Christine M. Daly, M.D

Address:

**** ******** *****,

Bethesda, MD 20814

Email: wogcd3@r.postjobfree.com

Phone: 1-602-***-****

Education:

August 1994 through May 1998. Medical Doctorate, Robert Wood Johnson Medical School, Piscataway, NJ. Graduated at the top 25% of the medical school class.

August 1987 through May of 1991. Bachelors of Arts Degree, Wake Forest University, Winston-Salem, NC. Graduated Cum Laude.

Professional Training:

July 1999 to June 2002. Psychiatry Resident, Walter Reed Army Medical Center, Washington, D.C.

July 1998 to June 1999. Medical Intern, Walter Reed Army Medical Center, Washington, D.C.

Work Experience:

APRIL 2010- Present, Henry F Jackson Foundation; Assistant Professor of Psychiatry and Anesthesiology at USUHS, 4301 Jones Bridge Road, Bethesda, MD 20814. Reviewed research on active duty military members’ use of alcohol, illicit drugs and misuse of prescription medications based upon a 2008 DOD survey. Correlated addiction with co-morbid psychiatric disorders and history of combat exposure to determine what population was at highest risk of developing an addiction disorder. Created teaching points for an interactive educational video for physicians practicing within the DOD to be aware of potential substance use disorders and mental health disorders in troops returning from combat, especially those that have been exposed to heavy combat.

MAR 2008- FEB 2010, La Frontera Center, Inc., 502 W. 29th Street, Tucson, AZ 85713; Lead Clinical Adult Psychiatrist at a Community Mental Health Psychiatric Outpatient Clinic. I served as the primary adult psychiatrist at the largest and busiest of all of La Frontera’s clinics in Tucson. (La Frontera is a large community based psychiatric system which offers outpatient, partial hospitalization, rehabilitation centers and inpatient mental health programs for the uninsured throughout the city of Tucson.) I personally cared for an outpatient “General Mental Health” population of approximately 800 patients. Within my case load, I had a significant number of dual diagnosis patients. All medically complicated and neurologically impaired patients who were referred to me as well. Within the entire La Frontera system, I was the only physician who initiated Suboxone treatment. Thus, all patients who wish to be detoxified from opioids via this method, as we also have a methadone clinic, were referred to me. Given that I took care of the Suboxone patients as well as the medically and neurologically impaired patients; my position frequently required that I communicated with my patient’s other physicians regarding their medical health and any medication changes that occured, as there is a potential to cause a drug-drug interaction.

As I have so many patients with a history of drug use, they also tend to have Hepatitis B, C and/or HIV. Thus, I worked very closely with a gastroenterologist who primarily treats Hepatitis C with alpha 1 interferon and the infectious disease doctors that treat the HIV patients. In the first case, as the alpha 1 interferon is associated with so many psychiatric side effects, the gastroenterologist specifically asked me to see the patient prior to initiating treatment to provide psychiatric clearance to start treatment. Once the patient started treatment, I also followed the patient in case significant psychiatric symptoms arose and the treatment needed to be discontinued. In the case of the HIV patients, I had to make sure that my medications did not interact with any of the patient’s anti-retroviral medications. Thus, I actually had regular contact with my physician peers and had a good working relationship with them. I regularly spoke with patient’s PCPs to ensure that they were not getting the same medication from two prescribes‘. In addition, I routinely ran labs on my patients and if any of the lab work was concerning I would notify the PCP.

In addition to my clinical work, I oversaw and clinically guided a staff of four full time case workers and three part time case workers in their assistance with the management of my patients’ social work needs. In cases when a patient is required to be referred for an acute medical care, they are able to facilitate this. I also discussed with the case workers my recommendations regarding the type of psychiatric/rehabilitation counseling that was needed and the case worker was responsible for setting this counseling up. Although there was little time for academics at this position, I did find time to lecture to my case workers about various substances, licit and illicit, and discuss with them the risks inherent in using each drug. I also discuss the pharmacology of psychiatric medications and how they may impact on a patient’s medical health.

December 2007-MAR 2008 Medical Doctor Associates, Inc., 145 Technology Parkway NW, Norcross, GA, 30092; Locum Tenems Psychiatrist. Placed at two facilities in Tucson by the above noted Locum Tenems Company during this time frame. My first placement was with Correctional Medical Facilities in which, I functioned as the Chief of Psychiatry for the Pima County Jail in Tucson, AZ. In March of 2008, I was placed at La Frontera Center, Inc., a community mental health clinic as an Attending Outpatient Psychiatrist. After working there for a short amount of time on a locum tenems basis, I was offered and accepted a permanent position. (Please see above).

June 2007- October 2007, University of Arizona, Assistant Professor of Psychiatry/ UPH-Kino Hospital, Inpatient Attending Psychiatrist, 2800 E. Ajo Way, Tucson, AZ, 85713; Served as a Faculty member at the University of Arizona Medical School and provided clinical teaching and supervision to third year medical students. Served as the Attending Psychiatrist for an inpatient psychiatric ward which consisted of approximately 12-15 mentally ill adults from the community. There was an expectation of a rapid discharge rate to one of the three designated community mental health outpatient “agencies.” Completed psychiatric evaluations on patients specifically to determine if court supervision, upon discharge from the hospital, was indicated for specific patients. Provided expert testimony in court cases.

The poor patient care which I witnessed and the lack of protected time for attending to teach the medical students and residents led me to resign my position early.

July 2006- February 2007. Western State Hospital, 9601 Steilacoom Blvd SW, Tacoma, WA, 98498; Attending Psychiatrist. Served as the Attending Psychiatrist for an inpatient psychiatric ward which, consisted of approximately 30-32 mentally ill and dual-diagnosis adult patients. I served as the treatment team leader of a team consisting of a psychologist, two masters level social workers, three RN nursing staff and several institutional counselors. I was responsible for the initial and ongoing psychiatric evaluation of all ward patients, medication treatment of the psychiatric disorders and medication adjustments based upon the medication efficacy and tolerability. I determined the need for any medical consultations and would then work with the specialist and his/her medical recommendations. Frequently, this patient population would require involuntary commitments to the hospital and/or would require medication to be given against their will. In those cases, I would have to provide expert testimony in court to support my psychiatric recommendations for treatment.

June 2002-June 2006, Active Duty U.S Army, Staff Psychiatrist. Below are the various duties and positions that I held during my time as a Staff Psychiatrist in the U.S. Army.

March 2005- March 2006. “Combat Area Support Hospital,” Iraq. Senior Staff Psychiatrist to the 98th Medical Detachment, a part of the “Combat Area Support Hospital” co-located in Tallil and Baghdad, Iraq. Participated in two mass casualties in Baghdad. Approximately 80% of my time was spent evaluating soldiers for various psychiatric complaints and either treating them while they remained in theatre or triaging them and recommending that they be sent back to Germany for further psychiatric care. Approximately 20% of my time was spent functioning as a neurologist as there were no neurologists at many of the bases. During this same deployment, I was also tasked out to be the “Officer in Charge” of the Mental Health Clinic in Ar Ramadi, Iraq (August 2005 to October 2005). While in Ar Ramadi, I developed a psychiatric formulary as there were no psychiatric medications in their pharmacy. Prior to my arrival there, there had never been a psychiatrist stationed at that “Forward Operating Base.”

July 2002- June 2005. Madigan Army Medical Center (MAMC); During which time, the following positions were held:

February 2005 to April 2005:

*Chief, Psychiatric Research Department at MAMC; in collaboration with the Puget Sound VA staff, I designed a research protocol for the use of Prazosin in the treatment of combat related nightmares. Presented the study protocol, which was approved by the MAMC Internal Review Board as well as CIRO. Responsible for the recruitment and evaluation of potential study subjects. The study is currently underway and it is anticipated that the results will be submitted for publication at the conclusion of the study.

In collaboration with the Puget Sound VA staff and MAMC Sleep Lab, I initialized a research protocol to determine the effects of prazosin on sleep architecture.

February 2003 to January 2005:

*Chief, Inpatient Psychiatry at MAMC; Served as the Chief of the Inpatient Unit at MAMC. This unit serves as the primary inpatient medical facility for the treatment of all major psychiatric disorders which present in deployed and garrison troops whose units originate from the Pacific Northwest. During the onset of “Operation Iraqi Freedom” and “Operation Enduring Freedom,” the number of patients on the inpatient ward increased substantially (44% from the previous year). In spite of the large patient increase and the decrease in psychiatric staff due to deployments, excellent clinical care continued to be provided to the soldiers and soldier family members.

July 2002 to January 2003:

*Psychiatric Staff, Inpatient and Outpatient Psychiatry at MAMC; Functioned on the inpatient psychiatric service as staff and maintained a busy continuity outpatient clinic.

Additional Duties while on staff at Madigan Army Medical Center:

* Primary Psychiatric Consultant, Psychiatric Consultation and Liaison Service at MAMC. (Primary consultant for all medically admitted overdoses, lithium toxicity, high risk ETOH withdrawal patients and provide guidance on treatment of the medical care of dual-diagnosis patients.)

* Primary Psychiatric Consultant, Coast Guard Station, Seattle.

* Designated Psychiatry Representative, MAMC Pharmacologic and Therapeutics Committee.

* Provided Psychiatric Grand Rounds to staff and residents of various services including Family Practice, Internal Medicine, and Neurology.

Licensure:

Arizona State License # 35701, expiration date- 02/2011

Virginia State License # 010*******, expiration date- 02/2010.

Washington State License # MD00045015, expiration date- 02/2011

DEA license, expiration 06/2010.

Additional Licensure:

Additional DEA License #- Allowing me to Rx Schedule III, IV, and/or V drugs specifically for the treatment of Opioid Addiction. I was trained at the APA to initiate Suboxone & Subutex treatment, maintain treatment and withdraw treatment for the purpose of treating Opioid Dependence.

Professional Associations:

Board Certified, American Board of Psychiatry and Neurology, May 2003 to May 2013.

Member of the APA (American Psychiatric Association).

Member of ASAM (American Society of Addiction Medicine).

Publications:

Clinical Case Report: “The use of Prazosin for the Treatment of Recurrent Nightmares in Operation Iraqi Freedom Combat Veterans.” Military Medicine, June 2005, Vol 170.

Clinical Case Report: “Mary, a Four year-old with Oppositional Defiant Disorder.” Military Medicine, June 2002, Vol 167.

Military Awards:

8 years spent in Active Duty Army.

Meritorious Achievement Award, for emergency work with the victims of the 9/11 Pentagon bombing.

Army Achievement Medal

Army Superior Unit Award

National Defense Service Medal

Global War on Terrorism Expeditionary Medal

Global War on Terrorism Service Medal

Army Service Ribbon

Overseas Service Ribbon

Eligible for “Veteran 10 Point Preference.”

Professional References:

Available upon request.

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