Renda Soylemez Wiener, MD MPH

Faculty and Fellows

Assistant Professor of Medicine
Adjunct Faculty, The Dartmouth Institute for Health Policy & Clinical Practice, Hanover, NH
Core Investigator, Center for Health Quality, Outcomes & Economic Research, Bedford VAMC

Medical School: Columbia P&S
Internship: New York-Presbyterian Hospital
Residency: New York-Presbyterian Hospital
Fellowship: Boston Medical Center
Other Post-doctoral Fellowships/Training: Outcomes Research Fellowship, VA Outcomes Group, White River Junction, VT
Master’s/PhD programs: MPH, The Dartmouth Institute of Health Policy & Clinical Practice

Board Certifications:

Internal Medicine
Pulmonary Medicine
Critical Care Medicine

Special Interests

Research:

Pulmonary and critical care outcomes
Health services research (Analysis of large databases, survey, meta-analysis)
Medical decision-making and doctor-patient communication

Clinical:

Critical care
General pulmonary medicine

As a pulmonologist and health services researcher, the goal of my work is to improve how patients, families, and clinicians understand, discuss, and make decisions about medical care. Through my research I hope to improve medical decision-making, by understanding how physicians translate evidence into practice, promoting better quality patient-clinician communication, and increasing focus on patients’ preferences and experiences. Much of my ongoing work focuses around improving patient-centered care for patients and families facing two high risk medical decisions: 1) evaluation of a potentially malignant pulmonary nodule and 2) deciding goals of care for a critically ill loved one. I have received funding from the NIH and VA HSR&D to study the impact of the diagnosis of pulmonary nodules on patients’ lung cancer risk perception and health-related quality of life, physicians’ decision-making, and resource utilization in the healthcare system. I am a member of the writing committee for the pulmonary nodule management chapter of the American College of Chest Physician’s Lung Cancer Guidelines, 3rd edition. I also have ongoing projects to improve communication and decision-making between the ICU team and family members of a critically ill loved one.

Selected Publications:

. McCannon JB, O’Donnell WJ, Thompson BT, El-Jawahri A, Chang Y, Ananian L, Parikh M, Temel JS, Cooper Z, Wiener RS, Volandes A. Augmenting communication and decision making in the intensive care unit with a CPR video decision support tool: A temporal intervention study. J Palliat Med. 2012; in press.

. Wiener RS, Gould MK, Woloshin S, Schwartz LM, Clark JA. “What do you mean, a spot?”: A qualitative analysis of patients’ reactions to discussions with their doctors about pulmonary nodules. Chest. 2012 Jul 17. doi: 10.1378/chest.12-1095. [Epub ahead of print].

. Slatore CG, Cecere LM, LeTourneau J, O’Neil ME, Duckart JP, Wiener RS, Farjah F, Cooke CR. Intensive care unit outcomes among patients with lung cancer in the SEER-Medicare registry. J Clin Oncol. 2012;30(14):1686-91

. Walkey AJ, Wiener RS, Ghobrial JM, Curtis LH, Benjamin EJ. Incident stroke and mortality associated with new-onset atrial fibrillation in patients hospitalized with severe sepsis. JAMA. 2011;306(20):2248-54.

. Wiener RS, Schwartz LM, Woloshin S, Welch HG. Population-based risk for complications after transthoracic needle lung biopsy of a pulmonary nodule: An analysis of discharge records. Ann Intern Med. 2011;155(3):137-44. PMID 21810706.

. Wiener RS, Schwartz LM, Woloshin S. Time trends in pulmonary embolism in the United States: evidence of overdiagnosis. Arch Intern Med. 2011;171(9):831-7. PMID 21555660.

. Walkey AJ, Wiener RS. Utilization patterns and patient outcomes associated with use of rescue therapies in acute lung injury. Crit Care Med. 2011;39(6):1322-8. PMID 21336109.

. Gould MK, Wiener RS. Shared decision making in patients with pulmonary nodules. Pulmonary and Critical Care Update (PCCU). 2009;23(Lesson 19). http://www.chestnet.org/education/online/pccu/index.php

. Wiener RS, Wiener DC, Larson RJ. Benefits and risks of tight glucose control in critically ill adults: a meta-analysis. JAMA. 2008;300(8):933-944.

. Wiener RS, Welch HG. Trends in the use of the pulmonary artery catheter in the United States, 1993-2004. JAMA. 2007;298(4):423-9.

Selected Reprints:

Links:

Lung Cancer Research Program
Critical Care Research Program

Clinic:

I serve as an attending in the adult intensive care units at Boston University Medical Center and see patients in a general pulmonary clinic at the Edith Nourse Rogers Memorial VA Hospital in Bedford, MA.