Thank you to all department
members for your incredible
dedication and hard work
and
achievement of excellence.
Assert yourself as a leader:
Everyday and with every opportunity
Vision
• Clinical Care: Perfect outcomes; Complete patient
satisfaction with care and communication; Leaders
of innovations in care
• Education/Training: Most sought after graduates;
Leaders of innovative education approaches; Most
competent and up-to-date faculty and staff
• Research/Scholarly work: Well funded,
translational and clinically-oriented research;
Consistent culture of Discovery
• Administrative core: Perfect, transparent
processes that assures a strong financial and
administrative foundation
Mission
• Recruit and retain talented members of our
team, from diverse backgrounds, who are
driven to achieve
• Provide appropriate financial/administrative
resources to allow everyone on the team to
be successful.
• Provide educational/training resources to
allow all members of the team to be
successful in their position
• Foster a culture of collaboration, respect,
innovation and scholarship.
The way I think
Education of
our trainees
and
faculty/Staff
Infrastructure
excellence
Excellence
in Patient
Care
Personal
integrity and
dedication
(leaders and
Heroes)
Discovery:
Research
Just to be clear: what really matters?
• Outstanding care for our patients
• Well-being of our team members
• Building the foundation of knowledge in
anesthesiology (research)
• Educating the next generation within
anesthesiology, with the appropriate tools
for clinical care, leadership and
scholarship.
OHSU Investment in the department during recovery
from 2008/2009 economic downturn
• OPEX/LEAN: reduces waste and improves
structure to allow more efficient work, with less
frustration
• Hospital support to offset burden of weekend call.
• Salary stability for full-time scientists
• Work-environment improvement for staff (better
printers, computers, lighting)
• Expansion of clinical staff to better support
academic days and break help.
• Growth in compensation for all department
members
New Leadership Responsibilities
•Ansgar Brambrink - Vice Chair for Faculty
Development and Advancement
•Michele Noles – Director of Quality
Management
•Ines Kroener – Medical Director of NeuroICU
CRNA Contributions
• Implementation of LC4 position
• Development & Implementation of break shift
– Cortney Blakemore
– Danielle Freeman
– David Bullock
• EP/Cath Lab Team
• LVAD Team
• Committee Members
– CQI: Diane Knapp
– CME: Jim Hilliard
• Kaizen
– Michelle Livingston
– Kendall Snow
– LaDawn Reid
Pediatric Anesthesia
• Awards
– Michael Seropian - The Presidential Citation from
The Society for Simulation in Healthcare for
Significant Contributions to Healthcare Simulation
– Angela Kendrick - Clinical Service Award at the
Women in Academic Medicine Conference
• Promotions
– Kirk Lalwani – Professor
– Berklee Robins – Associate Professor
Pediatric Anesthesia
• Planning clinical growth
– Increased presence in cardiac cath lab
– Outpatient surgery at CHH
– Intraoperative MRI OR being built – opens
10/2015
• Clinical research
– Perioperative experience of autistic children;
participation in national databases for sedation,
regional, cranialfacial surgery; acupuncture and
postop nausea; intraop neuromonitoring in
infants; post spinal fusion pain management
Vascular Anesthesia
Ann Bingham
Ryan Anderson
• We have increased interdepartmental communication
• Our team is involved in exciting treatment techniques:
Peripheralartery.n
et
– Endovascular advancements, Angiovac thrombectomy device
• Practice suggestions are in the works:
– collaborating on perioperative K+, Aspirin
• Regional anesthesia team co-produced helpful suggestions
for your reference
• We welcome your collaborative ideas for improvement in
safety and efficiency
Vascular Surgery
Team
http://www.ohsu.edu/xd/health/services/heart-vascular/services/vascular-surgery/our-
8C-ICU Process Improvement Projects
• SOR – ICU Transfer of Care
– Expansion of cardiac surgery admission standard to all
direct to ICU admission in all adult ICUs
– Partnering with PICU staff to adapt similar process
• Vocera for ICU providers on CSI team (pilot)
• OPEX: Implementation of several Management
Standards (including):
– TAVR: mandatory team huddles (post admission, 4h, 8h,
twice daily)
– Use of renal replacement therapy for volume management
in acute RV failure
– AM huddle (next slide) pilot (now expanding to all Adult
ICU
AY 2015: OHSU future concept
Knight CVICU
CCU
(all ICU needs)
• Advanced heart failure
• Adult Congenital
cardiology
• Interventional cardiology
• Complex heart disease
Vascular surgery
Surgical
Subspecialties
CTS
• Adult cardiac surgery
• Adult congenital cardiac
surgery
• Thoracic surgery
CVICU
CVICU
(primarily cardiovascular
co-morbidities)
•ENT
•Plastics
•Urology
•Ortho (none spine)
•OMFS
•OB/GYN
• Majority requires ICU admission due to
advanced cardiovascular comorbidities
• Patient with EGS involvement will be
admitted to SICU
• Ortho Spine has already been merged with
NSICU to group all spine surgeries
New CVICU – Collaboration between Anesthesiology, Surgery and Cardiology
• CVICU Leadership: Matthias Merkel
• Teams:
– 2 day teams
– 1 night team
• 26 ICU beds
• Faculty changes:
– APOM:
• 7 MD faculty members
• APP: additional 3.5 FTE (total 8.5 FTE
– Pulmonary Critical Care:
• 5 Faculty members
– Cardiology:
• Planned 3 additional FTE
• 1 ICU fellowship trained cardiologist recruited
Regional Anesthesia
2013-2014 Year in Review
Glenn Woodworth, MD
Director Regional Anesthesia
Department of Anesthesiology and Perioperative Medicine
2013-2014 Regional Anesthesia Projects
• Improve team communications
• regional service, primary anesthesia
team, surgical service, nursing
• Improve Patient Care
• Evaluation in the PACU before handoff to APS
• Better intraoperative management of
catheters
• First case starts
• Coordination with preop nursing,
regional service and primary
anesthesia team to facilitate on-time
first case starts
2013-2014 Regional Anesthesia Projects
• Develop, Refine and Implement
Clinical Care Pathways
(Perioperative surgical home?)
•
•
•
•
Vascular surgery
Bariatric surgery
Total Joints
Patients with potential peripheral
nerve injury
• Handling of home pump telephone
calls
• Evaluation of the efficacy of a
new drug (Exparel: bupiliposome suspension) against
standard care in a clinical or
translational model
2013-2014 Regional Anesthesia Projects
• Develop and Implement an
organized curriculum for
regional anesthesia training
• Core Regional Rotation
• Advanced Regional Rotation
• Regional Fellow
• Research
• Validation of an Ultrasound Skills
assessment
• Validation of a Needling Skills
assessment
• Evaluation of the effects of Tens
stimulation on PNB onset
2014-2015
• Faculty Development
• Recruit additional regional faculty
• Encourage and support research in
regional anesthesia and acute pain
medicine
• Establish OHSU as a National
Leader in Regional Anesthesia
Education
• Better Collaboration with our
Surgical Colleagues
Clinical
Education
Research
Pain Medicine
• The Pain Division continues to be busy both in and
outpatient.
• New efforts to increase clinical and research
collaboration with Knight Cancer Center.
• Research ~ 7 papers: fibromyalgia and light sensitivity
assessed with fMRI, new spinal cord stimulation device,
Yoga and cancer. Presentations at American Pain
Society, American Academy of Pain Medicine, and
American Society of Regional Anesthesia, with Andrei
Sdrulla winning the Best of Meeting award for his
abstract.
• Future move
Adult Inpatient Anesthesia
Properly Prepared Patient
(patient is ready for surgery and OHSU is ready for the patient)
Surgical Patient Flow & Experience
Improvement Events
(Kaizen) - completed
Surgical
Practice
Clinic
O.R.
Scheduling
Preoperative
Medicine
Clinic
PreOperative
Unit
South
Operating
Room
Perianesthesia
Recovery
O.R.
Turnover
Time
Recovery
duration
Information to patient & family
Properly prepared patient 2.0
Properly prepared
patient 1.0
PMC
capacity
On-time
1st case
start
Intra-op
documentation
Procedure card
Inventory Management
Work place
organization
future
Standard Work and Daily Management Systems (DMS)
Level
loading
across the
week
Level
loading
within the
day
Tray
replenish.
Consolidate
instrum.
In room to
Anesth
Ready
Anesth
Ready to
Proc Start
Proc
Start to
Close
Close to
patient
out
SOR/PACU Accomplishments
• Opex Kaizen events complete:
–
–
–
–
–
Turnover time
First case start time
PACU phase 1 and 2 time
Properly prepared patient (scheduling)
Procedure cards, item file (equipment)
• Events launched
– In room to anesthesia ready
– Anesthesia ready to cut
SOR/PACU Accomplishments
• Improved SCIP performance metrics
(antibiotic administration, patient
warming/temp, beta blocker administration)
• Improved patient satisfaction metrics
• Improved first case start times
• Improved OR/ICU transfer process
• Expanded specialized care teams (VAD
patients)
• Restructured weekend staffing model
•
•
Standard Work for First Case Starts: Patients,
6A Staff, SOR RNs Anesthesia, and Surgeons
Consistently monitor and countermeasure
Highlights:
•
•
•
Daily Huddles leading to interdisciplinary
communication and collaboration
Daily Management Systems trending and
addressing abnormalities
Focus on evaluating standard work and
workarounds
SOR/PACU Goals
• Launch further Opex Kaizen events:
– Cut to close
– Close to out of room
– Other patient and equipment prep projects
• Further metrics to tackle:
– Reduce ambulatory volume in SOR from 15% to
10%
– 10% reduction in case cost
– Smooth the schedule: ‘level load’
– Better impact on turnover time
•
Standard work for eight different roles
•
Initial improvement, sustained
•
Larger barriers had specific work to:
•
–
Address gaps in schedule
–
Signaling for the next patient
Next steps to address “longer” delays
Be a Leader Initiate the
TEAM HUDDLE
SOR/PACU Goals
• Better socialize standard work from Kaizen
events- emails, grand rounds, direct
feedback
• Streamline clinical care pathways and
create easier online accessibility to this
information
• Extend patient education and preparation
to PMC
Perioperative Pacemaker Program:
2013-2014 Accomplishments
• Ongoing expansion of program
– We are currently training our 6th team member
(Ryan Anderson)
– In collaboration with EP, ICU and palliative care,
developed new protocol for PM deactivation for
end of life care
• The program now provides near 100% of
periop. coverage, average >2 consults per
day
• Ongoing funded clinical research study
• Completed several associated publications,
internal and external presentations
Out of OR:
2013-2014 Accomplishments
• New collaborative agreement with GI to
improve efficiency
• New collaborative agreement with Cardiac
Cath. Lab to increase block time, improve
efficiency
• New INR activation protocol – APOM now
only mobilized when actually needed
• Improved compliance with deep sedation
policy & developed “rescue sedation”
protocol for cath lab
Out of OR:
2014-2015 Goals
• Cont. to work to improve efficiency and
processes of care at OOR sites, especially in
light of significant growth in OOR volume that
is anticipated over coming year
• Develop more defined protocols (systems
based care) for OOR cases
• Improve OOR experience for residents:
expand and improve OOR rotation curriculum
• Complete MRI improvement project
(PI=Doug Arditi)
Center for Health & Healing
Ambulatory Surgery Center
Accomplishments for the past year
• Installed High Definition Nu Boom in OR #
5 to expand Urology capability.
• Initiated Opex huddle to improve facility
administration.
• Reduced work hours to realign staffing
with actual surgical volumes.
Goals for the Coming Year
• Continue to recruit new surgical volume
• Improve efficiency of care delivery and facility
through-put
• Expand and improve team-building through
didactic and clinical training
• Participate in long-range planning for expansion
of Ambulatory Surgery Services at OHSU by
participating in the planning and design of CHH2
(CHH South).
NOR Goals
• Improve patient experience by:
– Distributing patients between A and D pods to
enhance patient privacy
– Additional training for DayStay nurses
• Maintain 18 month record of best on-time,
first-case starts.
• Install new privacy curtains for all patient
bays.
• Upgrade monitors in B and C pods
Portland VAMC Dept of Anesthesia
- Highlights 2013-2014
Personnel changes:
Grace Chien stepped down as Chief of
Anesthesiology in Nov 2013. Mini Dogra
currently the Acting Chief.
PVAMC Anesthesiology Residency Site
Director and Director of CBY: David
Wilson took over from Linda Wylie
Access and Backlog reduction in Operative Care
• Prior to recent allegations, PVAMC approved for
staged expansion from 9 to 11 ORs/day and
additional out-of-OR anesthesia resources
• Will be able to add 1600 cases per year with
increasing to 11 rooms by 2015
• Restructuring of the Pre-Operative clinic: Added a
new pre-op clinic specific to certain cases to
increase throughput .
• Expansion of out of OR Anesthesia care in sites
e.g. GI for endoscopy
VA Research
• Research protocol for rotator cuff surgery
and Acupuncture for post-operative pain
submitted.
• Diane Miller:Feasibility and Acceptability of
Group Acupuncture in Veterans with
Hepatitis C:A Pilot Study:
• Drew Oken: Aliskiren: A New Harbinger of
Hypotension?
• Eric Schnell: 4 publications related to
mechanisms of injury from head trauma
VA Education
• Interns: David Wilson has developed a
curriculum to help interns study for their intraining examination.
• Drs. Wilson and Mitchell have mentored
Dr. Vega in developing a curriculum for
“perioperative surgical home models”
within the peri-operative rotation.
• Faculty continue to be resident advisers
APOM CQI Committee
2013 Highlights
Dr. L. Michele Noles
•
•
Joined the CQI team in February
2014 as Chief Quality Officer and
Chair of CQI Committee
Goals
– Improve turnaround times for CQI
case reviews
– Work with Education Office to
involve residents in educational
Quality Improvement Projects
– Create Quality ASPIRE track
– Work with hospital QEC and
national data to ensure APOM’s
standing as a quality leader
– Identify, measure, improve and
publish Quality initiatives.
Grand Rounds:
Value assessment by attendees
Measure
2011-2012 2012-2013 2013-2014
Content
4.48
4.16
4.18
Quality of
presentation/Effectiveness
4.52
4.19
4.19
AV Materials
4.42
4.09
4.12
Relevance to Practice
4.46
4.16
4.17
Scale of 1 (poor) to 5 (excellent)
2013-14 Committee Productivity
Committee Members:
Michele Noles, MD (Chair)
Ed Kahl, MD
Glenn Woodworth, MD
Julio Gonzalez, MD
Karen Hand, MD
Lars Hegnell, MD
Mark Zornow, MD
Mary Blanchette, MD
Matthias Merkel, MD
Andi Orfanakis, MD
Rebecca Hall, MD
Diane Knapp, CRNA
Jamie Eastman, PhD
Matt Schreiner
• 229 Cases reported, reviewed
and logged for CQI between
July 1, 2013 and May 1, 2014
• 41 Grand Rounds featuring 30
internal speakers and visiting
professors from Universities
such as Stanford, Columbia,
and Michigan
Accomplishments and Goals
Research
Research – Accomplishments
• Made important scientific advances related to:
• Understanding mechanisms of stroke (N. Alkayed)
• Biomarker discovery in Alzheimer’s Disease (J. Saugstad)
• CSF dynamics in Traumatic Brain Injury (J. Iliff)
• Neuro-inflammatory mechanisms after cardiac arrest (I. Koerner)
• Anesthetic effects on the developing brain (A. Brambrink)
• Mechanism of epilepsy after traumatic brain injury (E. Schnell)
• Acute Kidney Injury (M. Hutchens)
• Airway Management (M. Aziz)
• Cardiac implantable electronic devices (P. Schulman)
• Anesthesia Educational Research (G. Woodworth)
• Anesthetic effects in the aging brain (K. Schenning)
Research – Accomplishments
• Received more than 3 million dollars of grant
funding
• Published more than 40 original peer-reviewed
research articles
• 2 patents
• Developed an innovative process and accounting
system to support use of shared core resources
• Fostered interdisciplinary collaborations
throughout OHSU
Research – Strategic Goals
•
Develop APOM as a center of excellence in clinical and biomedical
research
– FY15: Recruit two new faculty to support animal models and clinical
outcomes research
•
Develop a self-sustained research program
– FY15: Foster junior faculty research career development and grant
applications
•
Strengthen collaborations with the KCVI and the neuroscience community
– FY15: Develop APOM facilities into a shared resource core model
•
Engage and support clinical anesthesiologists interested in research and
other scholarly activities
– FY15: Work with other APOM divisions to formalize the faculty
development program
HOPE 2013-2014
Humanitarian Overseas Physician Education
Resident Trips 2013-2014
• Cindy Hwang/Dean Lao
– Vietnam, funded by SEA/HVO
• T. Trinh/Berklee Robins
– Peru (Cleft lip and palate)
• Katie Schenning/Judy Freeman
– India (General surgery)
• Katrin Post-Martin/Grace Chien and Linda
Wylie
– Ethiopia (Gyn)
Peds Anesthesia Fellow Trips
• Amy Opilla/Kelly Ryan and Becky Hall
– Vietnam (Cleft lip and palate)
• Christine Martin/Jerry Tanner with Rachel
Wood
– Equador (pediatric orthopedics)
Thank you
• To those of you who financially support the
Stevens, Thompson or Stewart Funds in our
Department
• Aspire Global Health core faculty:
– Bingham, Freeman, Gonzalez-Sotomayor, Lao,
Robins
• To those faculty who donate their time and
money to work very hard overseas
• Our amazing education staff, especially
Debi Stabler
Administration
New Administrative Staff
• Jenny Baker, ICD-10 Program Technician
• Maria Heruela, Administrative Coordinator
– Research
• Karl Koenig, Financial Analyst II Research
• Molly Malone, Research Assistant I
• Julie Wright, Coding Specialist
Jenny Baker
Jenny started at OHSU in 1997 with the Professional
Services Coding department. She received her core coding
certification in 2002, and her sub-specialty certification in
OB/GYN in 2007. In 2008, she earned her coding teaching
certification. For the past 17 years she has been
specializing in OB/GYN coding and reimbursement here at
OHSU and she enjoys the teaching environment here at the
University. She is very excited to have the opportunity to
move to APOM, and is looking forward to learning a new
specialty.
.
She has been married to her husband for 14 years and they have two little
Chihuahua’s. In her time away from work she enjoys getting outdoors.
They love to go camping, hiking and motorcycle riding. In her quiet time she
enjoys reading, listening to music, cross-stitch and doing logic problems
Maria Heruela
Maria Heruela, Administrative
Coordinator, joined the APOM
Research Division on May 27,
2014. Maria has most recently been
with the Patient Experience and
Language Services departments
here at OHSU. Maria was born in
the Philippines and moved to
Portland as a child. She is fluent in
Tagalog as well as Bisaya (a dialect
of Tagalog). In her spare time, Maria
enjoys hiking and cooking.
Karl Koenig
Karl Koenig, Financial Analyst II joined the
APOM team in October 2013. He assists
with the billing, reporting and costing
activities related to the research division.
Prior to joining OHSU, Karl worked for 25
years at Regency BlueCross BlueShield in
a variety of accounting and finance
positions. Away from work, Karl spends time with his wife and two
children and enjoys exercising, as well as working on home
improvement projects.
Molly Malone
Molly Malone, Research Assistant I, joined APOM
officially in June, 2014, but has been working as a
volunteer in the molecular biology labs since March.
She works in the molecular core under Dr. Julie
Saugstad genotyping the various mouse colonies.
Molly is a recent PSU graduate who began as a
volunteer with us in April of this year. She was
married in February 2014, and has 1 child and 4 stepchildren.
Julie Wright
Julie is a long time OHSU employee, most recently working for the Urology
department as their full time coder for 23 years. She has also worked for
other Surgical Divisions over the years, including ENT and General Surgery.
At the beginning of her OHSU career in 1989 she worked in both Orthopedics
and the mailroom, so she has an extensive history here at OHSU. She is
enjoying learning Anesthesia coding; even with her extensive coding
knowledge, Anesthesia coding/compliance is totally new for her.
Julie has one adult son who works for Union Pacific Railroad. In her spare
time she enjoys doing crafts with beads and wire, and enjoys other crafty
things. She also loves shopping!
Changes w/ Administrative Staff
• Ron Pleas, transitioned to a joint appointment
with the Healthcare Decision Support team.
Ron now has closer ties with ITG but still
supports APOM projects.
• Debi Stabler, now manages two admin
coordinators and is the facilitator for the
admin coordinator team meetings.
• Annie Riley, received her lean certification
and will be heading up the department’s lean
process improvement initiative.
Website and Intranet Updates
• Website Content Updated Regularly
• New Intranet Launching Soon!
“Like Us” on Facebook!
Administrative Strategic Plan Completed
• Vision
– To be recognized by the entire OHSU Institution
for teamwork and excellence in all administrative
and financial processes that lead to a high level
of employee job satisfaction.
• Mission
– To provide administrative and financial support in
order to meet the goals of all departmental
missions while keeping everyone motivated to
achieve excellence.
Administrative Strategic Plan Completed
• Themes
– Enhance Human Resources
– Strengthen Financial Structure
– Strengthen Culture of Teamwork
– Develop and Implement Transparent
Compensation Processes
– Build Relationships with OHSU Leadership
Administrative Strategic Plan: Completed & Current Tactics
Develop an enhanced human resource
program that will serve as a best practice for
OHSU: Lead by Kay Koestler
1. Conduct Exit Interviews & Utilize Feedback Completed
2.Conduct Regular Employee Satisfaction Surveys &
Respond to Feedback - Completed
3.Create Formal Cross Training Program – Started
4.Develop Competencies and Staff Development Started
Administrative Strategic Plan: Completed & Current Tactics
Strengthen the culture of teamwork with a
focus on continuous improvement.
1. Implementation of Administrative “Self Managed
Teams”
• APOM Managers - Completed
• APOM Administrative Coordinators - Started
2.Implement Lean Methodology across all mission
areas
• “Train the trainer” to be lead by Annie Riley - Started
Administrative Strategic Plan: Completed & Current Tactics
Develop and implement transparent
compensation processes and tools that will be
identified as best practice at OHSU.
1.Design template that allows employees to
understand the salary and pension components of
their total compensation - Started
2.Design training material that further describes and
links each pay element to the compensation plan Started
Other Completed Projects
Employee Recognition Committee – Lead by
Debi Stabler
• Birthday Cake Days (quarterly) along with
employee bios
• Fall Event – Autumn Social, October 24th,
SAVE THE DATE!
• Look for future announcements about APOM
social activities!
Financial Results FY 14
(April YTD)
• Patient Revenue: 1.1% better than budget
and better than FY13
• Expenses: 2.3% better than budget
• Payer Mix: Commercial better than budget
• Net Income: Expect a positive variance to
budget at year-end
Education
Accomplishments
•
•
•
•
Recruited a group of 12 accomplished incoming
residents.
All graduates were successful in attaining positions
to achieve their personal career goals. Postgraduate placement of residents and fellows
includes 15% going on to fellowship training, 40%
to academic practice and 45% to community
practice.
Submitted three education papers to peerreviewed journals.
Received OHSU and ACGME approval to add 1
additional pediatric fellow.
Education Accomplishments
•
Fostered resident scholarship, resulting in multiple publications,
presentations/abstracts, awards & honors.
• Peer reviewed articles: 11
• Presentations/abstracts: 6
• Posters: 9
• Awards/honors: 3
• Co-developed and led an all GME Education Day about diversity
recruitment including leading the development of a tool for
programs to use to help align GME wide diversity efforts and
resources.
Education Accomplishments
•
•
•
•
Expansion of the “mock oral” program into the
formal curriculum of subspecialty rotations such as
peds, ob and regional.
Grew our highly rated MOCA training program
which draws participants from across the country
and Canada.
Introduced additional ASPIRE modules including
Risk Management and Acupuncture. Over 75% of
residents attended at least one ASPIRE session.
Added an Assistant PD and a Director of
Educational Technology to our leadership team.
Education Goals
•
•
•
•
•
•
•
Develop strategies to help facilitate patient centered
teaching and learning experiences.
Integrate educational technology into our training and
assessment methods.
Complete rollout and implementation of Milestones and
revised assessment tools in residency training.
Start to incorporate Milestones into fellowship training.
Continue to expand our MOCA program to offer additional
course dates.
Refine and expand the ASPIRE program.
Continue to support and facilitate trainee and faculty
scholarly work.
Interns
Dr. Immaculeta Achilike
Immaculeta Achilike was born and
raised in Dallas, Texas. She attended
Baylor University for her
undergraduate degree in Biology and
The University of Texas School of
Public Health, San Antonio for her
combined M.D./M.P.H.
Her interests include cooking,
practicing yoga, watching and playing
basketball, as well as running and
half-marathon training. She enjoys
spending time with family and friends
and taking walks with her dog.
Dr. John Meyer
John Meyer was born in Kansas City,
Missouri. He attended the University
of Idaho for his Bachelor’s degree and
Colorado State University for his
Master’s. John attended medical
school at the University of Kansas
School of Medicine.
In his spare time, John enjoys fly
fishing, upland bird hunting, pointing
dogs, river travel, and stand-up
paddling.
Dr. Joanna Olsen
Joanna grew up in Brooklyn, New
York. She went to Williams College
and then the MD/PhD program at the
University of Rochester, where her
graduate work was in immunology
and HIV transmission.
In her free time, she enjoys running,
hiking, yoga, cooking (and eating),
and spending time with her husband
and two little boys, ages 3 and 1. She
is looking forward to integrating her
training in anesthesiology and critical
care through the Oregon Scholars
Program.
Dr. Jay Robinson II
Jay Robinson is from Detroit,
Michigan. He graduated with his
Bachelor’s in Neuroscience before
attending medical school at the
University of Michigan, Ann Arbor.
He enjoys drawing and painting,
with a little sculpture on the side.
He enjoys playing and watching
basketball. Reading is a pretty
cool activity (graphic novels) and
so is playing video games.
Dr. Remigio Roque
Remigio Roque grew up in rural
Western Maryland, the youngest
of five. He went to undergrad at
North Carolina State University.
He has spent the last six years in
Baltimore, Maryland – first as an
IRTA at NIH and then as a
medical student. Professionally,
he is interested in critical care and
medical education.
Personal interests and hobbies
include reading, trying new
restaurants, traveling, climbing,
and going to movies or the
symphony.
Dr. Nicholas Saenz
Nicholas Saenz is from McAllen,
Texas and went to medical school
at the University of Texas Health
Science Center in San Antonio.
During his spare time, he enjoys
working out, being outdoors,
playing many intramural sports,
keeping up with a couple of TV
shows, and attempting to cook.
He’s recently grown to love live
music concerts of all types. He
also follows the San Antonio
Spurs religiously and looks
forward to becoming an obligatory
Portland Trailblazers fan.
Dr. Andrew Slupe
Andrew Slupe grew up in Caldwell,
Idaho and completed undergraduate
training at Boise State University.
While at Boise State, he had the
opportunity to conduct basic science
research and found that he really
enjoyed the process. This led him to
combined training in clinical medicine
and research through the University of
Iowa MSTP.
When not engaged in work or schoolrelated activities, Andrew enjoys
spending time with his family. He
married his high school sweetheart,
Meghan, and they have two children,
Calvin and Hazel, and one dog,
Paige. They enjoy playing at the park
and going to the zoo.
Dr. Julia Stokes
Julia Stokes has lived in the
greater Seattle area for fifteen
years. She completed her
undergraduate and medical
degrees at the University of
Washington.
She absolutely loves the Pacific
Northwest and is excited to
explore the Portland area. Most of
her free time is spent hanging out
with her husband, their 90-pound
chocolate lab mix, and most
recently her one year old
daughter, Audrey Marie. She is a
hiking enthusiast, avid gardener,
and general fan of anything she
can do outdoors.
Dr. Evan Thilo
Evan Thilo is originally from
Seattle, WA (Go Hawks!) and is
returning to the Pacific Northwest
after attending medical school at
Wake Forest University SOM.
Originally more of a city-boy from
Seattle, he found peace in the
Appalachian mountains during
medical school and discovered
rock climbing and mountain biking
are his passions. He is coming
here with a new appreciation for
the outdoors and hopes to explore
all that the cascades have to
offer.
Dr. Amber Tucker
Amber Tucker was born and raised in
Long Island, New York. However, her
parents are from Bermuda and
Jamaica so each island is like a
second home to her. She went to
medical school at VCU Medical
College of Virginia.
She loves traveling and experiencing
new cultures, enjoys the beach, and
loves the adrenaline rush of roller
coasters and extreme adventures.
She has recently increased her talents
to cooking gourmet dishes. Lastly, she
has dedicated a great portion of her
free time in serving underserved
communities – nationally and
internationally.