Scholars@Duke
Joel Boggan

Joel Boggan

Associate Professor of Medicine
Medicine, Hospital Medicine
Hospital Medicine Team (111), 508 Fulton Street, Durham, NC 27705
Hospital Medicine Team (111M), 508 Fulton Street, Durham, NC 27705

Selected Publications

Differences in Ambulatory Care Outcomes Between Trainees and Faculty: A Multi-center Study

Journal Article Journal of General Internal Medicine · June 3, 2025 Full text Cite

The Epidemiology of Combined Pulmonary Fibrosis and Emphysema (CPFE) Among Mid-Atlantic Veterans.

Journal Article Ann Am Thorac Soc · May 19, 2025 RATIONALE: Combined pulmonary fibrosis and emphysema (CPFE) is a unique phenotype with important prognosis and management implications in patients with idiopathic pulmonary fibrosis (CPFE-IPF) and other forms of fibrotic interstitial lung disease (CPFE-fIL ... Full text Link to item Cite

Prolonged Hospitalization and Adverse Events in Veterans Awaiting Guardianship: A Retrospective Cohort Analysis.

Journal Article J Gen Intern Med · May 8, 2025 BACKGROUND: Hospitalized adults who are deemed to lack both capacity for medical decision-making and an appropriate surrogate often have prolonged hospital stays while awaiting a guardian. OBJECTIVE: To characterize the inpatient management, adverse hospit ... Full text Link to item Cite

Characterizing Intervention Components and Complexity of Nonpharmacologic Healthcare Interventions to Manage Distress Behaviors in Older Adults.

Journal Article J Appl Gerontol · April 28, 2025 Distress behaviors are common in residential care settings and contribute to staff burnout and poor quality of life for older adults. While nonpharmacologic interventions reduce distress behaviors, implementation in routine care remains challenging. Our st ... Full text Link to item Cite

Effectiveness of Synchronous Postdischarge Contacts on Health Care Use and Patient Satisfaction : A Systematic Review and Meta-analysis.

Journal Article Ann Intern Med · February 2025 BACKGROUND: Postdischarge contacts (PDCs) after hospitalization are common practice, but their effectiveness in reducing use of acute care after discharge remains unclear. PURPOSE: To assess the effects of PDC on 30-day emergency department (ED) visits, 30 ... Full text Open Access Link to item Cite

Health conditions seen frequently in hospitalized United States Veterans who served after 9/11/2001: A scoping review.

Journal Article J Hosp Med · January 9, 2025 BACKGROUND: Hospitalists working outside the Veterans Affairs (VA) system frequently will serve Veterans receiving care for acute conditions and/or awaiting transfer to VA facilities. OBJECTIVE: To perform a scoping review of health conditions and associat ... Full text Link to item Cite

Differences in Ambulatory Care Outcomes Between Trainees and Faculty: A Multi-center Study

Conference Journal of General Internal Medicine · January 1, 2025 Background: Academic medical centers (AMCs) provide the nation’s most complex care, with no differences in performance between trainees and faculty for inpatient outcomes. Single-center analyses demonstrated low performance on ambulatory outcomes among res ... Full text Cite

Medications for alcohol-use disorder and follow-up after hospitalization for alcohol withdrawal: A multicenter study.

Journal Article J Hosp Med · December 2024 BACKGROUND: Alcohol withdrawal is a common reason for admission to acute care hospitals. Prescription of medications for alcohol-use disorder (AUD) and close outpatient follow-up are commonly recommended, but few studies report their effects on postdischar ... Full text Link to item Cite

Contemporary Management and Outcomes of Veterans Hospitalized With Alcohol Withdrawal: A Multicenter Retrospective Cohort Study

Journal Article Journal of Addiction Medicine · July 1, 2024 Objectives: Few studies describe contemporary alcohol withdrawal management in hospitalized settings or review current practices considering the guidelines by the American Society of Addiction Medicine (ASAM). Methods: We conducted a retrospective cohort s ... Full text Cite

Health Care Team Interventions to Reduce Distress Behaviors in Older Adults: A Systematic Review.

Journal Article Clin Gerontol · 2024 OBJECTIVES: This review examines health care team-focused interventions on managing persistent or recurrent distress behaviors among older adults in long-term residential or inpatient health care settings. METHODS: We searched interventions addressing heal ... Full text Link to item Cite

OUT OF SCOPE? COLORECTAL CANCER SCREENING GAPS AND BARRIERS IN A RESIDENT CLINIC

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · 2024 Cite

Teaching the Teacher: Novel Faculty Development for VA Hospitalists.

Journal Article Fed Pract · February 2023 BACKGROUND: The US Department of Veterans Affairs (VA) is the largest educator of health professions trainees in the country, but the roles and responsibilities of the modern clinician educator are increasingly challenging and complex. Most VA academic hos ... Full text Open Access Link to item Cite

The Eyes Have It-for Idiopathic Pulmonary Fibrosis: a Preliminary Observation.

Journal Article Pulm Ther · September 2022 INTRODUCTION: The disease origins of idiopathic pulmonary fibrosis (IPF), which occurs at higher rates in certain races/ethnicities, are not understood. The highest rates occur in white persons of European descent, particularly those with light skin, who a ... Full text Open Access Link to item Cite

No Quick Fixes: Integrating Population Health Education and Quality Improvement in a Large Residency Program.

Journal Article J Healthc Qual · September 2022 The intersection of population health (PH), quality improvement (QI), and health disparities is increasingly a focus in graduate medical education. However, it remains unclear how trainees may best improve disparities within clinical training environments. ... Full text Link to item Cite

Quality improvement initiative to improve infant safe sleep practices in the newborn nursery.

Journal Article BMJ Open Qual · August 2022 The American Academy of Pediatrics recommends that healthcare professionals model their safe infant sleeping environment recommendations, yet adherence to safe sleep practices within our community hospital mother-baby unit was low. We used quality improvem ... Full text Open Access Link to item Cite

Implementing remote triage in large health systems: A qualitative evidence synthesis.

Journal Article Res Nurs Health · February 2021 Remote triage (RT) allows interprofessional teams (e.g., nurses and physicians) to assess patients and make clinical decisions remotely. RT use has developed widespread interest due to the COVID-19 pandemic, and has future potential to address the needs of ... Full text Link to item Cite

Interstitial lung disease in a veterans affairs regional network; a retrospective cohort study.

Journal Article PLoS One · 2021 BACKGROUND: The epidemiology of Interstitial Lung Diseases (ILD) in the Veterans Health Administration (VHA) is presently unknown. RESEARCH QUESTION: Describe the incidence/prevalence, clinical characteristics, and outcomes of ILD patients within the Veter ... Full text Open Access Link to item Cite

Effectiveness of Acute Care Remote Triage Systems: a Systematic Review.

Journal Article J Gen Intern Med · July 2020 Featured Publication BACKGROUND: Technology-based systems can facilitate remote decision-making to triage patients to the appropriate level of care. Despite technologic advances, the effects of implementation of these systems on patient and utilization outcomes are unclear. We ... Full text Open Access Link to item Cite

Effectiveness of Remote Triage: A Systematic Review

Report · 2019 The US health care system currently faces several challenges including caring for an increasing elderly population, a large numbers of patients with multiple chronic conditions, and an uneven distribution of primary care providers across the country. The f ... Link to item Cite

IMPROVING CONTINUITY IN AN INTERNAL MEDICINE RESIDENT CLINIC

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2018 Link to item Cite

Understanding operator stent choice in the catheterization laboratory using a pre-procedure survey: Opportunities for quality improvement.

Journal Article Cardiovasc Revasc Med · December 2017 OBJECTIVES: We sought to characterize how the perceived risk of early dual antiplatelet therapy (DAPT) discontinuation is incorporated into operator decision-making regarding stent choice, using a simple pre-procedure survey screening for clinical variable ... Full text Open Access Link to item Cite

Splenectomy as a Destination: Improving Quality of Care Among Asplenic Veterans Through a Travel Clinic.

Journal Article Am J Med · July 2017 BACKGROUND: Asplenic patients are at risk for severe infections, but adherence to recommended preventive education and vaccination is poor. The goal of this study was to demonstrate that a targeted intervention can improve vaccination rates in a population ... Full text Open Access Link to item Cite

Improving Timely Resident Follow-Up and Communication of Results in Ambulatory Clinics Utilizing a Web-Based Audit and Feedback Module.

Journal Article J Grad Med Educ · April 2017 Featured Publication BACKGROUND: Failure to follow up and communicate test results to patients in outpatient settings may lead to diagnostic and therapeutic delays. Residents are less likely than attending physicians to report results to patients, and may face additional barri ... Full text Open Access Link to item Cite

Human Papillomavirus Awareness in Haiti: Preparing for a National HPV Vaccination Program.

Journal Article J Pediatr Adolesc Gynecol · February 2017 STUDY OBJECTIVE: Cervical cancer morbidity and mortality are pressing public health issues that affect women in Haiti. To inform efforts to develop a human papillomavirus (HPV) vaccination program in Haiti, we sought to understand HPV awareness and willing ... Full text Open Access Link to item Cite

The Burden of Burnout.

Journal Article Am J Med Qual · 2017 Featured Publication This study sought to determine burnout prevalence and factors associated with burnout in internal medicine residents after introduction of the 2011 ACGME duty hour rules. Burnout was evaluated using an anonymized, abbreviated version of the Maslach Burnout ... Full text Open Access Link to item Cite

Awareness of Cervical Cancer Causes and Predeterminants of Likelihood to Screen Among Women in Haiti.

Journal Article J Low Genit Tract Dis · January 2017 OBJECTIVES: Cervical cancer is the leading cause of cancer deaths among women in Haiti. Given this high disease burden, we sought to better understand women's knowledge of its causes and the sociodemographic and health correlates of cervical cancer screeni ... Full text Open Access Link to item Cite

Characteristics Of Interstitial Lung Disease In The Mid-Atlantic Veterans Affairs Regional Network

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · January 1, 2017 Link to item Cite

Doctor Who? A Quality Improvement Project to Assess and Improve Patients' Knowledge of Their Inpatient Physicians.

Journal Article J Grad Med Educ · May 2016 Background Patient-physician communication is an integral part of high-quality patient care and an expectation of the Clinical Learning Environment Review program. Objective This quality improvement initiative evaluated the impact of an educational audit a ... Full text Open Access Link to item Cite

Guideline-based decision support has a small, non-sustained effect on transthoracic echocardiography ordering frequency.

Journal Article BMJ Qual Saf · January 2016 Featured Publication BACKGROUND: Guidance for appropriate utilisation of transthoracic echocardiograms (TTEs) can be incorporated into ordering prompts, potentially affecting the number of requests. METHODS: We incorporated data from the 2011 Appropriate Use Criteria for Echoc ... Full text Open Access Link to item Cite

An Automated Surveillance Strategy to Identify Infectious Complications After Cardiac Implantable Electronic Device Procedures.

Journal Article Open Forum Infect Dis · December 2015 Featured Publication Background.  The optimum approach for infectious complication surveillance for cardiac implantable electronic device (CIED) procedures is unclear. We created an automated surveillance tool for infectious complications after CIED procedures. Methods.  Adult ... Full text Open Access Link to item Cite

An evaluation of physician predictions of discharge on a general medicine service.

Journal Article J Hosp Med · December 2015 Featured Publication The goal of this study was to evaluate general medicine physicians' ability to predict hospital discharge. We prospectively asked study subjects to predict whether each patient under their care would be discharged on the next day, on the same day, or neith ... Full text Open Access Link to item Cite

Poor Positive Predictive Value of Lyme Disease Serologic Testing in an Area of Low Disease Incidence.

Journal Article Clin Infect Dis · November 1, 2015 Featured Publication BACKGROUND: Lyme disease is diagnosed by 2-tiered serologic testing in patients with a compatible clinical illness, but the significance of positive test results in low-prevalence regions has not been investigated. METHODS: We reviewed the medical records ... Full text Open Access Link to item Cite

Vaginal Self-Sampling for Human Papillomavirus Infection as a Primary Cervical Cancer Screening Tool in a Haitian Population.

Journal Article Sex Transm Dis · November 2015 Featured Publication BACKGROUND: Human papillomavirus (HPV) testing as primary cervical cancer screening has not been studied in Caribbean women. We tested vaginal self-collection versus physician cervical sampling in a population of Haitian women. METHODS: Participants were s ... Full text Open Access Link to item Cite

A Novel Approach to Practice-Based Learning and Improvement Using a Web-Based Audit and Feedback Module.

Journal Article J Grad Med Educ · September 2014 Featured Publication BACKGROUND: Systematically engaging residents in large programs in quality improvement (QI) is challenging. OBJECTIVE: To coordinate a shared QI project in a large residency program using an online tool. METHODS: A web-based QI tool guided residents throug ... Full text Open Access Link to item Cite

Standardizing and Evaluating Transitions of Care in the Era of Duty Hour Reform: One Institution's Resident-Led Effort.

Journal Article J Grad Med Educ · December 2013 Featured Publication BACKGROUND: Compliance with the Accreditation Council for Graduate Medical Education duty hour standards may necessitate more frequent transitions of patient responsibility. INTERVENTION: We created a multidisciplinary Patient Safety and Quality Council wi ... Full text Open Access Link to item Cite

Variability in performance measures for assessment of hypertension control.

Journal Article Am Heart J · May 2013 BACKGROUND: Definitions of multiple performance measures exist for the assessment of blood pressure control; however, limited data on how these technical variations may affect actual measured performance are available. METHODS: We evaluated patients with h ... Full text Open Access Link to item Cite

Pediatric-specific antimicrobial susceptibility data and empiric antibiotic selection.

Journal Article Pediatrics · September 2012 Featured Publication OBJECTIVE: Duke University Health System (DUHS) generates annual antibiograms combining adult and pediatric data. We hypothesized significant susceptibility differences exist for pediatric isolates and that distributing these results would alter antibiotic ... Full text Open Access Link to item Cite

Hypertension control among patients followed by cardiologists.

Journal Article Circ Cardiovasc Qual Outcomes · May 2012 BACKGROUND: Hypertension control is an important and modifiable risk factor for cardiovascular disease. The overall rate of hypertension control among patients followed in cardiology clinics, as well as clinician variability in control rates, is unknown. M ... Full text Link to item Cite