Goettl, Bradley TSchool of Medicine |
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| 10/2020 - Present | Adjunct Assistant Professor | UTHealth Houston, Graduate Studies, Houston, TX |
| 1/2020 - Present | Post-Graduate Emergency Nurse Practitioner Program, San Antonio Site Director | UTHealth Houston & UT Health San Antonio Partnership, San Antonio, TX |
| 2/2019 - Present | Lead Advanced Practice Provider | UT Health San Antonio, Emergency Medicine, San Antonio, TX |
| 7/2018 - Present | Assistant Professor/Clinical | UT Health San Antonio, Emergency Medicine, San Antonio, TX |
| 2/2018 - Present | Assistant Professor/Clinical | UT Health San Antonio, Office for Faculty Excellence, San Antonio, TX |
| 8/2016 - Present | Advanced Practice Provider | University Health System, Emergency Medicine, San Antonio, TX |
| Year | Degree | Discipline | Institution |
| 2014 | MSN | Nursing (Family and Adult-Gerontologic Acute Care Nurse Practitioner) | University of South Alabama Mobile , AL |
| 2014 | DNP | Nursing (Subspecialty: Emergency and Cardiovascular) | University of South Alabama Mobile , AL |
| 2010 | BSN | Nursing (Cum Laude) | University of Texas-Arlington Arlington , TX |
| 2005 | AAS | Paramedic Technician (Honors) | Mid State Technical College Wisconsin Rapids , WI |
| 2005 | ADN | Nursing (Honors) | Mid State Technical College Wisconsin Rapids , WI |
| 2003 | DPL | EMT-Advanced Intensive Care Paramedic (Honors) | Mid State Technical College Wisconsin Rapids , WI |
| 2001 | Certificate | EMT-Basic | Chippewa Valley Technical College Eau Claire , WI |
| 2001 | Certificate | EMT-Intermediate | Mid State Technical College Wisconsin Rapids , WI |
Clinical Operations- Throughout my career, I have been active in clinical and system operations. I have trauma service leadership and operational experience at an adult/pediatric level II trauma center, a pediatric level 1 trauma center, and a regional level 3 trauma center. In this role, I was responsible for coordinating the progress of trauma patients through the system, protocol/pathway development, performance improvement activities, data management of data, and outreach. As a core member of the trauma service, I played a vital role in the American College of Surgeons Trauma Center Verification Process. I helped lead multiple successful state and American College of Surgeons trauma center site visits. I have experience working as a house officer or hospital supervisor. In this role, I provided overall supervision of patient care and hospital services on my shift. This includes problem solving; assisting staff in-patient care decisions, coordinating staffing of the units and intervening in any matter that needs immediate attention. Currently, I serve as the Lead Advanced Practice Provider for the Department of Emergency Medicine and am an active member of the department?s clinical operations team. In this role, I supervise a team of advanced practice providers and assist the medical director with quality improvement and patient safety activities. |
Disaster Medicine- For the last 15 years, I have been involved in emergency management or disaster medicine. I have experience in preparation and response. I have received specialized training in preparedness and Incident Command Systems. Early in my career, I was the Emergency Preparedness Coordinator for a regional hospital. In this role, I was responsible for the development and implementation of the Hospital Incident Command System (HICS). HICS is an incident management system based on principles of the Incident Command System (ICS), which assists hospitals and healthcare organizations in improving their emergency management planning, response, and recovery capabilities for unplanned and planned events. As a trauma coordinator at an adult and pediatric trauma center, I was involved in disaster and emergency response planning. Mass casualty response plans were developed, maintained, simulated, and occasionally executed. I have had active involvement in regional planning in Wisconsin and Texas. As a faculty member, I am actively involved in Mass Casualty training at UTHealth Houston and have participated in training events in San Antonio. Currently, in my department leadership position, I have played as active role in planning and preparations for large scale incidents. Most recently, I was involved in the planning and preparation for COVID-19 surge and weather extremes at University Heath. I am active with the Texas Emergency Medical Task Force (EMTF) - Mobile Medical Unit (MMU) and have deployed multiple times. I have responded to multiple disasters including hurricanes, COVID related alternate care sites, COVID hospital capacity, and the West, TX explosion. I have also participated in emergency planning for large events such as festivals, Formula 1, Marathons, and X-Games. |
Emergency Clinical Practice- Over the last two decades, I have provided emergency care to patients. My emergency medicine career started in EMS as a paramedic. During this portion of my career, I responded to calls and provided emergency medical care to sick and injured patients. Additionally, I was a crew member of a ground and helicopter critical care transport team. In this role, I cared for the most critical out-of-hospital patients. Prior to becoming a nurse practitioner, I had extensive experience as an emergency nurse. I worked in rural resource limited hospitals, community hospitals, and tertiary academic medical centers. As an expert registered nurse, I hold board certifications as an emergency nurse (CEN), emergency pediatric (CPEN) nurse, and flight nurse (CFRN). My Nurse Practitioner career has been dedicated to emergency medicine. Beyond the typical training for nurse practitioner, I completed additional training in emergency care. I am triple boarded as a Family, Adult-Gerontologic Acute Care, and Emergency Nurse Practitioner. As a Nurse Practitioner, I have experience working around the country in rural and urban medical centers. Currently, I provide clinical care in the Emergency Department at the University Hospital System in San Antonio with a complex, high-acuity patient population. UHS is a certified Stroke Receiving Center, STEMI Receiving Center, and Transplant facility that sees over 80,000 patient per year in the emergency department. UT Health allows for ?top-of-license? practice opportunities and the ability to care for a wide range of acuities. I am recognized as a high performer, often seeing more patients and producing more RVUs than the national benchmark. In this role, I serve as a clinical mentor for other advanced practice providers, registered nurse, junior faculty, and residents. |
Emergency Nurse Practitioner Eduction- Over the last 6 years, I have precepted Nurse Practitioner and Physician Assistant students in the emergency department. I have worked with partners at UTHealth Houston to bring an Emergency Nurse Practitioner program to San Antonio. This partnership was funding through and educational grant. I hold a faculty appointment at UTHealth Houston and am core faculty for the Emergency/Trauma post-graduate program. I serve as the site director for the San Antonio branch of the program and am responsible for students rotating at University Health. I serve as a liaison and site coordinator for the Military EMPA program. I?ve been appointed to the American Academy of Emergency Nurse Practitioner Board of Director. In this role, I serve as an advocate for Emergency Nurse Practitioners and advancing education/practice. The board is advocating for emergency care to be its own nurse practitioner specialty instead of a family nurse practitioner subspecialty. I also serve as a reviewer for Emergency Nurse Practitioner academic programs and for community post-graduate training programs. I have served on education committees locally, nationally and internationally. I have extensive experience in conference planning and curriculum development. |
Pre-Hospital Medicine / Emergency Medical Services- With 20-years of Emergency Medical Services experience, I have had the opportunity to practice as a pre-hospital care provider, educator, and leader. As a licensed paramedic and board-certified flight nurse, I?ve work in multiple settings to include resource limited rural systems, critical care transport, and helicopter emergency medical services. I also have experience collaborating with specialty teams and transporting risk patients (neonatal, OB, and intra-aortic balloon pump). I have served as an instructor for formal pre-hospital education programs and have also provided a wide range of continuing education opportunities. I?ve been active in department and system level education committees and was responsible for the development and monitoring of clinician competencies. Nationally, I was active in the Air and Surface Transport Nurses Association Continuing Education Committee. My administrative duties included shift supervision, protocol development, system level operations, and active involvement in regional trauma systems. |
| Date | Description | Institution | # Students |
| 10/2020 - Present | N6271W Emergency/Trauma Care I | ||
| This first course in the emergency/trauma care concentration sequence focuses on the initial management of patients seeking emergency/trauma care in a variety of settings including pre-hospital (urgent care centers, free standing emergency departments) and urban/rural hospital based emergency departments. Emphasis is placed on response to the rapidly changing physiological status of emergency care/trauma patients. 2 Credit hours - Post-Graduate Nursing | |||
| 1/2020 - Present | Post Graduate Rotation Supervision | UTHealth Houston | |
| 1/2020 - Present | N6272W Emergency/Trauma Care II | ||
| This second course in the emergency/trauma concentration sequence focuses on high acuity, emergent condition management in pre hospital or emergency settings for the FNP student and in the tertiary care trauma setting for the ACNP student. Content is centered on resuscitation and utilization of evidenced-based management of the emergency or traumatized patient. 2 Credit hours - Post-Graduate Nursing | |||
| 1/2020 - Present | N6272B Emergency/Trauma Care II Clinical | ||
| This course is a 180-hour clinical course in which the student has direct care experience supervised by a preceptor in a clinical site. Clinical sites include urgent, emergent, pre-hospital and critical care access settings, but are not limited to these settings. The student will experience urgent and emergent critical conditions that include management of acute and chronic care injury and disease in pediatric through gerontologic age ranges. 3 credit hours - Post-Graduate Nursing | |||
| 1/2020 - Present | N6271B Emergency/Trauma Care I Clinical | ||
| This course is a 180 hour clinical course in which the student will have hands on experience supervised by a preceptor in a approved clinical site. The clinical sites can range from urgent care to minor emergency settings, but are not limited to these settings. The student will be expected to experience non-urgent through urgent conditions that include management of acute and chronic care injury and disease in pediatric through gerontologic age ranges. 3 Credit Hours - Post-Graduate Nursing | |||
| 8/2019 - Present | Post Graduate Rotation Supervision | UTHealth Houston | |
| 8/2018 - Present | Pre-Doctoral Student Supervision | UT Health San Antonio | |
| 10/2017 - Present | Rotation Student Supervision | UT Health San Antonio | |
| 8/2016 - Present | Individual Instruction | UT Health San Antonio, Department of Emergency Medicine | |
Not Specified |
| Goettl BT. Medical Decision Making. In Campo, T. and Holleran, R. Emergency Nurse Practitioner Core Curriculum. New York: Springer 2021 Jan;. |
| Goettl BT. Child with Racing Heart. In: Kline-Tilford, A. and Haut, C. Cases in Pediatric Acute Care: Strengthening Clinical Decision Making. Hoboken: Wiley 2020 Jan;. |
| Goettl BT, Wayman BS, Skarpiak, BJ. Diagnose the Condition: Cutaneous Larva Migrans EM Resident 2017 Nov;. |
Private |
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| Funding Agency | Society to Improve Diagnosis in Medicine |
| Title | DxQI Seed Grant |
| Status | Active |
| Period | 7/2020 - 6/2021 |
| Role | Co-Investigator |
| Grant Detail | EmBrACE (Emergent Breast Abnormality Care and Treatment) - Identify opportunities for improvement and potential interventions, evolve the interventions through small tests of change to increase their effectiveness, build the level of evidence supporting the intervention?s effectiveness, and, where appropriate, increase impact through further opportunities to ?scale and spread? utilization. |
| Funding Agency | University Health |
| Title | Alamo Interprofessional Emergency Medicine Symposium |
| Status | Complete |
| Period | 6/2019 - 6/2019 |
| Role | Consultant |
| Grant Detail | |