Carla S Alexander
 

Carla S Alexander M.D.
Academic Title: Assistant Professor
Primary Appointment: Medicine
Secondary Appointments: Institute of Human Virology
Additional Title(s): Director of Palliative Care for IHV Clinical Programs
calexand@medicine.umaryland.edu
Location: UMMC Greene Street Building Suite 300
Phone: (410) 328-5725
Fax: (410) 328-4430
Lab: Institute of Human Virology

Personal History

Dr. Alexander has been caring for people with HIV/AIDS since the beginning of the epidemic. She is an internationally recognized expert in the area of Palliative and End-of-Life Care. Board certified and a Fellow of the AAHPM, she has practiced hospice and palliative care since 1986 and is a founding member of the American Academy of Hospice and Palliative Medicine(AAHPM), serving as President in 2000. She has taught elements of Palliative and End-of-Life care related to HIV/AIDS throughout the United States, Canada, Africa, Eastern and Western Europe, Ukraine and Asia.

 

Dr. Alexander joined the IHV in 1997 as an Assistant Professor of Medicine and Director of Palliative Care. Previously, she was Director of Clinical Affairs for Chase Brexton Health Services, Inc., a community-based facility that provided primary care for persons with HIV/AIDS. She currently serves as the International Medical Director of the National Hospice and Palliative Care Organization and participates in mentoring activities with the African Palliative Care Association (APCA). Her work in that area includes monitoring and evaluation of palliative care services in Africa and advocacy for provision of appropriate medications for expert palliative care.

 

Dr. Alexander serves as Senior Technical Advisor in Haiti and Rwanda where she teaches management of HIV/AIDS and the integration of palliative care through the AIDSRelief Consortium funded by the President’s Emergency Plan for AIDS Relief  (PEPFAR).

 

She has authored or edited many publications including chapters on palliative care in A Guide to the Clinical Care of Women with HIV, A Clinical Guide to Supportive and Palliative Care in HIV/AIDS, A Guide to Primary Care of People with HIV/AIDS 2004 ed,and Clinical Challenges in HIV/AIDS.. She was a Primary Author Co-Chair of the working group for a Promoting Excellence in End-of-Life Care project entitled Integrating Palliative Care into the Continuum of HIV Care: an agenda for change/ Recommendations to the Field. She is the recipient of numerous honors/awards including the Lifesongs (Community Fundraiser for HIV Services) First Humanitarian Award in Baltimore, Md.

Publications

1.         Alexander CS. Terminal Care: Where Does It Fit In Oncology? Md Med J-1989; 38(3):211.
2.         Ross D, O'Mara A, Pickens N, Keay T, Timmel D, Alexander CS, Hawtin C, O'Brien III W, Schnaper D, Hospice and Palliative Care Education in Medical School: A Module on the Role of the Physician in End-of-Life Care. J Cancer Educ 1997; 12(2):152-156.
3.         Ross D, Keay T, Timmel D, Alexander CS, Dignon C, O'Mara A, O'Brian III W., Required Training in Hospice and Palliative Care at the University of Maryland School of Medicine. J Cancer Educ 1999; 14(3).
4.         Ross D., Alexander CS, Management of Common symptoms in Terminally Ill Patients: Part I. Fatigue, Anorexia, Cachexia, Nausea and Vomiting. Amer Fam Physician 2001; 64(5): 807-814.
5.         Ross D, Alexander CS, Management of Common Symptoms in Terminally Ill
Patients: Part II. Constipation, Delirium, Dyspnea. Amer Fam Physician 2001; 64(6):1019-1026.
6.         Keay T, Alexander CS, McNally K, Crusser E, Eger R, Hawtin C, Lowitt NR, Ross D., Adult Education Program Palliative Care for Nursing Facility Physicians: Design and Pilot Test. J of Pall Med (Winter) 2003; 3(4): 457-463.
7.         Keay T, Alexander CS, McNally K, Crusser E, Eger R, Nursing Home Physician Educational Intervention Improves End-of-Life Outcomes. J Pall Med (Spring) 2003; 6(2): 205-213.
8.         Karus D., Raveis V., Marconi K., Hanna B., Selwyn P., Alexander C., Perrone M., Higginson I., Service Needs of Patients with Advanced HIV Disease: A Comparison of Client and Staff Reports at Three Palliative Care Projects. AIDS Patient Care and STDs 2004; 18 (3): 145-158.
9.         Karus D, Raveis VH, Marconi K, Selwyn P, Alexander C, Hanna B, Higginson I, Mental Health Status of Clients From Three HIV/AIDS Palliative Care Projects. Palliative and Supportive Care; (2004); 2, 125-138.
10         Ross DD, Shpritz D, Alexander CS, Carter K, et al. Development of Required Postgraduate Palliative Care Training for Internal Medicine Residents and Medical Oncology Fellows. J Cancer Educ 2004; 19:81-87.
11.        Bedor M, Alexander C, Edelman Martin. Management of Common Symptoms of Advanced Lung Cancer. Current Treatment Options in Oncology 2005; 6(1): 61-68.
12.        Emanual L, Alexander CS, Arnold R, Bernstein R, Dar R, Dellasantina R, Dykstra L, and Tulsky J. Integrating Palliative Care into Disease Management Guidelines, Palliative Care Guidelines Group Report. J Pall Med 2004;7(6):774-83.
13.        Alexander C., Mulasi I. Little Boy Blue. Palliative and Supportive Care (2004). 2(3): 329-331.
 
 
II. Book Chapters and Reviews 
1.         O’Neill J and Alexander CS. Palliative Medicine and HIV/ AIDS, Primary Care Clinics in Office Practice, Sept. 1997;24(3):607-615.
2.         Standards and Accreditation Committee/Medical Guidelines Task Force. Medical Guidelines for Determining Prognosis in Selected Non-Cancer Diagnoses, Second Ed. National Hospice Organization, Washington, DC, 1996 (Sections on Renal and HIV Diseases).
3.         Alexander CS. Pain Management in HIV Disease. (Guest Editor) Academy Update, Vol. 6:1 (Spring), 1996.
4.              Kosko DA, Alexander CS, Benker K., Hughes V. "HIV/AIDS",Primary Care, ed. Singleton JK, et al.    
             Lippincott, Philadelphia, 1999;(41):453-479.
5.         Carducci MA, Blacker SE, Perrone ME, Alexander CS. Update:Palliative Care in Oncology Practice Clinical Oncology, ed. Abeloff, Armitage, Lichter, and Niederhuber. Harcourt Brace & Company, Philadelphia, PA, 1999;2(1):1-12.
6.         Alexander CS, Hoy, AM. "Palliative Care in the Age of HIV/AIDS Recommendations for Action Workgroup 3: Education" J R Soc Med 2001;94:477-478.
7.         Alexander CS, “Palliative and End-of-Life Care” in A Guide to the Clinical Care of Women with HIV, ed. Anderson J. Health Resources and Services Administration, HIV/AIDS Bureau, Rockville, MD, 2000 Preliminary Edition;(XII);2001 Edition(XII).
8.             Alexander CS, Back A, Perrone M. “Medical Care at the End of LIfe“ in A Clinical Guide to Supportive and Palliative Care in HIV/AIDS, O’Neill JR, Selwyn P, Schietinger, eds. HRSA, Rockville, MD. 2003.
9.             Alexander CS, Schietinger, H. “Special Populations” in A Clinical Guide to Supportive and Palliative Care in HIV/AIDS, O’Neill JR, Selwyn P, Schietinger, eds. HRSA, Rockville, MD. 2003.
10.        Reiter G., Alexander, CS, Unipac 7:The Hospice/Palliative Medicine Approach to Caring for Patients with HIV/AIDS, ed. P. Storey P, Knight C., AAHPM, 2003.
11.        Alexander CS, Back A, Anderson J, Breener P, Burack J, Byock I, Curtis JR, Feinberg J, Forstein M, Gibbons P, Hutton N, Kutzen H, Meyers F, Miller G, Perrone M, Powell T, Reiter G, Selwyn P, Sunderland Rev. E, Integrating Palliative Care into the Continuum of HIV Care An Agenda for Change, Promoting Excellence in End-of-Life Care a national program of the Robert Wood Johnson Foundation, April 2004.
12.        Alexander, CS and Carter, KR, “Palliative and End-of-Life Care” in A Guide to Primary Care for People with HIV/AIDS, Cheever LW and Schietinger H. eds. HRSA, Rockville, MD. 2004.



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