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 am responsible for research ethics at the UB Clinical and Translational Research Center (CTRC) where I founded and 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 coordinator 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 coordinator. 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.
Family Medicine; Geriatric Medicine
I have continuously practiced as a family physician since I graduated from residency in 1977. Since joining the faculty of the Department of Family Medicine at the University at Buffalo in 1980, I have instructed and supervised medical students and residents in the hospital and office. I have served in many administrative roles- medical director of the family medicine center clinical office, residency program director, vice chair of the department, and chief of service for family medicine at Kaleida Health and Millard Fillmore Hospital prior to the merger which created the Kaleida system. In 2002 I was appointed to the position of Chief Medical Officer for Millard Fillmore Hospital. In 2005 I served as Interim Chief Medical Officer for the Kaleida Health system, then transitioned to the position of Chief Medical Officer for the Buffalo General Hospital until 2011. In 2012 I began a mentoring program for junior clincal faculty, and most recently, in April 2013 was appointed as interim chair of the Department of Family Medicine and in September 2014 appointed as permanent chair.