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Annual Report Fy20 DIVISION OF GENERAL INTERNAL MEDICINE DEPARTMENT OF MEDICINE ANNUAL REPORT FY20 DIVISION OF GENERAL INTERNAL MEDICINE ANNUAL REPORT TABLE OF CONTENTS Message from the Chief 3 Faculty Listing 4 Clinical Activities 11 Quality Improvement Initiatives 16 Clinical Locations 22 Research Activities 24 Grants and Contracts Awarded 89 Teaching Activities 105 One-Year Bibliography 116 Acknowledgments 133 DIVISION OF GENERAL INTERNAL MEDICINE ur missions are to maintain excellence in patient Ocare, to provide innovations in the education and Jane Liebschutz, MD, MPH Chief training of future physicians and clinical scientists, and to advance health care and population health through Even as the COVID-19 pandemic has been taking a disproportionate toll research and discovery. on communities of color, turmoil The Division of General Internal Medicine (DGIM) continues has rippled across the country in its success in clinical care, research, teaching, and adminis- the wake of George Floyd’s death by tration even as the COVID-19 pandemic disrupted the last police in Minnesota. quarter of the fiscal year. In fact, the Division very success- In response, the DGIM has wholeheartedly fully pivoted all three realms—clinical care, teaching, and signed on as partners in the fight for social justice, committed to naming racism and research—in response to the pandemic. Our outpatient ef- systemic oppression where it exists and forts quickly pivoted to telemedicine, which we embraced speaking out in solidarity with our black col- by rapidly growing video visit volume from 5 a week to leagues, students, patients, neighbors and more than 300 a week. Video visits ensured patients still friends. We seek to make our workplaces, had access to care throughout the early COVID outbreak clinics, classrooms, campus, and communi- and now remain critical to our core mission of providing ty as a whole be a more just, inclusive and patient access; these video visits still make up nearly 30% representational place. To that end the of the more than 1,000 visits completed weekly. Our inpa- DGIM undertook several diversity-focused tient efforts involved working with hospital leadership to efforts, with two of our faculty members, contribute to efforts to create a designated COVID unit in Drs. Eloho Ufomata and Jessica Merlin, leading the “White Coats for Black Lives” 7G, and to quickly develop new protocols to ensure the event on June 5, 2020. A standing commit- safety of staff and patients, which has been an incredible tee for diversity was also developed, which success. As inpatient volumes decreased, we consolidat- has been conducting seminars and initiat- ed teams, altered schedules, with everyone pivoting to re- ing necessary discussions about ways that spond to the new challenges. As for its teaching activities, we as a Division can break down barriers, DGIM faculty members have led the way in innovation for in terms of changes to our recruitment, the medical school as more and more education became education, and policy actions. Finally, 6 of virtual, and our residency program adapted very well to the 14 faculty on the Rapid Response Team maintain our educational rigor despite the challenges formed by Dean Shekhar, which is review- posed by COVID-19. Finally, the Division’s research efforts ing and addressing objectives identified by Black medical students, are from the Divi- continued with very little interruption throughout the pan- sion of General Internal Medicine. demic as investigators adjusted their protocols in response to public health requirements and all research personnel shifted to working remotely. The Institute for Clinical Research Education (ICRE) continues to grow its programming and is the organization that supports the Clinical and Translational Science Institute (CTSI), serving as a research training resource for medical students, residents, fellows, and junior faculty members 3 Division of General Internal Medicine FACULTY Jane M. Liebschutz, MD, MPH Eliana Bonifacino, MD Raquel A. Buranosky, MD, MPH Chief, Division of General Internal Assistant Professor of Medicine Professor of Medicine Medicine Associate Program Director, Internal Professor of Medicine Sonya A. Borrero, MD, MS Medicine Residency Training Program UPMC Endowed Chair of Translational Professor of Medicine Medical Director, Pittsburgh Medicine and Research Director, Center for Women’s Health Underserved Women’s Center Clinic Director, Center for Research on Research and Innovation (CWHRI) Health Care Associate Director, VA Center Andrea E. Carter, MD, MS for Health Equity Research and Assistant Professor of Medicine Kaleab Z. Abebe, PhD Promotion (CHERP) Associate Professor of Medicine Co-Director, VA Advanced Fellowship (Joyce) Chung-Chou H. Chang, Director, Center for Clinical Trials and Program in Women’s Health PhD Data Coordination (CCDC) Professor of Medicine, Biostatistics, Director, Center for Research on Robert C. Brooks, MD, PhD and Clinical and Translational Science Health Care Data Center Associate Professor of Medicine Associate Program Director, Internal Julie Wilson Childers, MD, MS Andrew D. Althouse, PhD Medicine Residency Training Program Associate Professor of Medicine Assistant Professor of Medicine Assistant VP for General Medicine and Medical Education, VA Pittsburgh Kar-Hai Chu, PhD Lakya A. Amaranatha, MD Healthcare System Assistant Professor of Medicine Clinical Instructor of Medicine Jodie A. Bryk, MD Rene N. Claxton, MD, MS Eric J. Anish, MD Clinical Assistant Professor of Associate Professor of Medicine Associate Professor of Medicine and Medicine Program Director, Hospice and Orthopedic Surgery Medical Director, Enhanced Care Palliative Medicine Fellowship Program Robert M. Arnold, MD Tara E. Cook, MD Distinguished Service Professor of Thuy D. Bui, MD Clinical Assistant Professor of Medicine Associate Professor of Medicine Medicine Chief, Section of Palliative Care and Medical Ethics Hailey W. Bulls, PhD Jennifer A. Corbelli, MD, MS Director, Institute for Doctor-Patient Assistant Professor of Medicine Associate Professor of Medicine Communication Director, Internal Medicine Residency Medical Director, UPMC Palliative and Peter D. Bulova, MD Training Program Supportive Institute Associate Professor of Medicine Director, International Scholars Karen A. Costa, DO Karl B. Bezak, MD Program Clinical Instructor of Medicine Clinical Assistant Professor of Director, Outpatient Procedure Clinic Medicine Coordinator, Internal Medicine Jessica Cyr, MD Medical Student Interest Group Clinical Assistant Professor of Co-Director, Magee Center for Mamta Bhatnagar, MD Medicine Women with Disabilities Clinical Assistant Professor of Academic Hospitalist, VA Pittsburgh Director, University of Pittsburgh Medicine, Section of Palliative Care Healthcare System and Medical Ethics Adult Down Syndrome Center Esa M. Davis, MD, MPH Lori M. Bigi, MD MS Gregory M. Bump, MD Associate Professor of Medicine, Associate Professor of Medicine Clinical Associate Professor of Clinical and Translational Science Associate Dean for Graduate Medical Medicine Director UPMC Tobacco Treatment Education Service Designated Institutional Official John R. Blosnich, PhD, MPH Director, Career Education and Chair, Graduate Medical Education Assistant Professor of Medicine Enhancement for Health Care Committee Research Diversity (CEED) Program 4 Department of Medicine 2020 Annual Report David C. DeMoise, MD Scott Freeman, MD Peggy B. Hasley, MD, MHSc Clinical Associate Professor of Clinical Assistant Professor of Professor of Medicine Medicine Medicine Medical Director, Shea Medical Clinic Leslie R. M. Hausmann, PhD Walid F. Gellad, MD, MPH Associate Professor of Medicine and Deborah J. DiNardo, MD, MS Associate Professor of Medicine and Clinical & Translational Science Clinical Assistant Professor of Health Policy & Management Core Faculty, VA Pittsburgh Medicine Associate Chief for Research, Division Healthcare System, Center for Health Women’s Health Medical Director, VA of General Medicine Equity Research and Promotion Pittsburgh Healthcare System Director, Center for Pharmaceutical (CHERP) Policy and Prescribing Anna K. Donovan, MD, MS Brian S. Heist, MD, MSc Assistant Professor of Medicine Lawrence D. Gerber, MD Assistant Professor of Medicine Associate Program Director, Inpatient Clinical Associate Professor of Medicine, Internal Medicine Residency Medicine Scott R. Herrle, MD, MS Training Program Academic Hospitalist, VA Pittsburgh Associate Professor of Medicine Director, Internal Ambulatory Healthcare System Rotation Erika L. Hoffman, MD Alda Maria R. Gonzaga, MD, MS Clinical Assistant Professor of Nancy Ruth Eligator, MD Associate Professor of Medicine Medicine Clinical Assistant Professor of Director, Combined Internal Medicine- Staff Physician, VA Pittsburgh Medicine Pediatrics Residency Healthcare System Director, Progressive Evaluation and D. Michael Elnicki, MD Referral Center (PERC) Sanae Inagami, MD Professor of Medicine Advisory Dean, University of Clinical Assistant Professor of Director, International Medical Pittsburgh School of Medicine Medicine Education Programs, UPSOM Core Investigator, Center for Health C. Bernie Good, MD, MPH Equity Research and Promotion Utibe R. Essien, MD, MPH Professor of Medicine and Pharmacy (CHERP) Assistant Professor of Medicine Senior Medical Director, UPMC Health Staff Physician, VA Pittsburgh Core Investigator, Center for Health Plan Insurance Division Healthcare System (VAPHS) Equity Research and Promotion, VA Director, Center for Value-Based
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