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Check Out Our New Ulcerative Colitis Clinician Toolkit
AGA’s new ulcerative colitis toolkit, which compiles all our ulcerative colitis clinical guidance, continuing education resources, patient education, and FAQs into one convenient toolkit.
Check out and bookmarkCurious about our other toolkits? Check out our toolkit on Crohn’s disease.
The new UC toolkit includes clinical guidance on:
- Role of biomarkers for the management of ulcerative colitis
- Medical management of moderate to severe ulcerative colitis
- Management of pouchitis and inflammatory pouch disorders
For more resources for ulcerative colitis patients, visit the Patient Center on the AGA website.
The AGA Patient Center has a variety of information that can be shared with your patients, including tips on diet, vaccine recommendations, and information on biosimilars.
AGA’s new ulcerative colitis toolkit, which compiles all our ulcerative colitis clinical guidance, continuing education resources, patient education, and FAQs into one convenient toolkit.
Check out and bookmarkCurious about our other toolkits? Check out our toolkit on Crohn’s disease.
The new UC toolkit includes clinical guidance on:
- Role of biomarkers for the management of ulcerative colitis
- Medical management of moderate to severe ulcerative colitis
- Management of pouchitis and inflammatory pouch disorders
For more resources for ulcerative colitis patients, visit the Patient Center on the AGA website.
The AGA Patient Center has a variety of information that can be shared with your patients, including tips on diet, vaccine recommendations, and information on biosimilars.
AGA’s new ulcerative colitis toolkit, which compiles all our ulcerative colitis clinical guidance, continuing education resources, patient education, and FAQs into one convenient toolkit.
Check out and bookmarkCurious about our other toolkits? Check out our toolkit on Crohn’s disease.
The new UC toolkit includes clinical guidance on:
- Role of biomarkers for the management of ulcerative colitis
- Medical management of moderate to severe ulcerative colitis
- Management of pouchitis and inflammatory pouch disorders
For more resources for ulcerative colitis patients, visit the Patient Center on the AGA website.
The AGA Patient Center has a variety of information that can be shared with your patients, including tips on diet, vaccine recommendations, and information on biosimilars.
Announcing Our 2024 AGA Council Chair and Section Leaders
Meet Our New Chair
Douglas J. Robertson, MD, MPH, AGAFAGA Institute Council Chair
VA Medical Center, White River Junction, Vermont
Geisel School of Medicine at Dartmouth, Hanover, New Hampshire
Dr. Robertson will serve as council chair for 3 years (May 2024-May 2027; DDW 2025, 2026 and 2027).
Section Leadership
, the driving force behind AGA’s programming at Digestive Disease Week (DDW). We welcome 8 members into their new roles as section vice chairs, joining the existing 17 Council members. Each new vice chair will serve a 2-year term that began immediately following this year’s DDW meeting and extends through DDW 2026. Following their term as vice chair, they will move into the role of section chair for an additional 2 years through DDW 2028.
We are also pleased to announce the members joining nominating committees during the 2026 nomination/election cycle. The chairs of the nominating committee will be the immediate past section chairs, whom we also recognize and thank for their service and dedication to the section and the council.
Basic & Clinical Intestinal Disorders (BCID)
Uma Sundaram, MDVice chair
Marshall University School of Medicine, Huntington, West Virginia
Nominating committee members
- Colleen Renee Kelly, MD, AGAF, Chair
- Amy C. Engevik, PhD, Medical University of South Carolina
- Ravinder Gill, PhD, University of Illinois at Chicago
- Madhusudan Grover, MD, Mayo Clinic, Rochester, Minnesota
- Lisa L. Strate, MD, Harborview Medical Center, Seattle
Clinical Practice (CP)
Linda Anh Nguyen, MDVice Chair
Stanford (Calif.) University School of Medicine
Nominating committee members
- Gary W. Falk, MD, MS, AGAF, Chair
- Megan Adams, MD, JD, MSc, VA Ann Arbor Healthcare System Endoscopy Unit
- Mohammad Bilal, MD, Minneapolis VA Health Care System
- Carolyn Newberry, MD, Weill Cornell Medical Center, New York
- Adam Weizman, MD, MSc, Mount Sinai Hospital, Toronto
Endoscopy, Technology & Imaging (ETI)
Vivek Kaul, MD, AGAFVice Chair
University of Rochester (N.Y.) Medical Center
Nominating committee members
- Irving Waxman, MD, Chair
- Sushovan Guha, MD, PhD, University of Texas at Houston
- Pichamol Jirapinyo, MD, MPH, Brigham and Women’s Hospital, Boston
- Vladimir Kushnir, MD, Washington University St. Louis Barnes–Jewish West County Hospital
- Andrew C. Storm, MD, Mayo Clinic, Rochester, Minnesota
Immunology, Microbiology & Inflammatory Bowel Diseases (IMIBD)
Florian Rieder, MDVice Chair
Cleveland Clinic Foundation
Nominating committee members
- Fernando S. Velayos, MD, AGAF, Chair
- Brigid S. Boland, MD, University of California, San Diego
- Karen L. Edelblum, PhD, Icahn School of Medicine at Mount Sinai, New York
- Michael Kattah, MD, PhD, UCSF Gastroenterology
- Andres J. Yarur, MD, Cedars Sinai Medical Center. Los Angeles
Liver & Biliary (LB)
Don Rockey, MDVice Chair
Medical University of South Carolina, Charleston
Nominating committee members
- Gyongyi Szabo, MD, PhD, AGAF, Chair
- Brett Fortune, MD, MSc, Montefiore Medical Center
- Ruben Hernaez, MD, MPH, PhD, Baylor College of Medicine, Houston
- Cynthia Ann Moylan, MD, MHS, MS, Duke University, Durham, North Carolina
- Douglas A. Simonetto, MD, Mayo Clinic, Rochester, Minnesota
Microbiome & Microbial Therapy (MMT)
Jessica Allegretti, MD, MPHVice Chair
Brigham and Women’s Hospital, Boston
Nominating committee members
- Purna C. Kashyap, MBBS, AGAF, Chair
- Melinda Engevik, PhD, Medical University of South Carolina
- Christian Jobin, PhD, University of Florida
- Vanessa Leone, PhD, The University of Wisconsin–Madison
- Jun Yu, MD, PhD, The Chinese University of Hong Kong
Obesity, Metabolism & Nutrition (OMN)
Berkeley M. Limketkai, MD, PhDVice Chair
University of California Los Angeles
Nominating committee members
- Andres Jose Acosta, MD, PhD, Chair
- Barham K. Abu Dayyeh, MD, MPH, Mayo Clinic, Rochester, Minnesota
- Alan L. Buchman, MD, MSPH, University of Illinois at Chicago
- Octavia Pickett-Blakely, MD, MHS, Hospital of the University of Pennsylvania
- Robert Shulman, MD, Texas Children’s Hospital, Baylor College of Medicine
Pediatric Gastroenterology & Developmental Biology (PGDB)
Kelli L. VanDussen, PhDVice Chair
Cincinnati Children’s Hospital Medical Center
Meet Our New Chair
Douglas J. Robertson, MD, MPH, AGAFAGA Institute Council Chair
VA Medical Center, White River Junction, Vermont
Geisel School of Medicine at Dartmouth, Hanover, New Hampshire
Dr. Robertson will serve as council chair for 3 years (May 2024-May 2027; DDW 2025, 2026 and 2027).
Section Leadership
, the driving force behind AGA’s programming at Digestive Disease Week (DDW). We welcome 8 members into their new roles as section vice chairs, joining the existing 17 Council members. Each new vice chair will serve a 2-year term that began immediately following this year’s DDW meeting and extends through DDW 2026. Following their term as vice chair, they will move into the role of section chair for an additional 2 years through DDW 2028.
We are also pleased to announce the members joining nominating committees during the 2026 nomination/election cycle. The chairs of the nominating committee will be the immediate past section chairs, whom we also recognize and thank for their service and dedication to the section and the council.
Basic & Clinical Intestinal Disorders (BCID)
Uma Sundaram, MDVice chair
Marshall University School of Medicine, Huntington, West Virginia
Nominating committee members
- Colleen Renee Kelly, MD, AGAF, Chair
- Amy C. Engevik, PhD, Medical University of South Carolina
- Ravinder Gill, PhD, University of Illinois at Chicago
- Madhusudan Grover, MD, Mayo Clinic, Rochester, Minnesota
- Lisa L. Strate, MD, Harborview Medical Center, Seattle
Clinical Practice (CP)
Linda Anh Nguyen, MDVice Chair
Stanford (Calif.) University School of Medicine
Nominating committee members
- Gary W. Falk, MD, MS, AGAF, Chair
- Megan Adams, MD, JD, MSc, VA Ann Arbor Healthcare System Endoscopy Unit
- Mohammad Bilal, MD, Minneapolis VA Health Care System
- Carolyn Newberry, MD, Weill Cornell Medical Center, New York
- Adam Weizman, MD, MSc, Mount Sinai Hospital, Toronto
Endoscopy, Technology & Imaging (ETI)
Vivek Kaul, MD, AGAFVice Chair
University of Rochester (N.Y.) Medical Center
Nominating committee members
- Irving Waxman, MD, Chair
- Sushovan Guha, MD, PhD, University of Texas at Houston
- Pichamol Jirapinyo, MD, MPH, Brigham and Women’s Hospital, Boston
- Vladimir Kushnir, MD, Washington University St. Louis Barnes–Jewish West County Hospital
- Andrew C. Storm, MD, Mayo Clinic, Rochester, Minnesota
Immunology, Microbiology & Inflammatory Bowel Diseases (IMIBD)
Florian Rieder, MDVice Chair
Cleveland Clinic Foundation
Nominating committee members
- Fernando S. Velayos, MD, AGAF, Chair
- Brigid S. Boland, MD, University of California, San Diego
- Karen L. Edelblum, PhD, Icahn School of Medicine at Mount Sinai, New York
- Michael Kattah, MD, PhD, UCSF Gastroenterology
- Andres J. Yarur, MD, Cedars Sinai Medical Center. Los Angeles
Liver & Biliary (LB)
Don Rockey, MDVice Chair
Medical University of South Carolina, Charleston
Nominating committee members
- Gyongyi Szabo, MD, PhD, AGAF, Chair
- Brett Fortune, MD, MSc, Montefiore Medical Center
- Ruben Hernaez, MD, MPH, PhD, Baylor College of Medicine, Houston
- Cynthia Ann Moylan, MD, MHS, MS, Duke University, Durham, North Carolina
- Douglas A. Simonetto, MD, Mayo Clinic, Rochester, Minnesota
Microbiome & Microbial Therapy (MMT)
Jessica Allegretti, MD, MPHVice Chair
Brigham and Women’s Hospital, Boston
Nominating committee members
- Purna C. Kashyap, MBBS, AGAF, Chair
- Melinda Engevik, PhD, Medical University of South Carolina
- Christian Jobin, PhD, University of Florida
- Vanessa Leone, PhD, The University of Wisconsin–Madison
- Jun Yu, MD, PhD, The Chinese University of Hong Kong
Obesity, Metabolism & Nutrition (OMN)
Berkeley M. Limketkai, MD, PhDVice Chair
University of California Los Angeles
Nominating committee members
- Andres Jose Acosta, MD, PhD, Chair
- Barham K. Abu Dayyeh, MD, MPH, Mayo Clinic, Rochester, Minnesota
- Alan L. Buchman, MD, MSPH, University of Illinois at Chicago
- Octavia Pickett-Blakely, MD, MHS, Hospital of the University of Pennsylvania
- Robert Shulman, MD, Texas Children’s Hospital, Baylor College of Medicine
Pediatric Gastroenterology & Developmental Biology (PGDB)
Kelli L. VanDussen, PhDVice Chair
Cincinnati Children’s Hospital Medical Center
Meet Our New Chair
Douglas J. Robertson, MD, MPH, AGAFAGA Institute Council Chair
VA Medical Center, White River Junction, Vermont
Geisel School of Medicine at Dartmouth, Hanover, New Hampshire
Dr. Robertson will serve as council chair for 3 years (May 2024-May 2027; DDW 2025, 2026 and 2027).
Section Leadership
, the driving force behind AGA’s programming at Digestive Disease Week (DDW). We welcome 8 members into their new roles as section vice chairs, joining the existing 17 Council members. Each new vice chair will serve a 2-year term that began immediately following this year’s DDW meeting and extends through DDW 2026. Following their term as vice chair, they will move into the role of section chair for an additional 2 years through DDW 2028.
We are also pleased to announce the members joining nominating committees during the 2026 nomination/election cycle. The chairs of the nominating committee will be the immediate past section chairs, whom we also recognize and thank for their service and dedication to the section and the council.
Basic & Clinical Intestinal Disorders (BCID)
Uma Sundaram, MDVice chair
Marshall University School of Medicine, Huntington, West Virginia
Nominating committee members
- Colleen Renee Kelly, MD, AGAF, Chair
- Amy C. Engevik, PhD, Medical University of South Carolina
- Ravinder Gill, PhD, University of Illinois at Chicago
- Madhusudan Grover, MD, Mayo Clinic, Rochester, Minnesota
- Lisa L. Strate, MD, Harborview Medical Center, Seattle
Clinical Practice (CP)
Linda Anh Nguyen, MDVice Chair
Stanford (Calif.) University School of Medicine
Nominating committee members
- Gary W. Falk, MD, MS, AGAF, Chair
- Megan Adams, MD, JD, MSc, VA Ann Arbor Healthcare System Endoscopy Unit
- Mohammad Bilal, MD, Minneapolis VA Health Care System
- Carolyn Newberry, MD, Weill Cornell Medical Center, New York
- Adam Weizman, MD, MSc, Mount Sinai Hospital, Toronto
Endoscopy, Technology & Imaging (ETI)
Vivek Kaul, MD, AGAFVice Chair
University of Rochester (N.Y.) Medical Center
Nominating committee members
- Irving Waxman, MD, Chair
- Sushovan Guha, MD, PhD, University of Texas at Houston
- Pichamol Jirapinyo, MD, MPH, Brigham and Women’s Hospital, Boston
- Vladimir Kushnir, MD, Washington University St. Louis Barnes–Jewish West County Hospital
- Andrew C. Storm, MD, Mayo Clinic, Rochester, Minnesota
Immunology, Microbiology & Inflammatory Bowel Diseases (IMIBD)
Florian Rieder, MDVice Chair
Cleveland Clinic Foundation
Nominating committee members
- Fernando S. Velayos, MD, AGAF, Chair
- Brigid S. Boland, MD, University of California, San Diego
- Karen L. Edelblum, PhD, Icahn School of Medicine at Mount Sinai, New York
- Michael Kattah, MD, PhD, UCSF Gastroenterology
- Andres J. Yarur, MD, Cedars Sinai Medical Center. Los Angeles
Liver & Biliary (LB)
Don Rockey, MDVice Chair
Medical University of South Carolina, Charleston
Nominating committee members
- Gyongyi Szabo, MD, PhD, AGAF, Chair
- Brett Fortune, MD, MSc, Montefiore Medical Center
- Ruben Hernaez, MD, MPH, PhD, Baylor College of Medicine, Houston
- Cynthia Ann Moylan, MD, MHS, MS, Duke University, Durham, North Carolina
- Douglas A. Simonetto, MD, Mayo Clinic, Rochester, Minnesota
Microbiome & Microbial Therapy (MMT)
Jessica Allegretti, MD, MPHVice Chair
Brigham and Women’s Hospital, Boston
Nominating committee members
- Purna C. Kashyap, MBBS, AGAF, Chair
- Melinda Engevik, PhD, Medical University of South Carolina
- Christian Jobin, PhD, University of Florida
- Vanessa Leone, PhD, The University of Wisconsin–Madison
- Jun Yu, MD, PhD, The Chinese University of Hong Kong
Obesity, Metabolism & Nutrition (OMN)
Berkeley M. Limketkai, MD, PhDVice Chair
University of California Los Angeles
Nominating committee members
- Andres Jose Acosta, MD, PhD, Chair
- Barham K. Abu Dayyeh, MD, MPH, Mayo Clinic, Rochester, Minnesota
- Alan L. Buchman, MD, MSPH, University of Illinois at Chicago
- Octavia Pickett-Blakely, MD, MHS, Hospital of the University of Pennsylvania
- Robert Shulman, MD, Texas Children’s Hospital, Baylor College of Medicine
Pediatric Gastroenterology & Developmental Biology (PGDB)
Kelli L. VanDussen, PhDVice Chair
Cincinnati Children’s Hospital Medical Center
AGA Research Scholar Awards Advance the GI Field
The AGA Research Foundation plays an important role in medical research by providing grants to talented scientists at a critical time in their career.
“The AGA Research Scholar Award will have a significant impact on my career,” said Dr. Jason (Yanjia) Zhang, 2024 AGA Research Scholar Award grant recipient, and a gastroenterologist at Boston Children’s Hospital. “I aspire to lead a laboratory studying the impact of the microbiome on human gastroenterological diseases. Our lab will focus on the molecular mechanisms underlying how microbes activate gut signaling. The AGA Research Foundation grant will support my transition to independence and build key capacities that will be the foundation of my future lab.”
Funded by the generosity of donors, the AGA Research Foundation’s research award program ensures that AGA is building a community of researchers whose work serves the greater community and benefits all our patients.
By joining other AGA members in supporting the AGA Research Foundation, you will ensure that young researchers have opportunities to continue their life-saving work. Your tax-deductible contribution supports the foundation’s research award program, including the RSA, which ensures that studies are funded, discoveries are made and patients are treated.
Learn more or make a contribution at www.foundation.gastro.org.
The AGA Research Foundation plays an important role in medical research by providing grants to talented scientists at a critical time in their career.
“The AGA Research Scholar Award will have a significant impact on my career,” said Dr. Jason (Yanjia) Zhang, 2024 AGA Research Scholar Award grant recipient, and a gastroenterologist at Boston Children’s Hospital. “I aspire to lead a laboratory studying the impact of the microbiome on human gastroenterological diseases. Our lab will focus on the molecular mechanisms underlying how microbes activate gut signaling. The AGA Research Foundation grant will support my transition to independence and build key capacities that will be the foundation of my future lab.”
Funded by the generosity of donors, the AGA Research Foundation’s research award program ensures that AGA is building a community of researchers whose work serves the greater community and benefits all our patients.
By joining other AGA members in supporting the AGA Research Foundation, you will ensure that young researchers have opportunities to continue their life-saving work. Your tax-deductible contribution supports the foundation’s research award program, including the RSA, which ensures that studies are funded, discoveries are made and patients are treated.
Learn more or make a contribution at www.foundation.gastro.org.
The AGA Research Foundation plays an important role in medical research by providing grants to talented scientists at a critical time in their career.
“The AGA Research Scholar Award will have a significant impact on my career,” said Dr. Jason (Yanjia) Zhang, 2024 AGA Research Scholar Award grant recipient, and a gastroenterologist at Boston Children’s Hospital. “I aspire to lead a laboratory studying the impact of the microbiome on human gastroenterological diseases. Our lab will focus on the molecular mechanisms underlying how microbes activate gut signaling. The AGA Research Foundation grant will support my transition to independence and build key capacities that will be the foundation of my future lab.”
Funded by the generosity of donors, the AGA Research Foundation’s research award program ensures that AGA is building a community of researchers whose work serves the greater community and benefits all our patients.
By joining other AGA members in supporting the AGA Research Foundation, you will ensure that young researchers have opportunities to continue their life-saving work. Your tax-deductible contribution supports the foundation’s research award program, including the RSA, which ensures that studies are funded, discoveries are made and patients are treated.
Learn more or make a contribution at www.foundation.gastro.org.
Bringing trainee wellness to the forefront
Researching the impact of reflection in medical training
Before the spread of COVID-19, and increasingly during the pandemic, Ilana Krumm, MD, noticed a burgeoning focus on wellness for trainees and how to combat burnout in the medical space.
But Dr. Krumm also noticed that most of the existing programs focused on the individual level, rather than the system level. The onus was on the trainees to manage their wellness and burnout.
“I wanted to look at something that could be instituted at a systems level as opposed to putting all the burden of this wellness on the resident, as someone who already has a huge burden of work, stress, and time constraints as they try to learn their discipline,” Dr. Krumm said. “Asking them to meditate on their own time seemed very impractical.”
Eager to research this idea, Dr. Krumm applied for the CHEST Research Grant in Medical Education.
“The fact that CHEST is willing to support medical education research is really important for all those trying to better the educational environment. Although there’s a movement toward more support for medical education research and more recognition of its value, I think the fact that CHEST has already done so has helped advance the field and the support for the field as a whole,” Dr. Krumm said.
“Having the support from a reputable institution like CHEST inherently gave the work that I was doing value,” Dr. Krumm said. “It gave folks an understanding that this research in medical education has importance.”
Dr. Krumm’s project focused on the monthly Reflection Rounds between the ICU, palliative care, and chaplaincy staff that were held at the Seattle VA Medical Center, where residents could discuss the challenges of caring for critically ill patients during a protected time. While similar interventions around death and dying have been shown to help residents reduce burnout in medical intensive care rotations, it was unknown which aspects of these sessions would be most effective.
Participant interviews were conducted before and after the residents’ monthly sessions to understand the impact these sessions had on wellness and burnout levels.
“With the grant funding from CHEST, our team was able to purchase the recording equipment, transcription, and software necessary to complete a thorough qualitative research project, which greatly accelerated the project timeline,” she said.
Through these interviews, Dr. Krumm’s team identified three key themes that shed light on the impact of Reflection Rounds.
1. Cultural precedent
Participants were encouraged to participate as little or as much as they wanted during the session. Despite some residents being less vocal during these discussions, every resident agreed that this type of session set an important cultural precedent in their program and acknowledged the value of a program that encouraged space for decompression and reflection.
2. Shared experiences
During this project, many residents experienced an increased sense of isolation, as COVID-19 precautions were stricter in the ICU. Having this protected time together allowed residents to discover their shared experiences and find comfort in them while feeling supported.
“A lot of residents commented that it was nice to know that others were going through this as well or that they were also finding this particular instance difficult,” Dr. Krumm said.
3. Ritual
At the opening of each hour-long session, participants were invited to light a candle and say aloud or think to themselves the name of a patient they had lost, had a hard time with, or cared for during their time in the ICU.
“Every single person pointed to that moment as meaningful and impactful,” Dr. Krumm said.
This ritual gave the residents time to center and have a common focus with their peers to think about patient stories that they were carrying with them.
“Maybe just incorporating a small moment like that, a point of reflection, could potentially have a big impact on the weight we carry as providers who care for [patients who are] critically ill,” Dr. Krumm said. “What I’ve learned from this project will make me a better leader in the ICU, not only in taking care of critically ill individuals but also in taking care of the team doing that work.”
Dr. Krumm credits the CHEST grant funding and subsequent research project with helping her join a highly competitive fellowship program at the University of California San Francisco, where she can continue to conduct research in the field of medical education.
“I am working closely with medical education faculty and peers to design new research studies and further establish myself in the field of medical education, leading to my ultimate goal of becoming a program director at a strong med-ed-focused program.”
This article was adapted from the Spring 2024 online issue of CHEST Advocates. For the full article—and to engage with the other content from this issue—visit chestnet.org/chest-advocates.
Support CHEST grants like this
Through clinical research grants, CHEST assists in acquiring vital data and clinically important results that can advance medical care. You can help support projects like this by making a gift to CHEST.
MAKE A GIFT » | LEARN ABOUT CHEST PHILANTHROPY »
Researching the impact of reflection in medical training
Researching the impact of reflection in medical training
Before the spread of COVID-19, and increasingly during the pandemic, Ilana Krumm, MD, noticed a burgeoning focus on wellness for trainees and how to combat burnout in the medical space.
But Dr. Krumm also noticed that most of the existing programs focused on the individual level, rather than the system level. The onus was on the trainees to manage their wellness and burnout.
“I wanted to look at something that could be instituted at a systems level as opposed to putting all the burden of this wellness on the resident, as someone who already has a huge burden of work, stress, and time constraints as they try to learn their discipline,” Dr. Krumm said. “Asking them to meditate on their own time seemed very impractical.”
Eager to research this idea, Dr. Krumm applied for the CHEST Research Grant in Medical Education.
“The fact that CHEST is willing to support medical education research is really important for all those trying to better the educational environment. Although there’s a movement toward more support for medical education research and more recognition of its value, I think the fact that CHEST has already done so has helped advance the field and the support for the field as a whole,” Dr. Krumm said.
“Having the support from a reputable institution like CHEST inherently gave the work that I was doing value,” Dr. Krumm said. “It gave folks an understanding that this research in medical education has importance.”
Dr. Krumm’s project focused on the monthly Reflection Rounds between the ICU, palliative care, and chaplaincy staff that were held at the Seattle VA Medical Center, where residents could discuss the challenges of caring for critically ill patients during a protected time. While similar interventions around death and dying have been shown to help residents reduce burnout in medical intensive care rotations, it was unknown which aspects of these sessions would be most effective.
Participant interviews were conducted before and after the residents’ monthly sessions to understand the impact these sessions had on wellness and burnout levels.
“With the grant funding from CHEST, our team was able to purchase the recording equipment, transcription, and software necessary to complete a thorough qualitative research project, which greatly accelerated the project timeline,” she said.
Through these interviews, Dr. Krumm’s team identified three key themes that shed light on the impact of Reflection Rounds.
1. Cultural precedent
Participants were encouraged to participate as little or as much as they wanted during the session. Despite some residents being less vocal during these discussions, every resident agreed that this type of session set an important cultural precedent in their program and acknowledged the value of a program that encouraged space for decompression and reflection.
2. Shared experiences
During this project, many residents experienced an increased sense of isolation, as COVID-19 precautions were stricter in the ICU. Having this protected time together allowed residents to discover their shared experiences and find comfort in them while feeling supported.
“A lot of residents commented that it was nice to know that others were going through this as well or that they were also finding this particular instance difficult,” Dr. Krumm said.
3. Ritual
At the opening of each hour-long session, participants were invited to light a candle and say aloud or think to themselves the name of a patient they had lost, had a hard time with, or cared for during their time in the ICU.
“Every single person pointed to that moment as meaningful and impactful,” Dr. Krumm said.
This ritual gave the residents time to center and have a common focus with their peers to think about patient stories that they were carrying with them.
“Maybe just incorporating a small moment like that, a point of reflection, could potentially have a big impact on the weight we carry as providers who care for [patients who are] critically ill,” Dr. Krumm said. “What I’ve learned from this project will make me a better leader in the ICU, not only in taking care of critically ill individuals but also in taking care of the team doing that work.”
Dr. Krumm credits the CHEST grant funding and subsequent research project with helping her join a highly competitive fellowship program at the University of California San Francisco, where she can continue to conduct research in the field of medical education.
“I am working closely with medical education faculty and peers to design new research studies and further establish myself in the field of medical education, leading to my ultimate goal of becoming a program director at a strong med-ed-focused program.”
This article was adapted from the Spring 2024 online issue of CHEST Advocates. For the full article—and to engage with the other content from this issue—visit chestnet.org/chest-advocates.
Support CHEST grants like this
Through clinical research grants, CHEST assists in acquiring vital data and clinically important results that can advance medical care. You can help support projects like this by making a gift to CHEST.
MAKE A GIFT » | LEARN ABOUT CHEST PHILANTHROPY »
Before the spread of COVID-19, and increasingly during the pandemic, Ilana Krumm, MD, noticed a burgeoning focus on wellness for trainees and how to combat burnout in the medical space.
But Dr. Krumm also noticed that most of the existing programs focused on the individual level, rather than the system level. The onus was on the trainees to manage their wellness and burnout.
“I wanted to look at something that could be instituted at a systems level as opposed to putting all the burden of this wellness on the resident, as someone who already has a huge burden of work, stress, and time constraints as they try to learn their discipline,” Dr. Krumm said. “Asking them to meditate on their own time seemed very impractical.”
Eager to research this idea, Dr. Krumm applied for the CHEST Research Grant in Medical Education.
“The fact that CHEST is willing to support medical education research is really important for all those trying to better the educational environment. Although there’s a movement toward more support for medical education research and more recognition of its value, I think the fact that CHEST has already done so has helped advance the field and the support for the field as a whole,” Dr. Krumm said.
“Having the support from a reputable institution like CHEST inherently gave the work that I was doing value,” Dr. Krumm said. “It gave folks an understanding that this research in medical education has importance.”
Dr. Krumm’s project focused on the monthly Reflection Rounds between the ICU, palliative care, and chaplaincy staff that were held at the Seattle VA Medical Center, where residents could discuss the challenges of caring for critically ill patients during a protected time. While similar interventions around death and dying have been shown to help residents reduce burnout in medical intensive care rotations, it was unknown which aspects of these sessions would be most effective.
Participant interviews were conducted before and after the residents’ monthly sessions to understand the impact these sessions had on wellness and burnout levels.
“With the grant funding from CHEST, our team was able to purchase the recording equipment, transcription, and software necessary to complete a thorough qualitative research project, which greatly accelerated the project timeline,” she said.
Through these interviews, Dr. Krumm’s team identified three key themes that shed light on the impact of Reflection Rounds.
1. Cultural precedent
Participants were encouraged to participate as little or as much as they wanted during the session. Despite some residents being less vocal during these discussions, every resident agreed that this type of session set an important cultural precedent in their program and acknowledged the value of a program that encouraged space for decompression and reflection.
2. Shared experiences
During this project, many residents experienced an increased sense of isolation, as COVID-19 precautions were stricter in the ICU. Having this protected time together allowed residents to discover their shared experiences and find comfort in them while feeling supported.
“A lot of residents commented that it was nice to know that others were going through this as well or that they were also finding this particular instance difficult,” Dr. Krumm said.
3. Ritual
At the opening of each hour-long session, participants were invited to light a candle and say aloud or think to themselves the name of a patient they had lost, had a hard time with, or cared for during their time in the ICU.
“Every single person pointed to that moment as meaningful and impactful,” Dr. Krumm said.
This ritual gave the residents time to center and have a common focus with their peers to think about patient stories that they were carrying with them.
“Maybe just incorporating a small moment like that, a point of reflection, could potentially have a big impact on the weight we carry as providers who care for [patients who are] critically ill,” Dr. Krumm said. “What I’ve learned from this project will make me a better leader in the ICU, not only in taking care of critically ill individuals but also in taking care of the team doing that work.”
Dr. Krumm credits the CHEST grant funding and subsequent research project with helping her join a highly competitive fellowship program at the University of California San Francisco, where she can continue to conduct research in the field of medical education.
“I am working closely with medical education faculty and peers to design new research studies and further establish myself in the field of medical education, leading to my ultimate goal of becoming a program director at a strong med-ed-focused program.”
This article was adapted from the Spring 2024 online issue of CHEST Advocates. For the full article—and to engage with the other content from this issue—visit chestnet.org/chest-advocates.
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Coding & billing: A look into G2211 for visit complexities
This add-on code is for new (99202-99205) and established (99212-99215) office visits. CMS created this add-on code to address the additional costs and resources associated with providing longitudinal care.
G2211 – Visit complexity inherent to evaluation and management (E/M) associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient’s single, serious condition, or a complex condition (Add-on code; list separately in addition to office/outpatient (O/O) E/M visit, new or established)
The documentation should demonstrate the intent and need for ongoing care. Otherwise, no additional documentation is required. CMS pays $16.04 for each service (wRVU = 0.33). It may be reported each time the patient is seen, and there is currently no limit to how often it may be used. Also, there is no additional copay requirement for patients.
Do’s and don’ts
Do report in the following situations when longitudinal care is provided:
- The provider has or intends to have a long-term, ongoing relationship with the patient (ie, G2211 can be used for a new patient visit)
- Audio/video virtual visits
- May be reported with Prolonged Care Services G2212
- When advanced practice providers or physician colleagues in the same specialty practice see the patient (ie, if you see the patient for an urgent visit, but the patient is usually followed by your partner, you can still use G2211)
- When working with graduate medical education trainees (along with the -GC modifier), and as long as the conditions described in the description of G2211 are met
Do NOT report in the following situations:
- If modifier -25 is appended to the E/M service when another service is provided on the same day (eg, pulmonary function tests, 6-minute walk tests, immunization)
- Audio-only virtual visits, hospital, skilled nursing facility, or long-term acute care hospital
- If the patient is not expected to return for ongoing care
- If the reason for longitudinal care does not include a “single, serious condition or a complex condition” (eg, annual visits for a stable 6 mm lung nodule)
CMS expects that this will be billed with 38% of all E/M services initially and potentially up to 54% over time. We feel this is reimbursement for the work being done to care for our patients with single, serious, or complex conditions. Both Medicare and Medicare Advantage plans are expected to reimburse for this service. Whether other payers will do the same is unclear, but it will become clear with time and further negotiation at the local level. In the meantime, members are encouraged to report this code for all appropriate patient encounters.
Questions and answers — G2211
Question: What private insurances cover G2211?
Answer: As of March 1, 2024, four national payers have confirmed coverage of G2211:
- Cigna (Medicare Advantage only),
- Humana (commercial and Medicare Advantage),
- United Healthcare (commercial and Medicare Advantage), and
- Aetna (Medicare Advantage).
Question: What needs to be documented for G2211?
Answer: CMS states, “You must document the reason for billing the office and outpatient (O/O) and evaluation and management (E/M). The visits themselves would need to be medically reasonable and necessary for the practitioner to report G2211. In addition, the documentation would need to illustrate medical necessity of the O/O E/M visit. We [CMS] haven’t required additional documentation.”
American Thoracic Society (ATS) and CHEST also recommend including a detailed assessment and plan for the visit, as well as any follow-up. The complexity of the visit should be clear in your documentation to support the medical necessity for reporting the G2211.
Question: How can a provider show that a new patient visit (99202-99205) is part of continuing care?
Answer: The treating practitioner should make sure their documentation supports their intent to provide ongoing care to the patient. Establishing such intent goes beyond a statement that the provider plans to provide ongoing care or schedule a follow-up visit. The circumstances of the visit should support the extra work involved in becoming the focal point of the patient’s care or providing ongoing care for a serious or complex condition.
Question: Dr. Red works at a primary care practice, is the focal point for a patient’s care, and has reported G2211. If Dr. Yellow, who is in the same specialty, or Mr. Green, a nurse practitioner, is covering for Dr. Red, and the patient comes in for a visit, can they report G2211 for that visit?
Answer: Yes. The same specialty/same provider rules would apply in this situation. But remember that Dr. Yellow’s or Mr. Green’s documentation for that encounter must support the code.
Question: Can a resident report G2211 under the primary care exemption?
Answer: Yes, according to CMS staff, so long as the service and the documentation meet all the requirements for the exemption and the visit complexity code. For example, the resident can only report low-level E/M codes, and the resident must be “the focal point for that person’s care.”
Question: Are there frequency limits for how often we can report G2211, either for a single patient in a given time period or by a provider or a practice?
Answer: Not at this time, but make sure your providers are following the rules for reporting the code. “There’s got to be documentation that suggests why the practitioner believes they are treating the patient on this long-standing, longitudinal trajectory, and we’ll be able to see how that interaction is happening,” senior CMS staff said. CMS staff further issued a subtle warning to providers by reminding them that CMS has a very strong integrity program. Your practice can avoid problems with thorough training, frequent chart review, and encouraging the team to ask questions until you feel that everyone is comfortable with the code.
Question: Are there any limits on the specialties that can report the code? Is it just for primary care providers?
Answer: No. Remember that a provider who is managing a single serious or complex condition can also report the code. But CMS expects the documentation to support the ongoing nature of the treatment. If a patient sees a provider as a one-off encounter, perhaps to manage an acute problem, that visit wouldn’t qualify. But if the provider clearly documents that they are actively managing the patient’s condition, the encounters could qualify.
Question: Will CMS issue a list of conditions that meet the code’s serious or complex condition requirement?
Answer: CMS has included the examples of HIV and sickle cell anemia in existing guidance, and it plans to issue a few more examples “that help folks understand what is expected.” However, it won’t be a complete list of every condition that might qualify.
Originally published in the May 2023 issue of the American Thoracic Society’s ATS Coding & Billing Quarterly. Republished with permission from the American Thoracic Society.
This add-on code is for new (99202-99205) and established (99212-99215) office visits. CMS created this add-on code to address the additional costs and resources associated with providing longitudinal care.
G2211 – Visit complexity inherent to evaluation and management (E/M) associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient’s single, serious condition, or a complex condition (Add-on code; list separately in addition to office/outpatient (O/O) E/M visit, new or established)
The documentation should demonstrate the intent and need for ongoing care. Otherwise, no additional documentation is required. CMS pays $16.04 for each service (wRVU = 0.33). It may be reported each time the patient is seen, and there is currently no limit to how often it may be used. Also, there is no additional copay requirement for patients.
Do’s and don’ts
Do report in the following situations when longitudinal care is provided:
- The provider has or intends to have a long-term, ongoing relationship with the patient (ie, G2211 can be used for a new patient visit)
- Audio/video virtual visits
- May be reported with Prolonged Care Services G2212
- When advanced practice providers or physician colleagues in the same specialty practice see the patient (ie, if you see the patient for an urgent visit, but the patient is usually followed by your partner, you can still use G2211)
- When working with graduate medical education trainees (along with the -GC modifier), and as long as the conditions described in the description of G2211 are met
Do NOT report in the following situations:
- If modifier -25 is appended to the E/M service when another service is provided on the same day (eg, pulmonary function tests, 6-minute walk tests, immunization)
- Audio-only virtual visits, hospital, skilled nursing facility, or long-term acute care hospital
- If the patient is not expected to return for ongoing care
- If the reason for longitudinal care does not include a “single, serious condition or a complex condition” (eg, annual visits for a stable 6 mm lung nodule)
CMS expects that this will be billed with 38% of all E/M services initially and potentially up to 54% over time. We feel this is reimbursement for the work being done to care for our patients with single, serious, or complex conditions. Both Medicare and Medicare Advantage plans are expected to reimburse for this service. Whether other payers will do the same is unclear, but it will become clear with time and further negotiation at the local level. In the meantime, members are encouraged to report this code for all appropriate patient encounters.
Questions and answers — G2211
Question: What private insurances cover G2211?
Answer: As of March 1, 2024, four national payers have confirmed coverage of G2211:
- Cigna (Medicare Advantage only),
- Humana (commercial and Medicare Advantage),
- United Healthcare (commercial and Medicare Advantage), and
- Aetna (Medicare Advantage).
Question: What needs to be documented for G2211?
Answer: CMS states, “You must document the reason for billing the office and outpatient (O/O) and evaluation and management (E/M). The visits themselves would need to be medically reasonable and necessary for the practitioner to report G2211. In addition, the documentation would need to illustrate medical necessity of the O/O E/M visit. We [CMS] haven’t required additional documentation.”
American Thoracic Society (ATS) and CHEST also recommend including a detailed assessment and plan for the visit, as well as any follow-up. The complexity of the visit should be clear in your documentation to support the medical necessity for reporting the G2211.
Question: How can a provider show that a new patient visit (99202-99205) is part of continuing care?
Answer: The treating practitioner should make sure their documentation supports their intent to provide ongoing care to the patient. Establishing such intent goes beyond a statement that the provider plans to provide ongoing care or schedule a follow-up visit. The circumstances of the visit should support the extra work involved in becoming the focal point of the patient’s care or providing ongoing care for a serious or complex condition.
Question: Dr. Red works at a primary care practice, is the focal point for a patient’s care, and has reported G2211. If Dr. Yellow, who is in the same specialty, or Mr. Green, a nurse practitioner, is covering for Dr. Red, and the patient comes in for a visit, can they report G2211 for that visit?
Answer: Yes. The same specialty/same provider rules would apply in this situation. But remember that Dr. Yellow’s or Mr. Green’s documentation for that encounter must support the code.
Question: Can a resident report G2211 under the primary care exemption?
Answer: Yes, according to CMS staff, so long as the service and the documentation meet all the requirements for the exemption and the visit complexity code. For example, the resident can only report low-level E/M codes, and the resident must be “the focal point for that person’s care.”
Question: Are there frequency limits for how often we can report G2211, either for a single patient in a given time period or by a provider or a practice?
Answer: Not at this time, but make sure your providers are following the rules for reporting the code. “There’s got to be documentation that suggests why the practitioner believes they are treating the patient on this long-standing, longitudinal trajectory, and we’ll be able to see how that interaction is happening,” senior CMS staff said. CMS staff further issued a subtle warning to providers by reminding them that CMS has a very strong integrity program. Your practice can avoid problems with thorough training, frequent chart review, and encouraging the team to ask questions until you feel that everyone is comfortable with the code.
Question: Are there any limits on the specialties that can report the code? Is it just for primary care providers?
Answer: No. Remember that a provider who is managing a single serious or complex condition can also report the code. But CMS expects the documentation to support the ongoing nature of the treatment. If a patient sees a provider as a one-off encounter, perhaps to manage an acute problem, that visit wouldn’t qualify. But if the provider clearly documents that they are actively managing the patient’s condition, the encounters could qualify.
Question: Will CMS issue a list of conditions that meet the code’s serious or complex condition requirement?
Answer: CMS has included the examples of HIV and sickle cell anemia in existing guidance, and it plans to issue a few more examples “that help folks understand what is expected.” However, it won’t be a complete list of every condition that might qualify.
Originally published in the May 2023 issue of the American Thoracic Society’s ATS Coding & Billing Quarterly. Republished with permission from the American Thoracic Society.
This add-on code is for new (99202-99205) and established (99212-99215) office visits. CMS created this add-on code to address the additional costs and resources associated with providing longitudinal care.
G2211 – Visit complexity inherent to evaluation and management (E/M) associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient’s single, serious condition, or a complex condition (Add-on code; list separately in addition to office/outpatient (O/O) E/M visit, new or established)
The documentation should demonstrate the intent and need for ongoing care. Otherwise, no additional documentation is required. CMS pays $16.04 for each service (wRVU = 0.33). It may be reported each time the patient is seen, and there is currently no limit to how often it may be used. Also, there is no additional copay requirement for patients.
Do’s and don’ts
Do report in the following situations when longitudinal care is provided:
- The provider has or intends to have a long-term, ongoing relationship with the patient (ie, G2211 can be used for a new patient visit)
- Audio/video virtual visits
- May be reported with Prolonged Care Services G2212
- When advanced practice providers or physician colleagues in the same specialty practice see the patient (ie, if you see the patient for an urgent visit, but the patient is usually followed by your partner, you can still use G2211)
- When working with graduate medical education trainees (along with the -GC modifier), and as long as the conditions described in the description of G2211 are met
Do NOT report in the following situations:
- If modifier -25 is appended to the E/M service when another service is provided on the same day (eg, pulmonary function tests, 6-minute walk tests, immunization)
- Audio-only virtual visits, hospital, skilled nursing facility, or long-term acute care hospital
- If the patient is not expected to return for ongoing care
- If the reason for longitudinal care does not include a “single, serious condition or a complex condition” (eg, annual visits for a stable 6 mm lung nodule)
CMS expects that this will be billed with 38% of all E/M services initially and potentially up to 54% over time. We feel this is reimbursement for the work being done to care for our patients with single, serious, or complex conditions. Both Medicare and Medicare Advantage plans are expected to reimburse for this service. Whether other payers will do the same is unclear, but it will become clear with time and further negotiation at the local level. In the meantime, members are encouraged to report this code for all appropriate patient encounters.
Questions and answers — G2211
Question: What private insurances cover G2211?
Answer: As of March 1, 2024, four national payers have confirmed coverage of G2211:
- Cigna (Medicare Advantage only),
- Humana (commercial and Medicare Advantage),
- United Healthcare (commercial and Medicare Advantage), and
- Aetna (Medicare Advantage).
Question: What needs to be documented for G2211?
Answer: CMS states, “You must document the reason for billing the office and outpatient (O/O) and evaluation and management (E/M). The visits themselves would need to be medically reasonable and necessary for the practitioner to report G2211. In addition, the documentation would need to illustrate medical necessity of the O/O E/M visit. We [CMS] haven’t required additional documentation.”
American Thoracic Society (ATS) and CHEST also recommend including a detailed assessment and plan for the visit, as well as any follow-up. The complexity of the visit should be clear in your documentation to support the medical necessity for reporting the G2211.
Question: How can a provider show that a new patient visit (99202-99205) is part of continuing care?
Answer: The treating practitioner should make sure their documentation supports their intent to provide ongoing care to the patient. Establishing such intent goes beyond a statement that the provider plans to provide ongoing care or schedule a follow-up visit. The circumstances of the visit should support the extra work involved in becoming the focal point of the patient’s care or providing ongoing care for a serious or complex condition.
Question: Dr. Red works at a primary care practice, is the focal point for a patient’s care, and has reported G2211. If Dr. Yellow, who is in the same specialty, or Mr. Green, a nurse practitioner, is covering for Dr. Red, and the patient comes in for a visit, can they report G2211 for that visit?
Answer: Yes. The same specialty/same provider rules would apply in this situation. But remember that Dr. Yellow’s or Mr. Green’s documentation for that encounter must support the code.
Question: Can a resident report G2211 under the primary care exemption?
Answer: Yes, according to CMS staff, so long as the service and the documentation meet all the requirements for the exemption and the visit complexity code. For example, the resident can only report low-level E/M codes, and the resident must be “the focal point for that person’s care.”
Question: Are there frequency limits for how often we can report G2211, either for a single patient in a given time period or by a provider or a practice?
Answer: Not at this time, but make sure your providers are following the rules for reporting the code. “There’s got to be documentation that suggests why the practitioner believes they are treating the patient on this long-standing, longitudinal trajectory, and we’ll be able to see how that interaction is happening,” senior CMS staff said. CMS staff further issued a subtle warning to providers by reminding them that CMS has a very strong integrity program. Your practice can avoid problems with thorough training, frequent chart review, and encouraging the team to ask questions until you feel that everyone is comfortable with the code.
Question: Are there any limits on the specialties that can report the code? Is it just for primary care providers?
Answer: No. Remember that a provider who is managing a single serious or complex condition can also report the code. But CMS expects the documentation to support the ongoing nature of the treatment. If a patient sees a provider as a one-off encounter, perhaps to manage an acute problem, that visit wouldn’t qualify. But if the provider clearly documents that they are actively managing the patient’s condition, the encounters could qualify.
Question: Will CMS issue a list of conditions that meet the code’s serious or complex condition requirement?
Answer: CMS has included the examples of HIV and sickle cell anemia in existing guidance, and it plans to issue a few more examples “that help folks understand what is expected.” However, it won’t be a complete list of every condition that might qualify.
Originally published in the May 2023 issue of the American Thoracic Society’s ATS Coding & Billing Quarterly. Republished with permission from the American Thoracic Society.
Top reads from the CHEST journal portfolio
Understanding RA with COPD, lung cancer prediction models, and chronic cardiac dysfunction
Journal CHEST®
Does Rheumatoid Arthritis Increase the Risk of COPD?
By: Chiwook Chung, MD, and colleagues
Notably, individuals with seropositive RA exhibit a greater risk of COPD onset than those with seronegative RA. Although smoking history didn’t affect the relationship between RA and COPD, monitoring respiratory symptoms and pulmonary function in patients with RA, especially patients who are seropositive, is crucial. These findings underscore the importance of interdisciplinary collaboration between rheumatologists and pulmonologists to enhance early detection and management strategies for pulmonary complications in patients with RA.
– Commentary by Corinne Young, MSN, FNP-C, FCCP, Member of the CHEST Physician® Editorial Board
CHEST Pulmonary®
The Lung Cancer Prediction Model “Stress Test”
By: Brent E. Heideman, MD, and colleagues
Current lung cancer prediction models have limited utility in high-risk patients referred for diagnostic biopsy. In a study of 322 indeterminate pulmonary nodules, the Brock, Mayo Clinic, Herder, and Veterans Affairs models showed modest discrimination between benign and malignant nodules (AUCs 0.67-0.77). The models performed poorly for low-risk patients (negative predictive values 63%-71%) and suboptimally for high-risk patients (positive predictive values 73%-87%), suggesting referring physicians use additional clinical information not captured in these models to identify high-risk patients needing biopsy. New prediction models and biomarkers specifically developed and calibrated for high-risk populations are needed to better inform clinical decision-making. Incorporating interval imaging to assess changes in nodule characteristics could potentially improve model performance. Tailored risk assessment tools are crucial for optimizing management and reducing unnecessary invasive procedures in this challenging patient population.
– Commentary by Russell Miller, MD, Member of the CHEST Physician Editorial Board
CHEST Critical Care ®
Characterizing Cardiac Function in ICU Survivors of Sepsis
By: Kevin Garrity, MBChB, and colleagues
While chronic cardiac dysfunction is one of the proposed mechanisms of long-term impairment post critical illness, its prevalence, mechanisms, and associations with disability following admission for sepsis are not well understood. Garrity and colleagues describe the Characterization of Cardiovascular Function in ICU Survivors of Sepsis (CONDUCT-ICU) protocol, a prospective study including two ICUs in Scotland aimed to better define cardiovascular dysfunction in survivors of sepsis. Designed to enroll 69 patients, demographics, cardiac and inflammatory biomarkers, and echocardiograms will be obtained on ICU discharge with additional laboratory data, cardiac magnetic resonance imaging, and patient-reported outcome measures to be obtained at 6 to 10 weeks. This novel multimodal approach will provide understanding into the role of cardiovascular dysfunction following critical illness as well as offer mechanistic insights. The investigators hope to obtain operational and pilot data for larger future studies.
– Commentary by Eugene Yuriditsky, MD, FCCP, Member of the CHEST Physician Editorial Board
Understanding RA with COPD, lung cancer prediction models, and chronic cardiac dysfunction
Understanding RA with COPD, lung cancer prediction models, and chronic cardiac dysfunction
Journal CHEST®
Does Rheumatoid Arthritis Increase the Risk of COPD?
By: Chiwook Chung, MD, and colleagues
Notably, individuals with seropositive RA exhibit a greater risk of COPD onset than those with seronegative RA. Although smoking history didn’t affect the relationship between RA and COPD, monitoring respiratory symptoms and pulmonary function in patients with RA, especially patients who are seropositive, is crucial. These findings underscore the importance of interdisciplinary collaboration between rheumatologists and pulmonologists to enhance early detection and management strategies for pulmonary complications in patients with RA.
– Commentary by Corinne Young, MSN, FNP-C, FCCP, Member of the CHEST Physician® Editorial Board
CHEST Pulmonary®
The Lung Cancer Prediction Model “Stress Test”
By: Brent E. Heideman, MD, and colleagues
Current lung cancer prediction models have limited utility in high-risk patients referred for diagnostic biopsy. In a study of 322 indeterminate pulmonary nodules, the Brock, Mayo Clinic, Herder, and Veterans Affairs models showed modest discrimination between benign and malignant nodules (AUCs 0.67-0.77). The models performed poorly for low-risk patients (negative predictive values 63%-71%) and suboptimally for high-risk patients (positive predictive values 73%-87%), suggesting referring physicians use additional clinical information not captured in these models to identify high-risk patients needing biopsy. New prediction models and biomarkers specifically developed and calibrated for high-risk populations are needed to better inform clinical decision-making. Incorporating interval imaging to assess changes in nodule characteristics could potentially improve model performance. Tailored risk assessment tools are crucial for optimizing management and reducing unnecessary invasive procedures in this challenging patient population.
– Commentary by Russell Miller, MD, Member of the CHEST Physician Editorial Board
CHEST Critical Care ®
Characterizing Cardiac Function in ICU Survivors of Sepsis
By: Kevin Garrity, MBChB, and colleagues
While chronic cardiac dysfunction is one of the proposed mechanisms of long-term impairment post critical illness, its prevalence, mechanisms, and associations with disability following admission for sepsis are not well understood. Garrity and colleagues describe the Characterization of Cardiovascular Function in ICU Survivors of Sepsis (CONDUCT-ICU) protocol, a prospective study including two ICUs in Scotland aimed to better define cardiovascular dysfunction in survivors of sepsis. Designed to enroll 69 patients, demographics, cardiac and inflammatory biomarkers, and echocardiograms will be obtained on ICU discharge with additional laboratory data, cardiac magnetic resonance imaging, and patient-reported outcome measures to be obtained at 6 to 10 weeks. This novel multimodal approach will provide understanding into the role of cardiovascular dysfunction following critical illness as well as offer mechanistic insights. The investigators hope to obtain operational and pilot data for larger future studies.
– Commentary by Eugene Yuriditsky, MD, FCCP, Member of the CHEST Physician Editorial Board
Journal CHEST®
Does Rheumatoid Arthritis Increase the Risk of COPD?
By: Chiwook Chung, MD, and colleagues
Notably, individuals with seropositive RA exhibit a greater risk of COPD onset than those with seronegative RA. Although smoking history didn’t affect the relationship between RA and COPD, monitoring respiratory symptoms and pulmonary function in patients with RA, especially patients who are seropositive, is crucial. These findings underscore the importance of interdisciplinary collaboration between rheumatologists and pulmonologists to enhance early detection and management strategies for pulmonary complications in patients with RA.
– Commentary by Corinne Young, MSN, FNP-C, FCCP, Member of the CHEST Physician® Editorial Board
CHEST Pulmonary®
The Lung Cancer Prediction Model “Stress Test”
By: Brent E. Heideman, MD, and colleagues
Current lung cancer prediction models have limited utility in high-risk patients referred for diagnostic biopsy. In a study of 322 indeterminate pulmonary nodules, the Brock, Mayo Clinic, Herder, and Veterans Affairs models showed modest discrimination between benign and malignant nodules (AUCs 0.67-0.77). The models performed poorly for low-risk patients (negative predictive values 63%-71%) and suboptimally for high-risk patients (positive predictive values 73%-87%), suggesting referring physicians use additional clinical information not captured in these models to identify high-risk patients needing biopsy. New prediction models and biomarkers specifically developed and calibrated for high-risk populations are needed to better inform clinical decision-making. Incorporating interval imaging to assess changes in nodule characteristics could potentially improve model performance. Tailored risk assessment tools are crucial for optimizing management and reducing unnecessary invasive procedures in this challenging patient population.
– Commentary by Russell Miller, MD, Member of the CHEST Physician Editorial Board
CHEST Critical Care ®
Characterizing Cardiac Function in ICU Survivors of Sepsis
By: Kevin Garrity, MBChB, and colleagues
While chronic cardiac dysfunction is one of the proposed mechanisms of long-term impairment post critical illness, its prevalence, mechanisms, and associations with disability following admission for sepsis are not well understood. Garrity and colleagues describe the Characterization of Cardiovascular Function in ICU Survivors of Sepsis (CONDUCT-ICU) protocol, a prospective study including two ICUs in Scotland aimed to better define cardiovascular dysfunction in survivors of sepsis. Designed to enroll 69 patients, demographics, cardiac and inflammatory biomarkers, and echocardiograms will be obtained on ICU discharge with additional laboratory data, cardiac magnetic resonance imaging, and patient-reported outcome measures to be obtained at 6 to 10 weeks. This novel multimodal approach will provide understanding into the role of cardiovascular dysfunction following critical illness as well as offer mechanistic insights. The investigators hope to obtain operational and pilot data for larger future studies.
– Commentary by Eugene Yuriditsky, MD, FCCP, Member of the CHEST Physician Editorial Board
For One Colorado GI, Private Practice Is Anything But Routine
Lisa Mathew, MD, wants to quell any misconceptions that private practice is dull or routine. “That has not been my experience at all,” says Dr. Mathew, a partner with South Denver Gastroenterology in the suburbs of Denver, Colorado.
Nationwide, a flourishing GI private practice community engages in ongoing dialogue about improvements, navigating a changing healthcare environment, and innovation. “That has been a surprising and wonderful twist in my career,” she added.
Dr. Mathew fosters that dialogue through Gastro Broadcast, a podcast she shares with several other GI physicians. Targeted toward private GI practice, it highlights innovations within the community, providing updates on practice management and other technological advances.
In an interview, she spoke frankly about her favorite recent podcast guest, the challenges she’s faced in her career, and why her fellow GI specialists are her “tribe.”
Q: Why did you choose GI?
Dr. Mathew: In medical school at Duke University, I was considering going into ob.gyn., but academically I was a little more drawn toward internal medicine. While I was in my residency at the University of Pennsylvania, I really clicked with the gastroenterologists. I enjoyed their sense of humor. They were dealing with complex medical issues but doing so with a sense of levity and enjoyment in their work. When I entered fellowship at the University of Washington, I felt like I found my tribe. This was a group of people who really love their work, love medicine, love being able to develop their procedural skills, and keep a sense of humor about themselves. I married a cardiologist (and he’s a hilarious cardiologist), but the world of cardiology is a little more buttoned up. I like that GI is a little more relaxed.
Q: What gives you the most joy in your day-to-day practice?
Dr. Mathew: My patients. They are funny and genuine, and they allow you into these moments of vulnerability — it’s an honor to walk through that together. I’m always so grateful for the trust they put in me in those moments. As my practice has matured, it’s been incredible to watch those relationships grow, as well as begin caring for husbands, wives, sons and daughters of my patients. I enjoy being a part of my community.
Q: Can you talk about an interesting recent guest you had on your podcast? Who was it and why did he or she stand out?
Dr. Mathew: Russ Arjal, MD, AGAF, cofounder, chief medical officer and president of Telebelly Health. He’s been working on a platform for exclusively telehealth services that improves access to care; pairing patients with brick-and-mortar gastroenterology to provide any necessary procedural care, such as colonoscopy and upper endoscopy. It was a fantastic interview. I think it’s so refreshing and inspiring to see how people innovate within the field of GI. On the procedural side, you see this all the time. With my advanced endoscopy colleagues, they’re constantly pushing the boundaries of what we can do procedurally. My academic colleagues are constantly thinking through what the next best treatment is or how best can we optimize care. And, in the world of private practice, we’re thinking about practice care delivery — how to improve access and make the experience of being a patient better, with the ultimate goal of improving health outcomes.
Q: What fears did you have to push past to get to where you are in your career?
Dr. Mathew: Imposter Syndrome is a very, very common issue, maybe somewhat more for women in GI. I think it’s something that everybody wrestles with to some degree. For me, it was developing confidence not just in my clinical skills, but in learning all the complexities of running a small business. It takes time to develop confidence in your abilities and judgment. I think to some degree, that’s normal. It just takes a while to settle into whatever your chosen career path is. Having a community and strong mentors to support me has made all the difference.
Q: Describe your biggest practice-related challenge and what you are doing to address it.
Dr. Mathew: One of the greatest challenges in my career has been navigating COVID — both with just the tremendous sea change it had on our ability to practice, as well as the financial consequences to someone in private practice. Those were very challenging times to deliver the care that was needed, protect staff, and to maintain a small business. Fortunately, as with many practices across the nation, we’ve emerged through that.
We pivoted, we innovated with telehealth and other services that allowed us to care for our patients. But there were a lot of lessons learned and a lot of difficult moments.
Q: What teacher or mentor had the greatest impact on you?
Dr. Mathew: My dad has taught me the value of hard work. Being a physician just comes in tandem with hard work. And my mom, who is a nurse, has always shown the importance of empathy. Without it, everything else is a little empty. Medicine is a combination of skill and hard work, but also an ability to connect with other people. Empathy is essential to that.
Q: Describe how you would spend a free Saturday afternoon.
Dr. Mathew: We have three children who are native Coloradans so skiing is their birthright. Our entire family are diehard skiers. This is our joy. When you talk about the beach versus mountains debate, we are firmly team mountains. On a perfect Saturday afternoon, I’m on the slopes with my little crew, just tearing it up, having a great time.
Lightning Round
Texting or talking?
Texting
Favorite city in U.S. besides the one you live in?
Washington, D.C.
Favorite breakfast?
Avocado toast
Place you most want to travel to?
South America
Favorite junk food?
Candy
Favorite season?
Winter
How many cups of coffee do you drink per day?
2 or 3
If you weren’t a gastroenterologist, what would you be?
Ski coach
Best Halloween costume you ever wore?
Bunch of grapes
Favorite type of music?
Indie folk
Favorite movie genre?
Books, not into movies
Cat person or dog person?
Neither, but I am a certified beekeeper
What song do you have to sing along with when you hear it?
Anything by Queen
Introvert or extrovert?
Extrovert with introverted tendencies
Favorite holiday?
Thanksgiving
Optimist or pessimist?
100% glass half full
Lisa Mathew, MD, wants to quell any misconceptions that private practice is dull or routine. “That has not been my experience at all,” says Dr. Mathew, a partner with South Denver Gastroenterology in the suburbs of Denver, Colorado.
Nationwide, a flourishing GI private practice community engages in ongoing dialogue about improvements, navigating a changing healthcare environment, and innovation. “That has been a surprising and wonderful twist in my career,” she added.
Dr. Mathew fosters that dialogue through Gastro Broadcast, a podcast she shares with several other GI physicians. Targeted toward private GI practice, it highlights innovations within the community, providing updates on practice management and other technological advances.
In an interview, she spoke frankly about her favorite recent podcast guest, the challenges she’s faced in her career, and why her fellow GI specialists are her “tribe.”
Q: Why did you choose GI?
Dr. Mathew: In medical school at Duke University, I was considering going into ob.gyn., but academically I was a little more drawn toward internal medicine. While I was in my residency at the University of Pennsylvania, I really clicked with the gastroenterologists. I enjoyed their sense of humor. They were dealing with complex medical issues but doing so with a sense of levity and enjoyment in their work. When I entered fellowship at the University of Washington, I felt like I found my tribe. This was a group of people who really love their work, love medicine, love being able to develop their procedural skills, and keep a sense of humor about themselves. I married a cardiologist (and he’s a hilarious cardiologist), but the world of cardiology is a little more buttoned up. I like that GI is a little more relaxed.
Q: What gives you the most joy in your day-to-day practice?
Dr. Mathew: My patients. They are funny and genuine, and they allow you into these moments of vulnerability — it’s an honor to walk through that together. I’m always so grateful for the trust they put in me in those moments. As my practice has matured, it’s been incredible to watch those relationships grow, as well as begin caring for husbands, wives, sons and daughters of my patients. I enjoy being a part of my community.
Q: Can you talk about an interesting recent guest you had on your podcast? Who was it and why did he or she stand out?
Dr. Mathew: Russ Arjal, MD, AGAF, cofounder, chief medical officer and president of Telebelly Health. He’s been working on a platform for exclusively telehealth services that improves access to care; pairing patients with brick-and-mortar gastroenterology to provide any necessary procedural care, such as colonoscopy and upper endoscopy. It was a fantastic interview. I think it’s so refreshing and inspiring to see how people innovate within the field of GI. On the procedural side, you see this all the time. With my advanced endoscopy colleagues, they’re constantly pushing the boundaries of what we can do procedurally. My academic colleagues are constantly thinking through what the next best treatment is or how best can we optimize care. And, in the world of private practice, we’re thinking about practice care delivery — how to improve access and make the experience of being a patient better, with the ultimate goal of improving health outcomes.
Q: What fears did you have to push past to get to where you are in your career?
Dr. Mathew: Imposter Syndrome is a very, very common issue, maybe somewhat more for women in GI. I think it’s something that everybody wrestles with to some degree. For me, it was developing confidence not just in my clinical skills, but in learning all the complexities of running a small business. It takes time to develop confidence in your abilities and judgment. I think to some degree, that’s normal. It just takes a while to settle into whatever your chosen career path is. Having a community and strong mentors to support me has made all the difference.
Q: Describe your biggest practice-related challenge and what you are doing to address it.
Dr. Mathew: One of the greatest challenges in my career has been navigating COVID — both with just the tremendous sea change it had on our ability to practice, as well as the financial consequences to someone in private practice. Those were very challenging times to deliver the care that was needed, protect staff, and to maintain a small business. Fortunately, as with many practices across the nation, we’ve emerged through that.
We pivoted, we innovated with telehealth and other services that allowed us to care for our patients. But there were a lot of lessons learned and a lot of difficult moments.
Q: What teacher or mentor had the greatest impact on you?
Dr. Mathew: My dad has taught me the value of hard work. Being a physician just comes in tandem with hard work. And my mom, who is a nurse, has always shown the importance of empathy. Without it, everything else is a little empty. Medicine is a combination of skill and hard work, but also an ability to connect with other people. Empathy is essential to that.
Q: Describe how you would spend a free Saturday afternoon.
Dr. Mathew: We have three children who are native Coloradans so skiing is their birthright. Our entire family are diehard skiers. This is our joy. When you talk about the beach versus mountains debate, we are firmly team mountains. On a perfect Saturday afternoon, I’m on the slopes with my little crew, just tearing it up, having a great time.
Lightning Round
Texting or talking?
Texting
Favorite city in U.S. besides the one you live in?
Washington, D.C.
Favorite breakfast?
Avocado toast
Place you most want to travel to?
South America
Favorite junk food?
Candy
Favorite season?
Winter
How many cups of coffee do you drink per day?
2 or 3
If you weren’t a gastroenterologist, what would you be?
Ski coach
Best Halloween costume you ever wore?
Bunch of grapes
Favorite type of music?
Indie folk
Favorite movie genre?
Books, not into movies
Cat person or dog person?
Neither, but I am a certified beekeeper
What song do you have to sing along with when you hear it?
Anything by Queen
Introvert or extrovert?
Extrovert with introverted tendencies
Favorite holiday?
Thanksgiving
Optimist or pessimist?
100% glass half full
Lisa Mathew, MD, wants to quell any misconceptions that private practice is dull or routine. “That has not been my experience at all,” says Dr. Mathew, a partner with South Denver Gastroenterology in the suburbs of Denver, Colorado.
Nationwide, a flourishing GI private practice community engages in ongoing dialogue about improvements, navigating a changing healthcare environment, and innovation. “That has been a surprising and wonderful twist in my career,” she added.
Dr. Mathew fosters that dialogue through Gastro Broadcast, a podcast she shares with several other GI physicians. Targeted toward private GI practice, it highlights innovations within the community, providing updates on practice management and other technological advances.
In an interview, she spoke frankly about her favorite recent podcast guest, the challenges she’s faced in her career, and why her fellow GI specialists are her “tribe.”
Q: Why did you choose GI?
Dr. Mathew: In medical school at Duke University, I was considering going into ob.gyn., but academically I was a little more drawn toward internal medicine. While I was in my residency at the University of Pennsylvania, I really clicked with the gastroenterologists. I enjoyed their sense of humor. They were dealing with complex medical issues but doing so with a sense of levity and enjoyment in their work. When I entered fellowship at the University of Washington, I felt like I found my tribe. This was a group of people who really love their work, love medicine, love being able to develop their procedural skills, and keep a sense of humor about themselves. I married a cardiologist (and he’s a hilarious cardiologist), but the world of cardiology is a little more buttoned up. I like that GI is a little more relaxed.
Q: What gives you the most joy in your day-to-day practice?
Dr. Mathew: My patients. They are funny and genuine, and they allow you into these moments of vulnerability — it’s an honor to walk through that together. I’m always so grateful for the trust they put in me in those moments. As my practice has matured, it’s been incredible to watch those relationships grow, as well as begin caring for husbands, wives, sons and daughters of my patients. I enjoy being a part of my community.
Q: Can you talk about an interesting recent guest you had on your podcast? Who was it and why did he or she stand out?
Dr. Mathew: Russ Arjal, MD, AGAF, cofounder, chief medical officer and president of Telebelly Health. He’s been working on a platform for exclusively telehealth services that improves access to care; pairing patients with brick-and-mortar gastroenterology to provide any necessary procedural care, such as colonoscopy and upper endoscopy. It was a fantastic interview. I think it’s so refreshing and inspiring to see how people innovate within the field of GI. On the procedural side, you see this all the time. With my advanced endoscopy colleagues, they’re constantly pushing the boundaries of what we can do procedurally. My academic colleagues are constantly thinking through what the next best treatment is or how best can we optimize care. And, in the world of private practice, we’re thinking about practice care delivery — how to improve access and make the experience of being a patient better, with the ultimate goal of improving health outcomes.
Q: What fears did you have to push past to get to where you are in your career?
Dr. Mathew: Imposter Syndrome is a very, very common issue, maybe somewhat more for women in GI. I think it’s something that everybody wrestles with to some degree. For me, it was developing confidence not just in my clinical skills, but in learning all the complexities of running a small business. It takes time to develop confidence in your abilities and judgment. I think to some degree, that’s normal. It just takes a while to settle into whatever your chosen career path is. Having a community and strong mentors to support me has made all the difference.
Q: Describe your biggest practice-related challenge and what you are doing to address it.
Dr. Mathew: One of the greatest challenges in my career has been navigating COVID — both with just the tremendous sea change it had on our ability to practice, as well as the financial consequences to someone in private practice. Those were very challenging times to deliver the care that was needed, protect staff, and to maintain a small business. Fortunately, as with many practices across the nation, we’ve emerged through that.
We pivoted, we innovated with telehealth and other services that allowed us to care for our patients. But there were a lot of lessons learned and a lot of difficult moments.
Q: What teacher or mentor had the greatest impact on you?
Dr. Mathew: My dad has taught me the value of hard work. Being a physician just comes in tandem with hard work. And my mom, who is a nurse, has always shown the importance of empathy. Without it, everything else is a little empty. Medicine is a combination of skill and hard work, but also an ability to connect with other people. Empathy is essential to that.
Q: Describe how you would spend a free Saturday afternoon.
Dr. Mathew: We have three children who are native Coloradans so skiing is their birthright. Our entire family are diehard skiers. This is our joy. When you talk about the beach versus mountains debate, we are firmly team mountains. On a perfect Saturday afternoon, I’m on the slopes with my little crew, just tearing it up, having a great time.
Lightning Round
Texting or talking?
Texting
Favorite city in U.S. besides the one you live in?
Washington, D.C.
Favorite breakfast?
Avocado toast
Place you most want to travel to?
South America
Favorite junk food?
Candy
Favorite season?
Winter
How many cups of coffee do you drink per day?
2 or 3
If you weren’t a gastroenterologist, what would you be?
Ski coach
Best Halloween costume you ever wore?
Bunch of grapes
Favorite type of music?
Indie folk
Favorite movie genre?
Books, not into movies
Cat person or dog person?
Neither, but I am a certified beekeeper
What song do you have to sing along with when you hear it?
Anything by Queen
Introvert or extrovert?
Extrovert with introverted tendencies
Favorite holiday?
Thanksgiving
Optimist or pessimist?
100% glass half full
Congratulations to the 2024 AGA Research Foundation awardees!
The program serves as a catalyst for discovery and career growth among the most promising researchers in gastroenterology and hepatology.
“This year’s awardees are an exceptional group of investigators who are committed to furthering patient care through research,” said Michael Camilleri, MD, AGAF, chair, AGA Research Foundation. “The AGA Research Foundation is proud to fund these investigators and their ongoing efforts to advance GI research at a critical time in their careers. We believe the Foundation’s investment will ultimately enable new discoveries in gastroenterology and hepatology that will benefit patients.”
Treatment options for digestive diseases begin with vigorous research. The AGA Research Foundation supports medical investigators as they advance our understanding of gastrointestinal and liver conditions. Here are this year’s award recipients:
RESEARCH SCHOLAR AWARDS
AGA Research Scholar Award
- Karen Jane Dunbar, PhD, Columbia University, New York, New York
- Aaron Hecht, MD, PhD, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
- Sarah Maxwell, MD, University of California, San Francisco
- Chung Sang Tse, MD, University of Pennsylvania, Philadelphia, Pennsylvania
- Jason (Yanjia) Zhang, MD, PhD, Boston Children’s Hospital, Massachusetts
AGA-Bristol Myers Squibb Research Scholar Award in Inflammatory Bowel Disease
- Joseph R. Burclaff, PhD, University of North Carolina at Chapel Hill
SPECIALTY AWARDS
AGA-Caroline Craig Augustyn & Damian Augustyn Award in Digestive Cancer
- Swathi Eluri, MD, MSCR, Mayo Clinic, Rochester, Minnesota
AGA-R. Robert & Sally Funderburg Research Award in Gastric Cancer
- Jianwen Que, MD, PhD, Columbia University, New York, New York
AGA-Pfizer Fellowship-to-Faculty Transition Award
- Lianna Wood, MD, PhD, Boston Children’s Hospital, Massachusetts
AGA-Ironwood Fellowship-to-Faculty Transition Award
- ZeNan Li Chang, MD, PhD, Washington University School of Medicine, St. Louis, Missouri
PILOT AWARDS
AGA Pilot Research Award
- Linda C. Cummings, MD, MS, University Hospitals Cleveland Medical Center, Cleveland, Ohio
- Pooja Mehta, MD, MSCS, University of Colorado Denver
- Guilherme Piovezani Ramos, MD, Boston Children’s Hospital
- Simon Schwoerer, PhD, University of Chicago, Illinois
- Yankai Wen, PhD, University of Texas Health Science Center at Houston
AGA-Pfizer Pilot Research Award in Non-Alcoholic Steatohepatitis
- Alice Cheng, PhD, Stanford University, California
- Petra Hirsova, PhD, PharmD, Mayo Clinic, Rochester, Minnesota
- Sarah Maxwell, MD, University of California, San Francisco
AGA-Pfizer Pilot Research Award in Inflammatory Bowel Disease
- David Boone, PhD, Indiana University, Indianapolis, Indiana
- Sara Chloe Di Rienzi, PhD, Baylor College of Medicine, Houston, Texas
- Jared Andrew Sninsky, MD, MSCR, Baylor College of Medicine, Houston, Texas
UNDERGRADUATE RESEARCH AWARDS
AGA-Aman Armaan Ahmed Family Surf for Success Program
- Eli Burstein, Yeshiva University, New York, New York
- Chloe Carlisle, University of Florida, Gainesville, Florida
- Adna Hassan, University of Minnesota Rochester
- Nicole Rodriguez Hilario, Barry University, Miami, Florida
- Maryam Jimoh, College of Wooster, Wooster, Ohio
- Viktoriya Kalinina, Brandeis University, Waltham, Massachusetts
AGA-Dr. Harvey Young Education & Development Foundation’s Young Guts Scholar Program
- Rafaella Lavalle Lacerda de Almeida, Michigan State University, East Lansing, Michigan
- Lara Cheesman, John’s Hopkins University School of Medicine, Baltimore, Maryland
- Cass Condray, University of Oklahoma, Norman, Oklahoma
- Daniel Juarez, Columbia University, New York, New York
- Jason Lin, University of Michigan, Ann Arbor, Michigan
- Riya Malhotra, Case Western Reserve University, Cleveland, Ohio
- Brian Nguyen, Brown University, Providence, Rhode Island
- Mahmoud (Moudy) Salem, Stony Brook University, Stony Brook, New York
ABSTRACT AWARDS
AGA Fellow Abstract of the Year Award
- Andrea Tou, MD Children’s Hospital of Philadelphia, Pennsylvania
AGA Fellow Abstract Awards
- Manik Aggarwal, MBBS, Mayo Clinic, Rochester, Minnesota
- Kole Buckley, PhD, University of Pennsylvania, Philadelphia, Pennsylvania
- Jane Ha, MD, Massachusetts General Hospital, Boston, Massachusetts
- Brent Hiramoto, MD, Brigham and Women’s Hospital, Boston, Massachusetts
- Md Obaidul Islam, PhD, University of Miami, Coral Gables, Florida
- Kanak Kennedy, MD, MPH, Children’s Hospital of Philadelphia, Pennsylvania
- Hanseul Kim, PhD, MS, Massachusetts General Hospital, Boston, Massachusetts
- Chiraag Kulkarni, MD, Stanford University, Stanford, California
- Su-Hyung Lee, PhD, DVM, Vanderbilt University Medical Center, Nashville, Tennessee
- Caroline Muiler, PhD, Yale School of Medicine, New Haven, Connecticut
- Sarah Najjar, PhD, New York University, New York, New York
- Ronaldo Panganiban, MD, PhD Penn State Hershey Medical Center, Hershey, Pennsylvania
- Perseus Patel, MD, Stanford University, California
- Hassan Sinan, MD, Johns Hopkins University, Baltimore, Maryland
- Patricia Snarski, PhD, Tulane University, New Orleans, Louisiana
- Fernando Vicentini, PhD, MS, McMaster University, Hamilton, Ontario, Canada
- Remington Winter, MD, University of Manitoba – Health Sciences Centre, Winnipeg, Manitoba, Canada
- Tiaosi Xing, PhD, MBBS, MS, Penn State College of Medicine, Hershey, Pennsylvania
AGA Student Abstract of the Year Award
- Jazmyne Jackson, Temple University, Philadelphia, Pennsylvania
AGA Student Abstract Award
- Valentina Alvarez, University of Washington School of Medicine, Seattle, Washington
- Yasaman Bahojb Habibyan, MS, University of Calgary, Alberta, Canada
- Tessa Herman, MD, University of Minnesota, Minneapolis-Saint Paul, Minnesota
- Jason Jin, Yale School of Medicine, New Haven, Connecticut
- Frederikke Larsen, Western University, London, Ontario, Canada
- Kara McNamara, Vanderbilt University, Nashville, Tennessee
- Julia Sessions, MD, University of Virginia, Charlottesville, Virginia
- Scott Silvey, MS, Virginia Commonwealth University, Richmond, Virginia
- Vijaya Sundaram, Marshall University School of Medicine, Huntington, West Virginia
- Kafayat Yusuf, MS, University of Kansas Medical Center, Kansas City, Kansas
AGA–Eric Esrailian Student Abstract Prize
- Brent Gawey, MD, MS, Mayo Clinic, Rochester, Minnesota
- Fei Li, MBBS, MS, University of Michigan, Ann Arbor, Michigan
- Emily Wong, University of Toronto, Ontario, Canada
- Jordan Woodard, MD, Prisma Health – Upstate, Greenville, South Carolina
AGA–Radhika Srinivasan Student Abstract Prize
- Raz Abdulqadir, MS, Penn State College of Medicine, Hershey, Pennsylvania
- Rebecca Ekeanyanwu, MHS, Meharry Medical College, Nashville, Tennessee
- Jared Morris, MD, University of Manitoba, Winnipeg City, Manitoba, Canada
- Rachel Stubler, Medical University of South Carolina, Charleston, South Carolina
AGA Abstract Award for Health Disparities Research
- Saqr Alsakarneh, MD University of Missouri-Kansas City
- Marco Noriega, MD, Beth Israel Deaconess Medical Center, Boston, Massachusetts
- Temitope Olasehinde, MD, University Hospitals/Case Western Reserve University, Cleveland, Ohio
- Gabrielle Waclawik, MD, MPH, University of Wisconsin, Madison, Wisconsin
AGA-Moti L. & Kamla Rustgi International Travel Award
- W. Keith Tan, MBChB, University of Cambridge, Cambridge, England
- Elsa van Liere, MD Amsterdam Universitair Medische Centra, Amsterdam, Netherlands
The program serves as a catalyst for discovery and career growth among the most promising researchers in gastroenterology and hepatology.
“This year’s awardees are an exceptional group of investigators who are committed to furthering patient care through research,” said Michael Camilleri, MD, AGAF, chair, AGA Research Foundation. “The AGA Research Foundation is proud to fund these investigators and their ongoing efforts to advance GI research at a critical time in their careers. We believe the Foundation’s investment will ultimately enable new discoveries in gastroenterology and hepatology that will benefit patients.”
Treatment options for digestive diseases begin with vigorous research. The AGA Research Foundation supports medical investigators as they advance our understanding of gastrointestinal and liver conditions. Here are this year’s award recipients:
RESEARCH SCHOLAR AWARDS
AGA Research Scholar Award
- Karen Jane Dunbar, PhD, Columbia University, New York, New York
- Aaron Hecht, MD, PhD, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
- Sarah Maxwell, MD, University of California, San Francisco
- Chung Sang Tse, MD, University of Pennsylvania, Philadelphia, Pennsylvania
- Jason (Yanjia) Zhang, MD, PhD, Boston Children’s Hospital, Massachusetts
AGA-Bristol Myers Squibb Research Scholar Award in Inflammatory Bowel Disease
- Joseph R. Burclaff, PhD, University of North Carolina at Chapel Hill
SPECIALTY AWARDS
AGA-Caroline Craig Augustyn & Damian Augustyn Award in Digestive Cancer
- Swathi Eluri, MD, MSCR, Mayo Clinic, Rochester, Minnesota
AGA-R. Robert & Sally Funderburg Research Award in Gastric Cancer
- Jianwen Que, MD, PhD, Columbia University, New York, New York
AGA-Pfizer Fellowship-to-Faculty Transition Award
- Lianna Wood, MD, PhD, Boston Children’s Hospital, Massachusetts
AGA-Ironwood Fellowship-to-Faculty Transition Award
- ZeNan Li Chang, MD, PhD, Washington University School of Medicine, St. Louis, Missouri
PILOT AWARDS
AGA Pilot Research Award
- Linda C. Cummings, MD, MS, University Hospitals Cleveland Medical Center, Cleveland, Ohio
- Pooja Mehta, MD, MSCS, University of Colorado Denver
- Guilherme Piovezani Ramos, MD, Boston Children’s Hospital
- Simon Schwoerer, PhD, University of Chicago, Illinois
- Yankai Wen, PhD, University of Texas Health Science Center at Houston
AGA-Pfizer Pilot Research Award in Non-Alcoholic Steatohepatitis
- Alice Cheng, PhD, Stanford University, California
- Petra Hirsova, PhD, PharmD, Mayo Clinic, Rochester, Minnesota
- Sarah Maxwell, MD, University of California, San Francisco
AGA-Pfizer Pilot Research Award in Inflammatory Bowel Disease
- David Boone, PhD, Indiana University, Indianapolis, Indiana
- Sara Chloe Di Rienzi, PhD, Baylor College of Medicine, Houston, Texas
- Jared Andrew Sninsky, MD, MSCR, Baylor College of Medicine, Houston, Texas
UNDERGRADUATE RESEARCH AWARDS
AGA-Aman Armaan Ahmed Family Surf for Success Program
- Eli Burstein, Yeshiva University, New York, New York
- Chloe Carlisle, University of Florida, Gainesville, Florida
- Adna Hassan, University of Minnesota Rochester
- Nicole Rodriguez Hilario, Barry University, Miami, Florida
- Maryam Jimoh, College of Wooster, Wooster, Ohio
- Viktoriya Kalinina, Brandeis University, Waltham, Massachusetts
AGA-Dr. Harvey Young Education & Development Foundation’s Young Guts Scholar Program
- Rafaella Lavalle Lacerda de Almeida, Michigan State University, East Lansing, Michigan
- Lara Cheesman, John’s Hopkins University School of Medicine, Baltimore, Maryland
- Cass Condray, University of Oklahoma, Norman, Oklahoma
- Daniel Juarez, Columbia University, New York, New York
- Jason Lin, University of Michigan, Ann Arbor, Michigan
- Riya Malhotra, Case Western Reserve University, Cleveland, Ohio
- Brian Nguyen, Brown University, Providence, Rhode Island
- Mahmoud (Moudy) Salem, Stony Brook University, Stony Brook, New York
ABSTRACT AWARDS
AGA Fellow Abstract of the Year Award
- Andrea Tou, MD Children’s Hospital of Philadelphia, Pennsylvania
AGA Fellow Abstract Awards
- Manik Aggarwal, MBBS, Mayo Clinic, Rochester, Minnesota
- Kole Buckley, PhD, University of Pennsylvania, Philadelphia, Pennsylvania
- Jane Ha, MD, Massachusetts General Hospital, Boston, Massachusetts
- Brent Hiramoto, MD, Brigham and Women’s Hospital, Boston, Massachusetts
- Md Obaidul Islam, PhD, University of Miami, Coral Gables, Florida
- Kanak Kennedy, MD, MPH, Children’s Hospital of Philadelphia, Pennsylvania
- Hanseul Kim, PhD, MS, Massachusetts General Hospital, Boston, Massachusetts
- Chiraag Kulkarni, MD, Stanford University, Stanford, California
- Su-Hyung Lee, PhD, DVM, Vanderbilt University Medical Center, Nashville, Tennessee
- Caroline Muiler, PhD, Yale School of Medicine, New Haven, Connecticut
- Sarah Najjar, PhD, New York University, New York, New York
- Ronaldo Panganiban, MD, PhD Penn State Hershey Medical Center, Hershey, Pennsylvania
- Perseus Patel, MD, Stanford University, California
- Hassan Sinan, MD, Johns Hopkins University, Baltimore, Maryland
- Patricia Snarski, PhD, Tulane University, New Orleans, Louisiana
- Fernando Vicentini, PhD, MS, McMaster University, Hamilton, Ontario, Canada
- Remington Winter, MD, University of Manitoba – Health Sciences Centre, Winnipeg, Manitoba, Canada
- Tiaosi Xing, PhD, MBBS, MS, Penn State College of Medicine, Hershey, Pennsylvania
AGA Student Abstract of the Year Award
- Jazmyne Jackson, Temple University, Philadelphia, Pennsylvania
AGA Student Abstract Award
- Valentina Alvarez, University of Washington School of Medicine, Seattle, Washington
- Yasaman Bahojb Habibyan, MS, University of Calgary, Alberta, Canada
- Tessa Herman, MD, University of Minnesota, Minneapolis-Saint Paul, Minnesota
- Jason Jin, Yale School of Medicine, New Haven, Connecticut
- Frederikke Larsen, Western University, London, Ontario, Canada
- Kara McNamara, Vanderbilt University, Nashville, Tennessee
- Julia Sessions, MD, University of Virginia, Charlottesville, Virginia
- Scott Silvey, MS, Virginia Commonwealth University, Richmond, Virginia
- Vijaya Sundaram, Marshall University School of Medicine, Huntington, West Virginia
- Kafayat Yusuf, MS, University of Kansas Medical Center, Kansas City, Kansas
AGA–Eric Esrailian Student Abstract Prize
- Brent Gawey, MD, MS, Mayo Clinic, Rochester, Minnesota
- Fei Li, MBBS, MS, University of Michigan, Ann Arbor, Michigan
- Emily Wong, University of Toronto, Ontario, Canada
- Jordan Woodard, MD, Prisma Health – Upstate, Greenville, South Carolina
AGA–Radhika Srinivasan Student Abstract Prize
- Raz Abdulqadir, MS, Penn State College of Medicine, Hershey, Pennsylvania
- Rebecca Ekeanyanwu, MHS, Meharry Medical College, Nashville, Tennessee
- Jared Morris, MD, University of Manitoba, Winnipeg City, Manitoba, Canada
- Rachel Stubler, Medical University of South Carolina, Charleston, South Carolina
AGA Abstract Award for Health Disparities Research
- Saqr Alsakarneh, MD University of Missouri-Kansas City
- Marco Noriega, MD, Beth Israel Deaconess Medical Center, Boston, Massachusetts
- Temitope Olasehinde, MD, University Hospitals/Case Western Reserve University, Cleveland, Ohio
- Gabrielle Waclawik, MD, MPH, University of Wisconsin, Madison, Wisconsin
AGA-Moti L. & Kamla Rustgi International Travel Award
- W. Keith Tan, MBChB, University of Cambridge, Cambridge, England
- Elsa van Liere, MD Amsterdam Universitair Medische Centra, Amsterdam, Netherlands
The program serves as a catalyst for discovery and career growth among the most promising researchers in gastroenterology and hepatology.
“This year’s awardees are an exceptional group of investigators who are committed to furthering patient care through research,” said Michael Camilleri, MD, AGAF, chair, AGA Research Foundation. “The AGA Research Foundation is proud to fund these investigators and their ongoing efforts to advance GI research at a critical time in their careers. We believe the Foundation’s investment will ultimately enable new discoveries in gastroenterology and hepatology that will benefit patients.”
Treatment options for digestive diseases begin with vigorous research. The AGA Research Foundation supports medical investigators as they advance our understanding of gastrointestinal and liver conditions. Here are this year’s award recipients:
RESEARCH SCHOLAR AWARDS
AGA Research Scholar Award
- Karen Jane Dunbar, PhD, Columbia University, New York, New York
- Aaron Hecht, MD, PhD, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
- Sarah Maxwell, MD, University of California, San Francisco
- Chung Sang Tse, MD, University of Pennsylvania, Philadelphia, Pennsylvania
- Jason (Yanjia) Zhang, MD, PhD, Boston Children’s Hospital, Massachusetts
AGA-Bristol Myers Squibb Research Scholar Award in Inflammatory Bowel Disease
- Joseph R. Burclaff, PhD, University of North Carolina at Chapel Hill
SPECIALTY AWARDS
AGA-Caroline Craig Augustyn & Damian Augustyn Award in Digestive Cancer
- Swathi Eluri, MD, MSCR, Mayo Clinic, Rochester, Minnesota
AGA-R. Robert & Sally Funderburg Research Award in Gastric Cancer
- Jianwen Que, MD, PhD, Columbia University, New York, New York
AGA-Pfizer Fellowship-to-Faculty Transition Award
- Lianna Wood, MD, PhD, Boston Children’s Hospital, Massachusetts
AGA-Ironwood Fellowship-to-Faculty Transition Award
- ZeNan Li Chang, MD, PhD, Washington University School of Medicine, St. Louis, Missouri
PILOT AWARDS
AGA Pilot Research Award
- Linda C. Cummings, MD, MS, University Hospitals Cleveland Medical Center, Cleveland, Ohio
- Pooja Mehta, MD, MSCS, University of Colorado Denver
- Guilherme Piovezani Ramos, MD, Boston Children’s Hospital
- Simon Schwoerer, PhD, University of Chicago, Illinois
- Yankai Wen, PhD, University of Texas Health Science Center at Houston
AGA-Pfizer Pilot Research Award in Non-Alcoholic Steatohepatitis
- Alice Cheng, PhD, Stanford University, California
- Petra Hirsova, PhD, PharmD, Mayo Clinic, Rochester, Minnesota
- Sarah Maxwell, MD, University of California, San Francisco
AGA-Pfizer Pilot Research Award in Inflammatory Bowel Disease
- David Boone, PhD, Indiana University, Indianapolis, Indiana
- Sara Chloe Di Rienzi, PhD, Baylor College of Medicine, Houston, Texas
- Jared Andrew Sninsky, MD, MSCR, Baylor College of Medicine, Houston, Texas
UNDERGRADUATE RESEARCH AWARDS
AGA-Aman Armaan Ahmed Family Surf for Success Program
- Eli Burstein, Yeshiva University, New York, New York
- Chloe Carlisle, University of Florida, Gainesville, Florida
- Adna Hassan, University of Minnesota Rochester
- Nicole Rodriguez Hilario, Barry University, Miami, Florida
- Maryam Jimoh, College of Wooster, Wooster, Ohio
- Viktoriya Kalinina, Brandeis University, Waltham, Massachusetts
AGA-Dr. Harvey Young Education & Development Foundation’s Young Guts Scholar Program
- Rafaella Lavalle Lacerda de Almeida, Michigan State University, East Lansing, Michigan
- Lara Cheesman, John’s Hopkins University School of Medicine, Baltimore, Maryland
- Cass Condray, University of Oklahoma, Norman, Oklahoma
- Daniel Juarez, Columbia University, New York, New York
- Jason Lin, University of Michigan, Ann Arbor, Michigan
- Riya Malhotra, Case Western Reserve University, Cleveland, Ohio
- Brian Nguyen, Brown University, Providence, Rhode Island
- Mahmoud (Moudy) Salem, Stony Brook University, Stony Brook, New York
ABSTRACT AWARDS
AGA Fellow Abstract of the Year Award
- Andrea Tou, MD Children’s Hospital of Philadelphia, Pennsylvania
AGA Fellow Abstract Awards
- Manik Aggarwal, MBBS, Mayo Clinic, Rochester, Minnesota
- Kole Buckley, PhD, University of Pennsylvania, Philadelphia, Pennsylvania
- Jane Ha, MD, Massachusetts General Hospital, Boston, Massachusetts
- Brent Hiramoto, MD, Brigham and Women’s Hospital, Boston, Massachusetts
- Md Obaidul Islam, PhD, University of Miami, Coral Gables, Florida
- Kanak Kennedy, MD, MPH, Children’s Hospital of Philadelphia, Pennsylvania
- Hanseul Kim, PhD, MS, Massachusetts General Hospital, Boston, Massachusetts
- Chiraag Kulkarni, MD, Stanford University, Stanford, California
- Su-Hyung Lee, PhD, DVM, Vanderbilt University Medical Center, Nashville, Tennessee
- Caroline Muiler, PhD, Yale School of Medicine, New Haven, Connecticut
- Sarah Najjar, PhD, New York University, New York, New York
- Ronaldo Panganiban, MD, PhD Penn State Hershey Medical Center, Hershey, Pennsylvania
- Perseus Patel, MD, Stanford University, California
- Hassan Sinan, MD, Johns Hopkins University, Baltimore, Maryland
- Patricia Snarski, PhD, Tulane University, New Orleans, Louisiana
- Fernando Vicentini, PhD, MS, McMaster University, Hamilton, Ontario, Canada
- Remington Winter, MD, University of Manitoba – Health Sciences Centre, Winnipeg, Manitoba, Canada
- Tiaosi Xing, PhD, MBBS, MS, Penn State College of Medicine, Hershey, Pennsylvania
AGA Student Abstract of the Year Award
- Jazmyne Jackson, Temple University, Philadelphia, Pennsylvania
AGA Student Abstract Award
- Valentina Alvarez, University of Washington School of Medicine, Seattle, Washington
- Yasaman Bahojb Habibyan, MS, University of Calgary, Alberta, Canada
- Tessa Herman, MD, University of Minnesota, Minneapolis-Saint Paul, Minnesota
- Jason Jin, Yale School of Medicine, New Haven, Connecticut
- Frederikke Larsen, Western University, London, Ontario, Canada
- Kara McNamara, Vanderbilt University, Nashville, Tennessee
- Julia Sessions, MD, University of Virginia, Charlottesville, Virginia
- Scott Silvey, MS, Virginia Commonwealth University, Richmond, Virginia
- Vijaya Sundaram, Marshall University School of Medicine, Huntington, West Virginia
- Kafayat Yusuf, MS, University of Kansas Medical Center, Kansas City, Kansas
AGA–Eric Esrailian Student Abstract Prize
- Brent Gawey, MD, MS, Mayo Clinic, Rochester, Minnesota
- Fei Li, MBBS, MS, University of Michigan, Ann Arbor, Michigan
- Emily Wong, University of Toronto, Ontario, Canada
- Jordan Woodard, MD, Prisma Health – Upstate, Greenville, South Carolina
AGA–Radhika Srinivasan Student Abstract Prize
- Raz Abdulqadir, MS, Penn State College of Medicine, Hershey, Pennsylvania
- Rebecca Ekeanyanwu, MHS, Meharry Medical College, Nashville, Tennessee
- Jared Morris, MD, University of Manitoba, Winnipeg City, Manitoba, Canada
- Rachel Stubler, Medical University of South Carolina, Charleston, South Carolina
AGA Abstract Award for Health Disparities Research
- Saqr Alsakarneh, MD University of Missouri-Kansas City
- Marco Noriega, MD, Beth Israel Deaconess Medical Center, Boston, Massachusetts
- Temitope Olasehinde, MD, University Hospitals/Case Western Reserve University, Cleveland, Ohio
- Gabrielle Waclawik, MD, MPH, University of Wisconsin, Madison, Wisconsin
AGA-Moti L. & Kamla Rustgi International Travel Award
- W. Keith Tan, MBChB, University of Cambridge, Cambridge, England
- Elsa van Liere, MD Amsterdam Universitair Medische Centra, Amsterdam, Netherlands
Introducing the 119th AGA President: Dr. Maria T. Abreu
She currently serves as the Martin Kalser Endowed Chair of Gastroenterology; professor of medicine, microbiology, and immunology; and director of the Crohn’s and Colitis Center at the University of Miami. Dr. Abreu is the fifth woman to lead AGA as president.
Born in New York and raised in New Jersey, Dr. Abreu grew up surrounded by a strong, tight-knit Cuban community. Her family moved to Miami when she was in the ninth grade. She later entered the 6-year medical program at the University of Miami, which was the beginning of her unparalleled academic and professional excellence in medicine.
Dr. Abreu is a leader in inflammatory bowel disease patient care, and she was honored by the prestigious Sherman Prize in 2019. Her service to AGA is lengthy and begins when she took on the role of fellow representative for the research grant committee. She has since sat on both the government advocacy and diversity committees. She also served as the chair of the Immunology, Microbiology and Inflammatory Bowel Diseases Section of the AGA Council, and later as chair of the full AGA Council. While chair she developed a more streamlined in-person planning committee meeting to better organize DDW.
When asked about goals for her presidency, Dr. Abreu wants to make DDW a better experience for the modern gastroenterologist. This includes finding that perfect balance between digesting the latest education and science with networking and socializing. She plans to collaborate with the presidents of the other societies to make this come to fruition.
Perhaps the area that Dr. Abreu is most passionate about is welcoming and fostering the growth of women in gastroenterology. She wants to support women who want to succeed in academics and in practice, who want ergonomics to match their work needs, and who want to have families.
“Maria is the ultimate ‘triple threat’: master scientist, master clinician, and devoted mentor. She has not only been a major player advancing knowledge in IBD, but also motivating and pushing others to develop successful careers,” said Andres Yarur, MD, AGAF, associate professor of medicine at Cedars-Sinai Medical Center. “Her work, brilliance, passion, and charm inspire all of us and will continue to inspire many generations to come.”
She currently serves as the Martin Kalser Endowed Chair of Gastroenterology; professor of medicine, microbiology, and immunology; and director of the Crohn’s and Colitis Center at the University of Miami. Dr. Abreu is the fifth woman to lead AGA as president.
Born in New York and raised in New Jersey, Dr. Abreu grew up surrounded by a strong, tight-knit Cuban community. Her family moved to Miami when she was in the ninth grade. She later entered the 6-year medical program at the University of Miami, which was the beginning of her unparalleled academic and professional excellence in medicine.
Dr. Abreu is a leader in inflammatory bowel disease patient care, and she was honored by the prestigious Sherman Prize in 2019. Her service to AGA is lengthy and begins when she took on the role of fellow representative for the research grant committee. She has since sat on both the government advocacy and diversity committees. She also served as the chair of the Immunology, Microbiology and Inflammatory Bowel Diseases Section of the AGA Council, and later as chair of the full AGA Council. While chair she developed a more streamlined in-person planning committee meeting to better organize DDW.
When asked about goals for her presidency, Dr. Abreu wants to make DDW a better experience for the modern gastroenterologist. This includes finding that perfect balance between digesting the latest education and science with networking and socializing. She plans to collaborate with the presidents of the other societies to make this come to fruition.
Perhaps the area that Dr. Abreu is most passionate about is welcoming and fostering the growth of women in gastroenterology. She wants to support women who want to succeed in academics and in practice, who want ergonomics to match their work needs, and who want to have families.
“Maria is the ultimate ‘triple threat’: master scientist, master clinician, and devoted mentor. She has not only been a major player advancing knowledge in IBD, but also motivating and pushing others to develop successful careers,” said Andres Yarur, MD, AGAF, associate professor of medicine at Cedars-Sinai Medical Center. “Her work, brilliance, passion, and charm inspire all of us and will continue to inspire many generations to come.”
She currently serves as the Martin Kalser Endowed Chair of Gastroenterology; professor of medicine, microbiology, and immunology; and director of the Crohn’s and Colitis Center at the University of Miami. Dr. Abreu is the fifth woman to lead AGA as president.
Born in New York and raised in New Jersey, Dr. Abreu grew up surrounded by a strong, tight-knit Cuban community. Her family moved to Miami when she was in the ninth grade. She later entered the 6-year medical program at the University of Miami, which was the beginning of her unparalleled academic and professional excellence in medicine.
Dr. Abreu is a leader in inflammatory bowel disease patient care, and she was honored by the prestigious Sherman Prize in 2019. Her service to AGA is lengthy and begins when she took on the role of fellow representative for the research grant committee. She has since sat on both the government advocacy and diversity committees. She also served as the chair of the Immunology, Microbiology and Inflammatory Bowel Diseases Section of the AGA Council, and later as chair of the full AGA Council. While chair she developed a more streamlined in-person planning committee meeting to better organize DDW.
When asked about goals for her presidency, Dr. Abreu wants to make DDW a better experience for the modern gastroenterologist. This includes finding that perfect balance between digesting the latest education and science with networking and socializing. She plans to collaborate with the presidents of the other societies to make this come to fruition.
Perhaps the area that Dr. Abreu is most passionate about is welcoming and fostering the growth of women in gastroenterology. She wants to support women who want to succeed in academics and in practice, who want ergonomics to match their work needs, and who want to have families.
“Maria is the ultimate ‘triple threat’: master scientist, master clinician, and devoted mentor. She has not only been a major player advancing knowledge in IBD, but also motivating and pushing others to develop successful careers,” said Andres Yarur, MD, AGAF, associate professor of medicine at Cedars-Sinai Medical Center. “Her work, brilliance, passion, and charm inspire all of us and will continue to inspire many generations to come.”
Advice, Support for Entrepreneurs at AGA Tech 2024
CHICAGO — Have a great tech idea to improve gastroenterology? Start-up companies have the potential to transform the practice of medicine, and to make founders a nice pot of money, but it is a difficult road. At the 2024 AGA Tech Summit, held at the Chicago headquarters of MATTER, a global healthcare startup incubator, investors and gastroenterologists discussed some of the key challenges and opportunities for GI startups.
The road is daunting, and founders must be dedicated to their companies but also maintain life balance. “It is very easy, following your passion, for your life to get out of check. I don’t know what the divorce rate is for entrepreneurs, but I personally was a victim of that. The culture that we built was addictive and it became all encompassing, and at the same time [I neglected] my home life,” Scott Fraser, managing director of the consulting company Fraser Healthcare, said during a “Scars and Stripes” panel at the summit.
For those willing to navigate those waters, there is help. Investors are prepared to provide seed money for companies with good ideas and a strong market. AGA itself has stepped into the investment field with its GI Opportunity Fund, which it launched in 2022 through a partnership with Varia Ventures. The fund’s capital comes from AGA members, with a minimum investment of $25,000. To date, AGA has made investments in six companies, at around $100,000 per company. “It’s not a large amount that we’re investing. We’re a lead investor that signals to other venture capital companies that this is a viable company,” Tom Serena, CEO of AGA, said in an interview.
The fund grew out of AGA’s commitment to boosting early-stage companies in the gastroenterology space. AGA has always supported GI device and tech companies through its Center for GI Innovation and Technology, which sponsored the AGA Tech Summit. The center now provides resources and advice for GI innovators and startups. The AGA Tech Summit has created a gathering place for entrepreneurs and innovators to share their experiences and learn from one another. “But what we were missing was the last mile, which is getting funding to the companies,” said Mr. Serena. The summit itself has been modified to increase the venture capital presence. “That’s the networking we’re trying to [create] here. Venture capitalists are well acquainted with these companies, but we feel that AGA can bring clinical due diligence, and the startups want to be exposed to venture capital,” said Mr. Serena.
During the “Learn from VC Strategists” panel, investors shared advice for entrepreneurs. The emphasis throughout was on marketable ideas that can fundamentally change healthcare practice, though inventions may not have the whiz-bang appeal of some new technologies of years past.
“We’re particularly focused on clinical models that actually work. There were a lot of companies for many years that were doing things that had minimal impact, or very incremental impact. Maybe they were helping identify certain patients, but they weren’t actually engaging those patients. We’re now looking very end-to-end and trying to make sure that it’s not just a good idea, but one that you can actually roll out, engage patients, and see the [return on investment] in that patient data,” said Kelsey Maguire, managing director of the Blue Venture Fund, which is a collaborative effort across Blue Cross Blue Shield companies.
Part of the reason for that shift is that healthcare has evolved in a way that has put more pressure on physicians, according to Barbara H. Jung, MD, AGAF, past president of AGA, who was present for the session. “I think that there’s huge burnout among gastroenterologists, [partly because] some of the systems have been optimized to get the most out of each specialist. I think we just have to get back to making work more enjoyable. [It could be less] fighting with the insurance companies, it could be that you spend less time typing after hours. It could be that it helps the team work more seamlessly, or it could be something that helps the patient prepare, so they have everything ready when they see the doctors. It’s thinking about how healthcare is delivered, and really in a patient and physician-centric way,” Dr. Jung said in an interview.
Anna Haghgooie, managing director of Valtruis, noted that, historically, new technology has been rewarded by the healthcare system. “It’s part of why we find ourselves where we are as an industry: There was nobody in the marketplace that was incented to roll out a cost-reducing technology, and those weren’t necessarily considered grand slams. But [I think] we’re at a tipping point on cost, and as a country will start purchasing in pretty meaningfully different ways, which opens up a lot of opportunities for those practical solutions to be grand slams. Everything that we look at has a component of virtual care, leveraging technology, whether it’s AI or just better workflow tools, better data and intelligence to make business decisions,” said Ms. Haghgooie. She did note that Valtruis does not work much with medical devices.
Specifically in the GI space, one panelist called for a shift away from novel colonoscopy technology. “I don’t know how many more bells and whistles we can ask for colonoscopy, which we’re very dependent on. Not that it’s not important, but I don’t think that’s where the real innovation is going to come. When you think about the cognitive side of the GI business: New diagnostics, things that are predictive of disease states, things that monitor disease, things that help you to know what people’s disease courses will be. I think as more and more interventions are done by endoscopists, you need more tools,” said Thomas Shehab, MD, managing partner at Arboretum Ventures.
Finally, AI has become a central component to investment decisions. Ms. Haghgooie said that Valtruis is focused on the infrastructure surrounding AI, such as the data that it requires to make or help guide decisions. That data can vary widely in quality, is difficult to index, exists in various silos, and is subject to a number of regulatory constraints on how to move or aggregate it. “So, a lot of what we’re focused on are the systems and tools that can enable the next gen application of AI. That’s one piece of the puzzle. The other is, I’d say that every company that we’ve either invested in or are looking at investing in, we ask the question: How are you planning to incorporate and leverage this next gen technology to drive your marginal cost-to-deliver down? In many cases you have to do that through business model redesign, because there is no fee-for-service code to get paid for leveraging AI to reduce your costs. You’ve got to have different payment structures in order to get the benefit of leveraging those types of technologies. When we’re sourcing and looking at deals, we’re looking at both of those angles,” she said.
CHICAGO — Have a great tech idea to improve gastroenterology? Start-up companies have the potential to transform the practice of medicine, and to make founders a nice pot of money, but it is a difficult road. At the 2024 AGA Tech Summit, held at the Chicago headquarters of MATTER, a global healthcare startup incubator, investors and gastroenterologists discussed some of the key challenges and opportunities for GI startups.
The road is daunting, and founders must be dedicated to their companies but also maintain life balance. “It is very easy, following your passion, for your life to get out of check. I don’t know what the divorce rate is for entrepreneurs, but I personally was a victim of that. The culture that we built was addictive and it became all encompassing, and at the same time [I neglected] my home life,” Scott Fraser, managing director of the consulting company Fraser Healthcare, said during a “Scars and Stripes” panel at the summit.
For those willing to navigate those waters, there is help. Investors are prepared to provide seed money for companies with good ideas and a strong market. AGA itself has stepped into the investment field with its GI Opportunity Fund, which it launched in 2022 through a partnership with Varia Ventures. The fund’s capital comes from AGA members, with a minimum investment of $25,000. To date, AGA has made investments in six companies, at around $100,000 per company. “It’s not a large amount that we’re investing. We’re a lead investor that signals to other venture capital companies that this is a viable company,” Tom Serena, CEO of AGA, said in an interview.
The fund grew out of AGA’s commitment to boosting early-stage companies in the gastroenterology space. AGA has always supported GI device and tech companies through its Center for GI Innovation and Technology, which sponsored the AGA Tech Summit. The center now provides resources and advice for GI innovators and startups. The AGA Tech Summit has created a gathering place for entrepreneurs and innovators to share their experiences and learn from one another. “But what we were missing was the last mile, which is getting funding to the companies,” said Mr. Serena. The summit itself has been modified to increase the venture capital presence. “That’s the networking we’re trying to [create] here. Venture capitalists are well acquainted with these companies, but we feel that AGA can bring clinical due diligence, and the startups want to be exposed to venture capital,” said Mr. Serena.
During the “Learn from VC Strategists” panel, investors shared advice for entrepreneurs. The emphasis throughout was on marketable ideas that can fundamentally change healthcare practice, though inventions may not have the whiz-bang appeal of some new technologies of years past.
“We’re particularly focused on clinical models that actually work. There were a lot of companies for many years that were doing things that had minimal impact, or very incremental impact. Maybe they were helping identify certain patients, but they weren’t actually engaging those patients. We’re now looking very end-to-end and trying to make sure that it’s not just a good idea, but one that you can actually roll out, engage patients, and see the [return on investment] in that patient data,” said Kelsey Maguire, managing director of the Blue Venture Fund, which is a collaborative effort across Blue Cross Blue Shield companies.
Part of the reason for that shift is that healthcare has evolved in a way that has put more pressure on physicians, according to Barbara H. Jung, MD, AGAF, past president of AGA, who was present for the session. “I think that there’s huge burnout among gastroenterologists, [partly because] some of the systems have been optimized to get the most out of each specialist. I think we just have to get back to making work more enjoyable. [It could be less] fighting with the insurance companies, it could be that you spend less time typing after hours. It could be that it helps the team work more seamlessly, or it could be something that helps the patient prepare, so they have everything ready when they see the doctors. It’s thinking about how healthcare is delivered, and really in a patient and physician-centric way,” Dr. Jung said in an interview.
Anna Haghgooie, managing director of Valtruis, noted that, historically, new technology has been rewarded by the healthcare system. “It’s part of why we find ourselves where we are as an industry: There was nobody in the marketplace that was incented to roll out a cost-reducing technology, and those weren’t necessarily considered grand slams. But [I think] we’re at a tipping point on cost, and as a country will start purchasing in pretty meaningfully different ways, which opens up a lot of opportunities for those practical solutions to be grand slams. Everything that we look at has a component of virtual care, leveraging technology, whether it’s AI or just better workflow tools, better data and intelligence to make business decisions,” said Ms. Haghgooie. She did note that Valtruis does not work much with medical devices.
Specifically in the GI space, one panelist called for a shift away from novel colonoscopy technology. “I don’t know how many more bells and whistles we can ask for colonoscopy, which we’re very dependent on. Not that it’s not important, but I don’t think that’s where the real innovation is going to come. When you think about the cognitive side of the GI business: New diagnostics, things that are predictive of disease states, things that monitor disease, things that help you to know what people’s disease courses will be. I think as more and more interventions are done by endoscopists, you need more tools,” said Thomas Shehab, MD, managing partner at Arboretum Ventures.
Finally, AI has become a central component to investment decisions. Ms. Haghgooie said that Valtruis is focused on the infrastructure surrounding AI, such as the data that it requires to make or help guide decisions. That data can vary widely in quality, is difficult to index, exists in various silos, and is subject to a number of regulatory constraints on how to move or aggregate it. “So, a lot of what we’re focused on are the systems and tools that can enable the next gen application of AI. That’s one piece of the puzzle. The other is, I’d say that every company that we’ve either invested in or are looking at investing in, we ask the question: How are you planning to incorporate and leverage this next gen technology to drive your marginal cost-to-deliver down? In many cases you have to do that through business model redesign, because there is no fee-for-service code to get paid for leveraging AI to reduce your costs. You’ve got to have different payment structures in order to get the benefit of leveraging those types of technologies. When we’re sourcing and looking at deals, we’re looking at both of those angles,” she said.
CHICAGO — Have a great tech idea to improve gastroenterology? Start-up companies have the potential to transform the practice of medicine, and to make founders a nice pot of money, but it is a difficult road. At the 2024 AGA Tech Summit, held at the Chicago headquarters of MATTER, a global healthcare startup incubator, investors and gastroenterologists discussed some of the key challenges and opportunities for GI startups.
The road is daunting, and founders must be dedicated to their companies but also maintain life balance. “It is very easy, following your passion, for your life to get out of check. I don’t know what the divorce rate is for entrepreneurs, but I personally was a victim of that. The culture that we built was addictive and it became all encompassing, and at the same time [I neglected] my home life,” Scott Fraser, managing director of the consulting company Fraser Healthcare, said during a “Scars and Stripes” panel at the summit.
For those willing to navigate those waters, there is help. Investors are prepared to provide seed money for companies with good ideas and a strong market. AGA itself has stepped into the investment field with its GI Opportunity Fund, which it launched in 2022 through a partnership with Varia Ventures. The fund’s capital comes from AGA members, with a minimum investment of $25,000. To date, AGA has made investments in six companies, at around $100,000 per company. “It’s not a large amount that we’re investing. We’re a lead investor that signals to other venture capital companies that this is a viable company,” Tom Serena, CEO of AGA, said in an interview.
The fund grew out of AGA’s commitment to boosting early-stage companies in the gastroenterology space. AGA has always supported GI device and tech companies through its Center for GI Innovation and Technology, which sponsored the AGA Tech Summit. The center now provides resources and advice for GI innovators and startups. The AGA Tech Summit has created a gathering place for entrepreneurs and innovators to share their experiences and learn from one another. “But what we were missing was the last mile, which is getting funding to the companies,” said Mr. Serena. The summit itself has been modified to increase the venture capital presence. “That’s the networking we’re trying to [create] here. Venture capitalists are well acquainted with these companies, but we feel that AGA can bring clinical due diligence, and the startups want to be exposed to venture capital,” said Mr. Serena.
During the “Learn from VC Strategists” panel, investors shared advice for entrepreneurs. The emphasis throughout was on marketable ideas that can fundamentally change healthcare practice, though inventions may not have the whiz-bang appeal of some new technologies of years past.
“We’re particularly focused on clinical models that actually work. There were a lot of companies for many years that were doing things that had minimal impact, or very incremental impact. Maybe they were helping identify certain patients, but they weren’t actually engaging those patients. We’re now looking very end-to-end and trying to make sure that it’s not just a good idea, but one that you can actually roll out, engage patients, and see the [return on investment] in that patient data,” said Kelsey Maguire, managing director of the Blue Venture Fund, which is a collaborative effort across Blue Cross Blue Shield companies.
Part of the reason for that shift is that healthcare has evolved in a way that has put more pressure on physicians, according to Barbara H. Jung, MD, AGAF, past president of AGA, who was present for the session. “I think that there’s huge burnout among gastroenterologists, [partly because] some of the systems have been optimized to get the most out of each specialist. I think we just have to get back to making work more enjoyable. [It could be less] fighting with the insurance companies, it could be that you spend less time typing after hours. It could be that it helps the team work more seamlessly, or it could be something that helps the patient prepare, so they have everything ready when they see the doctors. It’s thinking about how healthcare is delivered, and really in a patient and physician-centric way,” Dr. Jung said in an interview.
Anna Haghgooie, managing director of Valtruis, noted that, historically, new technology has been rewarded by the healthcare system. “It’s part of why we find ourselves where we are as an industry: There was nobody in the marketplace that was incented to roll out a cost-reducing technology, and those weren’t necessarily considered grand slams. But [I think] we’re at a tipping point on cost, and as a country will start purchasing in pretty meaningfully different ways, which opens up a lot of opportunities for those practical solutions to be grand slams. Everything that we look at has a component of virtual care, leveraging technology, whether it’s AI or just better workflow tools, better data and intelligence to make business decisions,” said Ms. Haghgooie. She did note that Valtruis does not work much with medical devices.
Specifically in the GI space, one panelist called for a shift away from novel colonoscopy technology. “I don’t know how many more bells and whistles we can ask for colonoscopy, which we’re very dependent on. Not that it’s not important, but I don’t think that’s where the real innovation is going to come. When you think about the cognitive side of the GI business: New diagnostics, things that are predictive of disease states, things that monitor disease, things that help you to know what people’s disease courses will be. I think as more and more interventions are done by endoscopists, you need more tools,” said Thomas Shehab, MD, managing partner at Arboretum Ventures.
Finally, AI has become a central component to investment decisions. Ms. Haghgooie said that Valtruis is focused on the infrastructure surrounding AI, such as the data that it requires to make or help guide decisions. That data can vary widely in quality, is difficult to index, exists in various silos, and is subject to a number of regulatory constraints on how to move or aggregate it. “So, a lot of what we’re focused on are the systems and tools that can enable the next gen application of AI. That’s one piece of the puzzle. The other is, I’d say that every company that we’ve either invested in or are looking at investing in, we ask the question: How are you planning to incorporate and leverage this next gen technology to drive your marginal cost-to-deliver down? In many cases you have to do that through business model redesign, because there is no fee-for-service code to get paid for leveraging AI to reduce your costs. You’ve got to have different payment structures in order to get the benefit of leveraging those types of technologies. When we’re sourcing and looking at deals, we’re looking at both of those angles,” she said.
FROM THE 2024 AGA TECH SUMMIT