"The Clinician-Teacher Development Award was the foundation and opportunity I needed to start my research in health care disparities. I certainly would not be where I am today if it was not for this award and the support the CDI offered me and has continued to provide."Marcela del Carmen, MD
Chief Medical Officer, Massachusetts General Physicians Organization (MGPO)
2005 CTDA Winner
Carlos Torres, MD
Department of Pediatrics, MGH Chelsea HealthCenter
Associate Director of Diversity & Inclusion, MassGeneral Hospital for Children
Instructor in Pediatrics, Harvard Medical School
Dr. Torres is a pediatrician at MGH Chelsea HealthCare Center and Associate Director of Diversity & Equity at MassGeneral Hospital for Children. He was born and raised in Guadalajara, Jalisco, Mexico. He moved with his family to Milwaukee, Wisconsin during his teenage years, afterwards attending the University of Wisconsin-Madison and earning his bachelor of science in psychology. He received his Doctor of Medicine from Harvard Medical School, then attended pediatric residency at MassGeneral Hospital for Children and served as a chief resident. His clinical and research interests include immigrant health, disparity research, LGBT health, and resiliency. Outside of work, he enjoys spending time with his partner and dog, catching up with his nine siblings and many nephews back home, traveling, and gardening.
Abstract: Implementing and evaluating a longitudinal, interdepartmental cross-cultural care curriculum in pediatrics for residents, attendings, and nurses
Medical trainees must learn to competently care for patients from different cultures. However, a standardized curriculum that teaches cross-cultural care and which has been evaluated for efficacy does not exist in pediatrics at MassGeneral Hospital for Children (MGHfC). This project aims to develop, implement, and evaluate a cross-cultural care curriculum in pediatrics, adapting to our current needs. Through this curriculum, participants will be able to recognize that cross-cultural education is a vehicle for enhancing the quality of patient care and building effective healthcare teams, apply practical guidelines to communicate effectively across cultures, and use their own cultural identity as an asset to define the social and cultural issues that are most relevant in the care of diverse patient populations. This curriculum will enable all providers to change their approach to cross-cultural care through reflection on their current practice and active discussion and training of new language and attitudes. Ultimately, the intent is to create and distribute an evidence-based curriculum that can be delivered to the entire department at MGHfC, including attendings and nurses, so that it can increase clinicians’ preparedness and competency in caring for a diverse community of patients.
Soo Jeong Youn, PhD
Department of Psychiatry, Massachusetts General Hospital
Clinical Psychologist, Community Psychiatry Program for Research in Implementation and Dissemination of Evidence-based Treatments (PRIDE)
Instructor in Psychiatry, Harvard Medical School
Dr. Youn is a Psychologist at Community Psychiatry Program for Research in Implementation and Dissemination of Evidence-Based Treatments (PRIDE) at Massachusetts General Hospital. She is also an Instructor in Psychiatry at Harvard Medical School. Dr. Youn completed her PhD in Clinical Psychology at The Pennsylvania State University, and her Clinical Internship at Massachusetts Mental Health Center, Beth Israel Deaconess Medical Center/Harvard Medical School in 2017.
Dr. Youn’s research and clinical experience include bridging the gap between research and practice by engaging in psychotherapy process and outcome research, community based participatory research, and implementation and dissemination of evidence-based treatments (EBTs). Through this research, she has translated evidence- based research into clinically applicable and sustainable treatments for diverse settings. Most recently, Dr. Youn has worked on assessing process and outcome variables in the implementation of EBTs for post-traumatic stress disorder in diverse communities, and developing and refining train-the-trainer models to enhance the dissemination and sustainability of EBTs in community health centers. In addition to the Center for Diversity and Inclusion Clinician- Teacher Development Award, she has received the Marty T. Murphy Award for Excellence from The Pennsylvania State University in 2013 and was selected as a Partners in Connected Health Innovation Fellow in 2017.
Abstract: Bridging the science-practice gap by creating a community participatory teaching program
One out of every five youth in the United States has a mental health disorder, yet more than 80% of youth in the United States do not receive any mental health care, with a higher unmet need among ethnically diverse youth. Evidence-based treatments, such as Cognitive Behavioral Therapy (CBT), have been shown to effectively address mental health disorders among youth, and schools have become an important setting for these interventions. However, it takes at least 17 years for these treatments to reach settings like schools, often longer for those in underserved communities. In addition, schools often lack trained personnel that can adequately meet the mental health needs of students. As such, the aim of this proposal is to bridge this science-practice gap by creating a community participatory teaching program that will train teachers working in inner-city high schools to better utilize cognitive behavioral strategies to serve the mental health needs of their students. This will be accomplished by adapting a program for teachers in CBT interventions to include case conceptualization and group management and providing ongoing training and coaching to teachers to utilize their newly acquired skillset.
Prior Year Award Recipients
Adeline Boatin, MD, MPH
Department of Obstetrics and Gynecology
Global Health Director, Vincent Department of Obstetrics and Gynecology
Affiliate, Program for Global Surgery and Social Change
Instructor in Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School
Dr. Boatin received her undergraduate education at Harvard University and her medical degree at the College of Physicians and Surgeons University. She received an MPH with a focus on international health at the Harvard School of Public Health and then completed a four-year residency in Obstetrics and Gynecology at the Harvard Integrated Obstetrics and Gynecology Residency Program, where she also served as chief resident. She completed a two-year Global Health Research Scholarship at the Massachusetts General Hospital where she focused on innovative methods to improve obstetric care delivery and decision-making around cesarean delivery in resource-limited settings. She is currently an Instructor in Obstetrics, Gynecology and Reproductive Biology at Massachusetts General Hospital and an affiliate faculty member at the Program for Global Surgery and Social Change at Harvard Medical School. In addition to gynecologic care and resident education at Mass General, she continues to have a focus on capacity building and quality improvement in reproductive health care in Ghana and Uganda. This complements her research focus on developing and implementing innovative strategies to improve maternal and newborn outcomes during facility-based childbirth in resource-limited settings.
Abstract: A Hybrid Effectiveness-Implementation Study of Wireless Physiologic Monitoring among Postpartum Women in Uganda
Women in sub-Saharan Africa have the highest rates of morbidity and mortality during childbirth. Despite significant increases in facility-based childbirth, quality gaps at the facility have limited reductions in maternal deaths. Infrequent monitoring of women around childbirth is a major gap in care that leads to delays in life-saving interventions. Simple increases in staffing will not overcome this gap, thus necessitating new strategies. This project aims to use a simple wireless monitor to improve the detection of complications immediately after childbirth and allow clinicians to provide life-saving interventions when needed. Using a hybrid clinical effectiveness-implementation approach women delivered by cesarean in Mbarara, Uganda will be recruited to wear a wireless physiologic monitor for 24 hours after delivery and their delivering obstetricians recruited to use the monitoring system, including the receipt of text message alerts should women develop abnormalities in physiologic signs. Rates of morbidity and mortality will be compared with a control group of women delivered by the same obstetricians. Clinical adoption and implementation will be assessed with the RE-AIM implementation framework and semi-structured interviews. Research findings will form the basis for an NIH R01 application for a cluster randomized-control trial aiming to reduce maternal morbidity and mortality during facility-based childbirth in RLS through implementation of wireless physiologic monitoring.
Renee N. Salas, MD, MPH, MS
Department of Emergency Medicine, Division of Wilderness Medicine
Affiliated Faculty, Harvard Global Health Institute
Instructor in Emergency Medicine, Harvard Medical School
Dr. Salas is an emergency medicine physician with an academic focus on climate change and health. She received her Doctor of Medicine from the innovative five-year medical school program to train physician-investigators at the Cleveland Clinic Lerner College of Medicine. She concurrently obtained a Master of Science in Clinical Research from the Case Western Reserve University School of Medicine. Subsequently, she matriculated to the University of Cincinnati for a four-year emergency medicine residency. It was during her two-year wilderness medicine fellowship at Massachusetts General Hospital that she discovered her passion for climate change and health. She graduated with a Master of Public Health from the Harvard T.H. Chan School of Public Health, with a concentration in environmental health, in 2016. She recently joined the Harvard Global Health Institute as affiliated faculty to address climate change and health knowledge gaps through research. Dr. Salas has been working to advance climate change and health nationally, and she is a recognized leader in this area. She is currently serving as the lead author on the United States Policy Brief for the Lancet Countdown: Tracking Progress on Health and Climate Change. She is the founder and chair of the Society of Academic Medicine Climate Change and Health Interest Group, the first of its kind for the specialty of emergency medicine. In addition, she has led national workshops and is advancing educational and advocacy initiatives with a diverse set of collaborators. Dr. Salas has lectured nationally and internationally on the subject while also providing education for the lay pubic.
Abstract: Impact of Billion-Dollar Weather and Climate Disasters on Healthcare Utilization, Outcomes, and Cost for Elderly Medicare Beneficiaries - Implications for Educational, Community Service, and Advocacy Initiatives
There is consensus that climate change is the largest public health threat of our time. While climate change threatens health through numerous ways, one key pathway is increasing the frequency and/or severity of extreme weather events. Yet, there are relatively few systematic and comprehensive assessments of the impacts on individuals and health systems. This type of understanding is critical to inform educational, community service, and advocacy efforts. This project seeks to address this knowledge gap by characterizing the impact of extreme weather disasters on the utilization of healthcare and health outcomes for elderly Medicare beneficiaries, with a key focus on translating this knowledge to adaptation and climate resiliency strategies. The extreme weather disasters will be identified from publicly available data from the National Oceanic and Atmospheric Administration. We will then evaluate the impact of these events on healthcare utilization, outcomes, and costs using national Medicare data, focusing on older Americans who are especially vulnerable to the negative health impacts of extreme weather events. This approach will help us better understand the broader health and economic costs associated with extreme weather events. Most importantly, it will allow the development of targeted interventions for the elderly, improve hospital disaster preparedness plans, and engage key healthcare stakeholders in the climate change and health discussion.
Marcelo Matiello MD MSc
Department of Neurology
Director, Neurology Inpatient Services; Routine and Urgent Teleneurology Program
Assistant Professor of Neurology, Harvard Medical School
Dr. Matiello completed his Doctorate of Medicine at the Federal University of Rio de Janeiro, Brazil, where he also completed his initial residency training in Neurology and Internal Medicine. He joined the Mayo Clinic in 2006, completed two research fellowships in genetics and molecular mechanisms of neuromyelitis optica and multiple sclerosis. At the Mayo Clinic Graduate School of Medicine he obtained his Master of Science in Clinical and Translational Research. In 2012, he went to Yale University, where he spent one year on residency training and then in 2016 completed three years of neurology residency at MGH. In 2017 he completed the American Academy of Neurology Medical Education Fellowship. He has authored over 50 peer-reviewed manuscripts, review articles or book chapters. Dr. Matiello is a fellow for the Multiple Sclerosis International Foundation and the of National Multiple Sclerosis Society, and is a member of the American Academy of Neurology, the Mayo Clinic Alumni Association and of Scientific consortium of the NMO foundation. He has presented his work in 21 countries. He has been awarded with the Mayo Clinic Neurology Award (2010), the European Committee for the Treatment and Research in Multiple Sclerosis award (2012), Yale Hospital Outstanding House Staff Award (2013) and the Harvard Neurology Medical Education Scholar (2015), MGH Child Neurology award (2016), The MGH Bowditch Award (2018).
Abstract: The Harvard-MGH Neurology Online Case-Based Learning System System Development and Educational Outcomes Research
The detailed study of clinical cases plays an essential role in the education of medical students, residents and fellows. Research has demonstrated that development of expertise is closely associated with case experience, and that using cases as the core of the instruction will activate prior knowledge and provide better context for learning. Our overall hypothesis is that a neurology case-based online learning system is feasible and superior to current self-learning strategies in leading to improved perception and educational outcomes related to neurology. We propose to develop, implement and test the education outcomes of the innovative Harvard E-Neuro online case-based learning system. We will also develop the editorial board in which neurology residents will have key leadership roles. We aim to determine the feasibility of implementing an innovative and comprehensive neurology online case-based database and curriculum management system, to determine whether the resident editorial system for case preparation and online publishing into the learning system will lead to improved neurology resident scholarly production, and finally, we aim to determine whether the utilization of the online case-based learning system will lead to better education outcomes. There is no similar learning system in neurology. An important novel aspect of our proposal is that by development of such learning system, the process itself teaches the residents and fosters mentoring for clinical education and scholarship.
Nicole L. Mazwi, MD
Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital
Department of Physical Medicine and Rehabilitation Service, Massachusetts General Hospital
Instructor in Physical Medicine and Rehabilitation, Harvard Medical School
Dr. Mazwi received her medical degree from the Mayo Clinic in Rochester, Minnesota. She completed her internship at the Johns Hopkins Hospital/Sinai Hospital of Baltimore Internal Medicine Residency program and her Physical Medicine and Rehabilitation residency at the Spaulding Rehabilitation Hospital (SRH)/Harvard Medical School program where she was Chief Resident. Dr. Mazwi completed a fellowship in Neurologic Rehabilitation at SRH and Massachusetts General Hospital (MGH) and joined the staff at both hospitals in 2012. Dr. Mazwi is the first-ever dedicated consult physiatrist in the MGH Neurologic Intensive Care Unit. Since 2014 she has served as Co-Director of the Harvard Medical School Brain Injury Medicine Fellowship Program at SRH and MGH. She is the also the Co-Director of the new Parters Neurorecovery fellowship at MGH and SRH. She is a Neurotrauma Consultant for the National Football League and in her free time she volunteers for the Boston Ballet Company as an in-house physician – just in case anyone has a less than perfect landing.
Abstract: Time to Move: Ideal Mobility Dose in Critically Ill Stroke Patients
Immobility associated with being hospitalized contributes significantly to prolonged recovery through a variety of mechanisms, including deconditioning. This may be particularly true for neurological patients, who additionally deal with motor and sensory deficits from their underlying condition. Recent data indicates that early mobilization in surgical intensive care units is helpful in decreasing ICU length of stay and improving functional mobility at hospital discharge. The impact of early mobilization in critically ill stroke patients remains unclear. In the ischemic stroke population evidence suggests that very early mobilization (<6 hours) may be harmful, while early mobilization after 24 hours is beneficial. As an intervention, early mobilization is affordable, widely applicable and can be utilized in all care environments. It has the potential to be a significant and cost effective method of improving outcomes for neurological patients, but a greater understanding of this intervention is needed. This study aims to assess the safety of early mobilization in critically ill patients with ischemic and hemorrhagic stroke. Further, the study will evaluate its effect on discharge disposition and functional outcomes and determine the ideal mobilization for this population. The study will ultimately provide data for a randomized, multicenter trial to follow. The implications could be practice-changing for neurologic intensive care approaches of the future.
Arianne Shadi Kourosh MD
Department of Dermatology
Director, Community Health for the Department of Dermatology
Instructor in Dermatology, Harvard Medical School
Josanna M. Rodriguez-Lopez, MD
Department of Medicine, Pulmonary and Critical Care Division
Associate Director, Pulmonary Hypertension and Thromboendarterectomy Program
Director, Hereditary Hemorrhagic Telangectasia Center
Instructor in Medicine, Harvard Medical School
Ersne Eromo, MD, MBA
Department of Anesthesia, Critical Care and Pain Medicine
Instructor in Anesthesia, Harvard Medical School
Alejandro Rauh-Hain, MD
Instructor in Obstetrics and Gynecology, Division of Gynecologic Oncology
Instructor in Obstetrics and Gynecology Harvard Medical School
Tanishia Choice, MD
Department of Psychiatry, Division of Child and Adolescent Psychiatry, Mass General
Lecturer in Psychiatry, Harvard Medical School, part-time
Arturo Saavedra, MD, PhD, MBA
Assistant in Dermatology
Medical Director, Medical Dermatology Unit
Assistant Professor of Dermatology, Harvard Medical School
Doreen DeFaria Yeh, MD, FACC
Department of Medicine, Cardiology Division
Assistant Professor of Medicine, Harvard Medical School
Jocelyn Carter, MD, MPH
Department of Medicine, General Internal Medicine Division, Hospital Medicine Group
Instructor in Medicine, Harvard Medical School
Luana Marques, PhD [PHS IS2]
Department of Psychiatry, Division of Psychology
Director, Community Psychiatry PRIDE
Assistant Professor of Psychology in Psychiatry, Harvard Medical School
Erica Wilson, MD
Department of Medicine, Division of Palliative Care
Instructor in Medicine, Harvard Medical School
Award Recipients 2004-2009
Wendy Macías-Konstantopoulos, MD, MPH
Department of Emergency Medicine Director, Mass General Human Trafficking Initiative
Executive and Medical Director, Mass General Freedom Clinic
Medical Director, Mass General Violence Intervention Advocacy Program
Assistant Professor of Emergency Medicine, Harvard Medical School
Alexy Arauz Boudreau, MD, MPH, FAAP|
MGHfC Director for Pediatric Population Health Management
Associate Director, Mass General Center for Diversity and Inclusion
Associate Medical Director, Mass General Physician Organization
Assistant Professor of Pediatrics, Harvard Medical School
Carl Pallais, MD, MPH
Director, Endocrine Rotation
Subspecialty Education Coordinator, Department of Medicine
Assistant Professor of Medicine, Harvard Medical School
Bisola Ojikutu, MD, MPH
Assistant in Medicine
Assistant Clinical Professor of Medicine, Harvard Medical School
Senior Advisor, John Snow Research and Training Institute
Marcela G. del Carmen, MD, MPH
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology
Medical Director, Massachusetts General Physicians Organization
Professor of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School
Rocío Hurtado, MD, DTM&H
Department of Medicine, Division of Infectious Diseases
Director, Mycobacterial Center, Infectious Disease Unit
Assistant Professor of Medicine, Harvard Medical School
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