Current Research and Scholarly Interests
Ongoing Research Projects
1) I am working on several initiatives related to high value care and the Choosing Wisely guidelines. As one of my main projects, I have helped to design, organize and implement the Stanford Internal Medicine residency program's new High Value Care Curriculum. I am currently working on the associated randomized control trial looking at whether the curricular intervention impacts resource utilization and outcomes.
2) I am working on research related to outpatient opioid utilization in chronic non-cancer pain. Using a multi-year data set, we are currently examining the effects of an educational intervention in the primary care clinics on provider behaviors, patient behaviors and outcomes. Subsequent interventions are being planned and will be studied as well.
3) I am very interested in the dynamics of patient-physician communication and am involved in curricular and research efforts related to improving communication during difficult conversations.
Prior Research Projects
From 2005 to 2012, I worked on clinical and translational research projects related to neuroimaging and acute ischemic stroke. My main project (conducted with Dr. Max Wintermark as the PI) involved using blood-brain barrier permeability measurements derived from perfusion-CT to predict the risk of hemorrhagic transformation in acute ischemic stroke. The clinical goal of this work was to help individualize treatment decisions regarding tPA administration by individualizing risk information.