Dr. Firn has a BS from Michigan State University, MSW from the University of Michigan, and PhD from Lancaster University (UK). Before CBSSM, Janice worked in oncology and palliative care at Michigan Medicine. In her role as Clinical Ethicist for the Clinical Ethics Service, Janice responds to ethics consultation requests, and participates in preventative ethics rounds and education and research initiatives. Her academic interests include bioethics; self-care, burnout, and resilience; palliative and end of life care; and interprofessional education and collaboration.
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Joseph joined CBSSM as a Research Area Specialist in November 2017. As a project manager, he coordinates the daily operations of Dr. Jeffrey Kullgren’s project “Provider, Patient, and Health System Effects of Provider Commitments to Choose Wisely,” a grant funded research project using novel approaches to reduce the overuse of low-value services in healthcare.
The Genetics in Primary Care Institute recently launched its new website, featuring co-chairperson Beth Tarini, M.D., assistant professor of pediatrics at the University of Michigan’s C.S. Mott Children’s Hospital.
Along with Robert Saul, M.D., Tarini co-chairs the Institute, which aims to take genetic advances made during the last decade and help make them useful in the practice of primary care pediatrics.
The new website, www.geneticsinprimarycare.org, features information for primary care providers related to genetics testing, ethical, legal and social issues, patient communication and family history.
Tarini’s research focuses on the communication process and the health outcomes associated with genetic testing in pediatrics. She is particularly interested in pediatric population-based screening programs, such as newborn screening. Through her research, Tarini seeks to optimize communication about genetic testing between parents and providers in an effort to maximize health and minimize harm.
Sarah Hawley, Ph.D., M.P.H., associate professor of internal medicine and a research investigator at the Ann Arbor VA, recently received a 3-year American Cancer Society grant totaling more than $850,000 for her proposal, "Population Based Study of Breast Cancer Decision Support Networks." The study will examine how informal decision supporters (e.g., partners, family, and friends) contribute decisions about surgery, radiation, and chemotherapy treatment, and how these roles may vary by race and ethnicity. The project will utilize existing resources from the Cancer Surveillance and Outcomes Research Team's (CanSORT) Program Project Grant "The Challenge of Individualizing Treatments for Patients with Breast Cancer," a $13 million award received from NCI in 2012. CanSORT and IHPI co-investigators on the study are Steven Katz, M.D., M.P.H., Nancy Janz, Ph.D., Jennifer Griggs, M.D., M.P.H., and Yun Li, Ph.D.
Funded by Agency for Health Care Research and Quality.
Funding years 2010-2013.
We propose to develop and evaluate in a randomized controlled trial a computer tailored intervention to assist community health workers (CHWs) or other outreach workers to provide personalized patient education materials on oral anti-hyperglycemic medications and insulin to low-literacy, diabetic African American and English and Spanish-speaking Latino adults with poor glycemic control. For more information, visit NIH Reporter.
PI(s): Mary Heisler
Co-I(s): Michael Spencer, Melissa Valerio, Caroline Richardson, Angela Fagerlin, Lawrence An, Ananda Sen
Funded by Brigham and Women's Hospital/Boston Univerity/NIH.
Funding Years: 2010-2013.
In this continuation of the REVEAL Study, we will conduct a new randomized clinical trial to determine the psychological and health behavior changes associated with disclosing APOE genotype and 3-year Risk estimates to persons with mild memory problems. We will also create a new instrument that clinicians and researchers can use to reliably evaluate a patient's capacity to consent to genetic testing and examine long-term impact of genetic Risk assessment by following REVEAL Study patients 2-10 years following disclosure. For more information, visit NIH Reporter Link.
PI(s): J. Scott Roberts
Funded by Department of Veterans Affairs
Funding Year: 2012
Successful diabetes management is dependent on the patient - provider partnership. However, a full discussion of potential benefits, harms, costs, and burdens associated with each medication option is often too much for a brief clinic visit. This project uses AHRQ-developed consumer guides as inspiration for a tailored program that assists with this decision-making. The current iDECIDE intervention serves as the base of the program, with updates geared toward making it more specific to veterans.
Aim 1: Update current iDECIDE program to make it more appropriate for the VA setting.
Angela Fagerlin (PI)
Gina Bravo was a Visiting Scholar at CBSSM, 2011-2012. She has a PhD in mathematics and post-doctoral training in clinical epidemiology. Professor of Public Health at the University of Sherbrooke since 1991, she teaches research methods and biostatistics to MSc and PhD candidates. She is a member of the Research Centre on Aging located within the University Institute of Geriatrics of Sherbrooke. She has received personal research awards and peer-reviewed grants from the Quebec Health Research funding agency and the Canadian Institutes of Health Research.
Funded by the American Cancer Society
Funding Years: 2006-2011
This study examines the impact of "status-assessing" email messages sent to individuals who decided to quit smoking and chose a date to quit. Participants receive email messages 3 and 5 weeks after their self selected quit dates, asking them to click on a URL link that matches their current smoking status (quit, tried but relapsed, never quit). Participants who click on a link receive information targeted to their current smoking status.
PI: Brian Zikmund-Fisher, PhD