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Departments

Division of Clinical Decision Making, Informatics and Telemedicine

National Library of Medicine Fellowships in the Division of Clinical Decision Making

For the past 27 years, the Division of Clinical Decision Making, Informatics, and Telemedicine at Tufts-New England Medical Center has offered training in clinical informatics under the funding of the National Library of Medicine. For the past decade, we have been a component of the Boston Combined Medical Informatics Training Program. We offer training only to physicians under this program, most commonly clinicians who have completed all or most of their specialty training. Most trainees spend two or three years in the program, participating in all aspects of the Division's activities. We are looking for clinicians who have an interest in pursuing a career in academic medicine and who have good analytic skills. We are located at Tufts-New England Medical Center, the principal teaching hospital for the Tufts University School of Medicine in downtown Boston.

The fellowship consists of one to three years of postdoctoral research training in clinical informatics, clinical decision analysis, cost- effectiveness (especially pharmaco-economics) and health policy analysis, guideline development, clinical decision support, clinical cognition and clinical reasoning and telemedicine. Fellows develop skills in computerized decision analysis in medical decision making, including decision tree construction, Markov model development, Monte Carlo simulation, Bayesian interpretation of diagnostic tests, the measurement of patient preferences, cost-effectiveness analysis, literature review, evidence-based medicine and meta-analysis.  These skills enable fellows to pursue clinical research questions examining the thorough and efficient evaluation of diagnostic possibilities, the value or information content of the medical history, physical examination and diagnostic tests, determination of the optimal diagnostic test or test sequence, selection of the optimal therapy, and evaluation of new medical technologies (tests, devices or drugs).

Fellows support a clinical decision making consultation service which examines complex management dilemmas in individual patients and provides advice in framing complex or unusual problems, particular ones that strongly depend on patients' preferences or where tradeoffs (e.g., length of life vs quality of life). Recommendations are based on literature review and formal decision analysis. Typical consults involve patients with a clinical indication for anticoagulation but with risk factors for bleeding complication or multiple co-morbidities facing possible surgery. On a policy level, fellows also become involved with health policy and cost-effectiveness analysis. Previous such projects have ranged from coronary artery revascularization, anticoagulation for atrial fibrillation or prosthetic heart valves, postmenopausal hormone replacement therapy, screening for cancer, treatment for hepatitis, and prenatal genetic testing. There are numerous opportunities for collaboration with other faculty such as Harry Selker, MD, MPH (Clinical Care Research) and Joseph Lau, MD (Cochrane Center) among others.

A typical decision analysis involves seven steps: 1) defining the clinical question, 2) specifying the alternative strategies, 3) defining the outcomes that might result from each alternative strategy, 4) estimating the likelihood of each outcome, 5) determining the value of each outcome (e.g., life expectancy or quality-adjusted life expectancy or costs), 6) folding back and averaging out to estimate the average expected value of each strategy, and 7) performing sensitivity analysis by varying each parameter used in the analysis over a broad range to determine the robustness of the base case decision results. Each component of the analysis is based on the synthesis of the best available data in the literature coupled with an understanding of the underlying pathophysiology and current clinical practice patterns. Each component (probability or mortality rate) in the decision analysis requires a thorough examination of the medical literature, examining study populations and outcomes and pooling data when appropriate. These literature reviews form the basis for creating decision trees (simple trees, Markov models or Monte Carlo Simulations), estimating probabilities, estimating life expectancy, performing utility and functional status assessments, defining test characteristics, performing meta-analysis or ROC analysis, and determining the optimal operating point on the ROC curve. Our Division has extensive experience examining outcome and quality of care assessment through our collaboration with the Division of Nephrology. In addition, our Division collaborates with the Division of Critical Care Research and the Division of Health Services Research for assistance with study design, database design, statistical analysis, predictive instrument development and meta-analysis. Our Division has been active in pharmacoeconomics examining the cost-effectiveness analyses of drug intervention trials, using our ability to examine resource allocation and variable costs as well as total costs and charges through the Clinical Cost Manager hospital cost accounting system. The Division also has experience with clinician interfaces by assisting with the design of decision support tools at the bedside, an example being the pneumonia decision support and quality of care assessment tool.

Our Division has been involved with numerous consensus conferences and guideline development processes for the National Institutes of Health (NIH), Office of Medical Applications Research (OMAR), Institute of Medicine (IOM), American College of Chest Physicians (ACCP), American College of Physicians (ACP), and Agency for Health Care Policy and Research (AHCPR) sponsored Patient Outcome Research Teams (PORTs) on Chronic Ischemic Heart Disease (IHD) and Diabetes Mellitus. Most recently, we are a part of the New England Medical Center AHCPR Evidence-based Practice Center awarded to Dr Joseph Lau.

Funding for fellows to take formal courses at local institutions such as Tufts, Boston University, MIT and Harvard is included as part of the program. Trainees are strongly encouraged to develop independent projects in informatics, pharmaco-economics or decision theory, which lead to publications and presentations at national meetings. Funding for travel to national meetings to present their research is also available. Funding for this fellowship is from the National Library of Medicine and is restricted to US citizens or foreign nationals holding permanent residency - a "Green Card." Many of our former fellows have moved on to leadership positions in informatics, policy-making, teaching or their clinical subspecialty.  Most former trainees are general internists, but the fellowship complements training in other clinical specialties.  Thus, former trainees include physicians in cardiology, nephrology, infectious diseases, hepatology, gastroenterology, hematology, oncology, pediatrics, cardiothoracic surgery, pathology, radiology, psychiatry, and neurology. 

Publications by Fellows since 1999

Stahl JE, Barza M, DesJardin J, Martin R, Eckman MH. Effect of macrolides as part of initial empiric therapy on length of stay in patients hospitalized with community acquired pneumonia. Archives of Internal Medicine, 1999;159:2576-80.

Singh SK, Kao G, Erban J, Eckman MH. Screening for Factor V Leiden mutation in patients with venous thromboembolism. Presented at the 21st Annual Meeting of the Society for Medical Decision Making Medical Decision Making 1999;19:543.

Singh S, Thaler D, Hijazi Z, Salem D, Pauker SG. Patients with patent foramen ovale: When do we seek closure? Presented at the 49th Annual Scientific Session of the American College of Cardiology, Journal of the American College of Cardiology 2000;35(suppl A);550A.

Braithwaite RS, Col NF, Hirota LK, Wong JB. Estimating hip fracture morbidity, mortality, and costs. Selected for oral presentation at Symposium on Quantitative Synthesis at the 23rd Annual Meeting of the Society of General Internal Medicine, Journal of General Internal Medicine 2000;15(Suppl 1):55.

Cheng SJ, Bonis P, Lau J, Pham N, Wong JB. Interferon and ribavirin for patients with chronic hepatitis C who did not respond to previous IFN therapy: a meta-analysis of controlled and uncontrolled trials. Presented at AASLD, Digestive Disease Week, Gastroenterology 2000;118(Suppl 1):A948.

Braithwaite RS, Lau J, Chlebowshi RT, Hirota LK, Col NF. A meta-analysis of vascular and neoplastic events associated with tamoxifen. Presented at the 22nd Annual Meeting of the Society for Medical Decision Making and awarded a Lee Lusted Student Prize, Medical Decision Making 2000;20:485.

Cheng SJ, Pratt DS, Freeman RB, Kaplan MM, Wong JB. Living donor versus cadaveric liver transplantation for patients with non-resectable small hepatocellular carcinoma and Child's A cirrhosis: A decision analysis. Presented at the 51st meeting of the American Association for the Study of Liver Disease, Hepatology 2000;32(pt 2):247A.

Wong JB, Cheng SJ, McQuillan GM, Poynard T, McHutchison JG. Cost-effectiveness of screening for hepatitis C. Presented at the 51st meeting of the American Association for the Study of Liver Disease, Hepatology 2000;32(pt 2):424A.

Katz D, Payne D, Pauker S. Early surgery versus conservative management of dissecting aneurysms of the descending thoracic aorta. Medical Decision Making 2000;20:377-93.

Cheng SJ, Bonis PA, Lau J, Pham NQ, Wong JB. Interferon and ribavirin for patients with chronic hepatitis C who did not respond to previous IFN therapy: a meta-analysis of controlled and uncontrolled trials. Hepatology 2001;33:231-40.

Braithwaite RS, Fortin JM, Bond BE, Col NF. Does the source of medical information affect perceived health risks? Journal of General Internal Medicine 2001;16(suppl 1):119.

Braithwaite RS, Wolf MP, Skolnik PR, Lau J, Wong JB. A meta-analysis of viral load detectability with highly active anti-retroviral therapy (HAART). Journal of General Internal Medicine 2001;16(suppl 1):120.

Cheng SJ, Freeman RB, Wong JB. Predicting the probability of progression free survival in patients with small hepatocellular carcinoma. Presented at TRANSPLANT 2001 the 2nd annual Joint Transplant Meeting of the American Society of Transplant Surgeons and the American Society of Transplantation, Liver Transplantation 2001.

Cheng SJ, Pratt DS, Freeman Jr RB, Kaplan MM, Wong JB. Living-donor versus cadaveric liver transplantation for non-resectable small hepatocellular carcinoma and compensated cirrhosis: a decision analysis. Liver Transplantation 2001;72(5):861-8.

Braithwaite RS, Wolf MP, Skolnik PR, Lau J , Wong JB. Meta-analysis of viral load detectability, aids-defining events, and deaths with highly active anti-retroviral therapy (HAART). Presented at the 23rd Annual Meeting of the Society for Medical Decision Making, Medical Decision Making 2001;21:538.

Braithwaite RS, Wong JB. A Monte-carlo simulation of phenotypic resistance development in HIV patients treated with highly active anti-retroviral therapy (HAART). Presented at the 23rd Annual Meeting of the Society for Medical Decision Making, Medical Decision Making 2001;21:546.

Eckman MH, Singh SK, Erban JK, Kao G. Testing for Factor V Leiden in patients with pulmonary or venous thromboembolism: a cost-effectiveness analysis. Medical Decision Making 2002;22(2):108-24.

Rothberg M, Bennish ML, Kao JS, Wong JB. Do the benefits from varicella vaccination outweigh the long-term risks? a decision-analytic model for policymakers and pediatricians. Clinical Infectious Disease 2002;99(7):885-94.

Cheng SJ, Freeman RB Jr, Wong JB. Predicting the probability of progression-free survival in patients with small hepatocellular carcinoma. Liver Transplantation 2002;8(4)323-8.

Hoffman SN, Wolf MP, TenBrook JA Jr, Wong JB. Statistical methods for selection of hazard functions to extrapolate survival data. Presented at the 24th Annual Meeting of the Society for Medical Decision Making. Medical Decision Making 2002;22(6):535. 

TenBrook JA Jr, Hoffman SN, Wolf MP, Pauker SG, Salem DN, Wong JB. A meta-analysis of randomized trials of coronary artery bypass graft surgery versus percutaneous transluminal coronary angioplasty. Presented at the 24th Annual Meeting of the Society for Medical Decision Making. Medical Decision Making 2002;22(6)540. 

TenBrook JA Jr, Wolf MP, Hoffman SN, Rosenwasser LJ, Konstam MA, Salem DN, Wong JB. Should beta-blockers be given after myocardial infarction to patients with peanut allergy? Presented at the 24th Annual Meeting of the Society for Medical Decision Making. Medical Decision Making 2002 2002;22(6):551.

Braithwaite RS, Col NF, Wong JB. Estimating hip fracture morbidity, mortality and costs. Journal of the American Geriatrics Society 2003;51(3):364-70.

Hoffman SN, Tenbrook JA Jr, Wolf MP, Pauker SG, Salem DN, Wong JB. A meta-analysis of randomized controlled trials comparing coronary artery bypass graft with percutaneous transluminal coronary angioplasty: one- to eight-year outcomes. Journal of the American College of Cardiology 2003;41(8)1293-304.

TenBrook JA Jr, Iafrati MD, O'Donnell TF, Wolf MP, Pauker SG, Wong JB. Surgical outcomes of subfascial endoscopic perforator surgery (SEPS) for venous ulcer: a meta-analysis. Oral presentation at the 15th Annual American Venous Forum. 2003:25.

Hoffman SN, TenBrook JA Jr, Wolf MP, Gohler A, Wong JB. A systematic review and meta-analysis of cognitive decline following coronary artery bypass grafting. Presented at the 25th meeting of the Society for Medical Decision Making, Medical Decision Making 2003;23(6):545.

TenBrook JA Jr, Iafrati MD, O'Donnell Jr TF, Wolf MP, Hoffman SN, Pauker SG, Lau J, Wong JB. Systematic review of outcomes after surgical management of venous disease incorporating subfascial endoscopic perforator surgery. Journal of Vascular Surgery 2004;39(3):583-9.

Fine AM, Wong JB, Fraser HSF, Fleisher GR, Mandl KD. Is it influenza or anthrax? a decision analytic approach to the management of patients with influenza-like illnesses. Annals of Emergency Medicine 2004;43(3):318-28.

Rothberg M, Wong JB. All dysuria is local: a cost-effectiveness model for designing site-specific management algorithms. Journal of General Internal Medicine 2004;19(5pt1):433-43.

Braithwaite RS. Chlebowski RT. Lau J. George S. Hess R. Col NF. Meta-analysis of vascular and neoplastic events associated with tamoxifen. Journal of General Internal Medicine. 2003;18(11):937-47.

TenBrook JA Jr, Wolf MP, Hoffman SN, Rosenwasser LJ, Konstam MA, Salem DN, Wong JB. Should beta-blockers be given to patients with heart disease and peanut-induced anaphylaxis? A decision analysis. Journal of Allergy and Clinical Immunology 2004;113(5)977-82.

Amin MG, Wolf MP, TenBrook JA Jr, Freeman RB Jr, Cheng SJ, Pratt DS, Wong JB. Expanded criteria donor grafts for deceased donor liver transplantation under the MELD System: a decision analysis. Liver Transplantation 2004;10(12):1468-75.

Sondhi M, Jagannath A, Wong J. A meta-analysis of randomized controlled trials with coronary drug-eluting stents. Presented at the 26th Annual Meeting of the Society for Medical Decision Making, Medical Decision Making 2005;i25(1):E43.

Shroff SD, Wong JB. Risks and benefits of the Oraquick HIV-1 rapid test in multiparous women. Presented at the 26th Annual Meeting of the Society for Medical Decision Making, Medical Decision Making 2005;25(1):E27.

Sondhi M, Goffin JR, Cohen BJ, Wong JB, Pauker SG. DEALE-ing with lung cancer and heart failure. Medical Decision Making 2005;25(1):82-94.

Noguchi Y, Nagata-Kobayashi S, Stahl JE, Wong JB. A meta-analytic comparison of echocardiographic stressors. The International Journal of Cardiovascular Imaging 2005;21(2-3):189-207.

Braithwaite RS, Justice AC, Chang CH, Fusco JS, Raffanti SR, Wong JB, Roberts MS. Estimating the proportion of patients infected with HIV who will die of comorbid diseases. American Journal of Medicine 2005;118(8):890-8.

Golan Y, Wolf MP, Pauker SG, Wong JB, Hadley S. Empirical anti-Candida therapy among selected patients in the intensive care unit: a cost-effectiveness analysis. Annals of Internal Medicine 2005;143(12):857-69.

Shah BB, Wong JB. The economics of hepatitis C virus. Clinics in Liver Disease 2006;10:717-34.

Sondhi M, Jagannath A, Wong JB. A meta-analysis of randomized controlled trials with coronary drug-eluting stents compared with bare-metal stents. Internet Journal of Cardiology 2006;3(2) http://www.ispub.com/ostia/index.php?xmlPrinter=true&xmlFilePath=journals/ijc/vol3n2/des.xml.

Barshes NR, Shah BB, Sondhi M, Freeman RB, Wong JB, Vierling JM, Goss JA. Is accepting a liver graft from a donor after cardiac death better than remaining on the wait list and preferring a liver graft from a donor after brain death? Results of a decision analysis. Oral presentation at the 2006 World Transplant Congress.

Sondhi M, Wong J, Pauker SG. Effect of time horizon on incremental cost-effectiveness ratios: how long do we count? Presented at the 28th Annual Meeting of the Society for Medical Decision Making, Medical Decision Making 2006.

Tamura DJ, Shah BB, Sondhi M, Wong JB. The effect of work-up intensity bias on the sensitivity of CT colonography. Presented at the 28th Annual Meeting of the Society for Medical Decision Making, Medical Decision Making 2006.

Rajendra A, Shah BB, Wong J. Impact of hepatitis B genotype on treatment response: a meta-analysis of controlled and uncontrolled trials. Presented at the 57th Annual Meeting of the American Association for the Study of Liver Diseases. Hepatology 2006;(4 suppl 1):556A.

Bonder A, Shah BB, Wong JB. A meta-analysis of HCV treatment in HIV co-infected patients. Presented at the 57th Annual Meeting of the American Association for the Study of Liver Diseases. Hepatology 2006;44(4 suppl 1):325A-326A.

Retana AK, Rajendra A, Wong JB. Prognosis following hepatitis B surface antigen clearance: a systematic review of 9 cohort studies. Oral presentation #91 at Digestive Disease Week and the 108th Annual Meeting of the American Gastroenterological Association, Gastroenterology 2007;132(4 suppl S2):A729.

Rajendra A, Wong JB. Cross trial comparison of genotypic response rates with adefovir, entecavir, or telbivudine for chronic hepatitis B. #S1783 presented at Digestive Disease Week and the 108th Annual Meeting of the American Gastroenterological Association, Gastroenterology 2007;132(4 suppl S2):A729.

Awards for Presentations by Fellows

Sonnenberg FA, Eckman MH, Jacoby I, Pauker SG. Registries of unrelated bone marrow donors: Relation between donor pool size and probability of finding a match. Presented at the 9th Annual Meeting of the Society for Medical Decision Making and awarded a Lee Lusted Student Prize, Medical Decision Making 1986;6:273.

Eckman MH, McNutt RA, Parkinson DR, Pauker SG. A clinical decision analysis of competing risks: a generic model of tumor growth to determine the optimal timing of radical cystectomy after recent myocardial infarction. Presented at the 9th Annual Meeting of the Society for Medical Decision Making and awarded a Lee Lusted Student Prize, Medical Decision Making 1986;6:266.

Wong JB, Tsevat J, Meyer KB, Pauker SG. Modeling therapeutic efficacy in time-dependent Markov Simulations. Presented at the 9th Annual Meeting of the Society for Medical Decision Making and awarded a Lee Lusted Student Prize, Medical Decision Making 1987;7:280.

Tsevat J, Durand-Zaleski I, Snydman DR, Pauker SG, Werner BG, Levey AS. Which renal transplant patients should receive cytomegalovirus immune globulins? A cost-effectiveness analysis. Presented at the 10th Annual Meeting of the Society for Medical Decision Making and awarded a Lee Lusted Student Prize, Medical Decision Making 1988;8:344.

McCarthy BD, Wong JB, Sonnenberg FA. Cost-effectiveness of screening asymptomatic HIV infection. Presented at the 12th Annual Meeting of the Society for Medical Decision Making and awarded a Lee Lusted Student Prize, Medical Decision Making 1990;10:329.

Hillner BE, Smith TJ. Efficacy and Cost Effectiveness of Adjuvant Chemotherapy in Women with Node-Negative Breast Cancer: A Decision Analysis Model. Awarded First Annual Outstanding Paper by a Young Investigator at the 13th Annual Meeting of the Society for Medical Decision Making. New England Journal of Medicine 1991;324:160-8

Col NF, Eckman MH, Karas RH, Pauker SG, Goldberg RJ, Ross EM, Wong JB. Decisions about postmenopausal hormonal replacement therapy: A decision-analytic model. Presented at the plenary session of the 19th Annual Meeting of the Society of General Internal Medicine and awarded the Mack Lipkin, Sr Award for Outstanding Scientific Presentation, Journal of General Internal Medicine 1996;11 (Suppl):57.

Col NF, Eckman MH, Ross EM, Pauker SG, Goldberg RJ, Orr RK, Wong JB. Hormone replacement therapy or alendronate for postmenopausal women with osteoporosis? Presented at the 18th Annual Meeting of the Society for Medical Decision Making and awarded a Lee Lusted Student Prize, Medical Decision Making 1996;16:454.

Rothberg M, Bennish ML, Wong JB. Projecting the long-term consequences of varicella vaccination in infancy. Presented at the 20th Annual Meeting of the Society for Medical Decision Making and awarded a Lee Lusted Student Prize, Medical Decision Making 1998;18:467.

Braithwaite RS, Lau J, Chlebowshi RT, Hirota LK, Col NF. A meta-analysis of vascular and neoplastic events associated with tamoxifen. Presented at the 22nd Annual Meeting of the Society for Medical Decision Making and awarded a Lee Lusted Student Prize, Medical Decision Making 2000;20:485.

Gohler A, Hoffman SN, Wolf MP, TenBrook JA Jr, Wong JB. Post-CABG Cognitive decline: a meta-analysis of outcomes from one week to six months.  Presented at the 2nd Annual Tufts-New England Medical Center Research Day and awarded Clinical Prize given to top 2 abstracts.

Sondhi M, Jagannath A, Wong JB. A meta-analysis of randomized controlled trials with coronary drug-eluting stents.  Presented at the 3rd Annual Tufts-New England Medical Center Research Day and awarded Clinical Prize given to top 2 abstracts.

Former Fellows

Jonathan Gottlieb, MD Senior Vice President for Clinical Affairs and Chief Medical Officer (responsibilities include Department of Information Technology), Thomas Jefferson University Hospital, Associate Professor of Medicine, Pulmonary Medicine and Critical Care, Jefferson Medical College, Philadelphia, PA
Karen Klein, MD Pediatrician, Harvard Vanguard Medical Associates, Boston, MA
J Robert Beck, MD Vice President of Bioinformatics and Chief Information Officer, Fox Chase Cancer Center; Editor Emeritas, Medical Decision Making; President, Society for Medical Decision Making 1996
Joseph Lau, MD Director, Center for Clinical Evidence Synthesis and AHRQ sponsored Tufts-NEMC Evidence Based Practice Center, New England Cochrane Center, Division of Clinical Care Research, Tufts-New England Medical Center, Professor of Medicine, Tufts University School of Medicine, Professor of Clinical Research, Tufts University Sackler School of Graduate Biomedical Sciences, Boston, MA
Barbara Chase, MD Medical Director for Mass Health, MassPro (Massachusetts Peer Review Organization), Waltham, MA
Gregory Peterson, MD Physiatrist, Bones, Spines and Sport Center, Bismarck, ND
Deborah Zarin, MD Director, Technology Assessment Program, Agency for Healthcare Research and Quality, Department of Health and Human Services, Rockville, MD
George Cuchural, MD Infectious Disease, South Shore Hospital, Weymouth, MA
Dennis Plante, MD Associate Professor of Medicine, Department of Medicine, University of Vermont College of Medicine and Fletcher Allen Health Care Center, Burlington, VT, Given Health Care Center, Williston, VT
Bruce Hillner, MD Associate Chair for Information Systems, Department of Internal Medicine, Professor of Medicine, Division of General Medicine and Primary Care, Medical College of Virginia Campus of Virginia Commonwealth University, Richmond, VA; Physician Advisor Medical Information Services, Medical College of Virginia Campus of Virginia Commonwealth University, Richmond, VA
Alan Moskowitz, MD Co-Director, International Center for Health Outcomes and Innovation Research, Associate Professor of Clinical Medicine, Clinical Public Health and Surgery, Departments of Medicine, Surgery and Health Policy and Management, School of Public Health, Columbia University, New York, NY
James Hollenberg, MD Assistant Director of Medicine, Director of Informatics Systems, Medical Informatics and Decision Support, Associate Professor of Medicine, New York Weill Cornell Medical Center, Weill Medical College of Cornell University, New York, NY
Van Howard Dunn, MD Senior Vice President of Medical and Professional Affairs, Health and Hospital Corp, New York, NY
Mark Eckman, MD Director, Division of General Internal Medicine, Director of Center for Clinical Effectiveness, Alice Margaret Posey Professor of Medicine, University of Cincinnati Medical Center, Cincinnati, OH; President, Society for Medical Decision Making 2000
Frank Sonnenberg, MD Director of Healthcare Informatics, University of Medicine and Dentistry of New Jersey, Medical Director of Clinical Information Systems, Robert Wood Johnson University Medical Group, Professor of Medicine, Division of General Internal Medicine, Department of Medicine, UMDNJ Robert Wood Johnson Medical School, New Brunswick, NJ, Clinical Associate Professor of Health Informatics, UMDNJ, School of Health Related Professions, Newark, NJ, Editor Emeritas, Medical Decision Making, President, Society for Medical Decision Making 2006
Stephen Pastan, MD Associate Professor of Medicine, Renal Division, Department of Medicine, Emory Clinic, Emory University School of Medicine, Atlanta, GA
John Wong, MD Chief, Division of Clinical Decision Making, Informatics and Telemedicine, Professor of Medicine, Tufts-New England Medical Center, Tufts University School of Medicine, Boston, MA; President, Society for Medical Decision Making 2003
Robert McNutt, MD Associate Director, Medical Informatics and Outcomes Research, Rush Presbyterian St Lukes Medical Center, Professor of Medicine, Rush Medical College, Chicago, IL
Robert Jayes, MD Associate Professor of Medicine, Epidemiology and Biostatistics, Department of Medicine, Assistant Professor of Health Care Sciences, George Washington University Medical Center, Washington, DC
Isabelle Durand-Zaleski, MD Public Health (Santé Publique), Hôpital Henri Mondor, Paris, France
Craig Fleming, MD Health Outcomes Associates, Internal Medicine, Kaiser Permanente, Vancouver, WA
Oksana Senyk, MD Department of Physiology and Biophysics, University of Alabama at Birmingham, Birmingham, AB
Joel Tsevat, MD Director of Outcomes Research, Department of Internal Medicine, Research Director, Center for Clinical Effectiveness, Associate Professor of Medicine, Institute for Health Policy and Health Services Research, University of Cincinnati Medical Center; Director of HSR&D, Veterans Health Care of Ohio (VISN 10), Cincinnati, OH; President, Society for Medical Decision Making 2002
Klemens Meyer, MD Director of Dialysis Services, Division of Nephrology, Department of Medicine, New England Medical Center, Associate Professor of Medicine, Tufts University School of Medicine, Boston, MA; Medical Director of Information Systems, Dialysis Clinic Inc, Nashville, TN
Paul Roach, MD Cardiologist, Texas Cardiovascular Consultant, Austin, TX
Michael Meistrell, MD President and Chief Operating Officer, AHM Systems, Rancho Viejo, TX
Randolph Peto, MD Medical Director for Quality Improvement, MassPro (Massachusetts Peer Review Organization), Waltham, MA
Michael Hagen, MD Vice President - Assessment Methods Development, American Board of Family Medicine, Professor of Family Practice, Department of Family and Community Medicine, University of Kentucky College of Medicine, Lexington, KY
Anne-Marie Audet, MD MSc SM Assistant Vice President, Improving the Quality of Healthcare Commonwealth Fund, New York, NY
Greg Larsen, MD Director, Cardiac Catheterization Laboratory, Portland VA Medical Center, Associate Professor of Medicine, Division of Cardiology, Oregon Health Sciences University, Portland, OR
Harvey Chang, MD Sir Mortimer B Davis Jewish General Hospital, McGill University Teaching Hospital, Montreal, Quebec, Canada 
Steven Georgeson, MD Cardiologist, Medicor Cardiology, Bridgewater, NJ
Jeffrey Lipton, MD Pathology, Kingsbrook Jewish Medical Center, State University of New York at Brooklyn, Brooklyn, NY
Dawn Provenzale, MD MS Director Gastroenterology Outcomes Research, Associate Professor of Medicine, Duke University Medical Center; Institute for Clinical and Epidemiological Research, Veterans Affairs Medical Center, Durham, NC
Jeffrey Rehm, MD Pulmonary Associates, Mary Washington Hospital, Fredericksburg, VA
Victor Fernandez, MD Pathologist, Girard/Springfield, ILL
Wladimir Hogenhuis, MD MBA Director of Marketing, New Product Development, Worldwide Human Health Marketing, Merck, Whitehouse Station, NJ
Brian Kan, MD, MSc Director Combined Internal Medicine and Pediatrics Residency Training Program, Assistant Professor of Medicine and Pediatrics UCLA, Cedars-Sinai Medical Center, Los Angeles, CA; Board of Directors, Venice Family Clinic; Membership Chair, Section on Combined Med-Peds, American Academy of Pediatrics
Erick Gonzalez, MD Pathologist, CPIP/Ameripath, Beaver Dam, WI
Howard Goldberg, MD Head, Scientific Advisory Board, Clinician Support Technology, Newton, MA; Clinical Instructor, Salem Hospital, Salem, MA and Union Hospital, Lynn, MA
Brian Cohen, MD Director of the Pratt Diagnostic Center, General Medical Associates, Department of Medicine, Tufts-New England Medical Center, Assistant Professor of Medicine, Tufts University School of Medicine, Boston, MA
Murray Krahn, MD Associate Director, Program in Clinical Epidemiology and Health Care Research, University Health Network, Assistant Professor of Medicine, University of Toronto, Toronto, Canada
Elizabeth Penny Israel, MD Chair, Department of Emergency Medicine, Northern Navajo Medical Center, Shiprock, NM
David Katz, MD MSc Associate Professor of Medicine and Epidemiology, Co-director, K-30 Training Program, Division of General Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA
Charles Ellis, MD Insight Data Analysis, Winchester, MA
Robert Holland, MD Assistant Research Professor of Medicine, University of Vermont, College of Medicine, Office of Health Promotion Research, and North Country Hospital, Newport, VT
William Bennett, MD Gastroenterology and Internal Medicine, Bennett Medical Clinic, Starksville, Mississippi
Nananda Col, MD MPP MPH Associate Professor of Medicine, Division of General Internal Medicine, Rhode Island Hospital, Brown Medical School, Providence, RI
Yoshinori Noguchi, MD MPH PhD Associate Professor, Division of General Internal Medicine, Department of Medicine, Fujita Health University School of Medicine, Toyoake, Japan
James Stahl, MD, CM, MPH Assistant Physician in Radiology, Graduate Assistant in Medicine, MGH-Institute for Technology Assessment, Departments of Radiology and Medicine, Massachusetts General Hospital, Instructor in Radiology, Harvard Medical School, Boston, MA
Isao Ohsawa, MD Research Center of Health, Physical Fitness and Sports Nagoya University, Nagoya, Japan
Michael Rothberg, MD Assistant Professor of Medicine, Division of General Medicine and Geriatrics, Department of Medicine, Baystate Medical Center, Tufts University School of Medicine, Springfield, MA
Roger Li, MD Medical Officer, Division of Medical Imaging and Radiopharmaceutical Drug Products, Center for Drug Evaluation and Research, Federal Drug Administration, Department of Health and Human Services, Washington, DC
Sushil Singh, MD Cardiology Section, Boston Medical Center, Boston University School of Medicine, Boston, MA
Hamish Fraser, MBChB, MSc, MRCP Director of Informatics and Telemedicine, Partners in Health, Program in Infectious Disease and Social Change, Department of Social Medicine, Faculty, Children's Hospital Informatics Program, Instructor, Boston Childrens Hospital, Harvard Medical School, Boston, MA
Steven Cheng, MD Gastroenterology/Hepatology, Kaiser Permanente, Walnut Creek, CA
R. Scott Braithwaite, MD Assistant Professor of Medicine, Section of General Internal Medicine, Department of Medicine, Yale University School of Medicine and Connecticut VA Healthcare System, New Haven, CT
Devashish Sen, MD Clinical Instructor in Anesthesiology, Fellow in Pain Management, Caritas St. Elizabeth's Medical Center, Brighton, MA
Michael Wolf, MD Internist, Crystal Run Health Care, Middletown, NY 
Stuart Hoffman, DO Neurologist, Department of Neurology, Associate, Outcomes Research Institute Geisinger Health System Danville, PA 
John TenBrook Jr, MD Hospitalist, Rehabilitation Medical Associates, South Shore Hospitalist Group, Braintree, MA 
Sunil Shroff, MD Part-time Attending Staff, Department of Emergency Medicine, Olive View-UCLA Medical Center, Los Angeles, CA
Manu Sondhi, MD, MBA, MPH Associate Medical Director, Health Care Analytics Group-Boston, United BioSource Corporation, Medford, MA
Ted Weitz, MD Health Care Associated Emergency Physicians, Kansas City, MO
David J Tamura, MD Fellow, Department of Hematology and Oncology. Montefiore Medical Center, Albert Einstein School of Medicine, Bronx, NY
Bhavesh B Shah, MD Fellow, Department of Gastroenterology, Alleghany General Hospital, Pittsburgh, PA
Sara Baig, MD Fellow, Cardiovascular Disease, University Hospitals and Clinics, Harry S Truman Memorial Veterans Hospital, University of Missouri-Columbia School of Medicine, Columbia, MO
Wendy Golden, MD, MPH Past Fellow, Clinical Decision Making, Division of Clinical Decision Making, Informatics and Telemedicine, Department of Medicine, Tufts-New England Medical Center, Tufts University School of Medicine, Boston, MA
Arathi Rajendra, MD Fellow, Gastroenterology, Beth Israel Medical Center, Albert Einstein Medical School, New York, NY
J Stewart Evans, MD Fellow, Clinical Decision Making, Division of Clinical Decision Making, Informatics and Telemedicine, Department of Medicine, Tufts-New England Medical Center, Tufts University School of Medicine, Boston, MA
Alexandra Retana, MD Fellow, Clinical Decision Making, Division of Clinical Decision Making, Informatics and Telemedicine, Department of Medicine, Tufts-New England Medical Center, Tufts University School of Medicine, Boston, MA
 
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