The candidate, R. Sean Morrison, MD, is currently the Hermann Merkin Professor of Palliative Care, Professor of Geriatrics and Medicine, and Vice-Chair for Research in the Brookdale Department of Geriatrics at the Mount Sinai School of Medicine (MSSM). This renewal application is directed at continuing his patient-oriented research (POR) in aging and palliative care (PC). Dr. Morrison's initial K24, was awarded in 2003. Dr. Morrison is committed to expanding the field of palliative care and aging research and has made mentoring of junior faculty and fellows a priority in his career. Since completing fellowship training, Dr. Morrison has served as the primary mentor for 11 junior faculty, 8 fellows, and 6 medical students. All of Dr, Morrison's primary mentees have presented their research at national meetings, 5 have written text-book chapters with Dr. Morrison, and 18 have first author publications in peer-reviewed journals with Dr. Morrison. All of Dr. Morrison's faculty mentees have successfully competed for foundation or federal funding to support their research. Dr. Morrison's overall career objective is to improve care for seriously ill older adults by promoting the development of PC research in the U.S. In the short term, Dr. Morrison plans to use the K24 award to: 1) facilitate the transition of his current faculty mentees to research independence;2) increase the opportunities for fellows and junior faculty from different disciplines (e.g., oncology, geriatrics, pulmonary medicine) to develop the knowledge and skills necessary for careers in POR through work on larger funded projects and through development of their own research;3) study the effectiveness of interventions to improve pain and symptom management in older adults;and 4) continue to build a strong and sustainable research program in patient oriented research in PC and aging. Dr. Morrison's long-term objectives are to: 1) build a successful career conducting high quality POR in PC and aging;2) train and develop a new generation of clinical investigators to conduct this research both at MSSM and across the U. S.;and 3) through the development of rigorous PC research, improve the medical care of older adults living with serious and advanced illness. This application proposes a comprehensive mentoring program built upon 3 large multi-site studies in POR that will serve as learning platforms and sources of research data for his current and future mentees.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24AG022345-07
Application #
7663767
Study Section
National Institute on Aging Initial Review Group (NIA)
Program Officer
Nayfield, Susan G
Project Start
2003-09-30
Project End
2013-08-31
Budget Start
2009-09-01
Budget End
2010-08-31
Support Year
7
Fiscal Year
2009
Total Cost
$181,467
Indirect Cost
Name
Icahn School of Medicine at Mount Sinai
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
078861598
City
New York
State
NY
Country
United States
Zip Code
10029
May, Peter; Garrido, Melissa M; Cassel, J Brian et al. (2017) Cost analysis of a prospective multi-site cohort study of palliative care consultation teams for adults with advanced cancer: Where do cost-savings come from? Palliat Med 31:378-386
Kelley, Amy S; Covinsky, Kenneth E; Gorges, Rebecca J et al. (2017) Identifying Older Adults with Serious Illness: A Critical Step toward Improving the Value of Health Care. Health Serv Res 52:113-131
May, Peter; Garrido, Melissa M; Cassel, J Brian et al. (2016) Palliative Care Teams' Cost-Saving Effect Is Larger For Cancer Patients With Higher Numbers Of Comorbidities. Health Aff (Millwood) 35:44-53
May, Peter; Garrido, Melissa M; Cassel, J Brian et al. (2016) Using Length of Stay to Control for Unobserved Heterogeneity When Estimating Treatment Effect on Hospital Costs with Observational Data: Issues of Reliability, Robustness, and Usefulness. Health Serv Res 51:2020-43
Morrison, R Sean; Dickman, Eitan; Hwang, Ula et al. (2016) Regional Nerve Blocks Improve Pain and Functional Outcomes in Hip Fracture: A Randomized Controlled Trial. J Am Geriatr Soc 64:2433-2439
Kelley, Amy S; Morrison, R Sean (2015) Palliative Care for the Seriously Ill. N Engl J Med 373:747-55
May, Peter; Garrido, Melissa M; Cassel, J Brian et al. (2015) Prospective Cohort Study of Hospital Palliative Care Teams for Inpatients With Advanced Cancer: Earlier Consultation Is Associated With Larger Cost-Saving Effect. J Clin Oncol 33:2745-52
Kistler, Emmett A; Sean Morrison, R; Richardson, Lynne D et al. (2015) Emergency department-triggered palliative care in advanced cancer: proof of concept. Acad Emerg Med 22:237-9
Ornstein, Katherine A; Teresi, Jeanne A; Ocepek-Welikson, Katja et al. (2015) Use of an Item Bank to Develop Two Short-Form FAMCARE Scales to Measure Family Satisfaction With Care in the Setting of Serious Illness. J Pain Symptom Manage 49:894-903.e1-4
Hwang, Ula; Belland, Laura K; Handel, Daniel A et al. (2014) Is all pain is treated equally? A multicenter evaluation of acute pain care by age. Pain 155:2568-74

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