This application supports R. Sean Morrison, M.D. for a Midcareer Investigator Award in Patient-Oriented Research from the NIA. Dr. Morrison is currently Associate Professor in the Departments of Geriatrics and Medicine and the Hermann Merkin Professor of Palliative Care at the Mount Sinai School of Medicine. His clinical research in aging has focused on improving the medical care of older adults living with serious and life threatening illness. Dr. Morrison is committed to expanding the field of geriatric palliative care and has made mentoring of junior faculty and fellows a career priority. He has mentored a total of 15 physicians and 2 medical students and currently serves as the primary mentor to 6 junior faculty and 2 geriatrics fellows. In this application, Dr. Morrison proposes to: 1) further develop his skills and abilities as a mentor and leader in patient-oriented research; 2) increase the opportunities for post-graduate fellows and junior faculty from different disciplines to develop the knowledge and skills necessary for careers in patient-oriented research; and 3) build a strong and sustainable research program in patient oriented research focused on geriatric palliative care. The candidate is specifically involved in two research initiatives to improve the management of pain that will provide the necessary research infrastructure and opportunities for mentees to develop their own projects under the umbrella of these two larger funded projects. The mentoring plan that is proposed identifies promising junior investigators from different medical specialties (e.g., general internal medicine, oncology, geriatrics, pulmonary and critical care medicine) and provides a structured and rigorous program of research experience, formal and informal training in patient-oriented research, and career development under Dr. Morrison's mentorship. The overall goals of this application are to 1) build a successful career conducting high quality patient-oriented research in geriatric palliative care; 2) train and develop a new generation of clinical investigators to conduct this research; and 3) through the development of rigorous quantitative methods in geriatric palliative care research, improve the medical care of older adults living with serious and life threatening illness.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24AG022345-05
Application #
7264568
Study Section
National Institute on Aging Initial Review Group (NIA)
Program Officer
Yancik, Rosemary
Project Start
2003-09-30
Project End
2008-08-31
Budget Start
2007-09-01
Budget End
2008-08-31
Support Year
5
Fiscal Year
2007
Total Cost
$116,658
Indirect Cost
Name
Mount Sinai School of Medicine
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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