Medical Advisory Board
Dr. Kenneth Alan Totz
Executive Medical Director
Dr. Kenneth Alan Totz is an emergency physician board-certified by the American Board of Emergency Medicine (ABEM), a Fellow of the American College of Emergency Physicians (FACEP), and a member of the State Bar of California. Dr. Totz earned his medical degree at Midwestern University in Chicago, Illinois. He completed a transitional internship at Portsmouth Naval Hospital in Portsmouth, Virginia, and then flight surgery training at the Naval Operations Medical Institute in Pensacola, Florida. Following Dr. Totz’s 12-year Naval career, Dr. Totz subsequently moved back to his hometown of Houston, Texas to complete a residency in Emergency Medicine at the University of Texas at Houston. In 2018 Dr. Totz earned his doctor of jurisprudence (JD) from Concord Law School at Purdue University Global. Dr. Totz became a member of the State Bar of California in 2019. Dr. Totz has been granted two medical device patents, has accumulated over 50,000 practicing hours in emergency departments throughout the United States, and has surpassed 150,000 patient contacts as an emergency physician. Dr. Totz spent 9 years as an associate professor of emergency medicine for the University of Texas at Houston Emergency Medicine Residency Program in very busy Level 1 and Level 3 trauma centers. Administratively, he spent over five years working as a medical director with First Choice Emergency Room. Presently, Dr. Totz maintains an active clinical emergency medicine practice, is very active as an emergency medicine expert witness, and serves as an independent mediator for the Texas State Office of Administrative Hearings (SOAH) resolving out-of-network balance billing disputes between patients, providers, and insurance companies.
Clinical Program Director
Anne has 30 years of experience in EMS and healthcare settings. Prior to joining Carrus, Anne was the clinical education specialist for American Medical Response and was responsible for the clinical education of all EMS Providers across the state of South Carolina. Anne began her career in EMS in 1992 as an emergency medical technician in Rochester, New York at National Ambulance and Home Care. Later in her career, she became a paramedic and a nurse. She began teaching in 1994 and has continued instructing in various roles ever since. In 2015, she began teaching phlebotomy and EKG interpretation for Bryant and Stratton Colleges and taught at the Liverpool, Syracuse, Rochester, and Buffalo campuses. In Rochester, she became the lead clinical educator in the professional skills center. She is presently the clinical program director at ACLS.com and is working on her master’s in nursing education. She hopes to continue impacting medical providers’ skills and knowledge for many years to come. Her students in New York gave her the nickname “The Knowledge Dealer” and she considers it an honor.
With nearly 20 years of experience in healthcare and administration, Erica Mangers specializes in managing results-driven healthcare environments. She began her career in healthcare in 2012 working as an LPN for the University of Rochester, quickly working her way up to the role of a supervisor. Erica later worked as a nurse manager for Wesley Gardens in Rochester, New York, before becoming the executive director of Watermark Retirement Communities, where she manages 7 directors, 100+ associates, and a 213-bed facility. Erica earned both a bachelor’s and master’s of healthcare administration from SUNY Empire State College, and she currently serves on the advisory board for CareerCert as well as the Wayne-Finger Lakes Board of Cooperative Educational Services. She lives in Rochester, New York, and enjoys spending time with her husband, 3 children, and black Lab.
Melodie Kolmetz is a New York State certified paramedic and Certified Instructor Coordinator (CIC) with 30 years of experience in various types of EMS delivery services, including 911 transport, fire-based first response, and fire-based transport. She is also a nationally certified physician assistant with 25 years of experience in primary care, emergency medicine, urgent care, gastroenterology, occupational medicine, and school physician services. She is currently the Director of Didactic Education and a principal faculty member in the developing physician assistant program in the school of health sciences and human performance at Ithaca College. She currently provides clinical care as part of the Rochester Regional Health Mobile Surgical Services team and occupational medicine/school physician services at Northern Star Medical, where she provides care for several of the local fire departments and EMS agencies. Melodie graduated from the Rochester Institute of Technology PA program in 1995. She received an associate’s degree in paramedicine from Monroe Community College in 2012, she received a master’s degree in physician assistant studies with a concentration in PA education from the University of Nebraska Medical Center in 2015, and she is currently pursuing a doctor of philosophy in curriculum, instruction, and the science of learning at the University at Buffalo. Melodie serves as an NAEMT regional faculty member and as a Physician Assistant Foundation Mental Health Outreach Fellow. She is certified to teach adult mental health first aid plus the additional higher education; fire and EMS; and law enforcement, corrections, and public safety modules. Melodie is passionate about community service, life-long learning, educational technology, and mentorship/sponsorship. Melodie resides in the Finger Lakes region of New York with her husband and two teenage boys.
Paul Giannini started his public safety career in 1983 as a volunteer EMT in Trumbull, Connecticut, where he grew up. He became a volunteer firefighter in 1984 and attended paramedic school in 1985. While in Connecticut, he worked as a career firefighter-paramedic, training and quality improvement manager, and was an instructor at multiple EMS programs. He moved to eastern Pennsylvania in 2001, where he started a career in the medical device business while maintaining a second full-time job as a paramedic and volunteering as a firefighter. He held various leadership positions in EMS and was the business development coordinator for the critical care transport program at Lehigh Valley Health Network until 2013. In his 36-year career, Paul has held various leadership positions in fire and EMS agencies. He currently works as the director of clinical services for ZOLL Cardiac Diagnostics in Pittsburgh. He is still active in public safety as a part-time paramedic for Monroeville Fire Company #1 and Penn State EMS. He has been teaching for CareerCert since March 2016.