Peter R. Lichstein, M.D. |
Professor
| Office Address:
Section of General Internal Medicine
Wake Forest University, School of Medicine
Medical Center Boulevard
Winston-Salem, North Carolina 27157 Clinic Location: Downtown Health Plaza Office: (336) 713-9800 Nights/Weekends: (336) 713-9800 Fax: (336) 713-9576
click here for a PDF version of Dr. Lichstein's CV
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Education |
1968-1972 | University of Michigan
Ann Arbor, MI
B.S. with Highest Honors in Cellular Biology |
1972-1976 | University of Michigan Medical School
Ann Arbor, MI
M.D. |
POSTDOCTORAL TRAINING |
1976-1979 | Internship and Residency in Internal Medicine
University of North Carolina School of Medicine
Chapel Hill, North Carolina |
1979-1981 | Instructor and Fellow in Medicine and Psychiatry
University of Rochester Medical Center
Rochester, NY |
1992 - 1995 | Facilitator Training Program of the American Academy on Physician and Patient. |
PROFESSIONAL LICENSURE |
1978 | North Carolina Medical License |
SPECIALTY CERTIFICATION |
1979 | Board Certification in Internal Medicine
The American Board of Internal Medicine |
EMPLOYMENT |
1979 - 1981 | Instructor and Fellow in medicine and Psychiatry
University of Rochester Medical Center; Rochester, NY |
1979 - 1981 | Internal Medicine Staff Physician
George Wilson Center; Rochester, NY |
1981 - 1986 | Assistant Professor of Medicine, Department of Medicine, School of Medicine
East Carolina University, Greenville, NC |
1986 | Associate Professor of Medicine, Department of Medicine, School of Medicine
East Carolina University, Greenville, NC |
1983 - 1992 | Section Head, General Medicine, School of Medicine
East Carolina University, Greenville, NC |
1986 - 1987 | Acting Residency Program Director, Department of Medicine, School of Medicine
East Carolina University, Greenville, NC |
1986 - 1993 | Co-Director, Medicine-Pediatrics Residency Program |
1988 - 1989 | Associate Residency Program Director |
1989 - present | Residency Program Director |
1992 - present | Vice Chairman For Educational Affairs, Department of Medicine |
1995 - present | Professor of Medicine |
2000 - present | Wake Forest University School of Medicine |
PROFESSIONAL MEMBERSHIPS |
1976 | Alpha Omega Alpha |
1981 | Pitt County Medical Society |
1981 | North Carolina Medical Society |
1982 | American Medical Association |
1982 | Society of General Internal Medicine |
1983 | American College of Physicians (Fellow, 1986) |
1983 - 1990 | American Psychosomatic Society |
1985 - 1987 | Pitt County Medical Society, Executive Committee |
1985 | PCMS Indigent Care Committee |
1986 | North Carolina Medical Society, Delegate |
1986 | Association of Program Directors in Internal Medicine
Program Committee (1989-1992)
Planning Committee for the 7th Biennial Teaching Internal (1993)
Medicine Conference (1993) |
1986 | Physicians for Social Responsibility |
1989 - 1994 | Group on Medical Faculty Practice Plans of the AAMC |
1991-1994,1998,1999 | Chair, Associates Committee
North Carolina Chapter of the American College of Physicians |
1993 - 1999 | Council Member, NC-ACP
Program Chair, Scientific meeting of the NC-ACP/ASIM (1999) |
1993 | Clerkship Directors in Internal Medicine |
1993 | American Academy on Physician and Patient
Fellow 1995
Treasurer 1994-1995
Faculty Development Committee 1994-present
Courses Committee 1996-1998
Faculty Guide 1996-present |
PROFESSIONAL HONORS AND AWARDS |
1968 | National Merit Scholar Finalist: Cincinnati, OH |
1968 | William Branstrom Freshman Award; University of Michigan |
1975 | 1975 Alpha Omega Alpha; University of Michigan Medical School |
1983, 1986, 1993, 1994, 1996 | Invited to present at Annual "Pearls" Day |
1984 | Teaching Recognition Award; East Carolina University School of Medicine |
1990 | Teaching Recognition Award; East Carolina University of Medicine |
1993 | "Teacher of the Year" by graduating senior medical residents |
1994 | "Pearl" presentation to the graduation class of 1984 |
1995 | Distinguished Professor for Teaching University of North |
1998 | Nominated for second year Resident Teaching Award |
PROFESSIONAL SERVICES |
Consultant
1983-present | Brain Death and Life Supports: To the Clinical Hospital Education Seminar Services for Clergy, Pitt County Memorial Hospital |
1992 | Physician Advisory Council for the "Patient/Physician Relationship Project" Funded by Marion Merrell Dow, Inc. |
Editorial Appointment
1982-present | Manuscript Review, Annals of Internal Medicine |
1990 - present | Manuscript Review, Journal of General Internal Medicine |
Thesis Committee
1987 | "A comparison of progressive relaxation technique and therapeutic touch in reducing state anxiety in hospitalized cardiovascular patient." Patricia Hooks for Master of Science in Nursing, East Carolina University. |
COMMITTEES |
School of Medicine |
1981-present | House Staff Evaluation Committee
Department of Medicine (Chair, 1983-1985) |
1982 - 1989 | Curriculum Committee |
1988 | Graduate Medical Education Committee |
1988 | Clinical Education Task Force |
1989 | Chair, Ad Hoc Committee on Curriculum Reform |
1989 - 1991 | Chair, Medical Faculty Practice Plan Executive Committee |
1989 - 1992 | Advisory Board, Medical Faculty Practice Plan (MFPP) |
1990 | Diabetes Center Advisory Committee |
1991 | Search Committee for Executive Director of MFPP |
1992 | Search Committee for Chairman of Department Of Medicine |
1992 - present | Chair, Curriculum Committee, Department of Medicine |
1992, 1994 | Organizer of Section Head Retreat, Department of Medicine |
1993 | Human Diversity Committee |
1993 | Generalist Curriculum Review Task Force |
1993 - present | Executive Council, Department of Medicine |
1993 - 1998 | Primary Care Advisory Council |
1993 | Undergraduate Primary Care Committee |
1993 - present | Group on Graduate Generalist Education, Chair 1996-present |
1994 | Medical Education Task Force Advisory Committee |
1994 | Primary Care Practice Group |
1995 - present | M3/M4Curriculum Committee |
1996 | LCME Task Force |
1997 - present | M-2 Curriculum Committee |
1997 - present | M-2 Promotion Committee |
1998 - present | Scenario Planning Group |
1999 | Education Productivity Design Team |
Hospital |
1985 - 1986 | Credentials Committee |
1986 - 1989 | Finance Committee |
1986 - present | Graduate Medical Education Committee |
1987 - 1988 | Medical Staff Executive Committee, Secty/Treasurer |
1987 - 1988 | Collaborative Practice Committee |
1984 - present | Quality Assurance Committee for General Internal Medicine, Chair 1984-1987 |
1987 - 1989 | Department of Medicine Advisory Committee |
1987 - 1990 | Medical Records Committee |
1989 | Medical Ethics Committee |
1993 | In-House Debriefing Team |
1994 | Transitional Care Committee |
1999 | Graduate Medical Education Policy Committee |
Community |
1998 - 1992 | Volunteer, Greenville Community Shelter |
1988 - present | Volunteer Physician, Greenville Community Shelter Clinic, Inc. |
1992 - 1996 | Medical Director, Greenville Community Shelter Clinic, Inc. |
1992 - 1996 | President, Board or Directors, Greenville Community Shelter Clinic, Inc. |
1992 - 1997 | Board Member, Greenville Community Shelter Clinic, Inc. |
EDITORIAL TASKS |
1986 - present | Review, Annals of Internal Medicine |
1986 - present | Review, Journal of General Internal Medicine |
TEACHING ACTIVITIES |
Undergraduate and Graduate Medical Teaching |
1981 - present | M-1/M-2 Physical Diagnosis Course
Course Director, 1981-1987; Preceptor 1981-present |
| M-2 Medicine Course
Small Group Facilitator, 1995 present
Course Director, 1997-present |
| M-4 Ambulatory Medicine Electives, Course Director, 1992-present |
| M-4 Acting Internships in General Internal Medicine, Course Director, 1992-present |
| M-1 through M-4 Supervise Medical Student Activities with the
Greenville Community Shelter Clinic, Inc. and indigent care clinic |
| Attending, General Medicine Service, three Months per year teaching M-3 clinical clerks, M-4 acting interns, and Department of Medicine Housestaff |
| Morning Report, Department of Medicine 1989-present |
| Attending, General Medicine Consultation Service |
| Attending, General Medicine Critical Care Unit Service, three months per year teaching Department of Medicine Housestaff (1981-1993) |
| Attending, General Medicine Continuity Clinic; 1-2 session/week |
| Attending, General Medicine Ambulatory Care Block; monthly |
| Organizer and facilitator; Annual Intern Retreat, Department of Internal Medicine Residents workshops in: the medical interviewer; Physician mistakes; somatization Disorder; patient education; home health care; End-of-life decision making; the resident as Teacher; substance abuse; alcohol Withdrawal; pressure sores; functional bowel Disorders; delirium and dementia. |
| Video review of residents-patient encounters |
| Attending, nursing home care service 2-3 Months/years |
| Organizer of yearly Director's Month for all second years medical residents, 1993-, a month-long curriculum In psychosocial medicine. |
Continuing Medical Education |
| AHEC presentations on: "Managing Patients with Multiple Somatic Complaints", "End-of Life Decisions", " How Physicians Cope with Mistakes", "Alternative Health Care Beliefs and Practices", "Behavior Change", "Physician Burnout" |
| Facilitator of faculty development workshops at ECU. "Feedback," July 1994. "Small Group Facilitation" October 1994. "Precepting Skills for Community Preceptors", January 1995, "Feedback" January 1996, Three-day faculty development seminars in teaching, February 1996, September 1996, "Feedback" October 1996, "Teaching on the Inpatient Service", January 1997, May 1998, May 1999, "Writing Multiple Choice Questions.", 1997-1999. |
GRANT SUPPORT |
ECU Generalist Physician Program, Robert Wood Johnson Foundation. Co-Pl with Thomas G. Irons (Pl). 1992-1994 $149,985 1994-1999 $1,215,370 |
Support for teaching the medical interview, 1994. Marion-Merrell-Dow, Inc. 1,200 NCMSA Health Education Foundation-Pitt County, 1993 (Pl) $5,795 for the Greenville Community Shelter Clinic, Inc. |
United Way. $4,000/year for the Greenville Community Shelter Clinic, Inc. |
Clinical practice exam for second-year residents. An innovative grant proposal for residency education of generalist physicians. Co-investigator. Robert Wood Johnson Foundation $43,870.70 1999-2000 |
RESEARCH ACTIVITIES AND INTERESTS |
1. The medical interview including the use of standardized patients to instruct students how to recognize and manage problems in the medical interview. |
2. End-of-life decision making by elderly person and their families. |
3. Medical anthropology. The impact of folk medical beliefs on symptom recognition, response to disability, and doctor-patient relationship. |
4. The impact of pharmaceutical company marketing practices on medical education and prescribing practices-perceived moral dilemmas. |
5. Medical education. Self-directed learning, reflective learning, meaningful experiences, mistakes, Performance based evaluation. |
Publications |
In Refereed Journals |
1. Lichstein PR. The resident leaves the patient. Another look at the doctor-patient relationship.Ann Intern Med. 1982 Jun;96(6 Pt 1):762-5. |
2. Lichstein PR. Humanism and medicine. The patient centered approach. North Carolina Medical Journal 1983;44:721-722. |
3. Hughes GS, Lichstein PR, et al.. Response of plasma beta-endorphins to tanscutaneous electrical nerve stimulation in normal subjects. Physical Therapy 1984;64.1062-1066. |
4. Lichstein PR, Nieman LZ. Diagnosing technique problems in interviewing patients. Journal of Medical Education 1985;60:566-568. |
5. Lichstein PR. Caring for the patient with multiple somatic complaints. Southern Medical Journal. Southern Medical Journal 1986;79:310-314. |
6. Turner RC, Lichstein PR, et al. Alcohol withdrawal syndromes. A review of pathophysiology, clinical presentation and treatment. J of Gen Int Med. 1989;4:432- 444. |
7. Gamble ER, McDonald PJ, Lichstein PR. Knowledge, Attitudes, and Behavior of Elderly Individuals Regarding Living Wills. Arch Intern Med 1991;151:277-280. |
8. Lichstein PR, Turner RC, O'Brien K. Impact of pharmaceutical company representatives on internal medicine residency programs. A survey of residency programs. A survey of residency program directors. Arch intern Med 1992;152: 1009-1013. |
9. Lichstein PR. Placing a limit on life-sustaining therapy: the surgeon's role. Current Surg 1992;49:141-145. |
10. Lichstein PR. Resident training and the biopsychosocial model. NCMJ 1992; 53: 517-518 |
11. Lichstein PR, Young G. "My most meaningful patient". Reflective learning on a general medicine service. J Gen Intern Med. 1996 Jul;11(7):406-9. |
12. Lichstein PR, Peden JG Jr. Management strategies for depression in primary care. Am J Med. 1996 Dec 30;101(6A):18S-25S. Review. No abstract available. |
13. Peden JG Jr, Lichstein PR. Guest editors: Management of depression in primary care. Amer J Med 1996:101(suppl6A) |
14. Lichstein PR. Commentary-The compromise of compassionate care. NCMJ 1997; 58-335-336. |
15. Lichstein PR. Learning from our patients. Medical Encounter. Spring. 1998. |
In Non-Refereed Journals |
1. Lichstein PR. Can a physician heal a "hex"? Hospital Practice 1982;17.129-132. |
2. Lichstein PR. Don't want life support? Discuss, Decide, Document. Daily Reflector. Greenville. NC, May 28, 1992. |
Abstracts and Letters |
1. Sinar Dr, Lichstein PR. A standardized rapid analysis of the electrogastrogram in normal volunteers. Clin Res 31.830 A, 1983 (Presented to the Southern Regional Meeting AFCR, January. 1984). |
2. Sinar DR. Lichstein PR. Differing influences of liquid or solid meals on the power of the postprandial electrogastrogram in normal volunteers. (Submitted to the American Gastroenterological Association. |
3. Lichstein PR. Surgeons' and other consultees' responses to psychiatric recommendations. Am J Psychiatry. 1984 Feb;141(2):323-4. No abstract available. |
4. Lichstein PR. What happens to the residents patients in July. Journal of General Internal Medicine Vol 1(5).345. |
5. Lichstein PR, Gamble ER, McDonald PJ. Attitudes of elderly individuals toward medical management of terminal illness. Presented to the American Geriatrics Society Meeting. May 14-17, 1987. |
6. Lichstein PR. When resident leave their patients. A yearly case management seminar, Fifth Biennial Symposium for Teaching Internal Medicine. Boston, Mass., November 29-December 1, 1989. |
7. Lichstein PR, Turner RC, O'Brien K. Attitudes of academic and private physicians regarding marketing activities of pharmaceutical company representatives. Clinical research , April, 1991. |
8. Lichstein PR. Letters to the Editor; End of life decisions. N C Med J. 1991 Jan;52(1):50-1. No abstract available. |
9. Krick SE, Lichstein PR. Teaching critical evaluation of pharmaceutical advertisements to medical residents. APDIM. Washington DC, March, 1993. |
10. Poloi L, Clay MC, Lipkin M, Kaplan CB, Hewson M, Cope D, Lichstein PR. Swaby- Ellis D, Frankel RM. Piloting a faculty development course on teaching skills for Physicians. AAMC, San Francisco CA, 1996. |
11. Kato G, Kaplan C, Lichstein PR. A case control study comparing heliox gas mixture to conventional ventilatin in intubated patients with status asthmaticus. American College of Chest Physicians, San Francisco, CA. 1996. |
12. Lynch D, Lichstein PR, et. al.. Factors related to resident career plans. Generalist Physical Initiative. RWJ. Key Biscayne, FL. January, 1998. |
Contributions to Textbooks |
1. Lichstein PR. Internal Medicine. In: Surgical Resident Curriculum. Association of Program Directors in Surgery. Greenville, NC 1987. |
2. Lichstein PR. The Medical Interview. In: Clinical Methods, 3rd edition. Edited by Walker HK, Hall WD, Hurst JW. Butterworth Publisher Inc. Boston MA, 1990. |
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