California
Expert No. 3626

Medical Licensure

California Medical License Current (08/86-Present)

Florida Medical License Current (01/05/99-Present)

DEA License Current (08/86-Present)

Medical Insurance Exchange of California (MIEC- $1M/$3M)-(04/91-Present)

Board Certifications/Certifications of Added Qualifications

• American Board of Internal Medicine (ABIM)-Board Certified in Internal Medicine (09/88-Pres);
• American Board of Internal Medicine (ABIM)-Board Certified in Geriatrics (04/94-Present);
• American Board of Hospice & Palliative Medicine (ABHPM) - Board Certified (01/06-Present);
• American Board of Addiction Medicine (ABAM)-Board Certified (12/10-Present);
• American Medical Directors Association (AMDA) - Certified (CMD:12/04-Present; Re-cert: 06/10);
• American Academy of Home Care Physicians (AAHCP)-Certified (11/03-Present);
• American Academy of Hospice & Palliative Medicine (AAHPM)-Cert. Hospice Med Dir (08/09);
• American Board of Addiction Medicine (ABAM)-Board Certified (12/10);
• American College of Forensic Examiners (ACFEI)-Certified Forensic Physician (CFP);
• American Society of Addiction Medicine (ASAM)-[MROCC Forensic Toxicology Test Cert-P].

Present Academic Rank and Position

• St. Mary's Medical Center: Director of Geriatric & Palliative Education & Training, Key Clinical Faculty, Ethics Committee Member, P & T Committee Member, Physician Wellbeing Committee Member, & Intern/Resident Selection Committee for the Internal Medicine Residency Program;
• Yale University Medical School: Assistant Clinical Professor of Medicine (04/06-Present);
• UCSF Medical School: Assistant Clinical Professor of Medicine (2003-Present);
• USC Keck School of Medicine- Clinical Instructor of Medicine-Dept. of Family Medicine (2009);
• Stanford School of Medicine: Clinical Preceptor (Primary Care Associate's Program: 2001- Present);
• Touro University Osteopathic Medical School (Vallejo/Mare Island, CA): Adjunct Assistant Professor of Geriatrics.

Present Academic Rank and Position

American Academy of Family Physicians (AAFP): Clinical Educator Certificate ("Active Teacher in Family Medicine" 2002- Present): San Francisco Free Clinic (SFFC);

Certified Medical Director (or Certified Hospice Medical Director) for multiple Sub-Acute Rehabilitation, Skilled Nursing Facilities (SNF's), and Assisted Living Facility (with Dementia Care), a Large Tri-County SF Bay Area Hospice, as well as one medically supported Adult Day Care Facility in the SF Bay Area.

Educational Experience

College of William & Mary       
Williamsburg, VA
B.S., Biology: 05/80 (Graduated with Honors in Biology)

University of Miami Medical School
Miami, FL [Graduated with Medical Degree (MD): 05/85]

Post-Doctoral Training

Medical Internship: 06-85/06-86
California Pacific Medical Center (formerly Pacific Presbyterian Hospital)

Medical Residency: 06/86-06/88
California Pacific Medical Center (formerly Pacific Presbyterian Hospital)

Chief Medical Residency: 06/88-06/89
California Pacific Medical Center (formerly Pacific Presbyterian Hospital)

Other

Advanced Cardiac Life Support (ACLS)-certified (06/84-06/03)
ACLS Instructor - 1990
Code Blue Team Leader-04/91-06/97
   
Awards/Honors

Resident of the Year: 1988
Pacific Presbyterian Hospital

• Awarded for body of urban under-served hospital-based work in SF, including distinguished service in areas of General Internal Medicine, Geriatrics, HIV/AIDS, Acute Rehabilitation, In-Patient Addiction/Detox Medicine, Hospice & end-of-life (EOL) care, and Transplant Medicine.
• "2003 California Physician of the year" (NRCC-Congressional)
• "2004 Pioneer of Healthcare Reform" (NRCC-Congressional)
• "Consumer's Report 2007 Edition: Guide to America's Top Physicians"
• "2006 Organization Hero": SFFC
• University of California School of Public Health Organizational Hero Award: "2006 Berkeley International Public Health Heroes"
• Certificate of Appreciation from Senator Barbara Boxer (March 17, 2006)
• Certificate of Recognition by Senator Jackie Spier (March 17, 2006)
• Certificate of Recognition by 13th District Assemblyman Mark Leno (March 17, 2006)

Key Clinical Faculty, Core Faculty Positions, and Acute Hospital Privileges

Core Teaching Attending in General Internal Medicine/Family & Community Medicine (FCM) at
The San Francisco Free Clinic (SFFC): 1999-Present
Medical Director - Patricia Hellman Gibbs, MD Staff Clinical Instructor in Primary Care (including addiction medicine) for the local, urban, under-served community (who have no health insurance) - clinically precept (twelve sessions per month) junior & senior medical student primary care clerkships from UCSF, Yale, USC, UCLA, McGill, and Duke University School(s) of Medicine, medical interns and residents from UCSF Medical School, California Pacific Medical Center (CPMC), and Kaiser (SF), and PA/NP students from Stanford University Medical School.

Stanford University School of Medicine
Clinical Preceptor-Internal Medicine/Geriatrics
Primary Care Associate Program

University of California, San Francisco School of Medicine
Assistant Clinical Professor of Medicine @ UCSF
Department of Medicine: Primary Care Program

Yale University School of Medicine
Clinical Instructor: Primary Care Clerkship
Department of Medicine

St. Mary's Medical Center (SF, CA)
Director of Geriatric & Palliative Training/Key Clinical Faculty: Int. Med. Residency Program
Department of Medicine: Medical Staff Privileges & Ethics Committee Member, Pharmacy and Therapeutics Committee Member, & Intern/Resident Selection Committee Member.

Marin General Hospital (MGH)
Department of Medicine: Medical Staff Privileges & Laboratory Liaison Committee Member

Professional Societies/Affiliations

• Society of Hospital Medicine (SHM) - member
• American College of Forensic Examiners (ACFEI)-member and Certified Forensic Physician (CFP)
• Association of Clinical Faculty (ACF) @ UCSF School of Medicine-Lifetime Member
• American College of Physicians/American Society of Internal Medicine (ACP/ASIM)-Fellow (FACP)
• California Association of Long Term Care Medicine (CALTCM)-Appointed to the Board of Directors (for five year term) & serve as Chair on the Policy and Professional Services Committee Member (2007-2008) and Chair of the Legislative Sub-Committee (2007-2008); Lifetime Member Status.
• Society of General Internal Medicine (SGIM)-member
• American Geriatrics Society (AGS)-Diplomate & Board Certified (ABIM), Fellow (AGSF), and appointed member SIG Task Force on Elder Abuse
• American Academy of Home Care Physicians (AAHCP)-member & certified (with a CAQ)
• American Academy of Hospice and Palliative Medicine (AAHPM)-Diplomate & Board Certified (ABHPM), Fellowship status: FAAHPM, Key National Faculty Lecturer for Hosp. Med. Dir. Cert. (CHMD)
• American Medical Directors Association (AMDA)-member & certified (CMD) with a CAQ, Re-Cert: 12/10; Appointed to the Public Policy Committee (03/11 - Present);
• The California Council of Gerontology and Geriatrics (CCGG-UCLA)-member
• Serving on the: Educational & Legislative Committee (2007-2008)
• American Medical Association (AMA)-member
• California Medical Association (CMA)-member
• San Francisco Medical Society (SFMS)-member
• Marin Medical Society - member
• Southern Medical Association (SMA)-member (appointed to the Educational Committee)
• California Geriatrics Society (CGS)-member
• Florida Geriatrics Society (FGS)-member
• Florida Medical Directors Association (FMDA)-member
• American Association of Geriatric Psychiatry (AAGP)- affiliate member
• American Academy of Pain Medicine (AAPM)/American Pain Society (APS)-member
• The Gerontological Society of America (GSA)-member
• American Diabetes Association (ADA)-member
• American Obesity Association (AOA)-member
• American Society of Addiction Medicine (ASAM)/CA Society of Addiction Medicine (CSAM)-BC (12/10).

Intramural Presentations

Available Upon Request

Clinical Practice, Interests, and Accomplishments

Clinician Educator and Private Practitioner (utilizing 4 geriatric trained certified physician assistants) in General Internal Medicine, Geriatrics, Addiction Medicine, and Hospice & Palliative Medicine:

San Francisco Office (03/04-Present)
Clinical responsibilities (including geriatrics) as part of a busy primary care office with PA support 

Marin Office Medical Director, 9/03-Present
On-site geriatric clinic with local assisted living, Alzheimer's assisted living, house calls, hospice & palliative medicine practice with Physician Assistant support utilizing 4 PA's. Designated as a Stanford, Samuel Merrit, & St. Francis Primary Care clinical teaching site for the Primary Care Associates Program and a geriatric training site for St. Mary's Medical Center Internal Medicine Residents rotating in geriatrics.
San Francisco Office (10/99-3/04)
Out-Patient and In-Patient clinical responsibilities (including geriatrics) as part of a busy four physician primary care group, practicing adjacent to California Pacific Medical Center (San Francisco, CA).

Sonoma Office (10/01-03/03)
Clinical responsibilities (including geriatrics) as part of a primary care practice.  Large hospital-based practice in adjacent Petaluma Valley Hospital (Petaluma, CA), while functioning as a "de facto"
Hospitalist.

Hospital-based General Internist (and out-patient medical practice): 04/91-10/98
Hospitalist/In-Patient Manager of the SNF (IDT)-Garden Sullivan Hospital (GSH)
Clinical Director-GSH: AIDS/Acute Rehab/Geriatrics/ Med-Surgery/Addiction Medicine/Hospice
& Palliative Medicine
As part of co-founding and managing an early "hospitalist" physician group-in San Francisco, CA, the responsibilities encompassed Clinical, Educational, Administrative, and Organizational roles, particularly in areas of General Internal Medicine, Geriatrics, HIV/AIDS Medicine, mostly Solid Organ Transplantation Medicine (including the post-operative care of liver, kidney, hearts, and some pancreas/small bowel transplants), Rehabilitation Medicine, In-Patient Addiction & Detox/Rehab Medicine ("Dual Diagnosis"), and in-patient Hospice & Palliative Medicine.  While functioning as the "Clinical Director" @ GSH in an active internal medicine residency program, was instrumental in both quality assurance and utilization review.  Spearheaded the co-design of clinical guidelines and the general programmatic development for the internal medicine residency program, particularly within the sub-acute facilities in the medical center.  Also directed the emergency services (ACLS) response team (the "code blue team") and credited with co-creating early "methods" for hospitalist care in medically complex patients (e.g.-post-op liver and kidney transplant patients).

Active Medical Staff (Hospital-Based and Out-Patient): 2001-2003
Petaluma Valley Hospital

Medical Staff : Teaching Attending/Department of Medicine-1999-2002
California Pacific Medical Center
Internal Medicine Residency Program

Active Medical Staff
Teaching Attending/Department of Medicine: 1991-1998
California Pacific Medical Center
Internal Medicine Residency Program

Medical Attending (Hospital-Based and Outpatient)-Department of Medicine: 10/89-01/91
Vice Chief of Medicine (10/89-08/90)
Acting Chief of Medicine (08/90-01/91)
The responsibilities encompassed Clinical, Administrative, Educational, and Research roles as part of an active internal medical residency program that included managing patients in the general medical outpatient clinics (including managing the clinic for systemic manifestations of ocular disease), co-directing the employee health/travel health clinics for four thousand (4000) hospital employees, and overseeing the peri-operative medical management of inpatient wards (as a hospital-based physician).
Medical Attending-Urgent Care Medical Clinics: 1988-1989
Kaiser Permanente Hospital

Community & Volunteer Service

• Providing Primary Medial Care/Clinical Precepting at The San Francisco Free Clinic (SFFC) for the urban, underserved patients (who have no health insurance): 1999-present
• Board member - Friends of the Redwoods (A senior Residential Housing/Continuing Care Retirement Community), Mill Valley, California: 10/02-10/03
• San Francisco Opera Physician: 2001 Season
• Candlestick Park Stadium Physician (San Francisco Giants: 1988-1990)
• Active local House Call practice (with PA support), including underserved, debilitated, home-bound and Hospice patients
• Red Cross Volunteer (2005) - Hurricane Katrina Medical Relief Team - Baton Rouge, Louisiana
• Key Medical and Geriatric Faculty at St. Mary's Hospital - Clinical Instructor & Geriatric Training Director in this large, urban, underserved, hospital-based general internal medicine, geriatric, and Hospice & palliative medicine teaching site (Sister Mary Philippa Health Center-2006)

Medical Administrative/Clinical Experience

Available Upon Request

Publications Submitted To Medical Text/Journals

Available Upon Request

Medicolegal (Expert) Experience
 
Over roughly the past nine (9) years, Expert 3626 has provided independent medical expert testimony and clinical forensic medical testimony in approximately one hundred and fifty (150) cases representing no more than 10% of his professional time.  

Specialty focus and areas of expertise, include: Adult Hospital Medicine (including: medical centers with training programs), Ambulatory Primary Care (including: Internal Medicine & Geriatrics, with experience instructing and working with mid-level practitioners), Geriatric approaches to Gero-Psychiatry (particularly in Long-Term Care), Treatment of the Immuno-compromised Host, Long-Term Care (including: SNF, Sub-Acute Rehabilitation, Assisted Living-with Secured Dementia Units & LTC Medical Directorships & Hospice Medical Directorships), Hospice & palliative care  units, Home Care, and Elder Abuse Defense cases (both Civil and Criminal).  Additional areas of testimonial expertise involve cases re: preventable falls, pressure wounds, pain management, addiction medicine (including forensic toxicology/DUI defense cases), and capacity determinations in court (civil and Probate) disputes).

Additional Information

Additional involvement re: National Lectures, Symposia, Areas of Research, Listings of Forensic Testimony, National Specialty Medical Society Political Actions Committees (PACS and SIGS)-including Board of Directors and Committee experience, and Letters of Reference-available upon request.                       

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