MKM Federal CV

Question 1

Duties, Accomplishments and Related Skills:

Answer 1

LARGE MEDICAL COMPLEX/FACILITY EXECUTIVE ADMINISTRATION: Ensure quality and cost-effectiveness of medical care at University of California Santa Barbara Student Health Services (SHS). This includes clinical care and protocols, patient education, and medical and legal oversight of all medical professionals. Serve as one of ten SHS Medical Directors in the University of California (UC) System. Lead in a multifunctional, multidisciplinary team setting across CA and within the local environment.

Question 2

Duties, Accomplishments and Related Skills:

Answer 2

POLICYMAKING AND PLANNING: Set and interpret goals, directions, policies, and procedures related to provision of high-quality, cost-effective medical care. Participate in strategic and long-range planning activities, including disaster planning and public health investigations. Assess interactions of departments in the provision of quality medical care and take remedial action, as necessary.

Question 3

Duties, Accomplishments and Related Skills:

Answer 3

EXECUTIVE-PROFESSIONAL DIRECTION AND EVALUATION: Supervise and evaluate physicians and other licensed medical professionals. Provide the legally required medical supervision of nurse practitioners and physician assistants. Provide consultation and act as Clinical Supervisor for nurses and nurse practitioners practicing under the Standardized Procedures and Protocols and Medication Furnishing Protocols (including Schedule II-V controlled substances). Successfully work with Human Resources (HR) to resolve employee issues. Diligent about documenting issues and careful to consult with campus resources before taking action.

Question 4

Duties, Accomplishments and Related Skills:

Answer 4

BUSINESS ACUMEN: Worked through several staff HR issues successfully with staff. Accepted assignment of improving clinical policies and procedures that resulted in improved organization. Persuaded campus Information Technology (IT) Department to evaluate and purchase the Policy and Procedure Manual (PPM) document management system. The Executive Director expressed special appreciation for valuable advice and knowledge of Joint Commission audits in preparation for the unexpected UCOP Marsh Audit.

Question 5

Duties, Accomplishments and Related Skills:

Answer 5

CREDENTIALING: Rated “Outstanding” for performance in the Credentialing initiative and implementing the new UCOP-determined online Credentialing applications for 100 staff members. Successfully reviewed credentials of 103 clinical staff. Supervised major improvements in Credentialing and Privileging. Valuable member in conducting peer reviews for the Medical Quality Improvement Committee. Made major contributions to successful Accreditation Association for Ambulatory Health Care (AAAHC) reaccreditation visit.

Question 6

Duties, Accomplishments and Related Skills:

Answer 6

MEDICAL PROFESSIONAL PRACTICE: Provide consultation to Internal Medicine, Family Medicine, Gynecology, Urgent Care members of the professional staff, in assisting them with diagnosis and treatment of their patients on a per-case basis. Provide patient-centered primary care for women and specialty care to own panel of patients. Provide backup for physicians who are absent, including patient follow-up for pending results and occasional substitute for clinical duties.

Question 7

Duties, Accomplishments and Related Skills:

Answer 7

ACCOMPLISHMENTS:
*Crucial to preparing SHS for a UC Office of the President (UCOP) Risk Management review by an outside consulting firm, as part of a UC campus-wide process . Utilized previous experience with the Joint Commission and other accrediting organizations while at University of California Davis School of Medicine. Formed teams focused on clinic response. Prior to the review, created a movie to explain “buddy cards” and help reduce staff stress. Exceeded reviewers’ expectations, who pointed out several staff best practices.

• Researched and effectively invigorated SHS’ paper-based policies and procedures within three months of on-boarding. Policies and procedures were backed up on an outdated server that was difficult to use in real time. The workaround for staff was to print paper copies every time new policy and procedure documents were emailed. Moved from an archaic structure to online Document Management System (DMS). This involved analysis of the old system, and researching available applications appropriate for the SHS environment considering cost, scalability, and end-user experience. Developed proposal for formal presentation to stakeholders, e.g., Management Team, Student Information Systems and Technology (SIS/T), and governing body (Vice Chancellor for Student Affairs and Dean of Students). Gained the respect of the SIS&T Department. Because of this success at Student Health, other departments within the Student Affairs Division are slated for rollout.
• Renowned and respected by direct reports and system-wide colleagues from other campuses.

Question 8

Duties, Accomplishments and Related Skills:

Answer 8

MEDICAL DIRECTOR OF MAJOR MEDICAL PRACTICE AND TEACHING FACILITY: Joined the faculty of the University of California, Davis School of Medicine, Department of Obstetrics and Gynecology as Medical Director of the Clinic in 1998. Initially served as a contracted Associate Physician and in 2005 was appointed Health Sciences Clinical Professor. Served as Step III Professor Health Sciences Clinical Professor Series.

Question 9

Duties, Accomplishments and Related Skills:

Answer 9

MEDICAL ADMINISTRATOR IN TIME OF CHANGE: Continued role as Obstetrics and Gynecology (OB/GYN) Clinic Medical Director at the Ellison Ambulatory Care Center (ACC) and Cypress Building satellite clinic site. Due to budget concerns, it was decided to close the Cypress Clinic in 09/2010 and move the operations back to the “mother ship.” Worked to focus the clinic on resident and student teaching. Worked with Department Chairman, Practice Manager, Nurse Manager, and Cabinet Members to address and institute cost reductions. In addition, chaired the Clinic Space Task Force Committee and reported to the Cabinet our recommendations for the Cypress move, ACC Clinic reorganization, and Glassrock Clinic space changes. Chaired a monthly Clinic Management meeting.

Question 10

Duties, Accomplishments and Related Skills:

Answer 10

CLINICAL COMPETENCE: In addition to service as the Medical Director of the OB/GYN clinic, served as Chief Gynecologist for the Center for AIDS Research, Education, and Services (CARES) in Sacramento. Certified by the American Board of Ambulatory Medicine since 2000, and carried special certification from the American Academy of HIV Medicine. Oversaw activities of other attending physicians and Volunteer Clinical Faculty in the Resident Teaching clinics now located in the ACC. Developed a specialty in vulvar-related problems and Colposcopy Mentorship Program (CMP). Engendered a very high degree of patient satisfaction and managed hundreds of patients in clinics.

Question 11

Duties, Accomplishments and Related Skills:

Answer 11

TEACHING: Performed direct student and resident teaching within the OB/GYN clinics. Students gave very high evaluations for teaching with comments, such as, “Very approachable personality, also listened to student presentations, which was appreciated.” “Feel very privileged to have worked with Dr. Miller, so much empathy and general clinical prowess.” “Dr. Miller conducts herself with the highest degree of professionalism and respect for patients—we are lucky to have her on our staff!” “She is a great role model. Her patients are extremely devoted to her.” “Dr. Miller is possibly the most effective teacher in our department.”

Question 12

Duties, Accomplishments and Related Skills:

Answer 12

RESEARCH AND CREATIVE WORK: Author of “Aim your brain at United States Medical Licensing Examination (USMLE) Step 1. The Ultimate System for Mastering Multiple-Choice Examinations,” which is a book written to help medical students who have had difficulty taking and passing with the multiple-choice exam formats. Participated as a Co-Investigator in research on menopause and HIV and have served as the clinical mentor for Ph.D. researcher from the Department of Medical Microbiology and Immunology.

Question 13

Duties, Accomplishments and Related Skills:

Answer 13

ACCOMPLISHMENTS:
*As Medical Director, created a high-quality working atmosphere for the group of physicians, staff, employees, and learners. Supervised 24 faculty, 24-26 resident physicians, the Clinic Manager, the Nursing Director, and the Nursing Supervisor. OB/GYN outpatient clinic had around 50K visits per year.

• Chosen by the Dean’s office to be the Ombudsperson for third- and fourth-year medical students. Became a member of the International Ombudsman Association.
• Awarded the C. John Tupper Prize for Excellence in Teaching (Founding Dean—Highest Teaching Award at UC Davis School of Medicine), 2010.

Question 14

Duties, Accomplishments and Related Skills:

Answer 14

SPECIALIZED MEDICAL PRACTICE: “During the early 1980s, AIDS reared its ugly face in our community [Sacramento area], just as it was appearing in so many other cities across the country. Clearly, this disease needed to be addressed with a concerted effort. In 1989, our community did just that by joining forces to address the epidemic in a resounding way. With the help of UC Davis Health Systems, CHW Mercy, Sutter Health, and the county of Sacramento, we formed the Center for AIDS Research, Education and Services (CARES) to serve people with HIV/AIDS. A few years later, Kaiser Permanente joined the effort”. There was a need for a gynecologist to help expand the service to women with HIV/AIDS and I filled this role.

Question 15

Duties, Accomplishments and Related Skills:

Answer 15

INNOVATIVE AND SUCCESSFUL PATIENT CARE AND TREATMENT: Started CARES’ Colposcopy Clinic and during 17 years had no patients that progressed to cervical cancer. Many of these patients were underserved and even homeless. Some of the women did have severe dysplasia, but I was able to persuade them to have their cone biopsies or LEEPs at the University of California, Davis (UCD). I arranged care at UCD, and followed up from my UCD office.

• Acted as liaison between CARES and UCD Perinatal Division to care for high-risk HIV-positive pregnant patients.
• Credentialed as an HIV Specialist (AAHIVS) by the American Academy of HIV Medicine; always available for consultation.

Question 16

Duties, Accomplishments and Related Skills:

Answer 16

DIFFICULT CASE PRACTICE: Consulted on, accepted, and closed difficult cases that others were unable to close. Given the responsibility to complete write-ups on “extreme” excessive prescribing (e.g., 1,000 opiates/500 benzodiazepines per month) for the California Attorney General’s Office. Earned the respect of the state workers employed by the Central Complaint Unit of the Medical Board of California, the investigators, and the other medical consultants in the unit.

Question 17

Duties, Accomplishments and Related Skills:

Answer 17

MEDICALLY UNDERSERVED POPULATION INNOVATIVE MEDICAL PRACTICE: Early adopter of UC Davis Medical Center’s telehealth program to care for gynecology patients in medically underserved areas of CA. Patients, families, and providers appreciated care and were grateful they did not have to travel long distances to be seen. Always available as a “Telemedicine Consultant” on an as-needed basis.

Question 18

Duties, Accomplishments and Related Skills:

Answer 18

MEDICAL AUTHORSHIP: Wrote the book, “Aim Your Brain at USMLE Step 1. The Ultimate System for Mastering Multiple-Choice Exams.” Ideas2Pen Publishing is an entrepreneurial effort to help medical students having difficulty passing or organizing their study approach for their first licensing exam. It has been very successful.

Question 19

Duties, Accomplishments and Related Skills:

Answer 19

INTERNATIONAL RENOWN: 
*Served on the team that covered the XI International Conference on AIDS for Churchill Communications Japan in 1996. Our Conference Reports were translated into Japanese and distributed to their physician readers. This conference changed the face of HIV/AIDS treatment, with the introduction of the “viral load” blood test (a way to measure, in real time, the success or failure of a current treatment) as well as a new class of drugs, the Protease Inhibitors (extends the life expectancy of patients for years).

*First published book, “Mathematics for Nurses with Clinical Applications,” Brooks/Cole Publishing Company (a subsidiary of Wadsworth Publishing), Monterey, CA, which was used by nursing schools nationwide from 1986 to 2000.

Question 20

Additional Information:

Answer 20

SUPERVISOR QUOTES AND CUSTOMER COMMENTARY:
“A very effective and important leader in the Department of OB/GYN …stabilized the learning environment in the OB/GYN clinics and created an effective space for both students and residents to learn as well as faculty to teach,” Lloyd H. Smith, M.D., Ph.D., Professor and Chair, Department of Obstetrics and Gynecology, UC Davis School of Medicine

“Demonstrates a high degree of expertise and mastery in all aspects of the position in a professional manner,” Lloyd H. Smith, M.D., Ph.D., Professor and Chair, Department of Obstetrics and Gynecology, UC Davis School of Medicine

Question 21

Additional Information:

Answer 21

PROFESSIONAL SUMMARY:
Executive Medical Director/Administrator/Physician with 15 years’ experience as Medical Director in two very different environments—academic medicine and student health—planning, developing, implementing, managing, and refining a comprehensive patient management, clinical support, and administrative program that provides services and technical counsel necessary to meet clinical, procedural, legal, and administrative requirements relating to the care and treatment of patients to achieve maximum utilization of patient care resources in a cost-effective, efficient, and timely manner. While serving as faculty at UC Davis School of Medicine, took on role as the Medical Director for the OB/GYN Department. Worked closely with faculty, staff physician, employees, residents, and medical students. Part of the Ambulatory Care Workgroup and collaborated with medical directors from the other departments. Together, improved quality of patient care across all specialties, communicated more effectively when problems arose, and worked more effectively with our administration.

Question 22

Additional Information:

Answer 22

PROFESSIONAL HIGHLIGHTS:
*Leadership success at UCSB team of (21-24) staff and physicians through a risk management review by consultants hired by the University of California Office of the President’s Risk Management Division. Campus had several best practices pointed out by the review committee. [Using Technology innovations to lead staff in obtaining successful outcomes in switching from paper-based credentialing to online CVO for around 140 employees; with the introduction of document management systems for our policies and procedures, was able to ensure we successfully passed University of California Office of the President review, Accreditation Association for Ambulatory Health Care, Inc. (AAAHC), equivalent to Joint Commission Ambulatory Health Care) unannounced (05/2012) and announced (02/2013).]

Question 23

Additional Information:

Answer 23

• Awarded among the highest teaching honors, the C. John Tupper Award, for excellence in teaching given by the UC Davis School of Medicine in 2010, the Kaiser Foundation Award for Excellence in Teaching in 2003, the CREOG National Faculty Award for Excellence in Resident Education in 1999, the UC Davis School of Medicine Alpha Omega Honor Medical Society in 1986, and the UC Davis School of Medicine Teaching Award-Resident staff in 1985 and 1986.
• Outstanding patient care over entire career.