Monique S. Nugent, MD, MPH

Board-certified internist and hospitalist with more than a decade of inpatient practice at South Shore Hospital in Weymouth, Massachusetts, where she also served seven years as Associate Director of the Division of Hospital Medicine. Clinical Assistant Professor of Medicine at Tufts University School of Medicine and internal medicine clerkship site director. Harvard-trained in public health, with fellowship work building a quality-incentive payment model for skilled nursing and long-term care facilities. She led the hospital's adoption of PADUA-score clinical decision support for VTE prophylaxis, including at discharge to post-acute care.

Areas of Expert Review and Testimony

Hospital medicine and internal medicine standard of care for admitted adult patients
Admission, triage and level-of-care decisions, including observation and short-stay status
Delayed diagnosis and failure to rescue on the medical floor
Venous thromboembolism (DVT and PE): prophylaxis, risk scoring and in-hospital VTE events
Discharge planning and transitions of care to skilled nursing, rehab and long-term care facilities
Hospital-to-nursing-home transfers and care coordination with post-acute providers
Physician and nursing communication, handoffs and cross-cover practices
Goals-of-care, family meetings and MOLST/advance directive documentation
Medical malpractice, personal injury, nursing home and wrongful death matters

Author, Educator and Podcast Host

Dr. Nugent is the author of Prescription for Admission: A Doctor's Guide for Navigating the Hospital, Advocating for Yourself, and Having a Better Hospitalization (Charm Publishing, 2022) and creator and host of the Prescription for Admission podcast. She teaches medical students as Clinical Assistant Professor of Medicine at Tufts University School of Medicine and has presented community talks on the MOLST form, hospitalization roadmaps and effective family meetings.

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Curriculum Vitae

CLINICAL EXPERIENCE

South Shore Hospital | Weymouth, MA

Hospitalist, 2014 to present
Associate Director, Division of Hospital Medicine, 2016 to 2023

Tufts University School of Medicine | Boston, MA

Clinical Assistant Professor of Medicine, 2021 to present
Internal Medicine Clerkship Site Director, 2025 to present

Faculty Physicians and Surgeons Medical Group | Loma Linda, CA

Hospitalist, 2012 to 2013

Loma Linda University Medical Center | Loma Linda, CA

Chief Resident and Instructor, Department of Internal Medicine, 2012 to 2013
Internal Medicine Internship and Residency, 2009 to 2012

University of California, San Diego | San Diego, CA

Psychiatry Internship, 2008 to 2009

EDUCATION

Harvard School of Public Health | Boston, MA
Master of Public Health; Mongan Commonwealth Fund Fellowship in Minority Health Policy, 2013 to 2014

Practicum with Commonwealth Care Alliance: designed a payment model for skilled nursing and long-term care facilities that ties financial incentives to selected process and outcome measures
Led strategy meetings with nursing home and CCA leadership and worked with participating nursing homes to implement and study the plan

Loma Linda University School of Medicine | Loma Linda, CA
Doctor of Medicine, 2008

Emory University | Atlanta, GA
B.S., Neuroscience and Behavioral Biology (concentration in Neuropsychology), 2002

LICENSURE AND BOARD CERTIFICATION

American Board of Internal Medicine, Board Certified, 2014 to current
Massachusetts Medical License, current
Massachusetts DEA and United States Federal DEA registration, current
California Medical License, 2010 to 2014

QUALITY AND PATIENT SAFETY LEADERSHIP, SOUTH SHORE HOSPITAL

Clinical decision support for VTE prophylaxis: implemented the PADUA score in admission and transfer order sets (MEDITECH and Epic) as a hard stop for providers, extended it to discharges to post-acute care facilities, and supports the anticoagulation committee in investigating in-hospital VTE events
Created an inpatient Observation/Short Stay Unit staffed by Hospital Medicine, achieving a median length of stay under 30 hours
Behavioral Emergency Response System committee: clinical input, evaluation of the BARS agitation assessment tool with Psychiatry, and Hospital Medicine education modules
COVID consult team: test-result management, inpatient vaccination with pharmacy, and cohorting tools for COVID-positive patients
Created the "Triage MD" hospitalist role and a remote cross-cover role, including written guidelines and advanced practice clinician participation
Epic order sets, documentation templates and clinical pathways for Hospital Medicine
Admission process improvement with Emergency, Critical Care and nursing leadership, including an expedited admission pathway for emergent hemodialysis patients
Nursing and provider communication improvements, including TigerConnect secure messaging

PUBLICATIONS

Prescription for Admission: A Doctor's Guide for Navigating the Hospital, Advocating for Yourself, and Having a Better Hospitalization. Charm Publishing, February 2022.
Bass J, Nugent M, Lissek S, Pine D, Grillon C. "Fear Conditioning in Virtual Reality Contexts: A New Tool for the Study of Anxiety." Biological Psychiatry. 55(11):1056-1060.
Bass (Foster) J, Grillon C, Pine D, Nugent M, Drevets W, Furey M. "Prefrontal Cortex Activation During Phasic Fear and Sustained Anxiety to Predictable and Unpredictable Shock."
Lissek S, Bass J, Pine D, Orme K, Dvir S, Nugent M, Rosenberger E, Rawson E, Grillon C. "Airpuff Startle Probes: An Efficacious and Less Aversive Alternative to White-Noise." Biological Psychology. 2005;68(3):283-297.

PODCAST, WEBINARS AND COMMUNITY TALKS

Prescription for Admission podcast, creator and host: a patient-centered medical podcast on the hospitalization experience, healthcare systems and health literacy
BluTalks at Northwestern University: "Voice Your Choice: Understanding the MOLST Form"; "A Roadmap to Your Hospitalization"; "How to Plan an Effective Family Meeting: Improving Communication During a Hospital Stay"

COMMUNITY SERVICE

Board of Directors, Wellsprings Multiservice Organization, Weymouth, MA (present)
Board of Directors, DOVE (services for victims of domestic violence), Quincy, MA, 2021 to 2025
Board of Directors, South Shore SDA School, Braintree, MA, 2020 to 2021

PROFESSIONAL MEMBERSHIPS

Society of Hospital Medicine
American College of Physicians
American Association for Physician Leadership
Massachusetts Medical Society