I am a board-certified obstetrician gynecologist with subspecialty expertise in Maternal and Fetal Medicine, an Assistant Professor at Boston University Chobanian & Avedisian School of Medicine and a practicing physician in the Department of Obstetrics and Gynecology at Boston Medical Center. I completed residency training in obstetrics and gynecology at Brigham and Women's Hospital and Massachusetts General Hospital and Maternal-Fetal medicine fellowship at Emory University. Nationally, I am the Vice Chair of the Society for Maternal Fetal Medicine’s Infectious Disease and Emerging Threats Committee and a member of the Infectious Disease, Immunizations and Public Health Preparedness expert work group of the American College of Obstetrician and Gynecologists. In these roles, I work to develop clinical guidance, lead advocacy and support implementation of maternal immunization into obstetric practices. I am a health services researcher funded by the Agency for Health Care Research and the Department of Health and Human Services for research related to maternal infectious diseases, clinical guidance implementation and evaluation, as well as an investigator for several maternal immunization clinical trials. As a high-risk pregnancy expert, I care for patients with complex conditions with special expertise in perinatal infectious disease. Additionally, I am the co-medical director of the Ryan White Funded Part D HIV in Pregnancy Clinic at Boston Medical Center..
Diversity, Equity, Inclusion and Accessibility
My commitment to diversity, equity, inclusion, and accessibility (DEIA) is grounded in my clinical, research, and leadership work in obstetrics and gynecology. I view equity not as an adjunct to academic medicine, but as a core responsibility of clinical excellence, quality improvement, and health systems leadership. As a clinician and researcher, and daugher of first generation immigrants from Haiti, my scholarship centers on addressing inequities in maternal outcomes, particularly among historically marginalized communities and people living with HIV. I intentionally incorporate social determinants of health, structural racism, and access barriers into study design and quality improvement initiatives. By leveraging implementation science and learning health system frameworks, I aim to redesign clinical workflows to reduce maternal health disparities by improving access to evidence-based care. In my leadership roles, I prioritize equity-focused clinical quality metrics and transparent data review stratified by race, ethnicity, language, insurance status, and other structural drivers of inequity. I advocate for standardized protocols that reduce bias and unwarranted variation while ensuring flexibility to meet individual patient needs. My approach emphasizes system accountability rather than individual blame. As a mentor, I am deeply committed to supporting learners and junior faculty from backgrounds underrepresented in medicine. I foster psychologically safe environments where diverse perspectives are valued and critical dialogue is encouraged. I provide sponsorship in addition to mentorship, ensuring that mentees have access to leadership opportunities, national networks, and scholarly visibility. I intentionally guide trainees to incorporate equity frameworks into their research and clinical improvement efforts, preparing them to become leaders in advancing reproductive justice and maternal health equity.
I have been recognized for my work including -
- recipient of the 2016 – 2018 Partners in Excellence Diversity, Equity and Inclusion Committee, member; Developed program to improve representation in patient-facing clinical spaces as well as initial antiracism cultural assessment of clinical workforce
- appointed to the 2020 – 2021 Antiracism Task Force, Emory University School of Medicine,
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- Data is sorted by project end date, and updated monthly.
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- Grant title
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- Data is sorted by project end date, and updated monthly.
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PEARLS - Preventing pre-eclampsia: Evaluation Aspirin Low dose regimens following risk screening11/20/2024 - 11/19/2025 (PI)
The Macfarlane Burnet Institute for Medical Research and Public Health Ltd
CDC Maternal Mortality Prevention Team02/13/2024 - 02/12/2025 (PI)
National Center for Chronic Disease Prevention & Health Promo./CDC/DHHS
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Publications listed below are automatically derived from MEDLINE/PubMed and other
sources, which might result in incorrect or missing publications. Faculty can
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Joseph NT, Trost SL, Hollier LM, Perkins KM, Goodman DA, Leonard M, Busacker A. Pregnancy-Related Mortality Due to Infection: Maternal Mortality Review Committees in 29 U.S. States, 2017-2019. Obstet Gynecol. 2026 Jan 09. PMID: 41505755; DOI: 10.1097/AOG.0000000000006172;
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Joseph NT, Reyes D, Agudogo JS, Wade C, Molina RL. The Epidemiology of Maternal Mortality in the United States: Trends, Structural Determinants, and Individual Risk Factors. Annu Rev Public Health. 2025 Dec 24. PMID: 41442641; DOI: 10.1146/annurev-publhealth-100824-020456;
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Darveau SC, Joseph NT, Riley LE. Differentiating and Managing Emerging Tropical Vector-Borne Diseases During Pregnancy. Obstet Gynecol. 2025 Nov 13. PMID: 41232111; DOI: 10.1097/AOG.0000000000006105;
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Holland E, Joseph NT, Salas-Wright CP, Hacker MR, Hawkins SS. Racial and ethnic differences in self-reported substance use and screening during prenatal care. Am J Obstet Gynecol MFM. 2025 May; 7(5):101660.View Related Profiles. PMID: 40032180
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Joseph NT, Swamy GK. Maternal Immunization and the Implementation Gap-Strengthening Respiratory Syncytial Virus Infrastructure and Preparing for the Future. JAMA Netw Open. 2025 Feb 03; 8(2):e2460743. PMID: 39969885
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Tomsho KS, Quinn MR, Wang Z, Preston EV, Adamkiewicz G, Joseph NT, Wylie BJ, James-Todd T. Improving the Health and Environmental Health Literacy of Professionals: Evaluating the Effect of a Virtual Intervention on Phthalate Environmental Health Literacy. Int J Environ Res Public Health. 2024 Nov 26; 21(12). PMID: 39767412; PMCID: PMC11675889; DOI: 10.3390/ijerph21121571;
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Holt LM, Short WR, Momplaisir F, Hyun E, McKinney J, Lugo Morales A, Duque A, Druyan B, Ndubizu C, Duthely L, Joseph N, Sheth AN, Badell ML. Bictegravir Use During Pregnancy: A Multicenter Retrospective Analysis Evaluating HIV Viral Suppression and Perinatal Outcomes. Clin Infect Dis. 2024 Nov 22; 79(5):1258-1261. PMID: 38666408; PMCID: PMC12098006; DOI: 10.1093/cid/ciae218;
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Briller J, Trost SL, Busacker A, Joseph NT, Davis NL, Petersen EE, Goodman DA, Hollier LM. Pregnancy-Related Mortality Due to Cardiovascular Conditions: Maternal Mortality Review Committees in 32 U.S. States, 2017 to 2019. JACC Adv. 2024 Dec; 3(12):101382. PMID: 39583867; PMCID: PMC11585746; DOI: 10.1016/j.jacadv.2024.101382;
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Campbell JI, Lavache D, Garing A, Sabharwal V, Haberer JE, Dubois M, Jenkins HE, Brooks MB, Joseph NT, Kissler K, Horsburgh CR, Jacobson KR. Evaluation of the Tuberculosis Infection Care Cascade Among Pregnant Individuals in a Low-Tuberculosis-Burden Setting. Open Forum Infect Dis. 2024 Sep; 11(9):ofae494.View Related Profiles. PMID: 39238842; PMCID: PMC11376066; DOI: 10.1093/ofid/ofae494;
Showing 10 of 49 results.
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Joseph NT, Swamy GK. Foreword: Infectious Diseases in Obstetrics. Clin Obstet Gynecol. 2024 Sep 01; 67(3):555-556. PMID: 38984550
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Benson J, Pierre C, Joseph NT. Updates in the Management of HIV During Pregnancy. Clin Obstet Gynecol. 2024 Sep 01; 67(3):644-651.View Related Profiles. PMID: 38946602
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Joseph NT, Prater LC, Modest AM. Pregnancy-Associated Firearm Mortality in the U.S., 2008-2019. Am J Prev Med. 2024 Jul; 67(1):124-128. PMID: 38458269
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Nicholson K, Jia L, Rowe M, Esselen K, Joseph N, Zera CA, Lax T, Shea M. Oxaliplatin desensitization for ovarian cancer in pregnancy: A case report. Gynecol Oncol Rep. 2024 Apr; 52:101354. PMID: 38435348; PMCID: PMC10909594; DOI: 10.1016/j.gore.2024.101354;
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Joseph NT, Kuller JA, Louis JM, Hughes BL. Society for Maternal-Fetal Medicine Statement: Clinical considerations for the prevention of respiratory syncytial virus disease in infants. Am J Obstet Gynecol. 2024 Feb; 230(2):B41-B49. PMID: 37914061
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Timi P, Kellerhals SE, Joseph NT, Dude CM, Verkerke HP, Irby LS, Smith AK, Stowell SR, Jamieson DJ, Badell ML. Placental Injury and Antibody Transfer after Coronavirus Disease 2019 in Pregnancy. J Infect Dis. 2023 Apr 12; 227(7):850-854. PMID: 35767286; PMCID: PMC9384443; DOI: 10.1093/infdis/jiac270;
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Joseph NT, Banga J, Badell ML. An Overview of Antiviral Treatments in Pregnancy. Obstet Gynecol Clin North Am. 2023 Mar; 50(1):183-203. PMID: 36822703; DOI: 10.1016/j.ogc.2022.10.017;
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Dude CM, Joseph NT, Forrest AD, Verkerke HP, Cheedarla N, Govindaraj S, Irby LS, Easley KA, Smith AK, Stowell SR, Neish A, Amara RR, Jamieson DJ, Dunlop AL, Badell ML, Velu V. Antibody response, neutralizing potency, and transplacental antibody transfer following SARS-CoV-2 infection versus mRNA-1273, BNT162b2 COVID-19 vaccination in pregnancy. Int J Gynaecol Obstet. 2023 Jul; 162(1):154-162. PMID: 36598270; DOI: 10.1002/ijgo.14648;
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Joseph NT, Stanhope KK, Geary F, McIntosh M, Platner MH, Wichmann HK, Kramer MR, Jamieson DJ, Boulet SL. Social Determinants of Health Needs and Perinatal Risk in Socially Vulnerable Pregnant Patients. J Health Care Poor Underserved. 2023; 34(2):685-702.View Related Profiles. PMID: 37464526
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Joseph NT, Satten GA, Williams RE, Haddad LB, Jamieson DJ, Sheth AN, Badell ML. The Effect of Antiretroviral Therapy for the Treatment of Human Immunodeficiency Virus (HIV)-1 in Pregnancy on Gestational Weight Gain. Clin Infect Dis. 2022 Sep 10; 75(4):665-672. PMID: 34864949; DOI: 10.1093/cid/ciab994;
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Modest AM, Prater LC, Joseph NT. Pregnancy-Associated Homicide and Suicide: An Analysis of the National Violent Death Reporting System, 2008-2019. Obstet Gynecol. 2022 Oct 01; 140(4):565-573. PMID: 36075083; DOI: 10.1097/AOG.0000000000004932;
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Banday AR, Stanifer ML, Florez-Vargas O, Onabajo OO, Papenberg BW, Zahoor MA, Mirabello L, Ring TJ, Lee CH, Albert PS, Andreakos E, Arons E, Barsh G, Biesecker LG, Boyle DL, Brahier MS, Burnett-Hartman A, Carrington M, Chang E, Choe PG, Chisholm RL, Colli LM, Dalgard CL, Dude CM, Edberg J, Erdmann N, Feigelson HS, Fonseca BA, Firestein GS, Gehring AJ, Guo C, Ho M, Holland S, Hutchinson AA, Im H, Irby L, Ison MG, Joseph NT, Kim HB, Kreitman RJ, Korf BR, Lipkin SM, Mahgoub SM, Mohammed I, Paschoalini GL, Pacheco JA, Peluso MJ, Rader DJ, Redden DT, Ritchie MD, Rosenblum B, Ross ME, Anna HPS, Savage SA, Sharma S, Siouti E, Smith AK, Triantafyllia V, Vargas JM, Vargas JD, Verma A, Vij V, Wesemann DR, Yeager M, Yu X, Zhang Y, Boulant S, Chanock SJ, Feld JJ, Prokunina-Olsson L. Genetic regulation of OAS1 nonsense-mediated decay underlies association with COVID-19 hospitalization in patients of European and African ancestries. Nat Genet. 2022 Aug; 54(8):1103-1116. PMID: 35835913; PMCID: PMC9355882; DOI: 10.1038/s41588-022-01113-z;
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Boguslawski SM, Joseph NT, Stanhope KK, Ti AJ, Geary FH, Boulet SL. Impact of the COVID-19 Pandemic on Prenatal Care Utilization at a Public Hospital. Am J Perinatol. 2023 Oct; 40(13):1484-1494.View Related Profiles. PMID: 35709724; DOI: 10.1055/a-1877-7951;
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Forrest AD, Joseph NT, Irby LS, Smith AK, Badell ML, Dude CM. Establishment of a COVID-19 perinatal biorepository in a safety net population. J Natl Med Assoc. 2022 Aug; 114(4):390-391. PMID: 35397931; PMCID: PMC8986480; DOI: 10.1016/j.jnma.2022.03.003;
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Joseph NT, Miller ES. Obstetric Outpatient Management During the COVID-19 Pandemic: Prevention, Treatment of Mild Disease, and Vaccination. Clin Obstet Gynecol. 2022 Mar 01; 65(1):161-178. PMID: 35045038; PMCID: PMC8767923; DOI: 10.1097/GRF.0000000000000670;
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Stanhope KK, Piper K, Goedken P, Johnson T, Joseph NT, Ti A, Geary F, Boulet SL. Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study. J Natl Med Assoc. 2022 Feb; 114(1):94-103.View Related Profiles. PMID: 35039177; PMCID: PMC8759626; DOI: 10.1016/j.jnma.2021.12.017;
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Joseph NT, Namuli A, Kakuhikire B, Baguma C, Juliet M, Ayebare P, Ahereza P, Tsai AC, Siedner MJ, Randall TR, Ngonzi J, Boatin AA. Implementing community-based human papillomavirus self-sampling with SMS text follow-up for cervical cancer screening in rural, southwestern Uganda. J Glob Health. 2021; 11:04036. PMID: 35003710; PMCID: PMC8709902; DOI: 10.7189/jogh.11.04036;
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Campbell A, Stanhope KK, Platner M, Joseph NT, Jamieson DJ, Boulet SL. Demographic and Clinical Predictors of Postpartum Blood Pressure Screening Attendance. J Womens Health (Larchmt). 2022 Mar; 31(3):347-355.View Related Profiles. PMID: 34610249; DOI: 10.1089/jwh.2021.0161;
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Joseph NT, Dude CM, Verkerke HP, Irby LS, Dunlop AL, Patel RM, Easley KA, Smith AK, Stowell SR, Jamieson DJ, Velu V, Badell ML. Maternal Antibody Response, Neutralizing Potency, and Placental Antibody Transfer After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection. Obstet Gynecol. 2021 Aug 01; 138(2):189-197. PMID: 33910220; PMCID: PMC8288196; DOI: 10.1097/AOG.0000000000004440;
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Labgold K, Stanhope KK, Joseph NT, Platner M, Jamieson DJ, Boulet SL. Validation of Hypertensive Disorders During Pregnancy: ICD-10 Codes in a High-burden Southeastern United States Hospital. Epidemiology. 2021 Jul 01; 32(4):591-597.View Related Profiles. PMID: 34009824; DOI: 10.1097/EDE.0000000000001343;
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Britt AJ, Carlson NS, Joseph NT, Amore AD. The Convergence of COVID-19 and Systemic Racism: An Evaluation of Current Evidence, Health System Changes, and Solutions Grounded in Reproductive Justice. J Midwifery Womens Health. 2021 May; 66(3):298-303. PMID: 34114324; PMCID: PMC9014468; DOI: 10.1111/jmwh.13250;
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Stanhope KK, Joseph NT, Platner M, Hutchison C, Wen S, Laboe A, Labgold K, Jamieson DJ, Boulet SL. Validation of ICD-10 Codes for Gestational and Pregestational Diabetes During Pregnancy in a Large, Public Hospital. Epidemiology. 2021 Mar 01; 32(2):277-281.View Related Profiles. PMID: 33252439; DOI: 10.1097/EDE.0000000000001311;
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Boulet SL, Platner M, Joseph NT, Campbell A, Williams R, Stanhope KK, Jamieson DJ. Hypertensive Disorders of Pregnancy, Cesarean Delivery, and Severe Maternal Morbidity in an Urban Safety-Net Population. Am J Epidemiol. 2020 Dec 01; 189(12):1502-1511.View Related Profiles. PMID: 32639535; DOI: 10.1093/aje/kwaa135;
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Joseph NT, Wylie BJ. Maternal deaths in Brazil from severe COVID-19 respiratory disease: time for a global commitment to ending health disparities. BJOG. 2020 Dec; 127(13):1627. PMID: 32959491; PMCID: PMC7537235; DOI: 10.1111/1471-0528.16521;
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Joseph NT, Worrell NH, Collins J, Schmidt M, Sobers G, Hutchins K, Chahine EB, Faya C, Lewis L, Green VL, Castellano PZ, Lindsay MK. Implementation of a Postpartum Hemorrhage Safety Bundle at an Urban Safety-Net Hospital. AJP Rep. 2020 Jul; 10(3):e255-e261. PMID: 33094014; PMCID: PMC7571554; DOI: 10.1055/s-0040-1714713;
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Joseph NT, Piwoz E, Lee D, Malata A, Leslie HH. Examining coverage, content, and impact of maternal nutrition interventions: the case for quality-adjusted coverage measurement. J Glob Health. 2020 Jun; 10(1):010501. PMID: 32082545; PMCID: PMC7020656; DOI: 10.7189/jogh.10.010501;
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Kruk ME, Gage AD, Joseph NT, Danaei G, García-Saisó S, Salomon JA. Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. Lancet. 2018 Nov 17; 392(10160):2203-2212. PMID: 30195398; PMCID: PMC6238021; DOI: 10.1016/S0140-6736(18)31668-4;
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Melamed A, Gockley AA, Joseph NT, Sun SY, Clapp MA, Goldstein DP, Berkowitz RS, Horowitz NS. Effect of race/ethnicity on risk of complete and partial molar pregnancy after adjustment for age. Gynecol Oncol. 2016 Oct; 143(1):73-76. PMID: 27486130; DOI: 10.1016/j.ygyno.2016.07.117;
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Gockley AA, Joseph NT, Melamed A, Sun SY, Goodwin B, Bernstein M, Goldstein DP, Berkowitz RS, Horowitz NS. Effect of race/ethnicity on clinical presentation and risk of gestational trophoblastic neoplasia in patients with complete and partial molar pregnancy at a tertiary care referral center. Am J Obstet Gynecol. 2016 Sep; 215(3):334.e1-6. PMID: 27130239; DOI: 10.1016/j.ajog.2016.04.019;
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Sun SY, Melamed A, Joseph NT, Gockley AA, Goldstein DP, Bernstein MR, Horowitz NS, Berkowitz RS. Clinical Presentation of Complete Hydatidiform Mole and Partial Hydatidiform Mole at a Regional Trophoblastic Disease Center in the United States Over the Past 2 Decades. Int J Gynecol Cancer. 2016 Feb; 26(2):367-70. PMID: 26588240; DOI: 10.1097/IGC.0000000000000608;
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Gockley AA, Melamed A, Joseph NT, Clapp M, Sun SY, Goldstein DP, Horowitz NS, Berkowitz RS. The effect of adolescence and advanced maternal age on the incidence of complete and partial molar pregnancy. Gynecol Oncol. 2016 Mar; 140(3):470-3. PMID: 26777992; DOI: 10.1016/j.ygyno.2016.01.005;
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Joseph N, Clark RM, Dizon DS, Lee MS, Goodman A, Boruta D, Schorge JO, Del Carmen MG, Growdon WB. Delay in chemotherapy administration impacts survival in elderly patients with epithelial ovarian cancer. Gynecol Oncol. 2015 Jun; 137(3):401-5. PMID: 25839911; DOI: 10.1016/j.ygyno.2015.03.052;
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Worley MJ, Joseph NT, Berkowitz RS, Goldstein DP. Women with a partial mole during their first pregnancy and diagnosed earlier in gestation are at increased risk of developing gestational trophoblastic neoplasia. Int J Gynecol Cancer. 2014 Jun; 24(5):941-5. PMID: 24819660; DOI: 10.1097/IGC.0000000000000130;
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Watts L, Joseph N, Velazquez A, Gonzalez M, Munro E, Muzikansky A, Rauh-Hain JA, Del Carmen MG. Understanding barriers to cervical cancer screening among Hispanic women. Am J Obstet Gynecol. 2009 Aug; 201(2):199.e1-8. PMID: 19646571; DOI: 10.1016/j.ajog.2009.05.014;
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Watts LA, Joseph N, Wallace M, Rauh-Hain JA, Muzikansky A, Growdon WB, del Carmen MG. HPV vaccine: A comparison of attitudes and behavioral perspectives between Latino and non-Latino women. Gynecol Oncol. 2009 Mar; 112(3):577-82. PMID: 19150120; DOI: 10.1016/j.ygyno.2008.12.010;
This graph shows the total number of publications by year, by first, middle/unknown,
or last author.
| Year | Publications |
|---|
| 2009 | 2 |
| 2014 | 1 |
| 2015 | 1 |
| 2016 | 4 |
| 2018 | 1 |
| 2020 | 5 |
| 2021 | 8 |
| 2022 | 8 |
| 2023 | 5 |
| 2024 | 8 |
| 2025 | 5 |
| 2026 | 1 |
2024 U.S. Department of Health and Human Services Office on Women’s Health Hypertension Innovator Award
2024 American College of Obstetricians and Gynecologists Immunization Champion Award
2024 Antiretroviral Pregnancy Registry Award
2022 Roy M. Pitkin Award, Obstetrics & Gynecology, for “Pregnancy-Associated homicide and suicide:
in recognition of scientific merit, methodology, presentation of results, soundness of conclusions
2021 Department of Gynecology and Obstetrics, Emory University:
Resident Teaching Award
2021 Department of Gynecology and Obstetrics, Emory University :
Outstanding Research Award
2020 Department of Gynecology and Obstetrics, Emory University :
Resident Teaching Award
2018 Diversity and Inclusion Committee at MGH :
Partners (Mass General Brigham) in Excellence Award
2015 Children’s Hospital Boston:
Emans-Goldstein Award in Pediatric and Adolescent Gynecology
I am a a dedicated and mission-driven mentor committed to advancing equity, scholarship, and leadership in obstetrics and gynecology. My philosophy centers on cultivating intellectual curiosity, methodological rigor, and a deep commitment to improving outcomes for historically marginalized populations. I intentionally integrates principles of quality improvement, implementation science, reproductive justice and equity to ensure hat trainees not only develop strong clinical and research competencies but also understand the structural determinants that shape maternal health.
I currently mentor medical students, residents, and junior faculty across a spectrum of scholarly activities, including perinatal epidemiology, HIV in pregnancy, remote patient monitoring, implementation of equity-focused clinical workflows, and interrupted time series analysis within learning health systems. I provide structured guidance in study design, analytic strategy, manuscript development, and grant preparation, while emphasizing clarity of scientific communication and methodological transparency. My mentees regularly present at national meetings and contribute to peer-reviewed publications.
Available to Mentor as: (Review Mentor Role Definitions):
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Advisor
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Co-Mentor or Peer Mentor
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Project Mentor
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Research / Scholarly Mentor