DEPARTMENT OF MEDICAL EDUCATION HOSPITAL-BASED FACULTY Page: 1 2
Meera Jain, M.D. General Medicine Faculty
Personal Statement: I love working with the residents at Providence! Our size and structure allow the faculty to really get to know our residents at both a professional and personal level and to follow their progress longitudinally. I find this truly rewarding.
Medical School: University of Florida (Alpha Omega Alpha) Residency: Oregon Health & Science University
Areas of Academic Focus:
Chronic Disease Management
Preventive Health
Critical appraisal of the literature
Recent Publications:
Jain M and Stephens L. Commentary on "Intensive insulin therapy during cardiac surgery did not reduce mortality or morbidity but increased risk for stroke." ACP J Club. 2007 July-Aug:147:2. Comment on:Gandhi GA, Nuttal GA, Abel MD, et al. Intensive intraoperative insulin therapy versus conventional glucose management during cardiac surgery: a randomized trial. Annals of Internal Medicine 2007; 146:233-43.
Rosenberg M and Jain M. Commentary on "Amlodipine or Lisinopril was not better than chlorthalidone for reducing CVD risk in hypertensive blad or nonblack patients." ACP J Club. 2005 Nov-Dec; 143:63. Comment on : Wright JT Jr, Dunn JK, Cutler JA et al. Outcomes in hypertensive black and nonblack patients treated with chlorthalidon, amlodipine, and lisinopril. JAMA. 2005;293:1595-608.
Jain M and Rosenberg M. Commentary on “An Indo-Mediterranean diet was more effective than a control diet in primary and secondary coronary artery disease prevention.” ACP J Club. 2003 May/June;138:63. Comment on: Singh RB, Dubnow G, Niaz MA, et al. Effect of an Indo-Mediterranean diet on progression of coronary artery disease in high risk patients (Indo-Mediterranean Diet Heart Study): a randomized single-blind trial. Lancet. 2002;360:1455-61.
Jain M and Rosenberg M. Commentary on “Review: Aspirin reduces CAD events in persons with no history of cardiovascular disease, but it increases gastrointestinal bleeding.” ACP J Club. 2002 July-Aug;137:6. Comment on: Hayden M, Pignone M, Phillips C, Mulrow C. Aspirin for the primary prevention of cardiovascular events: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2002 Jan 15;136:161-72.
Recent Presentations:
Preventive Visits (workshop), Practical Advances in Internal Medicine 18th Annual Symposium, April 2007
The Ideal Cholesterol. Practical Advances in Internal Medicine, 17th Annual Symposium, April 2006
Cancer Screening: The New Evidence. Practical Advances in Internal Medicine, 16 th Annual Symposium, April 2005.
Electronic Medical Record Chart Audit Combined with Feedback Sessions to Improve Resident Chronic Disease Care (poster presentation with Dr. Guitteau). NW Society General Internal Medicine Meeting, Vancouver, WA, March 2005.
Back to the Basics: The Best of the Rational Clinical Exam, Providence Portland Medical Center Medical Grand Rounds, May 2004.
Should we screen for Abdominal Aortic Aneurysms? Practical Advances in Internal Medicine/15th Annual Symposium, April 2004.
Putting the USPSTF Recommendations into Practice while Teaching the Residents (clinical workshop with Mari Kai, MD and Michelle Guitteau, MD), Northwest Society of General Internal Medicine meeting, Seattle, WA, March 2004
Inpatient Diabetic Control and Outcomes, Practical Advances in Internal Medicine/14th Annual Symposium, April 2003.
Outpatient Management of Type 2 DM (clinical workshop with Mark Rosenberg, MD), Practical Advances in Internal Medicine/14th Annual Symposium, April 2003.
The Evolving Guidelines for Hyperlipidemia: Evaluating the Evidence. Providence Portland Medical Center Medical Grand Rounds, April 2002.
Office Management of cardiovascular Risk (clinical workshop with Mark Rosenberg, MD). Practical Advances in Internal Medicine/13th Annual Symposium, April 2002.
Getting Rid of Housestaff Journal Club? (poster presentation with Sylvia Gibson, MD). Northwest Society of General Internal Medicine meeting, Seattle, WA, February 2002.
The Newer Antihypertensives Are Not better than the Older Ones. Practical Advances in Internal Medicine/12th Annual Symposium, Providence Portland Medical Center, April 2001.
Cardiac Risk in Noncardiac Surgery: Detection and Protection. Practical Advances in Internal Medicine/11th Annual Symposium, Providence Portland Medical Center, April 2000.
Making the Most of Your Consultants (clinical workshop with Marian Hodges, MD, MPH). Northwest Society of General Internal Medicine meeting, Seattle, WA, February 2000.
Achieving Glycemic Control in Type 2 Diabetics: Practical Strategies for the Primary Provider. Portland Medical Center Medical Grand Rounds, December 1999.
Primary Prevention of Heart Disease by Altering Lipids- Who should you treat? (part of Updates in General Internal Medicine) Oregon Health and Sciences University Medical Grand Rounds, April 1999.
What’s Happening in Work Rounds? Perspectives from House Staff. Northwest Society of General Internal Medicine meeting. Portland, OR, February 1999.
Teaching Responsibilities:
Director, Evidence Based Medicine rotation
Attending on the inpatient wards, leading morning report, leading teaching rounds, precepting residents in their continuity clinic.
Personal Interests: Spending time with family and being a mother to a smiley and happy little girl, salsa dancing, enjoying food and wine, reading, hiking.
Personal Statement: The greatest part of being a faculty member at PPMC is being able to tackle new challenges each year and to contribute to some amazing innovations of the residency curriculum. It’s been enjoyable be the Medical Director of PACE and to continue the tradition of providing quality care to patients and an outstanding education to residents.
Medical School: Columbia College of Physicians and Surgeons Residency: Oregon Health & Science University Fellowship: General Medicine, Portland VA Medical Center
Area of Academic Focus:
Director of the PACE ambulatory block rotation
Director of the Women's Health rotation and curriculum
Faculty for Women's Health Advanced Focus track
Faculty for the Evidence-Based Medicine curriculum
Geriatric rotation liaison
Recent Presentations:
Medical Grand Rounds, Providence Portland Medical Center, Sept 27, 2006; "Updates in Women's Health"
Clinical Vignette Poster Presentation with Dr. Christy Risinger, "Doc, I Have Pain All Over! A Case of Vitamin D. Definciency" presented at 2005 National Society of General Internal Medicine Meeting in New Orleans, LA
Medical Innovation Abstract Oral Presentation, "Improving the Residency Continuity Clinic with Teamwork" at the 2005 Northwest Regional SGIM Meeting in Vancouver, WA
Workshop presentation at 2004 Northwest Regional Society of General Internal Medicine Meeting with Drs. Michelle Guitteau and Meera Jain: "US Preventative Services Guidelines: How to Apply Them to Teaching and Clinical Practice"
Workshop presentation at the 2003 Northwest Regional society of General Internal Medicine Meeting with Dr. Rick Cohen, "Critical Incidents", Portland, OR
Spring Symposium: April 2003, "Cervical Cancer Screening"
Medical Grand Rounds, Providence Portland Medical Center April 2, 2003: "Cervical Cancer Screening: Current Insights and Updates"
Spring Symposium: April 2001, "Evidence-BasedMedicine Workshop-How to Appraise an Article about Therapy" with Dr. Sylvia Gibson
Medical Grand rounds, Providence Portland Medical Center March 15, 2000: "Medical Genetics for the Primary Care Physician"
Personal Interests: Hking, cycling, reading, cooking, eating good food, travel, and spending time with my family (Husband, son(age 6) and daughter (age 4)
Personal Statement: I continue to be enthused by our congenial hybrid of a formal academic medical center and a functional community hospital here in Portland. I strive to provide optimal patient care, teaching and community service.
Medical School: University of Kentucky Residency/Chief Residency: University of Wisconsin Fellowship: University of Wisconsin
Areas of Academic Focus:
Antimicrobial pharmacodynamics
HIV
National/Regional Responsibilities:
Past president, Infectious Diseases Society of Oregon
Northwest AETC participant
Regional Chairman, Pharmacy & Therapeutics Committee, Providence Health & Services
Member, Anti-Infective Drugs Advisory Committee, Food and Drug Administration (FDA)
Chairperson, PPMC Clinical Decision Support Committee
Significant Publications:
Saravolatz LD, Leggett J. Gatifloxacin, gemifloxacin, and moxifloxacin: the role for three new fluoroquinolones. Clin Infect Dis 2003; 37:1210-1215.
Gilbert DN et al. A randomized comparison of the safety and efficacy of once-daily gentamicin or thrice-daily gentamicin in combination with ticarcillin-clavulanate. Am J Med 1998;105:182-91.
Bermada S et al. Correlation of tobramycin-induced inhibition of protein synthesis with postantibiotic effect in E. coli. Antimicrob Agents Chemother 1993;37:2678-2683.
Leggett JE et al. Comparative antibiotic dose-effect relationships at several dosing intervals in murine pneumonitis and thigh infection models. J Infect Dis 1989;159:281-92.
Vogelman B et al. Correlation of antimicrobial pharmacokinetic parameters with therapeutic efficacy in an animal model. J Infect Dis 1988;158:831-47.
Vogelman B et al. The in vivo postantibiotic effect in a thigh infection in neutropenic mice. J Infect Dis 1988;157:287-98.
Presentations:
Bad Bugs, No Drugs: Big PhRMA and the FDA.
Towards a Consensus in Pharmacodynamics Research.
Limitations of animal models.
Pharmacokinetics/pharmacodynamics.
Continuous Infusion of Beta-lactams
Teaching Responsibilities:
Attending for the Infectious Diseases Service 12 months a year.
Preceptor for internal medicine residents in weekly HIV clinics.
Personal Statement: The emphasis on teaching, spirit of innovation, and the unique collegiality between house staff and faculty drew me to Providence Portland. There is a dedication to excellence and learning in the Department of Medical Education that makes it a wonderful place to practice and teach.
Medical School: The Ohio State University College of Medicine Residency: Oregon Health & Science University Chief Residency: Oregon Health & Science University
Area of Academic Focus:
Quality Improvement
Inpatient Medicine
Perioperative Medicine
Resident Teaching Skills
Presentations/Publications:
Update in Hospital Medicine. Practical Advances in Internal Medicine, 7th Annual Symposium, April 2006
Update in Perioperative Medicine. Medical Grand Rounds, Providence Portland Medical Center, June 2005.
Lauer AK, Riley K, Wentzien J, Marsal SW. Acute painful vision loss and acute abdomen: A case of endogenous Clostridium perfringens endophthalmitis. Can J Ophthalmol 2005;40:208-10
Teaching Residents How to Teach: Developing a Practical Workshop on Teaching Principles for House Staff. Society of General Internal Medicine Northwest Regional Meeting, Portland, OR, February 2001.
Teaching Residents to Teach: an Area of Neglect in Medical Education. Department of Medicine Grand Rounds, Oregon Health and Sciences University, June 1999
Teaching Responsibilities:
Director Inpatient Education
Director,4th year medical student rotations
Inpatient teaching service attending 12 months annually
Teaching rounds five weeks annually
Lead Morning Report eight weeks annually
Medical student teaching attending five weeks annually
Personal Interests: Family, Mountain biking, backcountry and downhill skiing, running, and photography.
Personal Statement: I came to Providence Portland after 15 years on three different medical school faculties. The commitment to teaching - and the respect for the learner - is far beyond anything I had experienced. People really care here; it's a great place to be!
Graduate School: University of Rhode Island Internship: Brockton VA Medical Center, Brockton, Mass. Fellowship: University of Rochester Medical Center
Areas of Academic Focus:
Behavioral medicine education
Physician-patient relationship
Most Significant Publications:
Cohn L, Merkel W (2004). One family, two family, new family: Stories and advice for stepfamilies. River Wood Books, Ashland, Oregon. (Gold National Parenting Publications Award Winner).
Merkel WT, Margolis RB, Smith R (1990). Teaching humanistic and psychosocial aspects of care in internal medicine residency programs. Current practices and attitudes. J Gen Intern Med 5;34-41.
Henderson JG, Merkel WT, Cohen JD (1987). A pragmatic approach to teaching applied preventive cardiology: Teaching medical students how to talk with patients about risk factor modification. Int Quart Community Health Ed 7:369-377.
Margolis RB, Duckro PN, Merkel WT (1992). Behavioral medicine - St. Louis Style. Prof Psychol: Res Pract 23:293-299.
Merkel WT, Searight R (1992). Why families are not like swamps, solar systems or thermostats: Some limits of systems theory as applied to family therapy. Contemp Fam Ther 14:33-50.
Margolis RB, Merkel WT, Tait RC, Richardson WD (1991). Family responses to patients with chronic pain. Can Fam Phys 37:429-435.
Presentations:
(With Michelle Guitteau, M.D.) Agenda Setting: So Easy, So Hard, So Helpful. Society of General Internal Medicine, Northwest Regional Meeting, March 2007.
Peer feedback. Workshop at NW Regional Conference, Society of General Internal Medicine, Seattle, Wash. (2000).
How to plan and lead a workshop. Workshop at NW Regional Conference, Society of General Internal Medicine, Portland, Ore. (1997).
Recognition and treatment of anxiety disorders in primary care. Workshop at Practical Advances in Internal Medicine, Providence Portland Medical Center, Portland, Ore. (1996).
The grieving patient. Workshop at Primary Care Update Conference, Oregon Health and Science University, Portland, Ore. (1995)
Behavioral medicine in action: Office protocols for managing insomnia, chronic pain and non-adherence with medication. Grand Rounds, Providence Portland Medical Center, Portland, Ore. (1992).
Teaching Responsibilities:
Co-directs and teaches in the Chronic Illness Behavioral Health Clinic with Dr. Cohen
Leads professionalism and behavioral medicine case rounds for PACE block residents
Accompanies residents as a "shadow preceptor" seeing unselected patients in the PACE clinic and consults on specific PACE cases as requested
Presents at behavioral medicine noon conferences
Involved in various resident-related special projects and events
Serves on Consultants Group for Resident Wellness Program at Oregon Health Sciences University
Personal Interests: Spending time with my family, exercising, reading, searching for the perfect hot fudge sundae.
Personal Statement: To me, the practice of medicine is a multi-dimensional puzzle. Collaborating with others, both as an educator and as a learner, and using all the clues to work through this puzzle drives my enthusiasm. There’s nothing more exciting than being surrounded by the experience and knowledge of clinically academic colleagues and driven residents, both of which I experience here at Providence. One of my personal interests includes the integration of medicine and computers for resident education, improved patient care and productivity benefits.
Graduate School: Master’s degree in Biomedical Engineering, Ohio State University Medical School: Michigan State University Chief Residency: Providence St. Vincent Medical Center, Portland, OR
Areas of Academic Focus:
Integration of computers and medicine
Inpatient medicine
Regional Responsibilities:
Member of the Residency Leadership Group
Member Electronic Medication Reconciliation Committee
Member Centricity (EMR) Clinical Governance Primary Care Functional Workgroup
Recent Presentations/Workshops:
Resident Noon Conference Presenter, Providence Portland Medical Center, “Emergency Treatment of Hyponatremia and Hypernatremia.” July 2008 and July 2007
Workshop Co-Moderator, Society of General Internal Medicine Annual Scientific Meeting, “Formalized Teaching of the Electrocardiogram to Medicine Residents.” April, 2008. Pittsburgh, PA
Workshop Moderator, 19th Annual Practical Advances in Internal Medicine Symposium. “Getting Better at ECG Reading.” April, 2008. Portland, OR
Resident Noon Conference Presenter, Providence Portland Medical Center, “Exercise Testing for Cardiac Risk.” 4/2008, 1/2007 and March, 2006
Resident Noon Conference Presenter, Providence Portland Medical Center, “Clinical Prediction Rules. An Evidence-Based Review.” May, 2007
Northwest Society of General Internal Medicine Annual Meeting, “Development of a Year-Round EKG Curriculum.” 4/07
Grand Round Lecturer, Providence Portland Medical Center, “Update in Internal Medicine.” September, 2006
Workshop Co-Moderator, 17th Annual Practical Advances in Internal Medicine Symposium. “Exercise Testing for Cardiac Risk.” April, 2006. Portland, OR
Resident Noon Conference Presenter, Providence Portland Medical Center, “Cardiac Resynchronization.” May, 2005
Teaching Responsibilities:
Attending on the Inpatient Teaching Service (regular basis)
Teaching Attending on the Wards – approximately one month/year
Clinical preceptor (1/2 day per week)
Medical Student Teaching for a 5-week block each year. (OHSU third year medical students)
EKG Curriculum Coordinator
Night float attending – one month/year
Personal Interests: Traveling, skiing, hiking, cycling and yoga.
Personal Statement: I was a resident at Providence Portland and have deeply appreciated the education I received here. After finishing my fellowship in infectious diseases in Chicago, I was delighted to be asked to join the Medical Education faculty. Part of what attracts me here is the spirit of cooperation. Everyone, from residents and faculty to technicians and transporters, works together to do the best for the patient. I also wanted to return here because of the academic excellence of the residency program and the opportunity to work with physicians at the top of their fields.
Medical School: Indiana University School of Medicine Residency: Providence Portland Medical Center Fellowship: Cook County Hospital, Chicago
Areas of Academic Focus:
Hospital infections
Drug-resistant organisms
Teaching Responsibilities:
Attending on wards
Preceptor for residents and 4th-year medical students on the Infectious Diseases rotation approximately 8 months per year
Teach OHSU microbiology course each spring
Supervise residents and medical students in the Infectious Diseases outpatient clinic 1-2 half-days per week
Informal teaching and "curbside consultation" by residents in the hospital and the outpatient clinic
Present 2-3 ID topics per year at residents' noon conferences
Present cases at City Wide Infectious Disease Conference monthly
Most Significant Publications:
Slaughter S. Intravascular catheter-related infections: Strategies for combating this common foe. Postgrad Med 2004;116:59-66
Slaughter S, Hayden M, Nathan C, Hu TC, Rice T, Van Voorhis J, Matushek M. Franklin C, Weinstein RA. A comparison of the effect of universal use of gloves and gowns with that of glove use alone on acquisition of vancomycin-resistant enterococci in a medical intensive care unit. Ann Intern Med 1996;125:448-456.
Beezhold D, Slaughter S, Hayden M, Matushek M, Nathan C Trenholme G, Weinstein RA. Skin colonization with vancomycin-resistant enterococci in hospitalized patients with bacteremia. Clin Infect Dis 1997;24:704-706.
Bonten MJM, Hayden MK, Nathan C, Van Voorhis J, Matushek M, Slaughter S, Rise T, Weinstein RA. The epidemiology of colonization of patients and environment with vancomycin-resistant enterococci. Lancet 1996;348:1615-1619.
Bonten MJM, Slaughter S, Ambergen A, Hayden MK, van Voorhis J, Nathan C, Weinstein RA. The role of "colonization pressure" in the spread of vancomycin-resistant enterococci. Arch Intern Med 1998;158:1127-1132.
Bonten NJM, Slaughter S, Hayden MK et al. External sources of vancomycin-resistant enterococci for intensive care units. Crit Care Med 1998;26:201-2004.
Austin DJ, Bonten MJM, Weinstein RA, Slaughter S, Anderson RM. Vancomycin-resistant enterococci in intensive care hospital settings: Transmission dynamics, persistence and the impact of infection control programs. Proc Natl Acad Sci USA 1999;96:6908-6913.
Recent Presentations:
Infections in Immigrants. Practical Advances in Internal Medicine, Providence Portland Medical Center, 2008
Update on New Adult Vaccines, Practical Advances in Internal Medicine, Providence Portland Medical Center, 2006
Central Nervous System Infections, Medical Grand Rounds 2005
An outbreak of C. difficile ended with infection control measures, including alcohol hand-wash. 14th Annual Scientific Meeting of the Society for healthcare Epidemiology of America, April, 2004
Personal Interests: Family - My husband and my 25-year-old daughter. Hobbies - book club, hiking, yoga.
Personal Statement: I was thrilled to accept the offer of my position in 1981 and have stayed ever since because I find teaching so rewarding and have found Providence Portland to be incredibly supportive of our training program. I like being in an atmosphere where I am pushed to keep learning by residents' questions, and I appreciate the opportunity to pass on the knowledge and perspective I have gained.
Medical School: Georgetown Residency: Washington Hospital Center Fellowship: University of Texas-Southwestern Medical School
Areas of Academic Focus:
Medical decision-making
Laboratory test selection and interpretation
National/Regional Responsibilities:
Regional Director of Continuing MedicalEducation, Providence Health & Services
Most Significant Publications:
Wernick R, Campbell S: Update in rheumatology. Ann Intern Med 1323:125-133, 2000.
Campbell S, Wernick R: Rheumatology update. Ann Intern Med 130:135-142, 1998.
Wernick R, Smith D, Houghton D, et al: Reliability of histologic scoring for lupus nephritis: a community-based evaluation. Ann Intern Med 199:805-811, 1993.
Wernick R, Winkler C, Campbell SM: Tophi as the initial manifestation of gout: report of six cases and review of the literature. Arch Intern Med 152:873-876, 1992.
Wernick R, Smith D: CNS toxicity of low dose weekly methotrexate treatment. Arthritis Rheum 32:770-775, 1989.
Wernick R: Avoiding laboratory test misinterpretation in geriatric rheumatology. Geriatrics 44:61-80, 1989.
Recent Presentations:
The “Cox-2” Debacle: Lessons to be Learned. Providence Portland Medical Grand Rounds, 2005.
Yearbook of Rheumatology. Annual meeting of NW Rheumatism Society, Portland, Oregon May 1, 2003.
Osteoarthritis: Pitfalls in Diagnosis & Treatment. Women’s Health Symposium, Portland, Oregon, July, 2002.
Update in Rheumatology. Annual national American College of Physicians (ACP) meeting, New Orleans, LA, 1999.
Spine Pain: Facts, Fancy & Fiction. Kuzell Institute Annual Symposium, San Francisco, Calif., 1998.
Teaching Responsibilities:
Attending on the general medicine inpatient service for two five-week blocks annually
Lead Morning Report two months per year
Directly supervise the rheumatology resident in rheumatology clinic for 3-4 half-days weekly
Precepting rheumatologist on that subspecialty rotation 12 months of the year
Available to consult directly with residents in their clinic on their patients
On the rheumatology rotation,conducts two core didactic sessions and one rheumatology journal club (devoted to learning principles of critical analysis of the literature) weekly with the rheumatology resident.
Evidence-based medicine faculty member.
Personal Interests: Family: my beloved dog and residency mascot, Bodey. Hobbies: Irish folk/bluegrass band (guitar), song writing, dogs and baseball. Volunteer work: Start Making A Reader Today (SMART) program, Oregon Humane Society, Washington Free Clinic.
