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Family Medicine

Summary of Research Mission

Our mission is to promote research that positively impacts the health of our community. We strive to accomplish this aim by reducing health disparities; enhancing access to primary care; and improving the quality of healthcare services.  Research in our department is designed to be translational and rapidly disseminated into practice. We provide research opportunities for students and learners from a wide range of disciplines who are interested in primary care research or public health.

Contact Information

Hazel Tapp, Research Office: 704-304-7120 / 704-304-7102 Fax
Department of Family Medicine: 704-304-7110
Mailing address:

Department of Family Medicine 
2001 Vail St.
Charlotte, NC 28207

   
Faculty Research Interests  

 

 

 

 

 

 

 

 

 

Michael Dulin, MD, PhD
Research Director
704-446-7740
  
Dr. Dulin's research interests center on improving access to and the quality of primary care services. He currently serves as the Research Director for the Department of Family Medicine and Directs the
Mecklenburg Area Partnership for Primary Care Research (MAPPR). 

Dr. Dulin was awarded a PhD in neurophysiology prior to receiving his MD at The University of Texas at Houston Medical School. He completed residency training in Family Medicine at CMC and then worked in private practice in Harrisburg for three years. In 2004, he returned to academia by joining the CMC Department of Family Medicine as the director of research and evidence-based medicine. He completed additional fellowship training at UNC-Chapel Hill School of Medicine and recently completed the AAFP's national Grant Generating Project. 

While at CMC, he founded the Mecklenburg Area Partnership for Primary Care Research (MAPPR) in collaboration with UNC-Charlotte, the local and state Health Departments, and the Latin American Coalition. Dr. Dulin is also co-founder of a statewide consortium of research networks, the North Carolina Network Consortium (NCNC), which includes networks from UNC-Chapel Hill, Duke University and East Carolina University. Dr. Dulin was selected by the Robert Wood Johnson Foundation to the 2008 class of their Physician Faculty Scholars Program that will assist him with funding for his research endeavors and additional training for the next three years.

The Mecklenburg Area Partnership for Primary Care Research (MAPPR)

The Mecklenburg Area Partnership for Primary Care Research is a practice-based research network (PBRN) designed to study barriers to healthcare access for the growing Latino population in Charlotte. The goal for this network is to utilize different sectors of the community to bring about positive change in individual's lives by improving healthcare and quality of life.

The network comprises ambulatory care clinics located within Carolinas HealthCare System (such as Eastland Family Practice, CMC-NorthPark and CMC-Myers Park Pediatrics), private/otherwise affiliated practices and community advocacy organizations (such as the Latin American Coalition, El Centro Betesda and Our Lady of Guadalupe church).

MAPPR is headquartered at the Department of Family Medicine, under the leadership of Michael Dulin, MD, PhD, and is funded through the Agency for Healthcare Research and Quality.


Recent Publications

Tapp H and Dulin MF. The Science of Primary Healthcare Improvement: Potential and Use of Community Based Participatory Research by Practice Based Research Networks for Translation of Research into Practice. 2010. Experimental Biology and Medicine. In Press.

Dulin MF, Ludden T, Blackwell J, Tapp H, Hernandez B, Furuseth O, Smith HA. (2010) Using Geographical Information Systems to Understand a Community's Primary Care Needs, JABFM 23(1):13-21.

Dulin MF, Ludden T, Blackwell J, Tapp H, Hernandez B, Furuseth O, Smith HA. (2009) Application of MAPCATS to Target Interventions to Improve Healthcare Access for a Transitioning Hispanic Community, JABFM 23(1): 109-120. 

Pearson WF, Dube SR, Seeff LC, Ford ES, Mokdad AH and Dulin MF (2009) A Population Based Study Examining Language as a Predictor of Colorectal Cancer Screening Among Overweight and Obese Hispanic Adults in the United States. Open Epi. Journal 2:44-50.

Hirsch MA, Dulin MF, Iyer SS, and Hammond FM. (2009)  Exercise for Management and Treatment of Parkinson Disease, American Family Physician, 79(12) 1043.

Dulin MF, Kennard T, Leach L. (2008) Cervical Adenitis.  FPIN,  American Family Physician, 78(9) 1079.

Dulin MF, Hatcher LA, Sasser HC, and Barringer TA (2006).  Policosanol Ineffective in Treatment of Hypercholesterolemia: A Randomized Controlled Trial.  Am. J. Clin. Nutr. 2006 Dec;84(6):1543-8.

Gasull X, Liao X, Dulin MF, Phelps C, and Walters ET (2005).  Evidence that long-term hyperexcitability of the sensory Neuron soma induced by nerve injury in Aplysia is adaptive. J. Neurophysiol. 94(3):2218-30.

Walters ET, Bodnarova M, Billy A, Dulin MF, and Moroz, LL (2004) Somatotopic organization and functional properties or mechanosensory neurons expressing Sensorin-A mRNA in Aplysia californica.  J. Comp. Neurol. 471(2):219-40

Current, Recent and Pending Grant Support

Grant Title: Community Participatory Approach to Improving the Health of a Hispanic Population (#R24 MD004930-01)
Funding Agency: NIH / NCMHD
Role: Principal Investigator
Years: 2009-2011

Grant Title: Primary Care Practice Based Research Networks (PBRNs)
Funding Agency: Agency for Healthcare Research and Quality  (RFP #AHRQ-06-0029)
Role: Co-Investigator
Years: 2007-2012

Grant Title: A Community-Based Participatory Approach for Improving Primary Care Access
Funding Agency: The Robert Wood Johnson Foundation
Role: Principal Investigator
Years: 2008-2011

Grant Title: Development of Geospatial Models to Evaluate Interventions Designed to Enhance Primary Care Access for Vulnerable Populations, (#2KR10806)
Funding Agency: NC TraCS Institute
Role: Principal Investigator
Years: 2009-2010

Grant Title: Disease Management and Health Promotion in the Ambulatory Care Setting
Funding Agency: The Duke Endowment
Role: Principal Investigator
Years: 2007-2011

Grant Title: Action to Control Cardiovascular Risk in Diabetes (ACCORD) 
Funding Agency: NHLBI / NIH
Role: Local Co-Investigator
Years: 2001-2009

Grant Title: Creation of a PBRN to Study Healthcare Delivery to a Transitioning Community
Funding Agency: Agency for Healthcare Research and Quality  (R03 HS016023-01)
Role: Principal Investigator
Years: 2006-2008

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Hazel Tapp, PhD

Tapp H and Dulin MF. The Science of Primary Healthcare Improvement: Potential and Use of Community Based Participatory Research by Practice Based Research Networks for Translation of Research into Practice. 2010. Experimental Biology and Medicine. In Press.

Dulin MF, Ludden TM, Tapp H, Smith HA, de Hernandez BU, Blackwell J, Furuseth OJ. Geographic Information Systems (GIS) demonstrating primary care needs for a transitioning hispanic community. J Am Board Fam Med. 2010 Jan-Feb;23(1):109-20. PMID: 20051550 [PubMed - in process]

Dulin MF, Ludden TM, Tapp H, Blackwell J, de Hernandez BU, Smith HA, Furuseth OJ. Using Geographic Information Systems (GIS) to understand a community's primary care needs. J Am Board Fam Med. 2010 Jan-Feb;23(1):13-21. PMID: 20051538 [PubMed - in process]
Tapp H, Deepe R, Ingram JA, Kuremsky M, Hanley EN Jr., and. Gruber HE. Adipose-derived Mesenchymal Stem Cells from the Sand Rat:  TGFß and 3D Coculture with Human Disc Cells Stimulate Proteoglycan and Collagen Type I Rich Extracellular Matrix. Arthritis Research and Therapy  2008 10:R89.

Tapp H, Hanley EN Jr, Patt JC, Gruber HE  Adipose-Derived Stem Cells: Characterization and Current Application in Orthopaedic Tissue Repair. Experimental Biology and Medicine. Exp Biol Med (Maywood). 2009 Jan;234(1):1-9.

Tapp H, Deepe R, Ingram J, Yarmola E, Hanley E Jr, Gruber H. Exogenous thymosin beta(4) prevents apoptosis in human intervertebral annulus cells in vitro. Biotech Histochem. 2009 Jul 25:1-8.

Tapp H, Al-Naggar IM, Yarmola EG, Harrison A, Shaw G, Edison AS, Bubb MR.  MARCKS is a natively unfolded protein with an inaccessible actin-binding site: Evidence for long-range intramolecular interactions. J. Biol. Chem   2005 280 9946-9956.

Current, Pending and Recent Research Support

Grant Title: "Efficiency of Primary Care Delivery to Uninsured Hispanics in Charlotte NC. UNC Charlotte and CMC joint grant initiative."
Funding Agency: UNCC/CMC
Role: Joint PI
Years: 1/1/09-1/1/10.

Grant Title: "Community Based Approach to Improving Health in a Hispanic Population. Funding Agendcy: NIH/NCMHD (RFA-MD-09-006).
Role: Investigator
Years: 10/2009-10/2011

Grant Title: Disease Management and Health Promotion in the Ambulatory Care Setting
Funding Agency: The Duke Endowment
Role: Investigator
Years: 2007-2011

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Matthew Alexander, PhD

Research Interests: Qualitative Research; Educational Innovations; Spirituality in Medicine; Behavioral Medicine

Recent Publications

Alexander M. A psychologist collaborating with an inpatient family medicine team. Annals of Behavioral Science and Medical Education 2008; in press. 

Alexander M, Waxman D, White P. What's eating Gilbert Grape: a case study of chronic illness. Journal for Learning through the Arts 2007; 2. [Article]

Alexander M. Finding meaning in serious illness: the hows and whys of the spiritual meaning interview. Annals of Behavioral Science and Medical Education 2006; 12. 

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Thomas Barringer, MD, FAHA
Medical Director, Center for Cardiovascular Health

Research Interests: Clinical Trials in Cardiovascular Disease Prevention - Nutrition, Omega-3 Fatty Acids, Dyslipidemia, Hypertension, Diabetes, Obesity, CVD Risk Assessment

Dr. Barringer brings 10 years of experience as principal investigator for over 20 industry-sponsored and investigator-initiated trials, including the NIH-funded ALLHAT and ACCORD trials; Fellow of the American Heart Association (Council on Nutrition, Physical Activity and Metabolism); Fellow of the 10-Day Seminar on the Epidemiology and Prevention of Cardiovascular Disease 2004; UNC Faculty Development Fellowship 1997-1998

Recent Publications

Barringer TA, Hatcher L, Sasser H. Effect of a flavonoid supplement on impairment of endothelial function after a high-fat meal. Evidence Based Complementary and Alternative Medicine 2008; in press.

Dulin MF, Hatcher LF, Sasser HC, Barringer TA. Policosanol is ineffective in the treatment of hypercholesterolemia: a randomized controlled trial. Am J Clin Nutr 2006; 84: 1543-1548. [PMID: 17158441]

Raymond LW, Barringer TA, Konen JC. Stress testing in the medical evaluation for hazardous materials duty: results and consequences in three groups of candidates. J Occup Environ Med 2005; 47: 493-502. [PMID: 15891528]

Current, Recent and Pending Grant Support

Grant Title: Omega-3 Fatty Acids for the Prevention of Atrial Fibrillation after Cardiac Surgery
Funding Agency: Reliant/GSK
Role: Principal Investigator
Years: 2006-present
  
Grant Title: Action to Control Cardiovascular Risk in Diabetes (ACCORD),
Funding Agency: NIH/NHLBI
Role: Local Co-Investigator
Years: 2001-present
  
Grant Title: Nebivolol in Hypertension
Funding Agency: Forest Pharmaceuticals
Role: Principal Investigator
Years: 2008-present
  
Grant Title: TAK-491 in Hypertension,
Funding Agency: Takeda Pharmaceuticals
Role: Principal Investigator
Years: 2008-present

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Michele Birch, MD

Research Interest: Community Health and Healthcare Disparities

Current, Recent and Pending Funding 

Grant Title: Provision of Group Prenatal Care for Charlotte's Underserved Communities
Funding Agency: SOPHIA grant
Role: Principal Investigator
Years: 2008-2009

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Rhett Brown, MD
Medical Director, CMC Eastland Family Practice

Research Interest: Improving Quality of Care and Practice Redesign

Current Studies

Creation of a Virtual Heart Failure Clinic
I 3 academic collaborative
Disease Management and Health promotion in the Ambulatory Care Setting

Recent Publications

Brown R, Cable K, Sams R 2nd. Clinical inquiries: Who should get hepatitis A vaccination? J Fam Pract 2005; 54: 624-625. [PMID: 16009092]

Current, Recent and Pending Grant Support

Grant Title: Disease Management and Health Promotion in the Ambulatory Care Setting
Funding Agency: Duke Endowment
Years: 2007-2011

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Mary Hall, MD
Department Chair

Recent Publications

Davis CH 3rd, Hall MN, Kaufman L, Danis P. Clinical inquiries. What is the best way to evaluate secondary infertility? J Fam Pract 2007; 56: 573-575. [PMID: 17605951]

Hall MN, Leach L, Kynerd R. Clinical inquiries. In menopausal women, does fatigue indicate disease? J Fam Pract 2005; 54: 895-896. [PMID: 16202379]

Hall MN, Leach L, Beck E. Clinical inquiries. Which blood tests are most helpful in evaluating pelvic inflammatory disease? J Fam Pract 2004; 53: 326,330-331. [PMID: 15068781]

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Sindy McCrystle, ANP-C, MSN 

Recent Publications

McCrystle S, Menscer D. Managing the patient with dementia in primary care. N. C. Med J 2005; 66: 53-56. [PMID: 15786680]

Current, Recent and Pending Grant Support

Grant Title: Healthy Brain Project
Funding Agency: Carolinas Geriatric Education Grant (CGEC)
Role: Principal Investigator
Years: 2008-2011

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Vanessa McPherson, MD
Residency Director

Recent Publications 

Kaiser J, McPherson V, Kaufman L, Huber T. Clinical inquiries. Which UTI therapies are safe and effective during breastfeeding? J Fam Pract 2007; 56: 225-228. [PMID: 17343814]

McPherson V, Wright ST, Bell AD. Clinical inquiries. What is the best treatment for gastroesophageal reflux and vomiting in infants? J Fam Pract 2005; 54: 372-375. [PMID: 15833233]

McPherson V, Leach L, Erlanger L. Clinical inquiries. What is the best treatment for analgesic rebound headaches? J Fam Pract 2005; 54: 277-278. [PMID: 15755384]

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Darlyne Menscer, MD 

Recent Publications

McCrystle S, Menscer D. Managing the patient with dementia in primary care. N C Med J 2005; 66: 53-56. [PMID: 15786680]

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David Price, MD 
Associate Director, Family Medicine Fellowship in Primary Care Sports Medicine

Research Interests

Concussion impact research using helmet G force sensors
Patient knowledge of family medicine
Sports screening research
Director: Heart of a Champions Day

Recent Publications

Price D, Betancourt V, Kaufman L, Rodríguez JE. FPIN's clinical inquiries. Treatment of impetigo. Am Fam Physician 2007; 75: 703-704. [PMID: 17375518]

Price DE, Elder K, White RD. "Exercise Testing."  In O'Connor, Wilder, Sallis and St. Pierre (eds.).  Sports Medicine-Just the Facts.  McGraw-Hill. 2005; 118-126.

Price DE, Elder K, White RD: Exercise Stress Testing. In O'Connor, Sallis Wilder, and St. Pierre (eds.).  Sports Medicine-Examination & Board Review.  McGraw-Hill. 2005:  25-26.

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Lawrence Raymond, MD, ScM
704-446-7708
704-446-7795 Fax

Research Interests

Testing ways of adding heat stress to exertional stress of treadmill electrocardiography, for medical evaluation of candidates for work with hazardous materials (Hazmat Duty)

Effects of collaborative practice with onsite Nurse Practitioners on employer healthcare costs and other outcomes
 
Effects of tissue oxygenation and related factors on extremity wounds in persons with diabetes mellitus

Health aspects of homeland security worker

Dr. Raymond plans to initiate an observational study of the natural history of transcutaneous oxygen measurements in older persons with diabetes during the next year, and compete the first phase of such a study over the next five years. The current study of treadmill heat stress testing will be completed and submitted for publication by end-2008, while observational work with onsite Nurse Practitioners will continue in 2008-2013.

Dr. Raymond completed a fellowship in pulmonary medicine in the laboratory of Dr. John Severinghaus, Cardiovascular Research Institute, University of California, San Francisco.

Recent Publications

Raymond LW, Jones MM, Warren E, Weinrib DA. Inguinal phlegmon and positive serology for syphilis after penile bite laceration: true, true and unrelated. Am J Emerg Med 2008; 26: 250.e7-8 [PMID: 18272128]

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Jessica Saxe, MD

Research Interests: Prevention and Healthy Lifestyle Interventions in the Community

Dr. Saxe received her medical degree from Tufts University School of Medicine and was trained in Duke University Family Medicine program. Dr. Saxe has submitted a grant application for a healthy lifestyle intervention in a low-income community based on a successful small pilot. She would like to bring healthy lifestyle interventions to more communities.

Current, Recent and Pending Grant Support

Grant Title: School Healthlink at Bruns Elementary School
Funding Agency: Kate B. Reynolds Foundation
Role: Principal Investigator
Years: 2003 - 2007

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Dael Waxman, MD

Research Interests: Integration of Complementary and Alternative Medicine into Primary Care Faculty Development

Current Studies

Effect of Web-Based Educational Intervention on botanical Medicine on the Knowledge Base and Practice Pattern of Primary Care Residents

Recent Publications

Alexander M, Waxman D, White P. What's eating Gilbert Grape: a case study of chronic illness. Journal for Learning through the Arts 2007; 2. [Article]

Waxman D, et al, "Chapter 5: Family Dynamics", "Chapter 11: Anxiety, Depression, and Somatoform Disorders", and "Chapter 17: Interviewing Skills" in Cinemeducation: A Comprehensive Guide to Using Film in Medical Education.  Alexander M, Lenahan P, and Pavlov A, Editors. Oxford, Radcliffe Publishing. 2005.

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Patricia White, MD

Recent Publications

Alexander M, Waxman D, White P. What's eating Gilbert Grape: a case study of chronic illness. Journal for Learning through the Arts 2007; 2. [Article]

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Irene Zink, MD

Research Interests: Community Health and Resident Education

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