Overview
My work is conducted as a clinician, researcher, teacher, and administrator at Duke University. Currently, I am an Associate Professor of Medicine, the director of Duke’s Medical Intensive Care Unit (MICU), and the Director of the Duke Program to Support People and Enhance Recovery (ProSPER). My clinical work is based in ICUs at Duke University, though I am also a board-certified palliative medicine specialist.
My research focuses on understanding and improving the experience of critical illness and quality of care for patients, their families and loved ones, clinicians, and society in general. To do this, my work addresses topics and methodologies including health services research, behavioral and psychological concerns, communication improvement, technological development, and decision making support—all in the context of critical care and palliative medicine. My extensive training in clinical and health services research methodology and healthcare information technology allows me to do this.
My research focuses on understanding and improving the experience of critical illness and quality of care for patients, their families and loved ones, clinicians, and society in general. To do this, my work addresses topics and methodologies including health services research, behavioral and psychological concerns, communication improvement, technological development, and decision making support—all in the context of critical care and palliative medicine. My extensive training in clinical and health services research methodology and healthcare information technology allows me to do this.
Key interests: Critical care, healthcare information technology, health administration and policy, decision making, health economics, mechanical ventilation, palliative care, chronic critical illness / prolonged mechanical ventilation, critical care echocardiography
Current Appointments & Affiliations
Professor of Medicine
·
2020 - Present
Medicine, Pulmonary, Allergy, and Critical Care Medicine,
Medicine
In the News
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Recent Publications
A Descriptive Qualitative Study of Religion and Spirituality’s Role in Critical Illness Decision-Making Among Black and White Family Caregivers
Journal Article CHEST Critical Care · March 2025 Full text CiteMobile App-Facilitated Collaborative Palliative Care Intervention for Critically Ill Older Adults: A Randomized Clinical Trial.
Journal Article JAMA Intern Med · February 1, 2025 IMPORTANCE: Few person-centered, scalable models of collaborative intensive care unit (ICU) clinician-palliative care specialist care exist. OBJECTIVE: To evaluate the effect of a collaborative palliative care intervention compared to usual care among fami ... Full text Link to item CiteTalking About Suffering in the Intensive Care Unit.
Journal Article AJOB Empir Bioeth · 2025 BACKGROUND: Some have hypothesized that talk about suffering can be used by clinicians to motivate difficult decisions, especially to argue for reducing treatment at the end of life. We examined how talk about suffering is related to decision-making for cr ... Full text Link to item CiteRecent Grants
Improving needs among older adults: the ICUconnect 2 primary palliative care RCT
ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2024 - 2029Mid-Atlantic praGmatic NETwork for Inclusive Clinical trials in emergency care (MAGNETIC)
ResearchCollaborator · Awarded by National Institute of Neurological Disorders and Stroke · 2023 - 2028Racial disparities in shared decision making for patients with acute respiratory failure
ResearchMentor · Awarded by National Institutes of Health · 2022 - 2027View All Grants
Education, Training & Certifications
Medical University of South Carolina, College of Medicine ·
1997
M.D.