Internal Medicine; Internal Medicine - General
I provide outpatient primary care service at Erie County Medical Center. I treat patients with multiple chronic medical problems such as diabetes, hypertension, obesity and high cholesterol, providing proactive, preventative and compassionate care for these complex cases. My practice emphasizes coordinating care across interdisciplinary teams and helping patients make therapeutic lifestyle changes through diet, exercise and weight loss. I take great pleasure in working with diverse, underserved patients, including patients with mental illnesses, helping them understand their disease, overcome barriers to treatment and address the causes of noncompliance. As a medical director of the Internal Medicine Clinic, I am actively engaged in several ongoing quality improvement projects to improve patient safety and the quality of care we provide. I have led initiatives to design and optimize clinical workflows and to implement Allscript Enterprise Electronic Health Records (EHR) in all outpatient clinics at ECMC, building a framework to provide consistent care throughout our health care system. Through benchmarking evidence-based national quality standards and providing physician leadership in using EHR and Patient-Centered Medical Home (PCMH) programs, I hope to lay the groundwork for a twenty-first century health care system. I am passionate about teaching and education. I provide mentoring, teaching and supervision for medical students and the 33 residents at our clinic. Our quality improvements projects have been presented at various national annual conferences, including American College Of Physicians( ACP) and Society of General Internal Medicine. We have published QI projects in BMJ open quality journal. My goal is to create great leaders and excellent physicians for the future.
As the new Associate Program Director and Site Director at Buffalo General Hospital, I look forward to strengthening our residency program and enhancing the patient experience. My clinical practice focuses on the comprehensive care of seriously ill, adults admitted to an inpatient, acute care facility. My academic interests include medical resident and student education, with a specific focus on consult medicine, the physical exam, as well as reducing preventable readmissions. I have previously practiced medicine in Rochester, NY and New York City. I am very fortunate to now practice in my hometown. My husband and I have greatly enjoyed all the cultural activities which Buffalo has to offer and look forward to raising a family here.
Internal Medicine - General
I am working as Women‘s Health Medical director at VA hospital and Associate program director for department of Internal Medicine. I trained and was board certified as a surgeon from New Delhi, India. I then did training and was board certified in obstetrics and gynecology from Royal College of obstetrics and gynecology in London, UK. After working many years as an obstetrician gynecologist in Ireland I came to United States to do residency internal medicine.I did my residency from Buffalo in 1999 and recertified in 2009. I worked for 9 years in Buffalo General Hospital, as an attending in internal medicine with academic medicine. I have been with the hospital for last 4 years working in women‘s health. I am very interested in teaching.
Internal Medicine; Public Health and General Preventive Medicine
I am a primary care physician specialized in both internal medicine and preventive medicine. As a member of the UBMD Internal Medicine primary care team, I see patients at the Hertel-Elmwood Internal Medicine Center. My clinical work focuses on providing high value care for patients with acute and complex chronic conditions, including diabetes, heart failure, asthma, chronic obstructive pulmonary disease (COPD) and hypertension. I have worked as a physician in both Peru and the United States, and my ability to speak English and Spanish fluently—in addition to my multicultural background--allows me to relate to, and care effectively for a broad patient population. My ability to reach across cultural divides helps build trust in my patients, an essential component in rendering individualized, compassionate care. I have a special interest in translating evidence-based innovations, using quality improvement tools, to enhance the care of patients with multiple chronic diseases. I am interested in research that strives to understand the social determinants of health, i.e., how socioeconomic circumstances, neighborhood environments and psychosocial factors affect the prevention and treatment of chronic conditions. I am specifically interested in how social determinants affect the treatment of patients with Type 2 diabetes. My goal in this research is to understand the multiple factors affecting health and wellness in order to help ameliorate the disparities found in the health care of vulnerable populations. I train medical students and residents as they rotate in the Hertel-Elmwood Internal Medicine Center. I emphasize to trainees that building a healing longitudinal relationship with patients is as important as mastering the science of medicine in delivering effective and compassionate patient care. Furthermore, I encourage trainees to look not only “downstream” for the causes of diseases but “upstream” as well in order to offer holistic approaches for the prevention and treatment of diseases that affect our Buffalo and Western New York community.
Geriatric Medicine; Palliative Medicine
I am a general internist by training, and I practice primary care at a UBMD/Kaleida Health ambulatory center in North Buffalo. I am also a member of the ECMC Geriatrics Consultation Service. I provide medical care to a diverse population of adults, and I specialize in caring for chronically ill and frail elders. I strive to integrate my patients’ values, circumstances and preferences with evidence from high-quality medical research in order to make the best possible care decisions for my patients—a decision-making process that often includes quality-of-life discussions with my patients and their families. My main research and teaching areas are biomedical ethics (particularly in regard to incapacitated patients), research ethics and palliative medicine. I am also interested in the study of medical decision making, decision analysis and evidence-based medicine. I was responsible for research ethics at the UB Clinical and Translational Research Center (CTRC) from its inception until 2014, where I founded and still chair the monthly Clinical and Research Ethics Seminar. My teaching centers on ethics and palliative medicine. I teach medical students communication skills in the preclinical years. I am the course director for the required medical student ethics course, a leadership role I have filled since 1990. I organized the first palliative medicine elective for medical students in 1999 and continue to serve as course director. I also designed an innovative standardized patient exercise that forms a central part of the elective. I supervise internal medicine trainees, and my focus includes general internal medicine as well as evidence-based medicine.
Internal Medicine; Internal Medicine - General
I graduated from the University of Buffalo School of Medicine and completed a residency in Internal Medicine at UB as well. I was a Chief Resident in 1990 and subsequently joined the Department of Medicine as a faculty member in the Division of General Internal Medicine. I served as an Associate Program Director for the Internal Medicine resident training program until 2008. From 2002 until 2008 I became involved in hospital administration and served as the Chief Medical Officer for the Erie County Medical Center. From 2008 until 2011 I served as the Chief Medical Officer for the Seneca Nation Health Department. During that time I completed a Masters of Public Health at the Mailman School of Public Health at Columbia University. In 2011 I returned full time to the Department of Medicine as Division Chief of General Internal Medicine and to ECMCC as an Associate Medical Director. Throughout my career I have been very interested in medical education, quality improvement and patient safety. In my role at ECMC I have been charged with improving the patient experience and have focused on patient and physician communication. We are currently assessing barriers to effective communication and developing interventions to improve the quality of physician and patient interactions.
As the Clerkship Director for 3rd and 4th year required Medicine Clerkships, my main interest is student education. My goal is for every student, regardless of their future career goals, to acquire the knowledge, skills and attitudes to provide basic medical care to their patients. For the 3rd year students, I have developed a practical examination to assess interpretation of commonly encountered problems on chest radiographs, ECGs, hematologic smears, microbiologic samples and electrolyte disorders. The 4th year in-house exam requires students to manage 2 patients initial presentation to discharge in a step wise manner. As a management attending on the inpatient teaching service at Buffalo General Medical Center, my focus is to serve as a role model for providing effective and empathetic care to all patients.
Internal Medicine - General
I am a primary care doctor specialized in Internal Medicine and currently practice at Hertel-Elmwood Internal Medicine center. I am passionate about developing long-standing and trusting relationships with my patients. It is important to establish a candid relationship and open communication with my patients in order to properly treat their disease. My professional goal is to reach out to the underserved and minor population in the WNY community, by allowing my patients to feel empowered and knowledgeable about their health.
I am a primary care physician, board-certified in internal medicine. I see patients at the UBMD Internal Medicine office on Youngs Road in Williamsville. I take a holistic approach to my patients and am part of a “medical home” model of patient care. This means I work as part of a team: I collaborate with other physicians and health care professionals to provide comprehensive and continuous medical care to my patients, with the goal of obtaining the best possible health outcomes. I focus, too, on preventive care and believe that it is important to help patients lead a lifestyle that will maximize their health. I also teach medical students. My goal is to teach students to become compassionate physicians who care for patients holistically and in the context of their families, their cultures and their communities. I have been recognized with numerous teaching awards throughout my career. I serve as well as the senior associate dean for student and academic affairs. As such, I am responsible for medical admissions, multicultural affairs, student services, registrar services, student disciplinary matters and the school’s Clinical Competency Center and simulation centers. I am also the program director for STEP (Science and Technology Entry Program) and director of the post-baccalaureate program. My overall goals are to support strong pipeline programs that help ensure a diverse student body, attract academically talented students who show the potential to become compassionate physicians, provide our students with a variety of hands-on opportunities in research, training and innovative learning experiences--and help our students succeed at every stage in their medical education. My office is structured to support our students throughout the four years of medical school, both with academic advising and personal counselling services.
I practice medicine at Erie County Medical Center. My philosophy of medical care is to work with patients and come to the best plan of action for the issues facing that patient. I believe in a cooperative model of care that incorporates my experience and judgment along with the patient‘s values and preferences. Education is a significant part of my work and I believe that my role as a physician is not only to diagnose and treat, but to educate patients. Since information and education is often not the only thing patients need, I practice and believe in techniques that can improve motivation for healthy choices. I consider my experience in motivational interviewing to be an important component of my clinical expertise.
I am Clinical Faculty in the Division of General Internal Medicine. I see patients and supervise residents in Internal Medicine and medical students at the Primary Medicine Center at Buffalo General Hospital. I am interested in scholarship relating to medical education, quality of care, and helping patients adopt healthy behaviors.