Cancer screening, diagnostic accuracy, medical technology, statistical methods, medical education, computer image analyses and AI/machine learning, health IT and OpenNotes, patient engagement and health care delivery.
Elmore received her M.D. from the Stanford University School of Medicine and her M.P.H. in epidemiology from Yale University. She completed her residency training in internal medicine at Yale-New Haven Hospital, with advanced epidemiology training from the Yale School of Epidemiology and Public Health. At Yale, she was also a Robert Wood Johnson Foundation (RWJF) generalist physician faculty scholar and served as a faculty member for several years. In 1995, she joined the faculty of the University of Washington, where she was the head of the general internal medicine section at Harborview Medical Center from 2000 to 2010. In 2004, she was elected a member of the American Society for Clinical Investigation. In November 2017, she was named director of the UCLA National Clinician Scholars Program.
Previously, she held faculty and leadership positions at the University of Washington, Fred Hutchinson Research Center, Group Health Research Institute, Yale University and was the Associate Director and member of the National Advisory Committee for the Robert Wood Johnson Clinical Scholars Program at Yale and University of Washington.
Elmore is a practicing primary care physician and board certified in internal medicine by the American Board of Internal Medicine . Her clinical expertise allows her to serve on many national and international committees. She is Editor in Chief for Adult Primary Care at Up-To-Date and enjoys seeing patients as a primary care internist and teaching clinical medicine to students and residents.
Research
Elmore's research has centered on accuracy and efficiency of cancer screening and diagnoses (for both breast and melanoma) through the integration of technology.[9] Her research over the years also addresses the broader aspects of healthcare, including the use of OpenNotes to enhance patient engagement and the development of innovative medical education strategies. She has published several studies on diagnostic accuracy of cancer screening and medical tests in addition to AI/machine learning, using computer-aided tools to aid in the early detection process of high-risk cancers[10] Notably, her research on physician variability has led to significant insights into how clinician can make more consistent and accurate diagnostic decisions, to expand scientific understanding of improving methods in diagnostic accuracy by including potential patient, physician, technology and system factors associated with accuracy.
She has led several multi-site R01 studies evaluating diagnostic accuracy of radiologists and pathologists and continues to secure NIH awards as well as private, non-profit foundation funding. Her current studies involve describing diagnostic variability and the impact of new technology and she continues to publish major articles in cancer screening and new screening modalities, including new work into AI and machine learning. Ultimately, Elmore wants to harness technology to provide a better scientific understanding of the physician decision-making process.
Elmore has made public appearances on CBS News to inform the public on diagnostic accuracy in breast cancer screening with the use of AI machine learning techniques.[11] Elmore was also awarded for her Open Notes initiative and research to make doctor's notes more accessible to patients, to increase patient empowerment and health care transparency.[12]
Elmore JG, Wells CK, Howard DH, Feinstein AR. The impact of clinical history on mammographic interpretations. JAMA. 1997 Jan 1;277(1):49–52. PMID: 8980210.
Elmore JG, Barton MB, Moceri VM, Polk S, Arena PJ, Fletcher SW. Ten-year risk of false positive screening mammograms and clinical breast examinations. N Engl J Med. 1998 Apr 16;338(16):1089–96. doi: 10.1056/NEJM199804163381601. PMID: 9545356.
Elmore JG, Armstrong K, Lehman CD, Fletcher SW. Screening for breast cancer. JAMA. 2005 Mar 9;293(10):1245–56. doi: 10.1001/jama.293.10.1245. PMID: 15755947; PMCID: PMC3149836.
Mercan E, Aksoy S, Shapiro LG, Weaver DL, Brunyé TT, Elmore JG. Localization of Diagnostically Relevant Regions of Interest in Whole Slide Images: a Comparative Study. J Digit Imaging. 2016 Aug;29(4):496–506. doi: 10.1007/s10278-016-9873-1. PMID: 26961982; PMCID: PMC4942394.
Mercan E, Shapiro LG, Brunyé TT, Weaver DL, Elmore JG. Characterizing Diagnostic Search Patterns in Digital Breast Pathology: Scanners and Drillers. J Digit Imaging. 2018 Feb;31(1):32–41. doi: 10.1007/s10278-017-9990-5. PMID: 28681097; PMCID: PMC5788829.
Mercan E, Mehta S, Bartlett J, Shapiro LG, Weaver DL, Elmore JG. Assessment of Machine Learning of Breast Pathology Structures for Automated Differentiation of Breast Cancer and High-Risk Proliferative Lesions. JAMA Netw Open. 2019 Aug 2;2(8):e198777. doi: 10.1001/jamanetworkopen.2019.8777. PMID: 31397859; PMCID: PMC6692690.
Elmore JG, Ganschow PS, Geller BM. Communication between patients and providers and informed decision making. J Natl Cancer Inst Monogr. 2010;2010(41):204-9. doi: 10.1093/jncimonographs/lgq038. PMID: 20956831; PMCID: PMC3140849.
Lee BS, Walker J, Delbanco T, Elmore JG. Transparent Electronic Health Records and Lagging Laws. Ann Intern Med. 2016 Aug 2;165(3):219-20. doi: 10.7326/M15-2827. Epub 2016 May 24. PMID: 27214266; PMCID: PMC7061764.
Trivedi TK, Liu C, Antonio ALM, Wheaton N, Kreger V, Yap A, Schriger D, Elmore JG. Injuries Associated With Standing Electric Scooter Use. JAMA Netw Open. 2019 Jan 4;2(1):e187381. doi: 10.1001/jamanetworkopen.2018.7381. PMID: 30681711; PMCID: PMC6484536.
Binswanger IA, Stern MF, Deyo RA, Heagerty PJ, Cheadle A, Elmore JG, Koepsell TD. Release from prison—a high risk of death for former inmates. N Engl J Med. 2007 Jan 11;356(2):157-65. doi: 10.1056/NEJMsa064115. Erratum in: N Engl J Med. 2007 Feb 1;356(5):536. PMID: 17215533; PMCID: PMC2836121.
1981 Outstanding Student Service Award, San Diego State University
1981 American Heart Association Research Fellow
1982 Lewis Barbato National Award Granted yearly to one student by the American College Health Association
1982 Phi Beta Kappa
1983–1984 Stanford Alumni Medical Student Research Scholar
1986–1987 Stanford McCormick Foundation Women's Research Scholar
1986–1987 American Association of University Women Scholar
1987 Graduation with Distinction in Research, Stanford School of Medicine
1990–1992 Robert Wood Johnson Foundation Clinical Scholar
1994–1999 Robert Wood Johnson Foundation Generalist Physician Faculty Scholar (awarded to only 2 researchers per medical school nationally per 4-year period)
1997 Outstanding Young Woman of America, Outstanding Young Americans
2001–2007 National Advisory Committee, Robert Wood Johnson Foundation Generalist Physician Faculty Scholar Program
2004 Elected to the American Society for Clinical Investigation, honorary society of physician-scientists from all medical specialties on the basis of an outstanding record of scholarly achievement in biomedical research.[13][14]
2005 Who's Who in Medical Sciences Education (WWMSE)
2006–2007 Marquis Who's Who of American Women, 25th Silver Anniversary Edition
2008–2016 National Advisory Committee, Robert Wood Johnson Foundation Clinical Scholars Program
2010 National Institute of Health Merit Awardee in recognition of dedicated service to NCI in developing and maintaining evidence-based PDQ cancer information summaries for health professionals and the public.
2014 Elected to Membership, Association of American Physicians (AAP), an honorary medical society extended to individuals with outstanding credentials in biomedical science and/or translational biomedical research and is limited to 60 persons per year.[15]
2017 5th Annual Health Data Liberator Award from Academy Health. The award recognizes the Open Notes initiative that encourages health care providers to share their visit notes with patients (Elmore is an Executive Committee Member, Open Notes).[17][18]
2017 John M. Eisenberg National Award for Career Achievement in Research (Awarded to one individual each year by the Society of General Internal Medicine for research contributions in research, patient care, or health policy).[19]
2020– Association of Academic Radiology (AAR) Clinical Effectiveness in Radiology Research Academic Fellowship (CERRAF) Award Board of Review.[20]
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