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       B.J. Miller, MD
Personal Information
Name: B.J. Miller, MD
Present Position Assistant Clinical Professor
Department of Medicine

 

Education
9/1989-6/1993 A.B. Department of Art and Archaeology
Princeton University
9/1997-12/2001 M.D.
University of California, San Francisco

 

Postgraduate Training Appointments
9/2002-9/2003 Intern (preliminary), Internal Medicine
Medical College of Wisconsin Affiliated Hospitals,
Milwaukee, WI.
6/2004-6/2006 Resident, Internal Medicine
Cottage Hospital, Santa Barbara, CA.

Required rotations: medical wards, intensive care unit (several months). 
Electives: cardiology, electrophysiology, oncology, pediatric oncology, nephrology, endocrinology, neurology, gastroenterology, and palliative medicine (including experiences at Medical College of Wisconsin with David Weissman, MD; Cottage Hospital with Michael Kearney, MD; and UCSF Moffitt-Long Hospital with Stephen McPhee, MD.
7/2005-6/2006 Chief Resident, Internal Medicine
Cottage Hospital, Santa Barbara, CA.

Duties included the scheduling and oversight of medical students and fellow residents; interviewing and the selection of candidates for the program; and participating on Medical Education Subcommittee, responsible for setting the agenda for the academic year, internal review, choosing program initiatives, and evaluating instructors.
7/2006-6/2007 Clinical & Research Fellow
Palliative Care Service
Mass. Genernal Hospital, Dana-Farber Cancer Institute
Harvard Medical School, Boston, MA.

The fellowship is divided into two distinct programs, one centered within the General Medicine Unit of the Massachusetts General Hospital, the other within the Department of Oncology at the Dana-Farber Cancer Institute and the Brigham & Women’s Hospital.  My clinical time has been split equally between the two programs.  In addition, I will have spent a total of eight weeks with two community hospice organizations. Pending are dedicated electives in pediatric palliative care and integrative medicine. The fellowship also includes outpatient palliative care experience, chiefly with cancer patients. 

Core competencies taught include: epidemiology and natural history of chronic diseases and the management of their complications; comprehensive assessment and management of medical, psychological, social, and spiritual issues; the function and development of an interdisciplinary team; comprehensive symptom management in palliative care patients including grief and bereavement of families; care of the dying patient; terminal/palliative sedation; ethical and legal aspects of palliative care; patient and family education; teaching housestaff and medical students; how to function as a consultant; communication skills; scholarship and medical literature interpretation; cultural aspects of palliative care; economic and regulatory issues relevant to hospice and palliative medicine; and professional self-care.

The consultation team’s daily census averages ~eighteen patients divided between two or three fellows.  The majority of our patients have cancer; other common diagnoses include heart disease (primarily CHF), neurological disease (ALS, MS, CVA, central and peripheral neuropathies), and various chronic and progressive illnesses. In these two large quaternary care centers, our patients represent a wide array of cultural, socioeconomic and medical backgrounds. 

Finally, the fellows will be responsible for staffing the new Intensive Palliative Care Unit at Brigham & Women’s Hospital set to open in 02/2007, furthering our abilities to manage exceedingly complex patients.

 

Certification and Licensure
  • State Medical Licensure:     State of Michigan and State of California
  • DEA Certification

 

Board Certification
2006 American Board of Internal Medicine
2007 Eligible for Hospice and Palliative Medicine Boards

 

Memberships
  • Associate Member, American Medical Assocation
  • Associate Member, American College of Physicians
  • Associate Member, American Academy of Hospice and Palliative Medicine

 

Awards/Honors
1997-2001 Regents' Scholar
UCSF (the University’s highest scholastic award)
2003 Nominated for Instructor-of-the-Year Award by UCSF medical students

Teaching
  • Instructor (2003), Interdepartmental Studies 102B: led case-based discussions for first-year medical students in a required course, UCSF
  • Medicine Grand Rounds, “The State of Medical Marijuana,” December, 2004, Cottage Hospital, Santa Barbara, CA
  • Medicine Grand Rounds, “The Story of Palliative Medicine,” December, 2005, Cottage Hospital, Santa Barbara, CA
  • Palliative Care Grand Rounds, "Vanishing Point: Existential Suffering and Palliative Sedation," April, 2007, Massachusetts General Hospital, Boston, MA.

 

Related Service Activities
  • Founding member, the Disability Interest Group, and the Chancellor’s Advisory Committee on Disability Issues, UCSF
  • Raised $120,000 to start endowment at UCSF to assist with extraordinary medical costs for students
  • Member, Toland Society Board of Advisors, UCSF

 

Bibliography/Research
  • Miller, B.J.: “On Feeling Small and Crucial,” Journal of Palliative Medicine, 2003 Oct; 6(5):777-78.
  • Research project within the Department of Family & Community Medicine, UCSF: regarding the intersection of primary and palliative care, 2004-05

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