Jaen, Carlos RobertoSchool of Medicine |
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Dr. Jaen special interests include improving preventive care for individuals of all ages, preventing complications from chronic diseases like diabetes, high blood pressure and heart disease. He is passionate about building and studying high performance primary care offices. He is co-director of the Center for Research in Family Medicine and Primary Care. He served on the panels that published smoking cessation guidelines in 1996 & 2000 and is co-chair of the panel that published an update in May 2008. In 2005, he was appointed to the National Advisory Council to the Agency for Healthcare Research and Quality (AHRQ). He received a Generalist Physician Faculty Scholar Award from the Robert Wood Johnson Foundation and a Cancer Control Career Development Award for Primary Care Physicians from the American Cancer Society. He is a practicing family physician at M.A.R.C. (210-450-9100) and has been selected to the Best Doctors in America yearly since 2002. His interests
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| 5/2008 - Present | Professor | University of Texas Health Science Center at San Antonio, Epidemiology & Biostatis, San Antonio, TX |
| 9/2007 - Present | Professor | University of Texas at San Antonio, Health and Kinesiology, San Antonio, TX |
| 6/2007 - Present | Adjunct Professor | UT HSC School of Public Health at Houston, Houston, TX |
| 6/2001 - Present | Professor and Chair and Dr. John M. Smith, Jr. Professorship | University of Texas Health Science Center at San Antonio, Family & Community Medicine, San Antonio, TX |
| 9/1998 - Present | Co-Director | Center for Research in Family Medicine and Primary Care |
| Year | Degree | Discipline | Institution |
| 1992 | Postdoctoral Fellowship | Primary Care Research | Case Western Reserve University Cleveland , OH |
| 1992 | Residency | Family Medicine | CWRU/Univ. Hospitals Cleveland , OH |
| 1989 | MD | Medicine | State University of New York (SUNY) Buffalo , NY |
| 1988 | PhD | Epidemiology & Community Health | SUNY Buffalo Buffalo , NY |
| 1982 | MS | Biology (Oncology) | Niagara University Lewiston , NY |
| 1979 | BS | Biology (Cum Laude) | Niagara University Lewiston , NY |
Health Behavioral Counseling- Four behaviors (tobacco use, unhealthy diet, sedentary lifestyle, and problem drinking) account for the majority of excess mortality in the US. Integrating the implementation of these interventions of primary care is essential. |
Latino Health Issues- Experience working with Latino communities (mostly Puerto Rican) addressing issues of access to care and lay models of illness. |
Participatory Research with Communities- Experience working with poor urban communities to identify and address health care needs through interventions designed in collaboration with community members. |
Primary Care Research- Over 15 year experience studying primary care practices using mixed methods (qualitative and quantitative methodologies)to understand organizational characteristics and interventions to increase preventive service delivery and chronic disease management |
Tobacco Control- Member of the Expert Panel that published clinical smoking cessation guidelines for the Public Health Service in 1996, 2000, and currently a vice chair of the panel that published guideline update in 2008. |
Journal Article |
| Ferrer RL, Mody-Bailey P, Jaen CR, Gott, Sherrie, Araujo, Sarah. A Medical Assistant-Based Program to Promote Healthy Behaviors in Primary Care Annals of Family Medicine 2009 Nov;. |
| Crabtree BF, Miller WL, McDaniel RR, Stange KC, Nutting PA, Jaen CR. A survivor''s guide for primary care physicians Journal of Family Practice 2009 Aug;58(8):E1-E2. |
| Nutting, PA, Miller, WL, Crabtree, BF, Jaen CR, Stewart EE, Stange, KC. Initial Lessons from the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home Annals of Family Medicine 2009 May;7:254-260. |
| Woods SS, Jaen CR. Increasing Consumer Demand for Tobacco Treatments: Recommendations for Clinicians and Health Care Systems American Journal of Preventive Medicine 2009 Jan;. |
| Fiore MC, Jaen CR, Baker TB, et al. A Clinical Practice Guideline for Treating Tobacco Use and Dependence: 2008 Update: A U.S. Public Health Service Report American Journal of Preventive Medicine 2008 Aug;35(2):158-176. |
| Fiore MC, Jaen CR. A clinical blueprint to accelerate the elimination of tobacco use JAMA 2008 May;299(17):2083-2085. |
| Epstein RM, Mauksch L, Carroll J, Jaen CR. Have You Really Addressed Your Patients Concerns? Family Practice Management 2008 Mar;:35-40. |
| Finney, M, Tumiel-Berhalter LM, Fox, C, Jaen CR. Breast and Cervical Cancer Screening for Puerto Ricans, African Americans and Non-Hispanic Whites Attending Inner City Family Practice Centers Ethnicity and Disease 2006 Oct;16(4):994-1000. |
| Backer EL, Gregory P, Jaen CR, Crabtree BF. A Closer Look at the Adult Female Health Care Maintenance Visits Family Medicine 2006 May;38(5):355-360. |
| Theobald M, Jaen CR. An Update on Tobacco Cessation Reimbursement Family Practice Management 2006 May;13(5):75-78. |
| Longo DR, Stone TT, Phillips R, Everett KD, Kruse RL, Jaen CR, Hewett JE. Characteristics of Smoking Cessation Guidance Use by Primary Care Physicians Missouri Medicine 2006 Jan;103(1):86-90. |
| Phillips RL, Dodoo M, Jan CR, Green LA. COGMEs 16th Report to Congress: too many physicians could be worse than wasted Ann Fam Med 2005 May;3(3):268-270. |
| Palmer RF, Blanchard S, Jaen CR, Mandell DS,. School district resources and identification of children with autistic disorder Am J Public Health 2005 Jan;95(1):125-130. |
| Tumiel-Berhalter LM; Finney MF; Jaen CR. Self-Report and Primary Care Medical Record Documentation of Mammography and Pap Smear Utilization among Low Income Women J Natl Med Assoc 2004 Dec;96(12):1-8. |
| Cohen, D, McDaniels R, Crabtree BF, Ruhe MC, Meyer SM, Tallia A, Miller WL, Goodwin MA, Nutting P, Solberg LI, Zyzanski SJ, Jaen CR, Gilchrist V, Stange KC. A Practice Change Model for Quality Improvement in Primary Care Practice Journal of Healthcare Management 2004 May;49(3):155-168. |
Book/Monograph |
| Fiore MC, Jaen CR, Baker TB, et al. Treating Tobacco Use and Dependence:2008 Update. Clinical Practice Guideline Rockville, MD: U.S. Department of Health and Human Services. Public Health Service; 2008. |
Abstract |
| Davila M, Jaen CR, Palmer RF, Nutting PA, Miller WF. Measuring the Patient Perspective in the TransforMED National Demonstration Project; 2008 Jan. (Family Medicine; vol. 40, no. S1). |
| Stewart EE, Crabtree BF, Nutting PA, Jaen CR, Miller WF, Stange KC. Practice Transformation is a Ton of Work: Early Lessons from the Qualitative Data Analysis of the TransforMED NDP; 2008 Jan. (Family Medicine; vol. 40, no. S1). |
Editorial |
| Ewigman B, Johnson MS, Davis A, Carek P, Green L, Jaen CR, Kellerman R, Lindbloom E, Steyer T, Wittenberg H,. An Update on Family Medicine Participation in Clinical and Translational Science Awards (CTSAs) Annals of Family Medicine 2009 May;7. |
| Jaen CR. Medical Homes Take Teamwork Family Practice News 2008 Aug;. |
| Jaen CR, James P. You have to be in to Win: Presenting the Family Medicines Perspective in NIH Scientific Reviews Annals of Family Medicine 2008 Jan;2(2):179-180. |
| Johnson MS, Davis A, Carek P, Green L, Jaen CR, Kahn N, Kellerman R, Lindbloom E, Steyer T, Wittenberg H. Academic Family Medicines Response to CTSA Annals of Family Medicine 2007 May;5(3):275-277. |
| Jaen CR, Borkan, J, Newton, W. The Next Step in Building Family Medicine Research Capacity: Finding the Way from Fellowship Annals of Family Medicine 2006 Jul;4:373-374. |
Federal |
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| Funding Agency | HRSA Bureau of Health Professions |
| Title | Academic Administrative Units |
| Status | Active |
| Period | 9/2009 - 8/2012 |
| Role | Principal Investigator |
| Grant Detail | |
| Funding Agency | NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES |
| Title | The Proyecto Bienestar Laredo: Translating Knowledge and Experience Into Practice |
| Status | Active |
| Period | 5/2006 - 4/2011 |
| Role | Co-Investigator |
| Grant Detail | We are proposing a school-based translation study to test the effectiveness of the Proyecto (Project) Bienestar Laredo (PBL)-a diabetes prevention program in elementary schools in Laredo TX, a highly impoverished Texas-Mexico border region. The PBL is built on 2 NIDDK-funded nutrition and PA (PA) research projects: the Bienestar Health Program (DK59213) and the Medical College of Georgia FitKid Project (DK63391) that have demonstrated great promise in reducing risks for diabetes and obesity in children. The PBL is a coordinated health promotion campaign with 4 components-1) health and physical education, 2) school food service intervention, 3) parental education and 4) an after-school health club. It is designed as a culturally appropriate, health promotion program wjth 5 key foci: 1) eat less dietary saturated fat, 2) consume less dietary sugar, 3) eat more dietary fiber, 4) be more physically active and 5) view less T.V. Program implementation and evaluation data collection will be conducted by Laredo school districts and health department staffs, respectively. The study subjects will be 3,344 third grade students in 38 elementary schools, which will be randomly assigned to intervention (18 schools) and control (18 schools) conditions. The primary aim of the proposed study is to test the effectiveness of the PBL using translational research framework. The primary hypothesis is that children participating in the PBL intervention will have significantly lower fasting capillary glucose and percent body fat than children in schools receiving another state-approved health curriculum. We will also study the effectiveness on targeted behaviors, diffusion processes and organizational factors influencing the adoption and institutionalization, and the cost- effectiveness of the PBL. Proven the effectiveness of this program, we can translate this project to other communities along the Texas-Mexico border |
| Funding Agency | National Institute of Drug Abuse (NIDA) |
| Title | Tobacco Dependence: Treatment and Outcomes |
| Status | Active |
| Period | 9/2004 - 8/2009 |
| Role | Consultant |
| Grant Detail | Crucial knowledge gaps hinder our ability to treat nicotine dependence optimally. We know too little about the relative efficacies of pharmacotherapies in both clinical trials and real-world contexts. We know too little about how to deliver treatment: e.g., how to match patients with pharmacotherapies, how to incorporate treatment seamlessly into health care delivery systems and how to combine pharmacotherapies. In addition, we know too little about the global, long-term consequences of quit attempts: e.g., the downstream physiological, psychosocial, and health care utilization effects of continuing to smoke versus successfully quitting. Finally, we lack understanding of the mechanisms by which treatments work. These gaps will be addressed via four research projects and supportive cores. The first project (N=1520) will contrast efficacies of five different pharmacotherapies and a placebo, explore their mechanisms of action and yield algorithms for their optimal use. The second project will follow from the first project participants for at least 3 years and capture the diverse physical and psychosocial health outcomes of a quit attempt. The third project (N=1320) will study the active pharmacotherapies used in the first project, but in an effectiveness, primary care context. Data will address treatment utilization, success, and validate treatment algorithms. The fourth project will track from the third project subjects along with anonymous controls and reveal the impact of cessation on health care utilization and costs within a large network of primary care clinics. In addition, the UW-TTURC proposal includes an Administrative Core providing shared resources and infrastructure, a Career Development Core to increase the number of clinician-scientists entering the field of tobacco control research, and a Developmental Research Core to support innovative tobacco control research. The proposed work will advance the understanding and effectiveness of tobacco dependence tr |
| Funding Agency | National Cancer Institute |
| Title | Practice Outcomes in Communities and Healthcare Systems |
| Status | Active |
| Period | 5/1994 - 7/2009 |
| Role | Consultant |
| Grant Detail | This competing continuation project is a group randomized clinical trial. Using an innovative set of multimethod procedures, the process of change will be assessed. The resulting insights will be used to design a refined multilevel intervention. |
Private |
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| Funding Agency | The Commonwealth Fund |
| Title | Evaluating the Effect of Primary Care Practice Transformation on Patient-Centered Care |
| Status | Active |
| Period | 1/2007 - 6/2009 |
| Role | Principal Investigator |
| Grant Detail | TransforMED, a nonprofit initiative established by the American Academy of Family Physicians (AAFP) to transform primary care practice, recently launched a two-year demonstration of this patient-centered care model in 36 primary care practices in the United States. |
| Funding Agency | American Academy of Family Physicians |
| Title | TransforMED National Demonstration Project |
| Status | Active |
| Period | 6/2006 - 5/2009 |
| Role | Principal Investigator |
| Grant Detail | The main goal of the project is to evaluate the effectiveness of implementation of a new model of primary care that is transforming 36 practices using a randomized trial of intervention with a practice facilitator vs self-directed change on patient outcomes and practice/staff effectiveness. |
| Funding Agency | American Academy of Family Physicians |
| Title | Center for Research in Family Practice and Primary Care |
| Status | Active |
| Period | 9/1998 - 8/2008 |
| Role | Co-Principal Investigator |
| Grant Detail | A consortium grant to bring together researchers from Case Western Research University, the Robert Wood Johnson Medical School in New Jersey, University of Texas Health Science Center in San Antonio, and Lehigh Valley Medical Center to develop and promote a research program to increase research in family medicine offices. |
| Funding Agency | Robert Wood Johnson Foundation |
| Title | Engaging the Team: A Multilevel Program to Promote Healthy Behaviors |
| Status | Complete |
| Period | 7/2005 - 6/2007 |
| Role | Co-Investigator |
| Grant Detail | Clinical trial of a medical assistant-based program to improve the delivery of preventive services for tobacco, alcohol, unhealthy diet, and low physical activity among primary care patients. |
| Funding Agency | Commonwealth Fund |
| Title | The Effect of Primary Care Practice Transformation on Patient-Centered Care |
| Status | Active |
| Period | 10/2006 - 12/2006 |
| Role | Principal Investigator |
| Grant Detail | |