Clinical committee members

The eleven appointed members bring a diverse set of experiences, clinical expertise, practice specialties, advanced education, and knowledge of using evidence in health care. The members are:


Larry Birger, MD

Dr. Birger was appointed to the clinical committee in May 2021. He received his medical training at the University of North Dakota School of Medicine and Health Sciences, graduating in 2001. Since then, he has practiced as a hospitalist and doctor of internal medicine in primarily rural areas of New York, Washington, and Idaho state.

John Bramhall, MD, PhD

John Bramhall is board certified by the American Board of Anesthesiology. He specializes in the treatment of trauma patients at Harborview Medical Center, where he is also Associate Medical Director.

Bramhall received his PhD in biochemistry from Birmingham in the UK. He came to United States as a Fulbright scholar at UCLA before undertaking postgraduate training at the Max Planck Institutes in Tübingen, Germany and Stanford University. He returned to UCLA as a faculty member and established a research laboratory to investigate the structural properties of biological membranes. His medical training was completed at UCSD in La Jolla, CA and Virginia Mason in Seattle. He is currently an Associate Professor at the University of Washington where he is actively involved in the training and education of residents. He has over fifty research publications in the fields of membrane biophysics and immunology.

Bramhall is actively involved in clinical front-line work, in the establishment of organizational structures to facilitate safe, effective, and efficient care models and in the provision of surgical care for the underserved. He is a delegate to the American Society of Anesthesiology and is a trustee of the Washington State Medical Association.

Clinton Daniels, DC, MS

Dr. Daniels is the chiropractic section chief in Rehabilitation Care Services at Veterans Affairs (VA) Puget Sound Health Care System. He is the VA Puget Sound Chiropractic Resident Program director and serves as the research coordinator for the VA Chiropractic Field Advisory Committee. He has an adjunct appointment to University of Western States, Portland, Oregon, is a board member for Clinical Compass and member of their scientific commission.

He received his undergraduate degree from Purdue University, Doctor of Chiropractic degree, and masters of science in sports rehabilitation from Logan University, Chesterfield, Missouri. In 2015, he was a member of the inaugural VA chiropractic residency program graduating class at VA St. Louis Health Care System. 

His clinical interests include providing conservative nonpharmacologic spine and musculoskeletal care to the veteran population. His research interests include chiropractic integration into academic and hospital-based settings, conservative management of persistent postsurgical spine pain syndromes, systematic reviews, and chiropractic profession best practices. 

Janna Friedly, MD, MPH, Vice Chair

Janna Friedly is an associate professor in the department of Rehabilitation Medicine at the University of Washington. She received her medical degree at Oregon Health and Sciences University in 2001 and completed her residency training in physical medicine and rehabilitation (PM&R) at the University of Washington in 2005. Her clinical expertise is in the rehabilitation of people with limb loss and she currently serves as the medical director for the limb preservation and amputation service at Harborview Medical Center. 

Friedly's research focuses on the comparative effectiveness, cost, and outcomes related to treatments for chronic pain (primarily low back pain and pain related to amputation). She has published a number of studies related to noninvasive treatments for low back pain, including epidemiological studies, reviews and clinical trials related to the use of physical therapy, epidural injections and other noninvasive spine treatments.

In addition to her research, she is the editor-in-chief of PM&R, the official medical journal of the American Academy of Physical Medicine and Rehabilitation, and co-director of the Comparative Effectiveness, Cost and Outcomes Research Center at the University of Washington. 

Chris Hearne, MPH, DNP

Chris Hearne, ARNP, MPH, DNP is a board certified adult-gerontology nurse practitioner with clinical training and experience in primary care, gerontology, and post-acute care. He received a Bachelor of Science in Nursing from the University of Portland and Bachelor of Arts in Asia Studies from the University of Washington.

He received his Doctorate of Nursing Practice from the University of Washington in 2016. As an assistant clinical professor, Hearne taught at the U.W. School of Nursing and continues to mentor nurse practitioner students in clinical settings. He completed a nurse practitioner Centers of Excellence residency at the Seattle Veterans Administration Medical Center. His interest in providing health care to under-served populations has taken him to China, Tanzania, Kenya, Iraq, and Bangladesh.

Conor Kleweno, MD

Conor Kleweno, is a board certified orthopedic surgeon at Harborview Orthopedic Trauma Surgery Clinic and Assistant Professor of Orthopedics and Sports Medicine at the University of Washington.

Kleweno earned his medical degree from Harvard University, Cambridge, Massachusetts. His clinical interests include the care of orthopedic trauma; pelvic and acetabular fractures with a focus on joint reconstruction; and treatment for fracture malunion and nonunion. His research interests include pelvic and acetabular fractures.

Christoph Lee, MD, MS, MBA

Dr. Christoph Lee is the founder and director of the Northwest Screening and Cancer Outcomes Research Enterprise (NW SCORE), a partnership between the University of Washington (UW) and major health systems and practices across the Pacific Northwest with the goal of improving population-based cancer screening. He is Professor of Radiology at the UW School of Medicine and has additional faculty appointments at the UW School of Public Health, the Hutchinson Institute for Cancer Outcomes Research, Pacific Northwest Evidence-Based Practice Center, and the Kaiser Permanente Washington Health Research Institute.

Dr. Lee earned his BA with honors from Princeton University, his MD with honors from Yale University, and completed his radiology residency at Stanford University. He completed a health policy fellowship as a Robert Wood Johnson Foundation Clinical Scholar at UCLA, where he earned his MS in health services and policy research. Dr. Lee also holds an MBA in healthcare management from Johns Hopkins, graduating with Beta Gamma Sigma honors.

A 2020 National Institutes of Health (NIH) MERIT Award recipient, Dr. Lee leads a multidisciplinary research program focusing on the evaluation of emerging cancer screening technologies, with NIH grant-funded efforts spanning the fields of cancer epidemiology, health disparities, bioinformatics, artificial intelligence, and population health. He is the lead editor of five medical textbooks spanning the basic sciences, evidence-based medicine, and imaging, distributed internationally by McGraw-Hill and Oxford University Press. Dr. Lee has authored or co-authored more than 200 peer-reviewed journal articles and book chapters, and has served as Assistant, Associate, and Deputy Editor of health policy and practice for the American Journal of Roentgenology, Radiology, and the Journal of the American College of Radiology, respectively.

Laurie Mischley, ND, MPH, PhD

Laurie Mischley studied naturopathic medicine (ND) at Bastyr University and  epidemiology (MPH) and nutritional sciences (PhD) at the University of Washington. Her work is focused on identifying the nutritional requirements unique to individuals with neurodegenerative diseases. She has published on coenzyme Q10, lithium, and glutathione deficiency in Parkinson's Disease (PD).

As a clinical researcher, Mischley has worked with the FDA, NIH, and the Michael J. Fox Foundation to administer intranasal glutathione, (in)GSH, to individuals with PD. Drawing on expertise in radiology, epidemiology, nutrition, neurology, and naturopathic medicine, she is attempting to determine whether (in)GSH boosts brain glutathione and improves health.

She has served on the Bastyr University Institutional Review Board since 2010 and regularly provides mentorship to students interested in integrative medicine research. She founded the social purpose corporation, NeurRx; developed an outcome measure to assess PD severity; and is author of the book Natural Therapies for Parkinson's Disease.

Mischley maintains a small clinical practice at Seattle Integrative Medicine focused on nutrition and neurological health.

Sheila Rege, MD, Chair

Sheila Rege is a radiation oncologist and medical director of the Northwest Cancer Clinic, Kennewick, WA. She received her undergraduate degree in biochemistry at the age of 19, from the University of California, Berkeley (UCB) where she was also the recipient of the UCB President's Undergraduate Research Fellowship. She completed her medical training, including a general surgery internship and residency in radiation oncology at the University of California, Los Angeles (UCLA).

In addition to maintaining  a private practice, Rege has held teaching positions at Louisiana State University Medical Center, UCLA Medical School, and the University of Washington, School of Medicine. She is currently an Adjunct Clinical Assistant Professor at Pacific Northwest University College of Osteopathic Medicine in Yakima, WA.

Rege serves as the vice-chair of the Washington State Medical Association AMA delegation and is president-elect of the American College of Radiation Oncology. Previously she served as president of the Benton Franklin Medical Society.

Aside from her work in professional organizations, Rege is active in promoting cancer awareness in her community. Among her undertakings, are a regional radio program, "Cancer Chat with Dr. Rege", and an annual "Rise Above Cancer" event that raises funds to provide financial assistance, cancer education, and screening tests for local cancer patients. 

Jonathan Sham, MD

Jonathan Sham is a surgeon and researcher at UW Medicine, with appointments at both the University of Washington Medical Center and Fred Hutchinson Cancer Center. He received his MD from The University of Pennsylvania followed by surgery residency at the University of Washington. He completed his fellowship training in hepatopancreatobiliary surgery and complex general surgical oncology at the Johns Hopkins Hospital prior to returning to the University of Washington as faculty. 

He is board certified in both general surgery and complex general surgical oncology and has clinical expertise in benign and malignant pathology of the liver, pancreas, and biliary tree. He performs a wide array of robotic, laparoscopic, and traditional open approaches in the surgical management of these diseases. Dr. Sham’s research includes clinical trials and biotechnology development aimed at improving perioperative outcomes after pancreas surgery.

Tony Yen, MD

Tony Yen is the Chief Medical Information Officer at EvergreenHealth in Kirkland. He obtained a Bachelor of  Science in Biomedical Engineering at Northwestern University, a medical degree from Cornell University, and completed his internal medicine residency at the University of Washington. Yen founded EvergreenHealth's Hospitalist Team in 2000 and continues to actively practice as a hospitalist. He has served as EvergreenHealth's Chair of Medicine and Medical Director of Care Management. He taught clinical medicine at the University of Washington School of Biomedical Engineering and continues to teach medical students.

Yen's interests lie at the intersection of evaluating the clinical utility of new technology, the workflow changes needed to effectively adopt new technology, and the practical deployment of new technology within our community. His goal is to work towards providing greater value in health care.