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Jerris R. Hedges

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Jerris R. Hedges (born 1949) is an American emergency physician, clinical investigator, and academic leader. Until his executive retirement in March 2023, he served as the dean[1] of the University of Hawaii – Manoa’s John A. Burns School of Medicine[2]. He continues to conduct research as professor of surgery and dean emeritus of the medical school. He was formerly professor of emergency medicine and vice dean[3] of the Oregon Health & Science University (OHSU) school of medicine[4]. At OHSU, he served in a number or other roles including chair of the department of emergency management, chief of OHSU hospital emergency services, and chair of the OHSU hospital medical board. Hedges served as the founding editor of the journal Academic Emergency Medicine[5] and as president of both the Society for Academic Emergency Medicine and the Association of Academic Chairs of Emergency Medicine. Hedges was the co-founding editor of the internationally used textbook Clinical Procedures in Emergency Medicine (and Acute Care)[6]. He also served on the American Association of Medical Colleges (AAMC) council of deans’ administrative board. His eclectic research career incorporated cardiac ischemia risk assessment, cardiac resuscitation, acute trauma care and systems, and health disparities research support. Hedges was elected to the National Academy of Sciences in the National Academy of Medicine (then the Institute of Medicine) in 2000[7].

Education

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Hedges began his studies in engineering. He received an Associate of Arts in General Engineering from Centralia College[8] (1969), a Bachelor of Science - magna cum laude - in Aeronautics & Astronautics from the University of Washington[9] (1971), a Master of Science in Chemical Engineering from the University of Washington (1973), a Medical Doctorate with thesis honors from the University of Washington (1976), and a Master of Medical Management from the University of Southern California[10] (2007). He completed his training in emergency medicine at the Medical College of Pennsylvania (now Drexel University) School of Medicine[11] (1979).

Career

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After his residency, Hedges practiced emergency medicine at St. Peter Hospital in Olympia, WA (1979-1982). While in community emergency practice, he served as the medical director for the Thurston County Medic One emergency medical services (EMS) program[12] and as a consultant for the Madigan Army Medical Center’s emergency medicine residency program. From 1982 to 1988, Hedges was an assistant and then associate professor of emergency medicine at the University of Cincinnati College of Medicine [13]where he coordinated emergency medicine research efforts. Among other honors, he was awarded the Society of Teachers of Emergency Medicine - Academic Excellence Award (1988).

From 1988 to 2008, Hedges was an associate and then full professor of emergency medicine at the Oregon Health & Sciences University (OHSU) School of Medicine where he coordinated departmental research efforts and was appointed the second department chair for emergency medicine[3] (1997-2005). Hedges served as chief of emergency services for OHSU Hospital (1997-2005) and later as the vice dean of the OHSU School of Medicine (2005-2008).  He was the OHSU Faculty Inductee into Alpha Omega Alpha (medical honorary) (1994). He was a Burroughs Wellcome Fund visiting scholar for the Royal Society of Medicine – London (1994). Hedges received the Academic Leadership Award of the Society for Academic Emergency Medicine[14] (1997) and the Peter Rosen Academic Award of the American Academy of Emergency Medicine (2002). Hedges was inducted into the National Academy of Medicine[15] (then the Institute of Medicine) for his academic leadership and research in cardiac emergencies and systems of acute trauma care (2000).  Before leaving for Hawaii, Hedges was honored with the dean’s award (2007) by the alumni association, and after leaving OHSU, he was assigned professor emeritus status by the OHSU department of emergency medicine (2008).R11

From 2008-2023, Hedges served as the dean of the University of Hawaii – Manoa’s John A. Burns School of Medicine[16][17]. As a professor of medicine and surgery, he continued his writing, lectures, and research. Hedges also served as acting/interim cancer center director for the University of Hawaii’s National Cancer Institute designated cancer center during a period of cancer center leadership transition (2014-2016). In Hawaii, his research focus was on early-stage investigator mentorship and health disparities research. Hedges was the 2013 Physician of the Year for the Hawaii Medical Association. Hedges received the Distinguished Citizen Award at the Domestic Violence Action Center’s Men’s March Against Violence (2022). Other awards received around the time of retirement include the following: Achievement Rewards for College Scientists (ARCS) Foundation Recognition award (2023), Noguchi Medical Research Institute Service Recognition Award (2023), Friends of the Medical School James S. Burns Community Award (2023), Hawaii Medical Association President’s Award (2023), and American Association of Medical Colleges’ Distinguished Service Member (2023).

Now a dean emeritus (awarded by the University of Hawaii Board of Regents – 2023), Hedges remains academically active with mentoring and service as lead for the National Institution of Minority Health & Health Disparities’(NIMHD) sponsored Research Center award at the University of Hawaii – Manoa.

Research

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Hedges has been an advocate for diverse, team-based, clinical and translational research throughout his career. He has contributed to the understanding of myocardial ischemia risk assessment in emergency patients with chest discomfort, helping build the science behind real-time cardiac enzyme use in the emergency department[18][19][20][21][22] and assessing the variable presentation of patients with myocardial ischemia and factors impacting delays in treatment[23].[24][25]

Hedges advocated for EMS as a public health agentR22 and incorporated EMS personnel into his research teams. With other national leaders, he extended laboratory approaches into clinical translational out-of-hospital trials. As a contributor to the science of cardiac resuscitation, he contributed to key evaluations of public access defibrillation[26][27][28][29], cardiac pacing in the prehospital setting[30][31], and mechanisms of cardiopulmonary resuscitation[32][33].

In trauma care, Hedges focused on a systems approach to trauma resuscitation within the hospital[34], in the community with EMS triage criteria[35][36][37], and for the evaluation of statewide trauma care[38][39]. Hedges and colleagues demonstrated the survival merits of timely transfer of viable, yet severely injured, patients from less resourced trauma hospitals to dedicated and highly resourced trauma hospitals[40][41][42].

Hedges served as the contact principal investigator for the RMATRIX [RCMI (Research Center for Minority Institutions) Multidisciplinary And Translational Research Infrastructure eXpansion] grant (2014-2017) and the Ola HAWAII (Health And Wellness Achieved by Impacting Inequalities) grant (2017 to present) translational-research, infrastructure grants for the University of Hawaii -Manoa, These programs serve as national models for multidisciplinary, team-based health disparities research[43][44] and early-stage investigator development.[45]

Personal Life:

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Hedges married Susan (Newborg) Hedges in 1969. They were divorced in 2012. They have two children – Andrew Hedges (Firefighter Paramedic) and Emily Hedges (Clinical Psychologist) in the Portland, Oregon area.

  1. ^ "Dean Jerris Hedges Retires after 15 years of Dedicated and Innovative Service | John A. Burns School of Medicine". jabsom.hawaii.edu. Retrieved 2024-12-04.
  2. ^ "Home Page | John A. Burns School of Medicine". jabsom.hawaii.edu. Retrieved 2024-12-04.
  3. ^ a b "Jerris R. Hedges Emergency Medicine Endowment Fund | OHSU". www.ohsu.edu. Retrieved 2024-12-04.
  4. ^ "School of Medicine | OHSU". www.ohsu.edu. Retrieved 2024-12-04.
  5. ^ "AEM Journal". Default. Retrieved 2024-12-04.
  6. ^ Fein, Joel A. (1992-06). "Clinical Procedures in Emergency Medicine". Pediatric Emergency Care. 8 (3): 175. doi:10.1097/00006565-199206000-00018. ISSN 0749-5161. {{cite journal}}: Check date values in: |date= (help)
  7. ^ "Hedges Named to IOM". Emergency Medicine News. 23 (3): 23. 2001-04. ISSN 1054-0725. {{cite journal}}: Check date values in: |date= (help)
  8. ^ "Centralia College". www.centralia.edu. Retrieved 2024-12-04.
  9. ^ "Events abound in December". UW Homepage. Retrieved 2024-12-04.
  10. ^ "University of Southern California". USC. Retrieved 2024-12-04.
  11. ^ "Medical College of Pennsylvania Hospital". drexel.edu. 2021-01-06. Retrieved 2024-12-04.
  12. ^ "Medic One | Thurston County". www.thurstoncountywa.gov. Retrieved 2024-12-04.
  13. ^ "Home | College of Medicine | UC Cincinnati". meduc-cms-prod.azurewebsites.net. Retrieved 2024-12-04.
  14. ^ "Past Award Winners". Default. Retrieved 2024-12-04.
  15. ^ "Hedges Named to IOM". Emergency Medicine News. 23 (3): 23. 2001-04. ISSN 1054-0725. {{cite journal}}: Check date values in: |date= (help)
  16. ^ Hedges JR. Medical School Hotline: University of Hawai‘i medical school dean Hedges reflects on 15 year tenure upon retirement (2008 -2023). Hawaii J Med Public Health. 2023;82(4):99-102
  17. ^ News, U. H. (2022-09-02). "John A. Burns School of Medicine dean announces planned retirement | University of Hawaiʻi System News". www.hawaii.edu. Retrieved 2024-12-04. {{cite web}}: |last= has generic name (help)
  18. ^ Young GP, Gibler WB, Hedges JR, et al.  Serial creatine kinase MB results are a sensitive indicator of acute myocardial infarction in chest pain patients with nondiagnostic electrocardiograms: The Second Emergency Medicine Cardiac Research Group study. Acad Emerg Med 1997;4:869-77.
  19. ^ Gibler WB, Young GP, Hedges JR, et al.: Acute myocardial infarction in patients with non-diagnostic ECGs: Serial CK MB sampling in the emergency department.  Ann Emerg Med 1992;21:504-512.
  20. ^ Hedges JR, Gibler WB, Young GP, et al.: Multicenter study of creatine kinase- MB use: Effect on chest pain clinical decision making. Acad Emerg Med 1996;3:7-15.
  21. ^ Young GP, Hedges JR, Gibler WB, et al.  Do CK MB results affect chest pain decision making in the emergency department?  Ann Emerg Med 1991;20:1220-1228.
  22. ^ Hedges JR, Rouan G, Toltzis R, et al.  Selective determination of creatine kinase levels identifies patients with acute myocardial infarction otherwise unrecognized in the emergency department. Ann Emerg Med 1987;16:248-252.
  23. ^ Luepker RV, Raczynski JM, Osganian S, Goldberg RJ, Finnegan Jr. JR, Hedges JR, et al. for the REACT Study Group. A trial to change patient delay and ambulance use in acute coronary disease: The REACT randomized community trial. JAMA 2000;284:60-7.
  24. ^ Osganian SK, Zapka JG, Feldman HA, Goldberg RJ, HedgesJR , et al. for the REACT Study Group. Use of emergency medical services for suspected acute cardiac ischemia among demographic and clinical patient subgroups: The REACT Trial. Prehosp Emerg Care 2002;6:175-185.
  25. ^ Hedges JR, Mann NC, Meischke H, Robbins M, Goldberg RJ, Zapka J (for the Rapid Early Action for Coronary Treatment (REACT) Study Group). Assessment of chest pain onset and out-of-hospital delay using standardized interview questions: The REACT pilot study. Acad Emerg Med  1998;5:773-780.
  26. ^ Hedges JR, Sehra R, Van Zile J, et al., for the PAD trial investigators. Automated external defibrillator (AED) program does not impair cardiopulmonary resuscitation initiation in the Public Access Defibrillation Trial. Acad Emerg Med 2006;13:659-665.
  27. ^ Peberdy MA, Van Ottingham L, Groh WJ, Hedges J, et al., and the PAD Investigators. Adverse events associated with lay emergency response programs: The Public Access Defibrillation Trial Experience. Resuscitation 2006;70:59-65.
  28. ^ The PAD Trial Investigators.  Public-access defibrillation and survival after out-of-hospital cardiac arrest. NEJM 2004;351:637-46.
  29. ^ The PAD Trial Investigators: The Public Access Defibrillation (PAD) Trial study design and rationale. Resuscitation 2003;56:135-147.
  30. ^ Hedges JR, Feero S, Shultz B, et al.: Prehospital transcutaneous cardiac pacing for symptomatic bradycardia.  PACE 1991;14:1473-1478.
  31. ^ Hedges JR, Syverud SA, Dalsey WC, et al.: Prehospital trial of emergency transcutaneous cardiac pacing.  Circulation 76:1337-1343, 1987.
  32. ^ Aufderheide TP, Kudenchuk PJ, Hedges JR, et al. for the ROC investigators. Resuscitation Outcomes Consortium (ROC) PRIMED cardiac arrest trial methods, Part 1: Rationale and methodology for the impedance threshold device (ITD) protocol. Resuscitation 2008;78(2):179-185.
  33. ^ Nichol G, Thomas E, Callaway CW, Hedges J, et al. for ROC Investigators. Regional variation in out-of-hospital cardiac arrest incidence and outcome. JAMA 2008;300(12):1423-1431.  Erratum in: JAMA. 2008 Oct 15;300(15):1763.
  34. ^ Lowe D, Hedges JR, Marby D, Mendelson D. An assessment of time following trauma resuscitation: the transitional evaluation and monitoring phase.  J Trauma 1991;31:1265-1269.
  35. ^ Newgard CD, Rudser K, Hedges JR, et al. for the ROC Investigators. A critical assessment of the out-of-hospital trauma triage guidelines for physiologic abnormality. J Trauma. 2010;68(2):452-62.
  36. ^ Hedges JR, Newgard CD, Mullins RJ. Emergency Medical Treatment and Active Labor Act and trauma triage. Prehosp Emerg Care 2006;10:332-339.
  37. ^ Simmons E, Hedges JR, Irwin L, Maassberg W, Kirkwood KA. Paramedic injury severity perception can aid trauma triage.  Ann Emerg Med 1995;26:461-468.
  38. ^ Mullins RJ, Veum Stone J, Helfand M, Zimmer-Gembeck M, Hedges JR, et al. Outcome of hospitalized injured patients after institution of a trauma system in an urban area.  JAMA 1994;271:1919 1924
  39. ^ Mann NC, Hedges JR, Sandoval R, Worrall W, Zechnich AD, Jurkovich GJ, Mullins RJ. Trauma system impact on admission site: A comparison of two states. J Trauma 1999;46:631-637.
  40. ^ Hedges JR, Newgard CD, Stone JV, Selden NR, Adams AL, Lenfesty B, Diggs B, Arthur M, Mullins RJ. Early neurosurgical procedures enhance survival in blunt head injury: Propensity score analysis. J Emerg Med. 2009 Aug;37(2):115-23. Epub 2008 Dec 20.
  41. ^ Newgard CD, McConnell KJ, Hedges JR, Mullins RJ.  The benefit of higher level of care transfer of injured patients from nontertiary hospital emergency departments. J Trauma 2007;63(5):965-71. doi: 10.1097/TA.0b013e31803c5665.
  42. ^ McConnell KJ, Newgard CD, Arthur M, Mullins RJ, Hedges JR. Mortality benefit of transfer to level 1 vs level 2 trauma centers for head injured patients: Analysis using instrumental variables. Health Services Research 2005;40:435-457.
  43. ^ Hedges JR, Chow DC, Fogelgren B, Braun KL, Tsark JU, Ordinado S, Berry MJ, Yanagihara R, Mokuau N. Health disparities investigator development through a team-science pilot projects program. Int. J. Environ. Res. Public Health 2023 (Mar);20(7):5336. doi: 10.3390/ijerph20075336.
  44. ^ Hedges J, Mokuau N. RMATRIX II: Multidisciplinary Collaboration in Health Disparities Research in the College of Health Sciences and Social Welfare (CHSSW); Hawaii J Med Public Health. 2015 Jul; 74(7 Suppl 1): 10. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4498547/
  45. ^ Shiramizu B, Shambaugh V, Petrovich H, Seto TB, Ho T, Mokuau N, Hedges JR. Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. J. Racial and Ethnic Health Disparities.  2016;(Oct 28): doi: 10.1007/s40615-016-0302-4.
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