Congratulations to the 2019 Department of Medicine FAME grant awardees!
"Diagnosis of esophagogastric junction outflow obstruction in proton- pump inhibitor non responders using the functional lumen imaging probe"
"Back to the bedside: improving faculty clinical and teaching skills through bedside peer teaching of the physical exam: A pilot study"
"Diagnosis and treatment of helicobacter pylori among hospitalized patients: Quality improvement measure to avoid missed test results and ensure appropriate treatment"
Please contact Jane Kuhlenbeck at DOMresearch@emory.edu for questions.
“Nightswatch: An integrated procedural simulation module conducted during resident overnight rotations.”
Zanthia Wiley (Infectious Diseases)
"A multidisciplinary antimicrobial stewardship initiative to optimize antibiotics for pneumonia by improving ordering and collection of respiratory cultures."
Ali Zarrabi (Hospital Medicine)
"A palliative cannabis clinic."
Robert Cole (Cardiology)
“Characterizing the role of De Novo donor specific antibodies in disparate outcomes among black heart transplant recipients”
Brittne Halford (Hospital Medicine)
“Improving hospital medicine providers’ red blood cell ordering and transfusion practices: an opportunity to improve patient outcomes and reduce cost.”
Faisal M. Merchant (Cardiology)
“Prospective evaluation of outcomes after ICD generator exchange.”
Frederico Palacio (Infectious Diseases)
“Reducing hospital readmission rates from Outpatient Parenteral Antimicrobial Therapy (OPAT) clinic through the implementation of an OPAT checklist.”
Kari Esbensen (Hospital Medicine)
"Deepening the Interview with Seriously Ill Patients: Implementing and Evaluating a Structured Bedside Curriculum to Enhance Communication Skills, Empathetic Listening and Reflective Practice among Third-year Students on the Medicine Clerkship"
Christopher O'Donnell (Hospital Medicine)
“Quantitative and Qualitative Analysis of Hospitalists’, Primary Care Providers’, and Subacute Nursing Facilities’ Attitudes Regarding Barriers to Effective Discharge Summaries & Impact of Structured Discharge Summary on Improving Handoffs at Hospital Discharge”
Gina Lundberg (Cardiology)
"Release Time Grant for 10,000 Women Hypertension Screening Project"
Melissa Stevens (Hospital Medicine) Watch video
"Use of High Risk Medications in the Elderly in the Emergency Department Setting: A Quality Improvement Initiative"
Joanna Bonsall (Hospital Medicine)
"Reducing Medical Errors among Hospitalized Patients through Improved Provider Communication"
Carmen Mohan (General Medicine)
"Beyond the Office Visit: Pilot, Initial Evaluation, and Capacity Enhancement of a Social Medicine Elective"
Stacie Schmidt (General Medicine)
"Implementation of a Multidisciplinary Program Teaching Patient Self-Management Skills to Underserved Persons with Multiple Chronic Diseases"
Kristina Lundberg (General Medicine)
"Building Communication Skills - a needs assessment and curriculum development program for internal medicine residents."
Lesley Miller (General Medicine)
“Cutting losses: Investigating reasons for sub-optimal Liver Clinic follow-up and testing strategies to improve continuity of care"
Robin Klein (General Medicine)
"Scholarship in Primary Care - new curriculum that focuses on promoting scholastic endeavors by the primary care residents"
David Kuhar (Infectious Diseases)
"Decreasing complications and improving satisfaction in patients receiving outpatient parenteral anitmicrobial therapy."
Melissa Stevens, MD (Hospital Medicine) - watch video
Topic: "Use of High Risk Medications in the Elderly in the Emergency Department Setting: A Quality Improvement Initiative"
With support from a Department of Medicine FAME (Fostering the Academic Mission at Emory) grant in 2012, Dr. Stevens implemented a multicomponent quality improvement program to facilitate safer prescribing at ED discharge through education, ‘geriatricized’ medication order sets (inspired by the Beers criteria – named for geriatrician Mark Beers), and provider audit and feedback with peer benchmarking. When funding became available through the VA’s Geriatric Research Education and Clinical Centers (GRECCs) to promote clinical demonstration projects aimed at optimizing care for older Veterans, Dr. Stevens teamed up with Emory geriatrician and GRECC investigator, Camille Vaughan (another 2006 alumna), to expand the program, now called EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department).
EQUIPPED has been continuously funded by VA since 2012 and is now being implemented in 8 VA EDs (including VA GRECCs affiliated with UAB, Vanderbilt, Duke, and Icahn School of Medicine at Mount Sinai). Results from Atlanta were published in the Journal of the American Geriatrics Society in May 2015 demonstrating a 50% relative reduction in inappropriate prescriptions for older adults discharged from the ED. EQUIPPED was awarded a 2014 John A. Hartford Foundation pilot grant to expand outside the VA and the team, led by Drs. Vaughan and Stevens, has a proposal currently under review with AHRQ.
Read preliminary results from the first VA sites in this 2015 Journal of the American Geriatrics Society article. See also: U.S. Medicine article.
Topic: Scholarship in Primary Care - new curriculum that focuses on promoting scholastic endeavors by the primary care residents
"The curriculum has been very successful. Residents have given dozens of presentations at meetings, earned awards and been part of many publications. What I take away from this experience is that scholarship and research can be interesting and useful to a variety of residents with different career goals. To achieve this it is vital to think broadly about scholarship to include clinical research, quality work, practice application, outcomes research, and medical education scholarship. Our curriculum is now funded by a federal training grant. New layers are added to the curriculum with each class of residents. Currently, I am looking at the impact of the curriculum on trainees and graduates."
Lesley Miller, MD (General Medicine)
Topic: Cutting losses: Investigating reasons for sub-optimal Liver Clinic follow-up and testing strategies to improve continuity of care
"We learned that appointment keeping was not related to their concerns about their disease, or logistical factors, but was related to clinic factors such as interval between appointments and lack of reminder phone calls. We implemented changes in the Liver Clinic based on these results, i.e., reminder phone calls and efforts to minimize intervals between appointments. The FAME project has also laid the groundwork for additional extramural grant applications/funding for other Grady Liver Clinic projects."
Vandana Niyyar, MD (Nephrology)
Topic: Does early intervention by a multi-disciplinary vascular access team improve arteriovenous fistula prevalence rate in a dialysis population?
"With the encouraging results from the FAME grant, we improved the quality of care for our hemodialysis patients. Not only do the patients in our protocol have a better access for chronic hemodialysis, but this has encouraged us to consider the expansion of this project to other hemodialysis units at Emory. A subsequent project in collaboration with the CDC focuses on decreasing the incidence of bloodstream infections in chronic hemodialysis patients by instituting preventive measures and participation in a national BSI prevention program, augmented by a social and behavioral change process to enlist staff members in infection prevention."