Medical Education: Harvard University, Cambridge, Massachusetts, Bachelor of Arts, 1991; McGill University School of Medicine, Montreal, Quebec, Canada, Doctor of Medicine, 1997; University of Toronto School of Medicine, Toronto, Ontario, Canada, Residency in Family Medicine, 1999; and Johns Hopkins School of Public Health, Baltimore, Maryland, Masters in Public Health, 2010. Board certified in Family Medicine, 2007; HIV medicine, 2007; Buprenorphine certified through DATA 2000 Waiver, 2006.
Primary Current Professional Activity: Medical Director, Center for Key Populations (CKP), Community Health Center, Inc. (CHCI), Connecticut, New England's largest federally-qualified health center (FQHC) network with 14 sites and links to other FQHCs nationally, focusing on five key populations at the highest risk of acquiring or living with HIV: men who have sex with men, transgender women, people who inject drugs, people in prison, and sex workers; Senior Researcher, Weitzman Institute, CHCI, Connecticut; Assistant Clinical Professor of Family Medicine, Frank H. Netter School of Medicine, Quinnipiac University, Connecticut
Other Relevant Activities/Appointments: Medical Director, Part C Early Intervention Services Grant, Ryan White HIV/AIDS Program, Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services, 2008 to present; Principal Investigator, Substance Abuse Service Expansion, HRSA, 2016 to present; Principal Investigator, Technology Enhanced Access to Coordinated Healthcare and Buprenorphine Maintenance Therapy (TEACH BMT) ECHO-Based Project, Substance Abuse and Mental Health Services Projects of Regional and National Significance, Substance Abuse and Mental Health Services Administration (SAMHSA), 2013 to 2016; Clinical Director, CHC, Inc., Transforming Primary Care for Lesbian, Gay, Bisexual, Transgender (LGBT) People, Centers for Disease Control and Prevention (CDC)/National Association of Community Health Centers (NACHC)/Weitzman Institute/Fenway Institute ECHO-Based Project, 2016 to 2017; Originator and Lead Faculty, CHC Project ECHO HIV/HCV and CHC Project ECHO Buprenorphine, medical provider training, guidance, and mentorship on HIV, HCV, and Buprenorphine management through weekly didactic and case-based teaching, 2012 to present; ECHO Director, Integrating Treatment for Opioid Agonist Therapies, HIV and Tuberculosis into Primary Care in Ukraine Using ECHO-Based Strategies, National Institutes on Drug Abuse (R01 DA043125); Clinical Mentor, Capstone Projects, Frank H. Netter MD School of Medicine, Quinnipiac University, 2015 to present; Specialty Faculty, Nurse Practitioner Residency in Family Practice and Community Health, CHCI, 2007 to present; Research Preceptor, Health of Communities Course, Wesleyan University, Middletown, Connecticut, 2008 to present; Chair, HIV Quality Improvement Committee, CHCI, 2008 to present; Member, Committee of Medical Directors, CHCI, 2008 to present; Member, Medical Quality Improvement Committee, CHCI, 2006 to present; Member, Infection Control Committee, CHCI, 2012 to present; Member, National Viral Hepatitis Roundtable, 2012 to present; Lead Consultant, NACHC Hepatitis C Fact Sheet, Buprenorphine Fact Sheet, 2015; Member, Hepatitis C Work Group, American Association for the Study of Liver Diseases/American Gastroenterological Association Institute/The American Medical Association-convened Physician Consortium for Performance Improvement®, 2012-2013; Recipient, Primary Care Leadership Award, for integrating HIV, HCV, and substance use management in primary care, Connecticut Center for Primary Care, 2011; Chief Resident, Wellesley/St. Michael's Hospital, Family Medicine Program, University of Toronto School of Medicine; Chair, Section of Residents, College of Family Physicians of Canada.
Personal Statement: For the past 20 years, integrating HIV medicine into primary care has been my passion. I am committed to quality care improvements by transforming healthcare delivery for PLWH and those at risk. I transitioned our large FQHC network from a specialty-based to a primary care model, including spearheading our patient-centered medical home efforts. To overcome health disparities, I established the Center for Key Populations (see above) to overcome health disparities by ensuring access to and delivery of evidence-based quality care. By recognizing the complexity of care needed for PLWH, I have integrated services that address HIV, HCV, addiction, LGBT health, homelessness, and mental health. I provide direct clinical care and advocate for better care and access to services at the local, state and national levels, including meetings with elected representatives in Congress through the HIVMA.
To democratize evidence-based healthcare delivery for key populations within primary care, I established several Project ECHO activities, which have now expanded nationally for HIV, HCV, and Buprenorphine (and internationally for integrated care). ECHO provides continuous, distance-based learning and clinical support through video-conferencing with clinicians. I also teach local medical and APRN students and lecture at state and national conferences on HIV prevention and treatment, integrated care, and other related topics.
I would be honored to serve on the HIVMA Board. My experience serving individuals at risk for and living with HIV in primary care combined with my enthusiasm to transform clinical care through innovation and research makes me well-suited to advance the HIVMA mission.