About

The direction of my professional career has been driven by a need to fix problems seen in my day-to-day clinical practice. Projects to reduce hospitalizations for TIA, syncope and pulmonary embolism sprang from seeing numerous patients who gained little benefit from hospitalization. My telemetry and IV anti-hypertensive reduction efforts came from seeing frequent use of these interventions outside of accepted clinical indications. My teaching has encouraged learners to think critically about even common interventions and whether evidence truly supports their benefit for an individual patient. My current work with Advanced Care at Home (UNC’s home hospital program) is a natural progression of those interests. In the home hospital model, many patients who normally would have spent days in a traditional hospital can receive that same care in the comfort of their own home, reducing common complications experienced in that setting (ie. deconditioning, infection, delirium). I hope that expanding this care model can allow for greater flexibility in healthcare than the rigidity of our current hospital system and improve the overall patient experience.