Gary W. Ehlert Birriel, MD

mobile phone: 787-***-****/ e-mail: adix8c@r.postjobfree.com

EDUCATION

August 2003-2008

Bayamon, PR

Medical Degree Program

Universidad Central del Caribe(UCC)

USMLE Step 1,Step 2 CK/CS Passed

PR Medical Licensure Exam part 3 Passed

July 2012-June 2014

Rio Piedras, PR

Nuclear Medicine Residency Program

Medical Science Campus

● First Year-Emphasized the core material, which

provides the basis for the practice of clinical nuclear medicine, through lectures and conferences in

nuclear/radiology medicine core and

physics/radiobiology Radiopharmacy/Radiation

Safety, Instrumentation, Single photon/PET,

Nonimaging lab procedures, Cardiac stress lab and

Procedure technology (working with technologist in each area).

● Second year- was given the opportunity to prepare and deliver formal lectures to nuclear medicine

technologists, medical students and other house

officers. Also, started to prepare a case

report/research project/quality care project during my second year .Participated in the sections Quality

Improvement Committee.

● Weekly would have Interesting/Proven Case

Conference, Journal club and The Clinical Review

Conference. Participated in national conventions

during the year.

August 1999-2003

Cayey, PR

Bachelor of Science in Biology, Magna Cum Laude

UPR Cayey

HONORS AND AWARDS

December 7, 2006

San Juan, PR

Accomplished the CME activity: “Manejo de Dolor”.

Geriatric Academy of Puerto Rico.

August 2001

Cayey, PR

Scholarship Certificate at the RISE Program Fall

Symposium

UPR Cayey

PROFESSIONAL SOCIETY

MEMBERSHIP

Sept. 23, 2014-present

Colegio de Medicos PR

2004-2007

Surgical Interest Group-presided the group from 2005 to 2007

1999-2013 American Medical Student Association-presided the group from 2002-2003

VOLUNTEER WORK

2004-2005

San Juan, PR

American Heart Association

Health Clinics

● Measuring Blood Pressure

● Measuring Body Mass Index

● Measuring Glucose in blood

2008-2011

San Juan, PR

PR Amateur Boxing Federation

● Evaluate boxers during the fight to determine if they can continue to fight

WORK EXPERIENCE

December 27, 2016 to present AB Staffing

Arizona,USA

● This company hires to work at different Indian Health Services ER around the USA for 2 or 3 weeks at a time. I have worked at Fort Yates, North Dakota and recently HHCC (Hopi Health Care Center) in Polacca,Arizona.

● At the emergency room department my job is to take a full history, perform a physical exam, and develop a differential diagnosis by the patient's clinical presentation.

● As the only physician at the emergency department i have dealt with traumas, myocardial infarction/ACS(NSTEMI,STEMI,ANGINA/Unstable Angina), stroke/TIA, bowel obstruction, acute diverticulitis, pregnancies, encephalopathy(viral, bacterial, alcoholic, electrolyte imbalances), Arrhythmias, Diabetic Ketoacidosis,etc.

● In my 12 hour shift I am responsible running ACLS/ATS/PALS/ALSO codes/intubations, and obtain the tests that will elucidate the cause of the patient’s

● Locum tenens company AB staffing provides my malpractice insurance coverage through Accord.

November 9, 2014-January 2017

Bayamon, PR

Pediatric Psychiatric unit

Hospital Regional de Bayamon

● Evaluate and stabilize patients from the three units

(emergency department, pediatric and adolescent

ward); one unit has patients around ages less than 13years old and another unit ages more than 13years old.

● Also in charge of the Emergency Department,

evaluate (full history/mental exam), stabilize and dispose of patients. Any intervention with patients

(medications/restrictions) within the 24 hour shift is discussed with the psychiatrist on call for any

medication change, patient disposition or needs to be admitted.

● Dealt with autistic, suicidal/homicidal,

schizophrenics, schizoaffective, hypersexual,

anti-social, oppositional-defiant patients, etc., and ordered the following medications to stabilize or treat patients, these are; Zydis, Seroquel, Haldol, vistaryl, Ativan, lithium, Catapress, etc and at times soft

restrictions. This is a state hospital(public hospital) June 2015-present

San Antonio,TX

GTW Consultants & Associates, LLC

● GTW consultants(Recently changed their name to

CTS,LLC-owned by Native Americans from Alaska)

hired me as a fee basis provider for the United States Military Entrance Processing Station at San Juan to process individuals for enlistment or induction into the armed services, based on DoD-approved

peacetime and mobilization standards.

● This was accomplished by reviewing medical

records, performing detailed medical histories and physicals. Evaluate and determine military

suitability by means of medical examination in order to determine approval/disapproval for processing at MEPS. They do not provide malpractice coverage

since we are covered by the Gonzalez Act.

May 2015-January 2017 San Juan Health Center Clinic

● At the emergency room department my job is to take a full history, perform a physical exam, and develop a differential diagnosis by the patient's clinical presentation.

● As the only physician at the emergency department i have dealt with traumas, myocardial

infarction/ACS(NSTEMI,STEMI,ANGINA/Unstable

Angina), stroke/TIA, bowel obstruction, acute

diverticulitis, pregnancies, encephalopathy(viral, bacterial, alcoholic, electrolyte imbalances),

Arrhythmias, Diabetic Ketoacidosis,etc.

● In my eight hour shift I am responsible for running ACLS codes/intubations, and obtaining the tests that will elucidate the cause of the patient’s complaint. Upon doing so, I either treat the patient or refer him/her to the appropriate hospital or outpatient

clinic for follow up care.

October 20, 2014-January 2017

San Juan, PR

Home/Domiciliary Visits

● Home visits- I visit patients with medical necessities

(especially bedridden). These are usually elderly

patients. As their PCP, usually make changes in

maintenance medications if there was any change in their labs/clinical presentation. Also have been dealt with pulmonary edema, manic attacks, cellulitis by Acitenobacter Baumanii, etc. In this position I have stabilized patients to be sent to hospital or are cured and also coordinate home care for my

patients(nursing, iv meds, and assisting devices)

● Contracted by health insurances to fill electronic clinical health risk assessment of their members.

August 18, 2014-February 2016

San Juan, PR

Medical Adviser

Hospital Auxilio Mutuo-Utilization Department

● Assist the case management staff in accurately

interpreting resource use Interqual /Miliman criteria and effectively interacting with the physicians to build positive relationships.

● Help nursing and ancillary care staff to implement these decisions in a timely manner. Collaborate with individual physicians on specific patient issues

identified by case managers after case managers

failed to obtain an appropriate response from the

physician.

● Work with individual physicians in the medical staff as a whole on resource use patterns using length of stay and cost per case data. Deal with the physician and the hospital on denials received from external payers.

● Served on committees for quality, safety or ICD-10 implementation, and start doing appeals or utilization management. Auditing records utilizing clinical and interqual guidelines at the Utilization Department and Evaluating ER Department efficiency. Also

reviewing EDM, EHR, CPOE and help structuring

progress notes for EHR.

July 2011-June 2012

San Juan, PR

Residency-Transitional Year

Medical Science Campus/Hospital Auxilio Mutuo

● ACGME accredited residency

● In this residence program I was responsible for

patient care, and under the supervision of attending physicians.

● Care for a wide variety of patients in the different rotations (internal medicine, emergency medicine,

surgery, obgyn, pediatrics, hematology/oncology,

radiology) and electives.

● Attending rounds focused on patient management,

and occurred five days a week.

● Also had case/journal discussion and at the end of the year a project to evaluate the quality of care provided was also presented. This year provided me a

broad-based clinical education.

July 2010-June 2011

San Juan, PR

Internship

Hospital Auxilio Mutuo

● This is a non-ACGME accredited internship

program.

● Rotated in the different specialties (internal

medicine, emergency medicine, surgery, obgyn,

pediatrics, hematology/oncology, radiology) for one year.

● During this period I was responsible for patient care, and under the supervision of attending physicians.

● Performed medical procedures such as placing

nasogastric tubes, catheterization, running a

code(using ACLS/PALS) after a cardiorespiratory

arrest, minor surgery, surgical assistant( retract surgical site, close patient, and at times make initial incisions) and dealt with any inpatient emergency

during 24 hours.

July 2010-June 2011

San Juan, PR

Professional Boxing Cutman

● Responsible for preventing and treating physical damage to a fighter during the breaks between rounds of a full contact match such as boxing, kickboxing or a mixed martial arts bout.

● I handled swelling, nosebleeds and lacerations. The rules of full contact sports stipulate that these injuries can be a cause for premature match stoppage,

counting as a loss to the injured fighter. During the athletes training period I would evaluate injuries and determine if he was fit for a professional fight.

October-December 2009 Princeton Review

● Instructor for USMLE STEP 1. I trained graduate

medical students with the necessary skills and topics for passing the STEP 1.

● This was achieved by preparing PowerPoint

presentations and vignettes for the following topics; Anatomy, Microbiology, Pharmacy, Pathology,

Biochemistry and Behavioral Sciences.

July-October 2009 Research/Recinto Ciencias Medicas

● Geriatrics Department with Director Dra. Ivonne

Jimenez

● Research related to memory problems in elderly

patients

● Performed physical exams to patients 65 and older in the area of Bayamon

October 2008-May 2009 Instituto Ortopedico

● My main role was concerned with conducting

physical exams, ordering and interpreting tests,

diagnosing illnesses, developing treatment plans,

performing procedures, prescribing medications,

advising on preventive health care, and assisting in surgery under the supervision of an Orthopedic

Surgeon.

● Also preparing expert medical reports to certify patients with physical impairment in a court of law. July-October 2008 Surgeon’s Assistant

Doctor’s Center Hospital

● Served as a member of the surgical team, performing tasks under the direction of surgeons and aid them in conducting surgery.

● The tasks performed included exposing the surgical site retracting and suturing.

● Anticipate the next move the surgeon was going to make in order to make the procedure as smooth and

efficient as possible. I achieved this by studying each surgical procedure that was being performed and

learned the wide range of surgical instruments he may need depending on the procedure.

2007 Clinical Skills Standarized patient and evaluator Universidad Central del Caribe

● Evaluate how the students examined patients

● Pretended to be a patient and evaluated certain skills in medical students

RESEARCH

2007-2008 Anatomy Department

UCC

Wilson Veras, MD. Professor of the Anatomy Department in Universidad Central Del Caribe. Anatomical Variances of the Brachial Plexus that could complicate any Surgical interventions in this area.

Wilson Veras, MD. Professor of the Anatomy Department in Universidad Central Del Caribe. Anatomical variations of the posterior cerebral arteries and ramifications. 1999-2001 Rise Program

University of Puerto Rico Cayey

Marcos Echegarray, PhD. Professor of the Biology

Department in the University of Puerto Rico at Cayey. UCP3 involvement in the Metabolic Pathway of Aerobic Respiration.

Michael Rubin, PhD. Professor of the Biology Department in the University of Puerto Rico at Cayey. Detection of Gene Fragments Enconding Homeodomains From Cloned

Plasmid cDNAs and Rhesus Macaca Mullata Genomic

DNA.

Robert Ross, PhD. Director of the MBRS/RISE Program and professor of the Biology Department in the University of Puerto Rico at Cayey. The Development and Pollination of Phyllanthus sp.

SYMPOSIUMS

Fall of 2001

Boston, MA

Summer Research Program

Tufts University

Yahn Zhu, PhD; Director of Molecular Biology Research Center. Effect of Transduction of a Specific Inhibitor of cGMP-Dependent Protein Kinase I alpha on Blood Pressure in Mice. Presented at the Rise Fall Symposium of 2001 Fall of 2000

San Juan,PR

Summer Research Program University of

Puerto Rico, Medical Science Campus

Walter Sylva, PhD; Cloning of Caveolin 1 cDNA into pBluescript Plasmid Vector. Presented at the Rise Fall Symposium of 2000

PUBLICATIONS

Summer of 2010

Bayamon,PR

Summer Research Program

Universidad Central del Caribe

Vera Wilson, MD & Gary W. Ehlert Birriel MD. Variation of the Posterior Cerebral Artery(PCA) and its Embryological Explanation. Boletin Ascoc Med PR,102:3, 2010 issue.

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