Our Faculty

Department of Medical Education Faculty

Brinton Clark, M.D., MPH, FACP

Garnjobst Chair of Medical Education
General Medicine Faculty

Personal statement: I joined the faculty at Providence in 2005, and love being part of this dynamic community of faculty and physicians-in-training. Most recently, I served as the Program Director for the PPMC residency before recently stepping into the role as Department Chair. I enjoy the close relationships and mentoring that are possible in a smaller training environment. I am proud of the amazing program we have built at PPMC, and feel we combine the best of an academic medical center with the friendliness of a community-based program.

Medical school: University of California, San Francisco (AOA)
Residency: University of California, San Francisco (PRIME program)

Areas of academic focus

• Ambulatory Medicine and Primary Care
• Treatment of Opioid Use Disorders
• Working with Underserved Populations
• Quality Improvement
• Obesity Management

Recent Regional/National Responsibilities:

• American College of Physicians Poster Judge, 2025 and American College of Physicians, invited reviewer for clinical vignettes, 2013-present
• Co-Chair, Oregon American College of Physicians Scientific Meeting Committee, 2022-2024
• Journal of General Internal Medicine, manuscript reviewer 2019-2020
• $100,000 grant through Providence Clinic Transformation Council, “Treatment of Opioid Use Disorders in Primary Care Settings”, 2016-18.
• Society of General Internal Medicine, invited reviewer for research abstracts 2014-present

Selected Presentations/Publications:

• Paiva C and Clark B, A Pilot Study to Determine Efficacy of Bluetooth-Enabled Home Blood Pressure Monitoring in the Management of Hyptertension. Oral Plenary Session Presentation, National Society for General Internal Medicine, May 2023
• Petrenko O, Clark B. A Rare Case of Metastatic Insulinoma in a Patient with Huntington’s Disease.Journal of the Endocrine Society. 2020, May 8; 4(Suppl 1): SAT-115.
• Brinton Clark, MD, MPH, Mari Kai, MD, Ryan Dix PsyD, Jonathan White PharmD, Yelena Rozenfeld, MPH, Sheldon Levy, PhD, MPH, Kathleen Engstrom, PMP. Association of a Multimodal Educational Intervention for Primary Care Physicians With Prescriptions of Buprenorphine for Opioid Use Disorders. JAMA Network Open. 2019; 2(10). https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753398
• Opioid Management Using Medication-Assisted Treatment Waivers at Providence Portland Medical Center. Featured article on Carezooming blog, July 2018.
• Improving Access to Treatment for Opioid Use Disorders in Primary Care. Poster presentation. Clark BC, Kai M, Dix, R, White J, Society of General Internal Medicine, National Meeting April 2018.
• Improving Access to Treatment of Opioids Use Disorders in Primary Care. Medical Grand Rounds, Providence Portland Medical Center, November 2016.
• Community Resource Desks: Connecting Patients to Resources in the Medical Home. Poster presentation, Regional Society of General Internal Medicine, Seattle, WA. February 2016.
• Innovations in Medical Education Oral Presentation: Complex Case Conference: Multi-Disciplinary Rounds in an Outpatient Clinic. National SGIM Meeting, April 23, 2015. Toronto, Canada. One of top abstracts selected for oral presentation.
• Oral Presentation at the National SGIM conference in Toronto, Canada May 2015. “Complex Case Conference: Multi-disciplinary Rounds in the Outpatient Setting” with Dr. Brinton Clark (selected as one of the Top 5 medical education innovation abstracts at the meeting). Brinton Clark, M.D. and Mari Kai, M.D.

• Weighing your options: What is the evidence for safety and efficacy of newer weight loss medications? Rx Question of the Quarter, PMG Oregon Clinical Pharmacy Department, August 2015.
• Bariatric Surgery: PCP Primer. Medical Grand Rounds, Providence Portland Medical Center, December 10th, 2014. Medical Grand Rounds, Providence St. Vincent Medical Center, June 9th, 2015.
• Kai M, Clark B, Rosenberg M. Introduction to Outpatient Medicine: An Innovative Approach. J Grad Med Education June 2014; 365-67. PMID 24949158.

Teaching Responsibilities:

• Ambulatory Clinic Preceptor
• Inpatient Ward Attending
• Resident Report Faculty Leader
• Noon conference topics including kidney disease, diabetes, liver disease, skin and soft tissue infections, urgent care and geriatrics, women's health, behavior change, endocrine disease, vascular disease
• Medical student preceptor

Community Involvement:

• Advisor and fundraiser for Offin Children's Centre orphanage in Ghana, West Africa
• Providence Career Highlights Program providing mentorship and workshops to high school students interested in careers in health care.

Personal interests:
Spending time with family including my three children and my large extended family. I enjoy hiking, reading, exercise, gardening, traveling and meeting people from different cultures.

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Courtland Childers, M.D.

Program Director
General Medicine Faculty

Personal statement: Providence Portland has been my professional home since residency and chief residency. I joined the general medicine faculty in 2011, served a decade as associate program director, and now have the privilege of leading the program. What keeps me here is simple: residents. Their curiosity, grit, and growth inspire me every day. Providence's commitment to caring for the most vulnerable and serving our community reflects my own values. My favorite moments are one-on-one, helping residents clarify what matters most and supporting them through mentorship to turn those goals into reality.

Medical school: Chicago Medical School/Rosalind Franklin University of Medicine and Science
Residency: Providence Portland Medical Center
Chief residency: Providence Portland Medical Center

Areas of academic focus:

• Integration of patient safety and health systems science into resident education
• Evidence-based medicine and the application of AI resources
• Diagnostic frameworks and teaching clinical reasoning

Leadership responsibilities:

• Department of Medicine, Chair, Providence Portland Medical Center, 2018-2022
• Professional Quality Review Committee, Member, Providence Portland Medical Center, 2016-2025
• Schwartz Center Rounds, Planning Committee Member, Providence Portland Medical Center, 2013-2022
• Oregon Regional Sentinel Event Review Committee, Providence Health & Services, 2011-2020

Selected Presentations/Publications:

• High Risk Encounters: Headache or teaching opportunity? Regional Hospitalist Clinician Educator Faculty development. October 2022
• Jain M, Childers C. Review: In newer CVD primary prevention trials, aspirin vs no aspirin does not reduce MI and increases major bleeding. Ann Intern Med. 2019 Nov 19;171(10):JC55. doi: 10.7326/ACPJ201911190-055. PMID: 31739338.
• Updates in Hospital Medicine 2017 Society of General Internal Medicine - Northwest Meeting, Portland, OR
• Aspirin in 2016: New Roles and Current Controversies. Providence Portland Medical Center, Medical Grand Rounds
• Engaging Residents with Collaborative Learning and Technology. Stanford Medicine X | Ed conference, Palo Alto, CA, 2015

Teaching responsibilities:

• Mentoring resident scholarly activity
• Inpatient ward attending
• Outpatient preceptor
• Resident Report Facilitator
• Resident Noon Conference

Personal interests:
Spending time outdoors with family and friends. I enjoy skiing on Mt. Hood and finding new locations in the PNW for backpacking adventures.

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Amy Dechet, M.D.

Associate Program Director
General Medicine Faculty
Infectious Diseases

Personal statement: I have been privileged to be a part of the medical education staff since 2008. While having specialty training in infectious diseases, I still very much enjoy general internal medicine and find it challenging and stimulating to incorporate both into my practice. Above all else, I am passionate about teaching and exploring innovative ways in which this might be done effectively. The energy and compassion of the residents and staff here make for an exciting and rewarding work environment.

Medical school: University of Washington
Residency: University of California, San Francisco
Chief residency: San Francisco General Hospital (University of California, San Francisco)
Fellowship: University of California San Francisco, Infectious Diseases
Additional graduate training: Epidemic Intelligence Service (EIS) Officer at Centers for Disease Control and Prevention

Areas of academic focus:

• Judicious antibiotic use
• Addiction medicine
• HIV training
• Evaluating teaching methods
• Curriculum development

Selected Presentations/Publications:

• Jain M, Dechet A. In mild acute diverticulitis, outpatient therapy without antibiotics was noninferior to antibiotics. Ann Intern Med. 2022 Feb;175(2):JC15. doi: 10.7326/J21-0022. Epub 2022 Feb 1. PMID: 35099998.
• Upper Respiratory Tract Infections, Practical Advances in Internal Medicine Symposium, Portland, OR 2016.
• Tips to Decrease antibiotic Overuse, Practical Advances in Internal Medicine Symposium, Portland, OR 2015.
• Sexually Transmitted Diseases, Practical Advances in Internal Medicine Symposium, Portland, OR 2015.
• Reinvigorating Resident Conference: Out with PowerPoint and Traditional Lectures! Engaging Residents with Small Group Learning & Technology” Society for General Internal Medicine – Regional Meeting February 2015.
• Dechet AM, Herman KM, Parker C, et al. Outbreaks Caused by Sprouts, United States 1998-2010: Lessons Learned and Solutions Needed. Foodborne Pathog Dis. 2014 Aug;11(8):635-44.
• Sexually Transmitted Diseases Workshop, Annual Symposium, 2011 Infectious Diseases in the Urgent Care Setting, OHSU Urgent Care Conference, 2011.

Personal interests:
My family—especially my three lively children, 2 dogs, and chickens; hiking, camping, and spending time on Mt. Hood.

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Andrea Roast, M.D.

Personal statement: To me, the practice of medicine is a multi-dimensional puzzle. Collaborating with others, both as an educator and as a learner, and using all the clues to work through this puzzle drives my enthusiasm. There’s nothing more exciting than being surrounded by the experience and knowledge of clinically academic colleagues and driven residents, both of which I experience here at Providence. One of my personal interests includes the integration of medicine and computers for resident education, improved patient care and productivity benefits.

Graduate school: Master’s degree in Biomedical Engineering, Ohio State University
Medical school: Michigan State University
Residency: Providence St. Vincent Medical Center
Chief residency: Providence St. Vincent Medical Center

Areas of academic focus:

• Inpatient medicine
• Resident evaluation and feedback
• Physician Wellness
• Diversity and Anti-Racism Dialogue
• Integration of computers and medicine

Selected Presentations/Publications:

• Stable Ischemic Heart Disease - noon conference
• Managing Team Conflicts & Challenging Situations - noon conference
• Diversity Dialogues: Implicit Bias and Microaggression - workshop

Teaching responsibilities:

• Teaching Attending on the Wards – approximately one month/year
• Clinical preceptor (1/2 - 1 day per week)
• Medical Student education
• Curriculum Involvement: EKGs, Teach to Teach

Personal interests:
Spending time with my family, traveling, skiing, hiking & cycling.

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Stephen M. Campbell, M.D.

Rheumatology

Personal statement: I moved to Providence in a part-time capacity in 2007 after a 25 year career as a clinician-teacher at OHSU. The Providence Internal Medicine residency program has always had a stellar reputation in education, and I have greatly enjoyed becoming part of that tradition.

Medical school: University of California, San Diego
Residency: Oregon Health & Science University
Fellowship: Oregon Health & Science University

Areas of academic focus:

• Clinical rheumatology
• Techniques of medical education

Selected Presentations/Publications:

• Paudyal S, Campbell SM. Intra-articular corticosteroids in osteoarthritis. Geriatrics Aging 2009; 12:247-52.
• Wernick R, Campbell SM. Update in rheumatology. Ann Intern Med 2000;132:125-133.

• Joint aspiration and injection, OHSU Primary Care Review 2010-2014
• Update on vasculitis, Providence Internal Medicine Review 2012

Teaching responsibilities:

• Rheumatology week noon teaching sessions (4/year)
• Teaching attending on rheumatology resident rotation: supervision in rheumatology clinic and medical orthopedics clinic; didactic sessions.
• MedOrtho clinic weekly in PACE clinic: designed to give housestaff experience in office musculoskeletal medicine and local injection techniques.

Personal interests:
Spending time with family; wife and 3 daughters; hobbies of landscaping, woodworking, hiking.

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Anjali Das, M.D.

General Medicine Faculty

Personal statement: I joined Providence in 2022 and feel really privileged to be a part of PPMC's close-knit and dynamic internal medicine residency program. I love working with our residents in inpatient and outpatient settings and supporting them to meet their clinical and professional goals.

Medical school: Rutgers New Jersey Medical School
Residency: University of Alabama at Birmingham
Fellowship: Academic Clinician Educator Fellowship at University of Pittsburgh Medical Center

Areas of academic focus:

• Innovations in medical education
• Women's health
• Resident Scholarly Activity - Case Reports

Personal interests:
Traveling to warm and sunny locations, cooking new foods (and eating out at so many delicious PDX food spots), gardening, spending time with family

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Gita Gelfer, D.O.

Personal statement: As a graduate of the Providence Portland Medical Center residency program, I am honored to work with residents. My experience at PPMC provided me with a strong foundation to be a compassionate, thoughtful, and efficient clinician. My goal as the lead Hospitalist Clinical Educator is to create a cohesive and fulfilling educational experience for the residents and hospitalists working with them.

Medical school: Touro University Nevada
Residency: Providence Portland Medical Center

Areas of academic focus:

• Inpatient education
• Hospital Medicine
• Antibiotic Stewardship

Selected Presentations/Publications:

• Gilbert, David, White, Emma, Ferdosian, Shirin, Gelfer, Gita, Wang, Lian, Leggett, James. (2019). 2191. The Sputum FilmArray Pneumonia Panel (SFAPP) Outperforms a Diagnostic Bundle in Patients with Community-Acquired Pneumonia (CAP). Open Forum Infectious Diseases. 6. S746-S746. 10.1093/ofid/ofz360.1871.
• Gilbert, D., Gelfer, G., Wang, L., Myers, J., Bajema, K., Johnston, M. and Leggett, J. (2016). The potential of molecular diagnostics and serum procalcitonin levels to change the antibiotic management of community-acquired pneumonia. Diagnostic Microbiology and Infectious Disease, 86(1), pp.102-107. doi: 10.1016/j.diagmicrobio.2016.06.008. Epub 2016 Jun 15
• Gelfer, G., Perry, L. and Deodhar, A. (2015). Golimumab for the treatment of axial spondyloarthritis. Expert Review of Clinical Immunology, 12(1), pp.9-18. doi: 10.1586/1744666X.2016.110694.1
• Gelfer, G., Leggett, J., Myers, J., Wang, L. and Gilbert, D. (2015). The clinical impact of the detection of potential etiologic pathogens of community-acquired pneumonia. Diagnostic Microbiology and Infectious Disease, 83(4), pp.400-406. http://dx.doi.org/10.1016/j.diagmicrobio.2015.08.001.

Personal interests:
During my free time I prefer to be outdoors with my family, including my two daughters, husband, and dog. I love to bike, ski, hike, swim, and camp. I enjoy gardening in my urban Portland garden. When possible, I also try to see live music.

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Irina Gelman, PsyD, ABPP

Psychology

Personal Statement: What drew me to this program is the emphasis on integration within a Patient Centered Medical Home. Working closely with residents to support patients’ behavioral and mental health needs contributes to meaningful training and positive patient outcomes.

Doctoral education: Nova Southeastern University
Post-Doctoral Psychology Fellowship: Kaiser Permanente Northwest
Board Certification: Clinical Psychology by the American Board of Professional Psychology

Areas of Academic Focus:

• Behavioral Medicine
• Integrative medicine
• Social determinants of health
• Lifestyle changes
• Anxiety disorders

Teaching Responsibilities:

• Behavioral medicine
• Mental health
• Patient-centered communication
• Motivational interviewing

Publications:

• Keene, A., & Gelman, I. (2021, March). Behind closed doors: Therapeutic alliance and the ethics of political self-disclosure. Oregon Psychological Association.
• Gelman, I. & Bolan, M. (May, 2018). To text or not to text: Psychotherapy in the 21st century. The Oregon Psychologist: Bulletin of the Oregon Psychological Association, 37(2), 9-10.
• Gelman, I., Brady, L, & Marrero, K. (May, 2018). Role of social justice in clinical psychology: Community outreach training. Professional Psychology Training and Practice Bulletin, pp.8.
• Moonshine, C., Gelman, I., & Sorenson, R. (2017, July 13). Disruptive Change and Health Service Psychology Transform a Clinical Psychology Doctoral Training Clinic. Practice Innovations.

Presentations:

• Das, A., Nguyen, A., Gelman, I., Kai, M., Nagarkatti-Gude, D. (2025, May 16). Rethinking the primary care and mental health partnership: Lessons learned from innovative models to deliver effective psychiatric care within the Primary Care Home. SGIM National Meeting 2025, Hollywood, FL., United States
• Gelman, I., Kai, M., Leng, Q., & Nidiry, M.A. (2024, May 18). Creating multidisciplinary collaborative anti-bias training for residency education [Poster presentation]. SGIM National Meeting 2024, Boston, MA., United States.
• Gelman, I., Kai, M., Leng, Q., & Nidiry, M.A. (2024, May 18). Creating multidisciplinary collaborative anti-bias training for residency education. SGIM Northwest Regional Meeting 2024, Boise, ID., United States.
• Sparks, M., Gelman, I., Richardson, H., & Dettermann, C. (2021, October 22). LGBTQ Panel Discussion. Colorado Center for Nursing Excellence Diversity & Inclusion Summit 2021 Online Conference.

• Bonifay, A., Gelman, I., Brown, A., & Lindsay, M. (2021, October 8 – 10). All in due time: Personal retrospectives on treatment response. [Workshop session]. IOCDF Online OCD Conference.

• Gelman, I (2021, April). Clinical Considerations for Hoarding Disorder. Presentation provided to community members and clinicians throughout OR on behalf of Multnomah County Hoarding Task Force.

• Gelman, I. (2019). Phobias and Panic Disorders. Training provided to psychology student clinicians and doctoral interns at Portland Mental Health and Wellness in Portland, OR.

• Gelman, I. (2019). Treatment of Hoarding Disorder. Training provided to psychology student clinicians and doctoral interns at Portland Mental Health and Wellness in Portland, OR.

• Gelman, I. (2018, June). Teamwork and Conflict Management. Presented at Student Alliance for Integrative Medicine’s Integrative Medicine Business Development Conference in Portland, OR.

• Gelman, I. (2018, May). Setting up for success: What you need to know for working with people with “too much stuff.” Training provided for Yamhill County Health and Human Services in McMinnville, OR.

• Gelman, I., Brady, L., & Marrero, K. (2018, March). Role of social justice in clinical psychology: Community outreach training. Poster presented at the annual conference of Association of Psychology Training Clinics, Maui, HI.

Personal interests:
I enjoy spending time with family and friends, cooking, hiking, live music, and independent film.

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David N. Gilbert, M.D., MACP, FIDSA

Infectious Diseases
Previously, Director of Medical Education (35+ years)

Personal statement: I have had the extreme pleasure of watching the Internal Medicine Residency mature from one full-time faculty member (myself) in 1971 to the current status of over 25 full-time faculty, literally hundreds of volunteer teaching faculty, and a superb academic teaching clinic in a vibrant atmosphere of mutual respect and intellectual curiosity. I have always been driven by what is referred to as the "multiplier effect." It has not been enough to provide quality patient care to patients. I need to teach, and simultaneously learn, with residents and students, so that the knowledge and experience accrued can be "multiplied" and disseminated to an ever-greater number of physicians. For the highly motivated individual, I truly believe that our program represents an intellectual and academic feast.

Medical school: Oregon Health & Science University
Residency: Oregon Health & Science University
Fellowship: University of Texas, Southwestern Medical School at Dallas

Areas of academic focus:

• All facets of infectious diseases with emphasis on antimicrobials and molecular diagnostics
• Current project – Role of rapid molecular diagnostics in antimicrobial stewardship of sepsis and community-acquired pneumonia.

National/Regional responsibilities:

• Professor of Medicine, Oregon Health & Science University
• Co-Chair, IDSA/FDA Sponsored Workshop on Clinical Trials of Antimicrobials for Community Acquired Pneumonia
• Co-Director, National Infectious Disease Board Review Course
• Member, IDSA Task Force on Sepsis and Septic Shock
• Senior Editor of the Sanford Guide to Antimicrobial Therapy
• Founder and Advisory Board Member: Emerging Infection Network of CDC and IDSA
• President of Infectious Diseases Society of American, 2005-2006
• Executive Director of Infectious Diseases Society of Oregon

Awards:

• 2012: Recipient of Watanakunakorn Clinician of the Year Award of the Infectious Diseases Society of America
• 2022: Laureate Award from Oregon Chapter of America College of Physicians
• Howard Lewis Teaching Award from Oregon ACP

Selected Presentations/Publications:

• Gilbert DN, Leggett JE, Wang L, et al. Enhanced Detection of Community-Acquired Pneumonia Pathogens With the BioFire® Pneumonia FilmArray® Panel. Diagn Microbiol Infect Dis. 2021;99(3):115246. doi:10.1016/j.diagmicrobio.2020.115246
• Gilbert DN. Neglected Variables in the Interpretation of Serum Procalcitonin Levels in Patients With Septic Shock. J Infect Dis. 2020;222(Suppl 2):S96-S102. doi:10.1093/infdis/jiaa204
• Gilbert DN. Role of Procalcitonin in the Management of Infected ICU Patients. Infect Dis Clin North America 2017
• Gilbert DN Gelfer G, Wang L, Myers J, Bajema K, Johnston M, Leggett JK. The potential of molecular diagnostics and serum procalcitonin levels to change the antibiotic management of community-acquired pneumonia. Diagn Microbiol Infect Dis doi:10.1016/j.diagmicrobio.2016.06.008
• Spellberg B, Bartlett J, Wunderink R, Gilbert DN: Novel approaches are needed to develop tomorrow’s antibacterial therapies. Am J Respir Crit Care Med 2015;191(2):135-140
• Gilbert DN. Where do we go from here? J Infect Dis 2015; 212:1687-9
• Spellberg B, Gilbert DN. The future of antibiotics and resistance: a tribute to a career of leadership by John Bartlett. Clin Infect Dis 2014; 59(S2):S71-5.
• Sanford Guide to Antimicrobial Therapy revised annually
• Over 150 original peer-reviewed publications in the area of infectious diseases.

Teaching responsibilities:

• ICU Multidisciplinary Rounds - 4 days per week
• Citywide ID conferences
• Co-Director, Annual Infectious Diseases National Board Review course
• Program Chair: Annual Meeting of the Infectious Diseases Society of Oregon

Personal interests:
Family. I have been blessed with a loving wife, five children and, at the moment, 13 beautiful grandchildren. Hobbies include golf in the summer and skiing in the winter. Some say that medicine is my ongoing hobby.

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Meera Jain, M.D.

General Medicine Faculty

Personal statement: I love working with the residents at Providence! Our size and structure allow the faculty to really get to know our residents at both a professional and personal level and to follow their progress longitudinally. I find this truly rewarding.

Medical school: University of Florida (Alpha Omega Alpha)
Residency: Oregon Health & Science University

Areas of academic focus:

• Critical appraisal of the literature
• Tobacco prevention and cessation
• Chronic disease management
• Preventive health
• Statins/hyperlipidemia

Selected Presentations/Publications:

• Jain M, Dechet A. In mild acute diverticulitis, outpatient therapy without antibiotics was noninferior to antibiotics. Ann Intern Med. 2022 Feb;175(2):JC15. doi: 10.7326/J21-0022. Epub 2022 Feb 1. PMID: 35099998.
• Jain M, Childers C. Review: In newer CVD primary prevention trials, aspirin vs no aspirin does not reduce MI and increases major bleeding. Ann Intern Med. 2019 Nov 19;171(10):JC55. doi: 10.7326/ACPJ201911190-055. PMID: 31739338.
• Have given numerous residency didactics on a variety of topics including preventive health, hyperlipidemia, tobacco cessation, hypertension, CHF, evidence-based medicine and grand rounds on hyperlipidemia and tobacco cessation.

Teaching responsibilities:

• Director, Ambulatory Curriculum
• Attending on the inpatient wards, leading resident report, leading teaching rounds, precepting residents in continuity clinic.

Personal interests:
Gardening, traveling, hiking/wildflower identification, berry picky, and enjoying the food and wine scene. I am about to be an empty nester (my daughter is going off to college)!

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Tricia James, M.D.

General Medicine Faculty

Personal statement: After completing my residency and chief residency at Providence Portland I joined the hospitalist group for three years and then joined the general medical education faculty. I have always been passionate about teaching and I have been continuously impressed with this programs ongoing enthusiasm for and dedication to education and continual improvement. I love that it is a smaller program which allows us to get to know each person as an individual. I have now transitioned to only practicing outpatient medicine which I love. My other area of focus is well-being and I lead our curriculum and efforts for the residency and now also serve as the Director of Clinician Experience for Providence, OR as we work to continually advocate for changes at a bigger system level.

Medical School: University of Colorado School of Medicine
Residency: Providence Portland Medical Center
Chief Residency: Providence Portland Medical Center

Areas of academic focus:

• Resident and clinician well-being

Recent National/Regional Responsibilities:

• Director of Clinician Experience, Providence OR
• Burnout and Wellness Committee Director - Providence system Work Force Council
• Member of Collaborative on Healing and Renewal in Medicine (CHARM) workgroup in collaboration with the Alliance for Academic Internal Medicine (AAIM)

Selected Presentations/Publications:

• James TT, Hudon R, Merrick T, Olson L, HaJanes D, Scanlan JM. Creating a Comprehensive Pandemic Response to Decrease Hospitalist Burnout During COVID-19: Intervention vs Control Results in 2 Comparable Hospitals (HOSP-CPR). J Gen Intern Med. 2023 Apr;38(5):1256-1263.
• Thomas L, Harry E, Quirk R, Gooding H, Ripp J, James T, Kosub KY, Pinto-Powell RC, Orrange S, Panagioti M, Duckles AB, Brown C, Feingold J, Co JP, Wallach S, Tan WW, McManamon AC, Palamara K, Block L, Quinn M, Lukela M, Tomescu O, compilers. Evidence-Based Interventions for Medical Student, Trainee and Practicing Physician Wellbeing: A CHARM Annotate Bibliography. Tomescu O, editor. Alexandria (VA): Alliance for Academic Internal Medicine; 2017.
• "Well-being in GME." Oral Presentation. System GME Leadership Meeting. Virtual. February 2024.
• "Effective Advocacy - Getting Clear About Control vs Influence." Workshop Presentation. Inpatient PMG Wellness and Efficiency Summit, Stevenson, WA May 2024
• "Organizational Well-being: Stepping Into Creating the Future of Medicine." Oral Presentation. Northwest Acute Care Specialists Annual Meeting. Portland, OR November 2023
• "The Well-Being Systems' Movement." Panel Presentation. OMA Annual Conference - Medicine Now: What Next? Portland, OR October 2023
• "Changing medicine from the inside out: Integrating coaching into wellness work for organizations." Oral Presentation. Physician Coaching Summit, San Antonio, TX, November 2022
• "Develop an impactful structure to address wellness for a Hospitalist group." Oral Presentation. International Conference for Physician Health, Orlando, FL, October 2022
• "A 12-Week Medical Staff Coaching Initiative as an Effective, Immediate, Well-being Intervention in the Absence of Existing Well-being Infrastructure." Oral Presentation. International Conference for Physician Health, Orlando, FL, October 2022
• "What's in your backpack? Helping each other strive through adversity, a new Peer to Peer support program at PPMC." Oral Presentation/ PPMC Medical Grand Rounds. September 2019.
• "Physician Resilience - The Missing Quality Metric" (Lecture presentation, PPMC Medical Grand Rounds), 2017
• Resiliency - The Missing Milestone (Lecture presentations, Association of Pulmonary and Critical Care Medicine Program Directors Annual Conference), 2017.
• Well-being Toolbox: The Nuts and Bolts of Creating and Fostering a Well-being Program for your Trainees (Workshop presentation, Association of Pulmonary and Critical Care Medicine Program Directors Annual Conference), 2017.

Teaching Responsibilities:

• Outpatient preceptor
• Creator and director of the Diastole (aka well-being) curriculum
• Facilitator of resident support groups and resident retreats

Personal interests:
I love traveling and exploring the world. I also enjoy all things outdoors, particularly camping and hiking. You can also often find me reading and am often reading 3-4 books at once. My 3 kids always keep me challenged, entertained and filled with love.

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Mari Kai, M.D.

Clinic Medical Director - PMG-Northeast
General Medicine Faculty

Personal statement: I love that our residency gives such a well-rounded education for our trainees. It’s great to see our graduates succeed in different aspects of internal medicine and in various locations.

Medical school: Columbia College of Physicians and Surgeons
Residency: Oregon Health & Science University
Fellowship: General Medicine, Portland VA Medical Center

Area of academic focus:

• Ambulatory education
• Substance use and pain management
• Palliative care
• Geriatrics

National/Regional responsibilities:

• Patient-Centered Medical Home Workgroup, Society of General Internal Medicine (2006)
• Co-chair Society of General Internal Medicine Women’s Caucus 2005-2006.
• SGIM NW Region – 2007 President/Meeting Chair, regional officer 2006-2008
• Journal of General Internal Medicine Reviewer (2006-current)

Selected Presentations/Publications:

• Workshop presentation: "Rethinking the Primary Care and Mental Health Partnership: Lessons Learned from Innovative Models to Deliver Effective Physchiatric Care within the Primary Care Home" Anjali Das, MD, Irina Gelman, PsyD, Mari Kai, MD, Anthony Nguyen, MD, David Nagarkatti-Gude, MD, Society of General Internal Medicine National Annual Meeting, May 2025.
• Workshop presentation: "Creating Multidisciplinary Collaborative Anti-Bias Training for Residency Education" Mari Kai, MD, Irina Gelman, PsyD, Mary Anne Nidiry, MD, Qian Leng, MD, MPH. Northwest Regional SGIM conference March 2024.
• "Association of a Multimodal Educational Intervention for Primary Care Physicians with Prescriptions of Buprenorphine for Opioid Use Disorders" Brinton Clark, MD, MPH, Mari Kai, MD, Ryan Dix, PsyD, Jonathan White, Pharm D, Yelena Rozenfeld, MPH, Sheldon Levy, PhD, and Kathleen Engstrom, BS. JAMA Network Open, Oct 2, 2019 PMID 1642929
• Poster presentation: "Improving Access to Opioid Use Disorders" NW Regional SGIM meeting in Portland, OR February 3, 2017
• Oral Presentation at the National SGIM conference in Toronto, Canada May 2015. “Complex Case Conference: Multi-disciplinary Rounds in the Outpatient Setting” with Dr. Brinton Clark (selected as one of the Top 5 medical education innovation abstracts at the meeting)
• Kai M, Clark B, Rosenberg M. Introduction to outpatient Medicine: An Innovative Approach. Journal of Graduate Medical Education, June 2014
• A Multisite, Multistakeholder Validation of the Accreditation Council for Graduate Medical Education Competencies. Academic Medicine, Vol. 88, No. 7, July 2013
• “Prevalence of Diagnosed Sleep Apnea among Type 2 Diabetics in Primary Care, “ John E. Heffner, MD, Yelena Rozenfeld, MPH, Mari Kai, MD, Elizabeth Stephens, MD, Lee K. Brown, MD, Chest, November 17, 2011.

Personal interests:
Cycling, hiking, skiing, futsal, kickboxing, watching soccer, gourmet foods, reading, and travel

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Michael Layoun, M.D.

Gilbert Chair of Subspecialty Education
Cardiology

Personal statement: I joined the Providence Heart Institute in 2020, started the Jack Loacker Center for Cardio-Oncology in 2022 and was welcomed into the medical education faculty in 2025. As a Portland native, I am thrilled to be able to give back to the community that raised me and also be directly involved in resident education.

Medical School: Oregon Health & Science University
Residency: University of California, Los Angeles
Fellowship: Oregon Health & Science University

Area of academic focus:

• Advanced cardiac imaging
• Cardio-oncology (research, clinical)
• Cardiology education curriculum for residents

Selected presentations/publications:

• Layoun ME. Heart After Dark. Jack Loacker Center for Cardio-oncology Updates. Oct 10, 2024. Portland, OR.
• Layoun ME. Providence Cardiovascular Updates That Will Change Your Practice. “Mitral valve disease: more than just a regurgitation of the guidelines.” Oct 5, 2023. Portland, OR.
• Layoun ME. Samaritan Health cardiology lecture series. “Updates in Cardio-Oncology.” Corvallis, OR. March 9, 2023.
• Layoun ME. Providence Healthy Conversations. “Cancer and the Heart Connection.” Portland, OR. March 7, 2023.
• Layoun ME. Breast Cancer City-wide Journal Club. “Strain Imaging in a Cancer Population.” Portland, OR. October 12, 2022.
• Layoun ME. NANETS Regional NET Education: The Multidisciplinary Management of NET Disease. “Carcinoid Heart Disease.” Portland, OR. June 25, 2022.
• Layoun ME. Providence DocTalk Series. “Cancer plus heart disease: a devastating one-two punch.” March 10, 2022.
• Layoun ME An introduction to aortic stenosis. Providence internal medicine residency cardiac didactics. November 18th, 2021.
• Davidson BP, Hodovan J, Layoun ME, Golwala H, Zahr F, Lindner JR. Echocardiographic Ischemic Memory Molecular Imaging for Point-of-Care Detection of Myocardial Ischemia. J Am Coll Cardiol. 2021 Nov, 78 (20) 1990–2000.
• Layoun ME. Providence Heart Institute webinar series. “Clinical Updates in Cardio-Oncology. Parts 1 and 2.” July 20, 2021 and November 16, 2021. Portland, OR.
• Layoun ME. Advanced Practice Providers Oncology Summit. “Cardiovascular Risk Assessment and Disease Management in Patients with Cancer.” Oct 8, 2021. Portland, OR.
• Layoun ME. Providence Cardiovascular Updates That Will Change Your Practice. “Selecting the ‘Right’ Antithrombotic Therapy for Patients with Atrial Fibrillation and Coronary Artery Disease – First Do No Harm!” Oct 1, 2021. Portland, OR.
• Lindner JR, Davidson BP, Song Z, Maier CS, Minnier J, Stevens JF, Ferencik M, Taqui S, Belcik JT, Moccetti F, Layoun ME, et al. Plasma Lipidomic Patterns in Patients with Symptomatic Coronary Microvascular Dysfunction. Metabolites. 2021;11,648.
• Layoun ME, Ferencik M. “Cardiovascular Complications.” Blood and Marrow Transplant Handbook, 3rd ed. Springer, 2021, pp. 557-578.
• Layoun ME, Mayrhofer T, Ferencik M. “Coronary Atherosclerosis & Cardiovascular Risk Factors in Subjects with Clonal Hematopoiesis.” Society of Cardiovascular Computed Tomography Annual Meeting. July 17-18, 2020.
• Kumar K, Layoun ME, Rahmouni H. Carcinoid heart disease: an uncommon cause of dyspnea on exertion. J Am Coll Cardiol. 2020 Mar, 75 (11 Supplement 1) 2733.
• Layoun ME, Desmarais J, Heitner SB, Masri A. Hot hearts on bone scintigraphy are not all amyloidosis: hydroxychloroquine-induced restrictive cardiomyopathy. Eur Heart J. ehaa091, published February 20, 2020.
• Layoun ME. Hydroxychloroquine-Induced Cardiomyopathy. Presenter for “Stump The Stars.” American Society of Echocardiography, annual meeting. Portland, OR. June 2019.
• Layoun ME. “Ultrasound image artifacts: A clinical review.” Willamette Valley Society of Echocardiography. 2019 Annual Conference. June 1, 2019.
• Taqui S, Ferencik M, Davidson BP, Belcik JT, Moccetti F, Layoun ME, Raber J, Turker M, Tavori H, Fazio S, Lindner JR. Coronary Microvascular Dysfunction by Myocardial Contrast Echocardiography in Nonelderly Patients Referred for Computed Tomographic Coronary Angiography. JASE. 2019;32(7):817-825.
• Layoun ME, Yang EH, Herrmann J, et al. Applications of Cardiac Computed Tomography in the Cardio-Oncology Population. Curr. Treat. Options in Oncol. 2019;20:47.
• Layoun ME, Thoms T, Stecker E, Fuss C, Khan A. “Caseous Calcification of the Mitral Annulus Associated with Embolic Infarcts and Chronic Pericardial Calcification.” American College of Cardiology Annual Scientific Session & Expo 2019. New Orleans, LA. March 16, 2019.
• Layoun ME, Yang EH, Herrmann J. Novel TKIs: Cramping the Style of Cardio-Oncology Care? http://www.acc.org. Dec. 13, 2018. Accessed Dec. 13, 2018.
• Layoun ME, Ferencik M. Immunotherapy: An IL-lustrative Case of Cardiac Sequelae. http://www.acc.org. Dec. 13, 2018. Accessed Dec. 13, 2018.
• Lieu MT, Layoun ME, Dai D, Soo Hoo GW, Betancourt J. Tension hydropneumothorax as the initial presentation of Boerhaave syndrome. Respir Med Case Rep. 2018;25:100-103.
• Layoun ME, Van Woerkom R, Ferencik M. “Diagonal Branch Occlusion Detected by Coronary Computed Tomography Angiography as the Cause of Acute Coronary Syndrome.” Society of Cardiovascular Computed Tomography Annual Meeting, Dallas, TX. July 12-15, 2018.
• Layoun ME. “Cardiac Complications of Aortic Dissection.” Invited oral presentation at Oregon Chapter of the American College of Cardiology Symposium, Portland, OR. May 4-5, 2018.
• Layoun ME, Yang EH, Honda HM, Tobis JM. Caught in the Act: Paradoxical Emboli. Tex Heart Inst J 2018;45:2.
• Layoun ME, Aboulhosn JA, Tobis JM. Potential Role of Patent Foramen Ovale in Exacerbating Hypoxemia. Tex Heart Inst J 2017;44(3):1-9.
• Tang MS, Layoun ME, Kahn D. Sheep in Wolf’s Clothing: The Great Masquerader. Poster presented at the 2017 SGIM Annual Meeting. Washington, D.C. (2017).
• Layoun ME, Yang EH. Caught in the act: paradoxical emboli. Poster presented at American College of Physicians, Southern California regional meeting, San Diego, California (2016).
• Layoun ME, Wickramasinghe CD, Yang EH. Fluoropyrimidine Cardiotoxicity: Getting to the Heart of the Matter. Solomon Scholars Research Program poster session. Los Angeles, California (2016).
• Layoun ME, Wickramasinghe CD, Peralta MV, Yang EH. Fluoropyrimidine-Induced Cardiotoxicity: Manifestations, Mechanisms, and Management. Curr Oncol Rep (2016) 18:35.

Teaching responsibilities:

• Cardiology-focused didactic lectures
• Scholarly endeavors for residents (case reports/series, study participation)
• Inpatient/outpatient cardiology preceptorship

Personal interests:
Staying busy helping to raise my young family, woodworking/furniture building, jazz guitar

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Qian "chee-an" Leng, M.D., M.P.H. (she/her)

General Medicine Faculty

Personal statement: I feel very fortunate to have joined the Providence Portland Residency family in 2023 after completing a research fellowship at the Portland VA. I appreciate our emphasis on getting to know each resident as a human being first, and doctor, second. It's a close-knit program with extensive educational and mentorship opportunities and many chances for residents to innovate and lead based on their passions. I'm excited to help support residents in their research and DEI goals.

Medical school: Harvard University
Residency: Oregon Health & Science University
Fellowship: Health Services Research, Portland VA

Area of academic focus:

• Microaggressions and discrimination in the healthcare setting
• Health disparities
• Healthcare professionals' wellness
• Mindfulness and yoga
• Cannabis research
• Perinatal women's health

Selected Presentations/Publications:

• Leng QL, Lo JO, Rakshe S, Hildebrand AD, Doyle OJ, Seghete KM, Graham A. The association between preconception cannabis use and depression and anxiety during pregnancy. Gen Hosp Psychiatry. 2023 Jul-Aug;83:148-155. doi: 10.1016/j.genhosppsych.2023.05.006. Epub 2023 May 5. PMID: 37196406.

Personal interests:
I'm a long-time fan of movement of all types, and I teach yoga and Pilates in Portland. I love doing anything outdoors from hiking to paddle boarding. I'm married to a wonderful trans-feminine nonbinary human, and we have a 5-year-old daughter together. I'm an immigrant and stay connected to my roots by continuing to learn Mandarin and Spanish. My goal is to provide care that is inclusive and sensitive to people of all backgrounds, particularly those who have traditionally been marginalized by our society.

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Anthony Nguyen, M.D.

Behavioral Medicine

Personal statement: As a psychiatrist, I treat mental, emotional, and behavioral disorders with the use of both medications and psychotherapy. I conduct thorough psychiatric evaluations, develop treatment plans, prescribe medications, and evaluate treatment results.
My primary focus is improving the day-to-day function of my patients, which impacts their relationships and interactions with others, their ability to live more fully in the present moment, and foster opportunities for self-growth and development. I utilize a wholistic, biopsychosocial approach to mental health treatment, with treatment plans personalized to each of my patients. I help patients learn to monitor their mental health symptoms effectively, and develop lifelong habits and routines that will continue to transform their lives even after concluding our work together.

Medical school: Oregon Health & Science University, Doctor of Medicine (2018)
Residency: Oregon Health & Science University, General Psychiatry
Chief Resident: Oregon Health & Science University Resident Outpatient Psychiatry Clinic (2022)

Areas of academic focus:

• Mindfulness within Mental Health
• Fitness within Mental Health
• Transitional Age Youth
• Asian American Mental Health

Teaching responsibilities:

• Psychiatric consultation for primary care patients with behavioral health concerns alongside Internal Medicine residents on Wednesday afternoons.
• Teaching goals include: Diagnostic clarification, medication management, supportive psychotherapy, motivational interviewing, liaison with medical team.

Personal interests:
Snowboarding, electronic dance music, fitness.

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Mary Anne Nidiry, M.D.

General Medicine Faculty
Medical Student Director

Personal statement: I joined Providence Portland Medical center in 2019. I have truly enjoyed being in such a collegial and collaborative atmosphere. The small size of the program allows me to get to know the residents well. I value the small community atmosphere combined with a true dedication to academics.

Medical school: George Washington University
Residency: University of Michigan Medical Center

Areas of academic focus:
Medical education, racial disparities in health.

Selected Presentations/Publications:

• Residency didactics on a variety of topics including diabetes, HTN and asthma guidelines, skin lesions in primary care, BRCA testing guidelines. I presented a Grand Rounds on Medical Bias in Obesity. I have participated in Diversity Dialogues, a multidisciplinary quarterly discussion about bias and microaggressions in medicine, since 2020.

Teaching responsibilities:

• Medical Student Director
• Inpatient ward attending
• Outpatient Preceptor
• Noon conferences
• Diversity Dialogues co-creator and facilitator
• Core Competency Committee Chairperson

Personal interests:
Racial disparities in health, patient education, women's health.

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Cody Paiva, D.O., MPH

General Medicine Faculty

Personal Statement:
As a graduate of the PPMC Internal Medicine residency program, I know just how special this PPMC community is, so much so that I have continued on as a faculty member. Our program highlights resident and physician wellness while also providing high-quality academic experiences, and excellent patient care. I love that our program is smaller, allowing us to really get to know each other on a personal level. Our program is very committed to change and growth, ensuring we continue to provide and excellent training environment for our residents.

Medical School: Pacific Northwest University of Health Sciences College of Osteopathic Medicine
Residency: Providence Portland Medical Center
Additional Training: MPH, Eastern Washington University

Area of academic focus:

• Primary care and ambulatory medicine
• LGBTQ+ and gender-affirming care
• Quality improvement
• Curriculum development
• Innovations and novel medical education methods

Teaching responsibilities:

• Primary care clinic preceptor
• Inpatient ward attending
• Resident report faculty facilitator
• Noon conference presentation topics
• Co-director quality improvement curriculum
• Assessment and evaluation coordinator

Public Presentations:

• Paiva C, Clark B. A Pilot Study to Determine Efficacy of Bluetooth-Enabeled Home Blood Pressure Monitoring in the Management of Hypertension. Society of General Internal Medicine, Oral Plenary Session. Denver, CO. May 12, 2023.
• Paiva C, Clark B. Hormone Wars: The Thyroid Strikes Back! A Case of Hashimoto Encephalopathy. American College of Physicians Oregon Annual Meeting, Poster Presentation. Portland, OR. November 12, 2020.
• Paiva C, Hepner E, Garibray A, McCarroll M. A Pilot Study Comparing Two Medical Models (Centering Diabetes vs. Standard of Care) in the Management of Diabetes at a Free Medical Clinic. Research Thesis Presentation. Eastern Washington University. Cheney, WA. February 14, 2020.
• Paiva C, Hashiguchi T, Best SS, Danilov AV. TAK-243, a Small Molecule Inhibitor of Ubiquitin-Activating Enzyme (UAE), Induces ER Stress and Apoptosis in CLL Cells. American Society of Hematology Annual Exposition. Poster Presentation. San Diego, CA. December 2, 2018.
• Paiva C, Asmussen A, Hepner, E Garibray A, McCarroll M. Electronic Health Record Implementation: A Quality Assurance Assessment form a Free Clinic Perspective. Pacific Northwest University of Health Sciences Academic Research Day. Research Poster Pesentation. Yakima, WA. April 15, 2018.
• Paiva C, Hashiguchi T, Best S, Danilov AV.SYK Inhibition Disrupts the Cross-Talk Between B-Cell Activation Factor (BAFF) and B-Cell Receptor (BCR) and Thereby Antagonizes Mcl-1 in Chronic Lymphocytic Leukemia (CLL) B-Cells. PNWU Academic Research Day. Oral Presentation. Yakima, WA. April 7, 2017.

• Paiva C, Hashiguchi T, Best S, Danolov AV. SYK Inhibition Disrupts the Cross-Talk Between B-Cell Activation Factor (BAFF) and B-Cell Receptor (BCR) and Thereby Antagonizes Mcl-1 in Chronic Lymphocytic Leukemia (CLL) B-Cells. Pacific Northwest University of Health Sciences. Lecture. Yakima, WA. January 11, 2017.
• Paiva C, Hashiguchi T, Best S, Danilov AV.SYK Inhibition Disrupts the Cross-Talk Between B-Cell Activation Factor (BAFF) and B-Cell Receptor (BCR) and Thereby Antagonizes Mcl-1 in Chronic Lymphocytic Leukemia (CLL) B-Cells. American Society of Hematology Annual Exposition. Oral Presentation. San Diego, CA. December 4, 2016.
• Paiva C, Hashiguchi T, Godbersen JC, Danilova OV, Danilov AV.Cyclin-dependent kinase inhibitor P1446A induces apoptosis in a JNK/p38-MAPK-dependent manner in chronic lymphocytic leukemia B-cells. American Society of Hematology Annual Exposition. Poster Presentation. Orlando, FL, December 7, 2015.
• Paiva C, Hashiguchi T, Godbersen JC, Danilova OV, Danilov AV. Pevonedistat sensitizes diffuse large B-cell lymphoma cells to death receptor ligand-mediated apoptosis. American Society of Hematology Annual Exposition. Poster Presentation Orlando, FL, December 7, 2015.
• Paiva C, Rowland TA, Sreekantham B, Godbersen JC, Danilov OV. miR-21 is differentially expressed in lymph nodes and induced by stroma in IGHV-unmutated chronic lymphocytic leukemia (CLL) B-cells. American Society of Hematology Annual Exposition. Poster Presentation. San Francisco, CA, December 6, 2014.
• Godbersen JC, Paiva C, Berger A, Brown JR, Danilov AV. Targeting Nedd8 activating enzyme induces DNA damage and cell cycle arrest and sensitized chronic lymphocytic leukemia (CLL) B-cells to alkylating agents. American Society of Hematology Annual Exposition. Poster Presentation. San Francisco, CA, December 7, 2014.
• Paiva C, Godbersen JC, Soderquist RS, Rowland T, Kilmarx S, Spurgeon SE, Brown JR, Danilov AV. A novel CDK inhibitor P1446A shows preclinical activity in chronic lymphocytic leukemia (CLL). American Society of Hematology Annual Exposition. Poster Presentation. New Orleans LA, December 7, 2013.
• Paiva C. The role of c-FLIP cleavage in innate immune response to viral infection. Annual Student Research Conference. University of Vermont. Oral Presentation. Burlington, VT, May 3, 2013.

Publications:

• Hashiguchi T, Bruss N, Best S, Lam V, Danilova OV, Paiva CJ, Rowley J, Chen A, Gilbert E, Okada CY, Kaur P, Drew L, Cidado J, Hurlin P, Danilov AV. Cyclin-dependent kinase-9 is a therapeutic target in MYC-expressing diffuse large B-cell lymphoma. Molec Cancer Ther. 2019 Sep; 18(9), 1520-1532. DOI: 10.1158/1535-7163.MCT-18-1023. PMID: 31243099
• Best SR, Hashiguchi T, Kittai A, Bruss N, Paiva CJ, Okada C, Liu T, Berger A, Danilov AV. Targeting ubiquitin-activating enzyme induces ER stress mediated apoptosis in B-cell lymphoma cells. Blood Advances. 2019 Jan 8; 3(1), 51-62. DOI: 10.1182/bloodadvances.2018026880. PMID: 30617217
• Asmussen A, Paiva CJ, Hepner E, Garibray A, McCarroll ML. Electronic Health Record Implementation: A Quality Assurance Assessment from a Free Clinic Perspective. J Comm Med Health Ed. 2017 Sept. 7;5. doi: 10.4172/2161-0711.1000556.
• Paiva C, Rowland TA, Sreekantham B, Godbersen C, Best SR, Kaur P, Loriaux MM, Spurgeon SEF, Danilova OV, Danilov AV. SYK Inhibition Thwarts BAFF-B-Cell Receptor Crosstalk and Thereby Antagonizes Mcl-1 in Chronic Lymphocytic Leukemia. Haematologica. 2017 Nov; 102(11): 1890-1900. doi: 10.3324/haematol.2017.170571. PMID: 28838991.
• Paiva C, Godbersen JC, Rowland T, Danilova OV, Danes C, Berger A, Danilov AV. Pevonedistat, a Nedd8-activating Enzyme Inhibitor, Sensitizes Neoplastic B-Cells to Death Receptor-Mediated Apoptosis. Oncotarget. March 2017; 28;8(13): 21128-39. DOI:10.1862/oncotarget.15050. PMID: 28177892.
• Paiva C, Godbersen JC, Soderquist RS, Rowland T, Kilmarx S, Spurgeon SE, Brown JR, Srinivasa SP, Danilov AV. Cyclin-Dependent Kinase Inhibitor P1446A Induces Apoptosis in a JNK/p38-Dependent Manner in Chronic Lymphocytic Leukemia B-Cells. PLOS One. November 2015; 25;10(11):e0143685. DOI:10.1371/journal.pone.0143685. PMID: 26606677.
• Paiva C, Godbersen JC, Berger A, Brown JR, Danilov AV. Targeting Neddylation Induces DNA Damage and Checkpoint Activation and Sensitizes Chronic Lymphocytic Leukemia B Cells to Alkylating Agents. Cell Death Dis. 2015; 9;6:e1807. DOI:10.1038/cddis.2015.161. PMID: 26158513.
• Godbersen JC, Paiva C, Danilova OV, Berger A, Brown JR, Danilov AV. Targeting Neddylation Effectively Antagonizes Nuclear Factor-KB in Chronic Lymphocytic Leukemia B-Cells. Leuk Lymphoma. 2015; 56(5): 1566-69. DOI:10.3109/10428194.2014.990901. PMID: 26086969.
• Danilova OV, Paiva C, Kaur P, Kamal A, Sempere LF, Danilov AV. MIR21 is Differentially Expressed in the Lymphoid Tissue and Modulated by Stromal Signaling in Chronic Lymphocytic Leukaemia. Br J Haematol. 2015; 170(2): 272-75. DOI:10.1111/bjh.13282. PMID: 25643738.

Personal interests:
Exploring the Portland food scene, running, spending time with my husband, dog, and two cats, baking, playing board games, wine tasting, and traveling and exploring the world

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Ben Pedroja, M.D.

General Medicine Faculty
Hospitalist Clinician Educator

Personal statement:
As a former resident and chief resident of the program, I was honored to join this amazing group of dedicated educators in 2019. Resident education, along with service and innovation, has always been at the core of our mission at Providence, and I’m proud to be a part of that tradition. Combining the rigors of a tertiary referral center with the supportive atmosphere of a community teaching hospital, this program is a highly engaging and rewarding place to pursue a career in medicine.

Medical School: SUNY Upstate Medical University
Residency: Providence Portland Medical Center
Chief Residency: Providence Portland Medical Center

Areas of academic focus:

• Resident training in point-of-care ultrasound
• Early warning and rapid response systems
• Inpatient addiction treatment
• Quality improvement and patient safety

Teaching responsibilities

• Inpatient ward attending
• Director, residency point-of-care ultrasound curriculum
• Director, residency simulation curriculum
• Co-director, inpatient procedures rotation
• Co-director, residency QI curriculum
• Faculty mentor, quality improvement projects focused on inpatient addiction treatment, harm reduction in opioid use disorder, hospital delirium, hospital throughput and length of stay.

Regional/National Responsibilities:

• PPMC unit collaborative physician lead, 2022-present
• Providence regional unit collaborative steering committee, 2022-present
• PPMC code blue committee, 2021-present
• PPMC code stroke committee, 2023-present
• Ultrasound trainer, Point-Of-Care and General Medicine Ultrasound Course (OHSU/AIUM), 2019-present
• PPMC pain leadership committee member, 2018-2020
• Providence reducing readmissions steering committee member, 2017-2018

Selected Presentations/Publications:

• Brief training in ultrasound equips novice clinicians to accurately and reliably measure jugular venous pressure in obese patients. Pettit et al. Austr J Ultr Med 2023; 26(2):85-90
• Implementing an introductory quality improvement curriculum at a residency program. OHSU Symposium on Educational Excellence, May 2023
• Updates in hospital medicine 2022. PPMC Medical Grand Rounds, January 2023
• Go home with naloxone: A resident-led quality initiate to increase Naloxone prescribing for hospitalized patients at risk for opioid overdose. Poster presentation, American College of Physicians Oregon Chapter, November 2022
• Safe and effective opioid prescribing in the hospital: can we have it both ways? PPMC Medical Grand Rounds, November 2021
• Treating addiction in palliative care: role for buprenorphine. Providence St Vincent’s Medical Center, faculty development, July 24^th, 2019
• Buprenorphine in the hospital: expanding access to life-saving treatments for opioid use disorder. PPMC Medical Grand Rounds, February 2019
• Awakened by a sedative. Oral presentation/clinical vignette, meeting of the American College of Physicians Oregon Chapter, November 2017
• Implementing a delirium prevention program: Barriers and successes. Poster presentation, American College of Physicians Oregon Chapter, November 2017. This was 1^stplace winner in the QI category and was also presented at the national meeting in San Antonio in 2017.

Personal Interests
Avid cyclist and devoted father of two girls. I also enjoy jazz music, politics, and tending to my collection of philodendron and other tropical plants.

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Laura Perry, M.D.

The Springs Living Regional Chair of Geriatric Medical Education
Geriatrics

Personal statement: I joined the faculty of Providence Portland in 2023. Prior to that, I had been practicing as a geriatrician in primary care and nursing home medicine. I love teaching residents how to care for older adults in a way that is safe, effective, and puts the patient's priorities at the center of the plan.

Medical School: Emory University
Residency: George Washington University
Chief residency: Washington DC VA Medical Center
Fellowship: Harvard Multicampus Geriatric Medicine Fellowship
Board certification: internal medicine and geriatric medicine

Areas of academic focus:

• Comprehensive, patient-centered care of older adults
• Primary care for people with dementia
• Management of patients with multiple complex conditions
• Clinical reasoning in situations with a high degree of uncertainty
• Communication skills with patients and families

Selected Presentations/Publications:

• American College of Physicians, 2024 Oregon Chapter Meeting. "A Roadmap of Caring for Patients with Dementia in Primary Care."
• Oregon Academy of Family Physicians Annual Conference 2024. "Polypharmacy, Deprescribing and Symptom Management: Practical Tips for Primary Care Providers."
• Perry L, Scheerens C, Greene M, Shi Y, Onion Z, Bayudan E, Stern RJ, Gilissen J Chodos AH. Unmet health-related needs of community-dwelling older adults during COVID-19 lockdown in a diverse urban cohort. J Am Geriatr Soc. 2023 Jan; 71(1):178-187.
• Perry LP, Widera EW. Cultivating prognostic understanding: Managing the discordance between cardiopulmonary resuscitation expectations and reality. J Am Geriatr Soc. 2021 Jul;69(7):1805-1806.
• Perry LP, Covinsky KE. I Would Not Be Surprised. What Next? Am J Nephrol. 2020 Jul 24.
• Perry LP. “To All Doctors: What You Can Do to Help as a Bunch of Older People Are About to Get Sick and Die.” J Am Geriatr Soc. 2020 May; 68(5):9
• Steinman MA, Perry L, Perissinotti CM. Meeting the Care Needs of Older Adults Isolated at Home During the COVID-19 Pandemic. JAMA Intern Med. 2020 Apr 16
• Perry L. “Toenail Examination Reveals Unmet Care Needs.” JAMA Intern Med. 2018;178(9):1283.
• Triantafylidis LK, Hawley CE, Perry LP, Paik JM. "The Role of Deprescribing in Older Adults with Chronic Kidney Disease." Drugs Aging. 2018;35(11):973-84.
• Perry Fernandez L, Romanovsky L, Javedan H. “Geriatric Consultation and Expertise for the Hospitalized Patient.” Hosp Med Clin 5 (2016): 507-17.
• Perry Fernandez L, Catalanotti J, Croffoot J. “Unwarranted Cancer Screening: A Teachable Moment.” JAMA Intern Med 176 (2016): 590-1.

Teaching responsibilities:

• Oversee resident education across four residency programs
• Develop curricula to meet ACGME/AGS requirements for graduating residents
• Develop faculty development curricula
• Supervise residents in multiple clinical settings including continuity clinic, nursing facilities and embedded geriatrics consultation clinic
• Serve as "curbside consultant" available to faculty and housestaff at all four sites
• Mentor residents for quality improvement projects

Personal interests:
Gardening (especially growing herbs for tea), exploring Oregon's beautiful outdoor spaces, spending time with my husband and sons, and spoiling our two cats, Moose and Squirrel.

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Jesse Powell, M.D.

General Medicine Faculty

Personal statement: I came to Providence Portland because I was impressed by the program's commitment to caring for the poor and vulnerable, and because it is a welcoming place to learn academic medicine in a comfortable environment.

Medical school: University of Utah School of Medicine
Residency: Providence Portland Medical Center
Chief Residency: Providence Portland Medical Center

Areas of academic focus:

• Outpatient medicine
• Occupational and Environmental Medicine
• Graphic medicine and medical illustration

Selected Presentations/Publications:

• Transfusion Thresholds and the MINT Trial: Beyond Journal Club with NEJM Group | Core IM Podcast. Graphic summary, 2024.
• Be Calm, Annals of Internal Medicine Graphic Medicine, 2020
• An Abbreviated History of My Medical Training, Annals of Internal Medicine Graphic Medicine, 2019
• Occupational Medicine for the Primary Care Physician, Medical Grand Rounds, Portland, OR; 2016
• Cartoons for Medical Education, Academic Achievement Day Poster, Portland, OR; 2016
• Public Health Hazards of Volcanoes and Geothermal Areas, Resident Senior Talk, Portland, OR; 2015

Personal interests:
I enjoy drawing, reading, cycling and birding.

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Mark Rosenberg, M.D.

General Medicine Faculty PPMC, Director of Compassion Care, Providence St. Joseph Health

Personal statement: Working collaboratively with residents and faculty to create a challenging and supportive training environment has been a tremendously gratifying way to spend my professional career. Seeing the impact our graduates make is a powerful confirmation of our training program.

Medical school: University of Pittsburgh
Residency: Oregon Health & Science University

Areas of academic focus:

• Compassion in Healthcare
• Cardiovascular risk modification
• Professional and Inter-professional Development

Recent National/Regional Responsibilities:

• Co-Chair National Conference: Compassion in Action Boston (2017)
• Director of Compassionate Care Providence St. Joseph Health (2016)
• AAIM Taskforce on Physician Wellness (2016)
• Director of Compassionate Care PH & S System (2015)
• Clinical Advisor for Providence Health International (2014)
• Emerging Models in Palliative Care Task Force Association of Hospice and Palliative Medicine (2013)
• PHS Strategic Council in Palliative Care (2011-2015)
• PHS International Site Development-Leadership Team (2011-2016)
• Project Access Now (Board Chair) – Linking volunteer physicians to patients (2009-11)
• National e-Learning Task Force APDIM (2010)
• Program Planning Regional ACP (2010)
• International Collaborative for Healthcare in Africa (ASANTE) (1997-2016)
• International Workgroup on Patient Safety (Jerusalem 2008)
• Geriatrics Education Task Force, Association of Program Directors in Internal Medicine
• Long-Range Planning Committee, Association of Program Directors in Internal Medicine
• Review Board: Cost Effective Use of Cardiovascular Drugs – State of Oregon

Selected Presentations/Publications:

• Rosenberg M, Hawkins R., Chun L. et al Randomized Trial of a Compassion Curriculum to Improve the Quadruple Aim Submitted to JAMA Sept. 2018
• Creating Compassionate Leaders AMA/CMA/BMA National Meeting Toronto October 2018
• Compassion in Teams Vinzient National Webinar February 2018.
• Compassionate Leadership AMA National Meeting October 2017
• Randomized Trial to Reduce Burnout in Outpatient Setting AMA National Meeting October 2017
• Building a Compassionate Healthcare System National Meeting CIA 2017
• Compassion Integration: Schwartz Center National Webinar May 2017
• Strengthening Outpatient Practice IHI Dec 2016
• Compassion and Physician Wellness October 2016
• Compassionate Leadership AMA/CMA/BMA Meeting Sept 2016.
• Kai M, Clark B, Rosenberg M. Introduction to Outpatient Medicine: An Innovative Approach. J Grad Med Education June 2014; 365-67. PMID 24949158.

Personal interests:
Community Organizing, outdoor activities (camping, kayaking, tennis,) yoga, and oceanography.

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Elizabeth Stephens, M.D.

Endocrinology
Fellowship Coach

Personal statement: I joined Providence Portland Medical Education in 2007 and loved the commitment to teaching and mentorship. In my current role, I have the good fortune of being able to teach the residents the intricacies of endocrine pathways in many different venues - 1:1, noon conference, and in our own NE diabetes and endocrinology clinics. I am also the Fellowship coach and enjoy mentoring the residents and being a part of their journey as they figure out their next steps after residency.

Medical school: Vanderbilt University
Residency: Oregon Health & Science University
Fellowship: University of Colorado Health Sciences Center

Areas of academic focus:

• Resident education in endocrinology and diabetes
• Mentorship and career development

National/Regional responsibilities:

• Fellowship Coach, Providence Portland IM Residency Program
• Medical Director, Diabetes Care and Education Specialists

Selected Presentations/Publications:

• Co-author, EMBARK: A Randomized Controlled Trial Comparing Three Approaches to Reducing Diabetes Distress and Improving HbA_1c in Adults with Type 1 Diabetes, 2024
• Unique Considerations in Treating Women with Diabetes, OHSU 2024
• Myths and Hopes in Managing Type 1 Diabetes, Grand Rounds, PPMC and St. Vincent's, 2022
• Oregon Public Broadcasting, Think Out Loud, Type 1 Diabetes, 2017.
• Rocky Mountain Metabolic Syndrome Symposium, Update in Type 2 diabetes management, 2017.
• Tricia James, MD; Ryan Dix, PsyD; Elizabeth Stephens, MD; Richard Cohen, MD. Feeling the Burn: a Resliency Intervention. Alliance of Independent Academic Medical Centers meeting, 2017.
• Elizabeth Stephens, MD, Jonathan White, PharmD. Is access improved with Team-Based Care in a diabetes clinic? Society for General Internal Medicine meeting, Portland 2017.
• Heffner JE, Rozenfeld Y, Kai M, Stephens EA, Brown LK. Prevalence of diagnosed sleep apnea among patients with type 2 diabetes in primary care. Chest. 2012 Jun;141(6):1414-1421. doi: 10.1378/chest.11-1945. Epub 2011 Nov 17. PMID: 22095313.

Personal interests:
Bike commuting, listening to music (and singing!), watching and trying to play golf and spending time with my husband and 2 sons.

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Paula Wichienkuer, M.D.

General Medicine Faculty

Personal statement: Providence's commitment to resident education and excellent patient care make this as stimulating and supportive environment in which to practice medicine.

Medical school: Oregon Health & Science University
Residency: Oregon Health & Science University
Additional training: Masters of Public Health (epidemiology and biostatistics), Oregon Health & Science University

Areas of academic focus:

• Outpatient quality improvement
• Effective use of the electronic medical record
• Health literacy

Regional responsibilities:

• Membership Chair, Northwest Chapter, Society of General Internal Medicine

Selected Presentations/Publications:

• Medical Reversals of the Past Decade: Learning from our mistakes. PPMC Medical Grand Rounds December 2013
• Prospects for a universal medical record: health information exchange. Oregon Health & Science University internal medicine residency noon conference. March 2010.
• Meeting hypertension treatment guidelines: an analysis of the Oregon Health & Science University internal medicine practice. Oral presentation to OHSU IM practice. March 2010.

Teaching responsibilities:

• Outpatient Preceptor
• Inpatient Ward attending
• Wellness Co-Director

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