My work is conducted as a clinician, researcher, teacher, and administrator at Duke University. Currently, I am an Associate Professor of Medicine, the director of Duke’s Medical Intensive Care Unit (MICU), and the Director of the Duke Program to Support People and Enhance Recovery (ProSPER). My clinical work is based in ICUs at Duke University, though I am also a board-certified palliative medicine specialist.
My research focuses on understanding and improving the experience of critical illness and quality of care for patients, their families and loved ones, clinicians, and society in general. To do this, my work addresses topics and methodologies including health services research, behavioral and psychological concerns, communication improvement, technological development, and decision making support—all in the context of critical care and palliative medicine. My extensive training in clinical and health services research methodology and healthcare information technology allows me to do this.
Key interests: Critical care, healthcare information technology, health administration and policy, decision making, health economics, mechanical ventilation, palliative care, chronic critical illness / prolonged mechanical ventilation, critical care echocardiography
Education and Training
- Fellow in Pulmonary Medicine, Medicine, Duke University, 2002 - 2005
- Medical Resident, Medicine, New York University, 1997 - 2000
- M.D., Medical University of South Carolina School of Medicine, 1997
- PCplanner: operationalizing needs-focused palliative care for older adults in intensive
- Optimizing a self-directed mobile mindfulness intervention for improving
- Reducing Disparities in the Quality of Palliative Care for Older African Americans Through Improved Advance Care Planning
- Optimizing a self-directed mobile copying skills training intervention for improving cardiorespiratory failure survivors
- Needs and triggers: improving intensive care unit-based palliative care delivery
- Interdisciplinary Training Program in Lung Disease
- Prediction of Functional Outcomes from Chronic Critical Illness
- Evaluating effectiveness of a communication facilitator to reduce distress and improve goal concordant care for critically ill patients and their families: A randomized trial