John D. Mucha, MPAS, PA-C, CDE

**** ******* ***

Kerrville, Texas 78028

ad4zeg@r.postjobfree.com

EDUCATION

University of Texas Medical Branch – Masters of Physician Assistant Studies (August, 2005)

University of Houston - Bachelor of Business Administration Cum Laude (May, 1987)

EXPERIENCE

Sabbatical for my Father - 3/23 - current

My elderly started falling and needed help with his ADL’s at the age of 90 and need to be cared for so we moved him in with us as long as possible. He is now in assisted living near us, freeing me to go back to work to help pay for my older son's medical school. He starts to UTSA Long’s SOM in July.

Diabetes Service Line, Department of Veterans Affairs - 3/19 - 3/23

One MD and I managed a panel of 33,400 diabetic veterans plus all the endocrine patients in the VISN. She primarily focused on the endocrine patients and I primarily focused on the patients with diabetes. The primary care docs sent us the sickest ones to manage, so the patients had high acuity and complexity. Many had been exposed to agent orange and were being treated as type 2 when in fact had had type 1B. We also diagnosed and treated unmanageable hypertension and hyperlipidemia. I worked with the Pharmacy and therapeutics committee to identify and manage the medications, injectables and devices need for our panel.

Sabbatical for my younger son Matt - Oklahoma State Cowboys D1 football scholarship 4/17 - 3/19 plus some part time jobs

Staff Physician Assistant - Lakeside Physicians - 6/15 - 3/17

Outpatient clinic caring for Internal Medicine Patients

Assistant Professor of Medicine - Baylor College of Medicine - 6/2014 – 6/2015

Clinical accomplishments include:

Faculty appointment to the Department of Internal Medicine, Division of Endocrinology and Metabolism - responsible for the evaluation and management of diabetes patients in the Baylor College of Medicine outpatient clinic

This clinic is the tertiary referral center for the outlying St. Lukes facilities in Harris County were we see the sickest patients and the hospital follow ups for St. Lukes Hospital. I managed diabetic patients for Internal Medicine, Family Medicine, Infectious Disease, Oncology, Pulmonary, Cardiology, Nephrology, Rheumatology, Hepatology and Gastroenterology

Examples of common referrals were: sp MI with stent or CABG, sp liver, heart or kidney transplant, cystic fibrosis related diabetes, ESRD on dialysis, steroid induced diabetes, etc

Co morbidities managed include hyperlipidemia, hypothyroidism, primary and secondary hypertension, obesity, diabetic neuropathy (peripheral and autonomic), anemia, pregnancy in both gestational and pre-existing diabetics, NASH, diabetic foot ulcers, gastroparesis, etc

Established transition clinic for adolescents with type 1 diabetes who graduated from pediatrics

Teaching accomplishments include:

Annual lectures for the residents and fellows on new treatment modalities and insulin regimens, insulin pump therapy and continuous subcutaneous glucose monitoring

Weekly clinic with residents and fellows to teach management of type 1 diabetes

Quarterly lecture for grand rounds on using technology in managing diabetes

Administrative accomplishments include:

Implemented transition clinic for pediatric patients “graduating” out of Texas Children’s Hospital

Implemented electronic download system for pump, sensor and glucometer history

Implemented billing system for the download of pump, sensor and glucometer history

Methodist Academic Medical Associates - 8/2011 – 5/2014

Clinical accomplishments include:

Appointment to the Department of Internal Medicine, Division of Diabetes, Obesity and Lipids - responsible for the evaluation and management of diabetes patients in the Methodist outpatient clinic in Smith Tower and Methodist inpatient facility in the medical center

This clinic is the tertiary referral center for the outlying Methodist facilities in Harris County were we see the sickest patients and the hospital follow ups for Methodist Hospital. I managed diabetic patients for Internal Medicine, Family Medicine, Infectious Disease, Oncology, Pulmonary, Cardiology, Nephrology, Rheumatology, Hepatology and Gastroenterology

Examples of common referrals were: sp MI with stent or CABG, sp liver, heart or kidney transplant, diabetes related to HIV treatments, ESRD on dialysis, steroid induced diabetes, etc

Co morbidities managed include hyperlipidemia, hypothyroidism, primary and secondary hypertension, obesity, diabetic neuropathy (peripheral and autonomic), anemia, pregnancy in both gestational and pre-existing diabetics, NASH, diabetic foot ulcers, gastroparesis, etc

Established transition clinic for adolescents with type 1 diabetes who graduated from pediatrics

Teaching accomplishments include:

Annual lectures for the residents and fellows on new treatment modalities and insulin regimens, insulin pump therapy and continuous subcutaneous glucose monitoring

Weekly clinic with residents and fellows to teach management of type 1 diabetes

Quarterly lecture for grand rounds on using technology in managing diabetes

Administrative accomplishments include:

Implemented electronic medical record for Division of Diabetes, Obesity and Lipids

Implemented EMR system for billing by time

Implemented electronic download system for pump, sensor and glucometer history

Implemented billing system for the download of pump, sensor and glucometer history

Assigned as superuser for Nextgen EMR implementation

The University of Texas Health Science Center- 4/2006 – 8/2011

Clinical accomplishments include:

Faculty appointment to the Department of Internal Medicine, Division of Endocrinology - responsible for the evaluation and management of diabetes patients in the UTHSC outpatient clinic at Hermann Hospital.

This clinic is the tertiary referral center for the outlying Memorial Hermann facilities in Harris County were we see the sickest patients and the hospital follow ups for Hermann Hospital. I managed diabetic patients for Internal Medicine, Family Medicine, Infectious Disease, Oncology, Pulmonary, Cardiology, Nephrology, Rheumatology and Gastroenterology

Examples of common referrals were: sp MI with stent or CABG, sp liver or kidney transplant, diabetes related to HIV treatments, ESRD on dialysis, steroid induced diabetes, etc

Co morbidities managed include hyperlipidemia, hypothyroidism, primary and secondary hypertension, obesity, diabetic neuropathy (peripheral and autonomic), anemia, pregnancy in both gestational and pre-existing diabetics, NASH, diabetic foot ulcers, gastroparesis, etc

Teaching accomplishments include:

Annual lecture for the residents and fellows on new treatment modalities and insulin regimens, insulin pump therapy and continuous subcutaneous glucose monitoring

Weekly clinic day with residents and fellows to teach management of type 1 diabetes

Quarterly lecture for grand rounds on using technology in managing diabetes

Monthly lecture for the medical students on pathophysiology and pharmacology

Monthly lecture for the interns, residents and fellows on new treatment modalities and insulin regimens, insulin pump therapy and continuous subcutaneous glucose monitoring

Administrative accomplishments include:

Implemented electronic medical record for Division of Endocrinology

Implemented EMR system for billing by time

Implemented billing system for the continuous glucose monitoring devices

Implemented electronic download system for pump and glucometer history

Implemented billing system for the download of pump and glucometer history

Assigned as superuser for Allscripts EMR implementation

Memorial Hermann Southwest Hospital Emergency Department- (12/2005 - 04/2006)

Emergency Department Staff Physician Assistant - responsible for patient care in the fast track area of the emergency department. Order lab tests, imaging, IV, IM and PO medications. Perform history and physical exam, record findings, establish diagnosis and formulate a plan of care. Perform procedures as necessary.

Disetronic Medical Systems - (10/1997-10/2001)

Responsibilities included the training and management of insulin pump patients at the request of the prescribing physician. Obtained patient history and lab data to develop a dosing plan and submitted it to the physician for approval. Instructed the patient in the correct use of the insulin pump and corrected any deficient self-care skills. Calculated and instructed patients on insulin to carb ratios, sensitivity factors and how to interpret and respond to blood sugar patterns. Using carb intake, insulin dose and blood sugar data, I assisted the physician with dose adjustment and solving blood sugar problems.

Texas Lion’s Camp – (7/1998-8/2002)

On site 24-hour medical supervision of 12 boys, age 14-15 with Type 1 diabetes for 2 weeks over 5 summers. Worked one on one with each camper to assess skill levels and identify blood sugar patterns. The primary goal was to teach them how to handle their diabetes as they transition from parental supervision to independence. Areas of responsibility included: provide emergency care for severe hypoglycemia and hyperglycemia, make dose changes, maintain medical records, develop and implement age appropriate instruction focused on: tools and options for managing diabetes, intense exercise/sports, social issues, pathophysiology, diet, sick-days and self-care.

Baxter Travenol Laboratories - (2/1988-10/1997)

Responsibilities included educating hospital clinical staff in the use of IV solutions, tubing and IV access devices, parenteral nutrition, IV admixture and infusion pumps. Identify and implement product standardization and cost saving measures. Implemented partial or complete conversions of hospital IV systems and helped the clinical staff adapt their procedures to the new systems.

CURRENT CERTIFICATIONS

Texas Medical Board - expires 2025

National Commission on Certification of Physician Assistants - expires 2030

Certified Diabetes Educator - expires 2033

Also, I hold a current NPI number: 132*******

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