Kristina (Cieslak) Schnitzer

Hi! My name is Kristina Schnitzer and I’m a 2019 graduate of the Research Concentration Program. Originally from Pittsburgh, PA, I attended the University of Notre Dame, NYU for medical school, and now call Boston and MGH/McLean home.

I have long found myself drawn towards working with and learning about those with serious mental illness (SMI). Early-on in medical training, this group proved to be the most challenging, yet clinically rewarding population with which I interfaced, and I was struck by the injustices and unique roadblocks this group navigated daily. In residency, I became acutely aware of just how vast a divide has developed. Identifying root causes of this inequity and discovering ways to better implement quality, evidence-based care for this population have become personal and professional goals that I hope to address throughout my career.

Thus far, my efforts have focused on smoking cessation and diabetes management. I began an educational initiative to instruct physicians, nurses, mental health specialists, and patients on safety, efficacy, and feasibility of effective, available smoking cessation aids, with the goal of increasing engagement of patients and providers in smoking cessation treatment. As part of a Patient-Centered Outcomes Research Institute grant, I have been traveling to primary care clinics throughout Greater Boston to provide academic detailing to primary care physicians on effective smoking cessation treatments for those with SMI in hopes of improving provider comfort in treating nicotine dependence in this population. In an attempt to bridge the significant knowledge gap for theory and evidence-based interventions for diabetes management for those with SMI, I coordinated a project, funded by a grant from the MGH Executive Committee on Community Health, to develop and test a behavioral and educational group intervention for individuals with SMI and diabetes that was successful in lowering A1C and BMI.

Through the support of the RCP, I was able to design the diabetes group intervention during my intern year and had protected time during my PGY2 and PGY3 years to co-lead the group. The mentorship provided throughout all years proved invaluable as I navigated and developed relationships within the broad MGH research community. During my PGY4 year, I used ~40% research time to analyze, write up, and continue involvement in various projects related to improving health outcomes for those with SMI.

To be an impetus for change in treatment of and for this important group, I will continue to pursue a career as a clinician-scientist. In my PGY5 year I will complete a one-year fellowship in Public and Community Psychiatry, and plan to apply for a K award during this year. I’ve become increasingly interested in mixed methods research and implementation science, and hope to hone my skills in these areas as I seek to better understand root causes and effectively disseminate evidence-based treatments. I’m grateful to the RCP for their support and invaluable mentorship throughout residency and look forward to continuing my work here and being surrounded by such a supportive community.



Education

New York University School of Medicine, M.D., 2015

University of Notre Dame, B.S., 2011

Publications

Cieslak K, Feingold J, Antonius D, Walsh-Messinger J, Dracxler R, Rosedale M, Aujero A, Keefe D, Goetz D, Goetz R, Malaspina D, 2014. “Low Vitamin D levels predict clinical features of schizophrenia.” Schizophrenia Research; 159(2-3):543-5.

Cieslak K, Walsh-Messinger J, Stanford A, Vaez-Azizi L, Antonius D, HarkavyFriedman J, Goetz D, Goetz R, Malaspina D. “Olfactory performance segregates effects of anhedonia and anxiety on social function in Schizophrenia.” In press, Journal of Psychiatry and Neuroscience.

Cieslak K, Pato M, Buckley P, Pato C, Sobell J, Medeiros H, Zhao Y, Ahn H, Malaspina D. “Traumatic Brain Injury and Psychosis in GPC Members.” Submitted
for peer review.

Gorun A, Cieslak K, Harkavy-Friedman J, Deptula A, Goetz D, Goetz R, Malaspina D. “Frequent comorbidity and underpinnings of social anxiety in persons with schizophrenia.” Submitted for peer review.

Rossy WH, Cieslak K, Uquillas CA, Rokito A, 2014. “Current Trends in the Management of Recurrent Anterior Shoulder Instability.” Bull Hosp Jt Dis; 72(3):210-216.

Chu CR, Coyle CH, Chu CT, Szczodry M, Seshadri V, Karpie JC, Cieslak KM, Pringle EK, 2010. "In Vivo Effects of Single Intra-articular Injection of 0.5% Bupivacaine on Articular Cartilage," JBJS Am; 92:599-608.

Cieslak K, Vaez-Azizzi L, Stanford A, Antonius D, Walsh-Messinger J, HarkavyFriedman J, Ialis S, Goetz D, Goetz R, Malaspina D. “Olfaction and social function in schizophrenia.” Expected submission Summer 2015.

PubMed

Awards

Research Colloquium Selection, American Psychiatric Association, 2019

Harry and Maida Solomon Award, Harvard Medical School, Department of Psychiatry, 2019

Community Psychiatry Day – First Prize Trainee Poster, Massachusetts General Hospital Department of Psychiatry, 2019

Clinical Research Day – First Prize Poster, Massachusetts General Hospital Department of Psychiatry, 2018

Partners President’s Prize for Value-Based Healthcare Delivery, Partners Healthcare, 2018

Outstanding Resident Award Program Honorable Mention, National Institute of Mental Health, 2017

Martin J. Blaser Award for Outstanding Essay in Philosophy of Medicine, New York School of Medicine, 2013

Phi Beta Kappa Academic Honor Society, University of Notre Dame, 2011

Glynn Family Honors Program, Senior Thesis - "Cell proliferation depends on porosity in three-dimensional woven scaffolds", University of Notre Dame, 2011

Glynn Family Honors Program Research Grant – Woven scaffold cartilage replacement implant design, University of Notre Dame, 2010