She earned a PhD in Leadership Studies and a Masters of Nursing from Gonzaga University in Spokane, WA. Sandra has held a range of senior leadership positions for academic healthcare programs including Dean of Nursing, Chief Academic Officer, and Senior Manager of Faculty Development. Sandra has also served as the Organizational Development and Clinical Education Specialist for Cancer Treatment Centers of America (CTCA) in Goodyear, Arizona. Her experiences as a clinical nurse include oncology care, chronic disease management and geriatrics. She has held a range of clinical positions such as staff nurse, clinical educator and clinical nurse specialist. Her clinical practice and academic posts span both the United States and Canada.