Roles
Professor of Clinical Medicine; Division of Pulmonary, Critical Care, and Sleep Medicine
Intensivist; University of Miami Hospital and Clinics & Jackson Memorial Hospital
Medical Director for Quality Data Analytics & Critical Care Quality; University of Miami Hospital
Medical Director for Sepsis; University of Miami Hospital
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Biography
Dr. Gershengorn joined the University of Miami Miller School of Medicine in May, 2017 from the Albert Einstein College of Medicine in New York where she joined faculty in August, 2010 (and remains as Adjunct Associate Professor) after completing her fellowship in pulmonary and critical care medicine at New York Hospital-Columbia and her residency in internal medicine at New York Presbyterian Hospital-Cornell. She received her medical degree from Harvard Medical School in 2003 and her bachelors degree in applied mathematics from Harvard College in 1998. Dr. Gershengorn worked as a management and strategy consultant at McKinsey and Company in the healthcare sector prior to starting fellowship.
As Medical Director of Data Quality Analytics for the University of Miami Hospitals, she has co-led the creation of institution-wide protocols to standardize care for COVID-19 patients. She also co-leads the UHealth Data Analytics Research Team (UHealth-DART), an interdisciplinary group dedicated to quantitively assessing the impact of quality improvement projects and disseminating evidence of successful initiatives to peers through oral presentation and journal publication.
Dr. Gershengorn’s NIH/NHLBI-funded research program focuses on the allocation of ICU resources and the impact such allocation has on the outcomes of critically ill patients. In particular, she is interested in understanding how (1) ICU staffing and (2) practices which may be tied to staffing affect patient morbidity and mortality.
In service to the academic community, Dr. Gershengorn is Editor-in-Chief for CHEST Critical Care, serves on the planning committee for critical care for the American Thoracic Society (ATS), and previously served as chair of the internal medicine section for the Society of Critical Care Medicine and of the Women in Critical Care Interest Group for the ATS. Internationally, she is a scientific advisory committee member for the International Symposium on Intensive Care & Emergency Medicine. -
Education & Training
Education
Licensures and Certifications
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Honors & Awards
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Teaching Interests
Dr. Gershengorn enjoys training students, residents, and fellows in clinical critical care at the bedside of ICU patients and through annual lectures (e.g., mechanical ventilation, sepsis, acute kidney injury in the ICU). She has also created and co-chaired scientific symposia for international professional society meetings both in the US and abroad. Her most important contribution to education, however, is her mentorship of junior faculty, non-physician colleagues, and trainees in their academic pursuits. As a health services researcher, she has helped numerous mentees learn to explore questions of healthcare resource use and outcomes across a wide array of topics pertinent to inpatient medicine and pulmonary/critical care. In her role as Medical Director for Quality Data Analytics for the University of Miami Hospital, she has worked with collaborators to improve their understanding of how to present their initiatives as academic work worthy of publication. -
Research Interests
Dr. Gershengorn is a health services researcher who uses large datasets to understand patterns in critical care delivery. She utilizes variability in practice to investigate if and how different strategies may affect outcomes for patients in need of or at risk for ICU admission.
Her primary foci are threefold:
1. ICU staffing – Dr. Gershengorn’s NIH/NHLBI-funded research aims to understand how best to deploy our scarcest ICU resource, the clinicians, to achieve optimal patient outcomes. In prior work in the UK and Australia/New Zealand, she and her colleagues explored the association of patient-to-intensivist ratios on patient mortality. They have now turned their attention to the US and aim to explore the association of physician-, respiratory therapist-, and clinical pharmacist-to-patient ratios with outcomes to inform future workforce planning.
2. Non-staffing resource use – ICU resources are expensive and their use can cause harm to patients. Dr. Gershengorn is interested in exploring the variability in and potential impact of ICU resource use (ICU beds, mechanical ventilation, indwelling vascular catheters, diagnostic radiology, medications) and patient morbidity and mortality to help understand if and when de-adoption of certain standard practices may be feasible.
3. Women in academic medicine – The critical care community is in the process of self-evaluation related to issues of diversity, equity, and inclusion. Dr. Gershengorn’s work in this area aims to evaluate the impact of women faculty presence on women trainees and disparities in academic output for women (versus men) in pulmonary and critical care medicine. -
Publications
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Professional Activities
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