Suzann Pershing Specialty Comprehensive Ophthalmology
Academic Appointments Assistant Professor of Ophthalmology Stanford University Medical Center Palo Alto, CA
June 2014 – present
Chief, Ophthalmology and Eye Care Services Veterans Affairs Palo Alto Health Care System Palo Alto, CA
July 2013 – present
Clinical Instructor Stanford University Medical Center Palo Alto, CA
September 2010 – June 2014
Licensure Physician and Surgeon, state of California
Education and Postdoctoral Training AHRQ Fellowship in Health Care Research and Health Policy June 2013 Stanford University Palo Alto, CA Master of Science, Health Research and Policy Stanford University Palo Alto, CA
Ophthalmology Residency Stanford University Palo Alto, CA
Transitional (Rotating) Internship Scripps Mercy Hospital San Diego, CA
Doctor of Medicine (M.D.) Medical University of South Carolina (MUSC) Charleston, SC.
Bachelor of Arts: Chemistry Summa Cum Laude Sonoma State University Rohnert Park, CA
Leadership Member, American Academy of Ophthalmology (AAO) Task Force on IRIS Registry Analytics and Research, 2014-present Member, American Academy of Ophthalmology (AAO) Clinical Data Registry Workgroup, 2012-2014 Page 1 of 15
AAO Representative, International Consortium for Health Outcomes Measurement (ICHOM),2013-present Coordinator and Director, Residency Initiatives, National Medical Honor Society, 2009-present Board of Directors, Alpha Omega Alpha () National Medical Honor Society, 2009-present President, Peninsula Eye Society, 2015-present Vice President, Peninsula Eye Society, 2014-2015 Secretary, Peninsula Eye Society, 2013-2014 Member-in-Training Councilor, California Association of Eye Physicians and Surgeons, 2009-2010 Elected to one-year term on Board of Councilors of California section of American Academy of Ophthalmology
Advocacy Ambassador to American Academy of Ophthalmology Mid-Year Forum, April 2009 Sponsored by Women in Ophthalmology
Admissions Panel, Stanford University School of Medicine, 2012-present Review of medical school applications and serving as interviewer/rater for Multiple Mini Interviews (MMI)
Chief Resident, Department of Ophthalmology, Stanford University, 2009-2010 Administrative management, education of junior residents and medical students, conference and lecture scheduling
Committee Member, Infection Control Committee, Stanford University Medical Center, 2011-2013 Committee Member, Criterion-Based Evaluation Initiative Development, Stanford School of Medicine 2009-2010. Medical Knowledge and Practice Based Learning Working Group. Involved in formulating guidelines for the development of new Criterion-Based medical student Evaluation Initiative
President, Alpha Chapter of Medical Honor Society, South Carolina, 2005-2006 http://www.musc.edu/aoa. Initiated a program during presidency to recruit talented and motivated students from
South Carolina colleges to the MUSC College of Medicine (M.D. program) and Medical Scientist Training Program (M.D./Ph.D. program), via annual information/recruitment session as well as funded scholarships.
Chair, Grant Writing Division, Finance Committee Medical Student Ophthalmology Society, MUSC, 2004-2005 Chair, Epidemiology/Population Health Committee, Public Health Interest Group, MUSC, 2004-2005 Chair, Faculty Excellence Awards Committee, MUSC, 2003-2004 Leader, Gift Program Study Skills Workshop, MUSC, 2004 MUSC College of Medicine Student Council member, 2003-2004, 2005-2006 Member, Careers in Medicine Committee, MUSC, 2005-2006
Teaching and Structured Mentorship Co-Director, Medical Student 300A Ophthalmology Clerkship, Stanford University, 2012-present Director, Medical Student 301A Ophthalmology Clerkship, Stanford University, 2016-present Ophthalmology Residency Program Clinical Competency Committee Ophthalmology Milestone Project, 2013-present Ophthalmology Residency Selection Committee, 2013-present Advisor and Research Mentor, Stanford MedScholars Program Scholarly Concentration, 2016-present Mentored gap year research experience for a medical student at Stanford University (Stephanie Chen), sponsored for Summer 2016-Summer 2017
Advisor and Research Mentor, Stanford MedScholars Program Scholarly Concentration, 2016-present Mentored research experience for a medical student at Stanford University (Elaine My Tien Tran), sponsored for Summer 2016-Winter 2017
Advisor and Research Mentor, Stanford MedScholars Program Scholarly Concentration, 2014-present Mentored research experience for a medical student at Stanford University (Cole Rojas), sponsored for Summer 2014-present
Co-Instructor, HRP 222A: Advising Congress on Health Policy, Stanford University, 2013-2014 Multidisciplinary policy lab in collaboration between School of Medicine, School of Law, and Graduate School of Business. Working directly with MedPAC (Medicare Payment Advisory Commission) to address issues identified as timely.
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Mentor, HB-REX Stanford University summer program, 2014 Mentored research experience with a sophomore undergraduate Human Biology major at Stanford University (Lauren Wedekind), sponsored for Summer 2014
PI Mentor, Stanford Institute of Medicine Summer Research Program, 2014 Sponsored a high school student to work in a lab with an independent project under the supervision of a graduate student (Ananya Nandy, directly mentored by Greg Gaskin)
Mentor, Albert Schweitzer Fellowship, 2013-present Medical student initiative to develop a community preschool vision screening program in collaboration with Prevent Blindness Northern California (Karen Hong)
Teaching Assistant, Health Policy, Finance, and Regulation course (HRP 391/LAW 348), Stanford University, Winter quarter 2013 Mentor, Stanford Immersion in Medicine Series, 2008-present Sponsored Stanford premedical students interested in medicine for shadowing and counseling.
Resident education and mentorship, 2010-present Clinical and surgical teaching in OR, clinic, and on wards (staffing inpatient consults at Stanford Hospital), and via lectures and small-group sessions
Medical student and undergrad career and research mentorship Mentored students individually for research projects and career guidance
Grants and Awards Stanford Faculty Teaching Award, Department of Ophthalmology, 2014 Stanford Society of Physician Scholars Collaborative Research Grant, 2013 Collaborating with and mentoring a medical student on a database research project (Michael Hurley) Stanford Society of Physician Scholars Collaborative Research Grant, 2012 Collaborating and mentoring medical student on a cost-effectiveness research project (Brian Matesic) Scripps Mercy Excellence in Patient Care Award, 2007 MUSC President’s Clinical Science Award, 2006 Merck Award for Academic Excellence, 2006 American Medical Women’s Association Glasgow-Rubin Certificate of Commendation for Academic Achievement, 2006 MUSC Provost Scholarship, 2005 Collegiate All-American Scholar Award, United States Achievement Academy, 2006 National Collegiate Physical Sciences Award, United States Achievement Academy, 2006
Honors Stanford Medicine Leadership Academy, 2016-present Stanford Society of Physician Scholars, 2011-2014 Alpha Omega Alpha Medical Honor Society (), elected as junior, 2004-present Honors, Ophthalmology Clerkship, 2005 Honors, Senior Otolaryngology/Head and Neck Surgery Clerkship, 2005 Honors, Senior Psychiatry Clerkship, 2006 Honors, Neurology Clerkship, 2005 Honors, Surgery Clerkship, 2005 Honors, Internal Medicine Clerkship, 2005 Honors, Psychiatry Clerkship, 2005 Honors, Pediatrics Clerkship, 2004 Honors, Obstetrics and Gynecology Clerkship, 2004 Nominee, Gold Humanism in Medicine Honor Society, 2005 Honor grade, Medical Physiology, 2003 Honor grade, Medical Neuroscience, 2003 Honors, Essentials of Scientific Practice III, 2003 Page 3 of 15
Peer-Reviewed Publications (* denotes corresponding author) 1. Pershing S, Stein JD.* There’s No Place Like Home: Determining the Value of Home Monitoring of Patients with Age-Related Macular Degeneration. Accepted as an invited commentary to JAMA Ophthalmology. 2. Pershing S, Morrison DE, Hernandez-Boussard T.* Cataract Surgery Complications and Revisit Rates among 3 States. American Journal of Ophthalmology. 2016 Nov;171:130-138. 3. Oetting T,* Alfonso E, Arnold A, Cantor L, Carter K, Cruz OA, Feldon S, Mondino B, Parke D, Pershing S, Uhler T, Volpe N. Integrating the Internship into Ophthalmology Residency Programs: AUPO AAO White Paper. Ophthalmology. 2016 Sep;123(9):2037-41 4. Baisiwala S, Bundorf KM, Pershing S.* Physician Utilization Patterns for Specific VEGF-Inhibitor Drugs in the 2012 US Medicare Population. OSLI Retina 2016 June 1;47(6):555-62 5. ICHOM Macular Degeneration Working Group: Ian A. Rodrigues, Sara M. Sprinkhuizen, Daniel Barthelmes, Mark Blumenkranz, Gemmy Cheung, Julia Haller, Robert Johnston, Ramasamy Kim, Caroline Klaver, Martin McKibbin, Nor Fariza Ngah, Suzann Pershing, Dato Shankar Hiroshi Tamura, Adnan Tufail, Christina Y. Weng, Inger Westborg, Catherine Yelf, Nagahisa Yoshimura, Mark C. Gillies.* Defining a Minimum Set of Standardized Patient-centered Outcome Measures for Macular Degeneration. American Journal of Ophthalmology. 2016 Aug;168:1-12 6. Wedekind L, Sainani K, Pershing S.* Supply and Perceived Demand for Teleophthalmology in Triage and Consultations: Survey of California Emergency Departments. JAMA Ophthalmology. 2016 March 24 [Epub ahead of print] 7. Gaskin GL, Pershing S,* Cole T, Shah NH. Predictive Modeling of Risk Factors and Complications of Cataract Surgery. European Journal of Ophthalmology. 2016 Jun 10;26(4):328-37. 8. ICHOM Cataract Surgery Working Group: Imran Mahmud,* Haripriya Aravind, Anders Boman, Ingrid Kossler, Mats Lundstrom, Nigel Morlet, Suzann Pershing, Konrad Pesudovs, Goh Pik Pin, John Sparrow. Cataract Surgery: Defining a Standard Set of Outcome Measures. JAMA Ophthalmology. 2015 Nov 1;133(11):1247-52 9. Pershing S,* Vaziri K, Albini TA, Moshfeghi DM, Moshfeghi AA. Reply to: Risk Factors Predictive of Endogenous Endophthalmitis among Hospitalized Patients with Hematogenous Infections in the United States. American Journal of Ophthalmology. 2015 Aug;160(2):392 10. Pershing S, Pal Chee C, Asch SM, Baker LC, Boothroyd D, Wagner TH, Bundorf MK.* Treating agerelated Macular Degeneration: Comparing the Use of Two Drugs Among Medicare and Veterans Affairs Populations. Health Affairs. 2015 Feb;34(2):229-38 11. DeMarchis E, Pershing S,* Moshfeghi DM. Clinical-Pathologic Correlation: Vitrectomy with Epiretinal and Internal Limiting Membrane Peel. Ophthalmic Surgery, Lasers, and Imaging Retina. 2014 May;45(3):218-21 12. Vaziri K, Pershing S,* Albini TA, Moshfeghi DM, Moshfeghi AA. Risk Factors Predictive of Endogenous Endophthalmitis among Hospitalized Patients with Hematogenous Infections in the United States. American Journal of Ophthalmology. 2014 March;159(3):498-504
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13. Pershing S,* Matesic B, Enns E, Owens DK, Goldhaber-Fiebert JD. Cost-Effectiveness of Treatment for Diabetic Macular Edema: Ranibizumab, Triamcinolone, and Laser Therapies. Annals of Internal Medicine. 2014 Jan;160(1):18-30 14. Pershing S,* Fuchs VR. Restructuring Medical Education to Meet Current and Future Health Care Needs. Academic Medicine. 2013 Dec;88(12):1798-801. 15. Pershing S, Bakri S,* Moshfeghi DM. Ocular Hypertension and Intraocular Pressure Asymmetry after Intravitreal Injection of Anti-Vascular Endothelial Growth Factor Agents. Ophthalmic Surgery, Lasers, and Imaging Retina 2013 Sep-Oct;44(5):460-4 16. Amato M,* Pershing S, Walvick M, Tanaka S. Trends in Ophthalmic Manifestations of Methicillin Resistant Staph Aureus (MRSA) in a Northern California Pediatric Population. Journal of American Association for Pediatric Ophthalmology and Strabismus. 2013 Jun;17(3):243-7 17. Fijalkowski N, Pershing S, Moshfeghi DM.* The Importance of Keeping a Broad Differential in Retina Clinic: The Spectrum of Ophthalmic Disease Seen by Retinal Specialists in a Tertiary Outpatient Clinic Setting. Ophthalmic Surgery, Lasers, and Imaging Retina. 2013; 44(2):133-9 18. Pershing S,* Kumar A. Phacoemulsification versus Extracapsular Cataract Extraction: Where Do We Stand? Current Opinion in Ophthalmology. 2011; 22(1):37-42. 19. Pershing, S, Dunn, J, Khan, A, Liao, YJ.* Cytomegalovirus Infection with MRI Signal Abnormalities Affecting the Optic Nerves, Optic Chiasm, and Optic Tracts. Journal of Neuroophthalmology. 2009; 29(3):223-6 20. Wilson Jr ME,* Trivedi RH, Bartholomew L, Pershing S. Comparison of anterior vitrectorhexis and continuous curvilinear capsulorhexis in pediatric cataract and intraocular lens implantation surgery: a 10-year analysis. Journal of American Association for Pediatric Ophthalmology and Strabismus. 2007; 11(5):443-6.
Manuscripts Submitted/in Preparation 1. Han E, Baisiwala S, Jain A, Bundorf MK, Pershing S.* An Analysis of Medicare Reimbursement to Ophthalmologists: Years 2012-2013. Under revision for American Journal of Ophthalmology. 2. Schuman AD, Andrews CA, Pershing S, Newman-Casey PA, Stein JD.* Does Type of Health Insurance Coverage Affect How Patients Who Are Newly Diagnosed With Open Angle Glaucoma Are Initially Treated? Submitted to Ophthalmology. 3. Chen SP, Pershing S.* Vision Loss and Cognitive Impairment in the Elderly US Population. Submitted to Ophthalmology. 4. Albini T, Callaway NF, Pershing S, Wang SK, Moshfeghi AA, Moshfeghi DM.* Trends in Hospitalization and Incidence Rate for Syphilitic Uveitis in the United States from 1998-2009. Submitted to American Journal of Ophthalmology 5. Tran E, Bhattacharya J, Pershing S.* Self-Reported Receipt of Dilated Fundus Exams among Patients with Diabetes: Medicare Expenditure Panel Survey, 2000-2013. Submitted to American Journal of Ophthalmology.
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6. Vaziri K, Pershing S, Moshfeghi DM, Moshfeghi AA.* Cystoid Macular Edema among Patients Treated with Topical Prostaglandin Agonists. Submitted to OSLI Retina 7. Lee R, Pershing S.* Health Insurance Coverage and Utilization of Eye Care Services in the United States: Medicare Expenditure Panel Survey, 2008-2012. In preparation for resubmission 8. Wood EH, Pershing S, Moshfeghi DM, Bakri S. Elevated Intraocular Pressure after Intravitreal Injection of anti-Vascular Endothelial Growth Factor Agents is Real and Clinically Relevant. In preparation as an invited perspective to American Journal of Ophthalmology.
Book Chapters 1. Pershing S and Alcorn DM. Pediatric Ophthalmology. In Pediatrics for Medical Students, edited by Bernstein D and Shelov SP. 3rd edition. Lippincott Williams and Wilkins. July 29, 2011
Non-Peer Reviewed Publications 1. Al-Aswad L, Green LK, Kao SA, Mamalis N, Pershing S, Tipperman R. Scattered Blue Deposits after Cataract Surgery. Cataract and Refractive Surgery Today. October 2011, p 45-48. Available at http://bmctoday.net/crstoday/pdfs/CRST1011_catcomp.pdf (last accessed 2/5/2014) 2. Pershing S. Putting Outcomes Analyses to Practical Use in Cataract and Refractive Surgery. Cataract and Refractive Surgery Today Europe. February 2015.
Research Presentations 1. Tran E, Goldberg JL, Pershing S. Systemic Predictors of Diabetic Eye Disease Development and Severity. Submitted for presentation at the Association for Research in Vision and Ophthalmology 2017 Annual Meeting 2. Armenti S, …. Have the CATT Trial Results and Introduction of Aflibercept to the Marketplace Influenced Utilization of Bevacizumab and Ranibizumab for Retinal Diseases? Submitted for presentation at the Association for Research in Vision and Ophthalmology 2017 Annual Meeting 3. Sales CS, Terry MA, Straiko MD, Pershing S. Comparative Lifetime Cost-Effectiveness Analysis of Descemet Membrane Endothelial Keratoplasty vs. Descemet-Stripping Automated Endothelial Keratoplasty in the United States. Presented at the American Academy of Ophthalmology 2016 Annual Meeting. 4. Pershing, S. Cost-effectiveness and Value-Based Purchasing. Ophthalmic Informatics 2016 Annual Meeting (inaugural annual meeting, held at Oregon Health Sciences University) 5. Elkin Z, Baisiwala S, Binder S, Beyer J, Pershing S. Value of Vision: Simulations for Measuring the Utility Lost with Presbyopia. Presented at the American Society of Cataract and Refractive Surgery 2016 Annual Meeting 6. Wang K, Krishnan G, Pershing S. Factors Associated with Endogenous Endophthalmitis and Ophthalmology Consults in an Inpatient Setting. Presented at the Association for Research in Vision and Ophthalmology 2016 Annual Meeting
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7. Schuman AD, Andrews CA, Newman-Casey PA, Pershing S, Stein JD. Does Type of Health Insurance Coverage Affect How Patients Newly Diagnosed with Open-angle Glaucoma are Managed? Presented at the Association for Research in Vision and Ophthalmology 2016 Annual Meeting 8. He L, Myung D, Pershing S, Chang R. iPhone Photography of Eye Pathology for Remote Triage. Presented at the Association for Research in Vision and Ophthalmology 2014 Annual Meeting 9. Vaziri K, Pershing S, Albini T, Moshfeghi DM, Moshfeghi AA. Risk Factors Associated with Developing Endogenous Endophthalmitis. Presented at the Association for Research in Vision and Ophthalmology 2014 Annual Meeting 10. Choi D, Chang R, Vaziri K, Moshfeghi D, Moshfeghi A, Pershing S. Increasing Incidence of Conjunctival Lesion Excisions After Popularization of Prostaglandin Analogs. Presented at the American Society of Cataract and Refractive Surgery 2014 annual meeting. 11. Hernandez-Boussard T, Morrison D, Pershing S. Procedure-related Readmissions following Cataract Surgery. Presented at the 30th International Conference of the International Society for Quality in Health Care (October 2013) 12. Pershing S, Matesic B, Enns E, Owens DK, Goldhaber-Fiebert JD. Cost-Effectiveness of Treatment Options for Diabetic Macular Edema. Presented as a poster at the 34th annual meeting of the Society for Medical Decision Making (October 2012) 13. Enns EA, Pershing S, Wang Y, Goldhaber-Fiebert JD. Calibration Methods for Inferring Transition Probabilities from Cross-sectional Studies. Presented as a paper at the 34th annual meeting of the Society for Medical Decision Making (October 2012) 14. Fijalkowski, N, Pershing, S, Moshfeghi, DM. The Incidence and Spectrum of Ophthalmic Disease Among New Patients Treated by Retinal Specialists in a Tertiary Outpatient Clinic Setting. Presented as a poster at the 2012 American Academy of Ophthalmology Annual Meeting (November 2012). 15. Hernandez-Boussard T, Curtin C, Pershing S, McDonald KM. Quality of Health Care Delivery in US Ambulatory Surgical Centers. Presented at the 29th International Conference of the International Society for Quality in Health Care (October 2012) 16. Moshfeghi DM, Fijalkowski N, Pershing S. The Incidence and Spectrum of Ophthalmic Disease Among New Patients Treated by Retinal Specialists in a Tertiary Outpatient Clinic Setting. Presented as a poster at the 30th annual meeting of the American Society of Retina Specialists (August 2012) 17. Alcorn, DM, Fredrick, D, Pershing, S. Prospective study of Endogenous Endophthalmitis in a Pediatric Population from a Tertiary Care Children’s Hospital. Presented as a paper at 2nd World Congress of Paediatric Ophthalmology (September 2012). 18. Amato M, Walvick M, Pershing S, Tanaka, S. Trends in Ophthalmic Manifestations of Methicillinresistant Staphylococcus Aureus in a Pediatric Population. Presented as a paper at the 2009 Scientific Symposium of the American Society of Ophthalmic Plastic and Reconstructive Surgeons, San Francisco, CA.
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19. Walvick M, Amato M, Pershing S. Ophthalmic Methicillin-Resistant Staphylococcus aureus Infections: Sensitivity and Resistance Profile of 234 Specimens. Presented as a poster at the 2009 Scientific Symposium of the Academy of Ophthalmology, San Francisco, CA. 20. Pershing, S, Charalel, RA, Banaei, N, Liao, YJ, Shrivastava, A. In Vitro Activity of AntibioticPermeated Intraocular Lenses. Presented as a poster at Association for Research in Vision and Ophthalmology 2009 Annual Meeting. Ft. Lauderdale, FL. 21. Bababeygy, SR, Pershing, S, Manche, EE. Visual Outcome of Wavefront-guided PRK in Eyes with High Myopia and Compound Astigmatism. Presented as a paper at the American Society of Cataract and Refractive Surgery 2009 Symposium, Chicago, IL. 22. Pershing, S, Bababeygy, SR, Manche, EE. Photorefractive Keratectomy for Low-Moderate and High Myopia. Presented as a paper at American Society of Cataract and Refractive Surgery 2008 Symposium. 23. Wilson Jr ME,* Trivedi RH, Bartholomew L, Pershing S. Anterior Capsulotomy: Intraoperative Performance and Tear Rate During Pediatric Cataract Surgery. Journal of American Association for Pediatric Ophthalmology and Strabismus. 2006; 10(1): 70. Presented as a paper at American Academy for Pediatric Ophthalmology and Strabismus 2006 annual meeting
Meeting Courses and Podium Presentations American Academy of Ophthalmology (AAO) Annual Meeting Senior Instructor Breakfast with the Experts: Applying Big Data Outcomes Analysis Techniques to Individual Practice Chicago, IL October 2, 2016 American Academy of Ophthalmology (AAO) Annual Meeting Instructor (Senior Instructor: Anu Khanna, MD) Instruction Course: Eye Simulations for Resident, Medical Student, and Patient Education: Experience Firsthand and Learn How to Integrate Chicago, IL October 2, 2016 Association of periOperative Registered Nurses Fall Workshop Course Lecture: Overview and Advances in Modern Cataract Surgery Kaiser San Jose November 12, 2016 Bay Area American Society of Ophthalmic Registered Nurses (ASORN) Annual Meeting Course Lecture: Learning from Outcomes – The Value of Big Data UCSF Medical Center June 25, 2016 American Academy of Ophthalmology (AAO) Annual Meeting Panel member (Course Chair: Kimberly Cockerham, MD) Symposium: Telehealth is Your Future Chicago, IL October 20, 2014
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Bay Area American Society of Ophthalmic Registered Nurses (ASORN) Annual Meeting Course Lecture: Big Data: In Pursuit of Better Outcomes Palo Alto VA Medical Center September 14, 2013 Bay Area American Society of Ophthalmic Registered Nurses (ASORN) Annual Meeting Course Lecture: Cornea: The First Defense Palo Alto VA Medical Center May 25, 2010
Selected Research Current The Impact of Eye Disease and Visual Function of Women’s Health: Defining a Women’s Health Initiative (WHI) Population for Study Stanford University WSDM (Women and Sex Differences in Medicine) Seed Grant January 2017 – present This project is intended to initiate study of Women’s Health Initiative clinica l and health care data for research in women’s visual health, functional impact of eye disease and visual impairment, and responses to interventions. Within the context of this seed grant, we will define the population of interest, obtain preliminary data, and determine population size and project feasibility for extramural grant support. Role: PI Collaborators: Mark Hlatky MD, Marcia Stefanick PhD Visual Sensory Impairment and Progression following Mild Traumatic Brain Injury VA Consortium grant, DoD/VA Chronic Effects of Neurotrauma. Site PI: Glenn Cockerham January 2016 – present Multicenter consortium grant, partnering VA Palo Alto Health Care System with VA Vision Center of Excellence at University of Iowa, and Minneapolis Brain Injury Center. Intent to use existing cohort of blast and traumatic brain injury patients at VA Palo Alto Health Care System to longitudinally evaluate long-term neurosensory effects of neurotrauma on vision over 4 years, as well as to enroll new subjects. Role: Investigator, site lead Collaborators: Glenn Cockerham MD (VA), Kimberly Cockerham MD (VA), Catherine Glynn-Milley RN (VA), Gloria W Wang MD (VA), Loh-Shan Bryan Leung MD (VA), Odette Harris MD MPH (VA), Sonne Lemke PhD (VA), Randy Carlton (Iowa VA) Medicare Data: Impact of Varicella Zoster Vaccination on Incidence of Herpetic Eye Disease June 2015 – present The goal of this project is to evaluate for differences in the incidence of herpetic eye disease before and after availability of the varicella zoster vaccinatio n, and to evaluate for differences in the incidence of herpetic eye disease among patients who received and those who did not receive the varicella zoster vaccination. Role: co- investigator Collaborators: Cole Rojas (Stanford), Charles Lin MD (Stanford), Kaidi Wang MD (Stanford), Jay Bhattacharya MD PhD (Stanford)
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Medicare and VA Data: Drug utilization for wet Age-Related Macular Degeneration March 2012 – present This is a multifaceted project evaluating both Medicare claims data and VA health system data. We are evaluating practice trends and utilization behavior for Vascular Endothelial Growth Factor inhibitors (ranibizumab and bevacizumab); institutional, physician and patient factors and incentives that influence practice behavior; relative rates of adverse events in a large multi- year nationally representative data set; and physician networks as a model and driver of practice. Role: primary investigator Collaborators: Kate Bundorf PhD (Stanford), Jay Bhattacharya MD PhD (Stanford), Loren Baker PhD (Stanford), Todd Wagner PhD (VA), Derek Boothroyd PhD (Stanford), Steve Asch MD (VA, Stanford), Christine Chee (VA), Wei Yu (VA), Shivani Baisiwala (Stanford), Cole Rojas (Stanford). Funded in part through Stanford Medscholars program. VA Data: Treatment Patterns for Patients with Incident Open Angle Glaucoma November 2015 – present. The goal of this project is to evaluate frequency of treatment among patients with newly-diagnosed glaucoma, treatment with medications vs. surgery, and choice of specific medication among patients classified by insurance type (commercial, Medicaid, VA) Role: co-investigator Collaborators: Josh Stein MD (Michigan) EMR-based Predictive Analysis of Endogenous Endophthalmitis Consultations May 2015 – present. The goal of this project is to evaluate patient and practice factors associated with ophthalmology consultation to evaluate for endogenous endophthalmitis and develop predictive criteria for warranted ophthalmology consultation on patients with suspicion for systemic bacterial or fungal infection. The project utilizes Stanford STRIDE resources. Role: primary investigator Collaborators: Kaidi Wang MD (Stanford), Gomathi Krishnan PhD (Stanford) Cost-effectiveness and quality of life analyses March 2013 – present The goal of these projects is to evaluate relative cost-effectiveness of ophthalmic interventions, including: cataract surgery techniques and treatment of proliferative diabetic retinopathy, and also to analyze the effect of quantifying visual function beyond best-corrected visual acuity (including contrast sensitivity, astigmatism, and near and distance vision). Role: primary investigator Collaborators: Christopher Sales MD (Cornell), Zachary Elkin MD (Stanford) Medicare Expenditure Panel Survey (MEPS) data: Patterns in Delivery of Eye Care Services May 2015 – present The goal of these projects is to evaluate utilization of eye care services based on US household survey data, evaluated according to insurance status, care delivery setting, adherence to national care guidelines, and the association between self-reported visual impairment and medical costs (eye-related and non-eye-related). Specifically, we are evaluating the impact of patient sociodemographic and economic factors on eye care utilization, the impact of low vision on total reported medical expenditures (insurance and out-of-pocket), and influence of patient sociodemographic and economic factors on self-reported receipt of diabetic screening eye exams. Role: primary investigator Collaborators: Rachel Lee MD (Stanford), Van Nguyen (Stanford/Louisiana State University), Elaine My Tien Tran (Stanford) Page 10 of 15
National Health and Nutrition Examination Survey: Neurosensory Impairment and Cognitive Decline June 2016 – present The goal of this project is to evaluate the impact of comorbid neurosensory impairment (e.g., vision and hearing loss) and physical limitations (e.g., impaired mobility) on measured cognitive function and activity in the workforce. A similar project is planned utilizing Health and Retirement Survey and Womens’ Health Initiative data. Role: primary investigator Collaborators: Stephanie Chen (Stanford) Lens and Lens Capsule Tensile Strength and Biologic Composition: Correlation with Systemic Health January 2016 – present The goal of this project is to quantify differences in lens capsule tensile strength among patients with and without systemic conditions (e.g., diabetes) and to quantify changes in tensile strength from capsule staining with trypan blue dye, as well as evaluate differences in lens protein composition by mass spectrometry. Role: primary investigator Collaborators: Irma Muhic (Stanford), Dave Myung MD PhD (Stanford/VA), Dan Feng PhD (Stanford) Ophthalmology Consultation Patterns June 2014 – present This is a two-part project: 1) retrospective descriptive analysis of ophthalmology service consultations across four hospitals (affiliated with the Stanford ophthalmology residency program) over a one-year period, and 2) electronic health record text extraction and code-based analysis to determine diagnosis, management, consultation, and followup patterns based on the treating physician specialty, for patients presenting to the Stanford emergency department with an eye-related complaint/diagnosis. Role: primary investigator Collaborators: Allison Beers (Vanderbilt), Greg Gaskin (Stanford), Ananya Nandy. Funded in part through Stanford Institute of Medicine summer research program Time-Driven Activity Based Costing (TDABC) Process Analysis and Directed Improvement for Cataract Surgery in the VA System December 2015 – present In collaboration with the Stanford Clinical Excellence Research Center and the Indiana VA, the goal of this project is to identify and share process improvements to increase efficiency and/or decrease costs in cataract surgery, with improvement (or at least no decrease) in quality of care. The project will utilize TDABC methods. Role: co- investigator Collaborators: Elizabeth Malcolm MD (Stanford), Roya Saffary (Stanford), Feryal Erhun (Stanford/Cambridge), Shravanti Achaen MD (Indiana VA) Marketscan Data: analysis for diagnosis, treatment, and practice patterns. July 2013 – present. The goal of this project is to evaluate diagnosis incidence and relative risk factors, practice variation over time and by provider/location, and impact of employment/demographic and insurance factors on provision of service for a spectrum of ophthalmic conditions (including endogenous endophthalmitis, syphilis uveitis, prostaglandins agonists and cystoid macular edema, and conjunctival pigmentation) Role: co-investigator Collaborators: Andrew Moshfeghi MD MBA (Project Lead; Bascom Palmer Eye Institute), Darius Moshfeghi MD (Stanford), Thomas Albini MD (Bascom Palmer Eye Institute), Kam Vaziri (Bascom Palmer Eye Institute) Page 11 of 15
Impact of Structured Patient Education Sessions on Patient Satisfaction and Clinical Efficiency June 2014 – present The goal of this project is to implement nurse-led structured patient education sessions (initially for cataract surgery, with later expansion to other conditions), and assess effect on patient satisfaction (via pre- and post- intervention patient surveys and quality of life questionnaires) and clinical efficiency (wait times in clinic and volume of patients seen each day by physicians). Role: primary investigator Collaborators: Catherine Glynn-Milley RN (VA) Portable, Remote Visual Field Screening Using a Virtual Reality Headset March 2014 – present The goal of this project is to develop, test, and implement a visual field screening device to for remote, higher- frequency testing, screening, and service in remote clinics—integrated with a comprehensive suite of testing through the Digisight platform Role: co-investigator Collaborators: Alexander Morgan PhD (Stanford), Jonathan Mortensen (Stanford), Mark Blumenkranz MD MS (Stanford), Doug Foster (Digisight), Gloria Wang MD (Stanford, Palo Alto VA) Use of free medication samples in ophthalmology February 2013 – present The goal of this project is to analyze temporal trends, physician characteristics, and patient characteristics in use of free medication samples, using the National Disease and Therapeutic Index database. Ophthalmology is unique as a specialty with increasing use of sample medications over the past decade. Role: co-investigator Collaborator: Michael Hurley MS (Stanford; medical student). Funded through Stanford Society of Physician Scholars collaborative research grant HCUP.net Nationwide Inpatient Sample database analysis for diagnosis incidence and associations August 2012 – present. The goal of this project is to determine ophthalmic disease incidence, prevalence, and risk factors in an inpatient setting using a representative nationwide sample. Current focus has been on syphilis uveitis (manuscript submitted); next areas of analysis will include fungal endophthalmitis, corneal abrasion, and orbital fracture management. Role: co-investigator Collaborators: Darius Moshfeghi MD (Stanford), Andrew Moshfeghi MD MBA (Bascom Palmer Eye Institute), Thomas Albini MD (Bascom Palmer Eye Institute), Natalia Fijalkowski BA (Stanford) Visual outcomes following vitrectomy with epiretinal membrane/inte rnal limiting membrane peeling July 2013 – present The goal of this project is to determine visual outcomes using electronic text extraction from electronic medical record visit notes. We aim to compare results using different surgical techniques. Role: co-investigator Collaborators: Gomathi Krishnan PhD, Darius Moshfeghi MD, Irma Muhic MD (all Stanford) Pediatric endogenous endophthalmitis study June 2009 – present The goal of this prospective study is to investigate rates of infectious endophthalmitis in adult patients with systemic infection Role: co-investigator Collaborators: Deborah Alcorn MD (Stanford), Doug Fredrick MD (Stanford), Peter Chang MD (Bascom Palmer Eye Institute) Page 12 of 15
Pending Comparative Effectiveness in Cataract Surgery Outcomes: Conventional vs. “Premium” Approaches Status: Submission to PCORI The goal of this project will be a prospective comparative evaluation of cataract surgery outcomes, comparing “standard” to “premium” cataract surgery among patients undergoing cataract surgery in both eyes. Outcomes will be evaluated through a combination of objective clinical measures (including visual acuity and contrast sensitivity), and patient-reported outcomes (obtained via structured surveys). Role: potential clinical site PI PI: Paul Lichter (University of Michigan) Impact and Outcomes of Cataract Surgery among Patients with Alzheimer’s Disease Status: Submitted as R03 GEMSSTAR grant proposal through National Institute on Aging The goal of this project will be to use longitudinal Medicare claims data to investigate cataract surgery rates, complications, and downstream effects, comparing patients with Alzheimer’s disease to a similar matched population of patients without dementia Role: PI Collaborators: Mary Goldstein, MD, MS (Stanford), Victor Henderson, MD, MS (Stanford); M. Kate Bundorf, PhD (Stanford); Ying Lu, PhD (Stanford); Joshua Stein, MD, MS (University of Michigan) Completed Cataract surgical complication and quality analysis using AHRQ statewide datasets February 2012 – 2014 The goal of this project is to identify rates and demographic characteristics of cataract surgery complications necessitating return to OR within 30 days. Role: co-investigator. Collaborators: Tina Hernandez-Boussard, PhD Current State of Ophthalmologist Supply and Potential Demand for Tele-ophthalmology Consultation in California Emergency Departments July 2014 – 2015 Structured telephone and email survey of nurse managers and physician representatives for every registered emergency department in California, to determine current and unmet need for ophthalmology coverage, interest in telemedicine consultation for ophthalmology patients, and evaluate responses in context of emergency department characteristics. Role: primary investigator Collaborators: Lauren Wedekind. Funded in part through Stanford HB-REX program Predicting individualized complication risk with cataract surgery May 2013 – 2015. The goal of this project is to comprehensively evaluate risk factors for specific complications during and after cataract surgery—including interactions among risk factors and complications—using free text extraction and natural language processing of electronic visit notes, ultimately to create a predictive risk calculator. Role: co-investigator/project lead Collaborators: Nigam Shah MBBS PhD (co-project lead; Stanford), Tyler Cole (Stanford), Greg Gaskin (Stanford). Funded in part through Stanford Medscholars program.
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Cost-effectiveness analysis of diabetic macular edema September 2011 – April 2013 The goal of this project was to determine relative cost-effectiveness of treatment for diabetic macular edema, via a lifetime- horizon Markov model, from a societal perspective. Role: primary investigator Collaborators: Doug Owens MD MS (Stanford), Jeremy Goldhaber-Fiebert PhD (Stanford), Eva Enns PhD (University of Minnesota), Brian Matesic BS (Stanford) Clinicopathologic correlation of epiretinal membrane and internal limiting membrane specimens June 2012 – 2013 The goal of this project is to determine accuracy of surgeon intraoperative diagnosis from vitrectomy with membrane peeling. Role: co-investigator Collaborators: Darius Moshfeghi MD (Stanford), Emilia DeMarchis BA (Stanford; medical student) Intraocular Pressure Elevation after VEGF Inhibitor Intravitreal Injection March 2009 – 2011 The goal of this project was to evaluate cases of ocular hypertension/glaucoma occurring after intravitreal injection of bevacizumab or ranibizumab, via retrospective review of charts from two medical centers (Stanford University and Mayo Clinic). Role: co-investigator Collaborators: Darius Moshfeghi MD (Stanford), Sophie Bakri MD (Mayo Clinic) Intraocular Succinate Levels as a Correlate to Ocular Ischemia August 2009 – 2010 The goal of this project was to analyze and compare intraocular succinate concentrations in ischemic diabetic eyes pre- and post- laser photocoagulation (clinical regression of ischemic neovascularization), to evaluate for a relationship in humans that was suggested by animal models. Role: resident co-investigator Collaborators (Mentor): Ray Gariano MD PhD (Stanford/Santa Clara Valley Medical Center) Trends in Periorbital/Ocular MRSA October 2008 – December 2009 The goal of this retrospective chart review was to characterize periocular pediatric MRSA infections in the Northern California Kaiser Permanente healthcare system over the past ten years. Role: resident co-investigator Collaborators: Malena Amato MD (Kaiser Permanente), Matthew Walvick DO (Touro University College of Osteopathic Medicine), Stephen Tanaka MD (Kaiser Permanente) Ethylene Vinyl Acetate Polymer coupled to Intraocular Lenses as a potential method for Drug Release December 2008 – June 2009 The goal of this project was to investigate the ability of synthetic ethylene vinyl acetate to contain and release medications commonly administered to/in the eyes, with intent to anneal the polymers to intraocular lenses and use for extended drug release after cataract surgery. Demonstrated detectable release of commonly- used antibacterial and anti-inflammatory compounds from the polymer. Role: resident investigator In Vitro Antibacterial Activity of Antibiotic-Pe rmeated Intraocular Lenses January 2008 – June 2009 The goal of this project was to investigate the ability of intraocular lenses to serve as a passive reservoir for antibiotic uptake and release, with potential application for infection prophylaxis in cataract Page 14 of 15
surgery. Demonstrated time- and concentration-dependent release of fluoroquinolones from hydrophobic acrylic intraocular lenses. Role: resident investigator Photorefractive Keratectomy Outcomes in Variable Levels of Myopia September 2007 – May 2009 The goal of this project was to retrospectively evaluate the efficacy, predictability, and safety of custom photorefractive keratectomy (PRK) for the treatment of low to moderate versus high myopia and myopic astigmatism. Role: resident co-investigator Collaborators (Mentor): Edward Manche MD (Stanford) Proteomics of Rhodopsin and Retinal Membrane Proteins: May – July 2003 This project was an introduction to protein sequencing and identification using tandem mass spectrometry, applied to rhodopsin and other retinal membrane proteins. Role: medical student research assistant Mentor: Daniel Knapp PhD (Pharmacology Dept., Medical University of South Carolina) Anterior Capsulotomy Techniques for Pediatric Cataract Surgery April 2005 – December 2005 The goal of this project was to determine relative rates of tear with different anterior capsulotomy techniques in pediatric cataract surgery, via retrospective review of clinic visit notes and operative dictations. Role: medical student research assistant Mentor: M. Edward Wilson MD (Storm Eye Institute, Medical University of South Carolina)
Peer-Review Activities Journal Invited Reviewer Ophthalmology, 2014-present JAMA Ophthalmology, 2016-present American Journal of Ophthalmology, 2016-present Grant Reviewer Chair, Alpha Omega Alpha Medical Honor Society Postgraduate Award Review Committee, 2013-present Application Reviewer, Alpha Omega Alpha Student Research Fellowship Awards, 2009-present
Invited Lectures Presenter, Bay Area Ophthalmology Course (BAOC) Physics and Pearls of Cataract Surgery: Phacodynamics, Fluidics, Phaco Platforms, and Practical Applications Stanford University Medical Center July 8, 2016 Visiting Professor, Alpha Omega Alpha Keynote Speaker, Medical University of South Carolina On Continuity in Medicine March 17, 2016 Guest Speaker, Dermatology Grand Rounds, Stanford University School of Medicine Oculodermal Mélange – A Visual Tour September 11, 2014 Guest Speaker, Public Health 196: Global Perspectives on Vision UC Berkeley School of Public Health February 13, 2014 Page 15 of 15
Speaker, Byers Eye Institute Grand Rounds, Stanford Department of Ophthalmology A Dearth of Data: The Quality Conundrum and Health Care Reform November 1, 2012 Research Presentation, Byers Eye Institute 6 th Annual Stanford Ophthalmology Day Cost-Effectiveness of Treatment Options for Diabetic Macular Edema June 23, 2012 General Ophthalmology Lecture to Stanford Internal Medicine Residents August 20, 2009, January 21, 2010, and June 10, 2010 Lecture to Stanford Ophthalmic Technicians in preparation for certification exam May 25, 2010 Lecture to Stanford Microbiology Lab Clinical Perspectives on Ocular Microbiology June 8, 2010
Employment Staff Surgeon and Chief, Ophthalmology Section and Eye Care Services Veterans Affairs Palo Alto Health Care System July 2013-present Assistant Professor of Ophthalmology, Medical Center Line Stanford University School of Medicine June 2014-present Clinical Instructor Stanford University School of Medicine July 2010-2013 Ophthalmology Resident Stanford University Stanford University Hospital and Clinics, Lucile Packard Children’s Hospital, Palo Alto Veterans Administration Hospital, and Santa Clara Valley Medical Center July 2007 – June 2010 Medical Intern (Transitional/Rotating) Scripps Mercy Hospital Scripps Mercy Hospital and Naval Medical Center San Diego June 2006 – June 2007 Medical School Supplemental Instructor MUSC Center for Academic Excellence Tutored small group of fellow classmates for pathology (Mechanisms of Disease II course) Spring 2004 University Tutor Sonoma State University Tutorial Center Tutored students for general biology, chemistry, and physics courses. 2001-2002
Volunteer Activities Stanford Pacific Free Clinic, volunteer attending ophthalmologist, 2011-present Stanford Vision and Ophthalmology Interest Group, Spring 2008 – 2010 Taught examination and microscopic surgical techniques to medical students interested in ophthalmology at twice-yearly skills sessions. Page 16 of 15
Ward Tips for the Medical School Clerkship Year, April 19, 2005 Served as member of student-directed question-and-answer advice panel for students entering their clerkship year Fight for Sight, 2004-2005 Screened patients for eye diseases at monthly clinics for underserved patients in the Charleston area AOA Cares Project, 2005-2006 Coordinated and arranged member donation of canned goods and other household items for local charities and shelters at monthly AOA meetings Each One Reach One, 2004-2005 Volunteered at monthly activities for children who had experienced the death of a family member Habitat for Humanity, February 18, 2006 Volunteered to move, clean, and organize store inventory at the Charleston Habitat for Humanity outlet store with other College of Medicine Student Council and AOA members Moultrie Middle School Panel for Girls: Careers in the Health Professions, March 27, 2006 Served as panel speaker to motivate young girls toward careers in health professions Yul Brynner Cancer Awareness Week, April 11, 2003 Assisted with free head and neck cancer screenings Belle Hall Elementary School Career Fair, February 27, 2003 Worked at medical career booth Race for the Cure, October 26, 2002 Volunteered as race staff MUSC Treelighting Ceremony, 2002-2003 Baked cookies for and attended annual childrens’ event Ronald McDonald House, 2002-2003 Baked and delivered pastries to patients and families, weekly and for holidays
Other Honors/Awards Summa Cum Laude, Chemistry, Sonoma State University, 2002 Youth National Verbal Award, Johns Hopkins University, 2000 Dean’s Honor List, Sonoma State University, 1998-2001 Lela M. Emad Scholarship, Sonoma State University, 1999 Summit State Bank Scholarship, Sonoma State University, 1999 Ernest L. and Ruth W. Finley Foundation Scholarship, Sonoma State University
Organizations American Academy of Ophthalmology, 2008-present Women in Ophthalmology, 2009-present American Medical Association, 2002-present American Medical Women’s Association, 2003-present American College of Physicians, 2003-present Alpha Omega Alpha Medical Honor Society, 2004-present California Association of Eye Physicians and Surgeons, 2008-present Pan-American Association of Ophthalmology, 2010-present American Society of Cataract and Refractive Surgery, 2007-present Association for Research in Vision and Ophthalmology, 2008-present Cross-disciplinary Healthcare Innovation Partnership at Stanford, 2009-2010 Stanford Health Care Business Club, 2008-2010 Peninsula Eye Society, 2007-present
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Courses, Workshops, and Think tanks
Stanford University Fresh Thinking 2.0 Workshop – Medical Education: It’s Time for a Change Invited to participate in workshop coordinated by Dr. Victor Fuchs. November 8-9, 2012 Stanford University Health Policy, Finance, and Economics Course, 2009-2010 Nominated by Stanford ophthalmology department to attend; selected to participate from among pool of applicants American Academy of Ophthalmology Mid-Year Forum, Washington, DC, April 22-25, 2009 Harvard Intensive Cataract Surgical Training Conference, Boston, MA, May 30-31, 2009 Course on Ophthalmic Advanced Surgical Techniques, San Francisco, CA, March 7-8, 2009 Course on Ophthalmic Advanced Surgical Techniques, San Francisco, CA, May 15-16, 2010
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