Julia Berkowitz is a medical student at The Geisel School of Medicine at Dartmouth and began her studies in the fall of 2015. With the support of The Tenney Fellowship, she will be working with Dr. Glyn Elwyn to develop a standardized index assessing physician attitudes toward shared decision making. This measure will then be used to analyze patterns in physician attitudes across the United States.
Julia received her Bachelor’s degree in Neuroscience from Dartmouth College in 2014 and completed an Honors Thesis addressing the impact of positivity-negativity bias on facial perception and expression.
Prior to beginning medical school, Julia spent a year working on the clinical research team of Partners in Health in Boston and at Boston Healthcare for the Homeless.
Danielle joined the Preference Laboratory as a research assistant in September 2017. She received her BA in Psychology from Southern Methodist University in Dallas, Texas, and worked as a Clinical Data Specialist for the Center for Depression Research and Clinical Care at UT Southwestern before moving to the Upper Valley. She supports the team in various projects at the Preference Laboratory including working on a PCORI-funded study and analyzing data evaluating medical students’ interest, knowledge, and educational exposure to shared decision making.
Julia joined the Preference Laboratory as a research assistant in December 2016 after a year of working in Population Health at Dartmouth-Hitchcock. She is mostly working on a PCORI-funded study looking at the use of decision aids in breast cancer surgery for women of low socioeconomic status. Before moving to the Upper Valley, she worked in communication and advocacy for medical research in Washington DC and received her MPH from George Washington Unviersity. She holds a BA in Journalism and Spanish from New York University.
Daniela joined The Preference Laboratory after completing her Masters of Public Health at The Dartmouth Institute. She is working with Dr. Rachel Thompson as Research Assistant for the Right for Me study, a PCORI funded project that studies the effectiveness of patient and provider-directed strategies for increasing Shared Decision-Making in reproductive health care.
Prior to joining TDI, Daniela worked as a Clinical RN at Massachusetts General Hospital's Clinical Research Center on quantitative research studies of normal and abnormal human physiology and studies of the cause, prevention, control and cure of diseases that afflict individuals of all ages, races, and ethnic backgrounds.
Daniela holds an MPH from Dartmouth College, RN license in Massachusetts, New Hampshire, and Chile and a Bachelor’s degree Nursing Studies and Professional degree of Nurse Midwife from Pontificia Universidad Católica de Chile.
Sarah is a qualitative health services researcher whose focus is knowledge translation and implementation science. Her research focuses on the development and evaluation of tools that support shared decision-making for patients and their care teams, and the investigation of factors that influence implementation of patient-centred practice and policy. Sarah is currently involved in studies related to implementation of shared decision-making for choice of next birth after caesarean, choice of contraception, and medical abortion practice. Through this research, Sarah partners closely with stakeholders (patients, health care professionals, and policy makers) to produce evidence that is action-oriented, relevant, and support patients and their care teams to make informed, shared healthcare decisions.
Sarah joined The Preference Laboratory at The Dartmouth Institute for Health Policy & Clinical Practice (TDI) in September 2016 under the mentorship of Dr. Rachel Thompson. Her postdoctoral fellowship is conducted jointly between TDI and the Contraception Access Team at The University of British Columbia in Vancouver, Canada (www.cart-grac.ca)
Renata joined The Preference Laboratory after completing her Masters of Public Health at The Dartmouth Institute. She is working under Dr. Marie-Anne Durand as the research project coordinator on a PCORI-funded project looking at the use of decision aids in breast cancer treatment for women with early-stage breast cancer.
Before coming to Dartmouth, Renata worked at the Centers for Disease Control and Prevention as a public health associate in St. Petersburg, FL and at a small private concierge practice in La Jolla, CA in clinical operations.
Renata received her dual Bachelor of Science degree from Cornell University in Biology & Society and Development Sociology.
Lisa supports the administrative needs of The Preference Laboratory at TDI by coordinating the travel and general office needs of our four faculty members and researchers. Previously, she served as a Development Assistant for the Dartmouth College Fund. Lisa also spent nine years working in Financial Aid at Antioch College. She is currently working on her Master's in Public Health. She earned her BA in Management with concentrations in Marketing and International Management from Antioch University Midwest in Yellow Springs, Ohio.
Katie works with the Preference Laboratory to assess patient engagement and activation in accountable care organizations (ACOs). She previously worked in healthcare communications, managing the clinical research communications team for a large multi-state health system and then the health and public service communications program for a multinational professional services firm. Doing this work, she realized that even the best health care policies and systems leave major gaps for patients: confusion, inconvenience and even outright harm. She wants to work to close these gaps. Specifically, she’s interested in identifying ways to improve communication and coordination at the end-of-life, when patients are most vulnerable.
Katie is currently completing a PhD at The Dartmouth Institute (TDI) in Lebanon, N.H.; she also holds a BA in sociology from Middlebury College in Middlebury, VT and an MPH from The Dartmouth Institute TDI) in Lebanon, N.H. She lives in White River Junction, VT with her husband and big, shaggy dog.
Rachel conducts applied health services research that seeks to enhance provider-patient communication; facilitate shared decision-making by patients and providers; support providers to understand and respond to the needs and preferences of patients; and strengthen the patient voice in the design and evaluation of health services, clinical trials, and health care guidelines and policies. She has broader research interests in implementation science, particularly in research that seeks to increase understanding of barriers and enablers to the successful adoption of evidence-based innovations, and to successful disinvestment in futile or harmful interventions in health care.
Ruth joins TDI as a Project Manager, supporting its efforts to evaluate the effectiveness of two interventions for increasing shared decision-making in reproductive health care. Prior to joining TDI, Ruth managed a portfolio of social science research at Ibis Reproductive Health focused on expanding reproductive health care access in underserved communities. While obtaining her master’s degree, Ruth worked on several qualitative and quantitative research projects with the Jane Fonda Center for Adolescent Reproductive Health and the Feminist Women’s Health Center. She also received a Fulbright Scholarship to Sri Lanka. Ruth holds an MPH from Emory University’s Rollins School of Public Health and a BA in Sociology with a concentration in Gender Studies from Grinnell College.
Gabrielle joined The Dartmouth Institute in 2015, after completing a Bachelor of Psychological Science with Honors and a PhD in Health Psychology, at The University of Queensland, Australia.
Gabrielle’s prior research primarily explored women’s decision-making in maternity care. In particular, she has conducted research identifying women’s maternity care decision support needs and factors that influence their preferences for care, and has explored and developed strategies to better facilitate women’s informed involvement in maternity care decisions.
In her current role as Research Project Coordinator at TDI, Gabrielle is engaged in a variety of projects exploring shared decision-making, overtreatment, and care integration from the patient perspective, both within and beyond the maternity care context.
Manish K. Mishra, MD, MPH is an Assistant Professor at the Dartmouth Institute for Health Policy and Clinical Practice and an Assistant Professor at Geisel Medical School at Dartmouth. His research roles include the development of shared decision making tools, the creation of novel patient communication platforms in medical education, studying the role of ACO models in health care reform and working on systems redesign in global mental health care. He lectures in a variety of courses at the medical school and leads several human rights initiatives with students.
He earned his medical degree from Dartmouth Medical School in 2005 and a Masters in Public Health from The Dartmouth Institute in 2009. He served as a resident physician in the Dept. of Surgery, Dept. of Preventive Medicine, Dept. of Psychiatry– all at Dartmouth-Hitchcock Medical Center. He has completed fellowship training in Geriatric Psychiatry and Addiction Psychiatry. Prior to medical school, he studied Sanskrit and religion in the Dept. of Sanskrit and Indian Studies at Harvard University.
Kyla Donnelly is a PhD student at the Dartmouth Institute for Health Policy and Clinical Practice. Kyla began her doctoral studies in the fall of 2014 under the supervision of Dr. Rachel Thompson and Professor Glyn Elwyn. To date, her research has focused on using both qualitative and quantitative methods to better understand and respond to women’s reproductive health care needs. Her dissertation, Supporting quality decision-making about surgical and medical abortion in early pregnancy, is examining the quality of and preferences for decision support about early abortion methods and the measurement of patient-centered communication in this context.
Kyla is currently the Implementation Coordinator on the project, Right for Me: Birth Control Decisions Made Easier, supported by the Patient-Centered Outcomes Research Institute (PCORI). This project is evaluating the comparative effectiveness of patient- and provider-directed strategies for increasing shared decision-making in reproductive health care. Kyla is responsible for training staff in and facilitating implementation of study interventions in 16 clinical partners.
Kyla also has experience as a Teaching Assistant for courses in the Dartmouth Institute for Health Policy and Clinical Practice Masters of Public Health program, including Inferential Methods and Systematic Review and Advanced Epidemiology and Biostatistics. Kyla graduated from The Dartmouth Institute Masters of Public Health program in 2013.
Kyla is an avid yoga and meditation practitioner and teacher, traveler, and outdoor enthusiast.
Rachel joins Preference Laboratory’s efforts to develop a patient-reported measure of shared decision-making as Research Project Implementation Coordinator, implementing and evaluating the CollaboRATE questionnaire in clinical settings.
Prior to joining the Preference Laboratory, Rachel conducted survey research among a variety of populations including a longitudinal study of US health plan members. She also gained exposure to the health care delivery field through her experience working at a behavioral health organization.
Rachel received an MSc in International Economics from Lund University, Sweden, where her research focused on factors contributing to China’s economic growth. She also holds BA degrees in International Studies and French Studies from American University, Washington, DC.
Robin is the Preference Laboratory Manager here at TDI where she serves as an integral member of the team to support, coordinate, and achieve laboratory objectives, communicate laboratory strategy & operations, and work effectively toward problem resolution. Previously, she worked as a librarian in both public and hospital libraries. She also taught English as a second language and worked as a writing tutor. Helping people to access and understand information, whether through reading, writing, language, or health literacy, is Robin’s passion. Robin has a Master’s Degree in Library and Information Science from Simmons College and a Bachelor’s Degree in English from the University of Massachusetts.
Paul joined the faculty of The Dartmouth Institute for Health Policy & Clinical Practice (TDI) as an Assistant Professor in June 2014. He initially came to Dartmouth in 2012 to pursue a postdoctoral fellowship in the Preference Laboratory, under the mentorship of Professor Glyn Elwyn.
Paul’s interests involve developing and implementing minimally disruptive, scalable solutions to increase patient and family engagement in decision making and care management, with a focus on primary care and mental health. Examples of Paul’s work include the development, psychometric analysis and implementation of CollaboRATE, a 3-item patient reported measure of shared decision making and the development of the Depression Option Grid, a one page tool comparing treatment options for depression. Paul is currently pursuing a new program of research studying the opportunities and challenges involved in sharing recordings of clinical encounters with patients as a means of increasing patient and family engagement.
Paul is extensively trained in research methodology and statistics, and came to Dartmouth via Queen’s University Belfast, where he completed his PhD in Health Services Research (HSR). Prior to that he attended the London School of Hygiene and Tropical Medicine, where he completed his MSc in Public Health (HSR stream).
Marie-Anne Durand joined the Dartmouth Institute for Health Policy and Clinical Practice in October 2014 as Assistant Professor. She is a Health Psychologist with a Doctoral Degree in Medicine and a longstanding interest in evidence-based public health and applied health services research. Over the past nine years, she has developed research and evaluation expertise in shared decision making and communication in healthcare, as well as solid change management and quality improvement experience in the public sector in the UK and France.
Dr Durand completed an MSc and MPhil in Clinical and Health Psychology in France and moved to Cardiff, UK, in 2006, to undertake a PhD in Medicine and Health Psychology under the supervision of Professor Glyn Elwyn. She has since worked as a Research Fellow, Senior Lecturer and Senior Research Fellow in the United Kingdom as well as Programme Manager, and Research Consultant, in the UK National Health Service (NHS).
Her primary research interests lie in health care communication, health disparities, self-management and shared decision-making.
Glyn Elwyn is a clinician, researcher, and innovator. He is a tenured professor, physician and researcher at The Dartmouth Institute for Health Policy and Clinical Practice, USA and at the Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Netherlands.
He is a Visiting Professor at University College London and retains an Honorary Chair at Cardiff University, UK.
After reading the humanities he qualified in medicine (UK), completed a Masters in Education, and obtained his PhD in 2001 at the Radboud University Nijmegen Medical Centre, Netherlands with Professor Richard Grol.
He leads an international and interdisciplinary team examining the implementation of shared decision making into clinical settings, investigates the design and impact of Option GridsTM patient decision aids, evidence-based tools to facilitate better clinical conversations. He has developed the Observer OPTION and CollaboRATE measures of shared decision making. He is the lead editor of Shared decision making: Evidence Based Patient Choice, Oxford University Press, 3rd edition, 2016. Peer-reviewed publications: 331, H-index 76.