Harvard Medical School Curriculum Vitae Date Prepared: 2...

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Harvard Medical School Curriculum Vitae Date Prepared: 2/23/2011 Name: Helen Marie Shields, M.D. Office Address: Beth Israel Deaconess Medical Center Division of Gastroenterology, Rabb 420 330 Brookline Avenue Boston, MA 02215 Home Address: 269 Highland Street West Newton, MA 02465 Work Phone: (617) 667-2109 E-Mail: [email protected] Work FAX: (617) 667-5826 Place of Birth: Jamaica, New York Education

1967 B.A. Biological Sciences, Mount Holyoke College, South Hadley, MA 1971 M.D. Internal Medicine, Tufts University Medical School, Boston, MA

Postdoctoral Training

7/1971- 7/1972 Intern in Internal Medicine Tufts-New England Medical Center, Boston, MA

7/1972- 7/1973 First Year Resident in Internal Medicine

Tufts-New England Medical Center, Boston, MA 7/1973- 7/1974 Second Year Resident, Internal Medicine

New York Hospital-Cornell Medical Center New York, NY

7/1974- 7/1975 Clinical Fellow in Gastroenterology

University of Pennsylvania, Philadelphia, PA 7/1975- 7/1976 Chief Resident in Medicine

New York Hospital-Cornell Medical Center New York, NY

7/1976- 7/1977 Research Fellow in Gastroenterology [Gary Levine, MD, PI]

University of Pennsylvania, Philadelphia, PA

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Faculty Academic Appointments

7/1975- 7/1976 Instructor in Medicine New York-Cornell Medical Center New York, NY

7/1977- 7/1979 Instructor in Medicine

Washington University School of Medicine St. Louis, MO

7/1979- 3/1983 Assistant Professor of Medicine Washington University School of Medicine St. Louis, MO 3/1983- 10/2000 Assistant Professor of Medicine Harvard Medical School, Boston, MA 10/2000-11/2010 Associate Professor of Medicine Harvard Medical School, Boston, MA 12/2010-present Professor of Medicine

Harvard Medical School, Boston, MA

Appointments at Hospitals/Affiliated Institutions Past

7/1977- 3/1983 Assistant Physician in Medicine Barnes Hospital, St. Louis, MO 3/1983 - 7/1988 Assistant Physician, Department of Medicine Division of Gastroenterology Beth Israel Hospital, Boston, MA 7/1988 - 7/1996 Physician, Department of Medicine

Division of Gastroenterology Beth Israel Hospital, Boston, MA

Current

7/1996-present Physician, Department of Medicine Division of Gastroenterology Beth Israel Deaconess Medical Center, Boston, MA

Other Professional Positions

1978-1983 Consultant Physician in Gastroenterology John Cochran Veteran's Administration Hospital St. Louis, MO

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Major Administrative/Leadership Positions

Local

1984-2006 Director, Abdominal Examination for Introduction to Clinical Medicine for Second Year medical students Beth Israel Hospital/Beth Israel Deaconess Medical Center, Boston, MA

1986-1988 Acting Director, Gastrointestinal Endoscopy Unit

Beth Israel Hospital, Boston, MA 1986-1987 Director, Colon Cancer Screening Program (9/86-4/87)

Beth Israel Hospital, Boston, MA

1987-1997 Coordinator, Fourth Year Student Elective for Gastroenterology Division Beth Israel Hospital, Boston, MA

1989-1995 Coordinator, GI Cancer Conferences 3 times a year, BIH 1993-1994 Co-Director, Gastrointestinal Pathophysiology Course 708.0

Human Systems/Module IIA, Harvard Medical School 1994-present Director, Gastrointestinal Pathophysiology Course 757.0 Human Systems/Module IIA, Harvard Medical School 1996-1997 Coordinator, Fourth Year Student Elective for Gastroenterology Division

Beth Israel Deaconess Medical Center, Boston, MA 1998 Moderator, Columnar lined (Barrett’s) Esophagus conference sponsored by

NIDDK and VAH. Boston, MA 2001-present Associate Master, Oliver Wendell Holmes Society Harvard Medical School 2007-present Director, Abdominal Examination for Second Year Medical Student Class,

Patient Doctor II course, Harvard Medical School 2009-2010 Co-Director (with Prof. Thomas DeLong, Harvard Business School),

Healing Healthcare Disparities Through Education: An Interdisciplinary Approach. (Organized Workshops to demonstrate techniques for integrating cross-cultural care into medical school curriculum), sponsored by Harvard Medical/Harvard Business Schools

July 23, 2009

Naomi Bland, Senior at Yale University, presented a role play exercise highlighting racial bias in healthcare decisions. Dr. Thomas J. DeLong, Philip J. Stomberg Professor of Organizational Behavior, Harvard Business School, demonstrated the discussion method of case-based teaching.

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Dr. Daniel Leffler, Assistant Professor of Medicine, Harvard Medical School, Clinical Director of the Celiac Center at Beth Israel Deaconess Medical Center, helped develop and teach the faculty development program for integration of cross-cultural care into the gastrointestinal pathophysiology tutorial. Dr. Helen Shields, Associate Professor of Medicine, Harvard Medical School, Director of Gastrointestinal Pathophysiology and Associate Master of the Oliver Wendell Holmes Society demonstrated a one-hour interactive faculty development program for the successful integration of cultural, ethnic, racial and socioeconomic factors into a gastrointestinal pathophysiology tutorial. Harvard Medical School, Boston, MA

Oct 5, 2009

Dr. Leonor Fernandez, Assistant Professor of Medicine, Harvard Medical School, Associate Firm Chief, Beth Israel Deaconess Medical Center, helped develop and teach the interactive Interpreter Exercise with Team-based Learning techniques. Dr. Desiree Lie, Professor of Family Medicine, University of California, Irvine, created, developed, demonstrated and taught the interactive Interpreter Exercise. Dr. Roxana-Llerena-Quinn, Instructor at Harvard Medical School, Children’s Hospital, helped develop and teach the interactive Interpreter Exercise with Team-based Learning techniques. Dr. Daniel Mayer, Professor of Emergency Medicine, Albany Medical College, created, developed, demonstrated and taught the Team-based Learning aspects of the Interpreter Exercise. Dr. Antoniette Peters, Associate Professor of Population Medicine, Harvard Medical School, helped develop and teach the interactive Interpreter Exercise with Team-based Learning techniques. Dr. Jane Turner, Professor of Pediatrics at Michigan State University’s College of Human Medicine has published a medical school curriculum to prepare students to care for publicly insured populations, and led a role playing exercise for presenting the pros and cons of a cross-cultural care curriculum to a department chief or hospital president. Harvard Business School, Boston, MA

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Feb 2, 2010

Dr. Betty Crutcher, Senior Cross-Cultural Mentor at Wheaton College, and Senior Fellow in the Oliver Wendell Holmes Society at Harvard Medical School modeled cross-cultural mentoring in a fish-bowl exercise she created with faculty taking the roles of student mentees. Dr. James Honan, Senior Lecturer at Harvard’s Graduate School of Education led a case-based discussion showcasing a teacher’s inadequate communication skills, gender bias and deficient mentoring. Dr. Lisa Iezzoni, Professor of Medicine, Harvard Medical School and Director, Mongan Institute for Health Care Policy at Massachusetts General Hospital presented three scenarios for interactive discussion to help physicians learn to work with disabled patients. Dr. Ana Nunez, Associate Professor of Medicine, Drexel University Medical School, Director of National Center of Excellence of Women’s Health, demonstrated gender bias through the use of video clips and interactive exercises. Dr. Laurie Raymond, Assistant Professor of Psychiatry and Director of Advising Resources at Harvard Medical School modeled cross-cultural mentoring in a fish-bowl exercise she created with faculty taking the roles of student mentees. Dr. Patricia Thomas, Associate Professor of Medicine at Johns Hopkins University Medical School, Associate Dean for Curriculum, and an architect of the new “Genes to Society” curriculum at Johns Hopkins, led an exercise in creating concept map connections for basic science and society using a case detailing the medical and social problems of a hypertensive, diabetic middle-aged African-American man. Dr. LuAnn Wilkerson, Professor of Medicine and Senior Associate Dean for Medical Education at University of California, Los Angeles, presented video clips of student interviews of standardized patients and the presence or absence of the student’s coverage of cultural, ethnic and socio-economic patient concerns. Workshop participants discussed how to present feedback effectively to each student after viewing the video clips. Harvard Business School, Boston, MA

Feb 22, 2010

Dr. Joseph Betancourt Director, Disparities Solution Center, Massachusetts General Hospital, Assistant Professor of Medicine, Harvard Medical School, presented Thinking Outside the Box: Patient-Based Approach to Cross-Cultural

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Care and Education which used powerful video clips to highlight racial and ethnic concerns about chronic diseases and interest in alternative methods of healing. Dr. Daniel Federman, the Carl Walter Distinguished Professor of Medicine and Medical Education, led three interactive exercises focusing on the essential humanistic qualities to become an excellent ward attending, thoughtful moderator of a session, and memorable lecturer. Dr. Alexander Green, Associate Director, Disparities Solution Center, Massachusetts General Hospital, Assistant Professor of Medicine, Harvard Medical School presented Thinking Outside the Box: Patient-Based Approach to Cross-Cultural Care and Education which used powerful video clips to highlight racial and ethnic concerns about chronic diseases and interest in alternative methods of healing. Harvard Business School, Boston, MA

2011 Course Director. Healing Health Care Disparities Through Education: An

Interactive Faculty Development Program. Co-Course Director: Thomas DeLong, PhD - Harvard Business School). HMS CME (Oct. 14-15)

Committee Service (Member, unless noted otherwise)

Local 1983 Internship Selection Committee Beth Israel Hospital, Boston, MA 1983-1996 Committee on Clinical Investigation Beth Israel Hospital, Boston, MA 1984 Committee for Review of Gastrointestinal Pathophysiology Course, Harvard Medical School (HMS)

1984-2006 Tissue Committee, Beth Israel Hospital (Beth Israel Deaconess Medical

Center, Boston, MA as of 1996) 1991-1994 Joint Committee on the Status of Women, HMS 1993-present Advisory Committee for Curriculum Development for Human Systems/Module II (708.0), HMS 1998-2000 Dean of Education’s Committee on Excellence in Tutoring (Daniel

Federman), HMS 2001 HMS Planning Group for Evaluation of the New Pathway and its curriculum

(appointed member)

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2002-present Committee for Advanced Education of the Experienced Tutor, HMS 2002-present Chairman, Gastrointestinal Pathophysiology Advisory Committee, HMS 2002-present Colorectal Cancer Advisory Committee,

Harvard Risk Management Foundation 2002-2003 Member 2003-present Chairman

2004-2005 Committee on Revision of Admission Criteria, HMS 2004-present Culturally Competent Care Committee Faculty Development Subcomittee (appointed member) Harvard Medical School, Boston, MA 2005-2006 Medical Education Reform Design Group, Principal Clinical Experiences

Group, HMS 2009 Gastrointestinal Pathologist Search Committee, Division of Anatomic

Pathology (Stuart Schnitt, MD Director), BIDMC Department of Pathology 2010- Member (BIDMC Representative), Scientific Advisory Board, Dana Farber

Cancer Center Institute Survey and Data Management Core, Boston, MA 2010-2013 HMS/HSDM Faculty Council Member (At Large Faculty of Medicine seat) Harvard Medical School, Boston, MA National 1987 Co-Chairman, First Annual Research Awards Dinner, American Liver Foundation, New England Chapter 1990-1993 Gastrointestinal Advisory Committee United States Food and Drug Administration 1993-1995 Expert Consultant, Gastrointestinal Advisory Committee United States Food and Drug Administration 1995 Invited Member, Annual Research Awards Program Committee American Liver Foundation, New England Chapter

Professional Societies (Member except where noted)

1976- American College of Physicians 1982 Fellow, American College of Physicians

1979- American Gastroenterological Association (AGA) 1981-1984 Committee on Research

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1983 Scientific Co-Chairman AGA, Morphology/Pathology Section, Washington, DC

1984 Scientific Co-Chairman AGA, Morphology/Pathology Section, New Orleans, LA

1984 Appointed Nominating Committee member for the nomination of the President

1984-1986 First Faculty Development Coordinator for Women in AGA: established a Data Bank for the advancement of women to leadership positions within the organization

1986-1989 Committee on Public Policy and Governmental Relations 1987-1990 Committee on Training and Education of the

Gastrointestinal Pathology Club 1993-1996 Education and Training Committee 1995-1996 Liaison appointed by the Education and Training

Committee of the AGA to the Education Committee of the American College of Gastroenterology. Sent minutes of meetings to the AGA’ s Governing Board, the Education Committee and the Director of Education.

1995 Course Director, AGA CME video Gastrointestinal Emergencies for gastroenterologists and primary care physicians.

1996-1999 Clinical Practice Economics and Practice Economics Committee

1997 Coordinator, invited by American Gastroenterological Association's Education Committee to coordinate all AGA sponsored Problem-based Learning Sessions on Teaching Teachers How to Teach, AGA Annual Meeting, Washington, D.C.

1999-2007 Program Evaluation Committee, a subcommittee of the Education Committee

1997-present (Annually)

Coordinator of all AGA sponsored Problem-based Learning Sessions on Clinical and Practice Management Topics, AGA Annual Meeting at DDW (Digestive Diseases Week)

2001-2004 Education Committee 2001-2004

2006-2007 Gastrointestinal Teaching Project

2003-2004 Web Based Education Committee 2003-present Coordinator, AGA Education Committee’s Initiative to

improve DDW Poster Sessions educational impact 2004-2007 Member, Subcommittee on Program Evaluation for DDW 2007 Fellow, American Gastroenterological Association 2007- 2010 Liaison, American Gastroenterological Association to the

Association of American Medical Colleges Council of

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2007- 2010 Liaison, American Gastroenterological Association to the Association of American Medical Colleges Council of Academic Societies. (Sent minutes of meetings to the AGA ’s Governing Board, the Education Committee and the Director of Education.)

2007-2009 Publications Committee 2008 Course Co-Director, AGA Institute Spring Postgraduate

Course, Gastroenterology and Hepatology 2008: Challenges and Controversies San Diego, California.

2009-2012 AGA Institute Press Committee 2010-2013 Elected Councillor (3-yr term) for Education and Training

(Governing Board Position). American Gastroenterological Association, AGA Institute and AGA Foundation

2010-2013 Education and Training Committee, Liaison from the AGA Governing Board

2010-2013 Editorial Board for Online Education, Liaison from the AGA Governing Board

2010-2011 Team Leader for Education for the AGA Governing Board (special appointment by AGA President Ian Taylor, MD, PhD). Responsible for new initiatives and implementation of strategic plan for Education.

2011 Chair, Abstract Review Committee on “Research in Health Care Disparities and Access to Care” in the fields of Gastroenterology and Hepatology, AGA Annual Meeting Chicago, 2011

2011 Symposia Moderator and Coordinator 1) Fellows in GI & Hepatology: Immediate Advancement in Skills for Clinical Practice 2) Fellows in GI and Hepatology: Immediate Advancement in Skills for Teaching 3) Advance Your Leadership Skills: How to Rise to a Position of Leadership in GI or Hepatology Symposia. Invited lecturer. Digestive Diseases Week, Chicago, IL

1980-1985 American Federation of Clinical Research (AFCR) 1981 Scientific Co-Chairman

AFCR, Gastrointestinal Section, San Francisco, CA 1983 Scientific Co-Chairman

AFCR, Gastrointestinal Section, Boston, MA

1984- Gastrointestinal Pathology Club

1984 American Association for the Study of Liver Disease

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2007- American Gastroenterological Association Institute 2007-2009 Publications Committee for the journals Gastroenterology,

Clinical Gastroenterology, and Hepatology

2009- American Gastroenterological Association Institute Press Committee (publication of books, and print materials for both lay and professional audiences)

Editorial Activities

Ad hoc Reviewer 2007- New England Journal of Medicine

2008- Clinical Gastroenterology and Hepatology Other Editorial Roles 1987-1988 Contributing Staff, Selected Summaries section of Gastroenterology 1989-1993 Book Review Editor, Gastroenterology, American Gastroenterological

Association 1996-1997 Digestive Health and Nutrition Newsletter Published by Harvard Medical

School Publications Group 2001-2004 Member, Gastroenterology Teaching Project Committee of the AGA

Edited the following High Quality Gastrointestinal Images and Text Slides and Web Based units: Pancreatitis, 2002 Viral Hepatitis, 2003 Barrett’s Esophagus, 2004 Genetic and Molecular Basis of Gastrointestinal and Liver Disease, 2005

Honors and Prizes

1977 Simon Komarov Prize for Gastrointestinal Research awarded by the Gastrointestinal Society of Philadelphia

1998 - 2000 Appointed Walter Bradford Cannon Society Senior Fellow, HMS 1999 Harvard Medical School Faculty Prize for Excellence in Teaching awarded by the Faculty Council of Harvard Medical School 1999 Certificate of Excellence as a Course Director awarded by the Harvard

Medical School, Class of 2001 1999 Member, Aesculapian Club, Harvard Medical School (Members are elected on the basis of their excellence in teaching at HMS) 2000 Best Written Course Syllabus awarded by Harvard Medical School, Class of

2002

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2000 Appointed Institute Education Scholar for the Carl J. Shapiro Institute for

Education and Research, Harvard Medical School, Beth Israel Deaconess Medical School

2002 Inducted as Scholar, The Academy at Harvard Medical School for

Excellence in Teaching 2003 S. Robert Stone Award for Excellence in Teaching awarded by Beth Israel

Deaconess Medical Center and Harvard Medical School 2003 Best Course Director awarded by Second Year Students of Harvard

Medical School Class of 2005 2003 Best Written Course Syllabus awarded by Second Year Students of

Harvard Medical School Class of 2005 2004 Best Course, Gastrointestinal Pathophysiology, awarded by Second Year

Students of Harvard Medical School Class of 2006 2004 Best Course Director, Gastrointestinal Pathophysiology, awarded by

Second Year Students of Harvard Medical School Class of 2006 2004 Best Pre-Clinical Instructor Award, at Graduation, from the Harvard Medical

School Graduating Class of 2004 2005 Nominated for Dean’s Award for Leadership in the Advancement of Women

Faculty by Gastrointestinal Teaching Fellows at Beth Israel Deaconess Medical Center and women faculty that I helped promote

2007 Best Pre-Clinical Instructor Award, at Graduation, from the Harvard Medical

School Graduating Class of 2007 2007, 2008, Excellence in Tutoring Award from The Academy Center for Teaching 2009 Learning at Harvard Medical School 2007 Mentor Recognition Award for Medical Student Mentoring, American

Medical Association – Women Physicians Congress, November 2007, Honolulu, Hawaii.

2008 Outstanding AGA Women in Science Award, American Gastroenterological

Association, San Diego, CA 2008 Harvard Medical School Faculty Prize for Excellence in Teaching awarded by the Faculty Council of Harvard Medical School ( Second Time

to receive this prestigious award) 2009 American Medical Association Women Physicians Congress (WPC)

Physician Mentor Recognition Program Award, Nov, 7, 2009 Houston, TX (This award recognizes physicians who have contributed to the

achievements of women in the medical profession physician, specifically a mentor who has made a difference in the professional life of another physician.)

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2010 Senior Academy Member, The Academy at Harvard Medical School for Excellence in Teaching

2010 Senior Academy Member, The Academy of Medical Educators at Beth

Israel Deaconess Medical Center 2011 Distinguished Educator Award of the American Gastroenterological

Association 2011. Chicago, IL, May, 2011 Teaching Award Nominations: Robert Stone Teaching Award, Harvard Medical School/Beth Israel Deaconess Medical Center, 1984, 1989, 1990, 1992, 1995, 1998, 1999, 2000, 2001, 2002, 2004.

Harvard Medical School Faculty Prize for Excellence in Teaching, HMS, 2001, 2003, 2006, 2007, 2009

Report of Funded and Unfunded Projects

Past 1979-1982 Ultrastructural localization of rat alkaline phosphatase [David Alpers, PI]

NIH/Clinical Investigator Award AM00709-02 Sponsored Investigator

Major Goal: To define the transmission electron microscopic localization of alkaline phosphatase, a marker of villous cell differentiation, in the small intestine of the rat using immunocytochemistry.

1983-1985 Role of scanning electron microscopy in the diagnosis of colonic epithelial

dysplasia. National Foundation for Ileitis and Colitis PI ($100,000) Major Goal:To determine whether scanning electron microscopy with quantitative analyses can assist in the distinction of dysplasia from inflammatory effects in patients with ulcerative colitis.

1984-1985 Pilot Study Grant for Cell surface alterations in colonic dysplasia in mice

Grant RR-01032NIH/Harvard Digestive Diseases Center PI ($15,000) Major Goal: To determine if scanning electron microscopy can detect

surface alterations in the colonic mucosa in mice treated with a carcinogenic agent before light microscopic changes are apparent.

1993-1994 Cytokeratin expression in Barrett's epithelium

Harvard Medical School/ Milton Fund Small Grant PI ($1,000) Major Goal:To determine the cellular origin of the hybrid epithelium found at

the gastroesophageal junction through cytokeratin immunocytochemistry. This hybrid epithelium has both squamous and columnar morphological characteristics.

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1998-1999 Clinicopathologic and Biologic Characterization of Distinctive Multilayered Epithelium in Barrett's Esophagus [Robert Odze, PI] American College of Gastroenterology Clinical Investigator Research Co-Investigator Major Goal:To determine if multilayered epithelium is a precursor to Barrett’s epithelium.

1998-1999 Multimedia interdisciplinary website for gastrointestinal pathophysiology

Harvard Medical School Medical Education Grant PI ($10,000) Major Goal:To create innovative web based clinical cases that enhance the

discussion of pathophysiology with excellent endoscopic, pathologic and radiologic materials.

2003-2004 Revitalization of the Gastrointestinal Pathophysiology Tutorial

Academy at Harvard Medical School Education Grant PI ($10,000) Major Goal: To utilize teaching strategies from Harvard Business School to enhance the tutorial experience in a pre-clinical gastrointestinal pathophysiology course by having the tutor be a discussion leader rather than a facilitator who asks questions, and summarizes using a schematic.

2004-2005 Training Tutors Using an Interdisciplinary Approach

Academy at Harvard Medical School Education Grant PI ($10,000) Major Goal: To develop a faculty program to train tutors in the art of asking questions, listening, responding and managing tutorial dynamics.

Current 2009-2011 Preventing Missed and Delayed Colon Cancer Diagnoses: Are patients

receiving an adequate workup for rectal bleeding? Harvard University Risk Management Foundation PI ($220,000) Major Goal: To determine if patients at primary care outpatient practices at three different hospitals and one managed care plan in Boston are receiving adequate testing and follow-up for the complaint of rectal bleeding if they are age 40 or older.

Current Unfunded Projects

2010 Occurrence and management of esophageal symptoms before and after radiation and/or chemotherapy for patients with breast cancer, lung cancer, and lymphoma.(Abram Recht, PI) Funding application submitted: Joint Center for Radiation Therapy Foundation Co-Investigator

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Report of Local Teaching and Training Teaching of Students in Courses

Prior Medical Schools 1976-1977 Physical Diagnosis, University of Pennsylvania Medical School 2 Second Year Medical Students 12 hrs. contact time 1977-1982 Gastrointestinal Pathophysiology, Washington University Medical School

120 medical students 3 hrs. contact time

1979 Physical Diagnosis, Washington University Medical School 2-4 2nd yr Medical Students

10 hrs. contact time Harvard Medical School 1983-1988 Medical Sciences, Harvard Medical School 4 1st yr Medical Students 20 hrs. contact time 1984 Introduction to Clinical Medicine, BIH/HMS 2 2nd yr Medical Students 30 hrs. contact time 1985-1987 New Pathway Gastrointestinal Pathophysiology Course

20 Medical Students 2 hrs. contact time 1988-1990 Third Year Clerkship in Medicine

4 3rd yr Medical Students 8 hrs. contact time 1989-1994 Human Systems Module IIA, Gastrointestinal Pathophysiology Course

8 Medical Students 14 hrs. contact time

1991-present Human Systems Module IIA, Gastrointestinal Pathophysiology Course 25 Medical Students

2 hrs. contact time 1993-present Clinical Medicine for Second Year Medical Students The Approach to Abdominal Exam 28 2nd yr Medical Students 2 hrs. contact time

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1993-present Clinical Medicine for Second Year Medical Students The Approach to Abdominal Exam

5-6 Medical Students 2 hrs. contact time 1994-present Human Systems Module IIA, Gastrointestinal Pathophysiology Course 165 Medical Students 5 hrs. contact time 1995-2000 Human Systems Module IIA, Gastrointestinal Pathophysiology Course 40 medical Students 3 hrs. contact time 1998, 2001 Objective Structured Clinical Exam (OSCE) for Second Year Students 2006 15 2nd yr Students 3 hrs. contact time 1999, 2001 Objective Structured Clinical Exam (OSCE) for Fourth Year Students 2004 10-15 4th yr Students 3 hrs. contact time

Formal Teaching of Residents, Clinical Fellows and Research Fellows 1978-1982 Gastrointestinal Pathophysiology,

Washington University Medical School, St. Louis, MO 4 Gastrointestinal Fellows 3 hrs. contact time

1999 Radiology of the GI Tract: Plain Films of the Abdomen Lecture Series for Gastrointestinal Fellows, BIDMC 5 Gastrointestinal Fellows

1 hr contact time 2009 Tips for a Successful Lecture Presentation Radiation Oncology Morning Conference Lecture Series, BIDMC 28 Radiation Oncology residents and fellows from BIDMC, MGH, BWH

and BMC (Boston Medical Center) 1 hr contact time

Clinical Supervisory and Training Responsibilities

1983 - 1984 Co-Organizer, bi-weekly Combined GI Topic Conference, HMS

1983 - present Fourth year medical student. I supervise a Fourth Year medical student for one month each year while I am the attending on the gastroenterology consult service (2-4 hrs a day, 5 days a week).

1985 Expert Consultant in Gastroenterology for medical students in New

Pathway, HMS (4 hrs contact)

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1997 - 2006 Office Practice. I supervise a third year medical student on their medical clerkship for one month at a time in my office practice (medical clerkship). (This is a three-hour commitment per week for one month at a time)

1998-1999 Supervised a Fourth-year medical student who worked with me on the GI

pathophysiology website project website (Human Systems Module IIA 708.0) (20 hrs in 3 months post GI consult rotation)

1999 Specialty Advisor representing Internal Medicine and Gastroenterology,

Inaugural Career Forum for HMS II students, HMS (2 hrs contact) 1999-2000 I supervised one first-year resident in medicine and one first-year fellow in

gastroenterology who worked on creating new Clinical Discussion Cases for the GI pathophysiology website (Human Systems Module IIA 708.0)

(20 hrs per trainee per case annually) 2001-present I supervise one teaching fellow each year, for the Gastrointestinal

Pathophysiology Course. This fellow teaches tutorial cases, mini-cases, and focused discussion exercises. He/she meets with me on a weekly, or every other weekly, basis from July through June in order to learn the organizational structure of the course, attend several classes at Harvard Business School, and develop new curriculum offerings.

2001-present As Associate Master, Oliver Wendell Holmes Society at HMS, I mentor and

advise first through fifth year medical students on the progress of their curriculum and medical careers. (10 hrs/weekly)

Laboratory and Other Research Supervisory and Training Responsibilities

1994 Mentor for a Harvard Dental Student, Jason Boch, 1994 Soma Weiss Assembly presentation, Cytokeratin Expression in Barrett's Epithelium which was selected by HSDM to represent the Dental School in the Annual Student Research Poster Competition, American Dental Association National Meeting, New Orleans, LA 1994. (3-5 hrs per week)

Formally Supervised Trainees and Faculty 1981-1982 David Goran, MD / Assistant Professor of Clinical Medicine, Washington

University, St Louis, MO (Medical Director of GI Services, Barnes-Jewish West County Hospital). Collaborated on a research project to define the scanning electron microscopic appearance of esophageal squamous cell dysplasia; published in Gastroenterology.

1983-1984 Felice Zwas, MD / Assistant Clinical Professor, Yale University; Assistant Attending, Greenwich Hospital Greenwich, CT Published in Gastroenterology a paper determining the topographic appearance of Barrett’s esophagus

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1991-1992 Suzy Kim, MD / Was on the faculty of Emory University Medical School as Assistant Professor of Medicine. Now in private practice (gastroenterology) in Greenville, SC. Published a paper in Digestive Diseases and Sciences on the definition of normal gastroesophageal junction compared to multilayered epithelium by scanning electron microscopy

1994-1996 Roger Sawhney, MD / Vice-President/Partner, Boston Consulting Group, Bethesda, MD. Published a paper in Digestive Diseases and Sciences on the elucidation of the types of cells by scanning electron microscopy that make up the normal gastroesophageal junction compared to patients with Barrett’s epithelium

1995-1997 Jason Boch, DMD / Private practice in periodontics, Lexington, MA Awarded a Dentist-Scientist Award from NIH for 5 years of research and specialty training. Published in Gastroenterology a paper on the cytokeratin immunocytochemistry of multilayered epithelium showing that it has dual cytokeratin characteristics compatible with its hybrid appearance morphologically

1998-1999 John Branda, MD / Assistant Professor of Pathology, HMS, Assistant Director, Clinical Microbiology Laboratory, Massachusetts General Hospital. We created a case on colonic ischemia for the pathophysiology course, detailing the normal vasculature of the colon and small bowel and the reasons for low blood flow either occlusive or non-occlusive, published in MyCourses.

1999-2000 Mita Goel, MD / Assistant Professor of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL. We created a case on hemorrhagic E. coli for the pathophysiology web site published in MyCourses.

1999-2000 Andreas Gelrud, MD / Associate Professor of Medicine, University of Pittsburgh Medical School, Pittsburgh, PA Andreas Gelrud worked with me to create a clinical case on sigmoid volvulus for the pathophysiology website published in MyCourses.

2001 Eric Goldberg, MD / Assistant Professor of Medicine at University of Maryland, Division of Gastroenterology, Baltimore, Maryland. Worked with me to develop the faculty program for training tutors published in Academic Medicine in 2007; Dr. Goldberg received a Teaching Award from graduating medical students class of 2002.

2002 Samuel Somers, MD, MSc / Attending Physician in Gastroenterology at Concord Hospital, Concord, NH. Part-Time Faculty position at Dartmouth Medical Center. Sam Somers worked with me to develop the faculty program for training tutors published in Academic Medicine in 2007

2003 Win Travassos, MD / Attending Physician in Gastroenterology at Hale Hospital, Haverhill, MA. Worked with me to develop the faculty program for training tutors published in Academic Medicine in 2007; Teaching Award from graduating medical students class of 2003, won Best Small Group Session Leader Award from Class of 2005.

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2004 Sonal Patel, MD / Instructor, Harvard Medical School, Gastroenterology Attending, BIDMC Needham, MA Worked with me to develop the faculty program for training tutors published in Academic Medicine in 2007; Nominated for Best Pre-Clinical Teacher by Class of 2006

2005 Seema Maroo, MD / Instructor in Medicine, Harvard Medical School, Division of Gastroenterology, BIDMC Worked with me to develop the faculty program for training tutors published in Academic Medicine in 2007

2006 Daniel Leffler, MD, MS / Assistant Professor of Medicine, Harvard Medical School, Division of Gastroenterology, BIDMC (see HMS GI Course faculty below). Worked with me to develop a cross-cultural care program for the tutorial that was published in Clinical Gastroenterology and Hepatology in 2009

2007 Richard P. O’Farrell, MBBS / Attending position in Sydney, Australia. Worked with me to develop a cross-cultural care program for the tutorial that was published in Clinical Gastroenterology and Hepatology in 2009. Won Excellence in Tutoring Award from the Academy for Teaching and Learning at Harvard Medical School, 2007.

2007 Laren Becker, MD, PhD / Instructor in Gastroenterology, Stanford University, Palo Alto, CA. Worked with me on a Hereditary Hemorrhagic Telangiectasia case that was published in Clinical Gastroenterology and Hepatology in 2008.

2007 Nielsen Fernandez-Becker, MD, PhD / Instructor in Gastroenterology, Stanford University, Palo Alto, CA Worked with me to recruit and train faculty for a volunteer patient exercise for the Annual Abdominal Exam teaching session for HMS 2nd yrs – paper in progress (2009). Publication pending.

2008 Paola Blanco, MD / Instructor in Medicine, Pennsylvania State University College of Medicine. Worked with me to develop a cross-cultural care program for the tutorial that was published in Clinical Gastroenterology and Hepatology in 2009. Won Excellence in Tutoring Award from the Academy for Teaching and Learning at Harvard Medical School, 2008.

2009 Steven Kappler, MD / Director, Gastrointestinal Physiology section, HMS Physiology course for 1st yr medical students (beginning in 2011). Worked with me on a cross-cultural care initiative that is being published in The Kaohsiung Journal of Medical Science in 2009. Won Excellence in Tutoring Award from the Academy for Teaching and Learning at Harvard Medical School, 2009.

2009-2010 Marika McGrath, MA / Master’s degree candidate in Intercultural Relations, Lesley University, Cambridge, MA (to be awarded June, 2010). Practical internship under my supervision on Healing Healthcare Disparities through Education. Marika assisted me in creating two innovative faculty development workshops at Harvard Business School, Feb, 2010.

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2010 Sarah Flier, MD / Instructor in Medicine, Harvard Medical School, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA (July, 2010). Mentorship resulting in production of teaching materials for small group sessions in the Gastrointestinal Pathophysiology course at HMS. Won Excellence in Tutoring Award from the Academy for Teaching and Learning at Harvard Medical School, 2009. Publication pending.

2010 Tyler Berzin, MD, MSc / Fellow in Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA Currently working together to update the teaching slide collection for Gastrointestinal Pathophysiology course at HMS. Publication pending. Won Excellence in Tutoring Award from the Academy for Teaching and Learning at Harvard Medical School, 2010.

HMS GI course faculty I have mentored who have been promoted or given positions partly as a result of their teaching performance. 1994 Frank Farraye, MD / Professor of Medicine, Boston University Medical School

1995 Averil Ma, MD / Rainin Distinguished Professor of Medicine and Director, Colitis and Crohn’s Disease Center, University of California, San Francisco

1997 Ikuo Hirano, MD / Associate Professor of Medicine, and Director, Fellowship Program in Gastroenterology, Northwestern University Feinberg School of Medicine

1998 David Tendler, MD / Assistant Clinical Professor of Medicine, Duke University Medical Center. 2003 recipient of the Paul G. Killenberg Fellow Teaching Award in Gastroenterology, Duke University.

1999 Glenn Furuta, MD / Associate Professor of Pediatrics, University of Colorado Medical School

2000 Barbara Nath, MD / Assistant Professor of Medicine, Harvard Medical School Massachusetts General Hospital

2004 Joanne Donovan, MD, PhD / Associate Professor of Medicine, Harvard Medical School, Brigham and Women’s Hospital

2005-present Laurie Fishman, MD / Assistant Professor of Pediatrics, Harvard Medical School, Children’s Hospital

2006 Jennifer Telford, MD / Assistant Professor of Medicine, University of British Columbia, Vancouver, British Columbia.

2007 Brian Mandell, PhD / Senior Lecturer, John F. Kennedy School of Government, Harvard University, Boston, MA. Won the John F. Kennedy School’s 2007 Award for Excellence in Teaching

2009-present Alexander Carbo, MD / Assistant Professor of Medicine, HMS, BIDMC Excellence in Tutoring Award from the Academy for Teaching and Learning at Harvard Medical School, 2009.

2009-present Daniel Leffler, MD, MS / Assistant Professor of Medicine, HMS, BIDMC

Shields, HM / 20

Formal Teaching of Peers (Single presentation unless stated otherwise) [Those presentations below sponsored by outside entities are so noted and sponsors identified]

1983 Dysplasia in inflammatory bowel disease

Brigham-Beth Israel Postgraduate Course 100 Internists

Brigham & Women’s Hospital

1984, 1985, 1987

New Techniques to detect dysplasia (Breakout Session) Comprehensive Update in Gastroenterology, Postgraduate Medical Course, HMS 50 participants

Various hotels in Boston, MA

1987-1989 Colon Cancer Screening Primary Care Internal Medicine Principles and Practice, Harvard Medical School Postgraduate Course 200 Internists


1990 Precancerous lesions of the colon Flexible Sigmoidoscopy Postgraduate Course 40 Internists

Beth Israel Hospital

1992 Colon Cancer in Inflammatory Bowel Disease Advances in Medical and Surgical Therapy of Inflammatory Bowel Disease: Harvard Postgraduate Course 100 Residents, Fellows, Attendings


1993,1995 1997

Plain films of the abdomen. Intensive Review of Gastroenterology and Hepatology: Harvard Medical School Postgraduate Course 115-120 Residents, Fellows, Attendings


1995-1997 Faculty Workshop on teaching in the New Pathway Harvard Medical School 30 Faculty

Harvard Medical School, Boston, MA

1997,1999 Update in Gastroenterology for gastroenterologists from Greece (Astra-Merck) 40 Physicians

Beth Israel Deaconess Medical Center

1998-2005 Diseases of the Esophagus and Stomach: Clinical Update Annual Gastrointestinal, Liver and Pancreatic Pathology Harvard Postgraduate Course 100-120 Attendings, Residents, Fellows

Sonesta Hotel, Cambridge, MA/ Fairmont Copley Plaza, Boston

2001 Harvard Macy Institute Program for Physician Educators Faculty Instructor for Objective Structured Clinical Exam (OSCE) 15 Faculty

Harvard Medical School

2000 Management of Tutorial Dynamics Annual Retreat for Experienced Tutors 10 Faculty


2000 Harvard Macy Institute Program for Physician Educators Objective Structured Clinical Exam (OSCE) Session 6 Faculty


Shields, HM / 21

2002 Tutoring Techniques Faculty Instructor Annual Retreat for Experienced Tutors 10 Faculty

Harvard Club of Boston

2002 Internal Medicine Update and Board Review Course, Colon Cancer Screening, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA 150 Attendings, Residents, Fellows

Hotel in Boston

2005-present Clinician’s Perspective on Upper Gastrointestinal Biopsies Annual Gastrointestinal, Liver and Pancreatic Pathology Harvard Postgraduate Course 100-120 Attendings, Residents, Fellows

Fairmont Copley Plaza, Boston

2007, 2008, 2010

Cancer, Medical Malpractice and Primary Care – Improving Skills and Lessening Risks. Harvard Postgraduate Course, Panel Moderator, ColoRectal Cancer Module Cases 100 Attendings

Fairmont-Copley Plaza Hotel, Boston, MA

2009 “Faculty Development Program to Integrate Racial, Ethnic,Cultural and Socioeconomic Factors into a Pre-Clinical Pathophysiology Tutorial” Harvard Medical School Course “Getting to Equal” 15 participants

Workshop. Copley Plaza Hotel, Boston, MA

2009 Integration of Cross-cultural Care into a Pre-clinical Pathophysiology Course. Healing Healthcare Disparities Through Education: An Interdisciplinary Approach. (Workshop to demonstrate techniques for integrating cross-cultural care into medical school curriculum) 7/23/2009

Workshop, Harvard Medical School

2009 “Colon Cancer Screening” in Best Medical Practices: Maximizing Skills, Minimizing Risk Harvard Risk Management Foundation and Brigham and Women’s Hospital Course, 100 participants

Back Bay Hilton Hotel, Boston, MA

2010 1) Course Presenter for Considerations for the Primary Care Physician Related to Colorectal Cancer Screenings

2) Moderator for the panel discussion on Case Studies of Medical Malpractice in Colorectal Cancer and Decision Support Tools.

HMS CME course: Cancer, Medical Malpractice and Primary Care: Improving Skills and Lessening Risks (for primary care and family physicians) 3/13/2010

Fairmont Copley Plaza, Boston, MA

2010 Colorectal Cancer Screening. Invited Faculty. HMS CME course with BWH Dept of Medicine: Best Medical Practices: Maximizing Skills, Minimizing Risk (Dec 2-3, 2010).

Hilton Boston Back Bay Hotel

Shields, HM / 22

2011 Healing Health Care Disparities Through Education: An Interactive Faculty Development Program. Course Director: Helen Shields. (Co-Course Director: Thomas DeLong, PhD - Harvard Business School). HMS CME (Oct. 14-15)

Colonnade Hotel, Boston, MA

Local Invited Presentations [No presentations below were sponsored by outside entities]

1982 Morphological Appearance of Dysplasia in Inflammatory Bowel Disease

University of Missouri at Columbia, Visiting Professor Lecture Columbia, Missouri Department of Gastroenterology

1983-present Various Gastrointestinal or Hepatobiliary topics.

Department of Medicine Firm Conferences Beth Israel/Beth Israel Deaconess Medical Center

1983 Dysplasia in ulcerative colitis. Grand Rounds

Department of Medicine Beth Israel Hospital

1988 Colon Cancer Screening. Grand Rounds

Division of Gastroenterology Massachusetts General Hospital

1992, 1994 Colon Cancer Screening: New Aspects of an Old Problem Primary Care Seminar, Beth Israel Hospital 1995 Biology of Colon Cancer to the surgical department.

Lecture as part of their pathophysiology series. Beth Israel Hospital

1995 Teaching in the New Pathway at Harvard Medical School. Workshop. Harvard Medical School 1998 Barrett's Esophagus and adenocarcinoma. Autopsy Conference sponsored

by the Pathology Department, Beth Israel Deaconess Medical Center 1999 Barretts' Esophagus, Progress in Understanding and Treating GI

Malignancies Multidisciplinary Symposium. Dana Farber/Harvard Cancer Center (Mini-Retreat), BIDMC

1999 Harvard International, Bedside Teaching Seminar for delegates from Rangsit University Medical School, Thailand and HMS third year medical students. Invited Preceptor. Boston, MA

1999 Clinical Education for the New Millennium. Workshop. HMS, American Academy of Arts and Sciences, Cambridge, MA 2000 Colon Cancer: Update and Outlook

14th Annual Catherine N. Stratton "Aging Successfully" Lecture Series, Massachusetts Institute of Technology, Cambridge, MA

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2001 Gastric Volvulus: The Stealth Diagnosis. Grand Rounds Gastroenterology Division Massachusetts General Hospital

2002 Revitalization of the Gastrointestinal Pathophysiology Tutorial Medical Education Day Presentation The Academy, Harvard Medical School 2002, 2003 Creation of a Faculty Development Program for Training Tutors as Effective

Discussion Leaders, Medical Education Day Presentation The Academy, Harvard Medical School

2004 Training Tutors Using an Interdisciplinary Approach

Medical Education Day Plenary Session The Academy, Harvard Medical School

2004 Colon Cancer Screening. Lecture.

Brigham and Women’s Hospital Primary Care Group, Chestnut Hill, MA


Beth Israel Deaconess Medical Center Primary Care Group, Boston, MA


Massachusetts General Hospital Primary Care Group, Boston, MA


Mount Auburn Hospital Primary Care Group, Cambridge, MA

2006 Abnormal Liver Function Tests in a 50-year old Immunosuppressed Man. Grand Rounds. Gastroenterology Division

Massachusetts General Hospital

2007 Colon Cancer Screening Update. Lecture. CRICO-RMF, North Shore Hospital, Salem, MA.

2008, 2009 Two Models for Integrating Cross-Cultural Care into Pre-Clinical Science Courses. Lecture. The Academy, Center for Teaching and Learning at Harvard Medical School. Boston, MA

2009 Colon Cancer Screening Update. CRICO/RMF Gastroenterology Grand Rounds. Harvard Vanguard Medical Associates, Boston, MA

2009 Colon Cancer Screening Update. CRICO/RMF Gastroenterology Grand Rounds. Newton-Wellesley Hospital, Newton, MA

Shields, HM / 24

2009 Current Colon Cancer Screening: Guidelines and Controversies. CRICO/RMF Gastroenterology Grand Rounds. Boston Endoscopy Center, Wellesley, MA Center

2010 The Expert in the Room: Colon Cancer and Prostate Cancer Screening Invited talk. CRICO-RMF, North Shore Medical Center, Salem Waterfront Hotel, Salem, MA.

2010 Academic Advancement Along the Education Pathway, Leadership

Conference, Sponsored by the Committee for the Advancement of Women Faculty of the Department of Medicine, BIDMC. April 29, 2010

Report of Regional, National and International Invited Teaching and Presentations [No presentations below were sponsored by outside entities]

Regional 1990 Peptic Ulcer Disease. Grand Rounds

Hale Hospital, Lawrence, MA 1991 Acute and Chronic Pancreatitis. Grand Rounds

Hale Hospital, Lawrence, MA 1992 Scanning Electron Microscopy and its Applications to Pre-cancerous

Lesions of the Gastrointestinal Tract. Biennial Conference on Diagnostic Electron Microscopy sponsored by the Society for Ultrastructural Pathology. Ultrapath VI, Annual Conference, Eagle Mountain Resort, Jackson, NH

1997 Colon Cancer Screening. Grand Rounds Jordan Hospital, Plymouth, MA. 1997 Precancerous lesions of the colon. Invited lecture.

New England Endoscopy Society, 1997 Colon Cancer Screening. Invited lecture. New England Endoscopy Society Summer Lecture Series for GI Fellows 2000 Clinical Discussion Cases: Gastrointestinal Pathophysiology Cases for

Second-Year Medical Students. Invited Lecture. Northeast Group on Educational Affairs. Dartmouth Hitchcock Medical Center, Hanover, NH

2003 Colorectal Cancer Screening Symposium. Invited Lecture. Sponsored by the Oncology Department, Elliot Hospital, Manchester, NH

Shields, HM / 25

National [No presentations below were sponsored by outside entities]

1984 + Meet-the-Professor Session on Postgastrectomy Syndromes. Faculty. American Gastroenterological Association Annual Meeting

1984 New Orleans, LA 1985 New York, New York 1989 Washington, D.C. 1990 San Antonio, TX 1991 Boston, MA (Interactive Seminar)

1985 Scanning electron microscopy in the diagnosis of esophageal and colonic dysplasia. Postgraduate Course Faculty. American Society for Gastrointestinal Endoscopy Postgraduate Course, New York, New York

1996 Clinical Challenge: Radiology and GI Histology, Clinical Correlations.

Postgraduate Course Faculty. American Gastroenterological Association Postgraduate Course, San Francisco, CA

1996 Management of Ulcerative Colitis. Postgraduate Course Faculty.

American Gastroenterological Association Postgraduate Course, San Francisco, CA

1996 Problem-based Learning Sessions - interactive presentation: Protein-losing

enteropathy in Crohn's disease of the jejunum. Faculty discussion leader. American Gastroenterological Association's Annual Meeting,

San Francisco, CA 1997 Problem-based Learning Sessions - interactive presentation: Occult

diverticular abscess. . Faculty discussion leader. American Gastroenterological Association's Annual Meeting, Washington,

D.C. 1998 Problem-based Learning Sessions - interactive presentation: Low-grade

dysplasia in ulcerative colitis. Faculty discussion leader. American Gastroenterological Association's Annual Meeting, New Orleans, LA.

1999 Problem-based Learning Sessions - interactive presentation: Toxic

megacolon in Crohn's disease. Faculty discussion leader. American Gastroenterological Association's Annual Meeting, Orlando, FL

2004 Are You Ready for Prime Time Teaching? DDW 2004, Education

Committee Sponsored Symposium. Invited Lecturer. Lectured on Problem-Based Learning, New Orleans, LA

Shields, HM / 26

2005 Essential Elements of a Successful Gastrointestinal Pathophysiology Course, DDW 2005, Education Committee Sponsored Symposium. Invited lecturer. Chicago, IL

2006 Improving Teaching Skills at the Bedside, and in Small Groups, DDW 2006, Education Committee Sponsored Symposium. Invited Presenter Los Angeles, CA

2007 How to Succeed as a Clinical Educator, DDW 2007. AGA Institute

Sponsored Symposium. Invited Presenter. Washington, DC

2007 Cultural Competency Mini Workshop Faculty Development Program for Integrating Cross-Cultural Care into Preclinical Science Courses. Invited presenter. Association of American Medical Colleges Annual Meeting, Washington, DC

2008 “Career Paths Within Gastroenterology”. Invited lecturer. Investing in the

Future: Promoting Diversity in GI Training. AGA Institute Sponsored Symposium, Boston, MA

2008 GEA/GSA Mini-Workshop: Assessing Learning in Culturally Sensitive Care.

“Evaluation of Cross-Cultural triggers in tutorial cases by a medical student subcommittee of the Cross Cultural Care Committee.” Invited presenter. Association of American Medical Colleges Annual Meeting, San Antonio, TX

2010 1) “Cross-cultural Care: Acquiring Skills Through Discussion-based

Teaching.” 2) “Successful Management of Small-Group Dynamics” Invited speaker. University of Chicago GI Fellows’ Academic Skills Retreat.

Chicago, IL. July, 2010 2010 GEA/GSA Mini-Workshop: Teaching and Learning Culturally Sensitive Care

across the Continuum. Invited faculty. Association of American Medical Colleges Annual Meeting, Washington, DC, Nov. 5-10, 2010

2011 1) Fellows in GI & Hepatology: Immediate Advancement in Skills for Clinical Practice 2) Fellows in GI and Hepatology: Immediate Advancement in Skills for Teaching 3) Advance Your Leadership Skills: How to Rise to a Position of Leadership in GI or Hepatology

Symposia. Invited lecturer. Digestive Diseases Week, Chicago, IL

Shields, HM / 27

International [No presentations below were sponsored by outside entities] 2008 Integrating Cross-Cultural Care into a Pre-Clinical Science Course: A

Faculty Development Program for Tutors. 3rd International Conference on Medical Professionalism and Humanities. Invited Lecturer. Kaohsiung Medical University, Kaohsiung, Taiwan.

2008 1) “Integration of Cross-Cultural Concepts into a Pre-Clinical Curriculum

using Case-Based Triggers to Stimulate Discussion” 2) “Assessment of a Faculty Development Program to Improve the Discussion of Cross-Cultural Care Concepts” 3rd International Conference on Medical Professionalism and Humanities. Cultural Competence in Medical Education. Invited Workshop Co-Director. Kaohsiung Medical University, Taiwan. Kaohsiung, Taiwan

2008 1) “The Academic Societies at Harvard Medical School”

2) “Exposure to radiation and chemotherapy increases the risk for Barrett’s epithelium and multilayered epithelium.” Invited talks. Visiting Professor. Kaohsiung Medical University, Kaohsiung, Taiwan.

2009 “Improving the Teaching of Pathophysiology and Clinical Physiology: Successful Methods for the 21st Century”. Keynote address. 2009 International Symposium for Pathophysiology Teaching organized by the International Society for Pathophysiology and the Chinese Association of Pathophysiology, Shanghai, China.

2010 Plenary Sessions: 1) “What is the effect of continuous therapy with proton pump inhibiters

compared to intermittent prescription on the rate of progression of Barrett’s Esophagus to high grade dysplasia and adenocarcinoma?” 2) “What is the effect of proton pump inhibitor therapy on the risk of neoplastic progression in patients with Barrett’s esophagus?” 3) “Is there a clear relationship between length of Barrett’s Esophagus and cancer development?” 4) “The essential importance of natural history for the wise management of high grade dysplasia” (Closing talk of the 4-day conference) Invited speaker, World Organization for Specialized Studies on Diseases of the Esophagus, 10th OESO conference, Seaport World Trade Convention Center, Boston, MA, USA, August 28-31, 2010

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Report of Clinical Activities and Innovations Current Licensure and Certification Licensure

1973 New York Medical License 1975 Pennsylvania Medical License

1977 Missouri Medical License 1983 Massachusetts Medical License

Certification

1974 American Board of Internal Medicine – Certification in Internal Medicine 1977 Subspecialty Board in Gastroenterology Certification 1980 American Board of Internal Medicine – Recertification in Internal Medicine 1982 Fellow, American College of Physicians 2008 Fellow, American Gastroenterological Association

Practice Activities

1983 - present Gastroenterology clinical practice. Beth Israel Deaconess Medical Center, Boston, MA Level of Activity: Currently ½ day – clinic, ½ day – procedures; 2 months – attending, inpatient service

Clinical Innovations

2008 Editorial on the Renal Failure Secondary to Sodium Phosphate Preparations for Colonoscopy. AGA Perspectives 2008;4:4-7,16. In my capacity as Chairman of the Colorectal Cancer Screening Advisory Committee of Harvard’s Risk Management Foundation, I became convinced of the dangers of sodium phosphate preps and warned Harvard physicians against their use in July 2007. In March 2008, I wrote an invited editorial for the American Gastroenterological Association detailing the negative effects of oral sodium phosphate on kidney function in both normal and high-risk patients. This editorial was probably instrumental in the FDA’s decision to ban sodium phosphate preparations for colonoscopy in December 2008.

Report of Education of Patients and Service to the Community

2000 Invited Lecturer, Colon Cancer Screening in the Elderly Hebrew Réhabilitation Center, Jamaica Plain, MA

2007 Shields HM, Mann R, Kaplan S. Colorectal Cancer Screening. Multimedia Presentation on Colon Cancer Screening broadcast on Channel 5 to the metro Boston area. Joint Beth Israel Deaconess Medical Center, Channel 5, and CRICO/Risk Management Foundation’s Colorectal Cancer Screening Advisory Committee.

Shields, HM / 29

2010 Colon Cancer Screening webpage, BIDMC external portal: http://www.bidmc.org/colonoscopy Role: Senior Expert Advisor

2010 1) Colon Cancer Screening: A Lifesaving Tool 2) Who Needs a Colonoscopy Articles featured on Bostonchannel.com “Screening Tests You Need”

Educational Materials for Patients and the Lay Community

2008 BIDMC Gallery at bidmc.org “The Importance of Getting a Colonoscopy” (Brian’s Story). 3-minute multi-media presentation featuring Dr. Shields and her patient aimed at encouraging the public to undergo appropriate colon cancer screening.

2010 Chairman, Colon Cancer Screening Advisory Group Clinical Guidelines for Colon Cancer Screening for Primary Care Physicians http://www.rmf.harvard.edu/files/documents/RMFCRC.pdf These are the official colon screening guidelines for CRICO-insured physicians under Harvard’s Risk Management Foundation.

2010 BIDMC Gallery at bidmc.org “The Importance of Family History in Colon Cancer Screening” (Jim’s Story). 3-minute multi-media presentation featuring Dr. Shields and her patient aimed at encouraging the public to undergo appropriate colon cancer screening.

Shields, HM / 30

Report of Scholarship Peer-Reviewed Publications in print or other media Research Investigations

1. Shields HM, Soloway RD, Long WB, Weiss JB. Bilateral recurrent parotid gland swelling after endoscopy. Gastroenterology. 1977 Jul;73(1):164-5.

2. Shields HM. Occurrence of an adenocarcinoma at the choledochoenteric anastomosis 14

years after pancreatoduodenectomy for benign disease. Gastroenterology. 1977 Feb;72(2):322-4.

3. Beacham CH, Shields HM, Raffensperger EC, Enterline HT. Juvenile and adenomatous

gastrointestinal polyposis. Am J Dig Dis. 1978 Dec;23(12):1137-43.

4. Shields HM, Yedlin ST, Bair FA, Goodwin CL, Alpers DH. Successful maintenance of suckling rat ileum in organ culture. Am J Anat. 1979 Jul;155(3):375-89.

5. Shields HM, Levine GM, Yezdimir EA, Bielunas JC, Bair FA. Effect of pentagastrin on

rabbit stomach and small intestinal protein synthesis. Dig Dis Sci. 1980 Oct;25(10):769-75.

6. Shields HM, Bair FA, Bates ML, Yedlin ST, Alpers DH. Localization of immunoreactive alkaline phosphatase in the rat small intestine at the light microscopic level by immunocytochemistry. Gastroenterology. 1982 Jan;82(1):39-45.

7. Gerring JP, Shields HM. The identification and management of patients with a high risk

for cardiac arrhythmias during modified ECT. J Clin Psychiatry. 1982 Apr;43(4):140-3. 8. Goran DA*, Shields HM, Bates ML, Zuckerman GR, DeSchryver-Kecskemeti K.

Esophageal dysplasia. Assessment by light microscopy and scanning electron microscopy. Gastroenterology. 1984 Jan;86(1):39-50. *Dr. Shields' trainee in gastroenterology

9. Shields HM, Bates ML, Yedlin ST, Best CJ. Distribution of immunoreactive alkaline

phosphatase in the adult rat ileum by immunoperoxidase staining at the light microscopic level. Gastroenterology. 1984 Oct;87(4):827-35.

10. Shields HM, Bates ML, Goldman H, Zuckerman GR, Mills BA, Best CJ, Bair FA, Goran

DA, DeSchryver-Kecskemeti K. Scanning electron microscopic appearance of chronic ulcerative colitis with and without dysplasia. Gastroenterology. 1985 Jul;89(1):62-72.

11. Shields HM, Bates ML, Bass NM, Best CJ, Alpers DH, Ockner RK. Light microscopic

immunocytochemical localization of hepatic and intestinal types of fatty acid-binding proteins in rat small intestine. J Lipid Res. 1986 May;27(5):549-57.

12. Zwas F*, Shields HM, Doos WG, Antonioli DA, Goldman H, Ransil BJ, Spechler SJ.

Scanning electron microscopy of Barrett's epithelium and its correlation with light microscopy and mucin stains. Gastroenterology. 1986 Jun;90(6):1932-41. *Dr. Shields' trainee in gastroenterology

Shields, HM / 31

13. Shields HM, Best CJ, Goldman H. Distinction of dysplasia from inflammatory changes in ulcerative colitis: A scanning electron microscopic study with quantitative analyses. Surg Path 1988;1:183-192.

14. Shields HM, Zwas F, Antonioli DA, Doos WG, Kim S, Spechler SJ. Detection by scanning

electron microscopy of a distinctive esophageal surface cell at the junction of squamous and Barrett's epithelium. Dig Dis Sci. 1993 Jan;38(1):97-108.

15. Shields HM, Sawhney RA, Zwas F, Boch JA, Kim S, Goran D, Antonioli DA. Scanning

electron microscopy of the human esophagus: application to Barrett's esophagus, a precancerous lesion. Microsc Res Tech. 1995 Jun 15;31(3):248-56.

16. Sawhney RA*, Shields HM, Allan CH, Boch JA, Trier JS, Antonioli DA. Morphological

characterization of the squamocolumnar junction of the esophagus in patients with and without Barrett's epithelium. Dig Dis Sci. 1996 Jun;41(6):1088-98. *Dr. Shields' medical student trainee

17. Boch JA*, Shields HM, Antonioli DA, Zwas F, Sawhney RA, Trier JS. Distribution of

cytokeratin markers in Barrett's specialized columnar epithelium. Gastroenterology. 1997 Mar;112(3):760-5. *Dr. Shields' dental student trainee

18. Shields HM, Weiner MS, Henry DR, Lloyd JA, Ransil BJ, Lamphier DA, Gallagher DW,

Antonioli DA, Rosner BA. Factors that influence the decision to do an adequate evaluation of a patient with a positive stool for occult blood. Am J Gastroenterol. 2001 Jan;96(1):196-203.

19. Shields HM, Rosenberg SJ, Zwas FR, Ransil BJ, Lembo AJ, Odze R. Prospective

evaluation of multilayered epithelium in Barrett's esophagus. Am J Gastroenterol. 2001 Dec;96(12):3268-73.

20. Upton MP, Nishioka NS, Ransil BJ, Rosenberg SJ, Puricelli WP, Zwas FR, Shields HM.

Multilayered epithelium may be found in patients with Barrett's epithelium and dysplasia or adenocarcinoma. Dig Dis Sci. 2006 Oct;51(10):1783-90.

21. Shields HM, Guss D, Somers SC, Kerfoot BP, Mandell BS, Travassos WJ, Ullman SM,

Maroo S, Honan JP, Raymond LW, Goldberg EM, Leffler DA, Hayward JN, Pelletier SR, Carbo AR, Fishman LN, Nath BJ, Cohn MA, Hafler JP. A faculty development program to train tutors to be discussion leaders rather than facilitators. Acad Med. 2007 May;82(5):486-92.

22. Shields HM, Leffler DA, White AA 3rd, Hafler JP, Pelletier SR, O'farrell RP,

Llerena-Quinn R, Hayward JN, Salamone S, Lenco AM, Blanco PG, Peters AS. Integration of racial, cultural, ethnic, and socioeconomic factors into a gastrointestinal pathophysiology course. Clin Gastroenterol Hepatol. 2009 Mar;7(3):279-84. Epub 2008 Oct 15.

23. Shields HM, Recht A, Wang HH. Exposure to both radiation and chemotherapy

increases the risk of Barrett's and multilayered epithelium. Dig Dis Sci. 2009 Oct;54(10):2143-9. Epub 2008 Dec 18.

Shields, HM / 32

24. Shields HM, Nambudiri VE, Leffler DA, Akileswaran C, Gurrola E, Jimenez R, Saltzman A, Samuel PA, Wong K, White Iii AA, Hafler JA, Hayward JN, Pelletier SR, O’Farrell, RP, Blanco PG, Kappler SM, Llerena-Quinn,R. Using medical student feedback to enhance curricular integration of cross-cultural content. Kaohsiung J Med Sci. 2009 Sep;25(9):493-502.

Other Peer-reviewed publications Case Reports 1. Shields HM. Rapid fall of serum phosphorus secondary to antacid therapy.

Gastroenterology. 1978 Dec;75(6):1137-41. Reviews 1. Shields HM. Colon cancer surveillance in inflammatory bowel disease. Sem in Colon &

Rectal Surg 1993;4:75-83. 2. Shields HM, Sawhney RA, Zwas F, Boch JA, Kim S, Goran D, Antonioli DA. Scanning

electron microscopy of the human esophagus: Application to Barrett's esophagus, a precancerous lesion. Mic Res Tech 1995;31:248-256.

3. Shields HM, Shaffer K, O'farrell RP, Travers R, Hayward JN, Becker LS, Lauwers GY.

Gastrointestinal manifestations of dermatologic disorders. Clin Gastroenterol Hepatol. 2007 Sep;5(9):1010-7; quiz 1005-6.

Books 1. Shields, Helen M. A Medical Teacher’s Manual for Success: Five Simple Steps. Baltimore: The

Johns Hopkins University Press (In press for November 2010 release) [This a peer-reviewed book] Non-Peer-Reviewed publications in print or other media Invited Articles 1. Shields, HM. Improving the teaching of pathophysiology: Successful methods for the 21st

century. Chinese J Pathophysiol 2009; 25: 2241. Proceedings of Meetings 1. Aach RD, Shields HM, Lander JJ, Perillo RP, Zuckerman GR. Posttransfusion hepatitis

leading to chronic hepatitis. Gastroenterology 1987;75:732-741. 2. Kornfeld S, Hruska K, Berger N, Jaffe A, Shields H, Aronberg A, De Schryver K. Gastric

Outlet Obstruction. Clinicopathologic Conference. Am J Med.1980; 68;141-148. 3. Aach,R, Shields H, Miller L, Levitt, R Braciale,T. Bleeding of the upper gastrointestinal tract

and a Hepatic Mass. Clinicopathologic Conference. Am J Med 1981;70 299-310

Shields, HM / 33

Invited Reviews 1. Shields, HM. Interdisciplinary Website for Gastrointestinal Pathophysiology. Med Ed News

2001;6(2):6. 2. Shields HM, Korsten MA. Oral Sodium Phosphate Preparations: Is it Time to Abandon Ship?

AGA Perspectives 2008; 4:4-7,16. Analytical reviews of recent important articles in the field of Gastroenterology – Selected Summaries Section of Gastroenterology: 1. Shields, HM. Barrett’s Esophagus and Carcinoma Gastroenterology 1987;93:652-653. 2. Shields, HM. Peutz-Jeghers Syndrome: Perhaps not so benign. Gastroenterology 1987;93:1135-

1136. 3. Shields, HM. Acute Appendicitis: Still a Diagnostic problem Gastroenterology 1988;94:540-541. 4. Shields, HM. Drug-Induced Esophageal Injury. Gastroenterology 1988;94:1097-1098. 5. Shields, HM. Yogurt Anyone? Gastroenterology 1988;95:247-248. 6. Shields, HM. A Heated Debate Gastroenterology 1988; 95:1148-1150. Selected summary for the journal Inflammatory Bowel Diseases: 1. Shields, HM. A New way to look at Crohn's Disease. 1996;2:70-71. Chapters 1. Shields HM. Nutritional Therapy. In: Freitag JJ, Miller LW, editors. Manual of Medical

Therapeutics, 23rd Edition. Boston: Little, Brown Co.; 1980. p. 221-238. 2. Shields HM. Postgastrectomy syndromes. In: Cohen S., editor. Clinical Gastroenterology:

A Problem-Oriented Approach. New York: John Wiley and Sons, Inc.; 1983. p. 189-214. 3. Shields HM. Nutritional Therapy. In: Campbell JW, Frisse M, editors. Manual of Medical

Therapeutics, 24th edition. Boston: Little, Brown & Co.; 1983. p. 211-224. 4. Goldman H, Shields HM. Diagnosis of dysplasia in ulcerative colitis by combined light

microscopy and scanning electron microscopy. In: Rachmilewitz D., editor. Inflammatory Bowel Diseases, 1986. Dordrecht, the Netherlands: Martin Nijhoff Publishers; 1986. p. 125-136.

5. Shields H. Colon cancer screening guidelines. In: Schaefer M, editor. Failure to Diagnose

Cancer: Reducing the Risk. Cambridge, Massachusetts: Risk Management Foundation 2002; 22:12-15.

Shields, HM / 34

6. *Nagel DS, Shields HM. Integrative inflammation pharmacology: Peptic ulcer disease. In: Golan DE, Tashjian AH Jr, Armstrong EJ, et al (editors). Principles of Pharmacology: The Pathophysiologic Basis of Drug Therapy. Chapter 44. Philadelphia: Lippincott, Williams & Wilkins, 2005, pp 683-694. (Medical Student working with Dr. Shields.)

7. *Nagel DS, Shields HM. Integrative inflammation pharmacology: Peptic ulcer disease. In:

Golan DE, Tashjian AH Jr, Armstrong EJ, et al (editors). Principles of Pharmacology: The Pathophysiologic Basis of Drug Therapy. Second Edition. Philadelphia: Lippincott Williams & Wilkins, 2008, pp 811-824. (Medical Resident working with Dr. Shields.)

8. *Nagel DS, Shields HM. Integrative inflammation pharmacology: Peptic ulcer disease. In:

Golan DE, Tashjian AH Jr, Armstrong EJ, et al (editors). Principles of Pharmacology: The Pathophysiologic Basis of Drug Therapy. Third Edition. Philadelphia: Lippincott Williams & Wilkins, 2010, in press. (*Junior faculty working with Dr. Shields.)

Book Reviews 1. Shields, HM. Hans Popper: A Tribute. Gastroenterology. 1993;104:331 2. Shields, HM. Colon, Rectum and Anus. Gastroenterology. 1997;112:311 Books, Monographs and Textbooks Monographs 1. Shields HM. Fulminant colitis*. In: Sternberg R., editor. Decisions in GI disease, vol. II.

Santa Monica, CA: Medical Communications Resources and Bethesda, MD American Gastroenterological Association, 1995:10-12. (*This is also a video presentation)

2. Shields HM. Dysphagia, Diverticulitis, Fulminant ulcerative colitis, Ischemic colitis. In:

Delegge M, Schoenfeld P, Sharma P, editors. AGA’s Guidebook to ABIM Recertification 2003. Bethesda, MD: American Gastroenterological Association, 2003: 3-4, 57, 58-59, 139-140.

Professional Educational Materials or Reports, in print or other media Tutorial Cases - Created for HMS Gastrointestinal Pathophysiology Course 708.0 and are

copyrighted

1995 Laura Chen, written by Shields HM (with assistance from Trier J, Peppercorn M, Wetzel M). Copyright 1995 by the President and Fellows of Harvard College.

1995 Louis Garrison, written by Shields HM (with assistance from Spechler S, Chopra

S, Wetzel M). Copyright 1995 by the President and Fellows of Harvard College. 1998 Warren Zimmerman, significantly revised by Shields HM (with assistance from

Wetzel M) in 1998, originally written by Chopra S, Spechler S, Seifter J in 1991. Copyright 1991 by the President and Fellows of Harvard College.

Shields, HM / 35

2003 Case of the Hostess with Hoarseness, written by Shields HM, Van Houten T, Shaffer K. Copyright 2003 by the President and Fellows of Harvard College.

Tutorial Schematics (A teacher tool modeled on the Harvard Business School method: Initiated in 2002 as part of our changing the tutor to a discussion leader, the schematic diagrams function as a summary tool for the key concepts for each HMS GI tutorial session. See Research Investigation #21. Academic Medicine 2007;82:486-92) 2003-present Louis Garrison Case

Shields HM, Hayward JN. Esophageal Reflux Shields HM, Hayward JN. Peptic Ulcer Disease Shields HM, Hayward JN. NSAID Effects/Esophageal Cancer

2003-present Laura Chen Case

Shields HM, Hayward JN. Infectious Diarrhea Shields HM, Hayward JN. Inflammatory Bowel Disease Shields HM, Hayward JN. Malabsorption

2003-present Wally Zimansky Case

Shields HM, Hayward JN. Alcoholic Liver Disease Shields HM, Hayward JN. Portal Hypertension and Complications Shields HM, Hayward JN Hepatocellular Carcinoma, Hepatitis C and B and Liver Transplantation

Minicases (Gastrointestinal Pathophysiology course)

1994 Hauser S, Shields HM. Acute Pancreatitis 1994 Shields HM, Hauser S. Scleroderma esophagus 1995 Shields HM. Mesenteric Ischemia 1996 Shields HM. Achalasia 1998 Shields HM. Primary Biliary Cirrhosis 2003 Shields HM. Gallstones

Mini-case Schematics (A teacher tool Initiated in 2009, the schematic diagrams function as a visual summary of key concepts for each HMS small group session. See Research Investigation #21. Academic Medicine 2007;82:486-92) 2010-present Flier S, Shields HM. Achalasia and Scleroderma Esophagus 2010-present Flier S, Shields HM. Acute Pancreatitis and Ischemic Bowel Disease 2010-present Flier S, Shields HM. Neonatal Jaundice and Gallstones

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Focused Discussion Schematics (A teacher tool Initiated in 2009, the schematic diagrams function as a visual summary of key concepts for each HMS small group session. See Research Investigation #21. Academic Medicine 2007;82:486-92) 2010-present Flier S, Shields HM. Irritable Bowel and Diverticulosis 2010-present Flier S, Shields HM Colon Cancer Genetics 2020-present Flier S, Shields HM Hemochromatosis Integrated Multistations with Exhibits (Gastrointestinal and Musculoskeletal Diseases Courses)

1995 Shields HM, Krane S. Dysphagia due to Polymyositis

1995 Shields HM, Krane S. Bacterial overgrowth and malabsorption due to scleroderma bowel

1995 Shields HM, Krane S. Osteoporosis and osteomalacia due to postgastrectomy syndrome Multistations with Exhibits (Gastrointestinal Pathophysiology course)

Motility Disorders: 1998 Shields HM. Hirschsprung's Disease 1998 Shields HM. Diabetic Gastroparesis Colonic Neoplasia: 1999 Shields HM. Colonic polyps and sporadic colon cancer 1999 Shields HM. Hereditary nonpolyposis colon cancer Toxic and Metabolic Liver Diseases: 1998 Shields HM. Idiopathic hemochromatosis 1998 Shields HM. Alcoholic Hepatitis

Focused Clinical Discussion Exercises with Faculty Teaching Guides and Slide Sets

2000 Shields HM. Gastric Emptying and Diabetic Gastroparesis 2000 Shields HM. Genetics of Colon Polyps and Colon Cancer 2000 Shields HM. New Insights into the Molecular Basis of Hemochromatosis 2006 Shields HM. Pathophysiology of Irritable Bowel Syndrome 2007 Shields HM. Diverticulosis

Course Syllabi

1996 Shields HM. Introduction to the Abdominal Exam (Revised). Patient-Doctor II Course, Beth Israel Deaconess Hospital

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Video

1995 Shields HM. Fulminant colitis: Decisions in GI disease, In: Sternberg R., editor vol. II. Santa Monica, CA: Medical Communications Resources, Bethesda, MD. Commissioned by the American Gastroenterological Association and developed through an unrestricted educational grant from Janssen Pharmaceuticals, 1995. This is also a monograph. Audio Tape

2001 Shields HM. Closed Claim Abstract: Test Ordered but Not Scheduled. In: Current

Issues in Healthcare Management. Cambridge, Massachusetts: Risk Management Foundation. November 2001.

Live Radio Broadcasts

2008 Shields HM. Oral Sodium Phosphate Preparations. In: Reach MD XM Satellite

Radio Channel 157 for Medical Professionals. June 20, 2008. 2008 Shields HM. Maximizing the Safety and Efficacy of Colonoscopy Prep. In: Reach

MD XM Satellite Radio Channel 157 for Medical Professionals. September 1, 2008.

Computer-based Learning 1) Website Materials for Gastrointestinal Pathophysiology Course

1996 Shields HM. Endoscopic Atlas - Pictorial atlas of a compilation of endoscopic photographs

2001 Shields, HM. Demystifying Diarrhea and Malabsorption

2) Multimedia Interdisciplinary Website materials developed for Gastrointestinal Pathophysiology,

Human Systems/Module IIA 708.0, Harvard Medical School, Clinical Discussions. Commissioned under an HMS Educational Grant for innovative website materials for use in Human Systems Module IIA.

1998 Shaffer K, Upton M, Shields HM. Case of Odynophagia and Dysphagia 1998 Branda J, Shields HM, Upton M, Shaffer K. Bloody Diarrhea in an Elderly Person 1999 Shields HM, Shaffer K, Upton M. Right lower Quadrant Pain 1999 Upton M, Shaffer K, Shields HM. Right Upper Quadrant Pain 1999 Shields HM, Shaffer K, Upton M. Chest pain and anemia in a middle–aged man 1999 Shaffer K, Shields HM, Upton M. Liver masses in two middle-aged women

3) Multimedia Interdisciplinary Website materials developed for Gastrointestinal

Pathophysiology, Human Systems/Module IIA 708.0, Harvard Medical School, Clinical Discussions.

2000 Goel M*, Shields HM. Infectious Diarrhea in an Elderly Woman. *Medical

resident working with Dr. Shields.

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2000 Gelrud A*, Shields HM. Abdominal Distension Due to Sigmoid Volvulus in a Russian Engineer. *Gastroenterology Fellow working with Dr. Shields.

4) Continuing Medical Education Materials

2001 Barry M, Friedman L, Shields HM. Harvard Risk Management Foundation Colorectal Cancer On-Line CME Course for Primary Care Physicians and Internists [Interactive case-based assessment]

2004 Shields HM, Rose S, McGee, JB. A Woman with Worsening GERD and

Barrett’s Esophagus, AGA Cases Online. Cases developed under the auspices of the Web Based Education Committee, and Gastroenterology Association. Online CME Course for Gastroenterologists, Primary Care Physicians, and Internists (Interactive Case-Based Assessment.)

2006 Shields HM. Gastroenterology Grand Rounds at Massachusetts General

Hospital. Abnormal Liver Function Tests in a 50-year old Immunosuppressed Man. http://dave1.mgh.harvard.edu/ViewFilms.cfm?Film_id=513

Clinical Guidelines and Reports

1. Shields HM. Atlas JS, Chung D, Kumar W, Schaefer M, Sheridan T, Stockwell D, Risk Management Foundation: Colorectal Cancer Screening Algorithm, Risk Management Foundation, 2004.

2. Shields HM. Atlas JS, Chung D, Jospe E, Schneider EC, Sequist T, Stockwell D,

Stoffel E, Travassos W. Risk Management Foundation: Colorectal Cancer Screening Algorithm, CRICO Risk Management Foundation, 2006.

3. Shields HM, Atlas JS, Chung D, Jospe E, Sequist T, Stoffel E. Risk Management

Foundation: Colorectal Cancer Screening Algorithm, CRICO Risk Management Foundation, 2010. http://www.rmf.harvard.edu/files/documents/RMFCRC.pdf

Abstracts

1. Carbo A, Blanco P, Graeme-Cook F, Misdraji J, Kappler S, Shaffer K, Goldsmith J, Berzin T, Leffler D, Najarain R, Sepe P, Kaplan J, Pitman M, Goldman H, Shields HM. Revitalization Of Pathology Laboratories In A Gastrointestinal Pathophysiology Course Using Modified Team-Based Learning Techniques And Multimedia Presentations. Presented at HMS Medical Education Day, Harvard Medical School October 26, 2010.

2. Carbo A, Blanco P, Graeme-Cook F, Misdraji J, Kappler S, Shaffer K, Goldsmith J,

Berzin T, Leffler D, Najarain R, Sepe P, Kaplan J, Pitman M, Goldman H, Shields HM. Revitalization Of Pathology Laboratories In A Gastrointestinal Pathophysiology Course Using Modified Team-Based Learning Techniques And Multimedia Presentations. Presented at the AAMC Harvard Macy Institute Annual Meeting, Washington, DC, November, 2010.

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Narrative Report My area of excellence is in Teaching and Education I have chosen to focus my teaching efforts on medical students, faculty development and improving healthcare disparities through education. In 2002, after years of directing the Gastrointestinal (GI) Pathophysiology Course, I asked Professor David Garvin if I could observe his classes at Harvard Business School. I recognized that the adaptation of business school teaching strategies to medical school tutoring could improve teaching and learning. I developed a unique three-part faculty development program for tutors to be trained as discussion leaders rather than as facilitators. Tutors use questions, summaries and schematics to efficiently and effectively guide the discussion of pathophysiologic concepts. In addition, they learn to manage group dynamics so that maximal learning occurs. The overall GI course rating in 2009 was 1.16 on a Likert Scale where 1 is a perfect score. Students perform extremely well on the GI section of National Boards, Part I. GI tutors win more Excellence in Tutoring Awards than tutors in other second-year courses. In 2007, I turned my attention to reducing healthcare disparities through education and created the first faculty development program to integrate cross-cultural care concepts into the pathophysiology tutorial in a seamless manner. As a result of the program, tutors significantly improved their discussion of racial, ethnic, cultural and socioeconomic issues in the tutorials according to anonymous student evaluations. I presented this highly effective one-hour program at the Association of American Medical Colleges’ 2007 and 2008 Annual Meetings. In November 2009, I gave an invited keynote address in Shanghai, China entitled “Improving the Teaching of Pathophysiology and Clinical Physiology: Successful Methods for the 21st Century” at the 2009 International Symposium for Pathophysiology Teaching. After peer-review, The Johns Hopkins University Press accepted my book discussing my successful methods for teaching and faculty development entitled “A Medical Teacher’s Manual for Success. “Five Simple Steps” to be published in November 2010. In October 2010, I was elected to the Harvard Medical School Faculty Council. At our Annual GI Meetings, I direct the most highly rated small group educational sessions (overall rating of 1.1 in both 2008 and 2009 on a Likert Scale). In recognition of my outstanding abilities as a “teacher of teachers,” the American Gastroenterological Association (AGA) elected me Councillor for Education and Training, a Governing Board position in 2010. I will use my expertise to maximize the AGA’ s educational programs over the next three years. My national and international reputation as an outstanding teacher is evidenced by an increased number of invitations to speak as an authority on cross-cultural care teaching methodologies. Most recently, based on my interdisciplinary faculty development program for tutors, I have been invited to present with Lee Warren, PhD, Director of Professional Pedagogy, John F. Kennedy School of Government, and James Honan, EdD, Senior Lecturer, Harvard Graduate School of Education, at a cross-faculty seminar (inspired by the work of the late Professors Louis Barnes and Chris Christensen) on discussion leadership. I will present a session on training tutors to become discussion leaders in the spring of 2011. This is a great honor to present with these renowned teachers of teachers from Harvard University.

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Significant Supporting Activities: Clinical Expertise I am committed to my wonderful patients largely composed of individuals with diseases such as reflux esophagitis, ulcerative colitis, Crohn's disease, irritable bowel syndrome, and colonic cancer or polyps. My patients have been referred to me by leading physicians (from other specialties) at the Beth Israel Deaconess Medical Center and by family members. I am referred complex cases of women with bowel problems where multiple other consultants have been unable to help the patient. I now have three generations of some families in my practice and patient loyalty is evidenced by having 43 of my patients volunteer as subjects for the highly successful Annual Abdominal Exam for the HMS second year class in both 2008 and 2009. In 2008, 25 of my patients contributed funds in my honor to the American Gastroenterological Association’s Sara Jordan Research Fund when I was given An Outstanding Women in Science Award by the American Gastroenterological Association. Research 1. Barrett’s esophagus My research group and I were the first to describe multilayered epithelium, a hybrid type of epithelium and a precursor to Barrett’s epithelium that expresses both columnar and squamous type cytokeratins. I recently published a study demonstrating for the first time that cancer patients exposed to radiation and/or chemotherapy are significantly more likely to have Barrett’s and/or multilayered epithelium compared to an unexposed group. I am Co-Investigator on a proposal submitted to the Joint Center for Radiation Therapy for a grant to determine whether the esophagitis found in patients with breast, or lung cancer or lymphoma after radiation and/or chemotherapy is diagnosed and managed differently in the poor and underserved compared to others. Our proposal involves a multi-site study with Co-Investigators in medical oncology and radiation oncology at Beth Israel Deaconess Medical Center and Dana-Farber Cancer Institute /Brigham and Women’s Hospital. 2. Colon Cancer Screening In 2001, I published the results of a mass colon cancer screening program using fecal occult blood testing that showed that only 59% of patients in the Boston area received an adequate workup for a positive test for blood in the stool. Our results indicated, for the first time, that a significant factor influencing the physician’s decision making was the number of positive card windows. The higher the number of windows positive, the more likely the physician was to order a workup, instead of correctly ordering the workup even if only one window, out of a possible six windows, was positive. Currently, I am the Principal Investigator for a grant which seeks to determine if patients age 40 or older are receiving the appropriate workup for rectal bleeding at multiple sites including Beth Israel Deaconess Medical Center, Brigham and Women’s Hospital, Massachusetts General Hospital and Harvard Vanguard Medical Associates. In 2010, as Chairman of the Colorectal Cancer Screening Algorithm Advisory Group, I spearheaded the publication and online presentation of the CRICO/RMF Colorectal Cancer Screening Algorithm: A Decision Support Tool for primary care physicians.

Harvard Medical School Curriculum Vitae Date Prepared: 2...

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