Bio

Bio


Clinical Assistant Professor with an interest in Orthopedic and Thoracic Anesthesia. Clinical responsibilities include serving as division chief of orthopedic anesthesia as well as trauma liaison. Academic and administrative focus involves resident recruitment and development - currently serving on both the selection committee as well as clinical competency committee.

Clinical Focus


  • Anesthesiology
  • Orthopedic Anesthesia
  • Thoracic anesthesia
  • Trauma Anesthesia

Academic Appointments


Administrative Appointments


  • Trauma PPEC member, Stanford Hospital (2016 - Present)

Professional Education


  • Internship:Yale New Haven Primary Care ResidencyCT
  • Medical Education:Yale School Of Medicine Office of Student Affairs (2010) CT
  • Board Certification: Anesthesiology, American Board of Anesthesiology (2015)
  • Residency:Stanford HospitalCA

Publications

All Publications


  • Rates of Perioperative Complications Among Patients Undergoing Orthopedic Trauma Surgery Despite Having Positive Results for Methamphetamine ORTHOPEDICS Githens, T., DeBaun, M. R., Campbell, S. T., Wu, E. J., Goodnough, L., Lichstein, P., Painter, C., Krygier, J. E., Bishop, J., Gardner, M. J. 2019; 42 (4): 192–96

    Abstract

    The burden of psychosocial problems, including substance abuse, is high among trauma patients. Use of illicit substances is often noted during urine toxicology screening on admission and can delay surgery because of concerns for an interaction with anesthesia. Methamphetamine theoretically has potential to increase perioperative anesthetic risks. However, the authors are unaware of any studies documenting increased rates of cardiovascular complications in the perioperative period among orthopedic trauma patients. This study sought to determine the rate of cardiovascular complications in these patients. The authors reviewed the medical records of all patients between 2013 and 2018 who underwent orthopedic trauma surgery at two level I trauma centers in the setting of a methamphetamine-positive urine toxicology screening prior to surgery. Information on demographics, injury, type of surgical intervention, and incidence of perioperative cardiovascular and overall medical complications prior to discharge was recorded. Ninety-four patients were included in the study (mean age, 44 years; range, 16-78 years). Twenty-six (28%) patients had multiple injuries. Thirteen (14%) patients had debridement and/or provisional stabilization of an open or unstable fracture, 18 (19%) had treatment for an infection, and 63 (67%) had definitive fracture surgery. The overall rates of perioperative cardiovascular complications and perioperative medical complications were 2.1% and 3.2%, respectively. This study provides both a baseline understanding of the complication rate for methamphetamine-positive orthopedic trauma patients during general anesthesia and justification for larger multicenter studies to further investigate this topic. [Orthopedics. 2019; 42(4):192-196.].

    View details for DOI 10.3928/01477447-20190523-01

    View details for Web of Science ID 000476648200015

    View details for PubMedID 31136677

  • Development of an Objective Structured Clinical Examination Using the American Board of Anesthesiology Content Outline for the Objective Structured Clinical Examination Component of the APPLIED Certification Examination A & A PRACTICE Tanaka, P., Adriano, A., Ngai, L., Park, Y., Marty, A., Wakatsuki, S., Brun, C., Harrison, K., Bushell, E., Thomsen, J., Wen, L., Painter, C., Chen, M., Macario, A. 2018; 11 (7): 193–97
  • Development of an Objective Structured Clinical Examination Using the American Board of Anesthesiology Content Outline for the Objective Structured Clinical Examination Component of the APPLIED Certification Examination. A&A practice Tanaka, P., Adriano, A., Ngai, L., Park, Y. S., Marty, A., Wakatsuki, S., Brun, C., Harrison, K., Bushell, E., Thomsen, J. L., Wen, L., Painter, C., Chen, M., Macario, A. 2018

    Abstract

    The goal of this study was to use the American Board of Anesthesiology Objective Structured Clinical Examination (OSCE) content outline as a blueprint to develop and administer a 9-station mock OSCE with station-specific checklists to senior residents (n = 14). The G- and Ф-coefficient reliability estimates were 0.76 and 0.61, respectively. Residents judged the scenarios as either extremely or somewhat realistic (88%). It is feasible to develop and administer a mock OSCE with rigorous psychometric characteristics.

    View details for PubMedID 29688921