Timothy L. Gieseke, MD, CMD is a past president of CALTCM, the state AMDA chapter. He is the current Chair of the CALTCM Education committee and a member of the AMDA Public Policy Committee. He is an Associate Clinical Professor for UCSF and teaches nursing home medicine, palliative care, and geriatrics at the local FP residency. He is the Medical Director of 4 SNFs and an associate hospice Medical Director. He is a county and state physician champion for the POLST work.