The University of the West Indies (UWI), at Cave Hill, Barbados

The University of the West Indies

at Cave Hill, Barbados

Faculty of Medical Sciences


Dr. Peter Adams
Titles: Dean
Department: FMS
Discipline: Clinical Faculty (Phase II)
Qualifications: BSc (Lond), MB BS, MSc, DM (Family Medicine) (UWI)
Contact: (Telephone) 246-417-4264 |417-4260
(Email):peter.adams@cavehill.uwi.edu
 
Teaching Areas: Previously coordinated the Family Medicine undergraduate and postgraduate programmes.
Biography: Dr Peter Adams is Dean of the Faculty of Medical Sciences, University of the West Indies, Cave Hill campus. He completed secondary school at Queens College in Guyana, received a BSc in Biochemistry from Imperial College of Science and Technology, University of London and a MBBS and DM from the University of the West Indies. He attended both the Mona and Cave Hill campuses of the UWI. He is a Family Physician who after completing his internship in Trinidad has been practising medicine for over 3 decades in Barbados.
Prior to becoming Dean in 2015, he coordinated both the undergraduate and postgraduate Family Medicine programmes. He introduced a Diploma in Family Medicine by distance with doctors in several Eastern Caribbean islands enrolled. Until recently he was an associate consultant at the Queen Elizabeth Hospital and headed the General Practice Unit located at the Edgar Cochrane Polyclinic.
He is a former editor of the Barbados Association of Medical Practitioners Bulletin, and is currently a member of the International Advisory Board, British Journal of General Practice.
Research: Eastern caribbean Health Outcomes Network (ECHORN) cohort study http://echorn.org/#!/home

Initial funding NIMHD U24 grant of US $748,546

ECHORN is a cross-island collaborative that has developed a population-based, observational cohort study that estimates prevalence of known and potential risk factors for cancer, diabetes, and cardiovascular disease over time. I am the Barbados site Principal Investigator.

Yale transdisciplinary Colaborative Center for Health Disparities Research focused on precision Medicine (Yale-TCC) U54 NIHMD grant for US $507,216 
https://medicine.yale.edu/intmed/genmed/tcc/people/implementation.aspx

The Yale-TCC and is funding wave 2 of the ECHORN cohort study and the following subprojects -
  • Subproject 1 - Biobanking: Involves the collection of biological samples to test future hypotheses examining biomarkers and genetic polymorphisms that were collected prior to disease occurrence.  
  • Subproject 2- Diabetes: A precision medicine approach to identify novel biomarkers associated with type 2 diabetes development, thereby facilitating early diagnosis and potential therapeutic targeting of the disease. The primary objective is to identify biomarkers using state-of-the art metabolomics and genomic analyses of blood and urine collected from participants in the ECHORN cohort study. The central hypothesis is that a unique signature of blood and urine metabolites will predict the development of T2D earlier and more accurately than traditional biomarkers.
  • Subproject 3 – Hypertension: The overarching goal of this sub-project is to examine momentary Ambulatory Blood Pressure (ABP) in relation to individual variability in environment, lifestyle, and related contextual factors members of the ECHORN Cohort. Our primary objective is to develop individual level phenotypes of hypertension risk, based on contextual factors and the momentary effects these have on ABP, using advanced analytic techniques. Our central hypothesis is that the integration of individual-specific contextual data with ABP profiles will better classify risk for hypertension.
Paediatric ECHORN Cohort study NHBLI -- R01HL143785 grant for US $543, 388
The overall objective is to characterize intergenerational factors that contribute to paediatric cardiovascular risk.

Preventing Diabetes Using Lifestyle Intervention and Metformin Escalation –(LIME) Project  of the Implementation Core of the Yale-TCC.  https://medicine.yale.edu/intmed/genmed/tcc/lime.aspx

The main aim is to determine if evidence-based lifestyle interventions and metformin can be effective to prevent diabetes in Caribbean populations. Involves study sites in Trinidad, Barbados, USVI, Puerto Rico and New York.
 
Publications:
  1. Hassan S, Ojo T, Galusha D, Martinez-Brockman J, Adams OP, Maharaj RG, Nazario C, Nunez M, Nunez-Smith M. Obesity and Weight Misperception among Adults in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. Obes Sci Pract. 2018 Jun 5;4(4):367-378. doi: 10.1002/osp4.280. eCollection 2018 Aug.
  2. Adams OP, Mangera KAS, Hambleton I, Morris EH, Paul-Charles JL. Does peak expiratory flow measured sitting differ from that measured standing? BJGP Open. 2018 July; 2 (2) DOI: https://doi.org/10.3399/bjgpopen18X101592
  3. Adams OP. The impact of brief high-intensity exercise on blood glucose levels. Diabetes Metab Syndr Obes. 2013; 6:113-22
  4. Adams OP, Carter AO. Knowledge, Attitudes, practices, and barriers reported by patients receiving Diabetes and Hypertension Primary Health Care in Barbados: A focus group study. BMC Family Practice 2011; 12:135 
  5. Adams OP, Carter AO, Prussia P, et al. Risk Behaviour, Health Care Access and Prevalence of infection with Chlamydia trachomatis and Neisseria gonorrhoeae in a population based sample of adults in Barbados. Sex Transm Infect. 2008; 84: 192-194

Chronic Disease Research Centre (CDRC)
 
Dr. Madhuvanti Murphy, Deputy Dean Research & Graduate Studies, and Lecturer in Public Health

Professor Ian Hambleton, Professor of Biostatistics

Dr. Natasha Sobers, Lecturer in Epidemiology

Dr. Kim Quimby, Lecturer in Immunology

Dr. Christina Howitt, Lecturer in Data Science

Contact the Faculty of Medical Sciences
Telephone: (246) 417- 4694/4703/4264 Fax: (246) 438-9170 Email: fms@cavehill.uwi.edu