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David B. Troxel, M.D

Mailing Address: 3403 Mountain Spring Road, Lafayette, CA 94549

Voice mail: (925) 952-9137 home office; (800) 352-0269 TDC office

Fax: (925) 952-9137 home office; (707) 226-0111 TDC office

e-mail: dtroxel@thedoctors.com; pathman@berkeley.edu

Degrees:

• Bachelor of Arts (Economics), with Highest Distinction, Northwestern University 1954-58
• Doctor of Medicine
  Northwestern University Medical School 1958-62

Post Graduate Training:

Internal Medicine Internship: 1962-63, Chicago Wesley Memorial Hospital Pathology Residency Training:

• Mayo Clinic, Rochester, Minnesota, 1963-64
• Walson Army Hospital, Fort Dix, New Jersey, 1964-66
• Presbyterian Medical Center, Denver, Colorado, 1966-68

Board Certification

• American Board of Pathology, 1968: Anatomic and Clinical Pathology
• Recertified in Pathology: 1996

Career Positions:

• Pathology Medical Practice: Samuel Merritt Hospital, Oakland, CA 1968 - 71
• Pathology Medical Practice: Mt Diablo Medical Center, Concord, CA, 1968 - 2003
• Medical Director and Senior Vice President, The Doctors Company: 2005 -

Honors and Awards:

Phi Beta Kappa
Alpha Omega Alpha

• Distinguished Clinical Teaching Award (Pathology), U.C. Berkeley - U.C. San Francisco Joint Medical Program, 1981 and 1985
• Award for Outstanding Dedication, U.C. Berkeley - U.C. San Francisco Joint Medical Program, 1988 and 1989
• Award for Distinguished Service to the U.C. Berkeley - U.C. San Francisco Joint Medical Program, 1990
• Presidents Award, College of American Pathologists, for Outstanding Service to Pathology and the CAP, September 1991
• Special Recognition Award, U.C. Berkeley - U.C. San Francisco Joint Medical Program, 1994
• Faculty Recognition Award, U.C. Berkeley - U.C. San Francisco Joint Medical Program, 1997
  Award for Excellence in Clinical Science Instruction, U.C. Berkeley - U.C. San Francisco Joint Medical Program, 1999
• Special Recognition of Outstanding Lecturing, U.C. Berkeley - U.C. San Francisco Joint Medical Program, 2001
• Life Time Service Award (for 30 Years of Service), U.C. Berkeley - U.C. San Francisco Joint Medical Program, 2004
• Life Trustee Designation, American Board of Pathology; May 2005

Professional Organizations:

• College of American Pathologists
• United States and Canadian Association of Pathologists
• California Society of Pathologists
• South Bay Pathology Society

Consultant:

• The Doctors Company; Napa, CA: Pathology Claims Consultant, 1989 -1993; 1996-2004
• Medical Advisory Panel: Blue Cross of California, 1995-1996
• Blue Cross of California, pathology consultant, 1986-1996
• Blue Shield of California, Medicare consultant, 1984-1996
• Pathology Consultant, VA Hospital, Martinez, Ca 1977-80

Academic Appointments:

University of California, Berkeley
School of Public Health
Division of Health and Medical Sciences
UCB-UCSF Joint Medical Program:

• Clinical Professor, School of Public Health, 1986 - 2004
• Clinical Professor Emeritus, Sept 2004
• Course Director, Pathology: Joint Medical Program, 1986 - 2004
• Chair, Curriculum Committee, Joint Medical Program, 2002 - 04
• Chair, Case Development Committee, 2001 - 2004
• Admission Committee, JMP: 1983-84; 94-95; 98-99
• Lecturer: Cardiovascular, Pulmonary, Gastrointestinal, Liver, Pancreatic, Renal, Male and Female Reproductive, CNS, Breast, Endocrine, and Hematopathology: 1974 - 2004

Speaking Activity:

• Biochemical Profiling In Diagnostic Medicine - lecture presentation at Technicon International Symposium on Medical Instrumentation, Stockholm, Sweden, 1972
• Biochemical Profiling In Diagnostic Medicine lecture at the American College of Physicians Symposium on Lab Medicine, Vail, Co, 1975
• MacAdemia Conference, University of California, Berkeley; Sept. 1990 - to demonstrate GuidePATH: a computer-aided instruction course in Human Pathology for medical students, developed for the Health and Medical Sciences Program, UC Berkeley
• Perspectives 1991: Computers in Medicine Conference, Stanford University, Sept.1991 - to demonstrate GuidePATH and PATH PhotoQUIZ
• Moderator: Diagnostic Problems in Surgical Pathology; California Seminars in Pathology, 1985-97
• Moderator: Diagnostic Problems in Cytopathology, an educational program, California Seminars in Pathology 1993
• Panel Member: Symposium on Malpractice Issues in Surgical Pathology, California Seminars in Pathology meeting 1994
• Speaker: GRIPE (Group for Research in Pathology Education), 1991 and 92 annual meetings, to present GuidePATH: a computer based pathology course
• Moderator: Pathology Practice Management Seminar, College of American Pathologists,1993-97; Speaker: '87, '90 -'92, '99, 2000 & 2005
• Moderator: Professional Affairs Forum, College of American Pathologists Annual Meeting, 1993-96; Speaker '87, '91, '93, and '99
• Speaker: Regional Managed Care Seminars, College of American Pathologists 1995
• Guest Speaker: Current Issues in Anatomic Pathology, an annual educational program sponsored by the University of California School of Medicine in San Francisco, 1985 and 1986
• Faculty: Seminars on CPT-85 Terminology for Pathology Services, Sponsored by the California Society of Pathologists, 1985-88
• Guest Lecturer: Pathology Residents - Stanford University; University of California, S. F.; and U.S. Naval Hospital, Oakland, Ca, 1988-1992
• Speaker: Seminar on "Causes of Malpractice Suits Against Pathologists"; College of American Pathologists National Meeting; Chicago, April 97
• Speaker: "Cervical Pap Smear Liability", The Papanicalou Society, United States and Canadian Association of Pathologists Meeting, Washington, DC, March 95
• Speaker: "Malpractice Issues in Surgical Pathology"; Los Angeles Society of Pathologists, Annual Meeting, Jan 2000
• Speaker: "Malpractice Issues in Surgical Pathology"; United States and Canadian Association of Pathologists Meeting, New Orleans, March 2000
• Speaker & Director: "Medicolegal Issues in Surgical Pathology and Cytopathology"; ASCP & CAP Annual Meeting, Philadelphia, Oct 2001
• Moderator: "Problem Areas In The Diagnosis Of Melanoma"; California Seminars in Pathology Meeting, San Diego, Nov 2001
• Moderator: "Diagnostic Problems Seen In A Referral Practice"; California Seminars in Pathology, San Francisco, Ca, Dec 2002
• International Society of Dermatopathology, Panel Discussion on "The Dermatopathology Report"; San Francisco, Ca, March 2003
• Association of Directors of Anatomic & Surgical Pathology, "Competency Based Evaluations: Maintenance of Certification"; Wash, DC; March 2003
• USCAP (CAP Companion meeting); Panel Discussion on "Errors in Surgical Pathology"; Washington, DC; March 2003
• UCLA Pathology Grand Rounds on Melanoma Risk Mgmt; April 2003
• ASCP/CDC Focus Group: Education Strategies for Emerging Public Health Threats (Bio-terrorism); Wash, DC; July 2003
• Texas Society of Pathologists; Melanoma and Pathology Risk Mgmt; Galveston, Texas; August 2003
• American Society for Clinical Pathology; Speaker: "Medicolegal Issues in Surgical Pathology and Cytopathology"; Sept 2003 Annual Meeting, New Orleans
• Lecturer, Board Review on GU Pathology for Urologists; Department of Surgery; University of Missouri Medical Center; March 2004
• College of American Pathologists, Speaker: "Error in Pathology and Laboratory Medicine Symposium"; Sept 2004 Annual Meeting, Phoenix
• USCAP (ADASP Companion Meeting), Speaker: "Error Reduction In Anatomic Pathology"; San Antonio, Texas; February 2005
• Harvard Medical School Combined Pathology Grand Rounds: "Errors and Medicolegal Issues in Surgical Pathology"; Brigham and Women's Hospital; Boston, MA, March 2005
• American Urological Association; Speaker, "The Medical Malpractice Game - Learn The Rules And Meet The Players"; San Antonio, TX; May 2005
• College of American Pathologists, Pathology Practice Management Program; Speaker, "Error in Surgical Pathology: A Malpractice Insurers Perspective"; Chicago, IL; July 2005
• Emory University School of Medicine, Annual William H. Matthews Memorial Lecture on "Error in Surgical Pathology and Melanoma Diagnosis"; Atlanta, Georgia; Sept 2005
• Cedars-Sinai Medical Center, Los Angeles; Pathology Grand Rounds on "Error in Surgical Pathology"; Sept 2005

Publications:

• GuidePATH (electronic publication): an interactive, computer-based, instruction course in Systemic Pathology, utilizing 2800 videodisc pathology images. Jointly developed with Cornell University Medical College, it is used by medical students at UC Berkeley, and is distributed to other Medical Schools through the Eccles Health Sciences Library, University of Utah.
• PATH PhotoQUIZ (electronic publication): a multimedia, computer-based, self-assessment question module for medical students taking Pathology; developed for medical students at UC Berkeley and distributed to other Medical Schools through the GRIPE office, USC School of Medicine.
• Participant, Pathology Claims Review Panel for The Doctors Company, 1989 - subsequently published as Loss Prevention And Risk Management In Pathology: A Monograph On Risk Management
• Chair, Pathology Claims Review Panel for The Doctors Company, 1992 - subsequently published as Pathology: A Report Of Claims Review Panels
• Chair, Cytology Review Panel for The Doctors Company, 1996 - subsequently published as Loss Prevention And Risk Management In Cytology: A Monograph On Risk Management
• Biochemical Profiling In Diagnostic Medicine, Volumes 1 & 2 - A Monograph on Multiphasic Biochemical Screening; 1971-74
• Infectious Mononucleosis Complicated By Hemolytic Anemia Due To Anti-I; American Journal of Clinical Pathology, Vol 46, #6, Dec.1966 - republished in Yearbook of Medicine, 1967
• Problem Areas In Pathology Practice: Uncovered by a Review of Malpractice Claims; The American Journal of Surgical Pathology, Volume 18, Number 8, August 1994
• Problem Areas In Pathology Practice: Uncovered by a Review of Malpractice Claims; republished in The Yearbook of Pathology and Laboratory Medicine 1996
• Risk Management Guidelines For Cervical Cytology; published by The Doctors Company and distributed by the College of American Pathologists; also published in the Journal of the American Society of Cytotechnologists
• Malpractice Claims Involving Breast Pathology, Pathology Case Reviews, September/October 1999
• Suits & Briefs, a discussion of malpractice issues published in CAP TODAY, a national publication of the College of American Pathologists: Nov 1999 and March 2000
• Liability Issues Unique To Pathology; The Doctors Advocate; First Quarter 2001
• Diagnostic Pitfalls In Surgical Pathology, a series of seven articles published in the International Journal of Surgical Pathology: April 2000, July 2000, October 2000, January 2001, April 2001, July 2001, and October 2001
• Quick Scan Reviews in Pathology, June and July 2002: featured abstracts from all 7 articles published in the International Journal of Surgical Pathology (above) as "recommended to read" articles.
• Chair, Melanoma Claims Review Panel for The Doctors Company, 2002 - subsequently published as a Melanoma Risk Management Panel Report
• When to Evaluate for a Hypercoagulable State; Lanzerotti and Troxel; A Risk Management Guideline published by The Doctors Company in 2002
• Breast Biopsy and Fine Needle Aspiration; A Risk Management Guideline published in The Doctors Advocate; Third Quarter 2002
• Requests for Pathology Specimens; A Risk Management Guideline published by The Doctors Company in 2002
• Medicolegal Issues In Surgical Pathology - a chapter in "Modern Surgical Pathology", a textbook published in Jan 2003
• Pitfalls in the Diagnosis of Malignant Melanoma: Findings of a Risk Management Panel Study; The American Journal of Surgical Pathology; Volume 27, Number 9, Sept 2003
• Quick Scan Reviews in Pathology, Nov 2003: featured abstract of Pitfalls in the Diagnosis of Malignant Melanoma, published in the American Journal of Surgical Pathology (above) as a "recommended to read" article.
• Pap Test Update; A Risk Management Guideline published in The Doctors Advocate; First Quarter 2004 Error In Surgical Pathology; The American Journal of Surgical Pathology; Volume 28, Number 8, Aug 2004
  Medical Malpractice: A Physicians Sourcebook, Humana Press, Oct 2004, Chapter 12: Breast Cancer Litigation & Chapter 13: Pap Smear Litigation
• Squamous Carcinoma Metastatic to Cervical Lymph Nodes - Misdiagnosed as Branchial Cleft Cyst, AAO-HNS Bulletin, May 2005
  Patient Safety and Loss Prevention Strategies - for Pathologists; a booklet published by The Doctors Company; June 2005
  An Insurer's Perspective on Error and Loss in Pathology, CAP Special Topic Symposium on Error in Pathology and Laboratory Medicine, Archives of Pathology & Laboratory Medicine, October 2005

Community Medical Activities:

• Comprehensive Health Planning Association of Contra Costa County: Chair, Technical Advisory Subcommittee on Guidelines for Regional Medical Services; and Member, Health Facilities Committee, 1974-76
• Bay Area Comprehensive Health Planning Council: Member, Regional Cardiac Care Committee, 1976
• Health Systems Agency, Governing Board Member, Alameda- Contra Costa County Joint Powers Application, 1976
• American Cancer Society, Contra Costa Unit - Board of Directors and Chairman, Professional Education Committee, 1972-74
  Inspector, American Association of Blood Banks, 1975-79
• California Physicians Crisis Committee - for California Medical Malpractice Reform (MICRA), Executive Committee Member, 1974-76

Alameda-Contra Costa County Medical Association

• Representative, Search Committee for Director of Health services, Contra Costa County, 1978
• Representative, Search Committee for Director of Public Health, Contra Costa County, 1983
• Representative, Public Health "Blue Ribbon" Committee for Contra Costa County - to investigate health care options for the future of Contra Costa County, 1983-84
• Chairman, Contra Costa County Crisis Committee on Medical Malpractice; Liaison to ACCMA Malpractice Crisis Subcommittee

MT. Diablo Medical Center Medical Staff Activities

Medical Staff Officer:

• Secretary-Treasurer: 1975-76
• President-Elect: 1976-77
• President: 1977-78

Chair:

• Dept of Pathology: 1973-76, 82-83, 85-86, 89-91, 97-98
• Infection Control Committee, 1973-76 and 1980-1997
• Medical Audit Committee, 1976-77
• Credentials Committee, 1976-77
• JCAH Accreditation Committee, 1976
• Ad Hoc Committee on Shared Obstetrical Services with Contra Costa County Hospital, 1977-78
• Joint Conference Committee, 1978-79
• Medical Staff Project 90 Planning Committee, 1982-83
• Quality Assurance Committee, 1986
• Clinical Monitoring QA Committee, 1987-89
• Consultative Tumor Board, 1974-76 and 1987-88
• Medical Capital Equipment Committee, 1997-2001

Professional Societies:

1.) California Society of Pathologists:

• Board of Directors, 1977-83
• Secretary-Treasurer, 1979-80 President-Elect, 1980-81
• President, 1981-82
• Chair: Education Committee, 1978-83; and member 1977- 2002
• Director, "New Horizons in Surgical Pathology" Cruise, July 1980
• Chair: Legislative Committee, 1985-86
• Chair: Subcommittee on State Regulatory Activitie
• Chair: Reimbursement Committee, 1984-85; 1987-89
• Committee to Revise CA Cytology Regulations, 1975
• Cytology Quality Evaluation Program Committee, 1976-80
• California Medicare Carriers Advisory Committee, 1993-96

2.) California Medical Association:

• CMA Representative,1974-1986, Clinical Laboratory Technology
  Advisory Committee to Laboratory Field Services, State Department of Health
• Pathology Representative - CMA Committee of Specialty Societies, 1979-82
• Pathology Representative, CMA Advisory Panel on Path, 1981-83
• Pathology Representative, CMA Commission on State Legislation, 1985-86
• California Medical Association, member, Committee on Health Planning and Resources Development, 1976

3.) Pathology Practice Association:

• Board Member (Founding Director), 1979-84

4.) South Bay Pathology Society:

• Chair, Membership Committee, 1977-78
• Secretary-Treasurer, 1978-79
• President, 1979-80
• Member, Annual Carmel/Monterrey Pathology Seminar Committee, 1984 -

5.) College of American Pathologists:

• Chair, Professional and Economic Affairs Comm, 1995 and 1996
• Advisor, Professional and Economic Affairs Comm, 1997-2000
• Chair, Professional Affairs Committee, 1993 and 1994; member 1983-84
• Vice Chair, Reimbursement Comm: 1989-92; member:1985-94
• Council on Government and Professional Affairs, 1993- 96
• Chair, Committee to Develop Specimen Coding Guidelines for Pathology (Medicare resource-based RVS), 1990-91
• RVS Task Force member, 1991-93
• Chair, Nominating Committee 1990; member 1991
• Strategic Planning Committee, 1990-1992
• CAP Alternate Representative, AMA RVS Update Comm,1992-95
• Budget Planning and Review Committee, 1980-81
• CA Representative - College of American Pathologists Foundation Symposium on "Future of Pathology", Dearborn, MI, 1981

The American Board of Pathology:

• Trustee, 1994 - 2003
• Chair, Test Committee for Anatomic Pathology, 1995 -2002
• Chair, Informatics Committee 1995 - 2000
• Chair, Maintenance of Certification Committee, 1999 - 2003
• Chair, Dermatopathology Committee 2000 -2002
• Treasurer, 1999 and 2000
• Vice President, 2001
• President, 2002

The American Board of Medical Specialties

• Delegate to Assembly, from the American Board of Pathology, 1995-2000
• Nominating Committee member, 1999 - 2000

Boards:

• Mt. Diablo Hospital Foundation Board, 1976-78
• John Muir-Mt Diablo Health System Board, 1997- 2000

  - member: Executive, Finance, and Governance Committees

• The Doctors Company Board of Governors: 2002 -

  - Secretary of the Board: 2004 -
  - Chair: Audit Committee: 2003-04
  - Medical Director and SVP: 2005 -

Journal Editorial Boards:

• Cancer Cytopathology, 1999 - 2002
• International Journal of Surgical Pathology, 1999 -