UTHSCSA Faculty Profiles v1.0

Garvin, Rachel E.

School of Medicine
Neurosurgery
(210) 567-5625
garvinr@uthscsa.edu

I am a Neurointensivist and an Assistant Professor with the Departments of Neurosurgery, Emergency Medicine and Neurology at University of Texas Health Science Center San Antonio. My career in medicine actually started as a pediatric ICU nurse in Washington DC. After 5 years of nursing, I decided I wanted to acquire more knowledge and skills. I returned to school to complete pre-medical requirements while continuing to work as a nurse. I then attended medical school at the University of Maryland. During medical school, I was heavily involved in teaching. I was selected 2 years in a row to work with incoming medical students on a preparatory course for medical school studies and new early on that I had a love and knack for teaching. After graduating Summa Cum Laude and with the award for the Highest Average in Scholarship, I began my emergency medicine residency training at the University of Cincinnati. I continued teaching during residency, presenting lectures and creating an educational newsletter for the residents, published bi-monthly. During residency, I decided I wanted to further my training with a fellowship in neurocritical care. I always had enjoyed the challenge of caring for critically ill patients as a nurse. Neurocritical care required management of the complexities of the neurologically injured patient along with critical illness. This combination proved extremely challenging as well as rewarding. Following my residency in emergency medicine, I completed a neurocritical care fellowship at the University of Cincinnati. I am currently Board Certified in Emergency Medicine and Neurocritical Care.

Following my fellowship, I moved to San Antonio to work as a neurointensivist and clinician educator as well as continuing practice in emergency medicine at the University of Texas Health Science Center San Antonio. As a neurointensivist, I work every third week in the neuroICU. For that week I am on call 24/7 for 7 days. I work with a team of residents, mid-level providers, pharmacists, respiratory therapist, nurses and social workers to care for neurologically and medically complex patients. Our unit provides care for patients with stroke, traumatic brain injury, spinal cord injury, neuromuscular disease and seizures. In addition, these patients often have multi-system issues requiring critical care. As an intensivist, I provide multi-system care for these patients as well as perform procedures when indicated such as endotracheal intubations, central venous access, bronchoscopy and chest tubes. Working in the neuroICU also requires a significant amount of time devoted to meeting with families and working on often ethically challenging cases. In addition to working as a neurointensivist, I work 2-3 shifts per month as an emergency physician. In the emergency department at University Hospital, San Antonio, I am responsible for overseeing care provided by residents physicians and mid-level providers as well as teaching a range of students. Care provided ranges from life saving resuscitations to urgent care needs. In the emergency department I am also responsible for overseeing and assisting with procedures such as endotracheal intubations, central venous access. arterial access, chest tubes, lumbar puncture and paracentesis. Both neurocrtical care and emergency medicine require an ability to work well under pressure, handle emergent situations, exceptional critical thinking skills and the ability to work seamlessly in a team environment.

In addition to patient care, I am a clinician educator and I focus on developing interactive and engaging teaching methods. I enjoy bedside teaching which I emphasize on clinical rotations for residents and students. When I am not working clinically, my time is spent on educational initiatives, teaching and administrative work. I am currently involved with several different departments for regular lecture and didactic teaching series. I give twice monthly lectures to the neurology residents, presenting on neurocritical care topics and evidence- ba

9/2016 - Present Division Head and Neurocritical Care Division Chief UT Health, Neurosurgery
9/2016 - Present Associate Professor / Clinical and Faculty Physician UT Health, Neurosurgery
12/2014 - Present Assistant Professor and Faculty Physician University of Texas Health Science Center San Antonio, Neurology, San Antonio, TX
8/2012 - Present Attending Physician The University of Texas Health Science Center, Emergency Medicine, San Antonio, TX
8/2012 - Present Assistant Professor and Faculty Physician University of Texas Health Science Center San Antonio, Emergency Medicine, San Antonio, TX
8/2012 - Present Assistant Professor and Faculty Physician University of Texas Health Science Center San Antonio, Neurosurgery, San Antonio, TX
8/2012 - Present Attending physician University of Texas Health Science Center San Antonio, Neurosurgery, San Antonio, TX