Faculty

David B. Carr, M.D.
Associate Professor of Medicine and Neurology
Clinical Director, Division of Geriatrics and Nutritional Science
Director, Geriatric Fellowship and Residency Rotation in Geriatrics
Medical Director, Parc Provence
Medical Director, The Rehabilitation Institute of St. Louis

General Clinical Interests and Overview

David B. Carr, M.D., has a passion to care for older adults in the outpatient and long-term care setting. Carr is the clinical director for the Division of Geriatrics and Nutritional Science and has an dementia clinic located at the Memory Diagnostic Center in the Health Key building on the Washington University Medical Center Campus affiliated with Barnes-Jewish Hospital. This clinic serves the adult in the community who may have difficulty with memory loss that could be attributed to aging, depression, and/or dementia. He also has a primary care practice of patients at Parc Provence, a state-of-the-art dementia care facility, located in West St. Louis County. He is also medical director of Parc Provence and oversees medical care for the entire facility, while assisting on total quality assurance projects and administrative issues. Dr. Carr is Medical Director of The Rehabilitation Institute of St. Louis (TRISL) and has assisted in developing a driving evaluation center at this site. Carr has a passion for teaching, and is the geriatric fellowship director and coordinator for the internal medicine residency geriatric rotation that participates in the education of older adult medicine for physician trainees. He is a lecturer in educational settings for physician trainees and the community. His favorite topics include successful aging, medical conditions and driving, Alzheimer's Disease, and polypharmacy.

Research Interests

Dr. David Carr is very active in research on older adult drivers and drivers with medical illness. He participates in a St. Louis consortium of clinicians and researchers that have interest in older drivers. Collaborators include Dr. Thomas Meuser from UMSL, Dr. Marla-Berg Weger from SLU, Ms. Peggy Barco WUSM, Steven Ice from Independent Drivers, Inc, and Ms. Pat Niewoehner from the VA in Jefferson Barracks. Together, this group has had initial success with funding efforts from the AAA Foundation to study medical fitness-to-drive, the Missouri Department of Transportation to study dementia and driving, and the LongerLife Foundation to study stroke and medical fitness-to-drive. A driving evaluation clinic was initiated with collaboration from the Program of Occupational Therapy in the WU School of Medicine and HealthSouth, and operates at The Rehabilitation Institute of St. Louis. Future efforts will include developing a consortium of Occupational Therapists that specialize in driving assessments in the State of Missouri, exploring issues of loss of mobility in spinal cord injuries and frailty, and intervention trials to improve driving skills.

Contact Information

Washington University School of Medicine
Division of Geriatrics and Nutritional Science
Older Adult Health Center
4488 Forest Park Ave., Suite 201
St. Louis, MO 63108
Phone: (314) 286-2700

Publications

Dobbs B, Carr DB, Morris JC. Management and Assessment of the Demented Driver. The Neurologist 2002; 8:61-70.

2. Powlishta KK, Von Dras DD, Stanford A, Carr DB, et al. The clock Drawing Test is a Poor Screen for Very Mild Dementia. Neurology 2002; 59:898-903.

3. Shah V, Carr DB. A Case of Retroperitoneal Fibrosis in the Long Term Care Setting. Annals of Long Term Care 2002; 12:44-46.

4. Duchek JM, Carr DB, Hunt L, et al. Longitudinal Driving Performance in Early Stage Dementia of the Alzheimer Type. JAGS 2003; 51:1342-7.

5. Wang C, Carr D. Older Driver Safety: A Report from the Older Drivers Project. JAGS 2004; 52:143-9.

6. Flood KL, Carr DB. Nutrition in the Elderly. Current Opinion in Gastroenterology 2004; 20:125-9.

7. Carr DB. The Role of the Emergency Physician in Older Driver Safety. Annals of Emergency Medicine 2004; 43:746-7.

8. Shah K, Carr DB, Miller P, Roe C. et al. Physical Frailty and the Assessment of Dementia of the Alzheimer Type. Alzheimer’s Disease and Associated Disorders 2004; 18: 112-119.

9. Dobbs BM, Carr D. Screening and assessment of medically at-risk drivers. Public Policy and Aging Report 2005; 15(2):6-12.

10. Perkinson MA, Berg-Weger ML, Carr DB, et al. Driving and Dementia of the Alzheimer Type: Beliefs and Cessation Strategies Among Stakeholders. The Gerontologist 2005; 45:675-685.

11. Wilkins C, Moylan K, Carr D. Diagnosis and Management of Dementia in Long Term Care. Annals of Long-Term Care: Clinical Care and Aging 2005; 13(11):17-24.

12. Carr DB, Shead V, Storandt M. Driving Cessation in Older Adults with Dementia of the Alzheimer’s Type. The Gerontologist 2005; 45:824-827.

13. Munir J, Wright RJ, Carr DB. A Quality Improvement Study on Calcium and vitamin D. Supplementation in Long Term Care. Journal of the American Medical Directors Association 2006; Jun; 7(5):305-9.

14. Carr DB, Duchek J, Meuser T, Morris JC. The Older Driver with Cognitive Impairment. American Family Physician 2006; 73:1029-34, 1035-6.

15. Eberhard J, Stutts J, Carr D, et al. Strategies and Tools to enable safe mobility for Older Adults. Topics in Geriatric Rehabilitation 2006; 22:3-17

16. Meuser TM, Carr DB, Berg-Weger M, Niewoehner P, Morris JC. Driving and Dementia in Older Adults: Implementation and Evaluation of a Continuing Education Project. The Gerontologist 2006; 46:680-687.

17. Carr, DB, Flood K, Steger-May K, Schechtman KB, Binder E. Characteristics of Frail Older Adult Drivers. Journal of the American Geriatrics Society 2006; 54: 1125-1129.

18. Flood KJ, Carr D, Carroll M, Ball L, Le CV, Esker DA. Geriatric Syndromes in Elderly Patients Admitted to an Oncology-Acute Care for the Elders (OACE) Unit. Journal of Clinical Oncology 2006; 24 (15):2298-2303.

19. Carr DB, Meuser TM, Morris JC. Driving retirement: the role of the physician. CMAJ 2006; 175 (6):601-2

20. MacLean K, Berg-Weger M, Meuser TM, Carr D. Driving retirement: Help with counseling older patients. Family Practice Recertification 2007; 29 (6):1-6.

21. Raj G, Munir J, Ball L, Carr D. An Inpatient Rehabilitation Service for Deconditioned Older Adults. Topics in Geriatric Rehabilitation 2007; 23 (2):126-136.

22. Flood KL, Rohlfing A, Le CV, Carr DB, Rich MW. Geriatric Syndrome in Elderly Patients Admitted to an Inpatient Cardiology Ward. J Hosp Med 2007; Dec 14; 2 (6): 394-400.

Department of Medicine
Division of Geriatrics & Nutritional Sciences



David B. Carr, MD