Bradley Crotty MD FACP

Report of Funded and Unfunded Projects

Funding Information

Current2010 - T32 Training Grant, NRSA

2012- Harvard Medical School Center for Primary CarePrimary Care Innovations Collaborative Grant(Electronic Patient Engagement and Registry Functionality)Beth Israel Deaconess Medical Center (Healthcare Associates)

Current Unfunded Projects

2010- • PatientSite / Co-InvestigatorI am investigating the usage patterns of our online patient portal and clinical messaging with respect to clinical demographic factors. This is a retrospective cohort study of 50,000 users, using Poisson regression.

2011- • Social Communication Patterns after Discharge / InvestigatorVia qualitative research methods, we are understanding how medical teams and patients/families can best communicate following hospital discharge. This project uses semi-structured interviews after discharge to identify communication needs and understand the role they play in post-hospitalization care-seeking.

• Digital Professionalism Development in Undergraduate Medical TrainingUsing a prospective cohort design, we are surveying third year students to determine if their perceptions of digital professionalism change as they grow into their role as doctor and professional. I designed cases and co-designed the survey instrument.

• An Experiential Learning Curriculum for Patient - Doctor Electronic CommunicationI created a curriculum based around a one hour-lecture and a one-hour small group tutorial to teach and model best practices for electronic communication. I am analyzing pre-post surveys, with the anticipated direction to create an online evaluation tool for preceptors. 2012- • OpenNotes Project – Opening Doctors’ Notes to PatientsI am co-creating materials with the OpenNotes group for physician education, and co-designing a research study that includes residents and fellows.

Formal Teaching of Residents, Clinical Fellows and Research Fellows (post-docs)

2009 Wikis to Organize Learning Beth Israel Deaconess Medical Center Intern Report 60 min interactive lecture 2010 Residency Microskills, Feedback Beth Israel Deaconess Medical Center Interns / Small Groups Small Group Leader, 120min/year 2010 Professionalism in a Digital Age Beth Israel Deaconess Medical Center Intern/Resident Conference 60 min lecture 2010-2013 Professionalism in a Digital Age Beth Israel Deaconess Medical Center Graduate Medical Education 30 min lecture to all incoming trainees

2011-2012 Patient Portals: A Curriculum for Pt-Doc e-CommunicationAmbulatory Core Curriculum Beth Israel Deaconess Medical Center60 min lecture, 158 housestaff60 min small group sessions x10

Local Invited Presentations   2008 Technology in Medical Education BIDMC Faculty Working Group For Medical Education   2010 Physicians & The Internet 2011: Managing Your Online Presence Healthcare Associates Research Conference (CME), BIDMC   2010 Wikis for Hospitalists Invited Presentation Society for Hospital Medicine Boston Chapter Meeting   2010 Wikis to Organize Residency Knowledge Brigham & Women’s Hospital, Department of Radiology Conference     2011 Accept, Reject, or Deny: Primary Care in the Age of Social Media Stoeckle Center Seminar / Gen Med Grand Rounds, Massachusetts General Hospital   2011 Social Networking for Patients and Doctors Invited Presentation at Boston Meet-Up, Cambridge Innovation Center     Report of Regional, National and International Invited Teaching and Presentations  Invited Presentations and Courses Regional   2003 Medical Political Action Committees / Presentation Massachusetts Medical Society Medical Student Meeting     2004 Universal Health Care Action Boston, MA (American Medical Student Association Regional Conference) 2011 Physicians and the Internet: 2011 (Managing Online Identity in A Connected Era) Boston, MA (Regional Society of General Internal Medicine Meeting Workshop)   2012 An Electronic Communication Curriculum for Residents Northeastern Group on Educational Affairs (AAMC) Annual Retreat Boston, MA         National   2010 Web 2.0 for Clinician Educators / Short Course / Faculty Minneapolis, MN (Society of General Internal Medicine)     2011 Web 2.0 for Clinician Educators / Short Course / Faculty Phoenix, AZ (Society of General Internal Medicine) 2012 Web 2.0 for Hospitalists / Workshop Society for Hospital Medicine San Diego, CA 2012 Social Media in Medicine (invited keynote) Bioethics Symposium at Hofstra University / LIJ Hempstead, New York

Publications   Peer reviewed publications in print or other media  

1. Ali F. AbuRahma, MD, John T. Wulu, Jr, PhD, Brad Crotty. Carotid Plaque Ultrasonic Heterogeneity and Severity of Stenosis. Stroke. 2002 Jul;33(7):1772-5
2. Mark C. Bates, M.D., Fadi Shamsham, M.D., Brett Faulknier, D.O., Bradley Crotty. Successful Treatment of Iatrogenic Renal Artery Perforation with an Autologous Vein- Covered Stent. Catheterization and Cardiovascular Interventions. 2002 Sep; 57(1): 39-43
3. Bates MC, Kyer PD, Kavasmaneck C, AbuRahma A, Crotty B. Stent-supported angioplasty correction of symptomatic critical carotid angulation.

W V Med J. 2003 Jan-Feb;99(1):22-4.

4. Bates MC, Crotty BH. Occult popliteal artery stenosis masquerading as atheroemboli in a patient with previous knee replacement. Catheterization and Cardiovascular Interventions. 2006. Jan; 67(1) 151-154
5. Bates MC, Crotty BH. Renal Artery Angiography: The Right Ipsilateral Oblique Myth. Catheterization and Cardiovascular Interventions. 2006 Feb; 67( 2) 283-287
6. Crotty BH*, Mostaghimi A*, Landon BE. The Availability and Nature of Physician Information on the Internet. J Gen Intern Med. 2010 Jun 11.                             *Contributed Equally
7. Dalamaga M, Crotty BH, Fargnoli J, Papadavid E, Lekka A, Triantafilli M, Karmaniolas K, Migdalis I, Dionyssiou-Asteriou A, Mantzoros CS. B-cell chronic lymphocytic leukemia risk in association with serum leptin and adiponectin: a case-control study in Greece. Cancer Causes Control. 2010 Sep; 21(9):1451-9.
8. Mostaghimi A, Crotty BH. Professionalism in the digital age. Ann Intern Med. 2011 Apr 19; 154(8):560-2.
9. Crotty BH, Mostaghimi A, Reynolds EE. Adoption of a Wiki in a Large Medical Residency Program: Early Experiences & Lessons Learned. 2011: JAMIA. Published Online 2 Dec.

    Non-peer reviewed scientific or medical publications/materials in print or other media

1. Crotty BH, Mostaghimi A, Schutzbank A. Microblogging in Medicine. SGIM Forum. Nov 2009.
2. Crotty BH, Mostaghimi A. Social Media for GIM Leaders. ACL-GIM Leadership Forum. Feb 2012.

  Professional educational materials or reports, in print or other media

1. Digitalprofessionalism.org, an online annotated bibliography and sample cases for teaching professionalism related to online interactions with colleagues and patients.

    Abstracts, Poster Presentations and Exhibits Presented at Professional Meetings

1. Bates MC, Campbell J, Kavasmanek C, Crotty B, Parodi J, Wulu J. Parodi

Anti-Embolism System animal studies. Interventional Society of Carotid ArteryTherapy. TCT- Washington, D.C., September 22, 1999.    

2. H. Sunpath, H. France, J Kamihara, N Chelin, M Tarin, MVC Marconi, D Kuritzkes B Crotty. Prospective analysis of HIV-1 Drug Resistance  After Virologic Failure on Antiretroviral Therapy (ART):  Initial Results from a Paediatric Cohort Study from KZN, South Africa. 2007 South African AIDS Conference, Durban, KZN, SA.  June 7, 2007.
3. B. Crotty, A Mostaghimi. Have Wikis come of Age in Medical Eduaction? The BIDMC Experience. Society for General Internal Medicine Annual Meeting. Miami, Fl. March 13, 2009.
4. A Mostaghimi, B. Crotty, E. Reynolds. Wikis Improve Intern Experiences in Medicine. Internal Medicine 2009, Annual Meeting of the American College of Physicians Philadelphia, PA.  April 23 2009.
5. B. Crotty, A Mostaghimi. Housestaff wikis improve self-reported intern experience and education. Harvard Medical School Medical Education Day. October 27, 2009.

6. G Cheng, S Edwards, B Crotty, A Mostaghimi. Role of Housestaff Wiki in Residency Experience and Education. Harvard Medical School Medical Education Day. October 2010.

7. Crotty BH, Tamrat Y, Mostaghimi A, Safran C, Landon BE. Clinical Messaging & Practice Variation – A 10 Year Experience.Society for General Internal Medicine Annual Meeting. Phoenix, AZ. May 4, 2011

8. Tamrat Y, Crotty BH, Feldman H, Landon BE, Safran C. When Physicians Control Access to PHRs They Variably Restrict Patient Options. AMIA Annual Symposium, Washington, DC Oct 24, 2011

9. Crotty BH, Tamrat Y, Feldman H, Landon BE, Safran C. Physician Variation by Specialty in Personal Health Record Use. AMIA Annual Symposium, Washington, DC Oct 25, 2011.

10. Crotty BH, Mostaghimi A. A Curriculum for Electronic Patient Doctor Communication. Association of Program Directors in Internal Medicine Spring Conference, Atlanta GA Apr 23, 2012

11. Crotty BH, Mostaghimi A. A Curriculum for Electronic Patient Doctor Communication. Society of General Internal Medicine Ann Meeting, May 11, 2012
12. Yu, R and Crotty BH. A Wiki to Better Manage Shared Information in a Hospitalist Group. Society for Hospital Medicine Annual Meeting. San Diego, CA, April 2012.

      Narrative Report (limit to 500 words)   My scholarly and innovative work is in the area of ambulatory systems, information management, team-based communication, and patient-provider communication, with a special focus on social media and social networking. My work aims to understand how communities of physicians and patients can engage with one another using electronic tools to maintain contact for both prevention and chronic disease management. Ultimately, I hope to see the tools and innovations embedded as part of health care redesign if shown to be beneficial.   Given that the area of electronic doctor-patient communication is new, recent work in the forms of studies and editorials have focused on the concept of ‘digital professionalism,’ or how the medical profession can integrate newer technologies into their lives while maintaining trust (security, privacy) in the medical system. My work also looks at the role of healthcare disparities and technologies.   With Bruce Landon (HMS Department of Health Care Policy) and collaborators in the Division of Medical Informatics, I am studying the 10-year experience of patient portal use and clinical messaging, in terms of understanding the users of non-users of this technology, and to what extent a digital divide exists that can lead to disparities in care.  I have also developed and implemented a curriculum for medical residents for managing and responding to patients via clinical messaging.   With Tom Delbanco and Jan Walker, I am collaborating on the OpenNotes project, which shares clinic visit notes with patients electronically. I am assessing how this impacts graduate medical education and clinical training. We are also using qualitative methods to understand communication patterns among patients and providers after hospital discharge, trying to understand where communication tools may be helpful in preventing unnecessary emergency visits and readmissions. We are also preparing an updated version of PatientSite, our patient web portal, with the goal of incorporating tools for patient-doctor collaboration and decision-making tools for patients.   My teaching currently is focused on how physicians can incorporate new web tools in their practice in meaningful and safe ways, and how clinicians can collaborate with patients via patient portals and secure messaging. I have collaborated on a national course for clinician educators on Web 2.0, and also have taught for interns and residents on information management and electronic communication.