Clinical Focus

  • Internal Medicine
  • Medical Education
  • Global Health

Academic Appointments

  • Clinical Associate Professor, Medicine

Administrative Appointments

  • Clerkship Directory Med 300 and 314, Stanford School of Medicine (2016 - Present)
  • B2 Unit Based Medical Director, Stanford Hospital and Clinics (2012 - Present)
  • Associate Clerkship Director for Med 300 and Med 314, Stanford School of Medicine (2009 - 2016)
  • Educators for Care, Stanford School of Medicine (2012 - Present)

Boards, Advisory Committees, Professional Organizations

  • Fellow, Center for Innovation in Global Health (2015 - Present)

Professional Education

  • Board Certification: Internal Medicine, American Board of Internal Medicine (2008)
  • Residency:Stanford University - CAPS (2005) CA
  • Medical Education:University of Virginia (2005) VA


Stanford Advisees


All Publications

  • The physical examination, including point of care technology, is an important part of the diagnostic process and should be included in educational interventions to improve clinical reasoning. Diagnosis (Berlin, Germany) Garibaldi, B. T., Kugler, J., Goyal, A., Ozdalga, E., Niessen, T., Liu, G., Manesh, R., Desai, S., Elder, A. 2018

    View details for PubMedID 30375346

  • Price and the Evolution of the Physical Examination JAMA CARDIOLOGY Kugler, J. 2018; 3 (4): 351

    View details for PubMedID 29490337

  • The Role of Technology in the Bedside Encounter. The Medical clinics of North America Kumar, A., Liu, G., Chi, J., Kugler, J. 2018; 102 (3): 443?51


    Technology has the potential to both distract and reconnect providers with their patients. The widespread adoption of electronic medical records in recent years pulls physicians away from time at the bedside. However, when used in conjunction with patients, technology has the potential to bring patients and physicians together. The increasing use of point-of-care ultrasound by physicians is changing the bedside encounter by allowing for real-time diagnosis with the treating physician. It is a powerful example of the way technology can be a force for refocusing on the bedside encounter.

    View details for PubMedID 29650066

  • Internal Medicine: Challenges and Opportunities for Expanding Use SOUTHERN MEDICAL JOURNAL Kugler, J. 2016; 109 (12): 750-753
  • Point-of-Care Ultrasound in Internal Medicine: Challenges and Opportunities for Expanding Use. Southern medical journal Kugler, J. 2016; 109 (12): 750-753

    View details for PubMedID 27911966

  • The Five-Minute Moment. American journal of medicine Chi, J., Artandi, M., Kugler, J., Ozdalga, E., Hosamani, P., Koehler, E., Osterberg, L., Zaman, J., Thadaney, S., Elder, A., Verghese, A. 2016; 129 (8): 792-795


    In today's hospital and clinic environment, the obstacles to bedside teaching both for faculty and trainees are considerable. As Electronic Health Records (EHR) systems become increasingly prevalent, trainees are spending more time performing patient care tasks from computer workstations, limiting opportunities to learn at the bedside. Physical examination skills are rarely emphasized and low confidence levels, especially in junior faculty, pose additional barriers to teaching the bedside exam.

    View details for DOI 10.1016/j.amjmed.2016.02.020

    View details for PubMedID 26972793

  • Medical students and the electronic health record: 'an epic use of time'. American journal of medicine Chi, J., Kugler, J., Chu, I. M., Loftus, P. D., Evans, K. H., Oskotsky, T., Basaviah, P., Braddock, C. H. 2014; 127 (9): 891-895

    View details for DOI 10.1016/j.amjmed.2014.05.027

    View details for PubMedID 24907594

  • Medical Students and the Electronic Health Record: 'An Epic Use of Time' AMERICAN JOURNAL OF MEDICINE Chi, J., Kugler, J., Chu, I. M., Loftus, P. D., Evans, K. H., Oskotsky, T., Basaviah, P., Braddock, C. H. 2014; 127 (9): 891-895

    View details for DOI 10.1016/j.amjmed.2014.05.027

    View details for Web of Science ID 000341431000046

    View details for PubMedID 24907594

  • A history of physical examination texts and the conception of bedside diagnosis. Transactions of the American Clinical and Climatological Association Verghese, A., Charlton, B., Cotter, B., Kugler, J. 2011; 122: 290-311

    View details for PubMedID 21686233

  • The Physical Exam and Other Forms of Fiction JOURNAL OF GENERAL INTERNAL MEDICINE Kugler, J., Verghese, A. 2010; 25 (8): 756-757

    View details for DOI 10.1007/s11606-010-1400-3

    View details for Web of Science ID 000279505300002

    View details for PubMedID 20502975

    View details for PubMedCentralID PMC2896585

  • Learning bedside medicine. The virtual mentor : VM Kugler, J., Verghese, A. 2009; 11 (11): 900-903
  • Renal failure and rhabdomyolysis associated with sitagliptin and simvastatin use DIABETIC MEDICINE Kao, D. P., Kohrt, H. E., Kugler, J. 2008; 25 (10): 1229-1230


    Sitagliptin is a new oral glucose-lowering medication that acts via the incretin hormone system. The most common side-effects are headache and pharyngitis, and few serious adverse events were observed during clinical trials. Dose adjustment is recommended in renal insufficiency, but long-term safety experience is limited.We present a patient with chronic renal insufficiency who developed leg pain, weakness and tenderness after starting treatment with high-dose sitagliptin while on simvastatin. The patient had acute renal failure and rhabdomyolysis that resolved with cessation of sitagliptin, simvastatin, ezetimibe, diuretics and olmesartan. All drugs except sitagliptin, ezetimibe and simvastatin were resumed, and the patient was subsequently started on lovastatin without recurrence of rhabdomyolysis.High doses of sitagliptin may have worsened this patient's renal failure and precipitated rhabdomyolysis by increasing circulating levels of simvastatin. Given the high likelihood that sitagliptin will be co-administered with statins and renally active medications, further study of long-term safety of sitagliptin in renal sufficiency may be warranted.

    View details for DOI 10.1111/j.1464-5491.2008.02536.x

    View details for Web of Science ID 000259814600013

    View details for PubMedID 19046202

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