Bio

Bio


Douglas Franz, MD, MPH is a board-eligable nephrologist and advanced geriatrics fellow with Veterans Affairs in Palo Alto and Stanford University. He enjoys taking care of patients with kidney disease and serving our veterans. Dr Franz has a particular interest in the management of kidney dysfunction in patients with advanced heart failure as well as in patients with peripheral vascular disease. He is training to further his skills in epidemiology and clinical research with the goal of becoming an independent investigator.

Dr Franz is currently training for his first triathlon. He plays guitar, listens to books and podcasts, and enjoys spending time with his wife, daughter, and their wheaten terrier.

Clinical Focus


  • Fellow
  • Nephrology
  • Geriatric Medicine

Honors & Awards


  • Inaugural Chief Nephrology Fellow, Stanford University (2017-2018)
  • Presenter, Young Investigators Forum, San Diego, CA (2018)
  • Campbell Fellow for Mentorship, American Society of Nephrology - ASN Kidney Week (2017)
  • Kidney STARS Program, American Society of Nephrology - ASN Kidney Week (2014)
  • Arch S. McMillen Scholarship for Academic Achievement, University of Nebraska Medical Center (2008)
  • Margaret R Noel Scholarship for Outstanding Academic Performance, University of Nebraska Medical Center (2008)
  • Honors Progam, University of Nebraska (2002-2006)

Boards, Advisory Committees, Professional Organizations


  • Member, Alpha Omega Alpha Medical Honor Society (2018 - Present)
  • Member, American Society of Nephrology (2016 - Present)

Professional Education


  • Advanced Fellow, VA Palo Alto / Stanford University, Geriatric Medicine (2019)
  • Fellow, Stanford Univeristy, Nephrology (2018)
  • Resident, University of Nebraska Medical Center, Internal Medicine (2016)
  • Doctor of Medicine, University of Nebraska Medical Center (2013)
  • Master of Public Health, University of Nebraska Medical Center (2013)
  • Bachelor of Science, University of Nebraska Lincoln (2006)

Stanford Advisors


Personal Interests


Triathlon training, playing guitar, listening to podcasts, novels, playing with my Wheaten Terrier

Research & Scholarship

Current Clinical Interests


  • Chronic Kidney Disease
  • Heart Failure
  • Ventricular Assist Devices
  • Peripheral Vascular Disease
  • Epidemiology
  • Biostatistics
  • Geriatrics

Teaching

Graduate and Fellowship Programs


  • Geriatric Medicine (Fellowship Program)
  • Nephrology (Fellowship Program)

Publications

All Publications


  • Trends in Rates of Lower Extremity Amputation Among Patients With End-Stage Renal Disease Who Receive Dialysis JAMA Internal Medicine Franz, D., Zheng, Y., Leeper, N. J., Chandra, V., Montez-Rath, M., Chang, T. I. 2018
  • Psychoactive Medication administration and Delirium Prevalence and Duration in ICU patients 43rd Annual Critical Care Congress Franz, D., Olsen, K., Balas, M., Lander, L., Schmid, K., Shostrom, V., Burke, W. LIPPINCOTT WILLIAMS & WILKINS. 2013
  • Implementing the Awakening and Breathing Coordination, Delirium Monitoring/Management, and Early Exercise/Mobility Bundle into Everyday Care: Opportunities, Challenges, and Lessons Learned for Implementing the ICU Pain, Agitation, and Delirium Guidelines CRITICAL CARE MEDICINE Balas, M. C., Burke, W. J., Gannon, D., Cohen, M. Z., Colburn, L., Bevil, C., Franz, D., Olsen, K. M., Ely, E. W., Vasilevskis, E. E. 2013; 41 (9): S116-S127

    Abstract

    The awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle is an evidence-based interprofessional multicomponent strategy for minimizing sedative exposure, reducing duration of mechanical ventilation, and managing ICU-acquired delirium and weakness. The purpose of this study was to identify facilitators and barriers to awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle adoption and to evaluate the extent to which bundle implementation was effective, sustainable, and conducive to dissemination.Prospective, before-after, mixed-methods study.Five adult ICUs, one step-down unit, and a special care unit located in a 624-bed academic medical center: Interprofessional ICU team members at participating institution.In collaboration with the participating institution, we developed, implemented, and refined an awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle policy. Over the course of an 18-month period, all ICU team members were offered the opportunity to participate in numerous multimodal educational efforts. Three focus group sessions, three online surveys, and one educational evaluation were administered in an attempt to identify facilitators and barriers to bundle adoption.Factors believed to facilitate bundle implementation included: 1) the performance of daily, interdisciplinary, rounds; 2) engagement of key implementation leaders; 3) sustained and diverse educational efforts; and 4) the bundle's quality and strength. Barriers identified included: 1) intervention-related issues (e.g., timing of trials, fear of adverse events), 2) communication and care coordination challenges, 3) knowledge deficits, 4) workload concerns, and 5) documentation burden. Despite these challenges, participants believed implementation ultimately benefited patients, improved interdisciplinary communication, and empowered nurses and other ICU team members.In this study of the implementation of the awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle in a tertiary care setting, clear factors were identified that both advanced and impeded adoption of this complex intervention that requires interprofessional education, coordination, and cooperation. Focusing on these factors preemptively should enable a more effective and lasting implementation of the bundle and better care for critically ill patients. Lessons learned from this study will also help healthcare providers optimize implementation of the recent ICU pain, agitation, and delirium guidelines, which has many similarities but also some important differences as compared with the awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle.

    View details for DOI 10.1097/CCM.0b013e3182a17064

    View details for Web of Science ID 000331152200010

    View details for PubMedID 23989089

  • The relationship between physical activity, body mass index, and academic performance in college-age students Open Journal of Epidemiology Franz, D. D., Feresu, S. A. 2013; 3 (1): 4-11

    View details for DOI 10.4236/ojepi.20