Wednesday, September 29, 2010

Award for Peter Durda

Congratulations to Peter Durda (PhD Candidate) who was recently awarded a scholarship to attend  the course on “Genomic and Proteomic Approaches to Complex Heart, Lung, Blood and Sleep Disorders”, to be held at NIH this week.  Have a good time and don't forget to write!

Saturday, September 25, 2010

New Publication by Rodger Kessler

Congratulations to CCTS Faculty Fellow Rodger Kessler, PhD on this recent article:

Kessler R. What We Need to Know About Behavioral Health and Psychology in the Patient-Centered Medical Home. Clin Psychol Sci Prac 17: 215–217, 2010


As Alexander, Arnkoff, and Glass (2010) suggest, the availability of psychology and behavioral health as part of primary care brings important and complicated issues. Such issues require attention and clinical intervention, with psychological therapy being one element of the complex clinical, organizational, and ļ¬nancial considerations. This commentary outlines some of the issues and offers suggestions to move the venture forward.

Key words: behavioral health, clinical intervention, primary care, psychotherapy services.

Friday, September 24, 2010

Clinical Research Oriented Workshop (CROW) Meeting: Sep 24, 2010

Present: Liz Chen, Abby Crocker, Kairn Kelley, Amanda Kennedy, Rodger Kessler, Ben Littenberg, Charlie MacLean, Connie van Eeghen

1. Round Table: Sometimes our self-assessed failures as teachers can be reconsidered as successes; Abby and Connie shared some good examples

2. Kairn’s Topic
a. Based on past work and data collected; now organized into a defined study question and plan
b. Research question (also the proposed dissertation question): How do target word and subject characteristics influence rater agreement when scoring children’s responses to items on the dichotic words test? Is this a “FINER” research/dissertation topic:
i. Feasible: data already collected
ii. Interesting: yes, to Kairn
iii. Novel: no other research found
iv. Ethical: perhaps political issues, no ethical concerns
v. Relevant: yes, about improving the precision of a class of clinical tests
c. Kairn’s model represents characteristics of the words themselves and the speakers who say them. The focus is what caused the two raters to disagree on interpretation of items on the word test. The raters (who are the subjects of the study) have already been compared to each other and are equivalent in terms of hearing ability.

d. The work ahead:
i. Clarify the model above based on literature (including Amanda’s recommendation to review the work of Bruce Lambert, U of Chicago; studied drug names and the sounds that get confused)
ii. Appropriate statistical test and analysis
iii. How to translate the above into an analytic plan that can be applied to audiology test result assessment in the field
iv. Define the outcome: the graph, table, or conclusion that will answer the research question

3. Next Workshop Meeting(s): Friday, 11:00 a.m. – 12:00 p.m., at Given Courtyard Level 4
a. Oct 1: Connie’s update on qualitative analysis - or other suggestion?
b. Oct 8:
c. Oct 15:
d. Oct 22:
e. Oct 29: Rodger’s article on Behavior’s Influence on Medical Conditions (unpublished)
e. Future agenda to consider:
i. Rodger: Mixed methods article
ii. Future: Review of different types of journal articles (lit review, case study, original article, letter to editor…), when each is appropriate, tips on planning/writing (Abby)
iii. Future: Informed consent QI: Connie to follow up with Nancy Stalnaker, Alan Rubin will follow up with Alan Wortheimer or Rob McCauly
iv. Kairn will ask a librarian to join us for selected issues

4. Fellows document – to be reviewed in the future. We trialed Wednesday meeting times, which started May 5, 2010 and continued until August 25, 2010. We returned to Friday meetings on Sept 3, 2010

Recorder: Connie van Eeghen

Wednesday, September 22, 2010

Clinical Research Oriented Workshop (CROW) Meeting: Sep 17, 2010

Present: Abby Crocker, Kairn Kelley, Amanda Kennedy, Ben Littenberg, Connie van Eeghen

1. Round Table: No updates noted

2. Abby’s Topic

a. Considering two separate populations: pregnant women prescribed opiates for either substance abuse treatment or pain management; receiving different interventions at FAHC and Dartmouth (methadone and buprenorphine respectively) and the effect on their babies
i. What outcomes are relevant; what other variables are important, e.g. provider/patient relationship regarding the mother; when care began…
ii. Limit the study to outcomes at birth up to discharge (not later in the baby’s life);
1. Consider studying the treatment effects on the baby; a large study on the mothers is wrapping up
2. Consider covariates of the mother’s treatment, that may be different than the baby’s treatment (methadone (treated as outpatient) or morphine)
b. Data: retrospective since 2003; methodology will be based on chart reviews; what and how to measure
i. Examples: time on treatment, serious adverse events, time to wean – which are process measures
ii. Outcome examples: mortality, well child markers (growth), 18 month developmental outcomes (50% of population lost to follow up), pre-natal data, APGAR scores, birth weight, gestational age at birth, head circumference
iii. Following birth: length of stay, neonatal abstinence syndrome score (a semi-continuous measure), adverse events (e.g. seizures)…
iv. Any research requiring consent for access to records can be started now for future use, but not for this study
c. Analysis: the birth related variables related to the abstinence syndrome score, according to what they were given at birth, controlled for what the mother was given for her addiction
d. Develop for the future: possible collaborators, future topics

3. Next Workshop Meeting(s): Friday, 11:00 a.m. – 12:00 p.m., at Given Courtyard Level 4
a. Sept 24: Kairn’s research topic
b. Oct 1: Rodger’s article on Behavior’s Influence on Medical Conditions (or mixed methods)?
c. Oct 8: Connie’s update on qualitative analysis
d. Future agenda to consider:
i. Rodger: Mixed methods article
ii. Rodger: Unpublished article on the influence of behavior on medical conditions and function-and behavioral interventions with medical issues
iii. Future: Review of different types of journal articles (lit review, case study, original article, letter to editor…), when each is appropriate, tips on planning/writing (Abby)
iv. Future: Informed consent QI: Connie to follow up with Nancy Stalnaker, Alan Rubin will follow up with Alan Wortheimer or Rob McCauly
v. Kairn will ask a librarian to join us for selected issues

4. Fellows document – to be reviewed in the future. We trialed Wednesday meeting times, which started May 5, 2010 and continued until August 25, 2010. We returned to Friday meetings on Sept 3, 2010

Recorder: Connie van Eeghen

Tuesday, September 21, 2010

No Noon Seminar Friday September 24

There will be no Noon Seminar Friday September 24
Instead, there will be a CTS faculty meeting. The agenda will include:
Update on the Center and the grant
Update on Danbury
Update on admissions
Discussion of possible new academic programs in CTS
Other business as always. Please let me know if you have an item.

Thanks

Ben

Fwd: Lunch, Other with Health & Urban Design & Transportation Expert

-
From: Richard Watts <rwatts@uvm.edu>
Date: Mon, Sep 20, 2010 at 12:10 PM
Subject: Lunch, Other with Health & Urban Design & Transportation Expert

Hi All:

Anne Vernez Moudon will be on campus October 6. She is an expert
researcher in the area at the intersection of transportation and health
and urban design  and directs the Urban Form  lab at the University of
Washington.  There are two talks that day, a round-table at the TRC at
11:00 and a Burack Lecture at Waterman 413A at 4:00, titled:

*/Physical Activity and Travel: How Land Use and Transportation Can
Contribute to Better Health /*


There are spaces for lunch (12:30 Waterman) and time for a possible
short meeting in the early afternoon. Please let me know if interested
in attending one of these events or in joining us for lunch that day --
let me know soon as space is limited. Feel free to pass on to other
faculty you know would be interested, and please announce in your
classes, if appropriate.

Thanks, Richard

Following is a link to her web page and a short bio.
http://sph.washington.edu/faculty/fac_bio.asp?url_ID=Vernez-Moudon_Anne

About Anne Vernez Moudon, Ph.D.

Dr. Moudon directs the Urban Form Lab at the University of Washington
specializing in the spatial analysis of the built environment using
micro-scale data in Geographic Information Systems. The research
addresses such topics as land monitoring, neighborhood and street
design, non-motorized transportation, physical activity, and access to
food environments. The work has been supported by the U.S. and
Washington State Departments of Transportation, the Centers for Disease
Control and Prevention, the Robert Wood Johnson Foundation, the National
Institutes of Health, and local agencies.

Dr. Moudon has published many articles in urban design, transportation,
and public health journals. Her books include /Built for Change:
Neighborhood Architecture in San Francisco/ (MIT Press 1986), /Public
Streets for Public Use/ (Columbia University Press 1991), and
/Monitoring Land Supply with Geographic Information Systems/ (with M.
Hubner, John Wiley & Sons, 2000).

Saturday, September 18, 2010

Graduate Student Research Day

Graduate Student Research Day and Graduate Alumni Award Ceremony 
Thursday, October 14, 2010

Graduate students in the College of Medicine and associated graduate programs (CMB, NGP, CTS) are invited to present their work at the Graduate Student Research Day on Thursday, October 14.

There will be a lunch and poster session from 12:00-2:00, followed by oral presentations until 4 pm, and then an Awards Reception and Ceremony from 4:30 - 6:00 pm in conjunction with the presentation of the Graduate Alumni Award to Dr. Brooke Mossman of the Department of Pathology.

Entry form should be submitted electronically to cberger@uvm.edu by Sept. 22, 2010.

Oral Presentation Prizes
1st place $200
2nd place $100
3rd place $50

Poster Prizes
1st place $150
2nd place $75
3rd place $25

Thursday, September 16, 2010

Clinical Research Oriented Workshop (CROW) Meeting: Sep 10, 2010

Present: Ben Littenberg, Charlie MacLean, Connie van Eeghen

1. Round Table: Next week starts our Thursday lunch meetings, informal sessions with no agenda

2. Connie’s Qualitative Analysis

a. Connie reviewed her goal to assess qualitative data according to the dependent variables of her study. The interviews and survey questions that resulted in these data were broad, open ended questions asking about the way quality improvement processes occur in the provider office practice participating in the study. Several researchers had reviewed the data and given Connie back examples of the themes they had found in the data.
b. The themes identified by the researchers did not result in evidence related to the study question, which asks if a particular form of office systems analysis (AA3) can improve the process of quality improvement in small health care settings with limited resources. The quantitative portion of the data collected asks these questions in pre- and post-project surveys. The qualitative data were collected to generate further hypotheses about why AA3 might or might not be helpful in QI projects.
c. The themes did, however, say a great deal about the practice itself and they also related directly to the independent variables of the study. How this may be useful may be more evident in the cross case analysis, when there are several case studies to look at. For next steps with this case study, however, Connie will:
i. State the research question, including the variables being examined
ii. Define those terms as precisely as possible
iii. Specify what the qualitative analysis is intended to produce/support
iv. Comb the data for findings
d. Connie will return and present these findings for the group to consider and to play the role of “dissertation committee” before she proceeds to analyze other case studies. Thanks to all for their help.

3. Next Fellows Meeting(s): Friday, 11:00 a.m. – 12:00 p.m., at Given Courtyard Level 4
a. Sept 17: Abby’s topic?
b. Sept 24: Rodger’s article on Behavior’s Influence on Medical Conditions (or the one on mixed methods)?
c. Oct 1:
d. Future agenda to consider:
i. Rodger: Mixed methods article
ii. Rodger: Unpublished article on the influence of behavior on medical conditions and function-and behavioral interventions with medical issues
iii. Future: Review of different types of journal articles (lit review, case study, original article, letter to editor…), when each is appropriate, tips on planning/writing (Abby)
iv. Future: Informed consent QI: Connie to follow up with Nancy Stalnaker, Alan Rubin will follow up with Alan Wortheimer or Rob McCauly
v. Kairn will ask a librarian to join us for selected issues

4. Fellows document – to be reviewed in the future. We trialed Wednesday meeting times, which started May 5, 2010 and continued until August 25, 2010. We returned to Friday meetings on Sept 3, 2010

Recorder: Connie van Eeghen

Wednesday, September 15, 2010

Fwd: Job opportunity for a motivated grad

"The State of Vermont is seeking someone with an interest in health data and policy analysis who can manage complex projects and is proficient in use of statistical software and database and reporting applications. Go to https://erecruit.per.state.vt.us/ , click on Search and see
Program Management Specialist listed under Banking & Insurance."



Re: VIReC Clinical Informatics Seminar, September 21 - REGISTER NOW!! - Computerized Interventions to Improve Prescribing Practices

CyberSeminar Tuesday, September 21 - Computerized Interventions to Improve Prescribing Practices
VA HSR&D CyberSeminars

VIReC Clinical Informatics Seminar

Computerized Interventions to Improve Prescribing Practices

By Sylvain DeLisle, MD, MBA

Tuesday, September 21, 12:00pm - 1:00pm ET

Objectives:
1) Gain a conceptual framework for the pharmacotherapeutic process
2) Gain an approach to establish requirements for informatics interventions in pharmacy
3) Understand how to evaluate such an intervention: antibiotics stewardship in the outpatient arena

** Advance registration is now required **
Register

Register for the session on September 21   

Check your Live Meeting settings in advance

Check your Live Meeting settings in advance   



Questions? Email cyberseminar@va.gov

This is a VIReC Clinical Informatics Seminar Presentation.
For more information on these and other HSR&D Cyber Seminars go to http://www.hsrd.research.va.gov/for_researchers/cyber_seminars.

Tuesday, September 14, 2010

Teaching in Higher Education - GTP workshop

UVM's Center for Teaching and Learning, Writing in the Disciplines (WID),
and the Graduate College invite graduate students to participate in this new
program. Graduate students completing the program can earn formal
recognition from the Graduate College.

The program is designed for graduate students who are interested in pursuing
teaching in higher education.

Learn more at http://www.uvm.edu/ctl/gtp/

Applications to the program are on the web page and due by October 1, 2010.

An upcoming workshop for all Graduate Students interested in teaching and in
the GTP  is coming up this Friday.  Register at http://uvm.edu/ctl/register/

Description Below:

Teaching in Higher Education - GTP workshop<
http://www.uvm.edu/ctl/apps/ctlcal/events/411>

Friday, September 17 @ 03:00 PM - 05:00 PM

This workshop is meant to be the orientation session of the NEW Graduate
Teaching Program. This workshop will help you reflect on your teaching
practice, and help create a peer network of graduate students interested in
teaching. We will discuss the development of your teaching philosophy, We
will share current research on teaching practices: High Impact and Universal
Design for Learning. Finally, the last part of the workshop will be about
the requirements of the NEW Graduate Teaching Program.

Event details:

 *   Contact: Holly B. Parker, Holly.Parker@uvm.edu<mailto:
Holly.Parker@uvm.edu>, 802/656-1124
 *   Facilitated by: Holly B. Parker, Ctr for Teaching & Learning
Susanmarie Harrington, Director, Writing in the Disciplines
Charles Rathbone, Education
 *   Location: CTL Commons, 303 Bailey/Howe Library


Wednesday, September 8, 2010

Workshop: From Funding to Publication




banner Aug 2010.jpg 



From Funding To Publication
September 22-October 28, 2010

This workshop series will be held in Dana Medical Library Computer Classroom on six consecutive Wednesdays from noon to 1 pm. The sessions will be
repeated each Thursday, at the same time.

Through a combination of lectures and hands-on exercises, participants will learn about software, web sites, and databases that facilitate finding, managing, and publishing the results of scholarly research. The series is especially appropriate for graduate students, fellows, and junior faculty.

September 22 and 23: Advanced literature review skills, Discover expert search techniques to refine and focus your literature searches. Use MyNCBI to set up automatic e-mail updates, and save searches, bibliographies, and settings.
Instructors: Fran Delwiche, Donna O’Malley, Dana Medical Library.

September 29 and 30: Managing references with Endnote, Create a list of references in Endnote, download records from online, add citations to a paper using Endnote and Microsoft Word.
Instructor: Angie Chapple-Sokol, Dana Medical Library

October 6 and 7: Sources and databases beyond PubMed
, Explore other high quality databases and data sources in the biomedical sciences.
Instructors: Nancy Bianchi and Donna O’Malley, Dana Medical Library

October 13 and 14: Preparing posters
, Learn guidelines for creating legible, attractive, and effective scientific posters. Identify sources of medical images and discuss associated copyright issues.
Instructor: Raj Chawla, Medical Photography, College of Medicine

October 20 and 21: Scholarly publishing, Evaluate approaches to assessing journal quality, determine author's rights, explore alternative publishing models.

Instructors: Gary Ward, Microbiology and Molecular Genetics, and Jeanene Light, Dana Medical Library.

October 27 and 28: Identifying funding
, Learn to use the grantseeking and grantwriting resources available to you at UVM.
Instructor: Hilda Alajajian, Office of Sponsored Programs

Space is limited. To register for these sessions, please contact Donna O’Malley,
donna.omalley@uvm.edu, 656-4415.

Graduate Student Research Day ~ October 14th

The UVM College of Medicine

Invites faculty, staff, friends, students and alumni to join the College of Medicine community to celebrate the achievements of our graduate students and graduate alumni at the

Graduate Student Research Day
featuring the presentation of 
The 2010 Graduate Alumni Award to 
Dr. Brooke Mossman, MS '70, PhD '77
 -
 Thursday October 14, 2010

Graduate students in the College of Medicine and associated graduate programs will present their work in both poster and oral sessions to showcase the quality of their research projects to the College of Medicine Community. Awards will be presented at the end of the day for first, second and third place in both the poster and oral sessions.

The 2010 Graduate Alumni Award will be presented to recognize the achievements of Dr. Brooke Mossman, Professor of Pathology, whose dedication as both a scientist and mentor serve as an inspiration to our entire community.

Schedule of Events

12:30-2:00 p.m.  Graduate Student Poster Session - Hoehl Gallery, HSRF 100
2:00-4:00 p.m.   Graduate Student Research Talks - HSRF 400 Conf. Rm
4:30-6:00 p.m.   Award Presentation & Reception- Hoehl Gallery, HSRF 100

To attend the Award Presentation & Reception kindly RSVP by September 30, 2010 to 802-656-4014 or email: medalumni.relations@uvm.edu <mailto:medalumni.relations@uvm.edu>

Tuesday, September 7, 2010

New Faculty Publication



The Effect of Medication Samples on Self-Reported Prescribing Practices: A Statewide, Cross-Sectional Survey

DOI: 10.1007/s11606-010-1483-x

Abstract

Background  

The pharmaceutical industry spends billions of dollars annually to encourage clinicians to prescribe their medications. Small studies have demonstrated that one of the marketing strategies, the distribution of free sample medications, is associated with increased use of brand name medication over generic medication.

Objectives  

To determine the relationship between the presence of drug samples in primary care clinics and prescription of preferred drug treatments.

Design  

Cross-sectional survey.

Participants  

Primary care prescribers in the state of Vermont.

Main Measurement  

Prescribers were presented with two clinical vignettes and asked to provide the name of the medication they would prescribe in each case. We compared the responses of prescribers with and without samples in their clinics.

Key Results  

Two hundred six prescribers out of the total population of 631 returned the survey and met the eligibility criteria. Seventy-two percent of prescribers had sample closets in their clinics. Seventy percent of clinicians with samples would prescribe a thiazide diuretic for hypertension compared to 91% in those without samples (P < 0.01). For managing depression 91% of prescribers with samples would have provided a generic medication in a patient with no health insurance, compared to 100% of those without samples in their clinic (P = 0.02).

Conclusions  

Clinicians with samples in their clinics were less likely to prescribe preferred medications for hypertension and depression.

Friday, September 3, 2010

Medical Error Talk - highly recommended

Bob is a national leader in medical error reductions and a fine speaker. I'm looking forward to this one!
--Ben

Friday, September 10, 2010

Burack President's Distinguished Lecture Series: "What We Need to Know and Do to Cure Our Epidemic of Medical Mistakes." Robert M. Wachter, professor and associate chair, Department of Medicine, University of California, San Francisco. Davis Auditorium, Medical Education Center Pavilion, Fletcher Allen Health Care. 8 a.m. Information: (802) 847-7911.

Wednesday, September 1, 2010

Clinical Research Oriented Workshop (CROW) Meeting: Aug 25, 2010

Clinical Research Oriented Workshop (CROW) Meeting: Aug 25, 2010

Present: Abby Crocker, Rodger Kessler, Ben Littenberg, Charlie MacLean, Connie van Eeghen

1. Round Table: Next meeting starts our new schedule on Fridays:
a. Sept 3, 11:00 – 12:00
b. Followed by noon seminar, when scheduled

2. Connie’s Discussion: Qualitative assessment on answers to questions related to “Ease of Use” of QI processes

a. At our August 11 workshop, the group conducted a first trial of a qualitative assessment that concluded with the recognition that we needed the context of the questions that stimulated the utterances created during this case study. For a second trial, we decided to look at the utterances related to questions about the dependent variable “ease of use” by previewing a document with just these utterances ahead of time and creating themes separately.
b. At this workshop, we analyzed the major themes that came from these separate exercises; there were 35 non-unique themes and we grouped them into 8 unique themes:
i. Ease of Use – high
ii. Ease of Use – low
iii. Complex
iv. Process evaluation
v. Burdens
vi. QI process criteria
vii. Management role
viii. Culture
c. This analysis was done recognizing that the themes are completely dependent on the reviewers and the moment-of-review; a second review process might produce different results. (And, it is interesting to note similarities and differences in themes created by an independent reviewer, not present for this meeting: Protocol characteristics (the way the process of the project is organized), Leadership, Feedback, Engagement, Perceptions about the underlying conceptual model of QI, Perceptions of the outcome of QI, Resources.)
d. We discussed contradictory themes, and noted that the comments were mixed in that some were made about A3 and others were made about other QI processes prior to the A3 project
e. We disagreed about whether the headings we came up with were really about "ease of use." One of the reviewers found many of the comments not directly related to this variable and put them in a "not relevant" pile whereas others found tangential linkages that led to other headings.
f. We discussed a new approach: providing the group with the entire transcript - all the comments - and to ask for a "grounded theory" approach to creating themes. Assessments of what these say about dependent and independent variables will either come spontaneously from the reader or from a second stage of review not yet defined. To be continued at a later Workshop.

3. Next Fellows Meeting(s): Friday, 11:00 a.m. – 12:00 p.m., at Given Courtyard Level 4
a. Sept 3 (NOTE: FRIDAY SCHEDULE STARTS): Abby will present her research topic
b. Sept 10: Connie and Qualitative Data Analysis, part 3
c. Sept 17: Rodger’s article on Behavior’s Influence on Medical Conditions (or the one on mixed methods)?
d. Sept 24:
e. Future agenda to consider:
i. Rodger: Mixed methods article
ii. Rodger: Unpublished article on the influence of behavior on medical conditions and function-and behavioral interventions with medical issues
iii. Future: Review of different types of journal articles (lit review, case study, original article, letter to editor…), when each is appropriate, tips on planning/writing (Abby)
iv. Future: Informed consent QI: Connie to follow up with Nancy Stalnaker, Alan Rubin will follow up with Alan Wortheimer or Rob McCauly
v. Kairn will ask a librarian to join us for selected issues

4. Fellows document – to be reviewed in the future. We trialed Wednesday meeting times, which started May 5, 2010 and continued until August 25, 2010. We returned to Friday meetings on Sept 3, 2010

Recorder: Connie van Eeghen

Re: Informatics Grand Rounds - Tuesday, September 14th 4PM-5PM

INFORMATICS GRAND ROUNDS

MEANINGFUL USE AND VERMONT HEALTH REFORM – CONFLICT OR CATALYSIS?  
David Cochran, MD
President and CEO
Vermont Information Technology Leaders, Inc. (VITL)

Date/Time:        
Tuesday, September 14th, 2010
4:00 PM – 5:00 PM

Location:    
Medical Education Center Room 300 (Reardon Classroom)
http://www.uvm.edu/map/
(Note: for those who are interested in attending remotely, we are exploring the use of live Web broadcasting and will provide more information closer to the date.)

Abstract:
Vermont has been on a multi-year path to transforming its health system which has included a significant focus on the use of health information technology to enable improved care. In 2009, the HITECH component of the American Recovery and Reinvestment Act created the requirement for the "meaningful use" of electronic health records by providers in order to qualify for incentive payments. The specifications for meaningful use have recently been released. How do these requirements support or conflict with Vermont's health reform initiatives? What can we anticipate in the next few years in Vermont in the deployment of electronic health records and information exchange?

Speaker Bio:
David Cochran, MD is President and CEO of Vermont Information Technology Leaders, Inc (VITL). VITL is responsible for supporting the deployment of Electronic Health Records throughout Vermont in support of the state's ambitious health care reform initiatives. In addition, VITL manages Vermont's statewide Health Information Exchange (HIE).
      Before joining VITL in July 2009, Dr. Cochran was the senior vice president for strategic development at Harvard Pilgrim Health Care, one of the leading health plans in the U.S. In that position, he led the company's business planning and strategy development processes. From 1993 to 2000, Dr. Cochran was the associate medical director for clinical practice systems at Harvard Pilgrim, where he led the effort to select and implement a new clinical information system and electronic medical record.  At Harvard Pilgrim, Dr. Cochran also led physician teams in the development and implementation of clinical guidelines, which included automating one of the first health screening guidelines in a health plan. He was directly responsible for the consumer health and provider support components of Harvard Pilgrim's Internet strategy. From 1986 to 1993, he served as the director of several health centers in the health plan's Boston-area network, providing 500,000 patient visits a year. Dr. Cochran received his medical degree from Harvard Medical School in 1979. He did his internship in Internal Medicine at UC San Francisco Affiliated Hospitals, and his residency in Medicine, Primary Care at UC San Francisco Affiliated Hospitals. He was an Internist at Harvard Community Health Plan in Boston from 1982 to 1997.

Flyer (feel free to post/share):
http://bit.ly/9vHVsJ

Informatics Grand Rounds is a joint initiative between the University of Vermont (Center for Clinical and Translational Science – Informatics Unit, Continuing Education, and Dana Medical Library), Fletcher Allen Health Care, and the State of Vermont.
http://www.uvm.edu/~ccts/web/informatics/grandrounds