Senior Physician
Geriatric and Rehabilitation Complex
Hadassah University Hospital
Mt. Scopus, Jerusalem
E-mail: jacobsj@hadassah.org.il
Telephone: Work 972-2-5844473/4,
Fax: 972-2-5810918,
Personal Details
Born: London, England
Higher Education
General
1970–1980: University College School High School, London
Academic
1981-1987:University of London, Middlesex and University College Hospital Medical School, United Kingdom
1983-1984: BSc, Upper Second Honors Class Degree, Intercalated Bachelor of Science, Psychology and Medicine, University of London
1988: MBBS. (Bachelor of Medicine and Surgery), University of London
1989–1991: Judaic Studies, Jerusalem
Continued Medical Training
1987-1988: Internship in Internal Medicine, Newham General Hospital London Internship in General Surgery & Orthopedics, The Royal Cornwall Hospital, Cornwall, United Kingdom
1988: Junior resident in a closed psychiatric observation unit, London
1992–1998: Resident and Senior Resident, Department of Medicine and Geriatrics, Shaare Zedek Medical Center, Jerusalem
Professional Certification
1988: Medical License, British Medical Association.
1990: Israeli Board Certified, Medical Licensing Examination for New Immigrants, Israel Medical Association
1998: Israeli Board Certified, Geriatric Medicine, passed with Distinction, Israel Medical Association
2002–2003: Diploma in Health Service Management, Clalit Health Fund
2007: Diploma in Psycho geriatrics, Israeli Geriatric Society
2008: Diploma in Good Clinical Practice (GCP),
Professional Experience
1998–2002: Comprehensive Geriatric Assessment Clinic, Institute of Geriatric Medicine, Clalit Health Fund, Jerusalem
1998: Medical Director of the Jerusalem Home Hospitalization Program, Clalit Health Fund, Jerusalem
2000: Senior Physician, Department of Rehabilitation and Geriatrics, Hadassah University Hospital Mt. Scopus, Jerusalem
2000–2004: Acting District Geriatrician and Director of the Institute of Geriatric Medicine, Clalit Health Fund, Jerusalem
2001: Consultant for Sub-acute Geriatric Department, Amal Jerusalem Geriatric Hospital, Maale Adumim.
2003: Senior Investigator the Jerusalem Longitudinal Cohort Study
Military Service - IDF
1996: Completed IDF Medical officers’ course
1996–1998: Regular Army Service, IDF Medical Officer Corps, Lieutenant.
1997: Completed course: Informing next of kin of a casualty or bereavement
1997–1998: Medical officer informing next of kin of casualties or bereavement
1996: IDF Advanced Combat Trauma Life Support (ACTLS)
1998: Active Reserve Duty, IDF Armored Infantry Battalion Medical officer. Present Rank of Captain.
Appointments at the Hebrew University Hadassah Medical School.
2000: Senior Physician, Department of Rehabilitation and Geriatrics, Mt. Scopus, Hadassah University Hospital, Jerusalem
2002: Teaching Medical students, Hebrew University Hadassah Medical School, Mount Scopus, Jerusalem
1/4/2007: Lecturer, Geriatrics (Medicine)
2008-2010: Tutor for small group, 1st year medical students, Medical Humanities
2008-2010: Examiner (OSCE) 1st year medical students, Medical Humanities
2010: Interviewer (OSCE) for Medical School applicants
Additional Functions/Tasks at the Hebrew University Hadassah Medical School.
Experience in Academic Hospital Administration.
Since joining Hadassah in 2000 I have been a senior physician in the Department of Geriatrics and Rehabilitation. My duties included the medical responsibility for different wards, including Geriatric Rehabilitation, Sub-acute care, Hospice, Home Hospice, Long- term complicated care, and the Geriatric Emergency Room. In addition to the medical management of these wards, the administrative duties have included the management and orchestration of multidisciplinary teams, demanding close cooperation of nursing staff, physiotherapists, occupational and speech therapists, and social workers.
Service in other Academic and Research Institutions
Experience in Community Geriatric Administration
On completing my specialization in Geriatric Medicine in 1998, I became consultant geriatrician in a Comprehensive Geriatric Assessment clinic, and subsequently became the Medical Director of the Jerusalem Home Hospital and Home-Care Unit, both of which are divisions of the Institute for Geriatric Medicine, Clalit Health Services, Jerusalem District. The Home Hospital is an innovative and unique service providing intensive comprehensive medical care at home to 300 patients simultaneously, as an alternative to in-patient medical, geriatric, or hospice care. Management of this model of community-based health care has required the planning, coordination and administration of a large multidisciplinary team of health professionals, utilization and maintenance of considerable logistic backup, as well as financial accountability to the Jerusalem Directorate within the Clalit Health Services.
During the years of 2000-2004 I served as the Acting Regional Geriatrician and the Director of the Institute of Geriatric Medicine.
Since 2006 I have been a member of several National Advisory Committees at the Clalit Health Service Central Office. Working topics and areas of interest have included the definition, implementation and follow-up several areas of Geriatric care
Other Activities
Committees
2001–2002: Member, Local and National Steering Committee for Integration of National Geriatric Services, Geriatric Division, Ministry of Health
2002–2003: Member, Advisory Committee on Comprehensive Geriatric Assessment, Geriatric Division, Ministry of Health
2005–2007: Member, National Advisory Committee on Home Care and Home Hospital Services, Central Management, Clalit Health Fund
2005–2007: Member, National Advisory committee on Community Geriatric Services, Central Management, Clalit Health Fund
2008: Member , National Advisory committee on Quality of Care Indicators for the Elderly, Central Management, Clalit Health Fund
2010: Member, Forum for Psychogeriatrics, Israeli Geriatrics Society
2010: Member, Steering committee, Implementation of National Comprehensive Geriatric Assessment, Ministry of Health, Geriatric Division.
2010: Member, Committee responsible for writing the Part 2 Examinations for Geriatric Board Specialization, Israeli Geriatrics Society.
a) External Reviewer for Peer Reviewed Medical Literature
2005: Journal of the American Geriatrics Society 3.656 1/26, 8/40 (>25 reviews)
2006: The Lancet 30.758;2/133 (1)
2007: Journal of Gerontology:Medical sciences 3.083;3/26, 12/40 (1)
2009: Experimental Gerontology 3.342; 10/40 (2)
2010: Annals of Internal Medicine 16.225; 4/133 (1)
2010: Canadian Medical Association Journal 7.271; 9/133 (1)
2010: Rejuvenation Research 4.138; 6/40 (2)
2010: PLOS Geriatrics 1.012; 31/40 (1)
2010: Psychsomatic medicine 4.236; 8/71 (1)
b) Membership in Profesional Organizations
§ Member, Israel Gerontological Society
§ Member, Israel Geriatrics Society
§ Member, Israel Palliative Medicine Society
§ Member, Association of Clinical Research Professionals. (ACRP)
§ Member, American Geriatrics Society
§ Member, Gerontological Society of America.
c) Examiner in Medical Examinations
2007: Examiner for Part 2, Geriatric Specialization, Israeli Medical Association, Israel Geriatric Society, Board Examinations.
2008: Examiner for Medical Humanities course (OSCE) First year Medical Students
2010: Committee member for writing Part 2 written exams for Geriatric board specialization.
d) Examiner in Nursing Examinations
2010: Judge for Thesis in Advanced Clinical Nursing Degree (MSc).
2010: Oral Examiner for Degree in Advanced Clinical Nursing (MSc).
Teaching Awards
2006: Nominated as Outstanding Teacher in Clinical Geriatric Teaching of Medical students
Teaching in Geriatric Medicine and Gerontology
a. Supervision of Geriatric Resident in Basic Research (2010-)
b. Courses Taught
1. Hebrew University Hadassah Medical School
2003: Sixth-year medical students: Geriatrics Clerkship
§ Bedside clinical teaching of geriatric medicine
§ Principles of Geriatrics and Gerontology
§ Comprehensive Geriatric Assessment
§ Frailty
§ Preventive Geriatric Medicine
§ Rational Drug usage and polypharmacy
§ Home Care/Home Hospital
§ Community geriatrics
2006-2009: Fourth year medical students: Internal medicine
§ Problem Based Learning (PBL)
2008: First year medical Students: Medical Humanities
§ Early clinical exposure to Old Age Medicine
2008-2010: First year medical Students: Tutor of small group throughout the year for Medical Humanities (“People and medicine”) 2008/9, 2009/2010
2. Hebrew University-Hadassah School of Nursing (2010-
3. Tel hashomer/Eshel: Occupational Therapy (2011-
4. Israeli Geriatric Association/ Eshel
5. Geriatric Institute, Sharei Zedek Medical Center. (2002-2008)
6. Melabev, Care for Elder Adults with Dementia (2002-2008)
7. Clalit Health Services (2000)
Scientific Biography
Since 2003 I have become increasingly interested and involved in the research efforts associated with the Jerusalem Longitudinal Study. Established under the auspices of Professor Jochanan Stessman in 1990, the study has successfully followed up a cohort of Jerusalem residents born 1920-1921, with comprehensive assessment of subjects being performed at ages 70 (1990), 78 (1998) and again at age 85 (2005). A wealth of data exist, allowing both cross-sectional and longitudinal analysis, and few such studies have successfully spanned a community based cohort of this age group over such an extended time period, and the study is unique within Israel and the Middle East.
The study’s aims are broad, and briefly stated include the description and creation of a profile of the ageing process among an age homogenous cohort; an identification and clarification of the impact of social, economic, cultural, behavioral, and ethnic factors on patterns of ageing; an understanding of the importance of health related behaviors on successful ageing; a delineation of the relative significance of premorbid conditions, chronic illness and various treatments on subsequent health and functional status, morbidity, and survival.
My personal contribution to the conclusions that are being drawn from the study has focused on understanding the impact of several common chronic complaints on the ageing cohort. Impaired vision, chronic back pain, poor sleep satisfaction, nocturia, and chronic anemia, as well as distant trauma of Holocaust exposure, have each been separately studied and significant long-term effects and predisposing factors have been clarified. More recently my attention has shifted to the possible health and survival benefits of various common behaviors, such as leaving the house on a frequent basis, reading habits, social and cultural activity. In particular we demonstrated the importance of remaining physically active and its influence on maintaining functional independence, well being, and improved longevity.
Current directions include the investigation of the development and patterns of dementia and depression from ages 70- 85; the role of cardiac morphology and function in successful aging and its contribution to disease, functional status, and cognition among the very old; determinants of health care utilization among the oldest old; as well as a comprehensive description of the trends in overall health and psychosocial status among the cohort throughout follow-up.
An additional area of my research has been the evaluation of the impact of the Jerusalem Home Hospital on the health service utilization among the older population. Various cost-benefit analyses have reproduced the financial benefits and economic justification of this novel form of health care provision. Future research is being aimed at evaluating feasibility and potential benefits of specific modes of at home among various patient categories, including long term continuous mechanical ventilation at home, and chronic heart failure.
Finally the area of palliative care remains an area of potential research. My experience in both Home care and In-patient care of dying patients has provided the opportunity to investigate area of palliative sedation of terminal patients at home, and the impact on survival of high dose opiates among Hospice patients.
List of Publications
Books Chapters:
Stessman J and Jacobs JM. Home hospital in Israel. In: Care of the Elderly at Home. Editor: Eichovitz E. Eshel. In Press (2010).
Articles: Original papers in Peer Reviewed Journals
1. Jacobs, JM. PI, Rudensky, B. C, Dresner, J. C, Berman, A. T, Sonnenblick, M. C, van Dijk, Y. C, and Yinnon A. PI (1996). Comparison of Four Laboratory Tests for Diagnosis of Clostridum difficile-Associated Diarrhea. European J. of Clinical Microbiology and Infectious Diseases. 15:561-566. 2.605;43/95;19.
2. Jacobs, JM. PI Hammerman-Rozenberg, R. C, and Stessman, J. PI (2005). Longevity and Chronic Back Pain in older people. J. of the American Geriatrics Society. 53:1636-7. 3.656 1/26, 8/40 ;4.
3. Jacobs, JM. PI, Hammerman-Rozenberg, R. C, Maaravi, Y. C, Cohen, A. C, and Stessman, J. PI (2005). The impact of visual impairment on health, function and mortality. Aging. Clinical and Experimental Research. 17:281-286. 1.255;26/40 ;13.
4. Jacobs, JM. PI, Cohen, A. C, Hammerman-Rozenberg, R. C, and Stessman, J. PI (2006). Global sleep satisfaction amongst the elderly: its causes and consequences. J. of the American Geriatrics Society. 54:325-329. 3.656 1/26, 8/40 ;8.
5. Jacobs, JM. PI, Hammerman-Rozenberg, R. C, Stessman, J. PI (2006). Hospital at home: 15 years of experience. Annals of internal medicine. 144: 456. 16.225;4/133;2.
6. Jacobs, JM. PI, Hammerman-Rozenberg, R. C, Cohen, A. C, and Stessman, J. PI (2006). Chronic back pain amongst the elderly: Prevalence, associations and predictors. Spine. 31(7):E203-7. 2.624;7/56 ;6.
7. Hammerman-Rozenberg, R. PI, Jacobs, JM. PI, Azoulay, D. C, and Stessman. J. PI (2006). Aspirin prophylaxis and the prevalence of anemia. Age and Aging. 35:514-517. 3.131;11/40 ;3.
8. Bursztyn, M. PI, Jacobs, JM. C, and Stessman, J. PI (2006). Usefulness of Nocturia as a Mortality Risk Factor for Coronary Heart Disease Among Persons Born in 1920 or 1921. American Journal of Cardiology. 98:1311-1315. 3.575;21/95; 11
9. Jacobs, JM. (2007). The Elders of Zion: en bloc vote against the boycott. Rapid comment, BMJ 13.660; 5/133
10. Jacobs, JM. PI, Hammerman-Rozenberg, R. C, Cohen, A. C, Mieler, L. C, Rosengarten, O. C, and Stessman, J. PI (2007). Increased Hospitalization Rates Following Closure of a Home Hospital Program. Archives of Gerontology and Geriatrics. 45(2):179-189. 1.360; 25/40; 2.
11. Jacobs, JM. PI ,Hammerman-Rozenberg, R. C, Maaravi, Y. C, Stessman, J. PI (2008). Going Outdoors Daily Predicts Long-Term Functional and Health Benefits among Ambulatory Older People. Journal of Aging Health. 1.448;11/26.;
12. Jacobs, JM. PI, Stessman J PI .(2008). The Positive financial contribution of home-based primary care programs: generating revenue or reducing health expenditure. J. of the American Geriatrics Society. 56(12):2361-2362. 3.656 1/26, 8/40
13. Jacobs, JM. PI, Hammerman-Rozenberg, R.C, Cohen, A. C, Stessman, J. PI. (2008.) Reading daily predicts reduced mortality among men from a cohort of community-dwelling 70-year-olds. Journal of Gerontology B: Psychol Sci Soc.63(2):S73-80. 2.094; 6/26 ;3.
14. Stessman, J. PI , Hammerman-Rozenberg, R.PI , Cohen, A C, Jacobs, JM .PI (2008.) Holocaust survivors in old age: the Jerusalem longitudinal study. Journal of the American Geriatrics Society. 56(3):470-477. 3.656 1/26, 8/40 ;4
15. Azoulay, D. PI, Hammerman-Rozenberg, R. PI,Cialic RC, Ein-Mor EC, Jacobs, JM. C, Stessman, J. PI. (2008). Increasing Opioid Therapy and Survival in a Hospice. J. of the American Geriatrics Society. 56:360-361. 3.656 1/26, 8/40
16. Rozengarten, O. PI, Lemed, Y. C, Zeitling, T. C, Faiglin, A. C, Jacobs, JM. PI. (2009) Palliative sedation at Home. J. Palliative Care. 25(1): 5-11. 0.825; 71/95;
17. Maaravi Y, Jacobs JM, Stessman J. (2009). New markers predicting mortality in the elderly BMJ 338:a3038. 13.660; 5/133
18. Jacobs, JM. PI , Cohen, A.C , Bursztyn, M. C , Azoulay, D. C , Ein-Mor, E. C , Stessman, J. PI . (2009). The Jerusalem Longitudinal Study Cohort Profile. International J of Epidemiology. 38(1):53-60. 5.262;8/122; 1.
19. Moreh, E.PI, Jacobs, JM PI, Stessman, J PI. (2009). Feeling Tired predicts functional deterioration, declining levels of activity and mortality among older people. J. of the American Geriatrics Society. 57(4):742-743. 3.656 1/26, 8/40 .
20. Rozengarten, O. PI, Lemed, Y. C, Zeitling, T. C, Faiglin, A. C, Jacobs, JM. PI (2009). Author reply Palliative sedation at home. J. Palliative Care. 25(1): 5-11. 0.825; 71/95.
21. Bursztyn, M.PI Jacobs, JM. PI,Ein-Mor EC, Stessman J. PI, (2009). Normal Body Mass Index Rather than Obesity Predicts Greater Mortality in Elderly People: The Jerusalem Longitudinal Study. J. of the American Geriatrics Society 57(12):2232-8. 3.656 1/26, 8/40
22. Stessman J PI., Hammerman-Rozenberg RC., Cohen A. C, Ein-Mor EC., Jacobs JM PI.(2009). Physical activity, function and longevity amongst the very old. Arch Intern Med, 169(16):1476-1483. 9.813; 8/133; 5.
23. Leibowitz DPI., Bursztyn MC., Jacobs JC., Ein-Mor EC., Stessman JPI.(2010). Higher prevalence of left ventricular hypertrophy in octogenarian women: the Jerusalem longitudinal cohort study. Blood Pressure.19(2):86-91. 1.773, 36/61
24. Moreh EPI, Jacobs JMPI (Joint first authorship), Stessman JPI. (2010). Fatigue, function and mortality among older adults. J Gerontology A: Medical Sciences J Gerontol A Biol Sci Med Sci.65(8):887-95. 3.083; 3/26.
25. Azoulay DPI, Jacobs JMPI (Joint first authorship), Cialic RC, Ein-Mor EC, Stessman JPI. (2010) Opiates, survival and advanced cancer in the hospice setting. J. American Direcors Assoc. 2010. 3.709; 7/40. In press.
26. Rottenberg YPI, Jacobs JMPI, Barchana MC, Stessman JPI. (2010). Risks factors for cancer among elderly: The Jerusalem Longitudinal Cohort Study. Journal of Geriatric Oncology N/A (New Journal) In Press
27. Iecovich EPI, Jacobs JMc, Stessman JPI. (2010). Loneliness, social networks and mortality: 18 years of follow up. International Journal of Aging and Human Development. 0.582; 24/26. In press
28. Jacobs, JM. PI , Cohen, A.C , Ein-Mor, E. C , Maaravi Y, Stessman, J. PI (2010). Frailty and cognitive impairment at age 85 . Journal of Nutrition, Health and Ageing 1.712; 21/40; In Press.