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Medical Directors

Avera eCARE and Emergency

Brian Skow, MD
Avera eCARE Medical Director

Brian Skow, MD

Brian Skow, MD, started with Avera eCARE Emergency from day one in 2007. At the time there were only eight eCARE Emergency sites. Today, he oversees emergency virtual care at over 100 sites across 10 states.

“My goal is to continue the growth of our Avera eCARE service lines and maintain the strong relationships we have established in our rural communities,” he says.

As an Avera emergency physician for the past 13 years, Brian brings a wealth of emergency room experience to eCARE team. He has also served as an emergency department director and aeromedical physician for Lifeflight.

Medical Education: University of North Dakota School of Medicine, Grand Forks, N.D.

Emergency Medicine Residency: St. Vincent Mercy Medical Center, Toledo, Ohio

Specialties: Emergency medicine

Additional Certifications: PALS, ATLS, ACLS, FACEP

Professional Memberships

  • American Board of Emergency Medicine (ABEM) 
  • American College of Emergency Physicians (ACEP)
  • Society for Academic Emergency Medicine (SAEM)

Special Interests: Emergency department management, bedside ultrasound, toxicology, critical care procedures


Kelly Rhone, MD, FACEP
Avera eCARE Medical Director – Outreach and Innovation

Kelly Rhone, MD

Kelly Rhone, MD, FACEP, has been practicing emergency medicine for over 10 years and joined the Avera eCARE team as eCARE Emergency Medical Director in 2011 with the goal to help bring cutting-edge emergency and critical care to the patient’s bedside while enhancing rural health care.

Kelly started her career as a rural EMT and has always wanted to find a better way to support rural health care. “Working at Avera eCARE gives me the opportunity to care for patients in rural settings while still allowing me to work in a Level II Trauma Center. It’s truly the best of both worlds,” she says. “It’s all about providing the right care in the right place at the right time.”

Medical Education: University of South Dakota School of Medicine, Vermillion, S.D.

Emergency Medicine Residency: HealthPartners-Regions Hospital, St. Paul, Minn.

Specialty: Emergency medicine

Teaching or Professional Positions: Assistant Professor at USD Sanford School of Medicine

Professional Memberships: American College of Emergency Physicians

Honors: Fellow of the American College of Emergency Physicians


Emily Kathleen Hurst, DO, FACOI
Avera eCARE ICU Medical Director

Emily Hurst, DO

Emily Hurst, DO, FACOI, began practicing in 2008 and since then has served as a hospitalist, intensivist, internal medicine program director and medical director. Providing care in both small communities and large academic centers gave her a wide variety of experience prior to joining the Avera eCARE team in 2014.

Emily views teamwork as a key to achieving her goal of helping to expand and grow the program while improving patient satisfaction and care. “Working together achieves synergism as a whole that is greater than the sum of its parts,” she says.

Medical Education: Des Moines University, Des Moines, Iowa

Residency: McClaren Oakland Hospital, Pontiac, Mich.

Fellowship: Henry Ford Hospital, Detroit, Mich.

Specialty: Internal medicine

Subspecialties: Critical care, hospice and palliative care

Board Certifications: Internal medicine, hospice and palliative medicine and critical care

Special Interests: Geriatric care, underserved communities and end-of-life care

Teaching or Professional Positions

  • Detroit Wayne County Health Authority Internal Medicine Program Director
  • Michigan State University Regional Clinical Coordinator and Associate Professor

Professional Memberships

  • Society of Critical Care Medicine (SCCM)
  • Michigan Osteopathic Political Action Committee (MOPAC)
  • American College of Osteopathic Internists (ACOI)
  • Oakland County Osteopathic Medical Association
  • Michigan Osteopathic Association (MOA)
  • American Osteopathic Association 
  • Osteopathic Political Action Committee (OPAC)

Honors and Awards

  • IMPACT Uplift Program Designation 
  • MOA 49’s Society Inductee 
  • MSU Class of 2013 Excellence in Teaching Award 
  • American College of Osteopathic Internists Fellow

Senior Care

Oluma Bushen, MD
Avera eCARE Senior Care Medical Director

Oluma Bushen, MD

Oluma Bushen, MD, has a deep passion for providing quality care to seniors wherever they call home. Currently, he is the Avera eCARE Senior Care Medical Director and a board-certified geriatrician for Avera Medical Group. In this role, Oluma sees nursing home residents in four states via two-way audio visual telecommunication equipment and completes nursing home visits, home visits and inpatient geriatric consults in Sioux Falls, S.D. He is also a certified medical director and serves as Medical Director at a Sioux Falls nursing home. He works with the University of South Dakota Sanford School of Medicine to teach internal medicine, family practice and geriatric fellows.

His expertise and passion for quality geriatric care has pushed Avera eCARE to break down barriers to delivering effective care to residents of long-term care facilities. He strives to find innovative ways to provide easy access to care for the geriatric population, improve the quality of life for long-term care residents, support local providers and provide training and education to long term care staff.

He served at Columbia University and later Tulane University programs funded by DHHS/CDC to establish and implement HIV/AIDS programs and mentor physicians in sub-Saharan Africa including South Africa, Rwanda and his home country Ethiopia.

Medical Education: Jimma University, Jimma Ethiopia

Internal Medicine Residency: USD Sanford School of Medicine, Vermillion, S.D.

Geriatric Fellowship: USD Sanford School of Medicine

Infectious Diseases Fellowship: University of Virginia, Charlottesville, Va.

Visiting Fellow – Division of Mycobacterial and Respiratory Infections: National Jewish Medical and Research Center, Denver, Colo.

Board Certifications: Internal medicine, infectious disease and geriatric medicine

Teaching and Professional Positions

  • Assistant Professor of Internal Medicine at USD Sanford School of Medicine
  • Associate Director of Geriatrics Fellowship Program at USD Sanford School of Medicine

Professional Memberships

  • American Geriatrics Association 
  • AMDA Society for Post-Acute and Long-Term Care Medicine
  • South Dakota Medical Directors Association Board Member