Mental Health Medical

Richard H. Foster, MSN, FNP-BC

Oregon, California and DEA Licensed, Family Practice trained

Experienced in Family Practice, Internal Medicine, Chronic Pain and Mental Health Management and Urgent/Emergent Care

Faculty and preceptor to RN, NP and medical students

Professional Skills:

Excellent patient communication and satisfaction record

Excellent staff and colleague relations

Efficient and effective use of time and resources

Excels in compiling complex patient social and medical histories

Flexible in working in teams and independently

Clinical Skills:

Broad cross-cultural experience in trust building, rapid H&P gathering, assessment and diagnostic skills across the age spectrum

Chronic illness management experience including mental health, diabetes, cardiac, respiratory and renal diseases

Experienced with chronic pain assessment and non-pharmacological treatments with and without opiate use and misuse management

Adept in design and communication of health treatments tailored to patient’s individualized comprehension and capabilities

Educational Training

NP Cert 1993 Univ. of CA San Diego School of Medicine

MSN 1993 Univ. of CA San Francisco School of Nursing

BSN 1991 Univ. of CA San Francisco School of Nursing

ADN 1987 Univ. of the State of New York

Certification

ANCC Family Practice certification # 022145761

Oregon Lic # 097007040N1 California Lic # NP6656

DEA licensed

NPI 126*******

Medication Assisted Treatment Buprenorphine Waiver

Contact ****.******.***@*****.*** tel. 541-***-****

Richard Foster MSN, FNP-BC work experience

I have worked exclusively as a Locum for the last 5 years taking time out between assignments to work on a major remodel of my home, doing most of the work myself, while remaining current and enhancing my skills with attending conferences, webinars and CME offerings in areas of interest.

Lake Health Clinic, Lake District Hospital, 700 South J St. Lakeview, OR 97603 541-***-****)

Hospital owned outpatient clinic. Assessed and treated acute and chronic conditions in clients of all ages, ordered and interpreted diagnostic studies and lab work and arranged follow-up and referral as needed. Primarily managed adult internal medicine patients with multiple comorbidities such as CAD, DM, pulmonary and renal disease, also including a significant proportion of mental health and chronic pain management. Worked with providers to raise awareness of and toward implementing the GOLD standards of care for chronic obstructive pulmonary disease and appropriate pain and opiate prescriptive management. Reference: Matthew Foster, MD.

Locum 5/2018-8/2018

Sutter Lakeside Community Clinic --- 5196 Hill Rd. E., Lakeport, CA 95453 707-***-****)

[See Lake Health Clinic for duties] . Supervisor: Andrew Schwartz, DO, Medical Director. Locum --- 1/2018 – 4/2018

McMinnville Immediate Healthcare --- 207 NE 19th St., McMinnville, OR 97128 503-***-****)

Free standing urgent care center. Solo provider, assessed and treated a wide range of acute injuries and illnesses in clients of all ages including suture repair, incision and drainage and splinting. Stabilized and triaged patients to higher care facilities when appropriate. Locum --- 9/2017 – 10/2017

Vilma Aguas, MD, Private Solo Family Practice --- 535 E. Romie Lane Ste 2 Salinas, CA 93901 831-***-****) [See Lake Health Clinic for responsibilities] I worked for Dr Aguas for almost 5 years before moving to OR, and she had me return several times for relief coverage while she took vacation or extended medical leave. Her practice is about 50/50 between MediCal and private Ins with roughly 15% Philippino and the remainder white and Hispanic equally. Additionally, Women’s healthcare is a strong component in caring for her panel. Supervisor: Vilma Aguas, MD, owner. Relief coverage --- 5/2017 – 6/2017, 4/2015 – 8/2015, 4/2014 – 12/2014, 2/2013 – 6/2013,

Skylakes Adult Medicine Clinic --- 3001 Daggett Ave. Klammath Falls, OR 97601 541-***-****)

Hospital owned outpatient clinic. [See Sutter Lakeside for responsibilities] Managed a much higher proportion of patients with mental health, drug abuse and misuse problems owing to the community dynamics and the legacy of an over-prescribing community physician no longer practicing. Over this 20 month assignment: developed referral relations with community 12-Step, detox and treatment programs; frequently asked to manage “The Difficult Patient” by colleagues; Facilitated full staff enrollment in the State Prescription Drug Monitoring Program; Collaborated with the Medical Director to develop consistent practices for pain management and opiate prescribing and tapering. Supervisor: Michelle Rushton, MD, Medical Director; Clinic colleague: Marion Hull, MD 503-***-**** ************@*****.***). Locum --- 8/2015 – 4/2017

Private Contract --- Managed changing health conditions for an elderly gentleman who was terminally ill and critical while on international travel. Monitored health status and adapted treatments to rapid health changes in regions of limited resources. Limited contract --- 2/2015 – 4/2015

North Coast Family Health Center --- 721 River Dr Fort Bragg, CA 954378 (707-961-463)

Hospital owned outpatient multi-specialty clinic. [See Lake Health Clinic for responsibilities]. Additionally: provided pediatric and neonatal care when the part-time pediatrician was unavailable; performed many varied injection treatments for a wide variety of chronic orthopedic conditions in older adults; Facilitated full staff enrollment in the State Prescription Drug Monitoring Program. Supervisor: Benjamin Graham MD, Medical Director. Locum --- 7/2013 – 2/2014

Advance Health LLC --- 20151 Nullified Circle, Chantilly, VA, 20151 571-***-****)

Performed in-home comprehensive health and support needs assessments for Medicare patients throughout Oregon. Responsible for documenting current health status, utilization review and needs assessments and submitting reports. Supervisor: Dr Cathy Wiesner, FNP, and CEO/CCO. Limited contract --- 8/2012 – 2/2013

Interventional Pain Consultants --- 2925 Siskiyou Blvd. Medford, OR 97504 541-***-****)

Privately owned comprehensive pain management specialty including on-site surgical interventions. Responsible for comprehensive new patient assessments, review of previous treatment and studies, ordering and interpreting updated imaging, prescribing targeted interventions. Managed intervention follow ups, complex medication and device treatments and referrals for adjunctive therapies and mental health providers. Became the frequent “Difficult Patient Provider” using my interpersonal communication skills. Participated with the early formation of the Southern Oregon Prescribers Group, (now the The Oregon Prescribers Group). Researched and contributed to the Southern Oregon Opiod Prescribers Toolkit. Supervisor: Shawn Sills, MD, owner.

Laid off during a period of downsizing --- 11/2010 – 6/2012

Talent Clinic ---PO Box 442 Talent, OR, 97540 541-***-****)

Nurse Practitioner owned private Family Practice clinic. [see Sutter Lakeside responsibilities] Additional responsibilities included full spectrum Women’s healthcare, office surgical procedures, musculo-skeletal injections and skin biopsy and ablation procedures. Supervisor: Steve Joslin, FNP, owner. Laid off, practice could not support additional provider. 6/2010 – 10/2010

Providence Center for Occupational Medicine --- 1390 Biddle Rd Medford, OR 97504 541-***-****)

Hospital owned Specialty clinic. Performed Fit for Duty, pre-employment and DOT exams. Assessed, treated and managed a full array of occupational injuries and illnesses from the varied employers, retail, commercial, light and heavy industries in the region, including client and insurance relations and legal depositions in contested cases. Ordered, interpreted and managed follow up to diagnostic studies as indicated. Acute skills included laceration repair, foreign body removal, slit lamp treatments, splinting/casting and initiating stabilization and transfer to higher care facilities as needed, (amputations, severe crush injuries, complex penetrating wounds etc.) managed follow up and time-loss status as indicated. Supervisor: Mike Korpa, MD, MPH, Medical Director.

Resigned in good standing to return to primary care practice. 5/2005 – 6/2010

Vilma Aguas, MD, Private Solo Family Practice --- See above.

Resigned in good standing to move my family to Oregon. 10/2001 – 5/2005

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