Deborah D. Proctor, M.D.

Professor of Medicine
Gastroenterology Fellowship Program Director
Medical Director, Inflammatory Bowel Disease Program
Section of Digestive Diseases
more on this physician

Clinical Interests

Gastrointestinal Diseases

Research Interests

Clinical research focusing on Inflammatory Bowel Disease and Hereditary Hemorrhagic Telangiectasia.

Patient-related Activities and Clinical Interests

• I am the Medical Director for the Inflammatory Bowel Disease (IBD) Program at Yale University. The IBD Program is a multi-disciplinary program with medical, surgical, pediatric, pathology, and radiology specialists all participating. Additionally, a program coordinator assists patients in scheduling procedures, labs and other activities. An ostomy nurse is active in patient care, particularly involving ostomy care, but also other aspects of nursing care and education. I evaluate patients twice per week at Temple Medical Center, 40 Temple Street in New Haven, CT. Patients are self-referred as well as referred from other physicians. To schedule an appointment, please call 203-785-4138.
• I am the gastroenterologist for the Hereditary Hemorrhagic Telangiectasia (HHT) Center at Yale. I evaluate and treat patients with HHT who have gastrointestinal bleeding and other gastrointestinal related problems. To schedule an appointment, please call 203-785-4138 or Katharine Henderson at 203-737-5395.
• I perform upper endoscopies and colonoscopies on patients, particularly for colon cancer screening. I interpret capsule endoscopy studies that are performed in our gastroenterology procedure center. Please call 203-785-4138 for an appointment.

Educational Activities and Teaching Interests

• I am the Gastroenterology Fellowship Program Director at Yale University. We have an active three-year, Accreditation Council for Graduate Medical Education (ACGME) accredited, Gastroenterology Fellowship program with 18 fellows. We have a five-year accreditation from the ACGME.
  
  Our program uses the Electronic Residency Application Service (ERAS) for fellowship applications and we offer all of our positions through the National Resident Matching Program/Subspecialties Matching Services (NRMP/SMS or “the Match”).
• Working with others in the American Gastroenterological Association-Institute (AGA-I), I was involved in re-instating the National Gastroenterology (GI) Fellowship Match in 2006, which is administered by the National Resident Matching Program/Subspecialties Matching Services (NRMP/SMS). Since 2006, gastroenterology fellowship applications have been entered through the Electronic Residency Application Service (ERAS).
• Through my involvement with the AGA-Institute, I have revised the national Core Curriculum that gastroenterology fellowship programs use for training fellows.
• I recently chaired the Gastroenterology Training Examination (GTE®) that is the inservice examination offered annually to all gastroenterology fellows. The AGA-Institute organizes and administers the examination.

Research Activities and Interests

• I do clinical research with inflammatory bowel disease (IBD) patients including assessing patient preferences in medication usage and setting up databases to correlate genotype with phenotypic expression. I also do research to decide the best test or method that will determine when a patient is having an increase in their symptoms (flare).
• I do clinical research in patients with hereditary hemorrhagic telangiectasia (HHT) who also have gastrointestinal (GI) bleeding.
• I do clinical research on the Gastroenterology (GI) Fellowship Match.

Selected Publications

Original Articles

• Proctor DD, Dunn KA, Sturgis TM, Minhas BS, Williamson BA, Bevan RJ. Flexible sigmoidoscopy: what determines competency? Educational Clearinghouse for Internal Medicine 1996;4:65.
• Sturgis TM, Yancy W, Cole JC, Proctor DD, Minhas BS, Marcuard SP. Antibiotic prophylaxis in percutaneous endoscopic gastrostomy. Am J Gastroenterol 1996;91(11):2301-2304.
• Proctor DD, Price J, Dunn KA, Williamson BA, Fountain RJ, Minhas BS. Prospective evaluation of a teaching model to determine competency in performing flexible sigmoidoscopies. Am J Gastroenterol 1998;93(8):1217-1221.
• Larsen LC, Derksen DJ, Garland JL, Chavez D, Lynch DC, Diedrich R, Proctor DD, Sava S. Academic models for practice relief, recruitment, and retention at the University of New Mexico Medical Center and East Carolina University School of Medicine. Acad Med 1999;74:S136-S140.
• Proctor DD, Price J, Minhas BS, Gumber SC, Christie EM. Patient recall and appropriate timing for obtaining informed consent for endoscopic procedures. Am J Gastroenterol 1999;94(4):967-971.
• Longacre AV, Gross CP, Gallitelli M, Henderson KJ, White RI, Proctor DD. Diagnosis and management of gastrointestinal bleeding in patients with hereditary hemorrhagic telangiectasia. Am J Gastroenterol 2003;98:59-65.
• Jain D, Moussa K, Tandon M, Culpepper-Morgan J, Proctor DD. Role of interstitial cells of Cajal in motility disorders of the bowel. Am J Gastroenterol 2003;98:618-624.
• Proctor DD, Anderson JM, Fisher RL, Wolf JL. Task force on training in women’s health issues in digestive diseases. Gastroenterology 2003;124:1101-1104.
• Proctor DD, Sanyal A. Update task force on training in surgery. Gastroenterology 2003;124:1091-1092.
• Proctor DD, Henderson KJ, Dziura JD, Longacre AV, White RI. Enteroscopic evaluation of the gastrointestinal tract in symptomatic patients with hereditary hemorrhagic telangiectasia. J Clin Gastroenterology 2005;39(2):115-119.
• Proctor DD. AGA Task Force recommends reinstating the national GI Fellowship Match. AGA Perspectives 2005;1(2):8-9.
• Proctor DD. Gastroenterology fellowship programs rejoin the match. Gastroenterology 2005;129(3):780-781.
• Hall KE, Proctor DD, Fisher L, Rose S. American Gastroenterological Association Future Trends Committee Report: Effects of aging of the population on gastroenterology practice, education, and research. Gastroenterology 2005;129(4):1305-1338.
• Niederle M, Proctor DD, Roth AE. Resolution regarding gastroenterology fellowship applicants, including all research and clinical fellowship applicants and positions. (March 24, 2006).
• Niederle M, Proctor DD, Roth AE. What will be needed for the new gastroenterology fellowship match to succeed? Gastroenterology 2006;130(1):218-224.
• Hall KE, Proctor DD, Fisher L, Rose S. Effects of aging of the population. (Letter response) Gastroenterology 2006;130:1371-1372.
• Gross CP, Andersen MS, Krumholz HM, McAvay GJ, Proctor DD, Tinetti ME. The relation between Medicare screening reimbursement and stage at diagnosis for older patients with colon cancer. JAMA 2006;296:2815-2822.
• Rockey DC, Harrison SA, Wong RKH, Schiller LR, Proctor DD, Wolfe MM, Chutkan R, Vargo JJ, Waxler A. The gastroenterology core curriculum, third edition – May 2007. Gastroenterology 2007;132(5):2012-2018.
• Proctor DD, Henderson KJ, Dziura JD, White RI. Hormonal therapy for the treatment of gastrointestinal bleeding in hereditary hemorrhagic telangiectasia. J Clin Gastroenterology 2007.

Reviews, Chapters, Books

• Proctor DD. Screening for colorectal cancer with sigmoidoscopy. Current Surgery 1994;51(8):483-487.
• Franco M, Proctor DD, Adams HG. Statistics and common laboratory tests. 1997, East Carolina University, Greenville, North Carolina.
• Proctor DD, Panzini LA. Isolated and diffuse ulcers of the small intestine. Eds. Feldman, Friedman, and Sleisenger: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease, 7th edition, 2002; pp. 2081-2088. Saunders, Philadelphia, PA.
• Proctor DD. Infliximab for refractory fistulas in Crohn’s disease. Clinical Lessons in the Diagnosis and Management of Inflammatory Bowel Disease 2002;2(4):8-11.
• West AB, Proctor DD, Itzkowitz S, Loftus E, Nair P. Does treatment of inflammatory bowel disease prevent cancer? J Clin Gastroenterol 2003;36(Suppl 1):S94-S96.
• Proctor DD. The trainee at DDW. Be organized to maximize your opportunities. AGA GI Clinician Resource Guide 2003:10-11.
• Proctor DD, White, Jr RI. What is the best way to manage gastrointestinal bleeding in patients with HHT? Direct Connection, Spring 2003:6.
• Proctor DD. Critical issues in digestive diseases. Clinics in Chest Medicine 2003;24:623-632.
• Proctor DD. The clinical and pathologic significance of microscopic colitis. J Clin Gastroenterology 2004;38(Suppl 1):S31.
• Addesa JA, Proctor DD. Small intestine and colonic diseases. Ed. Legato: Principles of Gender Specific Medicine, 1st edition, 2004; pp. 415-427. Elsevier Academic Press, San Diego, CA.
• Siddiqui U, Proctor DD. Flexible sigmoidoscopy and colonoscopy during pregnancy. Gastrointestinal Endoscopy Clinics of North America 2006;16(1):59-69.
• Loeser CS, Proctor DD. Critical issues in digestive diseases: Gastrointestinal hemorrhage. Pulmonary and Critical Care Update 2006;20:Lesson 8. (March 31, 2006).
• Nagar AB, Proctor DD. Ulcers of the small and large intestine. Eds. Feldman, Friedman, and Brandt: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease, 8th edition, 2006; pp. 2587-2597. Saunders Elsevier, Philadelphia, PA.
• Proctor DD. Approach to the patient with gastrointestinal disease. Eds. Ausiello and Goldman. Cecil Textbook of Medicine, 23rd edition, 2007. Elsevier, Inc., Philadelphia, PA.

Case Reports

• Proctor DD, Chopra S, Rubenstein SC, Jokela JA, Uhl L. Mycobacteremia and granulomatous hepatitis following initial intravesical Bacillus Calmette-Guerin instillation for bladder carcinoma. Am J Gastroenterol 1993;88(7):1112-1115.
• Singh D, Cole JC, Cali RL, Finical EJ, Proctor DD. Colobronchial fistula: an unusual complication of Crohn's disease. Am J Gastroenterol 1994;89(12):2250-2252.
• Lahoud CA, March JA, Proctor DD. Campho-phenique ingestion: an intentional overdose. Southern Medical Journal 1997;90(6):647-648.
• Nguyen MH, Ernsting KS, Proctor DD. Massive variceal bleeding caused by scuba diving. Am J Gastroenterol 2000;95(12):3677-3678.

Contact

Campus Address
Department of Internal Medicine
333 Cedar Street (LMP 1080)
New Haven, CT 06520

E-mail
deborah.proctor@yale.edu

Office
Phone (203) 737-2716

Appointments
Phone (203) 785-4138
Fax (203) 737-1345