Overview
I am a physician-scientist with an academic career focus is geriatric nephrology. The aim of my work is to transform the standard of care for vulnerable adults who have both advanced kidney disease and geriatric problems. I use epidemiology and health services research methodologies to identify effective novel interventions that integrate geriatric principles into kidney care settings. I lead a geriatric nephrology clinic at the Durham VA that integrates a brief geriatric assessment with kidney disease management and dialysis decision-making.
Current Appointments & Affiliations
Associate Professor of Medicine
·
2023 - Present
Medicine, Nephrology,
Medicine
Associate Professor in Population Health Sciences
·
2023 - Present
Population Health Sciences,
Basic Science Departments
Recent Publications
Examining Quality-of-Life Priorities of Older Adults Receiving Hemodialysis: A Q-Methodology Study.
Journal Article Kidney Med · June 2026 RATIONALE & OBJECTIVE: Older adults represent the fastest-growing demographic group initiating hemodialysis (HD) in the United States. Compared with older adults who do not receive HD, they commonly report a lower quality of life (QOL). However, their pers ... Full text Link to item CiteDrug Burden Index and Its Association With Functional Outcomes in Patients Receiving Hemodialysis.
Journal Article Kidney Med · June 2026 RATIONALE & OBJECTIVE: Psychoactive potentially inappropriate medications (PIMs) are associated with morbidity and mortality in the dialysis population. However, little evidence exists on the association of psychoactive PIMs with functional status, an outc ... Full text Link to item CiteASN Kidney Health Guidance on Conservative Management in People with Kidney Failure.
Journal Article J Am Soc Nephrol · April 1, 2026 Conservative management is customized CKD care, symptom management, and support to navigate care across the CKD trajectory through end of life. Conservative management is defined by shared decision-making and interdisciplinary teamwork in alliance with pat ... Full text Link to item CiteRecent Grants
Duke/UNC ADAR Program
Inst. Training Prgm or CMEMentor · Awarded by National Institutes of Health · 2024 - 2029Kidney Disease Aging Research Collaborative (KDARC) Research Infrastructure to Advance the Science of Geriatric Nephrology (R61/R33)
ResearchPrincipal Investigator · Awarded by NYU Langone Medical Center · 2024 - 2027Deprescribing for Older Dialysis Patients
ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2018 - 2024View All Grants
Education
Duke University ·
2013
M.H.S.
Vanderbilt University ·
2006
M.B.A.
Vanderbilt University, School of Medicine ·
2006
M.D.