Department / Division:
Medicine / Pulmonary, Allergy, and Critical Care Medicine

Address:
DUMC 31012
Durham, NC 27710

Appointment Telephone:
919-668-7630

Office Telephone:
919-681-5919

Fax Telephone:
919-681-2860

• MD, University of California, Irvine, School of Medicine, 1989

• Internal Medicine, Duke University Medical Center, 1989-1992
• Pulmonary and Critical Care Medicine, Duke University Medical Center, 1993-1996

Clinical Interests:
Critical care medicine with focus on ICU outcomes, sepsis, acute respiratory distress syndrome; general pulmonary medicine

Research Interests:
I am trying to focus my research efforts in two specific areas, the medical intensive care unit, and clinical lung cancer research.  Within the intensive care unit I am specifically interested in clinical trials and outcome evaluation.  My interest in lung cancer centers on the clinical and cost effectiveness of various diagnostic procedures.

In the intensive care unit I am specifically involved in clinical trials for the adult respiratory distress syndrome (ARDS).  At the present time I am on the steering committee for the NIH ARDS clinical trial network.  We are currently enrolling patients in clinical protocols studying the effects of ventilator strategies, as well as novel therapeutic agents in the outcome of ARDS.  I am also interested in ICU outcome research including statistical modeling of ICU outcomes.

My interest in lung cancer research centers on evaluating the efficacy of diagnostic tests in the diagnosis of pulmonary malignancy.  I have retrospectively and prospectively evaluated  brochoscopic procedures, comparing the sensitivity and specificity of various techniques as well as their cost-effectiveness.  I am also currently analyzing the clinical utility and cost-effectiveness of positron emission tomography in the diagnosis of lung cancer.

Key words:  clinical trials, medical intensive care, lung cancer diagnostic testing

Representative Publications:
Govert JA, Sebastian M, Fulkerson WJ. Outcome modeling in critical illness. In Bone et al. editors, Pulmonary and Critical Care Medicine, 2nd edition. Moseby-Year Book Inc., New York. 1997. (1997)

Govert JA, Kopita JM, Matchar D, Kussin PS, Samuelson W. Cost-effectiveness of collecting routine cytological specimens during bronchoscopy for endoscopically visible lung tumor. Chest. 109:241-9; 1996. (1996)

Baz MA, Layish DT, Govert JA, Howell D, Lawrence CM, Davis RD, Tapson VF. Diagnostic yield of bronchoscopy after isolated lung transplantation. Chest. 110:84-8; 1996. (1996)

Govert JA. Patient positioning. In MacIntyre NR, Branson R (editors) Mechanical Ventilation W.B. Saunders Co, New York In press

Govert JA, Fulkerson WJ. Fiberoptic bronchoscopy in the intensive care unit. In Shoemaker WC et al. (editors), Textbook of Critical Care, 2nd edition. W.B. Saunders Co., New York. In press