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Geriatric Research Education and Clinical Center (GRECC)

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Bruce W. Carter VA Medical Center
1201 N.W. 16th Street
Miami, FL 33125

Phone 305-575-3388
Fax     305-575-3365

GRECC Director

Robert M. Jackson, MD (Interim)

Associate Director, Research

Ernesto Bernal-Mizrachi, MD

Associate Director, Clinical

Jorge G. Ruiz, MD

Associate Director, Education and Evaluation

Iriana Hammel, MD

Administrative Officer

Mitscher S. Gajardo, MBA

research foci heading
  • Frailty
  • High Need/High Risk
  • Stem Cells Reparative/ Regenerative Therapies
research heading
  • VA-IMPACT: Metformin in Pre-Diabetes on Atherosclerotic Cardiovascular Outcomes.
  • Anticipated Practice Based Research Network funding for Veterans with Long COVID
  • Frailty and its impacts and correlates
  • Investigation of Rifampin to Reduce Pedal Amputations for Osteomyelitis in Diabetes (VA INTREPID)
  • The Elizabeth Dole Center of Excellence for Veteran and Caregiver Research
  • Targeting and Improving Long Term Care Services and Support for High Need Veterans
  • The Gulf War Illness Clinical Trials and Interventions Consortium (GWICTIC)
  • DEPTH: VA-NIH Investigative Deep Phenotyping Study of Gulf War Veteran Health
  • COVID 19 - Understanding the Post-Viral Phase (COVID-UPP)
  • MERIT: mTORC1 signaling and regulation of α-cell mass and function
  • AKT/mTOR signaling and regulation of cell cycle in β-cells R01
  • Role of mTORC1 signaling in type 1 diabetes
education heading
  • A multidisciplinary team at the Miami GRECC designed and published an 8- module educational resource on frailty: an introductory module and seven interactive cases covering screening, diagnosis, management, and comorbidities; prior to publication, this curriculum was evaluated by fourth-year University of Miami medical students and included a pre-/post-test and a curriculum evaluation with questions on content, learning objectives, value of the learning, and multimedia module usability. Students’ post-test performance demonstrated significant improvement (p<.05) in knowledge of frailty and, overall, the evaluations were very positive. The frailty modules were recently published on POGOe and have since been successfully used by medical students, residents, geriatric medicine fellows, and health professions trainees.
  • Frailty Seminar Series: newly designed and implemented monthly webinars, jointly organized by the Miami and San Antonio GRECCs, featuring internationally renowned speakers and worldwide audience.
  • Lastly, the Miami and Gainesville GRECCs have developed a workshop entitled “Recognizing the Early Stages of Functional Decline” designed for primary care and rehabilitation providers and staff. This workshop was approved by VISN-8 and is slated for delivery as a “mini-residency” at each of the VISN’s VAMC facilities in FY2023.
clinical heading
  • Age-Friendly Integration into Geri-PACT (New)
  • Mitigating the Cognitive and Behavioral/Mood Effects of COVID 19 (Continuing)
  • Veteran Directed Care – An Investigation of Facilitators and Barriers for Program Expansion (Continuing)
  • Coordinated Transitional Care (C-TraC) for Surgical Patients with Frailty, Older Age and/or Cognitive Impairment at the Miami VA (New)
publications heading