New Hampshire Physician Leadership Development Cohorts

Joanne Buonomano

Joann Buonomano MD, FAAFP, CPE

Dr. Buonomano is a newly appointed interim -CMO for a recently merged Federally Qualified Health Center in New Hampshire with 250 employees. 

She shares responsibility for maintaining provider and patient satisfaction across the network. This work is intricately linked to upholding the highest quality of care standards for the center's target population. 

She is involved in the review of a complicated budget that is a blend of numerous grants, donations, and service generated revenue.  She has completed training with the American Association of Physician Leadership and serves on the Wentworth Douglas Hospital PHO board.

Dr. Buonomano has 19 years of prior experience as a full scope-- rural physician in a critical access hospital in Northern NH. During this tenure, she served as chairperson of the Medical Outpatient Division, chairperson of the Out-Patient Quality Assurance Committee, and chairperson of the hospital's Maternal Child Health Committee. She feels privileged to have provided maternity care for over 500 mothers. She is a graduate of Boston University School of Medicine and completed her residency at a family practice affiliate program of Duke University. She has enjoyed working with diverse and vulnerable populations throughout her career.


Barbara S. Civiello, M.D.

Barbara S. Civiello, M.D.

Dr. Civiello is a Hematology-Oncology physician and Medical Director at the Seacoast Cancer Center, Wentworth-Douglass Hospital.  She joined Wentworth-Douglass in 2004 and has been the proud recipient of the “President’s Award,” the hospital’s highest honor. As Chair of the Wentworth-Douglass Cancer Committee, she provides leadership and sets annual goals to promote cancer prevention, research, education, and quality outcomes. 

A strong believer in supporting both the emotional and physical needs of her patients, she is a founding board member of the nonprofit Amy’s Treat, focused on assisting cancer patients with practical and not-so-practical assistance such as gas cards, house cleaning, etc. She was selected by the Robert Kraft family and The New England Patriots as a Community MVP for her volunteer work, “a dedication to improving the lives of cancer patients in a way that far exceeds her role as a good and thorough medical oncologist.”

Dr. Civiello is a graduate of the University of Vermont College of Medicine and received her MPH from Emory University. She is board certified in Hematology, Oncology, and Internal Medicine.


Susan Coulter M.D.

Susan Coulter M.D.

Dr. Coulter is currently the Medical Director at Caring for Kids, a new pediatric practice in Belmont, NH. In addition to supervising the providers and staff, she has been responsible for developing and implementing policies and protocols that align with best practices in pediatrics.  She has also been involved with marketing and outreach to the community to promote and grow the practice.

Before the Director’s position, Dr. Coulter spent 24 years as a primary care provider at an FQHC in Camden, NJ. There she cared for a high-risk population in an urban center where families faced many barriers to good health and medical care. At the end of her tenure in Camden, many of her patients were the third generation under her care.


Andrew I. Forrest, M.D.

Andrew I. Forrest, M.D.

Drew, an eighth-generation New Hampshire resident, is a board-certified physiatrist, holding a lifetime board certification. He has been in clinical practice since 1991, since completing his training at the Mayo Clinic in Rochester, MN. He has treated patients with complex musculoskeletal and neurologic injuries as well as performing electodiagnostic examinations.

In addition to his active clinical practice, Drew has served as Medical Director of HealthSouth Rehabilitation  Hospital in Concord, NH, and two terms in medical staff leadership at Littleton Regional Hospital and serving as an elected Board Member of the same organization.

Drew currently practices Physical Medicine & Rehabilitation at Alice Peck Day Memorial Hospital in Lebanon, NH, and has been employed by New Era Medicine in Manchester, NH since 12/16, evaluating and treating patients with chronic pain due to neurologic and musculoskeletal conditions.  He also started his own medicolegal consulting firm, Forrest Medical Consulting Services, PLLC, focusing on independent medical evaluations of chronic neurologic and musculoskeletal conditions for both plaintiff's and defense.


Brian J. Frenkiewich, MS, D.O.

Brian J. Frenkiewich, MS, D.O.

Dr. Frenkiewich is the medical director for a multispecialty primary care practice at New London Hospital.  He is responsible for the medical oversight and coordination of care within the practice.  He works with colleagues to provide high-quality, patient-centric care.  In addition to these responsibilities, he is the Assistant Regional Dean for the clinical education program of the University of New England College of Osteopathic Medicine.  He serves as the team physician for Colby Sawyer College. 

Dr. Frenkiewich has been at New London Hospital for five years.  Before New London, he was on the faculty of the Family Medicine Residency at Eastern Maine Medical Center (EMMC). He served as a team physician at the University of Maine in Orono.    He completed his residency in Family Medicine and OMT at EMMC and a +1 fellowship in Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine at the same location.  His medical school training was completed at the University of New England College of Osteopathic Medicine in Biddeford, Maine.  Before medical school, he was a certified athletic trainer and faculty at Colby Sawyer College.    He has a Master’s degree in athletic training from Indiana State University and Bachelor of Science from Colby Sawyer College in Exercise and Sport Sciences.


John Paul Houde M.D.

John Paul Houde M.D.

On my 14th birthday, I was admitted to Yale, New Haven Hospital with a fever of 104 degrees F. I underwent surgery and seven weeks of in-patient IV antibiotics for osteomyelitis of my tibia. During my sophomore year of high school, I suffered a flexor digitorum profundus injury playing football, which required two surgical procedures. During my junior year of college, I suffered a shoulder injury playing rugby, which required three surgical procedures. I grew up thinking all doctors were orthopedic surgeons. After graduating from Bates College in Lewiston, Maine, I entered Dartmouth Medical School in Hanover, New Hampshire. My desire throughout was to become an orthopedic surgeon and work with the Boston Red Sox. My dream came true when I was accepted for residency at UMass Medical Center in Worcester, Massachusetts, where our chairman, Dr. Arthur Pappas, was the Red Sox team physician. Even though my initial desire to become an orthopedic surgeon was sports-driven, it quickly became clear how much of a positive impact orthopedics has on patients’ daily lives. I discovered the gratification of performing total joint replacement, trauma, and shoulder surgery. 

I attended Dartmouth Medical School on an Air Force Health Profession Scholarship. My first position was at Langley AFB in Hampton, Virginia, where I would become chief of orthopedic surgery. Following my commitment to the Air Force, my family and I moved to Meriden, New Hampshire, where I started a solo orthopedic practice based at Valley Regional Hospital in Claremont, New Hampshire. For many years, I was the sole orthopedic surgeon practicing in Sullivan County. While at Valley Regional Hospital, I was very active in leadership positions, including; Head of Surgery, Medical Director of Physical and Occupational Therapy, and member of the Medical Executive Committee. I have always strived to treat all of my patients as if they were members of my family. Thus, it was natural for me to initiate an orthopedic patient and family-centered care model. 

In 2013, I joined the Orthopedic Surgery Department at Alice Peck Day Memorial Hospital in Lebanon, New Hampshire, where I continued to institute the patient and family-centered care approach. In my time there, I have been appointed to the Medical Executive Committee as Treasurer, and then as Vice President, and most recently, I have been elected as a President of the Medical Staff. I also serve on the Peer Review Committee, the Board of Trustees Strategic Planning Committee, and the Alice Peck Day Board of Trustees. My desire throughout has been to give my patients the best possible experience with the best possible outcomes. 


Lisa T Marrache M.D.

Lisa T Marrache M.D.

Lisa is the Chief of Medicine and the Acting Chief of Primary Care of the Manchester VA Medical Center since January of 2018. She is also the Acting Designated Education Officer and Acting Associate Chief of Staff for Education. 

She is responsible for managing the outpatient clinics in specialty care, urgent care, and primary care in Manchester and the four outlying Community Based Outpatient Clinics in the State of New Hampshire. While in the ACOS for education role, she also is charged with setting up and managing the affiliations for students and interns in the NH VA system. 

She is a Board-Certified Family Medicine Physician who has had fellowship training in Dermatology. She has been in the VA system for 7 years, starting in Maine and transferring here full time after a short time on a detail to Manchester after the Flood and crisis event of last year.

She is a graduate of the Medical College of Georgia, Maine-Dartmouth Family Medicine residency in Maine, and Boston VA dermatology Fellowship program. She has worked in multiple practices, such as private practice with her husband, a privately owned group practice and hospital-owned practice, and now the government. While in private practice, she had a political career for 10 years in the Maine State House (6 in the house and 4 in the senate- attaining a leadership role as the Assistant Senate Majority Leader). 


Amy Martel, M.D

Amy Martel, M.D.

Amy is a family physician practicing in Concord, NH.  Her practice includes a large pediatric population and a significant nursing home population, along with everything in between.   She enjoys being a member of the team that is Concord Family Medicine, a practice with a 30-year reputation for outstanding patient-centered care.  She believes a balanced work schedule and a weekly physician support group (Balint group) with her partners has helped to prevent burn out, and she finds inspiration in the stories of her patients daily.  

She has been at Concord Family Medicine for 13 years but has been part of the Concord Hospital family for much longer. She was born at Concord Hospital, volunteered there as a teen, worked there as a Patient Transporter while in college, and then completed a residency there as well. 

Amy has been an active member of the medical staff at Concord Hospital over the years with participation on many committees, including Infection Control and Prevention, Pediatric Practice, and co-chairing the Practice Operations Committee. She has also frequently been called upon to participate in ad hoc committees on smaller projects that have come along.


Lora-McClintock

Lora McClintock M.D.

Dr. McClintock is currently a board-certified primary care internist practicing at Monadnock Internal Medicine, located at Monadnock Community Hospital (MCH) in Peterborough, New Hampshire. She has been on the medical staff at MCH since 2002 and has acted as the Chair of the Department of Medicine, served on the Credentials and P&T committees, currently serves on the Medical Staff Development committee, and leads the monthly Clinical Medicine meeting. She also works as a per diem hospitalist at MCH, a program overseen by Catholic Medical Center. She is a Fellow of the American College of Physicians.

She came to MCH having practiced primary care medicine for 7 years at Virginia Mason Medical Center in Seattle, Washington. She completed her Primary Care Internal Medicine Residency at Rhode Island Hospital, a Brown-affiliated program in Providence, Rhode Island. She graduated from the George Washington University School of Medicine in Washington DC in 1992. She has a Bachelor of Science in Biology from the University of Washington in Seattle, Washington.


Michael McLeod, D.O.

Michael McLeod, D.O.

Mike is the Associate Chief Medical Officer at Concord Hospital Medical Group in Concord, NH. He is responsible for 13 primary care practices, representing 58 physicians, 48 Advance Practice Providers, and 27 Family Medicine Residents. He has been in this role since 2017.

Mike is board certified in both Family Medicine (2003) and Clinical Informatics (2017). He practices full-scope Family Medicine without Obstetrics 15 hours per week at Family Tree Health Care in Hopkinton, NH. Before accepting the ACMO role, he worked 50% clinical and 50% Clinical Informatics from 2014 to 2017. Mike has a strong interest in health care IT and how it can improve the patient and provider experience.

Mike is a New England native. He grew up in Gloucester, MA, attended the College of the Holy Cross in Worcester, MA, and attended medical school at the University of New England College of Osteopathic Medicine in Biddeford, ME completed residency at the New Hampshire Dartmouth Family Medicine Residency in Concord, NH.


Yana Melnikova, M.D.

Yana Melnikova, M.D.

Yana is the medical director of the Hospitalist team at Wentworth- Douglass Hospital. She is accountable for the hospitalist group's performance, setting the tone for evidence-based, collaborative clinical care and outcomes-driven patient experience.  She works with hospitalist providers and other healthcare team members to develop team effectiveness and engagement.  Yana combines the responsibilities of the medical director with working full-time as a hospitalist. She has worked at Wentworth-Douglass Hospital for 12 years as a full-time hospitalist; she became medical director in May 2017. 

 


Jennifer Pelli Packard, M.D.

Jennifer Pelli Packard, M.D.

Jennifer is an Internist and Pediatrician at Bedford Center Internal Medicine and Pediatrics in Bedford, New Hampshire. She serves in an outpatient office owned by Catholic Medical Center of Manchester, New Hampshire. She is the sole physician practicing with four Advanced Practice Registered Nurses and a Physician Assistant caring for approximately four thousand adult and pediatric patients.

  She has practiced for Catholic Medical Center for six years. She was instrumental in bringing the Reach Out and Read program to the Catholic Medical Center and participated in applying for the National Committee for Quality Assurance (NCQA)’s Patient-Centered Medical Home (PCMH) recognition. She has served on several committees, including the Physicians Burnout Prevention Committee and the Physician Compensation Committee. As the only outpatient pediatrician employed by Catholic Medical Center, she serves as a local resource from all other primary care practitioners. She was recently elected as the Section Chief of Ambulatory Medicine for Catholic Medical Center. Before practicing at Catholic Medical Center, she worked at Dartmouth Hitchcock-Manchester in the Internal Medicine-Pediatrics department for two years.

 Jennifer completed a combined residency in Internal Medicine and Pediatrics from Christiana Care Health System and Alfred I. DuPont Hospital for Children/Nemours of Delaware. Jennifer attended Sidney Kimmel Medical College of Thomas Jefferson University in Philadelphia, Pennsylvania. She earned a Master of Science in the Natural Sciences from Rensselaer Polytechnic Institute in Troy, New York. She graduated from Brown University with honors in Biomedical Ethics and Biology.

 Recent writing has focused on the community level and can be found in the New Hampshire Union Leader, New Hampshire Magazine, and ParentingNH, and Catholic Medical Center’s publication, Healthy Living. She previously published in the journals Spine and American Journal of Physiology-Lung Cellular and Molecular Physiology.


Brian Phemester, D.O.

I am the Medical Director of Community Care at the Manchester VA.  In my previous experience with the VA, there have been roles I have been involved with, such as Chief of Staff, Chief of Compensation and Pension, and Chief of Primary Care.  There have been several leadership programs I have completed, including the Health Care Leadership Developmental Program.  Diabetes, Primary Care, and Spinal Cord Veterans in clinics I have been involved with seeing Veterans. Before the VA, I started my own practice as a primary care doctor. 


Amy Roy, M.D. FAAP

Amy Roy, M.D. FAAP

Dr. Roy joined Elliot Health Systems as a pediatric emergency medicine physician in 2009 and is now the medical director for the Elliot’s pediatric emergency department. In addition to working in pediatric emergency medicine, Dr. Roy performs medical evaluations for suspected child abuse victims and neglect as part of the Dartmouth Child Advocacy and Protection Program.  She has been active on New Hampshire’s Child Fatality Review Team and several committees addressing medical care for suspected child maltreatment.

She completed her medical degree at the University of Vermont College of Medicine and her pediatrics residency and her pediatric emergency medicine fellowship at Yale-New Haven Children’s Hospital. She is board certified in both pediatrics and pediatric emergency medicine.


Joshua White, M.D.

Joshua White, M.D.

Josh is an infectious disease physician at Concord Hospital, an approximately 295-bed hospital in Concord, New Hampshire.  He has primarily clinical duties in his role, split roughly between inpatient consultations and clinic, including hospital follow-up visits and outpatient consultations including treatment of HIV and hepatitis C. 

He has worked at Concord Hospital for 4 years.  Past employment has included residency and fellowship training in Richmond, Virginia, at Virginia Commonwealth University (VCU) hospital and a year of employment as a private hospitalist at Henrico Doctors’ Hospital in Richmond.  

Special interests include patient safety and antimicrobial stewardship.  He is co-chair of the antimicrobial stewardship program.