1. The Patient-Centered Medical Home: Preparation of the Workforce, More Questions than Answers.

    Journal of General Internal Medicine 30(7):1013 (2015) PMID 25707941 PMCID PMC4471027

    As American medicine continues to undergo significant transformation, the patient-centered medical home (PCMH) is emerging as an interprofessional primary care model designed to deliver the right care for patients, by the right professional, at the right time, in the right setting, for the right...
  2. Implications of workforce and financing changes for primary care practice utilization, revenue, and cost: a generalizable mathematical model for practice management.

    Medical Care 53(2):125 (2015) PMID 25517074

    Primary care practice transformations require tools for policymakers and practice managers to understand the financial implications of workforce and reimbursement changes. To create a simulation model to understand how practice utilization, revenues, and expenses may change in the context of wor...
  3. Implications of workforce and financing changes for primary care practice utilization, revenue, and cost: a generalizable mathematical model for practice management.

    Medical Care 53(2):125 (2015) PMID 25517074

    Primary care practice transformations require tools for policymakers and practice managers to understand the financial implications of workforce and reimbursement changes. To create a simulation model to understand how practice utilization, revenues, and expenses may change in the context of wor...
  4. The Harvard Medical School Academic Innovations Collaborative: transforming primary care practice and education.

    Academic Medicine 89(9):1239 (2014) PMID 25006712

    Academic medical centers (AMCs) need new approaches to delivering higher-quality care at lower costs, and engaging trainees in the work of high-functioning primary care practices. In 2012, the Harvard Medical School Center for Primary Care, in partnership with with local AMCs, established an Aca...
  5. The Harvard Medical School Academic Innovations Collaborative: transforming primary care practice and education.

    Academic Medicine 89(9):1239 (2014) PMID 25006712

    Academic medical centers (AMCs) need new approaches to delivering higher-quality care at lower costs, and engaging trainees in the work of high-functioning primary care practices. In 2012, the Harvard Medical School Center for Primary Care, in partnership with with local AMCs, established an Aca...
  6. Meditation's impact on default mode network and hippocampus in mild cognitive impairment: a pilot study.

    Neuroscience Letters 556:15 (2013) PMID 24120430 PMCID PMC4022038

    Those with high baseline stress levels are more likely to develop mild cognitive impairment (MCI) and Alzheimer's Disease (AD). While meditation may reduce stress and alter the hippocampus and default mode network (DMN), little is known about its impact in these populations. Our objective was to...
  7. Meditation's impact on default mode network and hippocampus in mild cognitive impairment: A pilot study

    Neuroscience Letters 556:15 (2013)

    • We conducted a randomized trial of meditation for mild cognitive impairment (MCI). • Meditation may increase functional connectivity in the default mode network ...
  8. Meditation's impact on default mode network and hippocampus in mild cognitive impairment: a pilot study.

    Neuroscience Letters 556:15 (2013) PMID 24120430 PMCID PMC4022038

    Those with high baseline stress levels are more likely to develop mild cognitive impairment (MCI) and Alzheimer's Disease (AD). While meditation may reduce stress and alter the hippocampus and default mode network (DMN), little is known about its impact in these populations. Our objective was to...
  9. Meditation's impact on default mode network and hippocampus in mild cognitive impairment: a pilot study.

    Neuroscience Letters 556:15 (2013) PMID 24120430 PMCID PMC4022038

    Those with high baseline stress levels are more likely to develop mild cognitive impairment (MCI) and Alzheimer's Disease (AD). While meditation may reduce stress and alter the hippocampus and default mode network (DMN), little is known about its impact in these populations. Our objective was to...
  10. A Medical Student Elective Promoting Humanism, Communication Skills, Complementary and Alternative Medicine and Physician Self-Care: An Evaluation of the HEART Program

    EXPLORE: The Journal of Science and Healing 9(5):292 (2013)

    Objective In 2002 the American Medical Student Association (AMSA) created a fourth-year medical student elective known as the Humanistic Elective in alternative medicine, Activism, and Reflective Transformation (HEART) that provided the opportunity for students to explore hum...
  11. Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.

    Journal of Patient Safety 9(3):169 (2013) PMID 23965840

    Adverse drug events (ADEs) are common in ambulatory care and may result from poor patient-physician communication about medication-related symptoms. A module was developed within an electronic patient portal that was designed to enhance communication about medication symptoms and, in turn, reduc...
  12. Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.

    Journal of Patient Safety 9(3):169 (2013) PMID 23965840

    Adverse drug events (ADEs) are common in ambulatory care and may result from poor patient-physician communication about medication-related symptoms. A module was developed within an electronic patient portal that was designed to enhance communication about medication symptoms and, in turn, reduc...
  13. Relationship between the prognostic expectations of seriously ill patients undergoing hemodialysis and their nephrologists.

    JAMA Internal Medicine 173(13):1206 (2013) PMID 23712681 PMCID PMC3982381

    Patients undergoing hemodialysis have an annual mortality rate exceeding 20%, comparable to many types of cancer. Past research has shown that patients with cancer overestimate their likelihood of survival relative to their physicians, but this relationship has not been examined in patients with...
  14. Relationship between the prognostic expectations of seriously ill patients undergoing hemodialysis and their nephrologists.

    JAMA Internal Medicine 173(13):1206 (2013) PMID 23712681 PMCID PMC3982381

    Patients undergoing hemodialysis have an annual mortality rate exceeding 20%, comparable to many types of cancer. Past research has shown that patients with cancer overestimate their likelihood of survival relative to their physicians, but this relationship has not been examined in patients with...
  15. Massage therapy for patients with metastatic cancer: a pilot randomized controlled trial.

    Journal of Alternative & Complementary Medicine 19(7):650 (2013) PMID 23368724 PMCID PMC3700435

    The study objectives were to determine the feasibility and effects of providing therapeutic massage at home for patients with metastatic cancer. This was a randomized controlled trial. Patients were enrolled at Oncology Clinics at a large urban academic medical center; massage therapy was provid...
  16. Massage therapy for patients with metastatic cancer: a pilot randomized controlled trial.

    Journal of Alternative & Complementary Medicine 19(7):650 (2013) PMID 23368724 PMCID PMC3700435

    The study objectives were to determine the feasibility and effects of providing therapeutic massage at home for patients with metastatic cancer. This was a randomized controlled trial. Patients were enrolled at Oncology Clinics at a large urban academic medical center; massage therapy was provid...
  17. Academic general internal medicine: a mission for the future.

    Journal of General Internal Medicine 28(6):845 (2013) PMID 23321931 PMCID PMC3663942

    After five decades of growth that has included advances in medical education and health care delivery, value cohesion, and integration of diversity, we propose an overarching mission for academic general internal medicine to lead excellence, change, and innovation in clinical care, education, an...
  18. Neuropsychiatric symptoms and the use of mind-body therapies.

    Journal of Clinical Psychiatry 74(6):e520 (2013) PMID 23842021

    Neuropsychiatric symptoms affect 37% of US adults and present in many important diagnoses including posttraumatic stress disorder, traumatic brain injury, and chronic pain. However, these symptoms are difficult to treat with standard treatments, and patients may seek alternative options. In this...
  19. Neuropsychiatric symptoms and the use of mind-body therapies.

    Journal of Clinical Psychiatry 74(6):e520 (2013) PMID 23842021

    Neuropsychiatric symptoms affect 37% of US adults and present in many important diagnoses including posttraumatic stress disorder, traumatic brain injury, and chronic pain. However, these symptoms are difficult to treat with standard treatments, and patients may seek alternative options. In this...
  20. Academic general internal medicine: a mission for the future.

    Journal of General Internal Medicine 28(6):845 (2013) PMID 23321931 PMCID PMC3663942

    After five decades of growth that has included advances in medical education and health care delivery, value cohesion, and integration of diversity, we propose an overarching mission for academic general internal medicine to lead excellence, change, and innovation in clinical care, education, an...