Clinical Focus

  • Pediatric Emergency Medicine
  • Physician Wellness
  • Diversity Equity Inclusion
  • Child Health Advocacy

Academic Appointments

Administrative Appointments

  • Director of Well-Being, Division of Pediatric Emergency Medicine, Stanford University (2022 - Present)

Honors & Awards

  • Workplace Excellence, Stanford Healthcare (3/28/2025)

Professional Education

  • Board Certification, American Board of Pediatrics, Pediatric Emergency Medicine (2011)
  • Fellowship: Loma Linda University Medical Center Pediatric Emergency Medicine (2010) CA
  • Board Certification: American Board of Pediatrics, Pediatrics (2007)
  • Residency: Children's Hospital of Orange County (2007) CA
  • Medical Education: University of Hawaii at Manoa John A Burns School of Medicine (2004) HI

Contact

  • Clinical (Primary)  Dept Of Emergency Medicine 300 Pasteur Dr MC 5777 Stanford, CA 94305 (650) 723-0121 (fax)

Additional Clinical Info

All Publications

  • From Why to How in Physician Well-Being: Aligning Strategies for Sustainable Cultural Change in Healthcare. Rhode Island medical journal (2013) Alvarez, A., Winkel, M., Karamatsu, M. L. 2025; 108 (3): 11-15

    Abstract

    The evolution from the Triple Aim to the Quintuple Aim has highlighted physician well-being as crucial for healthcare delivery. While evidence- based interventions exist, implementing sustainable well- being initiatives remains challenging for healthcare organizations.This report demonstrates how three established business frameworks - McKinsey 7S Framework, Kotter's 8-Step Change Model, and PESTEL analysis - can be adapted to implement physician well-being initiatives in healthcare settings.These frameworks analyzed three initiatives: promoting break-taking behaviors (McKinsey 7S), transitioning from a sick-call to a back-up call system (Kotter's model), and updating Work-Family-Career Guidelines (PESTEL). Each framework provided unique insights: 7S enabled systematic organizational alignment, Kotter's model facilitated change management, and PESTEL assessed external factors influencing implementation.Adapting business frameworks to healthcare settings provides structured approaches for implementing physician well-being initiatives, demonstrating how cross-sector tools can advance the Quintuple Aim while addressing systemic drivers of burnout.

    View details for PubMedID 40009094