Joseph Cofrancesco, MD
Disclosures: Nothing to disclose
Curriculum Vitae

Joseph Cofrancesco Jr, MD, MPH, FACP

padmini

JOSEPH COFRANCESCO JR., MD, MPH, FACP

CURRICULUM VITAE

The Johns Hopkins University School of Medicine

 

H:\Joe's stuff\Admin\signature3.jpg                                                                                                                              April 2021

 

DEMOGRAPHIC AND PERSONAL INFORMATION

Current Appointments

1997-present              Attending Physician, Johns Hopkins Hospital, Baltimore, Maryland

1997—2004              Assistant Professor, Department of Medicine, Johns Hopkins University School of Medicine (JHUSOM)

2004-2014              Associate Professor, Department of Medicine, JHUSOM

2009-present              Director, Institute for Excellence in Education Professor of Medicine, JHUSOM

2014 - 2019              Johns Hopkins University School of Medicine Institute for Excellence in Education Associate Professor                                           of Medicine (Endowed Chair)

2018-2019              Associate Professor Acute and Chronic Care, Johns Hopkins University School of Nursing.

2019-present              Professor, Department of Medicine, JHUSOM

2019- present              Johns Hopkins University School of Medicine Institute for Excellence in Education Professor of                                                         Medicine (Endowed Chair)                                                                                                                                                           http://www.hopkinsmedicine.org/institute excellence education

2019- present              Professor, Acute and Chronic Care, Johns Hopkins University School of Nursing.

 

 

Personal Data

                            Tumulty Group

                            General Internal Medicine

                            Johns Hopkins Outpatient Center

                            601 North Caroline Street / Room 7155

                            Baltimore, Maryland 21287

                            410-955-5515 (telephone)

                            410-614-1195 (fax)

                            Appointments: 410-955-0670

 

                            Institute for Excellence in Education:

                            Armstrong Medical Education Building

                            1600 McElderry Street, Suite 230

                            Baltimore, Maryland 21205

                          443-287-4435 (telephone)

                            443-287-0176 (fax)

 

                            Johns Hopkins Rockland Physician and Research Group

                            Green Spring Station

                            Falls Concourse / Suite 412

                            10751 Falls Road

                            Lutherville, Maryland 21093

                            410-583-2900 (telephone)

                            410-583-2654 (fax)                                         

                           

                            John G. Bartlett Specialty Practice

                            The Park Building, Ground Floor

                            1717 E. Monument Street

                            Baltimore, Maryland 21287

                            410-955-1725 (telephone)

                            443-287-4173 (fax)                                         

                           

Education and Training

Undergraduate

1980                            BA, Liberal Arts/Biology, Columbia College, Columbia University, New York, NY.

 

Doctoral/graduate

1990                            MD (with honors), Mount Sinai School of Medicine, New York, NY.

1996                            MPH (with honors), Johns Hopkins University School of Hygiene and Public Health, Baltimore,                                           MD.

 

Postdoctoral

1990-1991              Intern, Medicine, Columbia Presbyterian Medical Center, New York, NY.

1991-1993              Resident, Medicine/Primary Care, Montefiore Medical Center, Albert Einstein College of                                                         Medicine, New York, NY.                                                         

January 1994              Physician-in-Residence, Substance Abuse Program, Hazelden Fellowship Club of New York, NY

1994-1997              Senior Clinical Fellow, General Internal Medicine,  Johns Hopkins University School of Medicine,                                           Baltimore, MD.

1995-1996              Certificate, Faculty Development: Teaching Skills, Johns Hopkins Faculty Development Program                                           at the Bayview Medical Center, Baltimore, MD.

1996-1997              Certificate, Faculty Development: Curriculum Development, Johns Hopkins Faculty                                                         Development Program at the Bayview Medical Center, Baltimore, MD.

2010-2011              Leadership Development Program, Johns Hopkins University School of Medicine, Baltimore, MD.

2019                            Economics of Clinical Operations, 8th Cohort (ECO VIII), Johns Hopkins University School of                                           Medicine

 

Professional Experience

1993-1994              Ambulatory Chief Resident and Instructor, Medicine, Albert Einstein College of Medicine, Bronx,                                           NY.

1993-1994              Assistant Attending, Medicine, Montefiore Medical Center, Bronx, NY.

1994-1996              Staff Physician, Johns Hopkins Medical Service Corporation (EBMC), Baltimore, MD.

1997-present              Attending Physician, Johns Hopkins Hospital, Baltimore, MD.

1997- 2004              Assistant Professor, Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.

2001-2006              Director of Education and Clinical Training, Doris Duke Charitable Foundation, Bench to                                                         bedside: “Latent reservoir for HIV: basic mechanisms and clinical significance.” Johns                                                         Hopkins University School of Medicine, Baltimore, MD.

2004- 2008              Director, Lipodystrophy and Metabolic Complications of HIV Clinic, Johns Hopkins                                                         University School of Medicine, Baltimore, MD.

2004 -present               Associate Professor, Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.

2005 -present              Medical Director, Moore Clinic at Green Spring Station/Rockland Physicians’ Group, Johns                                                        Hopkins University School of Medicine, Baltimore, MD.

2007-present              Director, Johns Hopkins University School of Medicine GIM Clinician Educator Mentoring and                                           Scholarship Program (CEMSP), Baltimore, MD.                                                                                                                              http://www.hopkinsmedicine.org/gim/core_resources/CSMP.html

2009-present              Director and Johns Hopkins Institute for Excellence in Education, Johns Hopkins University School of                             Medicine, Baltimore, MD.                                                                                                  

2019- present              Johns Hopkins University School of Medicine Institute for Excellence in Education Professor of                                           Medicine (Endowed Chair). http://www.hopkinsmedicine.org/institute_excellence_education/

2019- present              Professor, Acute and Chronic Care, Johns Hopkins University School of Nursing.

 

PUBLICATIONS

All at:  https://www.ncbi.nlm.nih.gov/myncbi/joseph.cofrancesco.1/bibliography/public/

 

Peer-Reviewed Original Research

1.

 

Beasley BW, Wright SM, Cofrancesco J Jr, Babbott S, Thomas PA, Bass EB. Promotion criteria for clinician-educators in the United States and Canada: A survey of promotion committee chairpersons. JAMA. 1997 Sep 3:278(9):723-8. (Note: The four fist listed authors worked as a team during fellowship.)

2.

 

Dobs AS, Cofrancesco J, Nolten WE, Danoff A, et al. The use of a transscrotal  testosterone delivery system in the treatment of patients with weight loss related to human immunodeficiency virus infection. 1999Aug;107(2):126-32. (Note: I was the team’s HIV clinical expert and involved in design, writing and editing for this multicenter trial)

3.

 

Wahlstrom JT, Tang A, Cofrancesco J, Shah N Jr, Dobs AS. Gonadal hormone levels in

injection drug users. Drug and Alcohol Dependence. 2000 Nov 1:60(3):311-3. (Note: I was the team’s HIV

clinical expert and involved in design, writing and editing for this retrospective cohort study.)

4.

 

Thomas PA, Cofrancesco J. The introduction of evidence based medicine into an ambulatory clinical clerkship. J Gen Intern Med. 2001 Apr; 16(4):244-9.

5.

 

Atasoylu AA, Wright SM, Beasley BW, Cofrancesco J Jr, Macpherson DS, Partridge T, Thomas PA, Bass EB. Promotion Criteria for Clinician-educators. J Gen Intern Med. 2003 Sep;18(9):711-6. (Note: The first 4 authors worked together as a team on this project, a follow- up a group fellowship project.)

6.

 

Cofrancesco J Jr, Berkenblit G. Basic lipids: NCEP made easy for HIV patients. Hopkins HIV report 2003; 15 (5) 10-12.

7.

 

Zhang H, Zhou Y, Alcock C, Keifer T, Monie D, Siliciano J, Li Q, Pham P, Cofrancesco J, Persaud D, Siliciano RF. Novel single-cell-level phenotypic assay for residual drug susceptibility and reduced replication capacity of drug-resistant human immunodeficiency virus type 1. Journal of Virology. 2004 Feb;78(4):1718-29. (Note: I was the HIV clinical expert, involved in design, subject recruitment, and writing/editing of manuscript; I often work in partnership with the Siliciano lab.)

8.

 

Nettles RE, Kieffer TL, Simmons RP, Cofrancesco J Jr, Moore RD, Gallant JE, Persaud D, Siliciano RF. Genotypic resistance in HIV-1-infected patients with persistently detectable low-level viremia while receiving highly active antiretroviral therapy. Clinical Infectious Diseases. 2004 Oct 1;39(7):1030-7. (Note: I was the HIV clinical expert, subject recruitment, and writing/editing of manuscript; I often work in partnership with the Siliciano lab.)

9.

 

Arrington R, Cofrancesco J, Wu AW. Questionnaires to Measure Sexual Quality of Life. Quality of Life Research. 2004 Dec;13(10):164-58. (Note: Dr. Wu and I mentored Dr Arrington throughout this entire project.)

10.

 

Nettles RE, Kieffer TL, Kwon P, Monie D, Han Y, Parsons  T, Cofrancesco J, Gallant  JE, Quinn TC, Jackson B, Flexner C, Carson K, Ray S, Persaud D, Siliciano RF. Intermittent HIV-1 Viremia (Blips) and Drug Resistance in Patients Receiving HAART. JAMA. 2005 Feb 16;293(7):817-29. (Note: I was an HIV clinical expert, involved in design, subject recruitment, and writing/editing of manuscript; I often work in partnership with the Siliciano lab.)

11.

 

Karmon SL, Moore RD, Dobs AS, Keruly J, Barnett S, Cofrancesco J Jr. Body Shape and Composition in HIV Infected Women: An Urban Cohort. HIV Medicine. 2005 Jul;6(4):245-52.

12.

 

Wisniewski AB, Brown TT, John M, Cofrancesco J Jr, Golub ET, Ricketts EP, Wand G, Dobs AS. Cortisol levels and depression in men and women using heroin and cocaine. Psychoneuroendocrinology. 2006 Feb;31(2):250-5. (Note: I was the HIV clinical expert and was involved in study design, data assessment, and writing/editing of manuscript.)

13.

 

Cofrancesco J, Shah N, Ghanem KG. Dobs AS, Klein RS, Mayer K, Schuman P, Vlahov D, Rompalo AM. TheEffects of Illicit Drug Use and HIV Infection on Sex Hormone Levels in Women. Gynecological Endocrinology. 2006 May;22(5):244-251.

14.

 

Nettles RE, Keiffer TL, Cofrancesco J Jr, Gallant JE, Quinn T, Jackson B, Flexner C, Carson KA, Wu AW, Siliciano RF. Psychological Distress and Physical Pain Appear to have no Short-term Adverse Impact on Plasma HIV-1 RNA Levels in Patients on Successful HAART. HIV Clinical Trials. 2005 SepOct;6(5):262-71. (Note: I was an HIV clinical expert, involved in design, subject recruitment, and writing/editing of manuscript; I often work in partnership with the Siliciano lab.)

15.

 

Nettles RE, Kieffer TL, Parsons T, Johnson J, Cofrancesco J Jr, Gallant JE, Carson KA, Siliciano RF, Flexner C. Marked Intraindividual Variability in Antiretroviral Concentrations May Limit the Utility of Therapeutic Drug Monitoring. Clinical Infectious Diseases. 2006 Apr 15;42(8):1189-96. (Note: I was the clinical expert, involved in subject recruitment, and writing/editing of manuscript; I often work in partnership with the Siliciano lab.)

16.

 

Bailey JR, Sedaghat AR, Kieffer T, Brennan T, Lee PK, Wind-Rotolo M, Haggerty CM, Kamireddi AR, Liu Y,               Lee J, Persaud D, Gallant JE, Cofrancesco, J Jr, Quinn TC, Wilke CO, Ray SC, Siliciano JD, Nettles RE, Siliciano RF. Residual Human Immunodeficiency Virus Type 1 Viremia in Some Patients on Antiretroviral Therapy is Dominated by a Small Number of Invariant Clones Rarely Found in Circulating CD4+ T Cells. Journal of Virology. 2006 Jul;80(13):6441-57. (Note: I was involved in subject recruitment and writing/editing of manuscript; I often work in partnership with the Siliciano lab.)

17.

 

Cho M, Ye X, Dobs A, Cofrancesco J Jr. Prevalence of complementary and alternative medicine use among HIV patients for perceived lipodystrophy. Journal of Alternative and Complementary Medicine. 2006:12(5):474-82.

18.

 

Wisniewski AB, Brown TT, John M, Frankowicz JK, Cofranceso J Jr, Golub ET, Ricketts EP, Dobs AS. Hypothalamic-Pituitary-Gonadal Function in Men and Women using Heroin and Cocaine, Stratified by HIV Status. Gender Medicine. 2007 Mar;4(1):35-44. (Note: I was the HIV clinical expert, involved in design, and writing/editing of manuscript.)

19.

 

Siliciano JD, Lai J, Callender M, Pitt E, Zhang H, Margolick JB, Gallant JE, Cofrancesco J Jr, Moore RD, Gange SJ and  Siliciano RF. Stability of the Latent Reservoir for HIV-1 in Patients Receiving Valproic Acid . Journal of Infectious Diseases. 2007 Mar 15;195(6):833-6. (Note: I was the clinical expert, involved in subject recruitment, and writing/editing of manuscript; I often work in partnership with the Siliciano lab.)

20.

 

Reed DA, Levine RB, Miller RG, Ashar BH, Bass EB, Rice TN, Cofrancesco J Jr. Effect of residency duty- hour limits: views of key clinical faculty. Archives of Internal Medicine. 2007 Jul 23;167(14):1487-92.

21.

 

Cofrancesco J Jr, Brown TT, Luo RF, John M, Stewart KJ, Dobs AS. Body composition, gender, and illicit drug use in an urban cohort. American Journal of Drug and Alcohol Abuse. 2007;33(3):467-74.

22.

 

Homsanit, M, Nelson KE, Sonjai A, Anekthananon T, Suwanagool S, Cofrancesco J Jr. Body shape and metabolic abnormalities in Thai HIV-infected patients. AIDS Research and Human Retroviruses. 2007 Nov;23(11):1314-21.

23.

 

Cofrancesco, J Jr, Scherzer R, Tien PC, Gibert CL, Southwell H, Sidney S, Dobs A, Grunfeld C. Illicit drug use and HIV treatment outcomes in a US cohort. AIDS. 2008 Jan 30;22(3):357-65.

24.

 

Sedaghat AR, German J, Teslovich TM, Cofrancesco J Jr, Jie CC, Talbot CC Jr, Siliciano, RF. Chronic CD4+ T-cell Activation and Depletion in Human Immunodeficiency Virus Type 1Infection: Type I Interferon-Mediated Disruption of T Cell Dynamics. Journal of Virology. 2008 Feb;82(4):1870-83. (Note: I was the HIV clinical expert, involved in subject recruitment and writing/editing of manuscript; I often work in partnership with the Siliciano lab.)

25.

 

Lai S, Fishman EK, Lai H, Moore R, Cofrancesco J, Pannu H, Tong W, Du J, Bartlett J. Long-term Cocaine Use and Antiretroviral Therapy Are Associated with Silent Coronary Artery Disease in African Americans with HIV Infection Who Have No Cardiovascular Symptoms. Clinical Infectious Diseases. 2008 Feb 15;46:600-10. (Note I was the HIV clinical expert, involved in study design, data interpretation and writing/editing of manuscript.)

26.

 

Reed DA, Levine RB, Miller RG, Ashar BH, Bass EB, Rice T, Cofrancesco J Jr. Impact of Duty Hour Regulations on Medical Students’ Education: Views of Key Clinical Faculty. J Gen Intern Med. 2008 Jul:23(7):1084-9.

27.

 

Lai S, Bartlett J, Lai H, Moore R, Cofrancesco J Jr, Pannu H, Tong W, Meng W, Sun H, Fishman EK. Long-term Combination Antiretroviral Therapy Is Associated with the Risk of Coronary Plaques in African Americans with HIV Infection. AIDS Patient Care and STDs. 2009 Oct;23(10):815-24. (Note I was the HIV/complications clinical expert, involved in study design, data interpretation and writing/editing of manuscript.)

28.

 

Phillips K, Cofrancesco J Jr, Sisson S, Wu AW, Bass EB, Berkenblit G. A multicenter study of internal medicine residents’ perceptions of training, competence, and performance in outpatient HIV care. AIDS Patient Care and STDs. 2010 Mar;24(3):159-64.(Note: the team all worked with  GIM fellow Dr. Phillips on all aspects of this project.)

29.

 

Grunfeld C, Saag M, Cofrancesco J Jr, Lewis CE, Kronmal R, Heymsfield S, Tien PC, Bacchetti P, Shlipak M, Scherzer R; for the Study of Fat Redistribution and Metabolic Change in HIV Infection (FRAM). Regional Adipose Tissue Measured by MRI over Five Years in HIV-infected and Control Participants Indicates Persistence of HIV-associated Lipoatrophy. AIDS (London). 2010 Jul 17;24(11):1717-26. (I was the site PI for FRAM, responsible for all aspects of the study, and was an active member of the writing team on this particular project.)

30.

 

El-Maouche D, Xu X, Cofrancesco J Jr, Dobs AS, Brown TT. Prevalence of low bone mineral density in a low income inner-city population. Journal of Bone and Mineral Research. 2011 Feb;26(2):388-96. (Note: I was the team’s HIV clinical expert and involved in design, writing and editing for this study.)

31.

 

Korthuis PT, Berkenblit GV, Sullivan LE, Cofrancesco J, Cook RL, Bass M, Bashook PG, Edison M, Asch SM, Sosman JM. General Internists’ Beliefs, Behaviors, and Perceived Barriers to Routine HIV Screening in Primary Care. AIDS Education and Prevention. 2011 Jun;23(3 Suppl):70-83. (Note: This is one of several projects done as an SGIM AIDS Task force group. I was actively in writing the grant proposal that funded the projects, and was involved in all aspects of the program,  including design and implementation of the various subprojects,  including writing and editing of manuscripts.)

32.

 

Bass MG, Korthuis PT, Cofrancesco J Jr, Berkenblit GV, Sullivan LE, Asch SM, Bashook PG, Edison M, Sosman JM, Cook RL. Provider and practice characteristics associated with use of rapid HIV testing by general internists. J Gen Intern Med. 2011 Nov;26(11):1258-64. (Note: This is one of several projects done as an SGIM AIDS Task force group. I was actively in writing the grant proposal that funded the projects, and was involved in all aspects of the program,  including design and implementation of the various subprojects,  including writing and editing of manuscripts.)

33.

 

Clever SL, Dudas RA, Solomon BS, Yeh HC, Levine D, Bertram A, Goldstein M, Shilkofski N, Cofrancesco J Jr. Medical student and faculty perceptions of volunteer outpatients versus simulated patients in communication skills training. Academic Medicine. 2011 Nov;86(11):1437-42.

34.

 

Lai H, Detrick B, Fishman EK, Gerstenblith G, Brinker JA, Hollis BW, Bartlett J, Cofrancesco J Jr, Tong W, Tai H, Chen S, Bhatia S, Lai S. Vitamin D deficiency is associated with the development of subclinical coronary artery disease in African Americans with HIV infection: a preliminary study. Journal of Investigative Medicine. 2012 Jun;60(5):801-7. (Note I was the HIV clinical expert, involved in study design, data interpretation and writing/editing of manuscript.)

35.

 

Berkenblit GV, Sosman JM, Bass M, Gebrekristos HT, Cofrancesco J Jr, Sullivan LE, Cook RL, Edison M, Bashook PG, Korthuis PT. Factors affecting clinician educator encouragement of routine HIV testing among trainees. J Gen Intern Med. 2012 Jul;27(7):839-44. Note: This is one of several projects done as an SGIM AIDS Task force group. I was actively in writing the grant proposal that funded the projects, and was involved in all aspects of the program, including design and implementation of the various subprojects,  including writing and editing of manuscripts.)

36.

 

Monroe AD, Dobs AS, Cofrancesco J, Brown TT. Testosterone and Abnormal Glucose Metabolism in an Inner-City Cohort.  J Mens Health.2012 Sept 9(3). (Note: I was the team’s HIV clinical expert and involved in design, writing and editing for this cohort study.)

37.

 

Desai SV, Feldman L, Brown L, Dezube R, Yeh H, Punjabi N, Afshar K, Grunwald M, Harrington C, Naik R, Cofrancesco J. Effect of a 2011- versus 2003- duty hour regulation compliant model on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: A randomized trial. JAMA Intern Med 2013: April 22; 173(8):649-655.

38.

 

Bertram A,  Yeh HC,  Bass EB,  Brancati F,  Levine D,  Cofrancesco Jr J. How we developed the GIM clinician–educator mentoring and scholarship program to assist faculty with promotion and scholarly work. Medical Teacher. March 2014.

39.

 

Yeh HC, Bertram A, Brancati F, Cofrancesco Jr J.  Perceptions of General Internal Medicine Division Directors regarding the importance of and support for scholarly work done by clinician educators. Acad Med. 2015;90:203–208. (First published online November 4, 2014)

40.

 

Winkelman TNA,  Soleymani Lehmann L, Vidwan NK, Niess M,  Davey CD, Donovan D, Cofrancesco, Jr. J, Mallory M, Moutsios S, Antiel RM, Song JY. Medical StudentsViews and Knowledge of the AffordableCare Act: A Survey of Eight U.S. Medical Schools. J Gen Intern Med 30(7): 1018-24. (I was the JH site coordinator for the study; I edited the manuscript.)

41.

 

Mains TE, Cofrancesco Jr. J., Milner SM, Shah NG, Goldberg H. Do questions help? The Impact of Audience Response Systems on Medical Student Learning. Postgrad Medical J. 2015 Jul;911077:361-7. (Note: Dr.Goldberg and I co-mentored medical student Mains on this project.)

42.

 

Archuleta S, Ibrahim H, Stadler DJ, Shah NG, Chew NW, Cofrancesco J Jr. Perceptions of leaders and clinician educators on the impact of international accreditation. Acad Med. 2015 Nov; 90 (11Suppl); S83-90.

43.

 

Wu AW, Wansom T, Huang IC, Cofrancesco J, Convant MA, Sarwer DB. The Facial Appearance Inventory: Development and Preliminary Evidence for Reliability and Validity in People Living with HIV and Lipoatrophy. AsethetSurgJ  March 2016; 27 (7), 842-51.

44.

 

Ibrahim H, Stadler DJ, Archuleta S, Shah NG, Bertram A, Nair SC, Alkhal A, Al-Mohammed AA, Cofrancesco Jr, J. Description, Perceptions and Roles of Clinician-Educators in Emerging Graduate Medical Education Systems: a Multi-National Survey Study. BMJ/Postsgrad Med J 2016;92:14-20.

45.

 

Cofrancesco J Jr, Wright SM, Vohr E, Ziegelstein RC. Creating an "Education Shark Tank" to Encourage and Support Educational Scholarship and Innovation. Acad Med. 2017 May 2. [Epub ahead of print]

46

 

Stadler DJ, Archuleta S, Ibrahim H, Shah NG, Al-Mohammed AA, Cofrancesco Jr J. Gender and International Clinician Educators. BMJ/Postgrad Med J. 2017 Mar 31. pii: postgradmedj-2016-134599.

47.

 

Cofrancesco J Jr, Barone MA, Serwint JR, Goldstein M, Westman M, Lipsett PA. Development and Implementation of as School-Wide Institute for Excellence in Education to Enable Educational Scholarship by Medical School Faculty. Teach and Learning in Medicine. Published online: 28 Jul 2017. Teach Learn Med. 2018 Jan-Mar;30(1):103-111. doi: 10.1080/10401334.2017.1325741. Epub 2017 Jul 28. PMID: 28753084. (Selected as one of “Top Articles in Medical Education 2018 Pediatric Academic Societies).

48.

 

Cofrancesco J Jr, Ziegelstein RC, Hellmann DB. Developing Foundational Principles for Teaching and Education for a School of Medicine. The Pharos, 2017

49.

 

Rana J, Sullivan A, Brett M,  Weinstein AR, Atkins KR, and the SaT Delphi Working Group:  Aagaard E,  Bolender D, Chen HC, Cofrancesco Jr. J,  Gillies RA, Goldman E, Gorbatkin SM, Gordon P, Hobson WL, Hoffmann-Longtin K, Karani R,  Katzman, R, Knox L,  Kolars JC, Leichtner AM, Loeser H, Marcdante K, Peterson CM, Riddle J, Schwartzstein RM, Sharkey A. Shaw P, Smith-Olinde L, Thatcher C, Trief PM, Turner R, Ward,  DS, Whicker SA. Defining curricular priorities for Student-as-Teacher programs: a national Delphi study. Medical Teacher

50

 

Tabbian JH, Bertram AK, Yeh HC, Cofrancesco Jr J, Codori N, Block L, Miller ER, Ranasinghe PD, Marinopolous SS. Health and wellness among incoming resident physicians: A multi-domain survey. J Community Med (Reno).2018;1.doi:10.33582/2637-4900/1003

51.

 

Lindeman B, Irahim H,Stadler Dora. Archuleta S, Cofrancesco Jr Jr. Characterization and Perceptions of Surgical Clinician Educators: An International Survey.J Surg Educ. 2018 Jun 20. pii: S1931-7204(18)30149-1. doi: 10.1016/j.jsurg.2018.05.006. [Epub ahead of print]. PMID:29935924

52.

 

Ibrihim H, Abdel-Razig S, Stadler DJ, Cofrancesco Jr J, Archuleta S. Assessment of Gender Equity Among Invited Speakers and Award Recipients at US Annual Medical Education Conferences. JAMA Netw Open; 2019 Nov, 2(11). (Research Letter)

53

 

Herzke C, Bonsall J, Bertram A,  Yeh J, Apfel A, Cofrancesco, Jr J. Gender Issues in Academic Hospital Medicine: A National Survey of Hospitalist Leaders. J Gen Intern Med. June 2020. PMID: 32128692

54.

 

Ibrahim H, Hueppchen N, Cofrancesco Jr. J, Levine RB. The benefits and challenges of teaching competencies for clinical teachers. The Clinical Teacher, July 23,2020 (at press). doi: 10.1111/tct.13212

55.

 

Stadler DJ, Ibrahim H, Dutta D, Cofrancesco J Jr, Archuleta S. Program Director Retention and Attrition Rates in International Graduate Medical Education. J Grad Med Educ. October 2020. DOI: http://dx.doi.org/10.4300/. [Brief Report].

56.

 

Gupta PB, McRae AE, Franke JL,  Saba JA, Soroosh P,. Solomon BA Cofrancesco, Jr, J. The Distinguished Teaching Society at the Johns Hopkins University School of Medicine: A Student-Led Initiative to Recognize Clinical Educators. Academic Medicine. Dec 8, 2020. PMID: 33298695

57.

 

Epstein JA, Cofrancesco J, Beach MC, Bertram A, Hedian HF, Mixter S, Yeh H, Berkenblit G.  Effect of Outpatient Note Templates on Note Quality: NOTE (Notation Optimization through Template Engineering) Randomized Clinical Trial. J Gen Intern Med, March 2021. PMID: 32901441

58.

 

Ranasinghe PD, Owusu JT, Bertram A, Michtalik H, Yeh H-C, Cofrancesco Jr J, Levine D, Miller ER, Marinopoulos S. Depressive Symptoms and Burnout among Medical Students: A Prospective Study. J Gen Intern Med, 2021 (at press)

59.

 

International residency program directors on implementing educational transformation: a qualitative study of their experiences and strategies for overcoming challenges. Dutta D, Ibrahim H, Stadler DJ, Cofrancesco Jr. J, Chandrasekhar Nair S, Archuleta A. Journal of Graduate Medical Education (at press)

.

Group Author Peer-Reviewed Publications*

1.

 

Bacchetti P, Gripshover B, Grunfeld C, Heymsfield S, McCreath H, Osmond D, Saag M, Scherzer R, Shlipak M, Tien P; Study of Fat Redistribution and Metabolic Change in HIV Infection (FRAM). Fat distribution in men with HIV infection. Journal of Acquired Immune Deficiency Syndromes. 2005 Oct 1;40(2):121-31.

2.

 

Study of Fat Redistribution and Metabolic Changes in HIV Infection (FRAM). Fat Distribution in Women with HIV Infection. Journal of Acquired Immune Deficiency Syndromes. 2006 Aug15:42(5):562-71.

3.

 

Tien PC, Bacchetti P, Gripshover B, Overton ET, Rimland DR, Kotler D; Fat Redistribution

and Metabolic               Change in HIV Infection Study Investigators. Association between

hepatitis C Virus Coinfection and Regional Adipose Tissue Volume in HIV-infected Men

and Women. ‘Journal of Acquired Immune Deficiency Syndromes. 2007 May 1;45(1):60-5.

4.

 

Wohl D, Scherzer R, Heymsfield S, Simberkoff M, Sidney S, Bacchetti P, Grunfeld C; FRAM Study Investigators. The associations of regional adipose tissue with lipid and lipoprotein levels in HIV-infected men. Journal of Acquired Immune Deficiency Syndromes. 2008 May 1;48(1):44-52.

5.

 

Tien PC, Kotler DP, Overton ET, Lewis CE, Rimland D, Bacchetti P, Scherzer R, Gripshover B; Study of Fat Redistribution and Metabolic Change in HIV Infection Investigators. Regional adipose tissue and elevations in serum aminotransferases in HIV-infected individuals. Journal of Acquired Immune Deficiency Syndromes.2008 Jun 1;48(2):169-76.

6.

 

Scherzer R, Shen W, Bacchetti P, Kotler D, Lewis CE, Shlipak MG, Heymsfield SB, Grunfeld C; Study of Fat Redistribution Metabolic Change in HIV Infection (FRAM). Simple anthropometric measures correlate with metabolic risk indicators as strongly as magnetic resonance imaging-measured adipose tissue depots in both HIV-infected and control subjects. American Journal of Clinical Nutrition. 2008 June;87(6):1809-17.

7.

 

Currier J, Scherzer R, Bacchetti P, Heymsfield S, Lee D, Sidney S, Tien PC; Fat Redistribution and Metabolic Changes in HIV Infection Study Investigators. Regional Adipose Tissue and Lipid and Lipoprotein Levels in HIV-Infected Women. Journal of Acquired Immune Deficiency Syndromes. 2008 May 1;48(1):35-43.

8.

 

Scherzer R, Shen W, Bacchetti P, Kotler D, Lewis CE, Shlipak MG, Punyanitya M, Heymsfield SB, Grunfeld C; Study of Fat Redistribution Metabolic Change in HIV Infection. Comparison of dual-energy X-ray absorptiometry and magnetic resonance imaging-measured adipose tissue depots in HIV-infected and control subject. American Journal of Clinical Nutrition. 2008 Oct;88(4):088 –96.

9.

 

Scherzer R, Shen W, Heymsfield SB, Lewis CE, Kotler DP, Punyanitya M, Bacchetti P,

Shlipak MG, Grunfeld C; Study of Fat Redistribution and Metabolic Change in HIV

Infection (FRAM). Intermuscular adipose tissue and metabolic associations in HIV infection.

Obesity. (Silver Spring). 2011 Feb;19(2):283-91.

10.

 

Scherzer R, Heymsfield SB, Lee D, Powderly WG, Tien PC, Bacchetti P, Shlipak MG, Grunfeld C; Study of Fat Redistribution and Metabolic Change in HIV Infection (FRAM). Decreased limb muscle and increased central adiposity are associated with 5-year all-cause mortality in HIV infection. AIDS. 2011 Jul 17;25(11):1405.

11.

 

Yarasheski KE, Scherzer R, Kotler DP, Dobs AS, Tien PC, Lewis CE, Kronmal RA, Heymsfield SB, Bacchetti P, Grunfeld C; Study of Fat Redistribution and Metabolic Change in HIV Infection (FRAM). Age-related skeletal muscle decline is similar in HIV-infected and uninfected individuals. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences. 2011 Mar;66(3):332-40.

(*I was site PI for FRAM and FRAM 2, working on the grants, study design, recruitment. For varying manuscripts I was involved in data interpretation, and editing. Listings appear in pubmed search for Cofrancesco. CEs do not commonly patriciate in RO-1 level work, and when they do, that are rarely first/last author. )
 

Peer-Reviewed Review Articles

1.

 

Cofrancesco J, Dobs AS. Transdermal testosterone delivery systems. Endocrinologist. 1996 May;6(3):207-12.

2.

 

Cofrancesco J Jr, Whalen JJ 3rd, Dobs AS. Testosterone Replacement Treatment Options for HIV-  infected Men. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. 1997 Dec 1;16(4):254-65.

3.

 

Griffin GE, Paton NL, Cofrancesco J, Arastenh K, Bauer G, Schwenk A, Mauss S, Mulligan K. Nutrition and quality of life in HIV infection: the role of growth hormone in HIV-associated wasting. Journal of Drug Assessment. 1998:1(2):243-62 (Note: I was the team’s clinical expert and involved in assessing articles for this review article; and was very involved in writing/editing.)

4.

 

Cofrancesco J Jr. Treatment of HIV related weight loss. Hopkins HIV Report. 1999;11(1):8-9.

5.

 

Cofrancesco J, Barnett S. Morphologic and metabolic changes associated with HIV therapy. Hopkins HIV Report. 2000:12(4):11-13.

6.

 

Confrancesco J Jr [sic], Bartlett JG. Update on complications of HAART from ICAAC and the 2nd International Workshop on Adverse Drug Reactions and Lipodystrophy in HIV. Hopkins HIV Report. 2000 Nov;12(5):10-1.

7.

 

Cofrancesco J Jr. Update from the 3rd International Workshop on Adverse Drug Reactions and Lipodystrophy               in HIV. Hopkins HIV Report. 2002 Jan;14(1):6-7, 12.

8.

 

Confrancesco J Jr [sic]. Report from the 4th International Workshop on Adverse Drug Reactions and Lipodystrophy in HIV. Hopkins HIV Report. 2003 Jan;15(1):4-5.

9.

 

Cofrancesco J Jr. Report from San Francisco: The 11th Conference on Retroviruses and Opportunistic               Infections (CROI). Lipodystrophy and Metabolic Complications. Hopkins HIV Report. 2004 Mar;16(2):12-4.

10.

 

Cofrancesco J Jr, Brown T, Martins CR. Management Options for Facial Lipoatrophy. AIDS Reader. 2004               Dec;14(12):639-40, 645-50.

11.

 

Brown T, Confrancesco J [sic]. Update from the 6th International Workshop on Adverse Drug Reactions and Lipodystrophy in HIV. Hopkins HIV Report. 2005 Jan;17(1):4-5, 8.

12.

 

Moore RD, Confrancesco J Jr [sic]. Report from Boston: the 12th Conference on Retroviruses and Opportunistic Infections (CROI). Complications/toxicity of HIV therapy. Hopkins HIV Report. 2005 May;17(3):1-5, 9.

13.

 

Cofrancesco J Jr. 3rd IAS Conference: Metabolic and Fat Metabolism Issues. Hopkins HIV Report. 2005 Sept;17(5):10-2.

14.

 

Cofrancesco J Jr, Brown T. Report from the International Workshop on Adverse Drug Reactions and Lipodystrophy in HIV. Hopkins HIV Report. 2006 Jan;18(1):8-9.

15.

 

Brown TT, Cofrancesco J. Metabolic Abnormalities in HIV-infected Patients: An Update. Current Infectious Disease Reports. 2006 Nov;8(6):497-504.14

16.

 

Berkenblit G, Sullivan L, Sosman J, Gifford A, Cofrancesco Jr J.. Update in HIV Care. Journal of General Internal Medicine. 2007 Feb;22(2):253-6

17.

 

Cofrancesco J Jr. Update from the 14th CROI: Complications of HIV Treatment. Hopkins HIV Report. 2007.

18

 

Peterson S, Martins C, Cofrancesco J Jr. Lipodystrophy in the Patient with HIV: Social, Psychological, and Treatment Considerations. Aesthetic Surgery Journal. 2008 Jul-Aug;28(4):443-51.

19.

 

Cofrancesco J Jr, Freedland E, McComsey G. Treatment options for HIV-associated central fat accumulation. AIDS Patient Care and STDs. 2009 Jan;23(1):5-18.

20.

 

Chaudhry AA, Gifford AL, Cofrancesco J, Sosman J, Berkenblit G, Sullivan LE. Update in HIV Medicine for the Generalist. Journal of General Internal Medicine. 2009 Feb;24(2):276-82.

21.

 

Chaudhry AA, Berkenblit G, Gifford AL, Cofrancesco J Jr, Sosman J, Sullivan LE. Update in HIV Medicine for the Generalist. Journal of General Internal Medicine. 2011 May;26(5):538-42.

22.

 

Ibrahim H, Stadler DJ, Archuleta S, Cofrancesco Jr, J. (2017): Twelve tips to promote gender equity in international academic medicine, Medical Teacher, DOI: 10.1080/0142159X.2017.1388503.

23.

 

Ibrahim H, Stadler D, Archuleta S, Anglade P, Cofrancesco Jr. J. Twelve Tips to Developing and Running a Successful Women’s Group in International Academic Medicine. Med Teach. 2018 Nov 14:1-6. doi: 10.1080/0142159X.2018.1521954. [Epub ahead of print]PMID: 30428757

24.

 

Stadler DJ, Archuleta S, Cofrancesco Jr. J, Ibrahim H. Successful International Medical Education Research Collaboration. J Grad Med Educ. 2019 Aug;11(4 Suppl):187-189. doi: 10.4300/JGME-D-18-01061. PMID:31428279 

25

 

Stadler DJ, Ibrahim H, Cofrancesco Jr. J, Archuleta S. Fixing the leaky pipeline: Tips to promote gender equity in Academic Medicine.  The Asia Pacific Scholar, 7 (1), January 2022 (at press)

                           

Editorials/Expert Opinion

1.

 

Cofrancesco J, Wu AW. HIV care and general internal medicine: the next generation. Journal of General Internal Medicine. 2001 Sep;16(9):639-41.

2.

 

Luo R. Cofrancesco J Jr. Injection drug use and HIV transmission in Russia. AIDS. 2006 Apr 4;20(6):935-6.

3.

 

Ibrahim H, Hueppchen N, Cofrancesco Jr. J, Levine RB. The benefits and challenges of teaching competencies for clinical teachers. The Clinical Teacher, May 2020. PMID: 32701206

 

Case Reports

1.

 

Gibson MK, Villano SA, Huff CA, Cofrancesco J. Recrudescence of cutaneous Mycobaterium haemophilum               lesions following tetanus immunization. Clinical Infectious Diseases.1999 Apr;28(4):919-20.

2.

 

Adler LG, Cofrancesco J Jr, Nair R, Choi M. Spontaneous tumor lysis syndrome, lymphomatous Infiltration of the kidneys, and acute renal failure in an AIDS patient: A case report and review of the literature. Infectious Diseases in Clinical Practice. 2000:9:378-383.

3.

 

Simpkins CW, Passaretti C, Zaas A, Cofrancesco J. Shortness of breath: a ‘negative’ lower extremity Doppler study. Journal of General Internal Medicine. 2003:18(Suppl 1):88.

46.             

4.

 

Sateia H, Melia M, Cofrancesco Jr J. Tularemia presenting as suspected necrotic arachnidism: a case report and discussion. Clin Case Rep. 2017 Mar 6;5(4):497-500.

5.

 

Peterson B, Kelemen B, Cofrancesco J Jr, Nakhla S. Altered Mental Status and Multiple Electrolyte Derangements Associated with  Ectopic ACTH Production from Small Cell Lung Cancer. ACP Maryland Associates Meeting, May 18, 2017

             

Book Chapter, Monographs

1.              Cofrancesco J, Berkenblit G. Basic Lipids: NCEP Made Easy for HIV Patients. Hopkins HIV Report.               2003 Sep;15(5):10, 12.

2.              Sisson S, Cofrancesco J. The preoperative evaluation. In: Miller RG, Ashar BH, Sisson SD, editors. Johns               Hopkins Internal Medicine Board Review. Philadelphia: Mosby, 2004. p. 545-9.

 

Letters, Correspondence

1.              Cofrancesco J. “Improving teaching skills and curriculum development by participating in a faculty               development program”. Mentor, June 1998.

2.               Cofrancesco J, Gallant JE. “Body Shape Changes in HIV”, Moore News Quarterly, Spring 2005.

3.              Reed DA, Levine RB, Miller RG, Ashar BH, Bass EB, Rice TN, Cofrancesco J Jr. “Can faculty assess               professionalism with duty hours? A reply” Arch Intern Med.2008: 168 (3), FEB 11, 2008. 331-332.

4.              Desai SV, Feldman L, Cofrancesco J. Comment on “The New Normal”. JAMA Intern Med 2013. Oct               28:173 (19);1845-6.

 

Other Media (peer reviewed)

1.              Berkenblit G and Cofrancesco J.  “Hyperlipidemia” Johns Hopkins Infectious Diseases HIV Guide,

            Point of Care Information Technology. (2005, updated periodically)  http://www.hopkins-hivguide.org/.               (Invited)

2.              Cofrancesco J. “Lipodystrophy.” Johns Hopkins Infectious Diseases HIV Guide , Point of Care                       Information Technology,  (2005, updated periodically). http://www.hopkins-hivguide.org/. (Invited))

3.              Brown, TT and Cofrancesco J. “Diabetes Mellitus and Insulin Resistance”.  Johns Hopkins Infectious               Diseases HIV Guide Point of Care Information Technology.  (2005, updated periodically).               http://www.hopkins-              hivguide.org/. (Invited)

4.              Cofrancesco J.  “Wasting” Johns Hopkins Infectious Diseases, Point of Care Information Technology               (2005,               updated periodically).  http://www.hopkins-hivguide.org/. (Invited)

5.              Cofrancesco Jr J, Brown T, Kazin R., Hoffman, “Management of Lipoatrophy in HIV-infected patients,                CME Course Director, Johns Hopkins Infectious Disease, Point of Care Technology (2009), on-line

6.              Cofrancesco Jr J, Berkenblit, G Screening, Counseling and Linkage to Care (SCALE), CME Course Co-              Director, JHUSOM (2009),on-line, lecture series and iPhone application

7.              Hoffman C, Cofrancseco Jr, J (editor) “Assessing and Managing Cardiovascular Risk in Patients, with               HIV,”                Johns Hopkins Infectious Diseases, Point of Care Information Technology, 2010               http://www.hopkins-hivguide.org/

8.              Levine R., Cofrancesco J. “Small Group Teaching” a 4 segment module in University Teaching 101, a               MOOC (Massive, Open, On-Line Course) lead by Jeffries P. and Andrews D. Coursea. March 2014, Fall               2015)

9.              Cofrancesco J. “Improve Your Teaching” website, Editor-in-Chief, Institute for Excellence in Education.               https://improveteaching.med.jhmi.edu/ (2014-present)

10.              PrEP. Member of teaching team.  MOOC (Massive, Open, On-Line Course) (2017)


Media Release/Interviews

1998              Mentor (The Medical Education Newsletter of the JHUSOM Department of Medicine), “Improving Teaching Skills and Curriculum Development by Participating in a Faculty Development Program.” (June 1998)

2014-present               National Public Radio/WYPR “Health Minute with Elizabeth Tracey”, multiple brief interviews                                           regarding various aspects of HIV Care.

2000-2007              Cofrancesco J. Johns Hopkins Infectious Diseases AIDS Service Web Site, “Clinician Forum: expert                                           questions & answers.” Approximately 200 answers published on line.

2000-2007                Cofrancesco J. Johns Hopkins Infectious Diseases AIDS Service Web Site, “Patient Forum: expert                                           questions.”  Approximately 125 answers published on line

 

FUNDING
Research Extramural Funding:

(Previous)

7/1/00-6/30/05                            Johns Hopkins Adult AIDS Clinical Trials Unit (ACTU)

2 UO1  AI27668

Total direct $7,912,990;

PI: C. Flexer/J.Bartlett

Role:  Co-Investigator (5%)

 

1/1/04 – 9/30/06              Fat redistribution and metabolic changes in HIV infection 2 (FRAM2)

National Institutes of Health

R01HL074814

JHU direct costs (Total): $118,523

PI: Carl Grunfeld (UCSF)

Role: Site PI (7%)

 

9/1/05- 8/30/06              Improving Provider Counseling Interventions in HIV Practice Through Computer                                                                      Assisted Risk Assessment (CARA)

                                          HRSA Special Project of National Significance (SPNS) 

H97HA01144-01-00

Total direct costs $253, 980

PI: Emily Erbelding

My role: Co-Investigator (2.5%)

 

Educational Extramural Funding

(Previous)

12/15/01-12/14/06              Bench to bedside: “Latent reservoir for HIV: basic mechanisms and clinical significance.                                                        Doris Duke Charitable Foundation

Grant # 20010853

$1,500,000

PI: R. Siliciano

Role: Director of Education and Clinical Training (10%)

 

9/1/06- 8/31/09              HIV Prevention with National Medical Association

1 U22 PS00551-01 Sosman (PI)              09/01/2006 – 08/31/2009

Centers for Disease Control and Prevention $750,000

PI: James Sosman, MD

Role: Co- Investigator (5%)

 

 

 

 

 

7/1/11-6/30/16                            Research Training Program in Behavioral Aspects of Heart and Vascular Disease. 

                                          Cur NHLBI T-32 PI: Levine      

                                          Direct costs for this budget year is $585,122                                                                                                                              Role: Fellowship Advisory Board (% effort: zero)

 

2016-present                            Nurse Faculty for the Future (NFF) Grant., Johns Hopkins University School of Nursing,                                                        (Consultant).

 

Clinical Extramural Funding

1998- present                              Ryan White Title I, II and III, Primary Care Support

                                       Current: Part C EIS Primary Care

                                       Identification Number: 120224

                                       Sponsor: Chase Brexton

                                       Total direct cost : $274,994  (annual)

                                       PI: Jeanne Keruly

                                       Role: HIV Care Provider and HIV primary care clinician; effort ranges 6-25% (varies                                                         with clinical effort)

Intramural Funding

Educational

(Previous)

2006                                          Enhancing Resident communication skills in HIV prevention: pilot of web-based video                                                         glossary.

Osler Center Award

$10,000

PI:  G. Berkenblit

Role: Advisor/mentor

 

2010                                          A question of empathy: Do students’ communication behaviors differ when interacting with                                                         real patients versus standardized patients?

Osler Center Award

$7,500. PI: SL Clever

Role: Co-Investigator/mentor

 

CLINICAL ACTIVITIES

Clinical Focus:  I am a general internal medicine specialist, part the Tumulty Group, caring for adults with complex medial diseases and serve as their personal physician. I also teach clinical medicine, coach residents and help supervise a resident practice. Though predominantly outpatient, I attend to my patients when admitted, as well as cover our Assistant Chief of Service (faculty-level Chief Resident).  My patients are diverse ethnically, economically with varied educational backgrounds and income, geographically and socially. I am the physician for many Hopkins leaders, faculty, nurses, staff and their families. In addition, I have a vibrant practice caring for those with HIV in the John G. Bartlett Specialty Practice and the Johns Hopkins Rockland Physician and Research Group.

 

Certification

Medical, other state/government licensure

1994-present              Maryland D0046387

1994-present              Maryland Division of Drug Control: M38664

1993-present              DEA: BC3925419/XC3925419

 

Boards, other specialty

1991                            National Board of Medical Examiners

1993-present              American Board of Internal Medicine, Diplomat (recertified 2003, 2013)

 

Clinical (Service) Responsibilities

1997-present              Medicine, General Internal Medicine, faculty practice, 2 sessions/week as well as admission,                                                         phone-in, EPIC MyChart work and on-call.

1997-present              Medicine, Bartlett Service (formerly Moore Clinic), faculty practice, 0.5-1 session/week, phone-in, EPIC MyChart work.

1997-present              Assistant Chief of Service (ACS) in-patient medicine coverage, 2-4 weeks/year. (2020 included 21 days COVID19 coverage)

1997-2005              Medicine, General Internal Medicine, inpatient consult service, 2-8 week/year

2002-present              Medicine, Rockland Physicians Group (HIV care), 0.5-1 session/week, phone-in, EPIC MyChart work.

2020-2021              COVID “Pod” at GSS: sporadic sessions

2021                            COVID Vaccine clinics (various): sporadic sessions

 

Clinical Productivity

Achieved over 100% RUV expectations consistently over the past 10 years (most recently 123% expected)

Percent patients “bumped:  0%

Percent notes signed within 14 days: 100%

 

Clinical Draw

I am the PCP for multiple faculty members, department directors, Hopkins’ executives and their families. I also care for many local and regional residents. For both GIM and HIV care, I have patients from: Virginia, Delaware, Pennsylvania, Florida, Connecticut, New York, Nevada, Maine; US Virgin Islands, United Kingdom, China. In the most recent Patient Satisfaction Survey, practice was rated in the 95 percentile for overall satisfaction, and 97 percentile for provider satisfaction.

 

Membership in or examiner for specialty board: N/A

 

Clinical Program Building / Leadership

2004-2012              Member, Tumulty Practice Leadership Group, lead by Dr John Flynn, with Drs. Sisson, Miller and                                           Ashar. Practice management and practice improvement. 

2005- present              Medical Director , Moore Clinic at Green Spring Station/Rockland Physicians’. Responsible              for                                           the practice, including negotiating/supervising the move of the practice site (twice), recruiting                                           faculty,              growing the practice and ensuring overall quality clinical practice, esp. before appointment                                           of a ID Clinical              Director.

2004-present                Bartlett Service Providers Meeting/Case Conference: I facilitate the meeting approximately 1-                                          2/month.

2002 – present:               Member, Clinical Systems Advisory Committee (CSAC), Johns Hopkins Medical Institutions.

2005-2008              Advisor, Charge Capture Comparison Advisory Group, DOM. (2005-2008)

2007-2009                Member, Johns Hopkins Medicine, Medication Reconciliation Task Force. (2007-2009)

 

Clinical Demonstration Activities to external audience, on or off campus; N/A

 

Development of national or internationally recognized clinical standard of care documents: N/A

 

EDUCATIONAL ACTIVITIES

Educational Focus: My educational foci are: (1) the role, and improving the skills, of medical/biomedical educators; (2) gaining recognition for educator faculty, (3) proper HIV care from a generalists perspective, with a focus on HIV and ARV complications and ARV selection; and, (4) general internal medicine care both for patients with complex medical problems as well as those seeking primary care. All are done locally, nationally and internationally.

 

Teaching

Classroom instruction (all JHMI/Regional)

1993-2003              Ambulatory Medicine Clerkship, “Chest pain and evidence based medicine,” JHUSOM. (Monthly lecture given to a group of 10-30 third and fourth year medical students.)

1995-1999              Medical Consultation Curriculum, #1 “The process of medical consultation,” #2 “Preoperative evaluation,” JHUSOM. (Given approximately every quarter to medicine residents.)

1995-2004              Physician-in-Society: “LGBP” facilitator, JHUSOM

1995-1997              Psychosocial Curriculum, “Somatization and somatic disorders,” Osler Residency. (Given every quarter.)

1996                            Physician-In-Society, seminar facilitator “Smoking cessation,” JHUSOM.                           

1997                            Good Samaritan Hospital, Residents’ Conference Series, “Somatization and the somatizing patient,” Baltimore, MD.

1997-1999              Health Care for the Homeless, Course Director. A three week intensive clerkship, offered once each year, involving multiple lectures and facilitated case discussion each week. Three to four 4th year medical students each rotation, JHUSOM.             

1997-2004              Osler Residency, “Preparation for the senior resident year: teaching skills” annual seminar, JHUSOM.

1997-1998              Osler Residency. Janeway Journal Club facilitator, monthly session with approximately 15-20 residence, JHUSOM.

1998                            Sinai Hospital Residents’ Lecture Series, “Primary care of the homeless,” Baltimore, MD.

2000                            Communications skills, seminar leader, JHUSOM.

2000- present              Osler Residency and Medical Student clerkship and sub-internship, Tumulty Rounds/noontime conference, session leader, one to 2 case based/patient present, seminars each year. Example topics: “P.O.E.M.S.,” “Methadone Maintenance: A Success Story, “A Case of Weight Loss, Multiple Myeloma,”MethAmphetamines and HIV,“Malaria,” “HIV Infection and Alcoholism.

2000                            Clinical management of HIV/AIDS, lecturer, Johns Hopkins School of Hygiene and Public Health.

2001                            Infectious Disease Fellow’s Lecturer series, lecturer, “Primary care issues in HIV: cholesterol management, JHUSOM.

2001-2007              Osler Residency Program. “Resident Report” monthly seminar leader, 20-35 resident. JHUSOM

2001-2008              Doris Duke Charitable FoundationLatent Reservoir for HIV Bench to Bedside Grant. Director of Education and Clinical Training: Weekly seminar with the 2 student scholars. JHUSOM.

2004-2005              Clinical Skills: “AIME (An Integrated Medical Encounter)” seminar leader, multiple sessions each year, JHUSOM.

1999-2005              Osler Residency and Medical Student clerkship and Sub-Internship, “ Noontime Lecture Series,” topics: “Opportunistic infection prophylaxis for patients with HIV infection” once each year. JHUSOM.

2002,2004              Summer Institute in Tropical Medicine (Department of International Health), lecture, “Opportunistic Infections and Prevention in HIV,” once each year, Bloomberg School of Public Health.

2003- present              HIV Medical Providers’ Conference. (Level IV,Mid-Atlantic AIDS Education and Training Center/Johns Hopkins Local Performance Site), facilitator and case discussant leader of 20-40 providers (students, residents, fellows, NPs, PAs, Nurses, peers),   approximately 1 to 2 times each month, JHUSOM.

2004 -2011              Visiting Health Care Providers Level III, Mid-Atlantic AIDS Education and Training Center, multiple lectures for visiting groups of 10-25 providers, JHUSOM.

2004-prsent              Osler Residency, Thayer Grand Rounds, seminar leader approximately once each year. Example topics: “Atrial Myxoma, “Aortic Insufficiency,Substance Abuse.

2005                            Good Samaritan Hospital, Residents’ Conference: “Prophylaxis of Opportunistic Infection in HIV infected Patients,” Baltimore, MD.

2005, 2006              General Internal Medicine Fellowship, Seminar Series, “Teaching Portfolio: What is it, had to you make one?” small group session for 5-15 fellows/faculty. JHOSOM.

2007-2009              Clinical Skills, small group facilitator, a weekly session for 2-5 students, over a full quarter, two quarters each year, JHUSOM.

2009, 2014,2015              TRIPLE, small group leader, “Advanced Directives and End of Life Discussion,” JHUSOM

2011                            Cultural Competency; seminar facilitator for 5-10 students, one two hour session, JHUSOM

2011-2015              Health Care Disparities, seminar leader for 6-8 first year medical students on their first day of medical school, one to two 3 hour sessions, JHSOM.

2012                             Peer Advising Cultural Competency, small group facilitator for approximately 15 students, JHUSOM.

2012                             MD/PhD student continuity curriculum, lecture, “HIV for the Internist, JHUSOM.

2012                            Adolescent Medicine Grand Rounds, lecturer, approximately 30 faculty, “Preparing your Educator’s Portfolio, JHUSOM.

2012                            Anesthesia CE Seminar, “IEE and the CE,” JHUSOM.

2012-2015              Mock Residency Interviews with feedback, individual coaching session for approximately 2-3 students each year.

2014                            Discover Hopkins Summer Course: Fostering Healthy Communities, facilitator, “My Journey,” JHUSOM (One hour session).

2015                            Introduction to Medicine seminar, “My Journey to Medicine”, Johns Hopkins Undergraduate course (one hour session).

2015-present.              Chief Resident Retreat, “Clinical Coaching”, JHUSOM.

2015                            Longitudinal Clerkship, Facilitator for LGBT appreciative inquiry.

2017                            Inaugural MEHP Conference; panel presentation.

2017-pesent              Reflective Writing seminar, Longitudinal Ambulatory Clerkship; (facilitator/small group leader) JHSOM

2018                            Mentorship Pathways/Pediatrics residency program: “Careers as Educators”. (with Levine, R.)JHUSOM

2018                            Anesthesia and Critical Care Medicine, “Using the Learning Environment, Questioning and Feedback to                             Promote Effective Teaching and Learning.” (w Levine, R). JHUSOM

2018                            Johns Hopkins School of Medicine Interprofessional Collaborative Practice seminar series (facilitator)

2018                            Johns Hopkins University The Teaching Academy: Pizza and Pedagogy. “Teaching Competencies” (w.                             Levine R) JHU/Homewood learners

2019-present              Assessment of Physical Exam and Communication Skills (APECES), DOM, JHUSOM (multiple sessions                             as faculty preceptor).

2019                            “Best practices in teaching: medical and surgical education”; ACGME faculty development, Gynecology                             and Obstructs; Female Pelvic Medicine and Reconstructive Surgery. Chen G; Cofrancesco J. Jr.  (Jan 28,                             2019)

                                (This interactive workshop, developed and lead by Drs. Chen and Cofrancesco provided participants –faculty, fellows,                             residents and medical students – tools on improving the learning environment, review of adult learning principles, and                                           practice at giving feedback and coaching in all clinical settings including OR, hospital and outpatient settings, and was                                           offered as part of the ACGME requirement for faculty development.)

2018-presnet              “Interprofesoinal Education” series; facilitator of multiple workshops.

(There are multiple facilitators for each session; first and second year learners from JHUSOM/JHSON/Notre Dame School of Pharmacy/JH Bloomberg SPH (200-400 students each year) are required to participate in four IPE events during their studies as part of a graduation requirement from each of the respective programs.  

                            Event #1: Values and Ethics

              Event #2: Roles and Responsibilities

Event 3: Teams and Teamwork

Event #4: Interprofessional Communication)

2019                            Self-Regulated Learning and feedback” JHUSOM, Anesthesia and Critical Care Medicine (with Rachel               Levine). (October 2019)

2020                            “Foundations of Medical Education: Teaching Skills,” JHUSOM, virtual course for MS2-4; elective (with               Rachel Levine, Steve Sozio, and Michael Barone). 

(This interactive two-week medical student elective was offered virtually using the Zoom platform during the COIVD19 pandemic. It involved two-hour synchronous daily seminars, asynchronous responses to student homework and reflections, one-on-on coaching of learners on their required presentations, and student assessments.)

2020              “Using Zoom in Virtual Teaching,” JHUSOM; for faculty transitioning to online teaching during COVID19. (Multiple sessions, different but related topics.) (Virtual)

2020              “Clinical Excellence Promotion and the CEMSP”. GIM Grand Rounds (June 5, 2020).

2020                            Telemedicine APECS, Johns Hopkins University School of Medicine, Baltimore, MD

I was selected to be a faculty preceptor for a telemedicine clinical skills activity funded through the AMA Reimagining Residency Initiative. During tmAPECS I observed and assessed an internal medicine residents interviewing and examining a real patient during a telemedicine encounter. Following the