Assistant Professor

I have been a member of the palliative care program (now Division of Palliative Medicine) at UCSF for the past 9 years. I am proficient in: study design, program evaluation, mixed-methods research, and statistical analysis. These skills have been utilized in three distinct fields of enquiry: 1) patient–level clinical research, 2) institutional and programmatic research, and 3) instrument validation. I have been involved with the Palliative Care Quality Network (PCQN) since it was established in 2009. As such, my research addressing patient–level clinical research in palliative care has been closely aligned to the interests of the PCQN members. This research has involved assessing the prevalence and severity of symptoms among seriously-ill patients. I have been responsible for liaising with research teams to address a broad range of outcomes that have been disease specific (i.e. neurological disorders, renal disease, liver disease), and symptom focused (pain, anxiety, dyspnea). Institutional and programmatic research has provided normative data to help guide the growth and sustainability of palliative care programs. This research has described the structure and characteristics of inpatient, outpatient, and pediatric palliative care services within hospitals throughout California. This research has also identified barriers to hospitals creating a palliative care service. This field of enquiry has also examined the changes in structure and characteristics of inpatients palliative care services over time. Instrument validation research has assessed the validity of using single-item measures to assess patients for complex conditions such pain and depression.
Education
PhD, 2001 - Public Health, University of Queensland
MHSc, 1995 - Public Health, Queensland University of Technology
Bachelor of Teaching, 1993 - Education, Queensland University of Technology
Publications
  1. Care Planning for Inpatients Referred for Palliative Care Consultation.
  2. Identifying Opportunities to Improve Pain Among Patients With Serious Illness.
  3. Palliative Care Professional Development for Critical Care Nurses: A Multicenter Program.
  4. Characteristics and Outcomes of In-Hospital Palliative Care Consultation among Patients with Renal Disease Versus Other Serious Illnesses.
  5. The Palliative Care Quality Network: Improving the Quality of Caring.
  6. Let Us Talk About It: Heart Failure Patients' Preferences Toward Discussions about Prognosis, Advance Care Planning, and Spiritual Support.
  7. Self-Reported California Hospital Palliative Care Program Composition, Certification, and Staffing Level Are Associated with Lower End-of-Life Medicare Utilization.
  8. Etiology of Pain and Its Association with Quality of Life among Patients with Heart Failure.
  9. Use of Palliative Care Consultation for Patients with End-Stage Liver Disease: Survey of Liver Transplant Service Providers.
  10. Improving the Quality of Palliative Care Through National and Regional Collaboration Efforts.
  11. Learning from those without: identifying barriers and creating solutions to establishing hospital palliative care services.
  12. A statewide survey of adult and pediatric outpatient palliative care services.
  13. Pediatric palliative care consultation services in California hospitals.
  14. Two steps forward, one step back: changes in palliative care consultation services in California hospitals from 2007 to 2011.
  15. Management of moderate-to-severe dyspnea in hospitalized patients receiving palliative care.
  16. Interpretation for discussions about end-of-life issues: results from a National Survey of Health Care Interpreters.
  17. An assessment of the screening performance of a single-item measure of depression from the Edmonton Symptom Assessment Scale among chronically ill hospitalized patients.
  18. Relationships of sun-protection habit strength with sunscreen use during outdoor sport and physical activity.
  19. Characteristics of palliative care consultation services in California hospitals.
  20. Longitudinal assessment of symptom severity among hospitalized elders diagnosed with cancer, heart failure, and chronic obstructive pulmonary disease.
  21. Prevalence and characteristics of outpatient palliative care services in California.
  22. Palliative care services in California hospitals: program prevalence and hospital characteristics.
  23. Hospital-based palliative medicine consultation: a randomized controlled trial.