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Archana                        Mishra

Archana Mishra MD, MS, FACP, FCCP

Department of Medicine

Clinical Associate Professor

Specialty/Research Focus

Critical Care Medicine; Internal Medicine; Pulmonary; Pulmonary & Critical Care Medicine; Sleep Medicine

 
Professional Summary:

My clinical responsibilities include serving as an intensivist to patients requiring critical care and participating in the care of hospitalized patients with pulmonary problems at the Buffalo VA Medical Center (Buffalo VAMC). I also diagnose and manage outpatients with sleep problems at the Buffalo VAMC.

My clinical research interests include asthma in the elderly and the impact of passive smoke on respiratory health. I also have been exploring novel appreciative assessment approaches to raise resilience and prevent burnout in faculty and medical trainees. In addition, I have a keen interest in working on strategies to enhance faculty mentoring skills.

In addition to my clinical and research responsibility, I am passionate about educating future generations of health care professionals, and I help train and mentor medical students from the first to final year of medical school. I am one of the seminar leaders for the Clinical Practice of Medicine course. As such, I help train first-year students in clinical skills. I also play an active role in mentoring medical students, helping them to develop into compassionate and well-rounded physicians who have sound clinical skills as well as the humanistic qualities that are exhibited in the best medical care.

As a member of the steering committee for the medical school’s Center for Medical Humanities, I am involved in designing a humanistic curriculum to prepare the next generation of physicians. I facilitate sessions with second- and third-year medical students, with the goal of supporting and fostering humanism. I teach students how to develop their ability to use self-awareness of knowledge, skill and emotional limitations in order to engage in appropriate help-seeking behaviors.

As the associate clerkship director in internal medicine, I run “brain teasers” sessions to excite and activate my students as they embark on their clerkship journey into medicine. I conduct lectures and small group sessions in pulmonary and critical care medicine, on topics such as asthma, chest x-ray interpretation, pulmonary function testing and shock--and on topics diverse from my subspecialty such as rheumatology, infectious disease and hematology.

In addition, I teach medicine residents and the pulmonary, critical care and sleep medicine fellowship trainees who rotate with me on the inpatient and outpatient services. As a preceptor and member of the Resident Clinical Competency Committee, I provide support and career advice to residents during their training.

I believe the ability to think creatively is essential in the medical field, and I strive to help students and physicians-in-training overcome creative barriers. I develop methods to guide students to think “out of the box” and to be inquisitive, and I encourage them to apply these skills to help recognize problems, solve medical cases and design research and clinical treatment.

Education and Training:
  • FACP, American College of Physicians (2010)
  • FCCP, American College of Chest Physicians (2001)
  • MS, Clinical Research Training, Albert Einstein College of Medicine (2001)
  • Fellowship, Pulmonary, Critical Care and Sleep Medicine, North Shore University Hospital (2000)
  • Residency, Medicine, Long Island College Hospital (1997)
  • MBBS, Medicine, Rajendra Medical College, Bihar, INDIA (1988)
Employment:
  • Attending Physician, Medicine, Buffalo VA Medical Center (2015-present)
  • Clinical Associate Professor, Medicine, University at Buffalo (2010-present)
  • Associate Clerkship Director, Medicine, University at Buffalo (2005-present)
  • Assistant Professor, School of Medicine and Biomedical Sciences, University at Buffalo (2005–2010)
  • Research Assistant Professor, Medicine, University at Buffalo (2001–2005)
  • Attending Physician, Pulmonary & Critical Care and Sleep Medicine, North Shore University Hospital (2000–2001)
Awards and Honors:
  • Gold Foundation Tow Humanism in Medicine Award, University at Buffalo, School of Medicine and Biomedical Sciences (2015)
  • Commendation for teaching excellence (2010)
  • Women Leaders in Medicine Award (2009)
  • Ambassador’s Humanitarian Recognition Award (2007)
  • White Coat Award for Excellence in Teaching in Department of Medicine (2007)
  • Humanitarian Award (2005)
  • Carter Pannill Award in Recognition of Excellence in Teaching in Department of Medicine (2004)
  • Young Clinical Scientist Award (2002)
  • Buswell Fellowship (2002)
  • Education Award in Recognition of Exceptional Teaching in the Department of Medicine Residency Program (1999)
  • House Staff Grant Program Award (1998)
  • First Prize in Clinical Research (1997)
  • Best Resident (1997)

Research Expertise:
  • Asthma in the elderly
  • Impact of passive smoke on respiratory health
  • Inter-professional gap in medicine
Grants and Sponsored Research:
  • January 2002–January 2005
    Impact of Environmental Tobacco Smoke on Respiratory Health of Adults
    Flight Attendant Medical Research Institute
    Role: Principal Investigator
    $300,000
  • October 2000–November 2000
    A Randomized, Bouble-Blind, Placebo-Controlled, Crossover Trial for the Safety of Inactivated Influenza Vaccine in Adults and Children with Asthma
    American LUng Association and Johns Hopkins University
    Role: Co-Principal Investigator
    $325
  • Enhancing Implementation of Clinical Practice Guidelines for Asthma
    Role: Principal Investigator
    $15,000
  • Randomized, double-blind, placebo controlled, parallel group trial asessing rate of decline of lung function with tiotropium 18mcg capsule once daily in patients with COPD
    Role: Co-Investigator
    $10,129
  • Impact of Community Outreach Program for Education on Health Care Utilization Patterns in Elderly with Asthma
    Research for Health in Erie County Grant
    Role: Principal Investigator
    $15,000
  • Asthma Clinical Research Center-Clinical Site (North Shore-Long Island Health System)
    American Lung Association
    Role: Co-Investigator
    $750,000

Evaluative Studies and Case Reports:
  • Haas CE, Magram Y, Mishra A. Rhabdomyolysis and acute renal failure following an ethanol and diphenhydramine overdose.. Ann Pharmacother. 2003; 37(4).
Journal Articles:
  • Fathallah AM, Chiang M, Mishra A, Kumar S, Xue L, Middaugh R, Balu-Iyer SV. The Effect of Small Oligomeric Protein Aggregates on the Immunogenicity of Intravenous and Subcutaneous Administered Antibodies. J Pharm Sci. 2015; 104(11).
  • Mojaverian, A, Sundaram, R, Mishra A, Cohen, R, Fein, A, Karpel, J. Improvements in asthma outcomes in the North Shore-Long Island health systems. Am. J. Resp. Crit. Care Med.. 2003.
  • Mishra A, Novak, J, Nowak, P, Aquilina, AT, Grant BJ. Burden of asthma in the elderly. Chest. 2003; 124(4).
  • Mojaverian, A, Sundaram, R, Mishra A, Cohen, R, Fein, A, Karpel, J. Asthma outcomes in the North Shore-Long Island Jewish health system. Chest. 2003; 124(4).
  • Mishra A, Fein, AM. Intensive care of asthmatics. Am. J. Resp. Crit. Care Med.. 2002; 165(8).
  • Mishra A, Quinones, A, Stirling, A, Usmani, N, Feinsilver, SH, Fein, AM. Utilization and cost of in-hospital aerosolized bronchodilator therapy. Am. J. Resp. Crit. Care Med.. 2001; 163(3).
  • Mishra A, Fein, A, Scharf, SM. Increase in asthma hospitalization in the elderly. Chest. 2001; 120(4).
  • Mishra A, Fein, A, Feinsilver, SH, Scharf, SM. Influence of age on resource utilization in asthma hospitalization. Chest. 2001; 120(4).
  • Quinones, A, Mishra A, Ost, D, Fein, AM. A study to evaluate the competency of ICU personnel in mechanical ventilation. Chest. 2001; 120(4).
  • Ost, D, Arunabh. Anasco, E, Lee, B, Feinsilver, S, Russo, R, Mishra A, Fein, A,. Utility of ct fluoroscopy guided bronchoscopy in difficult to diagnose cases. Chest. 2001; 120(4).
  • Shah, K, Khanna, D, Arunabh, Mishra A, Werber, K, Feinsilver, SH. Should polysommography for sleep apnea only be ordered by sleep specialists?. Am. J. Crit. Care Med.. 2001; 163(3).
  • Shsh, SK, Mishra A, Ost, D, Fein, AM. Physician trends in the usage of pulmonary artery catheters in the intensive care unit. Chest. 2000; 118(4).
  • Mishra A, Ost, D, Shah,SK, Schenk, ML, Fein, AM. Impact of post-discharge dispostion in acute respiratory distress syndrome (ARDS) on healthcare utilization. Chest. 2000; 118(4).
  • Raj, A, Mishra A, Feinsilver, SH, Fein, AM. An estimate of the prevalence and impact of asthma and related symptoms in a New York City Middle School. Chest. 2000; 118(4).
  • Mishra A, Feinsilver, SH, Fein, AM. Monthly trends in hospital discharges for asthma, chronic obstructive airways (COPD), pneumonia and influenza. Chest. 2000; 118(4).
  • Mishra A, Friedman, HS, Sinha, AK. The effects of erythromycin on the electrocardiogram. Chest. 1999; 115(4).
  • Mishra A. Asthma in the elderly. Emergency Medicine. 1999; 31(3).
  • Mishra A, Schiff, MJ, Fein, AM, Feinsilver, SH, Scharf, S. A comparison of demographics of asthma hospital discharges in a large health system with national discharges. Am. J. Resp. Crit. Care Med.. 1999; 159(3).
  • Mishra A, Schiff, MJ, Fein, AM, Feinsilver, SH, Scharf, S. Descriptive analysis of asthma in a large health system. Am. J. Resp. Crit. Care Med.. 1999; 159(3).
  • Mishra A, Scharf,SM, Feinsilver, SH, Schiff, MJ, Fein, AM. Seasonal trends in asthma hospitalization in a large health system. Chest. 1999; 116.
  • Mishra A, Fein, AM, Sterling, A, Kao, EW, Hirsch, BE, Schiff, MJ, Feinsilver, SH. Impact of community-acquired pneumonia practice guidelines on prescribing practices and outcomes in adult inpatients in a tertiary center and a community hospital in the same health system. Chest. 1998; 114(4).
See all (11 more)

Professional Memberships:
  • Member Clerkship Directors in Internal Medicine (CDIM) (2005–present)
  • Member/American Thoracic Society
  • Fellow American College of Physicians
  • Member/American Medical Association
  • Fellow/American College of Chest Physicians
Presentations:
  • "Breathless in Buffalo: Asthma Demystified" UBMD CME Conference, UBMD, Medicine (2016)
  • "Missing Piece" CPM1, University at Buffalo, Medical Students (2016)
  • "Creativity Crisis? Contemplating a Cure Collaboratively" Medical Humanities lecture, Center for Medical Humanities (2015)
  • "Art of History Taking" CPM II, University at Buffalo (2014)
  • "Simplified Acid Base Disorders" , Rajendra Institute of Medical Sciences, India (2007)
  • "Raise Resilience, Banish Burnout" Pediatric Resident Conference, University at Buffalo (2005)
  • "Challenges in the elderly asthmatic" American College of Chest Physicians (2004)
  • "Activity-induced asthma" , Health Plan Collaborative CME (2004)
  • "Update on asthma" , North Shore-Long Island Jewish Health System (2003)
  • "ABC's of asthma" , Buffalo General Hospital (2003)
  • "ABC's of asthma" , ECMC (2003)
  • "ABC‘s of asthma" , VAMC (2003)
  • "Asthma in the elderly" , ECMC, Medicine Grand Rounds (2002)
  • "Impact of environmental tobacco smoke on respiratory function of non-smoking adults" Grand Rounds Invited Speaker, Long Island Jewish Medical Center (2002)
  • "Increasing hospitalization for asthma in the elderly" , North Shore-Long Island Jewish Health System, Pulmonary Grand Rounds (2002)
  • "Increasing hospitalization for asthma in the elderly" American College of Chest Physicians Annual Meeting (2001)
  • "Outcomes in ARDS" American College of Chest Physicians Annual Meeting (2001)
  • "Adapting clinical algorithms: Asthma in the elderly" American Thoracic Society Annual Meeting (2001)
  • "Asthma and viral infection" , Pulmonary Grand Rounds (2000)
  • "Asthma in the elderly" American Lung Association, Annual Pulmonary Update (2000)
  • "Are we breathing better or wheezing worse" , Women's Health Initiative (2000)
  • "Disease management of asthma with focus on the elderly" Management Care College, Staten Island University Hospital, NY (2000)
  • "Disease management of asthma with focus on the elderly" Management Care College, Care Management Group, NY (2000)
  • "Adapting clinical algorithms: Asthma in the elderly" American Thoracic Society Annual Meeting (2000)
  • "Asthma management in North Shore-Long Island Jewish Health System" Medicine Grand Rounds, North Shore University Hospital (1999)
See all (15 more)
Service Activities:
  • Jacobs School of Medicine & Biomedical Sciences Faculty Council; Alternate Member (2014)
  • Jacobs School of Medicine & Biomedical Sciences Admissions Committee; Member (2012)
  • Reviewer for 2016 ACP National Abstract Competitions; Reviewer (2015–2016)
  • National Agency for Scientific Evaluation (ANEP); Reviewer (2015)
  • Reviewer MKSAP for Students 5; Reviewer (2010)
  • CHEST abstract reviewer and grader; Abstract Grader for 74th Annual International Scientific Assembly of the American College of Chest Physicians (ACCP), October 2008; Reviewer (2008)
  • Reviewer MKSAP for Students 4; Reviewer (2007)
  • CHEST Abstract/Case Report Reviewer; Abstract/Case Report Review Process for the American College of Chest Physicians (ACCP) 2007; Reviewer (2007)
  • HELP Matrichaya Co-Founder; HELP Matrichaya is a 501(c)(3) Public Charity founded with the mission to catalyze socio-economic changes in poverty-struck tribal region of Jharkhand in India through education, vocational training for self employment and health care.; Vice President (2004–present)

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Contact Information

Buffalo VA Medical Center
3495 Bailey Avenue
Buffalo, NY 14214
Phone: (716) 862 8634
Fax: 716 8862 8632
Email: amishra@buffalo.edu

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