Blog: The Preventive Pipeline

January 12, 2026

Happy New Year and welcome to The Prevention Pipeline!

As we begin 2026, the University of Maryland Preventive Medicine residency program is excited to launch The Prevention Pipeline, a space dedicated to sharing the people, ideas, and work that drive preventive medicine forward. This blog brings together medical students, residents, and faculty who are united by a commitment to prevention, population health, and upstream approaches to improving health outcomes.

The Prevention Pipeline highlights the full continuum of training and practice in preventive medicine. Here, medical students explore their early interests and experiences, residents reflect on the challenges and rewards of preventive medicine training, and faculty share expertise, mentorship, and perspectives shaped by years of practice and leadership. Together, these voices reflect the collaborative and interdisciplinary nature of our field.

Throughout the year, this blog will feature accomplishments and milestones, timely public health topics, research and quality improvement efforts, and real-world examples of prevention in action—from clinical preventive services to community-based and policy-level interventions. Our goal is to foster learning, dialogue, and inspiration while showcasing the vital role preventive medicine plays in advancing health equity and population well-being.

As we look ahead to the coming year, we invite readers and contributors alike to engage with The Prevention Pipeline: celebrate successes, reflect on lessons learned, and share ideas that strengthen the future prevention workforce. We look forward to growing this community together and continuing the important work of building health—upstream.

Welcome to a new year—standing outside UMSOM on this crisp January day, I invite you to come follow along with me in The Prevention Pipeline!

Marissa Khajavi MD, MPH
Program Director, Public Health and General Preventive Medicine Residency

January 20, 2026

Resident Reflections: Insights from preventive medicine residents on training, practice, and professional growth

How Policy Shapes Health Care— The Importance of Involvement of Trainees

As the Maryland Legislative Session starts we are thinking all things policy! 

Policies influence everything from access to care and insurance coverage to public health funding and prevention efforts. Physicians witness the downstream effects of these decisions every day—caring for patients whose health is shaped as much by policy and social conditions as by clinical care.

Physician involvement in policy is essential. Clinicians bring real-world experience, scientific expertise, and an understanding of unintended consequences that can strengthen policy decisions. In preventive medicine and public health, policy is one of our most powerful tools to improve population health, reduce inequities, and address health upstream. Engaging in policy—through advocacy, research, education, or advisory roles—allows physicians to help build a more effective, equitable, and prevention-focused health system.

 We strive to provide our residents with a rich policy experience.  Below find PGY-3 Dr. Gabriel Pontipiedra’s reflection on his policy work thus far.  --Marissa Khajavi MD, MPH Program Director

I was drawn to Preventive Medicine because it focuses on addressing health upstream, instead of only reacting once disease has already occurred. During medical school and my prior residency training, I often felt frustrated by how frequently social determinants of health, policy decisions, and inequities were acknowledged but not meaningfully addressed in clinical settings. Preventive Medicine felt like the place where public health, policy, and patient care could actually come together in a real and impactful way.

My policy rotation with The American College of Preventive Medicine (ACPM) and time working on Capitol Hill this past fall were especially meaningful experiences. Translating evidence into advocacy and seeing firsthand how policy decisions shape population health was incredibly eye-opening and reinforced the idea that physicians can—and should—play roles beyond the clinic.

The work I completed with The Maryland Department of Health (MDH) in the Office of Minority and Health Disparities was also meaningful.  I worked to analyze racial disparities in infant mortality and low birth weight across Maryland counties. That project brought together data analysis, health equity, and policy relevance in a way that strongly reflects my interests. Seeing how these data directly informed conversations around accountability and targeted intervention was both validating and motivating, and it underscored the potential for policy to address these inequities.

Building on this foundation, my current rotation with MDH in the Bureau of Maternal and Child Health has placed me at the center of the legislative process during session. Through helping prepare testimony, conducting research, and attending hearings in Annapolis, I am seeing firsthand how evidence on infant mortality and disparities can shape policy decisions. Being part of this fast-paced and critically important space has reinforced my belief that thoughtful, data-driven policy work is essential to improving outcomes for mothers and infants across Maryland.

-- Gabe Pontipiedra DO PGY-3 and Chief Resident

January 26, 2026

Student Spotlight: Medical student perspectives, reflections, and pathways

Our program believes we must be healthy doctors to take care of our patients!

A component of our program is the integration of the American College of Lifestyle Medicine curriculum where residents' complete modules, didactics/activities, and lifestyle medicine clinical training.  I personally am a strong believer in lifestyle as a preventive tool and that includes one of the pillars of lifestyle medicine- positive social connections.

Strong social connections are powerful—and often overlooked—determinant of health. Meaningful relationships with family, friends, coworkers, and community members are associated with lower rates of chronic disease, improved mental health, and increased longevity, while social isolation has been linked to higher risks of depression, cardiovascular disease, and premature mortality. From a preventive medicine perspective, fostering social connection is an upstream intervention that supports resilience, healthy behaviors, and equitable health outcomes.

Salim Muhammed, MS2, is a member of the Lifestyle Medicine Interest Group.  Below he shares why he is interested in Lifestyle Medicine and touches on the importance of social connections for personal and patient health.

-- Marissa Khajavi PD and LMIG advisor

I find Lifestyle Medicine both rewarding and empowering because it gets back to the fundamentals of health and tackles the root causes of disease in a way that is sustainable and effective. What’s especially fascinating is the approach on leveraging and protecting our physiological systems for treatment and prevention. That’s a message and movement I’m excited to practice, share, and promote through LMIG.

VIEW INTERVIEW HERE

Lmig.umsom- Our awesome M2 SGA president shares what her village looks like. 

Who we consider in our circle can shift throughout our life—things happen.  We move.  Priorities change.  Major health changes.  Death.  But throughout it all, our community is grounded all the same:  A support system, the people we share our biggest news with first, the ones we can call late at night, and those we can be vulnerable with.

February 2, 2026

Resident Reflection: From data to prevention, a resident's journey in clinical informatics

In today’s data-driven healthcare landscape, informatics plays a critical role in transforming information into action. From identifying population-level trends to improving clinical decision-making, medical informatics is a powerful tool for advancing prevention, equity, and high-value care.

At the University of Maryland, preventive medicine residents have exceptional opportunities to build informatics skills and learn how data can be leveraged to improve patient and population health.

A cornerstone of this training is mentorship from leaders in the field, including Dr. Michael Grasso, Director of the Clinical Informatics Group at the University of Maryland School of Medicine. Through this work, residents are exposed to the practical applications of informatics across clinical care, quality improvement, and health systems innovation—preparing them to lead in an increasingly data-driven healthcare environment.

Read below PGY-3 Dr. Jenny Su’s experience during her informatics rotation with Dr. Grasso.

-Marissa Khajavi, Program Director

My transition into Preventive Medicine was driven by a conviction that we must move beyond reactive care to design healthcare systems where the healthiest path is the easiest for both clinician and patient to follow. Before residency, I built a deep foundation in clinical informatics by working with multiple hospital networks across the country. Navigating and optimizing numerous versions of Epic provided me with a unique perspective on adapting to the specific workflows and challenges of diverse organizations, both large and small. Through these experiences, I learned to reduce documentation burdens and translate real-world data into actionable insights, sparking my interest in the "why" behind healthcare policy and systems management.

This expertise was solidified during a rotation with Informatics Department Chair, Dr. Michael Grasso, where I created two projects to help narrow the gap between raw data and clinical action. I created the "Cosmos User Guide for the Population Health Research and Informatics Provider" to empower fellow clinicians, and I conducted original research using the robust Cosmos database. My research poster, "Inpatient Admission Risk within 6-12 Months after GLP-1 Initiation Compared With Atorvastatin Among Patients With Atrial Fibrillation and BMI >= 25, An Epic Cosmos Based Analysis," exemplifies how I utilized real-world evidence from over 300 million patients to generate the foundation for future potential actionable clinical insights. By merging these informatics capabilities with my clinical training, I am dedicated to building a future of real-world evidence-based and data-driven care that makes lasting wellness more accessible for everyone.

-Jenny Su PGY 3

February 9, 2026

Student Spotlight: Movement as Medicine, Prevention Beyond the Exam Room 

Prevention starts long before the exam room, and few things illustrate that better than movement. Regular physical activity is one of the most powerful tools we have to improve physical health, mental well-being, and longevity. It reduces the risk of chronic disease, sharpens cognition, and helps us show up more fully for our patients and our communities.

As preventive medicine physicians, being better doctors means bringing our best selves to work. That requires practicing what we preach. Whether it’s carving out time for a walk, a run, or a stretch between meetings, exercise isn’t just something we recommend—it’s something we live. 

Maybe we will bump into each other on a jog around Baltimore’s harbor - prevention really is the best medicine.

Below Nina Kolodgie, MS2, shares why she is interested in lifestyle medicine and how physical activity fits in.

-Marissa Khajavi Program Director

I'm excited to be a part of the Lifestyle in Medicine Interest group, especially since my background in college sports and exercise science taught me firsthand how much our daily habits actually drive health and performance. Beyond that, my work with families facing social determinants of health barriers showed me that linking people to key resources is just as crucial for their health as any clinical plan. Together, these experiences—from the swimming pool to resource navigation—have shaped how I think about sustainable health, and I’m eager to bring this lens to supporting patients in achieving lasting improvements in wellness and recovery.

Recently, I took part in the Lifestyle in Medicine Zumba event led by Dr. Koka, a pathology faculty member at UMMC. The event was a fun, energizing reminder of the importance of physical activity, particularly for medical students navigating long hours, heavy workloads, and seasons when getting outside can be challenging. Making time to move helps relieve stress, improve mood, and reinforces exercise as a powerful tool for chronic disease prevention and recovery. Ultimately, physical activity isn’t just about fitness—it’s about building lifelong habits that promote resilience, health, and well-being for ourselves and for the patients we will one day serve.

 

 

February 16, 2026

Faculty Features: Preventive Medicine in Practice 

In this Preventive Medicine in Practice, we spotlight Dr. Nadia Saif a UMB Preventive Medicine graduate whose career journey—from residency to the USPHS Commissioned Corps and CDC—illustrates the dynamic and impactful pathways available in public health practice.

-Marissa Khajavi Program Director

I graduated in 2023 from the University of Maryland, Baltimore, Preventive Medicine Residency, completing the MS in Clinical Research and Epidemiology track. After residency, I joined the United States Public Health Service (USPHS) Commissioned Corps and completed CDC’s two-year Epidemic Intelligence Service (EIS) fellowship at the National Institute for Occupational Safety and Health (NIOSH) in Morgantown, West Virginia. I now serve as a medical officer in the Division of Health and Nutrition Examination Surveys at CDC’s National Center for Health Statistics.

During my time with EIS at NIOSH, my work focused on occupational injuries. I analyzed multiple data sources—including national trauma data, emergency department visits, and the National Violent Death Reporting System—to better understand patterns and risk factors for workplace injury and death. In my current role, I analyze data from the National Health and Nutrition Examination Survey (NHANES), which integrates household interviews, physical exams, laboratory testing, and dietary data to assess the health of the U.S. population. My work spans topics such as prescription medication and dietary supplement use, anemia, nutrition, and cardiovascular risk factors.

One of the most rewarding aspects of my work is applying complex survey data methods to answer timely, systems-level questions that draw on my clinical background. I’m continually learning new analytic skills and collaborating with colleagues who share a commitment to protecting and promoting public health.

If I could offer one piece of advice to those entering the field, it would be this: don’t be afraid to take calculated risks. Careers in preventive medicine are rarely linear. Be open to unexpected opportunities, reflect on the impact you hope to make, and pursue paths that align with that vision—even if they look different from what you originally imagined.

 

 

March 2, 2026

Designing for Flourishing: Reflections from the ACGME “Meaning in Medicine” Conference

Attending the Accreditation Council for Graduate Medical Education (ACGME) conference this year was a time of connection, reflection, and growth. This year's "Meaning in Medicine” conference was a reminder of why our work in graduate medical education matters.

One idea that resonated deeply was that, as physicians, we have a multiplier effect. As teachers and program directors, the impact we have on our residents extends far beyond our direct interactions. They go on to care for thousands of patients, to teach students and colleagues, and to model professional identity for the next generation. The culture we help create today echoes forward in ways we may never fully see.

Our role as faculty is to help residents achieve their full potential. To help them meet that potential, we must create a sustainable, supportive training experience. If our young doctors are thriving—both personally and professionally—then that culture of wellness, balance, and purpose is more likely to carry forward to their trainees and mentees. That is the multiplier effect in action.

I was especially grateful to hear from leaders advancing wellness in medical education, including Dr. Stuart Slavin, Vice President for Well-Being at ACGME. His message challenged us to think beyond environmental stressors alone. While systems absolutely matter, he emphasized that other drivers of stress can include our own thoughts and reactions to situations.

Dr. Stuart Slavin, Vice President for Well-Being at ACGME

One metaphor he shared was the “Stanford duck.” From above the water, the duck appears calm and effortless. Beneath the surface, its feet are paddling furiously. In medicine, many of us are that duck—and we assume others are floating more easily than we are. We fail to recognize that our colleagues may be working just as hard beneath the surface.

Dr. Slavin highlighted three key skills to help address these internal drivers:

• Metacognition – Becoming aware of how we think about our experiences.
• Mindfulness – Anchoring attention to the present moment.
• Self-compassion and cognitive skills – Learning to challenge unhelpful thought patterns and respond to ourselves with understanding rather than judgment.

He also reminded us that cultivating positive emotion does not require grand gestures. Sometimes it can be as simple as pausing to think, “Wow, that burrito I ate today was amazing.” (And trust me—it was. San Diego did not disappoint.) Small moments matter.

Another presentation focusing on wellness was “Developing a Sustainable Approach to Well-Being,” led by Dr. Greg Guldner, Chief Wellness and Retention Officer, and Dr. Jason An, Designated Institutional Official at HCA Healthcare. They shared how they built wellness into a residency program from the ground up—not as an add-on, but as a foundational design principle.

Rather than asking residents to find wellness outside of their already full lives, they asked a different question: How do we intentionally build wellness into the structure of training itself?

Their message reinforced a powerful shift in mindset:

What if wellness didn’t exist outside of our jobs, but was intentionally built into them?

What if our goal shifted from merely reducing burnout to actively helping our learners flourish?

Flourishing is more than the absence of burnout. It is engagement, connection, growth, and meaning. It is designing systems where residents can do meaningful work, feel supported in doing it, and grow into the physicians they aspire to become.

I found my own moments of flourishing at the conference—meeting new colleagues who share a passion for teaching, taking in the views of San Diego, and reconnecting with fellow preventive medicine program directors over tacos. These moments of connection and reflection are not separate from our professional mission; they fuel it.

-Marissa Khajavi

Program Director Preventive Medicine Residency

Preventive Medicine colleagues: Dr. Terra Forward (Joint Base Lewis McChord, Washington) and Dr. Bala Simon (University of Arkansas Medical Sciences Little Rock, Arkansas)

 

March 9, 2026

Beyond the Exam Room: A Preventive Medicine Resident’s Journey Upstream

Meet PGY-3 resident Dr. Maia Tinder.  Dr. Tinder entered our program with an impressive foundation. She completed a combined Internal Medicine–Pediatrics residency at the University of Alabama, graduating in 2023, and is double board-certified in Internal Medicine and Pediatrics. Following residency, she spent one year in clinical practice as a primary care physician at Christiana Primary Care in Pennsylvania, where she further refined her clinical skills prior to beginning preventive medicine training.  Maia will graduate from our program this year after which she has accepted a role as a Clinical Professor at Penn Medicine in Philadelphia.  Read below to learn why Dr. Tinder chose to pursue Preventive Medicine and how insights from her practicum rotation will shape her future work.

- Marissa Khajavi, MD, MPH

Preventive Medicine Residency Program Directory

I chose to pursue preventive medicine residency after completing residency in internal medicine and pediatrics to deepen my training in public health and develop skills to better address the structural drivers of health. My clinical work made clear that many of the challenges my patients faced—particularly those rooted in inequity—could not be solved through the traditional medical system alone. I came to preventive medicine to learn how to work upstream.

During my rotation with the Maryland Department of Health Maternal and Child Health Bureau (MCHB) during the Maryland legislative session, I saw firsthand how policy shapes the environments in which families live and receive care. When a bill is introduced in the Maryland House or Senate and deemed relevant to maternal and child health or to MCHB operations, it is routed to the bureau for review. I was assigned bills as they were introduced, conducting background research to assess how proposed language and terms aligned—or conflicted—with medical evidence, national recommendations, and existing state initiatives and needs.

I drafted position papers and proposed amendments to provide legislators with clear, evidence-based public health perspectives. This work involved thoughtful synthesis, collaboration with the MCHB team, coordination across other divisions of the department, and engagement with external partners. We followed each bill through hearings and votes, reporting back to the team and refining our approach in real time. The process was dynamic, rigorous, and deeply collaborative.

In the near term, I plan to practice academic medicine in an underserved setting, integrating medical education and equity-focused quality improvement. Long term, I can see myself returning to governmental public health—working to shape the systems and policies that influence health at a population level. This rotation affirmed that advancing health equity requires both clinical insight and policy engagement, and I am eager to continue building skills at that intersection.

March 16, 2026

Student Spotlight - Prioritizing self-care: sleeping better 

In our busy lives, sleep is often sacrificed. 

Wellness in medicine does not begin with doing more—it begins with restoring what sustains us.  When we prioritize sleep, we strengthen our capacity to learn, to lead, and to care.

Below MS 2, Salim Muhammed recognizes the importance of sleep and writes some tips for a better night's rest.

- Marissa Khajavi, MD, MPH

Preventive Medicine Residency Program Directory

For the longest, sleep wasn’t at the top of my list when it came to improving my health. But about 5 years ago, I started to learn sleep’s role in other domains of health–– from cognition, mood, and even disease risk–– and it completely shifted my perspective and practice.

What surprised me most wasn’t just the science behind it or even that 1 great night’s sleep effect, but the consistency factor. Continuously working on my sleep, I started to notice that I was showing up the next day more sharp, focused, and productive. When I get consistently good sleep, I notice it immediately: I retain information better, engage more in conversations, make clearer decisions, and feel more emotionally steady. And doing all of this without the need for caffeine!

For medical trainees and attending physicians, working on this lifestyle medicine pillar, one-step at a time, can allow us to learn efficiently, care attentively, and sustain ourselves in a demanding profession. In a field where we’re constantly asked to give our best to others, sleep is one the most practical and simple (though not necessarily easy) ways we can make sure we give it our best.

I hope this post not only highlights the practice steps to improve sleep but also serves as encouragement. Working on sleep can feel small, but its impact is tremendous acutely and over the long run.

Today we are exploring one of the six pillars of health — Sleep.

Sleep is something pretty much every animal does— whether it’s 3-4 hours, >18 hours, or anywhere between. Its presence across the animal king down tells us it plays an important role.  Sleep is important for memory, focus, attention, immune health, mood, and even pain.

Though sleep quality includes how many hours we’re getting, it also includes how long it takes to fall asleep (latency); how often we wake up at night (fragmentation); and how much of our time in bed is actually spent sleeping (efficiency). Here are some simple ways to support better quality sleep.

Temperature:  Our body naturally cools as we prepare for sleep. A cooler bedroom or warm shower couple hours before bed can help reach that relaxed, lower temperature.

Light: Light is the most potent signal (zeitgeber) that synchronizes our internal biological clock with the external environment. Keeping the lights dim in the evening (yes, means less doom scrolling) and getting sunlight within the 1st hour can help set a consistent rhythm over time. Do this enough and we may never need an alarm clock (yep it’s that awesome).

Mindset: Keeping our mind busy makes it difficult to fall asleep quickly. Slow breathing focusing on decreasing rate but increasing our depth of breathing; gentle relaxation methods; or giving yourself time to unwind (no thoughts, just looking up at the sky and counting sheep) can make a difference.

Consistency: Even improving one area and sticking to it can help. Layer other habits once the basics become routine and you’ll see the + ∆ in your sleep quality, and hopefully your other aspects of health.

 

March 23, 2026

Faculty Features: Preventive Medicine in Practice 

This blog series spotlights the voices and work of our faculty and graduates who are advancing prevention and population health in meaningful ways. Through personal reflections, mentorship insights, and career narratives, contributors share lessons learned, pivotal moments, and practical advice for trainees and early-career professionals navigating preventive medicine and public health careers.

In this Preventive Medicine in Practice, we feature Dr. Jamie Sibel, a UMB Preventive Medicine graduate, making a big impact at the local public health level.

___________________________________________

I graduated from the University of Maryland Public Health and General Preventive Medicine Residency in 2022 and now serve as the Medical Deputy Health Officer for the Harford County and Cecil County Health Departments. In my dual role, no two days look the same. My work spans both clinical and administrative public health, from overseeing communicable disease investigations and supporting STI and family planning services to collaborating with schools, hospitals, and state partners. I spend a significant amount of time providing guidance and oversight to clinical programs, advising on disease outbreak response, and turning public health guidance into practical action at the local level.

My primary focus areas include communicable disease control, immunizations, reproductive health, and strengthening local public health systems. Much of what I do centers on early detection and rapid response, ensuring timely disease reporting, coordinating efforts during public health threats, and improving access to clinical preventive services. I also incorporate social and structural factors, such as access to care, housing stability, and education, into program planning and partnerships because those realities shape health outcomes just as much as any clinical intervention.

What I find most rewarding is the ability to influence health at both the individual and population levels. Whether helping contain an outbreak, treating a patient, improving a clinical program, or building partnerships that expand access to care, the impact is often preventive and sometimes invisible, which is part of what makes it so powerful. Seeing strong public health infrastructure quietly protect a community is incredibly motivating.

My advice to those entering the field is to stay connected to what originally drew you to preventive medicine and public health. The work can be complex and, at times, bureaucratic due to its governmental nature, but a clear sense of purpose keeps you grounded. When your career aligns with your values and passions, it becomes much easier to navigate challenges and continue advocating for meaningful change.

 

From left to right: Dr. Jamie Sibel, Jennifer Mangold RN (Director of Clinical Health), and Ronya Nassar MPH (Director of Population Health and Public Information Officer)