Expert Details

Expert in Pain Medicine, Anesthesiology, Perioperative Medicine, Healthcare Leadership, Medical Education

Expert ID: 737127 California, USA

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Expert is currently an Adjunct Clinical Associate Professor and Anesthesiologist and Pain Medicine physician. Expert is also the President & CEO of E&S of a consulting group focused on the practice of medicine, qualified medical evaluation, expert witnessing, career and academic development, medical leadership, and tech consulting. Prior to this, he was the Chair of the Department of Anesthesiology of Alameda Health System. The overall focus of Expert's career has been to address national health issues through community and health system leadership and medical education, particularly surrounding the topics of perioperative and surgical care quality, opioid safety, addiction-related care, pandemic and mass casualty response planning, and addressing health equity and bias in health care delivery.

Expert’s patient care and clinical interests include chronic and acute pain management, interdisciplinary/procedural pain treatment, team-based approaches to patients with dual acute or chronic pain and substance use disorders, as well as anesthesia for trauma and spine surgery. His academic interests involve immersive-based learning, trainee performance, and patient outcomes and safety. He continues to develop pain medicine simulation scenarios and other educational programs within a highly prestigious Division of Pain Medicine, as well as treat patients while supervising pain medicine fellows.

Education

Year Degree Subject Institution
Year: 2012 Degree: Pain Medicine Fellow Subject: Pain Medicine Institution: Stanford University School of Medicine
Year: 2011 Degree: Anesthesiology Resident Subject: Anesthesiology Institution: Harvard Medical School (Massachusetts General Hospital)
Year: 2007 Degree: MD Subject: Doctor of Medicine Institution: Temple University School of Medicine
Year: 2003 Degree: BS Subject: Psychology Institution: University of Maryland--College Park

Work History

Years Employer Title Department
Years: 2021 to Present Employer: Undisclosed Title: President & CEO Department: Medicine and Consulting
Responsibilities:
President, CEO, and Founder of a consulting corporation, dedicated to the practice of medicine, expert witnessing, healthcare leadership and tech consulting, and academic / career / admissions counseling
Years Employer Title Department
Years: 2021 to Present Employer: Undisclosed Title: Anesthesiologist & Pain Medicine Specialist Department: Anesthesiology
Responsibilities:
Direct patient care providing operating room, radiology, and labor & delivery anesthesia, as well as inpatient pain medicine consultation and interventional procedures.
Years Employer Title Department
Years: 2013 to Present Employer: Undisclosed Title: Adjunct Clinical Associate Professor Department: Anesthesiology, Perioperative and Pain Medicine
Responsibilities:
Prior Associate Division Chief for Education within the Division of Pain Medicine, prior Medical Director, currently responsible for direct patient care as well as bedside teaching of pain fellows and anesthesiology residents. Also started and maintained the annual pain medicine simulation program.
Years Employer Title Department
Years: 2017 to 2018 Employer: Alameda Health System Title: Interim Director Department: Pain & Functional Restoration Program
Responsibilities:
- Highland Hospital based outpatient program for patients with chronic pain and opioid use disorder.
- Refocused and restructured the program into an interdisciplinary, collaborative program with new vision, mission, scope of services and referral processes to include inpatient and outpatient care, interventional procedures, weekly interdisciplinary team meetings, opioid safety and monitoring measures, increased utilization of buprenorphine for pain.
- Recruited and mentored Medical Director / Division Chief for Pain Medicine as well as additional anesthesiologists and pain psychologist.
Years Employer Title Department
Years: 2021 to Present Employer: Undisclosed Title: Adjunct Clinical Associate Professor Department: Department of Anesthesiology
Responsibilities:
- Direct patient care and bedside teaching with ACGME Pain Medicine fellows within the outpatient Pain Clinic
- Chronic pain and opioid safety teaching, lectures and mentorship to Pain Medicine fellows
- Opioid related simulation utilizing standardized actors for Pain Medicine Fellows and Anesthesiology residents within the Center for Immersive and Simulation based Learning
- Leadership lectures, teaching and mentorship for Perioperative Management fellows
Years Employer Title Department
Years: 2017 to 2021 Employer: Stanford University School of Medicine Title: Adjunct Clinical Assistant Professor Department: Department of Anesthesiology, Perioperative & Pain Medicine, & Division of Addiction Medicine within the Department of Psychiatry & Behavioral Sciences (by courtesy)
Responsibilities:
- As above, with inclusion of Addiction Medicine fellows
Years Employer Title Department
Years: 2014 to 2017 Employer: Stanford University School of Medicine Title: Clinical Assistant Professor Department: Department of Anesthesiology, Perioperative & Pain Medicine, & Division of Addiction Medicine within the Department of Psychiatry & Behavioral Sciences (by courtesy)
Responsibilities:
- Leadership: Associate Division Chief for Education and Associate Fellowship Director, Division of Pain Medicine. Governance Committee, Division of Pain Medicine.
- Site Director for San Pablo Pain Medicine Clinic for University HealthCare Alliance.
- Adult OR Multispecialty Division: Level-1 trauma, general OR, ambulatory anesthesia, neurosurgical and orthopedic spine anesthesia.
- Labor and Delivery Anesthesia: Night call at Lucile Packard Children’s Hospital (LPCH).
- Pain Medicine Clinics: Orofacial chronic pain and headache service, primary care outreach at San Pablo, outpatient pain procedure service.
- Acute Pain Service: Inpatient consultation and management, and pain procedures.
Years Employer Title Department
Years: 2013 to 2014 Employer: Stanford University School of Medicine Title: Clinical Instructor Department: Department of Anesthesiology, Perioperative & Pain Medicine
Responsibilities:
- Adult OR Multispecialty Division: Level-1 trauma, general OR, ambulatory anesthesia, neurosurgical and orthopedic spine anesthesia.
- Labor and Delivery Anesthesia: Night call at Lucile Packard Children’s Hospital (LPCH).
- Pain Medicine Clinics: Orofacial chronic pain and headache service, primary care outreach at San Pablo, outpatient pain procedure service.
- Acute Pain Service: Inpatient consultation and management, and pain procedures.
Years Employer Title Department
Years: 2011 to 2011 Employer: NYC Health & Hospitals Corp | Elmhurst Hospital Center, Mt. Sinai School of Medicine Title: Staff Anesthesiologist (Per-Diem) Department: Anesthesiology
Responsibilities:
- Level-1 (NY State) trauma, labor and delivery, general OR, pre-anesthesia clinic, acute pain service.
Years Employer Title Department
Years: 2017 to 2021 Employer: Alameda Health System Title: Chair Department: Anesthesiology, Perioperative & Pain Medicine
Responsibilities:
- Responsible for approximately 50 clinicians and staff with an annual operating budget of $19-million, labor expenses of $11-million, and revenue stream of $33-million.
- Accountable for departmental and perioperative quality, safety, patient access, staffing, recruitment and retention, compliance, financials, contract negotiations, educational activities, collaboration with other departments, system leadership, and overall safety-net service to our East Bay community.
- Redefined our departmental vision, mission, service structure and scope. Now includes inpatient and outpatient pain services, endoscopy anesthesia, out of OR anesthesia, critical care medicine, collaborative emergency airway management, in addition to perioperative care for surgery.
- Created and recruited directors for Pre-Anesthesia clinic, interdisciplinary pain program, regional anesthesia and acute pain management, women’s anesthesia, anesthesia quality / safety / education.
- Transition of departmental perioperative services from Highland Hospital to all AHS core hospitals (Highland Hospital, San Leandro Hospital, and Alameda Hospital) in Fall-Winter of 2019
- Participated in merging of AHS physician groups into recently formed, unified entity, East Bay Medical Group (EBMG).
- Departmental collaborative projects include leading efforts regarding COVID-19 response, EPIC EHR implementation, updating documentation and billing processes, pharmacy financial stewardship, RFO policy update, PCEA, IV lidocaine and ketamine, narcotic documentation accuracy, TJC and CDPH survey preparedness and response.
- Recruitment of highly talented and diverse physicians and staff to mirror our patient population and bring important knowledge and skills into our department / practice.

Career Accomplishments

Associations / Societies
2020-Present, Member, American Society of Anesthesiologists (ASA)
2011-Present, Member, American Academy of Pain Medicine (AAPM)
2020-Present, Member, American College of Healthcare Executives (ACHE)
2020-Present, Associate Member, Pain and Addiction Research Center (PARC), University of California—San Francisco (UCSF)
2020-1/2021, Member, Alameda Health System Foundation, President Search Committee
2020-Present, Member, Operating Room Committee, Stanford University School of Medicine
2020-9/2021, Member, COVID-19 Response and Planning Team, Alameda Health System
2019-9/2021, Member, Drug screening and employment working group, Alameda Health System
2019-9/2021, Member, Anesthesiology Quality Review Committee, Alameda Health System
2018-9/2021, Member, EPIC Transition Working Group (Perioperative), Alameda Health System
2017-9/2021, Member, AHS Credentialing and Privileging Committee, Alameda Health System
2017-9/2021, Member, AHS Sedation Committee, Alameda Health System
2017-9/2021, Member, Medical Executive Committee, Alameda Health System
2017-9/2021, Member, Pharmacy and Therapeutics Committee, Alameda Health System
2017-9/2021, Member, Operating Room Executive Committee, Alameda Health System
2017-9/2021, Member, Interdepartmental Professional Practice Committee
2017-2018, Member, East Bay Safe Opioid Prescribing Coalition, ACCMA
2016-5/2021, (Adjunct) Faculty Member, Addiction Medicine Fellowship, Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine
2016-5/2020, (Adjunct) Faculty Member, Advanced Training in Medical Education Fellowship, Stanford University, Department of Anesthesiology, Perioperative and Pain Medicine
2015-2016, Member, MD Admissions Committee and Faculty Interviewer for Applicants
2015, Member, Clinical Research Working Group, Stanford University, Department of Anesthesiology, Perioperative and Pain Medicine
2014-2017, Member, AAPM Medical Student Education SIG
2014-2017, Member, AAPM Interdisciplinary Pain SIG
2013-2017, Member, Association of Pain Program Directors (APPD)
2013-2017, Pain Medicine Representative, Cross Fellowship Council, Stanford University
2013-2017, Pain Medicine Representative, Anesthesia Education Committee, Stanford University
2010-2011, Member, Anesthesia Resident Selection Committee, Massachusetts General Hospital
Licenses / Certifications
ABA Pain Medicine Board Certification, 09/2014-12/2024
ABA Anesthesiology Board Certification, 10/2012-12/2022
California Medical License, expires 6/30/2023
DEA License with X-Waver, expires 10/31/2023
California Fluoroscopy License, expires 12/31/2022
Qualified Medical Evaluator, California Department of Industrial Relations, expires 12/2023
ACLS Certification (AHA), expires 4/2023
BLS Certification (AHA), expires 4/2023
Professional Appointments
Other Leadership Roles:
Founding Member, Bay Area Safety-Net Perioperative Consortium
Board of Directors, Alameda Health System Foundation, 501(c)(3)
Chair, Orthopedic Surgery Chair Search Committee, Alameda Health System
Co-Chair, AHS Perioperative Operations Committee, Alameda Health System
Co-Chair, Pain and Addiction Committee, Alameda Health System
Co-Chair, Anesthesiology Quality Review Committee, Alameda Health System
Founding Physician Member, Patient Family Advisory Council (PFAC) for Pain Medicine, Stanford Health Care.
Co-Chair, Pain and Addiction Core Competency and Curriculum Development Dean’s Task Force for Medical Students, Stanford University School of Medicine
Founding Member, Pain Fellowship 1:1 mentorship program, Stanford University
Co-Chair, Pain Medicine Fellowship Scholarship Program Selection Committee, American Academy of Pain Medicine (AAPM)
Co-Chair, Graduate Medical Education Special Interest Group (SIG), American Academy of Pain Medicine (AAPM)
Chair, Clinical Competency Committee, Pain Medicine Fellowship, Stanford University
Division of Pain Medicine Governance Committee, Stanford University
Chair, Pain Medicine Fellowship Selection Committee, Stanford University
Awards / Recognition
Quality and Safety Innovation Award for Controlled Substance Discrepancy Management, Departments of Anesthesiology and Pharmacy, Alameda Health System.
California Health and Human Services Agency / Cal Hospital Compare Opioid Care Honor Roll and Maternity Care Honor Roll for Highland Hospital
American Academy of Pain Medicine (AAPM) Pain Medicine Fellowship Excellence Award for Stanford University School of Medicine
AAPM Annual Meeting Scientific Poster Abstract Winner
Outstanding Teacher of the Year Award. Division of Pain Medicine. Department of Anesthesiology, Pain & Perioperative Medicine, Stanford University School of Medicine.
Scholar, Teaching Scholars Program, Department of Anesthesiology, Pain & Perioperative Medicine, Stanford University School of Medicine
Medical / Professional
Clinical Teaching Responsibilities:
In collaboration with the AHS Medical Director for Anesthesia Education, operating room and pain clinic bedside and didactic teaching of UCSF rotating medical students, Kaiser-Oakland ENT surgery interns, AHS OMFS residents, AHS internal medicine residents, AHS emergency medicine residents, and Samuel Merritt SRNAs.
Perioperative Management Fellowship didactic lectures and mentorship. Stanford University.
ANES 304A: Chronic Pain Management Clerkship, Course Director. Stanford University.
MED 313A: Ambulatory Medicine Core Clerkship, Pain Clinic Course Director. Stanford University.
Addiction Medicine Fellowship Pain Management affiliated faculty member and supervisor. Stanford University
Advanced Training in Medical Education Fellowship affiliated faculty member and supervisor. Stanford University
Associate Division Chief for Education, Division of Pain Medicine, Stanford University. Responsible for all aspects of education (undergraduate, graduate and continuing medical education) within the pain division. This includes orientation, curriculum development, assessment, mentoring, and compliance with GME/CME metrics.
Associate Fellowship Director, Pain Medicine, Stanford University. Includes fellowship selection committee, development of a behavioral interviewing program, frequent pain medicine didactic lectures to pain medicine fellows and anesthesia residents. Other duties include curriculum and rotation development, mentoring and career counseling, recruitment of future fellows, etc…
Chief Pain Medicine Fellow: Procedure and ward teaching to anesthesia residents and medical students, Stanford University School of Medicine, Department of Anesthesia
Anesthesia Attending: OR teaching to anesthesia residents and medical students, Elmhurst Hospital Center / Mt. Sinai School of Medicine, Department of Anesthesiology
Anesthesia Resident: Perioperative teaching to medical students, Harvard Medical School, Department of Anaesthesia

Other Teaching, Training & Educational Experiences:
CITI Program certification for human subjects research protections, Stanford University School of Medicine.
AHS Leadership Academy for Organizational Learning and Effectiveness.
AHS Department of Anesthesiology retreat and team building activities for improved interdepartmental teamwork, collaboration and communication skills.
Institute for Healthcare Improvement (IHI) Open School. Self-directed modules and pod-casts surrounding leadership, quality improvement, education and patient safety.
Emergency Management Institute Online Training Certificate. IS-100.C, Introduction to Command System & IS-200.C, Basic Incident Command System Initial Response. Federal Emergency Management Agency.
AHS EPIC Super-User Training.
Simulation Instructor Course. Center for Immersive and Simulation Based Learning (CISL), Stanford University School of Medicine
Collaborative case-based pain medicine teaching conferences between Stanford University and the University of California—Davis
“Libero” teaching sessions, small group teaching sessions on selected ABA ITE examination keyword topics. Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine
Formal and informal mock ABA oral board examination for anesthesia fellows and residents, Stanford University School of Medicine
Small group learning session regarding perioperative delirium and pain, Practice of Medicine (POM) Course for Year 2 Medical Students (INDE-201), Stanford University School of Medicine
In-situ Simulation: Local Anesthetic Systemic Toxicity, Post Anesthesia Care Unit, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital
Year-I Orientation: Introduction to the Profession & Vital Signs, Harvard Medical School
Developed basic pharmacology simulations for medical and dental students, Gilbert Program in Simulation, Harvard Medical School
Year-II Renal Pathophysiology, Gilbert Program in Simulation, Harvard Medical School
Year-II Pulmonary Pathophysiology, Gilbert Program in Simulation, Harvard Medical School
Publications and Patents Summary
Peer-Reviewed Articles: 11
Book Chapters: 9
Papers and Posters Presented at National Meetings: 18
Institutional Presentations: 62
Non Peer-Reviewed Articles & Press Mentions: 8

Additional Experience

Expert Witness Experience
Cases to date: 7
Marketing Experience
Peer Review Journal Reviewer:
PLOS-One, 2017-Present
Pain Medicine, 2014-2017
Other Relevant Experience
Other Academic Projects and Activities:
- Utilizing EPIC to analyze patient safety and quality of care as it related to opioid safety by utilizing a co-management, interdisciplinary team of pain medicine and addiction medicine physicians within Alameda Health System.
- Development and implementation of opioid prescribing related simulations and research surrounding use and analysis of learner performance at Stanford for teaching pain medicine to pain fellows and anesthesiology residents.
- Provide content and help develop educational and administrative content for the Association of Pain Program Directors (APPD) website.
- Utilization of Collaborative Health Outcomes Information Registry (CHOIR) for the ACGME Next Accreditation System and Clinical Learning Environment Pathways to Excellence.
- Stanford pain fellow learning milestones implementation.
- Stanford anesthesia resident learning milestones for three pain rotations: acute pain service, outpatient chronic pain clinic, outpatient pain procedures rotation.
- Development of a behavioral interviewing program for the Stanford pain medicine fellowship selection committee.
- CME learning modules. Stanford safe opioid prescribing and risk evaluation and mitigation strategies (REMS).

Fields of Expertise

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