Academic Title:
Associate Professor
Primary Appointment:
Medicine
Additional Title:
Associate Professor
Location:
11 S. Paca Street Baltimore, MD 21201
Phone (Primary):
410-328-2637
Fax:
410-328-1568
Education and Training
I graduated from the University of Pennsylvania with a B.A. in Biology and German and received my M.D. at Temple University School of Medicine in Philadelphia. I trained in Internal Medicine at Johns Hopkins Bayview when it was still called Francis Scott Key Hospital, and then earned a Master of Public Health as part of my Occupational Medicine residency at Johns Hopkins School of Hygiene and Public Health. I also have a certificate in Instructional Design from the University of Wisconsin. I am board certified in Internal Medicine and Occupational Medicine.
Biosketch
I joined the University of Maryland School of Medicine faculty in 2017 as an Associate Professor of Medicine in the Division of Occupational and Environmental Medicine. In this role, I participate in clinical surveillance of a cohort of Veterans exposed to depleted uranium and serve as Medical Director for the Building Trades National Medical Screening Program, which serves a cohort of 28,000 former construction workers at Department of Energy sites. I also provide employee health related services to the University of Maryland Faculty Physicians, Inc., University of Maryland, Baltimore and University of Maryland, College Park. I coordinate the educational rotations for residents from University of Maryland, Johns Hopkins and the Uniformed Services University of the Health Sciences, and serve as the Faculty Advisor for the UMSOM medical student special interest group for Preventive, Occupational and Environmental Medicine.
My research interests focus on preventing avoidable work disability, which led me to study the challenges facing individuals with opioid use disorder. In 2018 I mobilized an interdisciplinary team of researchers, which received two grants in 2019 (the Institute for Clinical Translational Research (ICTR) Accelerated Translational Incubator Pilot (ATIP) grant and the Center for Addiction Research, Education and Services (CARES) Science to Systems grant) to study the work status and barriers to work in patients receiving Medication Assisted Treatment for Opioid Use Disorder in UMB clinical centers. This is the first phase of a planned multiphase project to develop and research interventions to increase work participation in this vulnerable population.
Other research interests are risk factors for prolonged work disability, the content and quality of physician/patient communication, return-to-work and workers’ compensation policy and clinical education. A recent research project for the Maryland Department of Health evaluated the effectiveness of a short online educational module in modifying physician use of the Prescription Drug Monitoring Program.
I am a member of the UMMS Opioid Stewardship Task Force and the Maryland MedChi Opioid Task Force. I am an elected Fellow in the American College of Occupational and Environmental Medicine (ACOEM) and the American College of Physicians (ACP). I served two terms on the ACOEM Board of Directors and am the former chair and current member of ACOEM’s Council on Occupational and Environmental Medicine Practice. I am also a member of ACOEM’s Council on Education and Academic Affairs. I am the Course Director and creator of an eight-hour continuing medical education online course for ACOEM, entitled Getting Your Patients Back to Work. I serve as chair of the Johns Hopkins Occupational Medicine Residency Advisory Committee/Program Evaluation Committee. I led the ACOEM committee that developed the 2014 recommendations for clinical competencies in Occupational and Environmental Medicine.
Research/Clinical Keywords
Disability, workers’ compensation, motivational interviewing, vocational rehabilitation, disability risk factors, perceived injustice, pain catastrophizing, opioids, work, occupation, physician communication, return-to-work, online education, e-learning, instructional design.
Highlighted Publications
Cloeren M. The More You Know … PDMP Impact on Prescription Decision Making. iSpringLearn. Multimedia Communication. June 2018. (Accessed 7/26/19: https://ispri.ng/KWDXN )
Cloeren M. Educational Training Modules for Implementing Screening Brief
Interventions and Referral to Treatment (SBIRT) in Patient Care. Maryland MedChi. Multimedia Communication. June 2019. (Accessed 7/26/19: https://beacon360.content.online/xbcs/S1511/catalog/product.xhtml?eid=14229 )
Cloeren M, Colameco S. Chapter 22. Preventing Avoidable Work Disability. In: Weaver M (ed.): American Society of Addiction Medicine Handbook on Pain and Addiction. Section IV: Treating Substance Use Disorders and Addiction in Patients with Co-Occurring Pain. American Society of Addiction Medicine. New York: Oxford University Press, 2018.
Jurisic M, Christian J, Cloeren M, et al. ACOEM Position Statement: The Personal Physician's Role in Helping Patients with Medical Conditions Stay at Work or Return to Work. J Occup Environ Med 2017 59(6): e125-e131. (accessed 7/26/19: https://acoem.org/Guidance-and-Position-Statements/Guidance-and-Position-Statements/The-Personal-Physician-s-Role-in-Helping-Patients-with-Medical-Conditions-Stay-at-Work-or-Return-to )
Drury DL, Adamo P, Cloeren M, et al. Patient Satisfaction Measurement in Occupational and Environmental Medicine Practice. J Occup Environ Med 2018 60(5): e227-e231.
Cloeren M, Adamo P, Blink R, Burress J, Galloway L, Glass L, Martin D, Mueller K, Papanek P, Peplowski B. Defining Documentation Requirements for Coding Quality Care in Workers’ Compensation. J Occup Environ Med December 2016 58(12): 1270-1275. (Accessed 7/26/19: http://www.acoem.org/uploadedFiles/Public_Affairs/Policies_And_Position_Statements/Guidelines/Guidelines/Defining_Documentation_Requirements_for_Coding.19.pdf)
Cloeren M, Gean C, Kesler D, Green-McKenzie J, Taylor M, Upfal M, Hodgson M, Adamo P, Harber P, McLellan R. American College of Occupational and Environmental Medicine’s Occupational and Environmental Medicine Competencies – 2014. J Occup Environ MedMay2014; 6 (5): e22-40.
Awards and Affiliations
2002 Excellence in Federal Career, Rookie of the Year (Professional), Federal Executive Board
2004 Commander’s Award for Civilian Service, Department of the Army
Distinguished service from 14 May 2003 to 13 May 2004, as a Medical Officer and Educator, Directorate of Occupational and Environmental Medicine, U.S. Army Center for Health Promotion and Preventive Medicine (USACHPPM, now the U.S. Army Public Health Command).
2012 US Distance Learning Association Bronze Award for Best Practices in Distance Learning, US Distance Learning Association, Department of VA Learning University and Booz Allen Hamilton. Subject Matter Expert for the case-based course: Department of Defense (DoD) Integrated Disability Evaluation System (IDES) Training Curriculum.
2013 Outstanding Group Achievement Award, American College of Occupational and Environmental Medicine (ACOEM), to recognize the work of committees, councils, sections or other volunteer groups within ACOEM for an outstanding group achievement over the past year, for the Council on OEM Practice, chaired by Dr. Cloeren.
2017 Outstanding Achievement Award, ACOEM, for the Task Force on Documenting Quality Care in Workers’ Compensation, chaired by Dr. Cloeren.
2019 Outstanding Coach Award from Thread (thread.org) for my role as "Grandparent" in the Frederick Douglass High School community. Thread engages underperforming high school students confronting significant barriers outside of the classroom by providing each one with a family of committed volunteers and increased access to community resources.
Grants and Contracts
I recently completed a project funded by the Centers for Disease Control and Prevention (CDC) via the Maryland Department of Health to create a training module about the Maryland Prescription Drug Monitoring Program (PDMP) and evaluate its impact on opioid-prescribing providers’ attitudes and behaviors.
Shortly after my arrival at the School of Medicine, I mobilized a group of internal and external stakeholders and researchers who would be interested in working together to improve work participation among patients receiving MAT for Opioid Use Disorder. Joining forces with Dr. Jodi Jacobson Frey in the School of Social Work, I developed a project plan for “Operation PROSPER – Peer Reintegration and Other Services Promoting Employment in Recovery,” which will be a multiphase project to study the impact of interventions delivered primarily by peer specialists in increasing work participation among MAT patients. In 2019, we were jointly awarded two grants: an Accelerated Translational Incubator Pilot (ATIP) grant from the Institute for Clinical and Translational Research (ICTR) and a University of Maryland Center for Addiction Research, Education, and Service (CARES) Science to Systems pilot grant. These will support phase one of Operation PROSPER, collecting data about the work status, interests and barriers to work among patients receiving MAT at University of Maryland Baltimore treatment centers.
Community Service
Volunteer internal medicine services for uninsured patients at Shepherd’s Clinic, 2014 to present.
“Grandparent” role in Thread, coordinating the efforts of 32 volunteers supporting eight city high school students, since March 2018.
Professional Activity
Professional Organizations
- American College of Occupational and Environmental Medicine (ACOEM)
- 2009-2015 ACOEM Board of Directors. Served as a member of the following committees: Strategic Planning, Finance and Audit, House/Board Liaison Committees, Membership, Opioid Task Force
- 2011-2016 Chair, ACOEM Council on OEM Practice. Led the development of the revised OEM competencies statement published in 2013.
- 2016-present Member ACOEM Council on OEM Practice.
- 2013-2018 Chair, Task Force on Documenting Quality Care in Workers’ Compensation. (See www.betterworkcompcare.org.)
- 2014-Present Member, ACOEM Council on Education and Academic Affairs
- American College of Physicians
- Fellow
- 2017-present Member, Maryland Chapter, Health and Public Policy Committee
- American Society of Addiction Medicine
Links of Interest
Test your knowledge in these interactive games:
Connect with me: https://www.linkedin.com/in/mariannecloeren/
Multimedia Presentations at QuantiaMD (quantiamd.com)
- When Opioids Aren’t Working. August 2013. (Accessed 7/26/19: http://www.quantiamd.com/player/ydwfsxndr)
- Acute Pain and Opioids: Informed Medical Decision Making. December 2014. (Accessed 7/26/19: http://www.quantiamd.com/player/ygzyykfxg)
- Bad Habits and Poor Health: Relationship to Childhood Experiences. February 2015. (Accessed 7/26/19: http://www.quantiamd.com/player/ygngrarqb
- Rethinking the Chronic Opioid Agreement: A Proposal for a New Approach. May 2015. (Accessed 7/26/19: http://www.quantiamd.com/player/yeaeihfny)
- Truth or Consequences: Prescription Drug Monitoring Programs Impact on Prescription Decision Making. October 2015. (Accessed 7/26/19: http://www.quantiamd.com/player/yemjxhqbb)