Lorenzo P. Moja MD, Msc, Dr Pub Health, Phd
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Curriculum Vitae Lorenzo P. Moja MD, MSc, Dr Pub Health, PhD November 2017 Offices Department of Biomedical Sciences for Policy, Access and Use (PAU) Health, University of Milan Essential Medicines and Health Products Dipartimento di Scienze Biomediche per la Department (EMP) Salute World Health Organization Università degli Studi di Milano 20, avenue Appia Via Carlo Pascal, 36 1211 Geneva 20133 Milano Switzerland Tel: +390250315097 Tel: +41227913756 E-mail: [email protected] E-mail: [email protected] Clinical Epidemiology Unit, IRCCS Orthopaedic Institute Galeazzi Unità di Epidemiologia Clinica IRCCS Istituto Ortopedico Galeazzi Via Riccardo Galeazzi, 4 20161 Milano E-mail: [email protected] Actual Professional Appointments 2015 Technical Officer, Policy, Access and Use (PAU), Essential Medicines and Health Products Department (EMP), Headquarter World Health Organization 2011 Assistant Professor (on leave), Department of Biomedical Sciences for Health, University of Milan, Milan 2012 Head, Clinical Epidemiology Unit (on leave), IRCCS Orthopedic Institute Galeazzi, Milan 1 Biography In 2000 Dr Moja (b. Milan, 1974) obtained his medical degree from University of Milan (Italy). After medical school he completed a Master Program in Systematic Reviews and Evidence Syntheses. He spent a training period as Research Fellow at the Epidemiology Program in Ottawa (Canada), where the Editorial Base of the Cochrane Effective Practice and Organisation of Care (EPOC) review group was based. During his stay (2003-2004) Dr. Moja was trained in epidemiology, knowledge transfer and health services research with special reference to the methodology of systematic reviews and clinical trials. In 2004 he completed the medical specialty of Hygiene, Preventive and Community Medicine from the University of Milan. In 2014 he gained a Doctorate (D Phil) from Open University (UK), researching into strategies for success of competency-based Continuous Medical Education (CME) programs for medical doctors. In 2005 Dr Moja joined the staff of the Cochrane Collaboration. He was the Deputy-Director of the Italian Cochrane Centre in Milan from 2007 to 2011. He has been scientist and research manager for various projects at the Mario Negri for Pharmaceutical Research (2005-2011) focusing on drug evaluations, from animal studies to phase IV trials. Since 2011 he has been Assistant Professor of Public Health at the University of Milan. In 2012 he started the Clinical Epidemiology Unit at the Galeazzi Orthopedic Institute, a research unit to improve the quality of scientific studies in physical therapy and beyond. In 2015 Dr Moja joined the Department of Essential Medicines and Health Products of the World Health Organization (WHO). He serves as technical officer at the Secretariat of the Model List of Essential Medicines (EML), a global standard to guide countries in identifying medicines that should be not only widely available in national health care systems, but also affordable to individuals and the community. It is used by all UN organizations and by more than 150 countries, where it forms the basis for coverage-program formularies and national EMLs. Dr Moja is a member of various steering groups and advisory committees related to research & innovation. Among the others he participated in the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) Group and is actively involved in the GRADE Working Group. He is a member of the WHO Guideline Review Committee, reviewing guideline development. He was part of the UniMiVal (2012-2015), a group of young researchers supporting the evaluation board of Milan University in assessing the quality of all PhD courses, with the goal of improving postgraduate education, and of the executive board of the Associazione Alessandro Liberati – Italian Cochrane Network (2012-2015). Dr Moja is a senior clinical editor of Internal and Emergency Medicine, the official journal of the Italian Society of Internal Medicine (in the period 2008-2013 he was Deputy Editor). He is Editor of the Dr Cochrane, an innovative online Continuing Professional Education Development product that embeds evidence from Cochrane reviews into a vignette based narrative. He is editor of several CME courses for medical doctors. Dr Moja is a member of the PhD program in Epidemiology, Environment and Public Health at the University of Milan. He managed several academic activities, including unit’s finances and grants, overseeing academic and administrative operations for postgraduate courses. Dr Moja has published over 100 peer reviewed papers and editorials, book chapters and commentaries. One fifth of his scientific articles were published in top-ranked medical journals (Annals of Internal Medicine, BMJ, Cochrane, JAMA, PLOS Medicine). He authored several reviews on biotechnology medicines that offered the basis of reimbursement decisions at national health 2 systems. He has been commissioned the development of innovative strategies to better support health policy makers around the world in making evidence-informed decisions. His scientific works have been cited thousands of times. Dr Moja is the recipient of several national and international grants. He is one of the very few Italian researchers receiving two young investigator awards (2009 and 2012) from the Minister of Health. Research and Health-System Interests Dr. Moja worked in the fields of evidence-based medicine, clinical investigation, experimental and observational epidemiology, research methodology, health systems research, and innovative models to promote the quality and efficiency of clinical decisions. His research is concentrated in a few themes. Dr Moja has an interest in solving questions that clinicians face in their practice synthetizing evidence. He developed systematic reviews and meta-analyses of medical interventions across several medical specialties - autoimmune diseases, cardiology, neurology, oncology, orthopaedics, palliative medicine, paediatrics, physiotherapy, surgery, and rare diseases. He is author of several Cochrane, non-Cochrane reviews and clinical guidelines focused on both efficacy and safety of therapies, including innovative biotech medicines. His reviews on trastuzumab for breast cancer and bevacizumab for macular degeneration served as basis for coverage decisions in several countries. A second area of work relates to methodology. He has undertaken research on: a) the design, conduct and analysis of experimental studies in animals and humans; b) the risk of bias and validity of primary studies and systematic reviews; c) the transparent and accurate reporting of research; and d) how to handle scientific disputes across experts and guideline panels, using consensual methods such as the GRADE. Dr Moja has experience in the area of knowledge transfer adopting new media technologies (i.e. e- learning, point-of-care information services and computer decision support systems) and communication strategies (i.e. different format of evidence). He conducted studies to explore the effectiveness of different knowledge transfer intervention for doctors, specialists and patients. He had evaluated a wide range of point-of-care services (e.g. Clinical Evidence, UpToDate, ACP Pier, eTG and Dynamed) for their editorial and evidence-based quality. He is the principal investigator of two large randomized controlled trials to assess the impact of computer decision support systems in general and specialty hospitals. The fourth focus is on health and research policies to ensure optimal payback from public and private investments. He studies how governments, international agencies like the WHO and donors (research foundations), evaluate complex portfolio of innovations and health care programs and determine whether the right mix of highly-effective medicines and services get to those who need them, at an acceptable cost. The research supports health system policymakers and stakeholders around the world in taking advantage of the best available research evidence, including studies other than randomized controlled trials. Context, institutional constraints, interest group pressures, values and other factors that drive the policymaking process are analysed to set agendas, take well- considered actions and communicate the rationale for actions effectively. 3 Education background and qualifications May 2014 DPhil – Open University, UK Affiliated Research Centre Programme: Mario Negri Institute for Pharmacological Research, Milan Topic: E-learning Programs Based in High Quality Evidence to Transfer Knowledge and to Improve Practice for Health Care Professionals Supervisors: Prof. Alessandro Liberati, Dr. Jeremy Grimshaw Support: Mario Negri Institute for Pharmacological Research November 2011 Post-graduate courses in “Statistics applied to clinical questions”, School of Medicine, University of Modena and Reggio Emilia, Modena Supervisor: Prof. Roberto D’Amico November 2004 Specialty in Hygiene, Preventive and Community Medicine (duration 4 years), Medical School, University of Milan, Milan Thesis: Strutture di diagnosi e ricovero alternative per pazienti con ictus cerebrale acuto: valutazione delle opportunità di un’analisi costi-efficacia e costi-utilità affiancate al trial clinico PROSIT [Alternative strategies for stroke care in Italy: exploring cost- effectiveness and cost-utility analyses from a prospective, observational study (PROSIT)] Supervisor thesis: Prof. Vittorio Mapelli, Prof.ssa Livia Candelise Supervisor medical activities: Prof. Francesco Auxilia