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John Inadomi graduated from Massachusetts Institute of Technology with a degree in mechanical engineering. He then attended UCSF School of Medicine with the sole intent of becoming an orthopedic surgeon in order to continue his work on powered prosthetic limbs.
Upon reaching medical school, however, he realized that bones were quite boring and was stuck without recourse, save training in internal medicine. Luckily, he found many role models in the division of gastroenterology, and decided to pursue an academic career.
Dr Denis McCarthy, at the University of New Mexico and VA Albuquerque, gave Dr Inadomi his first academic job.
Quite fortuitously, he was able to work with Dr Amnon Sonnenberg, who proved to be an outstanding teacher and mentor. He taught him many techniques of decision and cost-effectiveness analysis. Dr Inadomi attributes any success he may have had to his dedication to research and the pursuit of intellectual ‘truth’.
Dr Inadomi is presently Chief of Endoscopy at the VA Ann Arbor Healthcare System and the University of Michigan. Here his research interests concern medical decision analysis and health care outcome research.
His particular areas of interest include the cost-effectiveness of screening and surveillance in Barrett's esophagus, the impact of H. pylori on life expectancy, and the effectiveness of colorectal cancer screening.
He has utilized the analytical methods of the Markov model, the declining exponential approximation of life expectancy (DEALE), reliability block diagrams, and other decision models to explore these areas of interest.
In addition to modeling disease outcomes, Dr Inadomi has an interest in the prospective evaluation of practice guidelines to manage gastrointestinal disease. He is currently conducting a study to assess the impact of the VA national guidelines for the pharmacologic treatment of gastroesophageal reflux disease.
- What made you decide to become a gastroenterologist?
- My first clinical rotation during medical school was with Dr Marvin Sleisenger. He convinced me that I was not suited for orthopedic surgery, which was the original goal I had upon entering medicine. The GI faculty at UCSF most influenced my decision to pursue GI; to this day I don't know whether it was the subject material or the people in the field that influenced my decision most.
- Who was the teacher you admired the most?
- Dr John Cello (San Francisco General Hospital) convinced me to pursue an academic career in GI.
- Which research paper influenced you the most?
- Ransohoff DF, Gracie WA, Wolfenson LB, Neuhauser D. Prophylactic cholecystectomy or expectant management for silent gallstones. A decision analysis to assess survival. Ann Intern Med 1983; 99 (2): 199-204. This is one of the best examples of how decision analysis can alter clinical practice.
- What is the most important fact that you have discovered?
- Of all the interesting things that a gastroenterologist can do, colorectal cancer screening has the greatest potential to save the most lives, at an extremely favorable cost-effectiveness.
- What is the biggest mistake that you have made?
- Investing in Enron.
- What is your unfulfilled ambition?
- To dunk a basketball on a standard hoop.
- What is your greatest regret?
- None yet - ask me again in 10 years!
- How do you relax?
- Spending time with my wife and 4-year-old daughter.
- What is your favorite sport?
- Tennis (USTA singles and doubles) followed closely by golf. I would have said water polo, but it is difficult to find 13 other guys to play.
- What is your best place in the world?
- Mauna Lani, Big Island of Hawaii.
- What is your favorite film?
- "The Usual Suspects".
- What car do you drive?
- Audi A4 quattro.
- What is your best electronic 'toy'?
- Toshiba widescreen HDTV with Polk audio surround sound.
- What book are you reading at the moment?
- "DATA 4.0 Healthcare User's Manual". Oh, you mean a real book - (John Fowles). "The Magus".
- Why did you get in involved in GastroHep.com?
- It is a great way to connect with others in our specialty.