among U.S. adults: psychiatric, medical and substance use correlates. Drug Alcohol Depend. 2008 Apr 1;94(1-3):38-47.

3. Tetrault JM, Desai RA, Becker WC, Fiellin DA, Concato J, Sullivan LE. Gender and non-medical use of prescription opioids: results from a national US survey. Addiction. 2008 Feb;103(2):258-68.

6

Faculty Name: Gretchen Berland, MD[http://www.med.yale.edu/intmed/faculty/berland.html]


Phone: 203-737-5157


1. The Home Visit Program

2. Quality of Care in the Ambulatory Arena

3. Media and Medicine


1. Qualitative Research Methods

2. Documentary filmmaking

3. Health Services Research


1. Resident Name: Mark Simone: Topic: home visit program

2. Resident Name: Melinda Mesmer Topic: social isolation


1. Rolling (life in a wheelchair). A 71 minute feature length documentary that has been widely acclaimed for providing unique patient-centered perspectives into the lives of wheelchair users.

2. Berland, G., Elliott, M., Morales, L. “Health Information on the Internet: Accessibility, Quality, and Readability in English and Spanish.” JAMA. 285 (20): 2612-2621. 2001

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Faculty Name: Sarwat Chaudhry [http://www.med.yale.edu/intmed/faculty/chaudhry.html]


Phone: 785-2651


1.Secondary analysis of data from the Cardiovascular Health Study, to assess participants with heart failure and to examine geriatric conditions

2. Participation in a prospective cohort study of older patients hospitalized with heart failure

3. Please note that participation in project 1 would require previous data management experience


1. Designing randomized trials


1. Randomized trial of Telemonitoring to Improve Heart Failure Outcomes (Tele-HF): study design. Chaudhry SI, Barton B, Mattera J, Spertus J, Krumholz HM. J Card Fail. 2007 Nov;13(9):709-14.

2. Telemonitoring for patients with chronic heart failure: a systematic review. Chaudhry SI, Phillips CO, Stewart SS, Riegel B, Mattera JA, Jerant AF, Krumholz HM. J Card Fail. 2007 Feb;13(1):56-62. Review.

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Faculty Name: John Concato, MD, MPH [http://www.med.yale.edu/intmed/faculty/concato.html]


Phone: 203-932-5711 x2993 (VA Clinical Epidemiology Research Center)


1. Various “spin-off” projects related to prostate cancer.

2. Methodological issues in patient-oriented research (re: research design/data analysis).


data analysis, etc.) that you are willing to assist residents with?

“Yes”; project-specific skills related to formulating a research question, selecting a study design, collecting suitable data, and conducting an appropriate analysis.

c. Please list any past residents you have mentored and their research topic area.

1. Jorge Ramos

Gleason scores in prostate cancer: what should we expect from a measurement? [Presented at Yale Research in Residency Day, May 14, 2009.]

2. Maor Sauler (also with Jeanette Tetrault, Ambulatory Care fellow)

Reporting of multivariable methods in the medical literature. J Investig Med 2008;56:954-957.

3. Daren Anderson

Validation of a staging system for evaluating prognosis in prostate cancer. Conn Med 2000;64:459-464.

d. Selected recent publications

Tetrault JM, Sauler M, Wells CK, Concato J. Reporting of multivariable methods in the medical literature. J Investig Med. 2008;56:954-957.

Concato, J. What will the emperor say? Screening for prostate cancer as of 2008. Cancer J. 2009;15:7-12.

Concato J, Jain D, Uchio E, Risch H, Li WW, Wells CK. Molecular markers and death from prostate cancer. Ann Intern Med. 2009;150:595-603.

Jane-wit D, Horwitz RI, Concato J. Variation in results from randomized, controlled trials: stochastic or systematic? J Clin Epidemiol. (In press).

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Faculty Name: David Fiellin, M.D. [http://www.med.yale.edu/intmed/faculty/fiellin.html]


Phone: 688-2984


1. Public funding for office-based treatment of opioid dependence

2. HIV viral resistance in opioid dependent patients receiving methadone or buprenorphine

3. Pain in opioid dependent patients


1. systematic reviews


1. Resident Name: Will Becker Topic: Provider satisfaction with office-based treatment of opioid dependence


1. Barry DT, Irwin KS, Jones ES, Becker WC, Tetrault JM, Sullivan LE, Hansen H, O'Connor PG, Schottenfeld RS, Fiellin DA. Integrating Buprenorphine Treatment into Office-based Practice: a Qualitative Study. J Gen Intern Med. 2008 Dec 17.

2. Fiellin DA. Treatment of adolescent opioid dependence: no quick fix. JAMA. 2008 Nov 5;300(17):2057-9.

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Faculty Name: Auguste Fortin, MD, MPH [http://www.med.yale.edu/intmed/faculty/fortin.html]


Phone: 573-7284


1. Impact of intern support group

2. Teaching mindfulness-based stress reduction to medical students


1. Martino S, Haeseler F, Belitsky R, Pantalon M, Fortin AH. Teaching brief motivational interviewing to Year three medical students. Med Educ. 2007 Feb;41(2):160-7.

2. Barnett KG, Fortin AH 6th. Spirituality and medicine. A workshop for medical students and residents. J Gen Intern Med. 2006 May;21(5):481-5.

11

Faculty Name: Michael Green, MD, MSc [http://www.med.yale.edu/intmed/faculty/green.html]


Phone: 573-6510


1. UtilityofABIMpointofcarelearningportfoliototeachandevaluateresidentspractice‐based

learningandimprovement.

2.Impactofreflectiononpointofcarelearning

3.PilotstudyofimplementingdevelopmentalmilestonesintheevaluationofACGMEcompetencies.


1. systematic reviews

2.Curriculumdevelopmentandevaluation


1. Resident Name: Tanya Ruff Topic: Focus group study of barriers to answering clinical questions

2. Resident Name: Todd Kortius Topic: Implementaqtion of EBM curriculum in Kazan

3. Resident Name: Marc Ciampi Topic: Prospective study of the characteristics, fequency, and pursuit of residents information needs

4. Residenct Name: Leora Horwitz Topic: Development of a signout curriculum and study of the effect of works hours restrictions on hand offs and educational opportunities


GreenML,AagaardEM,CaverzagieKJ,etal.ChartingtheRoadtoCompetence:Developmental

MilestonesforInternalMedicineResidencyTraining.JournalofGraduateMedicalEducation(inpress).2009.

GreenML,ReddySG,HolmboeE.TeachingandEvaluatingPointofCareLearningwithanInternet‐BasedClinicalQuestionPortfolio.JournalofContinuingEducationintheHealth

Professions(inpress).2009.

GreenML,HolmboeE.TheACGMEtoolboxis“halffull”(Perspective).AcademicMedicine(inpress).2009.

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Faculty Name: Cary P. Gross, M.D. [http://www.med.yale.edu/intmed/faculty/gross.html]


Phone: 688-8588


1. Understanding patient perceptions of physician-industry ties


1. clinical epidemiology - study design


1. Resident Name: Isaac Hall Topic: Thromboembolism in cancer

2. Resident Name: Devina Bhasin Topic: Comorbidity and Effectiveness of Colon Cancer Screening

3. Resident Name: James Yu Topic: Adoption of Novel Radiotherapy Modalities for Head and Neck Cancer


1. Bekelman JE, Li Y, Gross CP. Scope and impact of financial conflicts of interest in biomedical research: A Systematic Review. Journal of the American Medical Association 2003; 289: 454-65.

2. Gross CP, Heiat A, Mallory R, Krumholz. Reporting the recruitment process in published randomized controlled trials: Who are these patients and how did they get here? Annals of Internal Medicine 2002: 137:10-15.

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Faculty Name: Sally Haskell, MD [http://www.med.yale.edu/intmed/faculty/haskell.html]


Phone: 932-5711 x 5400


1. We are currently working on the Women Veteran's Cohort Study which is a VA HSR&D funded project that is investigating gender disparities in male and female veterans of Iraq and Afghanistan in terms of medical/mental health outcomes, VA care and utilization and costs. We have a national database of all the VA enrolled vets from Iraq and Afghanistan and currently have planned papers/projects on overall description of the populations by gender, cost disparities, pain, obesity, stress and coping mechanisms, and reproductive health.. We would welcome resident involvement on any number of subprojects.

2. I have data from a national survey of menopause and hormone therapy use experiences among women veterans. I can provide this data for any resident who may be interested in a project looking at characteristics of patients who choose to use or continue using hormone therapy despite its known adverse effects.


1. Survey design


1. Haskell SG, Papas RK, Heapy A, Reid MC, Kerns RD. The association of sexual trauma with persistent pain in a sample of women veterans receiving primary care. Pain Med. 2008 Sep;9(6):710-7.

2. Haskell SG. After the Women's Health Initiative: Postmenopausal women's experiences with discontinuing estrogen replacement therapy. J Womens Health (Larchmt). 2004 May;13(4):438-42.

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Faculty Name: Stephen Holt, MD, MPH


Phone: 860-834-3540 (cell), 203-573-6580 (office)


1. Identifying prevalence of substance abuse disorders amongst patients at a residency-based clinic compared with a general medical population

2. Evaluate prevalence of “pain-relief-seeking” marijuana-users at a residency-based clinic

3. Assess prevalence and misappropriation of “disability” status amongst patients at a residency-based clinic

4. Evaluate efficacy of a physical diagnosis skills training curriculum for medical residents

5. Assess cost-savings derived from a brief training module on accurate office visit billing administered to medical residents

15

Faculty Name: Leora Horwitz, M.D. [http://www.med.yale.edu/intmed/faculty/horwitz.html]


Phone: 688-5678


1. Preventabilityofadverseevents(ICUtransfers,readmission,death)

2.Evaluationofrapidresponseteams,especiallypatient/familyactivation

3.Preventionofhospital‐acquiredlineinfectionsonthewards

4.Identifyingpatientsathighriskofreadmission,developinginterventionstoreduce


1. qualitative research

2. survey research

3. data analysis


1. Resident Name: Tanaz Moin Topic: Signout evaluation

2. Resident Name: Thom Meredith Topic: ED/IM Handoffs

3. Resident Name: Lauren Tobias Topic: Patient activation of RRT

4. Resident Name: Rob Fogerty Topic: Cross-coverage activity


1. Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008 Sep 8;168(16):1755-60.

2. Horwitz LI, Meredith T, Schuur JD, Shah NR, Kulkarni RG, Jenq GY. Dropping the Baton: A Qualitative Analysis of Failures During the Transition From Emergency Department to Inpatient Care. Ann Emerg Med. 2008 Jun 13.

16

Faculty Name: Amy Justice,MD, PhD [http://www.med.yale.edu/intmed/faculty/justice.html]

Email: amy.justice2@ va.gov

Phone: 203 932 5711 ext 3541


1. Adherence to medications among HIV infected and/or uninfected veterans

2. Management of primary care conditions among veterans with and without HIV infection

3. Effectiveness of screening and treatment for substance use among veterans with and without HIV

4. Pain treatment among veterans with and without HIV infection


data analysis, etc.) that you are willing to assist residents with? Yes X

If yes, please specify these skills note, I am only available for projects related to VACS

1. large VA database analyses

2. multivariable modeling

3. longitudinal modeling


1. Resident Name: Jennifer Edelman Topic: Symptoms in HIV

2. Resident Name: Steve Taylor Topic: Non HIV Infections in HIV


1. Butt AA, Xiaoqiang W, Budoff M, Leaf D, Kuller LH, Justice AC. Hepatitis C virus infection and the risk of coronary disease. Clin Infect Dis 2009; 49 (July 1).

2. The Antiretroviral Therapy (ART) Cohort Collaboration. When to Start Consortium (Justice AC on Data Acquisition/Interpretation, Writing and Steering Committees). Timing of initiation of antiretroviral therapy in AIDS-free HIV-1-infected patients: A collaborative analysis of 18 HIV cohort studies. Lancet 2009; 373:1352-1363.

3. Mocroft A, Sterne J, Egger M, May M, Grabar S, Furrer H, Sabin C, Fatkenheuer G, Justice AC, Reiss P, d’Arminio Monforte A, Gill J, Hogg R, Bonnet F, Kitahata M, Staszewski S, Casabona J, Harris R, Saag M. Variable impact on mortality of AIDS defining events diagnosed during combination antiretroviral therapy: Not all AIDS defining conditions are created equal. Clin Infec Dis 2009; 48(8):1138-1151.

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Faculty Name: Walter N. Kernan, MD [http://www.med.yale.edu/intmed/faculty/kernan.html]


Phone: 764-7000


1. Analysis of how clinical trials report adherence to their medical intervention. This would involve a survey of published trials in a specific area, such as stroke therapy, to identify variability in reporting practices, problems, and solutions.

2. Survey stroke patients regarding their willingness to consider behavioral approaches to risk reduction and their ideas for most effective interventions. This would be preliminary work toward a clincal trial.

3. Compare clinician-teacher rating of student clinical knowledge with the results of a standardized test, such as the NBME subject examination.

4. Examine the root cause of poor adherence among patients in the Insulin Resistance Intevention after Stroke Trial. The 200+ patients in Connecticut could be the basis for this project.


1. RCT and observational research design

2. Qualitative research design


1. Kernan WN, Hershman W, Alper EJ, Lee MY, Viscoli CM, Perry JR, O'Connor PG. Disagreement between students and preceptors regarding the value of teaching behaviors for ambulatory care settings. Teach Learn Med. 2008 Apr-Jun;20(2):143-50.

2. Kernan WN, Brass LM, Viscoli CM, Sarrel PM, Makuch R, Horwitz RI. Estrogen after ischemic stroke: Clinical basis and design of The Women's Estrogen for Stroke Trial. J Stroke Cerebrovasc Dis. 1998 January - February;7(1):85-95.

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Faculty Name: Nancy Kim, MD, PhD [http://www.med.yale.edu/intmed/faculty/kim.html]


Phone: 203-932-5711 X5371


1. any questions involving diabetes and medications. I have a large database of "incident" diabetics receiving care in the VA. Variables I presently have are: meds, Hgb A1c, comorbidity based on ICD-9 codes, number of visits to endocrine, number of visits to PCP, region of care, age, race, refill adherence, insulin (incident) etc. I have incident ICD-9 codes for all of the same comorbities at baseline. I have between 3-5 years of follow-up and exploring obtaining more clinical variables.


data analysis, etc.) that you are willing to assist residents with? Yes X

If yes, please specify these skills

1. data analysis

2. SAS

3. designing research study


1. Resident Name: Teeb Al-Samarrai Topic: receipt of preventive health maintenance in HIV infected veterans


Kim N, Agostini JA, Justice AC.”Measuring Persistence to Oral Hypoglycemic Agents in Type 2 Diabetic Veterans” (in press Journal of Pharmacy Technology)

Kim N, Talwalkar J, Holmboe E. Challenges in ambulatory resident education: medication knowledge in disadvantaged patients. Conn Med. 2006 Oct;70(9):549-57.

Kim N, Gross C, Curtis J, Stettin G, Wogen S, Choe N, Krumholz HM. The impact of clinical trials on the use of hormone replacement therapy. A population-based study. J Gen Intern Med. 2005 Nov;20(11):1026-31.

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Faculty Name: Marcella Nunez-Smith, M.D.

Email: marcella [email protected]

Phone: 785-6454


1. Academic Medical Center Workforce Diversity: a large database study of national patterns and trends

2. Defining discrimination in healthcare discrimination: an analysis of exisiting qualitative data from interviews with key informants in Connecticut


1. health sciences research

2. qualitative research design


1. Nunez-Smith M, Curry LA, Berg D, Krumholz HM, Bradley EH. Healthcare workplace conversations on race and the perspectives of physicians of African descent. J Gen Intern Med. 2008 Sep;23(9):1471-6.

2. Nunez-Smith M, Curry LA, Bigby J, Berg D, Krumholz HM, Bradley EH. Impact of race on the professional lives of physicians of African descent. Ann Intern Med. 2007 Jan 2;146(1):45-51.

20

Faculty Name: Patrick O’Connor, MD, MPH [http://www.med.yale.edu/intmed/faculty/oconnor.html]


Phone: 203-688-6532


1. Screening and diagnosis of substance use disorders in primary care.

2. Primary care-based treatment of opioid dependence.

3. Addiction in patients with chronic pain.


1. Overall research design.

2. Clinical trials

3. Systematic reviews


1. Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. Chou R, Fanciullo GJ, Fine PG, Adler JA, Ballantyne JC, Davies P, Donovan MI, Fishbain DA, Foley KM, Fudin J, Gilson AM, Kelter A, Mauskop A, O'Connor PG, Passik SD, Pasternak GW, Portenoy RK, Rich BA, Roberts RG, Todd KH, Miaskowski C; American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel. J Pain. 2009 Feb;10(2):113-130.e22.

2. Integrating buprenorphine treatment into office-based practice: a qualitative study. Barry DT, Irwin KS, Jones ES, Becker WC, Tetrault JM, Sullivan LE, Hansen H, O'Connor PG, Schottenfeld RS, Fiellin DA. J Gen Intern Med. 2009 Feb;24(2):218-25.

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Faculty Name: Rebecca Papas, PhD [http://www.med.yale.edu/intmed/faculty/papas.html]


Phone: 203-932-5711, ext. 5323


1. Note that my primary research involvement is in conducting a Stage 1 randomized clinical trial of a behavioral intervention to reduce alcohol abuse among HIV-infected outpatients in Kenya. Unless the resident has access to travel funds, participating in this project would not be possible.


1. designing randomized trials involving behavioral interventions

2. behavioral treatment fidelity monitoring

3. training non-psychological staff in behavioral interventions

4. cultural adaptation of behavioral interventions


Estimating alcohol content of traditional brew in Western Kenya using culturally relevant methods: the case for cost over volume. Papas RK, Sidle JE, Wamalwa ES, Okumo TO, Bryant KL, Goulet JL, Maisto SA, Braithwaite RS, Justice AC. AIDS Behav. 2008 Nov 18.

22

Faculty Name: David Podell, MD, PhD


Phone: 203-573-7194, cell 203-206-3688


1. Case report and review of the literature on topics in rheumatology

2. Extrahepatic/rheumatologic manifestations of hepatitis C

3. Rheumatologic manifestations of HIV

b. Do you have any specific research skills (e.g., survey research, designing randomized trials, data analysis, etc.) that you are willing to assist residents with? No


1. Resident Name: Tamika Blackburn, Shawn Cole

Topic: Developing a curriculum for joint injection


1. Choroidal and optic nerve infarction in hepatitis C-associated polyarteritis nodosa.Kostina-O'Neil Y, Jirawuthiworavong GV, Podell DN, Lesser RL. J Neuroophthalmol. 2007 Sep;27(3):184-8.

2. Bone and joint manifestations of hypothyroidism. McLean RM, Podell DN. Semin Arthritis Rheum. 1995 Feb;24(4):282-90.

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Faculty Name: Peter Rabinowitz, MD [http://www.med.yale.edu/intmed/faculty/rabinowitz.html]


Phone: 785-7267


1. Primary care issues involving pets and other animals: impact of hospital visitation animals, zoonotic risks, pets and the elderly, pets as sentinels of health hazards in the environment, the animal contact component of the health history 2. Occupational health risks in animal workers: Swine workers and MRSA, poultry workers and infection, etc. 3. Noise induced hearing loss


1. occuaptional disease research


1. Rabinowitz PM, Odofin L, Dein FJ. From "us vs. them" to "shared risk": can animals help link environmental factors to human health? Ecohealth. 2008 Jun;5(2):224-9.

2. Rabinowitz PM, Gordon Z, Odofin L. Pet-related infections. Am Fam Physician. 2007 Nov 1;76(9):1314-22.

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Faculty Name: Carrie A. Redlich, MD, MPH [http://www.med.yale.edu/intmed/faculty/redlich.html]


Phone: 737-2817


1. Preventing asthma exacerbations by reducing exposure to environmental triggers (vs more inhaled steroids).

2. Assess the risk of exposure to isocyanates (a sensitizing chemical commonly used in many consumer products - soft and hard foams, glues, coatings) from typical contact or use of such consumer products.

3. Are "green" products (eg cleaning agents / construction materials) safe for your patient as well as the environment ?


1. Translational clinical / epidemiologic research

2. Intervention / prevention research


1. Diagnosis and management of work-related asthma: American College of Chest Physicians Consensus Statement. Tarlo SM, Balmes J, Balkissoon R, Beach J, Beckett W, Bernstein D, Blanc PD, Brooks SM, Cowl CT, Daroowalla F, Harber P, Lemiere C, Liss GM, Pacheco KA, Redlich CA, Rowe B, Heitzer J. Chest. 2008 Sep;134(3 Suppl):1S-41S. Review. Erratum in: Chest. 2008 Oct;134(4):892.

2. Chronic beryllium disease: risk from low-level exposure. Redlich CA, Welch LS. Am J Respir Crit Care Med. 2008 May 1;177(9):936-7.

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Faculty Name: Anna Reisman, MD [http://www.med.yale.edu/intmed/faculty/reisman.html]


Phone: please use email


1. A study of the long-term effects of the Yale Internal Medicine Residency Writers' Workshop

2. A project based on the home visit program

b. Do you have any specific research skills (e.g., survey research, designing randomized trials, data analysis, etc.) that you are willing to assist residents with? No


Topic: multiple residents with creative writing projects


1. The craft of writing: a physician-writer’s workshop for residency physicians. Reisman AM, Hansen H, Rastegar A. J Gen Intern Med. 2006 Oct;21(10):1109-11.

2. Preventing communication errors in telephone medicine. Reisman AB, Brown KE. J Gen Intern Med. 2005 Oct;20(10):959-63.

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Faculty Name: Julie Rosenbaum, MD [http://www.med.yale.edu/intmed/faculty/rosenbaum.html]


Phone: 573-6143


1. a systematic review of resident curricula on ethics and professionalism. .

2. Sources of ethical conflict from interviews of 31 Yale residents about

their ethical and professional dilemmas. I have tons of qualitative data on the environmental

factors and systemic aspects as well as a info on sources of support, including the mental and

emotional adjustments the residents made in response to these tensions as they developed.

Ripe to be worked through and brought to fruition.

3. We will soon be adding questions to the Yale Office-based Medicine Curriculum,

anyone want to help evaluate that effort?

4. I am open to working with someone on residency efforts to educate re:

pharmaceutical industry relations and conflicts of interest.

5. Clinical vignettes on ethical dilemmas in the hospital or clinic


1. Effectiveness of an Integrated Ward-Based Program in Preparing Medical Students to Care for Patients at the End of Life. Ellman MS, Rosenbaum JR, Cherlin E, Bia, M. American Journal of Hospice and Palliative Medicine 2009, 26:18-23.

2. A systematic review of curricula on relationships between residents and the pharmaceutical industry. Montague BT, Fortin AH 6th, Rosenbaum J. Med Educ. 2008 Mar;42(3):301-8.

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Faculty Name: Majid Sadigh


Phone: 203-573-6246


1. We will be having an elective on tropical medicine for Yale medical students and residents staring September10th. I would like to know if this course accomplishes its objectives and what we need to do to make it better.

2. We have started a clinical rotation at Mulago and have sent more than 120 faculty, residents, and medical students since August of 2006. I would like to put some sort of biometrics in place at Mulago to assess the impact of this program on medical education of Ugandan colleagues and patient care and if it is possible to see if this program has any impact on American participants.

3. 30% of patients at Mulago die during hospitalization and another 30% die within 60 days of discharge. Most of them are very young. I would like to know how they die. Why they die? How much patients at Mulago know about their diseases. How much are Ugandan colleagues sharing the medical information with patients? What is the doctor patient relationship at Mulago? What is the reaction of the relatives and friends of dying patients to the terminal events? How has the community adapted to the grief?

4. What is an ideal International Elective for American medical students or American medical residents? What are the components of such an elective?

5. Anemia is one of the 10 top killer diseases in Mulago among adults.

This is a common problem in Mulago. I would like to look at the burden of the problem among inpatients, lab investigations done and their usefulness, management options and out come, and how we can decrease mortality related to anemia.

6. Rheumatic diseases are poorly characterized in Mulago.

This is mainly common among adult patients and carries a high morbidity.

I am not sure if OA or RHA or infective arthritides is the main problem. Is obesity a major growing factor? Are other CT diseases common?

Most pts managed on NSAIDS almost alone.

How can we improve care of patients with rheumatic diseases at Mulago?

7. Asthma.

Most pts are seen in the emergency setting, and management and assessment remains suboptimal.

Who needs admission, what is the role of aminophylline iv and the safety issues.

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How effectively do our Ugandan colleagues use simple spirometry? Can we come to a reasonable practical guideline for treatment and follow up of patients with asthma in Uganda?

Is worm infestation related to asthma or not. Is Pathogenesis of asthma different in Mulago?


1. Resident Name: Minesh Patel Topic: Financial challenges of starting and maintaining an international site.

2. Resident Name: Minesh Patel Topic: The impact of a Small Side lab in Patient Care at Mulago.

3. Medical Student Name: Esi Nkyekyer Topic: Clinical and Research Rotation for Yale Medical Students at Mulago.

3. Resident Name: Jason Sico and Jeffery Bigelow Topic: Neurological disorders among patients admitted to the neurology ward at Mulago Hospital

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Faculty Name:

Lisa Sanders, MD [http://www.med.yale.edu/intmed/faculty/sanders.html]


Phone: 203-589-6118


1. Literature review of the diagnosis of aortic dissection - The literature of diagnostic error is still in it's earliest stages. I am writing about a case of missed diagnosis of aortic dissection, based on one patient's story analyzing the events as a diagnostic error and performing a root cause analysis.


1. Writing - Although writing clearly is essential in communications of any sort, it often gets short shrift in medical and scientific research. I would argue that writing clearly is fundamental to thinking clearly - that you don't really know what you think about anything until you have expressed it clearly on paper. Certainly readers will no understand what you think unless you have expressed it clearly on paper. I have helped residents and colleagues in the writing of scientific abstracts and Grand Rounds to clarify the thinking process and the basic message.

2. Systematic review - I would be willing to assist residents interested in doing systematic reviews. Collecting and assembling data from appropriate sources is an important skill and can make a significant contribution to medical knowledge.


1. Bravata D, Sanders L, Krumholz HM, Olkin I, Gardner CD. Efficacy and safety of low-carbohydrate diets: A systematic review. JAMA. 2003 Apr 9;289(14):1837-50.

2. Sanders L. The Perfect Fit Diet: How to lose weight, keep it off and still eat the foods you love. St. Martins Press, New York, 2005.

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Faculty Name: Andre Sofair, MD, MPH [http://www.med.yale.edu/intmed/faculty/sofair.html]


Phone: 573-6574


1. Epidemiology and care of patients with viral hepatitis in a resident clinic

2. Prevalence of non-alcoholic fatty liver disease in a resident's clinic

3. Epidemiology of candidemia in New Haven County hospitals


1. survey research

2 epidemiologic research (patient interviews, chart reviews, serosurveys)


Resident Name: Deepak Thomas Topic: CHF readmission rates at Waterbury Hospital


1. A comparison of hepatopatholists’ and community pathologists’ review of liver biopsy specimens from patients with hepatitis C. Robert M. Sofair AN. Thomas A. Bell B. Bialek S. Corless C. Van Ness G. Huie-White S. Stabach N. Zaman A. Clinical Gastroenterology and Hepatology. Clinical Gastroenterology & Hepatology. 7(3):335-8, 2009 Mar.

2. Quantifying the burden of chronic viral hepatitis-related cirrhosis hospitalizations in New Haven County, Connecticut. Durante AJ, Meek JI, St Louis T, Navarro VJ, Sofair AN. Conn Med. 2008 Aug;72(7):393-7.

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Faculty Name: Lynn Sullivan, MD [http://www.med.yale.edu/intmed/faculty/sullivan.html]


Phone: 688-9105


1. Implementing HIV testing in primary care.

2. Brief interventions for alcohol and HIV testing in the ED

3. Impact of cocaine in the treatment of opioid dependent HIV + patients

4. Video game development for HIV prevention in adolescents


1. survey design

2. randomized cotrolled designs


1. Resident Name: Jeanette Tetrault Topic: Analysis of database

2. Resident Name: Will Becker Topic: Analysis of database

3. Resident Name: Jen Edelman Topic: HIV testing


1. Netherland J, Botsko M, Egan JE, Saxon A, Cunningham C, Finkelstein R, Gourevitch MN, Renner J, Sohler N, Sullivan LE, Weiss L, Fiellin DA, BHIVES Collaborative. Factors affecting willingness to provide buprenorphine treatment. Journal of Substance Abuse Treatment 2009;36:244-251.

2. Chaudhry AA, Gifford AL, Cofrancesco Jr J, Sosman J, Berkenblit G, Sullivan LE. Update in HIV Medicine for the Generalist. J Gen Intern Med. 2008 Nov 11.

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Faculty Name: Jeanette M. Tetrault, MD [http://www.med.yale.edu/intmed/faculty/tetrault.html]


Phone: o: 203-573-6051, p: 203-370-8766, c: 203-589-1315


1. Currently working on a project looking at HIV drug resistance patterns in opioid dependent, HIV+ patients on opioid agonist treatment. Project is in pilot data collection phase. We expect to complete pilot data collection by 3/09 and plan on starting a larger data collection once data analysis is complete.

2. Currently working on development of a clinical program to start Hepatitis C treatment in an opioid treatment center. Once the clinical program is up and running, we will have the capacity to test many research questions including an analysis of on-site (at the methadone clinic) vs. off-site (liver clinic) HCV treatment in this population.

3. Currently working on development of a substance abuse curriculum within the Yale Primary Care, Med-Peds and Traditional Medicine Residency programs. Many potential opportunities for resident scholarship including a needs assessment within the outpatient clinic (currently underway by Felix Cabrera), pre-post knowledge/attitudes/behaviors survey once implementation of curriculum is underway, etc.

4. Evaluations of the Waterbury Health Access Program or the Home Visit Program


1. Completed a clinical epidemiology fellowship and have some knowledge of epidemiologic research design, use of large databases to answer research questions, biostatistics, and SAS.


1. Resident Name: Felix Cabrer Topic: Prevalence of substance abuse disorders at Chase Clinic

2. Resident Name: Brendan Jackson and Sarita Soares Topic: Patient quality of life and the Waterbury Health Access Program for low-income, uninsured population of Waterbury CT (presented at CT State ACP Annual meeting 2008)


1. Tetrault JM, O'Connor PG. Substance abuse and withdrawal in the critical care setting. Crit Care Clin. 2008 Oct;24(4):767-88.

2. Tetrault JM, Desai RA, Becker WC, Fiellin DA, Concato J, Sullivan LE. Gender and non-medical use of prescription opioids: results from a national US survey. Addiction. 2008 Feb;103(2):258-68.

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Faculty Name: Donna Windish, MD, MPH [http://www.med.yale.edu/intmed/faculty/windish.html]


Phone: 573-6751


1. Improving quality of care for patients in the hospital

2. Any curriculum idea related to the residency program

3. Personal and professional development

4. Patient-provider communication


1. survey research

2. curriculum development

3. design and analysis of studies

4. case reports


1. Resident Name: Keven Baran Topic: Discharges against medical advice from Waterbury Hospital housestaff services

2. Resident Name: Douglas Olson Topic: Patient and provider perceptions of hospital care

3. Resident Name: Nitin Kapur Topic: Intimate partner violence screening


1. Windish DM, Ratanawongsa N. Providers’ perceptions of relationships and professional roles when caring for patients who leave the hospital against medical advice. J Gen Intern Med 2008 Oct;23(10):1698-707

2. Windish DM, Huot SJ, Green ML. Medicine residents’ understanding of the biostatistics and results in the medical literature. JAMA 2007;298(9):1010-22.

Documents

APPENDIX: Faculty Research Projects 2009-2010...1. Health literacy assessment and of health outcome measures 2. Health literacy interventions evaluation 3. Few case reports and review