Broughton, William A., M.D.

Broughton, William A., M.D.
Pulmonologist
Professor of Medicine
Phone: (251) 471-7847
(251) 660-5757
wbrought@usouthal.edu

EDUCATION

HIGH SCHOOL EDUCATION:
	McGill Institute, Mobile, Alabama (May, 1971)

UNDERGRADUATE EDUCATION:
	University of South Alabama, Mobile, Alabama (June, 1978) (cum laude), B.S Biology

PROFESSIONAL EDUCATION:
	University of South Alabama Medical School Mobile, Alabama (June, 1982)

INTERNSHIP:

(July, 1982- June, 1983)	University of South Alabama Medical Center
	Mobile, Alabama, Internal Medicine


RESIDENCY:
(July, 1983-June, 1985)	University of South Alabama Medical Center
	Mobile, Alabama, Internal Medicine


FELLOWSHIP:
(July, 1985-June, 1987)	University of South Alabama Medical Center
	Mobile, Alabama, Fellowship in Pulmonary Medicine


(July, 1986-June, 1987)	Chief Medical Resident, University of South Alabama Medical Center,
	Mobile, Alabama, Department of Internal Medicine

(March, 1987)	Seminar: Sleep Disorders Medicine - Stanford University
	Sleep Disorders Center, Palo Alto, CA.

PROFESSIONAL APPOINTMENTS

(July, 1985-June, 1987)	Clinical Instructor, University of South Alabama Medical Center,
	Department of Internal Medicine, Mobile, Alabama
(July, 1986-June, 1987)	Physician, Mobile County Board of Health, T.B. Division, Mobile, Alabama
(July, 1986-June, 1987)	Physician, Mobile County Jail, Mobile, Alabama
(July, 1987-June, 1988)	Private Practice in Pulmonary & Critical Care Medicine with
	Pulmonary Associates of Mobile, P.A.
(July., 1988-May, 1994)	Assistant Professor of Medicine, University of South Alabama
	College of Medicine, Mobile, Alabama
(July, 1988-Jan.,1995)	Medical Director, MICU and Medical Step-Down Unit,
	University of South Alabama Medical Center, Mobile, Alabama
(Nov.,1991- )	Medical Director, Sleep Disorders Center, USA Knollwood Park Hospital,
	Mobile, AL
(July,1991- )	Peer-Review Provider for Mobile Metro Jail
(Jan.,1992-Jan.,1995)	Director of Critical Care for USA Hospitals and Clinics,
	University of South Alabama Medical Center, Mobile, Alabama
(Jan.1995- )	Medical Director of Intensive Care Unit USA/Knollwood Park Hospital
(Jan.1992- )	Division Chief, Internal Medicine, Knollwood Park Hospital
(Nov.1991- )	Co-Medical Director, Cardiopulmonary Services, Knollwood Park Hospital
(Sept.1990- )	Medical Advisor for Respiratory Therapy Tri-State Conferences,
	Alabama Section
(Jan.1992-Jan.1993)	Tri-State Conference, Alabama Program Chairman
(Jan.1993-Jan.1994)	American Thoracic Society Tri-State Case Conferences, Overall Program
	Chairman 1994
(May, 1994 - )	Associate Professor of Medicine, University of
	South Alabama College of Medicine, Mobile, Alabama
(May, 1995- )	Granted Tenure as Associate Professor of Medicine,
	University of South Alabama College of Medicine, Mobile, Alabama
(Jan., 1994-Jan.,1995)	President-elect, Alabama State Thoracic Society
(Jan., 1995-Jan.,1996)	President, Alabama State Thoracic Society
(May,1996-May,1997)	President of the USA College of Medicine Medical Alumni Association
(Jan.,1996-Jan.,1997)	President-elect, Medical Staff Knollwood Park Hospital Long-term
	Care Facility
(Jan.,1998-Jan.,1999)	President, Medical Staff Knollwood Park Hospital Long-term Care Facility
(Jan.,1999-Jan.,2000)	Secretary / Treasurer Alabama State Thoracic Society
(May, 2000- )	Professor of Medicine, University of South Alabama
	College of Medicine, Mobile, Alabama
(Jan. 2002-Jan. 2003)	Vice-President of the Alabama State Thoracic Society and overall
	Tri-State Thoracic Conference Program Chairman
(Jan. 2003-Dec. 2003)	Chaiman – Special Care & Pharmacy and Therapeutics
	Committee - USA Knollwood Hospitals
(Jan. 2003-Dec. 2003)	Member – Medical Executive Committee - USA Knollwood Hospitals
(Jan 2003-Jan 2005)	President – Alabama State Thoracic Society

PROFESSIONAL QUALIFICATIONS

MALPRACTICE INSURANCE:

USA Liability Trust Fund

MEDICAL SPECIALTY BOARDS:

(9/1/85)	American Board of Internal Medicine
(11/1/88)	American Board of Internal Medicine, Pulmonary Diseases
(1988-1989)	Critical Care Certification Board
(4/19/93)	American Board of Sleep Medicine

PROFESSIONAL CERTIFICATES:

National Board of Medical Examiners, Part I and II

PROFESSIONAL LICENSES:

(1983) Alabama State Licensing Board of the Healing Arts

PROFESSIONAL SOCIETY MEMBERSHIPS:

Fellow of the American College of Chest Physicians
ACLS Instructor, American Heart Association (no longer active)
American Thoracic Society Member - International and Alabama Chapter
Fellow, American Academy of Sleep Medicine

HONORS:

Listed in National Directory of Who's Who
Member (Faculty) Alpha Omega Alpha

COMMITTEE ASSIGNMENTS:

(1986-1987)	Code I Committee
(1988 )	Faculty Student Liaison Committee
(1988-1994)	Critical Care Committee
(1989 )	Intern & Resident Evaluation Committee
(1992-1993)	Chairman of Special Care Committee Knollwood Park Hospital
(1993-1996)	Ad-Hoc Medical School Admissions Committee
(1993-)	Member, Consensus Committee on Nosocomial
	Pneumonia for American Thoracic Society
(1992-1997)	USA-COM Medical Alumni Committee
(1989-)	Clinical Operations Committee
(1989-1992)	Town & Gown Committee
(1989-1992)	USAMC Dept. of Internal Medicine Quality Assurance Committee
(1996-1997)	Chairman Special Care Committee, USA Knollwood Park Hospital
(1996-1997)	Member Medical Executive Committee, USA Knollwood Park Hospital
(1998)	Member Consensus Committee On Community-Acquired Pneumonia
	ATS/IDSA combined
(1998)	Member – Special Care Committee
(1998)	Member – Executive Council Committee
(1998)	Chairman of Special Care Committee USA/KPH
(1999)	Member – Medical Executive Committee USA/KPH
(1999-2002)	USA Continuing Medical Education Committee
(1999-2000)	Chairman Special Care Committee, USA / Knollwood Park Hospital
(2000-2001 )	Hospital Executive Committee, USA Knollwood Park Hospital Longterm Care
(2000-2001)	Member Special Care Committee USA Knollwood
(2001-2002)	Member Special Care Committee USA Knollwood
(2003 )	Chairman Pharmacy & Therapeutics / Special Care
	Committee (USA Knollwood Hospitals)
(2003 )	Member – Medical Executive Committee (USAKnollwood Hospitals)

RESEARCH PROJECTS

Double blind randomized placebo controlled group comparative study of the safety and efficacy of Xomen E-5 in patients with suspected gram-negative sepsis. (A multicenter trial), principal investigator (1989-1992).

Comparison of simultaneous full and limited polysomnography in patients for diagnosis and treatment of obstructive sleep apnea syndrome.

Hypoxemia during sleep in pediatric patients with sickle cell anemia and prior episodes of acute chest syndrome. (Funded by The Comprehensive Sickle Center at the University of South Alabama Medical Center.)

Safety and efficacy of continuously nebulized high-dose albuterol in adults with exacerbations of asthma and COPD. Funded by Allen & Handbury's.

Comparison of symptoms in patients with narcolepsy, idiopathic hypersomnia, and OSAS

GERD in patients with OSAS – Long term response to nasal-CPAP therapy

MANUSCRIPTS

Broughton WA, Kirkpatrick MB. Acute Necrotizing Pneumonia Caused by Enterobacter Cloace. S Med J 1988; 81:1061-1062.

Broughton WA, Kirkpatrick MB, Bass JB. The Technique of Protected Brush Catheter Bronchoscopy. J Crit Ill 1987; 2:63-70.

Broughton WA, Green AE, Hall MW and Bass JB. Nasoenteric Tube Placement: User's Guide to Possible Complications. J Crit Ill 1990; 5(10):1085-1097.

Broughton WA, Green AE, Hall MW, and Bass JB. The Technique of Placing a Nasoenteric Tube. J Crit Ill 1990; 5(10):1101-1105.

Broughton WA and Bass JB. Community-Acquired Bacterial Pneumonia 1992: Current Therapy. Hospital Medicine 1992 (November) P. 74-86.

Middleton RM, Broughton WA, and Kirkpatrick MB. Comparison of four methods to assess airway bacteriology in intubated mechanically-ventilated patients. Am J Med Sci 1992; 304:239-245.

Broughton WA and Broughton RJ. Psychosocial aspects of Narcolepsy. Sleep 1994; 17:545-549.

Broughton WA and Kirkpatrick MB. How best to rule out ventilator-associated bacterial infection? J Crit Ill 1995; 10:9.

Broughton WA. Diagnosis of nosocomial pneumonia - letter to the editor. INTENSIVE CAREworld 1994; 11:152.

Bone RC, Balk RA, Fein AM, Pearl TM, Wenzel RP, Reines HD, Quenzer RW, Umberti TJ, McIntyre N, Shein RM, and the E-5 Sepsis Study Group. A second large controlled clinical study of E-5, a monoclonial antibody to antitoxin: results of a prospective, multi-center, randomized, controlled trial. Critical Care Medicine 1995 (June): 23(6):994-1006.

Campbell GD, Niederman MS, Broughton WA, Craven DE, Fein AM, Fink MP, Gleeson K, Hornick DB, Lynch JP, Mandell LA, Mason CM, Torres A, Wunderink RG. Hospital-acquired Pneumonia in Adults: Diagnosis, Assessment of Severity, Initial Antimicrobial Therapy, and Preventive Strategies. Am Journal of Respiratory and Critical Care Medicine 1996 (May): 153 (5): 1711-1725.

Broughton WA. Invasive diagnosis of nosocomial pneumonia: When and how. J Respir Dis 1996 (November): 17(11):908-909.

Broughton WA, Foner BJ, and Bass JB. Nosocomial Pneumonia: Trying to make sense of the literature. Post Graduate Medicine 1996 99(3):221-241.

Broughton WA. Nasal Dilation, Sleep, and What Is Hypopnea? (editorial - Chest 2000(September): 118(3):571-572

Broughton WA. (Response to letter to the editor) – Chest April 2001:119(4):1287

Niederman MS, Bass JB, Broughton WA, et al. Guidelines for the Management of Adults with Community-Acquired Pneumonia: Diagnosis, Assessment of Severity, Antimicrobial Therapy, and Prevention. Am J Respir Crit Care Med 2001 (June):163. pp 1730-1754

Green BT, Broughton WA, O’Connor BJ. Marked Improvement in Nocturnal Gastroesophageal Reflux in a Large Cohort of Patients With Obstructive Sleep Apnea Treated With CPAP. Archives of Internal Medicine 2003;163:41-45.

PRESENTED ABSTRACTS

Herrera JL, Middleton RM, Broughton WA and DiPalma J. Clinical Utility of Intragastric PH Monitoring in the Critically Ill. Presented at the 56th Annual Scientific Meeting of the American College of Gastroenterology in Boston, Massachusetts, October 14-16, 1991.

Kirkpatrick MB, Middleton RM, Broughton W, Bass JB, Jr. Role of Bronchoscopy in the Diagnosis and Management of Adult Patients with Bronchiectasis. Presented at the Southern Meeting of the AFRC, January 29-31, 1992, New Orleans, LA.

Kirkpatrick MB, Middleton RM, Brausch LM, and Broughton WA. Bronchoscopic endobronchial biopsies for the diagnosis of sarcoidosis: A prospective Study. Southern Section, AFCR, January 21, 1993, New Orleans, LA.

Broughton WA and Johnson TS. Comparison of simultaneous full and limited polysomnography for diagnosis and treatment of obstructive sleep apnea. Presented American Thoracic Society, International Conference, San Francisco, CA, May 19, 1993.

Uchida DA, Yang YM, Little F, Johnson TS, and Broughton WA. Hypoxemia during sleep in a child with sickle cell disease and prior episodes of acute chest syndrome. American Thoracic Society, 1994 International Conference.

Kirkpatrick MB, Foner BF, Middleton RM, Broughton WA, and Bass JB, Jr. Utility of direct Gram's stain of protected specimen brush samples from intubated patients: A retrospective analysis. Journal of Investigative Medicine, Southern Section, New Orleans, LA, February 4, 1995.

PUBLISHED ABSTRACTS

Kirkpatrick MB, Middleton RM, Broughton WA, Bass JB, Jr. Bronchoscopic endobronchial biopsies for the diagnosis of sarcoidosis: A prospective study. Am Rev Respir Dis 1993; 147:A787.

Broughton WA and Johnson TS. Comparison of simultaneous full and limited polysomnography (PSG) for diagnosis and treatment of obstructive sleep apnea (OSA). Am Rev Respir Dis 1993; 147:A811.

CF Hawks, LM Brausch, WA Broughton and MB Kirkpatrick. Is there a need for routine chest radiography after bronchoscopic transbronchial lung biopsy? Am Rev Respir Dis 1993; 147:A83.

Herrera JL, Middleton RM, Broughton WA, and DiPalma J. Clinical Utility of Intragastric PH Monitoring in the Critically Ill.

MB Kirkpatrick, RM Middleton, W Broughton, JB Bass, Jr. Role of bronchoscopy in the diagnosis and management of adult patients with bronchiectasis. Clinical Research 1991; 814A.

Uchida DA, Yang YM, Little FM, Johnson TS, and Broughton WA. Hypoxemia during sleep in pediatric patients with sickle cell anemia and prior episodes of acute chest syndrome. Am J Respir Crit Care Med 1994; 149:A883.

Bell PT and Broughton WA. Efficacy and safety of continuously nebulized high-dose albuterol in adults with exacerbations of asthma and COPD. Chest 1994; 106:108S.

MB Kirkpatrick, BF Foner, RM Middleton, WA Broughton, and JB Bass, Jr. Utility of direct Gram's stain of protected specimen brush samples from intubated patients: A retrospective analysis. Journal of Investigative Medicine 1995; 43:74A (Suppl.).

Green BT, Broughton WA, O'Connor JB. Marked improvement in nocturnal gastroesophageal reflux in a large cohort of obstructive sleep apnea patients treated with continuous positive airway pressure. Gastroenterology. 2002;122:A-584. [Poster #W1192]

Raza ST, Mrug S, Mrug M, Broughton WA. A Comparison of Psychosocial Impact: Narcolepsy, Obstructive Sleep Apnea, and Idiopathic Hypersomnia. Sleep 2003 (abstract – in press)

INVITED PRESENTATIONS

Bronchiectasis. ASRC Annual Meeting. Gulf Shores, Alabama. October 1992.

Pulmonary Barotrauma. Sunrise Seminar. ATS International Lung Conference. Miami Beach, Florida. May 19, 1992.

Sleep Disorders. Respiratory Tri-State Conference, Perdido, Alabama. July 1992.

Airway Management. Alabama Osteopathic Medical Association Annual Meeting, Grand Hotel, Point Clear, Alabama. August 1, 1992.

COPD: Current Therapy. Northside Regional Medical Center, Slidell, Louisiana. September 25, 1992.

Antimicrobial therapy. "The Club" for Abbott Laboratories. Birmingham, Alabama. November 17, 1992.

New antimicrobial drugs in the management of infection in primary care. Medical Center East, Family Practice Grand Rounds, Birmingham, Alabama. November 18, 1992.

New antimicrobial drugs in the management of infection in primary care. Princeton Baptist Medical Center, Grand Rounds. Birmingham, Alabama. December 1, 1992.

Lower respiratory tract infections. Shelby Medical Center, Grand Rounds. Alabaster, Alabama. February 3, 1993.

Lower respiratory tract infections. Carraway Family Practice Program, Grand Rounds. Birmingham, Alabama. February 4, 1993.

Use of oral antibiotics. University of Alabama at Birmingham. Family Practice Grand Rounds. Birmingham, Alabama. March 18, 1993.

Psychosocial aspects of narcolepsy. International Conference on Narcolepsy, Hotel Meriden-Montparnasse, Paris, France. October 17, 1993.

Diagnostic techniques in nosocomial pneumonia. American Thoracic Society Consensus Conference for Nosocomial Pneumonia. Boston, Massachusetts. November 19&20, 1993.

Bronchiectasis-Historical & Current Perspectives. 24th Annual Tri-State Respiratory Conference. Perdido, Alabama. August 1, 1995.

Non-invasive mechanical ventilation. Current options. 24th Annual Tri-State Respiratory Conference. Perdido, Alabama. August 1, 1995.

Sleep Staging and Use of BiPAP and CPAP. Alabama State Respiratory Therapy Conference, Gulf Shores, Alabama. November 18, 1995.

Everything you always wanted to know about antibiotics. Alabama State Respiratory Therapy Conference, Gulf Shores, Alabama. November 19, 1995.

Sleepless in Houston: Sleep Disorders Update. University of Texas at Houston, Houston, Texas. May 5 - May 7, 1995.

Narcolepsy and the diagnosis of excessive daytime somnolence. Sunrise Seminar. American Thoracic Society International Conference, Seattle, Washington. May 24, 1995.

Hospital acquired pneumonia: The ATS Consensus Statement and the Controversy. Grand Rounds, Columbus Regional Medical Center, Columbus, Georgia. November 26, 1996.

Hospital acquired pneumonia: The ATS Consensus Statement and the Controversy. Grand Rounds, University of Alabama, Tuscaloosa, Alabama. March 21, 1997.

Sleep - Odyssey - Program for Seniors. Mobile, Alabama. July 11, 1997.

Sleep Disorders - Odyssey - Program for Seniors. Mobile, Alabama. July 18, 1997.

Nosocomial pneumonia. Grand Rounds, University of South Alabama,
Mobile, Alabama. August 21, 1997.

Nosocomial pneumonia. Bristol, Myers, Squibb Physicians Group. Mobile, Alabama. August 25, 1997.

Advances in COPD therapy. American Society for Respiratory Care, Fall Meeting. Gulf Shores, Alabama. October 3, 1997.

The Other Sleep Disorders . . . The nightmare has many faces. 28th Annual Tri-state Respiratory Conference. Bayview Resort, Biloxi, Mississippi. August 5, 1998.

Sleep Disorders Other Than Sleep Apnea. Louisiana Respiratory Care Association. Baton Rouge, Louisiana, April 7,1999.

It’s What? 44rd Annual Tri-State Thoracic Conference. Hotel Monteleone, New Orleans, Louisiana. January 14-15, 2000.

The Walrus and the Carpenter: Pulmonary Presentations – 45th Annual TriState Thoracic Conference. Fairmont Hotel, New Orleans, Louisiana. Jan 11-12, 2002

Pediatric Sleep Medicine: An Introduction. Pediatric Grand Rounds. USA Children and Women’s Hospital. April 26, 2002.

Def Pulmonary Jam: Case Presentations. (USA-COM – moderator and presentor) Trisate Thoracic Meeting. Marriott Grand Hotel, Point Clear, Alabama. January 17-18, 2003.

Pediatric Sleep Medicine. ASRC TriState meeting. White Sands Resort, Gulf Shores, Alabama. April 3, 2003

BOOKS

T. Scott Johnson MD, Jerry Halberstadt, William A Broughton MD. Phantom of The Night (Obstructive sleep apnea and snoring. New Technology Publishing Inc. Cambridge, MA. (Edition in press)

BOOK CHAPTERS

Broughton WA, Middleton R, Kirkpatrick MB, and Bass JB. Bronchoscopic protected specimen brush and bronchoalveolar lavage in the diagnosis of bacterial pneumonia. Infect Dis Clin of North America 1991; 5:437-452.

Foner BJ, Broughton WA, and Bass JB. Bacterial Pneumonia in Conn's Current Therapy 1995. Ed. Robert E. Rakel, page 176-187.

Broughton WA, Hunter JH and Houston MP. Psychosocial aspects of narcolepsy. In Narcolepsy Update 1995. Ed. Utaka Honda, Springer-Verlag 1995. (Published in Europe and Asia—no copy on file)

Broughton WA and Bass JB. Tuberculosis and atypical mycobacteria. Chpt. 29 In Comprehensive Respiratory Medicine. Eds. Albert, Spiro and Jett. Mosby Inc., 1999.

Broughton WA, Middleton RM, Bass JB and Kirkpatrick MB. Invasive Techniques for the Diagnosis of Lower Respiratory Tract Infections. IN: Respiratory Infections: A Scientific Basis For Management. Ed. Kelley, WM. Lippincott Williams & Wilkins Publishers, Philadelphia, PA. 2001, pp 561-570.

COURSEMASTER

Critical Care Medicine (1988-1992)
Sleep Medicine

FUNCTIONED AS REVIEWER FOR

European Respiratory Journal
American Journal of Medicine
Southern Medical Journal (Active 2002)
American Journal of Respiratory and Critical Care Medicine
Chest (Active through 2003)