Contact

Location: VA C516

Department

Medicine

Sandra G. Adams, MD

Professor

Education

Research

1. Education and Teaching
During the first four years of my career (from 2001-2005), I spent over 75% of my time performing clinical research in chronic obstructive pulmonary disease and asthma. In 2005, my efforts shifted from research to teaching and I assumed the role of the Module Director of the Respiratory Section for the second year medical students. Through this role, I discovered that educating interprofessional ?students? at all levels is my forte and is where my passion lies. I have focused my attention on excellence in education since this time. As a physician, I help hundreds of patients/families every year. As an educator, the number of patients/families I touch by way of educating healthcare professionals increases exponentially, and I believe that this is the way I can leave my imprint on society. Through innovative educational projects, I can translate medical education for interprofessional healthcare providers into practical, easy-to-understand, and applicable strategies to facilitate improvements in patient care in clinical venues at my institution and by the dissemination of our methods, throughout the United States.
A summary of my current and recent teaching and educational activities includes:
Local Educational Activities (San Antonio and Texas):
? Curriculum development and revisions (for learners at multiple levels of training): I continue to develop and revise curricula for teaching (1) interns, residents, fellows, and faculty the pearls of reading chest radiographs and chest CTs, (2) pulmonary/critical care board review for internal medicine residents, (3) first year medical students topics in respiratory medicine, (4) fourth year medical students in pulmonary topics, (5) nurses, physicians assistants, respiratory therapists, and PharmDs about pulmonary diseases. I employ novel teaching techniques using multimedia, simulation, small-group case-based discussions, role-play, audience response system, and other methods to achieve specified learning objectives. I have pilot tested these advanced teaching strategies to educate students, residents, fellows, and faculty at the UTHSCSA, which has become an ?educational laboratory?. This laboratory has allowed testing of these innovative techniques prior to disseminating them to national and international audiences.
National Educational Activities:
? Leader/Chair of a collaborative interprofessional team to design and develop an educational curriculum for Continuing Education for primary care clinicians and other healthcare professionals: ?COPD: What Really Works? A Best Practices Workshop for Primary Care?. I collaborated with pulmonologists, family physicians, respiratory therapists, doctorates in pharmacy, nurse practitioners, and educational specialists from the American College of Chest Physicians, a professional society of over 18,000 clinician members, to develop a state-of-the-art interactive, program that educates clinicians to recognize, diagnose, and manage COPD based on evidence-based


2. Chronic Obstructive Pulmonary Disease (COPD)
I specialize in many aspects of chronic obstructive pulmonary disease (COPD) including: research and clinical practice in the identification, work-up, diagnosis, evaluation, management, acute exacerbations of COPD (AECOPD), comorbidities (anxiety, depression, osteoporosis, heart disease), and respiratory infections. I have particular expertise in teaching about COPD to various levels of learners including: patients, caregivers, students, residents, fellows, faculty, primary care clinicians, pulmonary/critical care specialists, and other healthcare professionals (e.g., physicians, nurse practitioners, physician assistants, respiratory therapists, nurses, medical assistants, pharmacists, Pharm D, etc.).


3. Integrated (Chronic) Care Model
I have a particular interest and expertise in implementing the integrated (chronic) care model in patients with chronic obstructive pulmonary disease (COPD) and multiple morbidities. I have expertise in clinical implementation, research and collaboration through the VA Cooperative study, and teaching/education about this model at international meetings.


Publications

Transformational learning for care of chronic lung disease using interprofessional pedagogies. Selected for oral presentation at Society for Academic Continuing Medical Education to be presented in Scottsdale, AZ. Bresnahan LZ, Bowen EO, Patterson JE, Adams SG.2017 May


Transformational learning for care of chronic lung disease using interprofessional pedagogies. Selected for oral presentation at Society for Academic Continuing Medical Education to be presented in Scottsdale, AZ. Bresnahan LZ, Bowen EO, Patterson JE, Adams SG.2017 May


COPD educational interventions improve clinical practice. Invited oral presentation (30 minutes) at Alliance for Continuing Education in Health Professions Annual Meeting in National Harbor, MD. Adams SG, Bowen EO, Bresnahan LZ, Hart MK, Patterson JE.2017 Jan


COPD educational interventions improve clinical practice. Invited oral presentation (30 minutes) at Alliance for Continuing Education in Health Professions Annual Meeting in National Harbor, MD. Adams SG, Bowen EO, Bresnahan LZ, Hart MK, Patterson JE.2017 Jan


Web-based, interactive professional education in COPD (WipeCOPD) facilitates practice changes in primary care. Oral presentation at the World Congress on Continuing Professional Development conference (occurs every four years San Diego, CA. Adams SG, et al.2017 Jan


Web-based, interactive professional education in COPD (WipeCOPD) facilitates practice changes in primary care. Oral presentation at the World Congress on Continuing Professional Development conference (occurs every four years San Diego, CA. Adams SG, et al.2017 Jan


The interprofessional web-based interactive professional education in chronic obstructive pulmonary disease (WipeCOPD) educational program facilitates actual behavioral changes in primary care clinics. Oral presentation at the Annual University of Texas. Adams SG.2016 Feb


The interprofessional web-based interactive professional education in chronic obstructive pulmonary disease (WipeCOPD) educational program facilitates actual behavioral changes in primary care clinics. Oral presentation at the Annual University of Texas. Adams SG.2016 Feb


Patterson JE. Evidence of transformation learning through the use of interprofessional pedagogies. Poster presentation at Alliance for Continuing Education in Health Professions Annual Meeting in National Harbor, MD. Bowen EO, Bresnahan LZ, Adams SG, Patterson JE.2016 Jan


Patterson JE. Evidence of transformation learning through the use of interprofessional pedagogies. Poster presentation at Alliance for Continuing Education in Health Professions Annual Meeting in National Harbor, MD. Bowen EO, Bresnahan LZ, Adams SG, Patterson JE.2016 Jan


Improving outcomes in chronic obstructive pulmonary disease: the role of the interprofessional approach. Amalakuhan Bravein, Adams SG.2015 Oct


Improving outcomes in chronic obstructive pulmonary disease: the role of the interprofessional approach. Amalakuhan Bravein, Adams SG.2015 Oct


Best in Class in Outcomes, Keynote Presentation entitled: COPD educational interventions improve clinical practice. Oral presentation at the Alliance Industry Summit (AIS) meeting in Philadelphia, PA. Adams SG, Bresnahan LZ, Bowen EO, Patterson JE.2015 May


Best in Class in Outcomes, Keynote Presentation entitled: COPD educational interventions improve clinical practice. Oral presentation at the Alliance Industry Summit (AIS) meeting in Philadelphia, PA. Adams SG, Bresnahan LZ, Bowen EO, Patterson JE.2015 May


COPD continuing education improves quality in clinical practice. Oral presentation at CHEST 2015 Annual meeting in Montreal, Canada; CHEST 2015:148(4_MeetingAbstracts);470A. Adams SG, Hart MK, Bowen EO, Bresnahan LZ, Patterson JE.2015 Jan


COPD continuing education improves quality in clinical practice. Oral presentation at CHEST 2015 Annual meeting in Montreal, Canada; CHEST 2015:148(4_MeetingAbstracts);470A. Adams SG, Hart MK, Bowen EO, Bresnahan LZ, Patterson JE.2015 Jan


Severe Acute Respiratory Distress Syndrome (ARDS) Secondary to Sirolimus-Induced Pneumonitis in a Non-Transplant Patient. Abedi A, Velez MI, Restrepo MI, Anzueto AR, Adams SG.2014 May


Severe Acute Respiratory Distress Syndrome (ARDS) Secondary to Sirolimus-Induced Pneumonitis in a Non-Transplant Patient. Abedi A, Velez MI, Restrepo MI, Anzueto AR, Adams SG.2014 May


Symptoms with a Slippery Solution. Zatikyan N, King P, Malave AJ, Adams SG.2014 May


Symptoms with a Slippery Solution. Zatikyan N, King P, Malave AJ, Adams SG.2014 May


Clinical Outcomes in Chronic Obstructive Pulmonary Disease are Associated with Perception of Dyspnea more than Exacerbation Risk or Disease Severity Measured by Lung Function. Adams SG, Fan VS, Nguyen HQ, Borson S, Kohen R, Matute-Bello M, Pagalilauan G, Anzueto AR.2013 Oct


Clinical Outcomes in Chronic Obstructive Pulmonary Disease are Associated with Perception of Dyspnea more than Exacerbation Risk or Disease Severity Measured by Lung Function. Adams SG, Fan VS, Nguyen HQ, Borson S, Kohen R, Matute-Bello M, Pagalilauan G, Anzueto AR.2013 Oct


Spontaneous Pneumothorax in a Patient with Severe Emphysematous Lung Disease. Velez MI, Angel LF, Levine SM, Adams SG.2013 May


“Spontaneous” Pneumothorax in a Patient with Severe Emphysematous Lung Disease. Velez MI, Angel LF, Levine SM, Adams SG.2013 May


Impact of a Reproducible, Interactive Continuing Education Program on Chronic Obstructive Pulmonary Disease on Clinical Practice of Healthcare Professionals. Adams SG, Pitts J, Wynne J, Yawn B, Diamond E, Lee S, Dellert E, Hanania N.2011 Oct


Impact of a Reproducible, Interactive Continuing Education Program on Chronic Obstructive Pulmonary Disease on Clinical Practice of Healthcare Professionals. Adams SG, Pitts J, Wynne J, Yawn B, Diamond E, Lee S, Dellert E, Hanania N.2011 Oct


An Interactive Continuing Education Program on Best Practice Recommendations for Chronic Obstructive Pulmonary Disease Care Improved Confidence, Knowledge, and Clinical Practice of Primary Care Clinicians. Adams SG, Pitts, Jennifer, Yawn, Barbara P, Wynne, JoEllyn, Diamond, Edward J, Hanania, Nicola A.2010 Oct


An Interactive Continuing Education Program on Best Practice Recommendations for Chronic Obstructive Pulmonary Disease Care Improved Confidence, Knowledge, and Clinical Practice of Primary Care Clinicians. Adams SG, Pitts, Jennifer, Yawn, Barbara P, Wynne, JoEllyn, Diamond, Edward J, Hanania, Nicola A.2010 Oct


WipeCOPD YouTube Channel: High-definition videos for patients: a. ?What is COPD? b. ?How to use an Aerolizer? c. ?How to use an Autohaler? d. ?How to use a Diskus? e. ?How to use a Flexhaler? f. ?How to use a HandiHaler? g. ?How to use a Metered D. Adams SG.2012 Jan


inducible laryngeal obstruction/vocal cord dysfunction and the role it plays in refractory asthma. Villalpando,J, Peters JI, Adams SG.2017 Aug


Symptom profiles and inflammatory markers in moderate to severe COPD. BMC Pulm Med.(1):173. Nguyen HQ, Herting JR, Pike KC, Gharib SA, Matute-Bello G, Borson S, Kohen R, Adams SG, Fan VS.2016 Dec


Symptom profiles and inflammatory markers in moderate to severe COPD. BMC Pulm Med.3;16(1):173. Nguyen HQ, Herting JR, Pike KC, Gharib SA, Matute-Bello G, Borson S, Kohen R, Adams SG, Fan VS.2016 Dec


Use of ultrasound guidance for central venous catheterization: a national survey of intensivists and hospitalists. J Crit Care. 36:277-283. doi: 10.1016/j.jcrc.2016.07.014. Soni NJ, Reyes LF, Keyt H, Arango A, Gelfond JA, Peters JI, Levine SM, Adams SG, Restrepo MI.2016 Dec


Associations of cognition with physical functioning and health-related quality of life among COPD patients. Respir Med.114:46-52. doi: 10.1016/j.rmed.2016.03.005. Schure MB, Borson S, Nguyen HQ, Trittschuh EH, Thielke SM, Pike KC, Adams SG, Fan VS.2016 May


Improving outcomes in chronic obstructive pulmonary disease: the role of the interprofessional approach. p.1225-1232. (International Journal of COPD). Adams SG.2015 Oct


Prevalence and correlates of suicide ideation in patients with COPD: a mixed methods study. Int J Chron Obstruct Pulmon Dis. 10:1321-9. doi: 10.2147/COPD.S65507. Fleehart S, Fan VS, Nguyen HQ, Lee J, Kohen R, Herting JR, Matute-Bello G, Adams SG, Pagalilauan G, Borson S.2014 Dec


Patients with COPD with Higher Levels of Anxiety are More Physically Active. Nguyen HQ, Fan VS, Herting J, Lee J, Fu M, Chen Z, Borson S, Kohen R, Matute-Bello G, Pagalilauan G, Adams SG.2013 Jul


A Comprehensive Care Management Program to Prevent Chronic Obstructive Pulmonary Disease Hospitalizations. Fan VS, Gaziano JM, Lew R, Bourbeau J, Adams SG, Leatherman S, Thwin SS, Huang GD, Robbins R, Sriram PS, Sharafkhaneh A, Mador MJ, Sarosi G, Panos RJ, Rastogi P, Wagner TH, Mazzuca SA, Shannon C, Colling C, Liang MH, Stoller JK, Fiore L, Niewoehner DE.2012 May


Obstructive Sleep Apnea in Chronic Obstructive Pulmonary Disease: The Overlap Syndrome. Hospenthal MA, Adams SG,.2012 Apr


The role of anti-infectives in the treatment of refractory asthma. Maselli DJ, Adams SG, Peters JI.2011 Dec


Lung Bullae With Air-Fluid Levels, What Is the Appropriate Therapeutic Approach?. Henao-Martinez AF, Fernandez JF, Adams SG, Restrepo C.2011 Oct


Integrated management strategies for chronic obstructive pulmonary disease. Sonetti DA, Hospenthal AC, Adams SG.2010 Sep


Evaluation of withdrawal of maintenance tiotropium in COPD. Adams SG, Anzueto A, Briggs DD, Leimer I, Kesten S.2009 Oct


A pharmacotherapeutic approach to improving health-related quality of life for patients with chronic obstructive pulmonary disease. Adams SG, Anzueto AR.2009 May


Clinical Strategies in COPD. Adams SG, Sanchez, J.2007 May


Systematic review of the Chronic Care Model in chronic obstructive pulmonary disease prevention and management. Adams SG, Smith PK, Allan PF, Anzueto AR, Pugh JA, Cornell JE.2007 Mar


Mexican American elders have similar severities of COPD despite less tobacco exposure than European American elders. Adams SG, Anzueto A, Pugh JA, Lee S, Hazuda HP.2006 Nov


Tiotropium in COPD patients not previously receiving maintenance respiratory medications. Adams SG, Anzueto A, Briggs DD, Menjoge SS, Kesten S.2006 Jan


Managing COPD to improve quality of life. Adams SG.2006 Jan


Characteristics associated with sustained abstinence from smoking among patients with COPD. Adams SG, Pugh JA, Kazis LE, Lee S, Anzueto A.2006 Jan


Managing COPD: Acute Exacerbations. Part 2. Adams SG.2005 Jan


Managing COPD: How to deal with the most common problems. Part 1. Adams SG.2005 Jan


Antibiotic therapy in acute exacerbation of chronic bronchitis: The antibiotics. Part 2. Adams SG, Anzueto AR.2002 Jan


Antibiotic therapy in acute exacerbations of chronic bronchitis. Adams SG, Anzueto A, Anzueto AR.2000 Sep


Appointments

9/2013: Professor – The University of Texas Health Science Center at San Antonio, San Antonio


7/2001: Staff Physician – South Texas Veterans Health Care System, Audie L. Murphy Division, San Antonio