Mitchell Tod Heflin, MD

Professor of Medicine
Senior Fellow in the Center for the Study of Aging and Human Development
Campus mail 2512 Hosp South, Durham, NC 27710
Phone (919) 660-7561
Email address hefli001@mc.duke.edu

My research is focused on the issues surrounding decisions to perform cancer screening procedures in older adults. In recent work, we have investigated the impact of comorbid illness on receipt of mammography, clinical breast examination, Pap smear, and fecal occult blood testing. We are also completing work on a nationwide survey of primary care physicians inquiring about their intentions to offer cancer screening tests to older adults, specifically examining the role of health status on this decsion. Future directions of this line of research include: 1) Clinical trials of cancer screening in older adults, 2) The impact of education of providers and patients on rates of receipt of screening, 3) defining patient preferences for screening.
 
I am also intersted in the development of novel educational curricula in geriatrics for all types and levels of providers. Specifically, through my Geriatrics academic Career Award from the Department of Health and Human Services, I hope to examine the efficacy of several new educational programs. At this time, we have developed a comprehensive curriculum in Geriatrics for the medical school, a course in EBM in Geriatrics for fellows and a fellowship rotation entitled "Academic Geriatrics."

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

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..” European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 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). 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 Surgery 153, no. 5 (May 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..” Gerontology & Geriatrics Education 39, no. 2 (April 2018): 122–31. https://doi.org/10.1080/02701960.2016.1152268.

PMID
26909895
Full Text

Zietlow, Kahli, Shelley R. McDonald, Richard Sloane, Jeffrey Browndyke, Sandhya Lagoo-Deenadayalan, and Mitchell T. Heflin. “Preoperative Cognitive Impairment As a Predictor of Postoperative Outcomes in a Collaborative Care Model..” Journal of the American Geriatrics Society 66, no. 3 (March 2018): 584–89. https://doi.org/10.1111/jgs.15261.

PMID
29332302
Full Text

Browndyke, Jeffrey N., and Mitchell T. Heflin. “Cognition and brain changes associated with high-dose atorvastatin: A BOLD proposition?.” American Heart Journal 197 (March 2018): 163–65. https://doi.org/10.1016/j.ahj.2017.12.003.

PMID
29447777
Full Text

Aronson, Solomon, Julie Westover, Nicole Guinn, Tracy Setji, Paul Wischmeyer, Padma Gulur, Thomas Hopkins, et al. “A Perioperative Medicine Model for Population Health: An Integrated Approach for an Evolving Clinical Science..” Anesthesia and Analgesia 126, no. 2 (February 2018): 682–90. https://doi.org/10.1213/ane.0000000000002606.

PMID
29200059
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..” Gerontology & Geriatrics Education, November 2, 2017, 1–12. https://doi.org/10.1080/02701960.2017.1391802.

PMID
29028419
Full Text

Callahan, Kathryn E., Lindsay A. Wilson, Juliessa M. Pavon, James F. Lovato, Hal H. Atkinson, Jan Busby-Whitehead, Thomas Dalton, et al. “Internal Medicine Residents' Ambulatory Management of Core Geriatric Conditions..” Journal of Graduate Medical Education 9, no. 3 (June 2017): 338–44. https://doi.org/10.4300/JGME-D-16-00428.1.

PMID
28638514
Full Text

Pages