Current Research and Scholarly Interests
Ongoing Research Projects
1) 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.
2) 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.
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.