medical
![](pages/home/tobysplash.jpg)
quick links
The American Board of Internal Medicine (ABIM) certifies physicians trained in internal medicine and its subspecialties. Doctors who have passed the examination are board certified. I am board certified in cardiovascular disease (cardiology) and interventional cardiology having successfully completed the required training and passed both examinations. I passed the board certification examination in internal medicine soon after finishing my residency training, but I allowed this certification to expire as is common practice for specialists; specialists generally do not spend enough time dealing with general health issues in daily practice to give the best advice for conditions not related to their own specialty. This board does not oversee physicians in other fields such as pediatrics, surgery, or family medicine as each discipline has its own governing board.
The National Board of Physicians and Surgeons (NBPAS) offer an alternative pathway to board certification established as a non-profit, physician-led organization dedicated to rigorous lifelong learning, evidence based and clinically relevant continous board certification, and formed as an alternative to the American Board of Internal Medicine. I am board certified by the National Board of Physician and Surgeons in Cardiovascular Disease and Interventional Cardiology.
The American College of Cardiology (ACC) is the major professional organization in the United States focused on promoting scientific research and clinical excellence in cardiovascular medicine which encompasses both treatment of heart disease but also treatment of peripheral arterial disease which is a related condition. This organization is focused on the practicing cardiologist and publishes guidelines that are followed throughout the world. I have been a member of the American College of Cardiology since 2002. I am a Fellow of the American College of Cardiology (FACC) which designates that I have successfully passed the cardiology board examination and have colleagues who have vouched for my professional conduct.
![](pages/medical/TobyLead.jpg)
The American Heart Association (AHA) co-publishes the practice guidelines for cardiovascular disease but additionally advocates for education and awareness of heart disease and stroke prevention. The resources for patients and families are excellent. There are sections that describe warning signs for heart attack or stroke, explain lifestyle changes that can help you decrease your risk for heart attack and stroke, help you learn cardiopulmonary resuscitation (CPR) to help save someone who has a cardiac arrest, and teach you about certain cardiovascular topics.
CardioSmart is a web site launched in March 2008 by the American College of Cardiology to provide patients and their families with updated information about heart disease and cardiovascular health. There is information on the web site about major heart and vascular conditions, major diagnostic tests, and heart-related news. The American College of Cardiology co-publishes the guidelines for current cardiovascular disease diagnosis and treatment followed by cardiologists in the Unites States. I expect this web site to be one of the most reliable sources available about heart disease.
The Pulse Heart Institute is a partnership between Multicare Health System and a team of cardiologists, cardiothoracic surgeons, and vascular surgeons who with our staff strive to be the destination for heart health in the Pacific Northwest. We provide care in our ambulatory offices and also at all of the Multicare hospitals. We provide 24 hour services for emergency consultation and treatment of acute and critical heart and vascular disease. Because no single physician would be able to provide 24 hour services alone, you may find when you go to the hospital or have an urgent clinic visit that one of my colleagues will care for you on my behalf. Because we all practice the same evidence-based medicine, you can feel comfortable that you will continue to get the same, excellent care.
![](pages/medical/Tree.jpg)