Mitchell Tod Heflin, MD

Associate 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

Zietlow, K, McDonald, SR, Sloane, R, Browndyke, J, Lagoo-Deenadayalan, S, and Heflin, MT. "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): 584-589.

PMID
29332302
Full Text

Browndyke, JN, and Heflin, MT. "Cognition and brain changes associated with high-dose atorvastatin: A BOLD proposition?." American Heart Journal 197 (March 2018): 163-165.

PMID
29447777
Full Text

Marwell, JG, Heflin, MT, and McDonald, SR. "Preoperative Screening." Clinics in geriatric medicine 34, no. 1 (February 2018): 95-105. (Review)

PMID
29129220
Full Text

McDonald, SR, Heflin, MT, Whitson, HE, Dalton, TO, Lidsky, ME, Liu, P, Poer, CM, Sloane, R, Thacker, JK, White, HK, Yanamadala, M, and Lagoo-Deenadayalan, SA. "Association of Integrated Care Coordination With Postsurgical Outcomes in High-Risk Older Adults: The Perioperative Optimization of Senior Health (POSH) Initiative." JAMA surgery (January 3, 2018).

PMID
29299599
Full Text

Manning, KM, McNeill, DL, Pinheiro, SO, Heflin, MT, Valencia, WM, Lee, CC, Castle, SC, Katzel, L, Giffuni, J, and Morey, MC. "An innovative educational clinical experience promoting geriatric exercise." Gerontology & geriatrics education (October 13, 2017): 1-12.

PMID
29028419
Full Text

Callahan, KE, Wilson, LA, Pavon, JM, Lovato, JF, Atkinson, HH, Busby-Whitehead, J, Dalton, T, Heflin, MT, Iverson, P, Lawlor, JS, Marsden, J, Moran, WP, Roberts, E, and Williamson, JD. "Internal Medicine Residents' Ambulatory Management of Core Geriatric Conditions." Journal of Graduate Medical Education 9, no. 3 (June 2017): 338-344.

PMID
28638514
Full Text

DeMeo, S, Heflin, MT, and Nagler, A. "In Reply to van den Broek et al." Academic medicine : journal of the Association of American Medical Colleges 91, no. 12 (December 2016): 1591-.

PMID
29408846
Full Text

Yanamadala, M, Criscione-Schreiber, LG, Hawley, J, Heflin, MT, and Shah, BR. "Clinical Quality Improvement Curriculum for Faculty in an Academic Medical Center." American journal of medical quality : the official journal of the American College of Medical Quality 31, no. 2 (March 2016): 125-132.

PMID
25381003
Full Text

Heflin, MT, DeMeo, S, Nagler, A, and Hockenberry, MJ. "Health Professions Education Research and the Institutional Review Board." Nurse educator 41, no. 2 (March 2016): 55-59.

PMID
26501395
Full Text

Heflin, MT. "Surviving the Silver Tsunami: Training a Health Care Workforce to Care for North Carolina's Aging Population." North Carolina medical journal 77, no. 2 (March 2016): 102-106.

PMID
26961830
Full Text

Pages