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Department of Medicine

Department of Medicine

  Division of General Internal Medicine

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photo Michael Jonah Fine, MD, MSc

Professor of Medicine, University of Pittsburgh School of Medicine

Director, VA HSR&D Center for Health Equity Research and Promotion (CHERP)

Director, Leadership and Discovery (LEAD) Program, Internal Medicine Residency Training Program

Associate Director, Center for Research on Health Care (CRHC), University of Pittsburgh

Email: finemj@upmc.edu

Phone: 412-360-2206

Contact
Office: VA Pittsburgh Healthcare System
Center for Health Equity Research and Promotion (CHERP), University Drive (151C), Building 30, Suite 2A140
Pittsburgh, PA 15240
 
Phone: 412-360-2206
Fax: 412-360-2285
E-mail: finemj@upmc.edu
Administrative Assistant:
Antoinette Marie Klein
Address: VA Pittsburgh Healthcare System
Center for Health Equity Research and Promotion (CHERP), University Drive (151C), Building 30
Pittsburgh, PA 15240
Email: kleinam@upmc.edu
Phone: 412-360-2128
Fax: 412-360-2285
Education and Training
Education
BA, Anthropology, Dartmouth College, Hanover, NH, 1979
MD, Hahnemann Medical School, Philadelphia, PA, 1983
MSc, Epidemiology, Harvard School of Public Health, Boston, MA, 1989
Training
Internship in Internal Medicine, UPMC Presbyterian, Pittsburgh, PA, 1983
Residency in Internal Medicine, UPMC Presbyterian, Pittsburgh, PA, 1984
Residency in Internal Medicine, UPMC Presbyterian, Pittsburgh, PA, 1985
Chief Medical Resident in Internal Medicine, UPMC Presbyterian, Pittsburgh, PA, 1986
Fellowship for Faculty Development in General Internal Medicine, Massachusetts General Hospital, Boston, MA, 1987
Research Interest
Dr. Fine is a Professor of Medicine at the University of Pittsburgh School of Medicine and Director of the Center for Health Equity Research and Promotion (CHERP), a VA Center of Innovation in Health Services Research at the VA Pittsburgh Healthcare System. His research focuses on ways to improve the quality and equity of medical care for patients with common medical problems. As Director of CHERP, he is particularly interested in conducting research to detect, understand, and eliminate disparities in health and health care among vulnerable patient populations. His past research employed retrospective and prospective cohort designs, with extensive emphasis on assessment of patient-centered outcomes. His research has also utilized randomized clinical trial design to test the effectiveness and safety of medical practice guidelines to improve the quality and efficiency of care for patients with common medical illnesses.
Educational Interest
Dr. Fine's central educational focus involves research education and mentorship for clinical research. He has taught courses on medical writing and peer-review within the Institute for Clinical Education (ICRE) and currently directs the Leadership and Discovery Program (LEAD) within the ICRE. The LEAD Program was developed to assist residents achieve their scholarly goals and maximize their success as future fellows, faculty members, and/or national leaders in the field of medicine. As a faculty member, Dr. Fine has mentored over 57 medical students, residents, fellows, post-docs, and junior faculty, many of whom have emerged as independent investigators and leaders in their fields.
Publications
For my complete bibliography, Click Here.
Selected Publications:
Trivedi AN, Nsa W, Hausmann LR, Lee JS, Ma A, Bratzler DW, Mor MK, Baus K, Larbi F, Fine MJ. Quality and equity of care in U.S. hospitals. New England Journal of Medicine. 2014; 371(24): 2298-2308.
Mortensen EM, Halm EA, Pugh MJ, Copeland LA, Metersky M, Fine MJ, Johnson CS, Alvarez CA, Frei CR, Good C, Restrepo MI, Downs JR, Anzueto A. Association of azithromycin with mortality and cardiovascular events among older patients hospitalized with pneumonia. The Journal of the American Medical Society. 2014; 311(21): 2199-2208.
Aujesky D, Roy PM, Verschuren F, Righini M, Osterwalder J, Egloff M, Renaud B, Verhamme P, Stone RA, Legall C, Sanchez O, Pugh NA, N'gako A, Cornuz J, Hugli O, Beer HJ, Perrier A, Fine MJ, Yealy DM. Outpatient versus inpatient treatment for patients with acute pulmonary embolism: an international, open-label, randomised, non-inferiority trial. Lancet. 2011; 378(9784): 41-48.
Kilbourne AM, Switzer G, Hyman K, Crowley-Matoka M, Fine MJ. Advancing health disparities research within the health care system: a conceptual framework. American Journal of Public Health. 2006; 96(12): 2113-2121.
Yealy DM, Auble TE, Stone RA, Lave JR, Meehan TP, Graff LG, Fine JM, Obrosky DS, Mor MK, Whittle J, Fine MJ. Effect of increasing the intensity of implementing pneumonia guidelines: a randomized, controlled trial. Annals of Internal Medicine. 2005; 143(12): 881-894.
Halm EA, Fine MJ, Marrie TJ, Coley CM, Kapoor WN, Obrosky DS, Singer DE. Time to clinical stability in patients hospitalized with community-acquired pneumonia: implications for practice guidelines. The Journal of the American Medical Society. 1998; 279(18): 1452-1457.
Gleason PP, Kapoor WN, Stone RA, Lave JR, Obrosky DS, Schultz R, Singer DE, Coley CM, Marrie TJ, Fine MJ. Medical outcomes and antimicrobial costs with the use of the American Thoracic Society guidelines for outpatients with community-acquired pneumonia. The Journal of the American Medical Society. 1997; 278(1): 32-39.
Metlay JP, Kapoor WN, Fine MJ. Does this patient have community-acquired pneumonia? Diagnosing pneumonia by history and physical examination. The Journal of the American Medical Association. 1997; 278(17): 1440-1445.
Fine MJ, Auble TE, Yealy DM, Hanusa HB, Weissfeld LA, Singer DE, Coley CM, Marrie TJ, Kapoor WN. A prediction rule to identify low-risk patients with community-acquired pneumonia. The New England Journal of Medicine. 1997; 336: 243-250.
Fine MJ, Smith MA, Carson CA, Mutha SS, Sankey SS, Weissfeld LA, Kapoor WN. Prognosis and outcomes of patients with community-acquired pneumonia. A meta-analysis. The Journal of the American Medical Society. 1996; 275(2): 134-141.
Sponsored Research/Activities
Title: Leading Emerging and Diverse Scientists to Success (LEADS)
Role: Co-Investigator
Funding Agency: National Institute of General Medical Science
Grant Number: R25 GM116740
Start Year: 2015
End Year: 2020
Title: Leading Emerging and Diverse Scientists to Success (LEADS)
Role: Co-Investigator
Funding Agency: National Institute of General Medical Science
Grant Number: R25 GM116740
Start Year: 2015
End Year: 2020
Title: Safety of Opioid Use Among Veterans Receiving Care in Multiple Health Systems
Role: Co-Investigator
Funding Agency: VA HSR&D
Grant Number: I01 IIR 14-297
Start Year: 2015
End Year: 2018
Title: University of Pittsburgh Model Center for Spinal Cord Injury
Role: Co-Investigator
Funding Agency: Administration for Community Living
Start Year: 2015
End Year: 2016
Title: Differences in Satisfaction with Choice: Laying the Foundation for the Evaluation of the Choice Act
Role: Co-Investigator
Funding Agency: VA QUERI
Grant Number: VCA 15-245
Start Year: 2015
End Year: 2015
Title: VISN4 Hypertension Racial Disparity Project
Role: Co-Investigator
Funding Agency: VA Office of Health Equity/VISN4
Grant Number: QI XVA 72-183
Start Year: 2014
End Year: 2015
Title: Cost Effectiveness of Hepatitis C Drugs
Role: Co-Investigator
Funding Agency: PBM
Grant Number: PBM 014
Start Year: 2014
End Year: 2015
Title: Transcription and Survey Services Needs Assessment and Pilot
Role: Co-Investigator
Funding Agency: VA HSR&D
Grant Number: Admin FOP 14-441
Start Year: 2014
End Year: 2015
Title: ProACT - Procalcitonin Antibiotic Consensus Trial
Role: Co-Investigator
Funding Agency: National Institute of General Medical Science
Grant Number: R01 GM101197
Start Year: 2013
End Year: 2018
Title: Center for Health Equity Research and Promotion
Role: Director
Funding Agency: VA HSR&D
Grant Number: Center CIN 13-405
Start Year: 2013
End Year: 2018
Title: Procalcitonin Antibiotic Consensus Trial (ProACT)
Role: Co-Investigator
Funding Agency: National Institute of General Medical Science
Grant Number: R01 GM101197
Start Year: 2013
End Year: 2018
Title: Understanding Women's Disparities in Satisfaction with VA Health Care (DISC Women)
Role: Co-Investigator
Funding Agency: VA HSR&D
Grant Number: SDR SDR 13-425
Start Year: 2013
End Year: 2016
Title: Communication about Type 2 Diabetes Treatment Decisions in Older Patients with Comorbid Dementia
Role: Co-Investigator
Funding Agency: Aging Institute - Univ. Pittsburgh
Grant Number: XNV 72-177
Start Year: 2013
End Year: 2014
Title: Identifying and Understanding Facility-Level Variation in Racial and Ethnic Disparities in Patient Healthcare Experiences
Role: Co-Investigator
Funding Agency: VA HSR&D
Grant Number: Pilot LIP 72-069
Start Year: 2013
End Year: 2013
Title: Trial of Nurse-Delivered Alcohol Brief Intervention for Hospitalized Veterans
Role: Co-Investigator
Funding Agency: VA HSR&D
Grant Number: NRI 11-339
Start Year: 2012
End Year: 2015
Title: University of Pittsburgh Model Center for Spinal Cord Injury
Role: Co-Investigator
Funding Agency: U.S. Department of Education
Start Year: 2012
End Year: 2015
Title: Describing Variation in IRB Efficiency Quality and Procedures
Role: Co-Investigator
Funding Agency: VA HSR&D
Grant Number: SDR SDR 11-399
Start Year: 2012
End Year: 2014
Title: Identifying and Understanding Facility-Level Variation in Racial and Ethnic Disparities in Patient Healthcare Experiences
Role: Co-Investigator
Funding Agency: VA HSR&D
Grant Number: Pilot LIP 72-056
Start Year: 2012
End Year: 2013
Title: Variation in Use of Glucose Test Strips Among Older Veterans with Diabetes
Role: Co-Investigator
Funding Agency: HSR&D/CPPF
Grant Number: Pilot LIP 72-063
Start Year: 2012
End Year: 2013
Title: Regional Variation in Prescription Use: A Comparison of VA and Medicare Part D
Role: Co-Investigator
Funding Agency: VA HSR&D
Grant Number: Pilot LIP 72-057
Start Year: 2012
End Year: 2012
Title: Intensity of Diabetes Medication Therapy in Older VA CLC Patients with Co-Morbid Dementia
Role: Co-Investigator
Funding Agency: VA HSR&D
Grant Number: Pilot LIP 72-055
Start Year: 2012
End Year: 2012
Title: A Retrospective Comparison of Electronic versus Face-to-Face Endocrine Consultation for Veterans with Diabetes
Role: Co-Investigator
Funding Agency: Office of Specialty Care Transformation (OSCT)
Grant Number: Pilot T21W-001
Start Year: 2012
End Year: 2012
Title: A Prospective Evaluation of End User Perceptions in Electronic Endocrinology Consultation for Patients with Diabetes
Role: Co-Investigator
Funding Agency: Office of Specialty Care Transformation (OSCT)
Grant Number: Pilot T21W-002
Start Year: 2012
End Year: 2012
Title: Racial and Ethnic Disparities in Satisfaction with VA Care
Role: Co-Investigator
Funding Agency: VA HSR&D
Grant Number: I01 IIR 10-144
Start Year: 2011
End Year: 2015
Title: Risk, Severity and Outcome of Bacterial Pneumonia in an HIV +/- Veteran Cohort
Role: Co-Investigator
Funding Agency: National Heart, Lung, & Blood Institute
Grant Number: 5-RC HL100347-02
Start Year: 2011
End Year: 2012
Title: Risk, Severity, and Outcome of Bacterial Pneumonia in an HIV+/- Veteran Cohort
Role: Principal Investigator
Funding Agency: University of Washington/National Heart, Lung, & Blood Institute
Grant Number: RC1 HL100347
Start Year: 2011
End Year: 2012
Title: Waterpipe Tobacco Smoking Among U.S. Adolescents and Young Adults
Role: Co-Investigator
Funding Agency: National Cancer Institute
Grant Number: R01 CA140150
Start Year: 2010
End Year: 2016
Title: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home
Role: Co-Investigator
Funding Agency: Agency for Healthcare Research and Quality
Grant Number: R01 HS018721
Start Year: 2010
End Year: 2014
Title: Racial and Ethnic Differences in Responses to the Medicare Coverage Gap Among Patients with Cardiac Disease
Role: Co-Investigator
Funding Agency: Agency for Healthcare Research and Quality
Grant Number: R01 HS018657
Start Year: 2010
End Year: 2012
Title: University of Pittsburgh Model Center on Spinal Cord Injury
Role: Co-Investigator
Funding Agency: Department of Education
Grant Number: H133N6000019
Start Year: 2010
End Year: 2012
Title: Associated Health Professions Post-doctoral Training Program in Health Services Research
Role: Program Director
Funding Agency: VA Office of Academic Affiliations
Grant Number: Training TPP 97-007
Start Year: 2009
End Year: 2015
Title: Outpatient Treatment of Low-Risk Patients with Pulmonary Embolism
Role: Co-Investigator
Funding Agency: National Heart, Lung, & Blood Institute
Grant Number: R01 HL085565
Start Year: 2009
End Year: 2012
Title: University of Pittsburgh Model Center of Spinal Cord Injury
Role: Principal Investigator
Funding Agency: U.S. Department of Education
Start Year: 2006
End Year: 2012
Title: Center for Health Equity Research and Promotion
Role: Director
Funding Agency: VA HSR&D
Grant Number: Center HFP 01-063
Start Year: 2001
End Year: 2013
Notable Achievements
Alpha Omega Alpha - Hahnemann Medical School, 1982
National Junior Faculty Award for Outstanding Research; Society of General Internal Medicine, 1991
15 year Professional Attainment Award; Hahnemann University School of Medicine Alumni Association, 1998
Elected to the American Society of Clinical Investigation, 1999
McEllroy Award; University of Pittsburgh School of Medicine Alumni Association, 2004
Elected to the Association of American Physicians, 2009
Excellence in Research Award; The VA Pittsburgh Healthcare System Office of Research and Development, 2011
John M. Eisenberg National Award for Career Achievement in Research Presented by the Society of General Internal Medicine, 2011
Outstanding Alumni Researcher Award; Drexel University College of Medicine Alumni Association, 2013
2016 ICRE Distinguished Research Mentor Award, Presented by the Institute for Clinical Research Education, University of Pittsburgh School of Medicine, 2016