Summary
Overview
Work History
Education
Skills
Certification
Research
Affiliations
Languages
Hobbies
Timeline
BusinessDevelopmentManager
Julian Alfredo Paniagua Morales

Julian Alfredo Paniagua Morales

3225 Johnson Ave, Bronx,NY

Summary

Highly skilled in evaluating and diagnosing medical conditions, performing bedside procedures and point-of-care ultrasound, and developing effective treatment plans. Experienced in leading the hospitalist team and supervising internal medicine residents and medical students. Known for effective communication, collaboration, and resolving challenges in the hospital environment. Committed to improving patient care, fostering safety culture, and enhancing team performance through innovative problem-solving. Continuously eager to acquire new skills and advance both professional expertise and personal development. Board Certified in Internal Medicine.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Director of Hospitalists

SBH Health System
Bronx, NY
01.2024 - Current
  • Recruit, train, supervise, evaluate and mentor staff members.
  • Coordinate and supervise hospitalist scheduling and patient census distribution.
  • Participate in daily safety calls to ensure compliance and patient safety.
  • Develop and lead monthly hospitalist meetings alongside the Chair of Medicine, addressing patient outcomes, system issues, and performance metrics.
  • Respond to critical patient care events in collaboration with senior leadership to ensure timely and effective resolutions.
  • Helped lead the creation and planning of SBH's first Medical Psychiatric Unit (MPU), participating in interdisciplinary meetings for its development.
  • Contributed to SBH's stroke committee, leading efforts for re-certification as a designated stroke center and drafting responses to TJC citations.
  • Present data on patient care events to SBH's QAPI conferences, ensuring continuous performance monitoring and improvement.
  • Investigate patient care events, provide feedback to care teams, and present corrective action plans to the Risk Management department.
  • Deliver semi-annual hospitalist performance evaluations based on key performance indicators (LOS, discharge time, patient experience, and resident experience).
  • Drafted and implemented critical policies for hospital workflow improvements.
  • Perform case morbidity and mortality case presentations to the Morbidity and Mortality Committee of the Department of Medicine.
  • Mentor and supervise residents for monthly Internal Medicine Morbidity and Mortality Conferences, ensuring rigorous case reviews and discussions.

Physician Builder (EPIC)

SBH
Bronx, New York
02.2023 - 12.2024
  • Participated in biweekly meetings with EPIC personnel to prepare for the transition of EMR systems in SBH.

Hospitalist

St. Barnabas Hospital
Bronx, NY
07.2020 - Current
  • 7/22/2020 - Present
  • Performing medical rounds on patients admitted to the general medical floor, leading a collaborative team of residents, nurses, and medical students.
  • Supervising and actively engaging in multidisciplinary rounds, coordinating efforts with nursing, social worker services, case management, pharmacy, nutrition, and physical therapy for comprehensive patient care.
  • Performing, teaching, and supervising residents in basic bedside procedures such as paracentesis, lumbar punctures, knee arthrocentesis, ultrasound-guided IV lines, phlebotomy, and arterial blood gas.
  • Performing, teaching, and supervising residents in educational bedside point-of-care ultrasound of the heart, lungs, kidneys, bladder, joint effusions, abscess characterization, and compression study to rule out DVT.
  • Supervising residents and nurse practitioners in the Detox unit, overseeing the provision of specialized care for patients experiencing active opioid and alcohol withdrawal.
  • Offering constructive feedback on the expertise and skills of in-training residents and medical students to support their professional development.
  • Conducting thorough mortality and morbidity reviews as part of a commitment to promoting a robust safety culture within the healthcare environment.

Internal Medicine Resident, Post Graduate Year 4

St. Barnabas Hospital
Bronx, New York
06.2020 - 07.2021
  • 06/20/2020 - July 21 2020

Internal Medicine Resident Physician

St. Barnabas Hospital
Bronx, United States of America
06.2017 - 06.2020
  • 06/20/2017 - 06/19/2020

General Practitioner

Asistential Clinic "Corazon De Maria"
San Salvador, El Salvador
01.2014 - 12.2014

Clinical Intern

National Hospital "San Rafael"
Santa Tecla, El Salvador, El Salvador
01.2013 - 12.2013

Exchange Student

Dr. Josep Trueta Hospital
Girona, Spain, Spain
07.2012 - 07.2012

Education

M.D. -

Dr. Jose Matias Delgado University
La Libertad, El Salvador
2015

Skills

  • Strong medical ethic
  • Patient and family focused
  • Cultural awareness and sensitivity
  • Problem resolution ability
  • Superuser in EPIC EHR
  • Bedside procedural skills: Ultrasound guided IV lines, Paracentesis, Lumbar puncture, and knee Arthrocentesis

Certification

  • ECFMG certified on September 16, 2016. Certificate number 0-943-702-1
  • Fundamental Critical Care Support (FCCS) by Society of Critical Care Medicine, February 2021
  • Ultrasonography: Essentials in Critical Care by CHEST, August 2021
  • American board of Internal Medicine (ABIM) Certification August 2021

Research

Peer Reviewed Journal Articles/Abstracts

  • Truong T, Nazer K, Paniagua-Morales J A, Pitaktong A, Bass B M, Ramirez A D, Roy J, Lafaro R, Glass L N. CHYLOTHORAX AND MEDIASTINAL LYMPHOCELE FOLLOWING ESOPHAGECTOMY UNMASKED BY PLEURAL FIBRINOLYSIS AND SUCTION THERAPY. CHEST, Volume 166, Issue 4, A3673 - A3674, October 2024
  • Ghimire K, Ghimire M, Poudel S, Shrestha K, Subedi P, Thapa A,∙Paniagua Morales J A, Pandey O, Sharma C. IMPACT OF GASTROESOPHAGEAL REFLUX DISEASES IN PATIENTS WITH INTERSTITIAL LUNG DISEASES: INSIGHT FROM A NATIONAL INPATIENT SAMPLE STUDY. CHEST, Volume 166, Issue 4, Supplement, A3356, October 2024
  • Budh D P, Hawa S, Rios D, Chilakala A, Paniagua J A. Acute Generalized Exanthematous Pustulosis in a Setting of Cutaneous Lymphoma. Cureus. 2022 Sep; 14(9): e29754. Published online 2022 Sep 29. doi: 10.7759/cureus.29754
  • Budh D, Rios D, Chilakala A, Paniagua J. Acute Generalized Exanthematous Pustulosis (AGEP). New York Medical Journal (2154-9400), 2022, Vol 16, Issue 2, p1.
  • Elfert K, Dhani A, Bhardwaj A, Ali M, Paniagua J, Oza P. RIGHT-SIDED PLEURAL EFFUSION ASSOCIATED WITH STENOSIS OF RIGHT BRACHIOCEPHALIC VEIN STENT IN A HEMODIALYSIS PATIENT. AMERICAN JOURNAL OF KIDNEY DISEASES, Volume 79 (4): S39-S39, 2022/4/1
  • Zada, Ilanit; Alzyood, Laith; Paniagua, Julian; Saldana, Ricardo Velasquez. 561: Evaluating the Analgesic Effect of Ketamine in Mechanically Ventilated Patients, Critical Care Medicine: January 2021 - Volume 49 - Issue 1 - p 273 doi: 10.1097/01.ccm.0000728132.89650.e9
  • Schmuter G, Paniagua-Morales J A (July 04, 2021) Novel Presentation of Aphasia and Tremor in Immune-Mediated Necrotizing Myopathy. Cureus 13(7): e16159. doi:10.7759/cureus.16159
  • Then E, O., Aloreidi K, Gayam V, Paniagua-Morales J, Culliford A, Gaduputi V. Mega esophageal diverticulum complicated by post-operative esophageal stricture. ACG 2019 Annual Scientific Meeting & Post-graduate Course. 2019, Jun; Pub Status: Submitted
  • Sharma S, Paniagua-Morales J A, Cordoba G Gerardo, et al. Idiopathic Retroperitoneal Fibrosis Presenting as Low Back Pain. Case Report. 2019, Feb; Cureus 11(2): e4075. Pub Status: Published. Peer Reviewed Journal Articles/Abstracts(Other than Published)
  • Cordoba, Giovanni & Kim, Marisa & Sharma, Shorabh & Paniagua, Julian & Folgarait, Gianinna & Berger, Judith. (2019). Septic shock caused by the under-recognized bacterium Eggerthella lenta in a 61-year-old male with a periurethral abscess: a case report. Revista da Sociedade Brasileira de Medicina Tropical. 52. 10.1590/0037-8682-0081-2019. Pub Status: Accepted
  • R.C. Cerrud-Rodriguez, J. Paniagua-Morales, A. Olagunju, V. Bengualid, and S.R. Rokkam. Legionnaires' Disease Presenting with Gastrointestinal Symptoms and Rhabdomyolysis. C59. Unusual Pulmonary Infections. 2018, May; Pub Status: Accepted
  • Teferi A, Sangam S, Newman A, Alvarado O, Madera I, Paniagua J. A Rare Case of Malignant Peripheral Nerve Sheath Tumor Misdiagnosed as Sciatica in a Patient with Neurofibromatosis Type I. European Journal of Case Reports in Internal Medicine. Pub status: Accepted, pending publication.

Peer Reviewed Online Publication

  • Paniagua, J. Rehmani, R. (2019, February 01). Renal Osteodystrophy in Renal Transplant. https://newyorkmedicaljournal.org/renal-osteodystrophy-in-renal-transplant/, Pub Status: Published

Poster Presentation

  • I. Madera, L. Jimenez, L. Perez, M. Fleming, W. Jin, A. Mascia, J. Paniagua (May 2024). Increase in VTE prophylaxis in ischemic stroke patients being admitted to St. Barnabas Hospital. Presented at SBH Health System Annual Performance Improvement Fair Bronx, NY, USA
  • A. Dhani, W. Paredes, J. Paniagua, A. Soni (May 2024). Improving Physician Compliance with Placement of Patients on Elopement Precautions.Presented at SBH Health System Annual Performance Improvement Fair Bronx, NY, USA
  • E. Telzak, A. Babaev, P. Lattery, D. Gilbert, S. Wolfstein, J. Paniagua, J. Dauhajre, J. Witter (May 2024). Medication Management: It Takes a Village. Presented at SBH Health System Annual Performance Improvement Fair Bronx, NY, USA
  • F. Hodo, H. Santos, W. Paredes, S. Bankowski, J. Pjetrushaj, L. Pedraza, L. Perez, A. Teferi, S. Keerthi, N. Guevara, J. Paniagua, G. Macchiavello (May 2024). Approach to resolving issues with scheduled HIV testing. Presented at SBH Health System Annual Performance Improvement Fair Bronx, NY, USA
  • K. Ghimire, M. Ghimire, K. Shrestha, P. Subedi, J. Paniagua (April 2024). Trends and Outcomes of Support Before and After the COVID-19 Outbreak: A Nationwide Study ECMO. Presented at the 19th Annual Resident Research Day at St Barnabas Hospital; Bronx, NY, USA
  • K. Ghimire, M. Ghimire, K. Shrestha, P. Subedi, J. Paniagua (April 2024). Impact of Gastroesophageal Refluz Disease in Patients with Interstitial Lung Disease: Insights from a National Inpatient Sample Study. Presented at the 19th Annual Resident Research Day at St Barnabas Hospital; Bronx, NY, USA.
  • K. Elfert, S. Fahim, K. Mushtaq, F. Vikash, A. F. Aboelezz, J. Paniagua, N. Narendra, S.K. Nayudu. (October 2023). Transient Gastric Outlet Obstruction Complicating post-ERCP Pancreatitis. Presented at the United European Gastroenterology week, Oct 14-17. Vienna, Austria.
  • Budh D, Rios D, Chilakala A, Paniagua J. (April 2022). Acute Generalized Exanthematous Pustulosis (AGEP), a case report. Presented at the 17th Annual Resident Research Day at St Barnabas Hospital; Bronx, NY, USA
  • Elfert K, Dhani A, Bhardwaj A, Ali M, Paniagua J, Parind O. (April 2022). Right-sided pleural effusion associated with stenosis of right brachiocephalic vein stent in a hemodialysis patient. Presented at the 17th Annual Resident Research day at St Barnabas Hospital; Bronx, NY, USA
  • Budh D, Tirado J, Colon-Ramos A, Belandria J, Paniagua J. (April 2022). Resident wellness- where do we stand? Presented at the 2022 Virtual Annual Performance Improvement Fair at St Barnabas Hospital; Bronx, NY, USA.
  • Issa K, Nutakki S, Marneni N, Ashraf R, Ghaffar Z, Paniagua J. (April 2022). Intervention to reduce the number of midline placement to prevent midline associated infections. Presented at the 2022 Virtual Annual Performance Improvement Fair at St Barnabas Hospital; Bronx, NY, USA.
  • Broka A, Issa K, Deepa B, Paniagua J. (April 2022). The DIY Ultrasound Guided IV access phantom role in mass training for incoming residents. Presented at the 2022 Virtual Annual Performance Improvement Fair at St Barnabas Hospital; Bronx, NY, USA.
  • Salat H, Aggarwal A, Paniagua J, Bijjam R, Sharma S, Siau E, Trenard N / Paniagua J, Salat H. (March, 2019). Quality Improvement Project to Improve Pulmonary Rehabilitation Referrals in a Major Inner-city Hospital Poster presented at: The 2019 Annual New York State Thoracic Society Assembly; New York, NY, USA

· Cabezas, A. Figueroa, R. Paniagua, J.A. Ramos, R. Santillana, E.J.. (May, 2007). Personalized Human Genome Project Poster presented at: X Congress of Medicine of University "Dr. Jose Matias Delgado"; San Salvador, SLV

Affiliations

  • Best Poster – Case Report/Series award for “Acute Generalized Exanthematous Pustulosis (AGEP)", May 2022.
  • Teaching Award on behalf of the Internal Medicine Residents from St. Barnabas Hospital, June 2023.
  • Best Project Addressing a Joint Commission Safety Goal: Increase in VTE prophylaxis in ischemic stroke patients being admitted to St. Barnabas Hospital, May 2024.

Languages

Spanish
Proficient (C2)
C2
English
Proficient (C2)
C2
Portuguese
Upper Intermediate (B2)
B2
French
Elementary (A2)
A2
German
Elementary
A1

Hobbies

Avid tennis and table tennis player, bass and guitar playing, travelling, exploring new restaurants, hiking and cooking.

Timeline

Director of Hospitalists

SBH Health System
01.2024 - Current

Physician Builder (EPIC)

SBH
02.2023 - 12.2024

Hospitalist

St. Barnabas Hospital
07.2020 - Current

Internal Medicine Resident, Post Graduate Year 4

St. Barnabas Hospital
06.2020 - 07.2021

Internal Medicine Resident Physician

St. Barnabas Hospital
06.2017 - 06.2020

General Practitioner

Asistential Clinic "Corazon De Maria"
01.2014 - 12.2014

Clinical Intern

National Hospital "San Rafael"
01.2013 - 12.2013

Exchange Student

Dr. Josep Trueta Hospital
07.2012 - 07.2012

M.D. -

Dr. Jose Matias Delgado University
  • ECFMG certified on September 16, 2016. Certificate number 0-943-702-1
  • Fundamental Critical Care Support (FCCS) by Society of Critical Care Medicine, February 2021
  • Ultrasonography: Essentials in Critical Care by CHEST, August 2021
  • American board of Internal Medicine (ABIM) Certification August 2021
Julian Alfredo Paniagua Morales