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Caroline M. Quill, M.D.

Caroline M. Quill, M.D.

Pulmonary & Critical Care Medicine

UR Medicine Faculty The University of Rochester Medical Faculty Group (URMFG) consists of over 900 specialist and primary care providers spanning 19 departments. URMFG is certified by the National Committee for Quality Assurance.
Accountable Health Partner Accountable Health Partners (AHP) is a network of over 2,000 community and UR medical faculty and a dozen leading hospitals throughout the region. AHP offers a full range of care.
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About Me

My inpatient focus is in critical care medicine, with a particular interest in the acute respiratory distress syndrome, critical illness during pregnancy, and the integration of primary palliative care into the care of seriously ill adults. On the outpatient side, I specialize in the care of patien...
My inpatient focus is in critical care medicine, with a particular interest in the acute respiratory distress syndrome, critical illness during pregnancy, and the integration of primary palliative care into the care of seriously ill adults. On the outpatient side, I specialize in the care of patients with emphysema, COPD, and other smoking-related lung diseases. I am particularly interested in symptom management, prognostication, and the role of fear and anxiety in patients with advanced lung disease.

Certified Specialties

Critical Care Medicine - American Board of Internal Medicine

Pulmonary Disease - American Board of Internal Medicine

Faculty Appointments

Associate Professor - Department of Medicine, Pulmonary Diseases and Critical Care (SMD)

Credentials

Residency & Fellowship

Fellowship, Pulmonary and Critical Care Medicine, University of Pennsylvania School of Medicine GME. 2009 - 2013

Residency, Internal Medicine, University of Pennsylvania School of Medicine GME. 2007 - 2009

Internship, Internal Medicine, University of Pennsylvania School of Medicine GME. 2006 - 2007

Education

MD | University of Rochester. 2006

Awards

Finalist, resident teaching award. 2017

Early Career Women Faculty Leadership Development Scholarship. 2017

Finalist, resident teaching award. 2016

ATS Travel Scholarship Award. 2012

Alpha Omega Alpha. 2006

Glasgow-Rubin Achievement Award. 2006

Gold Humanism Society. 2006

Phi Beta Kappa. 2001

Sigma cum laude. 2001

Research

As a health services researcher, I am interested in improving the care of seriously ill patients, both in the ICU and outpatient settings. By combining "big data" analysis with survey data and qualitative "patient-level" research, I aim to use the wealth of data we have available through the electr...
As a health services researcher, I am interested in improving the care of seriously ill patients, both in the ICU and outpatient settings. By combining "big data" analysis with survey data and qualitative "patient-level" research, I aim to use the wealth of data we have available through the electronic medical record to better understand patient experience. With my research team at the Rochester Center for Health Informatics, I am developing novel analytic techniques such as network analysis to evaluate the ways that patients move throughout the hospital and the implications for ICU readmissions, disease transmission, and end-of-life care.

I am also interested in provider-patient communication regarding difficult decisions at the end of life. Because of competing time interests, discussions regarding advance directives and "code status" are often rushed and lack tailored information regarding individual patient prognosis from an experienced provider. My prior work has looked at variations in DNR/DNI order writing among intensive care units in the United States. I am currently conducting survey and qualitative research regarding end-of-life discussions and advance directives among seriously ill outpatients. My hypothesis is that many patients have a limited understanding of the options available as well as the implications of the option they select. Ultimately, I plan to develop interventions to improve patient and surrogate understanding of the various treatment options near the end of life, including the use of default options in advance directives for seriously ill patients.

Publications

Journal Articles

Characterization and Visualization of Prescribing Patterns Identified in the 2013 Medicare Part D Data Set

Rosenberg A; Fucile C; Nelson LA; White RJ; Quill CM; Zand M.

2017; .

Journey isomorphism among patients admitted to an intensive care unit.

Quill CM; Bush K; White RJ; Trayhan M; Pinto D; Ng P; Zand MS.

2017; .

Properties of healthcare teaming networks as a function of network construction algorithms.

Zand MS, Trayhan M, Farooq SA, Fucile C, Ghoshal G, White RJ, Quill CM, Rosenberg A, Barbosa HS, Bush K, Chafi H, Boudreau T

PloS one.. 2017 12 (4):e0175876. Epub 04/20/2017.

Palliative Care, Ethics, and the Law in the Intensive Care Unit.

Quill CM, Sussman BL, Quill TE

Critical care nursing clinics of North America.. 2015 September 27 (3):383-94. Epub 07/08/2015.

Variability Among US Intensive Care Units in Managing the Care of Patients Admitted With Preexisting Limits on Life-Sustaining Therapies.

Hart JL, Harhay MO, Gabler NB, Ratcliffe SJ, Quill CM, Halpern SD

JAMA internal medicine.. 2015 June 175 (6):1019-26. Epub 1900 01 01.

Variation in decisions to forgo life-sustaining therapies in US ICUs.

Quill CM, Ratcliffe SJ, Harhay MO, Halpern SD

Chest.. 2014 September 146 (3):573-582. Epub 1900 01 01.

Palliative use of noninvasive ventilation: navigating murky waters.

Quill CM, Quill TE

Journal of palliative medicine.. 2014 June 17 (6):657-61. Epub 05/13/2014.

Default options in advance directives influence how patients set goals for end-of-life care.

Halpern SD, Loewenstein G, Volpp KG, Cooney E, Vranas K, Quill CM, McKenzie MS, Harhay MO, Gabler NB, Silva T, Arnold R, Angus DC, Bryce C

Health affairs.. 2013 February 32 (2):408-17. Epub 1900 01 01.

Deciphering the appropriateness of defaults: the need for domain-specific evidence.

Quill CM, Halpern S

Journal of medical ethics.. 2012 December 38 (12):721-2. Epub 1900 01 01.

Books

The Evidence-Based Practice of Critical Care (2010)

Chapter: Distinguishing innovative therapy from clinical research in the ICU.

Authors: Quill CM, Halpern SD

Publisher: Elsevier 2010

Ratings & Reviews

At URMC, we believe that patients should be empowered to make the right decisions regarding their personal healthcare. To do so, transparency is critical. URMC partners with Press Ganey, to survey our patients about all aspects of their care experience. We are now putting this pertinent information at your fingertips by displaying star ratings for our providers along with anonymous patient comments on our website. This will help you make better-informed choices about how and with whom you seek care. Click here to learn more about the surveys used to generate this vital information. Learn more about our survey process.