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Claire B. Rosen, MD, MSME

Claire Rosen
Medical School: University of Maryland School of Medicine Undergraduate: Johns Hopkins University

About Dr. Rosen

Claire is a chief resident in general surgery at Penn pursuing a career in minimally invasive elective and emergency general surgery, with an academic focus on teaching and investigating medical ethics within surgical practice and training, surgical decision making, and patient-centered care. Claire earned her Master of Science in Medical Ethics under the primary mentorship of Dr. Rachel Kelz while in the lab, and her research focused on the intersection between medical ethics and surgical care delivery. She graduated with honors from the Johns Hopkins University in December of 2013 with a BA in Public Health. She earned her MD from the University of Maryland School of Medicine in May of 2018.

Education

2022
The Fellowships at Auschwitz for the Study of Professional Ethics: Medical Fellow

2021 - 2023
The University of Pennsylvania: Master of Science in Medical Ethics

2014 - 2018
The University of Maryland School of Medicine: Medical Doctorate

2010 - 2013
Johns Hopkins University: Bachelor of Arts in Public Health Studies

Societies

National Societies

11/2021 - present
Surgical Outcomes Clu
(Member)

1/2018 - present
Society of American Gastrointestinal and Endoscopic Surgeons
(Member, Ethics Committee, Acute Care Surgery Committee)

11/2017 - present
American Hernia Society
(Member, Residents & Fellows Committee)

11/2017 - present
Association for Academic Surgery
(Member)

11/2016 - 6/2018
Association of Women Surgeons
(Member)

9/2016 - present
American College of Surgeons
(Member)

3/2014 - 5/2018
Gold Humanism Honor Society
(Member, Committee on Professionalism and Education) 

Local

3/2018 - present
Pennsylvania Medical Society
(Member)

Awards

2023
William Y Inouye Award for Excellence in Teaching Medical Students
Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania

2023
Article: The Conditional Effects of Multimorbidity on Operative Versus Nonoperative Management of Emergency General Surgery Conditions: A Retrospective Observational Study Using an Instrumental Variable Analysis selected as “What’s New and Interesting in Annals of Surgery”

2022
Article: Analyzing the Impact of Multimorbidity on Long-Term Outcomes After Emergency General Surgery: A Retrospective Observational Cohort Study selected as “New and Newsworthy Article” in the Journal of the American College of Surgeons (with podcast and online video)

2021
F32 Training Grant from the National Institute on Aging
National Institutes of Health, Washington, DC

2018
Wayne W. Babcock Award for Excellence in Surgery
University of Maryland School of Medicine, Baltimore Maryland

2018
Joanne M. Hatem Memorial Prize for Caring and Compassion Toward Patients, MD Memorial Prize
University of Maryland School of Medicine, Baltimore Maryland

2016
Medical Student Poster Session, Clinical Research Category 2nd Place
American College of Surgeons Clinical Congress, Washington DC

2016
Gold Humanism Honor Society

2015
Grant Funding for Student Research, The Proposed Research Initiated by Students and Mentors (PRISM) Program
University of Maryland School of Medicine, Baltimore Maryland

2014
Certification of Achievement in Public Health for Outstanding Service
Johns Hopkins University, Baltimore Maryland

2013
Graduation with Honors
Johns Hopkins University, Baltimore Maryland

Research

Penn Center for Surgery and Health Economics and Palliative and Advanced Illness Research Center
Primary Mentor: Rachel R. Kelz, MD MSCE MBA
Additional Mentors: Scott Halpern, MD PhD, Margaret (Gretchen) Schwarze, MD MPP, Justin Clapp, PhD, Luke Keele, PhD, Elinore Kaufman, MD MSHP
Research focus: The intersection between medical ethics and surgical care delivery.
Funding: F32 training grant from the NIH, National Institute on Aging
Projects: Projects range from quantitative, national studies to examine longitudinal outcomes of older, emergency surgery patients to qualitative studies of surgeon practice behaviors. Each project was designed to deliver new data to practicing physicians, and patients, that considered patient independence as a critical outcome of surgical management of older adults. In addition to her academic pursuits, Claire led a team to develop a bedside app to translate her quantitative work into a usable format for clinicians. Her publications included a featured article in the Journal of the American College of Surgeons and a podcast interview on the Operative Word.

The University of Maryland Shock Trauma Center
Primary Mentor: Deborah Stein, MD MPH
Additional Mentors: Thomas Scalea, MD
Funding: Grant Funding for Student Research, The Proposed Research Initiated by Students and Mentors (PRISM) Program, University of Maryland School of Medicine
Projects: Projects ranged from retrospective studies on mild traumatic brain injury and the routine use of repeat head CT and triage of vascular acute care surgery to the clinical study on the use of airway pressure release ventilation (APRV) in patients with severe traumatic brain injury

Publications

Peer-Reviewed Publications

  1. Rosen, C.B., Luy, D.D., Deane, M.R., Scalea, T.M., Stein, D.M.  Routine Repeat Head CT May Not Be Necessary for Patients with Mild TBI. Trauma Surgery & Acute Care Open 2018; 3:e000129. doi: 10.1136/tsaco-2017-000129.
  2. Harris, D.G., Olson, S.B., Rosen, C.B., Kalsi, R., Taylor, B.S., Diaz, J.J., Flohr, T.R., Crawford, R.S. Early Treatment at a Referral Center Improves Outcomes for Patients with Acute Vascular Disease. Annals of Vascular Surgery, 2018; 50:52-59. doi: 10.1016/j.avsg.2018.01.088.
  3. Rosen, C.B., Reardon, E., Shyu, S., Terhune, J., Saats, P., Ioffe, O., Kavic, S. Wolffian Tumor (Female Adnexal tumor of Wolffian Origin) Presenting as a Pelvic Side Wall Mass: Report of a Case. SAGE Open Medical Case Reports 2019; doi: 10.1177/2050313X19839534
  4. Rosen, C.B., Joffe, S., Kelz, R.R. COVID-10 Moves Medicine into a Virtual Space: A Paradigm Shift from Touch to Talk to Establish Trust. Annals of Surgery,  2020; 272(2):e159-e160. doi: 10.1097/SLA. 0000000000004098.
  5. Aggarwal, A., Rosen, C.B., Nehemiah, A., Maine, I., Kelz, R.R., Aarons, C.B., Roberts, S.E. Is There Color or Sex Behind the Mask and Sterile Blue? Examining Sex and Racial Demographics Within Academic Surgery. Annals of Surgery, 2021; 273(1):21-27. doi:  10.1097/SLA.0000000000004461
  6. Rosen, C.B., Wirtalla, C., Keele, L.J., Roberts, S.E., Kaufman, E.J., Holena, D.N., Halpern, S.D., Kelz, R.R. Multimorbidity Confers Greater Risk for Older Patients in Emergency General Surgery than the Presence of Multiple Comorbidities. Medical Care, 2022; 60(8): 616-622. doi: 10.1097/MLR.0000000000001733
  7. Kaufman, E.J., Keele, L.J., Wirtalla, C.J., Rosen, C.B., Roberts, S.E., Mavroudis, C.L., Reilly, P.M., Holena, D.N., McHugh, M.D., Small, D.S., Kelz, R.R. Operative and Nonoperative Outcomes of Emergency General Surgery Conditions: An Observational Study Using a Novel Instrumental Variable. Annals of Surgery, 2022; 10.1090/SLA. 0000000000005519. doi: 10.1097/SLA.0000000000005519
  8. Rosen, C.B., Roberts, S.E., Wirtalla, C.J., Ramadan, O.I., Keele, L.J., Kaufman, E.J., Halpern, S.D., Kelz, R.R. Analyzing the Impact of Multimorbidity on Long-Term Outcomes After Emergency General Surgery: A Retrospective Observational Cohort Study. Journal of the American College of Surgeons, 2022; 235(5):724-735. doi:10.1097/XCS.0000000000000303
  9. Roberts, S.E., Rosen, C.B., Wirtalla, C.J., Finn, C.B., Kaufman, E.J., Reilly, P.M., Syvyk, S., McHugh, M.D., Kelz, R.R. Examining Disparities Among Older Multimorbid Emergency General Surgery Patients: An Observational Study of Medicare Beneficiaries. American Journal of Surgery, 2022; S0002-9610(22):00736-X. doi: 10.1016/j.amjsurg.2022.11.026
  10. Rosen. C.B. Our Nature. FASPE Journal, 2022:91-94. 
  11. Roberts, S.E., Rosen, C.B., Keele, L.J., Wirtalla, C.J., Syvyk, S., Kaufman, E.J., Reilly, P.M., Neuman, M.D., McHugh, M.D., Kelz, R.R. Rates of Surgical Consultations After Emergency Department Admission in Black and White Medicare Patients. JAMA Surgery, 2022; 157(12): 1097-1104. doi: 10.1001/jamasurg.2022.4959
  12. Yi, W., Perez, J.E., Rosen, C.B., Akalal, F., Cerillo, A., Alawaddin, A., Hassan, I., Sese, J., Soriano, I. Promoting a Culture of Safety in Cholecystectomy (COSIC) Over a Decade at at Philippine Public Regional Hospital After the SAGES International Proctoring Course in Laparoscopic Cholecystectomy Course. Surgical Endoscopy, 2023; 37(1): 613-616. doi: 10.1007/s00464-022-09355-y.
  13. Rosen, C.B., Altieri, M.S. Comment on: How Much Narcotics are Really Needed After Bariatric Surgery: Results of a Prospective Study. Surgery for Obesity and Related Diseases, 2023; S1550-7289(22):00835-8. doi: 10.1016/j.soard.2022.12.036
  14. McLauchlan, N.R. Igra, N.M., Fisher, L.T. Byrne, J.P., Beyer, C.A., Geng, Z., Schmulevich, D., Brinson, M.M., Dumas, R.P., Holena, D.N., Hynes, A.M., Rosen, C.B., Shah, A.N., Vella, M.A., Cannon. J.W. Open Versus Percutaneous Tube Thoracostomy With and Wihtout Thoracic Lavage for Traumatic Hemothorax: A novel Randomized Controlled Simulation Trial. Trauma Surgery and Acute Care Open, 2023; 8(1): e001050.doi: 10.1136/tsaco-2022-001050
  15. Brown, D.E., Finn, C.B., Roberts, S.E., Rosen, C.B., Kaufman, E.J., Wirtalla, C., Kelz, R.R. Effect of Serious Mental Illness on Surgical Consultation and Operative Management of Older Adults with Acute Biliary Disease: A Nationwide Study. Journal of the American College of Surgeons, 2023; 237(2): 301-308.  doi: 10.1097/XCS.0000000000000710.
  16. Rosen, C.B., Roberts, S.E., Syvyk, S., Finn, C., Tong, J., Wirtalla, C., Spinks, H., Kelz, R.R. A Novel Mobile App to Identify Multimorbid Patients in the Emergency Setting: Development and Feasibility. JMIR Formative Research, 2023; 7:e42970. doi: 10.2196/42970.
  17. Roberts, S.E., Rosen, C.B., Finn, C., Wirtalla, C., Keele, L., Moneme, A., Bewtra, M., Kaufman, E.J., Kelz, R.R., The Impact of Established Primary Care Use on Post-Operative Mortality Following Emergency General Surgery Procedures. JAMA Surgery, 2023:e232742. ONLINE AHEAD OF PRINT. doi: 10.1001/jamasurg.2023.2742.
  18. Rosen, C.B., Roberts, S.E., Sharpe, J., Gershuni, V., Altieri, M.A., Kelz, R.R. A Study Analyzing Outcomes after Bariatric Surgery by Primary Language. Surgical Endoscopy, 2023; 37(8): 6504-6512. doi: 10.1007/s00464-023-10127-5.
  19. Rosen, C.B., Roberts, S.E., Wirtalla, C.J., Keele, L.J., Kaufman, E.J., Halpern, S.D., Reilly, P.M., Neuman, M.D., Kelz, R.R. The Conditional Effects of Multimorbidity on Operative vs Non-Operative Management of Emergency General Surgery Conditions: A Retrospective Observational Study Using an Instrumental Variable Analysis. Annals of Surgery, 2023; ONLINE AHEAD OF PRINT. doi: 10.1097/SLA.0000000000005901.
  20. Roberts, S.E., Rosen, C.B., Keele, L.J., Kaufman, E.J., Wirtalla, C.J., Syvyk, S., Reilly, P.M., Neuman, M.D., McHugh, M.D., Kelz, R.R. Conditional Effects of Race on Operative and Nonoperative Outcomes of Emergency General Surgery Conditions. Medical Care, 2023; 61(9): 587-594. doi: 10.1097/MLR.0000000000001883.
  21. Rosen, C.B., Roberts, S.E., Wirtalla, C.J., Keele, L.J., Kaufman, E.J., Halpern, S., Kelz, R.R. Emergency Surgery, Multimorbidity and Hospital-Free Days: A Retrospective Observational Study. Journal of Surgical Research, 2023; 291: 660-669. doi: 10.1016/j.jss.2023.06.049

Abstracts

  1. Rosen, C.B., Luy, D.D., Deane, M.R., Scalea, T.M., Stein, D.M. Retrospecitve Review of Routine Repeat Cranial CT for Patients with Mild TBI. Oral Presentation at The 18th Annual Medical Student Research Day at the University of Maryland school of Medicine. Baltimore, MD. September, 2015.
  2. Rosen, C.B., Luy, D.D., Deane, M.R., Scalea, T.M., Stein, D.M. Watch and Wait: No Role for Routine Repeat Cranial Computed Tomography for Patients with Mild Traumatic Brain Injury. Second place winner in clinical research category of the medical student poster session at the American College of Surgeons Clinical Congress. Washington, D.C. October, 2016.
  3. Hatchimonji, J., Rosen, C.B., Braslow, B.M., Holena, D.N., Martin, N.D. Quantifying Procedure-Specific Risk in Emergency Surgery to Better Inform Perioperative Discussions. Poster Presentation at the American College of Surgeons Clinical Congress. Virtual. October, 2020.
  4. Yi, W., Perez, J.E., Rosen, C.B., Akalal, F., Cerillo, A., Alawaddin, A., Hassan, I., Sese, J., Soriano, I. Promoting a Culture of Safety in Cholecystectomy (COSIC) Over a Decade at at Philippine Public Regional Hospital After the SAGES International Proctoring Course in Laparoscopic Cholecystectomy Course. Oral Presentation at the 2021 Scientific Session of the Society of American Gastrointestinal and Endoscopic Surgeons. Las Vegas, NV. September, 2021.
  5. Rosen, C.B., Roberts, S.E., Wirtalla, C., Keele, L., Kaufman, E.J., Holena, D.N., Kelz, R.R. Being Old and Sick in an Emergency: How Multimorbidity Impacts Emergency General Surgery Outcomes. Oral Presentation at The American College of Surgeons Clinical Congress. Virtual. October, 2021.
  6. Roberts, S.E., Collier, K.T., Rosen, C.B., Nehemiah, A., Aarons, C.B., Tong, J.K., Grasty, M., Shafique, N., Kelz, R.R. A Qualitative Study on the Perceptions of Access to Surgical Care for Older BlackAdults. Oral Presentation at The American College of Surgeons Clinical Congress. Virtual. October, 2021.
  7. Roberts, S.E., Rosen, C.B., Nehemiah, A., Wirtalla, C., Aarons, C.B., Tong, J.K., Grasty, M., Shafique, N., Kelz, R.R. Multimorbid Black Patients Have Lower Rates of Death or Major Morbidity Following an EGS Operation. Poster Presentation at The American College of Surgeons Clinical Congress. Virtual. October, 2021.
  8. Roberts, S.E., Collier, K.T., Rosen, C.B., Nehemiah, A., Aarons. C.B., Tong, J.C., Grasty, M., Shafique, N., Kelz, R.R. A Qualitative Study on the Perceptions of Access to Surgical Care for Older Black Adults. Poster Presentation at The American College of Surgeons Clinical Congress. Virtual. October, 2021.
  9. Rosen, C.B., Wirtalla. C.J., Keele, L.J., Roberts, S.E., Kaufman, E.J., Halpern, S.D., Kelz, R.R. Multimorbidity Confers Greater Risk for Older Patients in Emergency General Surgery than the Presence of Multiple Comorbidities. Oral Presentation at The Philadelphia Academy of Surgery Annual Surgical Trainee Paper Competition. Virtal. February, 2022.
  10. Rosen, C.B., Roberts, S.E., Wirtalla. C.J., Keele, L.J., Kaufman, E.J., Kelz, R.R. Operative and Non-Operative Management of Multimorbid Older Patients in Emergency General Surgery. Oral Presentation at The 17th Annual Academic Surgical Congress. Orlando, FL. February, 2022.
  11. Rosen, C.B., Roberts, S.E., Wirtalla. C.J., Keele, L.J., Kaufman, E.J., Kelz, R.R. Qualifying Comorbidity Sets: A Mechanism to Estimate Risk in Older Emergency General Surgery Patients. Oral Presentation at The 17th Annual Academic Surgical Congress. Orlando, FL. February, 2022.
  12. DeJesus, E., Collier, K., Rosen, C.B., Wirtalla, C.J., Kaufman, E.J., Kelz, R.R. The Conditional Effect of Race on Readmission Following Trauma Care at Trauma Centers. Poster Presentation at The 32nd Annual Society of Black Academic Surgeons Meeting. Philadelphia, PA. September, 2022.
  13. Rosen, C.B., Roberts, S.E., Wirtalla, C.J., Kaufman, E.J., Keele, L.J., Halpern, S., Kelz, R.R. Analyzing the Impact of Multimorbidity on Long-Term Outcomes After Emergency General Surgery. Oral Presentation at The American College of Surgeons Clinical Congress. San Diego, CA. October, 2022.
  14. Rosen, C.B., Roberts, S.E., Syvyk, S., Finn, C., Tong, J., Wirtalla, C.J., Spinks, H., Kelz, R.R. A Novel Mobile App to Identify Multimorbid Patients in the Emergency General Setting: A Feasibility Study. Poster Presentation at The American College of Surgeons Clinical Congress. San Diego, CA. October, 2022.
  15. Roberts, S.E., Rosen, C.B., Finn, C.B., Kaufman, E.J., Keele, L.J., Wirtalla, C.J., Syvyk, S., Kelz, R.R. Conditional Effects of Race on Operative and Nonoperative Outcomes after Emergency General Surgery. Oral Presentation at The American College of Surgeons Clinical Congress. San Diego, CA. October, 2022.
  16. Brown, D., Rosen, C.B.. Roberts, S.E., Brooks, E., Keele, L.J., Wirtalla, C.J., Kaufman, E.J., Kelz, R.R. Conditional Effects of Serious Mental Illness on Outcomes in Emergency General Surgery. Oral Presentation at The 18th Annual Academic Surgical Congress. Houston, TX. February, 2023.
  17. Rosen, C.B., Roberts, S.E., Wirtalla, C.J., Kaufman, E.J., Keele, L.J., Halpern, S., Kelz, R.R. Emergency General Surgery and Hospital Free Days: Understanding the Impact of Multimorbidity. Oral Presentation at The 18th Annual Academic Surgical Congress. Houston, TX. February, 2023.
  18. Roberts, S.E., Rosen, C.B., Wirtalla, C.J., Kaufman, E.J., Friedman, A., Kelz, R.R. Primary Care Visitation and Best Practices in Emergency General Surgery. Oral Presentation at The 18th Annual Academic Surgical Congress. Houston, TX. February, 2023.
  19. Brooks, E.S., Wirtalla, C.J., Finn, C., Rosen, C.B., Kelz, R.R. Complications and Failure to Rescue at High-Mortality Hospitals: Does Age Matter? Oral Presentation at The 18th Annual Academic Surgical Congress. Houston, TX. February, 2023.
  20. Rosen, C.B., Roberts, S.E., Sharpe, J., Gershuni, V., Altieri, M., Kelz, R.R. A Study Analyzing Outcomes After Bariatric Surgery by Primary Language. Oral Presentation at SAGES 2023 Annual Meeting. Montreal, Canada. March, 2023.
  21. Rosen, C.B., Shao-Kashmanian, J. Robotic Transabdominal Preperitoneal Repair of Direct Inguinal Hernias: Incarcerated Bowel and Bladder. Oral Presentation at SAGES 2023 Annual Meeting. Montreal, Canada. March, 2023.
  22. Roberts, S.E., Brown, D.E., Chen, A., Kelz, R.R., Soegaard, J.M., Rosen, C.B., Ramadan, O., Moneme, A., Glaser, J. Conditional Effect of Race on Primary Care Utilization and Amputation Risk for Patients with Peripheral Arterial Disease. Poster Presentation at The Vascular Annual Meeting. National Harbor, MD. June, 2023.
  23. Brown, D.E., Rosen, C.B., Roberts, S.E., Moneme, A., Wirtalla, C.J., Kelz, R.R. The Effect of Post-Discharge Mental Health Visits on Revisit Risk for Patients with Serious Mental Illness after Emergency General Surgery Hospitalization. Oral Podium at The American College of Surgeons Clincial Congress. Boston, MA. October, 2023.
  24. Ginzberg, S., Bakilla, E., Rosen, C.B., Roberts, S.E., Wirtalla, C.J., Keele, L.J., Lee, M.K., Wachtel, H., Kelz, R.R. Resolving Decisional Ambiguity in the Management of Acute Diseases of the Biliary Tract: An Instrumental Variable Analaysis. Oral Presentation at at The American College of Surgeons Clincial Congress. Boston, MA. October, 2023.
  25. Rosen, C.B., Roberts, S.E., Wirtalla, C.J., Keele, L.J., Kaufman, E.J., Halpern, S.H., Kelz, R.R. Emergency Surgery, Multimorbidity and Hospital-Free Days: A Retrospective Observational Study. Poster Presentation at the Inaugural Ali Naji, MD PhD Research Day. Philadelphia, PA. June 2023.
  26. Brown, D.E., Finn, C.B., Roberts, S.E., Rosen, C.B., Kaufman, E.J., Wirtalla, C., Kelz, R.R. Effect of Serious Mental Illness on Surgical Consultation and Operative Management of Older Adults with Acute Biliary Disease. Oral Presentaiton at the Inaugural Ali Naji, MD PhD Research Day. Philadelphia, PA. June 2023.

Textbook Chapters

  1. Rosen, C.B. & Kelz, R.R. Processes to Create a Culture of Surgical Patient Safety. In: Zheng, F., eds. Patient Safety. Surgical Clinics, 2021; 101(1): 29-36. doi: 10.1016/j.suc.2020.09.008

Alternative Media

  1. Rosen, C.B. Podcast Interview by Yeh, D. Analyzing the Impact of Multimorbidity on Long-Term Outcomes after Emergency General Surgery: A Retrospective Observational Cohort Study. The Operative Word from JACS, 2021. https://theoperativeword.podbean.com/e/analyzing-impact-of-multimorbidity-on-long-term-outcomes-after-emergency-general-surgery-a-retrospective-observational-cohort-study/
  2. Rosen, C.B. Multimorbidity and Emergency Surgery Outcomes. JACS Talking Points Online Video, The American College of Surgeons, 2021. https://youtu.be/6beG__WVhtM
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