Diagnosing Complexity. Advancing Innovation.
vitae.rexes.net | dave@rexes.net | (509) 957-3613
Spokane, Wa & Remote
Strategic Leadership | Operational Excellence | Change Management | Program Development | Educational Leadership | Curriculum Design
Instructional Innovation | Learner Engagement | Technology Integration | Digital Literacy | Information Management | Data Fluency | Systems Navigation | Strategic Communication | Relational Communication | Stakeholder Engagement | Clinical Insight | Healthcare Leadership | Patient Communication | Systems-Based Practice | Regulatory Compliance
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ℹ Selecting the O*NET
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Led the strategic planning, organization, and management of Health & Medical department operations. Built partnerships with government, industry, and healthcare systems to develop and deliver educational programs and workforce training aligned with evolving, data informed healthcare needs.
Developed online curriculum and courses for healthcare workforce programs.
Consulted with healthcare industry partners to identify, develop, implement and assess workforce programs.
Piloted data informed efficiency systems to improve program offerings.
Interactions: Academic Leaders, Faculty, Staff, Students; Health System Leaders, Managers, Staff; Workforce Leaders, Managers, Staff; Government Agencies; General Public.
Full-Time | 40 hr/wk | Program Management (40%) | Development (20%) | Engagement (20%) | Training (20%)
Oversaw the management, operations, and strategic direction of all domestic and international partnerships. Collaborated cross-functionally and departmentally to develop and implement policies, processes, and systems that removed operational barriers, enhance efficiency, and drove the expansion of innovative partnerships and collaborations.
Integrated clinical education content into medical school curricula across three institutions, enhancing academic alignment and expanding organizational reach in formal medical training.
Established & supported cross functional policies, processes and systems to clear roadblocks, elevate efficiencies and catalyze expanded opportunities for partnerships.
Collaborated to develope and launched multiple international CME programs.
Interactions: Academic Leaders, Medical Colleges, Naturopathic Colleges, Physicians, Residents; Health System Leaders, Managers; International Healthcare Organizations, Leaders, Staff
Full-Time | 40 hr/wk | Strategic Operations (40%) | Project Management (40%) | Development (20%)
Led the continuing education division at a four-year public university, responsible for defining and executing the department’s vision, mission, and strategic goals. Oversaw the innovation, research, development, implementation, and evaluation of traditional and non-traditional educational programs. Directed multiple programs, initiatives, and support teams with a focus on operational excellence, fiscal responsibility, and cross-sector collaboration.
Researched & analyzed training needs producing procedures that expanded programs by 22%.
Developed online learning management system, improving student and faculty engagement by 26%.
Implemented staff development and performance systems, resulting in a 36% increase in team productivity and service responsiveness.
Ensured budget reconciliation for state and self support budgets exceeding $1.2 M
Interactions: Academic Leaders, Faculty, Staff, Students; Workforce Leaders, Managers, Staff; Community Leaders; General Public
Full-Time | 40 hr/wk | Educational Leadership (40%) | Program Management (30%) | Development (30%)
Recruited to lead the full lifecycle of healthcare program development, deployment, delivery, management, and evaluation within the continuing education division. Served as a key driver of entrepreneurial innovation, financial restructuring, operational efficiency, and organizational reengineering. Oversaw all programmatic metrics, staffing, instructional teams, curriculum development, and scheduling to support the delivery of non-credit healthcare certificates, courses, programs, and workshops.
Accelerated corporate partnerships through targeted industry research and alignment of program offerings with emerging healthcare workforce needs.
Implemented online and distance education formats increasing enrollments by 25% qtr/qtr.
Established entrepreneurial reorganization producing an adaptive system for program expansion.
Improved program margin by restructuring operations, optimizing resource use, and eliminating systemic inefficiencies.
Optimized budget achieving 18% margin increase by reducing inefficiencies and expenditures.
Interactions: Academic Leaders, Faculty, Staff, Students; Workforce Leaders, Managers, Staff; Community Leaders; General Public
Full-Time | 40 hr/wk | Strategic Operations (30%) | Project Management (30%) | Educational Development (40%)
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Served as the department administrator for all aspects of regionally accredited Allied Health programs, providing comprehensive leadership across curriculum development, instructional design, course scheduling, faculty management, student advising, accreditation compliance, marketing, and fiscal oversight of state and fee-supported budgets. Direct instruction for multiple courses while strategically advancing programmatic growth, accreditation standards, and student success across disciplines including Phlebotomy, Clinical Laboratory, Emergency Department Technician, Medical Assisting, Billing & Coding, and Medical Administration.
Enhanced curriculum increasing department wide enrollment and retention by 14% yr/yr.
Elevated diversity initiatives increasing faculty and student diversity metrics by 16% yr/yr.
Restructured instruction to provide 100% availability for classroom, hybrid and online options.
Accomplished program accreditation standards, exceeding 96% of required metrics.
Delivered direct instruction across multiple allied health disciplines, driving measurable gains in clinical competency and professional certification outcomes.
Interactions: Academic Leaders, Faculty, Staff, Students; Workforce Leaders, Managers, Staff; Health System Leaders, Managers, Physicians, Staff; Government Agencies; Union Leaders; Community Leaders; General Public
Full-Time | 40 hr/wk | Educational Leadership (40%) | Program Management (30%) | Curriculum/Instruction (30%)
Provided classroom and online instruction for both prerequisite and healthcare-specific components of the Medical Assistant program. Delivered comprehensive student advising, supported curriculum development, and contributed to academic planning initiatives to enhance student engagement and program completion outcomes.
Achieved 94% positive student reviews for advising and instruction within the Medical Assistant program, reflecting excellence in learner engagement and course delivery.
Increased pathway completion to 92% by implementing personalized advising strategies and academic planning support.
Interactions: Academic Leaders, Faculty, Staff, Students; Health System Leaders, Managers, Physicians; General Public
Full-Time | 40 hr/wk | Instruction (70%) | Curriculum (10%) | Advising (20%)
Provided instruction across prerequisite and discipline-specific courses for multiple healthcare programs, supporting both online and classroom-based learning environments. Responsibilities included curriculum development, student advising, instructional delivery, and advancement of experiential learning initiatives to strengthen academic engagement and practical competencies.
Increased student engagement by 36% through streamlined curriculum design and incorporation of experiential learning methods.
Launched a student-run public health clinic, providing real-world clinical experience and expanding community health outreach.
Enhanced academic outcomes by aligning instructional content with competency-based learning objectives across multiple healthcare programs.
Interactions: Academic Leaders, Faculty, Staff, Students; Health System Leaders, Managers, Physicians; Community Leaders; General Public
Full-Time | 40 hr/wk | Instruction (20%) | Curriculum (20%) | Advising (20%)
Provided comprehensive leadership, supervision, and instruction for a nationally accredited paramedic program. Oversaw all facets of program administration, including curriculum development, accreditation compliance, classroom and clinical instruction, fiscal management, purchasing, and clinical site coordination. Focused on maintaining academic excellence, operational efficiency, and student success across all domains of paramedic education.
Redesigned and delivered competency-based instruction, resulting in a 98% first-attempt certification exam pass rate and significantly improving graduate clinical readiness and program credibility.
Improved curriculum transferability to 90% through the development of an accredited, standards-based program framework.
Led cross-departmental and clinical partner collaboration to align curriculum with real-world competencies, uniquely highlighted during accreditation review.
Introduced and managed online documentation and assessment program for clinical rotations.
Orchestrated and researched budget reconciliation, collaboratively identifying $3.2M savings.
Interactions: Academic Leaders, Faculty, Staff, Students; Workforce Leaders, Managers, Staff; Health System Leaders, Managers, Physicians; Government Agencies; Community Leaders; General Public
Full-Time | 60 hr/wk | Educational Leadership (30%) | Curriculum/Instruction (50%) | Advising (20%)
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Delivered high-quality patient care across urgent care and family practice settings within a multi-specialty clinic. Performed a wide range of clinical functions, including triage, patient intake and assessment, medication administration, IV therapy, splinting, casting, minor surgical assistance, electronic medical records management (EPIC), and patient discharge education. Supported operational improvement initiatives to enhance clinical workflows and patient outcomes.
Led clinical workflow innovations that improved patient throughput and reduced average visit time by 20% in a multi-specialty urgent care setting.
Expanded clinical responsibilities under advanced protocols, enhancing service delivery across triage, IV therapy, and minor procedures.
Optimized EMR utilization (EPIC), improving documentation accuracy and clinical communication across interdisciplinary teams.
Interactions: Health System Leaders, Managers, Physicians; Patients; General Public
Full-Time | 40 hr/wk | Patient Care (60%) | Clinical Management (20%) | Healthcare Technology (20%)
Provided expert consultation in toxicology and poisoning emergencies, serving both the general public and healthcare providers across the region. Utilized extensive electronic databases and research materials to support clinical decision-making, emergency response, and public health education initiatives. Contributed to the center’s commitment to clinical excellence, data integrity, and regional toxicology research.
Achieved 98% case resolution rate in toxicology consultations, ensuring rapid, evidence-based responses for both public and clinical stakeholders.
Contributed to regional toxicology data analysis, supporting public health research and informing exposure response strategies.
Enhanced clinical decision-making support through expert use of electronic databases and poison control systems.
Interactions: Health System Leaders, Managers, Physicians; Patients; General Public
Full-Time | 40 hr/wk | Clinical Consulting (40%) | Clinical Research (30%) | Healthcare Technology (30%)
Contracted medical practitioner supporting Department of Defense operations in Iraq and Afghanistan under multiple LOGCAP III contracts. Established, developed, operated, and evaluated remote-site medical facilities across the operational theater. Served as the sole primary care provider for camps ranging from 25 to 300 personnel, delivering comprehensive stationary and mobile emergency medical care under austere and high-risk conditions. Led clinical operations, medical logistics, public health initiatives, and healthcare systems development in support of multinational populations.
Established 23 operational clinical sites across Iraq operational theater, delivering emergency and primary care to multinational personnel in austere environments.
Managed care for 100+ patients daily, leading clinical operations and public health initiatives under Department of Defense contracts.
Secured 100% medical logistics oversight for contracted clinics, standardizing supply chains and improving operational continuity across the theater.
Optimized processes for implementing, operating, evaluating and discontinuing clinical sites and services.
Interactions: Health System Leaders, Managers, Physicians; Patients; Military / DoD / DoS Leaders, Managers, Staff; International Organization / NGO Leaders, Managers,Staff; Local Community Leaders
Full-Time | 84 hr/wk | Patient Care (60%) | Strategic Operations (20%) | Emergency Management (20%)
Contract medical practitioner providing emergency medicine services at Riyadh’s largest trauma center. Delivered expert patient care across emergency department, critical care, and pre-hospital environments. Led development, operational oversight, and evaluation of a hospital-based EMS system. Instructed advanced emergency medicine and CBRNE (Chemical, Biological, Radiological, Nuclear, and Explosive) courses at the Postgraduate Training Center. Appointed to the medical attaché team supporting Crown Prince Abdullah bin Abdulaziz Al Saud.
Led intake operations at Riyadh’s largest emergency department, delivering high-acuity care across critical and pre-hospital settings.
Consulted for a hospital-based EMS system, enhancing emergency response capacity and interdepartmental coordination.
Served as medical attaché to the royal family, supporting high-profile clinical operations with cultural and diplomatic sensitivity.
Interactions: Health System Leaders, Managers, Physicians; Patients; International Organization Leaders, Managers, Staff; Aristocracy Leaders, Staff; Government Agencies; Local Community Leaders
Full-Time | 48 hr/wk | Patient Care (70%) | Clinical Management (20%) | International Relations (10%)
Served as a critical care paramedic on a nurse/paramedic flight team, providing advanced life support (ALS) and critical care transport across rural and suburban regions of Idaho, Nevada, Oregon, and Washington. Operated on both rotor-wing and fixed-wing aircraft platforms. Delivered high-acuity patient care while supporting system expansion, interagency collaboration, and education initiatives within the emergency medical services community.
Delivered advanced life support across rural and suburban regions, completing over 200 critical care transport missions via rotor- and fixed-wing aircraft.
Collaborated on interagency service contracts, expanding regional air medical services and formalizing cross-jurisdictional collaboration.
Created educational resources for EMS training programs, strengthening clinical preparedness and operational standards across partner organizations.
Interactions: Health System Leaders, Managers, Physicians; Patients; Government Agencies; Local Community Leaders
Full-Time | 48 hr/wk | Patient Care (60%) | Emergency Operations (20%) | Flight Operations (10%)
Served as a paramedic for a government-operated, countywide 911 emergency system. Operated under progressive standing orders supporting advanced EMS practice and autonomous clinical decision-making. Held multiple leadership roles, including Field Training Officer and member of specialized operations teams. Spearheaded the development of the department’s first public affairs program to enhance community engagement and EMS visibility.
Established the department’s first public affairs program, enhancing community engagement and EMS visibility across the county.
Achieved Field Training Officer designation within one year, supporting the development and readiness of new paramedic recruits.
Led specialized operations team logistics, advancing emergency response capabilities in high-acuity and tactical environments.
Interactions: Health System Leaders, Managers, Physicians; Patients; Government Agencies; Local Community Leaders
Full-Time | 48 hr/wk | Patient Care (60%) | Emergency Operations (20%) | Special Operations (10%)
Provided independent, comprehensive clinical care in challenging settings and contributed to the coordination of medical logistics and recovery operations in support of refugee and humanitarian relief efforts.
Interactions: International Health System Leaders, Managers, Physicians; Patients; International Organization / NGO Leaders, Managers, Staff; Local Community Leaders
Volunteer | 84 hr/wk | Patient Care (70%) | Strategic Operations (20%) | International Relations (10%)
Civil Conflict | Liberia | Nov – Dec 2004
Supported humanitarian medical teams responding to Liberia’s protracted refugee crisis. Delivered frontline clinical care and led logistical coordination to sustain healthcare operations across remote refugee camps in conflict-affected regions.
Earthquake | Turkey | Aug 1999
Deployed with humanitarian response teams following the 7.6 magnitude earthquake in Izmir. Delivered direct medical care to survivors in remote and severely impacted areas without access to centralized healthcare services.
Earthquake | El Salvador | Feb 2001
Deployed as part of a humanitarian response team following the 6.6 magnitude earthquake in San Salvador. Delivered direct medical care and coordinated logistical efforts to restore operational capacity at the district hospital and surrounding clinical sites.
Civil Conflict | Albania | May–July 1999
Served as part of a multinational, NATO-supported humanitarian mission responding to the Kosovo conflict. Provided direct medical care and operational support to refugees, contributing to the delivery of essential healthcare services and the stabilization of displaced populations across temporary camp settings.
Volunteered as a professional coach and mentor for the U14 and U15 premier teams, fostering youth development through structured athletics, leadership training, and team-building. Designed and led weekly training sessions, managed bi-monthly matches, and coached traveling teams in local, state, and regional competitions.
Guided the club to its first-ever placement in a State Finals tournament, demonstrating growth in team performance and program competitiveness.
Interactions: Local Community Leaders; Non-profit Leaders; Parents, Youth, Teens
Volunteer | 12 hr/wk | Youth Coaching (60%) | Logistic Operations (20%) | Stakeholder Communication (10%)
Volunteered with the Boise Family YMCA to provide supervision, mentorship, and leadership for youth and teen development programs focused on wellness, education, and intervention for at-risk populations.
Led weekend teen intervention initiative “Teen Night,” offering safe, structured alternatives to high-risk behaviors and supporting positive peer engagement.
Supported academic enrichment through STEM-focused tutoring and educational activities at the youth center.
Interactions: Local Community Leaders; Non-profit Leaders; Parents, Youth, Teens
Volunteer | 12 hr/wk | Youth Mentoring (70%) | Inclusive Leadership (20%) | Partnership Building (10%)
Volunteered with camp “HODIA”, Idaho’s only residential camp for kids with diabetes, to provided educational, programatic, and healthcare support for children and teens with type 1 diabetes. Engaged with healthcare supervision, nutrition, outdoor activities, mentoring, and collaboration to empower teens to overcome limitations.
Interactions: Local Community Leaders; Non-profit Leaders; Parents, Youth, Teens
Volunteer | 84 hr/wk | Youth Mentoring (60%) | Healthcare Operations (20%) | Stakeholder Communication (10%)
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The Master’s of Medical Sciences in Molecular Medicine program provides advanced training in the medical sciences necessary for careers in the expanding biotechnology and healthcare industries.
Completed advanced coursework in medical sciences, including cadaveric anatomy, physiology, pathology, and medical genetics, with a focus on biomedical research and clinical applications.
Demonstrated academic excellence across interdisciplinary medical sciences, graduating with distinction in a program designed to prepare professionals for clinical innovation and healthcare leadership.
Applied medical ethics and immunobiology knowledge to real-world case studies, strengthening critical thinking and evidence-based decision-making in complex healthcare contexts.
Omega Nu Lambda National Honor Society
The Master of Chemical and Life Sciences (MCLFS), is a research-based, professional masters' offering in-depth knowledge of current research areas in the biological, biochemical, and biomedical sciences.
Completed research-focused curriculum spanning genetic engineering, bio-complexity, and molecular biology, emphasizing translational science and biotechnology innovation.
Produced graduate-level analyses on biochemical systems and ecological interactions, integrating cross-disciplinary approaches to solve complex scientific problems.
Excelled in advanced coursework in chemistry, gene therapy, and life sciences, reinforcing a foundation in biomedical research and applied life science theory.
CWU’s paramedic program is one of the oldest programs in the nation and one of the only educationally focused, upper division, degree granting programs available. The program bares a hallmark reputation for its rigor, with scientifically based instruction and diversity of clinical application and preparation.
Graduated top of class from a nationally accredited, upper-division paramedic program recognized for academic rigor and clinical excellence.
Completed 2500 hours of extensive clinical training across diverse emergency care settings, developing advanced competencies in patient assessment, critical care, and pre-hospital intervention.
Engaged in scientifically grounded instruction, integrating evidence-based practices with real-world EMS applications to prepare for leadership in emergency medical services.
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Lean Six-Sigma Black Belt CSSC
| Risk Management OpenU
| Diversity and Inclusion in the Workplace OpenU
| Leadership & Followership OpenU
| Mindfulness IBM
| Emotional Intelligence CWU
| Workplace Communication OpenU
| Effective Leadership CITI
| Project Management IBM
| Grant Writing Purdue
Community Health Worker WADoH
, NMDoH
| Mental Health First Aid Instructor NCMW
| Functional Medicine in Clinical Practice IFM
| National HIV Curriculum UW-IDEA
| National HIV PREP Curriculum UW-IDEA
| National STD Curriculum UW-IDEA
|Becoming an Ethical Researcher OpenU
| BCLS Provider AHA
| Understanding Science OpenU
| Antibiotic Resistance OpenU
| Biosafety Officer CITI
| Biomedical Research CITI
| Good Clinical Practice (GCP) CITI
| Clinical Research Coordinator CITI
| Good Laboratory Practice (GLP) CITI
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Toward a Comprehensive Framework for Wellness: Justifying a 12-Dimensional Model
This paper introduces a 12-dimension wellness model that integrates physical, emotional, social, cultural, sexual, and digital domains alongside traditional constructs. Each domain is empirically defined and evaluated for relevance, distinctiveness, and equity impact. The model addresses critical gaps in prior frameworks by incorporating modern determinants and structural considerations. Supported by a comparative crosswalk and transparent methodology, it offers a flexible yet rigorous tool for assessing and promoting whole-person wellness across healthcare, education, and policy systems.
Rex, D. (2024). Toward a Comprehensive Framework for Wellness: Justifying a 12-Dimensional Model. Zenodo. https://doi.org/10.5281/zenodo.15446975
E³ Theory: A Unified Model of Human Motivation, Identity, and Psychological Regulation.
E³ Theory is a systems-based model of human motivation, identity, and psychological regulation. It conceptualizes the self as a dynamic ecology of primal need (Essence), adaptive agency (Embodiment), and aspirational ideal (Ethos), offering a unified scaffold for understanding development, dysfunction, and moral growth.
Rex, D. (2025). E³ Theory: A Unified Model of Human Motivation, Identity, and Psychological Regulation. Zenodo. https://doi.org/10.5281/zenodo.15398878
Facing 'isms' and Phobias: A Framework for Bias Awareness, Disruption, and Restorative Action.
This article explores how prejudice and systemic bias persist not solely due to overt malice, but through layered structural, cognitive, and cultural mechanisms. It offers a theoretically grounded yet accessible framework for recognizing and disrupting manifestations of prejudice, while proposing a pathway toward disruption centered on listening, decentering, reflection, and active integration.
Rex, D. (2025). Facing 'isms' and Phobias: A Framework for Bias Awareness, Disruption, and Restorative Action. Zenodo. https://doi.org/10.5281/zenodo.15392347
Reconstructing Reason in AI: An ESSIM Model to Address Structural Failures in Large Language Systems
This paper critiques the epistemic and structural failures of contemporary large language models and introduces the ESSIM AI Model—a principled architecture built on Epistemic Stratification, Semantic Integration, and Moral Reasoning. Unlike post hoc alignment techniques, ESSIM embeds trustworthiness, domain fidelity, and ethical reasoning into the core of the model. It offers a blueprint for structurally aligned, transparent, and responsible AI.
Rex, D. (2025). Reconstructing Reason in AI: An ESSIM Model to Address Structural Failures in Large Language Systems. Zenodo. https://doi.org/10.5281/zenodo.15778833
Diagnosing Complexity. Advancing Innovation.
vitae.rexes.net | dave@rexes.net | (509) 957-3613
Spokane, Wa & Remote
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