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Brownsyne Tucker Edmonds, MD, MS, MPH

15644066968_fxPjM1.jpgBrownsyne Tucker Edmonds, MD, MS, MPH

Assistant Professor of Obstetrics and Gynecology

Clinical Section: General Obstetrics and Gynecology

Fellowship: Robert Wood Johnson Foundation Clinical Scholar
University of Pennsylvania, 2011

Graduate: M.S., University of Pennsylvania, 2011
M.P.H., Harvard School of Public Health, 2005

Residency: Duke University, 2009

MD: Brown University, 2005

Undergraduate: A.B., Brown University, 2000

E-mail: btuckere@iupui.edu

Pub Med: http://www.ncbi.nlm.nih.gov/pubmed/?term=Tucker+Edmonds+B

 

IU Research Connect: http://www.experts.scival.com/indiana/default.asp

Research Interests:

Dr. Tucker Edmonds' research interests are in patient-provider communication and shared decision-making in the setting of uncertainty. More specifically, she is interested in understanding the impact of race, class and culture on patient preferences and risk perceptions; physician decision-making and counseling; and ultimately, variations in treatment provision and service delivery.

Though she is broadly interested in developing decision support interventions to facilitate shared decision-making across a range of obstetrical and gynecological treatment decisions, Dr Tucker Edmonds’ work is primarily focused on periviable (extremely premature) delivery management, where end-of-life decision-making occurs at the beginning of life. She aims to develop interventions that help physicians engage, support, and assist patients in delivery room resuscitation and labor management decisions. She is particularly interested in tailoring decision support to the needs of low-literacy and low-numeracy populations, who disproportionately bear the burden of extremely preterm birth.

To date, Dr Tucker Edmonds has utilized a variety of qualitative and quantitative methodologies to elucidate factors effecting the quality and consistency of obstetricians’ and neonatologists communication and decision-making for periviable deliveries. These include a retrospective cohort study that documented racial differences in neonatal intubation; an interview study examining obstetricians’ perspectives on counseling and managing patients faced with periviable delivery; a conjoint analysis to determine the relative influence of parental resuscitation preferences on obstetricians’ management planning; a national physician survey on periviable practice patterns; and, most recently, a simulation-based mixed methods study that assessed the effect of patient race and insurer on shared decision-making behavior among obstetricians and neonatologists who were taped counseling standardized patients portraying women with ruptured membranes at 23 weeks gestation. Collectively, these studies have identified substantial deficits in risk communication, values clarification, goals of care discussion and preference elicitation in periviable counseling sessions.

Dr Tucker Edmonds’ other academic interests include health disparities, humanism in medicine, women’s health advocacy, and clinical ethics. Other content areas that interest Dr Tucker Edmonds are vaginal birth after cesarean section, contraceptive counseling and decision-making, delivering bad news, and informed consent. Dr. Tucker Edmonds's long-term goal is to improve the equity and quality of care provided to underserved populations of women by improving the quality of communication they receive in the clinical encounter. Ultimately, she intends to develop interventions and curricula to support and educate physicians in providing more effective, equitable, and culturally appropriate counseling and care.

Indiana University School of Medicine
Department of Obstetrics and Gynecology
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obgyniu@iupui.edu

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