Renda Soylemez Wiener, MD MPH

Faculty and Fellows


Renda Wiener, MD MPHAssistant Professor of Medicine
Adjunct Faculty, The Dartmouth Institute for Health Policy & Clinical Practice, Hanover, NH
Core Investigator, Center for Healthcare Organization & Implementation 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:

1.     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.

2.     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.  

3.     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.

4.     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.

5.     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. 

6.     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;15(12):1382-7.

7.     Gould MK, Donington J, Lynch WR, Mazzone PJ, Midthun DE, Naidich DP, Wiener RS. Evaluation of patients with pulmonary nodules: when is it lung cancer?: ACCP evidence-based clinical practice guidelines (3rd edition). Chest. 2013 May;143(5 Suppl):e93S-120S.

8.     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. 2013;143:672-7.

9.     Walkey AJ, Wiener RS, Lindenauer P. Utilization patterns and outcomes associated with the central venous catheter in septic shock: a population-based study. Crit Care Med. 2013;41:1450-1457.

10.  Wiener RS, Schwartz LM, Woloshin S. When a test is too good: How CT pulmonary angiograms find pulmonary emboli that do not need to be found. BMJ. 2013 Jul 2; 347:f3368.

Selected Reprints:

  1. 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.
  2. 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.
  3. 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.

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.