Division of General Internal Medicine

Division of General Internal Medicine
faculty photo

Joshua P. Metlay, MD, PhD

Adjunct Professor of Medicine
Senior Scholar, Center for Clinical Epidemiology and Biostatistics
Senior Fellow, Leonard Davis Institute of Health Economics
Co-Director, Robert Wood Johnson Clinical Scholars Program
Senior Fellow, Center for Public Health Initiatives
Chief, Section of Hospital Medicine
Director, Center for Healthcare Improvement and Patient Safety
Department: Medicine

Contact information
University of Pennsylvania Perelman School of Medicine
1232 Blockley Hall
423 Guardian Drive
Philadelphia, PA 19104-6021
Office: 215-898-1484
Fax: 215-573-0198
Graduate Group Affiliations
Education:
B.A. (Biology)
Yale University, 1984.
Ph.D. (Immunology)
Rockefeller University, 1990.
M.D.
Cornell University, 1991.
Sc.M. (Health Policy and Management)
Harvard School of Public Health, 1997.
Post-Graduate Training
Intern in Medicine, The University of Pittsburgh Medical Center, 1991-1992.
Resident in Medicine, The University of Pittsburgh Medical Center, 1992-1994.
Chief Resident, The University of Pittsburgh Medical Center, 1994-1995.
Clinical and Research Fellow in Medicine, General Internal Medicine Unit, Massachusetts General Hospital, Boston, 1995-1997.
Certifications
American College of Epidemiology, 2000.
American Board of Internal Medicine (Recertified), 2004.
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Description of Research Expertise

Dr. Metlay’s research focuses on two complimentary areas: 1) the epidemiology of drug resistance among common bacterial respiratory pathogens, particularly S. pneumoniae and 2) the development and evaluation of interventions to improve the quality of treatment decisions for respiratory tract infections. Dr. Metlay’s research program is supported by federal grants from NIAID, CDC, and AHRQ. He has been an invited speaker at national and international conferences on pneumococcal drug resistance and interventions to improve antibiotic prescribing practices.

Selected Publications

Aagaard E, Gonzales R, Camargo C, Auten RA, Levin S, Maselli J, Metlay JP: Physician champions are key elements of interventions to improve antibiotic prescribing quality. Joint Commission Journal on Quality and Patient Safety 36: 109-116, 2010.

Fieldston ES, Ragavan M, Jayaraman B, Allebach K, Pati S, Metlay JP: Scheduled admissions and high occupancy at a children's hospital. Journal of Hospital Medicine 6(2): 81-7, 2011.

Metlay JP, Lautenbach E, Li Y, Shults J, Edelstein PH: The changing role of exposure to children as a risk factor for bacteremic pneumococcal disease in the post conjugate vaccine era. Archives of Internal Medicine 170(8): 725-731, 2010.

Shah SS, Ten Have TR, Metlay JP: Costs of treating children with complicated pneumonia: A comparison of primary video-assisted thoracoscopic surgery and chest tube placement. Pediatric Pulmonology 45: 71-77, 2010.

Soneji S, Metlay JP: Mortality reductions for older adults since the introduction of adult and pediatric pneumococcal vaccines differ by race and gender. Public Health Reports 126(2), 2011.

Kim M, Metlay J, Cohen A, Hennessy S, Kimmel S, Strom B, Doshi J.: Hospitalization costs associated with warfarin-related bleeding events among older community-dwelling adults. Pharmacoepidemiology and Drug Safety 19(7): 731-736, 2010.

Lautenbach E, Metlay JP, Mao X, Han X, Fishman NO, Bilker WB, Tolomeo P, Wheeler M, Nachamkin I: The prevalence of fluoroquinolone resistance mechanisms in colonizing Eschericia coli isolates from hospitalized patients. Clinical Infectious Diseases 51(3): 280-285, 2010.

Carr BG, Branas CC, Metlay JP, Sullivan AF, Camargo CA. : Access to emergency care in the United States. Annals of Emergency Medicine. 54(2): 261-9, August 2009.

Metlay JP, Camargo CA Jr, MacKenzie T, McCulloch C, Maselli J, Levin S, Kersey A, Gonzales R for the IMPAACT Investigators.: Cluster-randomized trial to improve antibiotic use for adults with acute respiratory infections treated in emergency departments. Annals of Emergency Medicine 50(3): 221-30, Sep 2007.

Stearns CR, Gonzales R, Camargo CA, Maselli J, Metlay JP: Antibiotic prescriptions are associated with increased patient satisfaction with emergency department visits for acute respiratory tract infections. Academic Emergency Medicine 16: 934-41, 2009.

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Last updated: 06/06/2013
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