Terri Fried, MD
Humana Foundation Professor of Medicine (Geriatrics)Cards
Appointments
Additional Titles
Section Chief, Geriatric Medicine
Contact Info
Yale School of Medicine
367 Cedar Street, Harkness A
New Haven, CT 06511
United States
Appointments
Additional Titles
Section Chief, Geriatric Medicine
Contact Info
Yale School of Medicine
367 Cedar Street, Harkness A
New Haven, CT 06511
United States
Appointments
Additional Titles
Section Chief, Geriatric Medicine
Contact Info
Yale School of Medicine
367 Cedar Street, Harkness A
New Haven, CT 06511
United States
About
Titles
Humana Foundation Professor of Medicine (Geriatrics)
Section Chief, Geriatric Medicine
Biography
Dr. Fried completed her medical school education at Harvard and an internship and residency in Primary Care Internal Medicine at Rhode Island Hospital. She did fellowship training in geriatrics, ethics, and clinical effectiveness at Harvard Medical School. She came to the Yale section of geriatrics in 1996 as a clinician investigator, after several years as a clinician-educator at Brown Medical School. Her research interests involve decision-making for older persons with advanced illness and with multiple conditions, with a particular interest in the elucidation of patient preferences.
Appointments
Geriatric Medicine
Section ChiefDualGeriatric Medicine
ProfessorPrimary
Other Departments & Organizations
Education & Training
- Fellow
- Harvard Medical School (1993)
- Resident
- Rhode Island Hospital (1991)
- MD
- Harvard University (1988)
- BA
- Harvard-Radcliffe, Biochemistry (1984)
Research
Overview
Medical Subject Headings (MeSH)
ORCID
0000-0001-8083-8265
Research at a Glance
Yale Co-Authors
Publications Timeline
Research Interests
Joan K Monin, PhD
Mary Tinetti, MD
Andrew Cohen, MD, DPhil
Maria Zenoni, MS
Rupak Datta, MD/PhD, MPH
Shelli Feder, PhD, APRN, FNP (BC), ACHPN
Decision Making
Advance Care Planning
Patient Preference
Publications
2024
An innovative approach to aligning healthcare with what matters most to patients: A hybrid type 1 trial protocol of patient priorities care for older adults with multiple chronic conditions
Naik A, Shanahan M, Dindo L, Mecca M, Arney J, Amspoker A, Wydermyer S, Banks J, Street R, Kiefer L, Zenoni M, Rosen T, Gonzalez R, Catic A, Fried T. An innovative approach to aligning healthcare with what matters most to patients: A hybrid type 1 trial protocol of patient priorities care for older adults with multiple chronic conditions. Contemporary Clinical Trials 2024, 143: 107613. PMID: 38914308, DOI: 10.1016/j.cct.2024.107613.Peer-Reviewed Original ResearchAltmetricConceptsMultiple chronic conditionsHealth priorityOlder adultsCare approachChronic conditionsTreatment burdenPriorities of older adultsPatient-centered care approachPatient Priorities CarePatients' health prioritiesPrimary care providersVeterans Affairs Medical CenterHealth care decisionsAffairs Medical CenterHigh treatment burdenComplexity of patientsRandomized controlled trialsPrimary careUsual carePriority careCare providersImplementation outcomesCare decisionsCare optionsAssessor-blindedAssociation Between Cognitive Trajectories and Subsequent Health Status, Depressive Symptoms, and Mortality Among Older Adults in the United States: Findings From a Nationally Representative Study
Zang E, Zhang Y, Wang Y, Wu B, Fried T, Becher R, Gill T. Association Between Cognitive Trajectories and Subsequent Health Status, Depressive Symptoms, and Mortality Among Older Adults in the United States: Findings From a Nationally Representative Study. The Journals Of Gerontology Series A 2024, 79: glae143. PMID: 38845419, PMCID: PMC11212484, DOI: 10.1093/gerona/glae143.Peer-Reviewed Original ResearchAltmetricConceptsPoor health statusHealth statusDepressive symptomsOlder adultsHealth outcomesCognitive trajectoriesNational Health and Aging Trends StudyScreening of cognitive functionTrajectory groupsCognitive functionHigher depressive symptomsPopulation-based dataAdverse health outcomesNationally representative cohortGroup-based trajectory modelingHigher mortality riskAssociated with higher riskNationally-representative studyLogistic regression modelsTrends StudyRepresentative cohortGlobal cognitionLiving respondentsRegular screeningMortality riskVariation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs
Feder S, Han L, Zhan Y, Abel E, Akgün K, Fried T, Ersek M, Redeker N. Variation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2024, 68: 22-31.e1. PMID: 38561132, PMCID: PMC11168897, DOI: 10.1016/j.jpainsymman.2024.03.022.Peer-Reviewed Original ResearchCitationsConceptsOutpatient specialist palliative careSpecialist palliative careVeterans Affairs Medical CenterPalliative careSpecialist palliative care consultationRandom intercept multilevel logistic regressionDepartment of Veterans AffairsMultilevel logistic regressionAffairs Medical CenterClinical practice guidelinesICD-9/10 codesAdvanced heart failureRetrospective cohort studyVeterans AffairsOutpatient palliativeOutpatient deliveryPractice guidelinesCohort studyLogistic regressionCardiology involvementDelivery characteristicsAssociated factorsMedical CenterIdentified factorsICD-9/10High-Intensity Care for Nursing Home Residents with Severe Dementia Hospitalized at the End of Life: A Mixed Methods Study
Cohen A, McDonald W, O'Leary J, Omer Z, Fried T. High-Intensity Care for Nursing Home Residents with Severe Dementia Hospitalized at the End of Life: A Mixed Methods Study. Journal Of The American Medical Directors Association 2024, 25: 871-875. PMID: 38462230, PMCID: PMC11065599, DOI: 10.1016/j.jamda.2024.02.001.Peer-Reviewed Original ResearchConceptsNursing home residentsHigh-intensity careSevere dementiaMixed methods studyHome residentsIntensive care unit transferVeterans AffairsIntensive care unitMethods studyHealth system-level factorsDepartment of Veterans AffairsMinimum Data SetEnd of lifeSystem-level factorsNon-Hispanic whitesEnd-of-lifeElectronic medical recordsQualitative content analysisNursing homesLiving willsVA hospitalsHigh-intensity treatmentIdentified veteransNursesPatient preferencesPatient Priorities Care Increases Long-Term Service and Support Use: Propensity Match Cohort Study
Samper-Ternent R, Razjouyan J, Dindo L, Halaszynski J, Silva J, Fried T, Naik A. Patient Priorities Care Increases Long-Term Service and Support Use: Propensity Match Cohort Study. Journal Of The American Medical Directors Association 2024, 25: 751-756. PMID: 38320742, PMCID: PMC11137700, DOI: 10.1016/j.jamda.2023.12.014.Peer-Reviewed Original ResearchAltmetricConceptsPatient Priorities CareLTSS useUsual care groupVeterans Health AdministrationHealth priorityEmergency departmentCare groupElectronic medical record notesUrgent care usePropensity-matched veteransSocial workersUrgent care visitsMedical record notesQuasi-experimental studyEvidence-based approachCare visitsCare usePriority carePatient prioritiesIntervention groupPropensity-matched controlsUrgent careCare increasesAssociated with higher EDHealth AdministrationDiagnostic uncertainty and decision‐making in home‐based primary care: A qualitative study of antibiotic prescribing
Datta R, Kiwak E, Fried T, Benjamin A, Iannone L, Krein S, Carter W, Cohen A. Diagnostic uncertainty and decision‐making in home‐based primary care: A qualitative study of antibiotic prescribing. Journal Of The American Geriatrics Society 2024, 72: 1468-1475. PMID: 38241465, PMCID: PMC11090732, DOI: 10.1111/jgs.18778.Peer-Reviewed Original ResearchAltmetricConceptsHome-based primary carePrimary carePromote antibiotic stewardshipHome-based primary care programAntibiotic decision-makingPrimary care programsHome care settingPerspectives of cliniciansConstant comparative methodSemi-structured interviewsDeliver medical careHomebound patientsCare settingsCare programDiagnostic uncertaintyYears of experienceTheoretical saturationMedical careQualitative studyDecision-makingAntibiotic prescribingCareGrounded theoryAntibiotic stewardshipPrescribing“How can I be a caregiver for a second time?” A call to action to acknowledge and support experienced family caregivers
Mroz E, Fried T, Monin J. “How can I be a caregiver for a second time?” A call to action to acknowledge and support experienced family caregivers. Journal Of The American Geriatrics Society 2024, 72: 971-975. PMID: 38206857, PMCID: PMC10947907, DOI: 10.1111/jgs.18740.Peer-Reviewed Original ResearchAltmetricConcepts
2023
Development of the COMET tool: Caregiver‐reported Outcome Measure for Emergency care Transitions
Gettel C, Galske J, Uzamere I, Serina P, Hernandez‐Bigos K, Mane S, Chen K, Ottilie‐Kovelman S, Sandoval J, Venkatesh A, Cohen A, Monin J, Fried T, Hwang U. Development of the COMET tool: Caregiver‐reported Outcome Measure for Emergency care Transitions. Alzheimer's & Dementia 2023, 19 DOI: 10.1002/alz.074213.Peer-Reviewed Original ResearchConceptsCare transitionsOutcome measuresCare partnersED discharge processPhase 3Results Phase 1Phase 2Health care systemPhase 1Candidate itemsAcute illnessED encountersEmergency departmentCare considerationsPhase 4Outcome assessmentConclusion DevelopmentScreening toolCare systemResearch team membersContent validityPoor communicationEDMultidisciplinary stakeholdersDelphi approachPREPARING “EXPERIENCED” CAREGIVERS FOR FUTURE CARE: PERSPECTIVES FROM FORMER CAREGIVERS OF PARENTS WITH DEMENTIA
Mroz E, Piechota A, Ali T, Matta-Singh T, Abboud A, Sharma S, Fried T, Monin J. PREPARING “EXPERIENCED” CAREGIVERS FOR FUTURE CARE: PERSPECTIVES FROM FORMER CAREGIVERS OF PARENTS WITH DEMENTIA. Innovation In Aging 2023, 7: 414-415. PMCID: PMC10735791, DOI: 10.1093/geroni/igad104.1370.Peer-Reviewed Original ResearchConceptsFormer caregiversCaregiving roleNegative psychological consequencesPast experienceConsensual qualitative researchAdult child caregiversCare partnersPsychological consequencesDiminished senseDiminished confidencePositive senseNegative consequencesPersonal narrativesCaregiversParentsQualitative studyCumulative advantageConfidenceDementiaExperienceQualitative researchSkillsCare rolesTheory techniquesAdulthoodHOW DO FORMER DEMENTIA CAREGIVERS STRUCTURE HIGH- AND LOW-POINT NARRATIVES?
Matta-Singh T, Sharma S, Ali T, Piechota A, Abboud A, Fried T, Monin J, Mroz E. HOW DO FORMER DEMENTIA CAREGIVERS STRUCTURE HIGH- AND LOW-POINT NARRATIVES? Innovation In Aging 2023, 7: 342-342. PMCID: PMC10735917, DOI: 10.1093/geroni/igad104.1140.Peer-Reviewed Original Research
Academic Achievements and Community Involvement
honor Mason F. Lord Lecture and Visiting Professor
National AwardJohns Hopkins School of MedicineDetails10/01/2016United Stateshonor VISN 1 Geriatric and Extended Care Service Line Award
Regional AwardDepartment of Veterans AffairsDetails02/01/2016United Stateshonor Faulkner Visiting Professor
National AwardBoston Medical CenterDetails04/08/2011United Stateshonor Julien Davis Memorial Lecture
National AwardThe Jewish Home, San Franciso, CA and UCSFDetails01/01/2009United Statesactivity NCQA
CommitteesMemberDetailsMember, Vulnerable Elder Technical Expert panel2007 - 2007
Clinical Care
Overview
Terri Fried, MD, is a geriatrician who advocates for more straightforward decision-making about treatment plans for her patients. She believes her work with older patients encompasses three pillars in medicine: clinical work, education, and research.
Much of Dr. Fried’s research focuses on improving the quality of treatment for her vulnerable older patients by pushing for more transparent communication of their preferences. She’s also interested in end-of-life planning. As chief of Geriatric Medicine, she works to create an environment in which all clinicians are supported to do their best work in caring for older persons.
Dr. Fried has received numerous awards, including the Mason F. Lord Lecture and Visiting Professor from Johns Hopkins University School of Medicine, the VISN 1 Geriatric and Extended Care Service Line Award from the Department of Veterans Affairs, and the Outstanding Scientific Achievement for Clinical Investigation Award from the American Geriatrics Society.
Dr. Fried is a Humana Foundation Professor of Medicine (Geriatrics) at Yale School of Medicine.
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News
- July 10, 2024
Iscoe Receives YCCI Scholar Award for AI Research on Drug Reactions
- June 27, 2024
Delivery of High-Intensity Care to Nursing Home Residents with Dementia
- September 05, 2023
Yale Older Adult Research Center Receives Renewed Funding
- July 17, 2023
Lynne Iannone, Research Associate in Geriatrics, Retires
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Contacts
Yale School of Medicine
367 Cedar Street, Harkness A
New Haven, CT 06511
United States
Administrative Support
Locations
E.S. Harkness Memorial Hall
Lab
367 Cedar Street
New Haven, CT 06510
Patient Care Locations
Are You a Patient? View this doctor's clinical profile on the Yale Medicine website for information about the services we offer and making an appointment.