Ryan O Gowan, MBA, PA-C, FCCM 28 Bourque Road Cumberland, RI 02068

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1 Ryan O Gowan, MBA, PA-C, FCCM 28 Bourque Road Cumberland, RI Mission To provide excellent care in a critical care environment and to design and implement tools which maximize the utilization of all available healthcare resources. Education Bachelor of Science, Physician Assistant studies- Physician Assistant certificate May 2000 Springfield College Physician Assistant Program Springfield, Massachusetts GPA 3.5. Honors include selection of Who s Who among students across America Master of Business Administration May 2011 UMass Isenberg School of Management Amherst, Massachusetts GPA 3.8 Leadership Activity & Fellowships Academy of Physician Assistants in Cardiovascular Surgery Fellow, Academy of Physician Assistants in Cardiovascular Surgery (FAPACVS) 2004-Present Maquet Leadership Fellow Course Chair- APACVS Critical Care Conference 2014 Member at Large, Executive Board 2014-Present Society of Critical Care Medicine Fellow, American College of Critical Care Medicine (FCCM) Inducted, February 2 nd, 2012 Moderator-Mentoring in Sepsis Research Webinar Presenters- Emmanuel Rivers, MD & Marie Mullen, MD 2013 Chair, Physician Assistant Section Moderator-Controversies in Fluid Management Webinar: A Lincoln Douglas Debate Presenters- Peter Sandor, PA-C & William Holecek, PA-C 2015 President, Northeast Chapter- Society of Critical Care Medicine Present Awards include SCCM Presidential Citation for 2013, 2014, and 2015 for member with 95 th percentile engagement in society issues and activities. One of only six Physician Assistants to have been inducted into the American College of Critical Care Medicine, a traditionally Physician College. Employment

2 Umass Memorial Medical Center Physician Assistant in Cardiothoracic Surgery Administrative Duties included: Interviewing prospective candidates Implementing objectives of the wound infection prevention group. Intraoperative duties consisted of second assisting and endoscopic vessel harvesting. Baystate Medical Center Staff Physician Assistant in Cardiac Surgery Clinical Duties included: First and second assisting in Cardiac Surgery while working for a Private Practice CTS group in an academic medical center. Radial Artery harvesting and saphenous vein harvesting with minimally invasive techniques. Placement of triple lumen catheters. Placement of chest tubes and precepting emergency medicine residents in chest tube placement techniques. Placement of radial and femoral arterial lines. Placement of Swan Ganz catheters. Placement of Intra aortic balloon pumps. Emergency Bedside Thoracotomy- one of four PAs in the hospital credentialed to perform emergency resternotomy with assistance by surgical chief when the attending was not in house. Coordinating care of Cardiac ICU patients and implementing care plans. Coordinating care plans of consultants. Discharging telemetry patients and removing chest tubes and pacing wires. Administrative duties included: Scheduling Meeting with representatives from cardiology and pharmacy to determine policy surrounding the usage of drugs in the perioperative setting (i.e., toradol & amiodarone) Review and addition of order sets to cis Construction of progress note and discharge summary templates to maximize time and to ensure consistency in charting Designing and implementing tools to ensure efficiency and ease of communication between nursing and midlevel providers Designing and implementing tools to aid in the identification of patients on morbidity and mortality rounds and producing PowerPoint topics for Cardiac Surgery monthly conferences. Baystate Medical Center Moonlighter-Physician Assistant in Emergency Medicine Worked in a Level One Trauma center with an annual patient volume of 114,000 visits at peak. Clinical duties consisted of caring for patients in the general and main treatment areas. Additional duties consist of caring for trauma and cardiac patients and admitting patients with various conditions. I Worked overnights, while employed on CTS service. I managed a variety of patients including obstetrical patients, pediatrics, and provided patient care and performed procedures including suturing, splinting/casting, reduction of dislocated joints (with physician supervision), interpretation of radiographs and labs, and prescription of drugs (including level 2 narcotics).

3 UMass Memorial Healthcare Surgical ICU/ Trauma service Management of Acute trauma patients, SICU patients, neurocritical, vascular and transplant surgery patients. Coordination of Line simulation training workshop using ultrasonography and medical simulations Lecturer in SICU and PA residency didactic curriculum. Management of admissions from the Emergency Department, and caring for critically ill patients to facilitate rapid transfer to an ICU environment. Program Director, Physician Assistant Residency in Critical Care Administrative duties included budgetary administration, recruiting, advertising, project management, and coordination/orientation of PA residents while on rotation. Oversight of PA residency workgroup consisting of the Medical Director, Critical Care program manager, three staff PA clinical coordinators, and an administrative assistant, as well as budgetary resources exceeding $500,000. Acting Manager, NP/PA Critical Care workgroup Administrative duties include hiring/selection of Affiliate Practitioners, oversight of 54 NPs and PAs. Interface with Medical Staff Office, Billing Compliance, and Oversight of $2.9 Million in resources while developing critical care billings to equal$2.2 Million. Created schedule synchronization in 6 different workgroups, which minimized moonlighting. Standardized Scheduling in 6 different workgroups to maximize patient staffing ratios and quality of care. Moonlighter in Cardiothoracic Surgery Similar duties as above at Baystate Medical. St Francis Hospital, Hartford CT Surgical Physician Assistant Clinical Duties consist of caring for patients in a face paced trauma ICU. Procedural duties include placement of percutaneous feeding tubes, tracheostomies, chest tubes and central lines. Administrative contributions include development and authoring of the Licox placement and usage clinical guideline. St. Vincent s Hospital, Worcester MA 2012-Present Surgical ICU Physician Assistant Clinical duties consist of caring for patients in a mixed surgical ICU, mainly vascular, thoracic, and general surgical patients. Procedural duties include placement of chest tubes, central lines, arterial lines, and dialysis access. Administrative duties include responsibilities for Rapid Responses, RRT data collection, and serving on the Lead Midlevel Committee, as well as chairing the APP section for Tenet Healthcare s National Critical Care Committee, chaired by David Kaufman, MD, FCCM (Sr. Vice President). Teaching Activities & Publications Datachem software 1999 PA Prep Board review program Author of the ob/gyn, psychiatry, and urology chapters.

4 Advance for Physician Assistants -the role of the PA in telemedicine Summer 2009 Primary and Secondary Survey of the Trauma Patient Springer Online Encyclopedia of Trauma Care 2014 Central Venous Cathterization with and without Ultrasound Guidance Interventional Critical Care-A Manual for Advanced Care Practitioners Taylor, Dennis and Sherry, Scott- Editors 2016 Quinsigamond Community College Phlebotomy program Assistant Lab instructor Worcester, Massachusetts Bay Path College Physician Assistant Program Advisory Board Member Adjunct Faculty-Massachusetts of College of Pharmacy PA Program July 2011-Present 2013-Present Lectures Lecturer, Springfield College Physician Assistant Program: General Surgery Case Studies Pulmonary Boards Review Lecturer, University of Massachusetts Medical School Graduate School of Nursing Nurse Practitioner Program: Subarachnoid Hemorrhage and Intracranial Hemorrhage Pneumonia Lecturer, Massachusetts Association of Physician Assistants: Blood transfusions and transfusion reactions Critical Care Case Studies Lecturer & Curriculum Program Director, Chamberlain Medical Resources, Inc. The Big Three: Sepsis, Shock, and Renal Failure. The year in literature review Critical Care Case Studies Critical Care Program, May 20th-22nd 2011, Providence, R.I. I coordinated a 26 hour category I CME conference in critical care for NP/PA clinicians who wish to pursue a non-residency route to being acquainted with critical care instruction. Lecturer & Program Director, UMass Memorial Physician Assistant Residency in Critical Care: Abdominal Compartment Syndrome Adult Respiratory Distress Syndrome Arrhythmias & Pacing Acid Base Interpretation Acute Renal Failure journal club presentation: When to dialyze? Adrenal Insufficiency in Critical Care Blood transfusions and transfusion reactions

5 Central Line placement and complications: using ultrasound to its potential Hypercoagulable states Mechanical Ventilation Shock Pregnancy in Critical Care Travel Medicine Primer Lecturer & Course Coordinator, UMass Medical School Department of Continuing Education Fundamentals of Critical Care Support Course: Introductory Lecture Acute Respiratory Failure Shock Pediatric Issues in Critical Care Pregnancy in Critical Care Central Line Skill Station instructor Non-Invasive Positive Pressure Ventilation instructor Certifications & Licenses Advanced Traumatic Life Support Advanced Cardiac Life Support Fundamentals of Critical Care Support-Instructor Basic Life Support Pediatric Advanced Life Support Federal DEA registration Massachusetts Controlled Substance registration Massachusetts Physician Assistant License # PA 1163 Connecticut Controlled Substance registration Connecticut Physician Assistant License # Personal Interests Cycling, Running half marathons, Photography, Reading on science and history, art, and music. References Furnished upon request.

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