Eye Ear Anesthesiology Expert Witness

Education:

2000
M.D.
Medicine
Pontificia Javeriana University

Postdoctoral Training:

04/04-06/06
Postdoctoral Research Fellow
Pulmonary and Critical Care Division
Brigham and Women’s Hospital

07/06-06/07
Preliminary Internship
Medicine
University of Massachusetts, Worcester Medical Center

07/07-06/10
Resident
Anesthesiology, Perioperative and Pain Medicine
Brigham and Women’s Hospital

07/13-06/14
Regional Anesthesia Fellow
Regional Anesthesia Fellow
Brigham and Women’s Hospital

05/14
Primary Hyperbaric Medicine Training
Anesthesia
National Baromedical Services

05/15
Ultrasound-Guided Regional Anesthesia Education and Clinical Training Certified
Anesthesia
American Society of Anesthesiologists

11/15
Certificate in Business Administration
Anesthesia
American Society of Anesthesiologists

01/2019
Partners’ Clinical Process Improvement Leadership Program (CPIP)
Partners Healthcare system/Quality Improvement and safety
Partners Healthcare system

10/27/19-11/01/19
Leadership Strategies for Evolving Health Care Executives
Harvard T.H. Chan School of Public Health

Faculty Academic Appointments:

07/10-04/18
Instructor
Anesthesia
Harvard Medical School

04/18-Present
Assistant Professor
Anesthesia
Harvard Medical School

Major Administrative Leadership Positions:

01/18-07/18
Associate Anesthesia Director. Department of Anesthesia
Anesthesiology
Massachusetts Eye and Ear

07/18-12/18
Interim Chief, Department of Anesthesia
Massachusetts Eye and Ear

01/19-Present
Associate Chief, Department of Anesthesia
Massachusetts Eye and Ear

01/19-Present
Operating Room Medical Director
Massachusetts Eye and Ear

01/20-Present
Chief,Department of Anesthesia
Massachusetts Eye and Ear

10/2020-10/2022
Adjunct Member on the ASA Committee on Ambulatory Surgical Care
American Society of Anesthesiologists

Local Committee Service:

07/14-Present
Regional Anesthesia and Acute Pain Medicine Fellowship Core Teaching Group
Anesthesiology
Department of Anesthesiology, Perioperative and Pain Medicine.

12/14-Present
Member Plastic Surgery Transplant Team
Anesthesiology
Brigham and Women’s Hospital Department of Anesthesiology, Perioperative and Pain Medicine.

12/16-04/18
Regional Anesthesia Fellowship. Clinical Care Competency
Anesthesiology
Brigham and Women’s Hospital
Department of Anesthesiology, Perioperative and Pain Medicine. Brigham and Women’s Hospital

07/1/18-Present
Mass Eye and Ear program coordinator. Regional anesthesia fellowship.
Anesthesiology
Massachusetts Eye and Ear. Department of Anesthesia.

Appointments at Hospitals/Affiliated Institutions:

07/10-present Staff Anesthesiologist Anesthesiology, Perioperative and Pain Medicine Brigham and Women’s Hospital,
07/10-present Staff Anesthesiologist Anesthesiology Massachusetts Eye and Ear Infirmary
07/10-present Clinical Associate Anesthesiology Massachusetts General Hospital

Professional Societies:

2007- American Society of Anesthesiologists Member
2010- American Medical Association Member
2013- American Society of Regional Anesthesia Member
2013- Society for Ambulatory Anesthesia (SAMBA) Member
2015- SAMBA Committee on International Relations Latin America-Committee on Education Member

Editorial Activities:

Ad hoc Reviewer
Anesthesia and Analgesia Journal
Pain Medicine Journal
Perioperative Care and Operating Room Management Journal
World Journal of Surgical Oncology

Honors and Prizes:

2009 – 2010
Resident Representative to the Interspecialty Committee Massachusetts Medical Society

2010
Minority Travel Award Recipient
American Thoracic Society Meeting, New Orleans, LA

Report of Funded and Unfunded Projects

2013 – 2014
Recipient Eleanor and Miles Shore Fellowship Program for Scholars in Medicine
Harvard Medical School

2014
Recipient CRICO grant Principal Investigator: “Identifying and Correcting Preventable Errors by Improving Communication Between Providers in The Post-Anesthesia Care Unit through Implementation of an Automated Electronic Checklist”
The CRICO Foundation

2019
Clinical Process Improvement Leadership Program (CPIP), Massachusetts Eye and Ear. Primary project leader.
Project on improving first case on time starts Main Operating Room
Partners healthcare

Report of Local Teaching and Training
Formally Mentored Harvard Medical, Dental and Graduate Students

2012-2015 Kenton G Allen, MD, MBA
Fellowship in regional anesthesia. Participated in setting up a new anesthesia division at the Cleveland clinic in Dubai.

Formal Teaching of Peers (e.g., CME and other continuing education courses)

3/2003 – 5/2003
Instructor, “I. Course in Medical and Surgical Disciplines.”
Universidad Militar “Nueva Granada” School of Medicine, Colombia

Current internal medicine topics were addressed with an emphasis on diagnosis and treatment.
A total of 20 practitioners attended this postgraduate course for a 3-month period

7/2003 – 9/2003
Instructor, “VII. Course in Basic Science.”

Lectures in pharmacology and microbiology were given, with a clinically oriented emphasis.
Universidad Militar “Nueva Granada” School of Medicine, Colombia
A total of 20 general practitioners and 20 interns attended this Continuing Medical Education Curriculum course for a 3-month period

9/2013
Instructor 2nd Annual Acute Pain Symposium
Harvard Medical School

Grand Rounds. “The TAP Block a review”
Brigham and Women’s Hospital

03/2014
Instructor Regional Anesthesia Workshop for first year residents
Brigham and Women’s Hospital Department of Anesthesiology, Perioperative and Pain Medicine

10/2014
Resident lectures. Anesthetic Implications for eye surgery
Harvard Medical School
Department of Anesthesiology,
Perioperative and Pain Medicine Harvard Medical School

12/2014
Instructor Regional Anesthesia Workshop for second year residents and faculty
Brigham and Women’s Hospital Department of Anesthesiology, Perioperative and Pain Medicine Harvard Medical School

5/2015
Resident lectures. Anesthetic Implications for eye surgery
Brigham and Women’s Hospital Department of Anesthesiology, Perioperative and Pain Medicine Harvard Medical School

8/2016
Perioperative intensive care ultrasound. (PICUS). Workshop Coordinator.
Brigham and Women’s Hospital Department of Anesthesiology, Perioperative and Pain Medicine Harvard Medical School

12/2016
Perioperative intensive care ultrasound. (PICUS). Regional Anesthesia Workshop Organizer-Coordinator.
Brigham and Women’s Hospital Department of Anesthesiology, Perioperative and Pain Medicine Harvard Medical School

04/2018
Massachusetts Eye and Ear Neuromonitoring Certification Course. Lecturer. Anesthesia Implications in Neuromonitoring
Massachusetts Eye and Ear

Clinical Supervisory and Training Responsibilities:

07/10-Present
General Anesthesia and Acute Pain Medicine
Brigham and Women’s Hospital
One session a week. Teaching general anesthesia

12/14-Present
Instructor in Regional Anesthesia and Acute Pain Medicine for Residents
Brigham and Women’s Hospital
One session a week. Teaching ultrasound techniques in regional anesthesia

12/14-Present
Instructor in Regional Anesthesia and Acute Pain Medicine Fellowship
Brigham and Women’s Hospital
One session every 2 weeks. Teaching advanced ultrasound guided regional anesthesia techniques

Local Invited Presentations:
Those presentations below sponsored by outside entities are so noted and the sponsors are identified.

2012
The use of specialized tubes for monitoring for thyroid surgery and its anesthetic implications. Harvard Anesthesia Update: Innovation and Transformation in Anesthesiology

2014
Instructor Ultrasound Guided Regional Anesthesia Workshop. Anesthesiology Update
Harvard Medical School. May 5-9.

2015
Instructor Ultrasound Guided Regional Anesthesia Workshop. Anesthesiology Update. Harvard Medical School. May 11-15.

2016
Instructor Ultrasound Guided Regional Anesthesia Workshop. Anesthesiology Update
Harvard Medical School. May 9-13.

2017
Instructor Ultrasound Guided Regional Anesthesia Workshop. Anesthesiology Update
Harvard Medical School. May 2017.

Report of Clinical Activities and Innovations
Current Licensure and Certification

2006 –Present Massachusetts Medical License
2015-Present Florida Medical License

Practice Activities:

07/10-Present
General Anesthesia
Anesthesia, Brigham and Women’s Hospital

07/10-Present
General Anesthesia
Anesthesia, Massachusetts Eye and Ear

12/14-Present
Regional Anesthesia
Anesthesia, Brigham and Women’s Hospital

Clinical Innovations:

The design of an automated report during transitioning of care in the Post Anesthesia Care Unit (PACU)

Implementation of an anesthesia protocol for thyroid and parathyroid surgery. Massachusetts Eye and Ear (2016)

Implementation and design of the first Perioperative intensive care ultrasound (PICUS) regional program for anesthesia residents (2016)
After obtaining a CRICO grant I designed and implemented an electronic PACU hand off. This was done right before the transition to the current electronic healthcare system at both Brigham and Women’s Hospital and Massachusetts Eye and Ear.

The protocol was implemented to improve outcomes in patients going under general anesthesia for thyroid and parathyroid surgery. The protocol showed a significant reduction in the rate of complications at the Massachusetts Eye and Ear.

The PICUS program is an innovate way to teach anesthesia residents the use and clinical applications of ultrasonography. I designed and implemented the first PICUS regional workshop with great success. The PICUS program is one of the first in the country and has been a favorite among anesthesia residents at Brigham and Women’s Hospital

Narrative Report

The majority of my time has been devoted to academic medicine and teaching within anesthesia and regional anesthesia, and research related to clinical anesthesia. I spend seventy percent of my effort in the teaching and clinical arena. I dedicate the remaining ten percent of my time to clinical research, writing, publishing, and administrative duties. After finishing my fellowship in regional anesthesia, I focused on this field through various endeavors.
Specifically, I participated as faculty at several local and international workshops in order to teach residents and anesthesiologists a variety of regional techniques. I have also lectured about regional anesthesia at various national and international meetings. In addition, I have partaken as a regional anesthesia instructor at the Harvard Anesthesia Update conference. I am also part of the BWH plastic surgery transplant team where I have applied regional anesthesia techniques in order to improve the care and outcomes of these patients. I am involved in the regional anesthesia fellowship at Brigham and Women’s Hospital. I am also part of the core perioperative intensive care ultrasound (PICUS) group. PICUS is one of the very few ultrasound curriculums in the country to teach residents ultrasonography and its applications during their 3-year anesthesia residency. In addition to regional anesthesia, I have also focused my clinical work on ambulatory anesthesia. I was selected to serve on the Society for Ambulatory Anesthesia (SAMBA) Committees on International Relations and Education. In 2016, I had the opportunity to present the very first Spanish webinar for SAMBA on regional anesthesia.
In 2014, I was appointed the Director of the Division of Anesthesia for Thyroid and Parathyroid Surgery at the Massachusetts Eye and Ear Infirmary as recognition for my efforts to implement anesthesia protocols directed at improving outcomes and patient care during Thyroid and Parathyroid surgery. As a result, I authored a paper publishing our experience after implementing the guidelines for more than 3000 patients. In 2015, I completed a Certificate in Business Administration with the American Society of Anesthesiology to strengthen my administrative skills. Finally, I have served as a reviewer for the Anesthesia and Analgesia journal and Pain Medicine Journal.
In 2019, I became the Associate Chief of Anesthesia and Medical director of the Main Operating Room at
the Massachusetts Eye and Ear. In this role I have been working on several process improvement projects involving operating room efficiency, patient experience and communication.