The Section of Hospital Medicine at The Cleveland Clinic

Physicians in the Section of Hospital Medicine

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See the list of the physicians who work in the section.

There are three areas of service staffed by members of the Section of Hospital Medicine:

- Inpatient Care at the Main Campus of the Cleveland Clinic

- IMPACT Center (Internal Medicine Perioperative Assessment, Consultation and Treatment)

- Cleveland Clinic Center for Rehabilitation (subacute unit)

In addition to the direct patient care, the hospitalists are actively involved in research projects and the education of residents from the Cleveland Clinic and medical students from Cleveland Clinic Lerner College of Medicine.

We strive to fulfill the four ideals expressed in the Cleveland Clinic logo - the four squares represent each of the major areas of the Foundation: Inpatient care, Outpatient care, Research, and Education.

Our goal is provide the best care to our patients because we believe that Every Life Deserves World Class Care.

Perioperative Medicine Summit

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This year Perioperative Medicine Summit will take place September 17-19, 2006 at Intercontinental Hotel & MBNA Conference Center, The Cleveland Clinic, Cleveland, Ohio.

Click here for more information.

Last year summit, conducted in September 2005 included more than 200 physicians, and was a resounding success.

Summit directors were Dr. Jaffer and Dr. Michota. Several members of the hospitalist team presented lectures and case discussions during the two-day event.

Proceedings of the Perioperative Medicine Summit were published in a special supplement of the Cleveland Clinic Journal of Medicine.

Procedure Guides Step-by-Step

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Central line placement. See also Central Line Placement with Ultrasound Guidance.

Thoracentesis (pleural tap)

Paracentesis (ascites tap)

Arthrocentesis (joint tap)

Arterial line placement is illustrated in The Internet Journal of Health.

Lumbar puncture. This is an illustrated guide with brief video clips by the University of Newcastle, UK; eMedicine also has a Lumbar Puncture procedure guide.

More links

Imaging - EKG, CXR, CT scans

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EKG
ECG Wave-Maven by the Harvard Medical School is a fully-fledged ECG-trainer. You can browse through typical or not so typical EKGs here. Check out the arrhythmia simulator - you can play, pause and quiz yourself. Just click "start" on the welcome screen, you do not need a user name/password. ECG Palm Brain is the best free reference for PDAs. It works on both Pocket PC and Palm, iSilo ($ 19) is required.

CXR and CT scans
University of Virginia has a comprehensive website dedicated to CXR and CT scans. Compare what you see on the screen to the CT scans of your patient. ICU CXR is another very useful website from the University of Virginia.

Physical Examination Videos

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Vocal vs. tactile fremitus? Percussion of the spleen? If you need to brush up your physical exam skills, review the medical videos offered by some leading medical schools.

Hospital Medicine Fellowship Program

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The Cleveland Clinic Foundation Hospital Medicine Fellowship aims to train future leaders in Hospital Medicine, including clinical hospitalists, hospitalist-educators, and hospitalist-investigators. Fellows may participate for 1-2 years, depending on research interests.

ELIGIBILITY

Applicants must have completed an internal medicine residency prior to beginning fellowship, and are required to obtain permanent licensure in Ohio.

PROGRAM DESCRIPTION

CLINICAL TRAINING

Fellows serve as a junior attending under the supervision of hospitalist faculty on the teaching service. Fellows gain expertise in perioperative care through rotations in the Internal Medicine Preoperative Assessment, Consultation, & Treatment (IMPACT) Center and on the inpatient medical consultation service . They serve as co-attending physician for pre-operative medical evaluations, direct appropriate pre-operative diagnostic testing, manage perioperative medications, and collaborate with surgeons and anesthesiologists to ensure optimal medical and surgical care. Rotations in medical intensive care, palliative care, and skilled care settings provide fellows with a diversity of inpatient experiences critical to hospitalist practice.

TEACHING

As co-attending, fellows direct and supervise housestaff during patient care on the assigned teams and have primary responsibility for teaching residents and medical students during attending rounds. Fellows also present a topic at departmental Grand Rounds as a CME-accredited activity.

RESEARCH

Fellows are provided with protected time and basic training in Epidemiology, Biostatics and Research Methods from faculty in the Lerner Research Institute and the Department of Quantitative Health Sciences in preparation for the completion of a scholarly research project under the guidance of Hospitalist faculty and mentoring via Cleveland Clinic experts.
Fellows maintain a portfolio of scholarly and clinical activity that is reviewed quarterly by the program directors. Fellows are expected to submit a research proposal to the internal review board, collect and analyze data, prepare presentations of research and/or case vignette(s) for submission to regional/national meeting(s) and peer-reviewed journals.

THE ENVIRONMENT

The Cleveland Clinic Foundation is a multi-specialty tertiary care academic medical center that is consistently ranked as one of the top five hospitals in America by US News and World Report, and is world-renowned for quality of care and for numerous medical breakthroughs. World-class resources for clinical care, research, and education are available for trainees in all fields.

PROGRAM DIRECTORS

Christopher, M. Whinney, M.D.
Christopher Phillips, M.D., M.P.H.
Franklin Michota, M.D.

For more information, please contact:

Ms. Mary Ritley
Education Coordinator
General Internal Medicine / E 13
The Cleveland Clinic Foundation
9500 Euclid Avenue
Cleveland, Ohio 44195
Phone : 216/444-0895; 800/223-2273 (ask for extension 40895)
Fax: 216/445-4473
E-mail: ritleym@ccf.org

References:
A list of hospitalist fellowships. Society of Hospital Medicine.

News and Events

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2006 SHM Annual Meeting
May 3-5, 2006
Hilton Washington, Washington, DC

Submit an Abstract to the 2006 Research, Innovations, and Clinical Vignettes (RIV) Competition
May 4-5, 2006

View abstract submission guidelines (PDF file)

2006 Perioperative Medicine Summit at the Cleveland Clinic

This year Perioperative Medicine Summit will take place September 17-19, 2006 at Intercontinental Hotel & MBNA Conference Center, The Cleveland Clinic, Cleveland, Ohio.

Click here for more information.

Last year summit, conducted in September 2005 included more than 200 physicians, and was a resounding success.

Summit directors were Dr. Jaffer and Dr. Michota. Several members of the hospitalist team presented lectures and case discussions during the two-day event.

Proceedings of the Perioperative Medicine Summit were published in a special supplement of the Cleveland Clinic Journal of Medicine.

Flomax (tamsulosin ) Associated with Intraoperative Floppy Iris Syndrome (IFIS) During Phacoemulsification Cataract Surgery

The original study was published in J Cataract Refract Surg, Apr 2005: Intraoperative floppy iris syndrome associated with tamsulosin (intranet link to full text). The study was also mentioned on the American Academy of Ophthalmology website - Beware Floppy Iris During Phaco.

FDA requested the drug manufacturer Boehringer Ingelheim to send a letter informing medical professionals about the association between Flomax and IFIS.

Pending further studies, the current advice is to ask patients before cataract surgery if they are taking Flomax, and discontinue the drug for one to two weeks before surgery.

Research Projects at the Section of Hospital Medicine

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Perioperative & Periprocedural Management of Warfarin (PPMW) study.
A prospective Multicenter observational study looking at perioperative patterns of anticoagulation management and incidence of events (thromboembolic and hemorrhagic). IRB# 5766.

Perioperative Beta Blockade, Heart Rate Control and Cardiovascular Events Involving Noncardiac Surgeries. IRB# 7825.

Risk of Hemorrhage in Patients on Combination Antithrombotic Therapy with Warfarin and Clopidogrel. IRB # 7731.

Risk factors for acute venous thromboembolism in hospitalized patients. IRB # 7910.

Improving Perioperative Cardiac Risk Assessment and beta-blocker Use for Non-cardiac Surgery (INCREASE): The INCREASE Quality Improvement Project. IRB# 8655.

Perioperative risk stratification of patients with sleep apnea undergoing non-cardiac surgery. RPC # 2005-1037.

Incidence and Predictors of Post-operative Myocardial Infarction, Stent Thrombosis and Bleeding Outcomes of Patients with Drug Eluting Stent Undergoing Non-Cardiac Surgery (DES and NCS Study). IRB # 8280.

Does an IMPACT Evaluation make a difference in Post-operative Outcomes? (DIRECT Study). IRB # 8502.

Predictors of Acute Renal Failure after Non-Cardiac Surgery (ARF and NCS Study). IRB # pending.

Intranet Shortcuts

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Most of these links are accessible only from the Cleveland Clinic campus or with a CCF remote access

Hospitalist Signout on Sharepoint

UpToDate

CCF Library with full-text journals

Guidelines for Antibiotic Use

COMET Online Learning

HIPAA Online Learning

Register for Grand Rounds CME

Photos of the CCF Internal Medicine Residents

Journal Articles to Discuss

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Beta Blockers in Perioperative Medicine

Beta blockers for patients at risk of cardiac events during non-cardiac surgery
BMJ Editorial, 2005;331:919-920 (22 October)

POBBLE Trial
(enter "POBBLE" in the search field on the ScienceDirect website)
Perioperative β-blockade (Pobble) for patients undergoing infrarenal vascular surgery: Results of a randomized double-blind controlled trial.
Journal of Vascular Surgery Volume 41, Issue 4 , April 2005, Pages 602-609

DIPOM Trial
The diabetic postoperative mortality and morbidity (DIPOM) trial: rationale and design of a multicenter, randomized, placebo-controlled, clinical trial of metoprolol for patients with diabetes mellitus who are undergoing major noncardiac surgery.
American Heart Journal Volume 147, Issue 4, Pages 677-683 (April 2004)

CARP Trial
Coronary-Artery Revascularization before Elective Major Vascular Surgery.
NEJM Volume 351:2795-2804, December 30, 2004, Number 27

MaVS Trial
Metoprolol After Vascular Surgery(MaVS)
Canadian Journal of Anesthesia 51:A7 (2004)

Perioperative Beta-Blocker Therapy and Mortality after Major Noncardiac Surgery
NEJM Volume 353:349-361, July 28, 2005, Number 4

How strong is the evidence for the use of perioperative blockers in non-cardiac surgery?
Systematic review and meta-analysis of randomised controlled trials
BMJ 2005;331:313-321 (6 August)

Beta-Blockers and Reduction of Cardiac Events in Noncardiac Surgery Scientific Review
JAMA. 2002;287:1435-1444

Future Discussions

Patient Safety Concerns Arising from Test Results That Return after Hospital Discharge
Ann of Int Med 19 July 2005 | Volume 143 Issue 2 | Pages 121-128

Efficacy of lispro sq vs. continuous regular insulin IV for the treatment of patients with DKA
Am J Med. 2004 Sep 1;117(5):291-6

Coding and Billing Advice

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Is Your Documentation Vanilla? Or Spicy?
Source: DCBA Inc., Documentation Coding and Billing Accuracy

Medical Journal Articles

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Recent Articles Published by the Members of the Section of Hospital Medicine

In addition to the direct patient care, the hospitalists are actively involved in research projects which result in multiple publications in leading medical journals.

Suggested Reading

A selection of essential articles for the every day practice of the academic hospitalist.

Journal Articles to Discuss

The consensus comes in discussion. Members of the Section of Hospital Medicine regularly meet to discuss the latest advances in clinical medicine.

Hospitalists at the Cleveland Clinic Department of General Internal Medicine

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Franklin Michota, Jr, M.D. - Section Head

Dr. Michota is head of the Section of Hospital Medicine at The Cleveland Clinic Foundation in Ohio, and serves as an Associate program director for the Internal Medicine Residency Program. Dr. Michota also holds the rank of Associate Professor of Medicine at the Cleveland Clinic Lerner College of Medicine.

CV and Publications

Amir K. Jaffer, M.D. - Director of IMPACT

Dr. Jaffer, M.D. is the Medical Director of the IMPACT (Internal Medicine Preoperative Assessment Consultation and Treatment) Center and the Anticoagulation Clinic within the Section of Hospital Medicine in the Dept. of General Internal Medicine at the Cleveland Clinic Foundation in Cleveland, Ohio.

CV and Publications

In alphabetical order:

Ashish Aneja, M.D.

(photo not available)
Krista Andersen-Harris, M.D.

(photo not available)
Kristin Carlin, D.O.

(photo not available)
Olivia Cai, M.D.
Dr. Cai completed medical school at Tongji Medical University and her postgraduate education at New Hanover Regional Medical Center, Wake Forest University Baptist Medical Center and the Cleveland Clinic. She has special interest in hospital medicine and heart failure management.

(photo not available)
Thadeo Catacutan

Vesselin Dimov, M.D.

Dr. Dimov is a staff physician in The Section of Hospital Medicine. He is the creator of ClinicalCases.org, an online case-based curriculum of clinical medicine, which receives thousands of page views daily and was featured in the BMJ and Medscape. His research interests include prevention of acute renal failure and perioperative medicine.

CV and Publications

Wassim Fares, M.D.

Michael E. Felver, M.D. - Director of the Cleveland Clinic Center for Rehabilitation

David V. Gugliotti, M.D.

Brian J. Harte, M.D.

(photo not available)
Rammath Hebbar, M.D.

Roop K. Kaw, M.D.

Dr. Kaw is a staff in the Section of Hospital Medicine and Assistant Professor of Medicine at The Cleveland Clinic Lerner College of Medicine. His research interests include perioperative research methodologies, perioperative pulmonary complications and outcomes. He is an active reviewer for several journals and also serves on the Advisory Board of Gerson Lehermans Council of Health Care Advisors.

CV and Publications

(photo not available)
Arthur Kendig, M.D.

Collin D. Kroen, M.D.

Ajay Kumar, M.D.

Saira Noor, M.D.

Robert Patrick, M.D., M.B.A.

Christopher Phillips, M.D., M.P.H. - Director of the Hospitalist Fellowship Program

(photo not available)
Mohammed Qadeer, M.D.

Anitha Rajamanickam, M.D.

Vaishali M. Singh, M.D., M.B.A., M.P.H.

(photo not available)
Priyanka Sharma, M.D.

Sanjeev Suri, M.D.

(photo not available)
Katherina Tillan-Martinez

Christopher, M. Whinney, M.D. - Director of the Hospitalist Fellowship Program

Ali Usmani, M.D.

Medical Grand Rounds

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Grand Rounds Schedule

Check the Department of General Internal Medicine (GIM) Grand Rounds Schedule

Register for CME

The CCF Center for CME designates this educational activity for a maximum of 1-hour in Category-1 credit towards the AMA Physician's Recognition Award.

Web Videos - Watch the Grand Rounds Presentations Online

Free webcasts available from the Cleveland Clinic center for CME.

Cleveland Clinic Center for Rehabilitation

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The Cleveland Clinic Center for Rehabilitation is a fifty-nine bed skilled nursing care facility located on the downtown campus of the Cleveland Clinic.

Patients requiring additional medical and rehabilitation care following a surgical procedure or hospital admission, stay for an average of two weeks.

Dr. Michael Felver, a member of the Section of Hospital Medicine, is the medical director of the facility. He and others from the Section attend the patients during their stay. They are joined by specialists from Physical Medicine and other areas who supervise a highly trained nursing staff.

Together, we provide expert care, rehabilitation, and instruction following joint and spine reconstruction, organ transplantation, open-heart surgery, colorectal surgery, esophagectomy, limb amputation, stroke, serious infections, and complicated medical illnesses.

Directions:

The Cleveland Clinic Center for Rehabilitation is located between E. 87th and 89th streets just off Euclid Avenue. This is the U/Mellen Center building on the map below.

Schedules

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A password is required to access the files, email the webmaster if you do not have one. Click here to access the Schedules Download page. The content is listed below.

Schedules of The Section of Hospital Medicine

Schedule 2006-2007 - New !!!

Schedule 2005-2006

Weekend Coverage Schedule

SICU On Call Schedule (central line placement)

Kimball A & B Schedule

Recent Articles Published by the Members of the Section of Hospital Medicine

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Renal Impairment and Outcomes in Heart Failure: Systematic Review and Meta-Analysis
Grace L. Smith, Judith H. Lichtman, Michael B. Bracken, Michael G. Shlipak, Christopher O. Phillips, Paul DiCapua, and Harlan M. Krumholz
J Am Coll Cardiol 2006 47: 1987-1996.

Lupus-Related Hepatitis: Complication of Lupus or Autoimmune Association? Case Report and Review of the Literature
Digestive Diseases and Sciences. Issue: Volume 51, Number 4, Date: April 2006 (813 - 818).
Roop Kaw, Carmen Gota, Ana Bennett, David Barnes, Leonard Calabrese

Does Acid Suppressive Therapy Reduce the Risk of Laryngeal Cancer Recurrence?
Laryngoscope. 115(10):1877-1881, October 2005. Pubmed link.
Qadeer, Mohammed A. MD; Lopez, Rocio MPH, MS; Wood, Benjamin G. MD; Esclamado, Ramon MD; Strome, Marshall MD; Vaezi, Michael F. MD, PhD, MSepi

Preventing and Treating Thromboembolism in the 21st Century
Cleveland Clinic Journal of Medicine, Suppl. 1 to Vol. 72, April 2005
Amir Jaffer, MD; Daniel Brotman, MD, FACP; Alpesh Amin, MD, MBA

Do Hip Fractures Need To Be Repaired Within 24 hours of Injury?
Cleve Clin J Med 2005; 72(3): 250-252.
Whinney, CM.

A 48-year-old woman with nausea, vomiting, early satiety, and weight loss
Cleve Clin J Med. 2004 Sep;71(9):693-4, 696-7, 702. Pubmed link.
Qadeer MA, Burke CA.

Tutorials

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Epic Discharge Note Tutorial

IMPACT UPA Tutorial

These are PowerPoint Viewer files. If you do not have PowerPoint installed on your computer, a free download from Microsoft is required to view the presentations.

Web 2.0 in Medicine

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Vesselin Dimov, M.D.

Web 2.0 is a collection of free services that make the internet more useful and interactive. There is nothing to download because they all work in your browser.

Image source: Dion Hinchcliffe's Web 2.0 Blog

Suggested Online Services

1. RSS Feeds and Bloglines

RSS feeds are updates that are delivered by the websites when something new is published.

Its inventor, Dave Winer likens RSS to "a sushi bar where the sushi comes around in boats. When you see something you like, you grab it and eat it." The same is true with RSS content that feeds you news aggregator.

"It's like having a personal assistant who goes through every publication and blog that could possibly interest you and picks out stories to bring to your attention.", writes PC Magazine.

Bloglines is probably the best choice among the online RSS readers (aggregators). It helps you to collect the information you want in one place. Instead of visiting 20 websites per day, let them send the information to you. Subscribe to specific searches on Pubmed or any search engine and collect them in one place. Subscribe to the major medical journals RSS feeds. You can publish the updates to a private blog to make a portfolio entry.

See the tutorial "How to Subscribe to Medical RSS Feeds on Bloglines" (PDF, 590 kb).

2. Write Your Documents Online at Writely.com

Writely is a secure online word processor. It is ideal for 2-3 authors who are collaborating on an article. Writely allows you to see all the revisions in real time. No more emailing Word documents back and forth between the authors. The service has an easy export to MS Word and you can monitor the changes to your article by subscribing to the RSS feed in Bloglines. Other alternatives to Microsoft Office are NumSum (a simple Excel "replacement") and gOffice.

3. Online Favorites are Del.icio.us

You can collect your favorite websites online on Del.icio.us and make the list accessible from any computer. Add multiple tags (labels) to describe the content. This bookmarks/favorites list is easily searchable. Yahoo MyWeb2.0 takes the online bookmarking even further by letting you to save pages and images on their servers for free.

4. Blogs

Start a website in 5 minutes. You can publish your thoughts, collection of interesting cases or use it to make portfolio entries. The best overall service is provided by Google on Blogger.com. Read about the other options in Choose a Free Blogging Platform - Check Out Opera Blogs.

References:
What Is Web 2.0 - Tim O'Reilly
RSS: The Web at Your Fingertips - PC Magazine
Innovative Web-based software challenges Windows - USA Today
Other RSS tutorials:
Bloglines: How to use Bloglines - Honeywell.com, Adding RSS feed to Bloglines - University of California Berkeley, Using Bloglines - preetamrai.com
Google Reader - How to use Google Reader - a Flash tutorial by Andy Wibbels
Sergey Brin in conversation with John Battelle about Web 2.0 - ITconversations.com
Microsoft plays catch-up - CNN/Fortune

Useful Software Programs

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Lookout
A search engine for Outlook. There is another download link here.

OrgPlus
This is an add-in to Microsoft Word for making flow charts. The inbuilt system from Microsft is not very user-friendly. This simple program makes drawing any flow chart a breeze.

Free Medical Programs for Windows Mobile / Pocket PC
The best PDA programs.

Cleveland Clinic Hospitalists Areas of Service

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Main Campus Inpatient Care

IMPACT Center (Internal Medicine Perioperative Assessment, Consultation and Treatment)
Link

Cleveland Clinic Center for Rehabilitation

The Cleveland Clinic Center for Rehabilitation is a fifty-nine bed skilled nursing care facility located on the downtown campus of the Cleveland Clinic.

Patients requiring additional medical and rehabilitation care following a surgical procedure or hospital admission, stay for an average of two weeks.

Dr. Michael Felver, a member of the Section of Hospital Medicine, is the medical director of the facility. He and others from the Section attend the patients during their stay. They are joined by specialists from Physical Medicine and other areas who supervise a highly trained nursing staff.

Together, we provide expert care, rehabilitation, and instruction following joint and spine reconstruction, organ transplantation, open-heart surgery, colorectal surgery, esophagectomy, limb amputation, stroke, serious infections, and complicated medical illnesses.

Presentations

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Perioperative Use of Statins
Paul Grant, MD
Hospitalist Fellow, Section of Hospital Medicine
Fellows' Conference 11/05

Diogenes Syndrome
William Popovich, MD
PGY-2 Internal Medicine
Geriatrics Conference 10/05

Weight Loss and Body Mass Index in Patients with Alzheimer Dementia
Mihir Bakhru, MD
PGY-2 Internal Medicine
Geriatrics Conference 9/05

Internal Medicine Preoperative Assessment Consultation and Treatment (IMPACT) Center

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The IMPACT Center

Internal Medicine Preoperative Assessment Consultation and Treatment (IMPACT) Center at the Cleveland Clinic is a state-of-the art preoperative center in its 9th year of operation.

It is staffed by the hospitalists from the Section of Hospital Medicine and directed by Amir K. Jaffer, M.D., the Associate Section Head for Hospital Medicine. Over 13,500 patients were seen in 2005. Patients are referred from surgeons in over 10 different surgical departments at the Cleveland Clinic, ranging from Colorectal surgery to Vascular Surgery.

IMPACT Achieves Better Outcomes

In an era where outcomes are important, the IMPACT Center staff evaluate patients undergoing non-cardiac surgery and outline the perioperative risks, optimize the chronic conditions and make evidence-based recommendations for patients, the anesthesiologists and the surgical team. This systematic approach results in safe and quality care for patients at the Cleveland Clinic. A recent study in the Journal of Clinical Outcomes showed that the IMPACT Center evaluation resulted in a low rate of postoperative pulmonary complications compared to nationally reported numbers.

Annual Perioperative Medicine Summit: Improving Quality, Safety and Outcomes.

We hold formal visitation programs for faculty from other institutions and an annual CME event in its second year called: The Perioperative Medicine Summit: Improving Quality, Safety and Outcomes. Click to download the Summit brochure in PDF format.

Proceedings of the 2005 Perioperative Medicine Summit were published in a special supplement of the Cleveland Clinic Journal of Medicine.

More information about the IMPACT Center.

Perioperative Evaluation for Noncardiac Surgery

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AHA/ACC Guidelines

The most authoritative guidelines are from the AHA/ACC and they have a very useful website aimed at educating physicians. Check out the following features:

- The guidelines are available online or as a PDF file

- Teaching slides - you can view them online or download the PowerPoint file

- Download the Pocket PC version

You can check out the other guidelines available from AHA/ACC here. All files are free downloads.

Perioperative Guidelines for PDA

You have to download the Pocket PC (or Palm) version from Skyscape. The downloaded file is the standard installer, used by the other Skyscape applications, like Archimedes.

The universal algorithm makes the preoperative evaluation a breeze. It guides you step-by-step, using a simple question and answer approach, simplifying the process. You can bookmark the most commonly used parts of the guidelines like:

- conditions-predictors of cardiovascular risk in different patients - high, intermediate and low risk

- calculating the METs (metabolic equivalents, i.e. energy requirement for various activities)

- levels of risks for different surgical procedures - high, intermediate and low

- the main step-by-step algorithm

"PASS" the Preoperative Evaluation

There are 4 variables in the preoperative evaluation, remembered by the mnemonic PASS:

Patient risk
Activity level - measured in METs
Surgical risk
Select the tests to perform

1. Patient risk - a patient with CAD S/P CABG with CHF is clearly at a higher risk than a patient who has only HTN.

2. How well is the patient prepared for surgery? What is his activity level (measured in METs)? The most useful question is "do you have stairs in your house?". If yes, "can you climb a flight of stairs without SOB or CP?" Going up and down stairs will give the patient a MET of 4, which is the dividing point in the algorithm to consider cardiac testing. Just remember "stairs = MET 4".

3. Surgical risk - a high risk procedure, like AAA repair vs. a low risk procedure, like breast biopsy.

4. Select the tests to perform. EKG is almost always indicated. Follow the algorithm to decide which patient needs a stress test.

After you look into these 4 variables (PASS), you have to follow the AHA/ACC algorithm. Of course, there are many other things to address, like when to stop and restart certain medications, etc. This is the basic approach which is the backbone of the perioperative evaluation.

Three Stress Tests

Choose one of the 3 stress test modalities. The mnemonic is EDD:

- Exercise stress testing - without imaging or pharmacologic induction (both are used in the other 2 stress tests below)
- Dipyridamole-thallium imaging (DTI)
- Dobutamine stress echo (DSE)

Exercise stress testing limitations:
- OA patient who is unable to exercise
- Resting EKG abnormalities

DTI prognostic accuracy is 81%.

DSE has the additional advantage of showing the systolic function, the accuracy is similar to DTI.

Cut-off Numbers in the Algorithm

Remember the cut-off numbers 2-4-5 in the algorithm:
- 2 years of the last catheterization or a stress test - safe to proceed with surgery, if no symptoms
- 4 METs
- 5 years of the last coronary revascularization - safe to proceed with surgery, if no symptoms

Take the "HIP" Shortcut

The majority of patients have intermediate or minor clinical predictors, and you can use the following shortcut to determine who needs a stress test.

The shortcut to noninvasive testing is remembered by the mnemonic HIP:

- High risk surgery - vascular surgery
- Intermediate clinical predictors - old MI, DM 2
- Poor functional class

Note: The "HIP" shortcut is valid for patients who are scheduled to have high risk or intermediate risk surgery. Patients scheduled for low risk surgery can usually proceed with the operation without the need to have a stress test first.

The Cleveland Clinic Perioperaive Medicine Summit

The summit, conducted on September 22-23, 2005 included more than 200 physicians, and was a resounding success.

Summit directors were Dr. Jaffer and Dr. Michota. Several members of the hospitalist team presented lectures and case discussions during the two-day event.

Lectures will be published in a special supplement of the Cleveland Clinic Journal of Medicine.

Reference:
AHA/ACC Clinical Statements/Guidelines
Online Calculator - MedCalc: Perioperative Cardiac Evaluation
Image source: Wikipedia, CCF (used with permission)

Amir K. Jaffer, M.D. - Bibliography and Presentations

2002-02-01T23:22:00.000-05:00

BIBLIOGRAPHY

PUBLICATIONS

1. Castagliuolo, I., LaMont, J.T., Letourneau, R., Kelly, C.P., O’Keane, J.C., Jaffer, A., Theoharides, T.C., Pothoulakis, C. Neuronal Involvement in the intestinal effects of Clostridium difficile Toxin A and Vibrio Cholera enterotoxin in rat ileum. Gastroenterology, 1994; 107: 657-665.

2. Pothoulakis, C., Castagliuolo, I., LaMont, J.T., Jaffer., A., O’Keane, J.C., Snider, R., Leeman, S.E. CP 96,345, a Substance P antagonist inhibits rat intestinal responses to Toxin A but not Cholera Toxin. Proc. Natl. Acad. Sci. USA, 1994; 91:947-957.

3. Jaffer, A., Leifer, D. Cerebral Venous Thrombosis. New England Journal of Medicine,. 1997; 337:395

4. Jaffer, A , Calabrese, L. Severe back and abdominal pain in a 44 year old female. The Cleveland Clinic Journal of Medicine,1998; 65:515-518

5. Deitcher, S, Caiola E, Jaffer, A. Demystifying two common genetic predispositions to venous thrombosis. Cleveland Clinic Journal of Medicine, 2000; 67:825-836.

6. Brotman DJ, Jaffer A. Coach class thrombosis: Is the risk real? What do we tell our patients? Cleveland Clinic Journal of Medicine, 2002; 69(11): 832-837.

7. Jaffer, A, Bragg L. Practical tips for Warfarin dosing and monitoring. The Cleveland Clinic Journal of Medicine,2003;70:361-371

8. Jaffer AK, Brotman DJ and Chukwumerije N. When patients on warfarin need surgery. Cleve Clin J Med 2003; 70:973-984.

9. Hurbanek J, Jaffer A, Tomford JW, Gordon S and Ghaffari S. A 46-year-old intravenous drug user with fever. Cleve Clin J Med 2003; 70:906-908.

10. Jaffer, AK and Brotman, DJ. Perioperative Care: An Opportunity to Expand and Diversify the Hospitalist’s Portfolio. The Hospitalist, March/April 2004 and Published again in The Hospitalist Supplement on Perioperative care in 2005.

11. Brotman DJ, Jaffer A. Low molecular weight heparin or stockings for preventing coach class thrombosis? Arch Intern Med 2004; 104:2500-01

12. Hurbanek J, Jaffer AK, Morra N, Karafa M, Brotman DJ. Postmenopausal hormone replacement and venous thromboembolism following hip and knee arthroplasty. Thromb Haemost. 2004 Aug;92(2):337-43

13. Brotman DJ, Jaffer AK, Hurbanek JG, Morra N. Warfarin prophylaxis and venous thromboembolism in the first 5 days following hip and knee arthroplasty. Thromb Haemost. 2004 Nov;92(5):1012-7.

14. Jaffer, AK. Issues in Anticoagulant Therapy: Recent trials start to answer tough questions. Cleve Clin J Med 2005; 72:157-163.

15. Jaffer, AK, Sangani, B. Evidenced-based approach to the Preoperative Evaluation. Primary Care Reports 2004;10(10);111-126.

16. Jaffer, AK, Brotman, DB and Michota, F. Current and emerging Options int he Management of Venous Thromboembolism. Cleve Clin J Med 2005; 72(S1)S14-S23.

17. Jaffer AK, Barsoum, WK, Hurbanek JG, Morra N, Krebs, V, Brotman DJ. Duration of Anesthesia and Venous Thromboembolism Following Orthopedic Surgery. Mayo Clinic Proceedings 2005;80(6):732-738.

18. Jaffer, AK, Ahmed, M, Bragg, L, Seshadri, N, Brotman, DJ, Qadeer, M and Klein A. Low-Molecular weight-Heaprins as periprocedural anticoaglation for patietns on long-term warfarin therapy: A standardized bridging protocol. Journal of Thrombosis and Thrombolysis. In Press

19. Kaw R, Michota F, Jaffer A, Ghamande S, Auckley D, Golish J. Unrecognized Sleep apnea in the Surgical patient: Implications for the Peri-operative setting. Chest; 2005 (in press).

20. Jaffer, AK, Brotman, DJ, Sridharan, ST, Litaker, DG, Michota, F, Frost, SD, Girgis, JA, Pioro, MH, Correia, NG, Widmann, HJ, Kippes, CM, Stoller, JK. Postoperative Pulmonary Complications: Experience with an Outpatient Pre-operative Assessment Program. Journal of Clincal Outcomes Management. In Press

ABSTRACTS

1. Castagliuolo, I., Papadimitriu, G., Jaffer, A., Kelly, C.P., LaMont, J.T., Pothoulakis, C. Saccharomyces boulardii secretes a protease which inhibits C.difficile Toxin A receptor binding and enterotoxicity
Presented at the 94th Annual Meeting of the American Gastroenterology Association, May 15-21, 1993, Boston, MA.
Gastroenterology, 1993; 104: A678.

2. Pothoulakis, C., Castagliuolo, I., Jaffer, A., Snider, R.M., LaMont, J.T., Leeman, S.. Inhibition of Intestinal effects of Clostridium difficile Toxin A by a specific Substance P antagonist.
Presented at the II United European Gastroenterology Week, July 19-24 1993, Barcelona, Spain.
Gut, 1993; 34:S36

3. Machicao V, Alarcon F, Jones T, Madwar S, Kamarei S and Jaffer A. Hormone Replacement Therapy: Knowledge of its benefits is a good predictor of acceptance.
Presented at the 22nd Annual Society of General Internal Medicine Meeting, April 29-May1, 1999, San Francisco, CA.
Journal of General of Internal Medicine, 2000
Presented at the Cleveland Clinic Internal Medicine Research Day, 2000

4. Gaddis R.M., Deitcher S.R., Uppal R., Jaffer, A. Attitudes towards Outpatient Deep Venous Thrombosis Treatment: A Survey of General Internists and Family Physicians.
Presented at the Cleveland Clinic Internal Medicine Research Day, 2000

5. Cheong B, N Khan, Shields R, Jaffer, A. Autonomic Neuropathy in a patient with Orthostatic Hypotension and Diarrhea.
Presented at the Ohio chapter of American College of Physicians/ASIM; October 13, 2000,
Cincinnati, Ohio

6. Khan, N., Reddy, S., Hull, A., Jaffer, A. Subacute Thyroiditis: A Common Cause For Anterior Neck Pain.
Presented at The 23rd Annual Society of General Internal Medicine Meeting, May 2-4, 2000, Boston, MA.
Presented at the Cleveland Clinic Internal Medicine Research Day, 2000

7. Kim A, Braver Y, Jaffer, A. Diabetic Neuropathic (Charcot) Arthropathy: A forgotten Diagnosis?
Presented at the 24th Annual Society of General Internal Medicine Meeting, May 2-4, 2001,
San Diego, CA.
Journal of General Internal Medicine, 2001:16 Suppl. 1
Presented at the Cleveland Clinic Internal Medicine Research Day, 2001

8. Khan, N, Cheong B, Jaffer, A. Anticonvulsant Hypersensitivity Syndrome: A Call for Increasing Awareness.
Presented at the 24th Annual Society of General Internal Medicine Meeting, May 2-4, 2001,
San Diego, CA
Presented at the Ohio chapter of American College of Physicians/ASIM; October 15, 2001
Presented at the Cleveland Clinic Internal Medicine Research Day, 2001
Journal of General Internal Medicine, 2001; 16 Suppl. 1

9. Land, W, Copeland L, Mehta N, Jaffer A, Caiola E, Gildea T. To teach EBM or Notto Teach EBM?: How to Enthuse Residents and Staff To practice Evidence Based Medicine (EBM)
Journal of General Internal Medicine 2001;16:Suppl. 1

10. Jneid, H., Jaffer, A., Isaacson, JH. Itching After a Warm Shower: What does it tell us?
Presented at 25th Annual Society of General Internal Medicine Meeting, May 2-5, 2002
Atlanta, GA
Presented at the Cleveland Clinic Internal Medicine Research Day, 2002

11. Avila, M, Jaffer, A. Osteomyelitis Presenting as a Soft Tissue Mass.
Journal of General Internal Medicine 2002;17:Suppl. 1

12. So, R, Burke, S, Jaffer, A. Perceptions and Satisfaction with A Computerized Medical Record System: A Survey of Outpatient Internal Medicine Patients.
Presented at the 25th Annual Society of General Internal Medicine Meeting, May 2-5, 2002, Atlanta, GA
Journal of General Internal Medicine 2002;17:Suppl. 1
Presented at the Cleveland Clinic Internal Medicine Research Day, 2002

13. Jacob JT, Jaffer AK. Nonsteroidal Anti-inflammatory Drug Associated Lower Gastrointestinal Toxicity.
Presented at the 26th Annual Society of General Internal Medicine Meeting, April 30 to May 3, 2003, Vancouver, Canada.
Journal of General Internal Medicine 2003;18:Suppl. 1
Presented at the Cleveland Clinic Internal Medicine Research Day, 2003

14. Hahn K, Jacob JT, Almahameed S, Jaffer AK. Type I Diabetic with Inflammatory Bowel Disease Presenting with Lower Extremity Ulcers and Ketoacidosis.
Presented at the 26th Annual Society of General Internal Medicine Meeting, May 3, 2003, Vancouver, Canada
Journal of General Internal Medicine 2003;18:Suppl. 1
Presented at the 4th Annual Midwest Regional Meeting of the Society of Hospital Medicine, Sept 12-13, Chicago, IL

15. Almahameed S, Jacob JT, Jaffer AK. A Woman with Ascending Demyelinating Peripheral Neuropathy, Cranial Nerve Palsy and Cardiac Dysautonomia.
Presented at the 26th Annual Society of General Internal Medicine Meeting, May 3, 2003, Vancouver, Canada
Journal of General Internal Medicine 2003;18:Suppl. 1
Presented at the Cleveland Clinic Internal Medicine Research Day, 2003
Presented at the 4th Annual Midwest Regional Meeting of the Society of Hospital Medicine, Sept 12-13, Chicago, IL

16. Jaffer A, Ahmed M, Bragg L, Seshadri N, Klein A. Safety and efficacy of using low-molecular-weight-heparins to bridge patients on long-term Warfarin.
Presented at the XIX International Society of Thrombosis and Haemostasis, Birmingham, UK, July 12-18, 2003
Journal of Thrombosis and Haemostasis; supplement 1July 2003 [P1862]
Presented at the 4th Annual Midwest Regional Meeting of the Society of Hospital Medicine, Sept 12-13, Chicago, IL
Presented at the Cleveland Clinic Internal Medicine Research Day, 2004

17. Brotman DJ, Hurbanek JG, Jaffer A, Morra N. Postmenopausal Hormone Replacement Therapy and Venous Thromboembolism Following Orthopedic Surgery.
Presented at the 27th Annual Meeting of the Society of General Internal Medicine, May 14, 2004, Chicago, IL.

18. Jaffer A and Brotman D. Thrombolysis in Submassive Pulmonary Embolism: Yes or No?
Presented at the Society of Hospital Meeting, April 20-21, 2004, New Orleans, LA.

19. Jaffer A and Brotman D. An Elderly Man with Fever and Back Pain.
Presented at the Society of Hospital Meeting, April 20-21, 2004, New Orleans, LA.

20. Brotman DJ, Jaffer AK, Hurbanek JG, Morra N. Warfarin Prophylaxis and Venous Thromboembolism Occurring with 5 Days of Joint Arthroplasty: A Case Control Study
Presented at the Society of Hospital Meeting, April 20-21, 2004, New Orleans, LA.

21. Brotman DJ, Jaffer AK, Barsoum, WK, Hurbanek JG, Morra N, Krebs, V Duration of Anesthesia and Venous Thromboembolism Following Orthopedic Surgery
Presented at the Society of Hospital Medicine Meeting, Chicago, IL 2005

22. Jaffer AK, Brotman, DJ, White, RH. The Perioperative and Periprocedural Management of Warfarin: The PPMW study.
Presented at the International Society of Thrombosis and Hemostasis, Sydney, Australia, 2005

BOOK CHAPTERS

1. Bhat YM, Jeremias A, Maqbool and Jaffer AK. "An 86-Year-Old Woman with Chest Pain." In: Longworth DL, Stoller JK, Casey DM, Jewell JK. eds. Cleveland Clinic Internal Medicine Case Reviews. Philadelphia, PA, Lippincott, Williams, & Wilkins, 2003.

2. Rapp JA, Baytion M, Bhat Y, Jaffer AK. "A 33-Year-Old Female with Chest Pain and Shortness of breath.: In: Longworth DL, Stoller JK, Casey DM, Jewell JK. eds. Cleveland Clinic Internal Medicine Case Reviews. Philadelphia, PA, Lippincott, Williams, & Wilkins, 2003.

3. Jaffer A. “Consultants: Coordination and communication.” Submitted to the Society of Hospital Medicine, 2004 to be published in the Society of Hospital Medicine’s Core Curriculum Guide

4. Jaffer, AK and Brotman, DB. Prevention of Postoperative Venous Thromboembolism and Perioperative Management of Anticoagulation in the Cancer Patient. To be published in the textbook titled Internal Medicine Care of the Cancer Patients from MD Anderson, 2005.

5. Jaffer, AK, Kaatz, SK and Brotman, DB. Perioperative Management of Warfarin.:In Cohn,S, Smetana,J and Weeed, H. eds. Just the Facts in Perioperative Medicine, 2005. In Press

6. Jaffer, AK and Mandell, B. Orthopedic Surgery.:In Cohn,S, Smetana,J and Weeed, H. eds. Just the Facts in Perioperative Medicine, 2005. In Press

7. Jaffer, AK, Kaboli, P, Kaatz, S. Prevention of Venous Thromboembolism.:In Cohn,S, Smetana,J and Weeed, H. eds. Just the Facts in Perioperative Medicine, 2005. In Press

8. Brotman, DB and Jaffer, AK. Treatment of Venous Thromboembolism. In Cohn,S, Smetana,J and Weeed, H. eds. Just the Facts in Perioperative Medicine, 2005. In Press.

9. Jaffer, AK and Brotman, DJ. Prevention of Venous Thromboembolism in the Elderly. Geriatric Clinics of North America, 2005. In Press

10. Jaffer, AK. Deep Vein Thrombosis: In Williams, MV, Hayward, R. Comprehensive Hospital Medicine
First Edition 2006. In Press

11. Stein, J, Phy M and Jaffer, A. Perioperative Anticoagulation: Prophylaxis for Venous Thromboembolism In Williams, MV, Hayward, R. Comprehensive Hospital Medicine, First Edition 2006. In Press

12. Stein, J, Phy M and Jaffer, A. Perioperative Management of Warfarin. In Williams, MV, Hayward, R. Comprehensive Hospital Medicine, First Edition 2006. In Press

BOOKS

To be published late 2005
Associate Editor of the book Hospital Medicine Secrets

INVITED PRESENTATIONS:

Local, National and International

“Use of Low-Molecular-Weight Heparins in the Outpatient Management of Deep Vein Thrombosis”
The Cleveland Clinic, Dept. of General Internal Medicine, Grand Rounds
Cleveland, OH - November, 1998

“Hyperhomocysteinemia and Cardiovascular Disease”
The Cleveland Clinic, Dept. of General Internal Medicine, Grand Rounds
Cleveland, OH - November, 1999

“Outpatient Management of Deep Vein Thrombosis”
Kaiser Permanente, Dept. of Medicine, Grand Rounds
Cleveland, OH - February, 2000

“Outpatient Management of Deep Vein Thrombosis”
Marymount Hospital, Dept. of Medicine, Staff Meeting
Cleveland, OH – August, 2000

“Clinical Uses of Low-Molecular Weight Heparins”
The Cleveland Clinic, Dept. of General Internal Medicine, Grand Rounds
Cleveland, OH - September, 2000

“Strategies for DVT treatment and prevention”
The Annual Meeting of the Alleghany Medical Society
Pittsburgh PA - October 2000

“Clinical Uses of LMWHs”
The Chillicothe VA Hospital, Dept. of Medicine, Grand Rounds
Chillicothe, OH - December, 2000

“Outpatient Management of Deep Vein Thrombosis”
The Cleveland Clinic, Division of Internal Medicine, Grand Rounds
Cleveland, OH - February, 2001

“Management of Venous Thromboembolism”
The St. Elizabeth Hospital's Annual Retreat of the Division of Internal Medicine
Youngstown, OH - March 2001

“Update in Anticoagulation and Thromboembolism: LMWHs indications of use including bridging.”
The 24th Annual Society of General Internal Medicine Meeting,
San Diego, CA - May, 2001

"Management of Oral Anticoagulation "
Stroke Update
Parma Community General hospital
May 16, 2001

“Management of Venous Thromboembolism”
The Georgia Cancer Specialists, Journal Club
Atlanta, GA - July 2001

“Advances in the Management of Venous Thromboembolism”
The American Philippine Medical Association's Annual meeting
Cleveland, OH - July 26, 2001

"The Treatment of Deep Vein Thrombosis"
Current Concepts in Thrombosis Lecture Series
Mansfield, OH - October 2, 2001

"Expanding role of Anticoagulation Clinics"
The Northeast Ohio Anticoagulation Symposium
Toledo, OH - October 3, 2001

"The Treatment of Deep Vein Thrombosis"
Current Concepts in Thrombosis Lecture Series
Dallas, TX - November 7, 2001

“Advances in the Treatment of Venous Thromboembolism”
University of Tennessee, Chattanooga Unit’s, Eighth Annual Internal Medicine Update & Aging Patient Symposium
Chattanooga, TN - November 9, 2001

“Medical Aspects in the Management of Deep Vein Thrombosis and Pulmonary Embolism”
Combined Medical/Surgical Challenges. A Conference sponsored by the
Fairview Hospital Departments of Medicine and Surgery
Cleveland, OH - November 14, 2001

“Advances in the Treatment of Venous Thromboembolism”
West Michigan Anticoagulation Symposium
Grand Rapids, MI - November 30, 2001

Problem Based Learning: Cases in Venous Thromboembolism
Las Vegas, NV - December 7, 2001

“Treatment and Prevention of Deep Vein Thrombosis”
The Deaconess Hospital Grand Rounds
Cleveland, OH - February 6, 2002

“Treatment of Deep Vein Thrombosis”
Meridia Huron Hospital
Cleveland, OH - February 22, 2002

"The Treatment of Deep Vein Thrombosis"
Current Concepts in Thrombosis Lecture Series
Cleveland, OH - March 5, 2002

“Heparin Induced Thrombocytopenia: An Update"
The 25th Annual Society of General Internal Medicine Meeting,
The Anticoagulation and Thromboembolism Interest Group Session
Atlanta, GA - May, 2002

"The Treatment and Prevention of Deep Vein Thrombosis"
National Visiting Professor Series
Athens, GA- May 9, 2002

"The Treatment and Prevention of Deep Vein Thrombosis"
The Northeast Georgia Medical Center Grand Rounds
Gainsville, GA - May 10, 2002

"Preoperative Cardiac Risk Assessment"
Anesthesia M&M Rounds
Cleveland Clinic Foundation
Cleveland, OH - June 12, 2002

"The Treatment and Prevention of Deep Vein Thrombosis"
Shawnee Mission Medical Center Medical Grand Rounds
Kansas City, MO - June 21, 2002

"The Treatment and Prevention of Deep Vein Thrombosis"
Menorah Hospital Medical Grand Rounds
Kansas City, MO - June 21, 2002

"The Treatment and Prevention of Deep Vein Thrombosis"
McAllen Medical Center Grand Rounds
McAllen, TX - July 9, 2002

"The Treatment and Prevention of Deep Vein Thrombosis"
Harlingen Medical Center CME Program
Harlingen, TX - July 9, 2002

"The Treatment and Prevention of Deep Vein Thrombosis"
CME Program at the Pattie A Clay Hospital
Richmond, KY - August 12, 2002

"Perioperative Anticoagulation Management and Treatment of VTE"
CME Program at the Trumbull Memorial Hospital
Warren, OH - August 13, 2002

"The Treatment and Prevention of Deep Vein Thrombosis"
CME Program at CHRISTUS Spohn Hospital Memorial
Corpus Christi, TX – September 10, 2002

"The Treatment and Prevention of Deep Vein Thrombosis"
CME Program at Gulf Coast Chapter of Family Practice
Corpus Christi, TX – September 10, 2002

"Perioperative Management of Patients on Long-term Warfarin"
Seminar for 3rd Midwest NAIP (National Association of Inpatient Physicians) Meeting
Cleveland, OH - September 3, 2002

"Current Treatment and Prevention of Deep Vein Thrombosis"
CME Program at St. Claire Medical Center
Morehead, KY - October 4, 2002

"Current Treatment and Prevention of Deep Vein Thrombosis"
CME Program at Pikesville Methodist Hospital
Pikesville, KY – October 5, 2002.

"The Treatment and Prevention of Deep Vein Thrombosis"
CME Program at Jameson Health System.
New Castle, PA- , November 4, 2002

"Current Treatment and Prevention of Deep Vein Thrombosis
CME Program at St. Joseph Mercy Hospital of Macomb
Clinton Township, MI – November 7, 2002

"Preoperative Evaluation"
Asociacion De Medicina Interna De Mexico, A.C
XXV Congreso Nacional De Medicina Interna
Villahermosa, Mexico, November 18, 2002

"Adult Immunizations"
Asociacion De Medicina Interna De Mexico, A.C
XXV Congreso Nacional De Medicina Interna
Villahermosa, Mexico, November 18, 2002

"Current Treatment and Prevention of Deep Vein Thrombosis"
Grand Rounds at St. Joseph Medical Center
Towson, MD– November 7, 2002

"Current Treatment and Prevention of Deep Vein Thrombosis"
Grand Rounds at Presbyterian Hospital of Greenville
Greenville, TX– January 23, 2003

Current Treatment and Prevention of Deep Vein Thrombosis
Grand Rounds at Memorial Hospital
York, PA–February 5, 2003

"Management of Patients on Long-term Warfarin"
Internal Medicine Update
Parma Hospital
Independence, Ohio--February 26, 2003

"Current Treatment and Prevention of Deep Vein Thrombosis
Grand Rounds at Providence Hospital
Southfield, MI--February 28, 2003

Bridging patients on warfarin with LMWHs
Current Concepts in Thrombosis Lecture Series
Westlake, OH--March 13, 2003

Current Treatment and Prevention of Deep Vein Thrombosis
Grand Rounds at Bon Secours Hospital
Grosspointe, MI--April 7, 2003

Treatment and prevention of Venous Thromboembolism in the Medical patient
St. Peters Hospital
Albany, New York--April 23, 2003

"Precourse Director for Update on Anticoagulation and Thromboembolism
26th Annual Meeting of the Society of General Internal Medicine
Vancouver, Canada--April 30, 2003

Low-Molecular -Weight Heparins: Indications for use in special populations and situations
26th Annual Meeting of the Society of General Internal Medicine
Vancouver, Canada--April 30, 2003

Update on Venous Thrombembolism prevention in the Orthopedic Patient
In the Update session on Perioperative Medicine
26th Annual Meeting of the Society of General Internal Medicine
Vancouver, Canada--May 2, 2003

Bridging with Low-Molecular-Weight Heparins
Internal Medicine Grand Rounds at Akron General Hospital
Akron, Ohio—May 29, 2003

Update in Anticoagulation and Thromboembolism
Cleveland Clinic, Dept. of General Internal Medicine Grand Rounds
Cleveland, Ohio—June 11, 2003

Current Treatment and Prevention of Venous Thromboembolism
Michigan State University/Kalamazoo Center for Medical Studies
Dept. of Internal Medicine Grand Rounds
Kalamazoo, MI—August 6, 2003

The Preoperative Evaluation: An Evidence based approach to Risk Assessment and Risk Reduction Therapy
Cleveland Clinic, Division of Medicine Grand Rounds
Cleveland, Ohio—August 21, 2003

Perioperative Management of Patients on Long-term Warfarin Therapy
Southwest General Medical Center
Dept. of Medicine Grand Rounds
Middleburgh Heights, Ohio—September 6, 2003

Perioperative Management of Patients on Long-term Warfarin Therapy
Lakewood Hospital
Dept. of Medicine Grand Rounds
Lakewood, Ohio—September 10, 2003

Perioperative Care and the Hospitalist: Opportunities for Consultation and Co-management
4th Midwest Society of Hospital Medicine Annual Meeting
Chicago, IL—September 12, 2003

Anticoagulation Therapy: An Update for Nurses
Critical Care Update for Nurses
Westlake, OH—September 18, 2003

Anticoagulation Therapy: An Update for Nurses
Critical Care Update for Nurses
Westlake, OH—September 23, 2003

Treatment and Prevention of VTE.
Memorial Hospital of South Bend Special Medical Conference
South Bend, IN—September 24, 2003

Perioperative Evaluation of the Surgical Patient
Monongahela Valley Hospital's--Advances in Medicine—2003
Monongahela, PA—October 15, 2003

Treatment and Prevention of Venous Thromboembolism
Akron City Hospital Grand Rounds
Akron, OH—October 24, 2003

Bridging with LMWHs
Lakeland Regional Health System CME Meeting
St. Joseph, MI—November 6, 2003

Treatment and Prevention of VTE
Aga Khan Univesity Hospital
Dept. of Orthopedics Grand Rounds
Karachi, Pakistan—Decemeber 24, 2003

Preoperative Cardiovascular Risk Assessment and Reduction
Cardiology Grand Rounds
National Institute of Cardiovascular Diseases
Karachi, Pakisan—January 1, 2004

Perioperative Management of Warfarin
Academic Medical Center
Department of Vascular Medicine Meeting
Amsterdam, The Netherlands—January 8, 2004

Perioperative Management of Warfarin
Slotervaart Hospital
Department of Internal Medicine Meeting
Amsterdam, The Netherlands—January 9, 2004

Anticoagulation Therapy: Past, Present and Future
Meridia Euclid Hospital Grand Rounds
Euclid, OH—January 15, 2004

VTE Prevention in Medical patients
Rex Hospital
Raleigh, NC—February 24, 2004

VTE Prevention and Treatment
Central Cardinal Hospital Grand Rounds
Sanford, NC—February 25, 2004

Prevention and Treatment of VTE
First Health Moore Regional Health Care CME Program
Pinehurst, NC—February 25, 2004

Prevention and Treatment of Venous thromboembolism
Medical Grand Rounds at Cayuga Medical Center
Ithaca, NY—February 27, 2004

Prevention and Treatment of Venous Thromboembolism
Medical Grand Rounds at Guthrie Medical Center
Sayre, PA—February 27, 2004

Perioperative Care: Opportunities for Medical Consultation
UT MD Anderson Medical Center
Dept of Medicine Grand Rounds
Houston, TX—March 8, 2004

Prevention and Treatment of Venous Thromboembolism
Medical Grand Rounds at Mc Allen Medical Center
McAllen, TX—March 9, 2004

Prevention and Treatment of Venous Thromboembolism
Medical Grand Rounds at Brownsvile Medical Center
Brownsville, TX—March 9, 2004

Surgical Co-Management
Annual Meeting of the Society of Hospital Medicine
New Orleans, LA—April 20, 2004

Perioperative and Periprocedural Management of Patients on Long-term Warfarin
Medical Grand Rounds
Munson Medical Center
Traverse City, MI—April 27, 2004

Perioperative and Periprocedural Management of Patients on Long-term Warfarin
Medical Grand Rounds
Northern Michigan Hospital
Traverse City, MI—April 27, 2004

AF Forum: Management, Anticoagulation and Stroke Prevention
CME Program
Houston, TX—May 1, 2004

Update in Perioperative Medicine
Update on VTE and Anticoagulation
The 27th Society of General Internal Medicine Annual Meeting
Chicago, IL—May 14, 2004

Board Simulation in Preoperative Evaluation
16th Annual Intensive Review of Internal Medicine
Cleveland Clinic Foundation
Cleveland, OH—June 6, 2004

AF Forum: Management, Anticoagulation and Stroke Prevention
CME Program
Memphis, TN—June 12, 2004

Venous Thromboembolism Disease Prophylaxis: Treatment Considerations in Long-Term Care
Rountable Organized by Pinnacle health Communications
Baltimore, MD—July 21, 2004

Treating VTE in Special Patient Groups
Grassroots Thrombosis Series
Philadelphia, PA—July 24, 2004

Treating VTE in Special Patient Groups
Grassroots Thrombosis Series
Boston, MA—July 31, 2004

Treatment and Prevention of Venous Thromboembolism
Cardiology Grand Rounds at Sentara Norfolk General Hospital
Norfolk, VA—September 14, 2004

Treatment and Prevention of Venous Thromboembolism
Internal Medicine Grand Rounds at Sentara General Hospital
Virginia Beach, VA—September 14, 2004

Unresolved Issues in Anticoagulation Therapy
Grand Rounds, Dept of General Internal Medicine
Cleveland Clinic Foundation
Cleveland, OH—September 22, 2004

Preparing Paitents for Surgery in Complex Systems
Pennsylvania Medical Society Meeting on
Protecting Patients in Complex systems
Pittsburgh, PA—September 23, 2004

Atrial Fibrillation: Management, Anticoagulation, and stroke Prevention.
Medical Grand Rounds
Beaver Medical Center
Beaver, PA—October 8, 2004

Atrial Fibrillation: Management, Anticoagulation, and stroke Prevention.
Medical Grand Rounds
St. Vincent’s Charity Hospital
Cleveland, OH—January 19, 2005

Controversies in Anticoagulation Therapy
Medical Grand Rounds
University of California, San Diego
San Diego, CA—January 26, 2005

Treatment and Prevention of Venous Thromboembolism
Internal Medicine Grand Rounds at Knapp Medical Center
Weslaco, TX—March 3, 2005

Prevention of Venous Thromboembolism in Medical and Surgical patients
The 6th Annual Antithrombotic Symposium
Sponsored by Henry Ford Health Sytem and Wayne State
Detroti, MI—March 21, 2005

The True Impact of Venous Thromboembolism: Is enough being done in Hospitals?
Bellin Health Systems
Green bay, WI—March 24, 2005

Unresolved Issues in Anticoagulant Therapy
St. Vincent’s Hospital
Cleveland, OH—April 5, 2005

Starting and Sustaining a Successful Practice in Perioperative Medicine
Perioperative Medicine Precourse
Annual Meeting of the Society of Hospital Medicine
Chicago, IL—April 28, 2005

Prevention of Venous Thromboembolism in Hospitalized Patients
Rochester General Hospital
Rochester, NY—May 5, 2005

Update in Anticoagulation and Thromboembolism
Precourse Co-Director
The 28th Society of General Internal Medicine Annual Meeting
New Orleans, LA —May 11, 2005

Prevention of Venous Thromboembolism
Internal Medicine Grand Rounds
St. Joseph Mercy Hospital
Ann Arbor, MI—May 25, 2005

Update in Perioperative Medicine
Update on VTE and Anticoagulation
The 28th Society of General Internal Medicine Annual Meeting
New Orleans, LA —May 11, 2005

Prevention of Venous Thromboembolism
Deaconess Hospital
Evansville, IN –May 26, 2005

Board Simulation in Preoperative Evaluation
17th Annual Intensive Review of Internal Medicine
Cleveland Clinic Foundation
Cleveland, OH—June 5, 2005

Management of Venous Thromboembolism
Internal Medicine Grand Rounds
St. Mary Hospital
Grand Rapids, MI—September 14, 2005

Prevention of Venous Thromboembolism in Hospitalized Patients
Genesys Hospital
Flint, MI—September 28, 2005

Amir K. Jaffer, M.D. - Curriculum Vitae

2002-02-01T23:16:00.000-05:00

Amir K. Jaffer, MD is the Medical Director of the IMPACT (Internal Medicine Preoperative Assessment Consultation and Treatment) Center and the Anticoagulation Clinic within the Section of Hospital Medicine in the Dept. of General Internal Medicine at the Cleveland Clinic Foundation in Cleveland, Ohio.

Dr. Jaffer received his medical degree from Boston University School of Medicine in 1994. His postgraduate training includes an internship and residency in internal medicine at Yale New Haven Hospital in New Haven, CT. He is board certified in Internal Medicine and has a busy practice in both Hospital and Perioperative Medicine.

Dr. Jaffer is actively involved in patient care, education, research and administration. He was selected as one of the Best Doctors in America 2005-6 by Best Doctors, an independent organization that uses exhaustive, annual surveys of the medical profession. These doctors were considered by other doctors to be the best in their specialties. He is currently heading up the working group to develop the Advanced Core Curriculum at the Cleveland Clinic Lerner College of Medicine of Case Western University. He has conducted research and published in several peer-reviewed journals including the New England Journal of Medicine. He will be an Associate editor of a soon to be published book titled: Hospital Medicine Secrets. He speaks nationally within his areas of interest and expertise, which include: Treatment and prevention of venous thromboembolism, prevention of stroke in atrial fibrillation, anticoagulation therapy, specifically perioperative management and medical consultation.

He is an active member of several professional organizations including American College of Physicians (ACP), Society of General Internal Medicine (SGIM), the Anticoagulation Forum (AF), the Society of Hospital Medicine (SHM) and the International Society of Thrombosis and Haemostasis (ISTH). He is a member of the Education Committee of SHM and served on the Annual Meeting Planning Committee for the 2005 SHM meeting and will be the Precourse Director of the Perioperative and Consultative Medicine Precourse at Next year’s SHM meeting in Washington DC.

CURRICULUM VITAE

PROFESSIONAL APPOINTMENTS

Current Position
October 1997- Present
Staff Physician, Department of General Internal Medicine, Section of Hospital Medicine
Associate Section Head for Hospital Medicine
Medical Director, The Anticoagulation Clinic
Medical Director, The IMPACT (Internal Medicine Perioperative Assessment, Consultation, and Treatment) Center
Cleveland Clinic Foundation, Cleveland, OH

Started career as a clinician educator in primary care but transitioned into a consultative and hospital based practice within the Section of Hospital and Preoperative Medicine with clinical, administrative, research and educational responsibilities in early 2001. Continue to serve as the Medical Director of the IMPACT (Internal Medicine Preoperative Assessment Consultation & Treatment) Center where over 13,000 outpatient preoperative consults are seen annually with revenues of over $4 million dollars in 2004.

Responsibilities have included:

Acting as Section head for Hospital Medicine during the chief’s absences

Working with the section head to develop a vision and plan for the Section of Hospital Medicine

Creating schedules for staffing of the IMPACT center by our group of 23 hospitalists

Attending periodic meetings with different surgeons, anesthesiologists and their chairmen to ensure their needs are met and the perioperative process is smooth

Developing new relationships with surgical departments to increase referrals to the IMPACT center

Improving the Inpatient Consultative service to better meet needs of different subspecialties

Reviewing clinical performance of the hospitalists staffing the IMPACT Center

Creating Institutional Perioperative Guidelines/algorithms for various medical conditions

Implementing an Electronic Medical Record in the IMPACT center

Recruiting and mentoring junior faculty

Development and implementation of curricula

Inpatient and Outpatient teaching of residents and students

Designing, implementing and reviewing quality improvement projects

Also continue to serve as the Medical Director of the Anticoagulation clinic (AC) since March 2000 that has a current enrollment of ~1800 patients on oral warfarin therapy and is staffed by 10 full-time pharmacists.

Responsibilities have included:

Providing clinical care, oversight and supervision of current oral anticoagulation and LMWH therapy services throughout CCF and the associated network of Family Health Centers

Assisting in the development and implementation of new programs and services

Conducting periodic quality improvement and safety projects within the AC clinic

Recruitment of new employees

Identifying and spearheading research-related activities

Providing annual and periodic review of the AC clinic guidelines, policies and procedures

Serving as the liaison to the Medical Staff for the AC clinic programs and services

EDUCATION

September 1989 - May 1994
Boston University School of Medicine, Boston, MA
Doctorate in Medicine, Atended the Seven-Year Combined BA/MD Program

September 1987 - August 1990
Boston University, College of Liberal Arts, Boston, MA
Bachelor of Arts, Magna Cum Laude
Dean’s List 1987 - 1990

June - August 1990
New York University, Study Abroad Program, Paris, France
Intensive Intermediate French

POSTGRADUATE EDUCATION

July 1994 - June 1997
Yale-New Haven Hospital, New Haven, CT
Internal Medicine - Internship and Residency

September 2000 - May 2001
The Cleveland Clinic Foundation, Cleveland, OH
Executive Program in Practice Management

January 2001 - May 2001
The Cleveland Clinic Foundation, Cleveland, OH
Clinical Research Skills Course

July 2002
The Cleveland Clinic Foundation, Cleveland, OH
Center for Clinical Research
Online Certification Program for Human Subjects Research

September 2003
The Cleveland Clinic Foundation, Cleveland, OH

January 2004
World Class Service

February 2005
Leadership Development Training

April 2003
The Soceity of Hospital Medicine, New Orleans, LA
Leadership Development Course

ACADEMIC APPOINTMENTS

1999- 2004
Pennsylvania State University, Hershey, PA
Clinical Assistant Professor of Medicine

2005
Cleveland Clinic Lerner College of Medicine of Case Western University, Cleveland, OH
Appointment to Associate Professor of Medicine (Application under review)

LICENSURE AND BOARD CERTIFICATION

1997-2007
Diplomate, American Board of Internal Medicine

1995
Diplomate, National Board of Medical Examiners

1997-2006
State Medical Board of Ohio

2005
Eligible for the Diplomate, American Board of Vascular Medicine

INSTITUITIONAL COMMITMENTS

HOSPITAL AND ADMINISTRATIVE APPOINTMENTS

Cleveland Clinic Foundation, Cleveland, OH

1997-1998
Clinical Associate

1998-2000
Assistant Staff Physician

1997-2001
Associate Staff Physician

2001- Present
Staff Physician

2000- Present
Medical Director, Anticoagulation Clinic

1998-2001
Director, Educational Activities, Access Center

2001- Present
Medical Director, IMPACT (Internal Medicine Preoperative Assessment, Consultation, & Treatment) Center

2005-Present
Associate Section Head, Hospital Medicine

HOSPITAL AND DEPARTMENTAL COMMITTEES

1998-1999
Cleveland Clinic, Medical Records Committee

1999-Present
Cleveland Clinic, Medical Records Committee, Vice Chairman

1997-2001
Cleveland Clinic, Physician Advisory Group on the Outpatient Electronic Medical Record

2000-Present
Cleveland Clinic, Physician Advisory Board on Anticoagulation, Chairman

1997-2001
Cleveland Clinic, Dept. of General Internal Medicine, Education Committee

2001-2002
Cleveland Clinic, Dept. of General Internal Medicine, Primary Care Task Force

2001-2003
Cleveland Clinic, Preoperative Re-engineering Committee

2002-Present
Cleveland Clinic, Physician Advisory Board on the Inpatient Electronic Record

2002-Present
Cleveland Clinic, International Center Advisory Board Member.

MEDICAL SCHOOL COMMITTEES

2003-Present
Cleveland Clinic Lerner College of Medicine of Case Western University, Internal Medicine Curriculum Working Group

2005
Cleveland Clinic Lerner College of Medicine of Case Western University,
Leader, Advanced Core Curriculum

PROFESSIONAL SERVICE

APPOINTED SOCIETY COMMITTEES

Clinical Vignette Committee for the SGIM Annual Meeting in San Diego, 2001
Clinical Vignette Committee for the SGIM Annual Meeting in Atlanta, 2002
Clinical Vignette Committee for the SGIM Annual Meeting in Vancouver, 2003
Workshop Committee for the SGIM Annual Meeting in Chicago, 2004
Education Committee of the Society of Hospital Medicine, 2004,2005
Annual Meeting Planning Committee for the Society of Hospital Medicine, 2004-5
Precourse Committee of the SGIM Annual Meeting in New Orleans, 2005

EDITORSHIPS AND EDITORIAL BOARDS

2004-Present
Associate Editor for the Cleveland Clinic Journal of Medicine

REVIEWER

1997-Present
Cleveland Clinic Journal of Medicine

2004-Present
Journal of General Internal Medicine

PROFESSIONAL SOCIETY MEMBERSHIPS

American College of Physicians (ACP)
Society of General Internal Medicine (SGIM)
Anticoagulation and Thromboembolism Interest Group of SGIM
Medical Consultation and Perioperative Medicine Interest Group of SGIM
Anticoagulation Forum
Society of Hospital Medicine (SHM) formerly National Association of Inpatient Physicians (NAIP)
Lake Erie Chapter of SHM
International Society of Thrombosis and Hemostasis (ISTH)

PAST AND PRESENT TEACHING ACTIVITIES

MEDICAL STUDENT LECTURES & SEMINARS

1998, 1999, 2000, 2001
Asthma

1998, 1999, 2000, 2001
Electrolyte Disorders

1998, 1999, 2000, 2001
Syncope

1998, 1999, 2000, 2001
Chest Pain

1998, 1999, 2000, 2001
Hemostatic Disorders

1999, 2000, 2001
Evidence based approach to Hypertension

RESIDENT LECTURES & SEMINARS

1998, 1999
Legionnaires’ Disease

1997, 1998
Pulmonary Function Testing

1997, 1998, 1999
Common Musculoskeletal Disorders

1999, 2000, 2001
Men’s Health

2000
Evidence based approach to Hypertension

2001
Clinical Uses of Low-Molecular-Weight-Heparins

2001
Outpatient Management of DVT

2002
Perioperative and Periprocedural management of Patients on Long Term Warfarin

2002, 2003, 2004
Perioperative Medication Management.

2003, 2004
DVT prophylaxis in medical and Surgical patients

2003, 2004, 2005
Hospitalist case Conference

EDUCATIONAL CURRICULA DEVELOPED

1998
Ohio State University Ambulatory Internal Medicine Curriculum

1998-2001
Cleveland Clinic, Primary Care Residency, Ambulatory Morning Report Curriculum

2000
Evidence Based Medicine Curriculum for Primary Care Residents

2003
Preoperative & Consultative Medicine Curriculum for Internal Medicine Residents

2003
Preoperative Risk Assessment and Consultation Curriculum for Ob/Gyn Residents

2004
A 67-Year-Old Man With Dyspnea and Syncope hosted on the e-medicine website
http://cme.emedicine.com/cases/templates/promo.asp?test=0150027&template=aventis/01/

NATONAL COURSES DIRECTED

Precourse Director for Update on Anticoagulation and Thromboembolism
26th Annual Meeting of the Society of General Internal Medicine
Vancouver, Canada—April 30, 2003

Precourse Co-Director for Controversies in Anticoagulation and Thromboembolism: A Case-based Debate
28th Annual Meeting of the Society of General Internal Medicine
New Orleans, LA—May 11, 2005

Perioperative Medicine Summit: Using Evidence-based medicine to Improve Quality, Safety and Outcomes
Cleveland, OH—Sept 22-23, 2005

SPECIAL SUPPLEMENTS DEVELOPED AND EDITED

2005
Cleveland Clinic Journal of Medicine Supplement on Treating and Preventing Thromboembolism in the 21st Century

WEBSITE DEVOLOPED

2004
Patient Eduation website on Atrial Fibrillation at www.afadvisor.org

UNIVERSITY TEACHING ROLES

1999-Present
Introduction to Clinical Medicine Course to 3rd Year OSU Medical Students

1998, 1999
Physical Diagnosis Course to First and Second Year OSU Medical Students

1999-2001
Weekly preceptor of a 3rd year Penn State Medical Student

HOSPITAL TEACHING ROLES

1997-2001
Weekly preceptor of the Primary Care Internal Medicine Residents in the Longitudinal Care Clinic

1997-2001
Preceptor of the Primary Care Ambulatory Block Rotations

1997-Present
Teaching ward attending three months a year in the hospital and three months a year on the General Medicine Consult service

2001-Present
Teaching Internal Medicine, Ob-Gyn residents Perioperative Medicine in the IMPACT Center

DETAILS OF TEACHING ACTIVITIES

1998
Medical Education Activities:
Department of General Internal Medicine Primary Care Task Force Development/Oversight of Teaching Program (16 hrs)

Resident Teaching

Longitudinal/Primary Care Clinic/Ambulatory Block Clinic-Supervise two to three medical residents in weekly half-day clinic (260 hrs)

Hospital Teaching Attending (8 weeks-40 hours direct teaching)

Ambulatory Block Resident Seminars/Morning Reports/Clinic Conference Preparation and Presentation (65 hrs)

Medical Student Teaching

Ohio State University (OSU)& Penn State Medical Students Ambulatory Medicine Preceptor (35 hrs)

Fourth Year Ambulatory Office Medicine Elective (100 hrs)

OSU Physical Diagnosis Course (10 hrs)

OSU Introduction to Clinical Medicine (ICM) Course (12 hrs)

Total Teaching Hours = 538

1999
Medical Education Activities
Department of General Internal Medicine Primary Care Task Force Development/Oversight of Teaching Program (18 hrs)

Resident Teaching

Longitudinal/Primary Care Clinic/Ambulatory Block Clinic-Supervise two to three medical residents in weekly half-day clinic (252 hrs)

Hospital Teaching Attending (4 weeks-20 hours direct teaching)

Ambulatory Block Resident Seminars/Morning Reports/Clinic Conference Preparation and Presentation (57 hrs)

Medical Student Teaching

Ohio State University (OSU)& Penn State Medical Students Ambulatory Medicine Preceptor (120 hrs)

Fourth Year Ambulatory Office Medicine Elective (80 hrs)

OSU Physical Diagnosis Course (10 hrs)

OSU Introduction to Clinical Medicine (ICM) Course (12 hrs)

Total Teaching Hours = 551

2000
Medical Education Activities

A. Graduate Medical Education (Resident Education)

Longitudinal/Primary Care Clinic/Ambulatory Block Clinic-Supervise- two to three medical residents in weekly half-day clinic (240 hrs)

Hospital Teaching Attending (8 weeks-40 hours direct teaching)

Ambulatory Block Resident Seminars/Morning Reports/Clinic Conference Preparation and Presentation (50 hrs)

B. Medical Student Education

Ohio State University (OSU)& Penn State Medical Students Ambulatory Medicine Preceptor (308 hrs)

OSU Physical Diagnosis Course (16 hrs)

OSU Introduction to Clinical Medicine (ICM) Course (12 hrs)

Lecture to Ohio State Medical Students: Evidence Based Approach To Hypertension, quarterly, 2000

C. Educational Administrative Activities

Director, Educational Activities Access Center (40 hours)

Member, Department of General Internal Medicine Primary Care Task Force Development/Oversight of Teaching Program (18 hrs)

Total Teaching Hours = 616 hours

2001
Medical Education Activities

A. Graduate Medical Education (Resident Education)

Longitudinal/Primary Care Clinic/Ambulatory Block Clinic-Supervise- two to three medical residents in weekly half-day clinic (120 hrs)

Hospital Teaching Attending (8 weeks-40 hours direct teaching)

Ambulatory Block Resident Seminars/Morning Reports/Clinic Conference Preparation and Presentation (25 hrs)

B. Medical Student Education

Ohio State University (OSU)& Penn State Medical Students Ambulatory Medicine Preceptor (120 hrs)

OSU Introduction to Clinical Medicine (ICM) Course (15 hrs)

Lecture to Ohio State Medical Students: Evidence Based Approach To Hypertension, quarterly, 2001(3 hrs)

C. Educational Administrative Activities

Director, Educational Activities Access Center (20 hours)

Member, Department of General Internal Medicine Primary Care Task Force Development/Oversight of Teaching Program (10 hrs)

Total Teaching Hours = 353 hours

2002 Medical Education Activities

A. Graduate Medical Education (Resident Education)

Hospital Teaching Attending (8 weeks- 80 hrs direct teaching)

Consult Teaching Attending (8 weeks - 80 hrs direct teaching)

B. Medical Student Education

OSU Introduction to Clinical Medicine (ICM) Course (15 hrs)

Total Teaching Hours = 175 hours

2003
Medical Education Activities

A. Graduate Medical Education (Resident Education)

Hospital Teaching Attending (12 weeks- 120 hrs direct teaching)

Consult Teaching Attending (8 weeks - 80 hrs direct teaching)

B. Medical Student Education

Cleveland Clinic Lerner College of Medicine of Case Western University, Internal Medicine Curriculum Working Group (3hrs per month)

Currently developing On-line educational Module on venous Thromboembolism (20 hours)

Total Teaching Hours = 256 hours

2004
Medical Education Activities

A. Graduate Medical Education (Resident Education)

Hospital Teaching Attending (12 weeks- 120 hrs direct teaching)

Consult Teaching Attending (8 weeks - 80 hrs direct teaching)

B. Medical Student Education

Cleveland Clinic Lerner College of Medicine of Case Western University, Internal Medicine
Curriculum Working Group (3hrs per month)

Currently developing On-line educational Module

Total Teaching Hours = 200 hours

RESEARCH PROJECTS - COMPLETED

Co-Investigator: Naprosyn vs. Local Steroid Injection for treatment of Trochanteric Bursitis. Study completed 2000

Site Principal Investigator: Successive Celecoxib Efficacy and Safety Studies: In Osteoarthritis (SUCCESS-1). Study Completed in 1999

Principal Investigator: Patients perceptions and satisfaction with a Computerized Medical Records System. A survey of General Internal Medicine patients. Study Completed in 2001

Principal Investigator: Attitudes Towards Outpatient Deep Venous Thrombosis Treatment: A Survey of General Internists and Family Physicians. Study Completed in 1999.

Site Principal Investigator: Observational Study to evaluate Clinical Practice patterns of Innohep (Tinzaparin) in the Treatment of Acute Symptomatic Deep Venous Thrombosis. Study completed 12/2001.

Site Principal Investigator: Randomized, prospective study to evaluate Tinzaparin versus Unfractionated Heparin in patients on Long term Warfarin and require parenteral anticoagulation after the discontinuation of warfarin therapy for an invasive or surgical procedure. Study completed 12/2001.

Site Principal Investigator: Prospective, Open label, cohort, multi-center study of the safety of outpatient use of Enoxaparin for Bridging Therapy in patients on long-term oral anticoagulants who require interruption of treatment. (IRB#4781; protocol XRP4563C/4003)

Co-Investigator: Effect of Hormone Replacement Therapy on Rates of Venous Thromboembolism Following Knee and Hip Arthroplasty.

Site Co-Investigator: Phase IV. A Double-Blind, Placebo-Controlled, Parallel, Multicenter Study on Extended VTE Prophylaxis with Enoxaparin in Acutely Ill Medical Patients with Prolonged Immobilization. (Aventis Pharmaceutical) (IRB#4915)

Site Co-Investigator: A Phase II/III randomized, Double-Masked, controlled, Dose-Ranging, Multi-Center Comparative Trial, in Parallel Groups, to Establish the Safety and Efficacy of Intravitreal Injections of EYE001 (Anti-VEGF Pegylated Aptamer) given every 6 Weeks for 54 Weeks in Patients with Exudative Age-Related Macular Degeneration (AMD). IRB #4626.

Site Co-Investigator: An Evaluation of Efficacy and Safety of Posterior Juxtascleral Injections of Anecortave Acetate 15 mg (0.5ml of 30mg/ml Anecortave Acetate sterile suspension) versus Visudyne in Patients with Subfoveal Exudative Age-Related Macular Degeneration (AMD) Eligible for Initial Treatment with Photodynamic Therapy (PDT) Using Visudyne. (IRB #4822).

RESEARCH PROJECTS - ONGOING

Principal Investigator: Perioperative & Periprocedural Management of Warfarin (PPMW) study. A prospective Multicenter observational study looking at perioperative patterns of anticoagulation management and incidence of events (thromboembolic and hemorrhagic). IRB# 5766

Site Principal Investigator: A-F-Clopidogrel for High Atherothrombotic Risk and Ischemic Stabilization, Management and Avoidance (CHARISMA). (IRB#5653; #EFC4505)

Principal Investigator: Perioperative Beta Blocade, Heart Rate Control and Cardiovascular Events Involving Nocardiac Surgeries (IRB# 7825)

Co-Principal Investigator: Risk of Hemorrhage in Patients on Combination Antithrombotic Therapy with Warfarin and Clopidogrel (IRB # 7731)

Co-Principal Investigator: Risk factors for acute venous thromboembolism in hospitalized patients (IRB 7910)

RESEARCH FUNDING

Unrestricted Grant for $200,000 by Astra Zeneca to support the Anticoagulation and Thromboembolism Consortium and the Perioperative Periprocedural Management of Warfarin (PPMW) Study

BIBLIOGRAPHY and PRESENTATIONS
(click to open)

Franklin A. Michota, Jr., M.D. - Bibliography and Presentations

2002-02-01T19:28:00.000-05:00

PART II: BIBLIOGRAPHY

Original Articles

1. Michota F: “Do Today’s Medical Residents Really Have it Better?” Clev Clin J Med 1997; 64 (9):457-60.
2. Michota F, Lewis T, Cash J: “Inpatient Medicine and the Evolution of the Hospitalist”; Clev Clin J Med 1998; 68 (11):192-200.
3. Michota F: “Update in Hospital Medicine,” Ann Int Med 2000; 132:384-390.
4. Michota F: “The Inpatient Specialist: What is the Difference?” Am J Manag Care 2000; 6 (5):622-624.
5. Michota F: “Evidence-Based Evaluation of the Hospitalist Model of Care,” J Clin Outcomes Manag 2000; 7(1):49-53.
6. Michota F: “Trends in Hospital Medicine: Hospitalist Advantages Revealed” Clev Clin J Med 2001; 68 (7):659-662.
7. Jneid H, Correia N, Michota F: “A 65 year old man with Progressive Shortness of Breath” Clev Clin J Med; 2001; 68 (10):888-894.
8. Michota F, Frost S: “Perioperative Management of the Hospitalized Patient,” Med Clin N Am 86 (2002): 1-18
9. Michota F: “VTE Prophylaxis in the Medically Ill Patient,” Clin Chest Med 24 (2003): 93-101.
10. Frost S, Michota F: “Hospital Medicine: Past, Present, and Future,” Primary Care Reports; August 2003; 9 (8): 75-83.
11. Michota F: “Bridging the Gap in Venous Thromboembolism Prophylaxis – Are Hospitalists Up to the Challenge?” The Hospitalist. 2003; 7(5):26-28.
12. Frost S, Brotman D, Michota F: “Rational Use of D-Dimer Measurement to Exclude Acute Venous Thromboembolic Disease.” Mayo Clin Proc 2003; 78:1385-1391.
13. Michota F, Frost S: “The Preoperative Evaluation: Use History and Physical Rather than Routine Testing” Clev Clin J Med 2004; 71 (1): 63-70.
14. Santalucia C, Michota F: “When and How to Terminate the Physician-Patient Relationship.” Clev Clin J Med; 2004; 71 (3): 179-183.
15. Michota F. “Venous Thromboembolism Prophylaxis in Medical Patients,” Current Opinion in Cardiology 2004; 19(6):570-4.
16. Michota F. “Venous Thromboembolism: Who is at Risk and Who is Being Treated,” Journal of Clinical Prevention 2004; 2(1):5-10.
17. Michota F, Saber W. “Prevention of Venous Thromboembolism in the Medical Patient: Fact versus Fiction,” Primary Care Reports; 2004; 11:1-17.
18. Young JB, Correia NG, Francis GS, Maisel A, Michota F. “Testing for B-type natriuretic peptide in the diagnosis and assessment of heart failure: what are the nuances?” Clev Clin J Med; 2004; 71 (Suppl 5): S1-S17.
19. Michota F. “Controversies and new directions in the management of venous thromboembolism in the perioperative setting,” The Hospitalist; 2004; 6 (Suppl 1): S32-S38.
20. Jaffer A, Brotman DJ, Michota F: “Management of venous thromboembolism: state-of-the art review of current and emerging options” Clev Clin J Med; 2005; 72 Suppl 1:S37-42.
21. Michota F, Merli G: “Special patient populations: do they require special considerations in dosing anticoagulants?” Clev Clin J Med; 2005; 72 Suppl 1:S14-23.
22. Kaw R, Michota F, Jaffer A, Ghamande S, Auckley D, Golish J. Unrecognized Sleep apnea in the Surgical patient: Implications for the Peri-operative setting. Chest; 2005; 129 (1): 198-205.
23. Jaffer AK, Brotman DJ, Sridharan S, Litaker D, Michota F, Frost S, Girgis J, Pioro M, Correia N, Widmann H, Kippes C, Stoller JK; “Postoperative pulmonary complications: experience with an outpatient pre-operative assessment program,” Journal of Clinical Outcomes Management 2005; 12(10): 505-510.
24. Michota F. “Venous thromboembolism: epidemiology, characteristics, and consequences,” Prevention of Thromboembolic Events, Clinical Cornerstone 2006; Vol 7, No. 4 :pp.1-5.
25. Jaffer A, Michota F. “Why perioperative medicine matters more than ever,” Clev Clin J Med 2006, 73 (suppl 1); 2006: pp. S1
26. Michota F. “The preoperative evaluation and use of laboratory testing,” Clev Clin J Med 2006; 73(suppl 1): pp.S4-S8.
27. Michota F. “Preventing venous thromboembolism in surgical patients,” Clev Clin J Med 2006; 73 (suppl 1): ppS88-S95.

Correspondence

1. Frost S, Michota F: “Risk Stratification for Noncardiac Surgery” [corresp]. Annals of Intern Med. 2004: Jan6; 140 (1):W1.

Books

1. Michota F, editor in chief: Diagnostic Procedures Handbook, 2nd Edition. Hudson, Ohio: Lexi-Comp Inc; 2001.
2. Stoller J, Michota F, Mandell B, editors in chief: 4th Edition. The Cleveland Clinic Intensive Review of Internal Medicine, Philadelphia: Lippencott, Williams & Wilkens; 2005.

Book Chapters

1. Michota F: “Board Simulation: Genetic Diseases in Internal Medicine”; in Stoller J, Ahmad M, Longworth D, editors. 2nd Edition, The Cleveland Clinic Intensive Review of Internal Medicine. Philadelphia: Lippencott, Williams & Wilkens; 2000: pp. 146-152.
2. Michota F: “Urology”: in Michota F, editor. Diagnostic Procedures Handbook, 2nd Edition. Hudson, Ohio: Lexi-Comp Inc; 2001:273-293.
3. Michota F: “Ultrasound”: in Michota F, editor. Diagnostic Procedures Handbook, 2nd Edition. Hudson, Ohio: Lexi-Comp Inc; 2001:475-511.
4. Michota F, Mazzone P: “Pulmonary Medicine and Critical Care”: in Michota F, editor. Diagnostic Procedures Handbook, 2nd Edition. Hudson, Ohio: Lexi-Comp Inc; 2001:187-273.
5. Michota F: “Board Simulation: Genetic Diseases in Internal Medicine; in Stoller J, Ahmad M, Lowngworth D, editors. 3rd Edition, The Cleveland Clinic Intensive Review of Internal Medicine. Philadelphia: Lippencott, Williams & Wilkens; 2002: pp. 132-139.
6. Baghdasarian S, Abou Jawde R, Michota F: “A 48 year old woman with Post-operative Shortness of Breath,” in Longworth D, Stoller J, Casey D, Jewell J, editors. 1st Edition, The Cleveland Clinic Internal Medicine Case Reviews. Philadelphia: Lippencott, Williams & Wilkens; 2003; pp 288-292.
7. Michota F: “Board Simulation: Genetic Diseases in Internal Medicine; in Stoller J, Michota F, Mandell B. 4th Edition, The Cleveland Clinic Intensive Review of Internal Medicine. Philadelphia: Lippencott, Williams & Wilkens; 2005; pp.137-144.

Abstracts

1. Jain A, Michota F: “The Impact of the Hospitalist Model on the Continuity of Care” Ohio Meeting of the American College of Physicians; Columbus, Ohio; October 21, 1998.
2. Wasni OA, Gurm H, Michota F: “Of Cats and Men: A Cat Scratch Causing Sepsis in a 76-Year-Old Man” National Meeting of the American College of Physicians; Philadelphia, PA; April 14, 2000.
3. Michota F, Jain A: “Hospitalists and Continuity: Mutually Exclusive?” 3rd Annual Meeting of the National Association of Inpatient Physicians; Philadelphia, PA, April 11-12, 2000.
4. Michota F: “Hospitalists Vs. Non-hospitalists: Does a Separate Consciousness Exist?” Midwestern Regional Meeting of the National Association of Inpatient Physicians; Rochester, MN, August 18-19, 2000.
5. Sridahran D, Stoller J, Litaker D, Michota F, et al: “Standardized Preoperative Evaluation: Improving Outcomes” Midwestern Regional Meeting of the National Association of Inpatient Physicians; Rochester, MN, August 18-19, 2000.
6. Murphey B, Schilz R, Michota F: “Code Blue: Who Lives and Who Dies? Predicting Mortality in Cardiopulmonary Resuscitation” Midwestern Regional Meeting of the National Association of Inpatient Physicians; Rochester, MN, August 18-19, 2000.
7. Michota F, Blixen C, Shermock K, Secic M: “The Innocence of Sleep? Medical Errors in the Hospitalized Elderly” 4th Annual Meeting of the National Association of Inpatient Physicians; Atlanta, GA, March 27-28, 2001.
8. Wazni O, Michota F: “Its Not ‘Just a Scratch:’ Pastuerella Sepsis in a 76 Year Old Man” 4th Annual Meeting of the National Association of Inpatient Physicians; Atlanta, GA, March 27-28, 2001.
9. Michota F, Blixen C, Shermock K, Secic M: “To Err is Human: The Elderly at Risk” National Meeting of the Society of General Internal Medicine; San Diego, CA, May 2-5, 2001.
10. Hneid J, Correia N, Michota F: “Strongyloidiasis and the Hyperinfection Syndrome” JGIM (Suppl) 16:1; 2001: 46.
11. Baghdasarian S, Abou Jawde R, Michota F: “A 48 year old woman with Post-operative Shortness of Breath,” 3rd Midwest Regional Meeting of the National Association of Inpatient Physicians, Cleveland, OH, September 13-14, 2002.
12. Michota F, Goldhaber G, Tapson V: “VTE Under the Microscope: Results from the DVT-FREE Registry,” 6th Annual Meeting of the Society of Hospital Medicine, San Diego, California, April 1-2, 2003
13. Thacker HL, Deal C, Muschler G, Licata A, Michota F, Sikon, A: “The Cleveland Clinic Foundation (CCF) Hip Fracture Interdisciplinary Initiative,” 14th Annual Meeting of the North American Menopause Society, September 19, 2003. Menopause 2003; 10(6):582
14. Michota F, Goldhaber SZ, Tapson V. “Analysis of the Treatment of Deep Vein Thrombosis in 2726 Hospitalized Patients enrolled in the DVT FREE Registry,” Annual Meeting of the American Society of Hematology, San Diego, California, December 6, 2003. Blood. 2004 (11):320A.
15. Cai O, Whinney C, Michota F, Phillips C: “Long term benefit of heart failure disease management programs,” Society of Hospital Medicine Annual Meeting, Washington DC, May 4-5, 2006. The Journal of Hospital Medicine 2006; 1(Suppl 2): 4.
16. Grant P, Kedia N, Phillips C, Whinney C, Jaffer A, Michota F. “Perioperative statin therapy in major noncardiac surgery. ,” Society of Hospital Medicine Annual Meeting, Washington DC, May 4-5, 2006. The Journal of Hospital Medicine 2006; 1(Suppl 2): 9.

Published or Live Interviews/Consensus Opinions

1. Michota F, in “Attending physician of record poses practical, legal challenges,” Hospitalist & Inpatient Management Report; November 2000:164-166.
2. Michota F, in “Advice for treating hip fractures promotes early surgery and rehabilitation: anticoagulants, protein supplements,” Hospitalist & Inpatient Managment Report; December 2000:152-156.
3. Wachter B, Michota F, in “Family doctors losing care of hospital patients,” The Plain Dealer: Cleveland, Tuesday, June 5, 2001.
4. Michota F, in “New Directions in the Treatment and Prevention of Deep Vein Thrombosis,” Am J Manag Care 2001; 7:17,Supp.
5. Michota F, in “DVT FREE/SAVE Consensus Panel and Scientific Roundtable,” American Health Consultants, Miami, Florida, March 30, 2002.
6. Quayle D, Michota F. DVT/PE Free Satellite Media Tour. Spotlight Health Communications. Phoenix, Arizona; August 21, 2002.
7. Michota F, in “A Look at the Current Management of Acutely Decompensated heart Failure: Is A Different Approach Needed,” CME-Today for Hospitalists, Volume 1, Number 1, November 2002: 7-15.
8. Michota F, in “National Experts’ Consensus Panels for Clinical Excellence in Thrombosis Management,” Phoenix, Arizona; February 22, 2003.
9. Michota F, in “DVT Leadership Conference,” hosted by the Centers for Disease Control and the American Public Health Association, Washington DC, February 26, 2003.
10. Michota F, in “Prophylaxis of venous thrombembolism (VTE) in the hospitalized medical patient” Internal Medicine Consensus Reports; May 1, 2003.
11. Michota F, in “Current Considerations for Cephalosporin use in Complicated Urinary Tract Infections,” Hospital Medicine Consensus Reports; September 1, 2003.
12. Michota F, in “Long Flights and Thrombosis,” New York Times, February 29, 2003.
13. Michota F, in “Timelier Treatment for Community Acquired Pneumonia,” Today’s Hospitalist, March 2004.
14. Kazaan L, Michota F. DVT/PE Free Satellite Media Tour. Burson-Marstellar Public Relations. New York, New York; March 11, 2004.
15. Michota F, in “Economy Class Syndrome,” Live AP Radio Interview with Tom Donohue, May 29, 2004.
16. Bloom M, Michota F. Larry King “Live”. Medical segment supporting National Spokesperson, Melanie Bloom, widow of NBC correspondent David Bloom, on DVT Awareness Month 2005. Coalition to Prevent DVT. March 9, 2005.
17. Bloom M, Woodruff B, Woodruff L, White C, Michota F, Twitty J in “Tribute to David Bloom,” Jane Pauley Show. Coalition to Prevent DVT. March 15, 2005.

Education Media Materials

1. Michota F, Deitcher S, Fry E. Current Concepts in Thrombosis: CME Lecture Series. Postgraduate Institute of Medicine. 2000.
2. Michota F, Young JB, Abraham WT, Fonarow GC. New Perspectives on Acutely Decompensated Heart Failure. CME Today; Medical Education Broadcast Network. Londonderry, NH. 2002
3. Armainsson L, Michota F: “Congestive heart failure due to acute myocardial infarction.” CaseStudyRx.com; Vol 1, Number 6. July 2003.
4. Michota F: “Management of Effective Outcomes in Acutely Decompensated, Hospitalized Heart Failure Patients,” CaseStudyRx.com; Vol 1, Number 6. December 2003.
5. Michota F, Vijayaraghavan K, Peters S. Acute Decompensated Heart Failure: Defining Management Standards and Best Practice. CME Today; Medical Educuation Broadcast Network. Londonderry, NH. 2004.
6. Michota F. Preventing Venous Thromboembolism: A Practical Guide to Identifying Patients at Risk. CME Today; Medical Education Broadcast Network. Londonderry, NH 2004.
7. Yancy, CW, Michota F, Emerman CL: Treatment Strategies for Acute Deocmpensated Heart Failure: Clinical realities and Future Directions; i3DLN Education Network, March 23, 2006, Live broadcast

PART III: CME ACCREDITED ACTIVITIES

CME Course Appointments

1. Director, Abstract Competition and Scientific Poster Session, 3rd Annual Meeting, National Association of Inpatient Physicians, Philadelphia, Pennsylvania, April 11, 2000.
2. Director, Abstract Competition and Scientific Poster Session, 1st Midwest Regional Meeting, National Association of Inpatient Physicians, Rochester, Minnesota, August 18, 2000.
3. Director, 3rd Annual Midwest Regional Meeting, “Topics in Hospital Medicine,” National Association of Inpatient Physicians, Cleveland, Ohio, September 13-14, 2002.
4. Co-Director, 15th Annual Intensive Review of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, June 1-6, 2004.
5. Co-Director, 16th Annual Intensive Review of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, June 6-11, 2005.
6. Co-Director, Perioperative Medicine Summit, Cleveland Clinic Foundation, Cleveland, Ohio, September 22-23, 2005.

Invited Presentations

Local

1. “The Role of the Resident Supervisor”; Division of Education; GME Senior Retreat;
The Cleveland Clinic Foundation; May 16, 1997.
2. “When I was an Intern -- Then and Now”; Division of Medicine Grand Rounds
The Cleveland Clinic Foundation; May 29, 1997.
3. “Preoperative Laboratory Assessment”; Department of Urology Grand Rounds
The Cleveland Clinic Foundation; July 10, 1998.
4. “The Outpatient Direct Admission: Criteria for Hospitalization”; Department of General Internal Medicine Grand Rounds; The Cleveland Clinic Foundation; September 19,1998.
5. “Genetic Diseases for the Internist”; 11th Annual Cleveland Clinic Foundation Intensive Review of Internal Medicine; June 6, 1999.
6. “Molecular Genetics for the Internist”, Department of General Internal Medicine Grand Rounds; The Cleveland Clinic Foundation; August 28, 1999.
7. “Current Issues in Venous Thromboembolic Disease,” Primary Care Symposium, Lake Hospital System; Cleveland, Ohio, January 26, 2000.
8. “What? My Case has been Canceled: Optimizing Outcomes in Preoperative Evaluation” Panel Discussion, Division of Surgery Grand Rounds; The Cleveland Clinic Foundation; April 10, 2000.
9. “Treatment of DVT in Long Term Care,” Bay Pharmacy Health Fair 2000; Westlake, Ohio, April 13, 2000.
10. “New Issues in the Treatment of Thrombosis, ” Department of Medicine Grand Rounds, MetroHealth Medical Center; Cleveland, Ohio, May 11, 2000.
11. “Board Simulation: Genetic Diseases in Internal Medicine,” 12th Annual Cleveland Clinic Foundation Intensive Review of Internal Medicine; June 24, 2000.
12. “Update in Hospital Medicine,” Department of General Internal Medicine Grand Rounds; The Cleveland Clinic Foundation, September 13, 2000.
13. “The Inpatient Specialist: Is There A Difference?” Division of Medicine Grand Rounds; The Cleveland Clinic Foundation, September 14, 2000.
14. “Prevention, Diagnosis, and Treatment of Venous Thromboembolic Disease,” Medicine Rounds, Huron Hospital, Cleveland, Ohio, October 10, 2000.
15. “Assessment and Risk Management of Acutely Ill Medical Paitents for DVT,” Medical Grand Rounds, Southwest General Health Center, Cleveland, Ohio, April 6, 2001.
16. “Prevention and Treatment of Venous Thromboembolic Disease,” Medicine Rounds, Deaconess Hospital, Cleveland, Ohio, April 11, 2001.
17. “Prevention and Treatment of VTE,” Medicine Rounds, Lorain Community Hospital, Cleveland, Ohio, April 18, 2001.
18. “Prevention and Treatment of VTE,” Medicine Grand Rounds, Fairview Hospital, Cleveland, Ohio, August 13, 2001.
19. “Prevention of Thrombosis in the ICU,” Critical Care Nursing Symposium, Sponsored by Fairview Hospital, Westlake, Ohio, September 26, 2001.
20. “Prevention and Treatment of VTE,” Medicine Grand Rounds, Lakewood Hospital, Lakewood, Ohio, October 3, 2001.
21. “Prevention and Treatment of VTE,” Medicine Grand Rounds, Meridia Southpointe Hospital, Cleveland, Ohio, October 30, 2001.
22. “Heparin-induced Thrombocytopenia,” Cancer Care Speaker’s Series, Metrohealth Medical Center, November 8, 2001.
23. “Prevention of VTE in the Intensive Care Unit,” Medicine Grand Rounds, Lakewood Hospital, Lakewood, Ohio, December 4, 2001.
24. “Board Simulation: Genetic Diseases in Internal Medicine,” 13th Annual Cleveland Clinic Foundation Intensive Review of Internal Medicine; June 11, 2001.
25. “Heparin-Induced Thrombocytopenia,” Lake Erie Chapter, National Association of Inpatient Physicians Regional Meeting, Cleveland, Ohio, January 8, 2002
26. “Prevention and Treatment of DVT and PE.” Primary Care Symposium, Lake Hospital System, Radisson Hotel, Eastlake, Ohio, January 30, 2002.
27. “Prevention of Venous Thrombosis in the Trauma Patient,” Critical Care Grand Rounds, Metrohealth Medical Center, Cleveland, Ohio, April 4, 2002.
28. “Prevention of Venous Thromboembolism,” Update in Internal Medicine, sponsored by Deaconess Hospital, Independence, Ohio, May 29, 2002.
29. “Board Simulation: Genetic Diseases in Internal Medicine,” 14th Annual Cleveland Clinic Foundation Intensive Review of Internal Medicine; June 9, 2002.
30. “Topics in Medical Genetics,” Division of Medicine Grand Rounds, The Cleveland Clinic Foundation, August 1, 2002.
31. “Prevention and Treatment of Venous Thrombosis,” Medicine Grand Rounds, Meridia Southpoint Hospital, Cleveland, Ohio, August 13, 2002.
32. “The Clinical Challenge of DVT and PE Treatment in Special Populations,” Department of Surgery Grand Rounds, Fairview Hospital, Cleveland, Ohio, February 5, 2003.
33. “Preoperative Evaluation,” Academy of Medical-Surgical Nurses Northeast Ohio Chapter Meeting, Hillcrest Hospital, Cleveland, Ohio, February 5, 2003.
34. “Prevention of Pulmonary Embolism and DVT as Post-Op Complications,” Academy of Medical-Surgical Nurses Northeast Ohio Chapter Meeting, Hillcrest Hospital, Cleveland, Ohio, February 5, 2003.
35. “Board Simulation: Genetic Diseases in Internal Medicine,” 15th Annual Cleveland Clinic Foundation Intensive Review of Internal Medicine; June 1, 2003.
36. “Evolution of Hospital Medicine,” Department of General Internal Medicine Grand Rounds, Cleveland, Ohio, July 9, 2003.
37. “Evolution of Hospital Medicine,” Department of Medicine Grand Rounds, Huron Road Hospital, Cleveland, Ohio, August 25, 2003.
38. “Prevention of DVT in the Hospitalized Patient,” Medical Grand Rounds, St. Vincent Charity Hospital, Cleveland, Ohio, November 18, 2003.
39. “Prevention of DVT in the Medically Ill Patient,” Medical Grand Rounds, Fairview Hospital, Cleveland, Ohio, February 17, 2004
40. “Prevention of VTE in the Orthopedic Patient,” 4th Annual Orthopeaedics Excellence Through Education Conference, Cleveland Clinic Foundation, April 2, 2004.
41. “Board Simulation: Genetic Diseases in Internal Medicine,” 16th Annual Cleveland Clinic Foundation Intensive Review of Internal Medicine; June 6, 2004.
42. “Strategies for Taking the Board Examination,” 16th Annual Cleveland Clinic Foundation Intensive Review of Internal Medicine; June 6, 2004.
43. “Diagnosis and Treatment of PE,” Department of General Internal Medicine Grand Rounds, Cleveland Clinic Foundation, Cleveland, OH, September 8, 2004
44. “Prevention of VTE in the Medical Patient,” Medical Grand Rounds, University Hospitals of Case Western Reserve, Cleveland, OH, September, 13, 2004
45. “New Issues in the Management of Acute Decompensated Heart Failure, “Medical Grand Rounds, Meridia Southpointe Hospital, Cleveland, OH, January 4, 2005.
46. “New Issues in the Management of Acute Decompensated Heart Failure, “Cardiology Grand Rounds,” Southwest General Hospital, Middleburg Heights, OH, January 7, 2005.

Regional/State

1. “Hospitalist Practice Model: The Cleveland Clinic Foundation”, Ohio Regional Meeting of the National Association of Inpatient Physicians; Columbus, Ohio, October 27, 1999.
2. “The Hospitalist Movement”, Panel Discussion, Ohio Regional Meeting of the National Association of Inpatient Physicians; Columbus, Ohio, October 27, 1999.
3. “Low-Molecular Weight Heparins,” Education Program, Tiffin Regional Medical Group; Tiffin, Ohio, January 18, 2000.
4. “Clinical Indications for Low-Molecular Weight Heparins,” Medicine Grand Rounds, McGruder Hospital; Port Clinton, Ohio, April 18, 2000.
5. “Outpatient Treatment of Deep Venous Thrombosis,” Department of Medicine Grand Rounds, Mercy Hospital; Willard, Ohio, May 22, 2000.
6. “The Cleveland Clinic Outpatient DVT Protocol,” Medicine Rounds, Allen Memorial Hospital; Oberlin, Ohio, May 25, 2000.
7. “Low-Molecular Weight Heparins,” Education Program, Wynstock Hospital; Upper Sandusky, Ohio, June 27, 2000.
8. “Searching for the Perfect Anticoagulant,” Medicine Rounds, Freemont Hospital, Freemont, Ohio, June 29, 2000.
9. “Maximizing Value: Low-Molecular Weight Heparins,” Education Program, Lima Regional Medical Group, Lima, Ohio, July 13, 2000.
10. “Prevention, Diagnosis, and Treatment of Venous Thromboembolic Disease,” Medicine Rounds, St. Mary’s Hospital, Canton, Ohio, July 19, 2000.
11. “Preventing Thrombosis: Lessons from the MEDENOX Study,” Department of Medicine Grand Rounds, Firelands Hospital, Sandusky, Ohio, Septemeber 28, 2000.
12 “Thrombosis Risk in the Trauma Patient” Grand Rounds, St. Mary’s Hospital, Canton, Ohio, January 3, 2001.
13. “Issues in Thrombosis: Clinical Indications for Low-molecular Weight Heparins,” Department of Medicine Grand Rounds, Bethesda Hospital, Zanesville, Ohio, January 9, 2001.
14. “Low-molecular Weight Heparins: Is There a Class Effect?” Scioto Medical Society Education Program, Portsmouth, Ohio, January 9, 2001.
15. “Prevention of Thrombosis in the Medically Ill,” Medicine Rounds, Marion Hospital, Marion, Ohio, February 8, 2001
16. “Prevention and Treatment of Venous Thromboembolic Disease,” 8th District Academy of Osteopathic Medicine & Surgery Annual Seminar, Cuyahoga Falls, Oh, February 18, 2001
17. “Prevention and Treatment of Venous Thromboembolic Disease in the Medically Ill Population,” Medicine Grand Rounds, Mansfield Hospital, March 21, 2001.
18. “New Issues in Thrombosis: The Medically Ill at High Risk,” Medicine Grand Rounds, Freemont Hospital, Freemont Hospital, May 24, 2001.
19. “Current Management of VTE,” Grand Rounds, St. Mary’s Hospital, Canton, Ohio, May 31, 2001.
20. “VTE in Prevention in the Medically Ill Population,” Keynote Speaker, NW Ohio Medical Symposium, St. Charles Hospital, Oregon, Ohio, June 1, 2001.
21. “Prevention of DVT in Critical Care Patients” Medical Grand Rounds, Holzer Medical Center, Gallipolis, OH, June 22, 2001.
22. “Prevention, Diagnosis, and Treatment of DVT and PE,” CORE Osteopathic Lecture Series, Doctor’s Hospital, Columbus, Ohio, August 8, 2001.
23. “Treatment of Outpatient Venous Thrombosis,” Anticoagulation and Thrombosis Symposium, Sponsored by Mansfield Medical Center, Mansfield, Ohio, October 24, 2001.
24. “Venous Thromboembolism in the Trauma Patient,” Surgical Grand Rounds, Grant Medical Center, Columbus, Ohio, November 27, 2001.
25. “Prevention of Venous Thrombosis,” NVP Program, Cincinnati, Ohio, December 19, 2001.
26. “Prophylaxis and Treatment of DVT,” Forum Health System, Northside Medical Center, Youngstown, OH, March 14, 2002
27. “Update: ACCP Consensus Conference on Anti-thrombotic Therapy and the Pharmacoeconomics of Low Molecular Weight Heparin,” 13th Annual Update in Internal Medicine, Northeastern Ohio College of Medicine Review Course, Cuyahoga Falls, Ohio, May 6, 2002.
28. “Prevention of Venous Thrombosis,” Medical Grand Rounds, St. Elizabeth Medical Center, Youngstown, OH, September 10, 2002.
29. “MKSAP Review-Hospital Medicine,” ACP-ASIM Ohio Chapter Scientific Meeting, Columbus, Ohio, October 12, 2002.
30. “Prevention and Treatment of Venous Thrombosis,” Medical Grand Rounds, Massillon Community Hospital, Massillon, OH, April 30, 2003.
31. “DVT Propylaxis and Treatment Standards,” Kettering Medical Center CME Conference, Kettering Medical Center, Kettering, Ohio, October 7, 2003.
32. “Prevention and Treatment of Venous Thromboembolism,” Medical Grand Rounds, Marion General Hospital, Marion, Ohio, November 13, 2003.
33. “Prevention of DVT/PE in the Hospitalized Patient,” Medical Grand Rounds, Blanchard Valley Regional Hospital, Findlay, Ohio, February 6, 2004.
34. “Prevention of VTE in the Medically Ill Patient,” Medical Grand Rounds, Licking Memorial Hospital, Newark, OH, March 15, 2004.
35. “Prevention of Venous Thromboembolism,” Medical Grand Rounds, St. Mary’s Hospital, Canton, OH, March 24, 2004.
36. “Prevention of VTE in the Medically Ill Patient,” Medical Grand Rounds, Freemont Hospital, Freemont, OH, March 25, 2004.
37. “Prevention of VTE in the Medically Ill Patient,” Medical Grand Rounds, Kettering Medical Center, Kettering, OH, April 6, 2004.
38. “Prevention of VTE in the Hospitalized Patient,” Medical Grand Rounds, Marymount Hospital, Cleveland, OH, May 19, 2004.
39. “Prevention of VTE in Special Patient Populations,” Medical Grand Rounds, Youngstown Memorial Hospital, July 20. 2004.
40. “Prevention of VTE in the Medically Ill Patient,” Medical Grand Rounds, Canton Hospital, Canton, OH, September 24, 2004.
41. “Prevention and Treatment of VTE,” Medical Grand Rounds, Ravenna Memorial Hospital, Ravenna, OH, October 13, 2004.
42. “Update in Venous Thromboembolism,” Medical Grand Rounds, Riverside Methodist Hospital, Columbus, OH, August 16, 2005.
43. “Prevention of Venous Thromboembolism in the Medical Patient,” MedCentral Health System, Mansfield, OH, March 28, 2006.

National/International

1. “Creating a Team for Rapid Improvement”; Institute for Healthcare Improvement; National Congress; Chicago, IL, November 18, 1998
2. “Hospitalists in Teaching Hospitals”; Panel Discussion; National Meeting of the National Association of Inpatient Physicians; New Orleans, LA, April 21, 1999.
3. “Update in Hospital Medicine”; National Meeting of the American College of Physicians; New Orleans, LA, April 23, 1999.
4. “Challenges for Academic Hospitalists”, Panel Discussion, 3rd Annual Meeting of the National Association of Inpatient Physicians; Philadelphia, PA, April 11, 2000.
5. “Topics in Hospital Geriatrics”, 3rd Annual Meeting of the National Association of Inpatient Physicians; Philadelphia, PA, April 11, 2000.
6. “The Inpatient Specialist: What is the Difference?” Department of Medicine Grand Rounds, Lehigh Valley Medical Center; Allentown, Pennsylvania, May 16, 2000.
7. “Update in Hospital Medicine,” 1st Midwest Regional Meeting of the National Association of Inpatient Physicians, Mayo Clinic, Rochester, MN, August 18, 2000.
8. “Health Screening and Immunizations,” Intensive Review of Internal Medicine Symposium, Mexico City, Mexico, November 17, 2000.
9.. “Topics in Preoperative Evaluation,” Intensive Review of Internal Medicine Symposium, Mexico City, Mexico, November 18, 2000.
10. “New Issues in Thrombosis: Clinical Indications for Low-Molecular-Weight Heparins” Department of Medicine Grand Rounds, Camden-Clark Hospital, Parkersburg, West Virginia, January 16, 2001.
11. “New Issues in Thrombosis: Assessing the Risk in the Medically Ill Patient” Department of Medicine Grand Rounds, St. Clare’s Hospital, Schenectady, New York, January 23, 2001.
12. “Clinical Indications for Low-Molecular Weight Heparins,” Parkersburg Medical Society Education Program, Vienna, West Virginia, February 14, 2001.
13. “Controversies in Thrombosis,” Medicine Rounds, St. Joseph’s Hospital, Parkersburg, West Virginia, February 15, 2001.
14. “Prevention and Treatment of Venous Thrombosis,” Medical Grand Rounds, Albany General Hospital, Albany, New York, February 23, 2001.
15. “New Issues in Thrombosis: Prevention and Treatment of Venous Thrombosis in the Rehabilitation Setting,” Medical Grand Rounds, Healthsouth Harmarville Rehabilitation Hospital, Pittsburgh, Pennsylvania, March 15, 2001.
18. “Prevention and Treatment of Venous Thromboembolic Disease in the Medically Ill Population,” Medicine Grand Rounds, Mercy Hospital of Buffalo, Buffalo, New York, March 22, 2001.
19. “Prevention and Treatment of VTE,” Medicine Grand Rounds, Highland Hospital, Rochester, New York, April 17, 2001.
20. “Prophylaxis Strategies in Venous Thrombosis,” Medicine Grand Rounds, Mercy Medical Center, Mason City, Iowa, May 9, 2001.
21. “Prevention and Treatment of VTE,” Medicine Grand Rounds, Hackley Hospital, Muskegon, Michigan, May 21, 2001.
22. “Advances in the Prevention and Treatment of Deep Venous Thrombosis and Pulmonary Embolism” Medicine Grand Rounds, Glenn Falls Hospital, Glenn Falls, NY, June 26, 2001.
23. “Current Concepts in Thrombosis: National Visiting Professor Program,” Co-chair, sponsored by the Postgraduate Institute for Medicine, Amelia Island, Florida, July 27-29, 2001.
22. “New Directions in the Treatment and Prevention of Venous Thrombosis,” Roundtable Discussion, American Journal of Managed Care, Chicago, IL, August 24-25, 2001.
23. “Prevention and Treatment of Venous Thromboembolism,” Medical Grand Rounds, Meadville Medical Center, Meadville, PA, September 12, 2001.
24. “Prevention and Treatment of VTE,” Medicine Grand Rounds, Baptist Medical Center, Lexington, Kentucky, September 20, 2001.
25. “Prevention and Treatment of Venous Thromboembolism,” Medicine Grand Rounds, Midland Michigan Medical Center, Midland, Michigan, October 9, 2001
26. “Prevention and Treatment of VTE,” Medicine Grand Rounds, Greenville Hospital, Affiliate of the University of Pittsburgh Medical Center (UPMC), October 12, 2001.
27. “Prevention of DVT and PE,” New York Coalition of Nurse Practitioners and Physician Assistants, Sagamore, New York, October 28, 2001.
28. “Issues and Controversies in Perioperative Medicine,” NAIP Northeast Regional Meeting, Cambridge, Massachussetts, November 3, 2001.
29. “Prevention and Treatment of Venous Thromboembolism,” Medicine Grand Rounds, Westchester Medical Center, Westchester, Massachussetts, November 14, 2001.
30. “Prevention of Venous Thromboembolism,” Medicine Grand Rounds, Danbury Hospital, Danbury, CT, December 12, 2001.
31. “Prevention and Treatment of Venous Thromboembolism,” Medicine Grand Rounds, Hamot Medical Center, Erie, PA, January 17, 2002.
32. “Prevention and Treatment of Venous Thromboembolism,” Medicine Grand Rounds, Grand Haven Hospital, Grand Haven, Michigan, February 5, 2002.
33. “Prevention of Venous Thromboembolism in the Medical Patient,” Medicine Grand Rounds, McKeesport Hospital UPMC, Pittsburgh, Pennsylvania, February 12, 2002.
34. “Prevention and Treatment of Venous Thromboembolism,” Medicine Grand Rounds, Long Island Jewish Medical Center, Long Island, New York, February 20, 2002.
35. “New Horizons in the Treatment of Deep Venous Thrombosis,” Medical Odyssey 2001-2002, Primary Care Update of the Phillipino-American Medical Society of Western Pennsylvania, Affiliate of UPMC, February 21, 2002
36. “Prevention and Treatment of Venous Thromboembolism,” Medical Grand Rounds, Lehigh Valley Medical Center, Allentown, Pennsylvania, February 26, 2002.
37. “Thrombosis Update - Overview of Low-Molecular Weight Heparins,” John H. Moyer Visiting Professor Lecture Series, Cambria-Somerset Council for Education of Health Professionals, Inc., Windber Medical Center, Windber, Pennsylvania, February 27, 2002.
38. “Thrombosis Update - Prevention of VTE in the Medically Ill,” John H. Moyer Visiting Professor Lecture Series, Cambria-Somerset Council for Education of Health Professionals, Inc., Memorial Medical Center, Johnstown, Pennsylvania, February 27, 2002.
39. “Thrombosis Update – Outpatient Treatment of DVT,” John H. Moyer Visiting Professor Lecture Series, Cambria-Somerset Council for Education of Health Professionals, Inc., Bon Secours Holy Family Hospital, Altoona, Pennsylvania, February 27, 2002.
40. “Thrombosis Update – Prevention and Treatment of VTE,” John H. Moyer Visiting Professor Lecture Series, Cambria-Somerset Council for Education of Health Professionals, Inc., UPMC Bedford Memorial Hospital, Bedford, Pennsylvania, February 28, 2002.
41. “Thrombosis Update – Prevention and Treatment of VTE,” John H. Moyer Visiting Professor Lecture Series, Cambria-Somerset Council for Education of Health Professionals, Inc., UPMC Lee Regional Hospital, Johnstown, Pennsylvania, February 28, 2002.
42. “Prevention and Treatment of Venous Thrombosis,” Oak Forest Hospital System of Cook County, Chicago, Illinois, March 25, 2002
43. “Prevention and Treatment of Venous Thrombosis,” Decatur Memorial Hospital, Decatur, Illinois, March 26, 2002.
44. “Inpatient Practices with LMWH: Update on Prevention and Treatment of VTE,” Pri-Med West 2002, Long Beach Convention Center, Long Beach, California, April 3, 2002.
45. “Update in Hospital Medicine,” 5th Annual Meeting of the National Association of Inpatient Physicians, Philadelphia, Pennsylvania, April 9, 2002.
46. “DVT Prevention in the Hospitalized Patient,” Thrombosis Crisis in Healthcare Symposium, sponsored by Thomson-American Healthcare Consultants, Walforf-Fostoria Hotel, New York, New York, April 6, 2002.
47. “Prevention of Venous Thrombosis,” Medical Grand Rounds, Ellis Hospital, Schenectady, New York, April 12, 2002.
48. “Prevention of DVT in the Cardiac Patient,” Medical Grand Rounds, Ball Memorial Medical Center, Muncie, Indiana, April 24, 2002.
49. “Prevention and Treatment of Venous Thromboembolism,” Medical Grand Rounds, St Agnes Hospital, Baltimore, Maryland, April 25, 2002.
50. “A Real World Approach to Thrombosis Prevention and ACS Management of Hospitalized Medical Patients,” Thrombosis Crisis in Healthcare Symposium, sponsored by Thomson-American Healthcare Consultants, Ritz-Carlton Hotel, Chicago, IL, April 29, 2002.
51. “How to Create a Hospital Medicine Program,” Medicine Grand Rounds, Missouri-Baptist Hospital, Columbia, Missouri, May 7, 2002.
52. “On Either Side of the Clot – Prevent It or Treat It,” Education Symposium – Can We Abandon Unfractionated Heparin? Sponsored by Adovocate Christ Healthcare System, Oakwood, Illinois, May 8, 2002.
53. “The Hospitalized Patient: Protection and Treatment of DVT,” Medicine Grand Rounds, Columbia-St. Mary’s Hospital, Milwaukee, Wisconsin, May 9, 2002.
54. “Prevention and Treatment of VTE,” Medicine Grand Rounds, Henry Ford Hospital, Dearborn, Michigan, May 22, 2002.
55. “Low-molecular Weight Heparin in the Cardiac Patient,” Department of Cardiology Grand Rounds, University of Massachussetts, May 23, 2002.
56. “Issues in Anticoagulation: Mechanical Heart Valves,” Medicine Grand Rounds, Hamot Medical Center, Erie, PA, July 17, 2002.
57. “Periprocedural Anticoagulation,” Department of Cardiology Grand Rounds, Lakeland Regional Medical Center, Lakeland, Florida, August 9, 2002.
58. “Prevention and Treatment of VTE,” Medicine Grand Rounds, James Haley VA Hospital, Tampa Bay, Florida, August 9, 2002.
59. “Prevention of Venous Thrombosis,” Department of Medicine Grand Rounds, Albany Medical Center, Albany, New York, August 23, 2002.
60. “Prevention and Treatment of Venous Thromboembolism,” Department of Medicine Grand Rounds, Sparrow Hospital at Michigan State University, Lansing, Michigan, August 28, 2002.
61. “Prevention and Treatment of Venous Thromboembolism,” Medical Grand Rounds, Memorial Healthcare System, Hollywood, Florida, September 4, 2002.
62. “Prevention and Treatment of Venous Thromboembolism,” Medical Grand Rounds, Cleveland Clinic Florida Foundation, Weston, Florida, September 4, 2002.
63. “Prevention and Treatment of Venous Thromboembolism,” Medical Grand Rounds, Broward Memorial Hospital, Fort Lauderdale, Florida, September 5, 2002.
64. “Prevention of VTE: Special Populations of Obesity and Renal Insufficiency,” Educational Program, Renssaelaer County Academy of Medicine, Troy, New York, September 17, 2002.
65. “Prevention of Venous Thromboembolism,” Medicine Grand Rounds, Blodgett Hospital, Spectrum Healthcare, Grand Rapids, Michigan, October 10, 2002.
66. “Prevention of Venous Thromboembolism in the Surgical Patient.” Surgical Grand Rounds, Mercy Medical Center, Baltimore, Maryland, January 9, 2003
67. “Prevention and Treatment of Venous Thromboembolism,” Medicine Grand Rounds, St. Vincent Health Center, Erie, Pennsylvania, January 10, 2003.
68. “Prevention and Treatment of Venous Thromboembolism,” Medicine Grand Rounds, UPMC Horizon Hospital, Greenville, Pennsylvania, January 10, 2003.
69. “Prevention and Treatment of Venous Thromboembolism,” Department of Medicine Grand Rounds, University of Louisville, Louisville, Kentucky, January 23, 2003.
70. “Prevention and Treatment of Venous Thromboembolism,” Louisville Society of Internal Medicine, Louisville, Kentucky, January 23, 2003.
71. “Use of LMWH in Special Patient Populations,” Department of Medicine Grand Rounds, University of Las Vegas Medical Center, Las Vegas, Nevada, January 30, 2003.
72. “Prevention of Venous Thromboembolism,” South Dakota Medical Information Exchange, University of South Dakota School of Medicine, February 5, 2003.
73. “Prevention and Treatment of Venous Thromboembolism,” Department of Surgery Grand Rounds, Torrence Memorial Hospital, Los Angeles, California, February 10, 2003.
74. “Prevention and Treatment of Venous Thromboembolism,” Department of Pharmacy Grand Rounds, Wake Forest Medical Center, Charlotte, North Carolina, February 13, 2003.
75. “Prevention and Treatment of Venous Thromboembolism,” Department of Medicine Grand Rounds, Orlando Regional Medical Center, Orlando, Florida, February 20, 2003.
76. “Bridging Anticoagulation with LMWH,” Medicine Grand Rounds, Winter Haven Memorial Hospital, Lakeland, Florida, February 20, 2003.
77. “Prevention of Venous Thromboembolism in the Medically Ill Patient,” Department of Medicine Grand Rounds, Jackson Memorial Hospital, University of Miami, Miami, Florida, February 28, 2003.
78. “Prevention of Venous Thromboembolism,” Department of Medicine Grand Rounds, Baylor Medical Center at Irving, Dallas, Texas, March 18, 2003.
79. “Prevention of Venous Thromboembolism in the Orthopedic Patient,” Orthopedic Grand Rounds, Western Pennsylvania Hospital, Pittsburgh, PA, March 25, 2003.
80. “Acute Coronary Syndromes and Cardiogenic Shock,” Critical Care Pre-Course, 6th Annual Meeting of the Society of Hospital Medicine, San Diego, CA, March 31, 2003.
81. “Controversies in Venous Thromboembolism,” ACP Symposia, San Diego, CA, April 4, 2003.
82. “Prevention of Venous Thromboembolism,” Department of Medicine Grand Rounds, Lutheran General Hospital, Chicago, IL, April 16, 2003.
83. “Prevention and Treatment of Venous Thromboembolism,” Department of Medicine Grand Rounds, Frank Torresdale Hospital, Thomas Jefferson Health System, Philadelphia, PA, April 22, 2003.
84. “Outpatient Treatment of DVT,” Medical Grand Rounds, Butler Memorial Hospital, Butler, PA, May 8, 2003.
85. “Prevention and Treatment of VTE in the Gynecology Patient,” Department of Obstetrics and Gynecology Grand Rounds, Reading Regional Hospital, Reading, PA, May 14, 2003.
86. “Prevention and Treatment of Venous Thrombosis, Department of Medicine Grand Rounds, Reading Regional Hospital, Reading, PA, May 14, 2003.
87. “Prevention of DVT/PE,” Medical Grand Rounds, Ephrata Community Hospital, Ephrata, PA, May 15, 2003.
88. “Prevention of Venous Thrombosis,” Department of Medicine Grand Rounds, Terre Haute Regional Hospital, Terre Haute, Indiana, May 20, 2003
89. “Prevention of Venous Thrombosis,” Department of Medicine Grand Rounds, Carle Hospital, Urbana, IL, May 20, 2003.
90. “Prevention of Venous Thrombosis,” Department of Medicine Grand Rounds, Western Penn Hospital, Pittsburgh, PA, May 22, 2003.
91. “Prevention of Venous Thrombembolism in the Medically Ill Patient, Department of Medicine Grand Rounds, Harborside-UCLA Medical Center, Los Angeles, California, June 11, 2003.
92. “Prevention of Venous Thrombosis,” Department of Medicine Grand Rounds, Greenfield Hospital, Baystate Medical Center, Greenfield, Massachussetts, June 12, 2003.
93. “Prevention of Venous Thrombembolism in the Medically Ill Paitent,” Department of Medicine Grand Rounds, University of Tennessee, Knoxville, Tennesse, June 17, 2003.
94. “Prevention and Treatment of VTE,” Department of Medicine Grand Rounds, Baptist Hospital, Nashville, Tennessee, June 18, 2003.
95. “Bridging Anticoagulation with Low-Molecular Weight Heparins,” Department of Medicine Grand Rounds, Niagra Hospital, Niagra Falls, New York, June 20, 2003.
96. “Prevention of VTE in the Critical Care Unit,” Department of Critical Care Grand Rounds, St. John’s Hospital, St. Louis, Missouri, July 8, 2003.
97. “Prevention and Treatment of Venous Thromboembolism,” Department of Medicine Grand Rounds, Tampa VA Hospital, Tampa Bay, Florida, July 17, 2003.
98. “Bridging Anticoagulation with Low-Molecular Weight Heparins,” Department of Medicine Grand Rounds, Palms of Pasadena Hospital, Tampa Bay, Florida, July 17, 2003.
99. “Low-Molecular Weight Heparins in the Cardiology Patient,” Department of Cardiology Grand Rounds, University of Florida, Gainesville, Florida, July 18, 2003.
100. “Prevention of Venous Thromboembolism in the Medical Patient,” Department of Medicine Grand Rounds, Torrence Memorial Medical Center, Torrence, California, August 1, 2003.
101. “Prevention of Venous Thromboembolism,” Department of Medicine Grand Rounds, Queen of Angels Hospital, Burbank, California, August 19, 2003.
102. “Update on DVT Prophylaxis – an Evidence-Based Approach,” Department of Medicine Grand Rounds, Bradford WCA Hospital, Bradford, Pennsylvania, August 27, 2003.
103. “Prevention and Treatment of Venous Thromboembolism,” Department of Medicine Grand Rounds, Reynolds Memorial Hospital, Glen Dale, West Virginia, September 2, 2003.
104. “Prevention of Thromboembolic Disease,” Critical Care Medicine Update, Sponsored by Ingham Regional Medical Center, Lansing, Michigan, September 5, 2003.
105. “Diagnosis and Treatment of DVT/PE,” Department of Medicine Grand Rounds, St. Mary’s Medical Center, Philadelphia, Pennsylvania, September 16, 2003.
106. “Will Inpatient Specialists Improve Care – an Outcomes Evaluation,” St. Mary’s Medical Center Special CME Program, Philadelphia, Pennsylvania, September 16, 2003.
107. “Special Issues in Anticoagulation – Alternatives to Heparin,” Department of Medicine Grand Rounds, Abington Memorial Hospital, Abington, Pennsylvania, September 17, 2003.
108. “Prevention and Treatment of Venous Thromboembolism,” IPC CME Program, Sponsored by the University of Arizona, Tuscon, Arizona, September 18, 2003.
109. “Prevention of Venous Thromboembolism,” Educational Program of the Indiana Medical Society, Michigan City, Indiana, September 29, 2003.
110. “Prevention and Treatment of DVT/PE,” Department of Medicine Grand Rounds, Porter Health System, Valparaiso, Indiana, September 30, 2003.
111. “Prevention, Diagnosis, and Treatment of DVT/PE,” Department of Medicine Grand Rounds, La Porte Memorial Hospital, South Bend, Indiana, September 30, 2003.
112. “Prevention and Treatment of DVT/PE in Special Patient Populations,” Department of Medicine Grand Rounds, Beaver Medical Center, Beaver, Pennsylvania, October 3, 2003.
113. “Current Trends in the Treatment of DVT,” Medical Grand Rounds, Adventist Healthcare, Washington Adventist Hospital, Washington DC, October 10, 2003.
114. “Symposium on DVT Prophylaxis – A Quality Improvement Program: Prevention and Treatment of Venous Thrombosis,” Medical Grand Rounds, Adventist Healthcare, Shady Grove Adventist Hospital, Rockville, Maryland, October 22. 2003
115. “Prevention and Treatment of DVT/PE,” Medical Grand Rounds, United Community Hospital, Grove City, Pennsylvania, October 23, 2003.
116. “The Clinical Challenge of PE and DVT Treatment in Special Patient Groups,” CME Program, Ohio Valley General Hospital, McKees Rocks, Pennsylvania, October 30, 2003.
117. “Prevention of DVT in the Hospitalized Patient,” Medical Grand Rounds, Clinton Memorial Hospital, St. John’s, Michigan, November 4, 2003.
118. “Prevention and Treatment of Venous Thromboembolism,” Medical Grand Rounds, Carson City Hospital, Carson City, Michigan, November 4, 2003.
119. “Prevention and Treatment of Venous Thromboembolism,” Medical Grand Rounds, Vincennes Hospital, Vincennes, Indiana, November 19, 2003.
120. “Prevention of DVT and PE in the Medically Ill Patient,” Medical Grand Rounds, Waukesha Memorial Hospital, Waukesha, Wisconsin, November 25, 2003.
121. “Prevention and Treatment of VTE in the Medically Ill Patient,” CME Program, Lee Memorial Health System, Fort Myers, Florida, December 2, 2003.
122. “Prevention and Treatment of VTE,” Medical Grand Rounds, Little Company of Mary Hospital, Torrence, California, January 8, 2004.
123. “The Coalition to Prevent Venous Thrombosis,” Division of General Internal Medicine Grand Rounds, Baptist Hospital, Wake Forest University, Winston-Salem, North Carolina, January 14, 2004.
124. “Prevention of Deep Venous Thrombosis,” Medical Grand Rounds, Danbury Hospital, Yale University, New Haven, Connecticut, January 15, 2004.
125. “Prevention of VTE in the Medically Ill Patient,” Medical Grand Rounds, Waterbury Hospital, Yale University, Waterbury, Connecticut, January 16, 2004.
126. “Prevention of VTE in the Medically Ill Patient,” Medical Grand Rounds, Little Mary Hospital, Torrence, California, January 28, 2004.
127. “Prevention and Treatment of VTE,” Pharmacy Grand Rounds, University of Tennessee Medical Center, Knoxville, Tennessee, February 5, 2004.
128. “Prevention of VTE in the Medically Ill Patient,” Medical Grand Rounds, Southern Illinois University Hospital, Carbondale, Illinois, February 13, 2004.
129. “The New Age of Anticoagulation – Going Beyond Heparin,” Medical Grand Rounds, Graduate Hospital, Philadelphia, PA, February 18, 2004.
130. “Prevention of Venous Thromboembolism,” Medical Grand Rounds, St. Johns’s Hospital, Detroit, Michigan, March 2, 2004.
131. “The Current Management of Medical Patients at Risk for Venous Thromboembolism,” Medical Grand Rounds, The Chester County Hospital, West Chester, PA, March 5, 2004.
132. “Prevention of VTE in the Medically Ill Patient,” Lake Erie Osteopathic College of Medicine Internal Medicine Update, Findley Lake, NY, March 6, 2004.
133. “Prevention and Treatment of Venous Thromboembolism,” Medical Grand Rounds, Broward County Hospital, Fort Lauderdale, Florida, March 17, 2004.
134. “Prevention of DVT/PE in the Hospitalized Patient, Medical Grand Rounds, Doylestown Hospital, Doylestown, PA, March 23, 2004.
135. “VTE Prophylaxis in the Medical Patient,” Medical Grand Rounds, Sacred Heart Hospital, Allentown, PA, March 23, 2004.
136. “Prevention of DVT/PE in the Medically Ill,” Medical Grand Rounds, Allina Hospital, Minneapolis, MN, March 31, 2004.
137. “Prevention of VTE in the Medically Ill Patient,” Medical Grand Rounds, George Washington University Hospital, Washington D.C., April 1, 2004.
138. “Prevention of VTE in High-Risk Abdominal Surgery Patients,” CME Symposia sponsored by Johns Hopkins University, Aventura, FL, April 17, 2004.
139. “Contemporary Update: Acute Coronary Syndromes,” Critical Care Precourse, Society of Hospital Medicine Annual Meeting, New Orleans, LA, April 19, 2004.
140. “VTE Prophylaxis of the At-Risk Medical Patient,” SHM Symposia, New Orleans, LA, April 19, 2004.
141. “Tools and Solutions for Quality Perioperative Care,” Society of Hospital Medicine Annual Meeting, New Orleans, LA, April 20, 2004.
142. “Intravenous Therapy for Acute Decompensated Heart Failure: What is the Role of Nesiritide,” SHM Symposia, New Orleans, LA, April 20, 2004.
143. “Contemporary Update: Treatment for Congestive Heart Failure,” Society of Hospital Medicine Annual Meeting, New Orleans, LA, April 21, 2004.
144. “Prevention of VTE in Special Patient Populations,” Medical Grand Rounds, Waterbury Hospital, Yale University, Waterbury, Connecticut, August 12, 2004.
145. “Update in Thrombosis: Review of ACCP Guidelines,” Medical Grand Rounds, Beaver Creek Medical Center, Beaver Creek, PA, September 17, 2004.
146. “Prevention of VTE in the Medically Ill Patient,” Medical Grand Rounds, St. Mary’s Medical Center, Langhorne, PA, September 28, 2004.
147. “Strategies to Improve VTE Prophylaxis in the Acute Care Setting,” Medical Grand Rounds, Orlando Regional Medical Center, Orlando, FL, October 19, 2004.
148. “Update on Prevention and Treatment of Venous Thromboembolism in Medically Ill Patients,” Medical Grand Rounds, Memorial Healthcare System, Fort Lauderdale, Florida, March 2, 2005.
149. “Are the ACCP Guidelines for the Prevention of VTE in Medically Ill Patients Appropriate?” CME Symposia, American College of Physicians National Meeting, San Francisco, CA, April 15, 2005.
150. “Update in Venous Thromboembolism,” Medical Grand Rounds, McGraw-Hill Hospital, Loyola University, Chicago, IL, April 27, 2005.
151. “Challenging Cases in Perioperative Medicine,” Society of Hospital Medicine National Meeting, Chicago, IL, April 28, 2005.
152. “Care for the Elderly Patient Having Surgery,” Society of Hospital Medicine National Meeting, Chicago, IL, April 28, 2005.
153. “Update in Thrombosis,” Society of Hospital Medicine National Meeting, Chicago, IL, April 28, 2005.
154. “New Issues in the Management of Congestive Heart Failure,” Cardiology Grand Rounds, Tampa General Hospital, Tampa Bay, FL, May 11, 2005.
155. “Hospitalists and Geriatricians at the Interface: Collaborative Models to Improve Care to Inaptient Elders,” American Geriatric Society National Meeting, Orlando, FL, May 14, 2005.
156. “Hospitalists Role in Preventing Venous Thromboembolism, Virginia Chapter Meeting of the Society of Hospital Medicine, Norfolk, VA, June 22, 2005
157. “Update in Venous Thromboembolism,” Medical Grand Rounds, Norfolk General Hosptial, Sentara Healthcare System, Norfolk, VA, June 23, 2005.
158. “Update in Venous Thromboembolism,” Medical Grand Rounds, Maryview Medical Center, Portsmouth, VA, June 24, 2005.
159. “Update on New Therapies for Congestive Heart Failure,” Trends in Nursing Symposium, Reno, Nevada, March 21, 2006.
160. “Acute Heart Failure: Process of Care in the Hospital Setting,” 25th Annual High sierra Critical Care Conference, American Lung Association, Reno, Nevada, March 21, 2006.
161. “Venous Thromboembolism Overview,” National Quality Summit, Washington DC, March 24, 2006.
162. “Prevention of Venous Thromboembolism, The Cleveland Clinic Experience,” American College of Healthcare Executives National Congress, Chicago, Illinois, March 29, 2006.
163. “Care for the Elderly Patient Having Surgery,” Society of Hospital Medicine National Meeting, Perioperative Precourse, Washington DC, May 3, 2006.
164. “Contemporary Deep Vein Thrombosis Prophylaxis and Treatment,” CME Symposia, National Meeting of the Society of Hospital Medicine, Washington DC, May 4, 2006
165. “Challenging Cases in Perioperative Medicine,” Society of Hospital Medicine National Meeting, Washington DC, May 5, 2006.
166. “Disadvantages of Sliding Scale Insulin,” CME Symposia, National Meeting of the Society of Hospital Medicine, Washington DC, May 5, 2006.

Franklin A. Michota, Jr., M.D. - Curriculum Vitae

2002-02-01T18:52:00.000-05:00

Dr. Michota is head of the Section of Hospital Medicine at The Cleveland Clinic Foundation in Ohio, and serves as an Associate program director for the Internal Medicine Residency Program. Dr. Michota also holds the rank of Associate Professor of Medicine at the Cleveland Clinic Lerner College of Medicine. He graduated from The Ohio State University College of Medicine and completed his postgraduate work at The Cleveland Clinic Foundation. He is a former chief medical resident, and has been a hospitalist in the Department of General Internal Medicine at The Cleveland Clinic Foundation for the past 8 years. Dr. Michota has extensive clinical experience in both acute and subacute inpatient settings.

He is a member of the United States Medical Licensing Examination Step 3 Interdisciplinary Review Committee, and chairman of the United States Medical Licensing Examination Step 3 Test Material Development Committee for Utilization of Resources. He is also a member of the Society of Hospital Medicine’s Education and Research Committees, and a member of the National Council for Leadership on Thrombosis Awareness and Management.

Dr. Michota has published and presented nationally on the topics of preoperative evaluation, congestive heart failure, venous thrombosis, diagnostic testing, and hospital medicine.

CURRICULUM VITAE

EDUCATION:

1989
B.S., The Ohio State University, Columbus, Ohio

1993
M.D., The Ohio State University, Columbus, Ohio

POSTDOCTORAL TRAINING:

1993-1994
Intern in Medicine, The Cleveland Clinic Foundation, Cleveland, OH

1994-1996
Resident in Medicine, The Cleveland Clinic Foundation, Cleveland, OH

1996-1997
Chief Medical Resident, The Cleveland Clinic Foundation, Cleveland, OH

LICENSURE AND CERTIFICATION:

1994
Diplomate, National Board of Medical Examiners

1994
Physician License, Ohio

1996
Diplomate, American Board of Internal Medicine

HOSPITAL AND HEALTH CARE ORGANIZATION SERVICE RESPONSIBILITIES:

1996-1997
Clinical Associate, Department of Emergency Medicine, The Cleveland Clinic Foundation, Cleveland, OH

1996-1997
Clinical Associate, Department of General Internal Medicine, The Cleveland Clinic Foundation, Cleveland, OH

1996-1997
Attending Physician, Sisters of Charity Hospital/St. Vincent’s Medical Center, Cleveland, OH

1997-2000
Assistant Staff, Department of General Internal Medicine, The Cleveland Clinic Foundation, Cleveland, OH

2000-present
Full Staff, Department of General Internal Medicine, The Cleveland Clinic Foundation, Cleveland, OH

ACADEMIC AND TEACHING APPOINTMENTS

1996-1997
Chief Medical Resident, The Cleveland Clinic Foundation, Cleveland, OH

2002-2003
Director, Hospital Medicine Fellowship Program, The Cleveland Clinic Foundation, Cleveland, OH

1996-2004
Clinical Assistant Professor of Medicine, Penn State University, Hershey, PA

2000-2004
Assistant Clinical Professor of Medicine, Ohio State University, Columbus, OH

1997-present
Associate Program Director, Internal Medicine Residency Program, Division of Education, The Cleveland Clinic Foundation, Cleveland, OH

2003-present
Associate Director, Hospital Medicine Fellowship Program, The Cleveland Clinic Foundation, Cleveland, OH

2005-present
Associate Professor of Medicine, The Cleveland Clinic Lerner College of Medicine, The Cleveland Clinic Foundation, Cleveland, OH

HOSPITAL OR AFFILIATED INSTITUTION APPOINTMENTS

1997-2001
Clinical Director of Hospital Medicine, The Department of General Internal Medicine, The Cleveland Clinic Foundation, Cleveland, OH

1999-2001
Head, Section of Preoperative Medicine, The Department of General Internal Medicine, The Cleveland Clinic Foundation, Cleveland, OH

2002-2004
Medical Director, Subacute Services, The Division of Post-Acute Medicine, The Cleveland Clinic Foundation, Cleveland, OH

2000-present
Head, Section of Hospital Medicine, The Department of General Internal Medicine, The Cleveland Clinic Foundation, Cleveland, OH

MAJOR COMMITTEE ASSIGNMENTS:

Local

2003-2004
The Cleveland Clinic Lerner College of Medicine Admissions Committee, Member, The Division of Education, The Cleveland Clinic Foundation, Cleveland, OH

1996-2006
Clinical Competence Committee, Internal Medicine Residency Program, Member, The Cleveland Clinic Foundation, Cleveland, OH

1996-2006
Residency Selection Committee, Internal Medicine Residency Program, Member, The Cleveland Clinic Foundation, Cleveland, OH

1997-2006
Curriculum Committee, Internal Medicine Residency Program, Member, The Cleveland Clinic Foundation, Cleveland, OH

1998-present
Clinical Operations Committee, Department of General Internal Medicine, Member, The Cleveland Clinic Foundation, Cleveland, OH

2002-present
Critical Response Committee, Chairman, The Cleveland Clinic Foundation, Cleveland, OH

2005-present
Medicolegal Risk Committee, Member, The Cleveland Clinic Foundation, Cleveland, OH
2006-present Pharmacy and Therapeutics Committee, Chairman, The Cleveland Clinic Foundation, Cleveland, OH

National

1998-1999
Abstract Review Committee, Chairman, 3rd Annual Meeting, National Association of Inpatient Physicians, Philadelphia, PA

1998-2000
Meeting Organization Committee, Member, National Association of Inpatient Physicians, Philadelphia, PA

1999-2000
Abstract Review Committee, Chairman, 1st Midwest Regional Meeting, National Association of Inpatient Physicians, Rochester, MN

2000-2001
Abstract Review Committee, Member, 4th Annual Meeting, National Association of Inpatient Physicians, Atlanta, GA

2001-2002
Abstract Review Committee, Member, 5th Annual Meeting, National Association of Inpatient Physicians, Philadelphia, PA

1999-2003
USLME Step 3 Test Material Development Committee, Member, National Board of Medical Examiners, Philadelphia, PA

2002-2003
Abstract Review Committee, Member, 6th Annual Meeting, National
Association of Inpatient Physicians, Philadelphia, PA

2001-2003
Core-Competencies Task Force, Member, National Association of Inpatient Physicians, Philadelphia, PA

2001-2004
VTE Core-Competencies Workgroup, Member, Society of Hospital Medicine, Philadelphia, PA

2003-2004
Midwest Regional Meeting Organization Committee, Member, National Association of Inpatient Physicians, Philadelphia, PA

1998-present
Education Committee, Member, Society of Hospital Medicine, Philadelphia, PA

2001-present
Research Committee, Member, Society of Hospital Medicine, Philadelphia, PA

2001-present
Midwest Regional Council, Member, Society of Hospital Medicine, Philadelphia, PA

2003-2005
USLME Step 3 Test Material Development Committee, Chairman, National Board of Medical Examiners, Philadelphia, PA

2004-present
USLME Step 3 Interdisciplinary Review Committee, Member, National Board of Medical Examiners, Philadelphia, PA

2004-present
Coalition to Prevent Deep Vein Thrombosis, Member, Society of Hospital Medicine, Philadelphia, PA

2004-present
Technical Advisory Panel (TAP), Quality Measures for Deep Vein Thrombosis, Member, Joint Commission for the Accreditation of Hospital Organization, Chicago, IL

PROFESSIONAL SOCIETIES:

1993-1996
American College of Physicians, Associate

1996-present
Association of Program Directors in Internal Medicine, Member

1998-present
Society of Hospital Medicine, Charter Member

2000-present
Society of General Internal Medicine, Member

2003-present
American College of Physicians, Member

2004-present
Northern Ohio Medical Association

EDITORIAL BOARDS/CONSULTING RELATIONSHIPS:

1996-present
Associate Editor, The Cleveland Clinic Journal of Medicine

AWARDS AND HONORS:

1986
Phi Eta Sigma

1986
Alpha Lambda Delta

1987
Golden Key National Honor Society

1988
Helix – The Ohio State University Biological Science Honor Society

1989
Outstanding College Students of America

1990
Cancer Research Assistantship Award

1992
Alpha Omega Alpha

1996
Chief Medical Resident, The Cleveland Clinic Foundation, Cleveland, OH

1998
Bruce Hubbard Stewart Fellow, Department of Bioethics, The Cleveland Clinic Foundation, Cleveland, OH

1999
Nominated for Election: National Association of Inpatient Physicians Board of Directors

2000
Who’s Who Honors in Healthcare

2004
Named One of Cleveland’s “Top Doctors” by Cleveland Magazine

2004
Named One of Northern Ohio’s “Top Docs,” by North Ohio Live Magazine

2006
Sylvania City Schools Distinguished Alumni Award

PART II: BIBLIOGRAPHY
(click to open)

Vesselin Dimov, M.D. - Bibliography and Presentations

2002-01-01T23:03:00.002-05:00

EDUCATION RESEARCH

2004
Principal Investigator. Assessment of Effectiveness of a Blog Website Created and Maintained by the Medical Residents for Improving the Postgraduate Medical Education. V.Dimov, Case Western Reserve University (St.Vincent/St.Luke) Internal Medicine Residency Program, Cleveland, Ohio

HEALTH SERVICES RESEARCH

2005-2006
Principal Investigator. Risk factors for Acute Renal Failure after Noncardiac Surgery (RANCS). V.Dimov, A.Usmani, A.Jaffer, M.Schreiber, B.W.Teo, M.Lascano, A.Rajamanickam, V.Molina, E.Hixson, D.Brotman. The Cleveland Clinic, Cleveland, Ohio.

2005-2006
Investigator. Perioperative beta-blocker dose titration and clinical outcomes during major noncardiac surgery. A.Aneja, N.Harte,C.Phillips,V.Dimov, A.Usmani, F.Michota, A.Jaffer, A.Kumar. The Cleveland Clinic, Cleveland, Ohio.

2005-2006
Investigator. INCREASE. Optimization of beta-blocker use in the perioperative period. A.Aneja, B.Harte, E.Hixson, A.Jaffer, V.Singh, V.Dimov. The Cleveland Clinic, Cleveland, Ohio.

2003
Investigator. West Nile Virus Infection - the Experience of Hospitals in Cuyahoga County, Ohio. A.Brobbey, Case Western Reserve University, Cleveland, Ohio.

2002-2003
Investigator. SD-039-0682 (SAMBA). A 12-week, randomized, double-blind, parallel-group, multicentre, phase-III study to compare the efficacy and safety of Symbicort pMDI (budesonide/formoterol 80/4.5 µg 2 actuations b.i.d., delivered dose) with that of Pulmicort pMDI (budesonide 100 µg 2 actuations b.i.d., metered dose) and Symbicort Turbuhaler (budesonide/formoterol 80/4.5 µg 2 inhalations b.i.d., delivered dose) in children with asthma. AstraZeneca R & D, Lund, Sweden, Medical University Sofia.

2001-2002
Investigator. SD-039-0673 (STAY). Efficacy and Safety of Budesonide/Formoterol (Symbicort)) Turbuhaler as Single Therapy in Patients Aged 6-80 years with Mild-Moderate Asthma. Comparison with Symbicort Turbuhaler and Pulmicort Turbuhaler as Maintenance Therapy, Both Complemented with Bricanyl Turbuhaler. International, Multicentre, Double blind, Randomized, Active-controlled Study. Lena Laxmyr, AstraZeneca Research & Development, S-221 87 Lund, Sweden, Medical University Sofia.

2001
Investigator. HMR 3647B/2001. Multicentre, Phase II, Open Label Study of the Efficacy, Safety, Acceptability, and Pharmacokinetics of Telithromycin, after repeated Oral Administration of Either of Two Doses, Once Daily, for 5 days or 7 days, in the Treatment of Respiratory Tract Infections in Children of 6 months to 12 years. Dr Emmanuelle Butticaz-Iroudayssamy, Aventis Pharma, Hoechst Marion Roussel R & D, Romainville, France. Daniel Youngblood, Quintiles, Inc., Kansas City, MO, USA, Medical University Sofia.

2000-2001
Investigator. SAM 40012 International, Multicentre, Randomized, Parallel Group Comparison of Three Treatments: 1. Salmeterol and Fluticasone, 2.Fluticasone 200 mcg bd, 3. Fluticasone 100 mcg bd in Children aged 4-11 years with Asthma. Lesley-Ann Norcross, GlaxoSmithKline Research and Development, Uxbridge, UK, Medical University Sofia.

2000-2001
Research assistant. Budesonide Efficacy and Safety in Children aged 5-15 years with Asthma over a 26-week Treatment Period. For Astra Zeneca Research, Medical University Sofia.

2001
Investigator. Tidal Breathing Analysis in Evaluating Bronchial Obstruction in Children. S. Filtchev, Medical University Sofia.

1999-2000
Investigator. FAS 30009 International, Multicentre, Randomized Study to Assess the Long Term Safety of Fluticasone Propionate Compared with Sodium Cromoglycate in Children aged 12-47 Months with Asthma over a 52-week Treatment Period. Dr. Patricia Davis, GlaxoSmithKline R & D, Uxbridge, UK, Medical University Sofia.
Results presented at the American Academy of Allergy, Asthma and Immunology (AAAAI) 58th Annual Meeting - March 1-6, 2002, New York; published in the Journal of Allergy and Clinical Immunology, part 2, Vol.109, No 1, Jan 2002.

1999-2000
Investigator. Intercontinental Childhood ITP Study Group. Registry of Children with Idiopathic Thrombocytopenic Purpura. Tom Kuhne, Basel University, Switzerland, Medical University Sofia. Results published in the Lancet, Vol.358, Dec 22/29, 2001.

2000
Investigator. Cytological Comparison of Nasal Smear and Bronchoalveolar Lavage Fluid in Children with Rhinosinuitis and Asthma. N. Ulevinov, Medical University Sofia.

2000
Investigator. Pulmonary Complications after Influenza Virus Infection. Medical University Sofia.

1999
Research assistant. Clarythromycin Use, Safety and Efficacy in Children aged 1-12 years with Infections of Upper and Lower Respiratory Tract. For Abbot Laboratories. Medical University Sofia.

1999
Research assistant. Midecamycin Effect in Children aged 2 to 12 years with Otitis Media, Bronchitis and Pneumonia. Medical University Sofia.

1996
Investigator. Independent study. Jarisch-Herxheimer Reaction during Treatment of Patients with Syphilis. Prof. Kiril Pramatarov, Dermatology and Sexual Transmitted Diseases Hospital, Medical University Sofia

BASIC SCIENCE RESEARCH

1999
Investigator. Molecular Diagnosis of Hemophilia A in Bulgaria by DNA Analysis Using Polymorphisms Within And Outside Factor VIII Gene. Prof. I. Kremenski, Medical University Sofia.

PUBLICATIONS

2005
Clinical Cases and Images - An Online Case-Based Curriculum of Clinical Medicine (ClinicalCases.org), featured in BMJ 2005;331:1345

2002
Efficacy of Salmeterol/Fluticasone Propionate Combination Administered via Diskus Inhaler in Children with Asthma. Filtchev S., L.Raicheva, V.Dimov, I.Kalev. European Respiratory Society Annual Congress 2002, Sep 14-17, Stockholm, Sweden, Abstract book.

2002
A Patient with Asthma Complicated with Pneumomediastinum and Subcutaneous Emphysema. V.Dimov, S.Filtchev, L.Raicheva, I.Kalev. Journal of Modern Medicine 2002; LIII, 6, 50-53.

2002
Nocardiosis - a Case Report. S.Filtchev, E.Elenctheva, V.Dimov, L.Raicheva, , I.Tsotcheva, I.Kalev. Submitted for publication to the Journal of Roentgenologia and Radiologia, 2002, Vol. XLI, 4, 312-315.

2002
Efficacy of Salmeterol/Fluticasone propionate combination (Seretide) inhaled with Diskus for Treatment of Asthma in Children. S.Filtchev, L.Raicheva, V.Dimov, I.Kalev, Journal of Pneumologia and Phtisiatria, 2002, 37, 1, 10-14.

2002
Fluticasone propionate for Treatment of Bronchial Asthma in Children Aged 1-4 Years. S.Filtchev, V.Dimov, L.Raicheva, V.Issaev, I.Kalev. Medicine Review, 2003.

2002
Vomiting in Pediatric Patients. V.Dimov, I.Kalev, S.Filtchev, M.Panova. Journal of Modern Medicine 2002; LIII, 5, 32-37.

2002
Is Tidal Breathing Analysis Useful for Detection of Airflow Obstruction in Asthmatic Children? S.Filtchev, V.Dimov, I.Kalev. Folia Medica 2002.

2002
Nocardiosis in a Patient with Diabetes Mellitus and Inhalant Abuse. L.Raicheva, S.Filtchev, V.Dimov, I.Tsotcheva, I.Kalev, T.Kantardjiev. Journal of Modern Medicine 2002; LIII, 4, 42-47.

2002
Recurrent Respiratory Infections in Pediatrics - New Developments in Treatment and Prophylaxis. V.Dimov, I.Kalev, M.Panova. Journal of Modern Medicine 2001; LII, 6: 34-38.

2001
Antileukotrienes in Asthma Treatment. V.Dimov, L.Raicheva, I.Kalev. Journal of Modern Medicine 2001; LII, 4: 18-22.

2001
The Role of Tidal Breathing Analysis in Evaluating Bronchial Obstruction in Children. S.Filtchev, V.Dimov, H.Rafailova, A.Kufardjieva, I.Kalev. International Pediatric Respiratory and Allergy Congress, Prague, Czech Republic, Allergy Abstract Book, Suppl. 1, 2001: 55.

2001
Cytological Comparison of Nasal Smear and Bronchoalveolar Lavage Fluid in Children with Rhinosinuitis and Asthma. N.Ulevinov, P.Perenovska, V.Dimov. Pediatria Journal 2001; Vol. XLI, 3: 21-23.

2001
Pulmonary Complications after Influenza Virus Infection. L.Raicheva, P.Perelovska, V.Dimov, S.Filtchev, I.Kalev. IXth Congress of Pediatrics, Abstract Book, Plovdiv, Bulgaria 2001: 50.

2001
Genetic Basis of Asthma and Its Future Treatment Impact. V. Dimov, S. Filtchev, I. Kalev. Allergy and Asthma Journal 2001; VI, 1: 3-6.

1999
Molecular Diagnosis of Hemophilia A in Bulgaria by DNA Analysis Using Polymorphisms Within And Outside Factor VIII Gene. Petkova R, Kabakchieva R, V.Dimov , Kalev I, Kremensky I. B J Medical Genetics 1999; 2 (4): 29-34.

1999
Prenatal Diagnostics of Hemophilia A in Bulgaria. Petkova R, Bogdanova N, Zaharova B, Kalev I, Kabakchieva R, V.Dimov, Brankova M, Dimitrova V, Kremensky I. B J Medical Genetics 1999; 2 (4): 21-28.

ABSTRACTS

2006
Pneumoperitoneum Due To Sexual Activity. V.Dimov, A. Rajamanickam. Poster presentation in the Clinical Vignettes category at the Society of Hospital Medicine's Annual Meeting, May 3-5, 2006, Washington, DC.

2001
The Role of Tidal Breathing Analysis in Evaluating Bronchial Obstruction in Children. S.Filtchev, V.Dimov, H.Rafailova, A.Kufardjieva, I.Kalev. International Pediatric Respiratory and Allergy Congress, Prague, Czech Republic, Allergy Abstract Book, Suppl. 1, 2001: 55.

BOOK CHAPTERS

"Chest Pain" Chapter in Comprehensive Textbook of Hospital Medicine. In press. A. Aneja, V. Dimov, P. Grant.

PUBLISHED INTERVIEWS

Clinical Cases Make Blog a Popular Resource. Interviewed by Nicholas Genes, MD, PhD. Medscape. 2006;8(1). Posted 01/04/2006.

INTERNET PROJECTS

Clinical Cases and Images. A Case-Based Curriculum of Clinical Medicine. This project is supported by physicians in the Section of Hospital Medicine at the Cleveland Clinic and the Case Western Reserve University (St. Vincent/St. Lukes) Internal Medicine Residency Program. ClinicalCases.org was featured in BMJ and Medscape. The website had more than 300,000 page views in 2005.

Procedure Skills features slide shows with explanations of some common medical procedures like central line placement and thoracentesis. The procedure articles are referenced in Wikipedia, the world's largest online encyclopedia.

Clinical Notes collects information which is not related to clinical cases but represents practice tools, for example, Sample Admission Notes for the Most Common Conditions and A Systematic Approach to Reading an EKG.

Website of The Section of Hospital Medicine at The Cleveland Clinic.

INVITED PRESENTATIONS

Perioperative care of patients with renal failure. Noon Conference, Internal Medicine Residency Program, The Cleveland Clinic, Cleveland, Ohio, 3/14/06.

Web 2.0 in Medicine. RSS, Blogs and Online Collaboration. Grand Rounds, Department of General Internal Medicine, The Cleveland Clinic, Cleveland, Ohio, 1/25/06. Calendar link.

Web 2.0 in Medicine. Noon Conference, Internal Medicine Residency Program, The Cleveland Clinic, Cleveland, Ohio, 1/5/06.

Using PDAs in Medicine. Noon Conference, Internal Medicine Residency Program, Case Western Reserve University-St.Vincent/St.Lukes Internal Medicine Residency Program, Cleveland, Ohio, 2005.

Vesselin Dimov, M.D. - Curriculum Vitae

2002-01-01T22:34:00.000-05:00

Dr. Dimov completed his internal medicine residency at Case Western Reserve University (St. Vincent/St. Lukes) in Cleveland, Ohio. During his third year of residency, he also served as a chief resident and made the first website for a residency program with weblog software by Google. The website was very popular, attracting visitors not only from the program but also from many countries around the world. His research regarding the usefulness of a website created "by the residents for the residents" won the first place in the research competition at his residency program.

Dr. Dimov is staff physician in the Section of Hospital Medicine at the Cleveland Clinic working as a full-time clinician but he also finds time to keep his interest in information technology alive and flourishing. He is the creator of ClinicalCases.org, an online case-based curriculum of clinical medicine, which receives thousands of page views daily and was featured in the BMJ (British Medical Journal) and on the medical portal Medscape.com (owned by WebMD). Dr. Dimov is the driving force behind the website of the Section of Hospital Medicine at the Cleveland Clinic. His work on illustrating clinical procedures step-by-step is referenced in the largest online encyclopedia, Wikipedia. His posts about using the Web 2.0 approach in medicine, HIPAA rules and case reports, among others, were featured in many editions of the online Grand Rounds and were cited in BMJ.

Dr. Dimov has been one of the leading investigators in multiple international research projects in the field of asthma, hemophilia, ITP, and the West Nile virus infection.

His latest research projects are focused on postoperative acute renal failure and beta-blockers use in perioperative medicine.

Dr. Dimov is working with several medical professionals around the globe on creating a better platform for online medical education, and he would be very interested to hear your opinion and ideas. Send emails to clinicalcases@gmail.com.

EDUCATION

2002-2005
Case Western Reserve Universit (St. Vincent/St. Luke) Internal Medicine Residency Program, Cleveland, Ohio

1990-1996
Medical University Sofia, Bulgaria, Europe, Degree: M.D.

CERTIFICATIONS

2005
Medical Licensure: State of Ohio (active), State of Florida (active)

2005
Board Certified, American Board of Internal Medicine (ABIM)

2000-2001
United States Medical Licensing Examination (USMLE) Step 1, 2, 3

PROFESSIONAL EXPERIENCE

2005-current
Associate Staff, Section of Hospital Medicine, Department of General Internal Medicine, The Cleveland Clinic.
Responsible for inpatient care, student and resident education, and preoperative evaluation of patients with various medical issues.

2004-2005
Chief Medical Resident, Case Western Reserve University (St.Vincent/St.Luke) Internal Medicine Residency Program, Cleveland, Ohio

2002-2005
Resident, Case Western Reserve University (St.Vincent/St.Luke) Internal Medicine Residency Program, Cleveland, Ohio

1999-2002
Physician, Medical University Sofia, Alexandrovska Hospital, Bulgaria

1996-1999
Physician, 10th Medical Center, Sofia, Bulgaria

PROFESSIONAL SOCIETIES

2002-present
American Medical Association (active)

2002-present
American College of Physicians (active)

2006-present
Society of Hospital Medicine (active)

BIBLIOGRAPHY and PRESENTATIONS
(click to open)

About Us

2002-01-01T22:12:00.000-05:00

The Section of Hospital Medicine at The Cleveland Clinic

Department of General Internal Medicine
The Cleveland Clinic Foundation
9500 Euclid Avenue, Cleveland, Ohio, United States

See the list of the hospitalists here.

Major Contributors to the Website:

Vesselin Dimov, M.D.
Ajay Kumar, M.D.
Ali Usmani, M.D.
Anitha Rajamanickam, M.D.
Navin Kedia, D.O.

Email: clinicalcases@gmail.com

Navin Kedia, D.O. - Curriculum Vitae

2002-01-01T18:19:00.000-05:00

Dr. Kedia is a staff physician in the Section of Hospital Medicine. He has many research interests including preoperative evaluation, congestive heart failure and hospitalist medicine.

He has also contributed to the website ClinicalCases.org, an online case-based curriculum of clinical medicine.

CURRICULUM VITAE

CURRENT APPOINTMENT

Clinical Associate
Section of Hospital Medicine, S70
Department of General Internal Medicine,
The Cleveland Clinic Foundation
9500 Euclid Avenue
Cleveland, Ohio 44195

EDUCATION

1998-2002
D.O. Western University of Health Sciences, Pomona, CA

1997
B.A. Molecular, Cellular & Developmental Biology, University of Colorado, Boulder, CO

POSTDOCTORAL TRAINING

2005
Resident in Medicine, Cleveland Clinic Foundation, Cleveland, OH

2003
Intern in Medicine, Cleveland Clinic Foundation, Cleveland, OH

CERTIFICATIONS

Medical Licensure 2005, State of Ohio (Active)

Board Certifications 2005, American Board of Internal Medicine (Certified)

AWARDS

1999-2000
Western University of Health Sciences Asian-American Scholarship

PROFESSIONAL SOCIETIES

2005 American Heart Association (active)

2002 American College of Physicians (active)

CLINICAL RESEARCH

2005-Present
Cleveland Clinic Foundation
Section of Hospital Medicine
Project: Statin Therapy in the Peri-Operative Period

2002-Present
Cleveland Clinic Foundation
Department of Cardiovascular Disease
Projects: Echocardiographic evaluation of Cardiac Resynchronization Therapy

BASIC SCIENCE RESEARCH

1998
Undergraduate Research Assistant
Endocrinology Laboratory University of Colorado Health Sciences Center
Denver, CO
Project: Factors Influencing GnRH neuronal migration. Created vectors to be inserted into transgenic mice that will target over expression of SCIP, a transcription factor, to GnRH neurons.

1995
Undergraduate Research Assistant
Institute for Behavioral Genetics - University of Colorado
Boulder, CO
Project: Molecular and biochemistry Lab techniques, maintenance of mouse colony

CLINICAL TEACHING

2004-present
Supervision of Cleveland Clinic Foundation internal medicine residents

2004-present
Supervision of Case Western Reserve medical students

2003-present
Research mentoring Case Western Reserve University medical student

2002-2004
Supervision of Penn State and Ohio State University medical students

PRESENTATIONS

Echo Doppler Guided AV Delay Optimization within 30 days of Implant in Heart Failure Patients Undergoing Cardiac Resynchronization Therapy. Moderated Poster Presentation at American Society of Echocardiograpy, Boston, MA. June 17th, 2005.

Utility of AV Delay Optimization in Patients Undergoing Cardiac Resynchronization Therapy. Oral Presentation at the American College of Cardiology 2004 Annual Scientific Meeting, New Orleans, Louisiana. March 10th, 2004.

Depression and Cardiac Morbidity 5 Years After Coronary Artery Bypass Surgery. Borowicz et al. Psychosomatics Nov-Dec 2002. Psychiatry Journal Club Cleveland Clinic Foundation, Cleveland, OH. April 24th, 2003.

47 y/o Male with Pan-Hypopituitaryism. Endocrinology Grand Rounds Cleveland Clinic Foundation, Cleveland, OH. October 10th, 2003.

Diabetic Keto-Acidosis Practical Management on the Med-Tele Unit. Kimball-Medicine Teaching Conference Cleveland Clinic Foundation, Cleveland, OH. June 18th, 2004.

PUBLICATIONS

Kedia N, Agler D, Popovic Z, Ching B, Wilkoff B, Grimm R. Echo Doppler Guided AV Delay Optimization within 30 days of Implant in Heart Failure Patients Undergoing Cardiac Resynchronization Therapy. J of the American Society of Echocardiography 2005:18, 5:531

Kedia N, Agler D, Popovich Z, Ching B, Wilkoff B, Grimm R. Utility of AV Delay Optimization in Patients Undergoing Cardiac Resynchronization Therapy. J Am Coll Cardiol 2004:43,879-3:152A

Ng K, Kedia N, Starling R, Wilkoff B, Tchou P, Martin D, Grimm R. Benefit of Biventricular Pacing in Subsets of Patients with Heart Failure. J Am Coll Cardiol 2004:43,872-4:237A

Burkhardt J, Khaykin Y, Joseph G, Ng K, Kedia N, Grimm R, Tchou P, Wilkoff B. Narrowing of the Widest QRS Predicts Improvement in Functional Class and Echocardiographic Parameters in Patients with CRT Devices. J Am Coll Cardiol 2004:43,1111-211:131A

MANUSCRIPTS IN PREPARATION

Ng K, Lauer M, Kedia N, Troughton R, Starling R, Martin D, Tchou P, Wilkoff B, Grimm R. Beta-Blocker Use Appears Independently Associated With Improved Survival in Patients Undergoing Cardiac Resynchronization Therapy.

Kedia N, Agler D, Popovic Z, Ching B, Wilkoff B, Grimm R. AV Delay Optimization using Doppler assessment of Mital Inflow in Patients Undergoing CRT: Is it useful and who benefits?

Ng K, Kedia N, Starling R, Wilkoff B, Tchou P, Martin D, Grimm R. Benefit of Biventricular Pacing in Subsets of Patients with Heart Failure.

Rassi A, Vora N, Kedia N. Intracranial Brain Imaging after Cardiac Resynchronization Therapy

Grant PG, Kedia N, Phillips CO, Jaffer AK, Whinney CM, Michota FM.Internal Medicine Preoperative Assessment, Consultation and Treatment (IMPACT) Investigators, Section of Hospital Medicine, The Cleveland Clinic, Cleveland, OH: Perioperative Statin Therapy in Major Non-Cardiac Surgery

Roop K. Kaw, M.D. - Bibliography and Presentations

2002-01-01T12:54:00.000-05:00

PUBLICATIONS

1. Kaw R, Michota F, Jaffer A, Ghamande S, Auckley D, Golish J. Unrecognized Sleep apnea in the Surgical patient: Implications for the Perioperative setting. Chest. 2006;129:198-205.

2. Mishra R, Kaw R. Foix and Alajouanine Syndrome: An Uncommon cause of Myelopathy from an Anatomic Variant Circulation. Southern Medical Journal: Vol. 98(5). May, 2005.

3. Kaw R. Is MRSA more pathogenic in Critically Ill patients? Archives of Internal Medicine. Vol.163 (6). March 24, 2003.

4. Roop Kaw, Carmen Gota, Ana Bennett, David Barnes, Leonard Calabrese
Lupus-Related Hepatitis: Complication of Lupus or Autoimmune Association? Case Report and Review of the Literature
Digestive Diseases and Sciences. Issue: Volume 51, Number 4, Date: April 2006 (813 - 818).

5. Kaw R, Golish J, Ghamande S, Burgess R, Walker E, Foldvary N. Impact of Obstructive Sleep Apnea on Cardiac Surgical Outcomes. Journal of Thoracic and Cardiovascular Surgery ( Accepted for publication).

INVITED PRESENTATIONS/ ABSTRACTS

1. Incremental risk of Sleep Apnea on cardiac Surgical Outcomes.
Sleep Research Society. (Abstract accepted) Annual meeting. Innsbruck, Austria, September 2006.

2. Perioperative issues in Sleep disordered Breathing.
Society of Hospital Medicine. (Abstract accepted). Annual meeting. Washington DC, May 2006.

3. Interim Session World Federation of Sleep Research and Sleep Medicine Societies.
New Delhi India. September, 2005

4. Faculty Perioperative Medicine Summit. Cleveland Clinic Foundation.
Cleveland, Ohio. September, 2005

5. Hospital Medicine Case Conference Grave’s Disease as a cause of Reversible Pulmonary
Hypertension. Cleveland Clinic Foundation. Cleveland, Ohio. June, 2005

6. Speaker Stroke 2005 Faculty Training Program.
San Diego, California. January, 2005

7. Lupus related Hepatitis: Complication of Lupus or Auto-immune association.
Society of Hospital Medicine. Northeast Regional Meeting, Boston, Massachusetts. May, 2004

8. Preoperative Pulmonary Evaluation. Grand Rounds. Cleveland Clinic Foundation, Dept. of General Internal Medicine. Cleveland, Ohio. May, 2004

9. Hospital Medicine case conference. A 34 year old female with Lupus and elevated Liver enzymes. Cleveland Clinic Foundation. Cleveland, Ohio. November, 2003

10. Staphylococcal Bacteremias in Elderly Hospitalized Patients. Risk factors and predictors of outcome. Grand Rounds. Cleveland Clinic Foundation, Dept. of General Internal Medicine. Cleveland, Ohio. October, 2002

11. Developing your Program and developing your Faculty. Spring Precourse. Association of Program Directors in Internal Medicine Atlanta, Georgia. 2001

12. Turning your educational work into Scholarship. Spring Precourse. Association of Program Directors in Internal Medicine, Philadelphia, Pennsylvania. 2000

Roop K. Kaw, M.D. - Curriculum Vitae

2002-01-01T12:40:00.000-05:00

Roop K. Kaw, M.D.
Section of Hospital Medicine, M8-14
Department of General Internal Medicine
The Cleveland Clinic Foundation
9500 Euclid Avenue, Cleveland, Ohio 44195

Dr. Kaw is a staff in the Section of Hospital Medicine and Assistant Professor of Medicine at The Cleveland Clinic Lerner College of Medicine. His research interests include perioperative research methodologies, peri-operative pulmonary complications and outcomes. He is an active reviewer for several journals and also serves on the Advisory Board of Gerson Lehermans Council of Health Care Advisors.

PROFESSIONAL EXPERIENCE

2001-Current
Assistant Professor.
Section of Hospital & Perioperative Medicine,
Dept. of General Internal Medicine.
The Cleveland Clinic Foundation, Cleveland, Ohio

Faculty
Cleveland Clinic Bariatric and Metabolic Institute.
Center for Biomechanical Engineering and Research on Diabetic Foot.

1999 – 2001
Clinical Assistant Professor.
Department Of General Internal Medicine.
University of Illinois, Chicago, Illinois

Director, Internal Medicine Residency Clinic
Section Chief, Ambulatory Care.
Department of Internal Medicine
Advocate Ravenswood Hospital Medical Center, Chicago, Illinois

1998 – 1999
Instructor, Internal Medicine Residency Program.
Department of Internal Medicine
Ravenswood Hospital Medical Center, Chicago, Illinois

HEALTH CARE SERVICES TRAINING

2000-Current
Enrolled in Masters in Medical Management Degree with American College of Physician Executives (Completed 80 Credit hours).

2000-2001
Completed Physicians in Management Courses (PIM I & PIM II) with American College of Physician Executives.

AWARDS

2000
Teaching Attending of the Year Award, Ravenswood Hospital Medical Center, Chicago, Illinois

1998
Community Service Award. Ravenswood Community, Chicago, Illinois

1997
Senior Resident of the Year. Ravenswood Hospital Medical Center, Chicago, Illinois

1984 – 1988
National Merit Scholarship for Graduate Medical Studies

EDUCATION

1983 –1989
MBBS, University of Kashmir, Srinagar, India.

1980 -1983
BS Biology with Honors in Chemistry. SP College of Sciences, Srinagar , India.

CLINICAL CARE

1995 – 1998
Residency in Internal Medicine. Ravenswood Hospital Medical Center, Chicago, Illinois

1994 – 1995 Transitional Residency. Ravenswood Hospital Medical Center, Chicago, Illinois

1994
Observership in Pulmonary Medicine. University of Arizona VA Medical Center, Phoenix, Arizona.

1991 – 1992
Residency in Critical Care and Trauma..Batra Hospital and Medical Research Center, New Delhi, India.

1990 – 1991
Residency in Pulmonary Medicine. RBTB Hospital & Patel Chest Institute, New Delhi, India.

1988 – 1989
Residency in Internal Medicine. University of Kashmir, Srinagar, India.

CLINICAL TEACHING/ EXPERIENCE

Co-ordinator Hospital and Peri-operative Medicine Noon Conference series for the section of Hospital Medicine.

Mentoring Medical Residents in Clinical Research, preparing Case reports. and presenting Clinical Vignettes.

Assist in Resident Evaluation and Selection

Developed Ambulatory Core Curriculum, Conducted Ambulatory Care Conferences, Morning reports and Board Reviews in General Internal Medicine.

Assisted in development of Clinical care Pathways.

PROFESSIONAL SOCIETIES

2003
Society of Hospital Medicine

1999
Association of Program Directors in Internal Medicine

CERTIFICATIONS

1998
Board certified in Internal Medicine

1997
Licensed Physician and Surgeon: Medical Board of Illinois.

2001
Licensed Physician and Surgeon: Medical Board of Ohio

CLINICAL RESEARCH

HEALTH SERVICES RESEARCH

1. Co- Investigator SBIR phase II continuation grant-NINDS (NIH). (CCF-John’s Hopkins joint collaboration): Perioperative outcome assessment in patients with SDB undergoing cardiac surgery using inpatient crystal 20S monitoring. Kayyali H, Kaw R, Collop N, Foldvary N, Weiner S.

2. Principal Investigator: Outcomes in patients with sleep apnea undergoing cardiac surgery. (Project # 013110) Kaw R, Golish J, Ghamande S, Burgess R, Walker E, Foldvary N.

3. Principal Investigator: Perioperative risk stratification of patients with sleep apnea undergoing non-cardiac surgery. (RPC # 2005-1037). Kaw R, Jaffer A, Golish J.

4. Co-Investigator: Incidence of adverse drug reactions & prescription errors in hospitalized patients with renal insufficiency. (RPC # 07641). Suri S, Kaw R, Rolston, D, Ketz J.

5. Outcome Studies in Diabetic Foot Disease.

EDUCATION RESEARCH

1. Participated in a 36 week Course in Research Methods with the Center of Medical Education, Research & Development

AD-HOC REVIEWER

1. Chest.
2. Journal of General Internal Medicine.
3. Cleveland Clinic Journal of Medicine.

ADVISORY GROUPS

2005 - Current Gerson Lehrman group’s council of Health Care Advisors.

COMMITTEE SERVICE

Cleveland Clinic Foundation:

1. Physician-Nurse Partnership Committee.
2. Pre-operative Working Group for Bariatric Surgery.
3. Committee for Diabetic Foot Care.
4. Subacute Quality Committee.

BIBLIOGRAPHY and PRESENTATIONS
(click to open)

Website Disclaimer

2002-01-01T01:32:00.000-05:00

Information provided here is for medical education only. It is not intended as and does not substitute for medical advice. If you are a patient, please see your doctor for evaluation of your individual case. Under no circumstances will the authors be liable to you for any direct or indirect damages arising in connection with use of this website. Patient data published on this website is modified and information from several cases may be compiled into one posting for teaching purposes and to protect patient confidentiality. Cases course and description do not follow real cases.

All opinions expressed here are those of their individual authors and not of the Cleveland Clinic.

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