Untitled Document

Research

Steven R. Barczi

M.D., University of Illinois-Chicago
Associate Professor, Department of Medicine
steven.barczi@med.va.gov
http://www2.medicine.wisc.edu/home/people-search/people/staff/91/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 older adults will experience difficulties with either falling asleep or staying asleep. Sleep disturbances are also common among patients with 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. This includes a recently completed a VA Merit Award and an ongoing collaboration with the Wisconsin Sleep Cohort (Terry Young, PhD- PI).

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 UW Geriatric Medicine Fellowship, the UW Sleep Medicine Fellowship, the UW Hartford Center of Excellence in Geriatric Education, geriatric liaison within the UW School of Medicine and Public Health�s curriculum 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-based curriculum for residents. I am also working with Oakwood Village to develop health education, health screening and geriatrics assessment approaches that serve that retirement community and community-dwelling seniors throughout the area.

Representative Publications
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.R., & Juergens, T.M. (2006). Comorbidities: Psychiatric, medical, medications, and substances. Sleep Medicine Clinics, 1(2), 231-245.

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.

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.

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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