April Kristine Miguel
Lewiston,NY
Summary
Compassionate Family Medicine physician with comprehensive training in patient-centered, evidence-based care. Skilled in collaborative practice, chronic disease management, and delivery of preventive services across diverse patient populations. Committed to fostering a supportive, culturally sensitive environment while developing individualized treatment plans that promote long-term health outcomes.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Family Medicine Resident Physician
Niagara Falls Memorial Medical Center
Niagara Falls, NY
06.2023 - Current
- Deliver comprehensive, evidence-based primary care under attending supervision, with a strong commitment to serving underserved populations in Niagara County.
- Integrate current USPSTF and AAFP guidelines into preventive care and chronic disease management during wellness and follow-up visits.
- Obtain detailed histories and perform comprehensive physical examinations to develop individualized treatment plans across the lifespan, from pediatrics to geriatrics.
- Manage chronic conditions including diabetes, hypertension, hyperlipidemia, asthma, and COPD.
- Perform outpatient procedures including Pap smears, STI testing and treatment, immunizations, ear lavage, and knee joint injections.
Clinical Observer
Kids First Pediatrics
Upland, CA
10.2022 - 05.2023
- Participated in delivering health care to 10-20 pediatric patients daily in this busy outpatient clinic.
- Educated the patients and their families on the benefits of acquiring the immunizations right on schedule and answered their questions about vaccines.
- Developed a broad spectrum of clinical acumen for the provision of clinical and comprehensive care for the pediatric population.
Hands-On Clinical Extern
LaSante Health Center
New York, NY
08.2022 - 09.2022
- Delivered optimum primary health care to three to five patients a day, with teamwork among fellow medical students, medical graduates, and the nursing staff in this large and busy outpatient clinic in Brooklyn.
- Initiated patient care through H&P, presented the case, assessment, and treatment plan to the attending; afterwhich, carried out the referrals for diagnostic procedures, further evaluation to subspecialties, and preventive screening tests.
- Mastered the EMR (eClinicalWorks) and taught new students how to navigate the system, to order standard laboratory tests, and to send out e-prescriptions, and then assigned the proper billing codes.
- Polished empathy skills by joining the attending in delivering cancer, HIV and STD diagnoses to patients.
Hands-On Clinical Extern
NewYork-Presbyterian Medical Group Brooklyn
New York, NY
08.2022 - 09.2022
- Provided primary health care to an average of eight patients in the outpatient setting of NewYork-Presbyterian Medical Group Brooklyn and the attending's Family Health Care clinic in Brooklyn.
- Engaged in evaluating patients, presented the differential diagnosis and treatment plan to the attending, and wrote notes in the EMR system eClinicalWorks).
- Guided and supervised new students on patient check-ins; aided in creating and updating patient profiles, data input, ICD coding, and sending e-prescriptions and outgoing referrals.
- Conducted venipuncture and handling of the specimen.
- Participated in patient case presentations on chronic medical conditions such as hypertension, diabetes mellitus, and asthma during group discussions.
- Empathized with the older adults, who comprise most of the patient population; encouraged and reminded them of preventive screening tests.
Medical Assistant
Alicia Almendral, M.D., PLLC,
New York, NY
06.2022 - 07.2022
- Evaluated an average of 15 diverse patients a day, in a busy outpatient clinic in Queens.
- Performed H&P on various ages from little children to older adults, discussed assessment and treatment plan with the attending.
- Assisted in pap smear and performed diagnostic procedures like venipuncture, EKG, and spirometry.
- Helped improve patient flow by learning how to create new patient profiles in the EMR (eClinicalWorks), checking in patients, coordinating with the billers on verifying the insurance and co-pays, and collaborating with pharmacists on prescriptions refills and authorizations.
- Enhanced the value of teamwork with colleagues and staff to ensure continuity of patient care.
Hands-On Clinical Extern
Park Slope Cardiology
Brooklyn, NY
06.2022 - 07.2022
- Rotated and saw seven to ten patients a day to deliver primary care and cardiac care in an outpatient clinic in Brooklyn.
- Assessed the patients independently, presented the case and differential diagnosis to the attending, and documented notes in the eClinical Works system.
- Reviewed medications and counseled patients on lifestyle changes such as eating a healthy, balanced diet and the importance of smoking and alcohol cessation.
- Broadened my clinical knowledge and skills on common cardiovascular diseases by engaging in numerous case discussions with the attending and providing probable differential diagnoses.
- Gained expertise in taking and interpreting EKGs and learned the basics of reading echocardiograms.
Clinical Observer
Rush University Medical Center
Chicago, IL
05.2022 - 06.2022
- Participated in this telemedicine rotation with Dr. Coleman, an Associate Professor of Medicine, Rush University Medical Center.
- Actively engaged in discussions about systematic assessment and management of patients.
- Acquired in-depth knowledge about some unique and interesting cases like Castleman disease, Devic's disease, and Von-Hipple-Lindau syndrome.
- Learned about the latest protocols and landmark clinical trials on common diseases like COPD, asthma, hypertension, CHF, diabetes mellitus, PE, and DVT, which provided deep insight into the practice of evidence-based medicine in the U.S. healthcare system.
Research Volunteer
John Zhang Neuroscience Research Laboratory
Loma Linda, CA
04.2022 - 06.2022
- Participated in lectures, thesis defense, and article reviews on topics about clinical neuroscience research with the primary focus on cerebral vascular diseases at this research laboratory located on the campus of Loma Linda University .
- Assisted in preparing reagents and recorded data obtained before, during, and after observing the ischemia-reperfusion surgery done on the rat models.
- Observed a variety of assays such as ELISA, Western Blot, and Immunofluorescence.
- Obtained extensive experience observing proper animal handling and ischemia-reperfusion surgery from international scholars and postdoctoral research fellows.
Clinical Observer
Kids First Pediatrics
Upland, CA
10.2021 - 03.2022
- Participated in delivering health care to 10-20 pediatric patients daily in this busy outpatient clinic.
- Gained in-depth knowledge of common presenting chief complaints and subsequent workup of the case.
- Delivered a 15-minute oral presentation once a week on topics including common skin rashes, upper respiratory infections, and diarrhea, covering their presentation, diagnosis, and management.
Clinical Observer
Rancho Medical Group
Rancho Cucamonga, CA
10.2021 - 10.2021
- Rotated in this primary care clinic and saw an average of 10 patients with diverse backgrounds per day.
- Actively participated in telemedicine consultations of patients with various comorbidities, for imaging and blood test results.
- Engaged in reviewing the patients' charts before seeing them in the rooms, consciously learning how the attending approaches the patient to extract history and perform PE, and deliver the diagnosis and treatment plan.
- Assisted in in-office women's wellness examination and Pap smear.
- Empathized with and counseled elderly patients' emotional abandonment issues.
Hands-On Clinical Extern
Niagara Falls Memorial Medical Center
Niagara Falls, NY
09.2021 - 09.2021
- Collaborated closely with the residents to effectively manage and ensure continuity of care of four to eight diverse patients daily in the outpatient setting at Summit Healthplex - Niagara Falls Memorial Medical Center.
- Evaluated and counseled the patients independently, presented to the residents and the attending physicians the proposed diagnostics and treatment plan, and then documented in the EMR (EClinicalWorks).
- Participated in didactic sessions with the other students, residents, and physicians in the outpatient and inpatient settings.
- Achieved extensive hands-on experience in managing common acute and chronic medical conditions and provided one-on-one counseling.
Clinical Observer
Foothill Primary Care
Rancho Cucamonga, CA
08.2021 - 09.2021
- Participated in the evaluation of four to eight patients in a primary care clinic.
- Observed how the attending physician provided compassionate care to patients in distress and extended comfort to the whole family.
- Reviewed cases with the attending, familiarized with the EMR (Practice Fusion), and learned specific time frames for follow-up of health conditions.
- Assisted in outpatient procedures like cryotherapy and intra-articular injections.
Hands-On Clinical Extern
Deepak Amin Medical Center
Brooklyn, NY
07.2021 - 07.2021
- Evaluated 10-15 patients daily in a primary care clinic located in a relatively low-income neighborhood in Brooklyn.
- Initiated patient care through obtaining H&P, assisting with lab checks, referrals, and follow-up appointments, and documentation in the electronic medical record (eClinicalWorks).
- Finessed how to display empathy and compassion to the diverse patient population despite the language barrier and cemented my conviction to be a source of support to the individual patient and the loved ones.
- Counseled the 21 to 65-year-old patients on the significance of complying with preventive health care.
- Mastered venipuncture and assisted in EKGs, IV infusions, and women’s health in this primary care clinic under the direct supervision of the attending physician.
Hands-On Clinical Extern
Wellness First Medical Clinic
Somerset, NJ
06.2021 - 07.2021
- Provided primary health care to eight to ten patients in the outpatient clinics in Somerset and Cranford and assessed eight to 15 patients in two rehabilitation centers in Somerset.
- Evaluated diverse patients alongside residents and other students, presented and wrote notes in the EMR system in the outpatient clinic (DigiDMS) and rehab (Point Click Care).
- Created slideshow presentations on hypertension and best supplements for the heart for patients to view while in the clinics' waiting rooms.
- Cared for patients in various integrated healthcare networks, including assisted living, post-acute rehab, memory care, home care, long-term acute care, hospice, and palliative care.
- Counseled four to eight elderly patients in assisted living biweekly to overcome personal emotional abandonment issues.
- Acquired valuable experience in geriatric medicine and one-on-one counseling.
Hands-On Clinical Extern
Park Slope Cardiology
Brooklyn, NY
01.2021 - 05.2021
- Executed telemedicine skills and hands-on clinical experience to eight to 15 patients daily to deliver primary care and cardiac care.
- Familiarized with patient intake tasks and engaged in a cohesive environment where every team member’s contributions were valued.
- Enhanced communication, leadership, and education skills when orienting new students in the workplace.
- Extracted history, interpreted specialized diagnostics and formulated assessments and plans under the direct supervision of the attending, and then documented using eClinicalWorks.
- Attained valuable experience in addressing common CVD, the commonly prescribed medications, indications, contraindications, and side effects.
Blood Donor Ambassador
American Red Cross
Upland, CA
08.2020 - 03.2021
- Volunteered as a blood donor ambassador at blood drives in different cities within the county - San Antonio Regional Hospital in Upland, San Bernardino Police Department, Grace Vargas Senior Center in Rialto, and American Legion Post 106 in Redlands.
- Welcomed 30-60 donors of various backgrounds, checked them in, obtained temperatures, observed them following donation, and provided refreshments.
- Accustomed to the types of blood donation, eligibility requirements, and its deferrals.
- Intervened when a donor became pale and diaphoretic after the donation; evaluated and then educated about possible side effects of blood donation and how to manage it.
- Attained motivating experience in working for a humanitarian cause and effectively communicating with a diverse population.
Clinical Observer
Kids First Pediatrics
Upland, CA
08.2020 - 12.2020
- Participated in delivering health care to 10-20 pediatric patients daily in the outpatient clinic and via telemedicine.
- Navigated and mastered the EMR (Office Practicum) and ICD-10 codes for common pediatric illnesses.
- Counseled the patients and their families on the importance of proper hygienic practices and social distancing to avoid contracting COVID-19 by effective communication at an appropriate age level.
- Educated the patients, parents, and guardians on the importance of abiding with the immunization recommendations.
- Emphasized the benefits of a balanced diet, good exercise, and minimal screen time to pediatric patients.
- Attained insight on counseling parents, offering reassurance regarding common illnesses, and addressing their questions and concerns.
Hands-On Clinical Extern
Thorek Memorial Hospital – Lincoln Square Clinic
Chicago, IL
07.2020 - 08.2020
- Worked in hands-on patient care of eight to 12 primary care patients per day, including documentation in the EMR (Practice Fusion).
- Conducted history and physical exam, discussed diagnostics, interpreted labs and imaging procedures, and elaborated patient care plans.
- Delivered 10- minute presentations on hypertension, diabetes, hepatitis, and hyperthyroidism to the medical team.
- Honed my communication, leadership, and education skills when orienting new students to the facility and workflow.
- Actively participated in clinical procedures, assisted in women’s health care, including pap smears and breast examinations, and assisted lab technicians with phlebotomy and EKGs in this outpatient setting.
Hands-On Clinical Extern
Park Slope Cardiology
Brooklyn, NY
06.2020 - 07.2020
- Evaluated between four to 15 patients daily for primary care and cardiac consultations and documenting them in the EMR (EClinical Works).
- Prioritized patients based on acuity and emphasized the signs and symptoms that delineate an emergent etiology of chest pain versus that of benign pathology.
- Provided education to patients on healthy lifestyle modifications related to food, dieting, smoking, and alcohol use and its effect on CVD.
- Observed cardiology diagnostics and bridging the gap in financial burden by providing drug samples and extra equipment from the office.
- Gained impactful experience by extending care and compassion to patients' anxiety surrounding the COVID-19 on top of their medical concerns in this high-volume outpatient clinic.
Hands-On Clinical Extern
HCA Houston Healthcare Hospital
Conroe, TX
03.2020 - 04.2020
- Actively participated in inpatient cardiology consultations, observed invasive cardiac procedures like catheterizations and transesophageal echocardiograms before the pandemic hit the state.
- Discussed diagnoses and management of inpatients before transitioning to work from home environment.
- Partook in the introduction and optimization of patient care delivery in the outpatient clinic later through telemedicine amidst the COVID-19 pandemic while learning to interpret echocardiograms and EKGs.
- Provided anticipatory guidance, education, and signs/symptoms to call for emergency management to 20 patients daily via phone or video.
- Delivered a 10-minute talk about the cardiovascular considerations for patients, health care workers, and health systems during the COVID-19 pandemic.
- Obtained an impactful experience in effectively managing patients amid an unforeseen health crisis.
Hands-On Clinical Extern
Broward Health Medical Center
Fort Lauderdale, FL
02.2020 - 03.2020
- Worked closely with residents at Broward Health Medical Center and became more familiar with their roles and responsibilities, the workflow of the inpatient and outpatient environment, and how the entire team delivers collaborative care.
- Assessed and managed four to six patients as part of the team and took the initiative to assist the residents with lab checks, referrals and follow-up appointments, and documentation in the electronic medical record.
- Participated in morning lectures and conferences with other residents and physicians.
- Evaluated patients in the outpatient clinic and achieved familiarity with the ICD-10 codes .
- Gained appreciation for how residents work with social workers and discharge planners to ensure safe transition of patient care from inpatient to outpatient setting.
Clinical Observer
Arrowhead Orthopedics
Redlands, CA
11.2019 - 12.2019
- Achieved experience in the management of sports-related injuries and chronic pain by this observership in sports medicine, pain management and rehabilitation, and interventional pain management.
- Familiarized with performing EMG/NCS studies, intra-articular injections, epidural steroid injections, median branch blocks, and radio frequency nerve ablation procedures.
- Solidified knowledge of the pharmacology of analgesics, including opioids, NSAIDs, antidepressants, anesthetics, and acquired expertise in the indications and contraindications of their use.
- Addressed sports-related injuries and chronic pain, which are common complaints in primary care, and determined how specialists utilize a multidisciplinary approach to pain management that includes both pharmacologic and non-pharmacologic methods
- Actively participated in outpatient consult with an average of 20 patient visits per day.
Clinical Observer
Kids First Pediatrics
Upland, CA
09.2019 - 10.2019
- Participated in the care of pediatric patients from newborns to 17 years of age.
- Surveyed and reviewed newborn care and assessment in the hospital with the attending and discussed the complications and aftercare of high-risk pregnancies.
- Ascertained the differential diagnoses of the pediatric patients in the outpatient clinic and alerted medical assistants about clinical procedures, vaccinations, and lab draws.
- Engaged in distraction techniques with games, books, and telling stories to patients.
- Gained mastery of immunization guidelines and learned how to develop trust and communicate at an age-appropriate level.
Volunteer
Loma Linda Filipino Seventh-Day Adventist Church
Loma Linda, CA
11.2015 - 09.2019
- Taught the zero to four-year-old classroom called “Cradle Roll Class” individually and in conjunction with other volunteers and mothers in the community.
- Ascertained that spiritual growth goes hand in hand with intellectual and emotional development.
- Shared bible stories, performed action songs, and taught children how to pray.
- Organized classroom and arranged crafts and activities.
- Oriented new volunteers to the classroom.
Volunteer
Rotary Club International
Philippines
11.2014 - 07.2015
- Extended free medical care to pediatric through adult patients and aided in disseminating donations, including wheelchairs, nebulizers, first aid kits, and BP devices to patients in need.
- Participated in group lectures to 3rd-grade students at Doña Rosario High School and discussed healthy nutrition by preparing and cooking nutritious meals to provide interactive learning of the benefits of eating vegetables.
- Counseled families taking care of their elderly on the importance of well-balanced nutrition, preventive health care measures, and emotional well-being.
- Learned how fulfilling it is to help others by giving back to the community through financial means and concerted efforts.
General Practitioner
Polyclinic, Cabanatuan
Philippines
06.2011 - 10.2014
- Delivered primary care to 20 patients, daily, in an outpatient clinic in a rural setting.
- Provided women’s healthcare and referred patients with high-risk pregnancies to the appropriate specialties.
- Traveled to Barangay health centers to offer medical outreach to the underserved population.
- Counseled patients on the importance of regular health check-ups, medication adherence, and a healthy lifestyle.
Postgraduate Intern
St. Luke’s Medical Center
Quezon City, Philippines
05.2010 - 04.2011
- Selected from a competitive application process to be one of eight post-graduate interns in the Philippines to rotate in a hospital affiliated with New York-Presbyterian Hospital and is a member of Mayo Clinic Care Network for fifth-year medical education.
- Worked as an intern in the department of internal medicine, pediatrics, obstetrics and gynecology, surgery, urology, neurology, ophthalmology, otolaryngology, and radiology.
- Provided optimal health care and management to 20 patients daily in inpatient and outpatient settings at a 650-bed capacity hospital through teamwork with co-interns and the ancillary staff.
- Responsible for patient admissions, frequent reassessments, diagnostic follow-up and interpretation, and attending morning rounds of all patients admitted during the 24-hour shift.
- Delivered hypertension and diabetes lectures to residents on the team.
- Acquired extensive clinical experience through working in a multidisciplinary hospital.
Education
Family Medicine Residency -
Niagara Falls Memorial Medical Center
Niagara Falls, NY06-2026
M.D. -
University of The City of Manila
Manila, Philippines04-2010
Bachelor of Science - Pharmacy
University of The Philippines
Manila, Philippines04-2006
Skills
- Provide holistic, longitudinal primary care across the lifespan, including pediatrics, adults, and geriatrics
- Diagnose and manage a broad spectrum of acute and chronic conditions in high-volume outpatient settings
- Deliver preventive services, including school physicals, well-child visits, Medicare Annual Wellness Visits, and women’s health exams
- Counsel patients on lifestyle modification, chronic disease management, and mental health concerns using patient-centered communication
- Collaborate effectively within interdisciplinary teams to ensure coordinated, comprehensive care
- Demonstrate strong organizational and time-management skills in fast-paced clinical environments
Certification
Medical Board of California – Physician & Surgeon License
Issued April 8, 2026 | Expires June 30, 2028
BLS certification: 9/10/2025 to 9/10/2027
ACLS certification: 9/12/2025 to 9/12/2027
PALS certification: 9/10/2025 9/10/2027
Accomplishments
Leadership Experience
Senior Resident Physician
- Serve as Senior Resident overseeing resident coordination and academic initiatives.
- Spearhead initiatives within the Graduate Medical Education (GME) Program.
- Active member of the Program Evaluation Committee (PEC), contributing to curriculum development, program assessment, and continuous quality improvement.
Scholarly Activity & Presentations
Poster Presentation
New York State Academy of Family Physicians (NYSAFP) Winter Weekend 2026
January 16–18, 2026
- “Snoring, Choking, and Socioeconomic Status: How Are They Associated?”
Selected for poster presentation at a statewide academic conference.
Community Engagement & Outreach
- Participate in mobile medical van outreach initiatives delivering preventive and primary care services to underserved communities.
- Provide educational lectures at local elementary schools on preventive medicine topics, including healthy lifestyle habits, hygiene, nutrition, and disease prevention
- Featured speaker on a local radio talk show discussing preventive medicine and community health awareness.
Timeline
Family Medicine Resident Physician
Niagara Falls Memorial Medical Center
06.2023 - Current
Clinical Observer
Kids First Pediatrics
10.2022 - 05.2023
Hands-On Clinical Extern
LaSante Health Center
08.2022 - 09.2022
Hands-On Clinical Extern
NewYork-Presbyterian Medical Group Brooklyn
08.2022 - 09.2022
Medical Assistant
Alicia Almendral, M.D., PLLC,
06.2022 - 07.2022
Hands-On Clinical Extern
Park Slope Cardiology
06.2022 - 07.2022
Clinical Observer
Rush University Medical Center
05.2022 - 06.2022
Research Volunteer
John Zhang Neuroscience Research Laboratory
04.2022 - 06.2022
Clinical Observer
Kids First Pediatrics
10.2021 - 03.2022
Clinical Observer
Rancho Medical Group
10.2021 - 10.2021
Hands-On Clinical Extern
Niagara Falls Memorial Medical Center
09.2021 - 09.2021
Clinical Observer
Foothill Primary Care
08.2021 - 09.2021
Hands-On Clinical Extern
Deepak Amin Medical Center
07.2021 - 07.2021
Hands-On Clinical Extern
Wellness First Medical Clinic
06.2021 - 07.2021
Hands-On Clinical Extern
Park Slope Cardiology
01.2021 - 05.2021
Blood Donor Ambassador
American Red Cross
08.2020 - 03.2021
Clinical Observer
Kids First Pediatrics
08.2020 - 12.2020
Hands-On Clinical Extern
Thorek Memorial Hospital – Lincoln Square Clinic
07.2020 - 08.2020
Hands-On Clinical Extern
Park Slope Cardiology
06.2020 - 07.2020
Hands-On Clinical Extern
HCA Houston Healthcare Hospital
03.2020 - 04.2020
Hands-On Clinical Extern
Broward Health Medical Center
02.2020 - 03.2020
Clinical Observer
Arrowhead Orthopedics
11.2019 - 12.2019
Clinical Observer
Kids First Pediatrics
09.2019 - 10.2019
Volunteer
Loma Linda Filipino Seventh-Day Adventist Church
11.2015 - 09.2019
Volunteer
Rotary Club International
11.2014 - 07.2015
General Practitioner
Polyclinic, Cabanatuan
06.2011 - 10.2014
Postgraduate Intern
St. Luke’s Medical Center
05.2010 - 04.2011
Family Medicine Residency -
Niagara Falls Memorial Medical Center
M.D. -
University of The City of Manila
Bachelor of Science - Pharmacy
University of The Philippines