Faculty Directory

Office of the Dean Administration Departments Research Alpert Medical School Giving

Richard Besdine, MD

Edit My Page
Richard Besdine

Title: Professor of Medicine and Professor of Health Services Policy & Practice
Department: Medicine and HSPP Section

Richard_Besdine@Brown.EDU
+1 401 863 3604

Download Richard Besdine's Curriculum Vitae in PDF Format

 
Overview | Research | Grants/Awards | Teaching | Publications

Richard W. Besdine, MD, has devoted his career to the development and advancement of geriatrics through university-based and public health care policy work for more than 25 years. He has trained more than 120 physicians for academic careers in geriatrics. His research interests include nursing home care, prevention, Medicare quality improvement, and interventions to promote independence in older persons.

Biography

Richard W. Besdine, MD, has devoted his career to geriatrics through university-based and public health care policy work for more than 35 years. He has trained more than 125 physicians in geriatrics. Dr. Besdine is Professor of Medicine, Director of the Center for Gerontology and Healthcare Research, Director of the Division of Geriatrics in the Department of Medicine, and first Greer Professor of Geriatric Medicine, all at Alpert Medical School of Brown University. He is Chief of Geriatrics for Lifespan, and the other Brown-affiliated hospitals. He is also Chief Medical Officer for Healthcentric Advisors (formerly Quality Partners) of RI, the Quality Improvement Organization with the Medicare contract for the State of RI. Dr. Besdine also served as Interim Dean of Alpert Brown Medical School (2002-2005). He is past President of the American Geriatrics Society, and was first CMO for HCFA (now CMS) and Director of its Quality Bureau.

Institutions

RIH

Research Description

As director of the Center for Gerontology and Healthcare Research, Dr. Besdine oversees a research portfolio of more than 40 currently funded projects; most are in health services and policy related to aging and chronic disease. Major areas are nursing home quality, end of life and hospice care, cancer control and quality of life for cancer survivors, and community-based care. His own research includes nursing home quality of care and its improvement and international collaborations on quality of care for hip fracture patients. He has also been PI on two applications for an Alzheimer's Disease Core Center (National Institutes of Health).

As director of the Division of Geriatrics and Palliative Medicine in the Department of Medicine, he oversees 12 faculty and four fellows; scholarly emphasis includes development and implementation of new curricula in geriatrics for medical students and residents, as well as projects in osteoporosis.

As chief medical officer of Healthcentric Advisors (formerly Quality Partners) of RI, the not-for-profit quality improvement organization holding the federal contract for quality monitoring and improvement for the Medicare program, he oversees multiple projects to improve quality of care for Medicare beneficiaries in RI. These include acute hospital, nursing home, home care, and physician office settings. QPRI is also the national resource center for the country for quality improvement in the nursing home.

Awards

1961 - B.S. Cum Laude, Haverford College
1965 - Levinson Prize for Cancer Research, U PA School of Medicine
1980 - Fellow, Gerontological Society of America
1984 - Innovation of the Year, American Association of Homes for the Aged, for development of the Harvard Geriatric Fellowship Program
1989 - Fellow, American Geriatrics Society
1991 - Milo D. Leavitt Award (Eminence in Geriatric Education), American Geriatrics Society
1992 - Fellow, American College of Physicians
1992- - *The Best Doctors in America, Internal Medicine (Geriatrics, all editions through 2011)
1995 - Joseph Freeman Award (Geriatrician of the Year), Gerontological Society of America
1997 - President's Award, American Society on Aging
1998 - Joan Quinn Leadership Award, Connecticut Community Care, Inc.
2002- - Top Doctors in Rhode Island, Rhode Island Monthly (Geriatrics) – every year through 2011
2005 - WW Keen Award, Alpert Medical School Alumni Association, 2005
- Faculty Award, Alpert Medical School Class of 2005
2011 - Morgagni Lecturer, Morgagni Medal (250th Anniversary Celebration of 1761 publication of "De Sedibus et Causis Morborum per Anatomen Indagatis"), University of Padua School of Medicine
2012 - Milton Hamolsky Lifetime Achievement Award for outstanding contributions to the field of Internal Medicine

Affiliations

American Federation for Aging Research (Board, Medical Officer)
Rhode Island Quality Institute(Board)
Gerontological Society of America
Association of Academic Geriatric Medicine Programs (Board)
American College of Physicians
American Geriatrics Society
Healthcentric Advisors of RI (Chief Medical Officer)

Funded Research

Harvard Medical School

1979-1981 Principal Investigator, Administration on Aging (DHHS) Geriatric Fellowship Grant ($179,000)
1979-1985 Principal Investigator, Kaiser Family Foundation Geriatric Fellowship Grant
1983-1986 Principal Investigator, Sandoz Foundation Geriatric Fellowship Grant ($50,000)
1983-1986 Director and Principal Investigator, Hartford Foundation Geriatric Faculty Development Grant ($190,000)
1983-1986 Principal Investigator, Health Resources and Services Administration (DHHS) Geriatric Education Center Grant ($580,000)

University of Connecticut Health Center School of Medicine

1986-1989 - Director and Principal Investigator, Health Resources and Services Administration (DHHS) Geriatric Education Center Grant ($650,000)
1987-1989 - Co-Sponsor with Lawrence Raisz, M.D., Brookdale National Fellowship Award to Carol Pilbeam, M.D., Ph.D. ($105,000)
1988-1994 - Principal Investigator, John A. Hartford Foundation Geriatric Faculty Recruitment Award ($485,000)
1988-1990 - Principal Investigator, Charles A. Dana Foundation Geriatric Research and Research Training Award ($200,000)
1988-1997 - Principal Investigator, Bureau of Health Professions (DHHS), Geriatric Medicine and Geriatric Dentistry Fellowship Training Grant ($1,350,000)
1989-1990 - Co-Sponsor with Lawrence Raisz, M.D., Brookdale National Fellowship Award to Carol Pilbeam, MD, PhD ($60,000)
1989-1991 - Co-Sponsor with Lawrence Raisz. M.D., Pfizer/American Geriatrics Society Postdoctoral Fellowship Award to James Judge, M.D. ($60,000)
1989-1991 - Principal Investigator, University of Connecticut Alzheimer's Disease Diagnostic and Research Center Award, CT State Department on Aging ($194,000)
1989-1991 - Director and Principal Investigator, Health Resources and Services Administration (DHHS), Geriatric Education Center Award ($439,000)
1990-2000 - Director, Travelers Research Institute on Health Promotion and Aging (TRIHPA [$1 million endowment])
- Principal Investigator, Alzheimer's disease Outreach Project, Howard and Bush Foundation ($150,000)
1991 Principal Investigator, Health Promotion Research Award, Travelers Foundation ($25,000)
1991 - Principal Investigator, Financing Long Term Care, Robert Wood Johnson Foundation ($131,000)
1992 - Principal Investigator, Health Promotion Research Seed Grant, Travelers Foundation ($25,000)
1993 - Principal Investigator, Financing Long Term Care, Robert Wood Johnson Foundation ($104,000)
1993-6 - Co-Sponsor with Lawrence Raisz, M.D., Brookdale National Fellowship Award to Karen Prestwood, MD ($201,750)
1994 - Principal Investigator, Travelers Research Institute on Health Promotion and Aging Pilot Grants Award ($50,000), Travelers Foundation
- Principal Investigator, Financing Long Term Care, Robert Wood Johnson Foundation ($113,000)
1995-8 - Principal Investigator, Geriatrics in Generalist Residency Training, John A. Hartford Foundation (3 years, $500,000)
1996-8 - Co-Sponsor with Lawrence Raisz, M.D., Brookdale National Fellowship Award to Anne Kenny, MD ($127,500)
1996-9 - Co-Sponsor with Lawrence Raisz, M.D., Beeson Scholar Award to Karen Prestwood, M.D. ($450,000)
1996-2001 - Principal Investigator, Claude Pepper Older Americans Independence Center, National Institute on Aging (5 years, $1.15 million total year 1)
1997-9 - Co-Sponsor with Karen Prestwood, M.D., Pfizer/American Geriatrics Society Postdoctoral Fellowship Award to Sandra Bellantonio, M.D. ($80,000)
1998-01 - Co-Mentor with Lawrence Raisz, M.D., Beeson Scholar Award to Anne Kenny, M.D. ($450,000)
1998-00 - Co-Sponsor with Karen Prestwood, M.D., John A. Hartford Foundation Research Fellowship Award to Rohini Winston, M.D. ($50,000)
1998-00 - Senior Advisor for HCFA contract award of Healthy Aging Project; PI, L. Rubenstein, MD; grantee, RAND ($3.4 million)

Alpert Medical School

2000-03 - Senior Advisor for HCFA contract award of Healthy Aging Project; PI, L. Rubenstein, MD; grantee, RAND ($3.4 million)
2003-5 - Co-investigator, NIH R03, Thyroid hormone effects on cognition, Jeff Tremont PI
2003 - PI, Reynolds Foundation Comprehensive Programs to Strengthen Physicians' Training in Geriatrics application; reverse site visit, not funded
2004-7 - Co-director, NIH T32 Post-doctoral training grant in dementia research
2004 - PI, NIH Alzheimer's Disease Core Center application ($5M), approved but not funded
2005 - PI, NIH Alzheimer's Disease Core Center application ($6M), approved but not funded
2006-11 - PI, Reynolds Foundation Comprehensive Programs to Strengthen Physicians' Training in Geriatrics ($2M), 7/06-6/11
2007-12 *- Co-investigator, Project 3, "Nursing Home Physicians – Missing in Action; in Mor (PI), "Shaping Long Term Care in America", National Institute on Aging, 1P01AG027296-01A1, ($10,000,000; 2007-2012).
2008-13 *- PI, John A. Hartford Foundation Center of Excellence in Geriatric Medicine and Training ($450,000), 7/08-6/11, renewed 2011 ($60,000), 2012 ($120,000)
2009-10 - PI, Schwartz Center, Schwartz Communication Curriculum for Medical Students ($25,000)
2010-11 - PI, Schwartz Center, Schwartz Communication Curriculum for Medical Students ($25,000)

Teaching Experience

Teaching Experience

Harvard Medical School

1972-1980 Attending Physician, Infectious Disease Consultation Service, Beth Israel Hospital
1972-1986 Attending Physician, Medical Service, Beth Israel Hospital
1972-1986 Attending Physician, Didactic and Clinical Sessions, Introduction to Clinical Medicine; Beth Israel Hospital and Hebrew Rehabilitation Center for Aged
1972-1980 Lectures on pneumococcal infections and pneumonia for Infectious Disease Fellows; Beth Israel Hospital and Children's Hospital Infectious Disease Fellowship Training Program
1972-1980 Lectures on pneumococcal infections and pneumonia, Infectious Disease Course for 4th Year Students
1977-1986 Course Developer and Director, Clinical Geriatric Medicine (501M.1)
1978-1986 Attending Physician, Beth Israel Hospital; Didactic sessions in Geriatrics for core clerkship in Medicine, Course developer
1979-1986 Organized seminars in Geriatrics for 1st year students, Course developer
1980-1986 Attending Physician, Program Director and Developer, Beth Israel Hospital Geriatric Interdisciplinary Consultation Service; mandatory geriatrics experiences for all internal medicine residents
1983-1986 Attending Physician, Program Director and Developer, Hebrew Rehabilitation Center for Aged and Beth Israel Hospital; Geriatric Rotation for all medical residents from Cambridge Hospital
1985-1986 Attending Physician, Geriatric Assessment Unit, West Roxbury VA Medical
Center, Boston, MA

University of Connecticut Health Center

1986- - Attending Medical Staff, Department of Medicine, John Dempsey Hospital
1986- - Lecturer, School of Medicine: Social and Behavioral Sciences, Legal and Ethical Aspects of Medicine, Epidemiology, three year-1 and year-2 electives; School of Dental Medicine: The Special Needs Patient (Entire class)
- Primary Care Clerkship seminars
1987- - Attending Geriatrician and Program Developer, Interdisciplinary Geriatric Consult Service, John Dempsey Hospital
1989- - Attending Physician and Curriculum Developer, Mandatory Geriatric Rotations for Internal Medicine Residency Programs, Newington DVAMC
1991 - Attending Physician and Program Developer, In-patient Geriatrics Service, John Dempsey Hospital
1992 - Program Developer, Ambulatory Geriatrics Practice, John Dempsey Hospital
- Program Developer, Medical and Dental Student Geriatrics Interest Group
1993 - Chair, Long Range Planning Committee, Department of Medicine, Graduate Medical Education
- Program Developer, 3rd year medical student ambulatory geriatrics block
1994 - Curriculum Developer, Mandatory Geriatrics block for all Internal Medicine Interns
- Curriculum Revision Committee (Clinical)
- Curriculum Developer, Year 2 Human Development and Health, Block on Aging

Alpert Medical School

2000- *- Attending Geriatrician, RI and The Miriam geriatrics service
*- Faculty, mandatory resident Geriatrics block, Internal Medicine program, Lifespan (RI and The Miriam Hospitals)
2000- *- Advisor, Medical Student Geriatrics Interest Group
2001-6 - Program Director, Geriatric Medicine Fellowship, Alpert Medical School
2001- *- Developer and Preceptor, Mandatory Geriatrics block for IM Interns
2003- *- Lectures to 1st year medical students in Physiology (on aging)
2005- *- Teaching attending, IM residency
2006- *- Working Group on Content and Organization, years 1 & 2 (one of four senior faculty), Medical School Curriculum Redesign
*- Working Group on Scholarly Concentration, years 1 & 2, Med School Curriculum Redesign
2006-10 *- PI, Donald W. Reynolds project to add adequate aging-related content to all Medical School Courses and to major residency programs
2009- *- PI, Schwartz Center project to strengthen communication skills for 1st and 2nd year medical students
*- Working Group on Core Competencies and the Clinical Knowledge Base, years 3 & 4, Medical School Curriculum Redesign