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Medicine Grand Rounds - Renovations in the House of Medicine: Past, Present, and Future

Dr. Hill describes the intractable nature of cardiovascular disease and its persistent toll on global populations. It remains the number one killer of men and women around the world, with numbers rising dramatically in the developing world and making a small but noticeable uptick in the United States after many years of decline. He attributes these changes primarily to obesity and lifestyle, which are directly linked to diabetes and other metabolic diseases. Dr. Hill conducts extensive research on heart failure, which is increasing in prevalence as a result of more people surviving heart attacks and living with myocardial damage. He sees opportunities for clinical research in this field as well as precision medicine, gene editing, big data, digital devices and medications to treat inflammation, and exploring changes to the microbiome.

Activity Details
Start Date: December 14, 2018
End Date: December 14, 2020

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
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  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

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  • Joseph A. Hill, MD, PhD
    Professor of Internal Medicine and of Molecular Biology 
    James T. Willerson, MD Distinguished Chair in Cardiovascular Diseases 
    Frank M. Ryburn, Jr, Chair in Heart Research 
    Chief, Division of Cardiology 
    Director, Harry S. Moss Heart Center 
    University of Texas Southwestern Medical Center

    Dr. Hill is a cardiologist-scientist whose research focuses on molecular mechanisms of remodeling in the disease-stressed myocardium. He graduated with an MD, PhD from Duke University, and then pursued postdoctoral scientific training at the Institut Pasteur in Paris. Dr. Hill completed his clinical training in Internal Medicine and Cardiology at the Brigham and Women’s Hospital, Harvard Medical School. 

    Dr. Hill’s research group strives to decipher mechanisms of structural, functional, metabolic, and electrical remodeling in heart disease with an eye toward therapeutic intervention. He serves on several editorial boards, including Circulation Research (Senior Consulting Editor), American Journal of Physiology, Heart and Circulatory Physiology, and American Journal of Cardiology. Presently, he serves as Editor-in-Chief of the textbook Muscle: Fundamental Biology and Mechanisms of Disease. He received the 2018 Research Achievement Award from the International Society for Heart Research. Dr. Hill maintains an active clinical practice focusing on general cardiology, heart failure, and hypertension.


There is no fee for this activity, but to receive credit you must register online and complete the online Attestation and Evaluation form (you must register to access this form).

Learning Outcome

At the conclusion of this activity, participants will be able to discuss the rapidly evolving global profile of cardiovascular disease, recognize the impact of co-morbidities, especially hypertension  and metabolic syndrome, on the evolving profile of cardiovascular disease and identify the auspicious opportunities that address the global challenges of disease.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the online Attestation of Attendance & Evaluation Form (you must register to access).

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for Renovations in the House of Medicine: Past, Present, and Future (Medicine Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. Dr. Hill reported no conflicts of interest. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. All potential conflict(s) were resolved.

* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and has other financial interest from Takeda. 

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
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