Medical Education Faculty

Mark Rosenberg, M.D.
Program director, General medicine

Courtland Childers, M.D.
Associate program director,
General medicine

Brinton Clark, M.D.
Associate program director,
General medicine

Amy Dechet, M.D.
Associate program director,
Infectious diseases

Andrea Roast, M.D.
Associate program director,
General medicine

Stephen Campbell, M.D.

Richard Cohen, M.D.
Behavioral medicine

Ryan Dix, Psy.D
Behavioral medicine

Ronald Dworkin, M.D.
Infectious diseases

David Gilbert, M.D.
Director, infectious diseases

Ruben Halperin, M.D.
General medicine

Marian Hodges, M.D.
Palliative Medicine/Geriatrics

Meera Jain, M.D.
General medicine

Mari Kai, M.D.
Medical director, PMG-Northeast clinic,
General medicine

James Leggett, M.D.
Infectious diseases

Robert Lusk, M.D.
Infectious diseases

Scott Marsal, M.D.
General medicine

Elizabeth Stephens, M.D.

Richard Wernick, M.D.

Paula Wichienkuer, M.D.
General medicine

Subspecialty Faculty (sorted by subspecialty)

Department of Medical Education Hospital-Based Faculty

Mark Rosenberg, M.D.
Program Director, Internal Medicine Residency

Personal statement: Working collaboratively with residents and faculty to create a challenging and supportive training environment has been a tremendously gratifying way to spend my professional career. Seeing the impact our graduates make is a powerful confirmation of our training program.

Medical school: University of Pittsburgh
Residency: Oregon Health & Science University

Areas of academic focus:

  • Altruism in Medicine
  • Cardiovascular risk modification
  • Professional and Inter-professional Development

National/Regional responsibilities:

  • Emerging Models in Palliative Care Task Force Association of Hospice and Palliative Medicine 2013
  • PHS Strategic Council in Palliative Care (2011-present)
  • PHS Internations Site Development-Leadership Team (2011-present)
  • Project Access Now (Board Chair) - Linking volunteer physicians to patients (2009-2011)
  • National e-Learning Task Force APDIM (2010)
  • Program Planning Regional ACP (2010)
  • International Collaborative for Healthcare in Africa (ASANTE)
  • International Workgroup on Patient Safety (Jerusalem 2008)
  • Geriatrics Education Task Force, Association of Program Directors in Internal Medicine
  • Long-Range Planning Committee, Association of Program Directors in Internal Medicine
  • International Missions for Sisters of Providence, Corporate Board Member
  • Physician Education Council – Sisters of Providence
  • Review Board: Cost Effective Use of Cardiovascular Drugs – State of Oregon

Significant publications:

  • Jain M and Rosenberg M. Commentary on “Meta-analysis: Lowering LDL-C levels using statins reduces major vascular events regardless of baseline risk.”  ACP J Club. 2012 Oct:157:9:JC4-2. Comments on: Cholesterol Treatment Trialists’(CTT) Collaborators. The effects of lowering LDL cholesterol with statin therapy in people at low risk of vascular disease: meta-analysis of individual data from 27 randomized trials. Lancet. 2012;380:581-90.
  • Lusk RC, Rosenberg MA, Heffner JE.  Extending the Core Competencies from the Resident to the Faculty.  Academic Internal Medicine Insight.  2008; 6:(4):20-21
  • Guitteau M, Rosenberg M.  Effects of Comprehensive Lifestyle Modification, ACP Journal Club 2006. Commentary on: Elmer PJ et al, Annals of Internal Medicine 2006,  144:485-95
  • Rosenberg M, Jain M. Nothing is better than thiazides..for blacks or non-blacks. ACP Journal Club 2005. Commentary on: Outcomes in black and non-black hypertensives. Wright JT et al. JAMA 2005:1595-608.
  • Jain M, Rosenberg M. Review: Aspirin reduces CAD events in persons with no history of cardiovascular disease, but it increases gastrointestinal bleeding. ACP J Club 2002 Jul-Aug; 137:6. Commentary on: Hayden M, Pignone M, Phillips C, Muldrow C. Aspirin for the primary prevention of cardiovascular events: a summary of the evidence for the US Preventive Services Task Force. Ann Intern Med 2002;136(2):161-172.
  • Jain M and Rosenberg M. Commentary on “An Indo-Mediterranean diet was more effective than a control diet in primary and secondary coronary artery disease prevention.” ACP Journal Club. 2003 May/June; 138:63.
  • Patmas MA, Rosenberg M, Gragnola T. A rotation in population-based health for internal medicine residents. Acad Med 2001;76:557.
  • Hillier T, Patterson J, Rosenberg MR Physicians as patients. Choices about their own resuscitation. Arch Intern Med 1995;155:1289-93.
  • Rosenberg M, McNulty D Beyond night float? The impact of call structure on internal medicine residents. J Gen Intern Med 1995;19:95-8.

Representative presentations:

  • Sustaining Compassion in Turbulent Times
  • JNC-8: Is it worth the wait
  • Value Based Medicine - 2013 Advances in Internal Medicine
  • Secondary Causes of HTN - 2012 Advances in Internal Medicine
  • Hypertension Update 2010 - Invited multiple venues
  • Integrating Core Competencies into Faculty Development - National APDIM, 2008
  • Teaching About the Healthcare System - National SGIM, 2008
  • Peripheral Artery Diseases - Advances in Internal Medicine, 2007
  • Advances in Hypertension Management - Practical Advances in Internal Medicine, 2006
  • Assessing Cardiac Risk - Practical Advances in Internal Medicine, 2006
  • Coronary Artery Disease and Hypertension - PPMC, Practical Advances in Internal Medicine, 2005
  • Prehypertension and Prediabetes - PPMC Medical Grand Rounds, 2004.
  • Diabetes Management - PPMC, Practical Advances in Internal Medicine, 2004.
  • Hypertension Update – State ACP 2004
  • Beyond JNC VII – Grand Rounds, Providence Portland Medical Center, 2003
  • Novel Cardiovascular Risk Factors – Advances in Internal Medicine, 2003

Faculty development:

  • Getting the Most From Teaching Rounds
  • Giving Effective Feedback
  • Ambulatory Precepting
  • Teaching Residents in the Inpatient Setting

Teaching responsibilities: 

  • Morning Report 3.0 months/year
  • Ward teaching rounds 2.0 months/year
  • Day-to-day inpatient teaching 6 months/year
  • Outpatient precepting 2 sessions/week

Community involvement: 

  • Project Access Now - linking volunteer physicians to uninsured patients
  • Synagogue volunteerism
  • Wallace Medical Concern - volunteer

Personal interests:
Outdoor activities (camping, kayaking, tennis,) yoga, and oceanography.

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CourtlandChilders, M.D., Chief Resident Courtland Childers, M.D.
Associate Program Director
General Medicine

Personal statement: After completing my residency and chief residency at Providence Portland, I was honored to have the opportunity to join the teaching faculty.  I have always been impressed by Providence's longstanding commitment to the health of the surrounding community as well as the program's individualized approach to resident education.  The most rewarding aspect of my job is the mutual learning that occurs while working with residents providing patient care, researching clinical questions and collaborating to improve our health system.

Medical school: Chicago Medical School/Rosalind Franklin University of Medicine and Science
Residency: Providence Portland Medical Center
Chief residency: Providence Portland Medical Center

Areas of academic focus:

  • Transitions of care, integration of information technology to enhance medical education, quality improvement

National/Regional responsibilities:

  • Member, Regional Sentinel Event Committee, Providence Health & Services
  • Schwartz Center Rounds, Planning Committee, Member, Providence Portland Medical Center

International/National presentations:

  • "Teaching Procedures to Internal Medicine Residents: Curricular Innovations in Procedures Training".  Society of General Internal Medicine - Annual Meeting, Denver Colorado, 2013

Regional/Local presentations:

  • "Low Dose Aspirin-An Evolving Role," Good Samaritan Regional Medical Center, Grand Rounds Corvallis, Ore. 2014
  • "Health Apps, Fitness Trackers and the Future of eHealth," Practical Advances in Internal Medicine Symposium, Portland, Ore. 2014
  • "Update in Hospital Medicine," Society of General Internal Medicine-Northwest Meeting, Seattle, Wa. 2014
    "Low Dose Aspirin Prophylaxis,"  Practical Advances in Internal Medicine Symposium, Portland, Oregon, 2013
  • "Challenges in the Management of Chronic Insomnia," Practical Advances in Internal Medicine Symposium, Portland, Ore., 2012
  • "Aspirin for primary prevention of cardiovascular disease,"  Medical Grand Rounds, Providence Portland Medical Center, 2011
  • "Blood Transfusion in Acute Coronary Syndrome,"  Medical Grand Rounds, Providence Portland Medical Center, 2009  

Teaching responsibilities:

  • Inpatient attending  
  • Clinic preceptor  
  • Evidence Based Medicine Faculty
  • Morning Report Facilitator

Personal interests:
Spending time outdoors with family and friends.  I enjoy hiking, skiing, and camping.  My other hobbies are photography and blues guitar.

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 style= Brinton Clark, M.D.
Associate Program Director
General Medicine Faculty

Personal statement: I joined the faculty at Providence in September, 2005, and love being part of this dynamic community of faculty and physicians-in-training.  I enjoy the close relationships and mentoring that are possible in a smaller training environment.  The academic focus of the residency continues to challenge me in my personal learning and growth.

Medical school: University of California, San Francisco (AOA)
Residency: University of California, San Francisco (PRIME program)

Areas of academic focus

  • Ambulatory Medicine and Primary Care
  • Population-Based Health/Healthcare systems
  • Quality Improvement
  • Multicultural Health/Cultural Competency
  • Working with Underserved Populations
  • Obesity Management
  • Dermatology for Primary Care Providers

Teaching responsibilities:

  • Director of Outpatient Education
  • Co-director of the Quality Improvement curriculum
  • Precepting at PMG-Northeast clinic
  • Two months of inpatient attending for the teaching service
  • Oversee the dermatology elective and outpatient advance-focus area 


  • Kai M, Clark B, Rosenberg M.  Introduction to outpatient Medicine: An Innovative Approach.  J Grand Med Education (Accepted for publication February 2014)
  • Building the Foundations for Success:  Teaching Residents to //thrive in the Patient-Centered Medical Home.  Brinton Clark, Mari Kai, Ruben Halperin and Paula Wichienduer
  • The New Patient Clinic Visit and How to Teach It.  Ruben Halperin, Paula Wichienkuer, Brinton Clark and Joe Hardman.  Workshop, NW Regional SGIM Meeting, February 2013.
  • George K, Clark BC.  DRESSing Up Our Approach to Drug Reactions: A Case of Allopurinol-Induced Dress Syndrome.  Poster Presentation Regional American College of Physicians meeting November 2012.  1st Place Winner in Poster Competition.
  • Clark BC, Segal B, Castanares T.  Advance Care Planning Across Cultures.  PMG Grand Rounds.  Providence Portaland and Providence St. Vincent Medical Centers (October 2nd, 3rd 2012).
  • Bajema K, Clark BC. Acute Intermittent Porphyria: Regression of Hallucinations and Neuropathy with Hemin.  Poster presentation, NW Regional American College of Physicians meeting, November 2011
  • "PCP Tools for Obesity Management," Presentation at Providence Symposium for Continuing Medical Education, April 2011
  • "Managing Obesity in the Primary Care Setting," Medical Grand Rounds Presentation at Providence Portland Medical Center, July 2010 and Providence St. Vincent Medical Center, January 2011.
  • Synopsis of journal articles for the online journal resources site, "Faculty of 1000's" in 2009-2010.
  • "Teaching Systems-Based Practice to Residents," Workshop for Society of General Internal Medicine Meeting, Pittsburgh, Pa., April 9, 2008. 
  • Clark BC, Grossman E, White MC, Goldenson J, Tulsky J. The state of diabetes care in the San Francisco County jail. Am J Public Health  2006; 96: 1571-1574
  • Clark BC. Diffuse alveolar hemorrhage, pulmonary capillaritis and renal failure: a case of catastrophic antiphospholipid syndrome. Poster presentation. Society for General Internal Medicine annual meeting, May 2004. SGIM California regional meeting, March 2004.
  • Levinson W, Kaufman K, Clark B, Tolle S. Mentors and role models for women in academic medicine. West J Med 1991;154:423-26

Personal interests:
Spending time with family including my three children (age ranges from 3 to 9 years old). I love gardening, reading, hiking, yoga, traveling and meeting people from different cultures.

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Amy Dechet, M.D. Amy Dechet, M.D.
General Medicine Faculty, Associate Program Director
Infectious Diseases

Personal statement: I have been privileged to be a part of the medical education staff since 2008.  While having specialty training in infectious diseases, I still very much enjoy general internal medicine and find it challenging and stimulating to incorporate both into my practice.  Above all else, I am passionate about teaching and exploring innovative ways in which this might be done effectively.  The energy and compassion of the residents and staff here make for an exciting and rewarding work environment.

Medical school: University of Washington
Residency: University of California, San Francisco
Chief residency: San Francisco General Hospital (University of California, San Francisco)
Fellowship: University of California San Francisco, Infectious Diseases
Additional graduate training: Epidemic Intelligence Service (EIS) Officer at Centers for Disease Control and Prevention

Areas of academic focus:

  • Judicious antibiotic use
  • Public health
  • HIV training
  • Evaluating teaching methods
  • Curriculum development

Recent publications:

  • Dechet AM, Herman KM, Parker C, et al. Outbreaks Caused by Sprouts, United States 1998-2010: Lessons Learned and Solutions Needed. Foodborne Pathogens & Disease. Accepted for publication 2014
  • Dechet AM, Parsons M, Rambaran M, Mohamed-Rambaran P, Florendo-Cumbermack A, Persaud S…, Mintz ED. Leptospirosis Outbreak following Severe Flooding: A Rapid Assessment and Mass Prophylaxis Campaign; Guyana, January-February 2005. PLoS One. 2012;7(7):e39672. Epub 2012 Jul 9
  • Sexually Transmitted Diseases Workshop, Annual Symposium, 2011 Infectious Diseases in the Urgent Care Setting, OHSU Urgent Care Conference, 2011
  • HIV/AIDS Routine Testing Curriculum Guide. July 2008. AIDS Education and Training Center. Co-author.
  • Jain S, Chen L, Dechet A, et al. An outbreak of enterotoxigenic Escherichia coli associated with sushi restaurants in Nevada. Clin Infect Dis. 2008 Jul 1;47(1):1-7.
  • Dechet A, Yu PA, Koram N, Painter J. Non-foodborne Vibrio infections: an important cause of morbidity and mortality – United States. Clin Infect Dis. 2008 Apr 1;46(7):970-6.
  • HIV/AIDS Basic Training Curriculum Guide June 2007. AIDS Education and Training Center. Contributing author.
  • Dechet AM, Scallan E, Gensheimer K, et al. Outbreak of multidrug-resistant Salmonella enterica serotype Typhimurium Definitive Type 104 infection linked to commercial ground beef, northeastern United States, 2003-2004. Clin Infect Dis. 2006 Mar 15;42(6):747-52.
  • Karen E. Hauer, A Teherani, A Dechet, E Aagaard. Medical students' perceptions of mentoring: a focus-group analysis. Med Teach. 2005 Dec;27(8):732-4.
  • Centers for Disease Control and Prevention. Salmonella Typhimurium outbreak associated with egg salad. MMWR 2004; 53 (48): 1132-4. 
  • Centers for Disease Control and Prevention. Outbreak of Salmonella serotype enteritidis infections associated with raw almonds – United States and Canada, 2003-2004. MMWR 2004; 53 (22): 484-7.

Recent presentations:

  • "Rethinking Sore Throat Management," Practical Advances in Internal Medicine Symposium, Portland, OR, 2014
  • "Pre & Post travel for the primary care provider," Annual Symposium, 2014

Personal interests:
My family—especially my three lively children—as well as extended family, skijoring, hiking, Pilates and spending time on Mt. Hood.

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Andrea Roast, M.D.
Associate Program Director
General medicine

Personal statement: To me, the practice of medicine is a multi-dimensional puzzle. Collaborating with others, both as an educator and as a learner, and using all the clues to work through this puzzle drives my enthusiasm. There’s nothing more exciting than being surrounded by the experience and knowledge of clinically academic colleagues and driven residents, both of which I experience here at Providence. One of my personal interests includes the integration of medicine and computers for resident education, improved patient care and productivity benefits.

Graduate school: Master’s degree in Biomedical Engineering, Ohio State University
Medical school: Michigan State University
Chief residency: Providence St. Vincent Medical Center, Portland, OR

Areas of academic focus:

  • Integration of computers and medicine
  • Inpatient medicine
  • Resident evaluation and advancement tools

Regional responsibilities:

  • EPIC Physician Builder Team

Recent presentations/workshops:

  • Management of Resident Noon Conference: Chronic Stable Angina, August 2013
  • Epic Physician Optimization Workshop for Inpatient Setting, 2013
  • Medical Board Reviews
  • Grand Round Lecturer, Providence Portland Medical Center, "Cardiac Stress Testing for Chronic Stable Angina." December 2010
  • Resident Noon Conference Presenter, Providence Portland Medical Center, "EMR Tips for Effective Patient Care and Efficiency." 2010
  • Resident Noon Conference Presenter, Providence Portland Medical Center, "Exercise Testing for Cardiac Risk." December 2009
  • Resident Noon Conference Presenter, Providence Portland Medical Center, “Emergency Treatment of Hyponatremia and Hypernatremia.”  July 2008 and July 2007
  • Workshop Co-Moderator, Society of General Internal Medicine Annual Scientific Meeting, “Formalized Teaching of the Electrocardiogram to Medicine Residents.” April, 2008.  Pittsburgh, PA
  • Workshop Moderator, 19th Annual Practical Advances in Internal Medicine Symposium. “Getting Better at ECG Reading.”  April, 2008.  Portland, OR
  • Resident Noon Conference Presenter, Providence Portland Medical Center, “Exercise Testing for Cardiac Risk.”  4/2008, 1/2007 and March, 2006
  • Resident Noon Conference Presenter, Providence Portland Medical Center, “Clinical Prediction Rules.  An Evidence-Based Review.”  May, 2007
  • Northwest Society of General Internal Medicine Annual Meeting, “Development of a Year-Round EKG Curriculum.” 4/07
  • Grand Round Lecturer, Providence Portland Medical Center, “Update in Internal Medicine.”  September, 2006
  • Workshop Co-Moderator, 17th Annual Practical Advances in Internal Medicine Symposium. “Exercise Testing for Cardiac Risk.”  April, 2006.  Portland, OR

Teaching responsibilities:

  • Teaching Attending on the Wards – approximately one month/year
  • Clinical preceptor (1/2 day per week)
  • Medical Student Teaching for a 5-week block each year. (OHSU third year medical students)
  • EKG Curriculum Coordinator

Personal interests:
Spending time with my family, traveling, skiing, hiking, cycling and yoga.

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Stephen M. Campbell, M.D.

Personal statement:  I moved to Providence in a part-time capacity in 2007 after a 25 year career as a clinician-teacher at OHSU.  The Providence Internal Medicine residency program has always had a stellar reputation in education, and I have greatly enjoyed becoming part of that tradition.

Medical school:  UC San Diego
Residency: OHSU
Fellowship: OHSU

Areas of academic focus:

  • Clinical rheumatology
  • Techniques of medical education

Most significant publications:

  • Paudyal S, Campbell SM. Intra-articular corticosteroids in osteoarthritis.  Geriatrics Aging 2009; 12:247-52.
  • Wernick R, Campbell SM.  Update in rheumatology.  Ann Intern Med 2000;132:125-133.
  • Campbell SM, Wernick R.  Update in rheumatology.  Ann Intern Med 1999;130:135-142.
  • Rosenbaum R, Campbell SM, Rosenbaum J. The Clinical Neurology of Rheumatic Disease.  Butterworth Heinemann (1996).

Recent presentations:

  • "Joint aspiration and injection," OHSU Primary Care Review 2010-2014
  • "Update on vasculitis," Providence Internal Medicine Review 2012
  • "Vasculitis for the Inpatient Physician," Oregon Hospitalist Association, 2009
  • "Rheumatology Yearbook," Northwest Rheumatism Society, 2009

Teaching responsibilities:

  • Rheumatology week noon teaching sessions (4/year)
  • Evidence-based medicine preceptorTeaching attending on general medicine ward services (2 months/year).
  • Medical student teaching attending (2 months/year)
  • Teaching attending on rheumatology resident rotation: supervision in rheumatology clinic and medical orthopedics clinic; didactic sessions.
  • MedOrtho clinic weekly in PACE clinic: designed to give housestaff experience in office musculoskeletal medicine and local injection techniques.

Personal interests:
Family of wife and 3 daughters; hobbies of landscaping, woodworking, hiking.

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Richard Cohen, M.D.Richard Cohen, M.D.
Behavior Medicine

Personal statement: I feel lucky to work with such talented and compassionate people, helping our patients through teaching and supporting residents and faculty.

Medical school: Chicago Medical School of Rosalind Franklin University of Medicine and Science
Residency: Northwestern University Medical School/Evanston Hospital

Areas of academic focus:

  • Psychosocial aspects of general medicine
  • Common effective components of multiple psychotherapy models
  • Doctor/patient relationship
  • Therapeutic communication
  • Office counseling
  • Psychotropic medication
  • Behavioral health integration into primary care 

Recent presentations:

  • "Behavioral Health Integration," Intermountain Healthcare Mental Health Integration Bootcamp, August 22, 2013
  • "Common Outpatient Psychiatric Problems," Practical Advances in Internal Medicine Spring Symposium, April 2012
  • "Antipsychotic Medication: A Primary Care Approach," Oregon Society of Physician Assistants Annual Meeting, Legacy Meridian Park Hospital Primary Care Educational Conference, and Providence Portland Medical Center Medical Grand Rounds; April, 2007; September, 2006; and March, 2006 respectively
  • "Use of Newer Antipsychotics. Scientific Program," Oregon Chapter of the American College of Physicians Scientific Meeting, November 2004
  • "Medical Treatment of Depression," Core course presentation, Practical Advances in Internal Medicine Spring Symposium, April 2003
  • Critical Incident Conferences. Workshop. Society for General Internal Medicine Northwest Regional Meeting, March 2003.

Teaching responsibilities:

  • Resident support group
  • Complicated illness clinic
  • Psychiatric review clinic
  • Self-reflection module in palliative care elective rotation
  • Behavioral medicine Noon Conference series
  • Critical incident Noon Conferences
  • Inpatient team teaching
  • Advise and support residents and faculty
  • Chronic Pain Advisory Team

Personal interests:
Family, travel, tennis, hiking, cycling and social justice.

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Ryan Dix, Psy.DRyan Dix, Psy.D
Behavior Medicine

Personal statement: I recently came to Providence and am very excited to not only provide integrated behavioral health, but to also help shape the medical providers of the future.

Graduate school: George Fox University, Newberg OR
Internship: Denver Health Medical Center, Denver CO
Fellowship: Kaiser Permanente NorthBay Consortium, Vallejo, CA

Areas of academic focus:

  • Behavioral medicine
  • Motivational Interviewing
  • Diversity
  • Community education/outreach


  • Co-panelist - What makes us unique: Poster session and discussion of the scope of practice of psychologists in Oregon. Oregon Psychological Association. Annual Conference 2013.
  • "Cancer and Depression" Survivor and caregiver presentation; Eugene, OR 2013.
  • "Prescription Drug Abuse" Prescription drug abuse summit; Prineville, OR 2012.
  • Volunteer community presentations on: Depression, Anxiety, ADHD, Living with Chronic Pain. 2012-2013
  • "Dealing with the Blues through Every Stage of Life." Lady's Night Out; Prineville, OR, 2012.

Regional responsibilities:

  • Chair for Integrated Primary Care Task Force-Oregon Psychological Association
  • Diversity Committee for the Oregon Psychological Association-Legislative Committee: Member
  • Diversity Committee for the Oregon Psychological Association: Member
  • Early Career Psychologist/Membership Committee for the Oregon Psychological Association: Member
  • Annual Conference Committee for the Oregon Psychological Association: Member

Teaching responsibilities:

  • Accompanies residents as a "shadow preceptor" seeing patients patients in the PMG-NE clinic and consults on specific PMG-NE cases as requested
  • Presents at behavioral medicine noon conferences
  • Involved in various resident-related special projects and events

Personal interests:
Spending time with my family, anything related to exercise or being outside and watching movies.

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Ronald J. Dworkin, M.D.
Infectious Diseases

Personal statement: I have been a part of the core-teaching faculty at Providence Portland since 1990, and consider myself fortunate to be a part of this teaching adventure. What makes this place special is the people, from the leadership to the residents. There is great energy here to create a positive learning environment, to renew it on a consistent basis, and to help residents become exceptional physicians. My goal is to make our residents the best trained in internal medicine and infectious diseases that they can be, to give them a strong foundation for the intelligent and compassionate care of their patients.

Medical school: Mt. Sinai School of Medicine
Residency: Presbyterian Hospital, New York; University of California, San Francisco
Fellowship: Infectious diseases, Mt. Zion Hospital and Medical Center, San Francisco

Areas of academic focus:

  • Infection prevention

National/regional responsibilities:

  • Past President, Infectious Disease Society of Oregon
  • Medical Director, Regional Infection Prevention, Providence Health and Services Oregon


  • "Screening for Infectious Diseases in Primary Care," Medical Grand Rounds PPMC, Feb 2011
  • "Infectious Diseases Testing in Rheumatology," Northwest Rheumatism Society, 2009.
  • Kearsley J, Dworkin R, Kai M. Is sulfa the new "great mimic"? A case of hypersensitivity myocarditis. National SGIM meeting, February 2009.
  • Marsal S, Dworkin R. Case presentation. A man with a stubborn pneumonia. National SGIM meeting, April, 2008.
  • Campbell M, Welle J, Gleaves C, Dworkin R, and Gilbert D. Adenovirus 14 detection and surveillance in an Oregon health system from 2005-2007. 24th Clinical Virology Symposium, Clearweater, FL, 2008.
  • Kohlhepp S, Gleaves C, Dworkin R, Gilbert DN. Diagnosis of C. difficile toxin-mediated diarrhea by detection of gene for toxin B. (Submitted for publication)
  • Douville EC, Asaph JW, Dworkin RJ et al. Sternal preservation: a better way to treat most sternal wound complications after cardiac surgery. Ann Thoracic Surg 2004;78:1659-64.
  • Dworkin RJ. Aminoglycosides for the treatment of gram-negative infections: therapeutic use, resistance, and future outlook. Drug Resistance Updates 1999;2:173-179.
  • Gilbert D, Dworkin R, Raber S, Leggett J. Outpatient parenteral antimicrobial drug therapy. N Engl J Med 1997;337:829-838.
  • Dworkin RJ, Drew WL. Therapy of herpes virus infections in AIDS. Curr Op Infect Dis 1990;3:108-112.
  • Dworkin RJ, Lee BL, Sande MA, Chambers HF. Treatment of right-sided Staphylococcus aureus endocarditis in intravenous drug users with ciprofloxacin and rifampin. Lancet 1989;ii:1071-1073.

Teaching responsibilities:

  • Daily ward rounds in infectious diseases
  • Three outpatient clinic sessions per week, working with residents and medical students on the ID elective

Personal interests:
Outdoor activities with my family and dog, biking, travel, golf, fly fishing, hunting and reading.

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David N. Gilbert, M.D., MACP
Chief of Infectious Diseases
Previously, Director of Medical Education (35+ years)

Personal statement: I have had the extreme pleasure of watching the Internal Medicine Residency mature from one full-time faculty member (myself) in 1971 to the current status of over 15 full-time faculty, literally hundreds of volunteer teaching faculty, and a superb academic teaching clinic in a vibrant atmosphere of mutual respect and intellectual curiosity. I have always been driven by what is referred to as the "multiplier effect." It has not been enough to provide quality patient care to patients. I need to teach, and simultaneously learn, with residents and students, so that the knowledge and experience accrued can be "multiplied" and disseminated to an ever-greater number of physicians. For the highly motivated individual, I truly believe that our program represents an intellectual and academic feast.

Medical school: Oregon Health & Science University
Residency: Oregon Health & Science University
Fellowship: University of Texas, Southwestern Medical School at Dallas

Areas of academic focus:

  • All facets of infectious diseases with emphasis on antimicrobials
  • Current project – Role of rapid molecular diagnostics in antimicrobial stewardship

National/Regional responsibilities:

  • 2012: Recipient of Watanakunakorn Clinician of the Year Award of the Infectious Diseases Society of America
  • Past-President, Infectious Diseases Society of America (IDSA)-2001-2002
  • Past Member, Infectious Diseases Section, American Board of Internal Medicine
  • Professor of Medicine, Oregon Health & Science University 
  • Co-Chair, IDSA/FDA Sponsored Workshop on Clinical Trials of Antimicrobials for Community Acquired Pneumonia
  • Co-Director, National Infectious Disease Board Review Course
  • Member, Laboratory Diagnostics Task Force of the Infectious Diseases Society of America

Selected publications:

  • Over 150 original peer-reviewed publications in the area of infectious diseases.
  • Bartlett JG, Spellberg B, Gilbert DN.  8 ways to deal with antibiotic resistance., 8/7/2013.
  • Richards EP, Crumet N, Gilbert DN.  Fever control in septic shock: import of microorganisims and antimicrobial therapy.  Letter to the editor.  Am J Respir Crit Care Med 2013;187:1273-74.
  • Boucher HW, Talbot GH, Benjamin Dk, Bradley J, Guidos Rj, Jones Rn, Murray BF, Bonomo Ra and Gilbert D. 10x'20 progress - development of new drugs active against gram-negative bacilli: An update from the Infectious Diseases Society of America.  Clin Infect Dis 2013; 56:1685-94  
  • Bartlett JG, Gilbert DN, Spellberg B. Seven ways to preserve the miracle of antibiotics.  Clin Infect Dis 2013;56:1445-50
  • Spellberg B, Bartlett JG, Gilbert DN. The future of antibiotics and resistance. N Engl J Med 2013;368:299-403.
  • Gilbert DN. Serum procalcitonin levels. Arch Intern Med 2012; 172:722-23.
  • Gilbert DN et al.  White Paper: recommendations on the conduct of superiority and organism-specific clinical trials of antibacterial agents for the treatment of infections caused by drug-resistant bacterial pathogens.  Clin Infec Dis 2012:55 1031-1046
  • Gilbert DN. Discriminatory value of procalcitonin.  Letter to the Editor. Am J Resp Crit Care Med 2011;184: 210
  • Gilbert DN. Procalcitonin and pulmonary aspiration: another possible interpretation.  Letter to the Editor. Crit Care Med 2011; 391:2019-2020.
  • Gilbert DN et al (13 other authors). Combating antimicrobial resistance: policy recommendations to save lives.  Clin Infect Dis 2011;52 (Suppl 5): S397-S428.
  • Gilbert DN, Spellberg B, Bartlett JG.  An unmet medical need: rapid molecular diagnostics tests for respiratory tract infection. Clin Infect Dis 2011; 52(Suppl4):S384-S395
  • Gilbert DN. Procalcitonin as a biomarker in respiratory tract infection.  Clin Infect Dis 2011; 52(Suppl 4):S346-S350.
  • Gilbert DN, Bartlett JG guest editors.  Proceedings of a workshop on molecular diagnostics for respiratory tract infections.  Clin Infect Dis 2011;52(Suppl 4):S277-S395.
  • Sanford Guide to Antimicrobial Therapy revised annually: Co-editor
  • Sanford Guide to HIV/AIDS Therapy revised annually: Co-editor

Teaching responsibilities:

  • Lead resident Morning Report on a rotational basis
  • Conduct general internal medicine teaching rounds at least twice each year
  • Attending for Fellows, Residents and Medical Students on the Infectious Diseases Consulting Service
  • ICU Multidisciplinary Rounds five times a week

Personal interests:
Family. I have been blessed with a loving wife, five children and, at the moment, 13 beautiful grandchildren. Hobbies include golf in the summer and skiing in the winter. Some say that medicine is my ongoing hobby.

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Ruben Halperin, M.D., MPH
General Medicine Faculty

Personal statement: I enjoy the challenges of teaching residents and medical students.  Providence Portland has a wonderful residency program that gives me a chance to work with a highly skilled faculty and amazing residents who stimulate me to keep learning and growing as a physician.

Medical school: Emory University School of Medicine
Residency: UCLA Center for Health Sciences
Fellowship: Harvard General Medicine Fellowship

Areas of academic focus:

  • Chronic Disease Management
  • Persistant Pain
  • Integration of Behavioral Medicine into Primary Care
  • Quality Improvement/Health Services

Grants and research project:

  • Persistent Pain Program - Collaboration between Primary Care, Physical Therapy and Behavioral Health.

Recent presentations:

  • "Building the foundation for success: Teaching residents to thrive in the Patient Centered Medical Home," NW Regional SGIM Portland, Ore. Feb 2013
  • "Beyond Opiates:  A New Paradigm for Understanding and Treating Pain," Medical Grand Rounds Providence Portland Medical Center June 2013.
  • "The New Patient. Teaching residents about building a longitudinal relationship," NW Regional SGIM Portland OR Feb 2013
  • "Persistent Pain: Toward a Modern Understanding of the Neurophysiology of Pain,"  Faculty Development at mutiple sites 2012.
  • "Managing Depression in the Primary Care Setting," Legacy Meridian Park Internal Medicine Lecture Series, January 2011
  • "Managing Depression in the Primary Care Setting," Providence Internal Medicine Annual Symposium, Portland, Ore. April 2010
  • "Teaching Quality Improvement to Residents: Focus on Inpatient Handoffs," APDIM Internal Medicine Week - Workshop, October, 2009
  • "Managing Depression in the Primary Care Setting," Internal Medicine Grand Rounds, Providence Portland Medical Center, July, 2009.
  • "Teaching Systems-Based Practice to Residents: Workshop." Society of General Internal Medicine National Meeting, Pittsburgh, Pa., April, 2008.
  • Barriers to Colon Cancer Screening in an Internal Medicine Residency Clinic.  Poster, Society for General Internal Medicine National Meeting, Toronto, Ontario, Canada April 2007
  • "Cigarette Smoking and the Risk of Hypertension," SGIM National Meeting, New Orleans, La. May 2005
  • "Dyslipidemia and the Risk of Incident Hypertension," SGIM National Meeting, Chicago, Il. May 2004

Recent publications:

  • Halperin R, Pork Products in Medicine SGIM Forum 2013 36(11):6
  • Linberg NM, Stevens VJ, Halperin RO.  Weight-loss Interventions for Hispanic Populations; The role of Culture.  Journal of Obesity, 2013;542736.
  • Halperin RO, Gaziano JM, Sesso HD.  Smoking and the Risk of Incident Hypertension in Middle-aged and Older Men.  Am J Htn 21; 148-52 2008 February
  • Halperin RO, Sesso HD, Jing M, Stampfer M, Buring JE, Gaziano JM.  Plasma Lipids and the Risk of Incident Hypertension.  Hypertension 47(1): 45-50 2006 January
  • Halperin RO. Establishing Goals of Care.  Hospital Medicine Secrets. Ch 88. 586-589 November 2006

Teaching responsibilities:

  • Co-director, Population-Based Health
  • Chronic Pain Advisory Team
  • Inpatient and outpatient precepting of residents
  • Medical Student Teaching 


  • Oregon Pain Management Commission - member
  • Pharmacy and Therapeutics - member

Personal interests:
I enjoy outdoor activities like hiking, cycling, and skiing, and indoor ones like playing the fiddle.

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Marian Hodges, M.D., M.P.H.Marian Hodges, M.D., MPH
Palliative Care/Geriatrics/Ethics

Personal statement: 
I joined Providence in 1992 to teach the residents how to give the best possible care to older patients.  Since then, I have added palliative care as an interest and educational focus: I want to make sure all patients and families facing critical illness get the best support from their physicians, which means that the residents are skilled in difficult conversations and handling tense emotional moments.  I am passionate in my desire to make sure the residents are prepared to deal with their OWN emotions and issues around caring for chronically and critically ill patients, as well as to make sure the patients and families are served well.  In 2011, I embarked on a major research project to help better understand what families of patients with dementia need from primary care physicians; I am developing a tool for doctors to use with these patients/caregivers whose efficacy will be tested with both groups. 

Medical school: Columbia University College of Physicians and Surgeons
Residency: Oregon Health & Science University
Fellowship (geriatrics): University of Washington/Portland VA Medical Center
Board certification:  Internal Medicine, Geriatric Medicine
Additional postgraduate training: Master of Public Health (MPH) with emphasis on Medical Ethics, University of Washington (Robert Wood Johnson Clinical Scholar)

Areas of academic focus:

  • Dementia and family caregiver support
  • Cross-cultural issues at end-of-life

Regional responsibilities:

  • Oregon Region Community Ministry Board, PH&S

Most significant publications:

  • Segal BA, Hodges M, Care Across Cultures Does Every Patient Need to Know?  Health Progress March 2012; 31-36 
  • Tuohey J., Hodges M. POLST reflects patient wishes, clinical reality.  Health Progress 2011; 2:60-64
  • Hodges M, London M, Lundstedt J. Family-driven quality improvement in end of life care. J Healthcare Qual 2006;2:20-26,31.
  • Frost D, Hodges M. Prescription pain medicine: "Hooking" you or helping you? J Pall Med 2006;9:507.
  • McSkimming S, Hodges M, Super A,Driever M,Schoessler M, Lee M. The experience of life-threatening illness: patients and their loved ones' perspective. J Palliative Med 1999;2:173 184.
  • Super A, Hodges M. Living and healing during life-threatening illness (Video). Supportive Care of the Dying: A Coalition for Compassionate Care, Catholic Health Association, 1997.
  • Hodges M. Reflections on the most meaningful experience for me in my training. In Caring for the Dying: Identification and Promotion of Physician Competency. Personal narratives. Project of the American Board of Internal Medicine 1996;23-24.
  • Hillier TA, Patterson JR, Hodges MO, Rosenberg MR. Physicians as patients: choices regarding their resuscitation. Arch Intern Med 1995;155:1289-1293.
  • Hodges MO, Tolle SW, Stocking C, and Cassel CK. Tube feeding: internists' attitudes regarding ethical obligations. Arch Intern Med. 1994;154:1013-1020.
  • Hodges MO, Tolle SW.Tube feeding decisions in the elderly.Clin Geriatr Med. 1994;10:475-488.
  • Hodges MO. End-of-life discussions: a need unfulfilled and a task undefined. J Gen Intern Med. 1994;9:113-115.

Recent presentations:

  • "Help! I Want Out of Here!: Use of Self in Difficult Conversations," Oregon Statewide Palliative Care Conference, June 2013
  • "EGAD!-They’re Back! An Update on the Family Caregiver Notebook for Dementia Patients: An Interactive Session." Oregon Geriatric Society Annual Meeting, Sunriver, with Anne Hill, J.D., October, 2012 
  • "Complex Medical Decisions in Palliative Care: Artificial Nutrition in Severely Demented." Providence Portland Medical Center Internal Medicine Symposium. Workshop co-led with Dr. Pamela Miner, April, 2011.
  • "Start Tube Feeding? Complex Decision-Making in Advanced Illness." Ethics Grand Rounds, Providence Sacred  Heart Medical Center, April, 2011.
  • "First Do No Harm: Optimizing Quality and Caring for Frail Elderly and families in Final Months of Life." 2009 Statewide Palliative Care Conference, June, 2009.
  • "Cross-Cultural communication in End of Life Care: Understanding Challenges and Identifying Strategies." Workshop, 3rd National Congress, Supportive Care Coalition, San Antonio, February, 2008.
  • "Ethical Issues with Artificial Nutrition and Hydration: Case Discussions." Workshop, 59th Annual Scientific Assembly & Congress, Oregon Academy of Family Physicians, Sunriver, Ore., May, 2006.
  • "Cross Cultural Issues at the End of Life." Plenary Speaker, 59th Annual Scientific Assembly & Congress, Oregon Academy of Family Physicians, Sunriver, Ore. May, 2006.
  • "Dealing with Unprofessional Conduct." Workshop, 16th Annual Kinsman Conference, new Issues in Health Care Ethics in 2006, Bend, April, 2006.

Teaching responsibilities:

  • Coordinate PGY2 rotation in geriatrics and palliative care electives
  • Coordinate palliative care curriculum for residents, including elective noon conferences
  • Co-lead ICU Ethics Rounds weekly with the three ICU house staff to discuss and debrief their most challenging cases
  • Precepts residents interested in geriatrics training in a shared practice setting

Personal interests:
Family: husband Matt and daughter Kate. Hobbies: cooking, music/singing, watching baseball.

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Meera Jain, M.D.
General Medicine Faculty

Personal statement: I love working with the residents at Providence! Our size and structure allow the faculty to really get to know our residents at both a professional and personal level and to follow their progress longitudinally. I find this truly rewarding.

Medical school: University of Florida (Alpha Omega Alpha)
Residency: Oregon Health & Science University

Areas of academic focus:

  • Chronic disease management
  • Preventive health
  • Critical appraisal of the literature
  • Tobacco prevention and cessation

Recent publications:

  • Jain M and Rosenberg M. Commentary on “Meta-analysis: Lowering LDL-C levels using statins reduces major vascular events regardless of baseline risk.”  ACP J Club. 2012 Oct:157:9:JC4-2. Comments on: Cholesterol Treatment Trialists’(CTT) Collaborators. The effects of lowering LDL cholesterol with statin therapy in people at low risk of vascular disease: meta-analysis of individual data from 27 randomized trials. Lancet. 2012;380:581-90.
  • Jain M and Stephens L.  Commentary - Intensive insulin therapy during cardiac surgery did not reduce mortality or morbidity but increased risk for stroke.  ACP J Club.  2007 July-Aug:147:2. Comment on: Gandhi GA, Nuttal GA, Abel MD, et al.  Intensive intraoperative insulin therapy versus conventional glucose management during cardiac surgery: a randomized trial.  Annals of Internal Medicine 2007; 146:233-43.
  • Rosenberg M and Jain M.  Commentary - Amlodipine or Lisinopril was not better than chlorthalidone for reducing CVD risk in hypertensive black or nonblack patients.  ACP J Club.  2005 Nov-Dec; 143:63.  Comment on: Wright JT Jr, Dunn JK, Cutler JA et al.  Outcomes in hypertensive black and nonblack patients treated with chlorthalidon, amlodipine, and lisinopril.  JAMA. 2005;293:1595-608.
  • Jain M and Rosenberg M. Commentary - An Indo-Mediterranean diet was more effective than a control diet in primary and secondary coronary artery disease prevention. ACP J Club. 2003 May/June;138:63. Comment on: Singh RB, Dubnow G, Niaz MA, et al. Effect of an Indo-Mediterranean diet on progression of coronary artery disease in high risk patients (Indo-Mediterranean Diet Heart Study): a randomized single-blind trial. Lancet. 2002;360:1455-61.
  • Jain M and Rosenberg M. Commentary - Review: Aspirin reduces CAD events in persons with no history of cardiovascular disease, but it increases gastrointestinal bleeding. ACP J Club. 2002 July-Aug;137:6. Comment on: Hayden M, Pignone M, Phillips C, Mulrow C. Aspirin for the primary prevention of cardiovascular events: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2002 Jan 15;136:161-72.

Recent presentations:

  • "Practical Tips for Tobacco Cessation," 2011 Thoracic Oncology Symposium, November 2011
  • "Practical Questions in Lipid Management," Providence Portland Medical Center Medical Grand Rounds, February 2010
  • "Cholesterol Update 2009." Practical Advances in Internal Medicine 20th Annual Symposium, April 2009.
  • "Preventive Visits" (workshop), Practical Advances in Internal Medicine 18th Annual Symposium, April 2007
  • "The Ideal Cholesterol."  Practical Advances in Internal Medicine, 17th Annual Symposium, April 2006
  • "Cancer Screening: The New Evidence." Practical Advances in Internal Medicine, 16 th Annual Symposium, April 2005.
  • "Inpatient Diabetic Control and Outcomes," Practical Advances in Internal Medicine/14th Annual Symposium, April 2003.

Teaching responsibilities:

  • Director, Evidence Based Medicine
  • Attending on the inpatient wards, leading morning report, leading teaching rounds, precepting residents in their continuity clinic.

Personal interests:
Being a mother to a smiley and happy girl, enjoying food and wine, reading, walking.

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Mari Kai, M.D.
General Medicine

Medical director, PMG- Northeast personal statement: The greatest part of being a faculty member at PPMC is being able to tackle new challenges each year and to contribute to some amazing innovations of the residency curriculum. It’s been enjoyable be the medical director of PMG-Northeast and to continue the tradition of providing quality care to patients and an outstanding education to residents.

Medical school: Columbia College of Physicians and Surgeons
Residency: Oregon Health & Science University
Fellowship: General Medicine, Portland VA Medical Center

Area of academic focus:

  • Director of the PMG-Northeast ambulatory block rotation
  • Director of the Women's Health rotation and curriculum
  • Faculty for Women's Health Advanced Focus track
  • Faculty for the Evidence-Based Medicine curriculum  

Recent presentations:

  • Procedure in Internal Medicine, Workshop presentation, Society of General Internal Medicine, Denver, CO May 2013.
  • Providence Spring Symposium. Chronic pain management 2013.
  • PPMC Grand rounds.  Chronic Opiate use and the Changing of the Tides 2012
  • NW Regional SGIM meeting 2/2012, "Procedures in Internal Medicine Residency Training", Seattle Washington
  • Course for University of Portland Nurse Practitioner Students on Stroke and TIA management, February 2012
  • Course for University of Portland Nurse Practitioner Students on Congestive Heart Failure, November 2011
  • Kai, M., James, TT, "Are Immunizations Doing Away with Lumbar Puncture/A Case of Pneumococcal Meningitis, " National Society of General Internal Medicine Phoenix, Az May, 2011
  • Medical Grand Rounds, PPMC June 10, 2009, "Prevention in the Elderly"
  • Kai, M., Kearsley, J.B., "Is Sulfa the New Great Mimic? A case of Hypersensitivity Myocarditis".  National Society of General Internal Medicine Poster Presentaton, Miami, Fl, May 2009.
  • Medical Grand Rounds, Providence Portland Medical Center, Sept 27, 2006; "Updates in Women's Health"
  • Clinical Vignette Poster Presentation with Dr. Christy Risinger, "Doc, I Have Pain All Over!  A Case of Vitamin D. Deficiency" presented at 2005 National Society of General Internal Medicine Meeting in New Orleans, LA
  • Medical Innovation Abstract Oral Presentation, "Improving the Residency Continuity Clinic with Teamwork" at the 2005 Northwest Regional SGIM Meeting in Vancouver, WA
  • Workshop presentation at 2004 Northwest Regional Society of General Internal Medicine Meeting with Drs. Michelle Guitteau and Meera Jain:  "US Preventative Services Guidelines:  How to Apply Them to Teaching and Clinical Practice"
  • Workshop presentation at the 2003 Northwest Regional society of General Internal Medicine Meeting with Dr. Rick Cohen, "Critical Incidents", Portland, OR
  • Spring Symposium:  April 2003, "Cervical Cancer Screening"
  • Medical Grand Rounds, Providence Portland Medical Center April 2, 2003:  "Cervical Cancer Screening:  Current Insights and Updates"
  • Spring Symposium:  April 2001, "Evidence-Based Medicine Workshop-How to Appraise an Article about Therapy" with Dr. Sylvia Gibson
  • Medical Grand rounds, Providence Portland Medical Center March 15, 2000: "Medical Genetics for the Primary Care Physician"

Internal presentations (resident noon conference topics):

  • Office-Based Opioid Addiction Therapy with Buprenorphine
  • Delirium
  • ABCDs of Medicare
  • Evidence-Based Approach to Atrial Fibrillation
  • Secondary Stroke Prevention
  • How to Read an "Overview"
  • How to Read an Article About "Harm"
  • How to Read an Article About "Therapy"
  • How to Read an Article About "Diagnosis"
  • Cervical Cancer Screening
  • All You Wanted to Know About BNP
  • Evaluation of Falls
  • A Bayesian Approach to a diagnosis of Pulmonary Embolus
  • Rational Clinical Exam
  • Does This Patient Have Osteoporosis?
  • Is This Woman Perimenopausal?
  • Does This Dyspneic Patient in the Emergency Room Have Heart Failure?
  • Overview of the PACE Clinic:  Caring for the Underserved
  • Drug-drug Interactions in Primary Care
  • Pharmaceutical Companies and Physician Relationships
  • Examination of the Shoulder
  • Urinary Incontinence

Teaching responsibilities:

  • Precepting two half-days in the PMG-Northeast clinic 
  • Two months of inpatient attending for the teaching service
  • Teach critical appraisal skills during the EBM rotation
  • Meet with residents on Women's Health rotation to go over topics
  • Ambulatory pre-clinic didactics with the PMG-Northeast Block residents twice a week
  • Morning Report facilitator

National/Regional responsibilities:

  • Patient-Centered Medical Home Workgroup, Society of General Internal Medicine (current)
  • Regional office, SGIM NW Region – 2007 President/Meeting Chair, regional officer 2006-2008
  • Co-chair Society of General Internal Medicine Women’s Caucus 2005-2006.
  • Journal of General Internal Medicine Reviewer

Personal interests:
Hiking, cycling, reading, cooking, eating good food, travel, and spending time with my family (husband, son(age 11) and daughter (age 9) and just finished my first triathlon!

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James Leggett, M.D.
Infectious Diseases

Personal statement: As a member of the Infectious Diseases faculty, I see patients with residents and students in the hospital and clinic, including HIV/AIDS patients whose primary care is provided by our residents.  I participate in clinical and didactic Medical Education teaching, and am actively involved in clinical research.  Administratively, I participate in antibiotic stewardship, serve on the Infection Prevention committee, and co-chair the Oregon Region Pharmacy & Therapeutics committee.

Medical school: University of Kentucky
Residency/chief residency: University of Wisconsin
Fellowship: University of Wisconsin

Areas of academic focus:

  • Antimicrobial pharmacodynamics
  • HIV

National/Regional responsibilities:

  • Oregon Regional Co-Chairman, Pharmacy & Therapeutics Committee, Providence Health & Services
  • Northwest AIDS Education and Training Center preceptor
  • Secretary-Treasurer, Infectious Diseases Society of Oregon
  • Ad hoc member, Anti-Infective Drugs Advisory Committee, Food and Drug Administration (FDA)
  • Member, Editorial Board, Antimicrobial Agents Chemotherapy

Recent publications:

  • Leggett JE, Au V, Norfleet D, Rozenfeld Y, Heffner JE.  Hypovitaminosis D in Pacific Northwest HIV-infected Patients on Antiretroviral Therapy.  Infect Dis Clin Prac 21:344, 2013.
  • Bajema K, Alter A, Dale C, Leggett JE.  Real-time Computerized Flagging of Potential Clostridium difficile Infection (CDI) Agrees with National Health and Safety Network (NHSN) LabID Case Identification. Abstract 40796, IDSA IDWeek, October 2013
  • Frye A et al. Clinical impact of a realtime polymerase chain reaction assay for rapid identification of staphylococcal bacteremia.  J Clin Microbiol 2012; 50:127-133.
  • Leggett J.  Approach to Fever as Suspected Infection in the Normal Host. Chapter 288. Cecil's Medicine, 24th Edition, Saunders, 2012; pp 1768-1779.
  • Pritchard L et al.  Impact of increasing vancomycin serum trough concentrations on incidence of nephrotoxicity.  Am J Med 123:1143-1149, 2010
  • Gilbert, DN., Leggett, J:  Aminoglycosides. Chapter 26. Mandell, Doyles and Bennett. Principles and Practice of Infectious Diseases, 7th Edition, Elsevier; Philadelphia, 2010; pp 359-384. 


  • Antibiotics in Palliative Care
  • Antibiotic Stewardship for the 21st Century
  • Bugs ESKAPEing Drugs: emergence of multiresistant bacterial strains
  • Bad Bugs, NoDrugs: Big PhRMA and the FDA. 
  • MRSA:  An Evolving Pathogen
  • Limitations of animal models.
  • Pharmacokinetics/pharmacodynamics.

Teaching responsibilities:

  • Attending for the Infectious Diseases Service 
  • Preceptor for internal medicine residents in weekly HIV clinics
  • Basic Biology of Disease lecturer, OHSU

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Robert C. Lusk, M.D., FACP
Infectious Diseases

Personal statement: I enjoy being part of an academically focused community-based residency, because it allows for such close relationships between residents and faculty. Nothing compares to the joy of watching young physicians grow into accomplished clinicians. During your time with us, we’ll help you develop your clinical skills, your commitment to our profession and help you negotiate the difficult balance between career and family.

Medical school: The University of Texas Medical Branch
Residency: The University of Texas Medical Branch Affiliated Hospitals
Fellowship: Infectious Diseases, Oregon Health & Science University

Areas of academic focus:

  • House Staff Education
  • Inpatient Medicine  
  • HIV Provider Training
  • General ID

National/Regional responsibilities:

  • Northwest Medical Teams International, China HIV/AIDS Training Team Delegate
  • Medical Director, Our House of Portland (HIV/AIDS residential care facility)
  • Board of Directors, Cascade AIDS Project 


  • The Healing Touch, On Being a Doctor, Annals of Internal Medicine, Volume 127, No. 6, 486, 1997.
  • Beta-carotene in HIV infection: an extended evaluation, AIDS, 1996, 10:967-973.
  • Apoenzyme of Pseudomonas cepacia Salicylate Hydroxylase: Preparation, Florescence Properties, and Nature of Flavin Binding, The Journal of Biological Chemistry, Volume 259, No. 2, 1136 – 1142, 1984.


  • Update on HIV- New Strategies to Reduce Transmission, New Meds and New Data on When to Start Therapy, Grand Rounds, 2011
  • Developing an Electronic Sign Out as part of a Resident QI Project, Invited Workshop, APDIM 2009 Fall Meeting, Philadelphia
  • Extending the Core Competencies to Faculty Evaluation. Workshop, APDIM 2008 Spring Meeting, New Orleans.
  • 2008, "Medical Strategies to Prevent HIV Transmission: Occupational, Sexual and Mother-to-Child". Medical Grand Rounds, Providence Portland Medical Center.
  • 2007, "HIV Co-Management between HIV Specialist and Primary Care", Annual Review Course, Practical Advances in Internal Medicine, Providence Portland Medical Center.
  • 2004 ,"Syphilis". Medical Grand Rounds, Providence Portland Medical Center; Infectious Diseases Society of Oregon, Fall Meeting; Grand Rounds, Albany General Hospital, Albany, Oregon.
  • 1999, Keynote speaker, "HIV and Mental Health". Oregon Health Division Conference on HIV and Mental Health

Teaching responsibilities:

  • Clinic Preceptor, two half-days weekly
  • Inpatient Teaching Attending, two months annually
  • Ward Attending, four months annually; Morning Report, one block annually
  • Medical Student Teaching, one month annually
  • ID Consult Service, every month

Personal interests:
My partner and I are active in local organizations, including Our House of Portland, Cascade AIDS Project and our church. I enjoy gardening, cooking and reading.  I love to bike and just completed my first "double century".

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Scott Marsal, M.D.
General Medicine

Personal statement: The emphasis on teaching, spirit of innovation, and the unique collegiality between house staff and faculty drew me to Providence Portland. There is a dedication to excellence and learning in the Department of Medical Education that makes it a wonderful place to practice and teach.

Medical school:  The Ohio State University College of Medicine
Residency:  Oregon Health & Science University
Chief residency:  Oregon Health & Science University

Area of academic focus:

  • Quality Improvement and Patient Safety
  • Inpatient Medicine
  • Perioperative Medicine
  • Resident Teaching Skills

Selected presentations/publications:

  • Marsal SW. Trigger tools, Safety Event Reviews and more: Improving for our patients. Grand Rounds, Providence Medford Medical Center, February 19, 2014.
  • Sanders SS, Marsal S, Riley C, BoardmanS, Bayley DB, Freer S.  An Electronic Modified Early warning System Can Reduce Mortality.  Harvard Business Review/New England Journal of Medicine Leading Health Care Innovation Series.  Accessed September 16, 2013.
  • Marsal SW.  Perioperative Medicine 2013. Medical Grand Rounds, Providence Portland Medical Center, September 2013.
  • Marsal S, Heffner JE.  Creating a Web-Based Incident Analysis and Communication Tool.  Journal of Hospital Medicine.  2012; 7:142-147.
  • Kai M, Marsal SW, James T.  Development and Implementation of an Innovative Procedure Rotation Workshop.  Society of General Internal Medicine NW Regional Meeting, Seattle, WA; February 2012.
  • Marsal SW, Heffner JE.  Incident Tracker: An Intranet Based Decisional Support Tool for Analyzing, Aggregating and Reporting Sentinel Events.  Society of Hospital Medicine, Dallas, Texas: May 11, 2011
  • Hospital Medicine Update.  Practical Advances in Internal Medicine. April 2011
  • Perioperative Medicine-Literature Update. 5th Annual OHSU NW Regional Hospital Medicine Conference. Portland, OR; September, 2010
  • Coronaries, Clots and More - Perioperative Issues in Noncardiac Surgical Patients. 4th Annual OHSU NW Regional Hospital Medicine Conference, Portland, OR; September 2009
  • Medical Care of the Surgical Patient 2009. Medical Grand Rounds, Providence Portland Medical Center, January 2009.
  • Update in Perioperative Medicine. Oregon Chapter, American College of Physicians. Scientific Meeting, Eugene, OR October, 2008.
  • Marsal SW, Dworkin R.  A Man with a Stubborn Pneumonia - A Case of Rapidly Growing Mycobacterial Lung Disease.  Society of General Internal Medicine Poster Presentation, Pittsburgh, PA; April 2008.
  • Perioperative Medicine Update. Northwest Permanente Physicians and Surgeons Grand Rounds. March, 2007. 
  • Lauer AK, Riley K, Wentzien J, Marsal SW. Acute painful vision loss and acute abdomen: A case of endogenous Clostridium perfringens endophthalmitis. Can J Ophthalmol 2005;40:208-10

Regional/National responsibilities:

  • Regional Medical Director, Patient Safety, Providence Health & Services Oregon.
  • Chair, Regional Sentinel Event Committee, Providence Health & Services
  • Member, Providence Health & Services Oregon Quality Council.  
  • Program Planning Committee, American College of Physicians Oregon Chapter Scientific Session, 2009-present.
  • Planning Committee, Annual OHSU NW Regional Hospital Medicine Conference.
  • Reviewer, Journal of Patient Safety

Teaching responsibilities:

  • Director Inpatient Education  
  • Inpatient teaching service attending
  • Teaching rounds attending
  • Lead Morning Report

Personal interests:
Family, Mountain biking, backcountry and downhill skiing, running, and photography.

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Elizabeth Stephens, M.D.

Personal statement:  I joined Providence Portland Medical Education because of the department's commitment to education, which is like no other place I have seen.  In this division, I have had the good fortune of being able to teach the residents the intricacies of endocrine pathways in many different venues - noon conference, clinic, and in the hospital.  I also enjoy the faculty and staff at PMG-Northeast who have such great teaching skills, enthusiasm and support for each other.  Our smaller program size allows us to get to know the residents well and help them have a rich experience during their training, as well as navigate the medical system as they move toward their area of expertise following graduation.

Medical school: Vanderbilt University
Residency: Oregon Health & Science University
Fellowship: University of Colorado Health Sciences Center

Areas of academic focus:

  • Resident and physician wellness
  • Resident education in diabetes management and the chronic care model, including motivational interviewing
  • Alternative strategies for insulin use in diabetes management

National/Regional responsibilities:

  • Co-Chair for Council for Women Physicians, Oregon Chapter of ACP
  • Co-Chair, Committee for Providence Portland Medical Center Annual Practical Advances in Internal Medicine Symposium
  • Associate Director, Continuing Medical Education At PPMC 

Most significant publications:

  • Stephens EA, Klopfenstein B. Management of Type 1 Diabetes, online chapter in AACE Self Assessment Program (ASAP), 2013
  • Heffner JE, Rozenfeld Y, Kai M, Stephens EA, Brown LK. Prevalence of Diagnosed Sleep Apnea among Patients with Type 2 Diabetes in Primary Care. Chest 2012; 141:1414-1421
  • Stephens EA, Heffner J. Evaluating Older Patients with Diabetes for Insulin Pump Therapy.  Diabetes Technology and Therapeutics 2010;12:S91-97
  • Stephens EA, Ryan T. Intensive insulin therapy. In: Endocrine Secrets. Philadelphia: Hanley & Belfus, Inc., 2005, 2009.
  • Jabbour S, Stephens EA, HIrsch I, Goldstein B, Garg S, Riddle M (eds). Type 1 Diabetes in Adults: Principles and Practice. New York, New York: Taylor & Francis Informa, 2008.
  • Jain M, Stephens EA. Commentary on: Intensive insulin therapy did not reduce mortality or morbidity but increased risk for stroke in cardiac surgery review. ACP Journal Club, 2007.
  • Mader SL, Fuglee KA, Allen DS, Werner LR, Wanlass WA, Pagel KJ, Beliel KL, McEuen JA, Stephens EA, Allison NL, McWhorter KA, Wandling JE. Developing of a protocol of capillary blood glucose testing in nursing home and rehabilitation settings. J Am Geriatr Soc 54:1114-1118, 2006.
  • Wong A, Stephens EA. A 25 year old female with Wolfram (DIDMOAD) syndrome. EndoTrends, August, 2006; 7-8.
  • Stephens EA, Ryan-Turek T, Frias JP. New directions in diabetes management: Pramlintide as an adjunct to insulin therapy in type 1 and type 2 diabetes. Pract Diabetol 23(1):7-13, 2004.
  • Stephens E, Riddle M. Evolving Approaches to Intensive Insulin Therapy in Type 1 Diabetes: Multiple Daily Injections, Insulin Pumps and New Methods of Monitoring. In: Reviews in Endocrine & Metabolic Disorders. Norwell, Massachusetts: Kluwer Academic Publishers, 2003:325-334.
  • Stephens EA, Eisenbarth G. Type 1A diabetes as an immunologic disorder. In: Medical Management of Diabetes Mellitus. New York: Marcel Dekker, Inc. 2000:19-29.

Recent presentations:

  • OHSU Annual Primary Care Review, "Diabetes Update," 2009, 2011, 2013
  • "Diabetes and Pregnancy," Oregon Diabetes Educators 26th Annual Conference 2012
  • Oregon ACP Chapter Scientific Meeting, "Case Based Studies in Diabetes Management," 2012
  • Sacred Heart Medical Grand Rounds, "What is new in Diabetes," 2012
  • Providence Portland Medical Grand Rounds, "Update in Diabetes," 2012
  • Third Annual Pacific Northwest Diabetes Summit, "Pregnancy in Type 1 Diabetes," 2010
  • NW Hospitalist Conference, "Update on Inpatient Diabetes Management," 2010
  • Internal Medical Grand Rounds, Providence Portland Medical Center, 2006, 2010
  • Providence Women's Health Lectureship, multiple sites, Portland, Ore., 2008
  • "Diabetes Update,"  American College of Physicians Regional Meeting, Eugene, OR 2008, 2011 and 2012
  • "Diabetes Update,"  Multnomah County Conference for Providers, 2008
  • Organizer/speaker, Providence Portland Medical Center Annual Practical Advances in Internal Medicine Symposium, 2006-present
  • Organizer/moderator/speaker, OHSU Ashland Endocrine Meetings, Ashland, Ore., 2004-2006
  • Organizer/facilitator, Diabetes and Heart Disease: Exploring the deadly connection, sponsored by OHSU, 2006
  • Inpatient Diabetes Management, Grand Rounds at University of Colorado Health Sciences Center, Denver, Co., Nov. 2004
  • Regional Meeting of Diabetes, Exercise and Sports Association, San Jose, Calif., 2004
  • "Update on Diabetes Management," Oregon Association of Hospital Pharmacists, Eugene, Ore., 2004
  • Organizer/lecturer, Taking Control of Your Diabetes Seminar for People with Diabetes, Portland, Ore., 2003

Personal interests:
I am a committed bike commuter—even during the rainy season—preparation is key! I also have two boys, ages 5 and 8 (how could that be?!), who keep me busy and active.  In my free time, I love to sing with my husband (used to sing with a band during fellowship in Colorado), read fiction, and cook. I am also helping to develop mindful medicine, a collaborative of physicians, therapists and MBSR teachers; we will be offering retreats for physicians starting in May 2015.

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Richard Wernick, M.D.

Personal statement: I was thrilled to accept the offer of my position in 1981 and have stayed ever since because I find teaching so rewarding and have found Providence Portland to be incredibly supportive of our training program. As a teacher, I am stimulated in an atmosphere where I am pushed to keep learning by residents' questions, and I appreciate the opportunity to pass on the knowledge, perspective, and wisdom I have gained over the years.

Medical school: Georgetown
Residency: Washington Hospital Center
Fellowship: University of Texas-Southwestern Medical School

Areas of academic focus: 

  • Medical decision-making
  • Laboratory test selection and interpretation

National/Regional responsibilities:

  • Regional Director of Continuing Medical Education, Providence Health & Services

Most significant publications:

  • Geissal E, Wernick R. A case of severe MAGIC syndrome treated successfully with the tumor necrosis factor-alpha inhibitor infliximab. J Clin Rheum 16:185-7, 2010.
  • Wernick R, Campbell S: Update in rheumatology. Ann Intern Med 1323:125-133, 2000.
  • Campbell S, Wernick R: Rheumatology update. Ann Intern Med 130:135-142, 1998.
  • Wernick R, Smith D, Houghton D, et al: Reliability of histologic scoring for lupus nephritis: a community-based evaluation. Ann Intern Med 199:805-811, 1993.
  • Wernick R, Winkler C, Campbell SM: Tophi as the initial manifestation of gout: report of six cases and review of the literature. Arch Intern Med 152:873-876, 1992.
  • Wernick R, Smith D: CNS toxicity of low dose weekly methotrexate treatment. Arthritis Rheum 32:770-775, 1989.
  • Wernick R: Avoiding laboratory test misinterpretation in geriatric rheumatology. Geriatrics 44:61-80, 1989.

Selected presentations:

  • Everything A PCP Needs to Know About Testing for Rheumatologic Disease. Annual OHSU Primary Care Symposium, 2014
  • Vasculitis: When It Is, When It Isn’t, When It Might Be. Providence St. Vincent Medical Grand Rounds, 2013
  • Osteoarthritis: Update in Therapy. Practical Advances in Internal Medicine Symposium, 2014
  • Everything a Hospitalist Needs to Know About Testing for Rheumatologic Disease.  Annual OHSU Hospital Medicine Course, 2013.
  • Osteoarthritis - Pitfalls in Diagnosis & Treatment.  Legacy Medical Grand Rounds, 2012
  • Conundrums in Lab Testing for Rheumatologic Disease, Oregon ACP Meeting, 2012
  • When It's Not Vasculitis, Annual OHSU Hospital Medicine Course, 2012
  • Geriatric Rheumatology, OHSU Annual Family Medicine Symposium, 2011 & Salem Hospital Family Medicine Update, 2011
  • Geriatric Rheumatology, Evidence-Based Update, Oregon Geriatric Association Annual Meeting, Sun River, Oregon, 2011
  • The ANA & Other Rheumatologic Lab Conundrums, OHSU Annual Family Medicine Symposium, 2010
  • Gout: The 6 Traps & How to Avoid Them, OHSU Medical Grand Rounds, 2009
  • Gout: The 6 Traps & How to Avoid Them, Oregon ACP Annual Meeting, 2009
  • Yearbook of Rheumatology. Annual meeting of NW Rheumatism Society, Portland, Oregon. May 2009.
  • Osteoarthritis: A Critical Look at Newer Evidence on Therapy. Oregon Health & Science University, Medical Grand Rounds, 2006.
  • Osteoarthritis: Pitfalls in Diagnosis and Therapy. Oregon Geriatrics Association Annual Meeting, 2005.
  • Update in Rheumatology. Annual National American College of Physicians (ACP) meeting, New Orleans, LA, 1999.
  • Spine Pain: Facts, Fancy & Fiction. Kuzell Institute Annual Symposium, San Francisco, Calif., 1998.
  • Rheumatology Update, Annual National ACP meeting, San Diego, 1998.

Recent honors:

  • Best Doctors in America, 2010-2013
  • The Sister St. Vincent De Paul Award (for Leadership regarding diversity), 2012
  • Howard P Lewis Oregon ACP Teaching Excellence Award, 2011

Teaching responsibilities:

  • Noon Conference Teaching 10 weeks per year
  • General medicine inpatient service for three four-week blocks annually
  • Lead Morning Report 2.5 months per year
  • Directly supervise the rheumatology resident(s) in rheumatology clinic for 3-4 half-days weekly
  • Precepting rheumatologist on rheumatology rotation 12 months of the year
  • Available to consult directly with residents in their clinic on their patients
  • On the rheumatology rotation,conduct two core didactic sessions and one journal club (devoted to learning principles of critical analysis of the literature) weekly with the rheumatology resident(s)
  • Weekly critical appraisal session on EBM rotation

Personal interests:

Family: my beloved dogs and (unofficial) residency mascots, Sunny and Luke. Hobbies: Well-known Irish folk/bluegrass band, "Whistlin' Rufus" (guitar, harmonica and vocals), song writing, dogs and baseball. Volunteer work: Start Making A Reader Today (SMART) program, Multnomah Animal Shelter, Vancouver Free Clinic.

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Paula Wichienkuer, M.D.
General Medicine Faculty

Personal statement: Providence's commitment to resident education and excellent patient care make this asstimulating and supportive environment in which to practice medicine.

Medical school: Oregon Health & Science University
Residency: Oregon Health & Science University
Additional training: Masters of Public Health (epidemiology and biostatistics), Oregon Health & Science University

Areas of academic focus:

  • Outpatient quality improvement
  • Effective use of the electronic medical record
  • Health literacy 

Regional responsibilities: 

  • Membership Chair, Northwest Chapter, Society of General Internal Medicine

Selected presentations and publications: 

  • Medical Reversals of the Past Decade: Learning from our mistakes. PPMC Medical Grand Rounds December 2013
  • Prospects for a universal medical record: health information exchange.  Oregon Health & Science University internal medicine residency noon conference.  March 2010.
  • Meeting hypertension treatment guidelines: an analysis of the Oregon Health & Science University internal medicine practice.  Oral presentation to OHSU IM practice.  March 2010.
  • The Risk of Barrett’s Esophagus in Patients with Mild Gastroesophageal Reflux Disease Symptoms in the Context of Proton-Pump Inhibitor Use.  MPH thesis.  January 2007.
  • Healthcare and health insurance preferences of Oregon Health & Science University students.Cross-sectional survey, analysis, and recommendations to the OHSU Student Health Service Advisory Committee.March 2006.
  • Screening for Barrett’s esophagus in otolaryngology patients with symptoms of laryngopharyngeal reflux.  Poster presented at the International Society for Diseases of the Esophagus World Congress, February 2006.
  • Van Griensven F,  Pitisuttithum P, Vanichseni S, Wichienkuer P, Tappero JW, Sangkum U, Kitayaporn D, Phasithiphol B, Orelind K,  Choopanya K  Trends in the injection of midazolam and other drugs and needle sharing among injection drug users enrolled in the AIDSVAX B/E HIV-1 vaccine trial in Bangkok, Thailand.  International Journal of Drug Policy June 2005;16(3):171-171.
  • Danoff A, Shi Q, Justman J, Mulligan K, Hessol N, Robison E, Lu D, Williams T, Wichienkuer P, Anastos K.  Oral glucose tolerance and insulin sensitivity are unaffected by HIV-infection or antiretroviral therapy in overweight women.  J Acquir Immune Defic Syndr May 1, 2005;39:55-62.
  • Mulligan K, Anastos K, Justman J, Freeman R, Wichienkuer P, Robison E, Hessol N.  Fat distribution in HIV-infected women in the United States: DEXA substudy in the Women’s Interagency HIV Study.  J Acquir Immune Defic Syndr  Jan 1, 2005;38(1):18-22

Teaching responsibilities:

  • Precepting residents’ continuity practice
  • Ward attending
  • Medical student teaching
  • Wards didactics teaching
  • Evidence-based Medicine Course Faculty 
  • 4th year Clerkship Director
  • Wellness Co-Director 

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