Neurocritical & surgical care
Acute-care NP across six academic medical centers, including UCLA, Cedars-Sinai and USC Keck — neurosurgical critical care, CT critical care, complex postoperative rescue. Currently at UC Irvine Neurocritical Care.
// transmission · Orange County, CA
Chadwycke R. Smith
MSN, NP, AGACNP-BC · UC Irvine Neurocritical Care
Open to select clinical-AI work
I work where the bedside meets the model.
// now · Jan 2026
Bedside in the morning.
Shipping infrastructure by lunch.
Acute-care NP, 13+ years across UCLA, Cedars-Sinai, USC Keck, now UC Irvine Neurocritical Care. I build the clinical AI I wish existed — including a citation-audited LLM pipeline behind a procedure-training app for advanced-practice providers. Previously VP Product at Atlas Meditech with Dr. Aaron Cohen-Gadol. Founder, SkyCon Dynamics & DURA_COLLECTIVE™. So clinicians get home before dark.
Working NP in UC Irvine’s Division of Neurocritical Care. The current build: app.chadwycke.io (opens in new tab). Every PMID is verified against NCBI E‑utilities before a learner sees it; the audit caught two fabricated citations and a hallucinated guideline rule on its first pass (how →). WCAG 2.2 AA verified per-glyph against the real composited backdrop — not a flat-colour pair audit, which cannot see text over imagery. SvelteKit + Cloudflare Pages, RuVector HNSW search, Threlte 3D anatomy, Playwright against the live deploy. The brain doing all of this also rounds.
- 15
- modules live on app.chadwycke.io
- 3
- hallucinations caught pre-publish
- AA
- WCAG 2.2 — per-glyph contrast over the rendered backdrop
- 100%
- of PMIDs verified live against NCBI
// what I do
Four lanes,
one practice.
Clinical AI & LLMOps
I build, deploy, and audit clinician-facing LLM systems. The citation audit behind app.chadwycke.io (opens in new tab) checks every PMID live against NCBI before it reaches a learner — caught fabrications on its first pass. Case study →
Clinical education design
15 modules of WCAG 2.2 AA training content for APPs. Co-host of Atlas & Axis with Dr. Cohen-Gadol. Former Clinical Instructor at Keck School of Medicine of USC. Built subscription infrastructure for The Neurosurgical Atlas.
DURA_COLLECTIVE™
Evidence meets aesthetic. Rigorous CEU on one side, human-technology synthesis as wearable art on the other. duracollective.com → (opens in new tab)
// selected output
Built, shipped, in use.
- app.chadwycke.io Procedure-training app for APPs · 15 modules · citation-audited · SvelteKit + Cloudflare Pages (opens in new tab)
- The Neurosurgical Atlas VP Product · co-led ATLAS clinical-decision-support platform with Dr. Aaron Cohen-Gadol (opens in new tab)
- Atlas & Axis Podcast Co-host with Dr. Cohen-Gadol · neurosurgical education (opens in new tab)
- DURA_COLLECTIVE™ Founder · evidence-meets-aesthetic CEU + wearable (opens in new tab)
- NeuroICU Rounding App React Native · companion mobile tool for ICU rounding (private — detailed in the CV)
// atlas & axis
Two chairs, one operating field.
Atlas & Axis — co-hosted with Dr. Aaron Cohen-Gadol. Conversations on neurosurgery, AI, consciousness, and the future of medicine, from the people building all four.
// cv
Curriculum vitae.
Acute-care NP positions and selected clinical-AI work. Earlier RN roles (2012–2015) folded — full deck on request. Licenses, NPI, DEA redacted; share by request.
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Nurse Practitioner — Neurocritical Care
UC Irvine · Department of Neurology, Division of Neurocritical Care
- Sole architect and builder of app.chadwycke.io — a procedure-training web app for advanced-practice providers, 15 modules live in production.
- Authored an LLM citation-audit pipeline that verifies every PMID live against NCBI E-utilities; caught two fabricated citations and a hallucinated guideline rule on its first pass.
- WCAG 2.2 AA accessibility audit measuring each glyph against the backdrop actually rendered behind it — flat-colour pair math and axe both certify text over imagery they cannot resolve; locked into the palette PR as the regression baseline.
- SME-in-the-loop authoring pipeline: Google OAuth →
/api/intake→ GitHub Issues → PR drafts via GitHub Actions. - Stack: SvelteKit + Cloudflare Pages + Tailwind v4, Threlte 3D anatomy, RuVector semantic search over a clinical reference corpus, Playwright against the live deploy; companion NeuroICU Rounding App on React Native / Expo.
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Vice President — Product & Marketing
Atlas Meditech / Neurosurgical Atlas, Inc.
- Co-led ATLAS, an AI-powered clinical decision support platform in direct collaboration with Dr. Aaron Cohen-Gadol.
- Cross-functional product definition + field testing with engineers, physician-educators, and data scientists in high-stakes academic environments.
- National outreach incl. the Society for Brain Mapping and Therapeutics; residency-program rollouts; international adoption across medical schools.
- Expanded subscription infrastructure and UX for The Neurosurgical Atlas — the world’s largest open-access neurosurgical educational resource.
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Clinical Instructor — Nurse Practitioner, Neurological Surgery
Keck School of Medicine of USC
- Academic neurosurgery service; subspecialty in Neuro-Oncology, Skull Base, Functional Neurosurgery.
- CITI-certified clinical/research staff for several R-1 studies; development team for proprietary AI tumor modeling software.
- Producer and co-host of the “Atlas & Axis” Podcast with Dr. Cohen-Gadol.
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Nurse Practitioner — Cardiovascular & Thoracic Surgery
Dignity Health Medical Group
- Full-spectrum care in a community CVT surgery program — clinic through post-surgical management.
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Nurse Practitioner — Cardiothoracic Surgery + Critical Care
Ronald Reagan UCLA Medical Center
- Academic CT surgery service; subspecialty in cardiac critical care, ECMO/MCS, multi-organ transplant.
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RN → Nurse Practitioner — Neurosurgery + Critical Care
Cedars-Sinai Medical Center
- RN-to-NP progression on an academic neurosurgery service; subspecialty in pediatric endovascular, skull base, functional.
- Research interests: stroke, intracranial aneurysms, pediatric AVMs, Vein of Galen, neuromodulation, pituitary tumors. CITI-certified for multiple R-1 studies.
Earlier & contract roles
2012 — 2015 · Contract & per-diem RN — UMC Southern Nevada (CVCU/TICU), Banner UMC Tucson (CVICU), Harbor-UCLA, Chandler Regional, Norton Louisville (CVICU). High-volume trauma + underserved populations. Contract NP work — Cerebral Medical Group (telehealth psych, 2021), Desert Radiology (IR, 2022).
Education
- MSN — Master of Science in Nursing
- BSN — Bachelor of Science in Nursing
Certifications & licensure
- AGACNP-BC (Acute Care Nurse Practitioner — Board Certified), ANCC
- Dual-licensed Nurse Practitioner: California & Nevada
- ACLS — Advanced Cardiovascular Life Support, American Heart Association
- ENLS — Emergency Neurological Life Support, Neurocritical Care Society
- BLS — Basic Life Support, American Heart Association
- Former CCRN — Critical Care Registered Nurse, AACN
License numbers, NPI, and DEA omitted from the public CV. Share by request.
// stay in the loop