General Pediatrics; Pediatrics; Psychology
My clinical expertise is focused on pediatric hospital medicine. I practice an evidence-based, patient- and family-centered model of care at the John R. Oishei Children‘s Hospital. 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 as well as adolescent addiction medicine. I am the Medical Director of the Medication Assisted Addiction Treatment Program at Endeavor Health Services. In this capacity I evaluate and treat patients 14-24 years of age addicted to heroin and/or prescription opiates. 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 school and 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 UBMD Pediatrics and the University at Buffalo, and Medical Director of Primary Care Services at the John R. Oishei Children‘s Hospital. 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.
Pediatrics; General Pediatrics
I am a board-certified pediatrician who cares for children from birth to age 22. I specialize in pediatric hospital medicine, focusing on patients hospitalized with complex medical problems that defy a simple diagnosis, or those with multiple chronic medical conditions requiring, for example, home ventilators or gastrostomy tubes, or patients with rare diseases such as Menkes disease. Most of my patients require multidisciplinary care. I have extensive experience with complex medical care and collaborative medical coordination; as a result, my patients receive the best possible care, as I collaborate with every type of subspecialist, including pulmonologists, geneticists, endocrinologists, surgeons and rheumatologists. I also have extensive experience as a primary care physician. This, together with my hospital experience, helps me give my patients and their families everything they need to navigate the hospital system from the moment they enter the emergency room to the time of discharge. My primary care experience is also a great asset in understanding the progression of illness, and I bring this expertise to every patient I care for. I lead the patient experience team at the Oishei Children’s Hospital, which means I review patient feedback and make decisions that continually improve the hospital experience of families. I have several research foci. I conduct research on: 1.) antibiotic use for respiratory syncytial virus (RSV) bronchiolitis and the treatment of withdrawal symptoms in infants prenatally exposed to both recreational and prescribed medications, 2.) the care of opioid-addicted newborns (neonatal abstinence syndrome) and how they respond to medical treatment, with a goal of identifying better ways to treat these newborns and 3.) the use of high-flow nasal cannula for breathing support, for patients using this apparatus outside the ICU setting. I also focus on quality care initiatives such as the multidisciplinary care of patients as it applies to the family’s global hospital experience. My goal is to translate findings into improved medical care and ancillary services for hospitalized pediatric patients. I teach medical students and family medicine and pediatrics residents, and I supervise them as they care for hospitalized patients. I teach evidence-based medicine at the bedside during family-centered rounds, in case presentations and in the classroom. My lectures to medical students include topics such as croup and epiglottitis. My trainees benefit from my extensive primary care background. Sending patients to the hospital, and then caring for them when they return home has given me valuable experience: I understand what brings patients into the hospital from their primary care physicians, and I know how to transfer their care into a hospital setting. I also know what patients need to make a successful transition from the hospital to home — for example, how to dose a medication simply so that parents can understand and administer it — and what primary care physicians need to offer patients both before and after they are hospitalized, e.g., follow-up care, nursing support, help with medications. I impart this knowledge, this practical side of medicine, to my trainees. Families come to the hospital with diverse backgrounds. I teach my trainees how to support families and learn their stories — without judging them — in order to give their children the best possible care. We care for teens who have tried to take their own lives, for example. I encourage my trainees to understand their patients’ backgrounds and the factors that drove them to their decisions. In modeling professional behavior to my trainees, I teach them to approach patients and their families with respect and compassion. I want my trainees to be curious. I teach that not everything about their patients is obvious, and I encourage trainees to ask questions — that the answer to a patient’s care is often hidden in their illness, if they listen closely. I coax trainees to learn as much as they can, then study the literature and talk to colleagues for answers. I stress teamwork. I work directly with the pediatrics resident program on curriculum development. I am part of the UBMD teaching interest group that evaluates and discusses how best to educate the next generation of physicians. This helps ensure that I am on the cutting edge of teaching techniques. Additionally, I am part of the New York state chapter of the American Academy of Pediatrics, which coordinates pediatricians’ activities for the entire state. As such, I bring to my trainees the latest information about education and the practice of medicine across disciplines.
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.