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My academic and clinical expertise is in the area of HIV infection in pregnancy. I have participated in the ACTG (Aids Clinical Trial Group as well as PACTG/IMPAACT and the AACTG) since 1988. My specific interest is in complications of medical and surgical treatments for HIV-infected pregnant women. I have served as a principal investigator on ACTG 249 (DDI pharmacokinetics in pregnancy) and AACTG 5084 (Metabolic complications of protease inhibitors in pregnancy). I have a long time affiliation with the Duke Adult and Pediatric infectious disease clinics both for research and for clinical management of mothers and babies. Additionally I have clinical expertise in the care of diabetes in pregnancy, prenatal diagnosis and general high risk pregnancy care. I am an active member of the Division of Maternal Fetal Medicine and fully participate in our research efforts through recruitment of patients to trials within our division. I am involved in the education of medical students and residents.
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