From Fellowship to Faculty Salah Qureshi, MD MIRECC Fellow 2008-2010 Houston.

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Presentation transcript:

From Fellowship to Faculty Salah Qureshi, MD MIRECC Fellow Houston

Clinical Background Dow Medical College, Karachi, Pakistan, 1997/98 (Medical School) Mount Sinai Medical Center, NYC, NY, (Fellow Human Genetics) Jamaica Hospital Medical Center, Jamaica, NY, (Chief Resident Psychiatry)

Fellowship Aims Develop a career in mental health research and academics Apply for a career development award Advance training in neuropsychiatry Get a faculty position at MEDVAMC, Houston

Research Question Dementia –Mark Kunik, MD –Paul Schulz, MD PTSD –VA/MIRECC Is There an Association Between PTSD and Dementia?

Research Team Mentors –Mark Kunik, MD (Dementia / HSR) –Jeff Pyne, MD (PTSD / HSR) –Paul Schulz, MD (Dementia) Other team members –Timothy Kimbrell, MD –Kathy Magruder, PhD –Teresa Hudson, PharmD –Nancy Petersen, PhD –Hong Yu, MS

Systematic Reviews The Link Between Post-traumatic Stress Disorder and Physical Comorbidities: A Systematic Review (Qureshi et al, Psychiatric Quarterly, June 2009) Does PTSD Impair Cognition Beyond the Effect of Trauma?: A Systematic Review (Qureshi et al, Journal of Neuropsychiatry and Clinical Neuroscience, Jan. 2011)

Increased Prevalence and Incidence of Dementia in Older Veterans with PTSD (Qureshi et al, JAGS, September 2010) Retrospective prospective case control study using the VA administrative databases of the South Central United States (VISN 16) Older veterans with PTSD had two folds increase in incidence and prevalence of dementia diagnoses when compared to control groups This difference remained after accounting for confounding physical illnesses, combat related trauma and number of primary care visits

CDA Aims Examine the rates of missed diagnosis and overdiagnosis of dementia in older patients with PTSD Identify barriers and facilitators to accurate dementia detection in older patients with PTSD, using qualitative methods (focus groups) Adapt/develop intervention(s) to improve dementia detection in a) older patients with PTSD and b) older patients (with or without PTSD) in primary care clinics

Education Fundamentals of Clinical Investigation (2008) Clinical Scientist Training Program Masters Track (2009 – 2011) –Biostatistics –Health services research –Grant writing

Current Faculty Appointment Investigator, VA Health Services Research and Development Center of Excellence, Houston, TX Assistant Professor of Psychiatry and Behavioral Sciences, MEDVAMC, Baylor College of Medicine

Acknowledgements Mark Kunik, MD, MPH Jeff Pyne, MD Paul Schulz, MD Kathy Magruder, PhD, MPH Teresa Hudson, PharmD Timothy Kimbrell, MD Nancy Petersen, PhD Hong Yu, MS