Rosene Montella, Karen

Professor Emerita of Medicine

Overview

Dr. Rosene Montella is currently the SVP for Women's Services and Clinical Integration at Lifespan, Professor and Vice Chair of Medicine and Director of Obstetric Medicine at the Alpert Medical School at Brown University. She is an honor graduate of the University of Pennsylvania and Northwestern University Medical School. Following her Internal Medicine Residency at the University of Washington Seattle, Dr. Rosene became the only internist in North America to complete a two year fellowship in Maternal-Fetal Medicine. While in Seattle, she served as Co-Director of the High Risk Pregnancy Clinic at the University of Washington. She later founded the Center for Women's Health at Virginia Mason Medical Center and served as its Medical Director before relocating to Brown University in 1989.

Since coming to Brown, she continued her pioneering spirit in Women's Health. Dr. Rosene Montella established the first fellowship in the country to train internists in Medical Problems in Pregnancy and a comprehensive program in Women's Behavioral Health that has been successfully integrated into the internal medicine and OB/GYN programs there. She subsequently worked to establish an obstetric medicine division within the Department of Medicine at the Alpert Medical School of Brown University. In 2009, Brown announced the addition of the Academic Division of Obstetric Medicine, making Brown the first university in the United States with such a division.

Nationally, her reputation continues to demonstrate a commitment to women's health care. She is currently President of the International Society of Obstetric Medicine and serves as a peer reviewer to many Internal Medicine and OB/GYN journals. Dr. Rosene Montella also serves as an exam question reviewer and writer for the American Board of Internal Medicine. Her current editorial projects include the recently published Human Press textbook, Pulmonary Problems in Pregnancy. She is also the Chief Editor of the new journal, Obstetric Medicine: The Medicine of Pregnancy, published by the Royal Society of Medicine.

Dr. Rosene has recently been honored with the CoE Outstanding Faculty Mentor Award from the Warren Alpert Medical School of Brown University/Women & Infants Hospital, National Center of Excellence in Women's Health.

Brown Affiliations

Medicine

Research

Funded Research

Title: A Randomized Clinical Trial of Treatment for Thrombophilic Pregnant Women (TIPPS)
Funding Source: Canadian Health Institute
Summary: The aim of this project is to compare low molecular weight heparin to observation in women with complicated pregnancies and thrombophilia. This study needs pregnant women (4-20 weeks), with a past history of thrombophilia and pregnancy complications to participate in this study to determine the safety and efficacy of low molecular weight heparin in preventing obstetrical complications.
Call Sandy Befera, RN, at (401) 274-1122, ext. 7070, or cell phone (401) 864-2600 for more information.
PI: Karen Rosene-Montella, MD

Title: "Pivotal Protocol"
Funding Source: Sponsored by Beckman Coulter, Inc.
Summary: This multi-site, international trial will attempt to identify serum biomarkers that may be predictive of preeclampsia. A total of 1500 pregnant women, week 20-36 gestation will be identified and offered enrollment. These women will be followed prospectively with blood and clinical information collection during pregnancy and then delivery/birth outcome. This is a 2 year funded study and WIH was chosen as the only New England site.
Call Sandy Befera, RN, at (401) 274-1122, ext. 7070, or cell phone (401) 864-2600 for more information.
PI: Karen Rosene-Montella, MD

Scholarly Work

Publication: Rosene-Montella K, Bourjeily, G, eds. Pulmonary Problems in Pregnancy, Respiratory Medicine, Humana Press, a part of Springer Science+Business Media, LLC; New York, NY, 2009.

Rosene-Montella K, Bourjeily G: "Venous Thromboembolism in Pregnancy", In: Bourjeily G, Rosene-Montella K (eds), Pulmonary Problems in Pregnancy, Respiratory Medicine, Humana Press, a part of Springer Science+Business Media, LLC 2009;253-284.

Silver RM, Cowchock SZ, Rosene-Montella K. Antiphospholipid Antibody Syndrome. In: Rosene-Montella K, Keely E, Barbour LA, Lee RV (eds). Medical Care of the Pregnant Patient. 2nd ed. Philadelphia, PA: American College of Physicians; 2008:521-533.

Nelson-Piercy C, Rosene-Montella K. Systemic Lupus Erythematosus. In: Rosene-Montella K, Keely E, Barbour LA, Lee RV (eds), Medical Care of the Pregnant Patient. 2nd ed. Philadelphia, PA: American College of Physicians; 2008:513-520.

Rodger M, Rosene-Montella K, Barbour LA. Acute Thromboembolic Disease. In: Rosene-Montella K, Keely E, Barbour LA, Lee RV, eds. Medical Care of the Pregnant Patient. 2nd ed. Philadelphia, PA: American College of Physicians; 2008:426-444.

Powrie RO, Rosene-Montella K. Preeclampsia. In: Rosene-Montella K, Keely E, Barbour LA, Lee RV, eds. Medical Care of the Pregnant Patient. 2nd ed. Philadelphia, PA: American College of Physicians; 2008:163-181.

Gibson P, Rosene-Montella K. Normal Renal and Vascular Changes in Pregnancy. In: Rosene-Montella K, Keely E, Barbour LA, Lee RV, eds. Medical Care of the Pregnant Patient. 2nd ed. Philadelphia, PA: American College of Physicians; 2008:149-152.

Lowe SA, Larson L, Rosene-Montella K. Diagnostic Imaging. In: Rosene-Montella K, Keely E, Barbour LA, Lee RV, eds. Medical Care of the Pregnant Patient. 2nd ed. Philadelphia, PA: American College of Physicians; 2008:58-65.

Lee RV, de Swiet M, Rosene-Montella K: Global Perspectives on Maternal Mortality and Obstetric Medicine. In: Rosene-Montella K, Keely E, Barbour LA, Lee RV, eds. Medical Care of the Pregnant Patient. 2nd ed. Philadelphia, PA: American College of Physicians; 2008:26-34.

Keely E, Rosene-Montella K: An Approach to Medical Disorders in Pregnancy. In: Rosene-Montella K, Keely E, Barbour LA, Lee RV, eds. Medical Care of the Pregnant Patient. 2nd ed. Philadelphia, PA: American College of Physicians; 2008:3-7.

Publication: Rosene-Montella K, Keely E, Barbour LA, Lee RV, eds. Medical Care of the Pregnant Patient, 2nd ed. Philadelphia, PA: American College of Physicians; 2008.

Hepburn M, Rosene-Montella K. Violence During Pregnancy. In: Rosene-Montella K, Keely E, Barbour LA, Lee RV, eds. Medical Care of the Pregnant Patient. 2nd ed. Philadelphia, PA: American College of Physicians; 2008:141-148.

Rodger M, Langlois N, Rosene-Montella K. Congenital and Acquired Thrombophilias. In: Rosene-Montella K, Keely E, Barbour LA, Lee RV, eds. Medical Care of the Pregnant Patient. 2nd ed. Philadelphia, PA: American College of Physicians; 2008:445-460.

Rosene-Montella K: Scleroderma. Chapter 9 in Medical Care of the Pregnant Patient. Lee, Rosene-Montella, Barbour, Garner, Keely (eds): American College of Physicians (publisher). 2000;536-545.

Rosene-Montella K: Systemic Lupus Erythematosus. Chapter 9 in Medical Care of the Pregnant Patient. Lee, Rosene-Montella, Barbour, Garner, Keely (eds), American College of Physicians (publisher). 2000;522-531.

Rosene-Montella K, Barbour L: Thromboembolic disease and hypercoagulable states. In: Lee, Rosene-Montella, Barbour, Garner, Keely (eds), Medical Care of the Pregnant Patient. American College of Physicians (publisher). 2000;423-448.

Rosene-Montella K, Poppas A: Peripartum cardiomyopathy. Chapter 6 in Medical Care of the Pregnant Patient. Lee, Rosene-Montella, Barbour, Garner, Keely (eds), American College of Physicians (publisher). 2000;375-381.

Rosene-Montella K, Powrie R: Syncope. Chapter 6 in Medical Care of the Pregnant Patient. Lee, Rosene-Montella, Barbour, Garner, Keely (eds), American College of Physicians (publisher). 2000;381-287.

Powrie R, Rosene-Montella K: Hypertension and Preeclampsia. Chapter 4 in Medical Care of the Pregnant Patient. Lee, Rosene-Montella, Barbour, Garner, Keely (eds), American College of Physicians (publisher). 2000;185-208.

Rosene-Montella K, Larson L: Diagnostic Imaging. Chapter 2 in Medical Care of the Pregnant Patient. Lee, Rosene-Montella, Barbour, Garner, Keely (eds), American College of Physicians (publisher). 2000;03-117.

Rosene-Montella K, Barbour L, Larson L: Postpartum disorders. Chapter 15 in Medical Care of the Pregnant Patient. Lee, Rosene-Montella, Barbour, Garner, Keely (eds): American College of Physicians (publisher). 2000;805-825.

Rosene Montella KA and Ginsberg J: Thromboembolic Disease in Pregnancy. In Cardiac Problems in Pregnancy 3rd Edition, (eds), Elkayam, Uri and Gleicher N. Alan R. Liss, NY. Part IV, 1998;223-237.

Rosene Montella K: Medical Complications of Pregnancy In: D. Coustan, R. Haning, D. Seifer (eds), Growth and Development Human Reproduction. Little, Brown & Co., 1995;391 430.

Background

Education and Training

Year	Degree	Institution
1977	MD	Northwestern University

Honors and Awards

July 2006 - Center for Excellence Outstanding Faculty Mentor Award, Brown University School of Medicine/Women & Infants HospitalNational Center of Excellence in Women's Health

August 2006 - Overseas Fellow, Royal Society of Medicine

Teaching

Teaching Overview

TEACHING ACTIVITIES

Off-Campus Hospital

1992-1997 Director, Obstetric and Consultative Medicine Fellowship
Women & Infants Hospital of Rhode Island
 Formally train internists in medical complications of pregnancy via patient interaction and lectures.
 Teaching rounds designed to teach medical complications of pregnancy.
 Five sessions per week; 6-8 hours per session (direct contact).
 Two Obstetric Medicine Fellows per year.

1992 Lecturer, Introduction to Physical Diagnosis
(BioMed 373-4)
 Instruction on physical examination of the respiratory system using personal demonstration and audiovisual aids developed for the course.
 Two sessions per year; 1.5 hours per session (direct contact: 3 hours/year and preparation: 4 hours/year).
 Sixteen to twenty-four students per year.

1992- Present Director, Medical Consultation Service
Women & Infants Hospital of Rhode Island
 Formally train Brown University Internal Medicine residents.
 Formally train Brown University Medical students.
 Formally train national and international visiting residents.
 Patient interaction, lectures.

1997-2000 Director, Medical Consultation Service
Butler Hospital
 Formally train Brown University Internal Medicine residents.
 Formally train Brown University Medical students.
 Patient interaction lectures.

1997-2000 Supervisor, Obstetric Medicine Curriculum Development
Co-develop curriculum for teaching Obstetric Medicine to Internal Medicine residents, locally, nationally and internationally.
 Curriculum implemented across U.S.A.
 Copyrighted.
 Content includes teaching handouts, cases, lectures.

1998-present Faculty, Medical Consultation in Obstetrics and Gynecology
(Course #340)
 Clinical elective for medical students.
 Introduce medical consultation to Ob/Gyn students via patient interaction and lectures.
 Activities include written and oral presentation of cases, review of physical examination, assessment of medical problems, and determination of medical management.
 Work rounds.
 Two lectures per week.
 Obstetric medicine fellows participate during rounds each day.
 Internal medicine residents participate during rounds each day.

1994-1995 Mentor, Women in Medicine Mentor Program
 Share perspective as a woman in medicine with women medical students.
 Formal and informal discussion.
 Shadow in the clinical setting.
 Exposure to teaching rounds.
 Exposure to morning report.
 Exposure to teaching conferences.
 Exposure to women's primary care.

Researchers@Brown

Researchers@Brown