Provides Testimony In
Board Certified Emergency Medicine, Cardiac Life Support, Advanced Life Support, Trauma Life support, cardiac failure, Cardiovascular Care, venous thrombosis, Critical Care, pulmonary embolism, Medical Doctor
Education
- 1984-1988 AB
magna cum laude Mathematics and Philosophy Harvard College, Cambridge, MA - 1989 Mathematics and Philosophy Hebrew University,
Jerusalem, Israel - 1990 Law Harvard Law School, Cambridge, MA
- 1991-1992 Post-baccalaureate Columbia University, New York, NY
- 1992-1996 MD Medicine Harvard Medical School, Boston, MA
Postdoctoral Training
- 07/96-06/00 Residency Emergency Medicine University of Cincinnati, Cincinnati, OH
2006 Certificate
Program Leadership Development for Physicians in Academic Health Centers Harvard School of Public Health, Boston, MA - 2009 Certificate
Program Lean Practitioner Training Brigham and Women’s Hospital Center for Clinical Excellence/ GE Healthcare, Boston, MA - 2011 Certificate
Program Change Acceleration Process Brigham and Women’s Hospital Center for Clinical Excellence/ GE Healthcare - 2015-2016 Certificate
Program Brigham Leadership Program Brigham and Women’s Hospital / Harvard Business School, Boston, MA
Faculty Academic Appointments
- 07/00-06/06 Instructor Medicine Harvard Medical School, Boston, MA
- 7/06-11/14 Assistant Professor Medicine Harvard Medical School
- 11/14- Assistant Professor Emergency Medicine Harvard Medical School
Appointments at Hospitals/Affiliated Institutions
- 07/00- Associate Physician Emergency Medicine Brigham and Women’s Hospital, Boston, MA
- 10/09 – Faculty International Emergency Department Leadership Institute (IEDLI), Harvard Medical School/BWH,
Boston, MA
Other Professional Positions
- 2005- Consultant Gerson Lehrman Group, New York, NY
- 2008-2011 Speaker Network for Continuing Medical Education, Secaucus, NJ
- 2008- Consultant Guidepoint Global, New York, NY
- 2012- Physician Coach and Speaker Studer Group, Gulf Breeze, FL
Major Administrative Leadership Positions
- 2004-2006 Associate Clinical Director, Department of Emergency Medicine Brigham and Women’s Hospital, Boston, MA
- 2006-2014 Clinical Director, Department of Emergency Medicine Brigham and Women’s Hospital
- 2007- 2016 Course Director, Introduction to Clinical Medicine Health Sciences & Technology (HST) Program, Harvard Medical School, Boston, MA
- 2012-2015 Vice Chair, Clinical Affairs, Department of Emergency Medicine Brigham and Women’s Hospital
- 2012-2104 Course Director, Design Meets Process: The Emergency Department of the Future Harvard Medical School / Harvard University Graduate School of Design, Cambridge, MA
- 2014-2105 Course Director, Emergency Medicine Process Improvement Program (EM-PIP) Brigham and Women’s Hospital
- 2015- Director, Patient Experience and Provider Engagement, Department of Emergency Medicine Brigham and Women’s Hospital
Committee Service
- Local
- 2001- Emergency Medicine Faculty Brigham and Women’s Hospital
- 2005-2009 Recording secretary
- 2011-2015 Chair, Clinical Operations Group
- 2002-2014 Institutional Review Board, Panel B Partners HealthCare, Boston, MA
- 2004-2015 Operations Committee, Department of Emergency Medicine Brigham and Women’s Hospital
- 2006-2015 Chair
- 2009- Co-Chair/ Patient & Family Advisory Council
- 2004-2015 Management Committee, Department of Emergency Medicine Brigham and Women’s Hospital
- 2005-2011 Chair, Information Systems (IS) subcommittee
- 2008- Standing Member, Quality Improvement (QI) committee
- 2009-2011 Chair, Expansion/Redesign Committee
- 2005-2008 Premedical Advising Committee, Cabot House Harvard College, Cambridge, MA
- 2005-2009 Clinical Practice Leaders Committee Brigham and Women’s Hospital
- 2005-2010 Trauma Continuous Quality Improvement (CQI) Committee Brigham and Women’s Hospital
- 2005-2015 Physicians’ Council Brigham and Women’s Physicians’ Organization (BWPO), Brookline MA
- 2013-2015 Co-chair
- 2005-2014 Pharmacy and Therapeutics Committee Brigham and Women’s Hospital
- 2008-1014 Member, Sedation and Analgesia Subcommittee
- 2011-2014 Member, Drug Safety Subcommittee
- 2005-2014 Intensive Care Unit (ICU) Leadership Committee Brigham and Women’s Hospital
- 2009- Co-Chair, Task force on ICU admissions
- 2005-2015 Medical Staff Executive Committee Brigham and Women’s Hospital
- 2006-2009 Ethics Committee Brigham and Women’s Hospital
- 2006-2014 Billing Compliance Committee Brigham and Women’s Hospital
- 2007-2012 Disaster Committee Brigham and Women’s Hospital
- 2009-2015 Emergency Medicine Leaders Partners Healthcare
- 2009-2014 Co-Chair, “Best practices” subcommittee
- 2010 – Peer Review Committee, Department of Emergency Medicine Brigham and Women’s Hospital
Standing Member
- 2010 -2012 Patient Affordability Committee Partners Healthcare
- 2010-2012 Taskforce on re-admissions
- 2011-2015 Utilization Review Committee Brigham and Women’s Hospital
- 2012-2015 Taskforce on Threat Awareness and Response Brigham and Women’s Hospital Co-Chair
- 2013-2015 MD Connect Steering Committee Brigham and Women’s Hospital
Co-chair - 2014-2017 Mortality Review Committee Brigham and Women’s Hospital
- 2017-2018 Patient Experience Design Team Brigham Health
Regional
- 2004-2015 ED Directors Forum Massachusetts College of Emergency Physicians, Waltham, MA
- 2005-2009 ED Boarding Task-Force Massachusetts Hospital Association, Burlington, MA
National
- 2000-2009 Benchmarking Group University HealthSystem Consortium Chicago, IL
- 2001-2004 Member, Heart Failure Benchmarking
Project Steering Committee
- 2015-2016
Clinical Endpoints Committee Boston Clinical Research Institute - 2016-2017 Clinical Event Adjudication Committee Harvard Clinical Research Institute / Baim Institute for Clinical Research
- 2016-2017 Emergency Quality Network (E-QUAL) American College of Emergency Physicians
Professional Societies
- 1992- American Medical Association
- 1996-2004 Society for Academic Emergency Medicine
- 1996- American College of Emergency Physicians
- 2004- Member, Clinical Policies Subcommittee
- 2008 Fellow
Editorial Activities
- Ad hoc Reviewer
- Annals of Emergency Medicine
- The Journal of Emergency Medicine
- Internal and Emergency Medicine
- American Journal of Cardiology
- Journal of Cardiac Failure
- Thrombosis and Haemostasis
- European Journal of Clinical Investigation
- Italian Journal of Emergency Medicine
- Critical Pathways in Cardiology
- JAMA Psychiatry
Other Editorial Roles
- 2010, 2013 Guest Editor Emergency Medicine Practice
- 2014 Guest Editor MD Conference Express
Honors and Prizes
- 1984-1988 John Harvard Scholarship Harvard College Academic achievement
- 1987 Phi Beta Kappa Harvard College Academic achievement
- 1988 American Student Grant Fulbright Scholar Program Academic achievement
- 1996 Medical Student Excellence Award Society of Academic Emergency Medicine Academic achievement
- 1999 Emergency Medicine Resident Scholarship Rhône-Poulenc Rorer Clinical achievement
- 2001 Esther B. Kahn Young Investigator’s Award Department of Emergency Medicine, Brigham and Women’s Hospital Clinical research
- 2002-2005 Top Consultant Annals of Emergency Medicine
- 2002, 2007, 2010, 2014, 2015 Partners in Excellence Award Brigham and Women’s Hospital Leadership
- 2011 Physician Recognition Award Brigham and Women’s Hospital Physicians Organization Clinical innovation
- 2012 Finalist, Bernard Lown Award for Excellence in Teaching Brigham and Women’s Hospital Clinical teaching
- 2012 Healthcare Organization of the Month Studer Group Leadership
- 2015 Pillar of Excellence Award Studer Group Leadership
- 2015 Distinguished Clinician Award Brigham and Women’s Hospital Clinical Excellence
Teaching of Students in Courses
2001 – Emergency Medicine
(ME535M.23) Harvard Medical School
3rd and 4th year medical students 2-hour lectures/labs
3 – 4 sessions per year
2001-2006 Introduction to Clinical Medicine
(IN710M.23)
2nd year medical students Harvard Medical School
4-6 hours of precepting per week for 8 weeks
2002 – 2005 Emergency Medicine
(SU705J) Harvard Medical School
4th year medical students 1-hour lecture/lab
once per semester
2003- Observed Structured Clinical Examination Harvard Medical School
4th- year medical students
5- hour sessions
twice per year
2007- Introduction to Clinical Medicine Harvard Medical School
(IN710M.23)
2nd year medical students 1-2 hours of lectures per week for 8 weeks
2009- Introduction to the Care of Patients Harvard Medical School
(HT220.0)
1st year medical students 8 hours of mentoring and instructing per semester
2016 – Transition to the PCE Harvard Medical School
2nd year medical students 12 hours of instruction per semester
2018 – Core Faculty for Clinical Skills Assessment Harvard Medical School
OSCE sessions for HMS 1-4 48 hours / year
Formal Teaching of Residents, Clinical Fellows and Research Fellows
2001- Advanced Cardiac Life Support Brigham and Women’s Hospital / Massachusetts General Hospital, Boston, MA
Residents 3-hour training, annually
2001- EKG analysis Harvard Affiliated Emergency Medicine Residency (HAEMR), Boston, MA
Emergency medicine residents 1 hour seminar, annually
2002- Congestive heart failure HAEMR, Boston, MA
Emergency medicine residents 3 hour simulation lab, annually
2002- Acute coronary syndromes HAEMR, Boston, MA
Emergency medicine residents 3 hour simulation lab, annually
2003- EM Oral Boards review HAEMR, Boston, MA
Emergency medicine residents 3 hour simulation, annually
2004 Emergencies in hemodialysis patients
Emergency medicine residents HAEMR, Boston, MA
3 hour simulation lab
2004 Difficult airway management
Emergency medicine residents HAEMR, Boston, MA
3 hour simulation lab
2004 – HAEMR Journal Club HAEMR, Boston, MA
Emergency medicine residents 2 hour conference, annually
2005 Informed consent and refusal of care in the ED HAEMR, Boston, MA
Emergency medicine residents 3 hour simulation lab
2005 – Resident report HAEMR, Boston, MA
Emergency medicine residents 1 hour case reviews, 3 – 4 sessions annually
2006 Digoxin toxicity BWH, Boston, MA
Emergency medicine and internal medicine residents 1 hour conference
2007 Neurologic emergencies HAEMR, Boston, MA
Emergency medicine residents 3 hour simulation lab
2007 Atrial fibrillation HAEMR, Boston, MA
Emergency medicine residents 3 hour simulation lab
2008 Clinical-pathological conference HAEMR, Boston, MA
Emergency medicine residents 1 hour presentation
2008 Cardiac stress testing HAEMR, Boston, MA
Emergency medicine residents 1 hour lecture
2008 Ob-Gyn emergencies HAEMR, Boston, MA
Emergency medicine residents 3 hour simulation lab
2009 Oncologic emergencies HAEMR, Boston, MA
Emergency medicine residents 3 hour simulation lab
2009 Intra-osseous line placement HAEMR, Boston, MA
Emergency medicine residents 1 hour procedure lab
2010 Valvular heart disease HAEMR, Boston, MA
Emergency medicine residents 1 hour lecture
2010 A case of severe hyponatremia BWH, Boston, MA
Emergency medicine and internal medicine residents 1 hour case conference
2010 Capnography HAMR
Emergency medicine residents 1 hour procedure lab
2011 An atypical case of ST-elevation MI BWH, Boston, MA
Emergency medicine and internal medicine residents 1 hour case conference
2013, 2014 Oncologic emergencies HAEMR, Boston, MA
Emergency medicine residents 3 hour simulation lab
2014 Acute Coronary Syndromes HAEMR, Boston, MA
Emergency medicine residents 1 hour lecture
2015 Gynecologic emergencies HAEMR, Boston, MA
Emergency medicine residents 3 hour procedure lab
2015 EKGs in Toxicologic Emergencies HAEMR, Boston, MA
Emergency medicine residents 2 hour lecture
2015 Orthopedic emergencies HAEMR, Boston, MA
Emergency medicine residents 1 hour lecture
2016 – Patient engagement HAEMR
1 hour lecture
2016 Why diagnosis matters HAEMR
1 hour lecture
2017 Challenges in patient-doctor communication HAEMR
1 hour lecture
2017 Key words at key times HAEMR
1 hour lecture
Clinical Supervisory and Training Responsibilities
- 2000- Clinical supervisor Emergency Department, Brigham and Women’s Hospital (BWH), Boston, MA
Emergency medicine residents ~20 hours/week - 2000- Clinical supervisor Emergency Department, BWH
Rotating (off-service) residents ~20 hours/week - 2000- Clinical supervisor Emergency Department, BWH
3rd and 4th-year medical students ~20 hours/week
Other Supervisory and Training Responsibilities
- 2002-2006 Advisor, BioMatrix program/ Massachusetts Institute of Technology, Cambridge, MA 10 hours per semester for Pre-med students
- 2005-2009 Non-resident Tutor, Cabot House/ Harvard College, Cambridge, MA 20 hours per semester for Pre-med students
Formal Teaching of Peers (e.g., CME and other continuing education courses)
Those presentations below sponsored by outside entities are so noted and the sponsor is identified.
- 2001 Finer points of ECG interpretation Lecture
6th Annual Emergency Medicine into the 21st Century Conference, Harvard Medical School Boston MA - 2001 Evaluation and management of acutely decompensated heart failure Lecture
6th Annual Emergency Medicine into the 21st Century Conference, HMS Boston, MA - 2004 Difficult airway lab Simulation session
Annual Emergency Medicine into the 21st Century Conference, HMS Boston, MA - 2005 Introduction to simulation for emergency physicians Simulation session
10th Annual Emergency Medicine into the 21st Century Conference, HMS Boston, MA - 2006 Hidden ischemia in the chest pain patient Lecture
Clinical Decision Making in Emergency Medicine: An Evidence-Based Conference, Brigham and Women’s Hospital Ponte Vedra Beach, FL. - 2006 Acute decompensated heart failure Lecture
11th Annual Emergency Medicine into the 21st Century Conference, HMS Boston, MA - 2006 Penetrating neck trauma Simulation session
11th Annual Emergency Medicine into the 21st Century Conference, HMS Boston, MA - 2007 Case studies in infectious disease Lecture
Clinical Decision Making in Emergency Medicine: An Evidence-Based Conference, BWH Ponte Vedra, FL - 2007 Emergency skills training: STEMI Teleconference
Rural Health Emergency Telemedicine Collaboration, Harvard Humanitarian Initiative Boston, MA2007 Signs, symptoms, presentations: Life-long Learning and Self-Assessment (LLSA) review Seminar - 12th Annual Emergency Medicine into the 21st Century Conference, HMS Boston, MA
- 2008 Management of the non-stented unstable angina patient Webinar
Excellence in Vascular Events Research and Technology (EVEREST) Peer-to-Peer Program, BWH Boston, MA - 2008 Chest pain cases: the ECG holds the secrets. Lecture
Clinical Decision Making in Emergency Medicine: An Evidence-Based Conference, BWH Ponte Vedra, FL - 2008 The chest pain dinner-debate Panel discussion
Clinical Decision Making in Emergency Medicine: An Evidence-Based Conference, BWH Ponte Vedra, FL - 2008 Ethical dilemmas in the Emergency Department: the challenge of informed consent Lecture
13th Annual Emergency Medicine into the 21st Century Conference, HMS Boston, MA - 2009 Wide-complex tachycardias: not as complex as they seem Lecture
Rocky Mountain Winter Conference on Emergency Medicine, BWH Copper Mountain, CO - 2009 The ECG: Five deadly conditions that you will miss. Lecture
Clinical Decision Making in Emergency Medicine: An Evidence-Based Conference, BWH Ponte Vedra, FL - 2009 Emergency department staffing models Seminar
International Emergency Department Leadership Institute (IEDLI), HMS Boston, MA - 2010 Designing the 21st-century emergency department: form and function. Lecture
Rocky Mountain Winter Conference on Emergency Medicine, BWH Copper Mountain, CO - 2010 Dysrhythmias -1, 2, 3: The ECG, the diagnosis, the intervention Lecture
Clinical Decision Making in Emergency Medicine: An Evidence-Based Conference, BWH Ponte Vedra, FL - 2010 Update in acute coronary syndromes Lecture
15th Annual Emergency Medicine into the 21st Century Conference, HMS Boston, MA - 2011 The ECG in cardiopulmonary emergencies Lecture
Clinical Decision Making in Emergency Medicine: An Evidence-Based Conference, BWH Ponte Vedra, FL - 2011 Atrial fibrillation: cutting edge therapy, 16th Annual Lecture
15th Annual Emergency Medicine into the 21st Century Conference, HMS Boston, MA - 2011 Case studies in emergency department flow Seminar
International Emergency Department Leadership Institute, (IEDLI) HMS Boston, MA - 2012 Atrial fibrillation: real-world challenges for the real-world emergency physician Lecture
Western States Winter Conference on Emergency Medicine, BWH Park City, UT - 2012 Decompensated heart failure: why getting it right matters now more than ever Lecture
Western States Winter Conference on Emergency Medicine, BWH Park City, UT - 2012 Fundamentals of queuing theory and simulation Lecture
Design Meets Process: The Emergency Department for the Future, HMS/ Harvard Graduate School of Design (HGSD) Boston, MA - 2012 Atrial fibrillation: real-world challenges Lecture
Clinical Decision Making in Emergency Medicine: An Evidence-Based Conference, BWH Ponte Vedra, FL - 2012 Cardiac cases: the ECG and the risk Lecture
Clinical Decision Making in Emergency Medicine: An Evidence-Based Conference, BWH Ponte Vedra, FL - 2012 The rapid rule-out Lecture
Emergency Medicine: Update on Current Practice, MGH Boston, MA - 2012 Staffing an emergency department to optimize patient flow Lecture
Design Meets Process: The Emergency Department for the Future, HMS/HGSD Boston, MA - 2013 Process design, metrics, and goals Lecture
Design Meets Process: The Emergency Department for the Future, HMS/HGSD Boston, MA - 2013 Anti-arrhythmics: when, where, and why Lecture
Clinical Decision Making in Emergency Medicine: An Evidence-Based Conference, BWH Ponte Vedra, FL - 2014 Anti-arrhythmics for atrial fibrillation Lecture
Western States Winter Conference on Emergency Medicine, BWH Park City, UT - 2014 Emergency department strategies to prevent unnecessary readmissions for heart failure Lecture
Western States Winter Conference on Emergency Medicine, BWH Park City, UT - 2014 When doctors don’t listen: how to avoid misdiagnoses and unnecessary tests Lecture
Western States Winter Conference on Emergency Medicine, BWH Park City, UT - 2014 Redesigning care in the Emergency Department Lecture
Quality, Safety and Process Improvement: Building a High Performing Organization Boston, MA - 2016 ECG: remember that patient? subtleties of the missed MI Lecture
Clinical Decision Making in Emergency Medicine: An Evidence-Based Conference, BWH Ponte Vedra, FL - 2016 Acute Coronary Syndromes Lecture
ACLS Refresher Course, MGH Boston, MA - 2016 Case studies in DVT and PE Seminar
AC Forum VTE Educational Event Boston, MA - 2016 Words that work: How to communicate to patients about diagnostic imaging Webinar
American College of Emergency Physicians (ACEP) Emergency Quality Network (E-QUAL) Boston, MA - 2017 Venous Thromboembolism in the Emergency Department Seminar
AC Forum VTE Educational Event Boston, MA
Current Licensure and Certification
- 2000 – Massachusetts Medical License
- 2001, 2011 Diplomate, American Board of Emergency Medicine
- 2010 Fellow, American College of Emergency Physicians
- Practice Activities
- 2000 – 2004 Emergency Medicine Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, MA 11 shifts per month
- 2005 – 2006 Emergency Medicine Department of Emergency Medicine, Brigham and Women’s Hospital 9-10 shifts per month
- 2007 – Emergency Medicine Department of Emergency Medicine, Brigham and Women’s Hospital 6 – 7 shifts per month
- 2010 – Urgent Care Brigham and Women’s / Mass General Health Urgent Care Center, Foxborough, MA 1 shift per month
Clinical Innovations
Emergency Department Front-End Redesign
2009-2012 I led team that re-engineered patient flow in the ED, achieving dramatic improvements in door-to-provider time and overall patient satisfaction, by focusing on the patient experience and involving the staff in design, testing and implementation of new processes. This transformative work has been recognized and awarded at the local, national, and international level and this model has been adopted by many other EDs.
Emergency Department Patient & Family Centered Care
2011- I successfully partnered with The Studer Group to establish standards for engagement and communication. Established Patient & Family Advisory Council to guide clinicians in customer-focused activities. This model of patient and family engagement has subsequently been adopted in other departments at Brigham and Women’s Hospital.
Emergency Medicine Process Improvement Program (EM-PIP)
2013 – 2015 I led the design and implementation of team training, modeled on GE-Healthcare’s “Lean Practitioner Training” and “Change Acceleration Process” courses. Established EM-PIP as a fast-paced, immersion program, providing participants with an understanding of process analysis, rapid-cycle improvement and managing teams through the span of real-world, ED-based projects. The first three multidisciplinary teams will presented their results in Spring, 2014. Round two began in Fall, 2014 and will be presenting in January, 2015. Based upon our success, this model will be introduced to other departments throughout the institution.
Program for Patient Experience and Provider Engagement (PPEPE)
2016- The BWH EM Program on Patient Experience and Provider Engagement is a new effort in Emergency Medicine to address the critical gaps and opportunities in providing a higher quality experience for patients and staff in the emergency department. The Program has three main goals: (1) to improve patient perception of care in the emergency department, as measured by existing metrics, EM specific surveys and other tools; (2) to enhance the engagement of all staff, including faculty, PA’s, house staff, nurses, technical and administrative staff by refocusing attention to how and what we communicate to our patients and among one another’ and (3) to build upon a culture of caring and intentionality throughout the institution.
Education of Patients and Service to the Community
Available on full CV
Local Invited Presentations
Available on full CV
Educational Material for Patients and the Lay Community
Available on full CV
Recognition
Available on full CV
Peer reviewed publications in print or other media
Available on full CV
Clinical Guidelines and Reports
Available on full CV
Speak With This Expert For Free
Request This ExpertCan’t Find The Right Expert?
Click Here & We Will Help You