She'll help decide if a physician can practice here.

Dr. Annette David is the newest nominee to the Guam Board of Medical Examiners. In her testimony today, the long-time local practitioner says she's seen both ends of the spectrum when it comes to medical facility resources, from her native Philippines to a high-end hospital in New York.

"When I think of Guam in some ways Guam is like a resource-challenged setting," she said. "We don't have enough physicians for the population, we have specialties that are missing, sometimes we don't have enough resources and yet at the same time we need to answer to the standards of the United States which is the most developed country in the world. I'm not just a medical doctor, I'm a public health professional and in many ways, Guam's Board for medical licensure is not so much a board for clinical issue as it is a health systems issue."

In addition to the licensing of doctors, the Board of Medical Examiners also receives and reviews complaints brought against medical professionals, and may also hand down discipline or revoke licenses.