About MOST Clinical

Co-Founder

Robert Trzepizur

RN, BSN, CEN, MICP, NRP

Robert Trzepizur is a Co-Founder of MOST Clinical Consulting Group. His credentials are RN, BSN, CEN, MICP, and NRP. Robert has more than 20 years of high-acuity care experience and has worked as a critical care transport nurse and flight paramedic. His clinical background includes cardiogenic shock, advanced circulatory support—including Impella, IABP, and ECMO—and time-critical interfacility transport.

Robert’s stated area of contribution to MOST is operational review of clinical pathways. This perspective can help teams examine where escalation, communication, patient handoffs, or transfer decisions encounter delays or unclear responsibilities. His experience is individual professional experience; it should not be read as an endorsement by, or representation of, any current or former employer.

Co-Founder

Michael Czekajlo

MD, PhD, MSc

Michael Czekajlo is a Co-Founder of MOST Clinical Consulting Group. He holds MD, PhD, and MSc credentials and is a board-certified critical care physician, Fulbright Scholar, and healthcare economist with more than 25 years of experience in healthcare systems, simulation science, and operational process improvement, including field assessments.

His academic and public-sector experience includes service as National Faculty for the U.S. Department of Veterans Affairs and a professorship at Poznań University of Medical Sciences. These statements describe individual professional experience; they do not imply endorsement by, or a current institutional partnership with, either organization. His research and academic work provide context for evaluating operational questions, interpreting evidence, and connecting U.S. and Polish healthcare perspectives.

At MOST, Michael contributes academic leadership, research alignment, and support for clinically grounded analysis.

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Co-Founder

Scot Phelps

JD, MPH, NRP

Scot Phelps is a Co-Founder of MOST Clinical Consulting Group. He holds JD, MPH, and NRP credentials and has professional experience in EMS systems, crisis management, public health preparedness, and high-risk operational environments. His prior service includes work as New Jersey State EMS Director and Assistant Commissioner of Health for Emergency Management for the City of New York, along with academic roles in public health, emergency medicine, public administration, and emergency management.

These are descriptions of Scot’s individual professional history. They do not imply current employment, institutional endorsement, a military affiliation, or a partnership between MOST Clinical and any government agency or university. His background includes work across healthcare systems, government, emergency response, and paramedicine education, with a focus on decision-making under pressure, resilience, and operational readiness.

At MOST, Scot provides strategic advice on risk, policy, crisis operations, and system-level analysis.

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