Conduct inpatient consultations on valvular heart disease patients to determine the appropriateness of open surgical vs catheter based procedures. Medically co-manage the patients during their peri-operative period including in the cardiac surgical ICU and cardiac step-down units. Conduct independent, outpatient visits on post procedure structural heart patients to identify and treat any prei-procedural heart failure, atrial fibrillation, heart block, CVA or hypertension. Have successfully… Show more Conduct inpatient consultations on valvular heart disease patients to determine the appropriateness of open surgical vs catheter based procedures. Medically co-manage the patients during their peri-operative period including in the cardiac surgical ICU and cardiac step-down units. Conduct independent, outpatient visits on post procedure structural heart patients to identify and treat any prei-procedural heart failure, atrial fibrillation, heart block, CVA or hypertension. Have successfully reduced post-op readmission rate by aggressive fluid management before discharge, use of GDMT, close post-op contact patients by phone, and careful, early, outpatient follow up visits.Working with senior management , MDs and marketing to expand the presence and differentiate the Orlando Health Heart Institute Brand in the field of structural heart disease. Have developed peer-to peer seminars to enhance the identification and referral of structural heart lesions. Show less

Assist in providing both in patient and oupatient cardiac care to patients with newly diagnosed heart failure, heart failure decompensation and pulmonary hypertension. Round in the inpatient setting and also provide outpatient visits. Provide medication titration, semi-urgent visits, and also act as the point of contact for patient questions.

Further develop a structural heart program including personnel management, streamlining of operations, facilitating access to new catheter-based technologies, and research protocols. Evaluate and care for patients with congenital or acquired cardiac structural abnormalities. Assess the need for surgical or catheter-based interventions in the exciting and rapidly evolving world of structural heart therapies.

Structural Heart Disease Program ManagerDeveloped a unit that is dedicated to researching, repairing and replacing defective cardiac structures with the latest in catheter based technologies. This affords patients treatment who are otherwise at too high risk for conventional, surgical procedures. Coordinate the work in multiple departments to afford patients multidisciplinary evaluations, testing, and therapy. Review all patient studies to insure safety and candidacy for procedures… Show more Structural Heart Disease Program ManagerDeveloped a unit that is dedicated to researching, repairing and replacing defective cardiac structures with the latest in catheter based technologies. This affords patients treatment who are otherwise at too high risk for conventional, surgical procedures. Coordinate the work in multiple departments to afford patients multidisciplinary evaluations, testing, and therapy. Review all patient studies to insure safety and candidacy for procedures. Designed and implemented surveillance program for potential candidacy. Communicate with the patients, their families and referring physicians the recommendations for the patients. Coordinate multidisciplinary, clinical meetings that are broadcast to outlining facilities. Collect and analyse procedure and financial data. Show less

Started one of the first, and most successful commercial transcatheter aortic valve replacement (TAVR) programs in the US . Further developed these resources, methodology, and team into a full structural heart disease evaluation and treatment center. This enables patients access to both commercially available technologies and randomized clinical trials for the treatment of aortic stenosis, mitral regurgitation, atrial fibrillation, and paravalvular leaks. Work in conjunction with many medical… Show more Started one of the first, and most successful commercial transcatheter aortic valve replacement (TAVR) programs in the US . Further developed these resources, methodology, and team into a full structural heart disease evaluation and treatment center. This enables patients access to both commercially available technologies and randomized clinical trials for the treatment of aortic stenosis, mitral regurgitation, atrial fibrillation, and paravalvular leaks. Work in conjunction with many medical disciplines including CT surgery, Radiology, Interventional and Echocardiographic Cardiology to evaluate and optimize patient treatment options. Show less

Provide supportive services to a large, university based cardiovascular practice. This includes conducting cardiovascular evaluations independently and in conjunction with supervising cardiologists. Provide an accessible, clinical, single point of contact for our patients' questions, triage evaluations, and testing review so that patients are communicated with in a timely manner. Also provides an urgent point of contact for physicians from other disciplines within our facility.

Provided Internal Medicine care in a supported yet independent envirnonment.