Internal Medicine - Pediatrics
My clinical practice at the Linwood Avenue Internal Medicine-Pediatrics office provides healthcare services to an underserved area of Buffalo. I provide primary care for both adult and pediatric patients with a wide variety of medical issues. In addition, I provide specialized care for patients with chronic pain issues through osteopathic manipulation including Cranial Osteopathy. Lastly, I provide specialized and primary care services for adult patients with Sickle Cell disease. As the Director of the Adult Sickle Cell Transitional Care program, I have a formalized transitional program with providers in the Sickle Cell & Hemoglobinopathy Center of Western New York at Women and Children’s Hospital of Buffalo. Directing such a program not only educates the faculty, staff, and residents in the Linwood Avenue clinic and Internal Medicine and Pediatrics residency, but also all healthcare providers around the Buffalo area who care for these patients. This program leads to better patient-centered care for those suffering with Sickle Cell disease throughout Western New York. Currently, my research is focused on a quality improvement project: Increasing Cancer Screening through Academic Detailing and Practice Facilitation. The grant is funded through Health Research, Inc. and the New York State Department of Health. The primary focus of the project is to determine if educational and quality improvement support provided will improve screening rates among primary care practices. In cooperation with other project leaders and sites around the state, the Linwood Avenue primary care office is using these resources to improve screening rates for breast, cervical, and colorectal cancer among our patients As a teacher, I supervise Med-Peds residents at the Linwood Avenue office, as well as Internal Medicine residents on the inpatient service at Buffalo General Medical Center four weeks per year. I also teach pediatric residents when I am on call for pediatric patients and Newborn Nursery, which occurs on a rotating basis throughout the year. Both my weeks on service and on call also include the teaching of University at Buffalo medical students. In addition, I help run the osteopathic medical student elective during which we are able to introduce students outside of UB to our Internal Medicine and Pediatrics residency program. Lastly, I give a number of lectures each year at the monthly Med-Peds conferences as well as educate residents and students across specialties about Sickle Cell Disease and the standards of care for patients of all ages and in a variety of settings. As an Associate Program Director for the Combined Internal Medicine-Pediatrics Residency Program, I ensure that the goals and objectives of the program continue to match the goals and philosophies of both osteopathic and allopathic medicine. Furthermore, I focus on maintaining a core principle of Osteopathy, that being the care of the whole patient. As a group, we feel education is a core principle in our role as UB professors. As our program continues to increase the number of Med-Peds medical providers and educate an increasing number of medical students, was are able to aide in the care of the growing transitional patient population in the US.
Children and Adults; Internal Medicine - Pediatrics
Born and raised in Western New York, I graduated from UB medical school and trained in the Combined Internal Medicine-Pediatrics Residency Program at University at Buffalo. I have now been a faculty member for two decades, working in primary care of both adults and children at the Elmwood Health Center. I became the Program Director for the Med-Peds Residency in 2006 and the Division Chief for Med-Peds in 2008. At my primary care clinical practice at the Elmwood Health Center, I care for patients in an underserved community of Buffalo with a variety of backgrounds and socioeconomic statuses. The center specializes in caring for individuals with developmental disabilities and I see many patients with complex social and medical issues. I have an interest in transitional health care for pediatric patients with chronic diseases, whom this practice allows me to continue caring for into adulthood. My research focus recently has been on Med-Peds medical education. I worked with other Med-Peds program directors across the country to research the support provided to Med-Peds programs since being recognized as separate categorical residencies by the ACGME in 2006. I also supervise and mentor Med-Peds residents on their individual research projects. In addition, I earned my Masters of Epidemiology in 2005 with a thesis on the knowledge, attitudes, and beliefs about influenza vaccine administration. Much of my role as a faculty member and program director is focused on teaching and medical education is of particular interest to me. I supervise Med-Peds residents at both the Elmwood Health Center and the Linwood Med-Peds site. I teach Medicine and Pediatric residents and medical students on the inpatient wards at Buffalo General Medical Center and Women and Children’s Hospital of Buffalo while on service several weeks throughout the year. I lecture several times a year at the monthly Med-Peds conferences and have given evidence-based medicine lectures to pediatric residents in the past. In the larger Department of the Medicine, I lead the Internal Medicine Teaching Interest Group which focuses on faculty development of teaching skills. I also recently formed the Transitional Care Interest Group in cooperation with both adult and pediatric physicians throughout Jacobs School of Medicine and Biomedical Sciences. Together, we work to improve transitional care for patients in Western New York through development of clinical protocols, research, education, and administrative support.
Internal Medicine; Pediatrics; Internal Medicine - General; Internal Medicine - Pediatrics
Francis W Peabody said: “… the secret of the care of the patient is in caring for the patient” I am a primary care physician to adults and children, forging long-term relationships with my patients and their families, as their doctor from birth to death. I am board-certified in internal medicine and pediatrics. My mission in medicine is four-fold: to provide empathetic and expert patient care, to teach and train the next generation of physicians, research and global health. I practice in UBMD’s Division of Internal Medicine at Conventus-- part of the Buffalo Niagara medical campus. I therefore offer easy access primary care to all staff and students in the medical campus, and their families. I have a Ph.D. in biochemistry and worked for a decade as a scientist and professor. I therefore have an interest in genetic and metabolic disorders. I led adult cystic fibrosis care for five years at the Marshfield Clinic in Wisconsin. I continue to provide care to patients with these congenital diseases. I have a decade of experience in training different learners in the outpatient setting, on international medical mission trips and in the hospital. My research is on bacteriophages -- their role in the microbiome of the respiratory tract and in genomic predictors of pathogenicity in bacteria. I also do research on problems I have seen in my patient population – suicidal ideation and risk in high school students and obesity in children. I believe a good history and physical exam can reduce needless testing in the search for a diagnosis. My skills have been honed by practice in Africa and Latin America. I was a short-term Ebola Clinician in Sierra Leone during the 2014-2015 outbreak and remain committed to delivering healthcare internationally. I offer primary care support to specialty services and welcome learners and collaborators in our mission to provide excellent healthcare to populations locally and globally.
Internal Medicine - Pediatrics
I was born and raised in southern Pennsylvania and after attending medical school at Penn State University, I relocated to Buffalo for residency in Combined Internal Medicine and Pediatrics. After graduation, I remained in academics at UB. I have interests in transitional care medicine, particularly in medical management of behavioral issues in patients with developmental disabilities. I also have interests in resident and student education, especially in developing simulation curriculum. Helping to take care of underserved populations is also important to me. I volunteer regularly with the Lighthouse Free Clinic, which is run by UB medical students. Outside of medicine, I enjoy travel, making wine as well as enjoying good wine, and spending time with friends and families.
As an adult and pediatric physician practicing at both the Buffalo General Medical Center (BGMC) and the John R. Oishei Children's Hospital, I care exclusively for hospitalized adults and children. I oversee every aspect of my patients’ care, from their admission to the hospital to their discharge. My particular expertise is caring for hospitalized adults who have congenital or chronic health conditions that originated in childhood. My research focus is quality improvement. I completed advanced training in the science of improvement and in the care of adults with congenital or complex health care needs who are admitted to pediatric hospitals. I present nationally on these topics. My work includes improving communication between patients and their physicians, knowing that when communication improves, the quality of medical care increases and better patient education takes place. My research interests also involve improving hospital efficiency with an eye toward improved patient care. My overall goal is to identify and help implement the interpersonal and institutional factors that lead to the best possible medical care for hospitalized patients. Teaching and mentoring in the hospital setting is a large part of my day. I am actively involved in resident and medical student education and clinical training, focusing on evidence-based medicine and systems-based practice. I also regularly participate in morning report and case-based teaching, lecturing at both internal medicine conferences and the monthly conferences of the Division of Medicine-Pediatrics. I work at BGMC on the teaching services, supervising residents and medical students; I also supervise trainees at the John R. Oishei Children's Hospital.
Internal Medicine - Pediatrics
As a physician trained in Internal Medicine-Pediatrics, I treat both children and adults. I am also fortunate enough to be able to see patients in the both the hospital and clinic setting at Buffalo General Hospital, Women’s and Children’s Hospital, and the Elmwood Health Center, respectively. As a Clinical Assistant Professor, I work directly with residents and medical students in teaching and clinical education. Although I am not originally from Buffalo, having trained here for four years, I have grown to love the city and the people who call it home. I look forward to continuing to develop my clinic practice and treating adult and pediatric patients who are in need of hospital-based care for years to come.
Pulmonary & Critical Care Medicine
My clinical practice focuses on management of general pulmonary disease with a specialized interest in cystic fibrosis (CF) and bronchiectasis. As a physician-consultant for the inpatient UBMD pulmonary consult services at Buffalo General Medical Center (BGMC) and at Roswell Park Cancer Institute, I attend to the needs of hospitalized patients with pulmonary problems in conjunction with the UBMD pulmonary team. This talented inpatient consult team of fellows, residents and medical students works under my supervision, and through my mentoring and teaching of them I hope to share my expertise and give back to medical education by training future healthcare professionals. I see patients to evaluate and treat pulmonary disorders such as shortness of breath, lung masses, abnormal chest imaging, abnormal pulmonary function tests, chronic obstructive pulmonary disease (COPD), asthma, interstitial lung disease and bronchiectasis. My outpatient office locations are the Heart and Lung Center at BGMC and the UBMD Specialty Clinic on Youngs Rd in Williamsville. As the Adult Director of the Cystic Fibrosis Center in Buffalo, the only care facility in Western New York accredited by the national Cystic Fibrosis Foundation, I provide comprehensive care for individuals with cystic fibrosis with a specially devoted multidisciplinary team. I also provide local care for patients who have received lung transplants for cystic fibrosis, coordinating and collaborating on their care with the transplant physicians and health care providers. In addition to these responsibilities as a pulmonologist, I attend to hospitalized patients at BGMC and WCHOB who are patients of the UBMD Internal Medicine and Pediatric practices to provide continuity of care for those physicians and their patients. I am actively engaged in clinical research through many international clinical trials, and through this work strive for improved therapies and a cure for individuals with cystic fibrosis. I am excited to see the major advances made recently with genetic mutation specific therapy being delivered to individuals with CF. Research will continue to progress as a result of successful clinical trials made possible by generous patients and the concerted efforts our highly productive local research team and the Cystic Fibrosis Foundation.
Adolescent Medicine; Children and Adults; Internal Medicine; Pediatrics
As a specialist in adult and pediatric care, I practice general primary care for both children and adults. I also provide specialized care for adolescents and young adults who have a wide range of health and psychosocial conditions and concerns, including eating disorders, gynecologic issues, sexual health concerns and complex chronic disease. My academic interests focus on adolescent resiliency, i.e., a teenager’s ability to overcome adversity. Those with more resiliency tend to cope better with chronic disease or negative experiences and are less likely to engage in risk-taking behaviors. I am particularly interested in the role resiliency plays in my patients’ quality of life in the face of their chronic health conditions. I am also interested in its role in preventing risk-taking behaviors—specifically, high-risk sexual behaviors that lead to teenage pregnancy. My resident research project focused on the relationship between resiliency and perceived quality of life in adolescent mothers, a research area that I continue to explore. My goal with these research foci is to develop ways to improve resiliency among adolescents in our community, through coursework in our high schools, perhaps, or through after-school programs. As a faculty member in internal medicine and pediatrics, I am involved in resident and medical student education. I teach evidence-based medicine and its clinical application, keeping current with journal articles and reviews, using data to modify my clinical practice, when indicated--and encouraging these practices in residents and medical students. I participate as well in introducing both first- and second-year medical students into the clinical setting via the Clinical Practice of Medicine (CPM) course they are required to take. Students come to my primary care office to shadow me and to practice their history-taking and physical-exam skills. I also lecture at the monthly medicine-pediatrics conferences; recent topics have included contraception and proteinuria in pediatric patients.
Children and Adults; Internal Medicine - Pediatrics
I provide adult and pediatric health care with a primary focus on caring for individuals with developmental disabilities. My clinical expertise draws from over a decade of primary care practice at the Elmwood Health Center, a clinic located in an underserved area of Buffalo. The center specializes in caring for individuals with developmental disabilities and providing primary care to residents in the surrounding city neighborhoods and adjacent suburbs. I see children and adults from a wide variety of backgrounds, many with complex social as well as medical issues. I care for patients from an increasingly diverse population due to the growth of immigrants in the Buffalo area; this gives me the rich experience of treating and communicating with patients from different cultural backgrounds. I am committed to health care equity, and I strive to understand the needs of all my patients. My research is dedicated to increasing advanced directives in the medical charts of developmentally disabled adults. I serve frequently as a consultant to hospital health care providers in assessing the decision-making ability of intellectually impaired adults. I teach in a number of settings: I present endocrine topics to medical students during inpatient rotations at the Buffalo General Medical Center (BGMC) and the Women and Children’s Hospital of Buffalo (WCHOB), and I give endocrinology lectures to our Medicine-Pediatrics residents. I oversee inpatient and outpatient clinical training of medical students and residents in internal medicine and pediatrics at Elmwood Health and at the inpatient services at BGMC and WCHOB. I also teach the second-year Clinical Practice of Medicine course as a preceptor at the Elmwood Health Center. Additionally, I have served as the quality improvement officer within our academic division, and I organized a Web-based residency curriculum for our training program. I periodically advise residents on quality improvement projects.