James L. Wofford, M.D., M.S. |
Assistant Professor Downtown Health Clinic Chief of Adult Medicine
| Office Address:
Section of General Internal Medicine
Wake Forest University, School of Medicine
Medical Center Boulevard
Winston-Salem, North Carolina 27157-1052
Clinic Location: Downtown Health Plaza Office: (336) 713-9800 Nights/Weekends: (336) 713-9800
Fax Number: (336)713-9576
click here for a PDF version of Dr. Wofford's CV |
|
Education |
1972-1974 | Mississippi State University
Starkville, Mississippi |
1975-1977 | Millsaps College
Jackson, Mississippi
B.S. Mathematics |
1978-1979 | Universite de Pau et Pays de L'Adour
Pau, France
Rotary Fellowship |
1981-1985 | University of Mississippi Medical Center
Jackson, Mississippi
M.D. |
1988-1990 | Wake Forest University School of Medicine
Winston-Salem, North Carolina
M.S. Clinical Epidemiology |
CLINICAL TRAINING |
1985-1988 | Resident in Internal Medicine
North Carolina Baptist Hospital/
Bowman Gray School of Medicine
Winston-Salem, North Carolina |
1989-1991 | NIH Postdoctoral Fellowship in Geriatrics
Bowman Gray School of Medicine
Winston-Salem, North Carolina |
PROFESSIONAL LICENSURE |
1987 | North Carolina Medical License |
SPECIALTY CERTIFICATION |
1989 | Internal Medicine |
1992 | Geriatrics |
ACADEMIC APPOINTMENTS |
1988 - 1989 | Clinical Instructor |
1991 - 1993 | Department of Internal Medicine
Bowman Gray School of Medicine
Reynolds Health Center |
1992 | Director, Adult Medicine Clinic
Reynolds Health Center |
1993 - present | Assistant Professor of Medicine |
PROFESSIONAL MEMBERSHIPS |
| American College of Physicians |
| American Geriatrics Society |
| Society of General Internal Medicine |
| Forsyth County Medical Society |
| American Medical Informatics Association |
| American Public Health Association |
HONORS AND AWARDS |
1992 | Faculty Clinical Evaluative Science Scholar |
JOURNAL REVIEW |
| Archives of Internal Medicine |
| Southern Medical Journal |
| Drugs and Aging |
FUNDED RESEARCH ACTIVITIES |
1991 - 1992 | Forsyth County Aging Study
Katie B. Reynolds Poor and Needy Trust
Co-investigator -5% |
1992 - 1997 | Trial of Nonpharmacologic Intervention for Hypertension in the Elderly National Institutes of Health, National Institute on Aging
Co-investigator -10% |
1992 - 1996 | Forsyth County Breast/Cervical Cancer Screening Project
National Cancer Institute
Co-investigator - 10% |
1993 - 1997 | Community Care Coordination Network
Robert Woods Johnson Foundation
Co-Investigator - 10% |
1994 - 1995 | Abdominal Pain in the Elderly ED Patient
Society of Academic Emergency Medicine/ Hartford Foundation
Principal Investigator |
1993 | Patient Counseling by Internal Medicine Generalists and Subspecialists
United Way of Forsyth County (Intramural)
Principal Investigator |
1993 - 1994 | Implementation of Medical Informatics Curriculum in the Internal Medicine Residency
Intramural Education Grant
Co-Investigator |
Publications |
Manuscripts: |
Wofford JL, Ettinger WH. Risk factors and manifestations of digoxin toxicity in the elderly. Am J Emerg Med. 1991 Mar;9(2 Suppl 1):11-5; discussion 33-4. Review. |
Wofford JL, Kahl FR, McKinney WM, Toole JF, Crouse JR. Relation of extracranial carotid atherosclerosis as measured by B-Mode ultrasound to the extent of coronary atherosclerosis. Arterioscler Thromb. 1991 Nov-Dec;11(6):1786-94. |
Wofford JL, Hickey AR, Ettinger WH, Furberg CD. Lack of age-related differences in the clinical presentation of digoxin toxicity. Arch Intern Med. 1992 Nov;152(11):2261-4. |
Wofford JL, Matthews KR, Beech JA, Harkness GL, Pegram PS. Detection of sexually transmitted disease at premarital examination in a community health clinic. N C Med J. 1992 Aug;53(8):421-6. No abstract available. |
Wofford JL, Schwartz E, Byrum JE. The role of emergency services in the health care of the elderly: A review. J Emerg Med. 1993 May-Jun;11(3):317-26. Review. |
Wofford JL, Moran WP, Wilson TAS, Velez R. Clinical presentation of meningioma in the elderly. J Am Geriatr Soc. 1993 Feb;41(2):122-6. Reviewed in Journal Watch, Geriatric Digest, 1993 Annual Review of Geriatrics |
Wofford JL, Heuser MD, Moran WP, Schwartz E, Mittelmark MB. Community surveillance of falls among the elderly using computerized EMS transport data. Am J Emerg Med. 1994 Jul;12(4):433-7. |
Wofford JL, Moran WP, Heuser MD, Velez R, Mittelmark MB. Emergency medical transport of the elderly: a population-based study. Am J Emerg Med. 1995 May;13(3):297-300. |
Wofford JL, Pinson J, Folmar SJ, Moran WP. Health-related messages in consumer magazine advertising. J Gen Intern Med. 1995 Sep;10(9):488-90. |
Wofford JL, Moran WP. Bolstering the role of the telephone in internal medicine practice. Internal Medicine 1995;0:18-27 |
Wofford JL, Wilson MC, Moran WP. The promotion of generalism in medicine: renaissance or recycling? J J Gen Intern Med. 1994 Dec;9(12):697-701. No abstract available. |
Wofford JL, Schwartz E. Compassionate care for homeless ED patients. ACP J Club 1995;123:000 |
Wofford JL, Loehr LR, Schwartz E. Acute cognitive impairment in elderly ED patients: etiologies and outcomes. Am J Emerg Med. 1996 Nov;14(7):649-53. |
Wofford JL, Wofford MM. The multimedia computer for case simulation: survival tool for the clinician educator. MD Comput. 1997 Mar-Apr;14(2):88-93. |
Wofford JL, Schwartz E, Timerding BL, Folmar SJ, Ellis S, Messick CH. Emergency department utilization by the elderly: analysis of the National Hospital Ambulatory Medical Care Survey. Acad Emerg Med. 1996 Jul;3(7):694-9. |
Wofford J, Spickard A. Evaluation of the 1997 meeting completed. SGIM Forum 1997;20:1,6 |
Wofford JL, Moran WP, Wilson MC, Messick CH. Can abstracts alone guide evidence-based clinical decisions? (Manuscript submitted - Ann Intern Med) J Gen Intern Med |
Wofford JL, Gosselink C, McClatchey MW, Brekke K, Conley C, Shelton B, Wolfe P, Cohen SJ. Recruitment and retention of physicians for primary care research. (Manuscript submitted -Med Care) |
Wofford JL. The changing role of the hospital emergency department: implications for primary care (Ann Intern Med - Under revision) |
Wofford JL, Moran WP, Simon RA, Cohen SJ. Physicians in training as quality managers: Survival strategy for academic health centers. Am J Manag Care. 1997 Dec;3(12):1851-6. |
Moran WP, Wofford JL, Hamrick V, Myers BT, Cooper J, Doby J, Fitzgerald J, Spence C, Velez R. Implementing computerized tracking at a community health center: Challenges and solutions. Proc Annu Symp Comput Appl Med Care. 1993;:139-43. |
Moran WP, Wofford JL, Velez R. Assessment of influenza immunization of community elderly: Illustrating the need for community level health information. Carolina Health Services Rev 1995;3:13-22 |
Moran WP, Nelson K, Wofford JL, Velez R, Case LD. Increasing influenza immunization among high-risk patients: education or financial incentive? Am J Med. 1996 Dec;101(6):612-20.
Reviewed in Journal Watch. |
Wheeler JG, Wofford JL, Turner RB. Two center comparison of respiratory syncitial virus infected patients treated with or without ribavirin. Pediatr Infect Dis 1993;12:203-209 |
Ellis S, Folmar SJ, Wofford JL, Timerding B. Determining the real "Emergency": Class-based variation in emergency department use. Presented at the American Anthropology Association Meeting, 11/95 |
Rozzelle CR, Wofford JL, Branch CD. Predictors of hospital mortality in older patients with subdural hematoma. J Am Geriatr Soc. 1995 Mar;43(3):240-4. |
Moran WP, Wofford JL. Computer-generated reminder charts and patient drug compliance. ACP J Club 1993;119:60 |
Schiferaw B. Mittelmark MB, Wofford JL, Anderson RA. The investigation and outcome of reported cases of elder abuse: The Forsyth County Aging Study. Gerontologist. 1994 Feb;34(1):123-5. |
Moran WP, Nelson K, Wofford JL, Velez R. Computer-generated reminders for influenza immunization: a clinical trial. J Gen Intern Med. 1992 Sep-Oct;7(5):535-7. |
Paskett ED, McMahon K, Tatum C, Velez R, Shelton B, Case LD, Wofford JL, Moran WP, Wymer A. Clinic-based interventions to promote breast and cervical cancer screening. Prev Med. 1998 Jan-Feb;27(1):120-8. |
Bahnson JL, Whelton PK, Appel LJ, Espeland MA, Wofford JL, Rosen R, et al. Baseline characteristics of randomized participants in the Trial of Nonpharmacologic Intervention in the Elderly (TONE). Disease Management Clincial Outcomes 1997;1;61-8 |
Preisser JS, Cohen SJ, Wofford JL, Moran WP, Shelton BJ, McClatchey MW, Wolfe P. Physician and patient predictors of health maintenance visits. Arch Fam Med. 1998 Jul-Aug;7(4):346-51. |
Kostis JB, Appel, L, Johnson K, Pierce J, Wofford JL. Does withdrawal of antihypertensive medication increase the risk of cardiovascular events? (Manuscript in press -Am J Med) |
Moran WP, Messick C, Wofford JL, Preisser J, Chen J, Sheehan A, Currin D, Russell G, Velez R. Reducing acute care using a community care coordination network. J Am Med Informatics Assoc. 1997 (In Press) |
Cohen SJ , Moran WP, Wofford JL, Preisser JS. Reminders for health maintenance visits. Arch Fam Med. 1999 Jul-Aug;8(4):295-6. |
Anderson RT, Bradham D, Heuser MD, Wofford JL. Caregivers' access to assistance caring for functionally impaired elderly persons and their unmet needs for supportive services (Manuscript submitted - Gerontologist) |
Moran WP, Cohen SJ, Preisser JS, Wofford JL, Shelton BS, McClatchey MW, Wolfe P. Adranatic increase in PSA testing among a sample of Colorado based primary care physicians; impact of a practice guideline? Am J Managed Care (submitted) |
Book Chapters: |
Wofford JL, Smith JM. Respiratory infections. IN: Ling FW, Laube DW, Nolan TE, Smith RP, Stovall TG. Primary care in Gynecology. Willliams and Wilkins. Baltimore, 1996, pp 235-51 |
Letters: |
Wofford JL, Chandler ET. Case presentation in the ambulatory setting. J Gen Intern Med (letter) 1990;3:40 |
Wofford JL. Ways of giving good news. Lancet (letter) 1991;338:453 |
Wofford JL, Moran WP. Changing physician behavior. N Engl J Med (letter) 1993 |
Holt GS, Wofford JL, Velez R. Hemoglobinopathies affect hemoglobin A1C measurement (letter). Ann Intern Med 1991;115:68-9 |
Wofford MM, Wofford JL. The affordability and efficacy of multimedia computer assisted instruction (letter). Arch Intern Med 1995;155:1682-4 |
Wofford JL. History of fixed-dose combination therapy for hypertension. Arch Intern Med. 1997 May 12;157(9):1044. |
Abstracts: |
Wofford JL. Moran WP, Guerette PJ, Velez R, Wright M. Functional impairment and acute care service utilization: Automated alerts to trigger primary care case management. J Gen Intern Med 1996;11(1):151 |
Wofford JL, Moran WP, Wilson MC, Messick CH, Wymer AC, Rushing JT. Comparisons of ambulatory experiences in office and community ambulatory settings? Implications for education in ambulatory medicine. J Gen Intern Med 1995;0:000-000 |
Wofford JL, Alford PT, Timerding BL, Moran WP. Impact of weather and pollution on EMS transport of the elderly. Presented at American Public Health Association national meeting 10/94 |
Wofford JL, Byington RB, HS Klopfenstein, Downes TW, Hogan PH, Furberg CD. Left ventricular mass index as a predictor of mortality. Presented at American Heart Association Scientific Sessions, 11/15/89. Circulation 1988;78(4):II-63 |
Wofford JL, Moran WP. Use of the glycated hemoglobin assay in a community health center. Clin Res 1991.39:613A |
Wofford JL, Hickey AR, Ettinger WH, Furberg CD. No age?related difference in the outcome of life?threatening toxicity treated with digoxin?specific antibody fragments. J Am Geriatr Soc 1991;40:SA74 |
Wofford JL, Moran WP, Wilson MC, Heuser MD, Messick CH, Gagnon R, Bradham DB, Thomas JH. Health maintenance counseling: A comparison of general and subspecialty internists. Clin Res 1993;41:574A |
Moran WP, Messick CH, Wofford JL, Guerette P, Velez R. The community care coordination network: An information system for geriatric primary care. J Am Geriatr Soc 1997;000:000 |
Messick CH, Moran WP, Wofford JL, Guerette P, Velez R. The community care coordination network: A model for geriatric primary care case management. J Am Geriatr Soc 1997;000:000 |
Heuser MD, Wofford JL, Moran WP, Thomas J, Colvin PE, Schwartz E, Mittelmark MB. Use of emergency ambulance transport to acute care hospital differs between older adults residing in nursing homes and in the community. J Am Geriatr Soc 1992;40:SA70 |
Moran WP, Wofford JL, Velez R. Influenza immunization of community dwelling elderly: We are doing better than we think! J Am Geriatr Soc 1992;40:SA74 |
Anderson R, Mittelmark M, Schiferaw B, Heuser M, Wofford J. Results from the Forsyth County Aging Study NC. Gerontologist 1994;34:69 |
Valle G, Messick CH, Moran WP, Guerette PJ, Wofford JL, Velez R. Can the three object recall be used as a simple screening procedures for cognitive impairment. J Gen Intern Med 1996;11(1):150 |
Moran WP, Messick CH, Guerette PJ, Wofford JL, Currin D, Anderson R, Velez R. The psychosocial burden of chronic illness and functional impairment: Findings from a community health center. J Gen Intern Med 1996;11(1):146 |
Young FK, Moran WP, Jackson A, Guerette PJ, Messick CH, Wofford JL, Velez R. Screening for functional impairment prompted by diagnoses in a community health center practice database. J Gen Intern Med 1996;11(1):152 |
TEACHING |
Faculty Sponsor of Summer Research Project by First Year Medical Students ? 1993
- Emergency evaluation of acute CNS dysfunction in the elderly
- Subdural hematoma in the elderly: Management and prognosis |
Parallel Curriculum tutor - 1991-1994 |
Physical Diagnosis tutor - 1990-1994 |
Special commendation from 3rd year medical students on Internal Medicine ward rotation - 1992-4 |
Nominee for Faculty Teaching Award from Internal Medicine residents - 1993-1997 |
Nominee for Clinical Teaching Award from Bowman Gray School of Medicine student body - 1994 |
Institutional delegate to AAMC conference on "Increasing generalism in medical school curriculum" - 1/93 |
Sponsor - Community medicine 4th year medical student elective |
Section coordinator for Internal Medicine Board Review course - 1995-1997 |
Developed curriculum for medical informatics for residents - 1995 |
Developed curriculum for quality improvement in ambulatory care for residents - 1995 |
PRESENTATIONS |
· "Physical determinants and measurements of functional status" -
AHEC multi disciplinary conference on aging conference 4/90 |
· "Amebic liver abscess" - Medicine grand rounds 3/90 |
· "Cancer screening" - Ambulatory medicine grand rounds 12/90 |
· "Cross-cultural differences in the elderly" - Geriatric education conference 4/89 |
· "The appropriateness of emergency services in the elderly" - Health Services Research Seminar Series 10/91, Pepper Center Research Conference 9/92 |
· "Hypertension in Older Adults" - AARP Conference 7/92 |
· "Telephone Medicine" - Primary care residency conference 10/92 |
· "Taking a Sexual History" - Primary care residency conference 10/93 |
· "The Elderly Driver" - Primary care residency conference 10/93 |
· "Impact of Health Care Reform on Primary Care Medicine - 1st, 2nd year Medical Students 12/93 |
· "Preoperative cardiac risk assessment" - Section conference 9/93 |
· "Preoperative stroke risk assessment" - Section conference 9/93 |
· "Neuroimaging in the Elderly" - Section conference 2/94 |
· "Abdominal pain in the Elderly ED patient - Section research conference 10/94 |
· "Medical Informatics" - Medical Grand Rounds 9/94, 1/96 |
· "Prevention, screening, and epidemiology - Internal Medicine Board Review 6/95 |
· "Computer-assisted instruction" - Section research conference 1/95, 1/96 |
· "Critical Pathways" - Section conference 3/96 |
· "Common Office Encounters" - Internal Medicine Board Review 6/96 |
· "Syncope" - Emergency Medicine Lecture series 7/96 |
· Disease-specific quality management@ - Section conference 9/96 |
· A New media and the practice of medicine@ - Medicine Grand Rounds - 10/96 |
· A Common office problems - Internal Medicine Board Review - 6/97 |
· Alternative Medicine : Starting the discussion - ambulatory Grand Rounds - 12/97 |
COMMITTEES |
1993 | Ad Hoc Committee on General Medicine Residency Development
Chair: Bryant Kendrick D. Min, Toni Wymer, M.D. |
1993 | General Medicine and Geriatric Resident Curriculum Development
Chair: Toni Wymer, M.D. |
1993 | Section Task Force for the Development of a Preventive Medicine Clinic
Chair: Ted Chandler, M.D. |
1994 | Section committee on curriculum development
Chair: Mark Wilson, M.D. |
1994 - present | BGSM Committee on Continuing Medical Education
Chair: James Leist, Ed.D. |
1995 - present | BGSM Internal Medicine Board Review
Chair: James Peacock, M.D. |
1995 | BGSM Opportunity Subcommission on Residency Training
Chair: Deirdre Herrington, M.D. |
1996 - present | BGSM Committee on Academic Computing
Chair: Craig Cunningham |
| BGSM Curriculum 2002 - Information/Computer
Chair: Mark Lively, Charles Eldridge |
SERVICE |
Co-Chair, Evaluation Committee of national meeting for Society of General Internal Medicine,1996 |
Forsyth County Medical Society Task Force on Indigent Care |
SPECIAL SKILLS |
Fluencies - French, German, Spanish
Multimedia computer programmer - Director, Authorware |
CONSULTANCIES |
Blue Cross/Blue Shield Primary Care panel on practice guidelines |
OTHER PROFESSIONAL EXPERIENCE |
Occasional reviewer - Journal of Aging and Health |
Acting Physician, Navajo Indian Reservation, Ganado, AZ (1/85-2/85) |
Seroprevalence of cysticercosis in Belize, Benque Viejo del Carmen, Belize, Central America (6/88-9/88) |
Handyman, American Consulate, Munich, Germany, 1974-5 |
Wofford JL, Hickey AR, Ettinger WH, Furberg CD. Age-related differences in the cardiac manifestations of digoxin toxicity. Presented at the American Geriatrics Society 5/17/90. |
Bell RG, Wofford JL, Velez R. Measuring patient satisfaction at a community health center. (Manuscript submitted - Public Health Reports) |
Lovenox protocol |
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