School of Medicine
Showing 1-100 of 559 Results
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Oliver O. Aalami, MD
Clinical Professor, Surgery - Vascular Surgery
Current Research and Scholarly InterestsWe launched a national precision medicine PAD trial called, VascTrac (http://vasctrac.stanford.edu/). This trial is mobile phone based and leverages Apple's ResearchKit Platform to monitor a patient's activity both pre- and post-intervention. We are validating mobile phone surveillance for PAD patients and are currently enrolling.
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Deborah Aarhus
Administrative Director, Vera Moulton Wall Center for Pulmonary Vascular Disease, CVI/Vera Moulton Wall Center
Current Role at StanfordAdministrative Director, Vera Moulton Wall Center for Pulmonary Vascular Disease at Stanford
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Alistair Aaronson, MD, MHA, FACP
Adjunct Clinical Assistant Professor, Medicine
BioFaculty Advisor for SHCG (Stanford Healthcare Consulting Group), a multidisciplinary course that gives students across multiple disciplines at Stanford University the opportunity to work collaboratively with Faculty on real world projects that directly impact Stanford and the healthcare system at large.
Undergraduate: Johns Hopkins University
MD: Medical University of South Carolina
MHA: University of Southern California
Residency in Internal Medicine: Cedars-Sinai Medical Center -
Sumaira Z. Aasi, MD
Clinical Professor, Dermatology
Current Research and Scholarly InterestsHigh risk squamous cell carcinoma; frozen histopathology; reconstructive surgery.
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Fahim Abbasi
Clinical Assistant Professor, Medicine - Cardiovascular Medicine
BioDr. Fahim Abbasi specializes in diagnosis and treatment of prediabetes and insulin resistance. Dr. Abbasi has a special interest in prevention of diabetes and cardiovascular disease through lifestyle modifications.
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Carla Abdelnour
Postdoctoral Scholar, Neurology and Neurological Sciences
BioOriginally from Caracas, Venezuela, Dr. Carla Abdelnour received her medical degree at the Central University of Venezuela, and then completed her neurology residency training at the University Hospital Príncipe de Asturias in Madrid, Spain. She conducted her doctorate in Medicine at the Autonomous University of Barcelona working with Drs. Dag Aarsland, Javier Pagonabarraga and Jaime Kulisevsky. Her thesis focused on the influence of Alzheimer´s disease copathology in atrophy patterns, longitudinal cognitive decline, and heterogeneity of patients with dementia with Lewy bodies.
Carla´s main interest is the study of neurodegenerative diseases, especially Lewy body disease. As a Sue Berghoff LBD Research Fellow, her plan is to investigate the impact of different comorbidities in the clinical presentation, cognitive profile, and disease progression of Lewy body disease. Additionally, she wants to study the biological underpinnings of prodromal Lewy body disease to identify potential biomarkers for diagnosis and prognosis. -
Ryuichiro Abe
Postdoctoral Scholar, Emergency Medicine
BioDr. Ryuichiro Abe was a clinical doctor majoring in Intensive Care Medicine and Anesthesiology. Based on the clinical experiences, he is devoted to basic research for host-bacteria interaction. His research interests focus on improving the diagnostics of bacterial infection with sepsis to treat patients more appropriately and preventing the dissemination of antimicrobial drug resistance.
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Gita Chu Abhiraman
MD Student, expected graduation Spring 2024
Ph.D. Student in Immunology, admitted Autumn 2020
MSTP StudentBioGita Abhiraman is currently an MD/PhD candidate in the lab of Dr. Christopher Garcia, where she studies cytokine receptor structure, signaling, and engineering. She is a PhD Candidate in the Immunology Program at Stanford. Gita received her bachelor's degree in physics with a focus in biophysics from Harvard University in 2018. She previously studied tumor-immune dynamics and helped to engineer sortase, a bacterial enzyme, for in vivo labeling under the mentorship of Dr. Stephanie Dougan at the Dana-Farber Cancer Institute.
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Matthew Alexander Abikenari
MD Student, expected graduation Spring 2028
BioMatthew received his undergraduate degree Summa Cum Laude from UCLA in march 2020. After receiving the highest departmental honor, he remained at the UCLA Semel Institute for Neuroscience and conducted full-time clinical and basic sciences research into the molecular foundations of neuropsychiatric and neurodegenerative conditions. Matthew went onto pursue a graduate degree in Clinical Neuroscience at the University of Oxford as The Queen's College Herbruck Scholar, awarded to only one American student per year. His graduate thesis focused on the paraneoplastic autoimmune manifestations across neurodegenerative diseases as well as genotypic and phenotypic features of Meningiomas. Matthew is currently pursuing clinical and basic science research opportunities in Neurosurgical oncology domain as a current medical student at Stanford University.
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Oscar J. Abilez
Senior Scientist, Cardiothoracic Surgery - Pediatric Cardiac Surgery
Current Research and Scholarly InterestsDr. Abilez' interests are aimed at elucidating how various biophysical and biochemical perturbations regulate early cardiovascular development across time and length scales that span several orders of magnitude, using human pluripotent stem cells as a model system.
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Gillian Abir
Clinical Professor, Anesthesiology, Perioperative and Pain Medicine
BioGillian Abir graduated from Glasgow University (UK) in 1998. After initially undertaking parts of surgical residency and emergency medicine residency, she completed her anesthesiology residency training in Glasgow and Sheffield (UK). Following this she undertook an obstetric anesthesiology fellowship-equivalent at Stanford University School of Medicine and is currently a Clinical Professor.
Gillian is the Associate Division Chief and Clinical Director for the Division of Obstetric Anesthesiology and the residency program coordinator for obstetric anesthesiology.
Gillian has published several manuscripts and book chapters, and is the lead anesthesiologist in the multidisciplinary obstetric simulation team. She is a member of the obstetric disaster preparedness committee and labor and delivery patient safety committee, amongst several other committees. She is the co-chair of the simulation committee and a member of the patient safety and international outreach committees in the Society of Obstetric Anesthesia and Perinatology.
Gillian has an interest in global health and is a member of the Board of Directors of Kybele Inc. (www.kybeleworldwide.org) for which she regularly volunteers to teach obstetric anesthesiology in other countries. -
Julia Abitbol
Postdoctoral Scholar, Otolaryngology - Head & Neck Surgery
Current Research and Scholarly InterestsMy research interests are to identify genes that may enhance cochlear regeneration in an effort to treat patients with hearing loss.
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Elias Aboujaoude, MD, MA
Clinical Professor, Psychiatry and Behavioral Sciences
BioDr. Aboujaoude is a Clinical Professor, researcher and writer at Stanford University's Department of Psychiatry, where he is Chief of the Anxiety Disorders Section and Director of the OCD Clinic and the Impulse Control Disorders Clinic. Besides the compulsivity-impulsivity spectrum, his work has focused on the intersection of technology and psychology, with an emphasis on the problematic use of Internet-related technologies, mental health in a post-privacy world, and the potential for telemedicine interventions such as virtual reality and video-based therapy to increase access to care and advance global health. His books include "Virtually You: The Dangerous Powers of the e-Personality" and "Mental Heath in the Digital Age: Grave Dangers, Great Promise". Dr. Aboujaoude also teaches psychology on the main Stanford campus and at UC Berkeley. Scholarly and media platforms that have featured his work include The New York Times, The Wall Street Journal, The Washington Post, Congressional Quarterly, The Harvard Business Review, The Chronicle of Higher Education, BBC, PBS, and CNN.
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Aysha Abraibesh
Clinical Research Coordinator Associate, Psych/General Psychiatry and Psychology (Adult)
BioAysha Abraibesh, MPA is a clinical research coordinator in the Department of Psychiatry & Behavioral Sciences at the Stanford University School of Medicine. She works primarily on the Stanford Apnea and Insomnia Study (AIR) Study, led by Dr. Rachel Manber (more info can be found at airstudy.stanford.edu)
Aysha earned her Bachelor’s degree in Psychology (2012) and Master’s in Public Administration (2013) both from Clark University in Worcester, Massachusetts. She has since held multiple positions supporting research studies related to social and behavioral health issues, most recently as a Lead Behavioral Health Interviewer at Kaiser Permanente’s Center for Health Research in Portland, Oregon. -
Daniel A. Abrams
Clinical Associate Professor, Psychiatry and Behavioral Sciences
Current Research and Scholarly InterestsAutism spectrum disorders (ASD) are among the most pervasive neurodevelopmental disorders and are characterized by significant deficits in social communication. A common observation in children with ASD is that affected individuals often “tune out” from social interactions, which likely impacts the development of social, communication, and language skills. My primary research goals are to understand why children with ASD often tune out from the social world and how this impacts social skill and brain development, and to identify remediation strategies that motivate children with ASD to engage in social interactions. The theoretical framework that guides my work is that social impairments in ASD stem from a primary deficit in identifying social stimuli, such as human voices and faces, as rewarding and salient stimuli, thereby precluding children with ASD from engaging with these stimuli.
My program of research has provided important information regarding the brain circuits underlying social deficits in ASD. Importantly, these findings have consistently implicated key structures of the brain’s reward and salience processing systems, and support the hypothesis that impaired reward attribution to social stimuli is a critical aspect of social difficulties in ASD. The first study produced by this program of research was published in the Proceedings of the National Academy of Sciences and showed that children with ASD have weak brain connectivity between voice processing regions of cortex and the distributed reward circuit and amygdala. Moreover, the strength of these speech-reward brain connections predicted social communication abilities in these children. A second study, which was recently published in eLife, examined neural processing of mother’s voice, a biologically salient and implicitly rewarding sound which is associated with cognitive and social development, in children with ASD. Results from this study identified a relationship between social communication abilities in children with ASD and brain activation in reward and salience processing regions during mother’s voice processing. A third study, published in Proceedings of the National Academy of Sciences, showed that mother’s voice activates an extended voice processing network, including reward and salience processing regions, in typically developing children. Moreover, the strength of brain connectivity between voice-selective and reward and salience processing regions predicted social communication abilities in these neurotypical children. Together, results provide novel support for the hypothesis that deficits in representing the reward value of social stimuli, including the human voice, impede children with ASD from actively engaging with these stimuli and consequently impair social skill development.
My future research will leverage these findings by examining several important questions related to social information processing in children with ASD. First, we aim to study longitudinal development of social brain circuitry in minimally verbal children with ASD, a severely affected subpopulation that has been vastly underrepresented in the ASD literature. Second, we aim to examine the efficacy of naturalistic developmental behavioral interventions, such as Pivotal Response Treatment, for children with ASD and their relation to changes in social brain and reward circuitry. Third, we aim to examine distinct neural profiles in female children with ASD who, on average, have better social communication abilities compared to their male counterparts. -
Geoffrey Abrams, MD
Associate Professor of Orthopaedic Surgery
Current Research and Scholarly InterestsDr. Abrams' research is focused on elucidating the pathobiology behind tendinoapthy and developing new treatment modalities for the disease. Specifically, his team is studying the role of micro-RNA as it relates to chronic inflammation and stem cell differentiation in the development and perpetuation of chronic tendinopathy.
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Marwa Abu El Haija
Clinical Associate Professor, Pediatrics - Gastroenterology
BioI am a pediatric gastroenterologist with clinical and research interest in childhood obesity. I believe that each patient is unique in their disease and background, that is why they deserve to be approached in an individualized way. I aspire to discover what's unknown about the pathophysiologic causes of obesity, and the mechanisms of which treatments work. My clinical and research interests in pediatric obesity found home within Stanford's distinctive position academically, medically and geographically.
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Monther Abu-Remaileh
Assistant Professor of Chemical Engineering and of Genetics
Current Research and Scholarly InterestsWe study the role of the lysosome in metabolic adaptation using subcellular omics approaches, functional genomics and innovative biochemical tools. We apply this knowledge to understand how lysosomal dysfunction leads to human diseases including neurodegeneration, cancer and metabolic syndrome.
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Janelle Aby
Clinical Professor, Pediatrics - General Pediatrics
Current Research and Scholarly InterestsMy interest is in the care and evaluation of newborns. In particular, I have been focusing on improving the educational experience for our residents and students in the nursery regarding the examination and management of term or near-term infants.
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Suman Acharya
Postdoctoral Scholar, Immunology and Rheumatology
BioResearch focus: Immunology and Rheumatology, Immune metabolism
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Peter Acker
Clinical Associate Professor, Emergency Medicine
Current Research and Scholarly InterestsMy research and work focus on optimizing the use of health system data to create intelligent and accurate emergency referral systems to ensure vulnerable populations receive the care they require as efficiently as possible. I am interested in increasing our understanding of currently available health infrastructure in resource limited settings, and pairing that knowledge with technology tools to help identify patient's true needs and match those needs with health system capacity in real-time.
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Emma Adair
Clinical Research Manager, Anesthesia
Current Role at StanfordEmma manages the Neurology & Neurosurgery Clinical Trials Team consisting of 17 Clinical Research Coordinators conducting 70+ clinical trials in areas including: Device Neurosurgery, Functional Neurosurgery, Headache, Epilepsy, Neuroimmunology, Alzheimers/Memory Disorders, Parkinson's, Radiology, and Bio Banks.
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Maya Adam
Clinical Associate Professor, Pediatrics - Infectious Diseases
BioDr. Adam is the Director of Health Media Innovation and a Clinical Associate Professor in the Department of Pediatrics at Stanford School of Medicine. Her research focuses on measuring the impact of innovative, video-based entertainment-education approaches to global health communication. She produces short, animated films and online courses on topics related to maternal child health, nutrition, mental health and disease prevention. She has designed and produced online educational content for the Stanford School of Medicine for use in their preclinical programs, continuing medical education programs and global health promotion efforts. She is the Faculty Lead for the Global Child Health Media Initiative and Associate Director of the Center for Digital Health at Stanford. She is also the lead instructor of eight massive open online courses reaching more than a million learners around the world. Adam is principal investigator on two randomized-controlled trials investigating the impact of digital global health education interventions on health-promoting behaviors. Her research is conducted in collaboration with the Heidelberg Institute of Global Health in Heidelberg, Germany. She is a Faculty Fellow at the Center for Innovation in Global Health and the author of Food, Love, Family: A Practical Guide to Child Nutrition.
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Alyce Sophia Adams
Stanford Medicine Innovation Professor and Professor of Epidemiology and Population Health, of Health Policy and, by courtesy, of Pediatrics (Endocrinology)
BioDr. Adams is the inaugural Stanford Medicine Innovation Professor and Professor of Health Policy, Epidemiology and Population Health and of Pediatrics (by Courtesy). She also serves as Associate Chair for Health Equity and Community Engagement for Stanford Health Policy, Associate Director for Health Equity and Community Engagement in the Stanford Cancer Institute, and as Associate Director for Stanford Impact Labs. Focusing on racial and socioeconomic disparities in chronic disease treatment outcomes, Dr. Adams' interdisciplinary research seeks to evaluate the impact of changes in drug coverage policy on access to essential medications, understand the drivers of disparities in treatment adherence among insured populations, and test strategies for maximizing the benefits of treatment outcomes while minimizing harms through informed decision-making. Prior to joining Stanford School of Medicine, Dr. Adams was Associate Director for Health Care Delivery and Policy and a Research Scientist at the Kaiser Permanente Division of Research, as well as a Professor at the Bernard J. Tyson Kaiser Permanente School of Medicine. From 2000 to 2008, she was an Assistant Professor in the Department of Population Medicine (formerly Ambulatory Care and Prevention) at Harvard Medical School and Harvard Pilgrim Health Care. She received her PhD in Health Policy and an MPP in Social Policy from Harvard University. She is a member of the Board of Directors for AcademyHealth and a former recipient of the John M. Eisenberg Excellence in Mentoring Award from Agency for Healthcare Research and Quality.
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Connor Adams
Clinical Assistant Professor, Psychiatry and Behavioral Sciences
BioDr. Connor Adams (she/they) is a Clinical Assistant Professor who received her doctorate in psychology from the George Washington University and completed her internship training at Harvard Medical School/Cambridge Health Alliance. Her clinical and research interests center on therapeutic interventions that support recovery for individuals living with serious mental illness. Dr. Adams grounds her work in a psychodynamic perspective, assisting individuals in understanding why they think, feel, and behave the way they do, in order to increase agency and choice. Dr. Adams has specialized training in comprehensive Dialectical Behavior Therapy and provides treatment for individuals with emotion regulation difficulties. She also has specialized training in Cognitive Behavioral Therapy for Psychosis (CBTp). Additionally, Dr. Adams provides individual and group psychotherapy within the psychiatric inpatient treatment setting. She is broadly interested in increasing access to person-centered and recovery-oriented care.
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Karen E. Adams, MD
Clinical Professor, Obstetrics & Gynecology - General
BioDr. Adams is a board-certified obstetrician and gynecologist (OB-GYN) and North American Menopause Society-certified menopause specialist at the Stanford Health Care Gynecology Clinic. She is also a clinical professor of medicine in the Department of Obstetrics and Gynecology at Stanford University School of Medicine.
As an OB-GYN for over three decades, Dr. Adams specializes in managing the symptoms of menopause, as well as diagnosing and managing chronic conditions associated with aging. In addition to her clinical practice, she serves as a mentor for the next generation of OB-GYNs, working closely with medical students, residents, and fellows.
Dr. Adams has served as a principal investigator or co-investigator on clinical trials evaluating the safety of medications for long-term management of menopause symptoms, as well as their impact on patients undergoing breast cancer treatment. Some of Dr. Adams’ research has also been in the field of reproductive ethics.
Prior to her arrival at Stanford Health Care, Dr. Adams held the title of professor emeritus and was director of the Menopause and Sexual Medicine Program at the Center for Women’s Health at Oregon Health & Science University (OHSU). She also served as Vice Chair for Education and Residency Program Director at OHSU for 13 years.
Dr. Adams has served as a peer reviewer for multiple prestigious journals, including the American Journal of Obstetrics and Gynecology, Annals of Internal Medicine, and the American Journal of Bioethics. She has also presented research to her peers nationally and internationally, including at the annual meeting of the American Medical Women’s Association. Her TEDx talk entitled “Sleep, Sex, and Menopausal Zest” has received over 140,000 views and she is an in-demand speaker on the topics of menopause and sex medicine to both medical and lay audiences.
Dr. Adams is a member of the American College of Obstetricians and Gynecologists, the Council on Resident Education in Obstetrics and Gynecology, the North American Menopause Society, and the International Society for the Study of Women’s Sexual Health, where she serves on the Education Committee. She is a recognized leader in medical education, having served on the Board of Directors of the Association of Professors of Gynecology and Obstetrics and on the national Review Committee for Obstetrics and Gynecology of the Accreditation Council for Graduate Medical Education. -
Maheen Mausoof Adamson
Clinical Professor (Affiliated), Neurosurgery
Staff, NeurosurgeryBioDr. Maheen Mausoof Adamson is a Clinical Professor of Neurosurgery (Affiliated) at Stanford School of Medicine, Director of Research for Women's Operational Military Exposure Network (WOMEN), and Senior Scientist for Rehabilitation Services at VA Palo Alto Healthcare System. Adamson completed her undergraduate degrees in neurobiology and women's studies at the University of California, Irvine. She completed her Ph.D. in neuroscience from the University of Southern California and a postdoctoral fellowship in Psychiatry and Behavioral Sciences at Stanford School of Medicine. She also has a Masters in Healthcare Leadership From Brown University and is a faculty fellow for Stanford Byer's Biodesign Program.
Dr. Adamson’s expertise and interests span employing translational neuroscience methodologies for diagnostic and neuromodulation treatments (such as repetitive Transcranial Magnetic Stimulation (rTMS)) for frequent health problems in patients with Traumatic Brain Injury (TBI), psychiatric problems, and Alzheimer's disease. She has employed advanced structural and functional imaging modalities and biomarker assessments in Veteran, active military, and civilian populations with these health problems. She has been a leader in identifying gender differences in brain injury, particularly in the Veteran population. She currently serves as PI and Site-PI on numerous neuromodulation clinical trials and collaborates internationally for developing advanced diagnostic methods in neuroimaging, especially in underserved communities. In her position at VA Palo Alto, she is actively involved in translating research, such as non-invasive brain stimulation and other therapies, to clinical in-home use by patients using innovations such as virtual and augmented reality.
Dr. Adamson has authored numerous peer-reviewed publications on the cognitive and neural basis of Alzheimer’s disease and on a wide range of topics in TBI. She has received recognition in national and international settings. She is also intricately involved in mentoring research postdoctoral fellows and clinical residents in the Physical Medicine & Rehabilitation, Psychiatry, and Neurosurgery departments at Stanford School of Medicine. Her goal is to incorporate advanced treatment and diagnostics tailored to each patient's needs into standard-of-care to improve their daily function, reintegration into society, and long-term rehabilitation. -
Ananta Addala
Assistant Professor of Pediatrics (Endocrinology)
BioDr. Ananta Addala is a pediatric endocrinologist and physician scientist addressing disparities in pediatric type 1 diabetes management and outcomes. As a physician with a background in pediatric endocrinology, epidemiology, and behavioral health, she aims to build an evidence-based approach to addressing T1D disparities by systematically evaluating youth-, family-, provider-, and system-level barriers to optimal diabetes care in youth from low socioeconomic and racial/ethnic minority groups.
To date, her publications have demonstrated that the disparities in pediatric T1D by socioeconomic status are worsening in the US, provider bias against public insurance is common, and public insurance mediated interruptions to diabetes technology adversely impact glycemic outcomes. She has also been leading the efforts to improve justice, equity, diversity, and inclusion in research at Stanford University through her leadership at Stanford Pediatrics Advancing Anti-Racism Coalition and as the co-chair of TrialNet's Underrepresented Minorities Outreach Committee. -
Ehsan Adeli
Clinical Assistant Professor, Psychiatry and Behavioral Sciences
Current Research and Scholarly InterestsMy research lies in the intersection of Machine Learning, Computer Vision, Healthcare, and Computational Neuroscience.
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Steven Adelsheim
Clinical Professor, Psychiatry and Behavioral Sciences
BioSteven Adelsheim, MD is a child/adolescent and adult psychiatrist who works to support community behavioral health partnerships locally, regionally, at the state level and nationally. He is the Director of the Stanford Center for Youth Mental Health and Wellbeing in the Department of Psychiatry. Dr. Adelsheim has partnered in developing statewide mental health policy and systems, including those focused on school mental health, telebehavioral health, tribal behavioral health programs, and suicide prevention. For many years Dr. Adelsheim has been developing and implementing early detection/intervention programs for young people in school-based and primary care settings, including programs for depression, anxiety, prodromal symptoms of psychosis, and first episodes of psychosis. Dr. Adelsheim is also involved in the implementation of integrated behavioral health care models in primary care settings as well as the use of media to decrease stigma surrounding mental health issues. He is currently leading the US effort to implement the headspace model of mental health early intervention for young people ages 12-25 based in Australia. Dr. Adelsheim also leads the national clinical network for early psychosis programs called PEPPNET.
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Ruth Adewuya
Managing Director, Center for Continuing Medical Education, School of Medicine - Post Grad Med Education (CME)
Current Role at StanfordManaging Director
Stanford Center for Continuing Medical Education -
John R. Adler, MD
The Dorothy and Thye King Chan Professor in Neurosurgery, Emeritus
Current Research and Scholarly InterestsThe development and implementation of computerized, image-guided surgical tools to be used during minimally invasive brain operations. The clinical outcome of new technologies, and in particular the application of radiosurgery, for the treatment of brain tumors. The creation of new radiosurgical techniques for a wide array of brain and spine disorders.
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Sarah Adler
Clinical Associate Professor, Psychiatry and Behavioral Sciences
Current Research and Scholarly InterestsI am interested in the design and delivery of clinical care using, data and technology. I have focused on disordered eating behaviors and obesity.
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Shehla Admani, MD
Clinical Assistant Professor, Dermatology
BioShehla Admani is a Clinical Assistant Professor of Dermatology at Stanford University, School of Medicine. Dr. Admani completed her dermatology residency at the University California, San Diego where she served as chief resident during her final year. She then completed her pediatric dermatology fellowship at Stanford University, School of Medicine and has stayed on as faculty since that time. She is board certified in dermatology and pediatric dermatology. Dr. Admani’s academic interests include pediatric dermatology, vulvar dermatology and teledermatology.
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Bruce T. Adornato
Adjunct Clinical Professor, Neurology & Neurological Sciences
BioDr. Adornato joined the Department of Neurology as Voluntary Clinical Faculty in 1978, (subsequently Adjunct Clinical Faculty) and has served as Director of the Neuromuscular Laboratory from 1978 until 1983, performing and interpreting nerve and muscle biopsies as well as serving as attending physician directing residents and medical students in the diagnosis and care of his private patients admitted to Stanford Hospital. Since 1986, he has been attending physician at the Palo Alto VA Hospital, directing Stanford Neurology residents and medical students in the care of veterans. He has published 69 peer reviewed papers and a number of book chapters in the field of neurology. He is currently the medical officer of a silicon valley startup exploring mobility devices for the neurologically impaired.