ASPIRE is empowerment... in the form of access to mentors, tremendous research resources, an energizing community of like-minded peers, and most of all, some breathing room to think, read, and develop inquiry! ~ ASPIRE Scholar
Lyle Fettig, MD is an Assistant Professor of Clinical Medicine at Indiana University School of Medicine. He directs the IUSM Palliative Medicine Fellowship and is a team physician with the Eskenazi Health Palliative Care Team. His interests include education to improve the communication skills of clinicians and care of underserved populations. Dr. Fettig directs IU Talk which provides VitalTalk based communication skills training to a variety of trainees and providers. The project started with a focus on IUSM trainees, including critical care and oncology fellows. In 2014, IU Talk joined Encompass, an IU Health palliative care education projected funded by the Methodist Health Foundation. Through Encompass, IU Talk has been able to expand to IU Health Faculty Physicians. He is a Senior Associate with VitalTalk. Dr. Fettig has written for the blog Pallimed and a few of his blogs have been featured on the popular site KevinMD. He lives in Indianapolis with his wife and two kids.
Dr. Fettig’s ASPIRE study has explored the feasibility, acceptability, utility and clinician outcomes of a communication skills training workshop for an interdisciplinary group of clinicians in the intensive care unit setting. The workshop is geared towards improving the quality of both individual and team communication with patients and families about goals of care in serious illness.
Jennifer Hur, MD is an Assistant Professor of Clinical Medicine at Indiana University School of Medicine who also serves as one of the Department of Medicine’s Key Clinical Educators, representing General Internal Medicine. She came to Indy from New England and NY in 2006, started as an academic Hospitalist at Eskenazi, and in 2008, transitioned to running and teaching in the Pre-Admission Testing Clinic at IUH-University Hospital. When she is not evaluating, optimizing, and coordinating care for patients having complex surgeries, training medical residents or other faculty in preoperative medicine, collaborating with hospital leadership in perioperative quality improvement initiatives, or supporting the multiple hospitalist groups on campus with their educational endeavors, she is juggling schedules with her husband John, a busy orthopedic surgeon, as they raise their 3 kids.
In her role as a clinician educator, Dr. Hur’s interest is in finding efficient and effective ways to improve inpatient faculty's clinical teaching skills and her ASPIRE project explores harnessing online technology to do this. She has developed You Tube™ videos, using best practices in instructional technology, to improve academic hospitalists’ skills in feedback and evaluation, which will be shared on all of IUSM’s clinical campuses, as well as at the Alliance for Academic Internal Medicine’s, 2018 Academic Internal Medicine Week spring meeting.
Areeba Kara MD, MS was born and raised in Karachi, Pakistan where she attended medical school. She completed her internal medicine residency at IU SOM and joined IU Health Methodist hospital as a hospitalist in 2003, where she’s been ever since. In parallel with her enjoyment of the challenges of clinical hospital medicine, Areeba has developed a diverse set of skills and interests. Her focus is on hospital based care quality and safety which she feels is also embedded in clinical hospital medicine, teamwork and education . Her husband is also a hospitalist and their two children have inspired both to becoming better humans.
Dr Kara’s ASPIRE project has focused on delving deeper into the practice of Geographic Cohorting in the hospital to understand the benefits and downsides of assigning hospitalists by units.
Emily Machogu, MD, and Assistant Professor of Clinical Medicine and Pediatrics at Indiana University School of Medicine. She is a med/peds hospitalist at Eskenazi. Clinically, she spends time on the teaching and non-teaching teams on the internal medicine service, as well as the teaching team on the newborn service. She also serves as the Associate Program Director for the Med/Peds Residency, where she runs the Clinical Competency Committee and works closely with residents in a mentoring role.
Dr. Machogu’s ASPIRE work builds on previous studies demonstrating a physician’s level of stress regarding uncertainty on validated scales is related to costs of care. Her project examines the relationship between the Stress Regarding Uncertainty scales for each physician member of six teaching teams on the internal medicine service at Eskenazi Health, as well as each team’s diagnostic test ordering practices. It also explores the ways team structure affects these results.
Amy Munchhof attended IUSM completing the MD/PhD program in May 2008. She then completed a residency in Internal Medicine and Pediatrics at IUSM in June 2012 and accepted a position as an academic hospitalist at Wishard/Eskenazi hospital as a med/peds hospitalist. The majority of Amy's clinical time is as a medicine hospitalist on teaching and non teaching teams with the remainder of her time in the pediatric urgent care and newborn service. Through her work as a hospitalist Amy has sought projects to improve transitions of care from the hospital to primary care focusing on the discharge process. Amy lives with her husband in Indianapolis and enjoys running, reading, and spending time outdoors.
The goal Dr. Munchhof’s ASPIRE project is to explore preferences of both hospitalists and primary care providers for direct communication at patient discharge to better understand the direct communication process between providers during transition of care. Her project aims to identify shared and different challenges to direct communication, modes of communication, and characteristics of hospitalized patients where direct communication is essential to safely transition care from hospital to primary care.
Shilpee Sinha MD,FACP is a Palliative Care Physician with IU Health . Dr. Sinha joined IU Health in October 2006. She completed her Internal Medicine Residency from Overlook Hospital, affiliated with UMDNJ in 2005 followed by a Fellowship in Palliative Care from Beth Israel Medical Center NY in 2006. Dr. Sinha is board certified in Internal Medicine and Hospice and Palliative Medicine. She has worked in the capacity of a hospitalist and Associate Hospice Medical Director for Ruth Lily Hospice following which she joined the Palliative care department in December 2011. She is currently the Service line leader for IUH Palliative Care Services.
Dr. Sinha’s ASPIRE project focuses on prevalence of advance care planning documents in patients undergoing a surgical procedure who are evaluated in a perioperative clinic for medical optimization. Patients undergoing surgery are under anesthesia and lack capacity for at least that duration and are at risk of complications but often lack any advance care plan or surrogate decision making documents which can impact their care if complications occur. She performed a retrospective chart review on a cohort of 400 patients at 2 sites in an urban tertiary care center.
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