National Heart, Lung, and Blood Institute program in
Acute Lung Injury
Specialized Centers of Clinically Oriented Research (ALI SCCOR)

PROFESSIONAL EXPERIENCE:

1985                       National Endowment for the Humanities Fellow, Kennedy Institute of Ethics, Washington DC
1987 - 1990             Resident, Internal Medicine, Duke University, Durham NC
1990                       Assistant Chief Medical Resident, Duke University, Durham NC
1991 - 1993             Fellow, Pulmonary and Critical Care Medicine, University of Washington, Seattle WA
1993 - 1995             Robert Wood Johnson Clinical Scholar, University of California, San Francisco CA
1994 - 1995             Clinical Instructor, University of California, San Francisco CA
1995 - 1996             Acting Instructor, University of Washington, Seattle WA
1997 - 2003             Assistant Professor, University of Washington, Seattle WA
2003-                      Associate Professor, University of Washington, Seattle WA

 HONORS:

1983     Cum laude, Johns Hopkins University
1987         Hobart Amory Hare Medical Honor Society
2002     Fellow, College of Chest Physicians
2003     American Association for Respiratory Care Donald F Egan Award

SPECIAL RESPONSIBILITIES and EDITORIAL BOARDS: American Thoracic Society Critical Care Long Range Planning, Bioethics, and Health Care Policy Committees.  Statistical Consultant Respiratory Care (1997).  Co-chairman American Thoracic Society Workshop on Outcomes Research in Critical Care (1997). Director, King County Lung Injury Project (KCLIP), Co-chairman National Heart, Lung, and Blood Institute workshop Research Opportunities in the Clinical Epidemiology of Lung Injury and Critical Illness (2000). Editorial boards: Respiratory Care (Statistical Reviewer), Journal of Critical Care (Associate Editor) Critical Care Alerts (Associate Editor), Critical Care Forum (Associate Editor)

Selected Research Bibliography

*Rubenfeld GD, Crawford SW. Withdrawing life support from mechanically ventilated recipients of bone marrow transplants: a case for evidence-based guidelines. Ann Intern Med. 1996;125(8):625-33.
*Seifer SD, Troupin B, Rubenfeld GD. Changes in marketplace demand for physicians: a study of medical journal recruitment advertisements. JAMA. 1996;276(9):695-9.
Madtes DK, Rubenfeld G, Klima LD, Milberg JA, Steinberg KP, Martin TR, Raghu G, Hudson LD, Clark JG. Elevated transforming growth factor-alpha levels in bronchoalveolar lavage fluid of patients with acute respiratory distress syndrome. Am J Respir Crit Care Med. 1998;158(2):424-30.
Curtis JR, Bennett CL, Horner RD, Rubenfeld GD, DeHovitz JA, Weinstein RA. Variations in intensive care unit utilization for patients with human immunodeficiency virus-related Pneumocystis carinii pneumonia: importance of hospital characteristics and geographic location. Critical Care Medicine. 1998;26(4):668-75.
*Rubenfeld GD, Caldwell E, Granton J, Hudson LD, Matthay MA. Interobserver variability in applying a radiographic definition for ARDS. Chest. 1999;116(5):1347-53.
Rubenfeld GD, Angus DC, Pinsky MR, Curtis JR, Connors AF, Jr., Bernard GR. Outcomes research in critical care: results of the American Thoracic Society Critical Care Assembly Workshop on Outcomes Research. The Members of the Outcomes Research Workshop. Am J Respir Crit Care Med. 1999;160(1):358-67.
*Davidson TA, Rubenfeld GD, Caldwell ES, Hudson LD, Steinberg KP. The effect of acute respiratory distress syndrome on long-term survival. Am J Respir Crit Care Med. 1999;160(6):1838-42.
*Coplin WM, Pierson DJ, Cooley KD, Newell DW, Rubenfeld GD. Implications of extubation delay in brain-injured patients meeting standard weaning criteria. Am J Respir Crit Care Med. 2000;161(5):1530-6.
Rubenfeld GD, Randall Curtis J. End-of-life care in the intensive care unit: a research agenda. Crit Care Med. 2001;29(10):2001-6.
Park DR, Sherbin VL, Goodman MS, Pacifico AD, Rubenfeld GD, Polissar NL, Root RK. The etiology of community-acquired pneumonia at an urban public hospital: influence of human immunodeficiency virus infection and initial severity of illness. J Infect Dis. 2001;184(3):268-77.
Curtis JR, Patrick DL, Shannon SE, Treece PD, Engelberg RA, Rubenfeld GD. The family conference as a focus to improve communication about end-of- life care in the intensive care unit: opportunities for improvement. Crit Care Med. 2001;29(2 Suppl):N26-33.
Goss CH, Otto K, Aitken ML, Rubenfeld GD. Detecting Stenotrophomonas maltophilia does not reduce survival of patients with cystic fibrosis. Am J Respir Crit Care Med. 2002;166(3):356-361.
Luce JM, Rubenfeld GD. Can health care costs be reduced by limiting intensive care at the end of life? Am J Respir Crit Care Med. 2002;165(6):750-4.
Angus DC, Rubenfeld GD, Roberts MS, Curtis JR, Connors AE, Pinsky MR. Understanding Costs and Cost-Effectiveness in the ICU. Am J Respir Crit Care Med 2002; 165 (4): 540-550
Curtis JR, Engelberg RA, Wenrich MD, Nielsen EL, Shannon SE, Treece PD, Tonelli MR, Patrick DL, Robins LS, McGrath BB, Rubenfeld GD. Studying communication about end-of-life care during the ICU family conference: development of a framework. J Crit Care. 2002;17(3):147-160.
*Goss CH, Brower RG, Hudson LD, Rubenfeld GD. Incidence of acute lung injury in the United States. Crit Care Med. Jun 2003;31(6):1607-1611.
Johnston CJ, Rubenfeld GD, Hudson LD. Effect of age on the development of ARDS in trauma patients. Chest. Aug 2003;124(2):653-659.
Akhtar SR, Weaver J, Pierson DJ, Rubenfeld GD. Practice variation in respiratory therapy documentation during mechanical ventilation. Chest. Dec 2003;124(6):2275-2282.
Goss CH, Rubenfeld GD, Park DR, Sherbin VL, Goodman MS, Root RK. Cost and incidence of social comorbidities in low-risk patients with community-acquired pneumonia admitted to a public hospital. Chest. Dec 2003;124(6):2148-2155.
Goss CH, Rubenfeld GD, Otto K, Aitken ML. The effect of pregnancy on survival in women with cystic fibrosis. Chest. Oct 2003;124(4):1460-1468.
Treggiari MM, Hudson LD, Martin DP, Weiss NS, Caldwell E, Rubenfeld GD. Effect of acute lung injury and acute respiratory distress syndrome on outcome in critically ill trauma patients. Crit Care Med. Feb 2004;32(2):327-331.
Treece PD, Engelberg RA, Crowley L, Chan JD, Rubenfeld GD, Steinberg KP, et al. Evaluation of a standardized order form for the withdrawal of life support in the intensive care unit. Crit Care Med. May 2004;32(5):1141-1148..
*Rubenfeld GD, Cooper C, Carter G, Thompson BT, Hudson LD. Barriers to providing lung-protective ventilation to patients with acute lung injury. Crit Care Med. Jun 2004;32(6):1289-1293.
Angus DC, Barnato AE, Linde-Zwirble WT, Weissfeld LA, Watson RS, Rickert T, Rubenfeld GD. Use of intensive care at the end of life in the United States: an epidemiologic study. Crit Care Med. Mar 2004;32(3):638-643..
Kempainen RR, McKone EF, Rubenfeld GD, Scott CS, Tonelli MR. Comparison of scholarly productivity of general and subspecialty clinician-educators in internal medicine. Teach Learn Med. Fall 2004;16(4):323-328.
Goss CH, Mayer-Hamblett N, Aitken ML, Rubenfeld GD, Ramsey BW. Association between Stenotrophomonas maltophilia and lung function in cystic fibrosis. Thorax. Nov 2004;59(11):955-959.
Wongsurakiat P, Pierson DJ, Rubenfeld GD. Changing pattern of ventilator settings in patients without acute lung injury: changes over 11 years in a single institution. Chest. Oct 2004;126(4):1281-1291.
Chan JD, Treece PD, Engelberg RA, Crowley L, Rubenfeld GD, Steinberg KP, et al. Narcotic and benzodiazepine use after withdrawal of life support: association with time to death? Chest. Jul 2004;126(1):286-293.
McDonagh JR, Elliott TB, Engelberg RA, Treece PD, Shannon SE, Rubenfeld GD, Patrick DL, Curtis JR. Family satisfaction with family conferences about end-of-life care in the intensive care unit: increased proportion of family speech is associated with increased satisfaction. Crit Care Med. Jul 2004;32(7):1484-1488..
Treece PD, Engelberg RA, Crowley L, Chan JD, Rubenfeld GD, Steinberg KP, Curtis JR. Evaluation of a standardized order form for the withdrawal of life support in the intensive care unit. Crit Care Med. May 2004;32(5):1141-1148.
Kahn JM, Andersson L, Karir V, Polissar NL, Neff MJ, Rubenfeld GD. Low tidal volume ventilation does not increase sedation use in patients with acute lung injury. Crit Care Med. Apr 2005;33(4):766-771.
Hough CL, Kallet RH, Ranieri VM, Rubenfeld GD, Luce JM, Hudson LD. Intrinsic positive end-expiratory pressure in Acute Respiratory Distress Syndrome (ARDS) Network subjects. Crit Care Med. Mar 2005;33(3):527-532.
Kempainen RR, McKone EF, Rubenfeld GD, Scott CS, Tonelli MR. Publications and extramural activities of general internal medicine and medicine subspecialty clinician-educators: a multicenter study. Acad Med. Mar 2005;80(3):238-243.
Curtis JR, Engelberg RA, Wenrich MD, Shannon SE, Treece PD, Rubenfeld GD. Missed Opportunities during Family Conferences about End-of-Life Care in the Intensive Care Unit. Am J Respir Crit Care Med. Apr 15 2005;171(8):844-849.
Levy MM, Baylor MS, Bernard GR, et al. Clinical issues and research in respiratory failure from severe acute respiratory syndrome. Am J Respir Crit Care Med. Mar 1 2005;171(5):518-526.
Kempainen RR, McKone EF, Rubenfeld GD, Scott CS, Tonelli MR. Comparison of scholarly productivity of general and subspecialty clinician-educators in internal medicine. Teach Learn Med. Fall 2004;16(4):323-328.
Goss CH, Mayer-Hamblett N, Aitken ML, Rubenfeld GD, Ramsey BW. Association between Stenotrophomonas maltophilia and lung function in cystic fibrosis. Thorax. Nov 2004;59(11):955-959.
Stapleton RD, Wang BM, Hudson LD, Rubenfeld GD, Caldwell ES, Steinberg KP. Causes and timing of death in patients with ARDS. Chest. Aug 2005;128(2):525-532.
Books
Curtis JR, Rubenfeld GD, eds. Managing Death in the ICU:The Transition from Cure to Comfort. New York: Oxford University Press; 2000.
Invited Editorials and Reviews
Dunn PM, Gallagher TH, Hodges MO, Prendergast TJ, Rubenfeld GD, Tolle SW, Lo B. Medical ethics: an annotated bibliography. Ann Intern Med. 1994;121(8):627-32
Curtis JR, Rubenfeld GD. Aggressive medical care at the end of life: Does capitated reimbursement encourage the right care for the wrong reason? JAMA. 1997;278:1025-6.
Curtis J, Rubenfeld GD, Hudson L. Training pulmonary and critical care physicians in outcomes research . Should we take the challenge? Am J Respir Crit Care Med. 1998;157:1012-1015.
Rubenfeld GD. Cost-effectiveness considerations in critical care. New Horizons. 1998;6(1):33-40.
Rubenfeld GD. Workforce and organizational change: Implications for cost containment. Seminars in Resp Crit Care Med. 1999;20(3):245-51.
Rubenfeld GD, Curtis JR. Palliative respiratory care. Respir Care. 2000;45(11):1318-1319.
Neff MJ, Rubenfeld GD. Clinical epidemiology of acute lung injury. Seminars in Resp Crit Care Med. 2001;22:237-46.
Rubenfeld GD. Understanding why we agree on the evidence but disagree on the medicine. Respir Care. 2001;46(12):1442-1449..
Marini JJ, and Rubenfeld GD. The use of prone positioning in the management of patients with acute respiratory distress syndrome. Crit Care. 2002  6(1):15-7.
Hubmayr RD, Burchardi H, Elliot M, Fessler H, Georgopoulos D, Jubran A, Limper A, Pesenti A, Rubenfeld G, Stewart T, Villar J. Statement of the 4th International Consensus Conference in Critical Care on ICU-Acquired Pneumonia--Chicago, Illinois, May 2002. Intensive Care Med. Nov 2002;28(11):1521-1536.
Keenan SP, Carlet J, Curtis R, Pinsky M, Rubenfeld G, Vincent JL. Health services research rounds: patient-centered outcomes. J Crit Care. 2002;17(4):221-234.
Rubenfeld GD, Curtis JR. Beyond ethical dilemmas: improving the quality of end-of-life care in the intensive care unit. Crit Care. 2003;7(1):11-12.
Hubmayr RD, Burchardi H, Elliot M, et al. Statement of the 4th International Consensus Conference in Critical Care on ICU-Acquired Pneumonia--Chicago, Illinois, May 2002. Intensive Care Med. 2002;28(11):1521-1536.
Brower RG, Rubenfeld GD. Lung-protective ventilation strategies in acute lung injury. Crit Care Med. 2003;31(4):S312-316.
Rubenfeld GD. Epidemiology of acute lung injury. Crit Care Med. 2003;31(4):S276-284.
Rubenfeld GD, Curtis JR. Improving care for patients dying in the intensive care unit. Clin Chest Med. Dec 2003;24(4):763-773.
Rubenfeld GD, Curtis JR. Health status after critical illness: beyond descriptive studies. Intensive Care Med. Oct 2003;29(10):1626-1627.
Rubenfeld GD. Is SARS just ARDS? JAMAf. Jul 16 2003;290(3):397-399.
Rubenfeld GD. Epidemiology of acute lung injury. Crit Care Med. Apr 2003;31(4 Suppl):S276-284.
Rubenfeld GD, Curtis JR. Beyond ethical dilemmas: improving the quality of end-of-life care in the intensive care unit. Crit Care. Feb 2003;7(1):11-12.
Marshall JC, Vincent JL, Fink MP, Cook DJ, Rubenfeld G, Foster D, Fisher CJ, Jr., Faist E, Reinhart K. Measures, markers, and mediators: toward a staging system for clinical sepsis. A report of the Fifth Toronto Sepsis Roundtable, Toronto, Ontario, Canada, October 25-26, 2000. Crit Care Med. May 2003;31(5):1560-1567.
Rubenfeld GD, Curtis JR. Improving care for patients dying in the intensive care unit. Clin Chest Med. Dec 2003;24(4):763-773..
Rubenfeld GD, Christie JD. The epidemiologist in the intensive care unit. Intensive Care Med. Jan 2004;30(1):4-6.
Rubenfeld GD. Implementing effective ventilator practice at the bedside. Current Opinion in Critical Care. 2004;10(1):33-39.
Rubenfeld GD. Principles and practice of withdrawing life-sustaining treatments. Crit Care Clin. Jul 2004;20(3):435-451, ix.
Levy MM, Baylor MS, Bernard GR, Fowler R, Franks TJ, Hayden FG, Helfand R, Lapinsky SE, Martin TR, Niederman MS, Rubenfeld GD, Stewart TE, Styrt BA, Thompson BT, Harabin AL. Clinical Issues and Research in Respiratory Failure from Severe Acute Respiratory Syndrome. Am J Respir Crit Care Med. Dec 10 2004.
Rubenfeld GD. Using computerized medical databases to measure and to improve the quality of intensive care. J Crit Care. Dec 2004;19(4):248-256.
Okamoto VN, Rubenfeld GD. Attending to the lightness of numbers: toward the understanding of critical care epidemiology. Crit Care. Dec 2004;8(6):422-424.
Rubenfeld GD. Surveys: an introduction. Respir Care. Oct 2004;49(10):1181-1185.
Other publications and book chapters
Rubenfeld GD. Study design in the evaluation of  monitoring devices. In: Tobin MJ, ed. Principles and practice of intensive care monitoring. New York: McGraw-Hill Health Professions Division; 1998
Rubenfeld GD. The structure of intensive care. In: Sibbald WJ, Bion JF, eds. Evaluating Critical Care: Using Health Services Research to Improve Quality. Berlin: Springer; 2000.
Rubenfeld GD. A 67-year-old man with respiratory failure and a living will. In: Heffner JE, Sahn SA, eds. Internal Medicine Pearls. Philadelphia: Hanley & Belfus; 2000.
Rubenfeld GD. Surrogate measures of patient-centered outcomes in critical care. In: Angus DC, Carlet J, eds. Surviving Intensive Care. Berlin: Springer-Verlag; 2002.
Rubenfeld GD, Neff MJ. Epidemiology of acute lung injury: a public health perspective. In: Matthay, M, eds. Pulmonary Edema. Marcel Dekker Lung Biology In Health And Disease.  New York; 2003.
Rubenfeld GD. Understanding and changing the practice of mechanical ventilation in the community. In: Slutsky AS, Brochard L, eds. Mechanical ventilation.  Update in intensive care and emergency medicine. Berlin ; New York: Springer; 2004.
Rubenfeld GD. Severity of Illness Measures. In: Albert RK, Slutsky AS, Ranieri M, Takala J, Torres A, eds. Clinical Critical Care Medicine. Philadelphia, PA: Elsevier, 2005.

Research support

See current support documentation