Joanna L. Starrels

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Full Name
Joanna L. Starrels
Profile Image URL
https://assets.montefioreeinstein.org/profiles/images/physphoto/Starrels_Joanna_L_MD_11117176.jpg
Type
Provider
Faculty
Expert
First Name
Joanna
Last Name
Starrels
NPI
1124031729
Faculty ID
11404
Employment Status
Full Time
Patient Type
Adult
Department
einstein-dept-medicine
einstein-dept-psychiatry-behavioral-sciences
Gender
Female
Email
joanna.starrels@einsteinmed.edu
Phone
718-920-7174
Titles
Type
Academic
Department
Department of Medicine
Department Link
Rank
Professor
Division
General Internal Medicine
Type
Academic
Department
Department of Psychiatry and Behavioral Sciences
Department Link
Rank
Professor
Type
Administrative
Locations
Is Primary
On
Type
Clinical
Location (Address, State, City, Zip)
Not used, will be deleted
Coordinates
POINT (-73.88072 40.88002)
Address Line 1
111 East 210th Street
City
Bronx
State
NY
Zip
10461-2401
Location Title
Montefiore Medical Center
Is Primary
Off
Type
Academic
Location (Address, State, City, Zip)
Not used, will be deleted
Coordinates
POINT (-73.881779 40.87926)
Address Line 1
Montefiore Medical Center
Address Line 3
3300 Kossuth Avenue
City
Bronx
State
NY
Zip
10467
Location Title
Montefiore Medical Center
Education and Trainings
Education Type Label
Medical Education
Education Institution
Jefferson Medical College
Education Type Label
Fellowship
Education Institution
University of Pennsylvania
Education Type Label
Residency
Education Institution
New York and Presbyterian Hosp
Professional Interests

<p>&nbsp;</p>
<p><span style="font-size: medium;"><span style="line-height: 115%; font-family: 'Arial','sans-serif'; font-size: 11pt; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">Dr. Starrels is Professor of Medicine (with tenure) at Albert Einstein College of Medicine and Montefiore Medical Center, Associate Chief of Research in the <a title="Division of General Internal Medicine" href="http://www.einstein.yu.edu/faculty/medicine/generalinternalmedicine"><s… style="color: #3b5b98; text-decoration: none; text-underline: none;">Division of General Internal Medicine</span></a>, and Director of the IMPOWR-ME Research Center. She is board-certified in Internal Medicine and Addiction Medicine.&nbsp;Dr. Starrels is nationally recognized for her expertise in research, clinical care, education, and health policy to address the opioid crisis. Her research focuses on&nbsp;opioid management for patients with chronic pain with or without opioid use disorder. In particular, she studies the benefits and harms of opioid tapering, treatment agreements,&nbsp;urine drug testing,&nbsp;prescription monitoring programs, and medical cannabis use. She also studies the impact of opioid use&nbsp;on HIV outcomes, collaborative care models for integrating behavioral health care and pain management, treatment of opioid use disorder in primary care, and integrated treatment for opioid use disorder and chronic pain.&nbsp;Her work has been funded by&nbsp;grants from&nbsp;the National Institute on Drug Abuse (NIDA), the Society of General Internal Medicine,&nbsp;the New York Community Trust, and the Einstein-Montefiore Center for AIDS Research. Her expertise has been recognized </span><span style="color: black; line-height: 115%; font-family: 'Arial','sans-serif'; font-size: 11pt; mso-fareast-font-family: Calibri; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-theme-font: minor-latin;">by invitations to serve as</span><span style="line-height: 115%; font-family: 'Arial','sans-serif'; font-size: 11pt; mso-fareast-font-family: Calibri; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-theme-font: minor-latin;"> expert consultant to the New York City Department of Health and Mental Hygiene, the New York State Department of Health, and the Centers for Disease Control and Prevention (CDC) for developing guidelines and initiatives to improve opioid prescribing.</span></span></p>
<p><span style="font-size: medium;"><span style="line-height: 115%; font-family: 'Arial','sans-serif'; font-size: 11pt; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">Dr. Starrels joined the Einstein/Montefiore faculty in 2008. Her teaching and clinical care activities also focus on chronic pain and substance use. She is faculty in the Center on Comparative Effectiveness Research, leads a number of opioid and pain related initiatives, is teaching faculty in the Internal Medicine and Primary Care and Social Internal Medicine residency training programs, and is attending physician at the Montefiore Family Care Center where she focuses on caring for patients with chronic pain and who use opioids and/or medical cannabis.</span></span></p>
<p><span style="font-size: medium;"><span style="line-height: 115%; font-family: 'Arial','sans-serif'; font-size: 11pt; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"><span style="line-height: 115%; font-family: 'Arial','sans-serif'; font-size: 11pt; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">Before joining Einstein/Montefiore, Dr. Starrels received her BA from Wesleyan University, where she majored in the Science in Society Program, and her MD from Jefferson Medical College. She completed her residency in Internal Medicine at Columbia University Medical Center and fellowship in the Robert Wood Johnson Foundation Clinical Scholars Program at the University of Pennsylvania, where she received a MS in Health Policy Research. </span></span></span></p>
<p>&nbsp;</p>

Research Areas
Opioid management for patients with chronic pain, opioid tapering, treatment agreements, urine drug testing, medical cannabis, collaborative care models, opioid use disorder, opioid use in HIV care.
Expert Tags
Expert Summary

<p class="MsoNormal" style="line-height: 15.6pt;">Dr. Starrels is a physician, teacher and researcher who focuses on the safety and effectiveness of opioids for the management of chronic pain. Her research centers on&nbsp;defining best practices for&nbsp;managing chronic pain in&nbsp;primary care and HIV-treatment settings.&nbsp;She studies the benefits and harms of using treatment agreements,&nbsp;urine drug testing,&nbsp;and prescription monitoring programs in pain management; the effectiveness of&nbsp;collaborative care models for integrating behavioral health care and pain management; treatment of opioid use disorders in primary care settings; and the impact of opioid analgesic use,&nbsp;misuse and disorders&nbsp;on HIV outcomes.&nbsp;</p>
<p><span style="line-height: 15.6pt;">Her work has been funded by&nbsp;grants from&nbsp;the National Institute on Drug Abuse (NIDA), the Society of General Internal Medicine,&nbsp;the New York Community Trust, and the Einstein-Montefiore Center for AIDS Research. Dr. Starrels also works to improve policies and guidelines to improve the safety of opioid prescribing. She serves as consultant to the New York City Department of Health and Mental Hygiene on several initiatives to reduce prescription drug abuse, addiction and overdose in New York City. She was a field reviewer for the Federation of State Medical Board&rsquo;s 2013 Model Policy on the Use of Opioid Analgesics for the Treatment of Chronic Pain, and served as a core expert for the Centers for Disease Control and Prevention (CDC) 2016 opioid prescribing guidelines. She is board-certified in both Internal Medicine and Addiction Medicine.&nbsp;</span></p>

CHAM Provider
Off
Professional Title
M.D.
M.S.
Clinical Focus

Adult Medicine<quillbot-extension-portal></quillbot-extension-portal>

Selected Publications

<ol>
<li><strong><strong>Starrels JL</strong>, </strong>Becker WC, Alford DP, Kapoor, A, Williams AR, Turner BJ. Treatment Agreements and Urine Drug Testing to Reduce Opioid Misuse in Patients with Chronic Pain: A Systematic Review. Annals of Internal Medicine.2010;152:712-720.</li>
<li><strong>Starrels JL</strong>, Becker WC, Weiner MG, Li X, Heo M, Turner, BJ. Low Use of Opioid Risk Reduction Strategies for Even High Risk Primary Care Patients with Chronic Pain. Journal of General Internal Medicine. 2011;26(9);958-64.</li>
<li><strong>Starrels JL</strong>, Fox AD, Kunins HV, Cunningham CO. They Don&rsquo;t Know What They Don&rsquo;t Know: Internal Medicine Residents&rsquo; Knowledge and Confidence in Urine Drug Test Interpretation for Patients with Chronic Pain. Journal of General Internal Medicine. 2012;27(11):1521-1527.</li>
<li>Bachhuber MA, Hennesy S, Cunningham CO, <strong>Starrels JL</strong>. Increasing benzodiazepine prescriptions and overdose mortality in the United States, 1996-2013. American Journal of Public Health. 2016;106(4):686-8.&nbsp;</li>
<li><strong>Starrels JL</strong>, Peyser D, Haughton L, Fox AD, Merlin J, Arnsten JH, Cunningham CO. When HIV treatment goals conflict with guideline-based opioid prescribing: A qualitative study of HIV treatment providers. Substance Abuse. 2016;37(1):148-53.</li>
<li>Buonora M, Perez H, Heo M, Ning Y, Cunningham CO, <strong>Starrels JL</strong>. Race and gender are associated with opioid dose reduction among patients receiving chronic opioid therapy. Pain Medicine. 2018.&nbsp;</li>
</ol>

EMR ID
5145
Is Open Scheduling
Off
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