headshotRandolph C. Barrows Jr., MD, MS

Assistant Professor of Clinical Medicine and Clinical Medical Informatics

Columbia University, New York, NY


 

 
 

 

 

                 Columbia University Curriculum Vitae


 
 Academic Training:

  • California State Univ., San Diego, CA: BS, 1979 (Chemical Physics)
  • UCSD School of Medicine, San Diego, CA: MD, 1983 (Medicine)
    • MD Thesis: "A Computer-Assisted Instructional Program In Emergency Medicine"
  • Columbia University, New York, NY: MS, 1995 (Computer Science)

 

Traineeships:

  • Internal Medicine (PGY I & II), LAC-USC Medical Center, Los Angeles, CA, 1983-85
  • Internal Medicine (PGY III), FUH-Boston Univ. Med. Center, MA 1985-86
  • Medical Informatics (Fellowship), Center for Medical Informatics, Columbia-Presbyterian Medical Center, New York, NY, 6/91 - 6/94

 

Medical Licensure:

  • California 1984
  • New York 1986

 

Board Certifications:

  • Diplomate, National Board of Medical Examiners, 1984
  • Diplomate, American Board of Internal Medicine, 1986

 

Academic Appointments:

  • 1992-94:  Instructor in Clinical Medicine, Columbia University, New York, NY
  • 1995-96:  Assistant Professor of Medicine (in Medical Informatics), Columbia University, New York, NY
  • 1995-2007:  Faculty of Graduate School of Arts and Sciences, Columbia University, New York, NY
  • 1996-3/97:  Assistant Professor of Medicine and Medical Informatics, Columbia University, New York, NY
  • 4/97-11/97:  Assistant Professor of Clinical Medicine and Clinical Medical Informatics (part-time), Columbia University, New York, NY
  • 1997-2007:  Assistant Professor of Clinical Medicine and Clinical Medical Informatics, Columbia University, New York, NY

 

Clinical Appointments:

  • 1986-87: KRON Medical Corp., Chapel Hill, NC (interstate Locum Tenens, Emergency and Internal Medicine)
  • 1987-88:  French Hospital Medical Center, San Francisco, CA (Emergency Medicine)
  • 1987-88:  R.K. Davies Medical Center, San Francisco, CA (Emergency Medicine)
  • 1987-88:  Haight-Ashbury Free Medical Clinic, San Francisco, CA (volunteer staff, Community Medicine)
  • 1988-91:  Medicus P.C., Wappingers Falls, NY (Urgent Care)
  • 1989-91:  Affiliated Physicians Corporate/Executive Medical Services, New York, NY (Executive Health, Urgent Care, Internal Medicine)
  • 1991-92:  Helen Hayes Hospital, West Haverstraw, NY (Intensive Care, Internal Medicine)
  • 1992- 2002:  Associates in Internal Medicine, Ambulatory Care Network Corporation, NewYork-Presbyterian Hospital, New York, NY
  • 1992-94:  Assistant in the Medicine Service, NewYork-Presbyterian Hospital, New York, NY
  • 1994-2007:  Assistant Attending, Medical Service, Presbyterian Hospital, New York, NY
  • 1998-2004:  Attending Physician & Pharmacotherapy Consultant (Voluntary), Tobacco Cessation Clinic, Columbia University School of Dental and Oral Surgery, New York, NY
  • 2003-2007:      Attending Physician and Pharmacotherapy Consultant, Tobacco Cessation Clinic, NYP Ambulatory Care Network

 

Health Information Technology Appointments:

  • 1992-95:  Project Leader, “Data-Driven Computer-Based Real-Time Quality Management In The Columbia-Presbyterian Medical Center Ambulatory Care Network”, CPMC and Center for Medical Informatics, New York, NY
  • 1994-97:  Project Leader, "The Washington Heights-Inwood Community Health Information System", CPMC and Center for Medical Informatics, New York, NY
  • 4/97-11/97:  Application Architect and Chief Medical Officer, CyberPlus Corporation, San Jose, CA.
  • 1999-2001:  Manager of Clinical Databases, Clinical Information Services, NewYork-Presbyterian Hospital, New York, NY
  • 2001-2007:  Director of Strategic Information Systems, Columbia Faculty Practice Organization, College of P&S, Columbia Health Sciences Division
  • 2001-2007:  Director of Clinical Ambulatory Information Systems, NewYork-Presbyterian HospitalColumbia-Presbyterian Center.
  • 2002-2004: Dean’s HIPAA Task Force, Columbia University Health Sciences.
  • 2003-2004: Research Computing Section, Dean’s Task Force on Research Resources.
  • 2003-2007:  Assistant VP for Clinical Resources, Columbia University Health Sciences and CU Biomedical & Health Information Services (CUBHIS)
  • 2004-2007: Vice-chair Information Technology Committee of Columbia Faculty Practice Organization.
  • 4/2004-11/2004 Member, Technology Advisory Committee, MCIC Vermont (medical liability carrier)
  • 2004-2007:  Member, Information Technology Committee, MCIC Vermont (medical liability carrier)
  • 2006-2007:  Manager of Informatics & Development, Infection Control & Surveillance System Project, NewYork-Presbyterian Hospital
  • 2007: Clinical Director, Center for Advanced Technology, Columbia University Health Sciences

 

Honors:

  • Highest Honors with Distinction in Chemical Physics, California State University, San Diego, CA, 1979
  • Top Graduating Senior Award, Dept. of Physics, California State University, San Diego, CA, 1979
  • Phi Beta Kappa, 1979
  • 98th Percentile, 1986 American Board of Internal Medicine Examination
  • Nominated Best Paper for "A data model that captures clinical reasoning about patient problems", 19th Annual Symposium on Computer Applications in Medical Care.
  • Fellow of the AAMC (Association of American Medical Colleges) Group on Information Resources Leadership Institute (inaugural, July 2006)

 

Fellowship and Grant Support:

  • National Library of Medicine, Medical Informatics Training Grant, 1992-94 (PI: Paul Clayton, Ph.D.)
  • New York State Demonstration Project, Project Leader for "Data-Driven Computer-Based Real-Time Quality Management In The Columbia-Presbyterian Medical Center Ambulatory Care Network", 1992-95 (PI: Steve Shea, MD).
  • John A. Hartford Foundation Demonstration Project, Project Leader for "The Washington Heights-Inwood Community Health Information System", 1994-97 (PI: Paul Clayton, Ph.D.).
  • National Library of Medicine, "Controlled Vocabulary in Primary Care Electronic Records", 1994-97 (PI: James Cimino, MD).

 

Courses (Developed and Taught):

  • User Interfaces in Medicine (Spring 1997-8)
  • Acculturation in Medicine for Informatics Professionals (1999-2007)

 

Special Lectures:

  • "Public Health and Personal Approaches to Smoking Cessation", Department of Medicine Grand Rounds, Allen Pavilion Hospital; July 7,1995.
  • "Medical Informatics - An Overview", Cabrini Medical Center, NY; January 31, 1996.
  • "Health Information Security on the World Wide Web", New York University Post-Graduate Medical School conference on The World Wide Web and the Academic Medical Enterprise; NYU Medical Center, NY, NY; September 25, 1996.
  • "Current Preventive Health Recommendations and the CPMC Clinical Information System" (with Steve Shea, MD, Chief of Division of General Medicine), Department of Medicine Grand Rounds, Columbia-Presbyterian Medical Center, October 9, 1996.
  • Panel Discussion/Lecture, "Council Report Critiques: A Practical Approach", in Privacy and Confidentiality of Patient Information Systems; New York Academy of Medicine; May 1, 1997.
  • "Update on Smoking Cessation", Department of Medicine Grand Rounds, NewYork-Presbyterian Allen Pavilion Hospital, March 4, 1999.
  • “Tobacco Cessation Review & Update”, Department of Medicine Grand Rounds, NewYork-Presbyterian Allen Pavilion Hospital, February 6, 2003.

 

Other Professional Activities:

  • Consultant, Health Data Institute, Lexington, MA, 1986-87.
  • Session Chair and Article Referee, 16th Symposium for Computer Applications in Medical Care, Baltimore, MD; November 1992.
  • Session Chair, 17th Symposium for Computer Applications in Medical Care, Washington, DC; November 1993.
  • Program Committee Member, American Medical Informatics Association 1996 Spring Congress; Kansas City, MO, June 5-8, 1996.
  • Session Chair, American Medical Informatics Association 1996 Spring Congress; Kansas City, MO, June 5-8, 1996.
  • Program Committee Member, 1996 American Medical Informatics Association Annual Fall Symposium (formerly SCAMC); Washington, DC, Oct. 26-30, 1996.
  • Session Chair, 1996 American Medical Informatics Association Annual Fall Symposium (formerly SCAMC); Washington, DC, Oct 26-30, 1996.
  • Scientific Content Chair, American Medical Informatics Association 1997 Spring Congress; San Jose, CA, May 28-31, 1997.
  • Lecturer (monthly) "Pharmacotherapeutic & Behavioral Strategies for Smoking Cessation", Department of Medicine, Division of General Medicine, Clinical Ambulatory Care Block Rotation (didactic series), Columbia University, New York, NY; 1998-2007.
  • Member & Vice-Chair, Information Technology Committee of Columbia University Faculty Practice Organization; 2001-2007.
  • Dean’s HIPAA Task Force member, Columbia University Health Sciences, 2002-2007.
  • Columbia University Health Sciences Billing Vendor Selection Task Force, 2002-2007.

Publications:

Peer-reviewed Articles

  • Seidman DF, Albert D, Singer SR, Barrows RC, et al.  Serving underserved and hard-core smokers in a dental school setting.  Journal of Dental Education, April 2002; 66(4):507-13.
  • *Barrows RC, Busuioc M, Friedman C.  Limited parsing of notational text visit notes: ad-hoc vs. NLP approaches.  In: Overhage JM (editor). Proceedings of the 2000 AMIA Fall Symposium; Los Angeles, CA; November 4-8, 2000:51-5.
  • Kouroubali A, Starren J, Barrows RC, Clayton PD.  Practical lessons in remote connectivity. In: Masys DR (editor). Proceeding of the 1997 AMIA Fall Symposium; Nashville, TN; October 25-29, 1997: p.335-9.
  • *Barrows RC, Allen BA, Smith KC, Arni VV, Sherman E. A decision-supported outpatient practice system. In: Cimino JJ (editor). Proceeding of the 1996 AMIA Fall Symposium; Washington, D.C.; October 26-30, 1996: p.792-6.
  • Kushniruk A, Patel V, Cimino JJ, Barrows RC. Cognitive evaluation of the user interface and vocabulary of an outpatient information system. In: Cimino JJ (editor). Proceedings of the 1996 AMIA Fall Symposium; Washington, D.C.; October 26-30, 1996: p.22-6.
  • *Barrows RC, Clayton PD. Privacy, confidentiality, and electronic medical records. JAMIA Mar/Apr 1996; 3(2):139-48.
  • *Barrows RC, Johnson SB. A data model that captures clinical reasoning about patient problems. In: Gardner RM (editor). Proceedings of the 19th Annual Symposium on Computer Applications in Medical Care; New Orleans, LA; October 28 - November 1, 1995: pp 402-505.
  • *Barrows RC, Cimino JJ, Clayton PD. Mapping clinically useful terminology to a controlled medical vocabulary. In: Ozbolt JG (editor). Proceeding of the 18th Symposium for Computer Applications in Medical Care; Hanley & Belfus, Inc; Washington DC; November 5-9, 1994; pp 211-5.
  • *Barrows RC, Allen B, Fink DJ; An X Window system for statlab results reporting. In: Safran C (editor): Proceedings of the 17th Symposium for Computer Applications in Medical Care; McGraw-Hill, Inc; Washington DC; October 31 - November 3, 1993; pp 331-5.

 

Reviews, Chapters, Editorials

  • *Barrows RC, Clayton PD. Privacy, Confidentiality, and CHINS. Chapter 16 in: Brennan PF, Schneider SJ, Tornquist E, editors. Information Networks for Community Health; Springer, New York, 1997.
  • *Barrows RC, Clayton PD. Confidentiality of Healthcare Records. Behavior Healthcare Tomorrow, February, 1996; 5(1):38-44.
  • *Barrows RC. Smoking. Chapter 9 in Shea S, editor. Ambulatory Care Syllabus; Division of General Medicine and Department of Medicine, Columbia University, 1994.
  • *Barrows RC. Smoking Cessation (revised). Chapter 4 in Rabkin M, Shea S, editors. Ambulatory Care Syllabus; Division of General Medicine, Department of Medicine, and Medical Service, Columbia-Presbyterian Medical Center, 1997.
  • *Barrows RC. Smoking Cessation (completely updated and revised). Ambulatory Care Syllabus; Division of General Medicine, Department of Medicine, Columbia University, 1999-2003 (annual editions with minor revision).

 

Abstracts

  • *Barrows RC, Allen BA. A Decision-supported Outpatient Practice System (abstract, 90-min theatre demonstration). In: Cimino JJ, editor. Proceeding of the 1996 AMIA Fall Symposium; Washington, D.C.; October 26-30, 1996: p.984.
  • *Allen BA, Barrows RC, Desai N. AccessMED, a tool for browsing, searching and maintenance of a large controlled medical vocabulary. (abstract, electronic poster presentation). In: Cimino JJ, editor. Proceeding of the 1996 AMIA Fall Symposium; Washington, D.C.; October 26-30, 1996: p.940.
  • *Barrows RC, Clayton PD, Lantigua R. From IAIMS to CHIN: a CHMIS at CPMC. (abstract) In Humphreys B (editor). American Medical Informatics Association 1996 Spring Congress; Kansas City, MO, June 5-8, 1995: p. 88.
  • *Barrows RC, Allen BA, Clayton PD, Cimino J, Sherman E, Jenders R. A GUI to a controlled medical vocabulary to support coded data capture during ambulatory patient encounters. (abstract) In: Hripcsak G (editor). Proceeding of the American Medical Informatics Association 1995 Spring Congress; Boston, MA, June 24-8, 1995: p. 69.
  • Johnson SB, Barrows R. Modeling the Clinical Encounter. (abstract) In: Hripcsak G (editor). Proceedings of the American Medical Informatics Association 1995 Spring Congress; Boston, MA, June 24-8, 1995: p. 80.
  • Sherman E, Barrows R, Clayton P, Shea S; Automated advice from an outpatient physician workstation integrated into a hospital-based information system; (abstract) in C. Peter Waegermann, ed: Toward an Electronic Patient Record '94: Tenth International Symposium on the Creation of Electronic Health Record Systems; Medical Records Institute, Newton, MA; March 23-26, 1994; p 129.
  • Cimino JJ, Barrows RC, Allen B; Adapting ICD9-CM for Clinical Decision Support; (abstract) in Musen MA (ed.): Proceedings of the Second Annual Educational and Research Conference of the American Medical Informatics Association; Portland, Oregon; May, 1992:34.