Children’s of Alabama

Biographical Data Form

To be completed yearly and with any change in education or work experience

Section 1:  Demographic Data

Name with Credentials/Degrees:  ____Dr. Austin Kane, MD____________________________________________________

If RN, Nursing Degree(s):  AD   Diploma   BSN   Masters   Doctorate

License Number and type (if applicable): ______N/A_____________ Expiration Date: ____N/A

Address:  ___________________1700 6th Ave South, Birmingham, Al 35233

Phone Number:  _______205-934-3460_____________     Email Address:  ___________________________________________

Current Employer and Position/Title: University of Alabama at Birmingham Hospital – Pediatric Cardiologist

Section 2: Education

Section 3:  Professional Experience/Area of Expertise

Briefly describe your professional experience and area(s) of expertise. ___________________________________________

I am a pediatric cardiologist and electrophysiologist at the University of Alabama at Birmingham and Children’s of Alabama.  I have a special interest in the management of arrhythmias in children, adults with congenital heart disease, and patients with inherited arrhythmia syndromes.  I have expertise in catheter ablation and the implantation/management of pacemakers and defibrillators.  Given my interests and expertise, I treat individuals who have survived cardiac arrest and the family members of people who have died of sudden cardiac death.  I serve as the co-medical director of Alabama LifeStart, a Project ADAM affiliate program sponsored by Children's of Alabama, which raises awareness of cardiac arrest, facilitates placement of AEDs in schools, and empowers school communities to prepare for cardiac arrest.

Completion of the line below serves as the electronic signature of the individual completing this Biographical Form

and attests to the accuracy of the information given above.

_____________Austin M. Kane_______________________________________________              ______3/28/2022___________

Signature                                                                                                                                                           Date

Adapted from the Alabama Board of Nursing and the Alabama State Nurses Association 09 2020

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