Professor; Sheldon M. Retchin Professor in Healthcare Innovation Faculty member, VCU Fairfax Family Medicine Residency

Department: Family Medicine & Population Health

Email: alexander.krist@vcuhealth.org

Address/Location:
One Capitol Square, 6th Floor
830 East Main Street
Richmond, Virginia 23219

Role/responsibilities

• Faculty member for the VCU Family Medicine Residency program at Fairfax Family Medicine Center, where he sees patients and precepts medical students and residents

Areas of interest

• Evidence-based medicine
• Cancer screening
• Shared decision-making in preventive care

Research

• Developed an Internet-based patient education tool to increase patient involvement in the shared decision-making process for prostate cancer screening; funded by the American Academy of Family Physicians
• Co-principal investigator – Pre-visit patient education to promote shared decision-making for prostate cancer screening: a randomized evaluation of Web-based and mailed information
• Principal investigator – Qualitative interview evaluating shared decision-making and prostate cancer
• Principal investigator – A preventive care Web site to promote primary and secondary prevention of common cancers; funded by the Massey Cancer Center
• Project director – Practice-friendly model for offering comprehensive health behaviors counseling study; funded by the Robert Wood Johnson Foundation
• Co-investigator, clinician and partner interface – Web-based portal to healthy behaviors: a physician’s tool to reach beyond the primary care visit; funded by the RWJF and Agency for Healthcare Research and Quality

Awards and recognition

• Top Reviewer, American Journal of Preventive Medicine
• Top Doctors (recognized 6 times between 2002-2016), Washingtonian magazine
• Top Doctors (recognized 14 times between 2002-2016), Washington Checkbook
• Best Doctors (recognized 13 times between 2002-2015), Northern Virginia magazine
• AMA Physician Recognition Award (recognized 6 times between 2001-2016)
• Best Research Paper in Family Medicine, "Interactive preventive health record to enhance delivery of recommended care: a randomized trial." Society of Teachers in Family Medicine
• Editor's Choice, "Electronic health record functionality to better support primary care." J Am Med Informatics Assoc
• Health Information Technology Innovation Award finalist, Virginia Chamber of Commerce
• Best Research Paper in Family Medicine: Timing of Repeat Colonoscopy – Disparity between guidelines and endoscopists' recommendation, Society of Teachers in Family Medicine
• Distinguished Abstract: An Interactive Preventive Healthcare Record to Promote Delivery of Patient-Centered Preventive Care, Academy Health
• Research Recognition Award, School of Medicine, Virginia Commonwealth University
• Delta Omega Honor Society, Johns Hopkins University, School of Public Health
• Fellow, American Academy of Family Physicians
• Resident Teacher Award, Society of Teachers of Family Medicine
• Alpha Omega Alpha Honor Society, University of Virginia, School of Medicine
• Southern Medical Association Scholarship, University of Virginia
• Phi Beta Kappa Honor Society, University of Virginia
• Intermediate Honors in Scholastics, University of Virginia
• Alpha Epsilon Delta Honor Society, University of Virginia

Professional affiliations

• Memberof the U.S. Preventive Services Task Force
• Former chair and member of the Health Information Technology subcommittee for the North American Primary Care Research Group
• Member of the research core tactic team for Family Medicine for America’s Health
• Member of the Virginia All Payer Claims Database workgroup
• Member scientist at VCU’s Massey Cancer Center

Undergraduate Education

• University of Virginia, Charlottesville VA, Chemistry, Bachelor of Arts, Distinction in Chemistry

Graduate Education

• Johns Hopkins University, Masters of Public Health, 2006, Delta Omega Honor Society, A Preventive Care Website to Promote Primary and Secondary Prevention of Common Cancers, Robert Lawrence MD and Debra Roter MPH DrPH
• University of Virginia, Medical Doctorate, 1996, Alpha Omega Alpha Honor Society

Post Graduate Education

• Research Skills Development Fellowship, Virginia Commonwealth University
• Faculty Development Fellowship, Virginia Commonwealth University
• Family Medicine Residency, Fairfax Family Practice Residency, Resident Teacher Award - Society of Teachers of Family Medicine
• Family Medicine Internship, Inova Fairfax Hospital - Fairfax Family Practice Residency

Certifications

• Family Medicine

Clinical Specialties

• Primary care, wellness care, health behavior change, and chronic disease management

Teaching Expertise

• Family medicine resident education, hospital medicine, clinical preventive medicine, quality improvement, and research design

Keywords & Interest Areas

• Health Promotion and Disease Preventio
• Evidence Based Medicine
• Public Health
• Patient Education and Activation
• Community Engaged Research
• Resident Education

Practice Sites

• Fairfax Family Practice Center
• Inova Fair Oaks Hospital
• Inova Fairfax Hospital

Professional Affiliations

• Society of Behavioral Medicine (SBM)
• American Medical Informatics Association (AMIA)
• Academy Health
• American College of Preventive Medicine (ACPM)
• Massey Cancer Center (MCC)
• North American Primary Care Research Group (NAPCRG)
• Society of Teachers of Family Medicine (STFM)
• Virginia Academy of Family Physicians (VAFP)
• American Academy of Family Medicine (AAFP)

Selected Peer Reviewed Publications

• Wallace LS, Angier H, Huguet N, Gaudino JA, Krist AH, Dearing M, Killerby M, Marino M, DeVoe JE. Patterns of Electronic Portal Use among Vulnerable Patients in a Nationwide Practice-Based Research Network. J Am Board Fam Med. In press.
• US Preventive Services Task Force, Bibbins-Domingo K, Grossman DC, Curry SJ, Davidson KW, Ebell M, Epling JW Jr, García FA, Gillman MW, Kemper AR, Krist AH, Kurth AE, Landefeld CS, Mangione CM, Phillips WR, Phipps MG, Pignone MP, Siu AL. Screening for skin cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2016; 316(4):429-35. [PMID 27458948].
• Owens DK, Whitlock EP, Henderson J, Pignone MP, Krist AH, Bibbins-Domingo K, Curry SJ, Ebell M, Gilman MW, Grossman DC, Kemper AR, Kurth AE, Maciosek M, Siu AL, LeFevre ML, U.S. Preventive Services Task Force. Use of decision models in the development of evidence-based clinical preventive services recommendations: methods of the U.S. Preventive Services Task Force. Ann Intern Med. 2016; Jul 5. Epub ahead of print. [PMID 27379742].
• Alpert JM,* Krist AH, Aycock RA, Kreps GL. Designing user-centric patient portals: clinician and patients' uses and gratifications. Telemed J E Health. 2016 Jun 22. Epub ahead of print. [PMID 27333468].
• Alpert JM,* Desens L, Krist AH, Aycock RA, Kreps GL. Measuring health literacy levels of a patient portal using the CDC's clear communication index. Health Promot Pract. 2016 May 17. Epub ahead of print. [PMID 27188894].
• US Preventive Services Task Force, Bibbins-Domingo K, Grossman DC, Curry SJ, Davidson KW, Epling JW Jr, García FA, Gillman MW, Harper DM, Kemper AR, Krist AH, Kurth AE, Landefeld CS, Mangione CM, Owens DK, Phillips WR, Phipps MG, Pignone MP, Siu AL. Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. JAMA. 2016; 315(23):2564-75. [PMID: 27304597].
• US Preventive Services Task Force (USPSTF), Bibbins-Domingo K, Grossman DC, Curry SJ, Davidson KW, Epling JW Jr, García FA, Gillman MW, Harper DM, Kemper AR, Krist AH, Kurth AE, Landefeld CS, Mangione CM, Phillips WR, Phipps MG, Pignone MP. Screening for syphilis infection in nonpregnant adults and adolescents: US Preventive Services Task Force recommendation statement. JAMA. 2016; 315(21):2321-7. [PMID: 27272583].
• Alpert JM,* Krist AH, Aycock RA, Kreps GL. Applying multiple methods to comprehensively evaluate a patient portal's effectiveness to convey information to patients. J Med Internet Res. 2016;18(5):e112. [PMID 27188953]. [PMCID PMC4887660].
• Kimmel AD,* Martin EG, Galadima H, Bono RS, Tehrani AB, Cyrus JW, Henderson M, Freedberg KA, Krist AH. Clinical outcomes of HIV care delivery models in the US: a systematic review. AIDS Care. 2016 May 13:1-12. Epub ahead of print. [PMID 27177151].
• Woolf SH, Zimmerman E, Haley A, Krist AH. Authentic engagement of patients and communities can transform research, practice, and policy. Health Aff (Millwood). 2016; 35(4):590-4. [PMID 27044956]. [PMCID PMC4868544].

Books, Book Chapters, & Monographs:

• Krist AH, Nease DE, Kreps GL, Overholser L,* McKenzie M. “Engaging patients in primary and specialty care” In: Hesse B, Ahern D, Beckjord E, eds. Oncology Informatics. Rockville MD: Elsevier.
• Krist AH, Guirguis-Blake J. “History” In: Woolf SH, Jonas S, eds. Health Promotion and Disease Prevention in Clinical Practice. Second edition ed. Philadephia PA: Lippincott Williams &Wilkins; 2008.
• Krist AH, Guirguis-Blake J. “Physical” In: Woolf SH, Jonas S, eds. Health Promotion and Disease Prevention in Clinical Practice. Second edition ed. Philadelphia PA: Lippincott Williams & Wilkins; 2008.
• Krist AH, McCormally T. “What to do with abnormal screening test results” In: Woolf SH, Jonas S, eds. Health Promotion and Disease Prevention in Clinical Practice. Second edition ed. Philladelphia PA: Lippincott Williams &Wilkins; 2008.
• Guirguis-Blake J, Krist AH. “Laboratory screening tests.” In: Woolf SH, Jonas S, eds. Health Promotion and Disease Prevention in Clinical Practice. Second edition ed. Philladelphia PA: Lippincott Williams & Wilkins; 2008.

Previous experience

• Primary author of 38 articles in peer-reviewed publications, American Family Physician, Patient Education Counseling, Journal of Rural Health and Annals of Family Medicine
• Over 100 presentations at a variety of national and international conference about health information technology, shared decision-making and primary and secondary prevention of prostate and colorectal cancers

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