State of the Section – 2006 less revenue General Internal ... · State of the Section – 2006 General Internal Medicine Jeffrey H. Samet, MD, MA, MPH ... Geriatric Center of Excellence

State of the Section State of the Section –– 2006 2006 General Internal MedicineGeneral Internal Medicine

Jeffrey H. Samet, MD, MA, MPHJeffrey H. Samet, MD, MA, MPHChief, Section of General Internal MedicineChief, Section of General Internal Medicine

Department of MedicineDepartment of MedicineBoston University School of Medicine and Boston University School of Medicine and

Boston Medical CenterBoston Medical Center

Future Site of the Section of Future Site of the Section of General Internal MedicineGeneral Internal Medicine

Crosstown Office Building Corner of Mass Ave and Albany St

OverviewOverviewSection of General Internal MedicineSection of General Internal Medicine

PeoplePeople

ProgramsPrograms

EventsEvents

AccomplishmentsAccomplishments

PeoplePeople

General Internal Medicine General Internal Medicine 20062006

AdministrationAdministration

Debra Paarz Debra Paarz –– AdministratorAdministrator

Nervene Browne Nervene Browne –– Office Manager (MAT 2)Office Manager (MAT 2)

Ann Farrell Ann Farrell –– Office Manager (DOB 11)Office Manager (DOB 11)

Veronica Forde Veronica Forde –– GIM Fellowship CoordinatorGIM Fellowship Coordinator

Sarah Ma Sarah Ma –– Grants ManagerGrants Manager

Lisa Morin Lisa Morin –– Executive AssistantExecutive Assistant

Jenay Nasif Jenay Nasif –– Office Manager (ACCOffice Manager (ACC--5)5)

Still efficient, helpful, hardworking Still efficient, helpful, hardworking —— no change since 2005no change since 2005

Past Year Faculty HiredPast Year Faculty Hired((‘‘05 05 –– ‘‘06)06)

Melissa Melissa DiPetrilloDiPetrillo, MD (Clinical Educator , MD (Clinical Educator –– DOB PC)DOB PC)–– Medical School: BUSMMedical School: BUSM–– Residency: BUSMResidency: BUSM

Catherine Rich, MD (Clinical Educator Catherine Rich, MD (Clinical Educator –– CMG PC)CMG PC)–– Medical School: BUSMMedical School: BUSM–– Residency: BUSMResidency: BUSM

Chi Huang, MD (Clinical Educator Chi Huang, MD (Clinical Educator –– BMC BMC HospitalistHospitalist))–– Medical School: Harvard Medical SchoolMedical School: Harvard Medical School–– Residency: Medicine and Pediatrics Residency: Medicine and Pediatrics –– Brigham and Brigham and

WomenWomen’’s Hospital, MGH, Childrens Hospital, MGH, Children’’s Hospitals Hospital

Past Year Faculty HiredPast Year Faculty Hired((‘‘05 05 –– ‘‘06)06)

Brian Dalton, MD (Clinical Educator Brian Dalton, MD (Clinical Educator –– Quincy Quincy Medical Center [QMC] Medical Center [QMC] HospitalistHospitalist))–– Medical School: University of Massachusetts Medical School: University of Massachusetts

(UMASS)(UMASS)–– Residency: BUSMResidency: BUSM

Anand Kartha, MD, Anand Kartha, MD, MScMSc (Clinical Educator (Clinical Educator ––West Roxbury VAMC West Roxbury VAMC HospitalistHospitalist))–– Medical School: University of BombayMedical School: University of Bombay–– Residency: Mercy Hospital, PittsburghResidency: Mercy Hospital, Pittsburgh–– Fellowship: General Internal Medicine, BUSMFellowship: General Internal Medicine, BUSM

Nila Radhakrishnan, MD (Clinical Educator Nila Radhakrishnan, MD (Clinical Educator ––BMC BMC HospitalistHospitalist))–– Medical School: University of Miami Medical School: University of Miami –– Residency & Chief Resident: Residency & Chief Resident: UnivUniv of Miamiof Miami

Past Year Faculty HiredPast Year Faculty Hired((‘‘05 05 –– ‘‘06)06)

Brant Viner, MD (Clinical Educator)Brant Viner, MD (Clinical Educator)–– Medical School: BUSMMedical School: BUSM–– Residency:Boston City HospitalResidency:Boston City Hospital–– Fellowship: Infectious Diseases, BUSMFellowship: Infectious Diseases, BUSM

Nancy Norman, MD, MPH (Clinical Educator)Nancy Norman, MD, MPH (Clinical Educator)–– Medical School: BUSMMedical School: BUSM–– Residency and Chief Resident: Faulkner Residency and Chief Resident: Faulkner

HospitalHospitalNancy Kressin, PhD (Clinical Investigator)Nancy Kressin, PhD (Clinical Investigator)–– School: Syracuse UniversitySchool: Syracuse University

Past Year Faculty HiredPast Year Faculty Hired((‘‘05 05 –– ‘‘06)06)

Frank Perna, Frank Perna, EdDEdD, PhD (Clinical Investigator), PhD (Clinical Investigator)–– School: University of Pittsburgh & Boston School: University of Pittsburgh & Boston

UniversityUniversity

Allen Gifford, MD (Clinical Investigator)Allen Gifford, MD (Clinical Investigator)–– Medical School: University of North CarolinaMedical School: University of North Carolina–– Residency: UC San FranciscoResidency: UC San Francisco

New Faculty RecruitsNew Faculty Recruits((‘‘06 06 –– ‘‘07)07)

Andrea Kronman, MD, Andrea Kronman, MD, MScMSc (Clinical (Clinical Investigator)Investigator)–– Medical School: UMASSMedical School: UMASS–– Residency: UMASS Medical CenterResidency: UMASS Medical Center–– Fellowship: GIM, BUSMFellowship: GIM, BUSM

Carol Bravo, MD (Clinical Educator Carol Bravo, MD (Clinical Educator –– YawkeyYawkey))–– Medical School: St. GeorgeMedical School: St. George’’s Universitys University–– Residency: University of Miami, Jackson Memorial Residency: University of Miami, Jackson Memorial

HospitalHospitalNicolette Fontaine, MD (Clinical Educator Nicolette Fontaine, MD (Clinical Educator ––QMC & QMC & YawkeyYawkey))–– Medical School: UMASSMedical School: UMASS–– Residency: UMASS Medical CenterResidency: UMASS Medical Center

New Faculty RecruitsNew Faculty Recruits((’’06 06 –– ’’07)07)

Elizabeth Rourke, MD (Clinical Educator Elizabeth Rourke, MD (Clinical Educator ––South Boston PC) South Boston PC) –– Medical School: UMASSMedical School: UMASS–– Residency: BUSMResidency: BUSM

Alexandra Molnar, MD (Clinical Educator Alexandra Molnar, MD (Clinical Educator ––UphamUpham’’ss Corner PC)Corner PC)–– Medical School: Medical School: UnivUniv of Washington School of Washington School

of Medicine, Seattleof Medicine, Seattle–– Residency: Brigham and WomenResidency: Brigham and Women’’s Hospitals Hospital

Departing FacultyDeparting Faculty

Patrice Alves, MDPatrice Alves, MDDanru Lee, MDDanru Lee, MDAdriana Rojas, MDAdriana Rojas, MD

Lily Yung, MD (DOB practice)Lily Yung, MD (DOB practice)

GIM Units and DirectorsGIM Units and Directors

Community Medicine Unit (CMU)Community Medicine Unit (CMU)–– Christopher Shanahan, MD, MPHChristopher Shanahan, MD, MPH

Clinical Addiction Research & Education (CARE) Unit Clinical Addiction Research & Education (CARE) Unit –– Rich Saitz, MD, MPHRich Saitz, MD, MPH

WomenWomen’’s Health Unit (WHU)s Health Unit (WHU)–– Karen Freund, MD, MPHKaren Freund, MD, MPH

Medical Information Systems Unit (MISU)Medical Information Systems Unit (MISU)–– Robert Friedman, MDRobert Friedman, MD

Health Care Research Unit (HCRU)Health Care Research Unit (HCRU)–– Arlene Ash, PhDArlene Ash, PhD

Hospital Medicine Unit (HMU)Hospital Medicine Unit (HMU)–– Jeffrey Greenwald, MDJeffrey Greenwald, MD

GIM Clinical LeadershipGIM Clinical Leadership

Peter Davidson, MDPeter Davidson, MD–– Associate Chief, Clinical ServicesAssociate Chief, Clinical Services

Jason Worcester, MD Jason Worcester, MD –– Director, Director, YawkeyYawkey Primary Care ClinicPrimary Care Clinic

Adriana Cervantes, MDAdriana Cervantes, MD–– Director, DoctorDirector, Doctor’’s Office Building (DOB) Primary Care s Office Building (DOB) Primary Care

ClinicClinicElizabeth Dupuis, MDElizabeth Dupuis, MD–– Director, WomenDirector, Women’’s Health Groups Health Group–– Director, Primary Care Clinic, QMCDirector, Primary Care Clinic, QMC

Steven Abreu, MDSteven Abreu, MD–– Director, Primary Care Clinic, Commonwealth Medical Director, Primary Care Clinic, Commonwealth Medical

Group (CMG)Group (CMG)

Clinic Staff LeadershipClinic Staff Leadership

Ann Piette, Clinic Practice Manager (Ann Piette, Clinic Practice Manager (YawkeyYawkey ACCACC--3)3)

Diane Kelly, Team Coordinator (Diane Kelly, Team Coordinator (YawkeyYawkey ACCACC--3)3)

Jennifer Jennifer FurlongeFurlonge, Practice Manager (DOB 4&5, , Practice Manager (DOB 4&5, QMC, CMG)QMC, CMG)

Janet Sterling, Team Coordinator (DOB 5)Janet Sterling, Team Coordinator (DOB 5)

Rebecca Mandel, RN, Nurse Manager (DOB 5)Rebecca Mandel, RN, Nurse Manager (DOB 5)

Colleen Colleen LaBelleLaBelle, RN, Nurse Manager (OBOT), RN, Nurse Manager (OBOT)

Clinic Nurse PractitionersClinic Nurse Practitioners

Susan Morrissey, NP (Susan Morrissey, NP (YawkeyYawkey ACCACC--3)3)

Eunice MacAllister, NP (WHG DOB4)Eunice MacAllister, NP (WHG DOB4)

BUSM Deans From GIMBUSM Deans From GIM

Phyllis Carr, MDPhyllis Carr, MD–– Associate Dean for Student AffairsAssociate Dean for Student Affairs

Bob Witzburg, MDBob Witzburg, MD–– Associate Dean for AdmissionsAssociate Dean for Admissions

Suzanne Sarfaty, MDSuzanne Sarfaty, MD–– Assistant Dean for Student AffairsAssistant Dean for Student Affairs

ProgramsPrograms

Primary CarePrimary Care

YawkeyYawkey (BMC(BMC--ACC)ACC)

DoctorDoctor’’s Office Building (BMCs Office Building (BMC--DOB)DOB)

WomenWomen’’s Health Group (BMCs Health Group (BMC--WHG)WHG)

Commonwealth Medical Group (CMG)Commonwealth Medical Group (CMG)

Quincy Medical Center (QMC)Quincy Medical Center (QMC)

BMC Outpatient and Inpatient BMC Outpatient and Inpatient Clinical Productivity: Clinical Productivity:

Total Work Total Work RVUsRVUs

* Period 10 projection

111,422

95,407102,822

93,779

0

20,000

40,000

60,000

80,000

100,000

120,000

FY03 FY04 FY05 FY06*

GIMGIMOutpatient Outpatient Visits Visits –– BMCBMC

FY03FY03 FY04FY04 FY05FY05 FY06FY06**

42,40542,405 42,39042,390

23,12723,127

7,9767,976

73,49373,493

21,80821,808

WHGWHG 6,1296,129 6,3466,346 7,7927,792 +2+2

72,00572,005

% Change % Change (prior year)(prior year)

YawkeyYawkey--ACCACC

42,06642,066 44,95544,955 00

DOBDOB 19,71319,713 22,88822,888 +6+6

TotalTotal 67,90867,908 74,18974,189 +2+2

*Period 10 projection

GIMGIMOutpatient Outpatient Visits Visits –– AffiliatesAffiliates

FY03FY03 FY04FY04 FY05FY05 FY06FY06**

CMGCMG--PCPC 4,4694,469 5,1285,128 5,5645,564 5,4835,483

4,7044,704

--11

QMCQMC--PCPC 1,5881,588 3,7193,719 +26+26

% Change % Change (prior year)(prior year)

* Period 10 projection

GIM Attending Coverage GIM Attending Coverage at BMCat BMC

70%70%* * (92/130) (92/130) of inpatient of inpatient medicine medicine blocksblocks†† are are covered by covered by GIMGIM

*58% in 2004 and 68% in 2005†not including ICU, CCU, Geriatrics, & Oncology Services

GIM

Other

GIM Clinic AttendingGIM Clinic Attending

Primary care clinic sessions at BMC in Primary care clinic sessions at BMC in which BUSM students are which BUSM students are preceptedprecepted

Academic YearAcademic Year # Clinic Sessions# Clinic Sessions % Change % Change (prior year)(prior year)

2002 2002 –– 20032003 700700 ----2003 2003 –– 20042004 750750 +7+72004 2004 –– 20052005 640640 --14142005 2005 –– 20062006 482482 --2525

ICMICM** TeachingTeaching

Daniel Chen, MDDaniel Chen, MD†

Warren Hershman, MD, MPHWarren Hershman, MD, MPHAlex Walley, MDAlex Walley, MD†

Michele David, MD, MPHMichele David, MD, MPHAdam Rose, MDAdam Rose, MD†

Jennifer McCallJennifer McCall--HosenfieldHosenfield, MD, MD†

Jason Worcester, MDJason Worcester, MDChava Chapman, MDChava Chapman, MDTheresa Kim, MDTheresa Kim, MDJeong Lee, MDJeong Lee, MD

*Introduction to Clinical Medicine† GIM Fellow

EBMEBM** TeachingTeaching

Julien Dedier, MD, MPHJulien Dedier, MD, MPH

Warren Hershman, MD, MPHWarren Hershman, MD, MPH

Beth Manning, MDBeth Manning, MD

Christopher Shanahan, MD, MPHChristopher Shanahan, MD, MPH

*Evidence Based Medicine

Ambulatory Ambulatory Student ReportStudent Report

Adriana Cervantes, MDAdriana Cervantes, MDKathleen Crowley, MD, MPHKathleen Crowley, MD, MPHLeyda Delgado, MD, MPHLeyda Delgado, MD, MPHBernie Kreger, MD, MPHBernie Kreger, MD, MPHDan Newman, MDDan Newman, MDChristine Phillips, MDChristine Phillips, MDSusan Phillips, MDSusan Phillips, MDAdriana Rojas, MDAdriana Rojas, MDJason Worcester, MDJason Worcester, MDLaura Wung, MDLaura Wung, MD

Community Medicine Unit Community Medicine Unit Faculty Outpatient and Inpatient Faculty Outpatient and Inpatient AttendingsAttendings

Julie Julie CrossonCrosson, MD , MD (Dorchester House (Dorchester House NHC)NHC)Jessie Gaeta, MD Jessie Gaeta, MD (McInnis Group)(McInnis Group)Unique Michaud, MD Unique Michaud, MD (Codman Square NHC) (Codman Square NHC) Geoffrey Modest, MD Geoffrey Modest, MD ((UphamUpham’’ss Corner NHC)Corner NHC)

Jonathan Pincus, MD Jonathan Pincus, MD (Codman Square NHC) (Codman Square NHC) Vicki Vicki RiederRieder, MD , MD (E. Boston NHC)(E. Boston NHC)Bernardo Selim, MD Bernardo Selim, MD (E. Boston NHC)(E. Boston NHC)Steven Simon, MD Steven Simon, MD (E. Boston NHC)(E. Boston NHC)

Department of MedicineDepartment of MedicineMorning Report Morning Report AttendingsAttendings

AlfordAlfordBarberBarberBattinelliBattinelliBennettBennettCaslowitz Caslowitz HalleHalleHershman

HylekHylekJacksonJacksonManningManningRamaniRamaniSametSametVinerVinerWitzburgHershman Witzburg

DOM Ambulatory Morning DOM Ambulatory Morning Report Report AttendingsAttendings

AggarwalAggarwalBattagliaBattagliaCarrCarrC. Chapman C. Chapman ChuChuDavidDavidDupuis

JacksonJacksonLoobyLooby--GordonGordonMcKinneyMcKinneyNewmanNewmanPagliaPagliaWorcesterWorcester

Dupuis

Department of MedicineDepartment of MedicineInternal Medicine Residency Internal Medicine Residency Program Directors from GIMProgram Directors from GIM

David Battinelli, MD, Program Director, Vice Chair for David Battinelli, MD, Program Director, Vice Chair for EducationEducationAngela Jackson, MD, Associate Program Director; Angela Jackson, MD, Associate Program Director; Director, Primary Care Program Director, Primary Care Program David Halle, MD, Associate Program Director David Halle, MD, Associate Program Director Joel Caslowitz, MD, Associate Program Director Joel Caslowitz, MD, Associate Program Director Jay Orlander, MD, MPH, Assistant Program DirectorJay Orlander, MD, MPH, Assistant Program DirectorBeth Manning, MD, MPH, Assistant Program Director; Beth Manning, MD, MPH, Assistant Program Director; Director, Preliminary ProgramDirector, Preliminary Program

GIM Presence at GIM Presence at Other BUMC Clinical SitesOther BUMC Clinical Sites

ID Clinic ID Clinic –– Sondra Crosby, MDSondra Crosby, MD

Health Care for the Homeless Health Care for the Homeless –– Colleen Colleen LaBelleLaBelle, RN, RN

TB ClinicTB Clinic–– Brant Viner, MDBrant Viner, MD

International ClinicInternational Clinic–– Brant Viner, MDBrant Viner, MD–– Sondra Crosby, MDSondra Crosby, MD–– Susan Phillips, MDSusan Phillips, MD

GIM Presence at GIM Presence at Other BUMC Clinical SitesOther BUMC Clinical SitesMcInnis Group/Woods Mullen ShelterMcInnis Group/Woods Mullen Shelter–– Theresa Kim, MDTheresa Kim, MDCAB Detoxification UnitCAB Detoxification Unit–– Theresa Kim, MDTheresa Kim, MDBPHC Narcotic Addiction Clinic BPHC Narcotic Addiction Clinic –– Dan Alford, MD, MPHDan Alford, MD, MPH–– Sheila Chapman, MDSheila Chapman, MD–– Christopher Shanahan, MD, MPHChristopher Shanahan, MD, MPH

GIM Presence at GIM Presence at Other BUMC Clinical SitesOther BUMC Clinical Sites

Transitional Transitional OpioidOpioid Program (TOP)Program (TOP)–– Donna Beers, RNDonna Beers, RN–– Christopher Shanahan, MD, MPHChristopher Shanahan, MD, MPH

Breast Health ProgramBreast Health Program–– Tracy Battaglia, MD, MPHTracy Battaglia, MD, MPH–– Chava Chapman, MDChava Chapman, MD–– Michele David, MD, MPHMichele David, MD, MPH–– Elizabeth Dupuis, MDElizabeth Dupuis, MD–– Renee McKinney, MDRenee McKinney, MD–– Karen Freund, MD, MPHKaren Freund, MD, MPH

GIM Presence at BMC GIM Presence at BMC Information TechnologyInformation TechnologyChristopher Shanahan, MD, MPH, Christopher Shanahan, MD, MPH, Medical Medical Director Director

Daniel Newman, MD, Senior Consultant for Daniel Newman, MD, Senior Consultant for IT DevelopmentIT Development

Jerry Sobieraj, MD, Senior Clinical Analyst, Jerry Sobieraj, MD, Senior Clinical Analyst, Enterprise Analytics GroupEnterprise Analytics Group

GIM Presence at BMCGIM Presence at BMC

Angela Jackson, MD, Chair, BMC Core Angela Jackson, MD, Chair, BMC Core Competency CommitteeCompetency Committee

Bob Witzburg, MD, Chair, Credentialing Bob Witzburg, MD, Chair, Credentialing CommitteeCommittee

Tracy Battaglia, MD, MPH, Chair, Quality Tracy Battaglia, MD, MPH, Chair, Quality Improvement, Cancer Care CommitteeImprovement, Cancer Care Committee

GIM Leaders in GIM Leaders in Department of MedicineDepartment of MedicinePeter Davidson, MD, Medical Director Peter Davidson, MD, Medical Director of Quality of Quality

Subha Ramani, MD, MPH, Subha Ramani, MD, MPH, MMEdMMEd, , Director, Faculty Development in Director, Faculty Development in Clinical TrainingClinical Training

GIM Presence on BUSM GIM Presence on BUSM Diversity Curriculum Task ForceDiversity Curriculum Task Force

Led byLed by–– Sandra Gordon, MDSandra Gordon, MD–– Carol Mostow, LICSWCarol Mostow, LICSW

IncludesIncludes–– Julie Julie CrossonCrosson, MD, MD–– Sheila Chapman,MDSheila Chapman,MD–– Leyda Delgado, MDLeyda Delgado, MD–– Michele David, MDMichele David, MD

GIM Grand RoundsGIM Grand Rounds

Ambulatory Medicine FocusAmbulatory Medicine Focus–– Organized by Bernie Kreger, MDOrganized by Bernie Kreger, MD

Ambulatory Morbidity and Mortality Ambulatory Morbidity and Mortality ConferenceConference–– Beth Manning, MD, MPHBeth Manning, MD, MPH–– Christine Phillips, MDChristine Phillips, MD–– Dan Newman, MDDan Newman, MD–– Ben Chu, MD, PhDBen Chu, MD, PhD

Boston University School of MedicineBoston University School of MedicineDepartment of MedicineDepartment of Medicine

Medical Grand Rounds Medical Grand Rounds –– 20052005--20062006David Battinelli, MD and M. Joyce Brady, MDDavid Battinelli, MD and M. Joyce Brady, MD–– CPS Case: 49 Year Old Man with Anemia and CPS Case: 49 Year Old Man with Anemia and

PalpitationsPalpitations

David Battinelli, MD and Eric David Battinelli, MD and Eric AwtryAwtry, MD, MD–– CPS Case: 84 Year Old Man with a Rash and Wrist CPS Case: 84 Year Old Man with a Rash and Wrist

PainPain

Richard Saitz, MD, MPH, Daniel Alford, MD, Richard Saitz, MD, MPH, Daniel Alford, MD, MPH, and Jeffrey Samet, MD, MA, MPHMPH, and Jeffrey Samet, MD, MA, MPH–– Addiction Medicine Update: Improving the Care of Addiction Medicine Update: Improving the Care of

Patients with Alcohol and Drug Use ConditionsPatients with Alcohol and Drug Use Conditions

Core Curriculum in Core Curriculum in Adult Primary Care MedicineAdult Primary Care Medicine

Ben Chu, MD, PhD, DirectorBen Chu, MD, PhD, DirectorAccredited by AAFPAccredited by AAFPPrograms:Programs:–– DiabetesDiabetes–– NeurologyNeurology–– HematologyHematology–– Risk ManagementRisk Management–– EndocrinologyEndocrinology–– Infectious DiseaseInfectious Disease–– CardiologyCardiology–– PulmonaryPulmonary–– General Internal Medicine

www.ccseries.comGeneral Internal Medicine

GIM Fellowship/GIM Fellowship/Preventive Medicine Residency Preventive Medicine Residency

ProgramsPrograms

Fellowship & Residency LeadershipFellowship & Residency Leadership–– Rob Friedman, MD Rob Friedman, MD –– Director FellowshipDirector Fellowship–– Jane Liebschutz, MD, MPH Jane Liebschutz, MD, MPH –– Associate Director, Associate Director,

Fellowship; Director, ResidencyFellowship; Director, Residency–– Jay Orlander, MD, MPH Jay Orlander, MD, MPH –– Associate Director, Associate Director,

FellowshipFellowship–– Michael PaascheMichael Paasche--Orlow, MD, MPH Orlow, MD, MPH –– Assistant Assistant

Director, FellowshipDirector, Fellowship–– Tracy Battaglia, MD, MPH Tracy Battaglia, MD, MPH –– Assistant Director, Assistant Director,

ResidencyResidency

GIM Fellowship GIM Fellowship 2006 Graduates 2006 Graduates

Andrea Kronman, MD, Andrea Kronman, MD, MScMSc –– BUSM/BMCBUSM/BMC

Stephanie Page, MD Stephanie Page, MD –– Mt. Auburn HospitalMt. Auburn Hospital

Arpita Aggarwal, MDArpita Aggarwal, MD

GIM FellowsGIM Fellows

Adam Rose, MD; Alex Walley, MD; Daniel Chen, MD; Peter Smith, MD

GIM Fellowship/Preventive GIM Fellowship/Preventive Medicine Residency Programs: Medicine Residency Programs:

‘‘06 Recruits06 Recruits

Nicolas Nicolas BertholetBertholet, MD (University Hospital of , MD (University Hospital of CeryCery, Switzerland), Switzerland)KheldaKhelda JabbarJabbar, MD (Smiley Urgent Care , MD (Smiley Urgent Care Center, MO)Center, MO)Katherine Johnston, MD (Beth Israel Medical Katherine Johnston, MD (Beth Israel Medical Center, NY)Center, NY)Kristen Kristen LipstreuerLipstreuer, MD (Mt. Auburn Hospital, , MD (Mt. Auburn Hospital, MA)MA)HaruoHaruo ObaroObaro, MD (Okinawa Chubu Hospital, , MD (Okinawa Chubu Hospital, Japan)Japan)

Geriatric Center of Excellence Geriatric Center of Excellence Faculty FellowshipFaculty Fellowship

2003 2003 –– 20042004–– Jennifer Hughes, MDJennifer Hughes, MD

2004 2004 –– 20052005–– Michael PaascheMichael Paasche--Orlow, MD, MPHOrlow, MD, MPH

2005 2005 –– 20062006–– Christine Phillips, MDChristine Phillips, MD–– Jeffrey Greenwald, MDJeffrey Greenwald, MD

Minority Recruitment Minority Recruitment EffortsEfforts

Ongoing effort for recruitment of new Ongoing effort for recruitment of new minority facultyminority faculty

Committee:Committee:–– Cervantes Cervantes –– DelgadoDelgado–– GordonGordon–– DavidsonDavidson–– SametSamet

Inpatient TimesInpatient Timeswww.bumc.bu.edu/gim/hmuwww.bumc.bu.edu/gim/hmu

Hospital Medicine UnitHospital Medicine Unit

Jeffrey Greenwald, MD, DirectorJeffrey Greenwald, MD, DirectorFaculty: Julien Dedier, MD, MPH; Chi Huang, MD; Jennifer Faculty: Julien Dedier, MD, MPH; Chi Huang, MD; Jennifer Hughes, MD; Nila Radhakrishnan, MD; Subha Ramani, MD, Hughes, MD; Nila Radhakrishnan, MD; Subha Ramani, MD, MPH, MPH, MMEdMMEd; Brant Viner, MD; Brant Viner, MDPhysician Assistants: Elizabeth Physician Assistants: Elizabeth GembaGemba, PA, PA--C; Maura C; Maura GuilfoyleGuilfoyle, PA, PA--C; Rebecca C; Rebecca HolbergHolberg, PA, PA--CCProjects:Projects:

Medication ReconciliationMedication Reconciliation Community acquired pneumonia pathwayCommunity acquired pneumonia pathway

Palliative care team creationPalliative care team creation Development of the new Uncovered ServiceDevelopment of the new Uncovered Service

Laboratory quality improvementLaboratory quality improvement Project RED: ReProject RED: Re--Engineering DischargeEngineering Discharge

Handoff communication Handoff communication improvementsimprovementsRapid HIV TestingRapid HIV Testing

Faculty development on inpatient teaching Faculty development on inpatient teaching and feedbackand feedback

Medical Information Medical Information Systems UnitSystems Unit

Robert Friedman, MD, Director Robert Friedman, MD, Director Faculty: Ramesh Farzanfar, PhD; Jeffrey Migneault, PhD; Julie Faculty: Ramesh Farzanfar, PhD; Jeffrey Migneault, PhD; Julie Wright, PhD; Julien Dedier, MD, MPH; Amy Rubin, PhDWright, PhD; Julien Dedier, MD, MPH; Amy Rubin, PhDPerforms research and provides education and training in Performs research and provides education and training in medical informatics (computer applications in medicine and medical informatics (computer applications in medicine and public health)public health)–– Automated programs in primary prevention by reducing Automated programs in primary prevention by reducing

behavioral risk factors for diseases (smoking, alcohol, diet, behavioral risk factors for diseases (smoking, alcohol, diet, physical activity)physical activity)

–– Automated programs for patients with chronic disease that Automated programs for patients with chronic disease that support their optimal selfsupport their optimal self--care, monitor disease, and notify care, monitor disease, and notify responsible clinicians about clinically significant problemsresponsible clinicians about clinically significant problems

Health Care Research Health Care Research UnitUnit

Faculty: Arlene Ash, PhD, Director; Amresh Faculty: Arlene Ash, PhD, Director; Amresh Hanchate, PhDHanchate, PhDFocus: large databases, health servicesFocus: large databases, health services–– TRICARE Prime (DOD) management studiesTRICARE Prime (DOD) management studies–– Racial disparities in healthcare services, esp. end of life Racial disparities in healthcare services, esp. end of life –– Relating surgical volume and outcomesRelating surgical volume and outcomes

Collaboration with many projects:Collaboration with many projects:–– NIANIA’’s Longs Long--Life Family Study (Perls) Life Family Study (Perls) –– Longitudinal followLongitudinal follow--up of older breast cancer survivors up of older breast cancer survivors

(Silliman)(Silliman)–– Patient Navigator (Freund & Battaglia)Patient Navigator (Freund & Battaglia)

–– Realizing women faculty potential in medicine (Realizing women faculty potential in medicine (PololiPololi & Carr)& Carr)

WomenWomen’’s Health Units Health UnitA National Center of Excellence in A National Center of Excellence in

Women's Health (DHHS)Women's Health (DHHS)

Primary Care (Dupuis, Clinical Director): 5% volume Primary Care (Dupuis, Clinical Director): 5% volume increaseincreaseBreast Health Group (Battaglia, Director): 1200 annual Breast Health Group (Battaglia, Director): 1200 annual referralsreferralsMental Health (Menken)Mental Health (Menken)Diabetes Group Appointments (David, McKinney)Diabetes Group Appointments (David, McKinney)In past 2 years, recruited 720 women into 9 research In past 2 years, recruited 720 women into 9 research studies (50% from minority communities)studies (50% from minority communities)NHLBI WomenNHLBI Women’’s Health Truth Education (s Health Truth Education (SeaverSeaver))Residency education (McKinney)Residency education (McKinney)Breast Cancer Patient Navigator Study, NCI (Freund, Breast Cancer Patient Navigator Study, NCI (Freund, Battaglia)Battaglia)

Community Medicine UnitCommunity Medicine Unit

Credentialing of GIM providersCredentialing of GIM providersSponsorship of the Community Computing Sponsorship of the Community Computing CollaborativeCollaborativeEnhancing the Department of MedicineEnhancing the Department of Medicine’’s s relationship with Community Medicine relationship with Community Medicine facultyfacultyOversight of BMC Joint Hire ProgramOversight of BMC Joint Hire ProgramCollaboration with Residency Program to Collaboration with Residency Program to promote Primary Carepromote Primary Care

Clinical Addiction Research Clinical Addiction Research and Education Unitand Education Unit

Office Based Office Based OpioidOpioid Treatment (OBOT)Treatment (OBOT)Transitional Transitional OpioidOpioid Program (TOP) Program (TOP) Addiction Chronic Disease Management RCT (AHEAD)Addiction Chronic Disease Management RCT (AHEAD)Youth Alcohol Prevention Center Youth Alcohol Prevention Center –– collaboration with BUSPH collaboration with BUSPH Effects of alcohol across lifetime Effects of alcohol across lifetime –– collaboration with collaboration with Framingham StudyFramingham StudyElectronic approaches to alcohol problems Electronic approaches to alcohol problems –– collaboration with collaboration with MISU and BU psychologyMISU and BU psychologyHIV prevention in substance abusers HIV prevention in substance abusers –– collaboration with St. collaboration with St. Petersburg State Pavlov Medical University, RussiaPetersburg State Pavlov Medical University, RussiaPrescription drug abuse and interpersonal traumaPrescription drug abuse and interpersonal traumaQuality of addiction care (IOM, Washington Circle)Quality of addiction care (IOM, Washington Circle)MD addiction education (NIAAA & NIDA RMD addiction education (NIAAA & NIDA R--25: CRIT & ACT)25: CRIT & ACT)Screening Brief Intervention and Referral to Treatment $14 mill.Screening Brief Intervention and Referral to Treatment $14 mill.SAMHSA application SAMHSA application –– collaboration with Massachusetts BSAScollaboration with Massachusetts BSAS

Incentive Plans (Incentive Plans (‘‘05 05 --‘‘06)06)

RVURVU--based clinical incentive based clinical incentive –– Model considered by DOM in future Model considered by DOM in future

development of departmentdevelopment of department--wide wide incentive programincentive program

Citizenship acknowledgement Citizenship acknowledgement Research enhancement by DOM & Research enhancement by DOM & BMCBMC

EventsEvents

Mark Moskowitz Memorial Mark Moskowitz Memorial Visiting ProfessorVisiting Professor

Friday, April 7, 2006Friday, April 7, 2006

Michael J. Fine, MD, Michael J. Fine, MD, MScMScDirector, Center for Health Equity Research and Promotion, Director, Center for Health Equity Research and Promotion,

VA Pittsburgh Healthcare SystemVA Pittsburgh Healthcare SystemProfessor of Medicine, University of PittsburghProfessor of Medicine, University of Pittsburgh

Department of Medicine Grand Rounds:Department of Medicine Grand Rounds:An Evidence Based Approach for the Diagnosis and Management of An Evidence Based Approach for the Diagnosis and Management of

CommunityCommunity--acquired Pneumoniaacquired Pneumonia

General Internal Medicine Grand Rounds:General Internal Medicine Grand Rounds:Risk Stratification for Patients with CommunityRisk Stratification for Patients with Community--Acquired PneumoniaAcquired Pneumonia

Faculty RetreatFaculty Retreat

Leadership: Eleanor Paglia, Susan Leadership: Eleanor Paglia, Susan Phillips, Michele DavidPhillips, Michele DavidFocus on outpatient clinical care Focus on outpatient clinical care enhancementsenhancementsExample of outstanding workshop: Example of outstanding workshop: Academic Portfolio for Promotion Academic Portfolio for Promotion seminar (Freund and David)seminar (Freund and David)

Society of General Internal Society of General Internal Medicine National Meeting Medicine National Meeting

21 GIM Presenters21 GIM PresentersArpita AggarwalArpita AggarwalDan AlfordDan AlfordArlene AshArlene AshTracy BattagliaTracy BattagliaAdriana CervantesAdriana CervantesSheila ChapmanSheila ChapmanDebbie ChengDebbie ChengSondra CrosbySondra CrosbyKaren FreundKaren FreundAmresh HanchateAmresh Hanchate

Alok KapoorAlok KapoorAndrea KronmanAndrea KronmanJane LiebschutzJane LiebschutzMichael PaascheMichael Paasche--OrlowOrlowJay OrlanderJay OrlanderAdam RoseAdam RoseRich SaitzRich SaitzJeffrey SametJeffrey SametMargaret Margaret SeaverSeaverRobert SokoloveRobert SokoloveAlex WalleyAlex Walley

Society of General Internal

Medicine National Meeting

Los Angeles, CA

WomenWomen’’s Health Interdisciplinary Research s Health Interdisciplinary Research Center: Women in Medical Sciences LuncheonCenter: Women in Medical Sciences Luncheon

Susan Wood PhD, Former Head of FDA Office of Women’s Health, Keynote speaker

BMC Gala 2006BMC Gala 2006GIM GIM –– Exceptional Friend SponsorExceptional Friend Sponsor

Family Winter Festival Family Winter Festival February 2006February 2006

Endicott Estate, Dedham

AccomplishmentsAccomplishments

Grants FundedGrants Funded

Current Annual Direct Research and Training Current Annual Direct Research and Training Grant Awards Grant Awards –– 20062006–– $9,419,873 $9,419,873 ((‘‘05 05 –– $ 8,013,091; $ 8,013,091; ’’04 04 –– $7,655,735)$7,655,735)

Total GIM Research Grant AwardsTotal GIM Research Grant Awards–– $34,555,505 $34,555,505 ((‘‘05 05 –– $32,196,253)$32,196,253)

Total Fellowship & Training Grant AwardsTotal Fellowship & Training Grant Awards–– $5,495,352 $5,495,352 ((‘‘05 05 –– $6,142,010)$6,142,010)

GIM Clinician Educator GIM Clinician Educator Grant SupportGrant Support

Dan Alford Dan Alford –– OBOT Program, Boston Public Health OBOT Program, Boston Public Health Commission (BPHC)Commission (BPHC)Chava Chapman Chava Chapman –– Avon Breast InitiativeAvon Breast InitiativeSheila Chapman Sheila Chapman –– AHEAD Study, NIHAHEAD Study, NIHSondra Crosby Sondra Crosby –– Resettlement Project, Psychiatry, Resettlement Project, Psychiatry, Massachusetts Department of Public Health (Mass Massachusetts Department of Public Health (Mass DPH)DPH)Peter Davidson Peter Davidson –– Diabetes Initiative, Harvard Diabetes Initiative, Harvard Pilgrim Health Care (HPHC), NCIPilgrim Health Care (HPHC), NCILeyda Delgado Leyda Delgado –– Disparities in Care of Older Disparities in Care of Older Patients, Tufts School of Medicine, NIHPatients, Tufts School of Medicine, NIH

GIM Clinician Educator GIM Clinician Educator Grant SupportGrant Support

Elizabeth Dupuis Elizabeth Dupuis –– Smoking Cessation, NIHSmoking Cessation, NIHJeffrey Greenwald Jeffrey Greenwald –– Project Trust, Project Trust, RehospitalizationRehospitalizationStudyStudyBernie Kreger Bernie Kreger –– Framingham Heart Study, NIHFramingham Heart Study, NIHRenee McKinney, MD Renee McKinney, MD –– Smoking and Depression, Smoking and Depression, NIHNIHJoanne Murabito Joanne Murabito –– Framingham Heart Study, NIHFramingham Heart Study, NIHChristopher Shanahan Christopher Shanahan –– Integrated Services Integrated Services Development Initiative, Boston Development Initiative, Boston HealthNetHealthNetDan Newman Dan Newman –– Diabetes Initiative, HPHCDiabetes Initiative, HPHC

New Research Grants Awarded New Research Grants Awarded CARE UnitCARE Unit

Principal Investigators (PIs)Principal Investigators (PIs)Saitz: NIAAA, NIH; Alcoholism Saitz: NIAAA, NIH; Alcoholism –– Chronic Chronic Disease Management Study; $4,392,325; Disease Management Study; $4,392,325; 9/059/05--8/108/10

Samet: NIDA, NIH; Drug Dependence Samet: NIDA, NIH; Drug Dependence ––Chronic Disease Management Study; Chronic Disease Management Study; $3,422,820; 4/06$3,422,820; 4/06--3/113/11

New Research Grants Awarded New Research Grants Awarded WHU PIsWHU PIs

Freund, Battaglia (CoFreund, Battaglia (Co--PI): NCI, NIH; Patient PI): NCI, NIH; Patient Navigation in the Navigation in the SafetyNetSafetyNet; $3,195,679; 9/05; $3,195,679; 9/05--8/108/10Kronman: Charles A. King Trust, PC in Health Kronman: Charles A. King Trust, PC in Health Services at EndServices at End--ofof--Life; $79,000; 7/05Life; $79,000; 7/05--6/076/07David: David: –– Office of WomenOffice of Women’’s Health; $10,000; 9/05s Health; $10,000; 9/05--9/069/06–– SOROS Foundation; Disparities Action Network Project; SOROS Foundation; Disparities Action Network Project;

$80,919; 7/06$80,919; 7/06--6/086/08

Perna: Perna: –– NIDA, subNIDA, sub--k; Exercise and Nicotine Replacement for k; Exercise and Nicotine Replacement for

Female Smokers; $362,187; 1/06Female Smokers; $362,187; 1/06--3/083/08–– NCI; Exercise Effects on Mental and Physical Health in NCI; Exercise Effects on Mental and Physical Health in

Breast Cancer; $67,111; 1/06Breast Cancer; $67,111; 1/06--5/065/06

New Research Grants Awarded New Research Grants Awarded HCRU PIsHCRU PIs

Ash: DOD, subAsh: DOD, sub--k; Variation in Medical k; Variation in Medical Procedures and Medication; $153,215; 9/05Procedures and Medication; $153,215; 9/05--8/068/06

Hanchate: AHRQ; Evaluating Minimum Hanchate: AHRQ; Evaluating Minimum Surgery Volume Standards; $96,270; 9/05Surgery Volume Standards; $96,270; 9/05--9/069/06

New Research Grants New Research Grants Awarded MISU PIsAwarded MISU PIs

Dedier: NCI; Trial of 2 Dedier: NCI; Trial of 2 TeleComputerTeleComputer Diet Change Diet Change Maintenance Programs, Minority supplement; Maintenance Programs, Minority supplement; $294,887; 7/05$294,887; 7/05--6/076/07Wright: RWJF; Improving Health Behaviors Through Wright: RWJF; Improving Health Behaviors Through Telephone Linked Care; $112,205; 7/05Telephone Linked Care; $112,205; 7/05--6/076/07Friedman: Friedman: –– NCI, Trial of 2 NCI, Trial of 2 TeleComputerTeleComputer Diet Change Maintenance Diet Change Maintenance

Programs Supplement; $149, 831; 7/05Programs Supplement; $149, 831; 7/05--6/06 6/06 –– NIAAA; Telecom & NIAAA; Telecom & BibliotherapyBibliotherapy Programs for Problem Programs for Problem

Drinkers; $1,493,103; 9/05Drinkers; $1,493,103; 9/05--5/085/08–– NHLBI; Improving Dietary Behavior Change through NHLBI; Improving Dietary Behavior Change through

Tailored Messages; $3,300,217; 4/06Tailored Messages; $3,300,217; 4/06--3/11 3/11

New Research Grants AwardedNew Research Grants Awarded

Hylek: AstraZeneca; Patient Characteristics Hylek: AstraZeneca; Patient Characteristics and Disparate Efficacy Conclusions; and Disparate Efficacy Conclusions; $160,571; 6/05$160,571; 6/05--12/0612/06Kressin:Kressin:–– NHLBI; NHLBI; HypertersionHypertersion Control & Therapy Control & Therapy

Adherence; $1,106,073; 2/1/06Adherence; $1,106,073; 2/1/06--1/31/081/31/08–– NIDCR, subNIDCR, sub--k:k:

Center for Research to Reduce Oral Health disparities; Center for Research to Reduce Oral Health disparities; $13,119; 2/1/06$13,119; 2/1/06--7/31/087/31/08The Effectiveness of Treatment for Adult The Effectiveness of Treatment for Adult PeriodontitisPeriodontitis; ; $3,570; 2/1/06$3,570; 2/1/06--3/31/073/31/07

Grants SubmittedGrants Submitted

Total support of pending grants with Total support of pending grants with GIM faculty as PI: GIM faculty as PI: $39,829,904$39,829,904

Career Development Career Development AwardsAwards

Andrea Kronman, BIRCWH (Building Andrea Kronman, BIRCWH (Building Interdisciplinary Research Careers in Interdisciplinary Research Careers in Women's Health) Scholar; 7/06Women's Health) Scholar; 7/06--6/08; 6/08; $178,607$178,607

Publications Publications –– 20052005

1. Aagaard EM, Julian K, Dedier J, Soloman I, Tillisch J, Perez-Stable J. Factors affecting medical students’ selection of an internal medicine residency program. J Natl Med Assoc. 2005;97:1264-1270.

2. Aggarwal A, Carr P. Work-up of women with anemia. Women’s health in primary care. 2005 Aug; 8(7):307-314.

3. Barnett RC, Gareis KC, Carr PL. Career satisfaction and retention of a sample of women physicians who work reduced hours. Journal of Women’s Health. 2005 Mar;14(2):146-53.

4. Berlowitz DR, Ash AS, Glickman M, Friedman RH, Pogach LM, Nelson AL, Wong AT. Developing a quality measure for clinical inertia in diabetes care. Health Services Review. 2005 Dec;40:1836-53.

Publications Publications –– 20052005

5. Boehmer U, Freund KM, Linde R. Support providers of sexual minority women with breast cancer who they are and how they impact the breast cancer experience. Journal of Psychosomatic Research. 2005 Nov;59:307-314.

6. Boehmer U, Linde R., Freund KM. Sexual minority women’s coping and psychological adjustment after a diagnosis of breast cancer. Journal of Women’s Health. 2005 Apr ;14(3):214-24

7. Carr, PL, Rothberg MB, Friedman RH, Felsenstein D, Pliskin JS. “Shotgun” versus sequential testing. Cost-effectiveness of diagnostic strategies for vaginistis. J Gen Intern Med. 2005 Sep; 72(3):182-6.

8. Chuang CH, Freund KM. Emergency contraception knowledge among women in a Boston community. Contraception 2005 Feb;71:157-160.

9. Chuang CH, Freund KM. Emergency contraception: an intervention on primary care providers. Contraception 2005 Sep;72:182-186.

Publications Publications –– 20052005

10. David MM, Ko L, Prudent N, Green EH, Posner MA, Freund KM. Mammography Use, Journal of National Medical Association. 2005 Feb;67:253-260.

11. De Alba I, Hubbell FA, McMullin JM, Sweningson JM, Saitz R. Impact of U.S. citizenship status on cancer screening among immigrant women. J Gen Intern Med. 2005;20:290-6.

12. Dickert N, Kass N, Paasche-Orlow MK, Taylor H. Excluding particular information from consent forms. Accountability in Res. 2005; 12:1–13

13. Dworetzky BA, Strahonja-Packard A, Shanahan CW, Paz J, SchaubleB, Bromfield EB. Characteristics of male veterans with psychogenic nonepileptic seizures. Epilepsia. 2005;46:1418-22.

14. Freiberg MS, Samet JH. Alcohol and coronary heart disease: the answer awaits a randomized controlled trial. Circulation. 2005;112:1379-1381.

Publications Publications –– 20052005

15. Garcia D, Regan S, Crowther M, Hughes RA, Hylek EM. Warfarinmaintenance dosing patterns in clinical practice: implications for safer anticoagulation in the elderly population. Chest. 2005;127:2049-2056.

16. Fang MC, Singer DE, Chang Y, Hylek EM, Henault LE, Jensvold NG, Go AS. Gender differences in the risk of ischemic stroke and peripheral embolism in atrial fibrillation. Circulation. 2005;112:1687-1691.

17. Farzanfar R, Frishkopf S, Migneault J, Friedman R. Telephone-linked care for physical activity: a qualitative evaluation of the use patterns of an information technology program for patients. J of Biomedical Informatics. 2005; 38:220-228.

18. Green EH, Freund KM, Posner MA, David MM. Pap smear rates among Haitian immigrant women in eastern Massachusetts. Public Health Rep. 2005;120:133-139.

Publications Publications –– 20052005

19. Holmboe ES, Bowen JL, Green M, Gregg J, DiFrancesco L, Reynolds E, Alguire P, Battinelli D, Lucey C, Duffy D. Reforming internal medicine residency training: a report from the Society of General Internal Medicine’s task force for residency reform. J Gen Intern Med. 2005;20:1-8.

20. Hylek EM, Hughes RA. Outpatient Anticoagulation Therapy. In: GrollAH, Mulley AG, editors. Primary Care Medicine: Office evaluation and management of the adult patient, 5th edition. Philadelphia: LippincottWilliams and Wilkins; 2005.

21. Isaacson JH, Hopper JA, Alford DP and Parran T. Prescription drug use and abuse: risk factors, red flag and prevention strategies. Postgraduate Medicine. 2005;118:119-26.

22. Kertesz SG, Larson MJ, Horton NJ, Winter M, Saitz R, Samet JH. Homeless chronicity and health-related quality of life trajectories among adults with addictions. Med Care. 2005;43:574-585.

Publications Publications –– 20052005

23. Kraemer KL, Roberts MS, Horton NJ, Palfai T, Samet JH, Freedner N, Tibbetts N, Saitz R. Health utility ratings for a spectrum of alcohol-related health states. Med Care. 2005;43:541-50.

24. Krupitsky EM, Horton NJ, Williams EE, Lioznov D, Kuznetsova M, Zvartau E, Samet JH. Alcohol use and HIV risk behaviors among HIV-infected hospitalized patients in St. Petersburg, Russia. Drug AlcDepend. 2005;79:251-256.

25. Liebschutz, JM, Geier JL, Horton NJ, Chuang CH, Samet JH. Physical and sexual violence and health care utilization in HIV-infected persons with alcohol problems. AIDS Care. 2005;17:566-578.

26. Linden JA, Oldeg P, Mehta SD, McCabe KK, LaBelle C. HIV postexposure prophylaxis in sexual assault: current practice and patient adherence to treatment recommendations in a large urban teachinghospital. Acad Emerg Med 2005;12:640-646.

Publications Publications –– 20052005

27. McHugo GJ, Caspi Y, Kammerer N, Mazelis R, Jackson EW, Russell L, Clark C, Liebschutz J, Kimerling R. The assessment of trauma history in women with co-occurring substance abuse and mental health disorders and a history of interpersonal violence. J Behav Health Serv Res. 2005;32:113-27.

28. Murabito JM, Evans JC, D’Agostino RB, Wilson PWF, Kannel WB.Temporal trends in the incidence of intermittent claudication from 1950 to 1999. Am J Epidemiol. 2005;162:1-8.

29. Murabito JM, Pencina MJ, Nam B, D’Agostino RB,Wang TJ, Lloyd-Jones D, Wilson PWF; O’Donnell CJ. Sibling cardiovascular disease as a risk factor for cardiovascular disease in middle-aged adults. JAMA. 2005;294:3117-3123.

30. Norredam M, Crosby S, Munarriz R, Piwowarczyk L, Grodin M. Urologic complications of sexual trauma among male survivors of torture. Urology 2005;65:28-32.

Publications Publications –– 20052005

31. Olsen Y, Alford DP, Horton NJ, Saitz R. Addressing smoking cessation in methadone programs. J Addict Dis 2005;24:33-48.

32. Paasche-Orlow MK. “The challenges of informed consent for low literate populations” in Schwartzenberg J, Wang C. Understanding Health Literacy: Implications for Medicine and Public Health. Chicago:AMA Press, 2005

33. Paasche-Orlow MK, Brancati FL. Assessment of medical school institutional review board policies regarding compensation of subjects for research-related injury. Am J Med. 2005;118:177-180.

34. Paasche-Orlow MK, Clarke JG, Hebert MR, Ray MK, Stein MD. Educational attainment but not literacy is associated with HIV risk behavior among incarcerated women. J Women’s Health. 2005;14:852-859.

Publications Publications –– 20052005

35. Paasche-Orlow MK, Jacob DM Powell JN. Notices of privacy practices: a survey of the health insurance portability and accountability act of 1996 documents presented to patients at U.S. hospitals. Med Care. 2005;43:558-564.

36. Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The prevalence of limited health literacy. J Gen Intern Med. 2005;20:175-184.

37. Paasche-Orlow MK, Riekert KA, Bilderback A, Chanmugam A, Hill P, Rand CS, Brancati FL, Krishnan JA. Tailored education may reduce health literacy disparities in asthma self-management. Am J Respir Crit Care Med. 2005;172:980-986.

38. Palepu A, Horton NJ, Tibbetts N, Meli S, Samet JH. Substance abuse treatment and hospitalization among a cohort of HIV-infected individuals with alcohol problems. Alcoholism. 2005;29:389-394.

Publications Publications –– 2005200539. Palepu A, Raj A, Horton NJ, Tibbetts N, Meli S, Samet JH. Substance abuse treatment and risk behaviors among HIV-infected persons with alcohol problems. J Subst Abuse Treat. 2005;28:3-9.

40. Richter KP, Choi WS, Alford DP. Smoking policies in U.S. outpatient drug treatment facilities. Nicotine & Tob Res. 2005;7:1-6.

41. Rubin A, Migneault, JP, Marks L, Goldstein E, Ludena K, Friedman RH. Automated telephone-screeening for problem drinking. J Stud Alcohol 2006;67:454-457.

42. Saitz R. Unhealthy alcohol use. N Engl J Med 2005;352:596-607.

43. Saitz R, Horton NJ, Larson MJ, Winter M, Samet JH. Primary medical care and reductions in addiction severity: a prospective cohort study. Addiction. 2005;100:70-8.

44. Samet JH, Galanter M, Bridden C, Lewis DC. Association for medical education and research in substance abuse. Addiction. 2005;101:10-15.

Publications Publications –– 20052005

45. Samet JH, Horton NJ, Meli S, Dukes K, Tripp T, Sullivan L, Freedberg KA. A randomized controlled trial to enhance antiretroviral therapy adherence in patients with a history of alcohol problems. AntivirTher. 2005;10:83-93.

46. Shanahan CW, Lincoln A, Horton NJ, Saitz R, Winter M, Samet JH. Relationship of depressive symptoms and mental health functioning to repeat detoxification. J Subst Abuse Treat. 2005;29:117-23.

47. Shwartz M, Pekoz EA, Ash AS, Posner MA, Restuccia JD, Iezzoni LI. Do variations in disease prevalence limit the usefulness of population-based hospitalization rates for studying variations in hospital admissions? Med Care. 2005;43:4-11.

48. Zhao Y, Ash AS, Ellis RP, Ayanian JZ, Pope GC, Bowen B, Weyuker L. Predicting pharmacy costs and other medical costs using diagnoses and drug claims. Med Care. 2005;43:34-43.

PublicationsPublications

48 publications in 200531 publications in 200424 publications in 2003

31 Current 31 Current BUSM GIM AuthorsBUSM GIM Authors

AggarwalAggarwal AAAlford DPAlford DPAsh ASAsh ASBattinelliBattinelli DDBerlowitzBerlowitz DRDRBridden CBridden CCarr PCarr PCrosby SCrosby SDavid MMDavid MMDedier J

FarzanfarFarzanfar R R Freiberg MSFreiberg MSFrishkopfFrishkopf SSFreund KMFreund KMFriedman RH Friedman RH HenaultHenault LELEHylekHylek EMEMKerteszKertesz SGSGLaBelleLaBelle CCLiebschutz JMDedier J Liebschutz JM

LudenaLudena KKMarks LMarks LMeli SMeli SMigneaultMigneault JPJPMurabitoMurabito JMJMPaaschePaasche--Orlow MKOrlow MKPosner MAPosner MARubin ARubin ASamet JHSamet JHSaitz RSaitz RShanahan CWShanahan CW

Awards and HonorsAwards and Honors

Jonathan Jonathan PincusPincus, MD, MD–– 2006 Suffolk District Medical Society Community 2006 Suffolk District Medical Society Community

Clinician of the YearClinician of the Year

Jeffrey Greenwald, MDJeffrey Greenwald, MD–– Full Time Faculty Teaching AwardFull Time Faculty Teaching Award

Andrea Andrea KronmanKronman, MD, MD–– Mack Mack LipkinLipkin, Sr. Associate Award, Best Abstract , Sr. Associate Award, Best Abstract

National SGIM 2006 MeetingNational SGIM 2006 Meeting

Daniel Alford, MD, MPHDaniel Alford, MD, MPH–– ACP FellowACP Fellow

Awards and HonorsAwards and Honors

Breast Health ServicesBreast Health Services–– 14th Annual Monroe E. Trout Premier Cares 14th Annual Monroe E. Trout Premier Cares

AwardAward

Tracy Tracy BattagliaBattaglia, MD, MPH & Adriana , MD, MPH & Adriana Cervantes, MDCervantes, MD–– AAMC Early Career Women Faculty Professional AAMC Early Career Women Faculty Professional

Development SeminarDevelopment Seminar

Suzanne Suzanne SarfatySarfaty, MD, MD–– AAMC Humanism Award NomineeAAMC Humanism Award Nominee

Boston Magazine Boston Magazine Top DoctorsTop Doctors

Daniel AlfordDaniel AlfordDavid David BattinelliBattinelliSheila ChapmanSheila ChapmanPeter DavidsonPeter DavidsonJohn NobleJohn NobleRichard SaitzRichard SaitzJeffrey SametJeffrey SametRobert Robert WitzburgWitzburg

Appointments & Appointments & PromotionsPromotions

Professor:Professor:–– Dan Dan BerlowitzBerlowitz, MD, MD–– Samuel Putnam, MDSamuel Putnam, MD

Associate Professor:Associate Professor:–– Daniel Alford, MD, MPHDaniel Alford, MD, MPH–– Elaine Elaine HylekHylek, MD, MPH, MD, MPH–– Nancy Nancy KressinKressin, PhD, PhD

Assistant Professor:Assistant Professor:–– Adriana Cervantes, MDAdriana Cervantes, MD–– Benson Benson ChuChu, MD, PhD, MD, PhD–– AnandAnand KarthaKartha, MD, , MD, MScMSc–– Theresa Kim, MDTheresa Kim, MD–– Julie Wright, MD

Clinical Assistant Clinical Assistant Professor:Professor:–– Steven Steven AbreuAbreu, MD, MD–– Monica Monica BharelBharel, MD, MD–– Julie Julie CrossonCrosson, MD, MD–– Bernardo Bernardo SelimSelim, MD, MD

Instructor:Instructor:–– Renee McKinney, MDRenee McKinney, MD–– Stephanie Page, MDStephanie Page, MD

Julie Wright, MD

Major New Faculty RolesMajor New Faculty Roles

Laura Laura WungWung, MD , MD –– Medical Director, Same Day Sick Medical Director, Same Day Sick Clinic, Clinic, YawkeyYawkey ACCACC

David David HalleHalle, MD , MD –– Director, Medical Consultation Director, Medical Consultation ServiceService

Richard Saitz, MD, MPH Richard Saitz, MD, MPH –– Associate Director, BUMC Associate Director, BUMC Office of Clinical Research; Associate Director, Office of Clinical Research; Associate Director, Clinical Research Training ProgramClinical Research Training Program

Karen Freund Karen Freund –– Associate Director, BUSM Associate Director, BUSM WomenWomen’’s s Health Interdisciplinary Research CenterHealth Interdisciplinary Research Center

10 Years of Service10 Years of Service

Kathy Crowley, MDKathy Crowley, MDMichele David, MDMichele David, MDBeth Manning, MDBeth Manning, MDChristopher Shanahan, MD, MPHChristopher Shanahan, MD, MPH

In MemoriamIn Memoriam

Insert picture

Sam Putnam, MD

Professor of Medicine, BUSM

1938-2005

In MemoriamIn Memoriam

Michael F Krawczyk, RN

Nurse, Yawkey Ambulatory Care Clinic

1950-2006

Welcomed AdditionsWelcomed Additions

AshwinAshwin K. K. AggarwalAggarwal to to ArpitaArpita and and AtulAtulIsabella Madeline Isabella Madeline ThoenThoen to Laura to Laura WungWung and Erikand Erik

NuptialsNuptials

Daniel Chen to Tracy Daniel Chen to Tracy

Section of General Section of General Internal MedicineInternal Medicine

Most Valuable Player Award

Daniel Alford, MD, MPH

Congratulations on all Congratulations on all Our Continued Our Continued

SuccessesSuccesses

Thanks again for all the hard work!Thanks again for all the hard work!