©2019 by Harvard Medical School Fellowship in General Medicine and Primary Care

Massachusetts General Hospital

Massachusetts General Hospital
100 Cambridge Street, 16th floor
Boston, MA 02114

The Massachusetts General Hospital General Medicine Fellowship site is located in downtown Boston at 100 Cambridge Street, two blocks from the main hospital campus, and within walking distance of public transportation and the hospital shuttle service to the Longwood Medical Area. Investigators in the Division of General Internal Medicine focus on common clinical problems faced in primary care, public health, and global health. Our research is informed by a population perspective and awareness of the role of patients and healthcare systems in achieving health goals. The various content areas are linked by a common set of methodological tools. These include epidemiologic study design, advanced biostatistical analysis, decision science, econometrics, and behavioral psychology, among others. Investigators in the Division have been quick to incorporate the electronic medical record as well as genomic advances in their work and we have made notable progress to engage MGH’s many primary care practices and community health centers in a research network. We have an increasing emphasis on implementation of research findings into clinical care. We believe the Division’s research efforts are particularly well-suited for the scientific needs of healthcare in the immediate future, with its increasing emphasis on personalized medicine, shared decision-making, efficient population health management, comparative effectiveness of medical interventions, and global engagement. In addition, faculty and fellows in General Medicine have the opportunity to collaborate with investigators in the Mongan Institute linking investigators across the Department of Medicine who focus their work on population and health care sciences, and health policy.

 

Examples of ongoing productive research programs in the Division include:

  1. Quality assessment and improvement in networked MGH primary care practices (Steven Atlas)

  2. Healthcare for the homeless (Travis Baggett)

  3. HIV: cost-effectiveness strategies in both resource-rich and resource-limited settings (Kenneth Freedberg)

  4. Diabetes, obesity, and metabolic syndrome especially focused on genetic influences (James Meigs)

  5. Tobacco treatment and tobacco control policy, including the impact of e-cigarettes (Nancy Rigotti, Gina Kruse, Sara Kalkhoran, Jennifer Haas)

  6. Engaging patients in shared medical decision-making (Karen Sepucha and Michael Barry)

  7. Stroke prevention in atrial fibrillation (AF), including screening for AF (Daniel Singer)

  8. Strategies to address obesity including lifestyle modification and promoting healthy food choices (Anne Thorndike)

  9. Understanding and ameliorating disparities in breast cancer screening and outcome (Katrina Armstrong)

  10. Interventions to improve the quality of antibiotic prescribing in the management of patients with acute respiratory tract infections (Joshua Metlay)

  11. Cervical Cancer Screening and Prevention (Jennifer Haas)

  12. Implementation of quality improvement in primary care practice (Steven Atlas, Jennifer Haas)


Fellows will generally pursue research projects led by Division research faculty. A few examples from recent Fellows' research include:

  • Metabolic, genetic, and social network determinants of risk of type 2 diabetes.

  • Implementation of an electronic medical record-based care management system to improve smoking treatment.

  • Unmet healthcare needs of homeless individuals

  • Material need insecurities, control of diabetes mellitus, and use of health care resources

  • Optimizing the care model for both HIV and non-communicable disease care for HIV patients

  • Impact of obesity on cardiovascular risk factor control

  • Optimizing the anticoagulation decision in atrial fibrillation (AF): Modeling stroke and bleed risk for patients with AF

  • Expansion of Medicare Advantage enrollment and quality and cost of health care

  • Developing symptom and health-related quality of life measures for upper respiratory infections

  • Racial disparities in use of non-Vitamin K oral anticoagulants for patients with atrial fibrillation

  • Use of patient-reported outcome measures (PROMs) in health care planning