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October 7, 2019

GI fellow spotlight: QI edition

We're taking a closer look at the 17 fellows who presented their outstanding quality improvement (QI) projects at DDW 2019.
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Something interesting about my abstract: Delay between biologic prescription and therapy initiation is associated with adverse clinical outcomes in inflammatory bowel disease (IBD) patients.

In my free time I like to run, travel and read.

Jessica Breton, MD
Children’s Hospital of Philadelphia, Pennsylvania

 

Abstract: The Impact of Delay Between Biologic Prescription and Therapy Initiation on Clinical Outcomes in Inflammatory Bowel Disease PatientsAbstract: Proactive Management of Iron Deficiency and Anemia in Pediatric Inflammatory Bowel Disease — Development of a New Care Pathway

Something interesting about my abstract: We developed the first evidence-based care pathway for management of iron deficiency and anemia in pediatric IBD.

In my free time I like to travel and scuba dive.

Something interesting about my abstract: Based upon our findings, we are developing a targeted educational series for providers at our hospital to highlight the risk of venous thromboembolism among IBD patients and the safety of pharmacologic prophylaxis. Future research will focus on measuring the effects of our intervention.

In my free time I like to spend time with family and friends, and I love to travel.

Something interesting about my abstract: A truly simplistic intervention resulted in a statistically significant outcome.

In my free time I like to cook and Bollywood dance.

Something interesting about my abstract: The aim of this study was to improve the clinic visit for patients, with ultimate goals of developing a GERD-QPL created and modified by experts in esophageal disease in addition to patients who experience reflux symptoms and are motivated to help others.

In my free time I like to travel and attempt landscape photography.

Something interesting about my abstract: This is one of the first studies to look at the quality of outpatient preventative care for patients with cirrhosis at a tertiary care liver transplant center.

In my free time I like to go to Dodgers games and travel for weddings.

Something interesting about my abstract: Inpatient endoscopy is a very complicated process with many different components and providers involved; no one person was aware of all the steps and types of delays involved prior to this investigation.

In my free time I like to travel and collect new musical instruments to learn.

Nasim Parsa, MD
University of Missouri Health System, Columbia

Abstract: New Patient Access in a Gastroenterology Clinic: A Quality Improvement Initiative

Something interesting about my abstract: Our new patient access model can be utilized not only to improve other GI clinics, but any subspecialty clinic with a large demand and limited supply.

In my free time I like to explore new hobbies, workout, and spend time with family and friends.

Sahil Patel, MD
Drexel University, Philadelphia, Pennsylvania

Abstract: Improving First-Case Start Delays in a Tertiary Care Academic Endoscopy Unit

Something interesting about my abstract: A seemingly simple intervention resulted in significant improvements in first-case start delay.

In my free time I like to travel, cook, go to concerts and drink wine … in no particular order.

Something interesting about my abstract: The abstract represents the first step of several planned future steps in improving the care of children with constipation at UPMC Children’s Hospital of Pittsburgh and ultimately all of western Pennsylvania.

In my free time I like to play with my 2-year-old son.

Amit A. Shah, MD
Children’s Hospital of Pittsburgh, Pennsylvania

Abstract: Endoscopic Management of Achalasia: Time for Improvement

Something interesting about my abstract: While this quality improvement project was initially focused within the GI department, our multi-disciplinary team has grown to include multiple members from anesthesiology and pharmacy. They are helping us add nebulized lidocaine into our hospital’s formulary to be used as a pre-medication for awake esophageal suction via nasogastric tube prior to anesthesia induction to further reduce risk of aspiration.

In my free time I like to explore the Philadelphia restaurant scene, travel, catch up on various TV shows, and play sports such as golf, softball and tennis.

Something interesting about my abstract: All the database/analytics skills that I used for this abstract were very freshly acquired in just the two months prior to abstract submission! I had a steep learning curve in my classes for a Master of Biomedical Informatics degree.

In my free time I like to indulge my tech geek side. I build my own computers and have multiple virtual reality setups at my house, which my wife “tolerates.”

Charles Snyder, MD
Icahn School of Medicine at Mount Sinai, New York City, New York

Abstract: Standardizing Inpatient Bowel Preparation Orders Improves Colonoscopy Outcomes and Reduces Provider Frustration

Something interesting about my abstract: At our institution, one of the common delays in getting acute severe ulcerative colitis (ASUC) inpatients their first dose of infliximab is that the patients need to be physically located on an “infliximab capable floor.” The most valuable piece of this ED Order Set is that it prompts ED providers to sign an “Admission Order,” which has an embedded element that notifies our bed management team to send the patient to an “infliximab-capable floor.”

In my free time I like to spend time with my wife Rachel, my new baby girl Zoey or doing any outdoor activity (biking, hiking, paddle boarding).

Something interesting about my abstract: Given that a high Boston Bowel Preparation Score (BPPS) is a less relevant marker of inpatient bowel preparation adequacy, we designed new outcomes to assess whether inpatient bowel preparations impacted practical outcomes such as interference with diagnosis or a reduction in redundant outpatient screening colonoscopies. We believe these outcomes are particularly relevant, especially since the incidence of an “inadequate” bowel preparation leading to a repeat inpatient procedure was rare, and that an appropriate threshold for these novel outcomes should be close to 5% and 95%, respectively.

In my free time I like to travel with my wife.

Ashley Vachon, MD
University of Colorado Anschutz Medical Campus, Aurora

Abstract: Use of a Simple Six-Item Questionnaire in the Endoscopy Reporting Software Captures Important Milestones for Gastroenterology Trainees Performing Colonoscopy

Something interesting about my abstract: Development of this simple questionnaire has allowed both attendings and fellows to be more deliberate about providing and seeking feedback on endoscopic training.

In my free time I like to play board games.

Ted Walker, MD
Washington University/Barnes Jewish Hospital, St. Louis, Missouri

Abstract: Improving Vaccination Adherence in Inflammatory Bowel Disease

Something interesting about my abstract: Vaccination rates are suboptimal even among IBD-dedicated gastroenterologists. There are significant differences in adherence when comparing IBD-dedicated gastroenterologists to general gastroenterologists.

In my free time I like spending time with my kids and outdoor activities (hiking, fishing).

Something interesting about my abstract: We utilized a guided relaxation script that focused on progressive muscle relaxation which some attendings strongly disliked and some found extremely relaxing for themselves. When patients were asked to choose their own music, many of them defaulted to “relaxing” music chosen by the endoscopy team instead.

In my free time I like to play board games with my husband and friends, chase after my toddler and dogs, and crochet.

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