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Clinical Pharmacology Toxicology & Pain Management Specialist Expert Witness

Provides Opinion & Testimony In:

Emergency Medicine; Critical Care; Correctional Medicine; Opioid Use Disorders,Opioid Abuse; Drug Rehabilitation; Adverse Drug Reactions or Drug Interactions; Drug Overdoses; Drug related Suicide; DUIs; Geriatrics; Long Term Care; Pharmacy; Pharmacy, Pharmacist, Pharmaceutical, Clinical Pharmacology, Medical Research, Clinical Pharmacology, Drug Advisory, Drug Therapy, Drug Reference, Supplemental Standards, , ASHP, AHA, Heart Attack Alert, Stroke, Research Foundations, PharMerica, Gerontology, Acute Cardiac Care, Advanced Cardiac Life Support, Amiodarone, Narcotics; Opioids; Cardiovascular Disease, Diabetes, USP, United States Pharmacopeia, FDA Pharm, Federal Drug Administration, Clinical Drug Trials, Experimental drugs.

Expert Witness No. 1343

Expert holds a B.S in Pharmacy (Cum Laude) from the Philadelphia College of Pharmacy and Science, and a Doctor of Pharmacy (Magna Cum Laude) and a Graduate Certificate in Gerontology and Geriatric Psychiatry from the University of Utah. He completed a two-year clinical pharmacy residency, with specialized training in Emergency Medicine & Critical Care at the University of Utah Medical Center

Expert has been in clinical practice for over 30 years at academic medical centers, private hospitals, long-term care facilities, and regional prisons. He specializes in emergency medicine and critical care as well as in geriatrics and neuroscience. Expert is Director for Clinical Services for the Correctional Division of Westwood Pharmacy. He manages drug therapy selection, implements protocols and standing orders, as well as monitors treatments for inmates residing at numerous regional jails throughout the US. Previously, he had an active clinical practice at Cabell Huntington Hospital and was on faculty in the Department of Neuroscience at Marshall University in Huntington, WV.

Expert is Chief Executive Officer for Capital Pharmacy Consultants (CPC), a multidisciplinary clinical education and research company. CPC has been in business since 2001 and has consistently demonstrated delivery of superior clinical research, a wealth of publications, and expertise in medico-legal research, and consumer health education.

Expert has served as expert witness in medico-legal matters and patent litigation since 1987. During the past 30 years, his services have been retained by pharmaceutical companies (Parke-Davis and Pfizer Labs), the FDA, and the US Department of Justice as well as numerous law firms throughout the United States. Expert has given deposition or trial testimony in California, the District of Columbia, Florida, Maryland, New York, Virginia, and West Virginia, Neither his qualifications as an expert nor his expert testimony have ever been denied in court or thrown out during trial. Expert does not advertise his services. All his medico-legal consultation work comes from word of mouth referrals and repeat business.

Expert’ pioneering work in emergency cardiac care led to changes in the Practice Guidelines for the Treatment of Acute Cardiac Care by the AHA. His work in patient controlled analgesia led to new NIH standards for pain management in acute sickle cell crisis.

Expert is the recipient of 53 research grants, and author of 183 articles, 2 books and 21 book chapters. He founded the ASHP Specialty Practice Group for Critical Care Pharmacy and wrote the ASHP Supplemental Standards and Learning Objectives for Residency Training in Critical Care Pharmacy.

Professionally, Expert is credited with the following notable accomplishments:
1)A 56% reduction in pharmaceutical costs and the implementation of therapeutic interchange programs and Narcan Rescue Protocols throughout the system of county and municipal jails in Virginia and the State of New York;

2)Expert is working with the Henrico County Jail to maintain an inmate narcotic addiction treatment program using naltrexone during incarceration and after release to reduce crime and recidivism from narcotic abuse;

3)Establishment of an Antimicrobial Stewardship Program at Cabell Huntington Hospital where he reduced antibiotic cost per case mix index adjusted patient days by 16% despite a 16% increase in patient census;

4)Mild traumatic brain injury rehabilitation and outpatient pain management services in collaboration with Dr. Toussaint A. Leclercq, Department of Neuroscience and Neurosurgery, and the Pain Management Service under Dr. Ozturk at Marshall University School of Medicine, Huntington, WV;

5)Used a collaborative agreement with the Chief of Medicine at Mary Washington Hospital to run the Hospital’s in-patient pain management services;

6)Implementation of clinical pharmacy services at Mary Washington Hospital. His work produced a $1.5 million reduction in drug expenditures from a $13 million drug budget despite a 20% annual increase in prescription volume. Expert successfully increased both pharmacy productivity from 92.7% to 101.9% and productive FTEs from 44.5 to 47.7.

7)Establishment of decentralized clinical pharmacy serves at Snowden Psychiatric Hospital, Fredericksburg, Virginia. His work was acclaimed for excellence by Premier, Inc;

8)Founding the Appalachia College of Pharmacy in Oakwood, Virginia. He successfully designed and implemented Virginia’s only 3-year PharmD curriculum and obtained Pre-Candidate Accreditation status for the College;
9)Implemented School Town Hall Meetings to address Drug Diversion and Abuse Prevention in the Buchannan County Public School System; Grundy, Buchannan County, Virginia

10)Defining the role of clinical pharmacists in critical care and emergency medicine. He wrote the Pharmacology Standards for Advanced Cardiac Life Support and Emergency Cardiac Care;

11)Membership in the USP Critical Care Advisory Board from 1992 to 1998; the FDA’s Advisory Committee for Pharmaceutical Sciences from 1994 to 1998; and the Advanced Cardiac Life Support Committee of the American Heart Association, National Headquarters; Dallas, Texas from 1987 to 2000.

12)First recipient of the American Society of Consultant Pharmacists Foundation Fellowship Award in 1995.

CPC is credited for its bilingual medical communications course entitled “Spanish for Clinicians” and for creating consumer health education content to help individuals with low health literacy.Expert’ work in low health literacy can be found at EdLogics.com, a web-based, consumer-health, education corporation.

Foreign Language:Fluent in Spanish

EDUCATION & TRAINING

June 1981 – June 1983
Clinical Pharmacy Residency University of Utah Medical Center Salt Lake City, Utah

June 1981- June 1983
Doctor of Pharmacy (GPA 4.00)
University of Utah Salt Lake City, Utah

December 1981- June 1983
Graduate Certificate in Gerontology
University of Utah Salt Lake City, Utah

September 1976 – May 1981
B.S. Pharmacy (Cum Laude)
Philadelphia College of Pharmacy & Science Philadelphia, Pennsylvania

LICENSURE

  • Virginia
  • Utah
  • Pennsylvania
  • West Virginia

CERTIFICATION

September 1983 – June 2010
Advanced Cardiac Life Support (Provider) October
1984 – May 2000 Advanced Cardiac Life Support (Instructor)

PROFESSIONAL PRACTICE EXPERIENCE

January 2014 – Present
Director of Clinical Services and Analytics Correctional Pharmacy Services Westwood Pharmacy
Richmond, Virginia

December 2013 –
Present Director of Clinical Content Development
Virginia Beach, Virginia

January 2000 – Present
President and CEO
Capital Pharmacy Consultants Mechanicsville, Virginia

October 2010 – January 2014
Clinical Pharmacy Manager
Department of Pharmacy Service Cabell Hospital
Huntington, West Virginia

March 2007 – February 2010
Director and Clinical Coordinator
Pain Management Specialist Department of Pharmacy Services Mary Washington Hospital Fredericksburg, Virginia

December 2005 – February 2007
Pharmacist in Charge
Rite Aid Corporation Colonial Beach, Virginia

September 1999 – June 2001
Research Director
Commonwealth Health Benefits, Inc.
Richmond, Virginia

January 1998 – December 2002
Clinical Pharmacy Consultant
Center for Health Information Chesapeake, Virginia

October 1991 – December 1997
Director, Research Services
Center for Long Term Care Research & Education
Chesapeake, Virginia

August 1985 – June 1996
Clinical Coordinator Critical Care Pharmacy
Medical College of Virginia Hospital Richmond, Virginia

July 1983 – July 1985
Pharmacy Unit Coordinator Adult Intensive Care Unit
University of Nebraska Medical Center Omaha, Nebraska

June 1982 – June 1983
Poison Control Center Pharmacist University of Utah Medical Center Salt Lake City, Utah

August 1981 – June 1983
Clinical Pharmacy Resident University of Utah Medical Center Salt Lake City, Utah

January 1981 – May 1981
Registered Pharmacist Thrift Drug Company Wynnewood, Pennsylvania

May 1978 – December 1980
Pharmacy Intern Thrift Drug Company
King of Prussia, Pennsylvania

ACADEMIC APPOINTMENTS

March 2011 – Present
Clinical Assistant Professor of Neurosciences Marshall University School of Medicine Huntington, West Virginia

June 2004 – January 2006
Founding Dean and Professor
Appalachia College of Pharmacy University of Appalachia Grundy, Virginia

July 2001 – June 2004
Professor of Clinical Pharmacy Nevada College of Pharmacy Henderson, Nevada

September 2000 – June 2001
Associate Professor of Pharmacy
Hampton University Hampton, Virginia

September 1989 – March 2000
Associate Professor of Emergency Medicine & Pharmacy
Medical College of Virginia Richmond, Virginia

August 1985 – August 1989
Assistant Professor of Pharmacy
Virginia Commonwealth University Richmond, Virginia

July 1983 – July 1985
Assistant Professor of Clinical Pharmacy University of Nebraska College of Pharmacy Omaha, Nebraska

HONORS & AWARDS

  • Clinical Excellence Award, Pharmacy Systems, Inc., 2012
  • Outstanding Leadership Award, Mary Washington Hospital, 2008
  • Manager of the Quarter, Mary Washington Hospital, December 2007
  • Winner, American Diabetes Foundation 2003 Fund Raiser
  • Fellow, American Society of Health Systems Pharmacists, 1996
  • Fellow, American Society of Consultant Pharmacists, 1993
  • Young Alumni Award, Philadelphia College of Pharmacy and Science, 1991
  • The Merck Sharp & Dohme Outstanding Achievement in the Profession of Pharmacy, 1991
  • Who’s Who in Hispanic Americans, 1991
  • Three-Year Service Award, American Heart Association, Virginia Affiliate, 1989
  • Scientific Merit Award for Research, Omaha Mid-West Clinical Society, 1984
  • The Merck Award for Outstanding Achievement in Clinical Pharmacy Research, University of Utah College of Pharmacy, 1983
  • The Grace P. Swinyard Memorial Scholarship for Scholastic Achievement, University of Utah College of Pharmacy, 1982
  • The Smith, Kline and French Laboratory Award for Superior Achievement in Clinical Pharmacy, Philadelphia College of Pharmacy and Science, 1981
  • Rho Chi Pharmaceutical Honor Society, Alpha Tau Chapter, 1980
  • National Association of Chain Drug Stores Pharmacy Education Foundation Scholarship, Philadelphia College of Pharmacy and Science, 1980

EDITORIAL ACTIVITIES:

January 2011 – June 2013
Editor in Chief Cabell Capsule
Department of Pharmacy Cabell Huntington Hospital Huntington, West Virginia

January 2007 – March 2010
Editor in Chief Dispensing Notes
Department of Pharmacy Services Mary Washington Hospital Fredericksburg, Virginia

January 1990 – July 2000
Editorial Board Member
The American Journal of Emergency Medicine

January 1994 – December 2002
Editorial Board Member
Resuscitation

December 1993 – June 1995
Editorial Board Member
Nursing Home Medicine

December 1991 – June 1994
Editor, Pharmacology Section
Advanced Cardiac Life Support Textbook American Heart Association
Dallas, Texas

August 1988 – December 1998
Editorial Board, Critical Care Column
Drug Intelligence and Clinical Pharmacy

January 1992 – July 1994
Contributing Editor,
Currents in Advanced Cardiac Life Support

December 1985 – June 1986
Editor, EMS Beacon

Peer Reviewer for:
Annals of Emergency Medicine Critical Care Medicine The Annals of Pharmacotherapy Resuscitation
Hospital Pharmacy American Journal of Managed Care

COMMITTEES:

November 2010 – December 2013
Secretary, Pharmacy & Therapeutics Committee
Cabell Huntington Hospital Huntington, West Virginia

April 2010 – July 2010
Secretary, Pharmacy & Therapeutics Committee Spotsylvania Regional Medical Center Spotsylvania County, Virginia

March 2007 – March 2010
Secretary, Pharmacy & Therapeutics Committee
Mary Washington Hospital Fredericksburg, Virginia

March 2007 – March 2010
Secretary, Medical Error Review Committee
Mary Washington Hospital Fredericksburg, Virginia

January 1998 – February 2008
Member, PharMerica National P& T Committee September

1999 – July 2000
Member, Evidence Evaluation Committee for Emergency
Cardiac Care, AHA National Center

June 1991 – June 1998
Member, Critical Care Advisory Board, United States Pharmacopeial Convention.

January 1994 – December 1998
Member, FDA Pharmaceutical Sciences Committee
Food and Drug Administration

July 1994 – July 1997
Chairman, Post-Graduate Education and Training Committee,
Department of Pharmacy and Pharmaceutics, School of Pharmacy, Virginia Commonwealth University

May 1994 – May 1995
Member, Graduate Student Advisory Committee for Jennifer A.
Elder, Doctor of Philosophy Candidate, Biostatistics Department, School of Medicine, Virginia Commonwealth University,.

July 1993 – July 1995
School of Pharmacy Representative, University Council,
Virginia Commonwealth University

January 1993 – July 1993
Member, Task Force on Post-Graduate Programs, School of
Pharmacy, Virginia Commonwealth University

July 1992 – July 1994
Member, Residency Major Project Committee, Department of
Pharmacy Services, Medical College of Virginia Hospitals

March 1992 – December 1994
Chairman, Code Blue Quality Assurance Subcommittee,
Medical College of Virginia Hospitals

December 1991 – January 1992
Member, Technology Assessment Task Force, Society for
Critical Care Medicine, Anaheim, California

June 1991 – June 1993
Chairman, Faculty Search Committee, Department of
Pharmacy and Pharmaceutics, School of Pharmacy, Virginia Commonwealth University

April 1990 – June 1992
Member, Education Committee, Virginia Society of Hospital
Pharmacists

November 1989 – August 1999
Member, Code Blue Committee, Medical College of Virginia
Hospitals

March 1990 – April 1990
Chairman, PharmD Program Didactic Offerings Committee,
School of Pharmacy, Virginia Commonwealth University

July 1988 – June 1992
Chairman, Residency Major Project Committee, Department of
Pharmacy Services, Medical College of Virginia Hospitals

July 1988 – June 1989
Member, Clinical Practice Affairs Committee, American College of Clinical Pharmacy

February 1988 – June 1993
Member, Advanced Cardiac Life Support Committee, American
Heart Association – National

August 1987 – June 1990
Member, Curriculum Committee – Doctor of Pharmacy
Program, School of Pharmacy, Virginia Commonwealth University

December 1985 – June 1989
Member, Emergency Cardiac Committee, Richmond
Metropolitan Council, American Heart Association

August 1984 – July 1985
Member, Omaha Midlands Emergency Medical Services
Council

August 1984 – July 1985
Member, Membership Committee, Nebraska Society of
Hospital Pharmacists

January 1984 – July 1985
Secretary, Committee on Postgraduate Pharmacy Education
and Training Pharmaceutical Services Department, University of Nebraska Medical Center

August 1983 – July 1985
Member, Clinical Research Committee, University of Nebraska College of Pharmacy

August 1983 – July 1985
Member, Cardiopulmonary Resuscitation Committee,
University of Nebraska Medical Center

August 1983 – July 1985
Member, Grade Appeals Committee, University of Nebraska College of Pharmacy

PROFESSIONAL MEMBERSHIP

American Society of Health-Systems Pharmacists

INVITED PRESENTATIONS AND KEY NOTE ADDRESSES

Expert has given over 3000 invited presentations and lectures at professional meetings and functions in the United States, Canada, Central America, and Europe.

Groups