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Ronald Epstein

TitleProfessor
InstitutionSchool of Medicine and Dentistry
DepartmentFamily Medicine
AddressFamily Medicine Research Programs
1381 South Avenue
Rochester NY 14620
Other Positions
TitleProfessor
InstitutionSchool of Medicine and Dentistry
DepartmentPsychiatry
DivisionPsychiatry - Family/Marriage

TitleProfessor
InstitutionUniversity of Rochester Medical Center
DepartmentCancer Center

 
 Awards And Honors
1989     Best Workshop  | STFM Northeast Regional Meeting
1991     Volunteer of the Year Award  | Volunteers of America
1994 - 1998Robert Wood Johnson Foundation and Generalist Physician Faculty Scholar
1995 - 1998George L. Engel and John Romano Dean's Teaching Scholar  | URSMD
1997 - 1998Fulbright Senior Lecturers Award  | Institute for Health Studies
1998 - 2013"Best Doctor in America"  | America's Best Doctors
2003     Pfizer-American Academy of Family Physicians Foundation Visiting Professorship
2003     Visiting Lectureship on Doctor-Patient Relationship  | Koppaka Family Foundation
2004     Humanism in Medicine Award  | Association of American Medical Colleges nominee
2004     Fulbright Senior Scholar Award in Public/Global Health  | International Award
2005     Visiting Lectureship on Doctor-Patient Relationship  | Koppaka Family Foundation
2006     Best Published Research Paper of the Year Award  | Society of General Internal Medicine
2006     Article of the Year Award  | Academy Health
2011     "Top Doctor"  | US News & World Report
2013     "Top Doctor"  | Castle Connolly Medical Ltd
2013     Steven Z. Miller Humanism in Medicine Award  | New York Academy of Medicine
 
 Overview
Ronald M. Epstein, M.D. is Professor of Family Medicine, Psychiatry, Oncology and Nursing at the University of Rochester Medical Center, and board-certified in Family Medicine and Hospice and Palliative Medicine. He serves as Director of the Center for Communication and Disparities Research and as Director of the Dean's Teaching Fellowship Program for junior and mid-career faculty.

Dr. Epstein's NIH-, AHRQ- and foundation-funded studies have added to our understanding of the impact of patient-physician relationships and communication on health, the process of care and health care costs. In particular, his research has focused on patient-centered care, patient influence on clinicians' practice patterns, and clinician mindfulness and self-awareness as applied to stigmatized topics and vulnerable and under-studied populations (e.g. AIDS, somatization, life-limiting illness). He has consulted to and produced monographs on patient-centered care for the National Cancer Institute (2007) and American Board of Internal Medicine (2008).

He has developed innovative educational programs in mindful practice, communication skills, the patient-physician relationship, physician self-awareness and assessment of professional competence, including peer assessment. His influential papers on educational theory and practice have been published in JAMA and the New England Journal of Medicine. In 2009, his team demonstrated the positive effects of a mindful communication program on physician empathy, burnout and clinical care. He has over 100 peer-reviewed publications relating to communication in medicine and medical education, and an additional 60 chapters, editorials and monographs.

Dr. Epstein graduated from Wesleyan University (1976) and Harvard Medical School (1984). Among his accomplishments, he was named the first George Engel and John Romano Dean's Teaching Scholar at the University of Rochester, and received the Lynn Payer Award from the American Academy on Communication in Healthcare for lifetime achievement in research on communication and health. He has been a Fulbright scholar at the Institute for Health Studies in Barcelona, Spain and a visiting scholar at the University of Sydney, and continues collaborations with both institutions. He is an accomplished harpsichordist and gourmet cook, and an avid cyclist and cross-country skier. His wife, Deborah Fox is a freelance lutenist and founding artistic director of Pegasus Early Music. They have two children, Malkah and Eli.

 
 Selected Publications
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  1. Kravitz RL, Franks P, Feldman MD, Tancredi DJ, Slee CA, Epstein RM, Duberstein PR, Bell RA, Jackson-Triche M, Paterniti DA, Cipri C, Iosif AM, Olson S, Kelly-Reif S, Hudnut A, Dvorak S, Turner C, Jerant A. Patient engagement programs for recognition and initial treatment of depression in primary care: a randomized trial. JAMA. 2013 Nov 6; 310(17):1818-28.
    View in: PubMed
  2. Beach MC, Roter D, Korthuis PT, Epstein RM, Sharp V, Ratanawongsa N, Cohn J, Eggly S, Sankar A, Moore RD, Saha S. A multicenter study of physician mindfulness and health care quality. Ann Fam Med. 2013 Sep-Oct; 11(5):421-8.
    View in: PubMed
  3. Epstein RM, Krasner MS. In reply. Acad Med. 2013 Sep; 88(9):1196-7.
    View in: PubMed
  4. Ma T, Patel PK, Izumi N, Springer PT, Key MH, Atherton LJ, Benedetti LR, Bradley DK, Callahan DA, Celliers PM, Cerjan CJ, Clark DS, Dewald EL, Dixit SN, Döppner T, Edgell DH, Epstein R, Glenn S, Grim G, Haan SW, Hammel BA, Hicks D, Hsing WW, Jones OS, Khan SF, Kilkenny JD, Kline JL, Kyrala GA, Landen OL, Le Pape S, Macgowan BJ, Mackinnon AJ, Macphee AG, Meezan NB, Moody JD, Pak A, Parham T, Park HS, Ralph JE, Regan SP, Remington BA, Robey HF, Ross JS, Spears BK, Smalyuk V, Suter LJ, Tommasini R, Town RP, Weber SV, Lindl JD, Edwards MJ, Glenzer SH, Moses EI. Onset of hydrodynamic mix in high-velocity, highly compressed inertial confinement fusion implosions. Phys Rev Lett. 2013 Aug 23; 111(8):085004.
    View in: PubMed
  5. Carroll JK, Fiscella K, Epstein RM, Sanders MR, Winters PC, Moorhead SA, van Osch L, Williams GC. Physical activity counseling intervention at a federally qualified health center: Improves autonomy-supportiveness, but not patients' perceived competence. Patient Educ Couns. 2013 Sep; 92(3):432-6.
    View in: PubMed
  6. Epstein RM. The ambiguity of personhood. Am J Bioeth. 2013 Aug; 13(8):42-4.
    View in: PubMed
  7. Regan SP, Epstein R, Hammel BA, Suter LJ, Scott HA, Barrios MA, Bradley DK, Callahan DA, Cerjan C, Collins GW, Dixit SN, Döppner T, Edwards MJ, Farley DR, Fournier KB, Glenn S, Glenzer SH, Golovkin IE, Haan SW, Hamza A, Hicks DG, Izumi N, Jones OS, Kilkenny JD, Kline JL, Kyrala GA, Landen OL, Ma T, Macfarlane JJ, Mackinnon AJ, Mancini RC, McCrory RL, Meezan NB, Meyerhofer DD, Nikroo A, Park HS, Ralph J, Remington BA, Sangster TC, Smalyuk VA, Springer PT, Town RP. Hot-spot mix in ignition-scale inertial confinement fusion targets. Phys Rev Lett. 2013 Jul 26; 111(4):045001.
    View in: PubMed
  8. Walczak A, Mazer B, Butow PN, Tattersall MH, Clayton JM, Davidson PM, Young J, Ladwig S, Epstein RM. A question prompt list for patients with advanced cancer in the final year of life: Development and cross-cultural evaluation. Palliat Med. 2013 Sep; 27(8):779-88.
    View in: PubMed
  9. Hoerger M, Epstein RM, Winters PC, Fiscella K, Duberstein PR, Gramling R, Butow PN, Mohile SG, Kaesberg PR, Tang W, Plumb S, Walczak A, Back AL, Tancredi D, Venuti A, Cipri C, Escalera G, Ferro C, Gaudion D, Hoh B, Leatherwood B, Lewis L, Robinson M, Sullivan P, Kravitz RL. Values and options in cancer care (VOICE): study design and rationale for a patient-centered communication and decision-making intervention for physicians, patients with advanced cancer, and their caregivers. BMC Cancer. 2013; 13(1):188.
    View in: PubMed
  10. Epstein RM, Krasner MS. Physician resilience: what it means, why it matters, and how to promote it. Acad Med. 2013 Mar; 88(3):301-3.
    View in: PubMed
  11. Shields CG, Finley MA, Elias CM, Coker CJ, Griggs JJ, Fiscella K, Epstein RM. Pain assessment: the roles of physician certainty and curiosity. Health Commun. 2013 Oct; 28(7):740-6.
    View in: PubMed
  12. Carroll JK, Fiscella K, Epstein RM, Sanders MR, Williams GC. A 5A's communication intervention to promote physical activity in underserved populations. BMC Health Serv Res. 2012; 12:374.
    View in: PubMed
  13. Epstein RM, Gramling RE. What is shared in shared decision making? Complex decisions when the evidence is unclear. Med Care Res Rev. 2013 Feb; 70(1 Suppl):94S-112S.
    View in: PubMed
  14. Fiscella K, Whitley E, Hendren S, Raich P, Humiston S, Winters P, Jean-Pierre P, Valverde P, Thorland W, Epstein R. Patient navigation for breast and colorectal cancer treatment: a randomized trial. Cancer Epidemiol Biomarkers Prev. 2012 Oct; 21(10):1673-81.
    View in: PubMed
  15. Hendren S, Griggs JJ, Epstein R, Humiston S, Jean-Pierre P, Winters P, Sanders M, Loader S, Fiscella K. Randomized controlled trial of patient navigation for newly diagnosed cancer patients: effects on quality of life. Cancer Epidemiol Biomarkers Prev. 2012 Oct; 21(10):1682-90.
    View in: PubMed
  16. Stoeckl C, Delettrez JA, Epstein R, Fiksel G, Guy D, Hohenberger M, Jungquist RK, Mileham C, Nilson PM, Sangster TC, Shoup MJ, Theobald W. Soft x-ray backlighting of direct-drive implosions using a spherical crystal imager on OMEGA. Rev Sci Instrum. 2012 Oct; 83(10):10E501.
    View in: PubMed
  17. Michel DT, Sorce C, Epstein R, Whiting N, Igumenshchev IV, Jungquist R, Froula DH. Shell trajectory measurements from direct-drive implosion experiments. Rev Sci Instrum. 2012 Oct; 83(10):10E530.
    View in: PubMed
  18. Epstein RM. Whole mind and shared mind in clinical decision-making. Patient Educ Couns. 2013 Feb; 90(2):200-6.
    View in: PubMed
  19. Y-Garcia EF, Duberstein P, Paterniti DA, Cipri CS, Kravitz RL, Epstein RM. Feeling labeled, judged, lectured, and rejected by family and friends over depression: Cautionary results for primary care clinicians from a multi-centered, qualitative study. BMC Fam Pract. 2012; 13:64.
    View in: PubMed
  20. Beckman HB, Wendland M, Mooney C, Krasner MS, Quill TE, Suchman AL, Epstein RM. The impact of a program in mindful communication on primary care physicians. Acad Med. 2012 Jun; 87(6):815-9.
    View in: PubMed
  21. Gramling R, Norton SA, Ladwig S, Metzger M, Deluca J, Gramling D, Schatz D, Epstein R, Quill T, Alexander S. Direct observation of prognosis communication in palliative care: a descriptive study. J Pain Symptom Manage. 2013 Feb; 45(2):202-12.
    View in: PubMed
  22. Street RL, Elwyn G, Epstein RM. Patient preferences and healthcare outcomes: an ecological perspective. Expert Rev Pharmacoecon Outcomes Res. 2012 Apr; 12(2):167-80.
    View in: PubMed
  23. Makowski SK, Epstein RM. Turning toward dissonance: lessons from art, music, and literature. J Pain Symptom Manage. 2012 Feb; 43(2):293-8.
    View in: PubMed
  24. Hoerger M, Chapman BP, Epstein RM, Duberstein PR. Emotional intelligence: a theoretical framework for individual differences in affective forecasting. Emotion. 2012 Aug; 12(4):716-25.
    View in: PubMed
  25. Walczak A, Butow PN, Davidson PM, Bellemore FA, Tattersall MH, Clayton JM, Young J, Mazer B, Ladwig S, Epstein RM. Patient perspectives regarding communication about prognosis and end-of-life issues: How can it be optimised? Patient Educ Couns. 2013 Mar; 90(3):307-14.
    View in: PubMed
  26. Epstein RM, Street RL. Shared mind: communication, decision making, and autonomy in serious illness. Ann Fam Med. 2011 Sep-Oct; 9(5):454-61.
    View in: PubMed
  27. Bell RA, Franks P, Duberstein PR, Epstein RM, Feldman MD, Fernandez y Garcia E, Kravitz RL. Suffering in silence: reasons for not disclosing depression in primary care. Ann Fam Med. 2011 Sep-Oct; 9(5):439-46.
    View in: PubMed
  28. Kravitz RL, Epstein RM, Bell RA, Rochlen AB, Duberstein P, Riby CH, Caccamo AF, Slee CK, Cipri CS, Paterniti DA. An academic-marketing collaborative to promote depression care: A tale of two cultures. Patient Educ Couns. 2013 Mar; 90(3):411-9.
    View in: PubMed
  29. Shepherd HL, Barratt A, Trevena LJ, McGeechan K, Carey K, Epstein RM, Butow PN, Del Mar CB, Entwistle V, Tattersall MH. Three questions that patients can ask to improve the quality of information physicians give about treatment options: a cross-over trial. Patient Educ Couns. 2011 Sep; 84(3):379-85.
    View in: PubMed
  30. Dyche L, Epstein RM. Curiosity and medical education. Med Educ. 2011 Jul; 45(7):663-8.
    View in: PubMed
  31. Siminoff LA, Rogers HL, Waller AC, Harris-Haywood S, Esptein RM, Carrio FB, Gliva-McConvey G, Longo DR. The advantages and challenges of unannounced standardized patient methodology to assess healthcare communication. Patient Educ Couns. 2011 Mar; 82(3):318-24.
    View in: PubMed
  32. Jean-Pierre P, Hendren S, Fiscella K, Loader S, Rousseau S, Schwartzbauer B, Sanders M, Carroll J, Epstein R. Understanding the processes of patient navigation to reduce disparities in cancer care: perspectives of trained navigators from the field. J Cancer Educ. 2011 Mar; 26(1):111-20.
    View in: PubMed
  33. Epstein RM, Street RL. The values and value of patient-centered care. Ann Fam Med. 2011 Mar-Apr; 9(2):100-3.
    View in: PubMed
  34. Gramling R, Epstein R. Optimism amid serious disease: clinical panacea or ethical conundrum?: comment on "Recovery expectations and long-term prognosis of patients with coronary heart disease". Arch Intern Med. 2011 May 23; 171(10):935-6.
    View in: PubMed
  35. Yosha AM, Carroll JK, Hendren S, Salamone CM, Sanders M, Fiscella K, Epstein RM. Patient navigation from the paired perspectives of cancer patients and navigators: a qualitative analysis. Patient Educ Couns. 2011 Mar; 82(3):396-401.
    View in: PubMed
  36. Garrison D, Lyness JM, Frank JB, Epstein RM. Qualitative analysis of medical student impressions of a narrative exercise in the third-year psychiatry clerkship. Acad Med. 2011 Jan; 86(1):85-9.
    View in: PubMed
  37. Hendren S, Griggs JJ, Epstein RM, Humiston S, Rousseau S, Jean-Pierre P, Carroll J, Yosha AM, Loader S, Fiscella K. Study protocol: a randomized controlled trial of patient navigation-activation to reduce cancer health disparities. BMC Cancer. 2010; 10:551.
    View in: PubMed
  38. Epstein RM, Fiscella K, Lesser CS, Stange KC. Why the nation needs a policy push on patient-centered health care. Health Aff (Millwood). 2010 Aug; 29(8):1489-95.
    View in: PubMed
  39. Levinson W, Lesser CS, Epstein RM. Developing physician communication skills for patient-centered care. Health Aff (Millwood). 2010 Jul; 29(7):1310-8.
    View in: PubMed
  40. Kravitz RL, Paterniti DA, Epstein RM, Rochlen AB, Bell RA, Cipri C, Fernandez y Garcia E, Feldman MD, Duberstein P. Relational barriers to depression help-seeking in primary care. Patient Educ Couns. 2011 Feb; 82(2):207-13.
    View in: PubMed
  41. Epstein RM, Duberstein PR, Feldman MD, Rochlen AB, Bell RA, Kravitz RL, Cipri C, Becker JD, Bamonti PM, Paterniti DA. "I didn't know what was wrong:" how people with undiagnosed depression recognize, name and explain their distress. J Gen Intern Med. 2010 Sep; 25(9):954-61.
    View in: PubMed
  42. Epstein RM, Korones DN, Quill TE. Withholding information from patients--when less is more. N Engl J Med. 2010 Feb 4; 362(5):380-1.
    View in: PubMed
  43. Nofziger AC, Naumburg EH, Davis BJ, Mooney CJ, Epstein RM. Impact of peer assessment on the professional development of medical students: a qualitative study. Acad Med. 2010 Jan; 85(1):140-7.
    View in: PubMed
  44. Carroll JK, Humiston SG, Meldrum SC, Salamone CM, Jean-Pierre P, Epstein RM, Fiscella K. Patients' experiences with navigation for cancer care. Patient Educ Couns. 2010 Aug; 80(2):241-7.
    View in: PubMed
  45. Arora NK, Street RL, Epstein RM, Butow PN. Facilitating patient-centered cancer communication: a road map. Patient Educ Couns. 2009 Dec; 77(3):319-21.
    View in: PubMed
  46. Zollo RA, Lurie SJ, Epstein R, Ward DS. Patterns of communication during the preanesthesia visit. Anesthesiology. 2009 Nov; 111(5):971-8.
    View in: PubMed
  47. Shields CG, Coker CJ, Poulsen SS, Doyle JM, Fiscella K, Epstein RM, Griggs JJ. Patient-centered communication and prognosis discussions with cancer patients. Patient Educ Couns. 2009 Dec; 77(3):437-42.
    View in: PubMed
  48. Krasner MS, Epstein RM, Beckman H, Suchman AL, Chapman B, Mooney CJ, Quill TE. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009 Sep 23; 302(12):1284-93.
    View in: PubMed
  49. Epstein RM. Why healing relationships matter in primary care practice. Jt Comm J Qual Patient Saf. 2009 Sep; 35(9):456, 437.
    View in: PubMed
  50. Bell RA, Paterniti DA, Azari R, Duberstein PR, Epstein RM, Rochlen AB, Johnson MD, Orrange SE, Slee C, Kravitz RL. Encouraging patients with depressive symptoms to seek care: a mixed methods approach to message development. Patient Educ Couns. 2010 Feb; 78(2):198-205.
    View in: PubMed
  51. Epstein RM, Peters E. Beyond information: exploring patients' preferences. JAMA. 2009 Jul 8; 302(2):195-7.
    View in: PubMed
  52. Rochlen AB, Paterniti DA, Epstein RM, Duberstein P, Willeford L, Kravitz RL. Barriers in diagnosing and treating men with depression: a focus group report. Am J Mens Health. 2010 Jun; 4(2):167-75.
    View in: PubMed
  53. Marshall FJ, McKenty PW, Delettrez JA, Epstein R, Knauer JP, Smalyuk VA, Frenje JA, Li CK, Petrasso RD, Séguin FH, Mancini RC. Plasma-density determination from x-ray radiography of laser-driven spherical implosions. Phys Rev Lett. 2009 May 8; 102(18):185004.
    View in: PubMed
  54. Bertakis KD, Franks P, Epstein RM. Patient-centered communication in primary care: physician and patient gender and gender concordance. J Womens Health (Larchmt). 2009 Apr; 18(4):539-45.
    View in: PubMed
  55. Street RL, Makoul G, Arora NK, Epstein RM. How does communication heal? Pathways linking clinician-patient communication to health outcomes. Patient Educ Couns. 2009 Mar; 74(3):295-301.
    View in: PubMed
  56. Epstein RM. Reflection, perception and the acquisition of wisdom. Med Educ. 2008 Nov; 42(11):1048-50.
    View in: PubMed
  57. Fiscella K, Epstein RM. So much to do, so little time: care for the socially disadvantaged and the 15-minute visit. Arch Intern Med. 2008 Sep 22; 168(17):1843-52.
    View in: PubMed
  58. Duberstein PR, Chapman BP, Epstein RM, McCollumn KR, Kravitz RL. Physician personality characteristics and inquiry about mood symptoms in primary care. J Gen Intern Med. 2008 Nov; 23(11):1791-5.
    View in: PubMed
  59. Chapman BP, Duberstein PR, Epstein RM, Fiscella K, Kravitz RL. Patient-centered communication during primary care visits for depressive symptoms: what is the role of physician personality? Med Care. 2008 Aug; 46(8):806-12.
    View in: PubMed
  60. Mauksch LB, Dugdale DC, Dodson S, Epstein R. Relationship, communication, and efficiency in the medical encounter: creating a clinical model from a literature review. Arch Intern Med. 2008 Jul 14; 168(13):1387-95.
    View in: PubMed
  61. Young HN, Bell RA, Epstein RM, Feldman MD, Kravitz RL. Physicians' shared decision-making behaviors in depression care. Arch Intern Med. 2008 Jul 14; 168(13):1404-8.
    View in: PubMed
  62. Silberman J, Tentler A, Ramgopal R, Epstein RM. Recall-promoting physician behaviors in primary care. J Gen Intern Med. 2008 Sep; 23(9):1487-90.
    View in: PubMed
  63. Lurie SJ, Mooney CJ, Nofziger AC, Meldrum SC, Epstein RM. Further challenges in measuring communication skills: accounting for actor effects in standardised patient assessments. Med Educ. 2008 Jul; 42(7):662-8.
    View in: PubMed
  64. Carroll JK, Fiscella K, Epstein RM, Jean-Pierre P, Figueroa-Moseley C, Williams GC, Mustian KM, Morrow GR. Getting patients to exercise more: a systematic review of underserved populations. J Fam Pract. 2008 Mar; 57(3):170-6, E1-3, 1 p following E3.
    View in: PubMed
  65. Epstein RM, Mauksch L, Carroll J, Jaén CR. Have you really addressed your patient's concerns? Fam Pract Manag. 2008 Mar; 15(3):35-40.
    View in: PubMed
  66. Carroll JK, Fiscella K, Meldrum SC, Williams GC, Sciamanna CN, Jean-Pierre P, Morrow GR, Epstein RM. Clinician-patient communication about physical activity in an underserved population. J Am Board Fam Med. 2008 Mar-Apr; 21(2):118-27.
    View in: PubMed
  67. Formicola A, Valachovic RW, Chmar JE, Mouradian W, Bertolami CN, Tedesco L, Aschenbrener C, Crandall SJ, Epstein RM, da Fonseca M, Haden NK, Ruffin A, Sciubba JJ, Silverton S, Strauss R. Curriculum and clinical training in oral health for physicians and dentists: report of panel 2 of the Macy study. J Dent Educ. 2008 Feb; 72(2 Suppl):73-85.
    View in: PubMed
  68. Epstein RM, Siegel DJ, Silberman J. Self-monitoring in clinical practice: a challenge for medical educators. J Contin Educ Health Prof. 2008; 28(1):5-13.
    View in: PubMed
  69. Tentler A, Silberman J, Paterniti DA, Kravitz RL, Epstein RM. Factors affecting physicians' responses to patients' requests for antidepressants: focus group study. J Gen Intern Med. 2008 Jan; 23(1):51-7.
    View in: PubMed
  70. Lurie SJ, Meldrum S, Nofziger AC, Sillin LF, Mooney CJ, Epstein RM. Changes in self-perceived abilities among male and female medical students after the first year of clinical training. Med Teach. 2007 Nov; 29(9):921-6.
    View in: PubMed
  71. Epstein RM, Hadee T, Carroll J, Meldrum SC, Lardner J, Shields CG. "Could this be something serious?" Reassurance, uncertainty, and empathy in response to patients' expressions of worry. J Gen Intern Med. 2007 Dec; 22(12):1731-9.
    View in: PubMed
  72. Feldman MD, Franks P, Duberstein PR, Vannoy S, Epstein R, Kravitz RL. Let's not talk about it: suicide inquiry in primary care. Ann Fam Med. 2007 Sep-Oct; 5(5):412-8.
    View in: PubMed
  73. McDaniel SH, Beckman HB, Morse DS, Silberman J, Seaburn DB, Epstein RM. Physician self-disclosure in primary care visits: enough about you, what about me? Arch Intern Med. 2007 Jun 25; 167(12):1321-6.
    View in: PubMed
  74. Carroll J, Epstein R, Fiscella K, Volpe E, Diaz K, Omar S. Knowledge and beliefs about health promotion and preventive health care among somali women in the United States. Health Care Women Int. 2007 Apr; 28(4):360-80.
    View in: PubMed
  75. Carroll J, Epstein R, Fiscella K, Gipson T, Volpe E, Jean-Pierre P. Caring for Somali women: implications for clinician-patient communication. Patient Educ Couns. 2007 Jun; 66(3):337-45.
    View in: PubMed
  76. Fiscella K, Franks P, Srinivasan M, Kravitz RL, Epstein R. Ratings of physician communication by real and standardized patients. Ann Fam Med. 2007 Mar-Apr; 5(2):151-8.
    View in: PubMed
  77. Epstein RM. Assessment in medical education. N Engl J Med. 2007 Jan 25; 356(4):387-96.
    View in: PubMed
  78. Epstein RM, Shields CG, Franks P, Meldrum SC, Feldman M, Kravitz RL. Exploring and validating patient concerns: relation to prescribing for depression. Ann Fam Med. 2007 Jan-Feb; 5(1):21-8.
    View in: PubMed
  79. Lurie SJ, Lambert DR, Grady-Weliky TA. Relationship between dean's letter rankings and later evaluations by residency program directors. Teach Learn Med. 2007; 19(3):251-6.
    View in: PubMed
  80. Lurie SJ, Lambert DR, Nofziger AC, Epstein RM, Grady-Weliky TA. Relationship between peer assessment during medical school, dean's letter rankings, and ratings by internship directors. J Gen Intern Med. 2007 Jan; 22(1):13-6.
    View in: PubMed
  81. Srinivasan M, Franks P, Meredith LS, Fiscella K, Epstein RM, Kravitz RL. Connoisseurs of care? Unannounced standardized patients' ratings of physicians. Med Care. 2006 Dec; 44(12):1092-8.
    View in: PubMed
  82. Franz CE, Epstein R, Miller KN, Brown A, Song J, Feldman M, Franks P, Kelly-Reif S, Kravitz RL. Caught in the act? Prevalence, predictors, and consequences of physician detection of unannounced standardized patients. Health Serv Res. 2006 Dec; 41(6):2290-302.
    View in: PubMed
  83. Feldman MD, Franks P, Epstein RM, Franz CE, Kravitz RL. Do patient requests for antidepressants enhance or hinder physicians' evaluation of depression? A randomized controlled trial. Med Care. 2006 Dec; 44(12):1107-13.
    View in: PubMed
  84. Duberstein P, Meldrum S, Fiscella K, Shields CG, Epstein RM. Influences on patients' ratings of physicians: Physicians demographics and personality. Patient Educ Couns. 2007 Feb; 65(2):270-4.
    View in: PubMed
  85. Lurie SJ, Nofziger AC, Meldrum S, Mooney C, Epstein RM. Effects of rater selection on peer assessment among medical students. Med Educ. 2006 Nov; 40(11):1088-97.
    View in: PubMed
  86. Young HN, Bell RA, Epstein RM, Feldman MD, Kravitz RL. Types of information physicians provide when prescribing antidepressants. J Gen Intern Med. 2006 Nov; 21(11):1172-7.
    View in: PubMed
  87. Borrell-Carrio F, Epstein RM, Pardell Alentà H. [Professionality and professionalism: basis, contents, praxis and teaching]. Med Clin (Barc). 2006 Sep 9; 127(9):337-42.
    View in: PubMed
  88. Lurie SJ, Nofziger AC, Meldrum S, Mooney C, Epstein RM. Temporal and group-related trends in peer assessment amongst medical students. Med Educ. 2006 Sep; 40(9):840-7.
    View in: PubMed
  89. Kravitz RL, Franks P, Feldman M, Meredith LS, Hinton L, Franz C, Duberstein P, Epstein RM. What drives referral from primary care physicians to mental health specialists? A randomized trial using actors portraying depressive symptoms. J Gen Intern Med. 2006 Jun; 21(6):584-9.
    View in: PubMed
  90. Nofziger AC, Lurie SJ, Epstein RM. In response to "medical students' views on peer assessment of professionalism". J Gen Intern Med. 2006 Apr; 21(4):398-9; author reply 399.
    View in: PubMed
  91. Gotchev OV, Goncharov VN, Knauer JP, Boehly TR, Collins TJ, Epstein R, Jaanimagi PA, Meyerhofer DD. Test of thermal transport models through dynamic overpressure stabilization of ablation-front perturbation growth in laser-driven CH foils. Phys Rev Lett. 2006 Mar 24; 96(11):115005.
    View in: PubMed
  92. Epstein RM, Shields CG, Meldrum SC, Fiscella K, Carroll J, Carney PA, Duberstein PR. Physicians' responses to patients' medically unexplained symptoms. Psychosom Med. 2006 Mar-Apr; 68(2):269-76.
    View in: PubMed
  93. Epstein RM. Making communication research matter: what do patients notice, what do patients want, and what do patients need? Patient Educ Couns. 2006 Mar; 60(3):272-8.
    View in: PubMed
  94. Shields CG, Epstein RM, Fiscella K, Franks P, McCann R, McCormick K, Mallinger JB. Influence of accompanied encounters on patient-centeredness with older patients. J Am Board Fam Pract. 2005 Sep-Oct; 18(5):344-54.
    View in: PubMed
  95. Epstein RM, Franks P, Shields CG, Meldrum SC, Miller KN, Campbell TL, Fiscella K. Patient-centered communication and diagnostic testing. Ann Fam Med. 2005 Sep-Oct; 3(5):415-21.
    View in: PubMed
  96. Shields CG, Franks P, Fiscella K, Meldrum S, Epstein RM. Rochester Participatory Decision-Making Scale (RPAD): reliability and validity. Ann Fam Med. 2005 Sep-Oct; 3(5):436-42.
    View in: PubMed
  97. Dannefer EF, Henson LC, Bierer SB, Grady-Weliky TA, Meldrum S, Nofziger AC, Barclay C, Epstein RM. Peer assessment of professional competence. Med Educ. 2005 Jul; 39(7):713-22.
    View in: PubMed
  98. Franks P, Jerant AF, Fiscella K, Shields CG, Tancredi DJ, Epstein RM. Studying physician effects on patient outcomes: physician interactional style and performance on quality of care indicators. Soc Sci Med. 2006 Jan; 62(2):422-32.
    View in: PubMed
  99. Seaburn DB, Morse D, McDaniel SH, Beckman H, Silberman J, Epstein R. Physician responses to ambiguous patient symptoms. J Gen Intern Med. 2005 Jun; 20(6):525-30.
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  100. Shields CG, Epstein RM, Franks P, Fiscella K, Duberstein P, McDaniel SH, Meldrum S. Emotion language in primary care encounters: reliability and validity of an emotion word count coding system. Patient Educ Couns. 2005 May; 57(2):232-8.
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  101. Franks P, Fiscella K, Shields CG, Meldrum SC, Duberstein P, Jerant AF, Tancredi DJ, Epstein RM. Are patients' ratings of their physicians related to health outcomes? Ann Fam Med. 2005 May-Jun; 3(3):229-34.
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  102. Kravitz RL, Epstein RM, Feldman MD, Franz CE, Azari R, Wilkes MS, Hinton L, Franks P. Influence of patients' requests for direct-to-consumer advertised antidepressants: a randomized controlled trial. JAMA. 2005 Apr 27; 293(16):1995-2002.
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  103. Epstein RM, Franks P, Fiscella K, Shields CG, Meldrum SC, Kravitz RL, Duberstein PR. Measuring patient-centered communication in patient-physician consultations: theoretical and practical issues. Soc Sci Med. 2005 Oct; 61(7):1516-28.
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  104. Schirmer JM, Mauksch L, Lang F, Marvel MK, Zoppi K, Epstein RM, Brock D, Pryzbylski M. Assessing communication competence: a review of current tools. Fam Med. 2005 Mar; 37(3):184-92.
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  105. Borrell-Carrió F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: principles, practice, and scientific inquiry. Ann Fam Med. 2004 Nov-Dec; 2(6):576-82.
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  106. Fiscella K, Meldrum S, Franks P, Shields CG, Duberstein P, McDaniel SH, Epstein RM. Patient trust: is it related to patient-centered behavior of primary care physicians? Med Care. 2004 Nov; 42(11):1049-55.
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  107. Borrell-Carrió F, Epstein RM. Preventing errors in clinical practice: a call for self-awareness. Ann Fam Med. 2004 Jul-Aug; 2(4):310-6.
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  108. Duffy FD, Gordon GH, Whelan G, Cole-Kelly K, Frankel R, Buffone N, Lofton S, Wallace M, Goode L, Langdon L. Assessing competence in communication and interpersonal skills: the Kalamazoo II report. Acad Med. 2004 Jun; 79(6):495-507.
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  109. Epstein RM, Alper BS, Quill TE. Communicating evidence for participatory decision making. JAMA. 2004 May 19; 291(19):2359-66.
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  110. Regan SP, Delettrez JA, Goncharov VN, Marshall FJ, Soures JM, Smalyuk VA, Radha PB, Yaakobi B, Epstein R, Glebov VY, Jaanimagi PA, Meyerhofer DD, Sangster TC, Seka W, Skupsky S, Stoeckl C, Haynes DA, Frenje JA, Li CK, Petrasso RD, Séguin FH. Dependence of shell mix on feedthrough in direct drive inertial confinement fusion. Phys Rev Lett. 2004 May 7; 92(18):185002.
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  111. Epstein RM, Dannefer EF, Nofziger AC, Hansen JT, Schultz SH, Jospe N, Connard LW, Meldrum SC, Henson LC. Comprehensive assessment of professional competence: the Rochester experiment. Teach Learn Med. 2004; 16(2):186-96.
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  112. Ruiz Moral R, Rodríguez JJ, Epstein R. [What style of consultation with my patients should I adopt? Practical reflections on the doctor-patient relationship]. Aten Primaria. 2003 Dec; 32(10):594-602.
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  113. Epstein R, Thomas JC, Rutecki GW. Please don't say anything: partner notification and the patient-physician relationship. Virtual Mentor. 2003 Nov; 5(11).
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  114. Clèries Costa X, Borrell Carrió F, Epstein RM, Kronfly Rubiano E, Escoda Aresté JJ, Martínez-Carretero JM. [Aspects of communication: the challenge of competition in the medical profession]. Aten Primaria. 2003 Jun 30; 32(2):110-7.
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  115. Quill TE, Dannefer E, Markakis K, Epstein R, Greenlaw J, McGrail K, Milella M. An integrated biopsychosocial approach to palliative care training of medical students. J Palliat Med. 2003 Jun; 6(3):365-80.
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  116. Miller WL, Crabtree BF, Duffy MB, Epstein RM, Stange KC. Research guidelines for assessing the impact of healing relationships in clinical medicine. Altern Ther Health Med. 2003 May-Jun; 9(3 Suppl):A80-95.
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  117. Epstein RM. Virtual physicians, health systems, and the healing relationship. J Gen Intern Med. 2003 May; 18(5):404-6.
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  118. Epstein RM, Borrell F, Visser A. Hearing voices: patient-centered care with diverse populations. Patient Educ Couns. 2002 Sep; 48(1):1-3.
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  119. Regan SP, Delettrez JA, Marshall FJ, Soures JM, Smalyuk VA, Yaakobi B, Epstein R, Glebov VY, Jaanimagi PA, Meyerhofer DD, Radha PB, Sangster TC, Seka W, Skupsky S, Stoeckl C, Town RP, Haynes DA, Golovkin IE, Hooper CF, Frenje JA, Li CK, Petrasso RD, Séguin FH. Shell mix in the compressed core of spherical implosions. Phys Rev Lett. 2002 Aug 19; 89(8):085003.
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  120. Zoppi K, Epstein RM. Is communication a skill? Communication behaviors and being in relation. Fam Med. 2002 May; 34(5):319-24.
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  121. Epstein RM. The costs of making practice more cost-effective. JAMA. 2002 Apr 3; 287(13):1648-9; author reply 1649-50.
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  122. Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA. 2002 Jan 9; 287(2):226-35.
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  123. Epstein RM, Borrell i Carrió F. Pudor, honor, and autoridad: the evolving patient-physician relationship in Spain. Patient Educ Couns. 2001 Oct; 45(1):51-7.
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  124. García-Campayoa J, Claraco L, Orozco F, Lou S, Borrell F, Arévalo E, Seva-Fernández A, Pérez-Poza A, Monreal A. [Program of mental health training for family and community medicine residents: the Zaragoza model]. Aten Primaria. 2001 May 31; 27(9):667-72.
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  125. Borrell i Carrió F, Epstein R. [The International Conference on Communication and Health of Barcelona 2000. One more step in the right direction]. Aten Primaria. 2001 Apr 30; 27(7):449-51.
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  126. Epstein RM. [Communication, burnout and clinical results: more questions than answers]. Aten Primaria. 2001 Apr 30; 27(7):511-3.
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  127. Stein MT, Coleman WL, Epstein RM. "We've tried everything and nothing works": family-centered pediatrics and clinical problem-solving. J Dev Behav Pediatr. 2001 Apr; 22(2 Suppl):S55-60.
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  128. Epstein RM, Levenkron JC, Frarey L, Thompson J, Anderson K, Franks P. Improving physicians' HIV risk-assessment skills using announced and unannounced standardized patients. J Gen Intern Med. 2001 Mar; 16(3):176-80.
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  129. Epstein RM. Just being. West J Med. 2001 Jan; 174(1):63-5.
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  130. McWhinney IR, Epstein RM, Freeman TR. Rethinking somatization. Adv Mind Body Med. 2001; 17(4):232-9.
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  131. Epstein RM. The science of patient-centered care. J Fam Pract. 2000 Sep; 49(9):805-7.
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  132. Epstein RM. Time, autonomy, and satisfaction. J Gen Intern Med. 2000 Jul; 15(7):517-8.
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  133. Marvel MK, Epstein RM, Beckman HB. Patients, interrupted? J Fam Pract. 2000 May; 49(5):471.
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  134. Epstein RM. Mindful practice. JAMA. 1999 Sep 1; 282(9):833-9.
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  135. Epstein RM, Frarey L, Beckman HB. Talking about AIDS. AIDS Patient Care STDS. 1999 Sep; 13(9):545-53.
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  136. Novack DH, Epstein RM, Paulsen RH. Toward creating physician-healers: fostering medical students' self-awareness, personal growth, and well-being. Acad Med. 1999 May; 74(5):516-20.
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  137. Epstein RM, Quill TE, McWhinney IR. Somatization reconsidered: incorporating the patient's experience of illness. Arch Intern Med. 1999 Feb 8; 159(3):215-22.
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  138. Marvel MK, Epstein RM, Flowers K, Beckman HB. Soliciting the patient's agenda: have we improved? JAMA. 1999 Jan 20; 281(3):283-7.
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  139. Dugdale DC, Epstein R, Pantilat SZ. Time and the patient-physician relationship. J Gen Intern Med. 1999 Jan; 14 Suppl 1:S34-40.
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  140. Epstein RM, Morse DS, Frankel RM, Frarey L, Anderson K, Beckman HB. Awkward moments in patient-physician communication about HIV risk. Ann Intern Med. 1998 Mar 15; 128(6):435-42.
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  141. Epstein RM, Cole DR, Gawinski BA, Piotrowski-Lee S, Ruddy NB. How students learn from community-based preceptors. Arch Fam Med. 1998 Mar-Apr; 7(2):149-54.
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  142. Novack DH, Suchman AL, Clark W, Epstein RM, Najberg E, Kaplan C. Calibrating the physician. Personal awareness and effective patient care. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient. JAMA. 1997 Aug 13; 278(6):502-9.
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  143. McWhinney IR, Epstein RM, Freeman TR. Rethinking somatization. Ann Intern Med. 1997 May 1; 126(9):747-50.
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  144. Stein MT, Coleman WL, Epstein RM. "We've tried everything and nothing works": family-centered pediatrics and clinical problem-solving. J Dev Behav Pediatr. 1997 Apr; 18(2):114-9.
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  145. Kaplan CB, Siegel B, Madill JM, Epstein RM. Communication and the medical interview. Strategies for learning and teaching. J Gen Intern Med. 1997 Apr; 12 Suppl 2:S49-55.
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  146. Brainsky A, Glick H, Lydick E, Epstein R, Fox KM, Hawkes W, Kashner TM, Zimmerman SI, Magaziner J. The economic cost of hip fractures in community-dwelling older adults: a prospective study. J Am Geriatr Soc. 1997 Mar; 45(3):281-7.
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  147. Yawn BP, Lydick EG, Epstein R, Jacobsen SJ. Is school vision screening effective? J Sch Health. 1996 May; 66(5):171-5.
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  148. Epstein R. Maturity in medical students. Lancet. 1996 Jan 6; 347(8993):55-6.
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  149. Yaakobi B, Epstein R, Hooper CF, Haynes DA, Su Q. Diagnosis of high-temperature implosions using low- and high-opacity krypton lines. J Xray Sci Technol. 1996 Jan 1; 6(2):172-87.
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  150. Epstein R. DNR orders and medical futility. JAMA. 1995 Jul 26; 274(4):299; author reply 300.
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  151. Epstein RM. Communication between primary care physicians and consultants. Arch Fam Med. 1995 May; 4(5):403-9.
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  152. Yaakobi B, Marshall FJ, Su Q, Epstein R. Monochromatic backlighting as a laser-fusion diagnostic. J Xray Sci Technol. 1995 Jan 1; 5(1):73-87.
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  153. Epstein R. Cocaine and HIV prevalence in an alcohol treatment center. JAMA. 1994 Aug 10; 272(6):435.
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  154. Epstein RM, Beckman HB. Health care reform and patient-physician communication. Am Fam Physician. 1994 Jun; 49(8):1718-20.
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  155. Epstein RM. A call for in-depth qualitative research on career choices. Fam Med. 1993 Nov-Dec; 25(10):620-1.
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  156. Epstein RM. Qualitative research on career choices. Fam Med. 1993 Oct; 25(9):555-6.
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  157. Epstein RM, Campbell TL, Cohen-Cole SA, McWhinney IR, Smilkstein G. Perspectives on patient-doctor communication. J Fam Pract. 1993 Oct; 37(4):377-88.
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  158. Epstein RM, Christie M, Frankel R, Rousseau S, Shields C, Suchman AL. Understanding fear of contagion among physicians who care for HIV patients. Fam Med. 1993 Apr; 25(4):264-8.
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  159. Epstein RM, Christie M, Frankel R, Rousseau S, Shields C, Williams G, Suchman AL. Primary care of patients with human immunodeficiency virus infection. The physician's perspective. Arch Fam Med. 1993 Feb; 2(2):159-67.
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  160. Epstein R. Patient attitudes and knowledge about HIV infection and AIDS. J Fam Pract. 1991 Apr; 32(4):373-7.
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  161. Talley NJ, Chute CG, Larson DE, Epstein R, Lydick EG, Melton LJ. Risk for colorectal adenocarcinoma in pernicious anemia. A population-based cohort study. Ann Intern Med. 1989 Nov 1; 111(9):738-42.
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  162. Epstein R, Rice P, Wallace P. Teenagers' health concerns: implications for primary health care professionals. J R Coll Gen Pract. 1989 Jun; 39(323):247-9.
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  163. Epstein RM. ASA Award: B. Raymond Fink. Anesthesiology. 1987 Oct; 67(4):456-8.
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  164. Lake CL, Arnold WP, Epstein RM. Vasectomy and health. JAMA. 1985 Mar 22-29; 253(12):1723.
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  165. Arnold WP, Longnecker DE, Epstein RM. Photodegradation of sodium nitroprusside: biologic activity and cyanide release. Anesthesiology. 1984 Sep; 61(3):254-60.
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  166. Woodside J, Garner L, Bedford RF, Sussman MD, Miller ED, Longnecker DE, Epstein RM. Captopril reduces the dose requirement for sodium nitroprusside induced hypotension. Anesthesiology. 1984 May; 60(5):413-7.
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  167. Bageant RA, Hoyt JW, Epstein RM. Error in a pipeline gas concentration: an unanticipated consequence of a defective check valve. Anesthesiology. 1981 Feb; 54(2):166-9.
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  168. Miller ED, Kistner JR, Epstein RM. Whole-body distribution of radioactively labelled microspheres in the rat during anesthesia with halothane, enflurane, or ketamine. Anesthesiology. 1980 Apr; 52(4):296-302.
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  169. McHugh RD, Epstein RM, Longnecker DE. Halothane mimics oxygen in oxygen microelectrodes. Anesthesiology. 1979 Jan; 50(1):47-9.
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  170. Epstein RM. Morbidity and mortality from anesthesia: a continuing problem. Anesthesiology. 1978 Dec; 49(6):388-9.
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  171. Miller ED, Sanders DB, Rowlingson JC, Berry FA, Sussman MD, Epstein RM. Anesthesia-induced rhabdomyolysis in a patient with Duchenne's muscular dystrophy. Anesthesiology. 1978 Feb; 48(2):146-8.
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  172. Miller ED, Ackerly JA, Vaughan ED, Peach MJ, Epstein RM. The renin-angiotensin system during controlled hypotension with sodium nitroprusside. Anesthesiology. 1977 Sep; 47(3):257-62.
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  173. Kistner JR, Miller ED, Epstein RM. More than V5 needed. Anesthesiology. 1977 Jul; 47(1):75-6.
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  174. Steinhaus JE, Epstein RM, Hamilton WK, Larson CP, Lawrence RM. A survey of academic anesthesiology. Submitted by ASA Subcommittee (Task Force) on Academic Anesthesia Manpower. Anesthesiology. 1977 Jul; 47(1):53-61.
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  175. Fukunaga AF, Epstein RM. Effects of cyclopropane on the sympathetic nervous system and on neural regulation of circulation in the cat. Anesthesiology. 1974 Apr; 40(4):323-35.
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  176. Gissen A, Epstein RM, Epstein RA. Letter: Standardized technique for transmission studies. Anesthesiology. 1973 Nov; 39(5):567-8.
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  177. Fukunaga AF, Epstein RM. Sympathetic excitation during nitrous-oxide-halothane anesthesia in the cat. Anesthesiology. 1973 Jul; 39(1):23-36.
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  178. Epstein RA, Epstein RM. The electromyogram and the mechanical response of indirectly stimulated muscle in anesthetized man following curarization. Anesthesiology. 1973 Mar; 38(3):212-23.
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  179. Epstein RM, Epstein RA, Lee AS. A recording system for continuous evoked electromyography. Anesthesiology. 1973 Mar; 38(3):287-9.
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  180. Poppers PJ, Epstein RM, Donham RT. Automatic ultrasound monitoring of blood pressure during induced hypotension. Anesthesiology. 1971 Oct; 35(4):431-5.
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  181. Ashman MN, Blesser WB, Epstein RM. A nonlinear model for the uptake and distribution of halothane in man. Anesthesiology. 1970 Oct; 33(4):419-29.
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  182. Epstein RM. For oxygen security. Anesthesiology. 1969 Oct; 31(4):299-300.
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  183. Epstein RM, Deutsch S, Cooperman LH, Clement AJ, Price HL. Splanchnic circulation during halothane anesthesia and hypercapnia in normal man. Anesthesiology. 1966 Sep-Oct; 27(5):654-61.
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  184. Price HL, Deutsch S, Davidson IA, Clement AJ, Behar MG, Epstein RM. Can general anesthetics produce splanchnic visceral hypoxia by reducing regional blood flow? Anesthesiology. 1966 Jan-Feb; 27(1):24-32.
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  185. SALANITRE E, RACKOW H, WOLF GL, EPSTEIN RM. THE UPTAKE OF ETHYLENE IN MAN. Anesthesiology. 1965 May-Jun; 26:305-11.
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  186. PRICE HL, DEUTSCH S, COOPERMAN LH, CLEMENT AJ, EPSTEIN RM. SPLANCHNIC CIRCULATION DURING CYCLOPROPANE ANESTHESIS IN NORMAL MAN. Anesthesiology. 1965 May-Jun; 26:312-9.
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  187. EGER EI, EPSTEIN RM. HAZARDS OF ANESTHETIC EQUIPMENT. Anesthesiology. 1964 Jul-Aug; 25:490-504.
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  188. EPSTEIN RM, RACKOW H, SALANITRE E, WOLF GL. INFLUENCE OF THE CONCENTRATION EFFECT ON THE UPTAKE OF ANESTHETIC MIXTURES: THE SECOND GAS EFFECT. Anesthesiology. 1964 May-Jun; 25:364-71.
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  189. SALANITRE E, RACKOW H, GREENE LT, KLONYMUS D, EPSTEIN RM. Uptake and excretion of subanesthetic concentrations of nitrous oxide in man. Anesthesiology. 1962 Nov-Dec; 23:814-22.
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  190. EPSTEIN RM, RACKOW H, LEE AS, PAPPER EM. Prevention of accidental breathing of anoxic gas mixtures during anesthesia. Anesthesiology. 1962 Jan-Feb; 23:1-4.
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  191. FRUMIN MJ, EPSTEIN RM, COHEN G. Apneic oxygenation in man. Anesthesiology. 1959 Nov-Dec; 20:789-98.
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