SelectedWorks - Elizabeth Schoenfeld MD

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Selected Works of Elizabeth Schoenfeld MD

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Elizabeth Schoenfeld is board certified in Emergency Medicine and is an Associate Professor of Emergency Medicine and Healthcare Delivery & Population Sciences at UMass Chan Medical School-Baystate. Prior to her arrival at Baystate she attended the Warren Alpert School of Medicine at Brown University and completed residency in Emergency Medicine at the George Washington University Hospital and fellowship in Emergency Ultrasound at the University of Maryland.

In 2015, with Dr. Lindenauer and Dr. Goff, Dr. Schoenfeld received an R03 from AHRQ to study physician's perspectives and attitudes regarding the use of shared decision-making in the emergency department and in 2018 she received a five-year K08 (Career Development Grant) from AHRQ to study shared decision-making in renal colic. Her other research interests include shared decision-making as a method to decrease resource utilization in the Emergency Department, ED for opioid use disorder, and defining methods to decrease CT scanning in ED patients presenting with renal colic.

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About Elizabeth Schoenfeld MD

Elizabeth Schoenfeld is board certified in Emergency Medicine and is an Associate Professor of Emergency Medicine and Healthcare Delivery & Population Sciences at UMass Chan Medical School-Baystate. Prior to her arrival at Baystate she attended the Warren Alpert School of Medicine at Brown University and completed residency in Emergency Medicine at the George Washington University Hospital and fellowship in Emergency Ultrasound at the University of Maryland.

In 2015, with Dr. Lindenauer and Dr. Goff, Dr. Schoenfeld received an R03 from AHRQ to study physician's perspectives and attitudes regarding the use of shared decision-making in the emergency department and in 2018 she received a five-year K08 (Career Development Grant) from AHRQ to study shared decision-making in renal colic. Her other research interests include shared decision-making as a method to decrease resource utilization in the Emergency Department, ED for opioid use disorder, and defining methods to decrease CT scanning in ED patients presenting with renal colic.

Present	Associate Professor of Emergency Medicine, Baystate Health ‐ UMass Chan Medical School - Baystate
Institution Organization Position Type Position Title Time Period to Options Current Position Affiliate my profile with this Institution

Medicine and Health Sciences

Abstract Recognition, Baystate Academic Week, 2014
Resident Research Award, George Washington University Emergency Medicine Residency, 2009
Best Inservice Exam Score, George Washington University Emergency Medicine Residency, 2009
Best Diagnostic Imaging Presentation: Mid-Atlantic SAEM Conference, 2008

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Implementation of an automated, user-centered point-of-care ultrasound workflow improves documentation and billing (Brian Thompson, Elizabeth Schoenfeld, Lauren Westafer, et al.) All Scholarly Works (2023)

Background: Point-of-care ultrasound (POCUS) is a central component of emergency medical care. However, clinicians often fail to adequately document their exams, causing problems for downstream clinicians and quality assurance (QA) processes as well as loss ...

Race, Racism and Antiracism in Emergency Medicine: A Scoping Review of the Literature and Research Agenda for the Future (Elizabeth Schoenfeld) All Scholarly Works (2022)

Study objectives: To conduct a scoping review of the literature and develop consensus-derived research priorities for future research inquiry in an effort to 1) identify and summarize existing research related to race, racism and antiracism ...

"Just give them a choice": Patients' perspectives on starting medications for opioid use disorder in the ED (Elizabeth Schoenfeld, Lauren Westafer, Jillian Tozloski, et al.) All Scholarly Works (2022)

Study objectives: Medications for opioid use disorder (MOUD) prescribed in the Emergency Department (ED) have the potential to save lives and help people start and maintain recovery. We sought to explore patient perspectives regarding the ...

Clinicians' perspectives on the implementation of patient decision aids in the emergency department: A qualitative interview study (Elizabeth Schoenfeld) All Scholarly Works (2022)

Objective: Decision aids (DAs) are tools to facilitate and standardize shared decision making (SDM). Although most emergency clinicians (ECs) perceive SDM appropriate for emergency care, there is limited uptake of DAs in clinical practice. The ...

Executive Summary of the 2021 SAEM Consensus Conference: From Bedside to Policy: Advancing Social Emergency Medicine and Population Health Through Research, Collaboration, and Education (Elizabeth Schoenfeld) All Scholarly Works (2022)

Background: Social Emergency Medicine (Social EM) examines the intersection of emergency care and the social factors that influence health outcomes. In 2021, the SAEM consensus conference focused on Social EM and Population Health, with the ...

Facilitators of and barriers to buprenorphine initiation for people with opioid use disorder in the emergency department: protocol for a scoping review (Elizabeth Schoenfeld) All Scholarly Works (2021)

Introduction: Buprenorphine-naloxone is recommended as a first-line agent for the treatment of opioid use disorder. Although initiation of buprenorphine in the emergency department (ED) is evidence based, barriers to implementation persist. A comprehensive review and ...

"This is Part of Emergency Medicine Now" A Qualitative Assessment of Emergency Clinicians' Facilitators of and Barriers to Initiating Buprenorphine (Elizabeth Schoenfeld, William Soares, Emily Schaffer, et al.) All Scholarly Works (2021)

Objectives: Despite evidence demonstrating the safety and efficacy of buprenorphine for the treatment of emergency department (ED) patients with opioid use disorder (OUD), incorporation into clinical practice has been highly variable. We explored barriers and ...

Documentation of Shared Decisionmaking in the Emergency Department (Elizabeth Schoenfeld) All Scholarly Works (2021)

Study objective: While patient-centered communication and shared decisionmaking are increasingly recognized as vital aspects of clinical practice, little is known about their characteristics in real-world emergency department (ED) settings. We constructed a natural language processing ...

Rethinking hiker preparedness: Association of carrying "10 essentials" with adverse events and satisfaction among day-hikers (Peter St. Marie and Elizabeth Schoenfeld) All Scholarly Works (2021)

Introduction: Many trusted organizations recommend a particular set of gear for hikers. Termed the "10 essentials," the importance of these items to wilderness preparedness has not been critically evaluated. We sought to better understand the ...

What are the clinical effects of the different emergency department imaging options for suspected renal colic? A scoping review (Erik Doty, Stephen DiGiacomo, Bridget Gunn, et al.) All Scholarly Works (2021)

Objectives: Clinicians have minimal guidance regarding the clinical consequences of each radiologic imaging option for suspected renal colic in the emergency department (ED), particularly in relation to patient-centered outcomes. In this scoping review, we sought ...

Feasibility and efficacy of a decision aid for emergency department patients with suspected ureterolithiasis: protocol for an adaptive randomized controlled trial (Elizabeth Schoenfeld, Kye Poronsky, Lauren Westafer, et al.) All Scholarly Works (2021)

Background: Approximately 2 million patients present to emergency departments in the USA annually with signs and symptoms of ureterolithiasis (or renal colic, the pain from an obstructing kidney stone). Both ultrasound and CT scan can ...

Emergency Department-based Interventions Affecting Social Determinants of Health in the United States: a Scoping Review (Elizabeth Schoenfeld) All Scholarly Works (2020)

Background: Social determinants of health (SDoH) have significant implications for health outcomes in the United States (US). Emergency Departments (EDs) function as the safety nets of the American healthcare system, caring for many vulnerable populations. ...

Safety Assessment of a Noninvasive Respiratory Protocol for Adults with COVID-19 (William Soares, Elizabeth Schoenfeld, Paul Visintainer, et al.) All Scholarly Works (2020)

As evidence emerged supporting noninvasive strategies for coronavirus disease 2019 (COVID-19)-related respiratory distress, we implemented a noninvasive COVID-19 respiratory protocol (NCRP) that encouraged high-flow nasal cannula (HFNC) and self-proning across our healthcare system. To assess ...

No evidence of increasing COVID-19 in health care workers after implementation of high flow nasal cannula: A safety evaluation (Lauren Westafer, William Soares, Doug Salvador, et al.) All Scholarly Works (2020)

Background: Initial recommendations discouraged high flow nasal cannula (HFNC) in COVID-19 patients, driven by concern for healthcare worker (HCW) exposure. Noting high morbidity and mortality from early invasive mechanical ventilation, we implemented a COVID-19 respiratory ...

The terminology of social emergency medicine: Measuring social determinants of health, social risk, and social need (Elizabeth Schoenfeld) All Scholarly Works (2020)

Emergency medicine has increasingly focused on addressing social determinants of health (SDoH) in emergency medicine. However, efforts to standardize and evaluate measurement tools and compare results across studies have been limited by the plethora of ...

Missed Opportunities to Save Lives-Treatments for Opioid Use Disorder After Overdose (Elizabeth Schoenfeld, Lauren Westafer and William Soares) All Scholarly Works (2020)

Shared Decision Making in Patients With Suspected Uncomplicated Ureterolithiasis: A Decision Aid Development Study (Elizabeth Schoenfeld, Connor Houghton, Pooja Patel, et al.) All Scholarly Works (2020)

OBJECTIVE: The objective was to develop a decision aid (DA) to facilitate shared decision making (SDM) around whether to obtain computed tomography (CT) imaging in patients presenting to the emergency department (ED) with suspected uncomplicated ...

Association of Patient and Visit Characteristics With Rate and Timing of Urologic Procedures for Patients Discharged From the Emergency Department With Renal Colic (Elizabeth Schoenfeld, Meng-Shiou Shieh, Penny Pekow, et al.) All Scholarly Works (2019)

Importance: Little is known about the timing of urologic interventions in patients with renal colic discharged from the emergency department. Understanding patients' likelihood of a subsequent urologic intervention could inform decision-making in this population. Objectives: ...

Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow (Nadia Villarroel, William Wagner and Elizabeth Schoenfeld) All Scholarly Works (2019)

Acute vascular injury can be a cause of significant disability and morbidity. High clinical suspicion and a thorough physical examination are key components to facilitate a timely diagnosis. We present a case of acute vascular ...

Does Shared Decision-Making actually occur in the ED? Looking at it from the patients' perspective (Elizabeth Schoenfeld and Peter St. Marie) All Scholarly Works (2019)

OBJECTIVE: We sought to assess the frequency, content, and quality of shared decision-making (SDM) in the Emergency Department (ED), from patients' perspectives. METHODS: Utilizing a cross-sectional, multi-site approach, we administered an instrument, consisting of two ...

Assessment of "10 essential" preparedness among day-hikers on Mount Monadnock (Nicholas Daniel, Samir Patel, Peter St. Marie, et al.) All Scholarly Works (2019)

Physician-identified barriers to and facilitators of shared decision-making in the Emergency Department: an exploratory analysis (Elizabeth Schoenfeld, Sarah Goff, Tala Elia, et al.) All Scholarly Works (2019)

OBJECTIVES: Shared decision-making (SDM) is receiving increasing attention in emergency medicine because of its potential to increase patient engagement and decrease unnecessary healthcare utilisation. This study sought to explore physician-identified barriers to and facilitators of ...

The Effect of Shared Decisionmaking on Patients' Likelihood of Filing a Complaint or Lawsuit: A Simulation Study (Elizabeth Schoenfeld, Timothy Mader, Connor Houghton, et al.) All Medicine (2019)

STUDY OBJECTIVE: Shared decisionmaking has been promoted as a method to increase the patient-centeredness of medical decisionmaking and decrease low-yield testing, but little is known about its medicolegal ramifications in the setting of an adverse ...

A Case-Control Study of Sonographic Maximum Ovarian Diameter as a Predictor of Ovarian Torsion in Emergency Department Females with Pelvic Pain. (Gavin Budhram, Tala Elia, Jeff Dan, et al.) Academic Emergency Medicine (2018)

A Case-Control Study of Sonographic Maximum Ovarian Diameter as a Predictor of Ovarian Torsion in Emergency Department Females with Pelvic Pain (Gavin Budhram, Tala Elia, Jeff Dan, et al.) All Scholarly Works (2018)

BACKGROUND: Color and power doppler ultrasound are commonly used in the evaluation of ovarian torsion but are unreliable. Because normal sized ovaries are unlikely to cause torsion, maximum ovarian diameter (MOD) could theoretically be used ...