Jody Vogel
Associate Professor of Emergency Medicine (Adult Clinical/Academic)
Clinical Focus
- Emergency Medicine
Honors & Awards
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Academic Excellence Award, Denver Health Medical Center (2016)
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Pillar Award, Denver Health Medical Center (2016)
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Excellence in Research Award, Best Paper at National Research Meeting, American College of Emergency Physicians (2014)
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Gold Humanism Honor Society Compassionate Patient Care Award, Denver Health Medical Center (2014)
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Loan Repayment Award, National Institutes of Health (2012 - 2014, 2015-2016, 2017-2019)
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Merit Scholarship Award, University of Colorado School of Public Health (2012)
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Best Resident Research Presentation Award, Society for Academic Emergency Medicine Western Regional Meeting (2011)
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Outstanding Resident Research Award, Denver Health Medical Center (2011)
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Vincent J. Markovchick Program Director’s Award, Denver Health Medical Center (2011)
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Outstanding Resident Research Award, Denver Health Medical Center (2010)
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Emergency Medicine Residents’ Association Academic Excellence Award, American College of Emergency Physicians (2009)
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Distinction in Biomedical Research Award, Wayne State University School of Medicine (2006)
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Employee Award for Outstanding Performance, Peer or patient-nominated, exemplary compassionate care, University of Michigan Health System (1993 - 2000, Nine individual awards)
Boards, Advisory Committees, Professional Organizations
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Study Section Chair, Emergency Medicine Foundation (2020 - 2022)
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Member at Large, Elected Position, Society for Academic Emergency Medicine (2020 - Present)
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Residency Compliance Committee, Denver Health Medical Center (2008 - 2009)
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Awards and Nominations Committee, Denver Health Medical Center (2008 - 2009)
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Residency Action Council, Denver Health Medical Center (2007 - 2011)
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Art, Chaos, Ethics and Science of Medicine Committee, Denver Health Medical Center (2008 - 2012)
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Planning Commitee, Western Regional Society for Academic Emergency Medicine Meeting (2011 - 2011)
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Faculty Senate, Elected Member, University of Colorado School of Medicine (2016 - 2018)
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Scientific Grant Reviewer, Emergency Medicine Foundation (2011 - Present)
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Abstract Editor, Journal of Emergency Medicine (2014 - 2017)
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Health Services Research Section Editor, Academic Emergency Medicine (2021 - Present)
Professional Education
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Board Certification: American Board of Emergency Medicine, Emergency Medicine (2013)
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Master of Science, Colorado School of Public Health, Epidemiology (2013)
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Residency: Denver Health Residency in Emergency Medicine (2011) CO
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Internship: University of Colorado Internal Medicine Residency (2007) CO
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Medical Education: Wayne State University School of Medicine (2006) MI
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Master of Social Work, University of Michigan, Social Work (1993)
All Publications
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T32 programs in emergency medicine: A report from the ACEP-SAEM Federal Research Funding Workgroup.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
2024
Abstract
Advancing care in Emergency Medicine (EM) requires the development of well-trained researchers, but our specialty has lower amounts of research funding compared to similar medical fields. Increasing the number of pathways available for research training supports the growth of new investigators. To address the need for more EM researchers, the Society of Academic Emergency Medicine and the American College of Emergency Physicians convened a Federal Research Funding Workgroup. Here, we report the workgroup recommendations regarding the creation of Research Training Fellowships using the T32 grant structure sponsored by the National Institutes of Health. After reviewing the history of NIH-grant supported research fellowships in EM, we outline the rationale and describe the core components of T32-supported research fellowships, including program design, fellow evaluation, and recruitment considerations.
View details for DOI 10.1111/acem.15002
View details for PubMedID 39152536
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Assessment of an organizational effort to increase emergency medicine faculty on National Institutes of Health study sections.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
2024
View details for DOI 10.1111/acem.14993
View details for PubMedID 39056157
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The Role of Language in Hospital Admissions: The COVID-19 Experience in a Safety-Net Hospital Emergency Department.
The Journal of emergency medicine
2024
Abstract
BACKGROUND: Emergency departments (EDs) are often patients' first point of contact with the health care system. Race, ethnicity, and language all influence factors leading up to ED visits and patient experiences within the ED. There is limited evidence showing how race, ethnicity, and language interact to shape ED experiences, particularly during the COVID-19 pandemic when EDs were extremely strained.OBJECTIVES: Using a retrospective review, we evaluated the association of race, ethnicity and preferred language on hospital admissions from the ED for patients with COVID-19 in an urban, safety-net hospital during the first year of the COVID-19 pandemic before vaccines were widely available.METHODS: We performed a nested regression analysis using generalized estimating equation (GEE) logit models to estimate the impact of language, race, and ethnicity on hospital admissions while controlling for other health conditions and healthcare utilization.RESULTS: Patients who spoke Spanish and were Latino had 72% higher odds [95% confidence interval (CI):1.34-2.2] of hospital admission compared to patients who were White and spoke English. Patients who were Asian, the majority of whom also spoke languages other than English, had 130% higher odds (95% CI: 1.39-3.92) of hospital admission compared to patients who were White and English Speaking.CONCLUSIONS: Findings suggest multiple mechanisms influence hospital admissions for patients who are racially and ethnically minoritized and speak Spanish. Providers may have admitted patients as a precaution rather than because of more advanced illness. Evaluating race, ethnicity, and language concurrently can reveal how intersectional factors shape patient experiences in the ED.
View details for DOI 10.1016/j.jemermed.2024.06.004
View details for PubMedID 39271404
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2023 Society for Academic Emergency Medicine Consensus Conference on Precision Emergency Medicine: Development of a policy-relevant, patient-centered research agenda.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
2024
Abstract
Precision medicine is data-driven health care tailored to individual patients based on their unique attributes, including biologic profiles, disease expressions, local environments, and socioeconomic conditions. Emergency medicine (EM) has been peripheral to the precision medicine discourse, lacking both a unified definition of precision medicine and a clear research agenda. We convened a national consensus conference to build a shared mental model and develop a research agenda for precision EM.We held a conference to (1) define precision EM, (2) develop an evidence-based research agenda, and (3) identify educational gaps for current and future EM clinicians. Nine preconference workgroups (biomedical ethics, data science, health professions education, health care delivery and access, informatics, omics, population health, sex and gender, and technology and digital tools), comprising 84 individuals, garnered expert opinion, reviewed relevant literature, engaged with patients, and developed key research questions. During the conference, each workgroup shared how they defined precision EM within their domain, presented relevant conceptual frameworks, and engaged a broad set of stakeholders to refine precision EM research questions using a multistage consensus-building process.A total of 217 individuals participated in this initiative, of whom 115 were conference-day attendees. Consensus-building activities yielded a definition of precision EM and key research questions that comprised a new 10-year precision EM research agenda. The consensus process revealed three themes: (1) preeminence of data, (2) interconnectedness of research questions across domains, and (3) promises and pitfalls of advances in health technology and data science/artificial intelligence. The Health Professions Education Workgroup identified educational gaps in precision EM and discussed a training roadmap for the specialty.A research agenda for precision EM, developed with extensive stakeholder input, recognizes the potential and challenges of precision EM. Comprehensive clinician training in this field is essential to advance EM in this domain.
View details for DOI 10.1111/acem.14932
View details for PubMedID 38779704
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Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
2024; 31 (5): 425-455
Abstract
The fourth Society for Academic Emergency Medicine (SAEM) Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4) is on the topic of the emergency department (ED) management of nonopioid use disorders and focuses on alcohol withdrawal syndrome (AWS), alcohol use disorder (AUD), and cannabinoid hyperemesis syndrome (CHS). The SAEM GRACE-4 Writing Team, composed of emergency physicians and experts in addiction medicine and patients with lived experience, applied the Grading of Recommendations Assessment Development and Evaluation (GRADE) approach to assess the certainty of evidence and strength of recommendations regarding six priority questions for adult ED patients with AWS, AUD, and CHS. The SAEM GRACE-4 Writing Team reached the following recommendations: (1) in adult ED patients (over the age of 18) with moderate to severe AWS who are being admitted to hospital, we suggest using phenobarbital in addition to benzodiazepines compared to using benzodiazepines alone [low to very low certainty of evidence]; (2) in adult ED patients (over the age of 18) with AUD who desire alcohol cessation, we suggest a prescription for one anticraving medication [very low certainty of evidence]; (2a) in adult ED patients (over the age of 18) with AUD, we suggest naltrexone (compared to no prescription) to prevent return to heavy drinking [low certainty of evidence]; (2b) in adult ED patients (over the age of 18) with AUD and contraindications to naltrexone, we suggest acamprosate (compared to no prescription) to prevent return to heavy drinking and/or to reduce heavy drinking [low certainty of evidence]; (2c) in adult ED patients (over the age of 18) with AUD, we suggest gabapentin (compared to no prescription) for the management of AUD to reduce heavy drinking days and improve alcohol withdrawal symptoms [very low certainty of evidence]; (3a) in adult ED patients (over the age of 18) presenting to the ED with CHS we suggest the use of haloperidol or droperidol (in addition to usual care/serotonin antagonists, e.g., ondansetron) to help with symptom management [very low certainty of evidence]; and (3b) in adult ED patients (over the age of 18) presenting to the ED with CHS, we also suggest offering the use of topical capsaicin (in addition to usual care/serotonin antagonists, e.g., ondansetron) to help with symptom management [very low certainty of evidence].
View details for DOI 10.1111/acem.14911
View details for PubMedID 38747203
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Screening for health-related social needs in the emergency department: Adaptability and fidelity during the COVID-19 pandemic.
The American journal of emergency medicine
2021
Abstract
BACKGROUND AND OBJECTIVES: We sought to evaluate a screening and referral program for health-related social needs (HRSN) in our ED. Our goals were to (1) quantify successful screenings prior to and during the initial peak of the pandemic, and (2) describe the HRSNs identified.METHODS: We performed an observational analysis of ED-based screening for HRSN in Medicare and Medicaid patients at our large urban safety-net hospital. Screening was performed by patient navigators utilizing the ten question, validated Accountable Health Communities (AHC) Screening Tool, which screens for food insecurity, housing instability, transportation needs and utility assistance and interpersonal safety. Patients who screened positive for HRSN were provided with handouts listing community resources. For patients with two or more self-reported ED visits in the last 12months and any identified HRSN, ongoing navigation after discharge was provided utilizing community resource referrals. During the pre-pandemic period from November 1, 2019 - January 31, 2020, screening occurred in-person. Screening during the pandemic from March 1, 2020 - May 31, 2020 occurred remotely via telephone. Descriptive statistics including frequency rates and percentages were calculated. Successful screening was defined as completing the screening survey with a navigator and being triaged to either no assistance, resource handouts, or navigation services.RESULTS: Among the adult and pediatric patients screened for HRSN, 158 (16%) qualified for community resource handouts and 440 (44.4%) qualified for patient navigator services. The proportion of patients receiving both resources and care navigation remained similar in the pre- and post-periods of the study, at 227 (45%) and 213 (43.9%) respectively. However, the proportion of ED patients with a HRSN need doubled from 56 (11.1%) in the pre-period to 102 (21%) in the post-period. Food insecurity was the most identified HRSN in both the pre-pandemic period (27.3%) and during the pandemic (35.8%).CONCLUSION: We found that remote HRSN screening for ED patients during the COVID-19 pandemic resulted in similar proportions of successfully completed screenings compared to pre-pandemic efforts. This demonstrates the feasibility of utilizing alternative methods of screening and referral to community resources from the ED, which could facilitate this type of intervention in other EDs. During the pandemic HRSN increased, likely reflecting the economic impact of the pandemic.
View details for DOI 10.1016/j.ajem.2021.09.071
View details for PubMedID 34654599
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Emergency Medicine Faculty Serving on Standing NIH and AHRQ Study Sections from 2019-2020.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
2021
Abstract
Emergency Medicine (EM) investigators lag in research funding from the National Institutes of Health (NIH) when compared to other specialties. NIH funding determinations are made in part by a process of NIH study section peer review. Low participation by EM investigators in NIH peer review could be one explanation for low levels of NIH funding by EM investigators. The objective of this study was to establish a current-state metric of EM faculty researchers serving on standing NIH study sections from 2019-2020. Publicly available lists of NIH study section membership rosters within the Center for Scientific Review (CSR) and within individual NIH institutes were reviewed for standing members. Committee members listed as being members of a Department of Emergency medicine were identified as emergency care researchers. Special Emphasis panels and ad hoc members were excluded. Members degrees were categorized as PhD, MD (with or without non-PhD degree), MD/PhD, and other. Similar analysis was performed of AHRQ study sections. 6113 members on NIH study sections were identified. Degrees held by committee members included PhD's 74% (4547), MDs 14%(883), MD/PhDs 10% (584) and other (99). Twenty (0.3%) NIH study section members were identified as members of an emergency department. 20% (4) held PhDs, 75% (15) held MDs, and 5%(1) held MD-PhD degrees. 25% (5) of EM faculty were pediatric and 75% (15) were adult. Clustering of study sections within similar institutions was noted with 40% (2) of the pediatric faculty were at the same institution while 27% (4) of the adult faculty were at the same institution. AHRQ study section review identified 3% (4/127) as members of an EM department. Our data show that 20 EM faculty comprised 0.3% of NIH standing study section members and 4 EM faculty comprised 3% of AHRQ standing study section members from 2019 to 2020 and that these members were clustered at a few institutions.
View details for DOI 10.1111/acem.14342
View details for PubMedID 34250678