Hospitalist Physician, Medical Director
Resume:
Teresa Lanier, MD, Ph.D.
Experienced team leader and Physician with extensive in/outpatient civilian and military training and experience, seeking a Hospitalist Medicine position.
Education
• United States Air Force Aerospace Medicine Primary Course, Rated Flight Surgeon.
• Internal Medicine and Pediatrics Residency, Family Medicine, Eastern Virginia Graduate School of Medicine, Portsmouth Family Medicine Center.
• M.D., Ph.D. The Joint Biomedical Sciences Program, Eastern Virginia Medical School. Norfolk, VA.-Biochemical and Cellular Endocrinology (Ph.D.), Dissertation: Characterization of a Vasodilator Response in Human Digital Circulation to Calcitonin Gene Related Peptide.
• Doctorate of Medicine, Eastern Virginia Medical School, Board Certified, participating in
MOC.
• MS, Biology. Eastern Washington State University. Thesis: Correlation of 3,5,3'-Triiodothyronine surges with cytological changes in the neural tissues of Steelhead Trout (Salmo gairdneri, Richardson). Cheney, WA.
• BS, Chemistry (ACS accredited), Eastern WA. State University. Concurrent with MS.
• BS, Biology, Gonzaga University, Spokane, WA.
• BA, The Honors Program, History, Washington State University, Magna Cum Laude.
Pertinent Professional Civilian Experience
Jan. 01 through August 21, Acute Care Medical Director, Summit Pacific Medical Center, Elma, WA. Provided Hospitalist program management including updating standards of care, mentoring Hospitalists’ coding and documentation improvement, worked closely with Nursing leadership and staff to improve bedside care and general skill and Nurse critical thinking; supervised Resident Physicians. Routinely admitted from the Emergency Department, provided care of complex patients with multiple co-morbidities on the medical care, provided Vent management and routinely admitted ED patients. Provided acute inpatient care for patients with pneumonia, sepsis, new onset Atrial Fibrillation, AFIB w/ RVR, heart failure, cellulitis, NSTEMI care, post ischemic CVA care amongst many other significant medical conditions, including meth and alcohol withdrawal. Also managed various medication drips and ventilator therapy.
Jan. 01 through December 31, 2022 Medical Director, Hospitalist Program, Kauai Veterans Memorial Hospital. Admitted patients through the ED, performed open ICU rounds, provided care of complex patients with multiple co-morbidities. Provided Vent management, coordinated care with Surgeons for pre-surgical risk evaluations and post-op care in both the ICU, cardiac care, orthopedic unit and general medicine floor. Provided acute inpatient care for patients with pneumonia, sepsis, new onset Atrial Fibrillation, heart failure, renal failure, acute MI, acute CVA, diabetic ketoacidosis among other conditions with major co-morbidities. Co-created a CDI PIP that increased revenue over 1.8 million by the second year. Collaboratively led Nursing and Physician team for improved and more efficient rounding leading to overall shortened LOS, meeting and exceeding Physician Medicare CAPS thresholds. Provided leadership to Hospitalist program via working closely with the CMO and Medical Executive Team to improve laboratory, imaging and Pharmacy services.
June 2018—Dec. 31, 2020, (full-time) Hospitalist/Senior Flight Surgeon, Luke AFB, 550th Kingsley Field Flight Surgeon duties. Admitted patients through the ED, performed open ICU rounds, provided care of complex patients with multiple co-morbidities. Provided Vent management, coordinated care with Surgeons for pre-surgical risk evaluations and post-op care in both the ICU, cardiac care, orthopedic unit and general floor medicine floor. Provided acute inpatient care for patients with pneumonia, sepsis, new onset Atrial Fibrillation, heart failure, renal failure, acute MI, acute CVA, diabetic ketoacidosis. Forged excellent communication and work relationships with Nursing services; educated colleagues regarding Hospice and Palliative care conversation techniques. Supervised mid-level Providers on the general medicine floor. Worked closely with Infectious Disease Physicians to educate colleagues on good antibiotic stewardship, provided weekly review of current standards of medical care. Clinical responsibility for diagnosing and treating complex acutely ill patients, provided specialty consultations; sought out for Endocrinology expertise. Integral involvement in the base wide Covid response, leadership and participation in all aspects of Covid care.
June 2016-2017, (full-time Locums) Hospitalist, McKenzie Willamette Medical Center, Eugene, OR. Evaluated and admitted patients through the ED, performed open ICU rounds, provided care of complex patients with multiple co-morbidities. Provided Vent management, coordinated care with Surgeons for pre-surgical clearances and post-op care in both the ICU, cardiac care, orthopedic unit and general floor medicine floor. Provided acute inpatient care for patients with pneumonia, sepsis, new onset Atrial Fibrillation, heart failure, renal failure, acute MI, acute CVA, diabetic ketoacidosis. Forged excellent communication and work relationships with Nursing services; educated colleagues regarding Hospice and Palliative care conversation techniques. Supervised mid-level Providers on the general medicine floor. Worked closely with Infectious Disease Physicians to educate colleagues on good antibiotic stewardship, provided weekly review of current standards of medical care. Clinical responsibility for diagnosing and treating complex acutely ill patients, provided specialty consultations; sought out for Endocrinology expertise.
Jan. 2018-May 2018 (full-time Locums) Hospitalist, Kaiser Permanente, Clackamas, OR. Evaluated, admitted and treated complex patients with multiple co-morbidities including Specialty care consultation and coordination, ventilator management, specialty care in the cardiac care unit and Surgical floor. Provided General adult Internal Medicine care for patients with a wide array of conditions including but not limited to, acute liver failure, pneumonia, sepsis, new onset Atrial Fibrillation, heart failure, renal failure, acute MI, acute CVA, diabetic ketoacidosis, post-OP surgical care for cardiac and orthopedic patients.
May 2015-May-2016 (full-time Locums) Hospitalist, Three Rivers Medical Center Grants Pass, OR. Evaluated and admitted patients through the ED, performed open ICU rounds, provided care for complex medical/surgical patients with multiple co-morbidities. Provided Vent management, coordinated care with Surgeons for pre-surgical clearances and post-op care in both the ICU, cardiac care unit and general floor medicine floor. Developed excellent communication and work relationships with Nursing services; educated colleagues regarding Hospice and Palliative care conversation techniques. Supervised mid-level Providers on the general medicine floor and provided mentoring and medical diagnostic training. Worked closely with Infectious Disease Physicians to educate colleagues on good antibiotic stewardship. Sought out for Endocrinology expertise.
2014-May-May 2016 Hospitalist Medical Director. Led and directed clinical inpatient Hospitalist services for a ten- member Physician team providing acute inpatient Medicine care in a 120-bed facility with an Open ICU. Coordinated provision and execution of acute inpatient services with the CMO, DNO and CEO. Provided oversight of scheduling, coding/billing, supervision of mid-level Providers and residents/medical student interfaces with patient bedside care. Participated in clinical care and worked closely with the ED Director to stream-line diagnostic protocols, timely care and inpatient admission of ED patients. Provided continued education, worked closely with Nursing services to develop consistent bedside protocols for rapid responses, codes, admissions and discharges.
2013-2014 Hospitalist, (Perm) Providence Medford Medical Center, Medford, Oregon. Evaluated and admitted patients through the ED, performed open ICU rounds and provided care for complex patients with multiple co-morbidities. Provided Vent management, Internal Medicine coordination of care with Surgeons for pre-surgical clearances and post-op care in both the ICU, cardiac care unit, Orthopedics and the General Medicine floor. Developed excellent communication and work relationships with Nursing services; worked closely with the Hospice and Palliative care Team. Additional duty as the Physician representative to the Pharmacy and Therapeutics committee providing expert input on Clinical thderapeutics.
2011-2013 Medical Director, Florence Correctional Facility, Corrections Corp. America. Florence, AZ. Directed, managed and lead a thirty-member Nursing, Dental and referral team providing inpatient and outpatient medical services to a 3000 bed Private prison. Provided
Oversight of all Medical Operations as well as hands-on care of acute and chronic illnesses, urgent and emergent care and medical evacuation coordination. Provided and lead Nursing training, coordinated with Prison Warden for level of care and transfer of severely ill inmates. Formulated and executed emergency and mass casualty triage training and treatment.
2011-present Gold Canyon Physicians Ltd, Gold Canyon, AZ, president and owner Private Medical Practice providing comprehensive inpatient Hospitalist Services as a Locums Physicians. (See Individual positions above).
2004-10 Medical Director, Hospice of the Southwest. Provided full Hospice and Palliative
Care and Services to terminally ill patients, including pain management and in-home palliative care; Supervised and led a twenty- member team of Nurses and Physicians. Provided Hospice and palliative care education to Nursing staff as well as Community Physicians.
1998-2011 Arizona Vista Family Medicine, President and owner group practice; Provided
comprehensive in Hospital and Outpatient services including first trimester Obstetrics, routine Gynecology, Internal Medicine and Pediatric/Adolescent Medicine care to a 6,000 patient private Medical practice. Routine monthly inpatient population of 20-30 patients with Full Hospital privileges. Supervised two Physician Assistants, worked closely with Community specialists for coordination of services and inpatient Medicine care.
Military Service
Oct. 2019-Dec. 31,2020. Senior Flight Physician, 56th MDG Det. 173d FW, Klamath Falls, OR
Lt Col. active duty Flight Physician directing all clinic operations, caring for over 100 Flyers, 1300 total base members, Supervision of ten clinic staff, oversee Bioenvironmental staff, Public Health, provide Flight consultative services, directing and coordinating base wide COVID-19 response and infectious disease mitigation. Permission obtained to “moon light” as a Hospitalist to maintain skills.
• 2013-Oct. 2019: Lt. Colonel, 173d Fighter Wing, Klamath Falls, OR. Duties include Chief of Aerospace Medicine encompassing supervision of Public Health, Bioenvironmental Medicine, all Clinical Operations for 1300 Airmen, Wing Medical Review Officer, Senior Flight Surgeon, supervising 40 Medical Staff. Lead and direct Clinic operations, Flight medicine and work with senior leadership to ensure mission readiness.
• 2009 Oct-Feb, Supervising Physician, Deployed FOB Clinical Medicine services, providing extensive inpatient Internal Medicine services to combat troops as well as outpatient and Urgent care for acute and chronic conditions.
• 2006-2013, Major, 162nd Fighter Wing, Mass Casualty Training Exercise Officer, Senior Flight Surgeon and acting Chief of Aerospace Medicine. Direct and lead clinic operations, oversight of Public Health and Bioenvironmental activities; provided care for all flyers and non-flyer members; directly supervised 18 personnel; coordinated Wing medical support.
• 2005, Nov-May, Flight Surgeon, deployed, Iraq Theater, Chief of Internal Medicine Clinical Services, performing all clinical duties associated with deployed combat Inpatient medicine as well as supervision of outpatient services, patient medical triage and evacuation services.
• 2003 May-Sept: Provided Operational Squadron Medicine Services as a deployed Flight Surgeon, Iraq Theater, 2003 May-September, duties included all in and outpatient clinical services, i.e., triage, Hospital clinical rounds, Emergency and Urgent Care, acute and chronic care. Coordinated with MedDEvac and Nursing services.
• 1999-2006, Flight Surgeon, 161st Air Refueling Wing, Phoenix, AZ. Lead Triage and emergency response exercise Team, BLS/ACLS Instructor, Medical Liaison Officer coordinated Fitness program, evaluation for medical exemptions, annual Physicals. Co-temporal with Hospitalist duties.
Abbreviated Awards/Recognition
• 2018 Hospitalist additional qualification, Hospitalist Medicine
• 2012 Board certified Corrections Medicine
• 2008 Board certified Hospice and Palliative Care subspecialty
• 2007 Tucson Chamber of Commerce “Citizen Soldier” Award
• 2007 Officer of the Quarter for the 162nd Wing
• 2007 Officer of the Quarter 162nd Medical Group
• 2005 “Outstanding Performer” award, JTF Katrina, Belle Chasse Naval Reserve Base, LA.
• 2005 Rated USAF Flight Surgeon
• 2003 AWARDED American Academy Family Physicians Fellow Degree
• 2002 Recognition “Guide to America’s Top Family Doctors”
• 2001 Commanding Officer, Honor Flight, OTS, Gunter AFB, Birmingham, Al.
2000-present, Board certified Physician, participating in MOC
Current ACLS/BLS Instructor
Current ATLS certified
References on Request
Hobbies: Kayaking, hiking, playing recorders/guitar, gardening and cycling.
Little known hidden talent: Experienced goat roper
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