Jan Busby-Whitehead, MD

Mary and Thomas Hudson Distinguished Professor of Medicine

Chief, Division of Geriatric Medicine
Director, Center for Aging and Health
Director Hartford Center of Excellence in Geriatric Medicine
 
Geriatrics Specialty Clinic Provider: Yes

UNC Hospitals Provider: Yes Acute Care of the Elderly Ward

 
Specialty Areas: Geriatric syndromes including urinary & fecal incontinence, memory disorders, falls, functional decline, polypharmacy and complex disease
 
Education Chronology:

1985–1987 Fellowship: Laboratory of Clinical Physiology. National Institute on Aging, Baltimore, MD

1980–1982 Fellowship: Geriatric Medicine. Veterans Administration Medical Center, Gainesville, FL

1978–1980 Internship and Residency: Department of Medicine. John Sealy Hospital, Galveston, TX

1973–1977 MD: University of Texas Medical Branch, Galveston, TX, MD

1970-1973 BA: History, Magna Cum Laude. Baylor University, Waco, TX. Honors Program with Distinction

1969–1970 Rice University, Houston, TX

Employment Chronology:

2013-2014 Physician Service Leader for Geriatric Medicine

2012-present Medical Director, Galloway Ridge Continuing Care Retirement Community

2007-2010 Medical Director, The Cedars Continuing Care Retirement Community

2007–Present Director, Center for Aging and Health (formerly Program on Aging), UNC-CH, School of Medicine

2003–Present Founding Chief, and Professor of Medicine, Division of Geriatric Medicine, UNC-CH School of Medicine

2002–2014 Co-Director, Carolina Program in Healthcare and Aging Research (CPHAR), UNC-CH, Chapel Hill, NC

2001–Present Co-Director, Hartford Interdisciplinary Center for Aging Research

2001–2002 Director, Geriatric Inpatient Unit, UNC Hospitals, Chapel Hill, NC

2000–2007 Director, Program on Aging, UNC-CH, Chapel Hill, NC

1999–2000 Acting Director, Program on Aging, UNC-CH, Chapel Hill, NC

1999–Present Director, Geriatric Education Center, UNC-CH, Chapel Hill, NC

1998–Present Associate Director for Clinical Practice, Institute on Aging, UNC-CH, Chapel Hill, NC

1996–2008 Director, Geriatric Subspecialty Resident Program, Program on Aging, UNC-CH, Chapel Hill, NC

1996–2003 Coordinator of Geriatric Services, Division of General Medicine, UNC-CH, Chapel Hill, NC

1994–2003 Director, UNC Continence Clinic and Chair, Urinary Incontinence Research and Practice Group, Chapel Hill, NC

1994–2007 Medical Director, Carol Woods Retirement Community and Chair, Functional Assessment Research Group, Chapel Hill, NC

1994–2002 Associate Professor of Medicine, UNC-CH School of Medicine, Chapel Hill, NC

1992–1994 Guest Scientist, Laboratory of Clinical Physiology, National Institute on Aging, Baltimore, MD

1987–1994 Assistant Professor of Medicine (full time), Johns Hopkins University School of Medicine, Baltimore, MD

1986–1987 Assistant Professor of Medicine (part time; Fellow), Johns Hopkins University School of Medicine, Baltimore, MD

1984–1985 Clinical Director, Geriatric Research, Education and Clinical Center (GRECC), VA Medical Center, Gainesville, FL

1984–1985 Associate Director, VA Geriatric Fellowship Program, Gainesville, FL

1982–1985 Medical Director, Nursing Home Care Unit, Veterans Administration Medical Center, Gainesville, FL

1982–1985 Assistant Professor of Medicine, University of Florida, College of Medicine, Gainesville, FL

 

Research:
Dr. Busby-Whitehead is committed to the preservation and improvement of patient health through research and to funded programs that serve to develop an increase the reach of geriatric education and training of physicians and healthcare professionals in the field of aging. Her research in aging includes preserving musculoskeletal health, mitigating falls in older adults, assessment of racial disparities regarding treatment of urinary incontinence in Southeastern United States nursing homes, and developing & testing a treatment program for fecal incontinence in frail elders.
 
Selected Bibliography:

Palmer MH, Marquez CS, Li Y, Hawkins SY, Busby-Whitehead J. A feasibility study for a posthospital intervention for lower urinary tract symptoms in adults with heart failure. Journal of Wound, Ostomy and Continence Nursing. 2015;42(5):539-46

The American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults. (2014). Postoperative Delirium in Older Adults: Best Practice Statement from the American Geriatrics Society. Journal of the American College of Surgeons. 2015; 220(2):136-48

The American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults. (2014). American Geriatrics Society Abstracted Clinical Practice Guidelines for Postoperative Delirium in Older Adults. Journal of the American Geriatrics Society. 2015; 63(1):142-50

Leipzig RM, Sauvigne K, Granville LJ, Harper GM, Kirk LM, Levine SA, Mosqueda L, Parks SM, Fernandez HM, Busby-Whitehead J. What is a geriatrician? American Geriatrics Society and Association of Directors of Academic Programs end-of-training entrustable professional activities for geriatric medicine. Journal of the American Geriatrics Society. 2015; 63(1):209.

Shubert TE, Smith ML, Ory MG, Clarke CB, Bomberger SA, Roberts E, Busby-Whitehead J. Translation of the Otago exercise program for adoption and implementation in the United States. Frontiers in Public Health. 2015; 2:152

Biese K., LaMantia M, Shofer F, McCall B, Roberts E, Kizer JS, Cairns CB, Busby-Whitehead J. A randomized trial exploring the impact of a telephone call follow-up on care plan compliance among older adults discharged home from the emergency department. Academic Emergency Medicine. 2014; 21:188-195.

LaMantia MA, Stewart PW, Platts-Mills TF, Biese KS, Forbach C, Zamora E, McCall BK, Shofer FS, Cairns CB, Busby-Whitehead J, Kizer JS. Predictive value of initial triage vital signs for critically ill older adults. Western Journal of Emergency Medicine. 2013; 14 (5):453-460

Schrodt LA, Garbe KC, Chaplin R, Busby-Whitehead J, Shubert TE. An effective community-academic partnership to extend the reach of screenings for fall risk. Preventing Chronic Disease. 2013;10:E141

Biese KJ, Forbach CR, Medlin RP, Platts-Mills TF, Scholer MJ, McCall B, Shofer FS, LaMantia M, Hobgood C, Kizer JS, Busby-Whitehead J, Cairns CB. Computer-facilitated review of electronic medical records reliably identifies emergency department interventions in older adults. Academic Emergency Medicine. 2013;20(6):621-8

Markland AD, Palsson O, Goode PS, Burgio KL, Busby-Whitehead J, Whitehead WE. Association of low dietary intake of fiber and liquids with constipation: evidence from the National Health and Nutrition Examination Survey. The American Journal of Gastroenterology. 2013;108(5):796-803

Geller EJ, Crane AK, Wells EC, Robinson BL, Janelli ML, Khandelwal CM, Connolly A, Parnell BA, Matthews CA, Dumond JB, Busby-Whitehead J. Effect of anticholinergic use for the treatment of overactive bladder on cognitive function in postmenopausal women. Clinical Drug Investigation. 2012;32(10):697-705

Zamora Z, McCall B, Patel L, Platts-Mills T, Biese K, Busby-Whitehead J, Kizer JS. Implementation of a web-based system to improve transitional care of older adults. Journal of Nursing Care Quality. 2012; 27:182-9.

Nyrop KA, Grover M, Palsson OS, Heyman S, Palmer MH, Whitehead WE, Busby-Whitehead J. Likelihood of nursing home referral for fecally incontinent elderly patients is influenced by physician views on nursing home care and outpatient management of fecal incontinence. Journal of the American Medical Directors Association. 2012; 13:332-6 Epub 2011 Mar12

Shubert TE, Altpeter M, Busby-Whitehead J. Using the RE-AIM framework to translate a research-based falls prevention intervention into a community-based program: lessons learned. Journal of Safety Research. 2011;42(6):509-16

Biese KJ, Roberts E, LaMantia M, Zamora Z, Shofer FS, Snyder G, Patel A, Hollar D, Kizer JS, Busby-Whitehead J. Effect of a geriatric curriculum on emergency medicine resident attitudes, knowledge, and decision-making. Academic Emergency Medicine. 2011;18 Suppl 2:S92-6

Platts-Mills TF, Biese K, LaMantia , Zamora Z, Patel LN, McCall B, Egbulefu F, Busby-Whitehead J, Cairns CB, Kizer JS. Nursing home revenue source and information availability during the emergency department evaluation of nursing home residents. Journal of the American Medical Directors Association. 2011; 13:332-6 Epub 2011 Feb11.

Hollar D, Roberts R, Busby-Whitehead J. COCOA: A new validated instrument to assess medical students’ attitudes towards older adults. Educational Gerontology. 2010; 37:3,193-209.

Grover M, Busby-Whitehead J, Palmer MH, Heymen S, Palsson OS, Goode PS, Turner M, Whitehead, WE. Survey of geriatricians on the impact of fecal incontinence on nursing home referral. Journal of the American Geriatrics Society. 2010; 58: 1058-62.

LaMantia M, Scheunemann LP, Viera A, Busby-Whitehead J, Hanson LC. Interventions to Improve Transitional Care between Nursing Homes and Hospital: A Systematic Review. Journal of the American Geriatrics Society. 2010; 58:777-782.

LaMantia M, Platts-Mills T, Biese K, Khandelwal C, Forbach C, Cairns C, Busby-Whitehead J, Kizer J. Predicting Hospital Admission and Returns to the Emergency Department for Elderly Patients. Academic Emergency Medicine. 2010;17:252-59.

Platts-Mills TF, Travers D, Biese K, McCall B, Kizer JS, LaMantia M, Busby-Whitehead J, Cairns CB. Accuracy of the Emergency Severity Index triage instrument for identifying elder emergency department patients receiving an immediate life–saving intervention. Academic Emergency Medicine. 2010;17(3):238-43.

Palmer M., Busby-Whitehead J. The American Geriatrics Society Foundation for Health in Aging: educational resources for your patients. Clinical Geriatrics. 2008;16(4):15-16.

McWilliams A, Rosemond C, Roberts E, Calleson D, Busby-Whitehead, J. An innovative home-based interdisciplinary service-learning experience. Gerontology and Geriatrics Education. 2008; 28(3); 89-104.

Boyington J, Howard D, Gooden K, Carter-Edwards L, Erdem N, Jallah Y, Busby-Whitehead J. Differences in resident characteristics and prevalence of urinary incontinence in nursing homes in the Southeastern United States. Nursing Research. 2007; March-Apr; 56(2):97-107.

Shubert TE, Schrodt LA, Mercer VS, Busby-Whitehead J, Giuliani CA. Are scores on balance screening tests associated with mobility in older adults? Geriatric PT. 2006; 29:35-39.

Kincade JE, Dougherty MC, Busby-Whitehead J, Carlson JR, Nix WB, Kelsey DT, Smith FC, Hunter GS, Rix AD. Self-monitoring and pelvic floor muscle exercises to treat urinary incontinence. Urologic Nursing. 2005; 25(5):353–63.

Busby-Whitehead J, Douglas ML, Tresolini CP. University of North Carolina at Chapel Hill School of Medicine: Overview of the geriatrics curriculum. Academic Medicine. 2004;79 (7 Supplement):S141–7.

Dyer CB, Hyer K, Feldt KS, Lindemann DA, Busby-Whitehead J, Greenberg S, Kennedy RD, Flaherty E. Frail older patient care by interdisciplinary teams: a primer for generalists. Gerontologic Geriatric Education. 2003;24(2):51–62.

Kincade JE, Boyington AR, Lekan-Rutledge D, Ashford-Works C, Dougherty MC, Busby-Whitehead J. A bladder management program for adult care homes in North Carolina. Journal of Gerontological Nursing. 2003:29(10):30–36.

Sharkey JR, Giuliani C, Haines PS, Branch LG, Busby-Whitehead J, Zohoori N. A summary measure of dietary intake of musculoskeletal nutrients (calcium, Vitamin D, magnesium, and phosphorus) is associated with lower-extremity physical performance in homebound older men and women. The American Journal of Clinical Nutrition. 2003;77:847–856.

Sharkey JR, Branch LG, Zohoori N, Giuliani C, Busby-Whitehead J, Haines PS. Inadequate nutrient intake among homebound older adults in the community and its correlation with individual characteristics and health-related factors. The American Journal of Clinical Nutrition. 2002;76:1435–1445.

Blackman MR, Sorkin JD, Munzer T, Bellantoni MF, Busby-Whitehead J, Stevens TE, Jayme J, O’Connor KG, Christmas C, Tobin JD, Stewart KJ, Cottrell E, St. Clair C, Pabst KM, Harman SM. Growth hormone and sex steroid effects on lean body mass, fat mass, muscle strength and cardiovascular endurance in healthy aged women and men. Journal of the American Medical Association. 2002;288:2282–2292.

Coppola S, Rosemond C, Greger-Holt N, Soltys F, Hanson L, Snider M, Busby-Whitehead J. The arena assessment: Evolution of teamwork for frail older adults. Topics in Geriatric Medicine. 2002;17(3):13–28.

Kincade JE, Peckous BK, Busby-Whitehead J. A pilot study to determine predictors of behavioral treatment completion for urinary incontinence. Urologic Nursing. 2001;21(1):39–44.

Johnson TM, Kincade JE, Bernard SL, Busby-Whitehead J, DeFriese GH. Self-care practices used by older men and women to manage incontinence: results from the national follow-up survey on self-care and aging. Journal of the American Geriatrics Society. 2000;48:894–902.

Goldberg AP, Busby-Whitehead J, Katzel LI, Krauss RM, Lumpkin M, Hagberg JM. Cardiovascular fitness, body composition, and lipoprotein lipid metabolism in older men. Journal of Gerontology: Medical Sciences. 2000;55A(6):M342–M349.

O’Connor KG, Harman SM, Stevens TE, Jayme JJ, Bellantoni MF, Busby-Whitehead J, Christmas C, Tobin JD, Roy TA, Cottrell E, Pabst KM, St Clair C, Blackman MR. Interrelationships of spontaneous growth hormone axis body fat, and metabolic variables in healthy elderly women and men. Metabolism. 1999;48(11):1424–1431.

Kincade JE, Johnson TM, Ashford-Works C, Clarke MK, Busby-Whitehead J. A pilot study to determine reasons for patient withdrawal from a pelvic muscle rehabilitation program for urinary incontinence. Journal of Applied Gerontology. 1999;18(3):379–396.

Berman DM, Rogus EM, Busby-Whitehead J, Katzel LI, Goldberg AP. Predictors of adipose tissue lipoprotein lipase in middle-aged and older men: Relationship to leptin and obesity but not cardiovascular fitness. Metabolism. 1999;48:183–189.

Madden C, Garrett J, Busby-Whitehead J. The interface between nursing homes and emergency departments: a community effort to improve transfer of information. Academic Emergency Medicine. 1998; 5(11):1123–1126.

Bunyard LB, Katzel LI, Busby-Whitehead J, Wu Zhong, Goldberg AP. Energy requirements of older men are modifiable by physical activity. American Journal of Clinical Nutrition. 1998; 68(5):1135–42.

Johnson TM, Busby-Whitehead J, Ashford-Works C, Clarke MK, Fowler L, Williams ME. Promoting help-seeking behavior for urinary incontinence. Journal of Applied Gerontology. 1998;17:419–441.

Busby-Whitehead J, Robinson PS, Matteson ES, Rosemond C, Dunn WL. On the number of timed manual performances trials to administer. Journal of the American Geriatrics Society. 1998;46:1287–1290.

Johnson TM, Kincade JE, Bernard SL, Busby-Whitehead J, Hertz-Piciotto I, DeFriese GH. The association of urinary incontinence with poor self-rated health. Journal of the American Geriatrics Society. 1998;46:693–699.

Katzel LI, Fleg JL, Busby-Whitehead J, Sorkin JD, Becker LC, Lakatta EG, Goldberg AP. Exercise-induced silent myocardial ischemia in master athletes. American Journal of Cardiology. 1998;81:261–265.

Johnson TM, Busby-Whitehead J. Diagnostic assessment of geriatrics urinary incontinence. American Journal of Medical Sciences. 1997;314:250-256.

Yataco AR, Busby-Whitehead J, Drinkwater DT, Katzel LI. Relationship of body composition and cardiovascular fitness to lipoprotein lipid profiles in master athletes and sedentary men. Aging. 1997;(1–2):88–94.

Katzel LI, Busby-Whitehead J, Hagberg J, Fleg JL. Abnormal exercise electrocardiogram in master athlete after 3 months of deconditioning. Journal of the American Geriatrics Society. 1997;45:744–746.

Nicklas BJ, Katzel LI, Busby-Whitehead J, Goldberg AP. Increases in high-density lipoprotein cholesterol with endurance exercise training are blunted in obese compared to lean men. Metabolism. 1997;46(5):556–561.

Vittone J, Blackman MR, Busby-Whitehead J, Tsaio C, Stewart K, Stevens T, Tobin JD, Bellantoni M, Rogers MA, Baumann G, Roth J, Harman M, Spencer R. The effects of single nightly injections of Growth Hormone Releasing Hormone (GHRH-1–29) in healthy elderly men. Metabolism. 1997;46:89–96.

Shulman SP, Fleg JL, Goldberg AP, Busby-Whitehead J, Hagberg JM, O’Connor FC, Gerstenblith G, Becker LC, Lakatta LE, Lakatta EG. The continuum of cardiovascular performance across a broad range of fitness levels in healthy older men. Circulation. 1996;94:359–367.

Katzel LI, Sorkin JD, Colman E, Goldberg AP, Busby-Whitehead J, Lakatta LL, Becker LC, Lakatta EG, Fleg JL. Risk factors for silent myocardial ischemia and overt coronary artery disease in men and women. American Journal of Cardiology. 1994;74:869–874.

Hallfrisch J, Drinkwater DT, Muller DC, Fleg J, Busby-Whitehead MJ, Andres R, Goldberg AP. Physical conditioning and diet intake in active and sedentary men. Nutrition Research. 1994;14:817–827.

Katzel LI, Busby-Whitehead MJ, Rogus EM, Krauss RM, Goldberg AP. Reduced adipose tissue lipoprotein lipase responses, postprandial lipemia and low HDL2 subspecies in older athletes with silent myocardial ischemia. Metabolism. 1994;43:190–198.

Katzel LI, Busby-Whitehead MJ, Goldberg AP. Adverse effects of abdominal obesity on lipoprotein lipids in healthy older men. Experimental Gerontology. 1993;28:411–420.

Katzel LI, Coon PJ, Busby MJ, Gottlieb SO, Krauss RM, Goldberg AP. Elevated hepatic lipase activity and reduced high density lipoprotein-1 in men with asymptomatic myocardial ischemia. Arteriosclerosis and Thrombosis. 1992;12:814–823.

Busby MJ, Bellantoni MF, Tobin JD, Muller D, Kafonek S, Blackman MR, Andres R. Glucose tolerance in women: The effects of age, body composition, and sex hormones. Journal of the American Geriatrics Society. 1992;40:497–502.

Busby MJ, Tobin J, Ettinger W, Roadarmel K, Plato C. A longitudinal study of osteoarthritis: the effect of age. Annals of Human Biology. 1991;18:417–424.

Verdery RB, Benham DF, McLellan I, Busby MJ, Wehele JP, Glickson JD. Proton nuclear magnetic resonance methyl and methylene linewidths from plasma decrease during postprandial lipemia. Biochemical et Biophysical Acta. 1989;1006:287–290.

Gloth FM, Busby MJ. Methyldopa-induced diarrhea: a case of iatrogenic diarrhea leading to a request for nursing home placement. American Journal of Medicine. 1989;87:480–481.

Busby MJ, Shefrin EA, Fleg JL. Prevalence and long-term significance of exercise-induced frequent or repetitive ventricular ectopic beats in apparently healthy volunteers. Journal of the American College of Cardiology. 1989;14:1659–1665.

Busby MJ, Notelovitz M, Putney K, Grow T. Exercise, high density lipoprotein cholesterol and cardiorespiratory function in climacteric women. Southern Medical Journal. 1985;78:769–773.

Busby MJ, Caranasos GJ. Immune function, autoimmunity and selective immunoprophy-laxis in the aged. Medical Clinics of North America. 1985;69:465–474.

Busby MJ, Vargas L, Bonelli A, Stirna J, Caranasos GJ. Annotated bibliography for Alzheimer’s disease. Journal of the American Geriatrics Society. 1985;33:336–373.

Bailey LB, Cerda JJ, Block BS, Busby MJ, Vargas L, Chandler CJ, Halsted CH. Effect of age on poly- and monoglutamyl folacin absorption in human subjects. Journal of Nutrition. 1984;114:1170–1176.

Busby MJ, Rodin AE. Relative contributions of Holmes and Semmelweiss to the understanding of the etiology of puerperal fever. Texas Reports on Biology and Medicine. 1976;34:2–4.

Dr. Jan Busby-Whitehead