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News and Announcements

Sevil Yasar, MD, PhD, Associate Professor of Medicine wins first NIH grant of the new year for $163,476

Sevil Yasar, MD, PhD, Associate Professor of Medicine wins grant (1R03AG058043-01; 1/1/2018 – 12/31/2018) in the amount of $163,476 is titled: “Relation of angiotensin converting enzyme (ACE) and angiotensin II  (ANGII) to MRI volumetric measures form community based study”. This continues Sevil’s previous work to correlate ACE and ANGII blood levels and cognitive function.

Fatima Sheikh, MD, MPH, has been elected as an American Geriatrics Society Fellow

Fatima Sheikh, MD, MPH, Assistant Professor of Medicine, on her election as an American Geriatrics Society Fellow. This follows on her being awarded Clinician of the Year by the Society at the annual meeting last May.

Advancing Geriatric Medicine

Through education and research, Johns Hopkins faculty are advancing geriatric medicine to improve the health of aging adults.

Cynthia Boyd, M.D., is studying guidelines clinicians follow when managing patients. For years, many clinicians have used guidelines with a single chronic condition in mind. But there are plenty of patients who experience multiple chronic conditions. Using a $1 million, three-year grant from the Patient Centered Outcomes Research Institute (PCORI), Dr. Boyd and her colleagues are developing methods to improve guidelines to better inform care for patients with multiple chronic conditions that also factor in patients’ quality of life and family members. “If you don’t think about people with combinations of conditions, you could increase the risk of harm,” she says. Part of their work was recently published in the Journal of General Internal Medicine.

Nancy Schoenborn, M.D., and a team of geriatricians recently explored how primary care providers discuss stopping cancer screening in older adults with limited life expectancy. “It’s important to think about whether someone is going to live long enough to justify certain risks associated with screenings,” she says.” For example, if a person is unlikely to live more than 10 years, a colonoscopy—which could lead to complications from anesthesia or bleeding from perforation---may not be beneficial.

Researchers interviewed 28 primary care clinicians over a 4-month period. While some providers were able to discuss stopping screenings in a way that made patients feel comfortable, many still did not communicate life expectancy when talking about discontinuation of screenings. These findings demonstrate the need for more guidance on the type and amount of information that should be shared during the discussions. Next up for the team: tools to make these discussions easier and more effective for providers.

Jessica Colburn, M.D., John Burton, M.D., and Jane Marks, RN, are using a three-year Geriatric Workforce Enhancement Program (GWEP) grant from the U.S. Health Resources and Services Administration to improve geriatric primary care. The program partners with Johns Hopkins Community Physicians and Atlantic General Primary Care to create quality improvement projects that improve workflow and care. “Each site has chosen a different topic to focus on,” says Dr. Colburn. “One site is focusing on improving the way Medicare Annual Wellness Visits are used in the practice, while another site is adjusting its target goals for diabetes management in patients ages 80 and older.” In addition, the program is working on ways to connect primary care centers with community based-resources.

Thomas K. M. Cudjoe, M.D., was invited to participate in the Robert Wood Johnson Foundation’s Culture of Health Leaders program—a leadership program that addresses nationwide issues in health and equity. Dr. Cudjoe will work with leaders from across the country to solve challenges like limited mobility and social isolation amongst vulnerable older adults. He also will collaborate on ways to build stronger community relationships while promoting health and harnessing existing social supports to address issues facing those vulnerable adults. The Culture of Health Leaders program, representing a four-year multimillion dollar investment, is one of four new leadership development programs launched by the Robert Wood Johnson Foundation.

Optimizing Health for Older Adults

The Center on Aging and Health is dedicated to research and training programs to improve the health and well-being of older adults.

For 20 years, the Center on Aging and Health (COAH) has served as a focal point for interdisciplinary aging research and training at the Johns Hopkins Medical Institutions.

The renowned center of excellence, rooted in the Division of Geriatric Medicine and Gerontology, is dedicated to preventing disease and disability, and improving the health and well-being of older adults. It is the only center in the Division with core faculty from the Johns Hopkins School of Medicine, School of Nursing and School of Public Health. As a result, COAH has a broad range of expertise.

COAH research involves population-based and clinical studies of the causes, correlates and consequences of aging-related conditions. Through distinct working groups, researchers examine:

  • Frailty and multisystem dysregulation
  • Family and social resources
  • Cognitive and sensory functions
  • Biostatistics, design and analysis
  • Administrative claims analyses
  • Physical function and falls

COAH also is home to innovative training programs and centers, like the Claude D. Pepper Older American Independence Center (OAIC), which supports the next generation of researchers to determine causes and treatments for frailty in older adults.

“Through our various grants, our different training programs and our different working groups, we’re really trying to take a comprehensive view of the challenges, as well as the opportunities, that are out there for older adults,” says David Roth, Ph.D., director of COAH and a professor in the Division of Geriatric Medicine and Gerontology. “It’s not just about paying attention to sick and vulnerable adults but also about supporting healthy and older adults who want to give back to their communities in some way or form.”

“I think a lot of older adults want to be involved and want to contribute but don’t really know where or how,” Dr. Roth says. “We’re trying to make progress in getting people help and programs they can use.”

For more information about COAH, visit http://coah.jhu.edu/.

The February 2018 issue of Clinics in Geriatric Medicine has been devoted to Screening and Prevention in Geriatric Medicine

The February 2018 issue of Clinics in Geriatric Medicine has been devoted to Screening and Prevention in Geriatric Medicine.  Danelle Cayea, MD, MS, Associate Professor of Medicine served as the lead editor for this issue that is available in hardcopy.  You will recognize many of the contributing authors who are either faculty, fellows or have been at Hopkins. Link to the Feb issue: http://www.geriatric.theclinics.com/.

Drs. Bruce Leff (PI), Mattan Schuchman (Co-PI) and Orla Sheehan (Co-PI) have been awarded a ($250,000PCORI grant)

Drs. Bruce Leff (PI), Mattan Schuchman (Co-PI) and Orla Sheehan (Co-PI) have been awarded a ($250,000) PCORI grant titled: Engaging the Invisible Homebound and their Caregivers in the Development of Home-Based Medical Care Research. The project goal is to determine and implement optimal strategies and tactics to engage homebound people and their caregivers to inform patient-centered outcomes research and comparative effectiveness research.

Dr. Nancy Schoenborn and colleagues have an article in the Journal of American Board of Family Medicine

Dr. Nancy Schoenborn and colleagues have an article in the Journal of American Board of Family Medicine (JABFM) on older adults’ preferences for when and how to discuss life expectancy in primary care. Please click on the following link to read the article: http://jabfm.org/content/30/6/813.full

Co-Principal Investigators Jeremy Walston, MD,  Karen Bandeen-Roche, PhD,  and Ravi Varadhan, PhD, received NIA funded U2U3 grant mechanism award totaling $11,560,771 over 5 years 

Co-Principal Investigators Jeremy Walston, MD,  Karen Bandeen-Roche, PhD,  and Ravi Varadhan, PhD, for the recent funding of the clinical research grant entitled ‘Characterizing Resiliencies to Physical Stressors in Older Adults: A Dynamical Physiological Systems Approach’.  This NIA funded U2U3 grant mechanism award totals $11,560,771 over 5 years and is focused on the identification of physiological and molecular signatures of resiliency in older adults undergoing stressful procedures.  The immediate goal of the study is to identify and measure specific markers or systems that impact outcomes after procedural stressors.   This will include novel measurements of dynamic physiological and molecular systems’ response to hip replacement surgery, hemodialysis initiation, and bone marrow transplantation and the ultimate impact of these systems on outcomes.   The  long term goal of this study is to identify and assess the systems that most impact the health and well-being of older adults during and after stressful events, and to use a resulting resiliency signature to develop interventions that improve immediate and long term outcomes in older adults undergoing surgical or medical procedures.   A broad network of nearly 30 clinical and research focused collaborators on the Bayview and East Baltimore medical campuses will work together on this effort.   Stressor core leaders include Fritz Seiber, MD (Anesthesia), Tariq Shafi, MBBS, MHS (Nephrology), Rick Jones, MD (Oncology).   Measurement core leaders include Qian-Li Xue, PhD (Data Base and Analytical Core),  Jennifer Schrack PhD and Michelle Carlson, PhD (Physical and Cognitive Measures),  Rita Kalyani, MD (Dynamic Physiologic Measures), and Peter Abadir, MD (Molecular Measures). 

Esther Oh, MD, PhD, Associate Professor of Medicine, has been awarded an R01 ($2,231,891 over four years)

Esther Oh, MD, PhD, Associate Professor of Medicine has been awarded an R01 ($2,231,891 over four years). The grant is titled “Novel Blood Biomarker of Alzheimer’s disease Using Oral Glucose Tolerance.”  This project will examine the utility of using oral glucose tolerance for Alzheimer’s disease biomarker development, and is a continuation of her R21 project with Dr. Kostas Lyketsos and Dr. Suzanne Craft (Wake Forest University).

Cynthia Boyd, MD, MPH, Professor of Medicine, Epidemiology, and Health Policy and Management on notification of her Midcareer Investigator K24 -award ($939,000 over five years)

Cynthia Boyd, MD, MPH, Professor of Medicine, Epidemiology, and Health Policy and Management on notification of her Midcareer Investigator K24 -award ($939,000 over five years) titled: " Patient-Centered Care for Older Adults with Multiple Chronic Conditions: Research and Mentoring Program." Dr. Boyd conducts research informing patient-centered care for older adults with multiple chronic conditions. The objective of this K24 from the National Institute on Aging is to support a program for mentoring junior investigators and for fostering innovative clinical research targeting the growing population of older adults with multiple chronic conditions.  Collaborative mentorship and support came from Drs. Kay Dickersin, Ken Covinsky, Bruce Leff, David Roth and Jennifer Wolff and current mentees of Dr. Boyd.

Dr. William B. Greenough, III wins Physician of the Year Award at Johns Hopkins Bayview Medical Center 

Dr. William B. Greenough, III has won the Physician of the Year Award at Johns Hopkins Bayview Medical Center, one of six honors bestowed annually by the Johns Hopkins Medicine Clinical Awards for Physicians and Care Teams.  Dr. Greenough is recognized for his high standards in practicing medicine, excellent clinical skills, leadership, and collaborative and innovative spirit.  He stands out as someone who demonstrates a true commitment to the Institution’s mission and consistent dedication to providing excellent patient care.   

Dr. Ariel Green, MD, MPH, has been awarded $800,000 over four years

Ariel Green, MD, MPH, has been awarded a Mentored Patient-Oriented Career Development Award (K23) from the National Institute on Aging for her proposal, titled, "Bladder Antimuscarinics in Dementia: A Model of Decisions About Potentially Inappropriate Medicines." The purpose of this research will be to improve discussions surrounding use of medications in patients with dementia and foster shared, informed decisions that are consistent with patient and caregiver preferences. The total award supports $800,000 over four years. Her mentorship team consists of primary mentor, Dr.Cynthia Boyd, co-mentors Dr. David Roth and Dr. Jennifer Wolf, and advisors Dr. Bruce Leff, Dr. Jodi Segal (JHSPH), Dr. Grace Chen (Urogynecology), Dr. Laura Gitlin (JHUSON) and Dr. Dan Matlock (University of Colorado).

Dr. Thomas Finucane has article in August 2017 Journal of the American Geriatrics Society

Dr. Thomas Finucane has an article in the august edition of Journal of the American Geriatrics Society titled "Urinary Tract Infection" - Requiem for a Heavyweight.  If not a knock out punch, then a stunning uppercut.

Geriatric Workforce Enhancement Program leaders, Dr. Jessica Colburn (PI), Dr. John Burton and Jane Marks, RN, MS, receive $33,215

Geriatric Workforce Enhancement Program leaders, Dr. Jessica Colburn (PI), Dr. John Burton and Jane Marks, RN, MS, have received $33,215 under the Geriatrics Workforce Enhancement Program Coordinating Center (GWEP-CC)’s Small Networking Meeting Grants Program to support the conduct of a networking meeting to occur this year. This allows the Johns Hopkins center to bring other GWEP grantees together in order to promote the lessons from of this important work to build geriatric competencies in primary care.

Dr. Mattan Schuchman, Director of JHome is quoted in Washington Post on House Call Medicine

Dr. Mattan Schuchman, Director of JHome: Johns Hopkins Home-based Medicine is quoted in an article in the Washington Post on House Call Medicine. Please click on link below to see the article.

https://www.washingtonpost.com/business/economy/doctor-on-demand-how-app-culture-is-reviving-the-house-call/2017/06/23/b10cd314-505d-11e7-b064-828ba60fbb98_story.html?hpid=hp_hp-cards_hp-card-technology%3Ahomepage%2Fcard&utm_term=.8a839ed73c9d

Dr. Nancy Schoenborn and colleagues have a new article in JAMA

Dr. Nancy Schoenborn and colleagues have a new article in JAMA.   This research explores older adults’ views and communication preferences about cancer screening and enables us to more effectively and sensitively discuss the health care screening of limited value.

Dr. Alicia Arbaje graduates from Bloomberg School of Public Health with a PhD in Clinical Investigation

Dr. Alicia Arbaje graduated from the Bloomberg School of Public Health with a PhD in Clinical Investigation after a successful defense of her dissertation: "Information management during care transitions of older adults receiving skilled home health care services after hospital discharge." A special thanks to Dr. Bruce Leff as her research mentor.

Dr. Mattan Schuchman selected for the AGS/ADGAP/Tideswell Emerging Leaders in Aging Program

Dr. Mattan Schuchman has been selected for the AGS/ADGAP/Tideswell Emerging Leaders in Aging Program. This national, yearlong mentorship program prepares future leaders for careers as change agents within healthcare systems. 

Dr. Stephanie Nothelle selected for the National Institute on Aging (NIA) Butler-Williams Scholars Program

Dr. Stephanie Nothelle has been selected for the National Institute on Aging (NIA) Butler-Williams Scholars Program, to be held July 31-August 4, 2017 on the NIH Campus in Bethesda, Maryland. The Scholars Program provides a format for researchers to learn more about research on aging. 

Dr. Stephanie Nothelle, Clinical Research Fellow, and co-investigator and Dr. Maura McGuire have been awarded the Primary Care Consortium Grant

Dr. Stephanie Nothelle, Clinical Research Fellow, and co-investigator and Dr. Maura McGuire have been awarded the Primary Care Consortium Grant to study the use of the Medicare Annual Wellness visit using data from JHCP primary care clinics.  The Annual Wellness Visit is a co-pay free preventive health visit that has been available for over 5 years.  Primary care clinics across the country have worked diligently to incorporate the Annual Wellness Visit into the clinic workflow, but there is very little published data about its use and benefits.  The few published analyses suggest that there may be disparities in which beneficiaries experience the visit.  Drs. Nothelle and McGuire aim to look at the characteristics of those who get the visit and the impact of the visit on appropriate and inappropriate health care utilization.  Drs. Cynthia Boyd and Jessica Colburn have served as mentors to Dr. Nothelle.

Fatima Sheikh, MD, MPH, Assistant Professor of Medicine selected as the recipient of the AGS 2017 Clinician of the Year Award

Fatima Sheikh, MD, MPH, Assistant Professor of Medicine, has been selected by the American Geriatrics Society Board of Directors and the 2017 Awards Committee, as the recipient of the AGS 2017 Clinician of the Year Award.

Halima Amjad, MD, MPH, Assistant Professor of Medicine has been selected as recipient of the 2017 American Geriatrics Society Outstanding Junior Research Manuscript Award

Halima Amjad, MD, MPH, Assistant Professor of Medicine has been selected by the Board of Directors and the Awards Committee of the American Geriatrics Society as the recipient of the 2017 American Geriatrics Society Outstanding Junior Research Manuscript Award.  This award recognizes the research that Dr. Amjad performed under the mentorship of our Dartmouth colleague, Dr. Julie Bynum. This paper, Continuity of Care and Health Utilization in Dementia, was published last year in JAMA Internal Medicine. 

Drs. Sevil Yasar and Colleen Christmas will join Dr. Samuel Durso in co-directing the T-35 MSTAR Summer Research Program for medical students

Drs. Sevil Yasar and Colleen Christmas will join Dr. Durso in co-directing the T-35 MSTAR Summer Research Program for medical students. Johns Hopkins is one of seven national centers (national centers accept first year medical students from around the country), and it is leads all national centers as the first choice among student-applicants. The Johns Hopkins program recruits a diverse class each year of up to 18 students from the schools from around the continental U.S. and from Hawaii and Puerto Rico. The goals of the program are to introduce students to research in aging. Students are paired with research mentors with appropriate projects from the Division, and from other divisions and departments in the School of Medicine. Our program is unique in that it also includes significant clinical experience, a feature that makes it highly attractive to students who have finished year-one of medical school. This important role in developing the future pipeline of researchers in aging.

Dr. Esther Oh has published an article regarding delirium

Dr. Esther Oh is emerging as a national leader in delirium research and has published a paper in the Journal of American Geriatrics Society. Please see link to paper below.

http://onlinelibrary.wiley.com/doi/10.1111/jgs.14243/pdf

Dr. Stefan David has new article in JAMDA

Dr. Stefan David, a newly graduated fellow in geriatric medicine and colleagues in the Division of Geriatric Medicine and Gerontology has a new article in JAMDA.  Click on link below to see the article.

https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S1525861016301268?returnurl=null&referrer=null