Gwendolen Toni Buhr | Scholars@Duke

Gwendolen Toni Buhr
Associate Professor of Medicine

Quality Improvement in Long-Term Care

Current Appointments & Affiliations

Associate Professor of Medicine, Medicine, Geriatrics, Medicine 2019
Senior Fellow of the Center for the Study of Aging and Human Development, Center for the Study of Aging and Human Development, Institutes and Centers 2020

Contact Information

201 Trent Drive, Box 3003, 2508 Blue Zone Duke Hospital South, Durham, NC 27710
Duke Box 3003, Durham, NC 27710
gwendolen.buhr@duke.edu (919) 660-7567

Background
Education, Training, & Certifications
- Fellow in Geriatrics, Medicine, Duke University 2001 - 2004
- Medical Resident, Medicine, Moses Cone Health 1998 - 2001
- M.D., University of Texas, San Antonio 1998
Duke Appointment History
- Associate Professor of Medicine, Medicine, Geriatrics, Medicine 2013 - 2019
- Assistant Professor of Medicine, Medicine, Geriatrics, Medicine 2008 - 2013
- Medical Instructor in the Department of Medicine, Medicine, Geriatrics, Medicine 2004 - 2008
- Adjunct Assistant Professor of Medicine, Medicine, Geriatrics, Medicine 2004
Research
Selected Grants
- Duke Geriatric Workforce Enhancement Program (GWEP): Communities Caring for Seniors awarded by Health Resources and Service Administration 2015 - 2020
- Geriatric Education Center (GEC) awarded by Health Resources and Service Administration 2007 - 2016
- The Changing Role of Physicians in Interdisciplinary Teams awarded by Arnold P. Gold Foundation 2013 - 2015
- Geriatric Academic Career Award awarded by Health Resources and Service Administration 2007 - 2010
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Wilson, Lindsay A., Meredith A. Gilliam, Natalie L. Richmond, Kimberly J. Mournighan, Chelsea R. Perfect, and Gwendolen T. Buhr. “Geriatrics Scholarly Concentration Programs Among U.S. Medical Schools.” J Am Geriatr Soc 68, no. 9 (September 2020): 2117–22. https://doi.org/10.1111/jgs.16673.
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  - Pavon, Juliessa M., Sandro O. Pinheiro, and Gwendolen T. Buhr. “Resident learning across the full range of core competencies through a transitions of care curriculum.” Gerontol Geriatr Educ 39, no. 2 (April 2018): 144–59. https://doi.org/10.1080/02701960.2016.1247066.
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  - Pinheiro, Sandro O., Heidi K. White, Gwendolen T. Buhr, Katja Elbert-Avila, Harvey Jay Cohen, and Mitchell T. Heflin. “Advancing Geriatrics Education Through a Faculty Development Program for Geriatrics-Oriented Clinician Educators.” J Am Geriatr Soc 63, no. 12 (December 2015): 2580–87. https://doi.org/10.1111/jgs.13824.
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  - Corazzini, Kirsten, Jack Twersky, Heidi K. White, Gwendolen T. Buhr, Eleanor S. McConnell, Madeline Weiner, and Cathleen S. Colón-Emeric. “Implementing Culture Change in Nursing Homes: An Adaptive Leadership Framework.” Gerontologist 55, no. 4 (August 2015): 616–27. https://doi.org/10.1093/geront/gnt170.
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  - Buhr, Gwendolen T., Mitchell T. Heflin, Heidi K. White, and Sandro O. Pinheiro. “Using the jigsaw cooperative learning method to teach medical students about long-term and postacute care.” J Am Med Dir Assoc 15, no. 6 (June 2014): 429–34. https://doi.org/10.1016/j.jamda.2014.01.015.
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  - Yanamadala, Mamata, Jeffrey Hawley, Richard Sloane, Jonathan Bae, Mitchell T. Heflin, and Gwendolen T. Buhr. “Development and assessment of a web-based clinical quality improvement curriculum.” J Grad Med Educ 6, no. 1 (March 2014): 147–50. https://doi.org/10.4300/JGME-D-13-00140.1.
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  - White, Heidi K., Gwendolen Buhr, Eleanor McConnell, Robert J. Sullivan, Jack Twersky, Cathleen Colon-Emeric, Mitchell Heflin, et al. “An advanced course in long term care for geriatric medicine fellows.” J Am Med Dir Assoc 14, no. 7 (July 2013): 499–506. https://doi.org/10.1016/j.jamda.2013.02.012.
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  - Buhr, Gwen, and Heidi K. White. “MDS 3.0 perspective: a better tool for patient care.” J Am Med Dir Assoc 14, no. 3 (March 2013): 221–22. https://doi.org/10.1016/j.jamda.2012.11.014.
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  - Genao, Liza, and Gwendolen T. Buhr. “Urinary Tract Infections in Older Adults Residing in Long-Term Care Facilities.” Ann Longterm Care 20, no. 4 (April 2012): 33–38.
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  - White, Heidi K., Kirsten Corazzini, Jack Twersky, Gwendolen Buhr, Eleanor McConnell, Madeline Weiner, and Cathleen S. Colón-Emeric. “Prioritizing culture change in nursing homes: perspectives of residents, staff, and family members.” J Am Geriatr Soc 60, no. 3 (March 2012): 525–31. https://doi.org/10.1111/j.1532-5415.2011.03840.x.
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  - Yanamadala, Mamata, Mitchell T. Heflin, Heidi K. White, and Gwendolen T. Buhr. “Ensuring vitamin D supplementation in nursing home patients--a quality improvement project.” J Nutr Gerontol Geriatr 31, no. 2 (2012): 158–71. https://doi.org/10.1080/21551197.2012.678240.
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  - Buhr, Gwendolen T., Liza Genao, and Heidi K. White. “Urinary tract infections in long-term care residents.” Clin Geriatr Med 27, no. 2 (May 2011): 229–39. https://doi.org/10.1016/j.cger.2011.01.007.
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  - Buhr, Gwendolen T., and Miguel A. Paniagua. “Update on teaching in the long-term care setting.” Clin Geriatr Med 27, no. 2 (May 2011): 199–211. https://doi.org/10.1016/j.cger.2011.01.005.
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  - Buhr, G. T., M. Yanamadala, J. Gontarz, B. J. Dotson, S. M. Williams, and E. S. McConnell. “INTERPROFESSIONAL QUALITY IMPROVEMENT (QI) LEARNING ACTIVITY FOR SENIOR NURSING STUDENTS AND GERIATRIC MEDICINE FELLOWS.” Gerontologist 50 (October 1, 2010): 173–173.
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  - Buhr, Gwendolen, and Connie W. Bales. “Nutritional supplements for older adults: review and recommendations--Part II.” J Nutr Elder 29, no. 1 (January 2010): 42–71. https://doi.org/10.1080/01639360903586464.
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  - White, Heidi K., Gwendolen Buhr, Jose Gonzalez, and Jose North Carolina Medical Directors Association. “Would a nursing home physician specialty resolve the workforce crisis in long-term care?” Ann Intern Med 151, no. 6 (September 15, 2009): 430–31. https://doi.org/10.7326/0003-4819-151-6-200909150-00012.
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  - White, Heidi K., Gwendolen T. Buhr, and Sandro O. Pinheiro. “Mentoring: a key strategy to prepare the next generation of physicians to care for an aging America.” J Am Geriatr Soc 57, no. 7 (July 2009): 1270–77. https://doi.org/10.1111/j.1532-5415.2009.02300.x.
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  - Bales, Connie W., and Gwendolen T. Buhr. “Body mass trajectory, energy balance, and weight loss as determinants of health and mortality in older adults.” Obes Facts 2, no. 3 (2009): 171–78. https://doi.org/10.1159/000221008.
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  - Buhr, Gwendolen, and Connie W. Bales. “Nutritional supplements for older adults: review and recommendations-part I.” J Nutr Elder 28, no. 1 (January 2009): 5–29. https://doi.org/10.1080/01639360802640545.
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  - Bales, Connie W., and Gwendolen Buhr. “Is obesity bad for older persons? A systematic review of the pros and cons of weight reduction in later life.” J Am Med Dir Assoc 9, no. 5 (June 2008): 302–12. https://doi.org/10.1016/j.jamda.2008.01.006.
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  - Buhr, Gwendolen T., and Heidi K. White. “Difficult behaviors in long-term care patients with dementia.” J Am Med Dir Assoc 8, no. 3 Suppl 2 (March 2007): e101–13. https://doi.org/10.1016/j.jamda.2006.12.012.
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  - Buhr, G. T. “Difficult Behaviors in Long-Term Care Patients with Dementia.” Journal of the American Medical Directors Association 8, no. 3 SUPPL. 2 (January 1, 2007). https://doi.org/10.1016/j.jamda.2007.01.021.
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  - Buhr, Gwendolen T., and Heidi K. White. “Quality improvement initiative for chronic pain assessment and management in the nursing home: a pilot study.” J Am Med Dir Assoc 7, no. 4 (May 2006): 246–53. https://doi.org/10.1016/j.jamda.2005.11.002.
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  - Buhr, Gwendolen T., and Heidi K. White. “Difficult behaviors in long-term care patients with dementia.” J Am Med Dir Assoc 7, no. 3 (March 2006): 180–92. https://doi.org/10.1016/j.jamda.2005.12.003.
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  - Buhr, Gwendolen T., Maragatha Kuchibhatla, and Elizabeth C. Clipp. “Caregivers' reasons for nursing home placement: clues for improving discussions with families prior to the transition.” Gerontologist 46, no. 1 (February 2006): 52–61. https://doi.org/10.1093/geront/46.1.52.
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- Book Sections
  - Bales, C. W., G. T. Buhr, V. H. Hawk, L. S. Evanko, and H. K. White. “Providing optimal nutrition in the assisted living environment.” In Geriatric Nutrition, 341–58, 2007.
- Conference Papers
  - Buhr, G. T., T. Konrad, S. Pinheiro, J. Counts, C. Poer, L. Shock, H. White, et al. “Interprofessional Education Collaborative Competency-Focused Workshops to Enhance Team Performance.” In Journal of the American Geriatrics Society, 63:S192–S192. WILEY-BLACKWELL, 2015.
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  - Pavon, J. M., and G. T. Buhr. “LONG-TERM IMPACT OF A TRANSITIONS OF CARE EXPERIENCE ON INTERNAL MEDICINE RESIDENT TRAINING IN GERIATRICS.” In Gerontologist, 50:454–454. OXFORD UNIV PRESS INC, 2010.
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  - Pavon, J. M., and G. T. Buhr. “Impact of a Transitions of Care Experience on Internal Medicine Resident Training in Geriatrics.” In Journal of the American Geriatrics Society, 57:S38–S38. WILEY-BLACKWELL PUBLISHING, INC, 2009.
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  - Buhr, G. T., M. T. Heflin, S. Pinheiro, and H. K. White. “Solving the long-term care puzzle: A unique learning experience for medical students.” In Journal of the American Geriatrics Society, 55:S37–38. BLACKWELL PUBLISHING, 2007.
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  - Buhr, G. T., and E. C. Clipp. “When to talk with families about nursing home placement: Evidence for physicians.” In Journal of the American Geriatrics Society, 51:S216–S216. BLACKWELL PUBLISHING INC, 2003.
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Teaching & Mentoring
Recent Courses
- MEDICINE 449C: Geriatric Medicine 2021
- MEDICINE 449C: Geriatric Medicine 2020
- MEDICINE 449C: Geriatric Medicine 2019

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Education, Training, & Certifications

Duke Appointment History

Selected Grants

Selected Publications

Academic Articles

Book Sections

Conference Papers

Recent Courses