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Brendan G. Carr, MD | |
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Nationality | United States |
Alma mater | Temple University The University of Pennsylvania University of Pennsylvania School of Medicine |
Known for | Emergency medicine |
Scientific career | |
Institutions | Thomas Jefferson University, The Perelman School of Medicine at University of Pennsylvania, Leonard Davis Institute of Health Economics, Emergency Care Coordination Center |
Website | Profile at Mount Sinai |
Brendan G. Carr, MD, MA, MS is an American physician and educator. He is Chief Executive Officer and Kenneth L. Davis, MD, Distinguished Chair of the Mount Sinai Health System as of 2024, [1] and Professor and of Emergency Medicine at the Icahn School of Medicine at Mount Sinai and the Mount Sinai Health System. [2] [3]
Carr holds a Bachelor of Science in psychology, a Master of Arts in Clinical Psychology from Loyola University Maryland, an MD from Temple University, and a Master of Science in Health Policy Research from The University of Pennsylvania. [4] He completed residency in emergency medicine, a fellowship in Trauma and Surgical Critical Care, and the Robert Wood Johnson Foundation’s Clinical Scholar Program at The University of Pennsylvania School of Medicine. [5] [6] [7] [8]
Carr was on the faculty in the Department of Emergency Medicine, Department of Biostatistics and Epidemiology at The Perelman School of Medicine at University of Pennsylvania, and Senior Fellow at the Leonard Davis Institute of Health Economics. [9] [10]
At Thomas Jefferson University, Carr was Professor and Vice Chair of Health Policy in the Department of Emergency Medicine, ran a Population Science Research Group, and was the Associate Dean of Healthcare Delivery Innovation. [11] [12] He focused on using research methods to measure the impact of healthcare delivery system innovations, including telehealth and other patient-centered care delivery methods. [13] [14]
Carr was appointed Director of the Emergency Care Coordination Center within the Office of the Assistant Secretary for Preparedness and Response (ASPR) at the Department of Health and Human Services from 2012 to 2020, [5] [15] [16] focusing on integrating emergency care delivery systems into the broader healthcare infrastructure. [5] [6] Key efforts included coordination of the government-wide Council on Emergency Medical Care, partnerships with the National Quality Forum to improve the measurement of emergency care, [7] developing an emergency care system inventory, examining access to trauma care, exploring the development of better incentives for the delivery of high-quality emergency care, and partnerships with the U.S. Indian Health Service to improve emergency care. [17] [16] [18]
He has also worked as an advisor for the World Health Organization. [19]
Carr's work is focused on how emergency care system design impacts outcomes in unplanned critical illnesses such as trauma, stroke, sepsis, and cardiac arrest. [20] His research funding has focused on trauma system outcomes and planning for both adults and children, [21] [10] emergency systems of care, [22] telemedicine, [23] [14] and the use of population-based outcomes measurements in order to improve outcomes for emergency conditions. [24] [25] He is considered a thought leader in emergency care policy. [26] [27] [28]
Carr helped to develop the system-wide response to the COVID-19 pandemic at Mount Sinai, [29] [30] and his current research efforts seek to examine health system readiness. [31] [32] [33] [34] [35]
Carr has written over 150 peer-reviewed manuscripts, served as a reviewer and holds editorial positions for over a dozen peer-reviewed journals. As of 2023, Google Scholar ranks his h-index at 54 and i10-index at 153, with cumulative citations of 15,032. His top five articles ranked by number of citations are: [36]
Carr served as Principal Investigator for several[ quantify ]l R01 and R03 research awards from AHRQ, the CDC, and the National Institutes of Health, examining trauma systems, geography of acute care, and regional cardiac arrest outcomes and systems of care. [37] [38] [18] He received a career development award (K08) from the AHRQ to study adult trauma systems of care.
As of 2023, Carr's active research include A Population Based Approach to Improve Outcomes After Out-of-Hospital Cardiac Arrest, National Heart, Lung, Blood Institute, Principal investigator, 7R01HL141841-03, [39] and Structural Racism and Discrimination in Emergency Department Transfers: Unintended Consequences of the Emergency Medical Treatment and Labor Act, Co-investigator, 5R01MD017495-02. [40]
Carr has received a number of awards, including the Society for Academic Emergency Medicine Young Investigator Award, [41] the American College of Emergency Physicians Young Physician Leadership Fellowship, [42] the Golden Apple Teaching Award from the University of Pennsylvania, Best Manuscript from the Eastern Association for the Surgery of Trauma, [43] and Top Docs of Philadelphia. [44] In 2022, he received the “Chair of the Year Award" from the Emergency Medicine Residents' Association (EMRA) of the American College of Emergency Physicians. [45] He was formerly on the board of directors for the Emergency Medicine Foundation, is an active member of the Society for Academic Emergency Medicine, [4] the American College of Emergency Physicians, and is a widely sought after speaker on issues related to emergency care and health policy. [7] [25] [46] [47] He serves on the editorial board for Annals of Emergency Medicine. [48] In fall 2020, Carr was elected to the National Academy of Medicine. [17] [20]
Cardiac arrest, also known as sudden cardiac arrest, is when the heart suddenly and unexpectedly stops beating. As a result, blood cannot properly circulate around the body and there is diminished blood flow to the brain and other organs. When the brain does not receive enough blood, this can cause a person to lose consciousness. Coma and persistent vegetative state may result from cardiac arrest. Cardiac arrest is also identified by a lack of central pulses and abnormal or absent breathing.
A paramedic is a healthcare professional trained in the medical model, whose main role has historically been to respond to emergency calls for medical help outside of a hospital. Paramedics work as part of the emergency medical services (EMS), most often in ambulances. They also have roles in emergency medicine, primary care, transfer medicine and remote/offshore medicine. The scope of practice of a paramedic varies between countries, but generally includes autonomous decision making around the emergency care of patients.
An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without prior appointment; either by their own means or by that of an ambulance. The emergency department is usually found in a hospital or other primary care center.
Cedars-Sinai Medical Center is a non-profit, tertiary, 915-bed teaching hospital and multi-specialty academic health science center located in Los Angeles, California. Part of the Cedars-Sinai Health System, the hospital has a staff of over 2,000 physicians and 10,000 employees, supported by a team of 2,000 volunteers and more than 40 community groups. As of 2022–23, U.S. News & World Report ranked Cedars-Sinai among the top performing hospitals in the western United States. Cedars-Sinai is a teaching hospital affiliate of David Geffen School of Medicine at the University of California, Los Angeles (UCLA), which was ranked in the top 20 on the U.S. News 2023 Best Medical Schools: Research.
Telehealth is the distribution of health-related services and information via electronic information and telecommunication technologies. It allows long-distance patient and clinician contact, care, advice, reminders, education, intervention, monitoring, and remote admissions. Telemedicine is sometimes used as a synonym, or is used in a more limited sense to describe remote clinical services, such as diagnosis and monitoring. When rural settings, lack of transport, a lack of mobility, conditions due to outbreaks, epidemics or pandemics, decreased funding, or a lack of staff restrict access to care, telehealth may bridge the gap as well as provide distance-learning; meetings, supervision, and presentations between practitioners; online information and health data management and healthcare system integration. Telehealth could include two clinicians discussing a case over video conference; a robotic surgery occurring through remote access; physical therapy done via digital monitoring instruments, live feed and application combinations; tests being forwarded between facilities for interpretation by a higher specialist; home monitoring through continuous sending of patient health data; client to practitioner online conference; or even videophone interpretation during a consult.
UC Davis Medical Center (UCDMC) is part of UC Davis Health and a major academic health center located in Sacramento, California. It is owned and operated by the University of California as part of its University of California, Davis campus. The medical center sits on a 142-acre (57 ha) campus (often referred to as the Sacramento Campus to distinguish it from the main campus in nearby Davis) located between the Elmhurst, Tahoe Park, and Oak Park residential neighborhoods. The site incorporates the land and some of the buildings of the former Sacramento Medical Center (which was acquired from the County of Sacramento in 1973) as well as much of the land (and two buildings) previously occupied by the California State Fair until its 1967 move to a new location.
The Icahn School of Medicine at Mount Sinai, formerly the Mount Sinai School of Medicine, is a private medical school in New York City, New York, United States. The school is the academic teaching arm of the Mount Sinai Health System, which manages eight hospital campuses in the New York metropolitan area, including Mount Sinai Hospital and the New York Eye and Ear Infirmary.
David L. Reich is an American academic anesthesiologist, who has been President & Chief Operating Officer of The Mount Sinai Hospital, and President of Mount Sinai Queens, since October 2013.
Medical centers in the United States are conglomerations of health care facilities including hospitals and research facilities that also either include or are closely affiliated with a medical school.
David Muller is a physician who in 1996 co-founded the Mount Sinai Visiting Doctors Program (VDP), a program of Mount Sinai Medical Center's Departments of Medicine and Geriatrics. He is Dean for Medical Education and the Marietta and Charles C. Morchand Chair in Medical Education at The Icahn School of Medicine at Mount Sinai in New York City and Associate Professor of both Medicine and Medical Education.
Remote patient monitoring (RPM) is a technology to enable monitoring of patients outside of conventional clinical settings, such as in the home or in a remote area, which may increase access to care and decrease healthcare delivery costs. RPM involves the constant remote care of patients by their physicians, often to track physical symptoms, chronic conditions, or post-hospitalization rehab.
The Emergency Care Coordination Center (ECCC) is the policy home for the emergency care community within the federal government. It is charged with strengthening the U.S. response systems to better prepare for times of crisis. It was established in January 2009.
Mount Sinai West, opened in 1871 as Roosevelt Hospital, is affiliated with the Icahn School of Medicine at Mount Sinai and the Mount Sinai Health System.
The United States has many regions which have been described as medical deserts, with those locations featuring inadequate access to one or more kinds of medical services. An estimated thirty million Americans, many in rural regions of the country, live at least a sixty-minute drive from a hospital with trauma care services. Regions with higher rates of Medicaid and Medicare patients, as well those who lack any health insurance coverage, are less likely to live within an hour of a hospital emergency room. Although concentrated in rural regions, health care deserts also exist in urban and suburban areas, particularly in predominantly Black communities in Chicago, Los Angeles and New York City. Racial demographic disparities in healthcare access are also present in rural areas, particularly in Native American communities which experience worse health outcomes and barriers to accessing quality medical care. Limited access to emergency room services, as well as medical specialists, leads to increases in mortality rates and long-term health problems, such as heart disease and diabetes.
Samin K. Sharma is an American philanthropist of Indian descent and an interventional cardiologist who co-founded the Eternal Heart Care Centre and Research Institute in Jaipur (EHCC). Sharma has served on New York State’s Cardiac Advisory Board since 2004. As of 2021, he is Senior Vice-President, Operations & Quality at The Mount Sinai Hospital in New York and runs the Dr. Samin K. Sharma Family Foundation Cardiac Catheterization Laboratory. As of 2018, he is Chairman Board of Trustees, Association of Indians in America (AIA). As of 2022, he has been an investigator on 86 grants and multi-center trials and authored 486 peer-reviewed articles that have been cited 21,734 times.
Medical desert is a term used to describe regions whose population has inadequate access to healthcare. The term can be applied whether the lack of healthcare is general or in a specific field, such as dental or pharmaceutical. It is primarily used to describe rural areas although it is sometimes applied to urban areas as well. The term is inspired by the analogous concept of a food desert.
Jason C. Kovacic is an Australian-born cardiologist and physician-scientist; the Robert Graham Chair and Professor of Medicine, University of New South Wales; Executive Director of the Victor Chang Cardiac Research Institute in Sydney, Australia; and Professor of Medicine (Cardiology) at the Icahn School of Medicine at Mount Sinai, New York.
Renee Yuen-Jan Hsia is an American emergency physician. She is a professor of Emergency Medicine and Associate Chair of Health Services Research at the University of California, San Francisco, as well as an attending physician in the emergency department at the Zuckerberg San Francisco General Hospital and Trauma Center. She is also a core faculty member of the UCSF Philip R. Lee Institute for Health Policy Studies. Her research is aimed at studying how health services and regionalization of care impact access to emergency care.
Marie-Carmelle Elie is an American emergency physician who is Professor and Chair of Emergency Medicine at the University of Alabama at Birmingham. She was elected Fellow of the National Academy of Medicine in 2022.
Yvette Calderon is an American physician who is Chair and Professor of Emergency Medicine in the Icahn School of Medicine at Mount Sinai. Her research has focused on health disparities in Manhattan, with a particular focus on HIV and hepatitis C. She was elected to the National Academy of Medicine in 2022.