Leadership Experience

Healthcare Transformation
  • Chaired the Preoperative Care Center Redesign Subcommittee at UCSD which resulted in a new process for preparing patients scheduled for elective surgery including a new staffing model, workflow, physical clinic plan, and technology support
Medical Education
  • Founded the first Regional Anesthesiology and Acute Pain Medicine (RAAPM) Fellowship program in California (at UCSD) recognized by the national RAAPM fellowship directors group
  • Co-founded the UCSD-NMCSD Intensive Regional Anesthesia Course in 2005, the first ACCME-accredited regional anesthesia course in California
Global Health

ed_cavitemissionDr. Mariano has had an interest in global health and global surgery throughout his career.  Since 2004, Dr. Mariano has worked with the Philippine American Group of Educators and Surgeons (PAGES) as a senior pediatric anesthesiologist.

Founded in 1981, PAGES is a non-profit volunteer organization that conducts its annual Operation HOPE mission for the underprivileged children of the Philippines who are afflicted with craniofacial birth defects and deformities related to burn injuries.

Dr. Mariano has volunteered his pediatric anesthesiology and acute pain medicine skills on multiple medical missions to the rural provinces of the Philippines and usually brings residents and fellows with him to expand their training with exposure to global health.  So far he has completed mission trips with PAGES to Cavite City (Cavite), Bay City (Laguna), Trece Martires City (Cavite), Alaminos City (Pangasinan), Quezon City (Metro Manila), inner city Manila, Morong (Rizal), and Cabanatuan City (Nueva Ecija), with multiple trips to many of these locations.  Unlike many medical mission groups, PAGES provides continuity of care and long-term follow-up for patients through collaborations with local health officials and our PAGES Philippines colleagues.

In 2006, Dr. Mariano was recruited by Project Perfect World (PPW) to participate in its annual pediatric orthopedic surgery mission to Guayaquil, Ecuador.  PPW is a humanitarian effort sponsored by the Association for Healthcare Resource & Materials Management that provides needed medical and surgical care that is otherwise unavailable to the children of third world countries.

PPW conducts its annual Ecuador mission to care for impoverished children who are afflicted with limb deformities.

ASRA News Nov 2013Dr. Mariano has brought a regional anesthesiology and acute pain medicine fellow with him on each of these missions along with ultrasound and perineural catheter equipment in order to provide the highest quality pain control to these deserving patients.

To read Dr. Mariano’s blog about global health and medical missions, click here.