Clinical Excellence Award: Celebrating David Bosch, DO

Each year, USACS’ National Clinical Governance Board (NCGB) selects recipients for its Clinical Excellence Award. This award honors the expertise of eight exemplary clinicians based on nominations from their colleagues. Our 2024 recipients have been announced, and we are pleased to share highlights right here on The Shift!

 

To kick things off, we sat down with David Bosch, DO. Dr. Bosch is an emergency physician and ultrasound director for our Colorado AdventHealth and CommonSpirit Health sites. He received his medical degree from Western University of Health Sciences College of Osteopathic Medicine of the Pacific and completed his emergency medicine residency at Denver Health Medical Center. His journey with USACS began in 2015, marking nearly a decade of dedicated service.

 

Notably, Dr. Bosch’s passion for medicine dates back to childhood. “I have wanted to be an emergency physician since I was five years old,” he says. “It all started when I watched a TV show called Rescue 911. I realized I was a fixer by nature. To this day, I am driven to solve problems and help others. From getting patients’ diagnoses right to supporting clinicians’ skill development, it’s these everyday moments that motivate and fulfill me.”

 

Since joining our practice, Dr. Bosch has been recognized as both a healer and teacher. At the bedside, he is known for his clinical acumen and compassionate care. A valuable team player, he goes the extra mile for his patients and fellow clinicians. Simultaneously, Dr. Bosch excels as an ultrasound director. In this role, he is responsible for performing quality reviews, organizing educational events, and providing individual instruction. He has effectively integrated ultrasound at his sites to improve efficiency and reduce adverse outcomes.

 

These multifaceted contributions are echoed by nominator Mike Ruygrok, MD. “Dr. Bosch demonstrates excellence in routine scenarios and life-saving cases,” he states. “He employs the latest evidence-based practices, while exuding kindness and patience. Outside of clinical shifts, he works tirelessly to educate clinicians at different proficiency levels of ultrasound. He frequently advocates for his colleagues, most recently in preserving their ability to perform nerve blocks for geriatric hip fractures. In short, he is the physician I want to have care for me and work with me in the ED.”

 

In this context, Dr. Bosch’s use of nerve blocks is a standout achievement. Over the past seven years, he has helped set a national standard to transition away from narcotic pain medications for hip fractures. This is especially pertinent for older patients, who are estimated to have a six-month mortality rate of 25% following injury. Such a shift is critical to reducing serious side effects of painkillers, including confusion, constipation, and falls. While just one example of his impact, this effort highlights his commitment to facilitating better and safer patient experiences.

 

Dr. Bosch speaks to the importance of these kinds of techniques. “Whether it is nerve blocks, central lines, or diagnostic testing, ultrasound-guided procedures give us a significant advantage,” he adds. “What I really love to do is train people. I want to show them how technology can enable us to get to the right answer sooner than the traditional ways. It ultimately comes down to innovation. Our focus on exploring new avenues is the key to advancing healthcare moving forward.”

 

In the evolving field of emergency medicine, Dr. Bosch inspires us to reconnect with the core values of clinical excellence. He offers three simple yet significant lessons that guide his approach:

 

1. Be a lifelong learner – Medicine is constantly changing. Stay informed on the latest literature, including new techniques, procedures, and medications.
2. Make space for patients – Patients are more than a room number. Take a few extra minutes to show empathy, ensuring they feel understood and safe in your hands.
3. Support your colleagues – Your colleagues are your partners. Be available to answer questions and share knowledge on and off shift, when possible.

 

As Dr. Bosch highlights, the award is a perfect reminder of these lessons. “Seeing all the skilled recipients has encouraged me to reflect on the building blocks for long-term success,” he notes. “I am humbled to be recognized by the NCGB and grateful for my colleagues who took the time to nominate me. We really are a family. Our collegial nature has allowed us to deliver exceptional care while supporting each other through the twists and turns of this career path.”

 

Looking ahead, he affirms, “The future holds a lot of promise, and I am excited for our continued collaboration.”