A5075974748- Innovations in Medical Education
- Diversity and Career in Medicine
- Health and Medical Research Impacts
- Medical Education and Admissions
- Renal Transplantation Outcomes and Treatments
- Organ Transplantation Techniques and Outcomes
- Pectus Deformity Diagnosis and Treatment
- Reconstructive Surgery and Microvascular Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Liver Disease and Transplantation
- Organ Donation and Transplantation
- Musculoskeletal pain and rehabilitation
- Clinical Reasoning and Diagnostic Skills
- Minimally Invasive Surgical Techniques
- Abdominal Surgery and Complications
- Telemedicine and Telehealth Implementation
- Appendicitis Diagnosis and Management
- Ethics and Legal Issues in Pediatric Healthcare
- Bariatric Surgery and Outcomes
- Disaster Management and Resilience
- Disaster Response and Management
- Traumatic Ocular and Foreign Body Injuries
- Tuberculosis Research and Epidemiology
- Surgical Simulation and Training
- HIV/AIDS Research and Interventions
University of California, San Francisco
2022-2025
UCSF Benioff Children's Hospital
2025
University of Michigan–Ann Arbor
2018-2023
Ann Arbor VA Medical Center
2023
ORCID
2019-2021
Michigan Medicine
2020-2021
Ann Arbor Center for Independent Living
2020
Royal College of Physicians
1976
King's Fund
1976
Historically, cholecystectomy was infrequently performed in children. Lifestyle changes, delays health care access, and increases childhood obesity occurred during the COVID-19 pandemic. The impact of these shifts on need for are poorly understood. We evaluate trends case volume among children A multi-institutional retrospective cohort study conducted ages 18 years younger who underwent from January 1, 2016, to July 31, 2022, at 10 children's hospitals. Differences mix before pandemic were...
Implementing competency-based medical education in undergraduate (UME) poses similar and unique challenges to doing so graduate (GME). To ensure that all students achieve competency, educators must make certain the structures processes assess competency are systematic rigorous. In GME, one such key structure is clinical committee. this Perspective, authors describe University of Michigan Medical School's (UMMS's) experience with development a UME committee, based on committee model from...
Abstract Donation after circulatory death (DCD) liver transplantation (LT) has increased slowly over the past decade. Given that transplant surgeons generally determine offer acceptance, understanding surgeon incentives and disincentives is paramount. The purpose of this study was to assess aggregate travel distance per successful DCD versus deceased brain (DBD) procurement as a surrogate for time expenditure opportunity cost. All consecutive offers made Michigan Medicine from 2006 2017 were...
Horizontal care, in which clinicians assume roles outside of their usual responsibilities, is an important health care systems response to emergency situations. Allocating residents and fellows into skill-concordant clinical roles, however, challenging. The most efficient method accomplish graduate medical education (GME) assessment deployment for horizontal not known.We designed a categorization schema that can efficiently facilitate educational delivery trainees within given institution.In...
Objective: To perform a cost-effectiveness analysis of staple-line reinforcement in laparoscopic sleeve gastrectomy. Summary Background Data: Exponential increases surgical costs have underscored the critical need for evidence-based methods to determine relative value devices. One such device is reinforcement, thought decrease bleeding rates Methods: Two intervention arms were modeled, and standard nonreinforced stapling. Bleed leak 30-day treatment obtained from national state registries....
Safe and efficient deceased donor organ recovery is paramount to success in solid transplantation. A core training mission of the American Society Transplant Surgeons (ASTS) ensure that graduates accredited transplant surgery fellowships achieve competence multiorgan procurement. Despite importance sound technique recovery, paradigms across are not well defined or described. Currently, formal educational requirements limited 2 short videos within curriculum available through ASTS Academic...
To the Editor: On March 17, 2020, Centers for Medicare & Medicaid Services invoked sweeping expansions to nation's telehealth capacity, authorizing providers bill visits with beneficiaries at cost parity in-person visits, eliminating deductibles, and waiving penalties non-HIPAA compliant communication platforms.1 While issued on a temporary emergency basis, this policy provides an opportunity transplant community explore permanent infrastructure. Before COVID-19 pandemic, our center's...
Public Health Service increased risk donor kidneys are discarded 50% more often than nonincreased despite equivalent patient and graft survival outcomes. Patient provider biases as well challenges in interpretation contribute to the underuse of organs. As ultimate decision accept or reject an organ results from patient–provider conversation, there is opportunity improve this dialogue. This report introduces best-case/worst-case communication guide for structuring high-stake conversations on...
Split-liver transplantation has allocation advantages over reduced-size because of its ability to benefit 2 recipients. However, prioritization split-liver relies on the following 3 major assumptions that have never been tested in United States: similar long-term transplant recipient outcomes, lower incidence segment discard among procurements, and segments procurements would be otherwise "transplantable." We used Network for Organ Sharing Standard Transplant Analysis Research data identify...
<title>Abstract</title> <bold>Purpose:</bold>The current standard method for pectus excavatum (PE) repair is the Nuss procedure. One major postoperative complication displacement of implanted metal bar, which used to remodel chest wall. Blocking possible ways that bar can be displaced with use stabilizers and peri/intracostal sutures has reduced incidence displacement. Despite modifications, dislocation often reported. We adopted medial position stabilizer placement imposed no restrictions....
The current standard method for pectus excavatum (PE) repair is the Nuss procedure. One major postoperative complication displacement of implanted metal bar, which used to remodel chest wall. Blocking possible ways that bar can be displaced with use stabilizers and peri/intracostal sutures has reduced incidence displacement. Despite modifications, dislocation often reported. We adopted medial position stabilizer placement imposed no restrictions. In this study, we analyzed rate modification...
Abstract Purpose Although EPA assessment tools generally allow for narrative feedback, limited data exist defining characteristics and predictors of such feedback. We explored feedback their associations with entrustment, case-specific variables, faculty/trainee characteristics. Methods Our general surgery residency piloted an intraoperative Entrustable Professional Activities (EPA) tool in 2022. The included entrustment score, four sub-scores, Given strong intercorrelations ( r = 0.45–0.69)...
Pediatric tuberculosis (TB) represents a major barrier to reducing global TB mortality, especially in countries confronting dual and human immunodeficiency virus (HIV) epidemics. Our study aimed characterize pediatric epidemiology the high-burden setting of Harare, Zimbabwe, both fill current knowledge gap around indicate areas for future research interventions. We analyzed de-identified data 1,051 cases (0-14 years) found among total 11,607 reported during 2011-2012. performed Pearson's χ2...
In 1994, to guide patients and surgeons in making informed decisions about organ transplantation reduce transplant-mediated infectious disease transmission, the Centers for Disease Control Prevention announced Public Health Service guidelines increased risk donor (IRD) organs. This classification identifies donors associated with greater contracting human immunodeficiency virus, hepatitis B C virus as donors. These organs are discarded at higher rates than non-IRD organs, despite equivalent...