Jared Shenson, MD, is a resident physician in Otolaryngology–Head & Neck Surgery at Stanford University. He is creatively applying design and technology in healthcare and medical education for healthier, safer lives. Research efforts have focused on patient-provider electronic messaging, care of otolaryngic illness, and medical student learning. Recognized locally and nationally for his innovations in medical education, he has also brought his entrepreneurial enthusiasm to founding and consulting with companies developing software for the healthcare, education, and non-profit communities.
- Otolaryngology – Head & Neck Surgery
- Medical Education Informatics
- Digital Health in Surgical Care
- Technology Innovation
Honors & Awards
Medical Education Innovation Challenge – First Place, American Medical Association (2016)
Vanderbilt Institute for Digital Learning Student Innovation Award, Vanderbilt University (2016)
Innovation Forum Award for Best Oral Presentation, AAMC Information Technology in Academic Medicine Conference (2014)
Clinical Trial Visualization Redesign competition – Honorable Mention, Eli Lilly (2013)
M.D., Vanderbilt University School of Medicine (2016)
B.S., Yale University, Biology (2012)
Current Research and Scholarly Interests
I have two broad areas of research interest, focusing on the use of informatics and technology in medical education and surgical care.
1. Medical education innovation methods and use of educational informatics to enhance teaching and learning
Questions of interest include: How can we shift the momentum of progress in medical education to an open, collaborative effort? How can learners contribute to technology in the learning environment? How do we teach and engage learners in health informatics, and what are the essential competencies they must develop to be prepared for a career in 21st century healthcare?
2. Health informatics applications in surgical care
Questions of interest include: How can technology tailored to patient needs improve peri-operative care? What role does mobile health play in care of surgical patients? How can we deliver real-time, actionable intelligence to surgeons in the clinic and operating room?
Effect of Preoperative Counseling on Hospital Length of Stay and Readmissions after Total Laryngectomy.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
2017; 156 (2): 289-298
Objective Total laryngectomy (TL) is a high-cost procedure with patients at risk for significant postoperative health care use. Face-to-face preoperative counseling provided by speech-language pathologists is a relatively inexpensive intervention that may improve care quality and decrease costs. We evaluated if preoperative counseling for patients undergoing TL was associated with differences in length of stay (LOS), use of the emergency department (ED), or unplanned readmissions within 30 days of discharge. A secondary analysis identified predictors of these 3 outcomes. Study Design Case series with chart review. Setting Academic medical center in the United States. Subjects and Methods Patients were included if they underwent TL from 2011 to 2015. Patient demographics and comorbidities, surgical characteristics, and perioperative care data were retrieved and analyzed for 116 patients. Univariate and multivariate models were constructed for 3 outcomes. Results LOS was significantly lower for patients receiving counseling (-3.0 days, P = .02). No differences were observed in rates of 30-day ED visits or unplanned readmissions. Care provided by high-volume surgeons was associated with decreased LOS ( P = .005), while having postoperative complications increased LOS ( P < .001). High rates of ED visits (12.1%) and readmissions (20.6%) were observed. Discharge to inpatient rehabilitation and the patient's home distance from the institution were predictors of ED visits. TL as salvage therapy and occurrence of postoperative complications were risk factors for readmission. Conclusion Preoperative counseling was associated with marked reduction in LOS following TL without increased readmissions, which suggests that it may promote safe, earlier patient readiness for discharge.
View details for DOI 10.1177/0194599816671695
View details for PubMedID 27677600
Rapid growth in surgeons' use of secure messaging in a patient portal
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
2016; 30 (4): 1432-1440
Use of secure messaging through patient portals has risen substantially in recent years due to provider incentives and consumer demand. Secure messaging may increase patient satisfaction and improve outcomes, but also adds to physician workload. Most prior studies of secure messaging focused on primary care and medical specialties. We examined surgeons' use of secure messaging and the contribution of messaging to outpatient interactions in a broadly deployed patient portal.We determined the number of clinic visits and secure messages for surgical providers in the first 3 years (2008-2010) after patient portal deployment at an academic medical center. We calculated the proportion of outpatient interaction conducted through messaging for each specialty. Logistic regression models compared the likelihood of message-based versus clinic outpatient interaction across surgical specialties.Over the study period, surgical providers delivered care in 648,200 clinic visits and received 83,912 messages, with more than 200% growth in monthly message volume. Surgical specialties receiving the most messages were orthopedics/podiatry (25.1%), otolaryngology (20.1%), urology (10.8%), and general surgery (9.6%); vascular surgery (0.8%) and pediatric general surgery (0.2%) received the fewest. The proportion of outpatient interactions conducted through secure messaging increased significantly from 5.4% in 2008 to 15.3% in 2010 (p < 0.001) with all specialties experiencing growth. Heart/lung transplantation (74.9%), liver/kidney/pancreas transplantation (69.5%), and general surgery (48.7%) had the highest proportion of message-based outpatient interaction by the end of the study.This study demonstrates rapid adoption of online secure messaging across surgical specialties with significant growth in its use for outpatient interaction. Some specialties, particularly those with long-term follow-up, interacted with patients more through secure messaging than in person. As surgeons devote more time to secure messaging, additional research will be needed to understand the care delivered through online interactions and to develop models for reimbursement.
View details for DOI 10.1007/s00464-015-4347-y
View details for Web of Science ID 000373022200024
View details for PubMedID 26123340
Adoption of Secure Messaging in a Patient Portal across Pediatric Specialties.
AMIA ... Annual Symposium proceedings. AMIA Symposium
2016; 2016: 1930-1939
Few studies have explored adoption of patient portals for pediatric patients outside primary care or disease-specific applications. We examined use of patient-provider messaging in a patient portal across pediatric specialties during the three years after implementation of pediatric portal accounts at Vanderbilt University Medical Center. We determined the number of patient-initiated message threads and clinic visits for pediatric specialties and percentage of these outpatient interactions (i.e., message threads + clinic visits) done through messaging. Generalized estimating equations measured the likelihood of message-based interaction. During the study period, pediatric families initiated 33,503 messages and participated in 318,386 clinic visits. The number of messages sent (and messaging percentage of outpatient interaction) increased each year from 2,860 (2.7%) to 18,772 (17%). Primary care received 4,368 messages (3.4% of outpatient interactions); pediatric subspecialties, 29,135 (13.0%). Rapid growth in messaging volume over time was seen in primary care and most pediatric specialties (OR>1.0; p<0.05).
View details for PubMedID 28269952
Formation of a New Entity to Support Effective Use of Technology in Medical Education: The Student Technology Committee.
JMIR medical education
2015; 1 (2)
As technology in medical education expands from teaching tool to crucial component of curricular programming, new demands arise to innovate and optimize educational technology. While the expectations of today's digital native students are significant, their experience and unique insights breed new opportunities to involve them as stakeholders in tackling educational technology challenges.The objective of this paper is to present our experience with a novel medical student-led and faculty-supported technology committee that was developed at Vanderbilt University School of Medicine to harness students' valuable input in a comprehensive fashion. Key lessons learned through the initial successes and challenges of implementing our model are also discussed.A committee was established with cooperation of school administration, a faculty advisor with experience launching educational technologies, and a group of students passionate about this domain. Committee membership is sustained through annual selective recruitment of interested students.The committee serves 4 key functions: acting as liaisons between students and administration; advising development of institutional educational technologies; developing, piloting, and assessing new student-led educational technologies; and promoting biomedical and educational informatics within the school community. Participating students develop personally and professionally, contribute to program implementation, and extend the field's understanding by pursuing research initiatives. The institution benefits from rapid improvements to educational technologies that meet students' needs and enhance learning opportunities. Students and the institution also gain from fostering a campus culture of awareness and innovation in informatics and medical education. The committee's success hinges on member composition, school leadership buy-in, active involvement in institutional activities, and support for committee initiatives.Students should have an integral role in advancing medical education technology to improve training for 21st-century physicians. The student technology committee model provides a framework for this integration, can be readily implemented at other institutions, and creates immediate value for students, faculty, information technology staff, and the school community.
View details for PubMedID 27731843
Growth of Secure Messaging Through a Patient Portal as a Form of Outpatient Interaction across Clinical Specialties
APPLIED CLINICAL INFORMATICS
2015; 6 (2): 288-304
Patient portals are online applications that allow patients to interact with healthcare organizations. Portal adoption is increasing, and secure messaging between patients and healthcare providers is an emerging form of outpatient interaction. Research about portals and messaging has focused on medical specialties. We characterized adoption of secure messaging and the contribution of messaging to outpatient interactions across diverse clinical specialties after broad portal deployment.This retrospective cohort study at Vanderbilt University Medical Center examined use of patient-initiated secure messages and clinic visits in the three years following full deployment of a patient portal across adult and pediatric specialties. We measured the proportion of outpatient interactions (i.e., messages plus clinic visits) conducted through secure messaging by specialty over time. Generalized estimating equations measured the likelihood of message-based versus clinic outpatient interaction across clinical specialties.Over the study period, 2,422,114 clinic visits occurred, and 82,159 unique portal users initiated 948,428 messages to 1,924 recipients. Medicine participated in the most message exchanges (742,454 messages; 78.3% of all messages sent), followed by surgery (84,001; 8.9%) and obstetrics/gynecology (53,424; 5.6%). The proportion of outpatient interaction through messaging increased from 12.9% in 2008 to 33.0% in 2009 and 39.8% in 2010 (p<0.001). Medicine had the highest proportion of outpatient interaction conducted through messaging in 2008 (23.3% of outpatient interactions in medicine). By 2010, this proportion was highest for obstetrics/gynecology (83.4%), dermatology (71.6%), and medicine (56.7%). Growth in likelihood of message-based interaction was greater for anesthesiology, dermatology, obstetrics/gynecology, pediatrics, and psychiatry than for medicine (p<0.001).This study demonstrates rapid adoption of secure messaging across diverse clinical specialties, with messaging interactions exceeding face-to-face clinic visits for some specialties. As patient portal and secure messaging adoption increase beyond medicine and primary care, research is needed to understand the implications for provider workload and patient care.
View details for DOI 10.4338/ACI-2014-12-RA-0117
View details for Web of Science ID 000354619000006
View details for PubMedID 26171076
Application of a Consumer Health Information Needs Taxonomy to Questions in Maternal-Fetal Care.
AMIA ... Annual Symposium proceedings. AMIA Symposium
2015; 2015: 1148-1156
Pregnancy is a time when expectant mothers may have numerous questions about their unborn children, especially when congenital anomalies are diagnosed prenatally. We sought to characterize information needs of pregnant women seen in the Vanderbilt Children's Hospital Fetal Center. Participants recorded questions from diagnosis through delivery. Questions were categorized by two researchers using a hierarchical taxonomy describing consumer health information needs. Consensus category assignments were made, and inter-rater reliability was measured with Cohen's Kappa. Sixteen participants reported 398 questions in 39 subcategories, of which the most common topics were prognosis (53 questions; 13.3%) and indications for intervention (31 questions; 7.8%). Inter-rater reliability of assignments showed moderate (κ=0.57) to substantial (κ=0.75) agreement for subcategories and primary categories, respectively. Pregnant women with prenatal diagnoses have diverse unmet information needs; a taxonomy of consumer health information needs may improve the ability to meet such needs through content and system design.
View details for PubMedID 26958254
Visualizing disease incidence in the context of socioeconomic factors
View details for DOI 10.1145/2397696.2397701