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Responsible for clinical and administrative management of multidisciplinary Heart Failure Program, including ambulatory and inpatient service operations, and management of staff.Provided leadership for departmental and institutional initiatives, including implementation of new inpatient heart failure consult service, and expansion of advanced heart failure clinic servicesLed quality and systems improvement activities aimed at increasing patient access, successfully reducing readmissions and improving heart failure care throughout institution.Performed consultations and managed complex heart failure patients in ambulatory and inpatient settings, including advanced heart failure and pre/post transplant management. Served as clinical resource and educator to nursing and provider colleagues.

Managed acutely ill patients requiring advanced heart failure therapies care, i.e. hemodynamic monitoring, IV therapies and ventricular assist devices,and cardiac transplant on inpatient Cardiomyopathy Unit. Provided outpatient care to patients seen in Advanced Heart Failure, Cardiac Transplant and VAD clinics.Coordinated transplant and mechanical cardiac support evaluations, admissions, elective procedures, and specialty consultations.

Responsible for consultations and management of patients with cardiomyopathies, advanced heart failure and general cardiology issues, including patients undergoing solid organ transplantation.Coordinated evaluations for cardiac amyloidosis, cardiac transplantation and mechanical cardiac support, solid organ transplant, advanced hemodynamic and cardiopulmonary exercise testing, and admissions for advanced therapies.. Co-investigator for NHLBI Heart Failure Network Research Protocols including RELAX and CARRESS

Co-led development and implementation of new multi-disciplinary heart failure program and inpatient consult service. Clinical leader for DHMC Heart Failure quality improvement and educational initiatives, successfully impacting readmissions and quality metrics.Offered educational programs for providers across DHMC system and affilated agencies. Co-founded and coordinated annual DHMC Heart Failure Educational Symposiums.Provided consultations and managed advanced heart failure patients in clinic and inpatient settingsInitiated transplant evaluations and managed pre-transplant care jointly with Tufts Medical Center.Worked with electrophysiology and administration to establish proactive remote heart failure monitoring program, criteria for device implants and collaborative linked visitsImplemented joint visits with Palliative Care visits for advanced heart failure patients

Faculty appointment through Dartmouth-Hitchcock Medical Center

Co-led development of new ambulatory heart failure program and inpatient heart failure consult service. Performed pre-transplant evaluations and managed care of complex advanced heart failure and pre-transplant patients. Led educational and quality improvement initiatives.

Experience in general medicine, coronary intensive care unit, primary care and anticoagulation management