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, Mitchell T. Heflin, Shelley R. McDonald, Robert Sickeler, Michael Devinney, Jeanna Blitz, Sandhya Lagoo-Deenadayalan, and Miles Berger. “Geriatric Preoperative Optimization: A Review.” Am J Med 135, no. 1 (January 2022): 39–48. https://doi.org/10.1016/j.amjmed.2021.07.028.

PMID
34416164
Full Text

Cooter Wright, Mary, Thomas Bunning, Sarada S. Eleswarpu, Mitchell T. Heflin, Shelley R. McDonald, Sandhya Lagoo-Deenadalayan, Heather E. Whitson, Pablo Martinez-Camblor, Stacie G. Deiner, and Miles Berger. “A Processed Electroencephalogram-Based Brain Anesthetic Resistance Index Is Associated With Postoperative Delirium in Older Adults: A Dual Center Study.” Anesth Analg 134, no. 1 (January 1, 2022): 149–58. https://doi.org/10.1213/ANE.0000000000005660.

PMID
34252066
Full Text

Berger, Miles, Sarada S. Eleswarpu, Mary Cooter Wright, Anna M. Ray, Sarah A. Wingfield, Mitchell T. Heflin, Shahrukh Bengali, and Ankeet D. Udani. “Developing a Real-Time Electroencephalogram-Guided Anesthesia-Management Curriculum for Educating Residents: A Single-Center Randomized Controlled Trial.” Anesth Analg 134, no. 1 (January 1, 2022): 159–70. https://doi.org/10.1213/ANE.0000000000005677.

PMID
34709008
Full Text

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, 45:109–15, 2021. https://doi.org/10.1007/s00268-020-05772-z.

PMID
32935140
Full Text

Zietlow, Kahli E., Deborah M. Oyeyemi, Sarah E. Cook, Margaret Hardy, Shelley R. McDonald, Sandhya Lagoo-Deenadayalan, Mitchell T. Heflin, and Heather E. Whitson. “RESEARCHCognition and Capacity to Consent for Elective Surgery.” In J Am Geriatr Soc, 68:2694–96, 2020. https://doi.org/10.1111/jgs.16786.

PMID
33460037
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

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

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