Dr. Joshua M. Kosowsky
162 South Main St
Sharon MA, 02067
US
Practicing, board-certified, emergency physician with >5 yrs experience in expert testimony. Associate Clinical Director of Emergency Department at major teaching affiliate of Harvard Medical School.
None
Office:
781-793-9175
Pager:
617-429-6143
e-Mail:
Education:
1988 AB, Harvard College
1996 MD, Harvard Medical School
Postdoctoral Training:
1996-97 Internship, Emergency Medicine, University of Cincinnati
1997-2000 Residency, Emergency Medicine, University of Cincinnati
Licensure and Certification:
1996-present Advanced Cardiac Life Support Instructor Certification
1997-present Advanced Trauma Life Support Provider Certification
2000-present Massachusetts Board of Registration in Medicine
2000-present Federal DEA Controlled Substances Registration
2000-present Massachusetts Controlled Substances Registration
2001-present American Board of Emergency Medicine
Academic Appointments:
2000-present Instructor in Medicine (Emergency Medicine), Harvard Medical School
Hospital or Affiliated Institution Appointments:
2000-present Associate Physician, Department of Emergency Medicine, Brigham and Women’s Hospital
Other Professional Positions and Major Visiting Appointments:
2000-present Member, Steering Committee, CHF Benchmarking Project, University Health System Consortium
2004-present Member, Clinical Policies Subcommittee on Decompensated Heart Failure, American College of Emergency Physicians
Hospital and Health Care Organization Service Responsibilities:
2002-present Institutional Review Board Member, Partners Healthcare System
Major Administrative Responsibilities:
2003-present Assistant Director, Emergency Cardiac-Stroke Unit, Brigham and Women’s Hospital
2004-present Associate Clinical Director, Department of Emergency Medicine, Brigham and Women’s Hospital
Major Committee Assignments:
2002-present Emergency Department Finance Committee, Member, Brigham and Women’s Hospital
2005-present ICU Leadership Committee, Member, Brigham and Women’s Hospital
2005-present Pharmacy and Therapeutics Committee, Member, Brigham and Women’s Hospital
2005-present Physician Council, Member, Brigham and Women’s Hospital
2005-present Clinical Practice Leaders Committee, Member, Brigham and Women’s Hospital
2005-present Medical Staff Executive Committee, Member, Brigham and Women’s Hospital
Professional Societies
1992-present American Medical Association, Member
1996-present American College of Emergency Physicians, Member
1996-present Society for Academic Emergency Medicine, Member
1998-present National Association of EMS physicians, Member
Editorial Boards:
2000-present Editorial Review Board Member, The Journal of Emergency Medicine
2001-presentn Active Reviewer, Annals of Emergency Medicine
2002-present ECG Editor, Features Section Editorial Board, eMedicine World Medical Library
2003 Guest Editor, Emergency Medicine Practice
Awards and Honors:
1996 SAEM Excellence in Emergency Medicine Award
1999 Rhône-Poulenc Rorer Emergency Medicine Resident Scholarship
2001 Esther B. Kahn Young Investigator’s Award
2002 Certificates of Appreciation, Brigham and Women’s Hospital
2002 Partners in Excellence Award, Partners HealthCare
2002-05 Top Consultant, Annals of Emergency Medicine
Medical School Teaching:
2000-present Harvard Medical School. Introduction to Clinical Medicine. Preceptor.
2000-present Harvard Medical School. Emergency Medicine. Instructor.
2004-present Harvard Medical School. Emergency Medicine. Lecturer.
Invited Lectures (selected):
Regional
2001 Evaluation and management of acutely decompensated heart failure. 6th Annual Emergency Medicine into the 21st Century Conference, Boston, MA.
2001 Finer points of ECG interpretation. 6th Annual Emergency Medicine into the 21st Century Conference, Boston, MA.
2003 ECG’s: The Subtle MI. 8th Annual Emergency Medicine into the 21st Century Conference, Boston, MA.
2004 Difficult Airway Lab. 9th Annual Emergency Medicine into the 21st Century Conference, Boston, MA.
2005 Altered Mental Status. SnowBird EMS Conference. Lincoln, NH.
2005 Pozner CP. Introduction to STRATUS (Simulation, Training and Technology Utilization System) for Emergency Physicians. 10th Annual Emergency Medicine into the 21st Century Conference, Boston, MA.
2005 Management of Acutely Decompensated Heart Failure in the Out-of Hospital Setting. Boston EMS Fall Paramedic Refresher Course.
National
2003 Heart Failure: Cutting-Edge Treatment. American College of Emergency Physicians, Annual Meeting, Boston, MA.
2003 Acute Decompensated Heart Failure (ADHF): Emergency Medicine 2003 Update. Critical Pathways in the Management of Acute Decompensated Heart Failure, Mount Sinai Hospital, New York, NY.
2005 Acute Ischemic Coronary Syndromes. The Heart Course, Miami, FL.
2005 Acute Decompensated Heart Failure. The Heart Course, Las Vegas, NV.
2005 Cardiac Devices. The Heart Course, Las Vegas, NV.
2005 Grand Rounds, Succeeding in Clinical Research During Residency, Department of Emergency Medicine, Jacobi Medical Center, New York, NY.
Original Articles:
Can emergency department triage nurses predict patients’ dispositions? Am J Emerg Med 2001;19:10-4.
Prehospital use of continuous positive airway pressure (CPAP) for presumed pulmonary edema: preliminary case series. Prehosp Emerg Care 2001;5:190-6.
Assessment of stroke index using impedance cardiography: comparison with traditional vital signs for the detection of moderate acute blood loss in healthy volunteers. Acad Emerg Med 2002; 9:775-80.
Impact of B-type natriuretic peptide (BNP) testing on medical decision-making for older patients with dyspnea. J Emerg Med. In press.
Optimal Initial Warfarin Dosing (5 mg versus 10 mg) for Venous Thromboembolism: A Randomized Clinical Trial. Am J Cardiol. In Press.
Reviews, Chapters and Editorials:
Patient refusal of care in the out-of hospital setting. Acad Emerg Med 1996;3:948-951.
Continuous and bi-level positive airway pressure in the treatment of acute cardiogenic pulmonary edema. Am J Emerg Med 2000;18:91-5.
Evaluation and management of patients with acutely decompensated chronic heart failure in the emergency department. Congestive Heart Failure 2001;7:124-136.
Pleural disease. In: Rosen P, Barkin RM, editors. Rosen’s Emergency Medicine: Concepts and Clinical Practice. Fifth Edition. St Louis: Mosby, Inc.; 2002. p. 1000-11.
Acutely decompensated heart failure: diagnostic and therapeutic strategies in 2002. Emergency Medicine Practice, February, 2002.
A triage algorithm for the rapid clinical assessment and evidence-based management of ED patients presenting with chest pain. Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine, 2004; 3(3):154-7.
Urgent management of acute decompensated heart failure: the role of the emergency physician. Clinician 2005;3(2):3-15.
Thrombolysis for ST-elevation myocardial infarction in the emergency department. In: Cannon CP, O’Gara PT, editors. Critical Pathways in Cardiovascular Medicine, 2nd Edition. Lippincott, Williams & Wilkins, In press.
Clinical Communications:
Bilateral blindness. Acad Emerg Med 1997;4:834-5.
Massive hemoperitoneum due to rupture of a retroperitoneal varix. J Emerg Med 2000;19:347-9.
Bilevel positive airway pressure for presumed pulmonary edema. Acad Emerg Med 2001;299-300.
Is the initial diagnostic impression of 'noncardiac chest pain' adequate to exclude cardiac disease? Ann Emerg Med 2005;46(1):96.
Abstracts (selected):
A statistical model to predict hospital admission from the emergency department. Society for Academic Emergency Medicine, Annual Meeting, Boston MA, May 1999.
The use of non-cardiac laboratory tests in an emergency department chest pain center. American College of Emergency Physicians, Annual Meeting, Las Vegas NV, October 1999.
Patterns of seatbelt use among ED patients presenting after minor motor vehicle crashes. American College of Emergency Physicians, Annual Meeting, Philadelphia PA, October 2000.
Preliminary experience with an emergency department observation unit protocol for heart failure. American College of Emergency Physicians, Emergency Medicine Foundation Showcase, Philadelphia PA, October 2000.
Prehospital continuous positive airway pressure (CPAP) for presumed congestive heart failure (CHF): Paramedic impressions of a feasibility study. National Association of EMS Physicians, Annual Meeting, Fort Myers, FL, January 2001.
Can presenting clinical features be used to predict ETT outcome among low-risk chest-pain patients in the ED? Sixth National Congress of Chest Pain Centers, San Francisco, CA, May 2003.
Impact of B-type natriuretic peptide (BNP) testing on medical decision-making for older patients with dyspnea. American College of Emergency Physicians, Annual Meeting, Boston, MA, October 2003.
1988 AB, Harvard College
1996 MD, Harvard Medical School
Postdoctoral Training:
1996-97 Internship, Emergency Medicine, University of Cincinnati
1997-2000 Residency, Emergency Medicine, University of Cincinnati
Licensure and Certification:
1996-present Advanced Cardiac Life Support Instructor Certification
1997-present Advanced Trauma Life Support Provider Certification
2000-present Massachusetts Board of Registration in Medicine
2000-present Federal DEA Controlled Substances Registration
2000-present Massachusetts Controlled Substances Registration
2001-present American Board of Emergency Medicine
Academic Appointments:
2000-present Instructor in Medicine (Emergency Medicine), Harvard Medical School
Hospital or Affiliated Institution Appointments:
2000-present Associate Physician, Department of Emergency Medicine, Brigham and Women’s Hospital
Other Professional Positions and Major Visiting Appointments:
2000-present Member, Steering Committee, CHF Benchmarking Project, University Health System Consortium
2004-present Member, Clinical Policies Subcommittee on Decompensated Heart Failure, American College of Emergency Physicians
Hospital and Health Care Organization Service Responsibilities:
2002-present Institutional Review Board Member, Partners Healthcare System
Major Administrative Responsibilities:
2003-present Assistant Director, Emergency Cardiac-Stroke Unit, Brigham and Women’s Hospital
2004-present Associate Clinical Director, Department of Emergency Medicine, Brigham and Women’s Hospital
Major Committee Assignments:
2002-present Emergency Department Finance Committee, Member, Brigham and Women’s Hospital
2005-present ICU Leadership Committee, Member, Brigham and Women’s Hospital
2005-present Pharmacy and Therapeutics Committee, Member, Brigham and Women’s Hospital
2005-present Physician Council, Member, Brigham and Women’s Hospital
2005-present Clinical Practice Leaders Committee, Member, Brigham and Women’s Hospital
2005-present Medical Staff Executive Committee, Member, Brigham and Women’s Hospital
Professional Societies
1992-present American Medical Association, Member
1996-present American College of Emergency Physicians, Member
1996-present Society for Academic Emergency Medicine, Member
1998-present National Association of EMS physicians, Member
Editorial Boards:
2000-present Editorial Review Board Member, The Journal of Emergency Medicine
2001-presentn Active Reviewer, Annals of Emergency Medicine
2002-present ECG Editor, Features Section Editorial Board, eMedicine World Medical Library
2003 Guest Editor, Emergency Medicine Practice
Awards and Honors:
1996 SAEM Excellence in Emergency Medicine Award
1999 Rhône-Poulenc Rorer Emergency Medicine Resident Scholarship
2001 Esther B. Kahn Young Investigator’s Award
2002 Certificates of Appreciation, Brigham and Women’s Hospital
2002 Partners in Excellence Award, Partners HealthCare
2002-05 Top Consultant, Annals of Emergency Medicine
Medical School Teaching:
2000-present Harvard Medical School. Introduction to Clinical Medicine. Preceptor.
2000-present Harvard Medical School. Emergency Medicine. Instructor.
2004-present Harvard Medical School. Emergency Medicine. Lecturer.
Invited Lectures (selected):
Regional
2001 Evaluation and management of acutely decompensated heart failure. 6th Annual Emergency Medicine into the 21st Century Conference, Boston, MA.
2001 Finer points of ECG interpretation. 6th Annual Emergency Medicine into the 21st Century Conference, Boston, MA.
2003 ECG’s: The Subtle MI. 8th Annual Emergency Medicine into the 21st Century Conference, Boston, MA.
2004 Difficult Airway Lab. 9th Annual Emergency Medicine into the 21st Century Conference, Boston, MA.
2005 Altered Mental Status. SnowBird EMS Conference. Lincoln, NH.
2005 Pozner CP. Introduction to STRATUS (Simulation, Training and Technology Utilization System) for Emergency Physicians. 10th Annual Emergency Medicine into the 21st Century Conference, Boston, MA.
2005 Management of Acutely Decompensated Heart Failure in the Out-of Hospital Setting. Boston EMS Fall Paramedic Refresher Course.
National
2003 Heart Failure: Cutting-Edge Treatment. American College of Emergency Physicians, Annual Meeting, Boston, MA.
2003 Acute Decompensated Heart Failure (ADHF): Emergency Medicine 2003 Update. Critical Pathways in the Management of Acute Decompensated Heart Failure, Mount Sinai Hospital, New York, NY.
2005 Acute Ischemic Coronary Syndromes. The Heart Course, Miami, FL.
2005 Acute Decompensated Heart Failure. The Heart Course, Las Vegas, NV.
2005 Cardiac Devices. The Heart Course, Las Vegas, NV.
2005 Grand Rounds, Succeeding in Clinical Research During Residency, Department of Emergency Medicine, Jacobi Medical Center, New York, NY.
Original Articles:
Can emergency department triage nurses predict patients’ dispositions? Am J Emerg Med 2001;19:10-4.
Prehospital use of continuous positive airway pressure (CPAP) for presumed pulmonary edema: preliminary case series. Prehosp Emerg Care 2001;5:190-6.
Assessment of stroke index using impedance cardiography: comparison with traditional vital signs for the detection of moderate acute blood loss in healthy volunteers. Acad Emerg Med 2002; 9:775-80.
Impact of B-type natriuretic peptide (BNP) testing on medical decision-making for older patients with dyspnea. J Emerg Med. In press.
Optimal Initial Warfarin Dosing (5 mg versus 10 mg) for Venous Thromboembolism: A Randomized Clinical Trial. Am J Cardiol. In Press.
Reviews, Chapters and Editorials:
Patient refusal of care in the out-of hospital setting. Acad Emerg Med 1996;3:948-951.
Continuous and bi-level positive airway pressure in the treatment of acute cardiogenic pulmonary edema. Am J Emerg Med 2000;18:91-5.
Evaluation and management of patients with acutely decompensated chronic heart failure in the emergency department. Congestive Heart Failure 2001;7:124-136.
Pleural disease. In: Rosen P, Barkin RM, editors. Rosen’s Emergency Medicine: Concepts and Clinical Practice. Fifth Edition. St Louis: Mosby, Inc.; 2002. p. 1000-11.
Acutely decompensated heart failure: diagnostic and therapeutic strategies in 2002. Emergency Medicine Practice, February, 2002.
A triage algorithm for the rapid clinical assessment and evidence-based management of ED patients presenting with chest pain. Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine, 2004; 3(3):154-7.
Urgent management of acute decompensated heart failure: the role of the emergency physician. Clinician 2005;3(2):3-15.
Thrombolysis for ST-elevation myocardial infarction in the emergency department. In: Cannon CP, O’Gara PT, editors. Critical Pathways in Cardiovascular Medicine, 2nd Edition. Lippincott, Williams & Wilkins, In press.
Clinical Communications:
Bilateral blindness. Acad Emerg Med 1997;4:834-5.
Massive hemoperitoneum due to rupture of a retroperitoneal varix. J Emerg Med 2000;19:347-9.
Bilevel positive airway pressure for presumed pulmonary edema. Acad Emerg Med 2001;299-300.
Is the initial diagnostic impression of 'noncardiac chest pain' adequate to exclude cardiac disease? Ann Emerg Med 2005;46(1):96.
Abstracts (selected):
A statistical model to predict hospital admission from the emergency department. Society for Academic Emergency Medicine, Annual Meeting, Boston MA, May 1999.
The use of non-cardiac laboratory tests in an emergency department chest pain center. American College of Emergency Physicians, Annual Meeting, Las Vegas NV, October 1999.
Patterns of seatbelt use among ED patients presenting after minor motor vehicle crashes. American College of Emergency Physicians, Annual Meeting, Philadelphia PA, October 2000.
Preliminary experience with an emergency department observation unit protocol for heart failure. American College of Emergency Physicians, Emergency Medicine Foundation Showcase, Philadelphia PA, October 2000.
Prehospital continuous positive airway pressure (CPAP) for presumed congestive heart failure (CHF): Paramedic impressions of a feasibility study. National Association of EMS Physicians, Annual Meeting, Fort Myers, FL, January 2001.
Can presenting clinical features be used to predict ETT outcome among low-risk chest-pain patients in the ED? Sixth National Congress of Chest Pain Centers, San Francisco, CA, May 2003.
Impact of B-type natriuretic peptide (BNP) testing on medical decision-making for older patients with dyspnea. American College of Emergency Physicians, Annual Meeting, Boston, MA, October 2003.
None Selected
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