Faculty of the Ph.D. Program at TDI

(not all inclusive of potential Ph.D. Advisors and Thesis Committee Members)

 

Included below are the faculty members' primary appointment(s) at Dartmouth and their educational background, additional websites (if any), roles in TDI's educational programs, research interests and about 10 representative publications. (download this page in pdf format)

 

Denise L. Anthony, Ph.D.

John A. Baron, M.D., M.S., M.Sc.

Stephen J. Bartels, M.D., M.S.

Paul B. Batalden, M.D.

William C. Black, M.D.

Bernard F. Cole, Ph.D.

Madeline A. Dalton, Ph.D.

Eugene Demidenko, Ph.D.

Allen Dietrich, M.D.

Robert E. Drake, M.D., Ph.D.

Eric J. Duell, Ph.D.

Linda Titus-Ernstoff, Ph.D.

Elliott S. Fisher, M.D., M.P.H.

Ann Barry Flood, Ph.D.

David C. Goodman, M.D., M.S.

Pamela C. Jenkins, M.D., Ph.D.

Margaret R. Karagas, Ph.D.

Hilary A. Llewellyn-Thomas, Ph.D.

Jon D. Lurie, M.D., M.S.

Todd A. MacKenzie, Ph.D.

David Malenka, M.D.

Mark P. McGovern, Ph.D.

Gregory J. McHugo, Ph.D.

Robert K. McLellan, M.D., M.P.H.

Eugene C. Nelson, D.Sc., M.P.H.

Gerald T. O'Connor, Sc.D., Ph.D.

Stephen K. Plume, M.D., FACS

James Sargent, M.D.

Lisa M. Schwartz, M.D., M.S.

Jonathan S. Skinner, Ph.D.

Mark E. Splaine, M.D.

Douglas O. Staiger, Ph.D.

Therese A. Stukel, Ph.D.

Harold M. Swartz, M.D., Ph.D., M.S.P.H.

Mark E. Splaine, M.D., M.S.

Anna N. A. Tosteson, Sc.D.

Tor Devin Tosteson, D.Sc.

John H. Wasson, M.D.

H. Gilbert Welch, M.D., M.P.H.

William B. Weeks, M.D., M.B.A.

John E. Wennberg, M.D., M.P.H.

James N. Weinstein, D.O., M.Sc.

Robert E. Whitley, Ph.D.

Steven Woloshin, M.D., M.S.

Michael Zubkoff, Ph.D.

 

[updated 3 Nov 2007]

 

Denise L. Anthony, Ph.D., Chair and Associate Professor of Sociology; Adjunct Assoc. Prof., Community and Family Medicine, DMS

B.A. in Sociology and International Studies from Indiana University of Pennsylvania, 1990

M.A. in Sociology from the University of Connecticut, 1991

Ph.D. in Sociology from the University of Connecticut, 1997

Post-doctoral Fellow, Robert Wood Johnson Foundation Scholar in Health Policy, University of Michigan, 1997-1999

Website: http://www.dartmouth.edu/~socy/faculty/anthony.html

Teaching roles at TDI: Ph.D. Program: Ph.D. Advisor; Lecturer

Research Interests: Collective Action Problems, Economic Sociology, Health Care and Health Policy, Organizations and Institutions

Representative Publications

Broadhead RS, Heckathorn DD, Grund JPC, Stern LS, and Anthony DL. Drug Users Versus Outreach Workers in Combating AIDS Part I: Agency Problems in Traditional Outreach Interventions. The International Journal of Drug Policy. 1995;6(3):178-188.

Broadhead RS, Heckathorn DD, Grund JPC, Stern LS and Anthony DL. Drug Users Versus Outreach Workers in Combating AIDS Part II: Preliminary Results of a Peer-Driven Intervention. The International Journal of Drug Policy. 1995; 6(4):274-288.

Anthony DL. Micro-Lending Institutions: Using Social Networks to Create Productive Capabilities. International Journal of Sociology and Social Policy (Special Issue on Economic Sociology).1997;17(7/8):156-178.

Broadhead RS, Heckathorn DD, Weakliem DL, Anthony DL, Madray H, Mills RJ, and Hughes J. Harnessing Peer Networks as an Instrument for AIDS Prevention: Results from a Peer-Driven Intervention. Public Health Reports. 1998; 113 supplement 1:42-57.

Heckathorn DD, Broadhead RS, Anthony DL, and Weakliem DL. AIDS and Social Networks: Prevention Through Network Mobilization. Sociological Focus. 1999; 32(2):159-179.

Anthony DL and Banaszak-Holl J. 2003. Organizational Variation in the Managed Care Industry in the 1990s. Research in the Sociology of Health Care. 2003; 21.

Anthony DL. Changing the nature of physician referral relationships in the US: the impact of managed care. Social Science and Medicine. 2003; 56(10):2033-2044.

Anthony DL and Horne C. Gender and Cooperation: Explaining loan repayment in micro-credit borrowing groups. Social Psychology Quarterly. 2003; 66(3):293-302.

Anthony DL. Cooperation in Micro-Credit Borrowing Groups: Identity, Sanctions and Reciprocity in the Production of Collective Goods. American Sociological Review. 2005; 70:496-515.

Ye Z, Smith S, and Anthony DL. "Trusted Paths for Browsers."2005 ACM Journal (TISSEC) Transactions on Information and System Security, 8(2):153-186

Anthony DL. 2005. "Cooperation in Micro-Credit Borrowing Groups: Identity, Sanctions and Reciprocity in the Production of Collective Goods." American Sociological Review 70(1):496-515.

Barnato AE, Herndon MB, Anthony DL, Gallagher PM, Skinner JS, Bynum JPW, Fisher ES. 2007. "Are Regional Variations in End-of-Life Care Intensity Explained by Patient Preferences? A study of the U.S. Medicare Population." Medical Care. 45(5):386-393.

 

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John A. Baron, M.D., M.S., M.Sc., Professor of Medicine (General Internal Medicine) and of Community and Family Medicine, Dartmouth Medical School.

M.S. in Mathematical Statistics from Stanford University, 1968 (Ph.D. program interrupted by Selective Service)

M.D. from the University of Michigan, 1976

M.Sc. in Epidemiology from the University of London, 1981

Webpage: http://bio-epi.hitchcock.org/Faculty/baronj.htm

Teaching roles at TDI:

Ph.D. Program: Ph.D. Advisor/Thesis Director; taught Advanced Topic Module in Epidemiology in Doctoral Seminars; Sponsor, NRSA Postdoctoral Fellow

Research Interests: Dr. Baron has been active in epidemiological research since 1981, with interests in sex hormone-related diseases (e.g., osteoporosis, breast cancer, and prostate cancer), cigarette smoking, administrative data sets, clinical epidemiology, and cancer prevention. Major projects have focused on the investigation of orthopedic epidemiology using Medicare data, cancer prevention trials, and etiological epidemiology. Dr. Baron is of the Clinical Trials Center at Dartmouth.

Representative Publications

Sorensen HT, Mellemkjaer L, Olsen JH, Baron JA. Prognosis of cancers associated with venous thromboembolism. N Engl J Med. 2000;343:1846-1850.

Baron JA, Cole BF, Sandler RS, Haile RW, Ahnen D, Bresalier B, McKeown-Eyssen G, Summers R, Rothstein R, Burke CA, Snover DC, Church TR, Allen JI, Beach M, Beck GJ, Bond JH, Byers T, Greenberg ER, Mandel JS, Marcon N, Mott LA, Pearson L, Saibil F, van Stolk R.  A randomized trial of aspirin to prevent colorectal adenomas. N Engl J Med 2003; 348:891-9.

Katz JN, Barrett J, Mahomed NN, Baron JA, Wright J, Losina E. Association between hospital and surgeon procedure volume and the outcomes of total knee replacement. JBJS 2004; 86A 1909-16.

Losina E. Barrett J. Baron JA. Levy M. Phillips CB. Katz JN. Utilization of low-volume hospitals for total hip replacement. Arthritis & Rheumatism 2004; 51(5):836-42.

Farahmand BY, Michaëlsson K, Ahlbom A, Ljunghall S, Baron JA. Survival after hip fracture. Osteoporosis International 2005; 16:1583-90.

Robertson DJ, Greenberg ER, Beach M, Sandler RS, Ahnen D, Haile RW, Burke CA, Snover DC, Bresalier RS, McKeown-Eyssen G, Mandel JS, Bond JH, Van Stolk RU, Summers RW, Rothstein R, Church TR, Cole BF, Byers T, Mott L, Baron JA. Colorectal Cancer in Patients under close colonoscopic surveillance. Gastroenterology 2005; 129:34-41.

Barrett J, Losina E, Baron JA, Mahomed NN, Wright J, Katz J. Survival following Total Hip Replacement. J Bone Joint Surg 2005; 87A:1965-71.

Mohomed NN, Barrett J, Katz JN, Baron JA, Wright J, Losina E. Epidemiology of Total Knee Replacement in the United States Medicare Population. J Bone Joint Surg 2005; 87A:1222-1228.

Onega T, Baron J, MacKenzie T. Cancer after total joint arthroplasty: a meta-analysis. Cancer Epidemiol, Biomarkers Prev 2006; 15:1532-7.

Jenkins MA, Hayashi S, O’Shea, A-M, Burgart LJ, Smyrk TC, Shimizu D, Waring PM, Ruszkiewicz AR, Pollettt AF, Redston M, Barker MA, Baron JA, Casey GR, Dowty JG, Giles GG, Limburg P, Newcomb P, Young JP, Walsh MD, Thibodeau SN, Lindor NM, LeMarchand L, Gallinger S, Haile RW, Potter JD, Hopper JL, Jass JR. Pathology features in Bethesda guidelines predict colorectal cancer microsatellite instability: A population-based study. Gastroenterology 2007; 133:48-56.

 

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Stephen J. Bartels, M.D., M.S. Professor of Psychiatry and Community and Family Medicine; Co-Director Dartmouth Center for Aging and Director, Center for Aging Research, Dartmouth Institute for Health Policy and Clinical Practice

B.A. in English from Amherst College, 1976

M.D., University of Virginia School of Medicine, 1980

Residency, Cambridge Hospital, Harvard Medical School 1981-1984

M.S. in Evaluative Clinical Sciences from Dartmouth College, 1997

Teaching roles at TDI:

Masters in Science: Tutorial Series (ECS 176-179) Advanced Methods in Health Services Research; Lecturer in Health Policy

Ph.D.-Postdoc Program: Ph.D. Advisor, Postdoctoral Mentor; Ph.D. Thesis Committee Member; Director of Module on Aging in Advanced Topics Doctoral Seminar
Research Interests: Geriatric health services research and health policy, health care integration and shared decision making for older adults, integration of mental health services and primary health care, quality improvement and outcome measurement for geriatric mental health services, evidence-based geriatrics, mental health services in long-term care, prevention of alcohol and medication misuse in older adults, utilization and costs of mental health services and treatments for older persons, rehabilitation and health care for older persons with severe mental illness, care management and chronic illness.

Dr. Bartels is the recipient of a 5-year career mentoring award and directs a post-doctoral training program funded by the National Institute of Mental Health (NIMH) on geriatric mental health services research. Dr Bartels is also principal investigator on grants from NIMH, CDC, SAMHSA, HRSA, and the endowment for health including research on health promotion, prevention, self-management, and chronic disease management for older adults with co-occurring medical and mental disorders.

Dr. Bartels served as the expert consultant to the Older Adult Subcommittee of the President's Commission on Mental Health and was responsible for writing the subcommittee report and recommendations. He has testified before congress and has participated in congressional briefings on aging and health policy, and on funding for research on mental disorders in older persons. He is a Past President of the American Association for Geriatric Psychiatry and recently served as the Founding Chair of the Geriatric Mental Health Foundation. He is currently the Scientific Co-Director for the Older Americans Substance Abuse and Mental Health Technical Assistance Center. Dr. Bartels was selected as the recipient of the Health Services Research Senior Career Award by the American Psychiatric Association in 2003, and was selected for the Mental Health and Aging Award by the American Society on Aging in 2005.

Representative Publications

Bartels SJ. Improving the United States' system of care for older adults with mental illness: findings and recommendations for the President's New Freedom Commission on Mental Health. American Journal of Geriatric Psychiatry. 2003;11(5):486-497.

Bartels SJ, Clark RE, Peacock WJ, Dums AR, Pratt SI. Medicare and Medicaid costs for schizophrenia patients by age cohort compared with depression, dementia, and medically ill patients. American Journal of Geriatric Psychiatry. 2003;11(6):648-657.

Bartels SJ, Dums AR, Oxman TE, Schneider LS, Areán PA, Alexopoulos GS, Jeste DV. Evidence-based practices in geriatric mental health care: an overview of systematic reviews and meta-analyses. Psychiatric Clinics of North America. 2003;26(4):971-990.

Foti ME, Bartels SJ, Merriman MP, Fletcher K, Van Citters AD. Medical advance care planning for persons with severe mental illness. Psychiatric Services, 56:576-584, 2005.

Bartels SJ, Miles KM, Van Citters AD, Forester B, Cohen MJ, Xie H. Improving mental health assessment and service planning practices for older adults: a controlled comparison study. Mental Health Services Research, 7(4) 213-223, 2005.

Bartels SJ, Van Citters AD. Community-based alternatives for older adults with serious mental illness: the Olmstead decision and deinstitutionalization of nursing homes. Ethics, Law, and Aging Review, 11, 3-22, 2005.

Bartels SJ, Drake RE: Evidence-based geriatric psychiatry: An overview. Psychiatric Clinics of North America, 28(4), 763-784, 2005.

Bartels SJ, Miles KM, Oxman TE, Zimmerman S, Cori LA, Pomerantz AS, Cole BH,
Van Citters AD, Mendolevicz N. Population-based screening for co-occurring alcohol use disorders, depressive symptoms, and suicidal ideation among older adults in a primary health care clinic. Journal of Dual Diagnosis, 2(3) 61-77, 2006.

Krahn DD, Bartels SJ, Coakly E, Oslin DW, Chen H, McIntyre J, Chang H, Maxwell J, Ware J, Levkoff SE: PRISM-E: Comparison of Integrated-Care and Enhanced-Specialty-Referral Models in the Outcomes of Older Patients With Depression. Psychiatric Services 56, 946-953, 2006

Bartels, SJ, Mueser KT. Psychosocial rehabilitation for older adults with serious mental illness. American Journal of Psychiatric Rehabilitation. In Press.

 

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Paul B. Batalden, M.D., Professor of Pediatrics and of Community and Family Medicine, Dartmouth Medical School; Director, Center for Leadership and Improvement, The Dartmouth Institute for Health Policy and Clinical Practice (TDI); Program Director, Dartmouth-Hitchcock Leadership Preventive Medicine Residency Program; Senior Vice President for Health Professional Development and Board member, Institute for Healthcare Improvement, Boston, Mass.

B.A., Augsburg College, 1963

M.D., University of Minnesota Medical School, 1967

Internship and Residency, Department of Pediatrics, University of Minnesota, 1967-1969

Teaching roles at TDI :

Masters Degree: Academic Area Director, Health Care Improvement; Course Director, ECS 117 Continual Improvement of Healthcare: An Overview and Co-Director, ECS 124 The Design and Improvement of Clinical Microsystems

Ph.D. Program: Ph.D. Advisor/Thesis Director; Ph.D. Thesis Committee Member; Lecturer in Doctoral Seminars

Other teaching related to TDI: Co-Director, National Office of Veterans Administration Quality Scholars Program; Program Director, Dartmouth-Hitchcock Leadership Preventive Medicine Residency

Research Interests: His major research interests currently include the development of graduate medical education learning portfolio systems and the development of publication guidelines for the peer-reviewed publication of improvement studies.

Dr. Batalden has been a student of continual improvement of the quality of health care for over 25 years. During the past 2 decades, he has applied the work of W. Edwards Deming and others to the improvement of health care. As Director of Health Care Improvement Leadership Development, he leads the creation and delivery of educational opportunities for physicians, nurses, healthcare workers and healthcare administrators. He also works to accelerate the improvement of care for patients and the integration of those efforts with professional education and development at the Dartmouth-Hitchcock Medical Center and in three counties in South Eastern Sweden.

Representative Publications

Batalden PB, "How Shall We Prepare the Future Healthcare Professional," Frontiers of Health Services Management, 18(2):39-42; Winter, 2001.

Batalden, PB, Stevens, DP, Kizer, KW, "Knowledge for Improvement: Who Will Lead the Learning?," Quality Management in Health Care, 10(3):3-9; Spring 2002.

Batalden PB, Leach DL, Swing S, Dreyfus H, Dreyfus S, "General Competencies and Accreditation in Graduate Medical Education," Health Affairs, 21(5):103-111; September-October 2002.

Batalden PB, Splaine M, "What Will it Take to Lead the Continual Improvement and Innovation of Health Care in the Twenty-first Century?," Quality Management in Health Care, 11(1):45-54, Fall 2002.

Batalden PB, Nelson EC, Mohr JJ, Godfrey MM, Huber TP, Kosnik L, Ashling K: Microsystem in Health Care: Part 5. How Leaders are Leading. Joint Commission Journal on Quality and Safety, 29(6) 297-308, June 2003.

Batalden PB, Nelson EC, Gardent PB, Godfrey MM. "Leading the Macrosystem and Mesosystem for Microsystem Peak Performance" in From Front Office to Front Line: Essential Issues for Health Care Leaders. Steven Berman (ed), Joint Commission On Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, pp 1-40, 2005.

Davidoff F, Batalden PBB. "Toward stronger evidence on quality improvement. Draft publication guidelines: the beginning of a consensus project." Quality & Safety in Health Care, 14, 319-325, October 2005.

Batalden PB, Davidoff F. "What is "quality improvement" and how can it transform healthcare?" Editorial in Quality and Safety in Health Care, 16, 2-3, February 2007.

Nelson EC, Batalden PB, Godfrey MM. Quality By Design: A Clinical Microsystems Approach. Jossey-Bass, March 2007.

Nelson EC, Batalden PB, Lazar J: Practice-Based Learning and Improvement: A Clinical Improvement Action Guide. Joint Commission Resources, October 2007.

 

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William C. Black, M.D., Professor of Radiology and of Community and Family Medicine, Dartmouth Medical School.

B.S. from University of Illinois, Urbana, IL, 1975

M.D. from the Medical College of Virginia, 1979

Residency in Diagnostic Radiology from University of Virginia Medical Center, 1983

Scholar, Radiological Society of North America Research and Education Fund, 1993

Teaching roles at TDI:

Ph.D. Program: Advanced Topic Module in Screening in ECS290 Doctoral Seminars

Research interests: Dr. Black is a practicing radiologist with expertise in the evaluation of screening and diagnostic testing. He has demonstrated how advances in diagnostic imaging distort the clinician's perception of the prevalence of disease, its natural history, and its response to medical intervention. He has also studied the public's perception of medical risks and benefits and shown that women 40-49 years of age substantially overestimate their risks of developing and dying from breast cancer. Currently, Dr. Black is a co-investigator of the National Lung Screening Trial, an NCI funded multi-center randomized controlled trial of screening for lung cancer with chest CT versus chest radiography. He is also the Chair of the Outcomes and Economics Committee of the American College of Radiology Imaging Network (ACRIN).

Representative Publications

Black WC, Dwyer AJ. Local versus global measures of accuracy: an important distinction for diagnostic imaging. Medical Decision Making 1990; 10:266-273.

Black WC, Welch HG. Advances in diagnostic imaging and overestimations of disease prevalence and the benefits of therapy. New England Journal of Medicine 1993; 328:1237-1243.

Black WC, Nease RF, Jr., Tosteson AN. Perceptions of breast cancer risk and screening effectiveness in women younger than 50 years of age [see comments]. Journal of the National Cancer Institute 1995; 87:720-731.

Black WC, Nease RF, Jr., Welch HG. Determining transition probabilities from mortality rates and autopsy findings. Medical Decision Making 1997; 17:87-93.

Black WC. Should this patient be screened for cancer? Eff Clin Pract 1999; 2:86-95.

Black WC. Overdiagnosis: An underrecognized cause of confusion and harm in cancer screening. J Natl Cancer Inst 2000; 92:1280-1282.

Rich JS, Black WC. When should we stop screening? Eff Clin Pract 2000; 3:78-84.

Black WC, Haggstrom DA, Welch HG. All-cause mortality in randomized trials of cancer screening. J Natl Cancer Inst 2002; 94:167-173.

Black WC. Randomized Clinical Trials for Cancer Screening: Rationale and Design Considerations for Imaging Tests. J Clin Oncol 2006; 24:3252-3260.

Black WC, Baron JA. CT screening for lung cancer: spiraling into confusion? Jama 2007; 297:995-997.

 

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Bernard F. Cole, Ph.D., Associate Professor of Community and Family Medicine (Biostatistics), Dartmouth Medical School

B.A. in Mathematics from Boston University, 1985

M.A. in Mathematics from Boston University, 1986

Ph.D. in Mathematics from Boston University, 1992

Postdoctoral Research Fellow, Department of Biostatistics, Harvard School of Public Health and Dana-Farber Cancer Institute, 1992-1993

Webpage: http://bio-epi.hitchcock.org/Faculty/coleb.htm

Teaching roles at TDI:

Masters Degree: See ECS245 below.

Ph.D. Program: Ph.D. Thesis Committee Member; Course Co-Director (w Todd MacKenzie), ECS 245: Advanced Statistics & Methods; Course Director, ECS 240/MATH30, Introduction to Linear Models; Co-Director (w Therese Stukel), Beyond Math 30.

Research Interests: Dr. Cole’s central area of research is the development and application of statistical methods for incorporating quality-of-life considerations in the evaluation of cancer treatments. His on-going research in this area includes development of methods for incorporating longitudinal assessments of quality of life into survival analysis and models for non-ignorable missing data in this setting.

Representative Publications

Cole BF, Gelber RD, Anderson KM. Parametric approaches to quality adjusted survival analysis. Biometrics. 1994;50:621–631.

Bonetti M, Cole BF, Gelber RD. A method-of-moments estimation procedure for categorical quality-of-life data with nonignorable missingness. Journal of the American Statistical Association. 1999;94:1025–1034.

Murray S, Cole BF. Variance and sample size calculations in quality-of-life adjusted survival analysis (Q-TWiST). Biometrics. 2000;56:173–182.

Cole BF, Gelber RD, Gelber S, Coates AS and Goldhirsch A. Polychemotherapy for early breast cancer: an overview of the randomised trials with quality-adjusted survival analysis. The Lancet. 2001;358:277–286.

Baron JA, Cole BF, Sandler RS, et al. A randomized trial of aspirin to prevent colorectal adenomas. New England Journal of Medicine 2003;348, 891–899.

Cole BF, Glantz MJ, Jaeckle KA, Chamberlain MC and Mackowiak JI. Quality-of-life-adjusted survival comparison of sustained-release cytosine arabinoside versus intrathecal methotrexate for treatment of solid tumor neoplastic meningitis. Cancer 2003;97:3053–3060.

Wallace K, Byers T, Morris JS, Cole BF, Greenberg ER, Baron JA, Gudino A, Spate V and Karagas MR. Prediagnostic serum selenium concentration and the risk of recurrent colorectal adenoma: a nested case-control study. Cancer Epidemiology, Biomarkers & Prevention 2003;12 464–467.

Ahles TA, Saykin AJ, Noll WW, Furstenberg CT, Guerin S, Cole B and Mott LA. The relationship of APOE genotype to neuropsychological performance in long-term cancer survivors treated with standard dose chemotherapy. Psycho-Oncology 2003;12, 612–619.

Vuola JM, Ristola MA, Cole B, Järviluoma A, Tvaroha S, Rönkkö T, Rautio O, Arbeit R.D. and von Reyn CF. Immunogenicity of an inactivated mycobacterial vaccine for the prevention of HIV-associated tuberculosis: a randomized, controlled trial. AIDS 2003;17, 2351–2355.

Harper DM, Longacre MR, Noll WW, Belloni DR and Cole BF. Factors affecting the detection rate of human papillomavirus. Annals of Family Medicine 2003;1, 221–227.

Cole BF, Gelber RD, Gelber S and Mukhopadhyay P. A quality-adjusted survival model (Q-TWiST) for advanced stage cancer. Journal of Biopharmaceutical Statistics 2004;14, 111–124.

Schwaab T, Tretter CPG, Gibson JJ, Cole BF, Schned AR, Harris R, Wallen EM, Fisher JL, Waugh MG, Truman D, Stempkowski LM, Crosby NA, Heaney JA and Ernstoff MS. Immunological effects of granulocyte-macrophage colony-stimulating factor and autologous tumor vaccine in patients with renal cell carcinoma. The Journal of Urology 2004;171, 1036–1042.

Wallace, K., Baron, J.A., Cole, B.F., Sandler, R.S., Karagas, M.R., Beach, M.A., Haile, R.W., Burke, C.A., Pearson, L.H., Mandel, J.S., Rothstein, R. and Snover, D.C. (2004). Effect of calcium supplementation on the risk of large bowel polyps. Journal of the National Cancer Institute 96, 921–925.

Cole BF, Bonetti M, Zaslavsky AM and Gelber RD. A multi-state Markov chain model for longitudinal, categorical quality-of-life data subject to nonignorable missingness. Statistics in Medicine 2005 (to appear).

 

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Madeline A. Dalton, Ph.D., Associate Professor, Department of Pediatrics, Dartmouth Medical School; Director, the Hood Center for Children and Families, DHMC

B.A. in Biology from Alfred University, 1983

M.S. from School of Nutrition Science and Policy, Tufts University, 1988

Ph.D. from School of Nutrition Science and Policy, Tufts University, 1994

Teaching roles at TDI:

Ph.D. Program: Ph.D. Advisor; Co-Director for Advanced Topic Modules in Doctoral Seminars: Mixed Methods and Epidemiology

Research Interests: Dr. Dalton’s research focuses on the prevention of health risk behaviors during adolescence and early childhood. She has been Principal Investigator of four NIH-funded studies, three of which examine the social and environmental risk factors for tobacco use. Her investigations span from early childhood to adulthood and address issues ranging from attitudinal development about smoking to cessation treatments. Through a recent grant from National Institute of Environmental Health Sciences (NIEHS), Dr. Dalton has extended her research to examine adolescent obesity. This current study utilizes an existing cohort of 2600 New England families to investigate individual, family, and community level influences on adolescent physical activity and dietary patterns.

Representative Publications

Sargent JD, Tickle JJ, Beach ML, Dalton MA, Ahrens B, Heatherton TF. Brand appearances in contemporary cinema films and contribution to global marketing of cigarettes. Lancet 2001;357:29-32.

Dalton MA, Ahrens MB, Sargent JD, Beach ML, Tickle JJ, Heatherton TF. Relation between parental restrictions on movies and adolescent use of tobacco and alcohol. Eff Clin Pract 2002;5(1):1-10.

Dalton MA, Tickle JJ, Sargent JD, Beach ML, Ahrens MB, Heatherton TF. The incidence and context of tobacco use in popular movies from 1988-1997. Prev Med 2002;34(5):516-523.

Dalton MA, Sargent JD, Beach ML, Titus-Ernstoff L, Gibson JJ, Ahrens MB, Tickle JJ, Heatherton TF. Effect of viewing smoking in movies on adolescent smoking initiation: a cohort study. Lancet 2003;362:281-285. URL: http://image.thelancet.com/extras/03art1353web.pdf

Dalton MA, Bernhardt AM, Gibson JJ, Sargent JD, Beach ML, Adachi-Mejia AM, Titus-Ernstoff L, Heatherton TF. Use of cigarettes and alcohol by preschoolers while role-playing as adults. "Honey, Have Some Smokes." Arch Pediatr Adolesc Med 2005;159:854-859.

Sargent JD, Beach ML, Adachi-Mejia AM, Gibson JJ, Titus-Ernstoff L, Carusi C, Swain S, Heatherton TF, Dalton MA. Exposure to movie smoking: Its relation to smoking initiation among U.S. adolescents. Pediatrics 2005;116(5):1183-1191.

Dalton MA, Adachi-Mejia AM, Longacre MR, Titus-Ernstoff LT, Gibson JJ, Martin SK, Sargent JD, Beach ML. Parental rules and monitoring of children's movie viewing associated with children's risk for smoking and drinking. Pediatrics 2006;118(5):1932-1942.

Primack BA, Switzer GE, Dalton MA. Improving measurements of normative beliefs involving smoking among adolescents. Arch Pediatr Adolesc Med 2007;161:434-439.

Adachi-Mejia AM, Longacre MR, Gibson JJ, Beach ML, Titus-Ernstoff LT, Dalton MA. Children with a TV in the bedroom at higher risk for being overweight. International Journal of Obesity, 2007;31(4):644-651.

Titus-Ernstoff L, Dalton M, Adachi-Mejia A, Longacre M, Beach M. A longitudinal study of viewing smoking in movies and smoking initiation in children. Pediatrics, in press, 2007.

 

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Eugene Demidenko, Ph.D., Research Professor. Section of Biostatistics and Epidemiology, Department of Community and Family Medicine, Dartmouth Medical School

Adjunct Professor of Department of Mathematics, Dartmouth College

Adjunct Professor of Department of Computer Science, Dartmouth College

Ph.D. Mathematics & Statistics, Central Economics & Mathematics Institute of Academy of Sciences of the USSR, 1975

M.S. Mathematics, Moscow Pedagogical University, USSR, 1971

Teaching Roles:

Ph.D. Program: member of PhD thesis committee.

Other Teaching at Dartmouth: "Advanced Statistical Analysis of Experimental Data: Statistical Analysis of Images", Thayer School of Engineering; "Multivariate Statistics for Data Mining and Pattern Recognition", Department of Computer Science, Dartmouth College.

Website: http://www.dartmouth.edu/~eugened

Research Interests: mixed models, analysis of multivariate cluster data, optimal design of clinical and epidemiologic studies, computational statistics, data mining, mathematical modeling of tumor growth and regrowth, analysis of shapes and images, breast cancer detection using electrical impedance tomography, medical image reconstruction.

Demidenko E. "Mixed Models: Theory and Applications", John Wiley, New York, 2004.

Demidenko E. The assessment of tumour response to treatment. Applied Statistics 55: 365-377, 2006.

Demidenko E. Separable Laplace equation, magic Toeplitz matrix, and generalized Ohm's law. Applied Mathematics and Computation 181:1313-1327, 2006.

Demidenko E. Criteria for global minimum of sum of squares in nonlinear regression. Computational Statistics and Data Analysis 53: 1739:1753, 2006.

Demidenko E and Stukel T. Influence analysis for linear mixed-effects models. Statistics in Medicine 24: 893-909, 2005.

Demidenko E, Hartov A. Soni N, and Paulsen, K. On optimal current patterns for electrical impedance tomography. IEEE Transactions on Biomedical Engineering 52, 238:248, 2005.

Demidenko, E., Hartov, A., and Paulsen, K. (2004). Statistical estimation of resistance/conductance by electrical impedance tomography measurements. IEEE Transactions on Medical Imaging 23: 829-838.

Demidenko E. Sample size determination with logistic regression revisited. Statistics in Medicine 26:3385-3397, 2006.

Demidenko E. Poisson Regression for Clustered Data, International Statistical Review 75:96-113, 2007.

 

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Allen Dietrich M.D., Professor, Department of Community and Family Medicine, Dartmouth Medical School

B.A. in Biology from Swarthmore College, 1969

M.D. in Biology from Case Western Reserve University, 1973

Cambridge (MA) Hospital, Rotating Internship, 1973-1974

University of Rochester, Family Practice Residency, 1975-1977

Website: http://www.depression-primarycare.org/

Teaching Roles: ad hoc (helping Carolyn Murray)

Research Interests:

Cancer screening

Mental health services in primary care

Representative Publications:

Dietrich AJ, Tobin JN, Cassells A, et al. Translation of an efficacious cancer-screening intervention to women enrolled in a Medicaid managed care organization. Ann Fam Med. 2007 Jul-Aug;5(4):320-7.

Dietrich AJ, Tobin JN, Cassells A, et al. Telephone care management to improve cancer screening among low-income women: a randomized, controlled trial. Ann Intern Med. Apr 18 2006;144(8):563-571.

Dietrich AJ, Oxman TE, Williams JW, Jr., et al. Re-engineering systems for the treatment of depression in primary care: cluster randomised controlled trial. BMJ Sep 2004;329(7466):602.

Dietrich AJ, Oxman TE, Williams JW, Kroenke K, Schulberg HC, Bruce M, et al. Going to Scale: Re-engineering Systems for Primary Care Treatment of Depression. Annals Fam Med 2004;2(4):301-304.

Dietrich AJ, Williams JW, Ciotti MC, Schulkin J, Stotland N, Rost K, Baram D. Depression Care Attitudes and Practices of Newer Obstetrician-Gynecologists: A National Survey. Am J Obstet Gynecol 2003;189(1):267-73.

Dietrich AJ, Olson A, Sox, CH, Tosteson T, Grant-Petersson J. Persistent Increase in Children’s Sun Protection in a Randomized Controlled Community Trial. Preventive Medicine, 2000;31:569-574.

Dietrich AJ, Olson AL, Sox CH, Stevens M, Tosteson TD, Ahles T, Winchell CW, Grant-Petersson J, Collison DW, Sanson-Fisher R. A Community-Based Randomized Trial Encouraging Sun Protection for Children. Pediatrics, 1998; 102(6).

Dietrich AJ, Tobin JN, Sox CH, Cassels AN, Negron F, Younge RG, Tosteson TD. Cancer Early Detection Services in Community Health Centers for the Underserved: A Randomized Controlled Trial. Archives of Family Medicine. 1998; 7:320-327.

Dietrich AJ, O'Connor GT, Keller A, Carney PA, Levy D, Whaley FS. Improving Cancer Early Detection and Prevention: A Community Practice Randomized Trial. British Medical Journal,1992 304:687-691.

Dietrich AJ, Olson AL. Model System Ongoing Care for Native Americans: A Five Year Follow-up. Public Health Reports, 1986; 101(2): 184-187.

 

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Robert E. Drake, M.D., Ph.D., Andrew Thomson Professor of Psychiatry and Professor of Community and Family Medicine, Dartmouth Medical School; Director, new Hampshire-Dartmouth Psychiatric Research Center

B.A., in Biology from Princeton University, 1971

Ph.D., in Developmental and Clinical Psychology from Duke University, 1977

M.D., from Duke University, 1978

Website: http://www.dartmouth.edu/~psychrc/

Teaching roles at TDI:

Ph.D. Program: Ph.D. Advisor/Thesis Director, Ph.D. Thesis Committee Member

Research Interests: In addition to working actively as a clinician in community mental health centers for over 30 years, Dr. Drake has been developing and evaluating innovative community programs for persons with severe mental disorders. He is well known for his work in rehabilitation and health services research. His 400 publications include 15 books covering diverse aspects of adjustment and quality of life among persons with severe mental disorders and those in their support systems.

Representative Publications

Corrigan, P.W., Mueser, K.T., Bond, G.R., Drake, R.E., Solomon, P. The Principles and Practice of Psychiatric Rehabilitation. New York: Guilford Press, 2007.

Jackson, C., Covell, N., Drake, R., Essock, S. Relationship between diabetes and mortality among persons with co-occurring psychotic and substance use disorders. Psychiatric Services 58:270-272, 2007.

Drake, R.E., Wallach, M.A. Is comorbidity a psychological science? Clinical Psychology: Science and Practice 14:20-22, 2007.

Adams, J.R., Drake, R.E., Wolford, G.L. Shared decision-making preferences of people with severe mental illness. Psychiatric Services 58:1219-1221, 2007.

Green, A.I., Drake, R.E., Brunette, M.F., Noordsy, D.L. Treatment in Psychiatry: Schizophrenia and co-occurring substance use disorder. American Journal of Psychiatry 164: 402-408, 2007.

Alverson, H., Drake, R.E., Carpenter, E., Chu, E., Mieka, R., Smith, B. Ethno-cultural variations in mental illness discourses: Some implications for therapeutic relationships. Psychiatric Services, in press for Dec, 2007.

Drake, R.E., Mueser, K.T., Brunette, M.F. Management of persons with co-occurring severe mental illness and substance use disorder: Program implications. World Psychiatry 6:131-136, 2007.

Burns, T., Catty, C., Becker, T., Drake, R.E., Fioritti, A., Lauber, C., Knapp, M., Rossler, W., Tomov, T., van Busschbach, J., White, S., Wiersma, D., & the EQOLISE Group. Supported employment for people with severe mental illness: a European multi-centre controlled trial. Lancet 370:1146-1152, 2007.

McHugo, G.M., Drake, R.E., Whitley, R., Bond, G.R., Campbell, K., Rapp, C.A., Goldman, H.H., Lutz, W., Finnerty, M. Fidelity outcomes in the national Implementing Evidence-based Practices project. Psychiatric Services 58:1279-1284, 2007.

Bond, G.R., Xie, H., Drake, R.E. Can SSDI and SSI beneficiaries with mental illness benefit from evidence-based supported employment? Psychiatric Services 58:1412-1420, 2007.

 

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Eric J. Duell, Ph.D., Assistant Professor of Community and Family Medicine, Dartmouth Medical School

(Temporarily seconded to the WHO International Agency for Research on Cancer in Lyon, France until approximately 2010.)

B.A. in Microbiology from University of California, San Diego, 1988

M.S. in Environmental Health Sciences from University of California, Los Angeles, 1992

Ph.D. in Epidemiology from University of North Carolina, Chapel Hill, 1999

Postdoctoral Research Fellow/Associate, Department of Genetics and Complex Diseases (formerly Cancer Cell Biology), Harvard School of Public Health, 1999-2001

Webpage: http://bio-epi.hitchcock.org/Faculty/duelle.htm

Teaching roles at TDI:

Masters Degree: Guest lecturer, Environmental and Occupational Health

Ph.D. Program: Ph.D. Advisor.

Other Teaching: Lecturer: in Biostatistics and Epidemiology; Graduate Toxicology.

Research Interests: Dr. Duell’s central area of research is in cancer susceptibility, environmental and molecular epidemiology, and spatial epidemiology. Dr. Duell studies cancer susceptibility by investigating the interaction of inherited genetic variation with environmental exposures. He is currently studying susceptibility to pancreatic cancer in the context of exposure-related DNA damage and repair pathways. In the areas of spatial and environmental epidemiology, Dr. Duell is using Geographic Information Systems (GIS) to investigate the spatial distribution of non-melanoma skin cancer (and other human cancers) in relation to indoor radon concentrations in New Hampshire. His research utilizes the New Hampshire state cancer registry and GIS methods to study spatial relations between a variety of environmental and social factors and human cancer. Dr. Duell is also a member of the cancer epidemiology and chemoprevention working group of the Norris Cotton Cancer Center.

Representative Publications

Duell EJ, Holly EA, Liu M, Bracci PM, Wiencke JK, and Kelsey KT. A Population-Based, Case-Control Study of Polymorphisms in Carcinogen-Metabolizing Genes, Smoking, and Pancreatic Adenocarcinoma Risk. J Natl Cancer Inst. 2002;94(4):297-306.

Duell EJ, Holly EA, Bracci PM, Wiencke JK, and Kelsey KT. A Population-Based Study of the Arg399Gln Polymorphism in XRCC1 and Risk of Pancreatic Adenocarcinoma. Cancer Res. 2002;62:4630-6.

Duell EJ and Holly EA. A Polymorphism in CYP17, Reproductive Factors, and Pancreatic Cancer Risk. Proceedings of the American Association for Cancer Research. Toronto, Canada 2003 (Abstract no. 2612)

Duell EJ, Holly EA, Burk RD, and Kelsey KT. Inflammation, Genetic Polymorphisms in Pro-Inflammatory Genes RANTES, CCR5, and TNF-α, and Risk of Pancreatic Cancer. Proceedings of the American Association for Cancer Research. Orlando, Florida March 2004 (Abstract no. 1118)

Duell EJ and Holly EA. Reproductive and Menstrual Risk Factors for Pancreatic Cancer: A Population-Based Study among San Francisco Bay Area Women. American Journal of Epidemiology 2005;161:741-7.

Duell EJ, Casella DP, Burk RD, Kelsey KT, and Holly EA. Inflammation, Genetic Polymorphisms in Pro-Inflammatory Genes TNF-A, RANTES, CCR5, and Risk of Pancreatic Adenocarcinoma. Cancer Epidemiology, Biomarkers & Prevention 2006;15(4):726-31 [Invited Paper]

Shi X, Hoftiezer DJ, Duell EJ, and Onega TL. Spatial Association between Residential Radon Concentration and Bedrock Types in New Hampshire. Environmental Geology 2006; 51(1):65-71.

Duell EJ. The Future of Epidemiology: Methodological Challenges and Multi-Level Inference. Journal for Public Health, Health Research and Health Protection (Bundegesundheitsblatt Gesundheitsforschung Gesundheitsscchutz) 2006 Jul;49:622-27. [Invited Paper]

Shi X, Duell EJ, Onega T, Demidenko E, Wilson B, and Hoftiezer D. A Polygon-based Locally Weighted Average Method for Smoothing Disease Rates in Small Units. Epidemiology 2007 18:23-8.

Onega T, Duell EJ, Shi X, Wang, D, Demidenko E, and Goodman D. Geographic Access to Cancer Care in the United States. Cancer in press.

Duell EJ, Bracci PM, Moore JH, Burk RD, Kelsey KT, and Holly EA. Detecting Complex, Pathway-Based Gene-Gene and Gene-Environment Interactions in Pancreatic Adenocarcinoma . Carcinogenesis in press.

 

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Linda Titus-Ernstoff, Ph.D., Professor, Departments of Community and Family Medicine and of Pediatrics; Associate Director, Hood Center for Children and Families

B.A. in Psychology from Southern Connecticut State University, 1974

M.A. in Psychology from Connecticut College, 1983

Ph.D. in Epidemiology from Yale University School of Medicine, 1989

Webpage: http://bio-epi.hitchcock.org/Faculty/titus-el.htm

Teaching roles at TDI:

Ph.D. Program: Director, Advanced Topic Module in Epidemiology in ECS290 Doctoral Seminars

Other Teaching: Supervised Directed Research and Preceptor for TDI Masters and DMS medical students. PhD Committee Member. Lecturer; Epidemiology Methods, Boston University; Environmental Law, Vermont Law School

Research Interests: Dr. Titus’s research focuses on cancer etiology, with particular interest in melanoma and cancers of the breast and ovary.. She also studies the effects of prenatal diethylstilbestrol (DES) exposure, including possible intergenerational transmission, and has led Dartmouth’s longitudinal study of DES health outcomes for more than 15 years. She also collaborates with Dr. Madeline Dalton on her studies of adolescent risk behaviors.

Representative Publications

Titus-Ernstoff L, Perry AE, Spencer SK, Gibson J, Cole B, Ding J, Harjes J, Mott L, Ernstoff MS. Multiple Primary Melanoma: Findings from a Population-Based Case-Control Study. Archives of Dermatology 2006; 142: 433-438.

Titus-Ernstoff L, Troisi R, Hatch EE, Wise L, Palmer J, Hyer M, Kaufman R, Adam E, Strohsnitter W, Noller K, Herbst AL, Gibson-Chambers J, Hartge P, Hoover RN. Menstrual and reproductive characteristics of women whose mothers were exposed to DES in utero. International Journal of Epidemiology 2006; 35: 862-868.

Titus-Ernstoff L, Troisi R, Hatch EE, Palmer JR, Wise LA, Ricker W, Hyer M, Kaufman R, Noller K, Strohsnitter W, Herbst AL, Hartge P, Hoover RN. Mortality in women given diethylstilbestrol (DES) during pregnancy. British Journal of Cancer 2006; 95: 107-111.

Wise LA, Titus-Ernstoff L, Palmer JR, Hoover RN, Hatch EE, Perez KM, Strohsnitter WC, Kaufman R, Anderson D, Troisi R. Time to pregnancy and offspring sex ratio in men exposed prenatally to diethylstilbestrol. American Journal of Epidemiology 2007; 11: 1314-9.

Titus-Ernstoff L, Troisi R, Hatch EE, Hyer M, Wise LA, Palmer JR, Kaufman R, Adam E, Noller K, Herbst AL, Strohsnitter W, Cole BF, Hartge P, Hoover RN. Benign and Malignant Pathology in Offspring of Women Exposed In Utero to Diethylstilbestrol (DES): A Preliminary Report of the Third Generation. In press, Epidemiology.

Titus-Ernstoff L, Tosteson A, Kasales C, Weiss J, Goodrich M, Hatch EE, Carney PA. Breast cancer risk factors in relation to breast density (United States). Cancer Causes Control. 2006; 17(10):1281-90.

MacKenzie TA, Titus-Ernstoff L, Vacek PM, Geller B, Weiss JE, Goodrich ME, Carney PA. Factors associated with risk of incidental ductal carcinoma in situ of the breast in women undergoing screening mammography. Cancer Causes and Control 2007; 18::939-45.

Liang X, Trentham-Dietz A, Titus-Ernstoff L, Newcomb PA , García-Closas M, Welch RA, Hutchinson AA, Hampton JM, Sutcliffe CB, Haines JL, Egan KM. Whole genome amplification of oral rinse self-collected DNA in a population-based case-control study of breast cancer. Cancer Epidemiol Biomarkers Prev. PMID: 17684135.

Titus-Ernstoff L, Dalton MA, Adachi-Mejia AM, Longacre MR, Beach ML. A Longitudinal study of viewing smoking in movies and smoking initiation in children. In press, Pediatrics 2007.

Terry KL, Titus-Ernstoff L, McKolanis JR, Welch WR, Finn OJ, Cramer DW. Incessant ovulation, mucin 1 immunity, and risk for ovarian cancer. Cancer Epidemiology, Biomarkers and Prevention 2007; 16:30-5.

 

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Elliott S. Fisher, M.D., M.P.H., Professor of Medicine and Community and Family Medicine. Director, Center for Health Policy Research, The Dartmouth Institute for Health Policy and Clinical Practice.

B.A. in East Asian Studies from Harvard College, 1974

M.D., from Harvard Medical School, 1981

M.P.H., from the University of Washington, 1985

Senior Fellow, Robert Wood Johnson Clinical Scholars Program, University of Washington, 1983-1985

Residency, University of Washington, Primary Care Internal Medicine, 1982-1983

Internship, University of Washington, Primary Care Internal Medicine, 1981-1982

Teaching roles at TDI:

Masters Degree: Academic Area Co-Director, Health Policy; Course Director, ECS 100 Introduction to the Evaluative Clinical Sciences

Ph.D. Program: Ph.D. Advisor/Thesis Director; Ph.D. Thesis Committee Member

Other teaching related to TDI: Co-director VA/TDI Outcomes Research Fellowship

Research Interests: Dr. Fisher is a general internist at the Department of Veterans Affairs Medical Center in White River Junction, Vermont. He has served on numerous national committees and member of the National Advisory Council of the Agency for Healthcare Research and Quality. Dr. Fisher's interests lie in three areas. First, he has worked to clarify the limitations of administrative databases and develop methods to overcome them. Second, he has developed approaches to resource allocation based upon the principles of benchmarking, first as a means of addressing inequities in the levels of hospital resources across communities in Oregon and more recently as applied to the U.S. physician supply. Most recently, he has focused on the health implications of the uneven distribution of health care resources. Little is known about the impact of these differences on health outcomes. His current research, funded by the Robert Wood Johnson Foundation, examines the potential adverse consequences of increasing capacity in health care.

Representative Publications

Welch WP, Miller ME, Welch HG, Fisher ES, Wennberg JE. Geographic Variations in Expenditures for Physician Services in the United States. N Engl J Med 1993. 328:621-627.

Fisher ES, Wennberg JE, Stukel TA, Sharp S. Hospital Readmissions Rates for Cohorts of Medicare Beneficiaries in Boston and New Haven. N Engl J Med 1994; 331(15):989-995.

Fisher ES, Welch HG. "Avoiding the unintended consequences of growth in medical care: how might more be worst?" JAMA.1999; 281:446-53

Fisher ES, Wenneberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. " The Implications of Regional Variations in Medicare Spending. Part 1: The Content, Quality, and Accessibility of Care". Annals Internal Medicine 2003 Feb 18 138(4):273-87

Fischer ES, Wenneberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. " The Implications of Regional Variations in Medicare Spending. Part 2: Health Outcomes and Satisfactions with Care". Annals of Internal Medicine 2003 Feb 18; 138(4) 288-98

Fisher ES, Wenneberg DE, Stukel TA, Gottlieb, DJ,. "Variations in the Longitudinal efficiency of Academic Medical Centers". Health Affairs web exclusive, October 7 ,2004.

Skinner J,Staiger D, Fisher ES. "Is technological change in medicine always worth it? The case of acute myocardial infarction". Health Affairs, (25) 2006: web exclusives, published online February 6, 2006.

Sirovich, B. and Fisher ES (2006). "Regional variations in health care intensity and physicians’ perceptions of care quality." Annals of Internal Medicine 144(9):641-49.

Fisher, ES., Staiger, DO., Bynum, JPW., Gottlieb, D. " Creating Accountable Care Organizations: The Extended Hospital Medial Staff". Health Affairs, 261(1): w44-57

Bynum, JPW., Bernal-Delgado, E., Gottlieb, D., Fisher, ES. "Assigning Ambulatory Patients and Their Physicians to Hospitals: A method for Obtaining Population Based Provider Performance Measurements" Health Services Research, Published online: September 19,2006.

 

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Ann Barry Flood, Ph.D., Professor of Community and Family Medicine, DMS and Adjunct Professor, Sociology, Dartmouth College; Chair, Ph.D. Program and NRSA Postdoctoral Programs; Co-Editor-in-Chief, Health Services Research, Official Journal of the AcademyHealth.

B.A. in Mathematics and Sociology from University of Kansas, 1965

M.A. in Sociology from Stanford University, 1968

Ph.D. in Sociology from Stanford University, 1977

NIMH Postdoctoral Fellow in Organizations at Stanford University, 1977-1979

Robert Wood Johnson Health Policy Fellow at the Institute of Medicine and US Senate Finance Committee, 1988-9

Teaching roles at TDI:

Masters Degree: Academic Area Co-Director: Health Policy; Course Director, ECS 101 Health Policy: Organizational and Delivery System Issues and Problems; Former Course Director, ECS 120 Patient Health Behavior and Decision-Making

Ph.D. Program: Chair of Ph.D. Program; Ph.D. Advisor/Thesis Director; Ph.D. Thesis Committee Member; Course Director, ECS290- Doctoral Seminars: Modules in Advanced Topics and in Research Ethics and Skills

Other teaching related to TDI: Chair, NRSA Postdoctoral Program; Co-Director, Institutional NRSA Training Grant from AHRQ; Co-Director of Course at College Hum3: Scientific Controversies in Medicine.

Research Interests: Dr. Flood's area of expertise involves the theoretical and policy implications regarding professional and organizational factors which influence the outcomes of health care. Besides using outcomes to evaluate quality of care, she investigates the effects of financial incentives and managed care techniques on clinical decision-making and resource use and how clinical organizations respond to insurance incentives. She participated in "The Institutional Differences Study", a major study of quality of surgical care in US hospitals sponsored by the National Academy of Sciences (ref 1). This work spawned a major line of inquiry about the relationship between the volume of cases performed and better outcomes (ref 2). Her work on the Prostate Disease PORT grant continued a focus on surgical outcomes and the role of patient preferences in choosing treatment. Her recent work involves attempts to improve shared decision making under uncertainty, examining the decision to undergo periodic screening for prostate cancer. She was also the principal investigator on a study funded by the AHCPR, Commonwealth, and the Robert Wood Johnson Foundation to investigate factors which effect physicians' practice decisions, their treatment of HMO and fee-for-service patients, and their reactions to some major administration changes in financial incentives introduced into their group practice. This study used billing records to compare styles of generalists and specialists in using outpatient resources to treat episodes of seven common illnesses and their reactions to insurance-based incentives. Current work includes investigation of effective strategies to increase up-to-date screening for cancer among poor women; analysis of gender and racial variations in choice of treatment for knee arthroplasty; and factors influencing patient ratings of health care insurers.

Her interests in health policy and Making A Difference derive from the nature of her research projects and from her experience as a Robert Wood Johnson Health Policy Fellow serving on the staff of the US Senate Finance Committee in 1989 and from her roles as Co-Editor-in-Chief of Health Services Research, the official journal of AcademyHealth and named as an outstanding journal in health services research in a recent study reported in Medical Care Research and Review.

Representative Publications

Flood AB, Scott WR, Ewy W, et al. Does Practice Make Perfect? I: The Relation Between Hospital Volume and Outcomes for Selected Diagnostic Categories. Medical Care, 22(2):98‑114, and II: The Relation Between Volume and Outcomes and Other Hospital Characteristics. Medical Care 1984;22(2):98-114 and 115‑124, [with an accompanying editorial by A. Donabedian, "Volume, Quality, and the Regionalization of Health Care Services." Medical Care, 1984;22(2):95–97].

Flood AB, Fennell ML. Through the lenses of organizational sociology: The role of organizational theory and research in conceptualizing and examining our health care system. J Health and Social Behavior, 1995;36:154-69. [awarded the 1997 Eliot Freidson Award for Best Paper in Medical Sociology by the American Sociological Association]

Flood AB, Wennberg JE, Nease RF, Fowler, FJ, Ding J, Hynes LM & Members of the Prostate PORT. "The Importance of Patient Preference in the Decision to Screen for Prostate Cancer." J General Internal Medicine, 1996;11:342-349. [with an accompanying guest editorial: Deber, Raisa B "Shared decision making in the real world." J General Internal Medicine, 1996;11: 377-78.

Flood AB, Fremont AM, Jin K, et al. How do HMOs achieve their savings? The effectiveness of one organization's strategies. Health Services Research, 1998; 33(1): 79-99.

Flood AB, Bott DM, Goodrick E. The Promise and Pitfalls of Explicitly Rewarding Physicians Based on Patient Insurance. The Journal of Ambulatory Care Management, 2000; 23(1):55-70.

Harris RP, Flood AB, Berge V, Coates RJ. Screening for Prostate Cancer: Sharing the Decision. A web-based presentation sponsored by the CDC. http://www.cdc.gov/cancer/prostate/publications/screening/download.htm [accessed Nov. 15, 2007).

O’Connor AM, Llewellyn-Thomas HA, Flood AB. Modifying unwarranted variations in preference sensitive care: The role of shared decision making in using patients’ decision aids. Health Affairs web exclusive 2004.

Flood AB, Zinn J, Scott WR, Shortell SM. Organizational Performance: Managing for Efficiency and Effectiveness. Pages 356-389. In Health Care Management: Organizational Design & Behavior (5th edition). Shortell, SM, Kaluzny A(eds). Albany, NY: Delmar Pub., 2006.

Flood AB. Special Issues involving Human Subjects Protection in Health Services Research. In Amdur RJ, Bankert EA (ed). Institutional Review Board Management and Function 2nd ed. Sudbury, MA: Jones & Bartlett Pub, 2005.

Partin MR, Nelson DN, Flood AB, Friedemann-Sanchez G, Wilt TJ. Who uses decision aids? Subgroup analyses from a randomized controlled effectiveness trial of two prostate cancer screening decision support interventions. Health Expectations 9(3): 285-295, 2006.

Flood, AB; S Bhattacharya, RJ Nicolalde, HM Swartz. Implementing EPR Dosimetry for Life-Threatening Incidents: Factors Beyond Technical Superiority. J of Radiation Measurements Vol 42(6-7): 1099-1109, 2007.

Beach ML, Flood, AB, Robinson CM, Cassells AN, Tobin JN, Dietrich AJ. Can Language-Concordant Prevention Care Managers Improve Cancer Screening Rates? Forthcoming in Cancer Epidemiology, Biomarkers and Prevention. October 2007.

 

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David C. Goodman, M.D., M.S., Professor of Pediatrics and of Community and Family Medicine, Dartmouth Medical School; Co-Director, Center for Health Policy Research, TDI; Attending Physician, Dartmouth-Hitchcock Clinical; Chief, Allergy/Immunology at Dartmouth-Hitchcock Medical Center

B.A. in Biochemistry from the University of Vermont, 1977

M.D. from SUNY, Upstate Medical Center, 1981

M.S. in Evaluative Clinical Sciences from Dartmouth College, 1995

Residency, The John Hopkins Hospital, Pediatrics, 1981-1984

Teaching roles at TDI:

Masters Degree: Course Director, ECS 146/147: Advanced Methods in Health Services Research

Ph.D. Program: Ph.D. Advisor/Thesis Director; lecturer, ECS290-Doctoral Seminars

Other teaching related to TDI: Mentor, NRSA Postdoctoral Fellows; Seminar leader Pediatric Evaluative Clinical Sciences

Research Interests: Dr. Goodman divides his time between the pediatric teaching services at Dartmouth-Hitchcock Medical Center and the Center for the Evaluative Clinical Sciences. His current research interests include developing novel methods of measuring primary care resources; evaluating the relationship between regional variation in clinician supply and population outcomes; and the epidemiology of asthma medical care in children.

Representative Publications

Kronick R, Goodman DC, Wennberg J, Wagner E. The Marketplace in Health Care Reform: The Demographic Limitations of Managed Competition. New England Journal of Medicine. 1993;328:148-152.

Goodman DC, Fisher ES, Bubolz TA, Mohr JE, Poage JF, Wennberg JE. Benchmarking the U.S. Physician Workforce: An Alternative to Needs or Demand Based Planning. JAMA. 1996; 276:1811-1817.

Goodman DC, Fisher ES, Stukel TA, Chang C. The Distance to Community Medical Care and the Likelihood of Hospitalization: Is Closer Always Better? American Journal of Public Health. 1997;87:1144-1150.

Goodman DC, Fisher ES, Little GA, Stukel TA, Chang C, Schoendorf KS. The Relation Between the Availability of Neonatal Intensive Care and Neonatal Mortality. The New England Journal of Medicine 2002; 346: 1538-1544.

Goodman DC, Mick S, Bott DM, Chang CH, Carretta H, Marth N. Primary Care Service Areas: A New Tool for the Evaluation of Primary Care Services, Health Services Research, 2003;38:187-309.

Birkmeyer JD, Siewers AE, Martha N, Goodman DC. Regionalizing High Risk Surgery: How Far Would Patients Have to Travel? JAMA. 2003;290:2703-2708.

Goodman DC Twenty Year Trends in the Regional Variation of the Physician Workforce. Health Aff (Millwood). 2004;Web Exclusive:VAR 90-97 Oct 7.

Goodman DC, Stukel TA, Chiang-hua Chang, Wennberg JE. End-of-Life Care at Academic Medical Centers: Implications for Future Workforce Requirements. Health Affairs 2006; 25(2): 521-531.

Goodman DC, Klerman LV, Johnson KA, Chang CH, Marth N. Geographic Access to Family Planning: Are More Facilities Needed? Maternal and Child Health Journal, 2007;11:145-152.

Goodman DC. Expanding the Medical Workforce. BMJ 2007; 335:218-219.

 

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Pamela C. Jenkins, M.D., Ph.D., Assistant Professor of Pediatrics and Community and Family Medicine, Dartmouth Medical School

B.S. E. in Mechanical Engineering and Materials Science from Duke University, 1983

M.D. University of North Carolina, Chapel Hill, 1992.

Residency, Dartmouth Hitchcock Medical Center, Pediatrics, 1992-1995

M.S. in Evaluative Clinical Sciences from Dartmouth College, 1996

Ph.D. in Evaluative Clinical Sciences from Dartmouth College, 1999

Teaching roles at TDI:

Ph.D. Program: Ph.D. Advisor; lecturer, ECS290-Doctoral Seminars

Research Interests: Pam Jenkins conducted a multi-institutional research project in pediatric cardiology comparing outcomes for a particularly lethal congenital heart disease called hypoplastic left heart syndrome. Her group examined the outcomes and risks associated with treatment alternatives for this disease using survival analysis, risk factor analysis, and decision analysis, compared functional health outcomes between the two surgical treatment strategies, and examined longer-term growth parameters, exercise ability, and morbidities for these children. She has created decision analytic models for polio outbreaks and aspirin desensitization. Her current work involves outcome measures for quality improvement, and investigating neurodevelopmental outcomes for the offspring of pregnancies based on maternal thyroid hormone status.

Representative Publications

Jenkins PC, Flanagan MF, Jenkins KJ, Sargent JD, Canter CE, Chinnock RE, Vincent RN, Tosteson ANA, O'Connor GT. Risk factors for mortality in transplantation and staged surgery for hypoplastic left heart syndrome. Circulation 1999;100:I-670 (abstract).

Mendeloff EN, Bailey MS, Jenkins PC, Canter CE, Huddleston CB. Staged reconstruction versus orthotopic heart transplant for hypoplastic left heart syndrome: a10-year experience. Pediatr Cardiol, 2000;21:599 (abstract).

Jenkins PC, Flanagan MF, Jenkins KJ, Sargent JD, Canter CE, Chinnock RE, Vincent RN, Tosteson ANA, O'Connor GT. Survival analysis and risk factors for mortality in transplantation and staged surgery for hypoplastic left heart syndrome. J Am Coll Cardiol 2000;36:1178-85.

Jenkins PC, Flanagan MF, Sargent JD, Canter CE, Chinnock RE, Jenkins KJ, Vincent RN, O'Connor GT, Tosteson ANA. A comparison of treatment strategies for hypoplastic left heart syndrome using decision analysis. J Am Coll Cardiol. 2000;38(4)1181-7.

Jenkins PC. SINDROME DEL CORAZON IZQUIERDO HIPOPLASICO: SUPERVIVENCIA, RIESGO DE MORTALIDAD Y TENDENCIAS EN EL TRATAMIENTO [Hypoplastic left heart syndrome: survival, mortality risk, and trends in management]. Journal Salud (i) Ciencia http://www.siicsalud.com/dato/dat030/02o28001.htm10/31/2002.

Jenkins PC, Flanagan MF, Jenkins KJ, Sargent JD, Canter CE, Chinnock RE, Vincent RN, O'Connor GT. Morbidities in patients with hypoplastic left heart syndrome. Pediatric Cardiology 2004;25(1):3-10.

Mahle WT, Visconti KJ, Freier C, Kanne SM, Hamilton WG, Sharkey AM, Chinnock RE, Jenkins KJ, Isquith PK, Burns TG, Jenkins PC. Relationship of surgical approach to neurodevelopmental outcome in hypoplastic left heart syndrome. Pediatrics 2006;117(1):e90-7.

Jenkins PC, Modlin JF. Decision analysis in planning for a polio outbreak in the United States. Pediatrics 2006;118(2):611-8.

Shaker M, Lobb A, Jenkins PC, O’Rourke D, Dykewicz M. An economic analysis of aspirin desensitization in aspirin sensitive patients. J Allergy Clin Immunol, In Press.

Jenkins PC, Chinnock RE, Jenkins KJ, Mahle WT, Mulla N, Sharkey AM, Flanagan MF. Decreased exercise performance with age in children with hypoplastic left heart syndrome. J Pediatr, In Press.

 

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Margaret R. Karagas, Ph.D., Professor Section of Biostatistics and Epidemiology of Community and Family Medicine, Dartmouth Medical School, Director of Biostatistics and Epidemiology

B.S. in Biology from Newcomb College of Tulane University, 1980

M.S. in Health Sciences/Epidemiology from California State University, Northridge, 1983

Ph.D. in Epidemiology from the University of Washington School, 1990

Webpage: http://bio-epi.hitchcock.org/Faculty/karagasm.htm

Teaching roles at TDI:

Masters Program, Co-Director, Environmental and Occupational Medicine

Ph.D. Program: Ph.D. Advisor/Thesis Director; Ph.D. Thesis Committee Member; lecturer, Advanced Topic Module in Epidemiology, ECS290-Doctoral Seminars

Research Interests: Professor Karagas’s research includes several epidemiologic studies focusing on the biologic mechanisms and prevention of human cancers. Among these are investigations to determine the incidence rates of basal cell and squamous cell skin cancer and to assess the extent of any increase over the past 15 years. Another aspect of this research is a population-based case-control study of these malignancies designed to quantify the risks associated with various patterns of sun exposure, ingestion of arsenic-containing drinking water, and emerging exposures such as tanning lamps. The research has recently been extended to study the effects of arsenic on bladder cancer and to conduct chemical analyses of household drinking water supplies. She also is conducting an international study of melanoma in women to assess the risks associated with female sex-steroids, reproductive history, alcohol and body weight.

Representative Publications

Karagas MR, Le XC, Morris S, Blum J, Lu X, Spate V, Carey M, Stannard V, Klaue B and Tosteson TD. Markers of low level arsenic exposure for evaluating human cancer risks in a U.S. Population. Int J Occup Med and Environ Health 2001; 14:171-5.

Karagas MR, Stannard V, Mott LA, Slattery MG, Spencer SKI, Weinstock MA. Use of tanning lamps and the risk of basal cell and squamous cell carcinoma of the skin. Journal of the National Cancer Institute 2002; 93 (3).

Andrew AS, Karagas MR, Schned A, Hamilton JW. Decreased expression of DNA repair genes ERCC1, XPF, and XPB, but not XPG or XPA among individuals exposed to arsenic in drinking water. Int J Cancer 2003; 104: 263-268

Tosteson TD, Buzas JS, Demikenko E, Karagas MR. Power and sample size calculations for generalized regression models with covariate measurement error. Stat Med 2003; 22: 1069-1092

Henrik Toft Sorensen, HT, Olsen JH, Nielsen GL, Mellemkjor, Baron JA, Karagas MR. Risk of skin cancers and malignant lymphomas among users of systemic glucocorticoids: a population-based cohort study. J Nat Cancer Inst 2004; 96: 709-711.

Kelsey KT, Hirao T, Schned AR, Hirao S, Ashok T, Nelson HH, Andrew A, Karagas MR. A population-based study of immunohistochemical detection of p53 alteration in bladder cancer. Br J Cancer 2004; 90: 1572-1576.

Karagas MR, Tosteson TD, Morris JS, Heaney J, Demidenko E, Mott Le, Schned A. Incidence of transitional cell carcinoma of the bladder and arsenic exposure in New Hampshire. Cancer Causes Control 2004; 15:465-472.

 Carroll RJ, Ruppert D, Crainiceanu CM Tosteson TD, Karagas MR. Nonlinear and non-parametric regression and instrumental variables. J Am Stat Assoc 2004; 99 (467): 736-750.

Jacobs ET, Jiang R, Alberts DS, Greenberg ER, Gunter EW, Karagas MR, Lanza E, Ratnasinghe L, Reid ME, Schatzkin A, Smith-Warner SA, Wallace K, Martinez ME. Selenium and Colorectal Adenoma: Results of a Pooled Analysis. J Nat Cancer Inst 2004; 96: 1669-75.

Peters SC, Blum JD, Karagas MR, Chamberlain CP. Sources and exposure of the New Hampshire population to arsenic in drinking water. Chemical Geology (in press)

Wallace K, Karagas MR, Cole BF, Beach MA, Pearson L, Baron JA. The Association of physical activity and body mass index on the risk of large bowel polyps. Cancer Epidemiol Biomarkers Prev (in press).

Kelsey KT, Hirao T, Schned AR, Hirao S, Ashok T, Nelson HH, Andrew A, Karagas MR. P53 Alteration in bladder cancer in a population-based study. Br J Cancer (in press)

Karagas MR, Zens MS, Stukel TA, Dykes J, Swerdlow AJ, Rosso S, Osterlind A, Mack T, Kirkpatrick C, Holly E, Green A, Gallagher R, Elwood M, Armstrong B. Pregnancy history and incidence of melanoma in women: a combined analysis. Cancer Causes Control (in press).

 

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Hilary A. Llewellyn-Thomas, Ph.D., Professor of Community and Family Medicine, Dartmouth Medical School; Andrew Thomson, Jr. Fellow in Shared Decision Making; Co-Director, Center for Informed Choice; Director, Summer Institutes in Informed Patient Choice; Founding Research Director, Center for Shared Decision Making, Dartmouth/Hitchcock Medical Center

Education:

B.Sc. in Nursing, University of Toronto, 1968

M.Sc. in Community Health Nursing, University of Toronto, 1977

Ph.D. from the Institute of Medical Science, Faculty of Medicine, University of Toronto, 1983

National Health Research Scholar in the National Health Research and Development Program, Health and Welfare Canada, 1989-99

Web page: http://www.dartmouth.edu/~TDI/hdr/hdr.html

Teaching roles at TDI:

Masters Degree: Academic Area Co-Director, Health Care Decision Making; Course Director, ECS 120 Studying Patients’ Decisions.

Ph.D. Program: Ph.D. Advisor; Ph.D. Thesis Committee Member; Co-director of ECS290 Workshop on Critical Appraisal and Research Design; Director, ECS290 Advanced Topic Module on Patient Decision Making

Research Interests:

Dr. Llewellyn-Thomas’s research focuses on the issues involved in incorporating patients’ perspectives into health care. Specific areas include patients’ attitudes toward experienced and anticipated health states; preferences for treatment alternatives, involvement in treatment decisions, and participation in clinical trials; attitudes toward the time involved in waiting for, undergoing, and recovering from treatment; understanding of the risk/benefit probabilities involved in different treatment options; the concepts of decisional conflict and decision support as a clinical skill; and the evaluation of the effectiveness of interventions designed to support shared decision making.

Dr. Llewellyn-Thomas teaches a TDI graduate course that is designed to help investigators study questions such as the following:

•How do patients formulate, report, and act upon their preferences?

•How do they perceive, understand, and accept or reject different levels of risk?

•How can practitioners help patients who are facing uncertain decision situations in which a lot is at stake?

Representative Publications

Llewellyn-Thomas HA, Sutherland HJ, Tibshirani R, Ciampi A, Till JE & Boyd NF. The measurement of patients’ values in medicine. In: J. Dowie & A. Elstein, editors. Professional Judgment: A Reader In Clinical Decision Making­. Cambridge: Cambridge University Press, 1988:395-408. Also In: Medical Decision Making, 1982:2:449-62.

Llewellyn-Thomas HA, Schwartz, C. Response shift effects in patients’ evaluations of health states: sources of artifact. In: C. Schwartz, M. Sprangers, editors. Adaptation to Changing Health: Response Shift in Quality-of-Life Research. American Psychological Association Press. 2000. pp. 109-122.

Llewellyn-Thomas HA, Arshinoff R, Bell M, Williams JI, Naylor CD, & The Ontario Hip and Knee Replacement Project Team. Healthy-years equivalents (HYEs) in major joint replacement: can patients provide meaningful responses? International Journal of Technology Assessment in Health Care 2002;18 (3): 467-484.

Llewellyn-Thomas HA, Paterson JM, Carter JA, Basinski A, Myers MG, Hardacre GD, Dunn EV, D’Agostino RB, Naylor CD. Primary prevention drug therapy: can it meet patients’ requirements for reduced risk? Medical Decision Making 2002;22:326-339.

O’Connor, AM, Llewellyn-Thomas, HA, Flood, AB. Modifying unwarranted variations in health care: the role of shared decision making using patients’ decision aids. Health Affairs. Web Exclusive, October 7, 2004, VAR 63-72.

Llewellyn-Thomas, HA. Decision making needs of older people: the role of patients' decision aids. National Academies Center for Studies of Behavior & Development: Workshop on Decision Making Needs of Older People. Washington, DC: November 2005. Commissioned by the National Research Council under U.S. Department of Health and Human Services Contract #N01-OD-4-2139, TO#147. See National Academies’ website: http://www7.nationalacademies.org/csbd/presentations_archive.html

Elwyn G, O'Connor A, Stacey D, Volk R, Edwards A, Coulter A, Thomson R, Barratt A, Barry M, Berstein S, Butow P, Clarke A, Entwistle V, Feldman-Stewart D, Holmes-Rovner M, Llewellyn-Thomas H, Moumjid N, Mulley A, Ruland C, Sepucha K, Whelan T. Developing quality guidelines for patient decision aids: an online international Delphi consensus process. British Medical Journal. 2006 Aug 26;333(7565):417-420.

Barnato AE, Llewellyn-Thomas HA, Peters E, Siminoff L, Collins D, Barry M. Communication and decision making in cancer care: Setting research priorities for decision support / patients’ decision aids. Medical Decision Making. 2007; 27(5):626-634. 

O'Connor AM, Wennberg JE, Legare F, Llewellyn-Thomas HA, Moulton B,

Sepucha K, Sodano A, King J S. Towards the tipping point: Accelerating the diffusion of decision aids and informed patient choice as a standard of practice. Health Affairs 2007; 26(3): 716-725.

Kopec JA, Richardson CG, Llewellyn-Thomas H, Klinkhoff A, Carswell A, Chalmers

A. probabilistic threshold technique showed that patients' preferences for specific tradeoffs between pain relief and each side effect of treatment in osteoarthritis varied. Journal of Clinical Epidemiology. 2007;60(9): 929-938.

 

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Jon D. Lurie, M.D., M.S., Associate Professor of Medicine, and of Community and Family Medicine, Dartmouth Medical School

B.S. E in Geological Engineering from Princeton University, 1985

M.D. from Stanford University School of Medicine, 1992

M.S. in Evaluative Clinical Sciences from Dartmouth College, 1997

Residency in Internal Medicine, Dartmouth Hitchcock Medical Center, 1992-6

Postdoctoral Research Training: VA-TDI Outcomes Research Fellow, 1996-8

First Award, NIH 2002- K23

Teaching roles at TDI:

Masters Degree: Course Director for ECS 010 – Introduction to Health and Human Disease

Research Interests: Dr. Lurie is general internist at Dartmouth Hitchcock Medical Center. He is a Physician Investigator for the Spine Patient Outcomes Research Trial (SPORT) - a multi-center, randomized clinical trial with a concurrent observational cohort designed to compare surgery to non-surgical therapy for patients with herniated intervertebral discs, spinal stenosis, and degenerative spondylolisthesis. His principal research interests are in the use and evaluation of diagnostic testing, particularly in patients with low back pain. In addition, Dr. Lurie contributes to the Dartmouth Atlas of Health Care, looking at physician workforce issues and modeling the effect of policy changes on the workforce.

Representative Publications

Lurie JD, Weinstein JN. Geographic Variation and Shared Decision Making: Implications for the Orthopaedic Workforce. Clinical Orthopedics and Related Research 2001; 385:68-75.

Lurie JD, Goodman DC, Wennberg JE. Benchmarking the Future Generalist Workforce. Effective Clinical Practice 2002; 5: 58-66.

Lurie JD, Birkmeyer NJO, Weinstein JN. Rates of Advanced Spinal Imaging and Spine Surgery. Spine 2003; 28(6): 616-620.

Walsh TL, Hanscom B, Lurie JD, Weinstein JN. Is a Condition-Specific Instrument for Patients with Low Back Pain/Leg Symptoms Really Necessary? The responsiveness of the Oswestry Disability Index and the SF36. Spine 2003; 28(6): 607-615.

Lurie JD. What Diagnostic Tests are Useful for Low Back Pain. Best Practice & Research Clinical Rheumatology 2005; Volume 19, Issue 4, August 2005, Pages 557-575.

Auerbach AD, Chlouber R, Singler J, Lurie JD, Bostrom A, Wachter RA. Trends in internal medicine advertisements: An analysis of advertisements published between 1996 and 2004. JGIM 2006; 21(10):1079-85.

Arega A, Birkmeyer NJ, Lurie JD, Tosteson TD, Gibson JJ, Taylor B, Weinstein JN. Racial Variation in Treatment Preferences and Willingness to Randomize in the Spine Patient Outcomes Research Trial (SPORT). Spine 2006; 31(19):2263 - 69.

Weinstein JN, Tosteson TD, Lurie JD, Tosteson AN, Hanscom B, Skinner JS, Abdu WA, Hilibrand AS, Boden SD, Deyo RA. Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): a randomized trial. JAMA 2006 Nov 22; 296(20):2441-50.

Weinstein JN, Lurie JD, Olson P, Bronner KK, Fisher ES. United States Trends and Regional Variations in Lumbar Spine Surgery: 1992-2003. Spine 2006 Sep 1; 31(19):2263-9.

Weinstein JN, Lurie JD, Tosteson TD, Hanscom B, Tosteson AN, Blood EA, Birkmeyer NJ, Hilibrand AS, Herkowitz H, Cammisa FP, Albert TJ, Emery SE, Lenke LG, Abdu WA, Longley M, Errico TJ, Hu SS. Surgical versus Non-Operative Treatment for Lumbar Degenerative Spondylolisthesis: Two-Year Results of the Spine Patient Outcomes Research Trial (SPORT), NEJM 2007; 356:2257-70.

 

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Todd A. MacKenzie, Ph.D., Associate Professor of Medicine and of Community and Family Medicine, Dartmouth Medical School

B.Sc. in Statistics from Dalhousie University, Halifax, 1990

M.Sc in Statistics from McGill University, Montreal, 1993

Ph.D in Statistics from McGill University, Montreal, 1997

Website: http://bio-epi.hitchcock.org/faculty/t_mackenzie.html

Teaching roles at TDI:

Masters Degree and Ph.D. Program: Course Co-Director, ECS245, Advanced Statistical Methods

Ph.D. Program: Ph.D. Co-Advisor; Member, Thesis Committee

Research Interests: His expertise is in survival analysis including flexible estimation of the hazard ratio, left-truncation, interval censoring, and the ability of markers to replace information lost to right censoring in clinical trials. His clinical interests include diabetes, glucose and insulin, and the effect of common dietary items such as alcohol, caffeine and tea.

Representative Publication:

Hoffenberg EJ, MacKenzie T, Barriga KJ, Eisenbarth GS, Bao F, Erlich H, Haas JE, Sokol RJ, Taki I, Norris J, and Rewers M. A Prospective Study of the Incidence of Childhood Celiac Disease, Journal of Pediatrics 2003;143(3):308-314.

Wathen J, MacKenzie T. and Bothner J. Utility of Serum Electrolytes in the Emergency Department Management of Pediatric Dehydration, Pediatrics, 2004;114(5):1227-34.

Chase HP, MacKenzie T, Burdick J, Fiallo-Scharer R, Walravens P, Klingensmith G and Rewers M Redefining the Clinical Remission Period in Children with Type 1 Diabetes, Pediatric Diabetes 2004;5(1):16-9.

Liu, E., MacKenzie, T., Dobyns, E.L., Parikh, C.R., Karrer, F.M., Narkewicz, M.R. and Sokol, R. (2006) "Characterization of acute liver failure and development of a continuous risk of death staging system in children", Journal of Hepatology 44(1):134-41

Gao D, Grunwald GK, Rumsfeld JS, Schooley L, MacKenzie T, Shroyer ALW. (2006) "Time-varying risk factors for long-term mortality after coronary artery bypass graft surgery". Ann Thorac Surg 81(3):793-9.

Wallace AE, MacKenzie TA, Weeks WB. (2006) "Women's Primary Care Providers and Breast Cancer Screening: Who's following the guidelines? " American Journal of Obstetrics and Gynecolog, 194(3):744-8

MacKenzie, T., Brooks, B., and O’Connor, G. (2006) "Beverage intake, diabetes and glucose control of adults in America", Annals of Epidemiology

Abrahamowicz, M. and MacKenzie, T. (2006) "Joint estimation of time-dependent and non-linear effects of continuous covariates on survival", Statistics in Medicine

Mark G Roback, Joe E Wathen, Todd MacKenzie, and Lalit Bajaj. (2006) "A randomized controlled trial of i.v. versus i.m. ketamine for sedation of pediatric emergency department orthopedic procedures." Annals of Emergency Medicine 48(5): 605-12

Tracy Onega, John Baron and Todd MacKenzie , "Cancer After Total Joint Arthroplasty: A Meta-Analysis", (2006) Cancer Epidemiology, Biomarkers and Prevention 15(8):1532-7

Michael H. Duong, Todd A. Mackenzie, Robert M. Zwolak, Aaron V. Kaplan, Bruce J. Friedman, John E. Jayne, Nathaniel W. Niles, Bruce D. Hettleman, John F. Robb, and Craig A. Thompson (2006) "Correlation of Invasive Doppler Flow Wire with Renal Duplex Ultrasonography in the Evaluation of Renal Artery Stenosis: The Renal Artery Stenosis Invasive Doppler (RAIDER) Study", accepted by Journal of Vascular Surgery.

 

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David Malenka, M.D., Professor of Medicine and Community and Family Medicine, Dartmouth Medical School

B.A. in Biochemistry, Harvard University, 1975

M. D., SUNY, Downstate Medical Center, 1982

Teaching roles at TDI:

Ph.D. Program: Member, Thesis Commitee

Research Interests: Dr. Malenka’s research focuses on evaluating the process and outcomes of cardiovascular care to generate information that informs medical decision making, improves quality of care, and facilitates development of rationale health care policy. Through the use of large clinical registries, he and his colleagues at the Northern New England Cardiovascular Group have described the true effectiveness of modern day percutaneous and surgical coronary revascularization, focusing on in-hospital outcomes and long-term survival for unique patient populations (e.g. women, the elderly, diabetics). They have challenged the generalizability of large clinical trials by comparing the real-world survival for patients eligible for either approach to revascularization and in that process, highlighted the importance of complete revascularization and the variability across providers with which that is achieved. They use past experience to inform current decisions through the development of clinical prediction rules that provide patient-specific estimates of outcomes. Through systematic review of data with contributing providers they have been able to identify areas for process improvement and stimulate regional efforts at quality improvement, particularly as it relates to the most common complications of percutaneous coronary interventions, bleeding and vascular access site injuries. Using the coronary intervention registry and a much larger administrative dataset, they have been able to demonstrate the important relationship between procedural volume and outcomes, results used by professional societies to develop guidelines. Work with administrative data has also be used to demonstrate the variability in clinical cardiovascular practice and drivers of that variability, including the intensity of diagnostic testing for coronary disease and the per capita availability of cardiovascular subspecialists. Recently, they used the administrative dataset to contribute important insight to the very topical question of whether hospitals without onsite surgical back-up can safely perform percutaneous coronary revascularization. Currently, they are exploring the use of administrative data to be used for post-marketing surveillance of high risk cardiovascular devices, including drug eluting coronary stents and implantable cardiac defibrillators.

Representative Publications

Duong MH, MacKenzie TA, Malenka DJ, N-Acetylcysteine prophylaxis significantly reduces the risk of radio contrast-induced nephropathy: comprehensive meta-analysis Catheter Cardiovas Interv 2005; 64:471-479.

Malenka DJ, DeVries JT, Shubrook Jr SJ. Percutaneous coronary interventions in the elderly: A 10-year experience in Northern New England. J Geriatr Cardiol 2005;2:17-22.

Malenka DJ, Leavitt BJ, Hearne JM et al.  Comparing long-term survival for patients with multivessel coronary disease following CABG and PCI: An analysis of BARI-like patients in Northern New England.  Circulation 2005;112 [suppl I]:I-371-I-376.

Malenka DJ, Kaplan AV, Sharp SM, Wennberg JE.  Using Medicare Claims Data for Post-Marketing Surveillance of High-Risk Implantable Medical Devices.  Health Affairs 2005;24:928-937.

Al-Khatib SM, Lucas FL, Siewer A, Jollis JE, Wennberg DE, Malenka DJ. Relation between patient’s’ outcomes and volume of cardioverter implantations performed at hospitals treating medicare beneficiaries. JACC 2005;46:1536-1540.

Kaplan AV, Mehran RR, Malenka DJ, Gross T, Baim DH, Post-market surveillance for cardiovascular devices: A comprehensive approach. Circulation 2006;113:891-897.

Zacharski LR, Chow BK, Howes PS, Shamayeva G, Baron JA, Dalman RL, Malenka DJ, Ozaki CK, Lavori PW. Reduction of iron stores and cardiovascular outcomes in patients with peripheral arterial disease. JAMA 2007;297:603-610

Sherman JA, Hall A, Malenka DJ, De Muinck ED, Simons M. Humoral and cellular factors responsible for coronary collateral formation. American Journal of Cardiology 2006;98:1194-1197

Radford MJ, Heidenreich PA, Bailey SR, Goff DC, Grover FL, Havranek EP, Kuntz RE, Malenka DJ, Peterson ED, Redberg RF, Roger VL, American College of Cardiology/American Heart Association Task Force on Clinical Data Standards Circulation 2007;115:936-943.

Dacey LJ, Likosky DS, Ryan Jr TJ, Robb JF, Quinn RD, DeVries J, Hearne MJ, Leavitt BJ, Dunton R, Cough RA, Sisto D, Ross CS, Olmstead EM, O’Connor GT, Malenka DJ. Long-term survival following surgery versus percutaneous intervention in octogenarians with multivessel coronary disease. Ann Thoracic Surgery (in press).

 

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Mark P. McGovern, Ph.D., Associate Professor of Psychiatry and of Community and Family Medicine, Dartmouth Medical School, Faculty, Research Scientist, Addiction Consultant, Department of Psychiatry, Dartmouth Medical School, New Hampshire-Dartmouth Psychiatric Research Center, State of New Hampshire Division of Alcohol and Drug Abuse, Lebanon and Concord, New Hampshire

B.A. in Psychology from LaSalle College, 1977

Ph.D. in Clinical Psychology from Temple University, 1985

Residency in Clinical Psychology from Northwestern University Medical School, 1984

Teaching roles at TDI:

Ph.D.Program: Ph.D. Advisor; Module Director on Substance Abuse Research. Doctoral Seminars

Research Interests: Dr. McGovern specializes in the treatment of substance use disorders and practices through the Department of Psychiatry at Dartmouth Hitchcock Medical Center. He has studied and published widely in the area of addiction treatment services research. He has conducted projects in a variety of settings including inner city detoxification programs, community mental health centers, state psychiatric hospitals, academic medical centers, office-based practices, private specialty treatment programs and state addiction treatment delivery systems. Dr. McGovern has worked extensively with special populations including impaired health care professionals, and he has worked with the National Football League's Program for Substance Abuse since its inception in 1995. He has also conducted training and research in the assessment and treatment of the dual-diagnosis patient in both psychiatric and addiction treatment systems. In July of 2004, he received a 5-year career development award from the National Institute on Drug Abuse. His interests are in co-occurring disorders in addiction treatment programs, treatment system improvement with evidence-based practices, and greater specificity in the care of persons suffering from substance use problems.

Representative Publications

McGovern MP, Angres DH Triaging the impaired physician: Patient-treatment matching by specificity and intensity. Epikrisis, 1998;9(6):1-2.

Beedle D, McGovern MP Diagnosis and treatment of psychiatric comorbidity in alcoholics and drug addicts. Psychiatric Annals, 1998;28(12):705-708.

McGovern MP, Groberski MJ, Gryll SL Training in substance use disorders assessment and intervention: Design and implementation of a model within a traditional mental health clinic. Professional Psychology: Research and Practice, 1999;30(4):200-204.

McGovern MP, Angres DH, Leon S. Characteristics of physicians presenting for assessment at a behavioral health center. Journal of Addictive Diseases,2000;19(2):59-73.

Angres DH, McGovern MP, Rawal P, Shaw M Psychiatric comorbidity and physicians with substance use disorders: Clinical characteristics, treatment experiences, and post-treatment functioning. Addictive Disorders & Their Treatment, 2002;1(3):89-98.

McGovern MP, Angres DH, Shaw M, Rawal P. Gender of physicians with substance use disorders: Clinical characteristics, treatment utilization, and post-treatment functioning. Substance Use and Misuse, 2003;38(7):993-1001.

McGovern MP, Carroll KM. Evidence-based practices for substance use disorders. Psychiatric Clinics of North America, 2003;26:991-1010.

McGovern MP, Fox TS, Xie H, Drake RE. A survey of clinical practices and readiness to adopt evidence-based practices: Dissemination research in an addiction treatment system. Journal of Substance Abuse Treatment, 2004;26:305-312.

McGovern MP, Wrisley BR, Drake RE Substance use relapse and it prevention: Implications for persons with co-occurring substance use and psychiatric disorders.Psychiatric Services, 2005 (in press).

Drake RE, Wallach M, McGovern MP Preventing relapses to substance use disorder among clients with severe mental illnesses: What do we know and what do we do next? Psychiatric Services, 2005 (in press).

Crouse E, Drake KM, McGovern MP Co-existing substance use and Axis II Personality disorders. In A. Baker, R. Velleman (Eds.). Clinical handbook of co-existing mental health and drug and alcohol problems. London UK: Brunner Rouledge, 2005 (in press).

Easton C, Neavins T, McGovern MP, Carroll KM Behavioral treatments for substance use disorders. In K Silk, P Tyrer (Eds.). Handbook on Effective Treatments in Psychiatry. Cambridge UK: Cambridge University Press, 2005 (in press).

 

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Gregory J. McHugo, Ph.D., Professor of Community and Family Medicine and of Psychiatry, Dartmouth Medical School, Dartmouth Psychiatric Research

B.A. in Psychology from University of Vermont, 1970

M.A. in Psychology from Dartmouth College, 1976

Ph.D. in Psychology from Dartmouth College, 1979

Teaching roles at TDI:

Ph.D. Program: Co- Ph.D. Advisor

Other Teaching: Training Seminar in Mental Health Services Research, Dartmouth PRC Resident training in Evidence-Based Medicine, Department of Psychiatry, Dartmouth Medical School

Website: http://dms.dartmouth.edu/prc/

Research Interests:

Gregory McHugo, Ph.D., is an experimental psychologist and evaluation methodologist. He has been engaged in both basic and applied research at Dartmouth for over 35 years. Since coming to the PRC in 1990, McHugo has been involved in all phases of design, implementation, and analysis of numerous large scale, randomized controlled trials to evaluate the effectiveness of treatment and rehabilitation interventions for people with serious mental illness who are living in the community. As chief methodologist at the PRC, he has been responsible for selection and development of measurement instruments, training of interviewers and project directors, design of data systems, and planning and coordination of statistical analyses. McHugo has also designed and provided training in mental health services research for young investigators at the PRC. Currently, McHugo is co-PI with Bob Drake for a multi-experiment trial of interventions for treatment of, and relapse prevention for, substance abuse among people with co-occurring serious mental illness and substance use disorders. As an independent investigator, McHugo has developed a program of research in collaboration with Maxine Harris and Roger Fallot to evaluate the effectiveness of trauma interventions for people with serious mental illness and a history of interpersonal abuse. McHugo was also chief methodologist for an eight-state mixed methods study of the implementation of evidence-based practices in over 50 community mental health settings. McHugo has been an advisor and mentor to graduate students in Psychology and continues in this role for graduate students in the evaluative clinical sciences.

Representative Publications: 

Drake R E, & McHugo G J. Taking issue – Large data sets can be dangerous. Psychiatric Services, 2003;54:113.

McHugo G J, & Drake R E. Finding and evaluating the evidence: A critical step in evidence-based medicine. Psychiatric Clinics of North America, 2003;26(4):821-831.

Xie H, McHugo G, Sengupta A, Clark R, & Drake R. A method for analyzing longitudinal outcomes with many zeros. Mental Health Services Research, 2004;6:239-246.

McHugo G J, Bebout R R, Harris M, Cleghorn S, Herring G, Xie H, Becker D, & Drake R E. A randomized controlled trial of integrated versus parallel housing services for homeless adults with severe mental illness. Schizophrenia Bulletin, 2004;30:969-982.

McHugo,G.J, Kammerer N, Jackson E, Markoff L, Gatz M, Larson M J, Mazelis R, & Hennigan K. Women, Co-Occurring Disorders, and Violence Study: Evaluation design and study population. Journal of Substance Abuse Treatment, 2005;28:91-107.

McHugo G J, Caspi Y, Kammerer N, Mazelis R, Jackson E, Russell L, Clark C, Liebschutz J, Kimerling R. The assessment of trauma history in women with co-occurring mental health and substance use disorders and a history of interpersonal violence. Journal of Behavioral Health Services and Research, 2005;32:113-127.

McHugo, G. J., Drake, R. E., Brunette, M. F., Xie, H., Essock, S. M., & Green, A. I. (2006). Enhancing validity in co-occurring disorders treatment research. Schizophrenia Bulletin, 32, 655-665.

Xie, H., Drake, R., & McHugo, G. (2006). Are there distinctive trajectory groups in substance abuse remission over 10 years? An application of the group-based modeling approach. Administration and Policy in Mental Health and Mental Health Services Research, 33, 423-432.

Drake, R. E., McHugo, G. J., Xie, H., Fox, M., Packard, J., & Helmstetter, B. (2006). Ten-year recovery outcomes for clients with co-occurring schizophrenia and substance use disorders. Schizophrenia Bulletin, 32, 464-473. 

McHugo, G. J., Drake, R. E., Whitley, R., Bond, G. R., Campbell, K., Rapp, C. A., Goldman, H. H., Lutz, W. J., & Finnerty, M. T. (2007) Fidelity outcomes in the National Implementing Evidence-Based Practices Project. Psychiatric Services, 58, 1279-1284.

 

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Robert K. McLellan, M.D., M.P.H., Associate Professor of Medicine and Community and Family Medicine; Medical Director, Employee Health and Safety, DHMC.

B.A. in Community Psychology from Yale University, 1973.

M.D., Yale University, 1978.

M.P.H. Yale University, 1978.

Teaching Roles at TDI:

Masters Program: Co-Course Director, ECS151, Environmental and Occupational Health; Guest Lecturer, ECS100, Health Policy; Supervising Faculty, Directed Reading and Research ECS 187, 197,198; Advisor, Public Health Practicum

Ph.D. Program: Thesis Director

Research Interests:  Dr. McLellan’s research interests center on disability management; disaster management; and employer sponsored health promotion and disease management.  Working with the Liberty Mutual Center for Disability Research, he led an effort to design and test a work place intervention to decrease disability from occupational musculoskeletal disorders.  He served as Principal Investigator of two National Institute of Occupational Safety and Health grants designed to aid the creation of a web-based tool for use by occupational health professionals in disaster management. More recently, his research interests have extended to investigate approaches for employers to improve the general health of their employee population through work environment interventions, supported by the Centers for Disease Control’s Health Protection Research Initiative.

Representative Publications: 

Kirkland KB, Talbot EA, Lasky RA. McLellan RK, Montero JT, Barry MA, McCarthy TA, Gunn JE, Pendarvis JL, Han LL, Devasia RA, Edwards KM, Jones TF, Kretsinger K, Tondella ML, Tatti KM, Brown KH, Slade BA, Wu KH, Lu X, Patel M. Outbreaks of respiratory illness mistakenly attributed to pertussis – New Hampshire, Massachusetts, and Tennessee, 2004-2006. MMWR 2007; 56: 837-842.

Shaw WS, Robertson MM,Pranksy, G, and McLellan RK. Training to optimize the response of supervisors to work injuries – needs assessment, design, and evaluation. Am Assoc Occ Hlth Nurses J. 2006;54:226-235.

Shaw WS, Robertson MM, McLellan RK, Verma S, and Pransky G. A controlled case study of supervisor training to optimize response to injury in the food processing industry. Work 2006; 26: 107-114

Shaw WS, Robertson MM, Pransky G, and McLellan R.K.: Employee perspectives on the role of supervisors to prevent workplace disability after injuries. Journal of Occupational Rehabilitation. J Occup Rehabil. 2003 Sept.13(3):129-42.

McLellan R.K. and Deitchman S. The role of the occupational and environmental medicine physician in responding to terrorism. In Upfal MJ, Krieger GR, Phillips SD, Guidotti TL and Weissman D. Terrorism: Biological, Chemical, and Radiological. The Clinics in Occupational and Environmental Medicine 2003;2: 181-190.

Pransky G, Shaw W, and McLellan RK. Employer attitudes, training, and return-to-work outcomes: A pilot study. Assistive Technology 2001; 13: 131-138.

McLellan R.K., Pransky G, and Shaw W: Disability management training for supervisors: a pilot intervention program. J Occup Rehab 2001; 11: 33-41.

Ducatman AM and McLellan R.K.: Epidemiological basis for an occupational and environmental policy on environmental tobacco smoke. J Occup Env Med 2000; 42: 1137-1141.

McLellan, R. K., and Schusler KM: Guide to the Medical Evaluation for Respirator Use. Beverly Farms, MA; OEM Press, 2000.

 

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Eugene C. Nelson, D.Sc., M.P.H., Professor of Community and Family Medicine, Dartmouth Medical School; Senior Faculty Member, Center for Leadership and Improvement at The Dartmouth Institute for Health Policy and Clinical Practice; Director, Quality Administration at Dartmouth-Hitchcock Medical Center; Adjunct Professor, Division of Hearing and Speech Sciences Vanderbilt University School of Medicine; Senior Advisor, IHI-Premier QUEST Program on high-value healthcare.

A.B. in Sociology from Dartmouth College, 1970

M.P.H. in Medical Care Planning and Administration from Yale Medical School, 1973

D.Sc. in Health Services Administration and Health Education from Harvard School of Public Health, 1977

Teaching roles at The Dartmouth Institute:

Masters Degree: Co-Director for ECS 124 – The Design and Improvement of Clinical Microsystems.

Ph.D. Program: Ph.D. Advisor/Thesis Director; Ph.D. Thesis Committee Member

Research Interests: His recent work has focused on quality improvement and performance measurement, health services research and program evaluation. He has served as a consultant in these areas for organizations such as the National Institutes of Health, American College of Physicians, American College of Obstetr