Goals Of Care Documentation Expert Witnesses

Fort Collins, Colorado

Family Medicine, Hospice and Palliative Care - Hospice Medicine, End-of-life decision making, Goals of care documentation, Capacity assessments, Medical ethics, Palliative care, Functional decline, DNR/DNI decisions, Geriatrics, Terminal agitation and sedation, Medical decision-making capacity, Goals of care, Standard of care in terminal illness

I am a board-certified family physician and practicing hospice medical director with over 15 years of clinical experience in outpatient care and end-of-life settings. I maintain an active clinical practice and hold an unrestricted medical license. I provide expert medical opinions on standard of care, causation, and medical decision-making capacity in hospice and palliative care settings, as well as primary care. I work directly with attorneys representing plaintiffs or defendants in cases involving: • Delayed or missed hospice or palliative care referrals • Inappropriate or premature withdrawal of life-sustaining treatments during end-of-life transitions • Failure to assess or document decision-making capacity • Poor interdisciplinary communication within hospice and palliative teams • Missed diagnoses or delayed treatment in primary care • System-level care coordination failures in hospice or palliative care transitions My reviews address both individual clinician conduct and b...

Austin, Texas

Hospice and Palliative Care, Internal Medicine - End of life, Serious illness, Chronic illness, End-of-life decision making, Goals of care documentation, Palliative Care, Palliative Medicine, Hospice, Medical decision-making, Clinical decision-making, Advanced Directives, Advance Directives, General Inpatient Hospice, GIP Hospice, Complex symptom management, Surrogate decision

I have been practicing as a Board-certified Internal Medicine physician since 2001 and as a Board-Certified Hospice and Palliative Medicine physician since 2008. I practiced hospital-based palliative medicine in an urban teaching hospital prior to transitioning to work as a community-based hospice physician. I have worked as a Hospice Medical Director since 2020 and have been involved in multiple quality improvement projects and audits. I oversee multiple physicians and nurse practitioners and make hospice visits in nursing homes, assisted living facilities, and private residences. I continue to participate in Maintenance of Certification for my primary and secondary board certifications. I am also board certified as a Hospice Medical Director by the Hospice Medical Director Certification Board. I am a Fellow of the American College of Physicians and a Fellow of the American Academy of Hospice and Palliative Medicine. I am also the site director for the Dell Medical School Hospice a...