Medical Monitor and Clinical Scientist for phase II study evaluating safety and efficacy of atezolizumab and bevacizumab, or atezolizumab alone as first line treatments in participants with unresectable, locally advanced or metastatic hepatocellular carcinoma with Child-Pugh B7 or B8 cirrhosis. • Key contributor for the operational launch of Alectinib in resected ALK+ Non-small cell lung cancer. • Led medical strategies and tactics across the product lifecycle, including clinical data generation, thought leader interactions, and scientific communications. • Designed and executed medical plans, evaluating clinical and economic data to develop strategic scientific communications. • Provided medical insights and mentorship to cross-functional teams, ensuring compliance with ethical and regulatory standards. • Developed clinical trial protocols and supported investigator-initiated studies to advance oncology research. • Engaged with key opinion leaders and stakeholders to disseminate scientific information and foster collaborations both locally and leading scientific congress efforts. • Oversee clinical strategy for lung and liver cancer therapeutic areas, driving medical plans and tactics across the product lifecycle. • Design and execute clinical data generation strategies, manage thought leader interactions, and facilitate scientific communications and collaborations. • Develop and review medical content, ensuring compliance with regulatory standards while mentoring internal stakeholders. • Identify access-related medical issues and opportunities, actively contributing to relevant communities of practice.

RemoteCare Education is a Continuing Medical Education organization dedicated to improving health care worker tropical medicine competence and medical mission performance. Our 7-day program includes didactic education and hands-on clinical training to provide health care workers across specialties the tools they need in order to participate effectively in medical mission work. Our goal is that participants subsequently are well-prepared to avoid common mission pitfalls that can put patients and providers at risk, as well as optimizing patient outcomes in resource-limited settings.Co-founding and operating a continuing medical education company, I have engaged top KOLs in this enterprise and expand our educational reputation and presence. I have negotiated partnerships and contracts with multiple academic partners, including the University of Minnesota and Parasites without Boarders, while also serving as an instructor for core material, passing on my clinical knowledge and experience to future generations of medical providers in remote and isolated areas.· Determine, oversee, communicate and guide RemoteCare Education strategic direction.· Responsible for managing budgets and allocating proper resources. · Coordinate business relationships with multiple universities and medical training programs.· Provide support for the development, review, and approval of presentation material for scientific meetings, academic partners, and other medical education activities. · Maintain accreditation standards and continually update education strategies and content.· Develop and deliver medically meaningful and relevant presentations for healthcare providers to maximize acceptance and ensure effective utilization of concepts.· Instruct participants in various areas of Medical Mission work, including field based diagnostics and treatments, cultural competency, and logistics planning.

• Provide scientific and medical leadership and support to all functions within the organization to maximize patient outcomes by setting and continuously advancing the evidence based medical standard of care.• Accountable for providing strategic leadership to clinical teams, ensuring project delivery with comprehensive planning, as well as forecasting yearly timelines, resources, budget and risk assessment.• Create and maintain a highly motivated team by providing a high level of leadership, people management, coaching and development to ensure effective performance management of direct reports • Accountable for coaching and developing direct reports by providing an environment that encourages ongoing personal and professional development.• Build relationships with thought leaders within the international health and global aide community, other healthcare professionals and stakeholders.• Create and manage the medical information capabilities encompassing over 100,000 patient encounters for ongoing public health monitoring, maintenance and presentation at academic institutions and the Panamanian Ministry of Health.• Support in country (Panama) Medical Director in creating and delivering new project initiatives, improvement plans or training. • Communicate with and prepare reports for the Board of Directors to ensure success of organizational priorities.• Plan and implement various advisory boards as determined necessary and requested by the board of directors.• Serve as a key member of the executive leadership team, providing strategic direction related to the development and expansion of clinical services.• Serve as Lead Medical Provider in health clinics (after 07/2014)

• Managed the safety profile of solid tumor oncology products, leading case reporting, signal detection, and risk management activities.• Contributed to clinical development strategies and supported regulatory authority submissions with safety data interpretations.• Developed and maintained core safety information, including CCDS, labeling documents, and risk communication plans.• Participated in Drug Monitoring Committees, presenting critical safety issues and interpreting emerging safety-relevant data.• Collaborated with cross-functional teams to address safety concerns and ensure patient safety throughout clinical trials.• Engaged in cross-functional collaborations to interpret safety-relevant data and advise on clinical risk-benefit assessments.

• Led operations for 18 clinical studies across various therapeutic areas, ensuring compliance with timelines, budgets, and quality plans.• Served as the Global Country Study Representative, developing trial platforms and optimizing site relationships.• Created and led the SWAT clinical operations squad to support high-priority work across all clinical operations phases.• Developed and implemented standard operating procedures (SOPs) to improve trial management processes.• Conducted compliance audits and inspections, providing expert guidance on regulatory guidelines and best practices.• Oversaw internal and CRO staff to align strategies and ensure operational excellence.• Collaborated with stakeholders on study planning and execution, providing innovative solutions and strategic direction.• Developed and maintained strong relationships with study sites and investigators to facilitate smooth study operations.• Provided training and mentorship to clinical operations staff to enhance team capabilities and performance.

Country Study Manager (Contract)• Key study leader for the operation and launch of 13 studies (e.g. timelines, budget, resource, risk and quality plans) evaluating molecules treating Inflammatory Bowel Disease, Multiple Sclerosis, Pediatric Influenza, Malignant Cerebral Edema. • Accountable for the oversight of the US study team, including Contract Research Organization (CRO) staff, to align with the strategy, ensuring awareness of opportunities and challenges, and the fostering of functional excellence.• Establish and improve Roche’s extensive network of contacts within the therapeutic area to develop and maintain optimal site relationships with key opinion leaders, alliance partners and/or collaborative groups for current and future Roche studies to drive improvement of operational delivery.• Make independent decisions pertaining to US PDG operational activities and escalate issues to management as required.• Collaborate with internal and external stakeholders for continual landscaping, study planning, identification of opportunities and execution of agreed plans while proactively communicating status, issues and providing innovative solutions. • Serve as primary interface between medical affairs, clinical science, and regulatory teams.• Provide communication tools, clinical education, and strategic direction to meet corporate objectives and develop team into valuable field force.Compliance Advisor• Collaborate with PDG Operations teams as needed and provide support during audits and inspections• Act as Subject Matter Expert (SME) for regulatory guidelines and issues pertaining to the management of clinical trials per Genentech/Roche SOPs.• Lead multidisciplinary task force to investigate and improve study platform by including a home visit framework applicable studies. • Update and develop operational processes to improve efficiency, quality and consistency of clinical trial management across multiple therapeutic areas.

• Extensive experience in multi-site, multinational, and multi-stage research involving Obstructive Sleep Apnea, Narcolepsy, Restless Leg Syndrome, and innovative sleep tracking technology. • Managed multiple studies, from initiation to completion, with complete oversight for contract negotiations, regulatory compliance, subject recruitment initiatives, and enrollment through study closure.• Reviewed and evaluated research protocols to identify and implemented appropriate high impact medical research projects to support the business objectives, including company-sponsored and investigator-initiated projects.• Developed business plans, budgets and timelines for the creation and oversight of multiple research studies.• Prepared reports in consultation with Medical Director to make recommendations and provide clinical research input to industry executives, KOLs, and study sponsors.• Developed and continuously maintain the highest scientific and medical knowledge with related diseases and products and be acknowledged internally and externally as an expert in these areas.• Created and implemented internal manuals, local safety SOPs, work instructions and collaboration agreements governing the operations of clinical research to meet all compliance standards and regulations.• Review, evaluate and verified potential AE information collected during initial assessment to determine required action per internal policies and procedures and perform data entry of adverse event by timely completion of the case according to sponsor guidelines. Performs seriousness / validity / causality and conducts quality review of all cases based on their medical assessment• Responsible for Clinical Review of research subjects, processing of polysomnography and evaluation of all adverse events• Lead the preparation on abstracts, posters, and presentation for medical/ scientific meeting and/or congresses based on the collaborative initiatives

· Created and maintained a clinical research infrastructure for phase 1, 2 and 3 clinical trials of new treatments for neurological emergencies including status epilepticus, traumatic brain and spinal cord injury, and stroke.· Participated and presented in bi-weekly neurovascular journal clubs for rotating residents.· Educated patients/caregivers about study components and outcomes to be expected, while obtaining informed consent for participation.· Monitored study activities to ensure compliance with protocols and with all relevant local, federal, and state regulatory and institutional policies.· Recorded adverse events and side effect data and conferred with investigators regarding the reporting of events to oversight agencies.· Assessed eligibility of potential subjects through methods such as screening interviews, reviews of medical records, and discussions with physicians and nurses.· Coordinated research efforts between academic healthcare professional and corporate personnel.· Served as member of advisory board coordinating multidisciplinary teams to update code stroke protocols to be compliant with current recommendations of the AMA and AHA.

• Assist Primary Investigators in the development of research protocols, goals and addendums in accordance with FDA and EMEA regulations as well as ICH guidelines.• Data collection from patient interviews and public health surveys • Observe and evaluate every Trauma Team Activation during my shift• Maintained technology for purpose of data gathering

• Responsible for admitting, managing, discharging patients in accident and emergency.• Documented and presented cases of patients to senior providers input and approval of treatment plans• Ordered and conducted investigations and treatment.• Coordinated treatment by other specialists until patients are admitted or discharged.• Consulted with patients in outpatient clinics.• Covered surgical night call for the 300-bed hospital, including the Emergency Room.

• Advocate for expanding opportunities for medical students in Emergency Department education.• Organize hands on emergency skills workshops, including the annual national trauma training module. Includes teaching medical students about suturing, chest tubes, wound types, ROSC, ACLS and airway management.• Coordinate large-scale medical training workshops for the teaching theoretical skills and educating students in the lifestyle and skills of Emergency Medicine.• Involve members in social, moral and ethical obligations of the profession of medicine• Sit on the national board of directors, organizing new platforms for students to get involved in, and problem solving logistical issues for national events.