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Faculty Detail    
Name CARLOS ALBERTO ESTRADA
  
Campus Address FOT 720D Zip 3407
Phone  (205) 934-7997
E-mail  cestrada@uabmc.edu
Other websites Division of General Internal Medicine
Google Scholar Profile
VAQS Fellowship
UAB Medicine Provider Page
     

Education
Graduate  Universidad Peruana Cayetano Heredia, Lima, Peru.    1987  MD 
Residency  Henry Ford Hospital, Detroit, Michigan.    1991  Internal Medicine 
Fellowship  Henry Ford Hospital, Detroit, Michigan.    1993  Gen Int Med fellow 
Graduate  University of Michigan    1993  MS Clinical Research Design and Statistical Analysis 
Residency  Henry Ford Hospital, Detroit, Michigan.    1994  Chief Medical Resident 

Certifications
American Board of Internal Medicine (ABIM)  2011 


Faculty Appointment(s)
Appointment Type Department Division Rank
Primary  Med - Preventive Medicine  Med - Preventive Medicine Professor
Center  Center for Outcomes & Effectiveness Res & Educ  Center for Outcomes & Effectiveness Res & Educ Professor
Center  Ctr for Clinical & Translational Sci  Ctr for Clinical & Translational Sci Professor
Center  Ctr for Interprof Educ and Simulation  Ctr for Interprof Educ and Simulation Professor
Center  Minority Health & Research Center  Minority Health & Research Center Professor

Biographical Sketch 
Carlos A. Estrada, MD, MS, is Professor of Medicine and Director of the Division of General Internal Medicine at the University of Alabama at Birmingham, Chief, Section of General Internal Medicine, Birmingham VAMC, Senior Scholar and Co-Director of the Birmingham Veterans Administration Quality Scholar Fellowship Program (VAQS), and Scientist at the Health Services Research and Development Programs, Birmingham and Tuscaloosa Department of Veterans Affairs Medical Centers. As a general internal medicine physician working at three large academic medical centers for the past 25 years, he had the privilege of serving as Division Director in two of them. As such, over the years he has acquired and applied a variety of skills in administration, leadership, medical education, mentoring, research, and patient care. His research interests have evolved over time and now include quality improvement, implementation research, clinical reasoning, medical education, faculty development, inter-professional education, clinical prediction rules, and decision analysis. He has designed, conducted, analyzed, and published studies using the spectrum of research design (case reports, case-series, cross-sectional, cohort, clustered randomized trials, decision analysis, clinical reasoning). He co-edited a Joint Commission book with two nurse leaders and a physician from the VAQS program. Splaine, M. E., Dolansky, M. A., Patrician, P. A., Estrada, C. A. Editors. Oakbrook: Joint Commission Resources; Practice-based Learning and Improvement: A Clinical Improvement Action Guide, 3rd Edition. 2012. Dr. Estrada is a member of the National Board of Medical Examiners (NBME), USMLE Gross Anatomy & Embryology Test Material Development Committee (TMDC), United States Medical Licensing Examination (USMLE). He served as member of the Editorial Board and Deputy Editor for The Journal of General Internal Medicine, CME Editor for ACP Medicine Chapter self-assessment program (American College of Physicians), and Editor of the Leadership Forum (Newsletter; Association of Chiefs and Leaders of General Internal Medicine, ACLGIM). He Chaired the 2009 National Program and served as Council member at the Society of General Internal Medicine. Dr Estrada received his medical degree from Cayetano Heredia University in Lima, Peru. He then completed his internship, residency in internal medicine and Chief Medical Residency at Henry Ford Hospital in Detroit, Michigan. While completing his fellowship in general internal medicine, also at Henry Ford Hospital, Dr Estrada received a Master of Science degree in Clinical Research Design and Statistical Analysis at the University of Michigan School of Public Health in Ann Arbor, Michigan. He is married to Jennie Andresen, pediatrician at UAB, and has two daughters.

Society Memberships
Organization Name Position Held Org Link
American College of Physicians  Member. FACP.  http://www.acponline.org/ 
Association of Chiefs and Leaders of General Internal Medicine  Editor, The Leadership Forum (2009-2013)  http://www.acgim.org/Publications.htm 
Journal of General Internal Medicine  Member, Editorial Board (2013-2016)  http://www.sgim.org/jgim 
Society of General Internal Medicine  Council (2009-2012). Chair, National Meeting (Miami, 2009). Southern SGIM: President (2002-2003).  http://www.sgim.org/ 
 



Research/Clinical Interest
Title
Description
The experiences and collaboration with educators and clinicians from nursing, pediatrics, psychiatry, physical medicine, and hospital medicine have broadened his academic horizon. Dr Estrada has authored over 90 articles published in peer-reviewed journals. Funded by the NHLBI, he conducted studies on the evaluation of cultural competency education (Improving Cultural Competency: An Online Case-Based Curriculum - K07 HL081373-01. At East Carolina University, he conducted research on low-literacy among elderly patients receiving anticoagulants, developed low-literacy brochures, and implemented a nurse-led anticoagulation management service.

Selected Publications 
Publication PUBMEDID
Corley JE, Massie Jr FS, Medrano M, Estrada CA. Medical Students Cultural Attitudes: The Health Belief Attitudes Survey. J Edu Training Studies. 2016; 4(2):131-137 (online first, http://redfame.com/journal/index.php/jets/article/view/1201/1173).   
Carpenter R, Estrada CA, Medrano M, Smith A, Massie FS Jr. A Web-Based Cultural Competency Training for Medical Students: A Randomized Trial. Am J Med Sci. 2014;349:441-6  25325193 
Centor RM, Atkinson TP, Ratliff AE, Xiao L, Crabb DM, Estrada CA, Faircloth MB, Oestreich L, Hatchett J, Khalife W, Waites KB. The clinical presentation of Fusobacterium positive pharyngitis and streptococcal positive pharyngitis in a University Health Clinic. Ann Intern Med. 2015;162:241-247  25686164 
Bryan TJ, Estrada CA, Castiglioni A, Snyder ED. Impact of an educational intervention on provider knowledge, attitudes, and comfort level regarding counseling women ages 40-49 about breast cancer screening. J Multidiscip Healthc. 2015;8:209-16. doi: 10.2147/JMDH.S80337  25999731 
Small C, Land A, Haist S, Estrada CA, Snyder ED. Managing cognitive load to uncover an unusual cause of syncope: Exercises in Clinical Reasoning. J Gen Intern Med 2016;31(2):247-51  26542062 
Musgrove JL, Morris J, Estrada CA, Kraemer RR. Clinical Reasoning Terms Included in Clinical Problem Solving Exercises? J Grad Med Educ 2016; 8(2):180-184   27168884 
Taylor BB, Parekh V, Estrada CA, Schleyer A, Sharpe B. Documenting Quality Improvement and Patient Safety Efforts: The Quality Portfolio. A Statement from the Academic Hospitalist Taskforce. J Gen Intern Med. 2014;29:214-19.  23807726 
Robertson J, Landham JB, Estrada CA. Splenic Infarcts Associated with Immune Reconstitution Inflammatory Syndrome. J Gen Intern Med. 2014;29:541-542. Images]  24002634 
Brennan CW, Olds DM, Dolansky M, Estrada CA, Patrician PA. Learning by doing: observing an interprofessional process as an interprofessional team. J Interprof Care. 2014;28:249-51.  24070019 
Huff NG, Roy B, Estrada CA, Centor RM, Castiglioni A, Willett LL, Shewchuk RM, Cohen S. Teaching behaviors that define highest rated attending physicians: A study of the resident perspective. Med Teacher. 2014;36:991-6.   25072844 
Stewart EH, Davis B, Lee Clemans-Taylor B, Littenberg B, Estrada CA, Centor RM. Rapid Antigen Group A Streptococcus Test to Diagnose Pharyngitis: A Systematic Review and Meta-Analysis. PLoS ONE, 2014; 9(11): e111727. doi:10.1371/journal.pone.0111727. Available at: http://dx.plos.org/10.1371/journal.pone.0111727  25369170 
Carpenter R, Estrada CA, Medrano M, Smith A, Massie FS Jr. A Web-Based Cultural Competency Training for Medical Students: A Randomized Trial. Am J Med Sci. 2014;349:441-6.  25325193 
Centor RM, Atkinson TP, Ratliff AE, Xiao L, Crabb DM, Estrada CA, Faircloth MB, Oestreich L, Hatchett J, Khalife W, Waites KB. The clinical presentation of Fusobacterium positive pharyngitis and streptococcal positive pharyngitis in a University Health Clinic. Ann Intern Med. 2015;162:241-247.   25686164 
Ben Menachem T, Estrada CA, Young MJ, Peethambaram P, Krol G, Scher EJ, Lesch M. Balancing service and education: Improving internal medicine residencies in the managed care era. Am J Med 1996; 100: 224-229.  8629659 
Estrada CA, Young MJ. An N of 1 clinical trial of garlic in the treatment of hypertension. J Gen Intern Med 1993; 8:619-621.  8289103 
Estrada CA, Prasad N, Rosman HS, Young MJ. Outcomes of patients admitted to a telemetry unit. Am J Cardiol 1994; 74: 357-362.  8059698 
Estrada CA, Rosman HS, Prasad N, Alexander M, Battilana G, Held AC, Young MJ. Telemetry monitoring in the Non Intensive Care: Outcomes and Impact on Decision Making. Am J Cardiol 1995; 76: 960-965.  7484840 
Andresen J, Zegarra JA, Estrada CA, Dumler F. Serum creatinine concentrations in healthy newborns: Reference ranges during the first five days of life. Henry Ford Hosp Med J 1988; 36:193-194.   3250951 
Meza I, Estrada CA, Montalvo J, Hidalgo W, Andresen J. Cocaine induced stroke. Henry Ford Hosp Med J 1989; 37:50- 51.  2767995 
Estrada CA, Lewandowski C, Dorman P, Schubert T. Esophageal compromise in secondary amyloidosis. J Clin Gastroenterol 1990; 12:447-50.   2398252 
Steinhilber S, Rodriguez JM, Estrada CA, Kraemer RR. A 76-Year-Old Woman with Diaphoresis and Anxiety. J Gen Intern Med. 2013 Jun 1. [Epub ahead of print].  23729373 
Willett LL, Estrada CA, Adams M, Arora V, Call S, Chacko K, Chaudhry S, Halvorsen AJ, Hopkins R, McDonald FS. Challenges with continuity clinic and core faculty accreditation requirements. Am J Med. 2013 Jun;126(6):550-6.   23684398 
Staton LJ, Estrada C, Panda M, Ortiz D, Roddy D. A multimethod approach for cross-cultural training in an internal medicine residency program. Med Educ Online. 2013;18:20352.  23683845 
Vick A, Estrada CA, Rodriguez JM. Clinical Reasoning for the Infectious Diseases Specialist: A Primer to Recognize Cognitive Biases. Clin Infec Dis (First online, April 8, 2013: http://cid.oxfordjournals.org/content/early/2013/04/17/cid.cit248.abstract?keytype=ref&ijkey=FIyDyZUvgYjozmv)  23595833 
Land AM, Nelson GA, Bell SG, Denby KJ, Estrada CA, Willett LL. Widening the Differential for Brain Masses in Human Immunodeficiency Virus-Positive Patients: Syphilitic Cerebral Gummata. Am J Med Sci. 2013 Apr 12. [Epub ahead of print].  23588265 
Parris T, Kraemer R, Newsom J, Estrada C, Willett L, Morris J. Validation of a scoring tool to select clinical vignettes. Med Educ. 2013;47(5):530-1.  23574089 
Denby K, Nelson G, Estrada CA. Bedside Hand Grip Assessment with the sphygmomanometer. J Gen Intern Med. 2013 Apr 9. [Epub ahead of print]  23568188 
Coker J, Castiglioni A, Kraemer RR, Massie FM, Morris JL, Rodriguez M, Russell SW, Shaneyfelt T, Willett LL, Estrada CA. Evaluation of an Advanced Physical Diagnosis Course using Consumer Preferences Methods: the Nominal Group Technique. Am J Med Sci. 2014;347:199-205.  23552288 
Estrada CA, Lyons S, Terebelo H. Rheumatoid arthritis and autoimmune hemolytic anemia. South Med J 1990; 83:599 600.  2343338 
Vita S, Coplin H, Feiereisel KB, Garten S, Mechaber AJ, Estrada C. Decreasing the ceiling effect in assessing meeting quality at an academic professional meeting. Teach Learn Med. 2013;25(1):47-54.  23330894 
Snyder ED, Salanitro A, Estrada CA, Centor RM, Castiglioni A. Preparing for oral scientific and clinical vignette presentations: Does practice make perfect? J Grad Med Edu. 2011; 3: 554-557. http://www.jgme.org/doi/abs/10.4300/JGME-D-11-00070.1?journalCode=jgme  23205208 
Tonks SA, Makwana S, Salanitro AH, Safford MM, Houston TK, Allison JJ, Curry W, Estrada CA. Quality of diabetes mellitus care by rural primary care physicians. J Rural Health. 2012;28(4):364-71.  23083082 
Schleifer JW, Centor RM, Heudebert GR, Estrada CA, Morris JL. NSTEMI or Not: A 59-Year-Old Man with Chest Pain and Troponin Elevation. J Gen Intern Med. 2013;28(4):583-90.  23054926 
Billue KL, Safford MM, Salanitro AH, Houston TK, Curry W, Kim Y, Allison JJ, Estrada CA. Medication intensification in diabetes in rural primary care: a cluster-randomised effectiveness trial. BMJ Open. 2012;17;2(5). doi:pii: e000959. 10.1136/bmjopen-2012-000959.  22991217 
Patrician PA, Dolansky M, Estrada C, Brennan C, Miltner R, Newsom J, Olds D, Splaine M, Moore S. Interprofessional education in action: the VA Quality Scholars fellowship program. Nurs Clin North Am. 2012 Sep;47(3):347-54.  22920425 
Estrada CA, Harrington D, Glasberg M. Eosinophilic myositis. An expression of L tryptophan toxicity?. J Rheumatol 1990; 17:1554-6.  2273502 
Willett LL, Estrada CA, Wall TC, Coley HL, Ngu J, Curry W, Salanitro A, Houston TK. Use of Ecological Momentary Assessment to Guide Curricular Change in Graduate Medical Education. J Grad Med Edu. 2011;2:162-167. http://www.jgme.org/doi/full/10.4300/JGME-D-10-00165.1  22655137 
Pierce JMR, Estrada CA, Mathews Jr RE. Buyer’s Beware: Lead Poisoning Due to Ayurvedic Medicine. J Gen Intern Med. 2012;27(10):1384-6.  22476953 
Estrada CA, Dolansky MA, Singh MK, Oliver BJ, Callaway-Lane C, Splaine M, Gilman S, Patrician PA. Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. J Eval Clin Pract. 2012;18(2):508-14.  22304698 
Peña A, Estrada CA, Soniat D, Taylor B, Burton M. Nominal Group Technique: A Brainstorming Tool for Identifying Areas to Improve Pain Management in Hospitalized Patients. J Hosp Med. 2012;7(5):416-20  22190453 
Vick A, Kraemer RR, Morris JL, Willett LL, Centor RM, Estrada CA, Rodriguez JM. A 60-Year-Old Woman with Chorea and Weight Loss. J Gen Intern Med. 2012;27(6):747-51. http://www.springerlink.com/content/61u88g3866660732  22143453 
Newsom J, Estrada CA, Panisko D, Willett LL. Selecting the best clinical vignettes for academic meetings: Should the scoring tool criteria be modified? J Gen Intern Med. 2011;27:202-6.  21927965 
Salanitro A, Safford MM, Houston TK, Williams JH, Ovalle F, Payne-Foster P, Allison JJ, Estrada CA. Patient complexity and Diabetes Quality of Care in Rural Settings. J Natl Med Assoc. 2011;103: 234-240.  21671526 
Estrada CA, Krishnamoorthy P, Smith A, Staton LJ, Korf MJ, Allison JJ, Houston TK. Marketing to increase Web utilization: A Continuing Medical Education Web-based cultural competence curriculum. J Contin Educ Health Prof. 2011;31:21-27.  21425356 
Bhatnagar D, Morris JL, Rodriguez M, Centor RM, Estrada CA, Willett LL. A Middle Age Woman with Sudden Onset Dyspnea. J Gen Intern Med. 2011;26:551-4.  21301984 
Tomatis C, Taramona C, Rizo-Patrón E, Hernández F, Rodríguez P, Piscoya A, Gonzales E, Gotuzzo E, Heudebert G, Centor RM, Estrada CA. Evidence-based medicine training in a resource-poor country, the importance of leveraging personal and institutional relationships. J Eval Clin Pract. 2011; 17 (first online Jan 30, 2011, http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2753.2011.01635.x/full)  21276140 
Crenshaw K, Shewchuk RM, Staton LJ, Bigby JA, Houston TK, Allison JJ, Estrada CA. What should we include in a cultural competence curriculum? An Emerging Formative Evaluation Process to Foster Curriculum Development. Acad Med 2011;86:333-341.  21248602 
Crenshaw K, Curry W, Salanitro AH, Safford MM, Houston TK, Allison JJ, Estrada CA. Is physician engagement with Web-based CME associated with patients’ baseline Hemoglobin A1c levels? The Rural Diabetes Online Care Study. Acad Med. 2010;85:1511–1517.  20736679 
Martinez DY, Heudebert G, Henostroza G, Rodriguez M, Zamudio C, Centor RM, Gotuzzo E, Estrada CA. Clinical Prediction Rule for Stratifying Risk of Pulmonary Multidrug-Resistant Tuberculosis. PLoS ONE 2010; 5(8): e12082. doi:10.1371/journal.pone.0012082 http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0012082  20711459 
Singh PP, Newton DP, Estrada CA. Clinical Images: An Uncommon Cause of Headache. J Gen Intern Med. 2010; 25: 990.  20467828 
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Keywords
Medical education, cultural competence, quality of care, safety, quality improvement, physical exam, physical diagnosis, clinical reasoning, decision analsyis/ cost-effectiveness analysis, primary care, internal medicine.