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
Frailty in Focus - A Scoping Review of Frailty Instruments on from the Kidney Disease Aging Research Collaborative.
Journal Article Clin J Am Soc Nephrol · January 21, 2026 BACKGROUND: Frailty is a multi-system syndrome of decreased physiologic reserve with high prevalence, early incidence, and prognostic significance in kidney disease. Apart from the Physical Frailty Phenotype (PFP), less is known regarding psychometric prop ... Full text Link to item CiteSupporting Shared Decision-Making in Life-Altering Kidney Therapy Decisions for Older Adults: A Review.
Journal Article JAMA Intern Med · December 1, 2025 IMPORTANCE: Older adults represent the fastest-growing population initiating dialysis in the US. For older adults with advanced chronic kidney disease (CKD), initiating dialysis is often the default option presented, as they are often ineligible for kidney ... Full text Link to item CiteChoices Matter: Expanding the Quality of Shared Decision-Making for Older Adults With Advanced CKD.
Journal Article Am J Kidney Dis · November 2025 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 - 2026Deprescribing for Older Dialysis Patients
ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2018 - 2024View All Grants
Education, Training & Certifications
Duke University ·
2013
M.H.S.
Vanderbilt University ·
2006
M.B.A.
Vanderbilt University, School of Medicine ·
2006
M.D.