Pediatric Emergency Medicine - Pediatrics; General Pediatrics
My clinical expertise is focused on pediatric hospital medicine and pediatric urgent care. I practice an evidence-based, patient- and family-centered model of care at the Women and Children’s Hospital of Buffalo. Here, I care for children and adolescents exhibiting a wide array of illnesses and health issues, including infectious illnesses of the blood, skin, lungs and kidneys; respiratory illnesses such as pneumonia and croup; chronic illnesses such as diabetes and asthma and common pediatric illnesses such as influenza and dehydration. I also care for children and adolescents recovering from injuries or surgeries. I have a particular clinical and research interest in pain assessment and treatment. In the emergency department, I care for children and adolescents with mild-to-moderate acute problems in an urgent care setting, including fever, asthma exacerbations, lacerations, gastrointestinal tract complaints, fractures and other musculoskeletal injuries. Additionally, I have expertise in the psychological aspects of physical illness, which allows me to offer comprehensive care to my patients. Prior to medical school, I completed a PhD in child clinical psychology and a postdoctoral fellowship in pediatric psychology. I then practiced for more than 10 years as pediatric psychologist, applying the principles of psychology within the context of pediatric health and aiming to promote the health and development of children and adolescents and their families through use of evidence-based methods. In treating patients medically, I tap my expertise in assessing and treating behavioral and emotional concomitants of illness, injury and developmental disorders--and preventing illness and promoting health and health-related behaviors. I appreciate the importance of good communication between hospital-based providers and the patient’s primary care provider and ensure that my patient‘s primary care providers are alerted when their patient is admitted to my service. This allows the primary care doctor the opportunity to offer insight to the patient‘s medical history. At discharge, I carefully review the resident‘s discharge summary to make sure that the primary doctor knows what happened and why. I appreciate primary doctors’ time and ensure that the discharge summary is concise but brief. I teach medical students and residents daily. I allow my trainees to form their own assessments and plans, and I use their presentations as a platform to offer positive reinforcement, personal experience and evidence-based medicine teaching. I often ask trainees to research a topic and give a brief presentation on rounds. My goals are to foster collaborative learning, encourage a supportive learning environment and build the confidence of my trainees as they test their knowledge and skills.
General Pediatrics; Pediatrics
I am a general academic pediatrician, Division Chief of General Pediatrics at the University at Buffalo, and Medical Director of Primary Care Services at Women & Children‘s Hospital of Buffalo. I began my career with five years in full-time general pediatrics practice before completing a three year general academics pediatrics fellowship at Johns Hopkins University. Following my fellowship, I was on the pediatrics faculty at the University of Arkansas for Medical Sciences for eight years, where I was also an attending physician at Arkansas Children‘s Hospital. I am particularly interested in population health, practice transformation, health care delivery and outcomes for children with special health care needs and medical complexity. My research interests focus on health care systems and quality improvement for children with special health care needs, children with medical complexity, the patient/family-centered medical home, and family-centered care.
General Pediatrics; Pediatric Diabetes; Pediatric Endocrinology; Pediatrics
As a pediatrician specializing in treating hospitalized patients, I care for children, including neonates with various serious medical conditions requiring inpatient care. I work closely with community pediatricians to provide care for these newborns and for other children who need hospitalization. I am additionally board certified in pediatric endocrinology and diabetes. As a pediatric endocrinologist, I manage children and adolescents, both as inpatients and outpatients, with various endocrinological and metabolic disorders. I am particularly involved in the care of youths with juvenile diabetes, obesity, metabolic syndrome, calcium and bone disorders, abnormalities of growth and puberty, and disorders of sex development. I serve as the program coordinator at the Diabetes Center of the Women and Children’s Hospital of Buffalo (WCHOB) for the American Diabetes Association’s Educational Recognition Program. I supervise the diabetes self-care management education provided by the center’s certified diabetes educators and nutritionists to young people diagnosed with type 1 and type 2 diabetes. Additionally, I coordinate quality improvement projects that are focused on improving diabetes care delivery. As an assistant professor of pediatrics at UB and a member of the Teaching Interest Group at WCHOB, I educate and train medical students, residents and fellows and devise methodologies to improve learning. I supplement my core lectures with targeted bedside teaching. I conduct clinical research and publish on various aspects of general pediatrics and pediatric endocrinology. My current focus is on the prevention of abnormal weight gain in children and adolescents with new onset type 1 diabetes. I also mentor UB medical students in research on topics such as evaluating the current level of diabetes care provided at our diabetes center and our efforts to improve diabetes self-care.
Pediatrics; General Pediatrics
I am a physician executive with extensive experience in medical management, medical informatics – including big data and data science − financial analysis and computer modeling. I serve as the executive director of the University at Buffalo Institute for Healthcare Informatics (IHI), as chief medical informatics officer (CMIO) of UBMD, a multispecialty faculty practice of over 500 UB physicians, and as CMIO of Kaleida Health, the largest health care provider in Western New York The IHI supports big data health care research and economic development at UB and its partner institutions in the Buffalo Translational Consortium by providing a secure computing environment, data science and security consulting and extensive health care datasets. The IHI provides a secure data center with a state-of-the-art data repository infrastructure that can be used to generate knowledge that improves the health of the Western New York community, New York State and the nation. As CMIO my goal is to implement and optimize electronic health records (EHRs) and other systems so that they will collect data that can simultaneously provide clinical decision support, manage patient populations and feed data repositories. I have served in multiple medical and informatics leadership roles, and my background in clinical, administrative and technological medicine enables me to interface effectively with multiple health care environment stakeholders, including physicians, nurses, other clinical and administrative staff, information technology personnel and vendors. As a result, I have been able to lead physician practices through transformative changes, including the adoption of electronic health records. I have published and presented extensively in the field of informatics; my particular interest is ethical issues in informatics. I am a board-certified pediatrician and continue to practice general pediatrics in inner-city Buffalo.