Innovations in internal medicine at The Ohio State University Wexner Medical Center

Health care is changing. With greater numbers living with complex chronic diseases, the need for primary care research in internal medicine is more essential than ever. Patients need high quality evidence-based care and help to preserve their independence and quality of life. Additionally, patients need this to be accomplished while stabilizing the costs associated with medical care. The division is tackling these problems by focusing on clinically relevant research in the areas of patient care, education and innovative care models.

We are building strong collaborative relationships throughout the University. Current collaborators are found in the Colleges of Nursing, Pharmacy and Public Health. We also have research partnerships with the Center for Clinical and Translational Science and the Departments of Economics, English and Psychology.

If you are interested in working with us or learning more about the Division of General Internal Medicine, please contact Seuli Brill, MD at Seuli.Brill@osumc.edu.

Pragmatic Clinical Trials Network (PCTN)

The Division of General Internal Medicine is proud to house the Pragmatic Clinical Trials Network (PCTN), a service offered through the Center for Clinical and Translational Science at OSU.

The PCTN was designed to allow investigators access to a “living laboratory” for their research. In addition to accessing a diverse population of more than 50,000 patients spanning seven clinical sites, the PCTN offers researchers assistance in project planning, development and execution. To discuss how the PCTN can partner with your project, please contact Seuli Brill, MD at Seuli.Brill@osumc.edu.

Collaboration

We collaborate widely within The Ohio State University Wexner Medical Center and University community in a vast array of patient-centered research. The breadth of our primary care internal medicine, pediatrics and geriatric practices opens the door for productive interdisciplinary collaborations with medical sciences, social sciences and humanities. Some of our current collaborative partnerships include work with researchers from the College of Nursing, the College of Pharmacy, the College of Public Health, the Department of English, the Department of Psychology and the Department of Economics here at Ohio State. We also work with several research teams across the country.

Such partnerships are mutually beneficial to our patients, clinicians and research collaborators. We strategically work with researchers who investigate questions that are clinically relevant to our patient population. We want our research to directly improve the quality of care we provide and influence the health and well-being of our patients.

Our Researchers

Our leaders

Seuli Brill

Seuli Brill, MD

Research Director

As research director, Dr. Seuli Brill leads her own research program and and guides other providers in the division of general internal medicine with their research. Dr. Brill’s research is based on provider/ patient communication. 

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Kelli Barnes

Kelli Barnes, PharmD

Assistant Professor, Clinical Medicine

Kelli’s research interests include the use of population health to improve the quality and cost of care provided in a primary care setting and the sustainability of pharmacist-provided care in primary care settings.

Stuart Beatty

Stuart Beatty, PharmD, BCPS

Associate Professor, Clinical Medicine

Pharmacist Stuart Beatty works with a multi-faceted team, all looking to ensure patients obtain the best care and advice on their medications. Along with carrying out patient care, Dr. Beatty and his team investigate population health management.

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Christopher Chiu

Christopher Chiu, MD

Assistant Professor, Clinical Medicine

Dr. Chiu is concerned with medicine and social media and how it impacts medical treatments. Dr. Chiu is also involved in Free Open Access Medicine and hopes to bring these interests to fruition at Ohio State.

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Camilla Curren

Camilla Curren, MD

Assistant Clinical Professor of Internal Medicine, Pediatrics

Currently, Dr. Curren is working with a multi-disciplinary team on research that will enhance the quality of life of humans and their animal counterparts. She recognizes the multiple health benefits that both people and animals experience when pets are included in the household.

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Gail Grever

Gail Grever, MD

Assistant Professor, Clinical Medicine

Dr. Gail Grever’s research applies continuous quality improvement to patient care. Together with a team of fellow doctors, nurses and other healthcare professionals, she examines how to improve patient care workflow and care coordination for patients impacted by complex chronic diseases.

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Christopher Hanks

Christopher Hanks, MD

Assistant Professor, Clinical Medicine

Dr. Hanks is involved in programs designed to develop new approaches of treatment for autism. Currently, he is involved in a review-based research project, which is being carried out using existing teenage patients. By obtaining details on these patients’ experiences, gaps in the healthcare system can be modified as they transition into adult care.

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Heather Hirsch

Heather Hirsch, MD

Assistant Professor, Clinical Medicine

Director, Women’s Health Education, The Center for Women’s Health 

Within the Department of General Internal Medicine, Dr. Heather Hirsch’s research focuses  on addressing clinical gaps in women’s health care spanning the woman’s lifetime with a clinical focus on contraception and menopause.

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Scott Holliday

Scott Holliday, MD

Associate Professor, Clinical Medicine

Dr. Holliday is currently involved with multiple research studies, including looking at ways to promote empathetic communication of medical residents. He is also actively involved in looking at ways to reduce the burnout of doctors, ultimately providing better quality patient care. Dr. Holliday works with his research team to re-design the education programs to aid resident satisfaction. 

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Jeffrey Lawrence

Jeffrey Lawrence, MD

Assistant Clinical Professor, Internal Medicine, Pediatrics

Dr. Jeffrey Lawrence and his healthcare colleagues focus on health care delivery science; improving the quality, experience, and cost of healthcare by using sound, scientific methodologies.

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Cynthia Ledford

Cynthia Ledford, MD

Clinical Professor, Internal Medicine, Pediatrics

Dr. Cynthia Ledford’s research explores the relationships between assessments, feedback and learning, particularly within curricula designed based on competencies and outcomes for the health professions. She has an additional focus on curricula related to outcomes that can be difficult to measure, such as professional identity formation, reflection and coaching, clinical reasoning and development of faculty teaching skills.
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Guibin Li

Guibin Li, MD, PhD

Assistant Professor, Clinical Medicine

Dr. Li works on research studies, with outcomes aimed to improve the quality of life of patients. Dr. Li is investigating the impact of polypharmacy, and looking to see whether its discontinuation affects the patient’s quality of life. She is also investigating Alzheimer’s disease, with particular interest in the diagnosis and management of dementia in primary care.

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Jared Moore

Jared Moore, MD

Assistant Professor, Clinical Medicine

Dr. Moore is committed to the education of his patients and working to improve their understanding about health concerns. He believes that patients with a greater understanding of their own health concerns will be able to make more informed decisions about their treatment and this will result in increased patient safety, and improved quality of care.

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Andrew Schamess

Andrew Schamess, MD

Assistant Professor, Clinical Medicine

Combining a unique approach to problem-solving with more than 20 years of experience as an Internal Medicine physician, Dr. Schamess is employing a whole-person approach to healthcare in order to address the health challenges faced by Adults with Chronic Healthcare Needs (ACHNs). His research interests center on developing new strategies for health care delivery to complex patients. 

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Nazhat

Nazhat Taj-Schaal, MD

Assistant Professor, Clinical Medicine

Dr. Nazhat Taj-Schaal’s clinical interests include providing primary care for whole families. Dr. Taj-Schaal is able to manage patients across the age spectrum and effectively transitions pediatrics patients with chronic medical conditions to adult specialists. Her clinical interests include preventative medicine and chronic disease management. 

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Neeraj Tayal

Neeraj Tayal, MD

Director, Division of General Internal Medicine

Associate Professor, Clinical Medicine
As division director for General Internal Medicine, Dr.Tayal oversees 60 doctors at seven ambulatory and three inpatient sites. He has experience in practice management, information systems and healthcare quality improvement, and applies all of that expertise to improving our healthcare system to better serve the population of Central Ohio. 

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Michael Tiso

Michael Tiso, MD

Assistant Professor, Clinical

Dr. Michael Tiso’s focus is in sport medicine, concussion in particular.  Research over the past decade has changed the way concussions are diagnosed and treated, however many questions still remain. Little is known as to when athletes are safe to resume driving following a concussion. Dr. Tiso is working with Nationwide Children’s Hospital enrolling athletes in a driving simulator study to help answer this question. 

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Staff

Publications and Presentations

Publications and Presentations

2017

P R Nayak, J Hu, E Snyder, N Stephens, S Jonaus, SIng. Community Gardening for Patients With Diabetes Mellitus in an Underserved Community: A Pilot Study.  Practical Diabetology. March/April 2017, 36 (1): 4-9

Shih E, Hirsh H, Thacker H. Medical Management of Urinary Incontinence in Women. Cleveland Clinic Journal of Medicine. February 2017, 84(2):151-158

2016

Crapnell T, Lau L, Hanks C, Nicolaidis C, Kuo A.  Autism.  In: Pilapel M, DeLaet D, Kuo A, Peacock C, Sharma N, eds.  Care of Adults with Chronic Childhood Conditions.  Springer International Publishing Switzerland 2016: 53-65

Buschur E and Lawrence S.  Diabetes Mellitus (Type 1).  In: Pilapel M, DeLaet D, Kuo A, Peacock C, Sharma N, eds.  Care of Adults with Chronic Childhood Conditions. Springer International Publishing Switzerland 2016: 131-147

M Albabtain, MJ Brenner, JM Nicklas, SL Hummel, MP McCormick, JL Pawlowski, TL Remington, TR Gure, MP Dorsch, BE Bleske. Hyponatremia, Cognitive Function, and Mobility in an Outpatient Heart Failure Population. Medical Science Monitor. DEC 2016. 22: 4978-4985

Schamess A, Foraker R, Kretovics M, Barnes K, Beatty S, Bose-Brill S and Tayal N. "Reduced emergency room and hospital utilization in persons with multiple chronic conditions and disability receiving home-based primary care." Disabil Health J. 2016 Oct 15. pii: S1936-6574(16)30140-6. doi: 10.1016/j.dhjo.2016.10.004. [Epub ahead of print]

Rabinowitz R, Farnan J, O Hulland, L Kearns, M Long, B Monash, P Bhansali and H B Fromme. "Rounds Today: A Qualitative Study of Internal Medicine and Pediatrics Resident Perceptions." Journal of Graduate Medical Education. October 2016, Vol. 8, No. 4, pp.523-531

Jared M. Moore, David A. Wininger and Bryan Martin. "Leadership for All: An Internal Medicine Residency Leadership Development Program." Journal of Graduate Medical Education. October 2016, Vol. 8, No. 4, pp. 587-591

Seuli Bose-Brill, Matthew Kretovics, Lindsay Belanger, Christopher Kobe, Taylor Pressler-Vydra, Taylor Belanger and Robert Taylor.  “Age Factors Affect Patient Willingness to Engage in Early End-of-Life Communication using Electronic Health Record-Tethered Patient Portals.” Journal of the American Geriatric Society. Accepted for publication March 2016

Co-Presenters Curren C and Brill S. “The Wellness Exam across the Decades,” presented at the January 2016 MedNet 21 Webcast; The Center for Continuing Medical Education at the Ohio State University Wexner Medical Center; Columbus, Ohio

Hanks C. “Anticipatory Guidance: Strategies for Preparing Patients for the Transition to Adult-Based Medical Care.” Milestones Autism Spectrum Disorder Conference, June 16, 2016

Daleat D, Hanks C, Waite E, Laufman L, Peacock C.  “Internal Medicine Residents’ Comfort in Providing Care for Young Adults with Complex Conditions of Childhood Onset.” Society of General Internal Medicine Annual Meeting, May 13, 2016

Talente G, Landry M, Jan S, Hanks C, Lee R, Truglio J.  “Are there cracks in the Population Health Model?  What do we know about current population health models and their ability to address health disparities and serve the needs of at risk populations?” Society of General Internal Medicine Annual Meeting, May 13, 2016

Hanks C. Grand Rounds, The Ohio State University Internal Medicine. "A Thinner Margin of Health:  Strategies to Overcome Health Care Disparities for Adults with Intellectual and Developmental Disabilities."  January 28, 2016

Hanks C and Lawrence S.  "Use of a Pre-Visit Assessment to Aid in Successful Medical Visits for Adolescents and Adults with Autism."  Society of General Internal Medicine Annual Meeting, May 12, 2016

2015

Ranpara, N, Tayal N. "No More Waiting Around - Lean Six Sigma Accelerates Response at Medical Call Centers." Industrial Engineer - Engineering and Management Solutions That Work." Vol. 47, (Jan 2015): 1

Schamess A, Tayal N, Murphy L, Robinson, J, Presenters. "A Home Visiting Program for Chronically Ill Patients in an Academic Medical Center: Experience and Outcomes at Two Years." Presented at 2015 Midwest Society of General Internal Medicine (SGIM) Regional Meeting, Peers within Field. Cleveland Convention Center, Cleveland, Ohio (Aug 2015)

Neeraj H. Tayal MD FACP, Presenter. "Building a Niche in Health Care Quality Improvement." Presented at Grand Rounds - OSUWMC - Division of Hospitalist Medicine, Peers within Field. Starling Loving, Columbus, Ohio (Jan 2015)

Foraker RE, Shoben AB, Lai AM, Payne PR, Kelley M, Lopetegui MA, Langan M, Tindle HA, Jackson RD. "Electronic Health Record-Based Assessment of Cardiovascular Health." Circulation. Vol. 131, no. Suppl 1. (March 2015)

Foraker, RE, Kite, B, Kelley, M, Lai, AM, Roth, C, Lopetegui, M, Shoben, AB, Langan, M, Rutledge, NL, Payne, PR. "EHR-based Visualization Tool: Adoption Rates, Satisfaction, and Patient Outcomes." Generating Evidence & Methods to improve patient outcomes (EGEMs). Vol. 3, no. 2. (June 2015)

Bixler, MG, Brown, A, Way, DA, Ledford CH, Mahan JD. "Collaborative concept mapping to improve critical thinking in 4th year medical students." Clinical Pediatrics. Vol. 54, no. 9. (Aug 2015)

Tartaglia, KM, Kman N, Ledford C. "Medical Student Perceptions of Cost-Conscious Care in an Internal Medicine Clerkship: A Thematic Analysis." Journal of General Internal Medicine. Vol. 30, (May 2015)

Baker EA, Ledford CH, Way DA, Park YS. "The IDEA rating instrument: assessing the reporting, diagnostic reasoning and decision making skills demonstrated in medical students’ hospital admission notes." Teaching and Learning in Medicine. Vol. 27, no. 2. (April 2015)

Hurtubise LC, Turner TL, Ledford CH, Mahan JD, Presenters. "Moving towards online faculty development: the view over the horizon." Presented at ACGME International Meeting San Diego, CA (April 2015)

Curren C, Thompson L, Altneu E, Tartaglia K, Davis J. Nathan/Natalie Marquez: A Standardized Patient Case to Introduce Unique Needs of an LGBT patient. MedEdPORTAL Publications

Tartaglia K, Thompson L, Curren C. Scott Green: Depression after a Heart Attack. MedEdPORTAL Publications; 2015

Co-Presenters Curren C, Choby B, Catiglioni A and Corbett E. “Challenges in Remediation,” Directors of Clinical Skills Courses (DOCS) Conference; Baltimore, MD; Nov 2015

Presenter Curren C. “Leveraging Adult Learning Theory in Facilitating Small Groups,” The Ohio State University Longitudinal Practice Faculty Development Series; Columbus, Ohio; Oct 2015

Hanks C. Podium Presentation. The Health Care Transitions Research Consortium Research Day.  Use of a Pre-visit Assessment to Aid in Successful Medical Visits for Adolescents and Adults with Autism. Sept 30, 2015

Hanks C and Lawrence S.  OSU MedNet21 CME Webcast, The Ohio State University.  Transitions in Care from Adolescent to Adult.  Sept 11, 2015

Lawrence S and Hanks C.  "Center for Autism Services and Transition (CAST): A Program to Support Successful Transitions to Adult Primary Care for Patients with Autism."  The Health Care Transitions Research Consortium Research Day, Sept 30, 2015

2014

Seuli Bose-Brill, Albert Lai, Lindsay Belanger, Matthew Kretovics, Gabriella Modan, Taylor Pressler, Taylor Ballenger, Stephen Koesters, J. Randall Curtis, Robert Taylor, Celia Wills. "Electronic Advance Care Planning Discussions with Medical Providers: Preferences of African American vs. Caucasian Primary Care Patients." Clinical Nursing Studies. Vol. 2, no. 2. (April 2014): 133-144

Seuli Brill, Presenter. "Interdiscipilnary Symposium of End-of-Life Care." Presented at Talking Towards the End-of-Life, Peers within Field. The Ohio State University, Columbus, Ohio, United States. (Feb 2014)

Barnes, K, Tayal N, Lehman A, Beatty S. "Pharmacist-Driven Renal Medication Dosing Intervention in a Primary Care Patient-Centered Medical Home." Pharmacotherapy. Vol. 10, no. 1002. (Oct 2014): 1508. http://onlinelibrary.wiley.com/doi/10.1002/phar.1508/pdf

Schamess A, Foraker R, Brill S, Hoff A, Kretovics M, Tayal N, Unspecified. "Early Impact of a Home Visiting Program Targeting Chronically Ill DIsabled Patients." Presented at Primary Care Practice Based REsearch Network Conference, Peers within Field., Bethesda, Maryland (June 2014)

Langan, M, Schreiner, A, Essa, E. "Churg-Strauss Syndrome Presenting As Refractory Asthma After The Recent Introduction Of A Leukotriene Modifying Agent." Consultant. Vol. 54, no. 11. (Nov 2014)

Francis, M, Warm, E, Drake, S, Langan, M, et al. "Determinants of Patient Satisfaction in IM Resident Continuity Clinics: Findings of the Educational Innovations Project Ambulatory Collaborative (EPAC)." Journal of Graduate Medical Education. Vol. 6, no. 3. (Sept 2014): 470-477

Francis, M, Thomas, K, Langan, M, Smith, A, et al. "Curricular Design, Key Practice Metrics, and Resident Satisfaction in Internal Medicine Continuity Clinics." Journal of Graduate Medical Education. Vol. 6, no. 2. (June 2014)

Reed S, Shell R, Kassis K, Tartaglia K, Wallihan R, Smith K, Hurtubise L, Martin B, Ledford, C, Bradbury S, Berstein HH, Mahan JD. "Applying Adult Learning Practices in Medical Education." Current problems in pediatric and adolescent health care. Vol. 44, no. 6. (Jan 2014)

Skeff K, Stratos G, Ledford C, Kruer J, Presenter. "Stanford Faculty Development Program for Clinical Teaching." Presented at Ohio State's COM Celebration of Education Event, Peers within Field. Columbus, OH (June 2014)

2013

Tayal, N. "Care Coordination with Electronic Health Records." SGIM Forum. Vol. 36, no. 11. (Nov 2013): 2,10

Shelley h. Otsuka, Stuart Beatty, Pharm D, BCPS, Neeraj H. Tayal, MD. "Improving Herpes Zoster Vaccination Rates Using an EMR-Based Personal Health Record: A Randomized-Controlled Study." American Journal of Medicine. Vol. 126, no. 9. (Sept 2013): e1-6

Neeraj H. Tayal MD. "Technology Convergence in Health Care." SGIM Forum. Vol. 36, no. 5. (May 2013): 5

Neeraj H. Tayal MD, Gail Grever MD, Presenter. "Optimizing Care in Primary Care." Presented at OSU Med Net Telecast, Peers within Field., Columbus, Ohio (Jun 2013)

M Langan, Keynote Speaker. "Making Technology Work For You - Practical and Novel Uses of Technology in Residency Education." Presented at Alliance for Academic Internal Medicine (AAIM), New Orleans, Louisiana, United States (Oct 2013)

Beatty S, Langan, M, Grever, G, Presenters. "A Multidisciplinary Approach to Diabetes Management and Resident Education." Presented at 2013 Midwest Society of General Internal Medicine Meeting, Peers within Field., Chicago, Illinois, United States (Sept 2013)

Wininger, D, Langan, M, Lucarelli, M, Chamberlain, K, Presenters. "Surviving SOAP: Contingency Planning For Your Residency and Medical School." Presented at Academic Alliance for Internal Medicine (AAIM) - Fall Meeting, Peers within Field., New Orleans, Louisiana, United States (Oct 2013)

CH Ledford, Presenter. "Evaluating and Grading Medical Students." Presented at Alliance for Academic Medicine National Meeting, New Orleans, LA (Oct 2013)

Cynthia H. Ledford, Presenter. "Milestones and Longitudinal Assessment: Future Direction and Implications for Clerkship Education." Presented at Alliance of Academic Internal Medicine Week New Orleans, LA (Oct 2013)

LC Hurtubise, CH Ledford, Presenter. "Learning & Assessment." Presented at Competency-based Learning & Assessment, Erie, PA (June 2013)

2012

Seuli Bose-Brill, Christopher Kobe, Taylor Pressler, and Celia Wills. "Patient and provider perceptions of advance care planning using electronic health record patient portals." BMJ Supportive and Palliative Care. Vol. 2, no. 2. (Feb 2012): 176

Seuli Bose-Brill and Taylor Pressler. "Commentary: Opportunities of Innovation and Improvement in Advance Care Planning Using a Tethered Patient Portal in the Electronic Health Record." Journal of Primary Care and Community Health. Vol. 3, no. 4. (Oct 2012): 285-288

Co-Presenters Curren C and Haines T. “Electronic Medical Record use in Preclinical Medical Education—a working model,” Clerkship Directors in Internal Medicine (CDIM)/Alliance for Academic Internal Medicine (AAIM); Phoenix, Arizona; October, 2012