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CURRICULUM VITAE

DATE PREPARED: January 2, 2013
NAME: John R. Butterly, M.D.
ADDRESS: Office: DHMC Home: 196 Douglas Road

One Medical Center Drive Norwich, VT 05055

Lebanon, NH 03756
PLACE OF BIRTH Manhattan, New York
SOCIAL SECURITY NUMBER: Available upon request
EDUCATION:
DATE INSTITUTION DEGREE
1970 Cornell University, Ithaca, New York A.B.

1973 University of California at Berkeley,

in Biochemistry M.A.

1977 University of California at San Francisco M.D.

1998 Harvard School of Public Health

POSTDOCTORAL TRAINING:
DATE SPECIALTY INSTITUTION

1977-1978 Intern in Medicine Massachusetts General Hospital

Boston, MA
1978-1980 Resident in Medicine Massachusetts General Hospital

Boston, MA

(Clinical and Research Fellowships)

1977-1980 Clinical Fellow in Medicine Harvard Medical School


1980-1983 Clinical & Research Fellow in Cardiology Massachusetts General Hospital

1980-1983 Research Fellow in Medicine Harvard Medical School



LICENSURE AND CERTIFICATION:
DATE LICENSURE/CERTIFICATION

1979 Massachusetts License Registration #46138

1980 American Board of Internal Medicine

1983 Subspecialty Board of Certification in Cardiovascular Medicine

1989 Pennsylvania License Registration MD-044761-E

1999 New Hampshire License Registration - #10527




ACADEMIC APPOINTMENTS:
DATE ACADEMIC TITLE INSTITUTION

1984-1991 Clinical Instructor in Medicine Harvard Medical School

1991-1999 Lecturer on Medicine Harvard University School of Medicine

1998-1999 Clinical Instructor in Health Science Bouve College of Pharmacy and

Health Sciences, Northeastern University

1999- Associate Professor in Medicine Dartmouth Medical School

Curriculum Vitae John R. Butterly

Page 2
ACADEMIC APPOINTMENTS:


DATE ACADEMIC TITLE INSTITUTION

2009- Associate Professor of Medicine (Cardiology) Dartmouth Medical School

and of The Dartmouth Institute
HOSPITAL APPOINTMENTS:
DATE HOSPITAL TITLE INSTITUTION

1983-1998 Attending Staff, Cardiology Section Lahey Clinic Medical Center

Burlington, MA

1983-1990 Clinical Associate in Medicine Massachusetts General Hospital, Boston, MA

1999- Attending Staff Mary Hitchcock Memorial Hospital

PRINCIPAL CLINICAL AND HOSPITAL SERVICE RESPONSIBILITIES:
DATE HOSPITAL TITLE INSTITUTION

1984-1987 Associate Director

Cardiac Catheterization Laboratory Lahey Clinic Medical Center

1987-1992 Director, Cardiac Catheterization Laboratory Lahey Clinic Medical Center

2007-present Member, Clinical Policy Board New England Organ Bank

MAJOR ADMINISTRATIVE RESPONSIBILITIES:
DATE POSITION TITLE INSTITUTION

1984-1991 Director, Cardiovascular Training Program Lahey Clinic Medical Center

1991-1998 Chairman, Department of Internal Medicine Lahey Clinic Medical Center

1992-1998 Chairman, Division of Medicine Lahey Clinic Medical Center

1992-1998 Member, Board of Governors Lahey Clinic Medical Center

1992-1998 Member, Board of Trustees Lahey Clinic Medical Center

1993-1998 Member, Steering Committee Harvard Community Health Plan/Lahey Clinic

Medical Center Joint Venture

1993- 1995 Medical Advisory Board Scimed Life Systems, Inc.

1994-1998 Member-at-Large, Board of Directors American Heart Association Massachusetts

Affiliate, Inc.

1995-1997 Member, System Board of Governors Lahey Hitchcock Clinic

1995-1997 Member, System Board of Trustees Lahey Hitchcock Clinic

1995-1997 Member, Finance & Executive Committee,

System Board of Trustees Lahey Hitchcock Clinic

1995-1998 Member, Steering Committee The Medical Center at Symmes

1995-1998 Vice Chairman, Board of Governors Lahey Hitchcock Medical Center

1996-1998 Member, Board of Registration

of Physician Assistants Commonwealth of Massachusetts

1999-2006 Vice-Chairman, Department of Medicine Dartmouth-Hitchcock Medical Center

1999-2006 Member, Board of Directors Harvard Pilgrim Physicians Association

2001-2010 Executive Medical Director Dartmouth-Hitchcock Medical Center

2001 Member, Board of Governors Dartmouth-Hitchcock Medical Center

2004 Lead physician CMS – PGP Quality Improvement Demonstration, DHMC

2010 Executive Vice President of Medical Affairs, Dartmouth-Hitchcock Health

2010 Member, Board of Trustees Rutland Regional Medical Center

2010 Member, Board of Trustees New London Hospital

2011 Member, Board of Trustees Keene Hitchcock Alliance


Curriculum Vitae John R. Butterly

Page 3
MAJOR COMMITTEE ASSIGNMENTS AND CONSULTATIONS:


Regional

YEAR COMMITTEE ROLE INSTITUTION

1984-1990 Critical Care Committee Lahey Clinic Medical Center

1985-1991 Medical Education Committee Chairman Lahey Clinic Medical Center

1985-1998 Medical Education Executive Committee Lahey Clinic Medical Center

1986-1992 Peer Review Committee Lahey Clinic Medical Center

1990-1994 Personnel Committee Ex Officio Lahey Clinic Medical Center

(1/01/95)

1990-1992 Peer Review Committee Chairman Lahey Clinic Medical Center

1990-1994 Professional Affairs Committee Ex Officio Lahey Clinic Medical Center

(1/01/95)

1991-1998 Advisory Committee to the Department

of Medicine New England Deaconess Hospital

1995-1998 Finance Committee Lahey HitchcockMedical Center

1995-1998 Physician Group Practice Acquisition Committee Lahey Hitchcock Medical Center

1995-1998 Network Development Committee Chairman Lahey Hitchcock Medical Center

1995-1998 AMP Governance Committee Chairman Lahey Hitchcock Medical Center

1996-1999 Human Studies Committee Chair Harvard Pilgrim Health Care

1998-1999 Human Studies Committee Chair Harvard Pilgrim Health Care

1998-1999 Ethics Advisory Committee Harvard Pilgrim Health Care

1998-1998 Joint Clinical Quality Committee Harvard Pilgrim Health Care

1999-2005 Quality Council Dartmouth-Hitchcock Medical Center

2000-present Pharmacy & Therapeutics Committee Chairman Dartmouth-Hitchcock Medical Center

2001-present Reviewer (rated in top 10%) Annals of Internal Medicine

2006-present Quality Management & Performance

Improvement Steering Committee Dartmouth-Hitchcock Medical Center
MEMBERSHIP, OFFICE & COMMITTEE ASSIGNMENTS IN PROFESSIONAL SOCIETIES:
DATE: SOCIETY

1983 Paul Dudley White Society

1983- Massachusetts Medical Society

1983- American Medical Association

1986- Fellow, American College of Cardiology

1988-1990 International Society of Heart Transplantation

1988-1990 Society for Cardiovascular Pathology

1990- American Heart Association, Clinical Cardiology Council

1994- American College of Physician Executives
AWARDS AND HONORS:

DATE: AWARD NAME

1976 Alpha Omega Alpha (Junior year)

1976 Alpha Omega Alpha-president, San Francisco chapter

2006 Teaching Award, Department of Medicine (5 nominations)

2006 Medical Staff Award (presented by the New Hampshire Hospital Association for

outstanding service to hospital and community)

2008 C. Everett Koop Courage Award, DMS Faculty

Curriculum Vitae John R. Butterly

Page 4
TEACHING EXPERIENCE/CURRENT TEACHING RESPONSIBILITIES:
Geisel School of Medicine at Dartmouth:
DATE TEACHING

1999-present On Doctoring student Dartmouth Medical School


2000-present Scientific Basis of Medicine, Cardiology, Dartmouth Medical School
2000-present Problem Based Learning, Dartmouth Medical School
2002-present The Biology and Politics of Starvation, Dartmouth College

        • developed and proposed course concept

        • developed curriculum with Professors Witters and Shepherd

        • prepared and delivered lectures, led small student groups, mentored individual students

2005 Essentials of Medical Discovery



        • Developed and proposed course concept

        • Developed curriculum with Professors St. Germain and Brinckerhoff

2007-present Global Health & Society, Dartmouth College



        • Co-developed at invitation of the Dickey Center for International Understanding to expand curriculum on International Health at Dartmouth College

        • Co-developed curriculum with Lisa Adams, Assistant Professor Dartmouth Medical School

        • Co-directed and taught course


Regional:

1983-1987 Attending Physician, Housestaff Teaching Service, Lahey Clinic Medical Center - direct

supervision and teaching, attending rounds, one month a year

1983-1992 Attending physician, CCU Lahey Clinic Medical Center direct supervision and teaching,

attending rounds for cardiology fellows and medical residents, 3 months a year

1983-1992 Program Director, Cardiovascular Medicine Training Program



  • developed and achieved full accreditation for full three-year program

  • developed curriculum with clinical training and didactic lecture series for clinical, noninvasive and invasive rotations

  • scheduled and moderated didactic lecture series and clinical conferences

  • presented several lectures a year on topics including: indications for cardiac catheterization, medical management of ischemic heart disease, timing of intervention in valvular heart disease, treatment of acute myocardial infarction, pericardial disease, and interventional treatment of ischemic heart disease

  • responsible for coordinating interaction between Cardiology training program and Internal Medicine residency

1987-1992 Director of Cardiac Catheterization Laboratory



  • responsible for invasive portion of fellowship training including daily pre-catheterization teaching conferences, direct supervision in procedural skills, interpretation of results of hemodynamic measurements and angiographic findings, and clinical decision making

  • direct supervision and training of visiting cardiologists in diagnostic and interventional techniques

Curriculum Vitae John R. Butterly

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TEACHING EXPERIENCE/CURRENT TEACHING RESPONSIBILITIES
Regional (continued):

1992-1999 Chairman, Department of Medicine, Lahey Clinic



  • developed and instituted training program in internal medicine with responsibilities including; supervision of Program Director; development of curriculum; acquiring ACGME accreditation

  • Chief of Service rounds

  • didactic lectures to housestaff

  • Medical Grand Rounds presentations

  • supervisory meetings with housestaff

1989-1999 Cardiology Course, Ocean Edge Resort, Brewster, MA

  • lectures to internists and cardiologists, session moderator

1992-1999 Topics in Internal Medicine

  • course director and moderator for 3 day review course for internists, family practitioners and residents

  • lecturer in topics in cardiology

1995-1998 Medical student training

  • Preceptor, Introduction to Clinical Medicine, Harvard Medical School students: Patient-Doctor I, case presentation, physical diagnosis

  • Attending Physician, third­ year medicine clerkship rotation Tufts Medical School, case presentation and decision making


National:

1975-1976 Teaching Assistant, Department of Radiology, University of California, San Francisco


International:

9/2008 Course Director - 2008 Japan-Russia-United States Conference on Cardiovascular Disease and Cancer: Population Health Issues for Cardiology and Cancer in Transitional Economies


INVITED PRESENTATIONS: (recent, does not include clinical talks, Grand Rounds)
Regional:
DATE TOPIC

03/03/2005 Improving the Quality of Cardiac Care Across Your system – Partners Healthcare; Boston, MA


05/03/11 Vermont Food Bank. 5th Annual Hunger Conference. The Science of Hunger
07/13/2011 Rotary Club Newport, NH The Biology & Politics of Starvation
09/26/2011 Colby-Sawyer College The Biology & Politics of Starvation
03/14/2012 Accountable Care Organizations – St. Joseph’s Hospital, Nashua, NH
05/14/2012 Physician Leadership – Rutland Regional Medical Center

Curriculum Vitae John R. Butterly

Page 6
INVITED PRESENTATIONS: (cont.)
Regional cont):
09/28/2011 Global Health Network. The Biology & Politics of Starvation. Montshire Museum.
03/08/12 Northeastern Vermont Regional Hospital The Biology & Politics of Starvation. St. Johnsbury, VT
10/26/12 American College of Physicians NH chapter annual meeting, Health Care Reform and Physician Compensation

National:
DATE TOPIC

5/18-19/2006 Tenth Annual Large Clinic Compensation, Productivity and RVU Benchmarking Meeting

in Las Vegas, Nevada
10/03/2010 Alignment in Academic Health Care Delivery Systems – AAMC Group on Faculty Practice. Charleston, South Carolina
10/21/10 The Center for Humanities at University of Missouri-St. Louis: 16th Annual Symposium. The Biology & Politics of Starvation St. Louis, MO
08/02/2011 World Congress 9th Annual health Care Quality Congress. Measurement Tools: analyzing the data to generate the right metrics. Boston, MA
09/12/2011 Providence Tarzana medical Center. The Biology & Politics of Starvation. Tarzana, CA
10/20/2011 CMS/HIMSS National Capital Area Fall Meeting. ACO Health Data Exchanges: the physicians view. Arlington, VA
03/19/2012 Primary Care & the Medical Home: focus on Physician Engagement. American College of Healthcare Executives Congress on Healthcare Leadership. Chicago, Illinois
08/02/2012 World Congress 10th Annual Health Care Quality Congress. Will ACO’s Be the Catalyst to Improve Health Care by Making it Patient-Centered. Boston, MA
International:

DATE TOPIC

5/2007 Acute Coronary Syndromes: From Acute Coronary Syndrome to Myocardial Infarctions;

international conference held in Khabarovsk, Russia (Eurasian Medical Education Program)
5/ 2011 A New Paradigm for Arctic Health , workshop participant

RESEARCH EXPERIENCE:
1970 Mount Sinai School of Medicine, Department of Biochemistry, New York, NY; Betty Rubin, Ph.D. Isolation of cytosol estradiol binding protein in normal and malignant human endometrium

Curriculum Vitae John R. Butterly

Page 7

BIBLIOGRAPHY:
Journal Articles:
Original Articles:

1. Rubin BL, Gusbert SB, Butterly JR, Han TC, Maralit M. A screening test for estrogen dependence of endometrial carcinoma. Am J Obstet Gynecol 1972; 114:660-9.

2. Naggar CZ, Dillon WD, Butterly JR, Malacoff RF. Echocardiographic

manifestations of tense pericardial effusion. JACC 1985; Aug.; 6(2):467-70.


3. Shahian DM, Butterly JR, Malacoff RF. Total obstruction of the left main coronary artery. Ann Thorac Surg 1988; Sept.; 46:317-320.

4. Block PC, Ockene I, Goldberg RJ, Butterly JR, Block EH, Degon C, Beiser A, Colton T. A prospective randomized trial of outpatient versus inpatient cardiac catheterization. NEJM 1988; Nov.; 319(19):1251-1255.


5. Iezzoni LI, Restuccia JD, Shwartz M, Schaumburg D, Coffman GA, Kreger BE, Butterly JR, Selker HP. The utility of severity of illness information in assessing the quality of hospital care: the role of the clinical trajectory. Medical Care 1992; May; 30(5):428.
6. Svensson LG, Labib SB, Eisenhauer AC, Butterly JR. Intimal Tear without Hematoma: An important variant of Aortic Dissection that can elude current imaging techniques. Circulation 1999; March; 99:1331-1336.
7. Restuccia JB, Shwartz M, Kreger B, Payne S, Ash A, Iezzoni L, Heineke J, Selker H, Gomes T, Labonte A, Butterly JR. Does More “Appropriateness” Explain Higher rates of Cardiac Procedures Among Patients Hospitalized with Coronary Heart Disease? Medical Care 2002; June; 40 (6): 500-509.
8. Liu SK, Homa K, Butterly JR, Kirkland K, Bataldan PB. Improving the simple, complicated, and complex realities of community-acquired pneumonia. Qual. Saf. Health Care 2009; April; 18; 93-98
9. Comi RJ, Jacoby J, Basta D, Wood M, Butterly JR. Bridges to Excellence: Improving Glucose Management by Redesigning the Care of Diabetic Inpatients Using a Nurse Practitioner Service. Clinical Diabetes 2009; Spring; 27; 78-81
10. Liu SK, Prior E, Warren C, Brown t, Snide J, Butterly JR. Improving the Care of the Hospitalized Tobacco Use – One Institution’s Transformational Journey. J Canc Edu 2010; June; DOI 10.1007/s13187-010-0135-5
11. Butterly, JR. Quality Improvement in the Interventional Treatment of Acute Myocardial Infarction: 5 Health Care systems and their Innovative Solutions to Regional Challenges. Prog. Cardiovasc. Dis. 2010; Nov/Dec.; 53 (3); 181-182
12. Niles NW, Conley SM, Yang RC, Vanichakarn P, Anderson TA, Butterly JR, Robb JF, Jayne JE. Primary Percutaneous Coronary Intervention for Patients Presenting With ST-Segment Elevation Myocardial Infarction: Process Improvement in a Rural ST-Segment Elevation Myocardial Infarction Receiving Center. Prog. Cardiovasc. Dis. 2010; Nov/Dec.; 53 (3); 202-209

Curriculum Vitae John R. Butterly

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Symposia (published):


  1. Butterly, JR. Quality Improvement in the Interventional Treatment of Acute Myocardial Infarction. Guest Editor. Prog. Cardiovasc. Dis. Nov/Dec. 2010.

  2. Butterly, JR, Dickert, N. Ethical Issues in Cardiovascular Disease. Guest Editor. Prog. Cardiovasc. Dis. Nov/Dec. 2012.



Abstracts:
Presented at National Meetings:
1. Aretz HT, Butterly JR, Jewell ER. Holmium: Yag Laser Effects in Arterial Tissue. International Society of Optical Engineering. Los Angeles;, January 1989.
2. Martinelli JA, von Thuna PC, Hatch F, Aretz HT, Butterly JR, Setver S. Ultrasonic imaging suitable for coronary arteries featuring depth profile of abnormalities. SPIE. Los Angeles, January 1989.
3. Antonelli L, Woods B, O'Connor D, Gossman DE, Butterly JR, Breslin DJ. Comparison of Colin ABPM 630 brachial pressures with simultaneous direct ascending aortic pressures. The American Society of Hypertension Fifth Scientific Meeting. New York, May 1990.
4. Sundaram M, Schick EC, Butterly JR. The clinical utilization of echocardiograms. The American Society of Echocardiography. San Francisco, June 1994.
5. Ulinski D, Butterly JR, Poito FA, Cervinski MA. Disease Management Panel Program: Cost Effective Patient Screening in Asymptomatic Adult Individuals. American Associaiton for Clinical Chemistry. Atlanta, July 2001.

Presented at International:

1. Aretz HT, Butterly JR, Jewell ER. Holmium: Yag Laser Effects in Arterial Tissue.

2nd International Symposium for Cardiovascular Laser Application. Vienna, October 1988.

2. Restuccia J, Schwartz M, Gomes T, Kreger B, Heineke J, Selker H, Ash A, Payne S, Butterly J. The relationship between small area variations in hospital admission rates and appropriateness of admission for coronary artery disease. International Society for Quality in Health Care, 1996 Annual Conference. Jerusalem, May 1996.


Published:


  1. Khaw BA, Gold HK, Yasuda T, Fallon JT, Strauss HW, Leinbach RC, Moore R, Butterly J, Haber E, Myocardial infarct imaging with radiolabeled myosin-specific antibodies. Hybridoma; 1983; 2:239

2. Kawamura Y, Butterly J, Yasuda T, Gold HK, Leinbach RC, McKusick KA, Strauss HW, Exercise Gated Blood Pool Scan at 6 Months to Assess Myocardial Salvage from Acute Streptokinase Therapy. Journal of Nuclear Medicine; 1985; 26:13


3. Gregory KW, Martinelli MA, Aretz TH, Butterly JR, Intravascular ultrasound guided holmium laser atherectomy. Circulation 1990; 82:677.
Curriculum Vitae John R. Butterly

Page 9


Invited Articles:


  1. Lyons, M.F., Butterly, J.R., The Changing Role for Cardiologists: Challenges and Opportunities in the 21st Century. Journal of Invasive Cardiology; June 1999; 11:387-390

  2. Butterly JR, Horowitz RE 2006; Controversies in Laboratory Medicine: A Series From the Institute for Quality in Laboratory Medicine; http://www.medscape.com/viewarticle/521336

  3. Butterly, JR Ask the Ethicist: Who should pay for the medical care of indigent patients from other countries? Lahey Clinic Journal of Ethics. (peer-reviewed) Fall 2009; Vol. 16, Issue 3.


BOOK CHAPTERS:


  1. Powell, C., Butterly, JR. McGraw Hill, New York. .Nutrition, in Understanding Global Health Markle, Fisher, Smego eds. (in press)

  2. Nelson, E., Butterly, J., Colacchio, T., Mastanduno, M., Foster, T., Batalden, P. Radcliff Publishing, London, New York. Better Patient and Population Outcome: Practical Approaches that Health Systems Can Adopt for Measuring the Health of Patients and Populations, in Sustainably Improving Health Care : Creatively linking care outcomes, system performance, and professional development. Batalden, Foster eds 2012


BOOKS:


  1. Butterly, John R., Shepherd, Jack, Hunger: The Biology & Politics of Starvation. Dartmouth College Press (University Press of New England). Hanover, New Hampshire. 2010.

  2. Butterly, John R., Adams, Lisa A.: Global Health & Society. Dartmouth College Press (University Press of New England). Hanover, New Hampshire (as requested)


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