Program of Experimental Medicine - POEM
Department of Medicine

Program of Experimental Medicine
POEM


 Cardiology,  Cl Immunology and Allergy,  Clinical Pharmacology,  Critical Care Medicine, 
 Endocrinology and Metabolism, 
 Gastroenterology,  General Internal Medicine,  Geriatric Medicine, 
 Hematology, 
 Infectious Diseases, 
 Nephrology, 
 Respirology,  Rheumatology, 


General Internal Medicine
andrew.appleton@lhsc.on.ca
ANDREW APPLETON, MD, FRCPC, Associate Professor

Andrew Appleton is an Associate Professor in Division of General Internal Medicine. He practices acute inpatient medicine, ambulatory general medicine, cardiometabolic health and lifestyle medicine at University Hospital. He completed medical school and residency training at Western University. He completed a Master's of Health Sciences in Health Administration at the University of Toronto. He completed health services research training with ICES at Western. He is board certified with the American Board of Lifestyle Medicine. His main clinical interest is in the management of cardiometabolic health optimization with an emphasis on lifestyle. His academic focus is on quality improvement of integrated care delivery models.

Keywords:
Cardiometabolic Health
Chronic disease
Delivery models
Disease Reversal
Integrated care
Integrated database
Lifestyle Medicine
Prevention
Quality improvement


General Internal Medicine
Mark.Goldszmidt@schulich.uwo.ca
MARK GOLDSZMIDT, MDCM, FRCPC, MHPE, PhD Professor

Dr Mark Goldszmidt is a Professor of Medicine and General Internist in the Department of Medicine, division of Internal Medicine and a Research Scientist at the Centre for Education Research and Innovation (CERI) at Schulich School of Medicine and Dentistry. He is also a member of the Centre for Quality, Innovation and Safety (CQuInS). Dr Goldszmidt has a master’s in health Professions Education from the University of Illinois at Chicago and a PhD from the School of Health Professions Education at Maastricht University, the Netherlands.

As a researcher he has considerable experience in supervision and mentorship as well as expertise in qualitative methodologies. His program of research largely takes place in clinical practice settings where he explores practice variability, communication and collaboration and the often-competing tensions of education and clinical care. Example studies from his program of research can be found on his google scholars page at: Google Scholar. Three good examples of studies done with trainees are: 1) Chirag B, Sarah B, Tricia M, Saad C, Mark G. What trainees grapple with: a study of threshold concepts on the medicine ward. Medical Education.0(0). 2) Cadieux DC, Goldszmidt M. It's not just what you know: junior trainees' approach to follow-up and documentation. Med Educ. 2017;51(8):812-825. 3) Juma S, Goldszmidt M. What physicians reason about during admission case review. Adv Health Sci Educ Theory Pract. 2016:1-21.

Keywords:
Clinical documentation
Clinical reasoning
Electronic documentation
Interprofessional collaboration
Medical Education
Practice variability
Qualitative methods
Quality improvement
Team communication


General Internal Medicine
lorelei.lingard@schulich.uwo.ca
LORELEI LINGARD, PhD, Professor

Lorelei Lingard is a leading researcher in the study of communication and collaboration on healthcare teams. She is a Professor in the Department of Medicine at the University of Western Ontario (UWO), and the inaugural Director of the Centre for Education Research & Innovation at the Schulich School of Medicine & Dentistry at UWO. Lorelei received her PhD in Rhetoric from Simon Fraser University in 1998. Her research program investigates the nature of communication on inter-professional healthcare teams in a variety of clinical settings, including the operating room, the intensive care unit, the internal medicine ward, the adult rehabilitation unit, and the family health centre. She is particularly interested in how communication patterns influence patient safety, and how learning to talk in sanctioned ways shapes the professional identity of novices. Lorelei’s research program is funded by CIHR, SSHRC, Health Canada, MOHLTC, the RCPSC and other agencies.

Keywords:
Communication and Media Studies - Organizational Communication
Discourse analysis
Education - Higher Education
Healthcare Communication
Interprofessional teamwork
Linguistic analysis
Linguistics- Sociolinguistics
Medical education
Novice socialization
Professionalism
Qualitative methods
Sociology - Health Systems and Society


General Internal Medicine
mmrkobra@uwo.ca
MARKO MRKOBRADA, MD, FRCPC, Hon BSc, Associate Professor

I joined the Division of General Internal Medicine as an Assistant Professor in July 2009, and I’m currently pursuing a graduate degree in Clinical Epidemiology from McMaster University under the supervision of Dr. P.J. Devereaux.

I am the principal investigator for an ongoing 200-person RCT of ACEi/ARB management before surgery, and a 70-person observational study of covert stroke and delirium after surgery. I am also the project officer for POISE-2, a 10,000-person factorial RCT of ASA and clonidine in surgical patients, and the site PI for CTA-VISION, an observational study assessing the utility of CT angiograms before noncardiac surgery.

My academic interests focus on:

• Perioperative medicine. Every year, approximately three million patients in Canada undergo elective surgery, but it carries a significant risk of cardiovascular morbidity and mortality. Unfortunately, there is a paucity of evidence regarding the optimal medical management of patients during this time period. I am currently working on multiple observational and interventional studies in this population.

• Acute inpatient medicine. This is a very diverse population, with a great deal of morbidity and a high risk of mortality, and few studies exist in this area. I am interested in characterizing the epidemiology of this population, and working on system-based improvements in the delivery of health care for these patients.

• Cognitive dysfunction in hospitalized patients. Cognitive dysfunction is a spectrum that ranges from mild memory impairment to severe delirium. There is a high incidence of cognitive dysfunction after surgery, and during hospitalization for a medical illness. I am interested in looking at the pathophysiology and epidemiology of cognitive dysfunction, as well as interventions focused on prophylaxis and treatment of cognitive dysfunction.

Keywords:
Cardiovascular disease
Clinical Epidemiology
Cognitive Dysfunction
Delirium
Inpatient medicine
Inpatient medicine, Acute
Medical imaging
Meta-analysis
Observational studies
Perioperative medicine
Randomized controlled trials
Stroke and cerebrovascular disease
Systematic reviews


General Internal Medicine
erin.spicer@lhsc.on.ca
ERIN SPICER, MD, MSc, FRCPC, Assistant Professor



General Internal Medicine
saira.zafar@lhsc.on.ca
SAIRA ZAFAR, MD, FRCPC, Associate Professor

Dr. Saira Zafar is an Associate Professor in Department of Medicine at Western University. She completed her medical school from King Edward Medical University, Pakistan. She did her core internal medicine residency and fellowship in General Internal Medicine from Western University. During her core residency, she developed interest in Quality improvement and Patient safety after winning excellence in research award for her work on medical errors in the clinical teaching units. She went on to do a clinical scholar year at Western with focus on improving inpatient medical unit’s quality of care. She is involved with various quality improvement projects such as improving hand hygiene compliance rates of residents and medical students and medication reconciliation. She is also working on implementing strategies to identify high risk patients for readmission in order to provide intensive peri-discharge care to reduce readmission rates. She is also involved with QI curriculum for GIM postgraduate trainees and supervises their QI research projects.

Keywords:
Patient Safety
Prevention of Readmissions to Hospitals
Quality Improvement