Hello, I'm James D.

Dr. James D. is a board-certified Internal Medicine physician with broad experience across inpatient, outpatient, and telehealth practice settings. He currently serves as Staff Internist at US Naval Hospital Guam, where he also holds leadership roles including Department Head of Internal Medicine and Chief Medical Information Officer. His clinical focus centers on adult primary care, chronic disease management, and the care of medically complex patients. Dr. James D. earned his Bachelor of Science from the University of Notre Dame and his Doctor of Medicine from Loyola University Chicago Stritch School of Medicine. He completed his Internal Medicine residency at Naval Medical Center San Diego and has served in diverse operational and clinical roles. His global health work includes participation in Pacific Partnership missions aboard the USNS Mercy and service in resource-limited international settings. In addition to his clinical responsibilities, Dr. James D. has held leadership positions in antibiotic stewardship, inpatient services, and medical informatics. He is actively engaged in healthcare systems improvement and clinical education, and is a member of multiple professional organizations including the American College of Physicians and the American Medical Informatics Association. Areas of Expertise • Adult Primary Care • Chronic Disease Management (Diabetes, Hypertension, Cardiovascular Disease) • Medically Complex Patient Care • Inpatient and Hospital Medicine • Telehealth and Remote Cross-Coverage • Preventive Medicine and Global Health • Antibiotic Stewardship and Quality Improvement • Clinical Informatics and Health Systems Optimization • Military and Operational Medicine • Risk Stratification and Care Coordination • Evidence-Based Internal Medicine Philosophy of Collaboration: Dr. James D. values collaborative, respectful partnerships with nurse practitioners and strongly supports NPs practicing at the top of their license. His approach emphasizes accessibility, structured communication, and thoughtful case review when clinically appropriate. He believes collaboration should enhance both patient safety and provider autonomy. He prioritizes clear expectations, shared clinical reasoning, and timely availability for consultation—particularly in the management of medically complex or high-risk patients. Dr. James D. views collaboration as a professional partnership built on mutual trust and clinical rigor, contributing to safe, high-quality, patient-centered care across inpatient, outpatient, and telehealth environments.