Cristóvão Vieira
Medical Doctor
Fishers,IN
Summary
- Confident, innovative physician with vast experience in a wide spectrum of medical specialties, including hyperbaric oxygen medicine, internal medicine, clinical and interventional nephrology, critical care and emergency room care.
- Ongoing commitment in developing and maintaining administrative and medical skills to give patients an exceptional, top-notch health care experience.
- Posses key strengths is the ability to deal with situations as they happen while maintaining a professional attitude and an approachable temperament.
- Experienced physician with leadership skills and over 25 years of experience in medicine. Excellent reputation for resolving problems and improving patient satisfaction.
- Ability to recognize and develop a strong team.
- Diligent professional dedicating time and effort in giving colleagues, co-workers, and staff members guidance and training to further enhance their careers and contribute positively to a cohesive working environment.
- Detail-oriented professional with a focus on deadlines and the assurance that all documentation is handled efficiently and without errors. Confident and knowledgeable in data confidentiality and privacy practices when reviewing patient information.
- Proactive medical director experience with a distinguished understanding of EMR use and data entry. Adept in handling patient complaints and comments.
- Results-driven physician offering experience in a wide variety of medical specialties, focused in quality, top-notch medical care having performed over 3,000 medical procedures during the course of professional career.
Overview
3
3
Languages
9
9
Certifications
13
13
years of post-secondary education
25
25
years of professional experience
Work History
Instructor of Medicine
University Of Miami School Of Medicine
Miami, FL
06.2001 - 06.2002
- Attending Physician in Internal Medicine and Nephrology with several responsibilities including explaining patients the nature of their treatment procedures, medications and diets to inform patient and patient's family of care and progress.
- Reviewed patient progress to document effects of any prescribed medication.
- Evaluated patients to identify and address disease, behavioral concerns and medically relevant symptoms.
- Offered immediate assistance in emergency and routine care situations to evaluate needs and deliver care.
- Obtained biological specimens for ordered tests and interpret results.
- Interacted with patients and monitored vital signs during time of admission to communicate with hospital and clinic staff.
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Academic responsibilities that included updating curricula and lesson planning for individual courses.
- Supervised students' fieldwork, internship and research work.
- Prepared course materials such as syllabi, journal club and lectures.
- Advised students on academic and vocational curricula and career issues.
- Directed program operations delivering education to more than 120 students each year.
- Taught small groups of students focused on specific parts of coursework.
Assistant Professor of Medicine
University Of Miami School Of Medicine
Miami, FL
07.2002 - 12.2005
- Attending Physician in Internal Medicine and Nephrology with several responsibilities including explaining patients the nature of their treatment procedures, medications and diets to inform patient and patient's family of care and progress.
- Reviewed patient progress to document effects of any prescribed medication.
- Evaluated patients to identify and address disease, behavioral concerns and medically relevant symptoms.
- Offered immediate assistance in emergency and routine care situations to evaluate needs and deliver care.
- Obtained biological specimens for ordered tests and interpret results.
- Interacted with patients and monitored vital signs during time of admission to communicate with hospital and clinic staff.
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Academic responsibilities that included updating curricula and lesson planning for individual courses.
- Supervised students' fieldwork, internship and research work.
- Prepared course materials such as syllabi, journal club and lectures.
- Advised students on academic and vocational curricula and career issues.
- Directed program operations delivering education to more than 120 students each year.
- Taught small groups of students focused on specific parts of coursework.
Medical Director of Dialysis Center - Davita
University Of Miami School Of Medicine
Miami, FL
07.2001 - 12.2005
- As the medical director of a dialysis unit I had the responsibility of supervising End-Stage Renal Disease (ESRD) Conditions for Coverage and encompass multiple quality, safety, and educational domains.
- Shaped the culture of the dialysis facility such that patients and staff felt free to communicate their concerns regarding suboptimal processes without fear of retribution.
- Responsible for continuous iterative process of quality improvement and safety.
- Leadership responsibilities as the medical director I was focused in improving communications skills, staff empowerment, allocation of resources, mentoring, team building, and strategic vision.
- Verified effective, consistent communication between department heads, medical staff and governing boards through board meeting attendance and synchronization of interdepartmental functions.
- Maintained compliance with local, national and federal requirements for staff education and certifications.
- Developed alliances with internal departments, including nursing, physical therapy and pharmacy units, resulting in improved communication and performance throughout region.
- Oversaw and developed clinical departments through hiring, training and evaluating staff.
Private Practice Nephrologist
Feinroth, Reich And Vieira Nephrology Associates
Hollywood, FL
01.2008 - 12.2009
- Practiced Internal Medicine and Nephrology at the Memorial Healthcare System in Hollywood, Pembroke Pines and Miramar, Florida.
- Provided diagnosis and treatment for patients suffering from a wide spectrum of acute and chronic illnesses.
- Participated as monitoring physician in clinical trials of new medications and procedures for patients suffering from chronic kidney disease and end-stage renal disease (ESRD).
- Devised treatment plans for disorders involving renal, cardiovascular, endocrine and other internal systems.
- Met with patients to discuss medical histories and current complaints.
- Admitted and treated patients as part of hospital's 24-hour on-call services.
- Stayed abreast of advances in treatments, emerging pharmaceutical applications and new diagnostic tools for application in Internal Medicine and Clinical and Interventional Nephrology.
- Monitored practice budget closely to prepare financial reports for monthly board of directors meetings.
- Teamed with other physicians, specialists and health care providers to provide well-rounded care for complex cases.
- Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
- Participated in professional growth programs to support special education improvement efforts.
- Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.
- Helped patients receive appropriate, high-quality care with reasonable results.
- Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
- Evaluated IEP for compliance with state and federal requirements regulations and rectified non-compliance issues immediately.
- Consulted with clinicians to devise and manage ongoing care plans for at-risk patients.
- Developed positive relationships with patients to foster communication and encourage health prevention.
Chairman, Department of Nephrology
Cleveland Clinic Of Florida
Weston, FL
01.2007 - 12.2007
- Provided recommendations on board of directors on group's effectiveness, actions and future plans.
- Facilitated decision making by building consensus and developing solutions.
- Identified new areas of scientific research and provided internal training.
- Interviewed, supervised and motivated the Division of Nephrology staff members to achieve optimal productivity.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Reviewed and evaluated test results to suggest care and treatment options.
- Achieved under-budget and on-time project management to adhere to project goals.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
- Oversaw business-wide changes to modernize procedures and organization.
- Collaborated with national and international organizations to leverage Cleveland Clinic's connections.
- Teamed with other physicians, specialists and health care providers to provide well-rounded care for complex cases.
- Thoroughly examined patients and elicited medical history data to use in assessing health and identifying conditions.
- Academic: Supervised residents and Fellows on their evaluation of patient histories, complaints and current symptoms.
- Streamlined research processes to meet tight deadlines for multiple projects.
- Led special projects through effective emergency resolution by diminishing obstacles and saving time.
Medical Director Vascular Access Access Center
Ft. Lauderdale Vascular Access Center
Fort Lauderdale, FL
01.2008 - 12.2009
- Optimized case and clinical management and recommended plans to improve safety and health programs.
- Maintained compliance with local, national and federal requirements for staff education and certifications.
- Led diverse team of medical and administrative professionals in day-to-day clinic activities such as patient care, new business development and patient relations.
- Improved patient outcomes and delivery of care through improved clinical quality processes.
- Assessed performance of all procedures, including medical care, equipment, supplies, and pharmaceutical drugs.
- Developed criteria for test orders and trained staff regarding data acquisition methods and escalation protocol.
- Developed quarterly and yearly objectives, goals and budgets in addition to devising suggestions to decrease spending.
- Grew patient volume to over 400 patients in one year.
- Expanded practice to include specialty services like Peritoneal Dialysis Access Procedures.
- Performed over 3,000 dialysis access interventions.
- Drove planning for business development and relationship building with healthcare partners.
- Focused on preventive care and proactive identification in care management of high-risk patients to lower costs.
- Created robust systems and controls to improve patient records management.
Chief of Nephrology at Major Hospital
Major Health Partners
Shelbyville, IN
01.2010 - 07.2019
- Explained treatment procedures, medications and diets to inform patient and patient's family of care and progress.
- Reviewed patient progress to document effects of any prescribed medication.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Teamed with other physicians, specialists and health care providers to provide well-rounded care for complex cases.
- Dedicated 70 hours per week as Attending Physician in Internal Medicine, Nephrology providing service on business hours and also on-call physician on weekends and holidays.
- Thoroughly examined patients and elicited medical history data to use in assessing health and identifying conditions.
- Implemented therapeutic regiments involving medications and other interventions to mitigate symptoms and prevent reoccurrence.
- Designed, created and developed a new nephrology service that included in-patient dialysis, outpatient dialysis and interventional dialysis procedures
- Evaluated success of training programs and recommended improvements to upper management to enhance effectiveness.
- Helped organizations refocus vision, mission and brand to improve efficiency and performance.
- Reviewed established policies and procedures to motivate employees and facilitate smooth hospital operations.
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.
President, Medical Director INDY VITAL
Indy Vital
Indianapolis, IN
08.2019 - 05.2021
- Incorporated Indy Vital
- Sourced initial funding to get business up and running while planning initial structure and making strategic first hires.
- Devised processes to boost long-term business success and increase profit levels.
- Set organizational mission, business vision and employee expectations for the medical practice.
- Established and administered annual budget with controls to prevent overages, minimize burn rate and support sustainability objectives.
- Determined areas in need of improvement and devised targeted corrective actions for each concern to maintain optimal business operations.
- Set, enforced and optimized internal policies to maintain efficiency and responsiveness to demands.
- Created and updated company digital presence to enhance patient acquisition through marketing; developed professional website and optimized social media profiles.
- Determined business plan, mission statement and vision.
- Negotiated price and service with customers and vendors to decrease expenses and increase profit.
- Mitigated business risks by working closely with accountant and financial institutions.
- Trained and guided team members to maintain high productivity and performance metrics.
- Improved brand awareness by monitoring all marketing campaigns and fostering membership acquisitions and business development.
- Implemented therapeutic regiments involving medications and other interventions to mitigate symptoms and prevent reoccurrence.
- Discussed any possible side effects of medication or immunization with patient.
- Prescribed topical treatments and hormonal agents.
- Reviewed medical testing requests to determine validity of diagnostic testing requests.
- Ordered and executed various tests, analyses and diagnostic images to provide information on patient condition.
- Administered or prescribed treatments.
- Conducted physical assessments of relevant body areas and performed standardized tests to check responses.
- Reported policy changes and company conditions affecting customer satisfaction.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Reviewed provider coding information to report services and verify correctness.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Responded to correspondence from insurance companies.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Reviewed charts and flagged incomplete or inaccurate information.
Education
M.D. - Medicine
Pontifical Catholic University of Parana - Brazil
Curitiba, PR, Brazil 01.1989 - 01.1995
M.D. - Medicine
University of Miami Latin American Program
Miami, FL 01.1994 - 12.1994
Research Fellow in Endocrine Surgery - Endocrine Surgery
University of Miami
Miami, FL 01.1995 - 06.1996
Intern in Internal Medicine - Internal Medicine
University of Miami
Miami, FL 07.1996 - 06.1997
Resident in Internal Medicine - Internal Medicine
University of Miami
Miami, FL 07.1997 - 06.1999
Fellow in Nephrology - Nephrology
University of Miami
Miami, FL 07.1999 - 06.2001
Skills
Data analysis skills
Accomplishments
1. Nephrologist, Attending physician for the Cardiovascular Center, University of Miami Hospital and Clinic, Jackson Memorial Medical Center 2003
2. Development and implementation of the University of Miami Cedars Medical Center Dialysis and Plasmapheresis Service 2003
3. Development and implementation of the University of Miami, Interventional Nephrology Program, 2001
4. Medical Director for Outpatient Dialysis Services at Gambro North Miami 20003-2005
5. Development and implementation of the Fort Lauderdale Access Center, Medical Director 2008-2009
6. Development and Implementation of the Nephrology Service at Major Hospital, Shelbyville, IN 2010-2019
7. Founder, Medical Director of INDY VITAL 2019-2021
Affiliations
1. American Society of Diagnostic and Interventional Nephrology
2. American Society of Nephrology
3. American Medical Association
4. American College of Physicians
5. Indiana State Medical Association, 2010
Additional Information
- Honors and Awards: , 2003-2004 Excellence in Teaching – Honor presented by the University of Miami Medical School 2004-2005 Excellence in Teaching – Honor presented by the University of Miami Medical School
Certification
Ultrasonography by Emory University
Publications
1. Juried or refereed journal articles and exhibitions, publications and abstracts Metabolic Acidosis with Extreme Elevation of Anion Gap: Case Report and Literature Review, The American Journal of Medical Sciences, Jan. 1999; Vol. 317, Number 1:38-49
2. Nefrologia Intervencionista: Ficção ou Realidade? Cristóvão F. Vieira, Arif Asif, Patricia Byers, Maria Claudia Vieira, Donna Merrill, Renne Hogan David Roth, Marcos Alexandre Vieira, Carlos Alberto Rost, José Aluisio Vieira.JBN 2004;26(3):129-136
3. Arif Asif, Jan Tawakol, Tasnim Khan, Cristovao F. Vieira, Patricia Byers, Florin Gadalean, Rene Hogan, Donna Merrill, and David Roth: Modification of the Peritoneoscopic Technique of Peritoneal Dialysis Catheter Insertion: Experience of an Interventional Nephrology Program, Sem in Dial. 2004
4. ASIF Arif ; BYERS Patricia ; VIEIRA Cristovao F. ; MERRILL Donna ; GADALEAN Florin ; BOURGOIGNIE Jacques J. ; LECLERCQ Baudouin ; ROTH David ; GADALLAH Merit F.: Peritoneoscopic placement of peritoneal dialysis catheter and bowel perforation: Experience of an interventional nephrology program, American journal of kidney diseases
5. Asif A, Byers P, Roth D, Vieira C: Developing a comprehensive diagnostic and interventional nephrology program at an academic center. Am J Kidney Dis. Asif A, Byers P, Preston RA, Vieira C et al: Diagnostic and Interventional Nephrology. Am J Kidney Dis. 2002
6. Asif A, Byers P, Vieira C et al: Peritoneal dialysis (PD) access: Experience of an Academic Interventional Nephrology (IN) Program. JASN 13; 393, 2002.
7. Asif A, Byers P, Vieira C et al: Choice of peritoneal dialysis and catheter insertion in the setting of a catastrophic start: Impact of an Interventional Nephrology Team. JASN 13; 393, 2002. Asif A, Byers P, Gadalean F, Hogan R, Pennell P, Roth D, Vieira C: Interventional Nephrology (IN): An Emerging Specialty of Nephrology. JASN 13; 401, 2002.
8. Asif A, Gadalean F, Hogan R, Reich J. N., Roth D, Saigal K, Vieira C: Ultrasonography by the Nephrologist. JASN 13; 457, 2002
9 . Asif A, Gadalean F, Hogan R, Rao V, Roth D, Saigal K, Vieira C: Renal Allograft Biopsy as an Outpatient Procedure. JASN 13; 457, 2002
Poster Presentations
1. Interventional Nephrology; PD Access Procedure Program at an Academic Center. Poster presentation. ASN Philadelphia, 2002
2. Interventional Nephrology (IN): An Emerging Specialty of Nephrology. Poster Presentation. ASN Philadelphia, 2002
3. Catastrophic Start and the Choice of Peritoneal Dialysis and Catheter Insertion: Impact of an Interventional Nephrology Team. Poster Presentation. ASN Philadelphia, 2002
4. Ultrasonography by the Nephrologist. Poster Presentation. ASN Philadelphia, 2002
5. Renal Allograft Biopsy as an Outpatient Procedure. Poster presentation. ASN Philadelphia, 2002
6. Long Term Survival of 122 Patients with Lupus Nephritis. Poster Presentation. ASN Philadelphia, 2002
Funded Research
1. Principal Investigator: A prospective, randomized, double-blind, double-dummy, forced-titration, multicenter, parallel group, one year treatment trial to compare MICARDIS (telmisartan) 80 mg versus COZAAR (losartan) 100 mg, in hypertensive type 2 diabetic patients with overt nephropathy (AMADEO study).
2. Sub-Investigator with Jorge Diego, M.D., Principal Investigator: A Phase 3 Study to Assess the Efficacy and Safety of an Oral Calcimimetic (AMG 073) in Secondary Hyperparathyroidism of End Stage Renal Disease Treated with Hemodialysis – Amgen Protocol No. AMG 073 20000172, 2002
3. Sub-Investigator with Jorge Diego, M.D., Principal Investigator: Correction of Hemoglobin and Outcomes in Renal Insufficiency (CHOIR) – Ortho Biotech Products, L.P. – Protocol No.: PR00-06-014, 2002
4. Sub-Investigator with J. Phillip Pennell, M.D., Principal Investigator: A Study of Renagel® Phosphate Binder Versus Calcium-Based Phosphate Binders in Hemodialysis Patients – Geltex Pharmaceuticals, Inc. – Protocol # GTC-68-401, 2002
5. Sub-Investigator with Jorge Diego, M.D., Principal Investigator: A Study of Darbepoetin alfa Administered Once Every Four Weeks in Chronic Renal Insufficiency (CRI) Subjects with Anemia – Amgen Protocol No.: 20010212
6. Sub-Investigator with Jorge Diego, M.D., Principal Investigator: A Placebo-controlled, Double-blind, Extension Study to Assess the Long-term Safety of an Oral Calcimimetic(AMG 073) in Secondary Hyperparathyroidism of End Stage Renal Disease – Amgen Protocol No.: AMG 073 20010240, 2002Sub-Investigator with J. Phillip Pennell, M.D.,
7. Principal Investigator: A Study to Evaluate the Efficacy and Safety of 7.5% Icodextrin Peritoneal Dialysis Solution as Compared to Dianeal PD-2 Peritoneal Dialysis Solution with 4.25% Dextrose, for the Long Dwell in Patients treated with Automated Peritoneal Dialysis (APD) – Baxter Healthcare Corporation Protocol No.: RD-00-CA-050
Honors and Awards
2003-2004 Excellence in Teaching – Honor presented by the University of Miami Medical School
2004-2005 Excellence in Teaching – Honor presented by the University of Miami Medical School
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Additional Experience
- Intensive Care Unit Attending Physician at West Palm Beach Veterans Hospital 2002-2005.
- Emergency Room Attending Physician at the Miami Veterans Administration Hospital 1998-2002.
Quote
There’s no shortage of remarkable ideas, what’s missing is the will to execute them.
Seth Godin
Timeline
President, Medical Director INDY VITAL
Indy Vital
08.2019 - 05.2021
Chief of Nephrology at Major Hospital
Major Health Partners
01.2010 - 07.2019
Medical Director Vascular Access Access Center
Ft. Lauderdale Vascular Access Center
01.2008 - 12.2009
Private Practice Nephrologist
Feinroth, Reich And Vieira Nephrology Associates
01.2008 - 12.2009
Chairman, Department of Nephrology
Cleveland Clinic Of Florida
01.2007 - 12.2007
Assistant Professor of Medicine
University Of Miami School Of Medicine
07.2002 - 12.2005
Medical Director of Dialysis Center - Davita
University Of Miami School Of Medicine
07.2001 - 12.2005
Instructor of Medicine
University Of Miami School Of Medicine
06.2001 - 06.2002
Fellow in Nephrology - Nephrology
University of Miami
07.1999 - 06.2001
Resident in Internal Medicine - Internal Medicine
University of Miami
07.1997 - 06.1999
Intern in Internal Medicine - Internal Medicine
University of Miami
07.1996 - 06.1997
Research Fellow in Endocrine Surgery - Endocrine Surgery
University of Miami
01.1995 - 06.1996
M.D. - Medicine
University of Miami Latin American Program
01.1994 - 12.1994
M.D. - Medicine
Pontifical Catholic University of Parana - Brazil
01.1989 - 01.1995
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