Prevalence of hypertension and peripheral arterial disease in adults in Léogâne, Haiti

I am a hospital medicine physician interested in quality improvement, patient safety, and medical education across the UME and GME environments. My current projects include work on readmissions, inpatient quality and patient experience measures, appropriate utilization of inpatient resources, systematic reviews of topics related to healthcare quality, and artificial intelligence in medical education. Alongside this work, I serve as the lead mentor for our Durham VA Chief Resident in Quality and Safety within the Department of Medicine and the Program Director for the Duke University Hospital CRQS.

As Associate Program Director for Quality Improvement and Patient Safety in the Duke Internal Medicine Residency Program, I oversee QI and safety education and projects for our residents and help co-lead our Residency Patient Safety and Quality Council. Additionally, I supervise housestaff and students on our general medicine wards, precept housestaff evidence-based medicine resident reports, and serve as a small group leader for our second-year medical student Clinical Skills Course. Finally, I lead our Innovation Sciences thread as part of the ongoing School of Medicine Curriculum Innovation Initiative and serve as a co-course director for our QMDM II (Biostatistics) course.

My areas of interest include
women's health in Haiti
- cervical cancer prevention
- maternal child health
- hypertension 

GLOBAL HEALTH

Preventing cervical cancer in Haiti 
Goal: Develop culturally acceptable and cost effective strategies to prevent cervical cancer
Current strategy:
- primary screen: HPV testing
- treatment thermal ablation of the cervical transformation zone in HPV+ women
Under investigation
- strategies to remove inflammatory cells from cervical cytology
- strategies to speed up and improve AI interpretation of cervical cytology
- strategies to employ drones to deliver test kits and patient samples to deliver health care in gang controlled areas

Improving maternal child health in rural Haiti
- establishing 24/7 access to L&D services in a remote mountain community