Mitchell Tod Heflin, MD

Professor of Medicine
Professor in the School of Nursing
Senior Fellow in the Center for the Study of Aging and Human Development
Campus mail 2513 Hosp South, Durham, NC 27710
Phone (919) 660-1609
Email address hefli001@mc.duke.edu

I am currently a Professor with Tenure in the Department of Medicine, a Senior Fellow in the Duke Center for the Study of Aging and Human Development, and Associate Dean for Interprofessional Education and Care (IPEC).  My career as a leader in Geriatrics has focused on development, deployment and evaluation of education programs aimed at health professions learners from a variety of disciplines and introduction of innovative models of care with a specific emphasis on community-based and perioperative care of frail older adults.   I served as Geriatrics Fellowship Program Director for 11 years and, over the same span, directed HRSA funded Geriatrics Education Programs at Duke, including our Geriatric Workforce Enhancement Program (GWEP) In that role, I worked with colleagues and community partners to provide IP educational programs in geriatrics and care redesign in primary care practices to improve care for older adults.  Concurrently, I also led the implementation of the Duke Perioperative Optimization of Senior Health (POSH) program and co-directed the VA OAA funded Specialty Care Education Center of Excellence for the VA POSH Program.  In my current role as Associate Dean and Director of the IPEC Center, I am working with educators and clinicians from across the Health System in the design and implementation of educational program aimed at improving our ability to use interprofessional collaborative practice to deliver safe, effective, person-centered care.

Education and Training

  • Fellow in Geriatrics, Medicine, Duke University, 1998 - 2000
  • Medical Resident, Medicine, Duke University, 1994 - 1997
  • M.D., University of Virginia, 1993

Publications

Zietlow, Kahli E., Serena Wong, Shelley R. McDonald, Cathleen Colón-Emeric, Christy Cassas, Sandhya Lagoo-Deenadayalan, and Mitchell T. Heflin. “Perioperative Optimization of Senior Health (POSH): A Descriptive Analysis of Cancelled Surgery.” In World J Surg, 2020. https://doi.org/10.1007/s00268-020-05772-z.

PMID
32935140
Full Text

McDonald, Shelley R., Mitchell T. Heflin, and Sandhya A. Lagoo-Deenadayalan. “Care Redesign for Emergency General Surgery in Older Adults.” Jama Surg 155, no. 4 (April 1, 2020): e196022. https://doi.org/10.1001/jamasurg.2019.6022.

PMID
32049270
Full Text

Zietlow, K. E., D. M. Oyeyemi, S. E. Cook, M. Hardy, S. R. McDonald, S. Lagoo-Deenadayalan, M. T. Heflin, and H. E. Whitson. “Cognition and Capacity to Consent for Elective Surgery.” In Journal of the American Geriatrics Society, 2020. https://doi.org/10.1111/jgs.16786.

Full Text

Manning, Kenneth M., Darien L. McNeill, Sandro O. Pinheiro, Mitchell T. Heflin, Willy M. Valencia, Cathy C. Lee, Steven C. Castle, Leslie Katzel, Jamie Giffuni, and Miriam C. Morey. “An innovative educational clinical experience promoting geriatric exercise.” Gerontol Geriatr Educ 41, no. 1 (January 2020): 20–31. https://doi.org/10.1080/02701960.2017.1391802.

PMID
29028419
Full Text

Wong, Serena P., Kahli M. Zietlow, Shelley R. McDonald, Atilio Barbeito, Cathleen S. Colon-Emeric, Sandhya A. Lagoo-Deenadayalan, Nancy Loyack, and Mitchell T. Heflin. “Delaying Elective Surgery in Geriatric Patients: An Opportunity for Preoperative Optimization.” Anesth Analg 130, no. 1 (January 2020): e14–18. https://doi.org/10.1213/ANE.0000000000004335.

PMID
31335399
Full Text

VanDusen, Keith W., Sarada Eleswarpu, Eugene W. Moretti, Michael J. Devinney, Donna M. Crabtree, Daniel T. Laskowitz, Marty G. Woldorff, et al. “The MARBLE Study Protocol: Modulating ApoE Signaling to Reduce Brain Inflammation, DeLirium, and PostopErative Cognitive Dysfunction.” J Alzheimers Dis 75, no. 4 (2020): 1319–28. https://doi.org/10.3233/JAD-191185.

PMID
32417770
Full Text

Pokorney, Sean D., Diane Bloom, Christopher B. Granger, Kevin L. Thomas, Sana M. Al-Khatib, Mayme L. Roettig, John Anderson, Mitchell T. Heflin, and Bradi B. Granger. “Exploring patient-provider decision-making for use of anticoagulation for stroke prevention in atrial fibrillation: Results of the INFORM-AF study.” Eur J Cardiovasc Nurs 18, no. 4 (April 2019): 280–88. https://doi.org/10.1177/1474515118812252.

PMID
30418049
Full Text

Corey, Kristin M., Sehj Kashyap, Elizabeth Lorenzi, Sandhya A. Lagoo-Deenadayalan, Katherine Heller, Krista Whalen, Suresh Balu, et al. “Development and validation of machine learning models to identify high-risk surgical patients using automatically curated electronic health record data (Pythia): A retrospective, single-site study.” Plos Med 15, no. 11 (November 2018): e1002701. https://doi.org/10.1371/journal.pmed.1002701.

PMID
30481172
Full Text

McDonald, Shelley R., Mitchell T. Heflin, Heather E. Whitson, Thomas O. Dalton, Michael E. Lidsky, Phillip Liu, Cornelia M. Poer, et al. “Association of Integrated Care Coordination With Postsurgical Outcomes in High-Risk Older Adults: The Perioperative Optimization of Senior Health (POSH) Initiative.” Jama Surg 153, no. 5 (May 1, 2018): 454–62. https://doi.org/10.1001/jamasurg.2017.5513.

PMID
29299599
Full Text

Yanamadala, Mamata, Victoria S. Kaprielian, Colleen O’Connor Grochowski, Tiffany Reed, and Mitchell Tod Heflin. “A problem-based learning curriculum in geriatrics for medical students.” Gerontol Geriatr Educ 39, no. 2 (April 2018): 122–31. https://doi.org/10.1080/02701960.2016.1152268.

PMID
26909895
Full Text

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