After completing a family medicine residency at the University of Cincinnati, I joined a practice at in the University's primary care division. I practiced inpatient and outpatient family medicine in this practice.
Within a couple of years of practice, I realized a need to improve work-life balance. I accepted a position as the medical director of the employee health department at UC Health. This role included management of over 15,000 hospital employees. I led the clinical team with oversight, management and collaboration on a multidisciplinary team that included clinicians, attorneys, human resource professionals, and utilization management personnel. Outside of the clinical management of healthcare worker injuries and exposures, I was responsible for pre-employment and fitness for duty evaluations and I served as the certified medical review officer for the institution's workplace drug and alcohol testing program. I worked closely as a clinical advisor with our utilization management team, HR, and clinicians to manage the hospital system's workers compensation caseload. COVID presented novel problems to every hospital in the world and presented an opportunity for me to develop new skills. My role expanded to include the development of a software system to manage COVID exposures, symptoms, illness, and testing. I developed the system that the hospital uses to allow self-report of COVID symptoms/exposures, the issuing of automated guidelines/advice to employees to ensure prompt management of symptoms, and self-scheduling of COVID testing, with management of results in one system. The system was helped greatly by my work in this capacity and it was a highlight of my career to expand my responsibilities and impact during the pandemic.
This role also included teaching of the occupational medicine residents, regular training of the hospital staff on blood borne pathogen exposures, and the opportunity to regularly work with teams that included hospital executive leadership, hospital infection control, HR, legal, risk management, workers compensation management, nursing management, toxicology and lab personnel management, as well my day to day interactions with the clinical team that I led.
This role was comprehensive and included forward thinking and planning to grow the department per the goals of expansion set forth by hospital leadership.
I spent most of my career in this role while continuing to practice primary care. After COVID, changes in structure at the hospital and personal challenges caused me to resign from the medical director role at the hospital.
Throughout my years as an attending, I have always held a part-time position in non-primary care roles, and a part-time position in primary care. My non-primary roles have included pharmaceutical research, consulting for addiction medicine practice, text-based longitudinal primary care in a remote setting, collaborating physician roles, and a variety of voluntary roles in community service.
I founded this practice at a time I was seeking to improve my work-life balance. As a wife and mother, I found it necessary to decrease my time providing primary care as an employee of a large hospital system. As I began to add more administrative, consulting, UM, and Pharma jobs to diversify my time and alleviate the strain of full time primary care, I realized I needed a way to maintain my clinical skills despite choosing to work less in traditional clinical settings. Opening my own practice has allowed me the flexibility to maintain my clinical skills, stay up to date with evidence based medicine, but see a few patients anytime 24/7 as my schedule permits. Business management and management of complex primary care are the duties I manage in this role.
My practice is a very small private practice that provides a diverse array of primary care and primary care related services. I take pride in using my practice to teach medical students from my Alma Mater, University of Cincinnati College of Medicine. My practice affords me the opportunity to teach and show learners a model of authentic, non-rushed and empathetic primary care …perfect for learners in my opinion. I also provide a lot of free medical care to vulnerable communities through community service efforts that I take pride in. This practice serves as a constant source of maintaining my clinical skill. It is in no way a hindrance to my ability to work full or part time elsewhere as my panel of longitudinal patients is very small and I can adjust my teaching commitments according to new career interests that may require adjustment. There are no conflicts of interest for jobs in UM, Pharma, or much as as the model is very unique and unlike any other practices I’ve encountered. I need full-time remote work and additional income to optimize my financial and occupational positions so that I am more satisfied with my career and in an optimal position to finish the second half of my working years.
Remote digital clinician providing full spectrum primary care in a fast-paced , digital environment. The role required use of a text-based platform to deliver care in a novel way, with telehealth supplementation. Weekly team meetings allowed for a collaborative environment with NPs, RNs, leadership and support staff. Changes in my personal availability and increasing company needs to eliminate are traditional hour shifts to accommodate a higher demand for night and weekend shifts caused my time with Galileo to be short, but I loved the company, the innovative model, and the friendly team environment.
Medical director for the occupational medicine department at the largest academic medical center in the Cincinnati region/area. Management of the 15,000+ employees’ health included a mix of responsibilities including administration, utilization management, clinical care, midlevel collaboration, multidisciplinary collaboration with HR, hospital infection control, and legal teams. Experience included policy development and clinical execution of healthcare related injury/exposure management, infection control policies/management and implementation, utilization management, management of workers compensation cases from clinical and utilization/appropriateness perspectives, collaboration with NPs and RNs. COVID response included a need for me to quickly create processes, software, and policies for managing exposure and symptom management for 15,000+ employees working in the hospital as we all were challenged by the pandemic. Role included educating learners/Occupational medicine residents, instructing courses on blood borne pathogen exposures and safety for hospital vendors, preemployment evaluations, fitness for duty evaluations. I also served as the certified medical review officer for UC Health employees.
Served as sub-investigator for pharmaceutical clinical trials. Responsibilities included review of study protocols, clinical oversight of study participants, medical documentation/data input, evaluation of adverse events participants experienced (including serious adverse events), and ensuring ethical integrity in all processes. Role included travel for meetings to learn new protocols, collaboration with the RN team, medical monitors, and site administrators. The company was heavily invested in psychiatric drug trials, so expertise in psychiatric/behavioral diagnostic evaluation, surveillance of psychiatric disorders, and pharmacokinetics were necessary. The work included some non-psychiatric drug trials as well.
Role included inpatient and outpatient family medicine. I cared for all ages, from newborn to geriatric populations. Of my partners, I and one other partner cared for all of our practice’s hospitalized patients. Teaching medical students and residents was included in the inpatient and outpatient settings. Transitioned out of the role to improve work-life balance.
Served as an independent medical consultant providing addiction services and medication-assisted treatment for patients living with substance use disorders.
Pfizer Teacher Development Award, Pfizer Pharmaceutical Company
Harry B. Stagaman Award, Intern Award, UC Family Medicine Residency Program
Owen Wrassman Award for philanthropy, Reds Community Fund
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