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Jerry Avorn

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Jerome "Jerry" Lewis Avorn, M.D. (born February 13, 1948) is a Professor of Medicine at Harvard Medical School and Chief of the Division of Pharmacoepidemiology and Pharmacoeconomics at Brigham and Women’s Hospital. He invented the practice of "academic detailing" in which pharmacists, nurses, and physicians educate doctors about cost-effective prescribing practices using the same tactics that drug companies employ to market their products. He received a B.A. from Columbia University in 1969 and M.D. from Harvard Medical School in 1974.

Biography

Dr. Avorn was born February 13, 1948 in New York City and grew up in Rockaway, Queens. While attending Columbia University during the tumultuous opposition to the Vietnam War and American civil rights movement, he distinguished himself as a leading campus activist against the Vietnam War with his investigative journalism for the Columbia Daily Spectator. In the summer of 1969, he wrote Up Against the Ivy Wall with fellow Spectator journalists about the campus uprisings at Columbia.

Dr. Avorn graduated from Harvard Medical School with an M.D. in 1974. He was a resident at the Cambridge Hospital in Cambridge, Massachusetts and then at the Beth Israel Hospital (now the Beth Israel Deaconess Medical Center in Boston, Massachusetts). He became an Associate Professor at Harvard Medical School in 1985 and a full Professor in 2005.

In 1983, he published his first paper on academic detailing. The practice has now been taken up by several hospitals and governments, such as Pennsylvania, Washington, DC, Kentucky, Australia, Israel, and Nova Scotia. His work on academic detailing was featured in the Wall Street Journal and on The Daily Show.

In 1996 he published Reduction of bacteriuria and pyuria after ingestion of cranberry juice in the Journal of the American Medical Association which identified cranberry juice as an effective means of controlling urinary tract infections in elderly women.

Dr. Avorn is also past president of the International Society for Pharmacoepidemiology [1].

In 2004, he founded the Alosa Foundation, a nonprofit organization that develops and implements academic detailing programs to improve prescribing.

Dr. Avorn's paper on coxibs was one of the first medical research papers to demonstrate that Vioxx increased some patients' risk of heart attack and stroke. In 2006 he testified as a plaintiff’s expert witness in the Vioxx litigation, but he donates all profit from his involvement to the Alosa Foundation.

Dr. Avorn lives in Brookline, Massachusetts with his wife, community activist Karen Tucker. They have two grown sons: Andrew Avorn (Columbia University Class of 2008, NYU Law Class of 2012), and Nathaniel Avorn (Connecticut College Class of 2003). In his leisure time, Dr. Avorn enjoys napping, reading, and travel.

Powerful Medicines

Dr. Avorn is the author of the 2004 book "Powerful Medicines" About the book, Senator Edward M. Kennedy (D-MA) said, “Powerful Medicines” is a must read for anyone interested in the use, abuse, and economics of prescription drugs. The issues it addresses are central to the ongoing debate about how to reduce the cost and improve the quality of health care in America."

Education

Date Degree Institution Subject
1988 Certification American Board of Internal Medicine Geriatric Medicine
1977 Diplomate American Board of Internal Medicine
1975-1977 Resident in Internal Medicine Beth Israel Hospital, Boston, MA
1974-1977 Clinical Fellow in Medicine Harvard Medical School, Boston, MA
1974-1975 Intern in Medicine Cambridge Hospital, Cambridge, MA
1974 M.D. Harvard Medical School, Boston, MA
1974 Certification National Board of Medical Examiners
1974 License State of Massachusetts
1969 A.B. Columbia University, New York, NY

Appointments and Affiliations

Dates Title Organization Location
1998- Chief, Division of
Pharmacoepidemiology and Pharmacoeconomics
Brigham and Women's Hospital Boston, MA
1992–Present Physician Brigham and Women's Hospital Boston, MA
1992–Present Attending Physician Brigham and Women's Hospital Boston, MA
1990–Present Associate Professor of Medicine Harvard Medical School Boston, MA
1989-1994 Physician Beth Israel Hospital, Department of Medicine Boston, MA
1987-1989 Associate Physician Beth Israel Hospital, Department of Medicine Boston, MA
1986-1992 Associate Physician Brigham and Women's Hospital Boston, MA
1985-1990 Associate Professor of Social Medicine Harvard Medical School Boston, MA
1984-1987 Assistant Physician Beth Israel Hospital, Department of Medicine Boston, MA
1981-1992 Attending Physician Beth Israel Hospital Boston, MA
1979-1985 Assistant Professor of
Social Medicine and Health Policy
Harvard Medical School Boston, MA
1977-1984 Assistant in Medicine Beth Israel Hospital, Department of Medicine Boston, MA
1977-1981 Attending Physician Beth Israel Hospital Boston, MA
1977-1979 Instructor in Preventive and Social Medicine Harvard Medical School Boston, MA

Notable Research Papers

-A new approach to reducing suboptimal drug use

- Cardiovascular outcomes in new users of coxibs and nonsteroidal antiinflammatory drugs: High-risk subgroups and time course of risk

- Reduction of bacteriuria and pyuria after ingestion of cranberry juice

-Nonsteroidal anti-inflammatory drug use and acute myocardial infarction.