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Carla S. Alexander, MD, FAAHPM

Academic Title:

Assistant Professor

Primary Appointment:

Medicine

Additional Title:

Director of Palliative Care for IHV Clinical Programs

Location:

29 S Greene St, Suite 300

Phone (Primary):

(410) 328-7129

Phone (Secondary):

(410) 328-5725

Fax:

(410) 328-4430

Education and Training

  • A.B., Randolph Macon Woman’s College, Lynchburg, VA
  • M.L.S., University of Maryland, School of Library and Information Science, College Park, MD
  • M.D., University of North Carolina School of Medicine, Chapel Hill, NC
  • Internship (Internal Medicine/ Primary Care), Medical University of South Carolina, Charleston, SC
  • Residency (Preventive Medicine), University of Maryland Hospital, Baltimore, MD
  • Residency (Internal Medicine), University of Maryland Hospital, Baltimore, MD
  • Fellowship (Oncology), University of Maryland Cancer Center, Baltimore, MD

Biosketch

Dr. Alexander is an internationally recognized expert in the area of Palliative and End-of-Life Care and a Fellow of the American Academy of Hospice and Palliative Medicine (AAHPM) where she was a founding member. She was elected President in 2000, and later was appointed as Medical Director for the US National Hospice and Palliative Care Organization (NHPCO). Dr. Alexander has taught elements of Palliative and End-of-Life care related to HIV/AIDS throughout North and South America, 11 African countries, Eastern and Western Europe and the UK, Ukraine, and Asia. Her research has focused upon palliative and end of life needs of persons with HIV disease with a history of substance abuse and poverty. She has provided clinical care for people with HIV/AIDS since the beginning of the epidemic.

Dr. Alexander joined the UMB-IHV in 1997 as an Assistant Professor of Medicine and Director of Palliative Care. Before coming to the University she was Director of Clinical Affairs for Chase-Brexton Health Services, Inc., a community-based facility providing primary care for persons with HIV/AIDS. As International Medical Director for the Foundation for Hospices of Sub-Saharan Africa (FHSSA), she participated in mentoring activities with the African Palliative Care Association (APCA). Her work includes monitoring and evaluation of palliative care services in African and other resource-constrained settings and advocacy for provision of appropriate medications for expert palliative care.

Highlighted Publications

Alexander CS. Terminal Care: Where Does It Fit In Oncology? MD Med J-1989; 38(3):211.

Ross D, O'Mara A, Pickens N, Keay T, Timmel D, Alexander CS, Hawtin C, O'Brien III W, Schnaper D, Hospice and Palliative Care Education in Medical School: A Module on the Role of the Physician in End-of-Life Care. J Cancer Educ 1997; 12(2):152-156.

Ross D, Keay T, Timmel D, Alexander CS, Dignon C, O'Mara A, O'Brian III W., Required Training in Hospice and Palliative Care at the University of Maryland School of Medicine. J Cancer Educ 1999; 14(3).

Ross D., Alexander CS, Management of Common symptoms in Terminally Ill Patients: Part I. Fatigue, Anorexia, Cachexia, Nausea and Vomiting. Amer Fam Physician 2001; 64(5): 807-814.

Ross D, Alexander CS, Management of Common Symptoms in Terminally Ill Patients: Part II. Constipation, Delirium, Dyspnea. Amer Fam Physician 2001; 64(6):1019-1026.

Additional Publication Citations

Keay T, Alexander CS, McNally K, Crusser E, Eger R, Hawtin C, Lowitt NR, Ross D., Adult Education Program Palliative Care for Nursing Facility Physicians: Design and Pilot Test. J of Pall Med (Winter) 2003; 3(4): 457-463.

Keay T, Alexander CS, McNally K, Crusser E, Eger R, Nursing Home Physician Educational Intervention Improves End-of-Life Outcomes. J Pall Med (Spring) 2003; 6(2): 205-213.

Karus D., Raveis V., Marconi K., Hanna B., Selwyn P., Alexander C., Perrone M., Higginson I., Service Needs of Patients with Advanced HIV Disease: A Comparison of Client and Staff Reports at Three Palliative Care Projects. AIDS Patient Care and STDs 2004; 18 (3): 145-158.

Karus D, Raveis VH, Marconi K, Selwyn P, Alexander C, Hanna B, Higginson I, Mental Health Status of Clients From Three HIV/AIDS Palliative Care Projects. Palliative and Supportive Care; (2004); 2, 125-138.

Ross DD, Shpritz D, Alexander CS, Carter K, et al. Development of Required Postgraduate Palliative Care Training for Internal Medicine Residents and Medical Oncology Fellows. J Cancer Educ 2004; 19:81-87.

Bedor M, Alexander C, Edelman Martin. Management of Common Symptoms of Advanced Lung Cancer. Current Treatment Options in Oncology 2005; 6(1): 61-68.

Emanual L, Alexander CS, Arnold R, Bernstein R, Dar R, Dellasantina R, Dykstra L, and Tulsky J. Integrating Palliative Care into Disease Management Guidelines, Palliative Care Guidelines Group Report. J Pall Med 2004;7(6):774-83.

Karus D, Raveis V, Alexander C, et al. Patient reports of symptoms and their treatment at three palliative care projects servicing individuals with HIV/AIDS. J of Pain & Sx Mant. 2005:30(5):408-17.

Royak-Schaler R, Gadalla SM, Lemkau, JP, Ross DD, Alexander CS, Scott D. Family Perspectives on Communication With HealthCare Providers During End-of-Life Cancer Care. ONF 2006; 33(4): 753-760.

Harding R, Powell R, Downing J, Connor S, Mwangi-Powell F, Defilippi K, Cameron S, Garanganga E, Kikule E, Alexander C. Generating an African Palliative Care Evidence Base: The Context, Need, Challenges, and Strategies. J Pain and Symptom Management. 2008; 36 (3):304-309.

Alexander CS, Memiah P, Henley YB, Kaiza-Kangalawe A, Shumbusho AJ, Obiefune M, Enejoh V, Stanis-Ezeobi W, Eze Charity, Odion E, Akpenna D, Effiong A, Miriti K, Adudda S, Oko J, Melaku GD, Baribwira C, Umutesi H, Shimabale M, Mugisa E and Amoros A. Palliative care and support for persons with HIV/AIDS in 7 African countries: implementation experience and future priorities. Am J Hospice & Pall Med, 2012; 29(4); 279-285.

Harding R, Simms V, Alexander CS, Collins K, Combo E, Memiah P, Patrick G, Sigalla G, Loy G. Can palliative care integrated within HIV outpatient settings improve pain and symptom control in a low-income country? A prospective, longitudinal, controlled intervention evaluation. AIDS Care, 2013; 25(7):795-804.

Riedel DJ, Mwangi I, Fantry L, Alexander CS, Hossain, M, Pauza D, Redfield RR, and Gilliam BL. High cancer-related mortality in an urban, predominantly African-American, HIV-infected population. JAIDS 2013 April; 27(7):1109-17.

Alexander CS MD FAAHPM, Pappas G MD PhD, Obiefune M MBBS, Brown-Henley Y RN, CHPN, Kaiza-Kangalawe A BS, Oyebola FO MBBS, DAWACS, MSc, MPhil. Palliative Medicine (UCT), Nwene E MBBS MPH, Stanis-Ezeobi W BSN,  Enejoh V MSc, Nwizu C MD, Nwandu A MD, Memiah P DrPH, Oni B MD,  Etienne-Mesubi M DrPH, Amoroso A MD, Redfield RR MD Pain management for persons living with HIV disease: experience with interprofessional education in Nigeria. Am J Hosp Pall Care, 2015 Aug; 32(5):555-62. Doi 10.1177/1049909114527153. Epub 2014 Apr 10.

Memiah P, Constance S, Henley Y, Mwakyusa S, Maghimbi A, Komba P, Mlila A, Haule V, Tull T, Stafford K, Etienne-Mesubi M, Alexander C. “Know your CD4 campaign”: 6-year outcomes from a quality improvement initiative to promote earlier initiation of antiretroviral therapy in Tanzania. International Journal of Medicine and Public Health; July-Sept 2014; 4(3):194-199.

Pappas G MD, Yujiang J MD, DrPH, Seiler N JD, Malcarney MB JD MPH, Horton KRN JD MPH, Shaikh I MD PhD, Freehill G MA, Alexander C MD, Akhter MN MD MPH, Hidalgo J ScD MSW MPH. Perspectives on the Role of Patient-Centered Medical Homes in HIV Care.  American Journal of Public Health: July 2014, 104, (7):e49-352. Doi: 10.2015/AJPH.2014.302022.

CS Alexander, G Pappas, A Amoroso, M Lee, Y B-Henley, P Memiah, M Obiefune, A Kiromera, F Oyebola, V Tepper, A Kaiza-Kangalawe, L Hachaambwa, R Sheneberger, G Delva, C Nwizu, A Nwandu, E Nwene, V Enejoh, W Stanis-Ezeobi, A Edozien, C Barbwira, D patel, M Etienne-Mesubi, O Babatunji, J O’Neill, O Dix, R Redfield. Implementation of HIV palliative care: interprofessional education to improve patient outcomes in resource-constrained settings, 2004-2012.  J Pain and Symptom Management. Sep16; 50(3):350-61.  Epub 2015 Jul 16.

Research Interests

Curriculum development for non-palliative specialists to implement palliative skills to improve patient outcomes; Methods for providing support to both HIV patients and health professionals caring for them in the US and in resource-constrained settings; Importance of self-care for physicians and other members of the interdisciplinary care team; Care and support needs of persons dually impacted by cancer and HIV; and furthering the understanding of advance care planning for persons living with HIV disease.

Clinical Specialty Details

Dr. Alexander specializes in HIV/AIDS, hospice and palliative medicine.

Grants and Contracts

Patient Centered Outcomes Research Institute, Inc.
Award IH-1304-7297 2013-2016

Professional Activity

Currently with Dr. Victoria Raveis and colleagues at New York University, Dr. Alexander is finalizing a 3 year study and curriculum for the Patient Centered Outcomes Research Institute, Inc. (pcori.org) relative to the impact of teaching multidisciplinary non-palliative specialists critical elements of palliative care that can be implemented early in chronic illness to engage and retain challenging patients in care. She is Medical Director for the Palliative Care Service at the University of Maryland Medical Center – MidTown Campus and provides outpatient clinical care at the Oncology-Infectious Diseases Clinic in the Greenebaum Cancer Center.