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Steven Barczi

Steven R. Barczi

M.D., University of Illinois-Chicago
Professor, Department of Medicine- Geriatrics
steven.barczi@va.gov
https://www.medicine.wisc.edu/people-search/people/staff/22/BARCZI_STEVEN_R


Sleep Disorders and Aging; Geriatric Education

I have clinical and research interests in sleep changes and sleep disorders associated with aging. Aside from fellowship training in Geriatrics/Gerontology, I have completed a sleep medicine fellowship at the University of Wisconsin and accomplished two years of advanced training in teaching and education administration through the School of Medicine's Medical Education Development and Leadership program. I regularly participate in clinical, education and research activities in geriatric medicine and sleep medicine within the University of Wisconsin and Madison Veterans Hospital Programs.

Between 25% and 50% of community-dwelling older adults will experience difficulties with either falling asleep or staying asleep. Sleep disturbances are also common among patients with dementias such as Alzheimer's disease, affecting up to 45% of clinic-based or community samples. The consequences of poor sleep in these groups include reduced quality of life, compromised functioning, memory/attention changes, vascular complications (e.g. stroke and heart attacks) and increased caregiver stress. I have previously collaborated in work focusing on sleep apnea in older woman, the effects of estrogen on sleep following menopause and vascular complications of sleep apnea. My present research focuses on the cerebrovascular and cognitive consequences of sleep apnea and related conditions in older adults and those afflicted with mild cognitive impairment. This includes a recently completed a VA Merit Award and an ongoing collaboration Cynthia Phelan PhD at the Madison VA GRECC and with the Wisconsin Sleep Cohort (Paul Peppard, PhD- PI; Barczi- Co-Medical Director).

I am a clinician-educator in geriatrics with interest in the process and outcomes of medical education as it pertains to educating health care professionals in geriatrics, gerontology and sleep. As the Director of Education and Evaluation within the Madison VA Geriatrics Research, Education and Clinical Center (GRECC), I oversee a number of educational programs and initiatives involving health professional students, medical residents and physician fellows. These include being the Director of the following: The ADGAP National Fellowship Directors consortium, the UW Geriatric Medicine Fellowship, the VA Advanced Geriatrics Fellowship, the UW Hartford Center of Excellence in Geriatric Education and the Wisconsin Geriatric Education Center (Madison PI). I have developed novel educational programs including the School of Medicine's student- senior partnership program, the Professional Skills Assessment case in geriatrics and a competency and simulation-based curriculum for residents. I also am involved with several education grants including the VA Geriatrics Scholars program, the VA Rural Interdisciplinary Team Training program and a DOM-sponsored project for creating simulation experiences for health professional trainees in common geriatric syndromes such as falls, cognitive impairment and late-life depression.



Representative Publications
Kramer, J., Creekmur, B., Howe, J. L., Trudeau, S., Douglas, J. R., Garner, K., . . . Barczi, S. (2016). Veterans Affairs geriatric scholars program: Enhancing existing primary care clinician skills in caring for older veterans. Journal of the American Geriatrics Society, 64(11), 2343-2348.
View publication via DOI: DOI:10.1111/jgs.14382

Hung, W.W., Rossi, M., Thielke, S., Caprio, T., Barczi, S., Kramer, B.J., Kochersberger, G., Boockvar, K.S., & Howe, J.L. (2014). A multisite geriatric education program for rural providers in the veteran health care system (GRECC-Connect). Gerontology & Geriatric Education, 35(1), 23-40.
View publication via DOI: DOI:10.1080/02701960.2013.870902

Barczi, S., & Teodorescu, M.C. (2014). Sleep Medicine in the elderly: Medical and psychiatric disorders and the medications used to treat them. In M. Kryger (Ed.), Principles and Practice of Sleep Medicine (6th ed.). Elsevier, Inc.

Kind, A.J., Jensen, L., Barczi, S., Bridges, A., Kordahl, B., Smith, M.A., & Asthana, S. (2012). Low-cost transitional care with nurse managers making mostly phone contact with patients cut rehospitalization at a VA Hospital. Health Affairs, 31(12), 2659-68.
View publication via DOI: DOI:10.1377/hlthaff.2012.0366

Morgan, B.J., Reichmuth, K.J., Peppard, P.E., Finn, L., Barczi, S.R., Young, T., Nieto, FJ. (2010). Effects of sleep disordered breathing on cerebrovascular regulation: A population-based study. American Journal of Respiratory and Critical Care Medicine, 182(11), 1445-1452.
Click here to download this publication.
View publication via DOI: DOI:10.1164/rccm.201002-0313OC

Reichmuth, K., Dopp, J., Barczi, S., Skatrud, J., Wojdyla, P., Hayes, D., & Morgan, B. (2009). Impaired Vascular Regulation in Patients with Obstructive Sleep Apnea: Effects of CPAP Treatment. American Journal of Respiratory and Critical Care Medicine, 180, 1143-1150.
Click here to download this publication.
View publication via DOI: DOI:10.1164/rccm.200903-0393OC

Xie, A., Skatrud, J.B., Barczi, S., Reichmuth, K., Morgan, B., Mont, S., & Dempsey, J.A. (2009). Influence of cerebral blood flow on breathing stability. Journal of Applied Physiology, 106(3), 850-856.
Click here to download this publication.
View publication via DOI: DOI:10.1152/japplphysiol.90914.2008

Barczi, S., & Teodorescu, M.C. (2009). Sleep medicine in the elderly: Medical and psychiatric disorders and the medications used to treat them. In M. Kryger (Ed.), Principles and practice of sleep medicine (5th ed.). Elsevier, Inc.

Robbins, J., Hind, J., & Barczi, S. (2009). Disorders of swallowing. In W. Hazzard & J. Halter J, et. al. (Eds.), Hazzard's geriatric medicine and gerontology: Principles of geriatric medicine & gerontology (6th ed.). New York: McGraw Hill Professional.

Bangash, M.F., Xie, A., Skatrud, J.B., Reichmuth, K.J., Barczi, S.R., & Morgan, B.J. (2008). Cerebrovascular response to arousal from NREM and REM sleep. Sleep, 31(3), 321-7.

Barczi, S. (2008). Sleep and medical comorbidities. In A. Avidan, & C. Alessi (Eds.), Geriatric sleep disorders (1st ed.). Informa Healthcare, Inc.

Barczi, S.R., & Juergens, T.M. (2006). Comorbidities: Psychiatric, medical, medications, and substances. Sleep Medicine Clinics, 1(2), 231-245.
View publication via DOI: DOI:10.1016/j.jsmc.2006.04.001

Barczi, S., Bell, C., & Skochelak, S. (2004). University of Wisconsin Medical School. Acad. Med., 79(7 Suppl), S203-9.

Robbins, J.A., & Barczi, S.R. (2003). Disorders of swallowing. In W. Hazzard & J. Halter (Eds.), Principles of geriatric medicine (5th ed.). New York: McGraw Hill.

Barczi, S., Sullivan, P., & Robbins, J. (2000). How should dysphagia care of older adults differ? Establishing optimal practice patterns. Sem. Speech and Language Path., 21, 347-361.

Barczi, S., Sullivan, P., & Robbins, J. (2000). How should dysphagia care of older adults differ? Establishing optimal practice patterns. Sem. Speech and Language Path., 21, 347-361.

Gudmundsson, A., Ershler, W.B., Lent, S., Barczi, S., Goodman, B., & Carnes, M. (1999). The effects of estrogen replacement on circadian rhythm of cortisol in postmenopausal women. Experimental Gerontology, 34, 809-818.
View publication via DOI: DOI:10.1016/S0531-5565(99)00044-3

Gudmundsson, A., Ershler, W.B., Lent, S., Barczi, S., Goodman, B., & Carnes, M. (1997). Serum levels of Interleukin-6 are elevated when sampled through indwelling venous catheter. Clin. Chem., 43, 2199-2200.

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