Fatigue in EMS: Research Team
Members of the Fatigue in EMS Research Team are listed alphabetically by last name. Additional panel members will be added to the list soon.
Laura K. Barger | Anthony Fabio | David Hostler | Allison Infinger | Francine James | Eddy Lang
Christian Martin-Gill | Charity G. Moore | P. Daniel Patterson | Michael S. Runyon
Denisse Sequeria | Jonathan Studnek | Jennifer Temple | Lauren Waggoner | Matthew D. Weaver
Laura K. Barger, Ph.D. is an Instructor in Medicine in the Division of Sleep Medicine, Harvard Medical School, and an Associate Physiologist in the Division of Sleep and Circadian Disorders at Brigham and Women’s Hospital. She is a founding member of the Harvard Work Hours, Health and Safety Group. Her research has focused on the health and safety risks associated with the work hours of various occupational groups, including medical residents, police officers, firefighters, bar pilots, flight controllers and federal air marshals. She has directed NASA-sponsored research projects examining the sleep of astronauts on Space Shuttle and International Space Station missions as well as the sleep of scientists and engineers living on the Mars sol (24.6 hr days) in support of the Mars Phoenix Lander. Dr. Barger’s research in this area has been published in high impact journals such the Journal of the American Medical Association (JAMA) and the New England Journal of Medicine.
Additionally, Dr. Barger is a retired Lieutenant Colonel, having spent 20 years in the United States Air Force Reserve with more than 10 years of operational aviation experience as a navigator on the KC-135 Stratotanker. Her last assignment was at Headquarters Air Combat Command where she was responsible for development and analysis of fatigue countermeasures for pilots.
Anthony Fabio, Ph.D., MPH
Anthony Fabio, MPH, PhD, is an epidemiologist on the forefront of social epidemiologic approaches to understanding violence. Dr. Fabio's main research interests include understanding social causes of violence as well as community and individual level causes of violence trends. He has published important works in leading journals, including the American Journal of Epidemiology and the American Journal of Public Health. He has led national symposiums on how social factors affect violence and has been invited to speak across the country. The NIH, the CDC, the Department of Defense, and other institutions have funded his work. Dr. Fabio works in other areas, notably traumatic brain injury, where he provides epidemiologic and statistical expertise including novel statistical modeling techniques. He received an MPH and Ph.D. in Epidemiology from the University of Pittsburgh. He was the Director of the Center for Injury Research and Control (CIRCL) from 2008 to 2010 and served as a Visiting Professor at Cambridge University, England.
David Hostler, Ph.D., NRP, DMT-A
Dave Hostler is a Professor and Chair of Exercise and Nutrition Sciences and a Clinical Professor of Emergency Medicine at the University at Buffalo. He earned his B.A and M.S degrees from Wright State University and his doctorate in physiology from Ohio University. His research interests are human performance and physiological responses of public safety personnel working in protective equipment. With 29 years of experience in public safety, he is a founding faculty member and the Director of the Emergency Responder Human Performance Lab and the Director of the Center for Research and Education in Special Environments (CRESE). Dr. Hostler is an expert in performance in extreme environments and he has been funded by NIH, FEMA, and the DoD to study prehospital care and performance among first responders and military personnel.
Allison Infinger, MSPH
Allison Infinger, MSPH, is a quality improvement and research analyst at Mecklenburg EMS Agency. Allison earned a BS from the University of South Carolina followed by an MSPH from the University of North Carolina – Charlotte. Her master’s training emphasized community or population-based interventions and education. She began working with MEDIC in 2012 as a research intern and has transitioned into her current role, where she is responsible for conducting and coordinating internal and collaborative research projects. In addition, she is heavily involved in improving provider performance to enhance patient experience and outcomes. During that time, she has participated in a wide range of projects to include: improving performance in cardiopulmonary resuscitation, to understanding the voice of the customer, to promoting diversity within her organization. Her current research interests are related to improving the quality of pre-hospital care in regards to patient safety and outcomes.
Francine James, Ph.D.
Francine James, Ph.D., is a neuroscientist at the Institutes for Behavior Resources Inc. (IBR), a 50-year old independent nonprofit research, consulting and educational services organization in Baltimore, MD. Her work within the Operational and Fatigue Research Division focuses on how science can support sustainable fatigue risk management in the workplace. Dr. James has more than 15 years of experience conducting behavioral and physiological studies of human sleep, circadian rhythms, and fatigue management in the workplace. Her study of fatigue in various operational environments helps inform policy development, including that of private corporations and transportation regulators. Dr. James brings her academic research experience to the development of data-driven approaches to fatigue risk management in work environments, including the commercial motor vehicle industry, aviation, and the rail and commuter transit systems.
Eddy Lang, MD
Eddy Lang, MD, is the Academic and Clinical Department Head and an Associate Professor in the Department of Emergency Medicine, at the Cumming School of Medicine, University of Calgary. He also holds the position of Senior Researcher with Alberta Health Services. He co-chaired the 2007 Academic Emergency Medicine Consensus Conference on Knowledge Translation, which remains an ongoing interest. Dr. Lang is a member of the GRADE working group and has led the development of GRADE-based clinical practice guidelines in pre-hospital care in the United States and is currently engaged in the same activity with the International Liaison Committee on Resuscitation. Dr. Lang is also an award-winning educator, having received recognition at both the university, national and international levels. He also serves as Senior Associate Editor for the Canadian Journal of Emergency Medicine and Associate Editor for ACP Journal Club and the International Journal of Emergency Medicine. He also writes a quarterly column for the Calgary Herald on evidence-based medicine.
Christian Martin-Gill, MD, MPH
Christian Martin-Gill, MD, MPH, is an Assistant Professor of Emergency Medicine at the University of Pittsburgh. He completed his undergraduate and medical degrees at the University of Virginia, followed by an Emergency Medicine residency, EMS fellowship, and Masters of Public Health at the University of Pittsburgh. He is board certified in Emergency Medicine and Emergency Medical Services. Dr. Martin-Gill currently serves as Associate Medical Director of UPMC Prehospital Care, where he oversees quality improvement efforts across a regional system of 80 ALS and BLS EMS agencies. He is Associate Medical Director of STAT MedEvac, a multi-state air medical critical care transport service, for which he oversees protocol development and educational initiatives. Dr. Martin-Gill was recently Principal Investigator for the National Prehospital Evidence-Based Guidelines Strategy, a product of the National Association of EMS Physicians through funding from the National Highway Traffic Safety Administration and the EMS for Children program. He currently serves as Chair of the Prehospital Guidelines Consortium, an organization of organizations aimed at increasing the collaboration of EMS stakeholders involved in all facets of prehospital evidence-based guideline development, implementation, and evaluation. In addition to work on prehospital evidence-based guidelines, his academic efforts have focused on regionalization of care for critical conditions such as STEMI and stroke. Additional work performed with Dr. Patterson and others has aimed to investigate how to identify adverse events in EMS, both in ground and air EMS systems.
Charity G. Moore, Ph.D., MSPH
Charity G. Moore, PhD, MSPH, is a biostatistician and expert in clinical trials with over 16 years of experience collaborating with health sciences investigators. Currently, she is Director of Research in Biostatistics at Carolinas HealthCare System, where she is responsible for the biostatistical support for faculty and residents and data coordination for single and multicenter trials. Dr. Moore has led the analyses for six systematic reviews and meta-analyses on diverse topics such as colorectal cancer, antidepressants, and restless legs syndrome. Dr. Moore was the lead statistician for the SleepTrackTXT trial involving EMS clinicians and other studies of the prehospital emergency care environment and care delivery.
Dr. P. Daniel Patterson studies safety in emergency care settings with special emphasis on safety culture, fatigue, shift work, sleep health, teamwork, medical errors and adverse events, and clinician injury in the prehospital EMS setting. Collaborations have led to creation of reliable and valid safety measurement tools and establishing base rate data for key indicators of EMS safety. Dr. Patterson has led multi-disciplinary teams in evidence reviews and experimental studies testing novel interventions to improve safety. His research is informed by immersion in the EMS setting as a paramedic clinician.
Michael S. Runyon, MD, MPH
Michael S. Runyon, MD, MPH, is a board-certified emergency physician and is currently an Associate Professor of Emergency Medicine and Research Director at the Carolinas HealthCare System in Charlotte, NC. From 1990 to 1994, he worked as a full-time paramedic (24-hour shifts) with Indian River County EMS in Florida. While not required by the State of Florida, he sought out and achieved paramedic certification by the National Registry of Emergency Medical Technicians (certificate # MP842506). Mike earned a BA from the University of West Florida and MD from the University of Florida. From 2000-2005, he completed the emergency medicine residency program and a two-year research fellowship at Carolinas Medical Center. He recently earned his MPH degree through the Public Health Leadership Program at the University Of North Carolina Gillings School of Public Health. Mike is a core faculty member for the Carolinas Medical Center Emergency Medicine Residency, Pediatric Emergency Medicine Fellowship, and EMS Fellowship Programs. He has completed more than two dozen observational and experimental studies on diverse topics germane to emergency medicine treatment, patients, and clinicians. He an Associate Editor/Decision Editor for Academic Emergency Medicine and has served as a peer reviewer for several journals, including Academic Emergency Medicine and Annals of Emergency Medicine. He has also served as a Senior Reviewer for the Global Emergency Literature Review.
Denisse Sequeira is a Research Specialist with the Department of Emergency Medicine at the University of Pittsburgh. She is a graduate of the University of Pittsburgh with a Bachelor's of Science in Neuroscience. She has worked as a research assistant with the Department of Emergency Medicine for more than three years. She has assisted and coordinated projects related to EMS provider education, EMS provider fatigue, as well as studies focused on stroke triage in the prehospital setting. She has worked on projects previously funded by the MedEvac foundation and presented at national meetings on research germane to prehospital care (ie., American Heart Association and NAEMSP). Ms. Sequeira will serve as project coordinator for members of the research team.
Jonathan Studnek, Ph.D., NREMT-P
Jonathan Studnek, Ph.D., NREMT-P is currently Deputy Director for the Mecklenburg EMS Agency. In this position he is responsible for planning, developing, implementing, and overseeing a comprehensive strategy for performance improvement, clinical education, and human resources to include the risk and safety. He also serves the EMS agency as their lead clinical researcher by developing research priorities and implementing those developed projects. Over the last several years, he has been actively involved in the emergency medicine research program at Carolinas Medical Center, serving as the Director of Prehospital Research. Dr. Studnek's initial training at the Ohio State University included a major focus on epidemiology and a minor focus on biostatistics and occupational health. During training, he was provided with the opportunity to conduct several observational studies focused on the health and wellness of EMS professionals. His current research interests include investigating the role of health care quality and patient safety in the area of prehospital medicine. Specifically, he is focusing on developing an understanding of the systems and processes with which prehospital providers interact and researching methods to streamline those systems to increase patient safety.
Jennifer Temple, Ph.D.
Jennifer Temple is an Associate Professor in the Departments of Exercise and Nutrition Sciences and Community Health and Health Behavior in the School of Public Health and Health Professions at the University at Buffalo. She earned her BS in Psychology from Florida State University and her Ph.D. in Neuroscience from the University of Virginia. Her primary research interest is in understanding factors that influence ingestive behavior and human health. She is currently the Director of the Nutrition and Health Research Laboratory where her research focuses on two broad areas. First, her laboratory seeks to understand the behavioral, physiological, and psychological effects of caffeine across the lifespan and to identify individual difference variables that alter response to caffeine. This line of work has been funded by two grants from NIDA. Second, her laboratory is interested in determining factors that predict obesity in children and adults and is currently the PI on an NIH funded longitudinal study aimed at identifying predictors of weight change in adolescents.
Lauren Waggoner, Ph.D.
Lauren Waggoner, Ph.D., is a scientist at the Institutes for Behavior Resources Inc. (IBR), a 50-year old independent nonprofit research, consulting and educational services organization in Baltimore, MD. Her work within the Operational and Fatigue Research Division focuses on focuses on impacts of shiftwork on operational performance and safety, with a specific focus on mathematical modeling of performance prediction. Dr. Waggoner has roughly 10 years of experience conducting behavioral and physiological studies of sleep and operational performance, both in the laboratory and the field setting, among various groups of safety sensitive industries, including police officers, U.S. sailors, transportation workers and pilots. Her background in applied mathematics has been utilized in projects involving advanced data mining, statistical methods, research design, and development of methods for measuring performance in the operational setting. Additionally, training in policy creation and research evaluations have aided in development of data-driven and evidence-based approaches to managing fatigue in safety sensitive industries. Dr. Waggoner brings her academic research experience to efforts involving integration and enhancement of current state-of-the-art biomathematical models and improvement of such models within 24-hour operations.
Matthew D. Weaver, Ph.D.
Matthew D. Weaver, Ph.D., is a postdoctoral research fellow in the Division of Sleep Medicine, Harvard Medical School and the Division of Sleep and Circadian Disorders at Brigham and Women's Hospital. He earned his undergraduate degree in Emergency Medicine and doctoral degree in Epidemiology at the University of Pittsburgh. He has more than seven years of clinical experience as a Paramedic. His research has focused on the impact of sleep, fatigue, and work hours on occupational safety in the EMS setting. Recent projects have sought to evaluate the association between scheduled work hours and the rate of occupational injury, as well as the effect of sleep disorder screening on occupational health and safety. Dr. Weaver’s work has been published in JAMA, Pediatrics, and Occupational Environmental Medicine, among others. He is continuing his training with the Harvard Work Hours, Health and Safety Group, where he is funded by the National Heart, Lung and Blood Institute to evaluate modifiable risk factors associated with the health and safety of EMS clinicians. He is interested in applying sleep health and circadian research findings to improve occupational safety.