Welcome
Welcome to New York Physicians Medical Legal Consulting, LLC.
Experience Physicians Helping Attorneys Helping People
Cell Phone - (518) 952-5256
Dr. Mark Winther, FACEp
Experience
Dr. Winther is an emergency medicine expert witness. He is trained and boarded in Emergency Medicine and works full time in the emergency department with over 18 years of experience. Dr. Winther is a Clinical Professor for Columbia University and has experience teaching residents, physician assistants, nurse practitioners and paramedics. He is the former Chief of Emergency and Trauma Services of a large healthcare network overseeing over 70 physicians, physician assistants, and nurse practitioners in six emergency departments and three urgent cares with combined annual volume over 125K patient visits with care sites that range from small rural critical access hospitals to a large trauma and stroke center. Dr. Winther has experience as a chief medical officer overseeing inpatient, ED, operating room and primary care clinic patient care sites. Dr. Winther is the Chair of the Network Sepsis committee where he leads the development of sepsis protocols, EMR order sets, and Best Practice Alerts. Dr. Winther has an active medical legal consulting practice where he has provided expert witness services for both plaintiff and defense attorneys since 2016.
Rebecca R Topham, MS, Enp-c, fnp-bc, rn
Experience
Mrs. Rebecca “Becky” Topham is a certified family nurse practitioner and emergency nurse practitioner with over 20 years of healthcare experience. She has 12+ years of experience as a nurse practitioner in various settings along the continuum of care. Mrs. Topham continues to practice in primary care in federally qualified rural health centers, telemedicine and the emergency department. Mrs. Topham’s emergency department experience includes Level II trauma center, stroke center, and solo-coverage in critical access facilities. She remains certified in advanced cardiac life support, pediatric advanced life support, basic life support, advanced trauma life support and additional education pertaining to difficult airway management. She was responsible for onboarding and training all new nurse practitioners and physician assistants for over 3 years for the emergency department and urgent care. Well versed in the responsibilities pertaining to supervision or collaboration between advanced practice providers and physicians. She assisted with the development and implementation of a rural advanced practice provider residency program.
Mrs. Topham is proficient and knowledgeable in virtual health, current standard of care and is currently the Virtual Health Medical Director for a rural upstate NY healthcare system that covers over 8 counties. She is responsible for establishing telemedicine standards for a rural healthcare network by identifying patients who are appropriate for virtual health and workflows to ensure patient’s care is appropriately escalated when needed.
She practiced for over 7 years working as a RN in the critical care setting. During the COVID pandemic, practiced as a RN in a 14 bed intensive care unit with a variety of patient types. Mrs. Topham has experience with immediate post op cardiac surgery, neurosurgical and general surgery patients. She also cares for critically ill medical patients with, but not limited to, respiratory failure, sepsis, post-thrombolytic treatment and post percutaneous cardiac interventions.
Mrs. Topham is an Army Reserve nurse veteran serving in 2 different combat support hospitals as a critical care nurse and company commander responsible for over 250 soldiers. Ultimately, resigning her commission after 9 years of service to continue to peruse her nurse practitioner career. Mrs. Topham has an interest in both plaintiff and defense expert witness litigation.
What We Do
Expert Witness
We specialize in the fields of emergency medicine and urgent care, inpatient care, and primary care. We also specialize in nursing care in the ICU. Was the standard of care met? Evaluating the standard of care is the same process for defense and plaintiff cases. Determining what actions a similarly trained and experienced practitioner would do in a similar circumstance is based on our education, training, and experience. Allow us to help you determine if so. We do work for both plaintiff and defense attorneys. Dr. Winther has a focus in the following:
- Sepsis/Septic Shock
- Telemedicine
- Alcohol Related Injuries/Complaints
- Difficult Airway/Intubation Problems
- Physician assistants and nurse practitioners
Other Services
- On and off site review of case validity
- Interpretation of meaning, or lack thereof, of medical reports & record
- Referral to appropriate expert medical witnesses
- Medical Research
- Facilitation of communication with clients, families, professionals and service & governmental agencies
- Independent Record Review
- Deposition Assistance: Table-side or question preparation
- Facilitation of communication with treating providers
