A5005623559- Family and Patient Care in Intensive Care Units
- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Patient Dignity and Privacy
- Cardiac Arrest and Resuscitation
- Sarcoidosis and Beryllium Toxicity Research
- Innovations in Medical Education
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Childhood Cancer Survivors' Quality of Life
- Intensive Care Unit Cognitive Disorders
- Smoking Behavior and Cessation
- Empathy and Medical Education
- Simulation-Based Education in Healthcare
- S100 Proteins and Annexins
- Health, psychology, and well-being
- Vascular Procedures and Complications
- Medical Imaging and Pathology Studies
- Clinical Reasoning and Diagnostic Skills
- Occupational exposure and asthma
- Congenital Diaphragmatic Hernia Studies
- Alcohol Consumption and Health Effects
- Viral Infections and Immunology Research
- Healthcare Decision-Making and Restraints
- Polyomavirus and related diseases
- Tracheal and airway disorders
Oregon Health & Science University
2021-2024
University of Pittsburgh Medical Center
2019-2020
University of Pittsburgh
2014-2020
UPMC Montefiore
2018
National Institutes of Health
2016
Pulmonary and Allergy Associates
2015
Duke University
2011-2013
Duke Medical Center
2010
The University of Texas Medical Branch at Galveston
2008
Although numerous studies have documented that family members in intensive care units struggle with end-of-life decisions for incapacitated patients, there is little information about whether prior advance planning lessens the burden of decision making.We sought to measure decisional conflict surrogates critically ill patients and examine associated less conflict.We performed a secondary data analysis multicenter, prospective cohort study done at five U.S. academic medical centers included...
Lung Cancer is occasionally observed in patients with Idiopathic Pulmonary Fibrosis (IPF). We sought to describe the epidemiologic and clinical characteristics of lung cancer for IPF other interstitial disease (ILD) using institutional statewide data registries.We conducted a retrospective analysis non-IPF ILD from center registry, compare registries at University Pittsburgh as well population obtained Pennsylvania Department Health between 2000 2015.Among 1108 patients, 31 were identified...
Although misperceptions about prognosis by surrogates in ICUs are common and influence treatment decisions, there is no validated, practical way to measure the effectiveness of prognostic communication. Surrogates' subjective ratings quality communication have been used other domains as markers We sought determine whether surrogates' predict accurate expectation surrogates.We performed a cross-sectional cohort study. Surrogates rated survey. Physicians gave their percentage estimate patient...
Conflict is common between physicians and surrogate decision makers around end-of-life care in ICU. Involving experts conflict management improve outcomes, but little known about what differences styles may explain the benefit. We used simulation to examine potential how palliative specialists manage with surrogates treatment decisions ICUs compared intensivists.Subjects participated a high-fidelity of an In this simulation, medical actor portrayed maker during ICU family meeting who refuses...
Rationale: Although medical simulation is increasingly being used in healthcare education, there are few examples of how to rigorously design a evaluate and study important communication skills intensive care unit (ICU) clinicians.Objectives: To use existing best practice recommendations develop conflict management ICUs, then assess the feasibility, acceptability, realism among ICU clinicians.Methods: The setting was tertiary care, university hospital. Participants were 36 physicians who...
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Health profession educators readily identify with the goal of fostering healthcare providers who are critical thinkers focused on quality patient care. In following paper, we aim to delve into thinking at team level and help begin process creating a shared mental model focusing cognition gaps opportunities for growth in their trainees. We will distinguish between microcognition (an individual's own controlled environment), macrocognition (critical real-world (the interaction relationship...
To describe the association of intensive care with trajectories functional, emotional, social, and physical well-being in patients 3 common advanced illnesses.Cross-sectional cohort study 42 admitted to unit selected from 210 stage IV breast, prostate, or colon cancer IIIb lung cancer; New York Heart Association class III congestive heart failure; chronic obstructive pulmonary disease hypercapnea (Pco2 > 46 mm Hg). Scores on subscales Functional Assessment Chronic Illness Therapy-General...
Producing scholarship in education is essential to the career development of a clinician-educator. Challenges scholarly production include lack resources, time, expertise, and collaborators.To develop communities practice for through an international society increase community academic productivity.We developed multi-institutional pods within American Thoracic Society creation working group (2017-2019). Pods met virtually, meetings were goal focused advance their area interest. To understand...
Hard metal pneumoconiosis is a rare but serious disease of the lungs associated with inhalational exposure to tungsten or cobalt dust. Little known about radiologic and pathologic characteristics this efficacy treating immunosuppression.We describe largest cohort patients hard in literature, including radiographic patterns as well treatment options.We retrospectively identified from University Pittsburgh pathology registry between years 1985 2016. Experts chest radiology pulmonary reviewed...
Communication skills is a core competency for critical care fellowship training. The coronavirus disease (COVID-19) pandemic has made it increasingly difficult to teach these in graduate medical education. We developed and implemented novel, hybrid version of the Critical Care (C3) with virtual in-person components pulmonary fellows.
<b>Introduction:</b> We hypothesized that a comprehensive metabolomic analysis of plasma from sarcoid patients (pts) would identify potential biomarkers disease severity. <b>Methods & Results:</b> This study is cross-sectional pts seen at our Center between February 2003 and July 2014. Plasma 60 pulmonary 40 aged-matched donor controls were tested (Table 1) was subjected to profiling (Metabolon) for 893 known biochemicals. Following normalization volume extracted, log transformation...