Vanderbilt Multidisciplinary Traumatic Brain Injury Clinic (MTBIC)

Individuals who are admitted to Vanderbilt following a traumatic brain injury, as evidenced by intracranial neuroimaging abnormality, are referred to the MTBIC, 3-months post-injury. The MTBIC, founded and directed by Oscar Guillamondegui, MD, MPH, meets on the first Friday of every month at Pi Beta Phi Rehabilitation Institute at Vanderbilt Bill Wilkerson Center. Each patient that attends the clinic meets with an interdisciplinary team that is comprised of two trauma surgeons, a nurse practitioner, a social worker, speech- language pathologists, a representative of the Brain Injury Association of Tennessee, and program manager and peer visitors from the TSN. Attendees receive a cognitive assessment, which includes the same measures that were administered during the patients acute care stay, a mental health screening, physical examination, and health- related quality of life assessment (Quality of Life After Brain Injury, QOLIBRI). In addition, patients are given the opportunity (along with family members and caregivers)to receive personalized information about and referrals to resources that may be important to their recovery, such as support groups, rehabilitation, driver evaluation and training, and other community services that are available to assist in the management of the sequelae related to TBI


Oscar Guillamondegui, MD, MPH: Dr. Gillamondegui is board certified in General Surgery and Surgical Critical Care. He has extensive leadership roles in Trauma & Surgical Critical Care intramurally and extramurally at the state and national level. His clinical and research experience in TBI patients led to the creation of the MTBIC. He brought together a volunteer staff of cognitive and mental health experts to identify patients with ongoing disability for possible treatment options. His leadership as the Medical Director of the Trauma ICU allows us direct communication with the TBI patient population and patient care Huddles. He was also supported by the Agency for Healthcare Research and Quality to lead a Systematic Review of Treatment for Depression after Traumatic Brain Injury coordinated by the Vanderbilt Evidence-based Practice Center.

Kathleen Donais, MSN, RN, APRN, BC: Kathleen joined the Trauma Service as an Acute Care Nurse Practitioner in 2006. Her critical role in the MTBIC follow-up ensures proper follow-up and care for physical aspects of trauma care. She has a graduate degree from University of Alabama in Huntsville. She obtained her Master of Science degree in nursing and completed the acute care nurse practitioner tract in 2005. Prior to her role as a nurse practitioner, Kathleen functioned as a staff nurse and a charge nurse on a surgical floor at Maury Regional Hospital. She has a special interest in the management of complex wounds.

Michael de Riesthal, PhD: Dr. de Riesthal, PhD is an Assistant Professor of Hearing and Speech Sciences at Vanderbilt and the Director of Pi Beta Phi Rehabilitation Institute. He has 13 years of experience working with individuals with cognitive-communicative deficits following TBI in both the acute care and outpatient rehabilitation settings. His clinical and research interests include the management of neurological cognitive- communicative disorders, primarily in the area of aphasia, apraxia of speech, and dysarthria. Dr. de Riesthal teaches courses on the management of TBI, aphasia, and motor speech disorders in the masters program in speech-language pathology at Vanderbilt. Over 1,300 new patients are enrolled in Pi Beta Phi Rehabilitation Institute each year and participate in over 13,000 1-hour visits. In addition to his position at Pi Beta Phi Rehabilitation Institute, Dr. de Riesthal was instrumental in developing the monthly Vanderbilt MTBIC and serves as one of the speech-language pathologists who completes cognitive testing and administration of the Quality of Life after Brain Injury.

Amanda Hereford, MA, CCC-SLP: Amanda is a staff speech-language pathologist in the acute care speech-language pathology service at Vanderbilt. She has 9 years of experience working with individuals with TBI in both outpatient rehabilitation and acute care hospital settings. In her current role, Amanda is the primary clinician covering the Vanderbilt Trauma Unit and serves as the speech-language pathology liaison to the Trauma Multidisciplinary Transition Huddle. Along with Dr. Guillamondegui, she developed the initial concept of the MTBIC. In particular, Amanda developed the battery of cognitive testing that is administered to patients in the acute care setting and, again, when they return to the follow-up clinic.