Faculty Forward 2017

Faculty Forward Celebrating the achievements of Geisinger Commonwealth School of Medicine’s faculty from July 1, 2016, to June 30, 2017

Faculty Forward

Table of contents Messages from Geisinger Commonwealth’s dean and vice deans Steven J. Scheinman, MD, President and Dean........................................................................................................................1 William F. Iobst, MD, Vice President for Academic Affairs and Vice Dean for Medical Education.........................4 Venard Scott Koerwer, EdD, Vice President of Strategy, Planning & Communication and Vice Dean for Graduate Studies..........................................................................................................................................................................5

Regional campus updates North Campus.......................................................................................................................................................................................6 South Campus......................................................................................................................................................................................8 Central Campus.................................................................................................................................................................................10 Guthrie Campus................................................................................................................................................................................. 12 Doylestown Campus........................................................................................................................................................................ 14

Clinical Sciences faculty updates.................................................................................................................................. 17 Basic Sciences faculty updates...................................................................................................................................... 27 Faculty Council and promotions.................................................................................................................................... 33 Faculty awards............................................................................................................................................................................ 33 New leadership........................................................................................................................................................................... 36 News Geisinger integration....................................................................................................................................................................... 38 Graduate medical education........................................................................................................................................................ 42 School of Graduate Studies..........................................................................................................................................................46 Behavioral Health Initiative’s psychiatry residencies at The Wright Center................................................................ 48

Geisinger Commonwealth School of Medicine

A message from the president and dean The past year has given me ample opportunity to reflect on change, since we have collectively been engaged in effecting profound change — transformation — since Sept. 28, 2016. It’s useful, however, to consider just what is being transformed. While it’s true that the medical school is broadening its catalog of educational programs and expanding its geographical footprint, it’s not the heart and spirit of this community’s medical college that’s changing. Rather, our work is transforming the environment around us, be it through education, patient care or community well-being. This is the role our school has always played, but the magnitude of our integration and the enlarged arena we now occupy has necessitated some institutional adjustments.

The School of Medicine has had to reconcile its immutable identity as “this community’s medical college” with our new and powerful role as a health center of the future. Our sense of self had to expand — both geographically and functionally — without losing our intimate connection to community. Our ideas about who our learners are and their expectations regarding a Geisinger Commonwealth education had to widen to include a broad range of students, from learners in new graduate programs to residents and fellows. These changes have challenged us, but they are questions of scalability, not character.

Happily, I find that our faculty have approached these changes confidently and succeeded in striking the right balance between retaining the community-mindedness of TCMC while embracing the larger stage the health system occupies. We know that we are now in a position to influence healthcare education across the nation, yet we have the wisdom and experience to see that this is done by transforming individual communities.

Publications • Wang, X; Anglani, F; Beara-Lasic, L; Mehta, A ; Vaughan, L; Herrera Hernandez, L; Cogal, A; Scheinman, SJ; Ariceta, G; Isom, R; Copelovitch, L; Enders, F; Del Prete, D; Vezzoli, G; Paglialonga, F; Harris, P; Lieske, J. Glomerular Pathology in Dent Disease and Its Association with Kidney Function. Clinical Journal of the American Society of Nephrology, 11:2168-2176, 2016.

Presentations • May 31, 2016 – Visiting professor, Nephrology Division, Medical University of South Carolina, “Dent’s Disease: Solving a Clinical Mystery with Molecular Genetics” • Sept. 19, 2016 – Moderator, Beyond Flexner 2016 Conference, Miami, FL, “New Medical Schools Incorporating Social Mission”

The word “transformation” carries with it a magical connotation — the wave of the wizard’s wand changes the very nature of a thing in the blink of an eye. In the real world, we know transformation isn’t that easy and requires much toil and tenacity. Still, that effort is a kind of magic — magic I see worked every day through the dedication of our faculty. Thank you for aiding our transformation thus far. I look forward to continuing to effect change together in the coming year.

Sincerely,

Steven J. Scheinman, MD President and Dean of Geisinger Commonwealth School of Medicine Geisinger Executive Vice President and Chief Academic Officer

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Faculty Forward

Proudest moments Steven J. Scheinman, MD President and Dean of Geisinger Commonwealth School of Medicine Geisinger Executive Vice President and Chief Academic Officer

Reflecting on the past academic year, it’s obvious to me that our single greatest achievement was announcing our integration with Geisinger on Sept. 28, 2016. Our announcement was transformational — and not just for the medical school and the health system. I believe the integration will transform our communities and has the power to reach beyond our region to have an impact on medical and scientific education across the nation and around the world. If there is to be only one message from the past academic year, it should be that, through our new status as a growing health center of the future, we have the platform to bring lasting, beneficial change to education and make meaningful impact upon our community. In 2016 to 2017, we began that work.

We began transitioning from an independent medical school to a health center of the future.

We are no longer simply “a medical school.” Our learners are now medical students, yes, but also graduate students pursuing a variety of professional goals, residents and fellows. Our learners now cover the vast spectrum of healthcare, which gives us an incredible opportunity to mold and shape what we’ve dubbed “the healthcare teams of the future.”

We’ve created our new School of Graduate Studies and its infrastructure, beginning with a complete redesign of our master of biomedical sciences (MBS) program.

In addition, we’ve begun to design our new master’s degree programs in genomics and medical informatics, broadening our portfolio of graduate degrees.

Medical education is also expanding. This includes broader opportunities for our medical students and the opportunity to expand the set of residency programs that now fall under the medical school. We have engaged the Institute for Public Policy and Economic Development to conduct a workforce needs assessment to identify areas of healthcare throughout the region that need shoring up. These data will help guide strategic planning for new residency programs in northeast Pennsylvania, potentially in partnership between Geisinger and community clinical sites.

This integration and the broader set of educational programs that we now encompass have brought the need to identify new leadership roles. Thus, Dr. Iobst has named Michelle

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Thompson, MD, as associate dean for graduate medical education and Nicole Woll, PhD as associate dean for faculty development and continuing professional education. He has also created the position of senior associate dean for undergraduate medical education and appointed the distinguished medical educator, Harry Wollman, MD, in that role on an interim basis.

We are beginning to take advantage of an expanded set of clinical sites, creating the first cohort of students at our new Central Region campus hub in Danville, headed by Janet Townsend, MD, interim associate dean for that campus. And we are exploring opportunities for partnerships for clinical sites within Geisinger’s system, including Geisinger Holy Spirit Hospital in the Harrisburg area, AtlanticCare in Atlantic City, and beyond Geisinger with several new partners who have expressed enthusiasm for hosting our students.

We continue to embrace and care for community.

Engaging the community was a founding principle of our school and remains one in which we take particular pride. Although we embrace our new status as an emerging health center of the future, community will always be central to our identity. This includes our distributed community-based regional campus model and our committed community faculty. We will always be TCMC: This Community’s Medical College.

Our commitment to the community is expressed through a range of initiatives, some new and some growing, that manifest our organic connection to the region. Perhaps the best examples are the Behavioral Health Initiative (BHI) and The Regional Education Academy for Careers in Health – Higher Education Initiative (REACH-HEI). I am pleased that both programs enjoyed a successful year.

Terri Lacey, RN, has very ably taken the reins at BHI and has achieved great accomplishments — most notably the new psychiatry residency at The Wright Center.

As for REACH-HEI, it will enjoy expansion in the coming years and will serve as the cornerstone for Geisinger Commonwealth’s Health Resources and Services Administration (HRSA)-funded Center of Excellence — the only one in Pennsylvania. Thanks to the efforts of Ida Castro, JD, we were awarded $3.4 million from the U.S. Department of Health and Human Services. Centers of Excellence strengthen the national capacity to produce a high-quality healthcare workforce whose racial and ethnic diversity is representative of the U.S. population. In addition to

REACH-HEI, the grant will be used to create new programs that focus on faculty, such as a Health Equity Group, which will be charged with identifying the needs of underrepresented minority faculty and to offer support for faculty development.

Thanks and congratulations go to our faculty for making all of this happen.

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Faculty Forward

A message from the vice dean for medical education Let me begin by offering my congratulations to the faculty recognized in this volume of Faculty Forward. Their accomplishments are truly remarkable — but just how remarkable only becomes apparent when you appreciate the context in which this work has occurred. Since the last publication of Faculty Forward, the medical college has transformed to become the Geisinger Commonwealth School of Medicine and has launched a School of Graduate Studies. In addition, we have lost our regional campus in Williamsport, we no longer rotate students at Pocono Hospital in Stroudsburg and we have launched a new regional campus: the Geisinger Central Region Campus. Taken in total, these changes have required significant work across the entire medical school community. This has been an amazing year, and the fact that we have accomplished so much speaks to the resilience and dedication of our faculty, staff and students. While we cannot predict how the medical school will evolve between now and the next publication of Faculty Forward, I do know that evolution will be innovative and will serve the medical school well. I am continually thankful to count myself as a member of this community and look forward to shaping our continuing evolution with all of you!

– William F. Iobst, MD Vice President for Academic Affairs and Vice Dean for Medical Education

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Articles • Ten Cate O, Hart D, Ankel, F, Busari J, Englander R, Glasgow N, Holmboe E, Iobst W, Lovell E, Snell LS, Touchie C, Van Mell E, Wycliffe-Jone K. Entrustment Decision Making in Clinical Training. Acad Med. 2016:91(2):191-8.

• Hauer K, Ten Cate O, Boscardin C, Iobst W, Holmboe E, Chesluk B, Baron R, O’Sullivan. Ensuring Resident Competence: A Narrative Review of the Literature on Group Decision Making to Inform Work of Clinical Competency Committees. J Grad Med Educ. 2016 May;8(2):156-64.

• Hauer K, Clauser J, Lipner R, Holmboe E, Caverzagie K, Hamstra SJ, Hood S, Iobst W, Warm E, McDonald FS. The Internal Medicine Reporting Milestones: Cross-sectional description of initial implementation in a population sample.

Ann Intern Med. 2016 Sep 6;165(5):356-62.

• Hauer K, Vandergrift J, Hess B, Lipner R, Holmboe ES, Hood S, Iobst W, Hamstra SJ, McDonald FS. Correlations Between Ratings on the Resident Annual Evaluation Summary and the Internal Medicine Milestones and Association with ABIM Certification Examination Scores Among US Internal Medicine Residents. 2013-2014. JAMA. 2016(21):2253-2262.

• Caverzagie KJ, Nousiainen MT, Ferguson PC, Ten Cate O, Ross S, Harris KA, Busari J, Bould MD, Bouchard J, Iobst WF, Carraccio C, Frank JR. Overarching challenges to the implementation of competency-based medical education.

Med Teach. 2017 Jun;39(6):588-593.

Chapters • Iobst W, Holmboe E. Evaluating Clinical Competence in Residents and Fellows. APDIM Toolkit for Internal Medicine Education Programs. Twelfth Edition. 2017.

• Iobst W, Holmboe E. The Learner with a Problem or the Problem Learner? Working with Dyscompetent Learners.

Practical Guide to the Evaluation of Clinical Competence.

Second Edition. Elsevier. 2017

Presentations • Core faculty – ACGME Developing Faculty Competencies in Assessment: A Course to Help Achieve the Goals of Competency-based Medical Education (CBME)

Geisinger Commonwealth School of Medicine

A message from the vice dean for graduates studies People can no longer count on spending a career doing the same job. Marketplace changes have simply accelerated too much to permit it. Twenty years ago there was no such thing as a Lyft or Didi Chuxing driver.

There was also no demand in healthcare for a chief population health officer or a chief experience officer — positions that today are increasing in visibility and importance.

Conversely, Forbes is of the opinion that in just a few years, we won’t need postal workers or travel agents. It’s up to higher education to spot and respond to these trends, and by so doing, offer students some security in the face of a relentlessly changing world. It is this mission that excites me most about our new School of Graduate Studies.

The School of Graduate Studies is designed to recognize emerging skills required of the

healthcare teams of the future, and then to harness and package the expertise already abundant throughout Geisinger to deliver programs that transfer this knowledge. Our programs are not meant to be the same traditional offerings of extant graduate schools. We are planning and developing dynamic new degree programs — in genomics, population health, bioinformatics — that exploit what are currently niche markets, albeit niche markets set to explode.

Anticipating change is more challenging than merely weathering it, yet this is the task the School of Graduate Studies has set for itself.

I am grateful to the faculty and staff for their courage and enthusiasm in accepting this challenge and for helping us build educational programs that match the innovation synonymous with the Geisinger name.

– Venard Scott Koerwer, EdD Vice Dean for Graduate Studies Vice President of Strategy, Planning & Communication Professor of Organizational Systems & Innovation

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North Campus update With the integration with Geisinger, the medical school has gone through transformational change in the past year. We are grateful for the opportunity to work closely with our existing partners and are forging new relationships with providers and groups in the area. The integration has brought many wonderful opportunities for our students and the school, and some challenges as well.

I am grateful to the regional team, including the assistant dean, Lisa Thomas, MD; the six regional clerkship directors; our manager, Nora Alu; and Elizabeth McGill, PhD, for their hard work during the past year, and also for their efforts in getting the new academic year started. Of note, Drs. Frattali and Cognetti ably took on new roles as the regional education coordinators in surgery and family medicine, respectively.

The North Campus has 30 students for the upcoming third year. They will spend half the year in the Longitudinal Integrated Clerkship model, and the other half in block rotations. I would like to extend my gratitude to our dedicated clinical partners, including hospitals, clinics and volunteer clinical faculty who train our students and serve as wonderful role models as they embark on their journeys to forge their professional identities.

– Shubhra M. Shetty, MD, FACP Associate Regional Dean for North Campus Professor of Medicine

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Presentations • Grand rounds at Moses Taylor Hospital: HIV prevention in 2017

Awards • Leonard Tow Humanism in Medicine Faculty Award, 2017

Geisinger Commonwealth School of Medicine

North Campus leadership The definition of a preceptor is an expert or a specialist who gives practical experience and training to a student. As both a preceptor and the regional assistant dean, my interactions with the students have been very positive and are bidirectional. I instruct them and address their concerns, and they provide me with insights from a student perspective relative to the training process. The students whom I've had the pleasure of meeting as the regional assistant dean, and who have rotated with me in the office, have enhanced — and continue to enhance — my own educational experience.

– Lisa Thomas, MD Regional Assistant Dean for North Campus

Regional clerkship directors Family Medicine Peter Cognetti, MD

Internal Medicine Wasique Mirza, MD

OB-GYN Harold Davis, MD

Pediatrics April Troy, MD

Psychiatry Nelson Asante, MD

Surgery Mark Frattali, MD

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South Campus update The South Campus continues to be a major hub for providing high-quality clinical education for our medical students. This is the result of all the dedication and hard work our community clinical sites and volunteer faculty have offered our institution since the school’s inception. I am exceptionally proud of my regional team for their inexhaustible energies in organizing and maintaining those high academic standards that have made the South Campus so successful.

Geisinger and its select group of preceptors recognized our innovative methods of teaching and have been part of our growing system for many years. Now that the medical school is an integral part of Geisinger, I’m confident that along with our community – Michael Ferraro, MD, FACOG Associate Regional Dean for South Campus Assistant Professor of OB-GYN

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partners, this relationship will help satisfy the future clinical needs of a dynamic and very innovative medical school.

I am also pleased to announce that one of our charter class graduates has returned to our area to practice medicine. His name is Jeremy Celestine, MD ’13, and he is an obstetrician/gynecologist who will be practicing in a group based at the WilkesBarre General Hospital. Dr. Celestine is a prime example of how our medical school is fulfilling its mission and giving back to the community for all its support by improving the physician demographics in northeast Pennsylvania. Welcome, Jeremy, and to all those who will follow!

Geisinger Commonwealth School of Medicine

South Campus leadership We in the South Campus have had a very productive year. We successfully educated 35 third-year students, our largest class to date. The year included multiple personal as well as professional events. We had marriages, births of several future doctors and also losses of some important family members. Career exploration blossomed into final career choices and our students enjoyed a relatively smooth transition to fourth year. New opportunities were forged in some of our participating facilities, including rotation opportunities at Geisinger Medical Center in Danville.

As regional assistant dean, I was fortunate to be a part of our students’ lives on a much more personal level. One of the most rewarding aspects of my job and this year was my ability to provide advice to students on work/life balance.

I believe that sharing my perspective of how to manage work/life balance allowed the students to make career choices with their long-term goals in mind. Being happy with yourself is just as important as being happy with your career.

I look forward to forging strong relationships with the Class of 2019 as they embark upon clinical rotations. My goal is to get each student to develop and institute an individual learning plan early in the year to facilitate success for Step 2. – Mary Elizabeth Sokach, DO Regional Assistant Dean for South Campus

Regional clerkship directors Family Medicine James Galasso, DO

Internal Medicine John Citti, MD

OB-GYN Joseph Narins, MD

Pediatrics Azra Sehic, MD

Psychiatry Steve Kafrissen, MD

Surgery Mark Schiowitz, MD

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Central Campus update The new Central Campus of the Geisinger Commonwealth School of Medicine, encompassing eight counties in central Pennsylvania, was launched in July 2017.

This campus offers wonderful new clinical training sites that are part of Geisinger, including Geisinger Medical Center, Geisinger Bloomsburg Hospital and Geisinger Shamokin Area Community Hospital, as well as numerous outpatient settings. The new campus brings together newly recruited Geisinger clinical faculty with community faculty and clinical partners, such as Evangelical Community Hospital, who provided training to our students in our former West Campus.

We are grateful for the strong commitment and contributions of our continuing faculty and for the enthusiastic reception from Geisinger faculty and staff. Our first group of 12 students are enjoying working with residents in many fields, interacting with the campus students from Temple University and the Philadelphia College of Osteopathic Medicine, and exploring both the region and opportunities for research and service involvement.

Our regional education leadership team

includes educators with many years of experience and expertise and early career education leaders with a passion for education.

Mark Olaf, DO, serves as the regional assistant dean. Mark is an emergency medicine physician who is also the emergency medicine clerkship director. Our regional clerkship directors are: James (Jay) Joseph, MD, family medicine; Lisa Schroeder, MD, and Stanley Russin, MD, internal medicine; Paul (Joe) Swanson, MD, obstetrics and gynecology; Michele Neff-Bulger, DO, pediatrics; Nicole Gurski, DO, psychiatry; and Megan Rapp, MD, surgery.

We have been warmly welcomed by our faculty and staff colleagues here. Michelle Thompson, MD, associate dean for graduate medical education, and Nicole Woll, PhD, associate dean for faculty development and continuing professional development, provide school-wide leadership in these areas. Doug Kupas, MD is the associate dean for the Lewis Katz School of Medicine at Temple University regional campus.

We are excited to bring the resources, energy and talents of the two entities together to train doctors for 21st-century patient-centered and community-based medical practice.

– Janet Townsend, MD Interim Associate Regional Dean for Central Campus Professor of Family Medicine

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Geisinger Commonwealth School of Medicine

Central Campus leadership The past few months have been full of change for the recently renamed Geisinger Commonwealth School of Medicine, most especially for the newly formed Central Campus and the students which we have recruited. The incorporation of the medical school into the Geisinger family furthers and unites the missions of the school and the health system in the realms of medical education and service to community, while presenting so many new opportunities.

the school, and a practiced group of clerkship directors who have expanded their previous roles and commitment to medical student education.

As I experience the robust curriculum firsthand, I have reflected on the studentcentric nature of the program, and admittedly have regretted that I did not have such opportunities or incredible support available to me during my own medical education. I find myself excited and lucky to be part of a I’m incredibly excited and feel fortunate well-structured program that provides such to participate in the educational and support to its students. Our team has great professional development of the students in optimism for our mission, and we are excited the Central Region. I have the great fortune to about the multitude of opportunities that await work with a cohesive group of experienced our students and healthcare system. educators who have previously worked with – Mark Olaf, DO Regional Assistant Dean for Central Campus

Regional clerkship directors Family Medicine

OB-GYN

Surgery

James Joseph, MD

Paul Swanson, MD

Megan Rapp, MD

Internal Medicine

Pediatrics

Stan Russin, MD

Michele Neff-Bulger, DO

Internal Medicine

Psychiatry

Lisa Schroeder, MD

Nicole Gurski, DO

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Guthrie Campus update As The Guthrie Clinic begins the third year of our affiliation with Geisinger Commonwealth School of Medicine, we are grateful for the contributions that our entire organization has made to the education of our students and the betterment of the communities that we serve. Our regional team, regional clerkship directors and community clinical faculty have established a multifaceted and diverse educational program for our students, supported by the visionary leadership of Geisinger Commonwealth and The Guthrie Clinic. As part of an integrated delivery system, our students have ready access to the educational resources of the entire organization that facilitate the delivery of Geisinger Commonwealth’s rich curriculum.

This year our leadership team has welcomed James Walsh, MD, as regional assistant dean and Maninder Singh, MD, as regional clerkship director for internal medicine, who replaces I Am Resurreccion, MD, in this role. As I begin my second year as associate regional dean, I am grateful to have the opportunity to work with so many talented and committed people at Guthrie and Geisinger Commonwealth.

I am looking forward to the future as we realize the opportunities that the integration with Geisinger promises for Geisinger Commonwealth, our students and our communities.

– Thomas J. VanderMeer, MD, FACS Associate Regional Dean for Guthrie Campus Professor of Surgery

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Geisinger Commonwealth School of Medicine

Guthrie Campus leadership I have been very excited about taking on the regional assistant dean role at Guthrie beginning in February. Since joining the Guthrie Clinic in 1992, I have had the privilege of working with medical residents, medical students from several medical schools and respiratory therapy students. Participating in training those entering healthcare professions has been both rewarding and humbling. I strongly believe that a clinician participating in the education of others entering healthcare professions makes one a better physician.

The role of regional assistant dean provides challenges that have not been part of my prior experience. Interacting with students on the Guthrie campus to ensure that they are meeting their educational goals and assisting them as they develop a plan for their future in medicine is very rewarding. During the brief time that I have been in this role, I have learned a great deal about the issues that our students face. I hope to continue to learn and provide the assistance and mentoring that will positively influence the growth of these highly motivated students as they face the challenge of becoming a physician in the tumultuous and rapidly changing world that constitutes American medicine in the 21st century.

Regional clerkship directors Family Medicine Donald Phykitt, DO

Internal Medicine Maninder Singh, MD

OB-GYN James A. Scott, MD

– James Walsh, MD, MSHA, FACP, FCCP Regional Assistant Dean for Guthrie Campus

Pediatrics Andrea Worley, MD

Psychiatry Charles McGurk, MD

Surgery Silviu Marica, MD

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Doylestown Campus update In January 2017, John Kulp, PhD, was named regional assistant dean for the Doylestown Campus of Geisinger Commonwealth School of Medicine. Dr. Kulp oversees all aspects of the graduate student educational experience at Geisinger Commonwealth’s Doylestown Campus, including curriculum delivery, student support, career path development and academic integrity. Dr. Kulp was instrumental in establishing the Doylestown Campus in partnership with the Baruch S. Blumberg Institute. It is housed in the Pennsylvania Biotechnology Center of Bucks County, an incubator for more than 30 biotech startup companies. The Doylestown Campus offers a place for graduate students in various life-sciences– related academic disciplines to learn alongside of and interact with preeminent scientists and entrepreneurs in a distinct learning environment not duplicated anywhere else in the region. Within the program, Dr. Kulp has taught biochemistry, pharmacology, professional development and seminars in biomedical science.

The Doylestown Campus launched its master of biomedical sciences (MBS) program in April 2016 — and in April 2017, celebrated the one-year anniversary with two cohorts of students enrolled in the program. We are proud that two students from cohort one (graduated August 2017) have already been accepted into professional school: Noah Kirshner, Temple School of Podiatric Medicine, and Johnny Chen, Geisinger Commonwealth School of Medicine. The rest

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of our students will apply to professional school during their gap year.

The Doylestown Campus has developed a strong relationship with Doylestown Hospital, an independent, communityfocused healthcare facility. This relationship has led to multiple shadowing opportunities for the students in the areas of ophthalmology, neurology and primary care.

Dr. Kulp also helped establish the unique Biotechnology Bootcamp, offered for the MBS-Doylestown (MBS-D) students.

The boot camp is an intensive two-week program that helps students boost their biotech lab skills and enhance their understanding of early-stage drug discovery. Lectures and hands-on lab training included topics such as ELISA assays, hepatitis B, antivirals, high-throughput drug discovery and translational research.

The Doylestown Campus recently celebrated the FDA approval of Trulance™, a drug developed by Kunwar Shailubhai, PhD, MBA, executive vice president and chief scientific officer of Synergy Pharmaceuticals. Dr. Shailubhai is also a faculty member at the Baruch S. Blumberg Institute and at Geisinger Commonwealth. The celebration was significant for our MBS students because they have the opportunity to work alongside of scientists like Dr. Shailubhai and other life sciences entrepreneurs located in the Pennsylvania Biotechnology Center. Dr. Shailubhai’s Trulance is the

Geisinger Commonwealth School of Medicine

Doylestown Campus leadership In my first year as regional assistant dean, I am pleased to help build and strengthen the mission of Geisinger Commonwealth by extending its footprint to southeast Pennsylvania. Our campus offers a wealth of opportunities for the students in a unique educational ecosystem as part of the Baruch S. Blumberg Institute, located within the Pennsylvania Biotechnology Center of Bucks County. The center seeks to advance biotechnology in Bucks County and the surrounding region, to maximize synergies between nonprofit scientists and their commercial colleagues and to launch new ideas and discoveries that will make a difference.

The MBS-D program has been successful thanks to the dedication of our faculty members, who have helped to build a strong educational program and a campus community for our students. I am grateful to the on-site faculty, as well as to those who spend time each week commuting to Doylestown from other campuses, for their commitment to this program. I would also like to recognize the dozens of local area physicians and scientists who have enriched the academic program with their guest lectures. Lastly, I would like to thank Margaret Farley, MBS-D curriculum coordinator, and Len Farber, student affairs graduate program coordinator, for their dedication, hard work and first-class representation of Geisinger Commonwealth at the Doylestown Campus.

– John Kulp, PhD Regional Assistant Dean for Doylestown Campus Associate Professor and Director of Academic Affairs at Baruch S. Blumberg Institute Chief Executive Officer of Conifer Point Pharmaceuticals

Awards • 2017 Distinguished Faculty Award, given by MBS-D Class of 2017 • 2016 Bucks County Emerging Leader • 2016 Mover and Shaker

Grants • Dr. Kulp’s company, Conifer Point, was awarded a Phase I SBIR grant from the National Institutes of Health. The project title is “An Open Web Service for Fragment-based Design of Small Molecule Inhibitors.”

Publications • Cloudsdale IS, Dickson JK Jr, Barta TE, Grella BS, Smith ED, Kulp JL 3rd, Guarnieri F, Kulp JL Jr. Design, synthesis and biological evaluation of renin inhibitors guided by simulated annealing of chemical potential simulations. Bioorg Med Chem. 2017, 25(15), 3947-3963. PubMed PMID: 28601508.

• Wu S, Zhao Q, Zhang P, Kulp J, Hu L, Hwang N, Zhang J, Block TM, Xu X, Du Y, Chang J, Guo JT. Discovery and mechanistic study of benzamide derivatives that modulate hepatitis B virus capsid assembly. J Virol. 2017, 519-17. PubMed PMID: 28566379.

• Guo F, Wu S, Julander J, Ma J, Zhang X, Kulp J, Cuconati A, Block TM, Du Y, Guo JT, Chang J. A Novel Benzodiazepine Compound Inhibits Yellow Fever Virus Infection by Specifically Targeting NS4B Protein. J Virol. 2016, 1253-16.

PubMed PMID: 27654301.

• Emert-Sedlak LA, Loughran HM, Shi H, Kulp JL 3rd, Shu ST, Zhao J, Day BW, Wrobel JE, Reitz AB, Smithgall TE. Synthesis and evaluation of orally active small molecule HIV-1 Nef antagonists. Bioorg Med Chem Lett. 2016, 26(5), 1480-4. PubMed PMID: 26852364.

first drug to be discovered and developed at the Doylestown Campus and among the first four new drugs to receive FDA approval in 2017.

Other highlights of the MBS-D campus over the past year include the groundbreaking on a $14 million expansion of the Biotechnology Center; adjunct faculty member Michael Sofia, PhD, being awarded the prestigious 2016 Lasker-Debakey Clinical Medical Research Award for his role in developing the cure for hepatitis C; and world-renowned cancer physician scientist Richard Pestell, MD, PhD, FACP, FRACP, MBA, joining the faculty of the Blumberg Institute.

Seen celebrating Trulance’s FDA approval, from left, are Gary Jacob, PhD, chair of the board and chief executive officer of Synergy Pharmaceuticals; Ela Saxena; Nicolas Maffetone, Geisinger Commonwealth MBS student; Dr. Kunwar Shailubhai, cofounder and chief scientific officer of Synergy Pharmaceuticals; Sierra McCloud, Geisinger Commonwealth MBS student; Tonia Sofoluke, Geisinger Commonwealth MBS student; Josephine Sinamano, Geisinger Commonwealth MBS student; and John Kulp, PhD, regional assistant dean of Geisinger Commonwealth and director of academic affairs of the Baruch S. Blumberg Institute.

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Faculty Forward

Doylestown Campus faculty Chari Cohen, PhD

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William Kinney, PhD

Catherine Freeland, MPH

Chris Moore, PhD

Dennis Gross, PhD

Sung Park, PhD

Aejaz Sayeed, PhD

Geisinger Commonwealth School of Medicine

Department of Clinical Sciences This past year has been a time of change, but it has been — and promises to continue to be — change with and for a purpose. The opportunities and possibilities granted by the transition into Geisinger Commonwealth are coming into sharper focus and, most importantly, are aligned with what has always been the core of our mission — whether

the education of our medical students, scholarship and innovation by our faculty or service to our institution, stakeholders and community. I enjoy being part of such a time and look forward to the shared efforts of the administration, faculty and staff as we continue to move forward as a department and as a school of medicine.

– Mark White, MD, MPH Vice Chair for the Department of Clinical Sciences Associate Professor of Epidemiology

Presentations/publications • White MV, Nealon K, McDonald S, Dawgert D. Clinician Awareness and Application of the ACE (Adverse Childhood Experiences) Study. Panel presentation at Association for Prevention Teaching and Research (APTR) annual conference, Savannah, GA, April 2017 • Holt J, White MV, Ghormoz J, Szarek J. Analyzing a Flipped Classroom Model of Medical Education: Who Benefits? Panel Presentation at International Association of Medical Science Educators (IAMSE) generalist meeting annual conference, Seattle, WA, November 2016 • Holt J, White MV, Ghormoz J, Szarek J. Studying Prior to In-Class Activities Increased both School and Standardized Test Results but Specifically Benefitted Women and certain MBTI Types. Presentation at International Association of Medical Science Educators (IAMSE) annual conference, Leiden, Netherlands, July 2016

Honors/awards/achievements • Applied for and awarded a no-cost extension through July 2018, PI on HRSA Grant #T85HP24464-05-05: Training in Primary Care Medicine – Interdisciplinary and Interprofessional Graduate Joint Degree Program, April 2017

Proudest moments Tanja Adonizio, MD Associate Dean for Student Affairs

In January 2017, I was honored to be accepted, in collaboration with Michelle Schmude, EdD, to the Harvard Macy Institute Educators Course with our proposal to develop an ePortfolio to support student mastery of the professionalism competency. Through the development of the portfolio project, we recently submitted a paper detailing the theoretical framework for utilizing an ePortfolio in health professions education.

In June 2017, I was accepted to the Master’s of Health Professions Education Program through Massachusetts General Hospital in conjunction with the Harvard Macy program. I am looking forward to this opportunity for ongoing professional development in health professions education.

• Invited and selected as a member of the editorial board of Journal of Clinical Medicine and Therapeutics, October 2016

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Faculty Forward

Karen Arscott, DO, MSc, AOBNMM Associate Professor of Medicine

Publications

• Arscott, K. “A Required Interprofessional Clerkship for Fourth-Year Medical Students at The Commonwealth • Arscott K. Exploring the Mysteries of Addiction.

Medical College.” Updated version presented as a Gold NEPA Vital Signs. Summer/Fall 2017. P 19.

Mining presentation at The Arnold P. Gold Humanism • Foote EF, Arscott K, McHenry-Sorber EC. Development, in Medicine National Conference March 31, 2017. implementation and evaluation of a novel fourth year • Health fair, Waverly Elementary School. interprofessional clerkship. Medical Science Educator Healthy choices and leadership for a healthy (27 July 2016). doi:10.1007/s40670-016-0295-y. Available summer. May 2015, 2016 and 2017. at link.springer.com/article/10.1007/s40670-016-0295-y.

Presentations • Panelist for Second Annual Workshop on Clinical Outcome Assessments (COAs) in Cancer Clinical Trials. Bethesda, MD April 25, 2017.

• Keynote speaker at the Northeast/central Interprofessional Education 8th Annual Summit at Geisinger Commonwealth School of Medicine on April 7, 2017.

National meetings

• Food and Drug Administration (FDA) Center for Drug Evaluation and Research Oncologic Drugs Advisory Committee meeting member May 25, 2017 • Congressionally Directed Medical Research Program – Lung Cancer Research Program Integration panel member

• Panelist for Community showing and discussion of “Someone You Love – the HPV Epidemic” at the Dietrich Theater. Presented by Wyoming County Cancer/Tobacco Partnership and the Pennsylvania Department of Health. March 25, 2017.

Diana Callender, MBBS, DM Medical Director of Clinical Skills and Simulation Center Professor of Clinical Sciences

Presentations/workshops • Successful Incorporation of Advanced Practice Providers in a Psychiatry and Obstetrics/ Gynecology LIC. Margrit Shoemaker, Diana Callender, Brian Wilcox, Sanjay Chandragiri.

Consortium of Longitudinal Integrated Clerkships Conference, Toronto, Canada; October 2016.

• Cornacchione M, Callender D, Shoemaker M, and Wilcox BD. Ensuring and Evaluating the Delivery of Core Family Medicine and Geriatric Medicine Content in a Shortened Family Medicine LIC Experience. Consortium on Longitudinal Integrated Clerkships, Toronto, Canada; October 2016.

• Professor for Professor Rounds International Meeting for Simulation in Health Care, Orlando, FL, January 2017.

• Student Perceptions of Confidence and Skill Level After Completion of Block or LIC Experiences. Erin • Faculty in workshop entitled Strategies for A. Dunleavy, Carien Williams, Diana Callender, Janet implementing simulation in Preclinical Education: Townsend, William Iobst, Andrea DiMattia, Brian Wilcox.

Experience of three medical schools: John Consortium of Longitudinal Integrated Clerkships Szarek, Diana Callender, Sean Gnecco, Mario Conference, Toronto, Canada; October 2016.

Sheakley. International Meeting for Simulation • Improving Students’ Perception of Inpatient Learning in Health Care, Orlando, FL, January 2017.

Experiences: Transitioning from a 12-month to a • Using simulation to enhance learning and retention 6-month LIC. Brian Wilcox, William Iobst, Devon of asic science concepts. Maria L. Sheakley, Bremer, Carien Williams, Janet Townsend, Mario Diana Callender, Gabi N. Waite, John L. Szarek.

Cornacchione, Margrit Shoemaker, Diana Callender.

International Association of Medical Science Educators Consortium of Longitudinal Integrated Clerkships annual meeting, Burlington, VT, June 2017.

Conference, Toronto, Canada; October 2016.

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Geisinger Commonwealth School of Medicine

Proudest moments Mario Cornacchione, DO, MS, FAAFP Assistant Chair of Family Medicine Associate Professor of Family Medicine

I was appointed to the Pennsylvania Long-Term Care Council by the Pennsylvania Department of Aging on behalf of Gov. Tom Wolf. This council is a 35-member body charged with making recommendations on regulations, licensure, financing or any other responsibilities of the departments and agencies that relate to the Commonwealth’s long-term services and supports system. We intend to focus on

several key areas of concentration, including regulatory review and access to quality care, community access and public education, long-term care service models and delivery, workforce, housing and behavioral health issues of seniors over the age of 60.

Stanley Dudrick, MD Professor of Surgery

Invited lectures, workshops or consultations • American Society for Parenteral and Enteral Nutrition (ASPEN) Annual Congress, Clinical Nutrition Week 2017, Orlando, FL, February 2017. »» ASPEN Physicians Section Symposium Lecture: “Early History of TPN” »» Presented the Stanley J. Dudrick, MD, Research Scholar Award to Sadeq A. Quraishi, MD, MHA, MMSc, Assistant Professor of Anesthesia, Harvard Medical School; Assistant Anesthetist, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital; Staff Anesthesiologist, Department of Medicine, McLean Hospital, Boston, MA »» Participated in the Annual Dudrick Symposium, Chaired by the Dudrick Scholar for the previous year, Paul Wailes, MD, Neonatal and Pediatric Surgeon, Hospital for Sick Children, University of Toronto, Ontario, Canada »» Participated in the Annual ASPEN Advisory Board Meeting »» Participated in multiple meetings with executives of nutrition industry for solicitation of research funding for support of the ASPEN/Rhoads Research Foundation »» Participated in the Board of Directors meeting of the ASPEN/Rhoads Research Foundation –– Elected honorary chairman of the ASPEN/Rhoads Research Foundation Campaign »» Notified by President-Elect Charlene Compher, PhD, of unanimous action of the Board of Directors of ASPEN in establishing the first ASPEN Lifetime Achievement Award and naming Stanley J. Dudrick

as the first recipient. The award ceremony was held at ASPEN’s 40th anniversary meeting in Orlando, FL, 2017.

• The Dr. Lester Saidman Memorial Lecture, The Class of 2020 White Coat Ceremony, The Commonwealth Medical College, August 2016 • Featured special guest lecturer, 2016 Home TPN Consumer Education Conference, The University of California Davis Medical School, Sacramento, CA, September 2016 • Visiting professor of Surgery and G. Rainey Williams lecturer in the Department of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, October 2016 • Visiting professor of Nutrition and Surgery, and lecturer in the Department of Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, OK, October 2016 • Reflections on Fifty Years of TPN and Some of the Ninety Years of the Venerable Professor José Félix Patiño Restrepo, MD, FACS, In honor and celebration of his exemplary life and his countless contributions to medical and surgical education, training, research, and patient care, San Cristóbal, Venezuela, Feb. 15, 1927, to Bogota, Colombia, Feb. 10, 2017, Fundacion Santa Fe De Bogota • Reflections on the Invention of TPN. Annual Symposium on Nutrition and Metabolism: Current Concepts in Hospital Malnutrition, Malcolm Forbes Auditorium, Morristown Medical Center, Morristown, NJ, May 12, 2017 (continued on page 20)

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Faculty Forward

(continued from page 19`)

• Future of Clinical Nutrition. 19th Congress and 31st International Conference, Polish Society of Parenteral, Enteral Nutrition and Metabolism, and the Polish Society of Surgery, Jachranka, Poland, June 2 – 4, 2017 • Attended and participated in the Certifying Board for Nutrition Specialists (CBNS) annual meeting in Chicago, Il, as vice chairman of CBNS in May 2017. Participated in a Nutrition Leadership Luncheon Meeting. I was originally elected to serve on the Board of Directors of CBNS in 2008 and elected vice president. I was reelected to the board and the vice presidency in 2012 and again in May 2015. The board is actively engaged in nutrition curriculum planning for the education and certification of physician assistants and physicians (MD/DO), and as the senior physician on the board, I have had a central role in these activities which are expected to mature and be activated within the next year. I was asked to serve as a consultant for oversight of the Certifying Examination Committee at this year’s meeting and accepted the responsibility.

• Multiple monthly conference calls with other members of CBNS, often including the president, to discuss and plan the initiation of a nutrition curriculum in accordance with CBNS credentialing requirements for both the undergraduate and graduate physician assistant training programs at Misericordia University and potentially the medical student curriculum at Geisinger Commonwealth. Currently, syllabi are being prepared for these proposed courses of study which will include some online teaching and defined clinical site experience.

• Lectured and participated in panels at the 19th Annual Meeting of the Polish Society for Parenteral and Enteral Nutrition, Jachranka, Poland in June 2017; met with various leaders and experts in nutrition and surgery from several European, Asian, Latin American, African and Middle Eastern nations, and the European Society for Parenteral and Enteral Nutrition and Metabolism, discussing a wide variety of nutrition related subjects, especially the future of clinical nutrition as related to advances in genetics, immunology and targeted nutritional therapy.

• Attended and participated in Nutrition and Critical Care of the Surgical Patient conferences at the Stanley Dudrick, MD, Hospital in Skawina, Poland, which was named and dedicated “in honor of his contributions to surgery and nutrition.” Met and interacted with the hospital administrative, medical, surgical, pharmacy and nursing leadership to discuss their continuing growth and development in inpatient and ambulatory home patient care and research; and to evaluate the major results of their investment in adding a third complete special pharmacy additive unit equipped to triple the production of nutritional formulations for hospital and home ambulatory total parenteral nutrition. Made rounds on critically ill hospitalized patients and offered consultative recommendations in their management. Site construction has advanced considerably in completing a major addition to the hospital during the past year, including major highway and road access to the hospital in Skawina, a mediumsized industrial city just south of and adjacent to Krakow.

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Collaboration • Continued activities as a member of the Data Monitoring Committee and Steering Committee of the International TOP UP Trial, A Randomized Trial of Supplemental Parenteral Nutrition in Under and Over Weight Critically Ill Patients (ClinicalTrials.gov ID #NCT01206166); participated in multiple lengthy telephone conferences and evaluations of copious amounts of protocol material, patient recruitment demography, research data, analysis, etc. Met extensively to discuss the progress of this important study with its director, Paul E. Wischmeyer, MD, who has recently left the University of Colorado for a position as professor of Anesthesiology and Nutrition and director of Critical Care Services at Duke University.

Educational experiences • Attended the Fifth Annual Stanley J. Dudrick, MD, Lecture at The University of Texas Medical School at Houston, established “to honor Dr. Dudrick as an outstanding educator and the founding Chairman of the Department of Surgery, 1972–1980, and recognizing his contributions to the education of the Surgical Residents at the UT Medical School at Houston.” Honored lecturer was Dr. Rosemary Kozar, currently professor of Surgery and director of Translational Research at the University of Maryland R. Adams Cowley Shock Trauma Center. She spoke on “TPN in the Surgical Critical Care Unit.” Afterward, the Morbidity and Mortality Conference and the Quality Assurance Conference were conducted with the faculty, residence and medical students. The UT Surgery Dudrick-Moody-Andrassy Alumni Society dinner meeting was held on the preceding evening.

Participated actively in all of these sessions.

Publications • Dudrick SJ. When Should We Quit Operating? Chapter 23 In: Surgical Decision Making: Beyond Evidence-Based Surgery, R. Latifi, Ed., Springer Science, New York, pp. 239–249, 2016.

• Dudrick SJ, Pimiento JM. Surgical Nutrition Support Today.

Cirugia y Cirujanos (English Edition) 2016:84 Supl 1:15–24.

• Dudrick SJ, Pimiento JM. Soporte Nutricional Quirurgico en la Actualidad. Cirugia y Cirujanos 2016:84 Supl 1:15–24.

• Dudrick SJ, Pimiento JM, Latifi R. Short Bowel Syndrome: A Clinical Update. Chapter In: Surgery of Complex Abdominal Wall Defects, Second Edition. R. Latifi, Ed., Springer Science, New York, pp 225–241, 2017.

• Compher C, Dudrick SJ, Wesley JR, Malone A, Sacks GS, McMahon MM, Winkler MF, Mogensen KM, Kurkchubasche A, Arnold MA, Yang H, Blackmer AB, Braunschweig C, Han-Markey T, Partipilo ML, Harris MB, Kovacevich D, Peters B, Cantwell A, Fithian MA. Tributes to Daniel H. Teitelbaum, MD, PhD, J Parenter Enteral Nutr, 40 (8) November 2017.

• Dudrick SJ. Nutrition in Cardiothoracic Surgery. Chapter In: Nutrition and the Surgical Patient. Jaksic T, Modi BP, Van Way C III (Eds), Chapter to be published, 2017.

• Dudrick SJ, Palesty JA, Pimiento JM. 60 Years of Nutritional Therapy From the Past to the Future. Chapter 1. In: Oral, Enteral

Geisinger Commonwealth School of Medicine

and Parenteral Nutrition in Clinical Practice, 5th ed., Waitzberg, DL, (Ed), Atheneu, Sao Paulo, Chapter to be published, 2017.

• Pertkiewicz M, Dudrick SJ, Klek S, Sobocki J. Central Parenteral Nutrition. Chapter In: Basics in Clinical Nutrition 5th Edition. Sobotka L (Ed), Galen, Prague, Chapter to be published, 2017.

• Pertkiewicz M, Dudrick SJ, Sobocki J. Different Systems for Parenteral Nutrition (AIO vs. MB). Chapter In: Basics in Clinical Nutrition 5th Edition. Sobotka L (Ed), Galen, Prague, Chapter to be published, 2017.

• Pertkiewicz M, Dudrick SJ, Sobocki J, Klek S. Peripheral Parenteral Nutrition (PPN). Chapter In: Basics in Clinical Nutrition 5th Edition. Sobotka L (Ed), Galen, Prague, Chapter to be published, 2017.

of Surgery, honorary editor of Postepy Zywienia Klinicznego (Advances in Clinical Nutrition) and associate editor, Editorial Board, Journal of the American College of Nutrition.

• Participated as a reviewer of approximately 40 manuscripts submitted for consideration for publication in various scientific and professional journals, including the Journal of Surgical Education, Clinical Nutrition, Journal of the American Society for Parenteral and Enteral Nutrition and the Journal of the American College of Nutrition, among others.

Honors/awards

• Pertkiewicz M, Sitges-Serra A, Dudrick SJ, Sobocki J. Complications Associated with Central Catheter Insertion and Care. Chapter In: Basics in Clinical Nutrition 5th Edition.

Sobotka L (Ed), Galen, Prague, Chapter to be published, 2017.

• The Senate of the Commonwealth of Pennsylvania, by formal proclamation, “Congratulates Stanley J. Dudrick, MD, on being honored with a Lifetime Achievement Award by the American Society of Parenteral and Enteral Nutrition and affirmatively states that he is a shining example of community spirit whose many contributions are worthy of deep gratitude and respect.” In the Senate, Feb. 8, 2017. Sponsored by Senator John T. Yudichak and Senator Elisabeth J. Baker.

• Pertkiewicz M, Manak J, Kunecki M, Dudrick SJ, Sobocki J. Nutritional Support During Pregnancy and Breastfeeding.

Chapter In: Basics in Clinical Nutrition 5th Edition. Sobotka L (Ed), Galen, Prague, Chapter to be published, 2017.

• ASPEN inaugurated a Lifetime Achievement Award in 2016, and announced Dr. Dudrick’s unanimous election to receive this unique honor in celebration of ASPEN’s 40th anniversary of its founding in 2017 at its annual Congress in Orlando, Fl.

• Dudrick SJ. Foreword: Fistulas of the Digestive Tract. Walczak DA, Banasiewicz T, Bobkiewicz A, (Eds), Termedia, Poznan, Poland, To be published, 2017.

• Top General Surgeon, The Leading Physicians of the World, member of The International Association of HealthCare Professionals, January 2017.

Service to the discipline field

• Elected by the Class of 2016 as a “Hooder” during Commencement Ceremony at The Commonwealth Medical College, 2016.

• Continued active service on editorial boards of the Journal of Surgical Education, the Polish Journal of Surgery, and the Journal of the American Society for Parenteral and Enteral Nutrition, emeritus member of the Editorial Board of Annals

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“ Dr. Dudrick Day” in Nanticoke

July 19, 2017

Geisinger Commonwealth School of Medicine professor of surgery Stanley Dudrick, MD, officially took his place in the City of Nanticoke’s history on July 19. On that day, officials from Nanticoke and the Commonwealth of Pennsylvania recognized “Dr. Dudrick Day” in the city and unveiled a historical marker and street sign to be placed outside Dr. Dudrick’s childhood home on West Union Street.

The ceremony was attended by a large crowd composed of classmates and childhood friends of Dr. Dudrick, as well as patients helped by his signature innovation, total parenteral nutrition. In a moving speech, Dr. Dudrick remembered family members and grade-school teachers — often by name — from Nanticoke who were instrumental in his success.

A descendant of Nanticoke coal miners, Dr. Dudrick invented the intravenous feeding method known as total parenteral nutrition, or TPN, which is considered one of the most important breakthroughs in modern surgery.

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Known as the “father of intravenous feeding,” Dr. Dudrick is constantly ranked among the most influential doctors in world history for his pioneering work, which he unveiled in July 1967 at age 32.

His work is credited with saving millions of lives. July 2 through 17 marked the 50th anniversary of Dr. Dudrick’s invention.

Dr. Dudrick invented TPN while at the University of Pennsylvania Hospital in Philadelphia. He became a professor of surgery at Penn, then helped launch the surgery department of the University of Texas Medical School and became chief of surgery at the university’s hospital.

He was named chairman of the surgery department at Pennsylvania Hospital, the oldest in the nation. Later, he was tapped as surgery department chairman at the Yale University School of Medicine.

Geisinger Commonwealth School of Medicine

Proudest moments Jennifer Joyce, MD, FAAFP Professor of Family Medicine

Last year, our Primary Care Progress Chapter participated in the national Interprofessional Student Hotspotting Learning Collaborative with students from four other local universities. The Hotspotting national program is supported by Camden Coalition in partnership with Primary Care Progress, AAMC and the Council on Social Work Education, as well as the American Association of Colleges of Nursing.

the program last July. I’m thankful for the support of The Wright Center for Graduate Medical Education (TWC), which, with the financial support of Commonwealth Health and Geisinger, helped our chapter establish two teams to work in Luzerne and Lackawanna counties to try and help identify patients who would benefit from better coordination of care that included addressing social determinants of health.

The learning collaborative is taking the work that family doctor Jeffery Brenner, MD, started in Camden to the nation. Dr. Brenner has been serving as a family physician in Camden, N.J., with a focus on patients enrolled in Medicaid. His innovative use of data to identify high-cost patients in our fragmented health systems was profiled in the 2011 New Yorker article “Hotspotters,” written

by Atul Gawande, MD. His relentless focus is on whole-person care and to expose how high-need patients are not well served by our health systems that lack coordination or a consistent approach to addressing the social determinants of health.

Our students were able to work through online platforms with groups as far away as San Diego, Calif. Best of all, the work led to students applying their knowledge and skills in the service of those who often find themselves at the fringes of our community. Last year’s success has now led to our second successful application. This year, with the financial support of the Keystone Accountable Care Organization and TWC, we have six second- and third- year medical students working with pharmacy and nursing students from Wilkes University, nursing students from The University of Scranton and physical therapy students from Misericordia University.

I’m excited to see how Primary Care Progress is working locally to bring innovations to Geisinger Commonwealth and to our entire community.

By joining in the Hotspotting Learning Collaborative, our students were able to directly interact with Dr. Brenner at the kickoff event for

Training grants • 2011–2016 »» Principal investigator (9/2014–2016) Predoctoral Training in Primary Care »» Co-investigator (2011–9/2014) »» HRSA Primary Care Predoctoral Training Grant (D56HP23272) »» Total award $875,472/5 years

Consultations • Regional – Asked by Carmela Rocchetti, MD, to consult on development of Patient-Centered Medicine course at their new medical school in New Jersey. Sept. 15, 2016.

Peer-reviewed abstracts presented (national) • Joyce J, Handakas M, Mead B, Guilbe R. Flipping cultural competency: Encouraging medical culture to discuss what it means to be “white.” Presentation STFM Medical Education Meeting Anaheim, CA. Feb. 2, 2017.

• Anthony D, Leon SL, White J, Cornicchione M, Joyce J,

GaleWyrick S, Brode E. Four Schools? Experiences with Teaching the National Clerkship Curriculum in a Longitudinal Integrated Clerkship, Presentation STFM Medical Education Meeting Anaheim, CA. Feb. 2, 2017.

• Ramirez IC, Walters OC, Hyatt AJ, Mitchell MS, Slaby AM, Stricker JS, McCracken M, Joyce, J. Improving Access to Mental Health Care for the Homeless Population of Northeast Pennsylvania. (Poster) PA Public Health Association Meeting; Lancaster, PA. April 7, 2016.

Presentations • Regional – Gold Humanism Conference: Social Justice and Healthcare. Invited small-group presenter, Philadelphia, PA. Jan. 7, 2017.

Peer reviewer: manuscripts • June 2006 – present: Peer reviewer for Family Medicine – Innovations in Family Medical Education • August 2002 – present: Peer reviewer for Annals of Family Medicine

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Faculty Forward

Thomas Martin, MD Assistant Chair of Pediatrics Professor of Pediatrics

Publications • Carl RL, Johnson MD, Martin TJ. CR 140204, Promotion of Healthy Weight-Control Practices In Young Athletes.

Pediatrics. American Academy of Pediatrics. 2017.

In athletics, it is important to have the greatest amount of muscle possible with the least amount of fat. This article advises athletes about the

most appropriate way to lose or gain weight to meet their perceived ideal weight.

• Martin TJ. A Modified Approach to Maintenance Fluids of Hospitalized Pediatric Patients. Journal of Clinical Medicine and Therapeutics. Vol. 1 No.1:002. iMedPub Journals. Oct. 31, 2016.

Michelle Schmude, EdD, MBA Associate Dean for Admissions, Enrollment Management and Financial Aid Assistant Professor

Awards/accomplishments

Presentations

• Harvard Macy Institute Program for Educators in

• Schmude M, Adonizio T. Using Technology to Assess Medical Students’ Professionalism. Tabletop session presented at the AAMC NEGSA National Meeting, April 30, 2017. Presented by M. Schmude.

Health Professions, scholar, 2017.

• Macy Grant, “A Multi-Institution Effort to Advance Professionalism and Interprofessional Education with ProfessionalFormation.org,” Geisinger Commonwealth School of Medicine team member (funded).

• Northeast Pennsylvania Area Health Education Center, Board of Directors, 2017.

• 2016 U.S. Search Awards for digital marketing campaign in non-profit category, national winner, 2016.

• 2016 U.S. Search Awards for digital marketing campaign in two categories, national finalist, 2016.

• 2016 Landy Awards for digital marketing campaign, National Finalist, 2016.

• Mirko Widenhorn, EdD Candidate, Department of Education, Wilkes University, dissertation committee member, 2017.

• Meals on Wheels Board of Directors, 2014–present.

• University of New Mexico 9th Annual Mentoring Conference, invited reviewer, 2016.

• AAMC PDI National Meeting, invited facilitator, 2016.

Abstracts • Schmude M, Adonizio T. Leveraging Technology to Promote & Assess Medical Students’ Professional Identity Formation. Harvard Macy Institute Research Day, May 17, 2017.

• Schmude M, Koerwer V. A Case Study in Appreciative Advising for Student Success. University of New Mexico’s 9th Annual Mentoring Conference, Oct. 24–28, 2016.

Posters • Schmude M, Adonizio T. Utilizing an ePortfolio to Promote & Assess Medical Students’ Professional Identity Formation. Presented at the Harvard Macy Institute Research Day, May 17, 2017.

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• Schmude M, Williams C. Assessing and Implementing Change to a Third Year Curriculum: Half LIC and Half Block Format. Tabletop session presented at the AAMC National General Meeting, Nov. 9, 2016. Presented by M. Schmude and C. Williams.

• Schmude M, Koerwer V. A Case Study in Appreciative Advising for Student Success. Session presented at the University of New Mexico’s 9th Annual Mentoring Conference, Oct. 24–28, 2016. Presented by M. Schmude and S. Koerwer.

Other publications, presentations and proceedings • Overview of the Medical School Application Process »» Presenter, Kiwanis Club of Scranton, PA, 2017 • So You Want to Go to Medical School? »» Presenter, Pennsylvania Association of College Admission Counselors Northeast College Fair, 2017 • Interprofessional Case Study: Obesity »» Facilitator, 8th Annual Northeastern/Central Pennsylvania Interprofessional Education Coalition (NECPA IPEC) Collaborative Care Summit, 2017 • Ignite AAMC Conference Follow-Up Session »» Presenter, Geisinger Commonwealth School of Medicine, 2017 • Advising and Mentoring Students Who Want to Attend Medical School »» Presenter, The University of Scranton Office of Career Services, 2016 • Panel of Medical School Admissions Experts »» Presenter, Drexel University’s Master of Biomedical Sciences, 2017

Geisinger Commonwealth School of Medicine

Olapeju Simoyan, MD, MPH, BDS, FAAFP Associate Professor of Family Medicine & Epidemiology

Accomplishments • Taught a class on basic English for the healthcare setting to a group of teenagers from France who are visiting NEPA as part of a cultural and language program.

• Interviewed by WVIA’s Erica Funke for ArtsScene (a local public radio program) — discussion included my recently published photobook (Scranton, A Place to Call Home), Black Diamonds and the connections between medicine and the arts, August 2016.

• Successfully completed my family medicine recertification, November 2016.

• Served as a peer reviewer for the Fulbright Specialist Program.

• Served as a panelist, Prescription Drug Abuse and the Road to Heroin Addiction. Prevention Education Consortium of Northeastern Pennsylvania, Lackawanna College, Scranton, PA, November 2016.

• Attended the annual conference of the Association of Nigerian Physicians in the Americas in Atlanta, June 2017, during which I led a workshop on applying to residency programs and also co-presented on the revitalization of a mission hospital in Nigeria.

• Served as an external examiner, assessing candidates’ research proposals for the MSc program in Child and Adolescent Mental Health, University of Ibadan, Nigeria, 2017.

Mary Lawhon Triano, MSN, CRNP-C Medical Director of the Clinical Skills and Simulation Center Director of Clinical Skills Assistant Professor of Clinical Sciences

Presentations • Assessing the Need for a Palliative Care Service at Wilkes Barre General Hospital: Initial Patient Screening and Survey Results. Lunsford EP, Jarmuz P, Moore C, Kies J, Novick M, Angeli M, Triano M, Coslett DS, Boonin A, Shoemaker M. 2016–2017 Quality Improvement Community Collaborative (QuICC) Project.

medical students. Cathy Buddenhagen Wilcox, Mary Lawhon Triano, Kalman Winston. The Commonwealth Medical College and University of Liverpool Online.

Awards/honors • Leonard Tow Humanism in Medicine Award, March 2017, Faculty Award, The Arnold P. Gold Foundation • Inducted into the Gold Humanism Honor Society

• Poster Presentation IAMSE June 2017: Incremental exercise to develop critical reasoning skills in novice

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Faculty Forward

Gerald Tracy, MD Professor of Medicine

Lackawanna County physician to receive Pennsylvania Medical Society’s Distinguished Service Award for lifetime achievements Written by Chuck Moran, Pennsylvania Medical Society Gerald Tracy, MD, a cardiovascular disease specialist from South Abington Township who is credited for being a medical education visionary, was named the 2017 recipient of the Pennsylvania Medical Society’s Distinguished Service Award.

This award is given by the state medical society to members for lifetime achievements in medicine. Its first recipient in 1956 was Jonas E. Salk, MD, for his achievements in developing the anti-polio vaccine.

Since it was first awarded, PAMED has honored 26 Pennsylvania physicians and two non-physicians.

It is considered the highest award a member can receive from the statewide organization.

A founding member of the Medical Education Development Consortium in 2004, Dr. Tracy along with others foresaw a need in northeast and north-central Pennsylvania for a medical college to help increase the number of practicing physicians in local and nearby communities, as well as to improve patient access to care in the area. This grassroots effort led to the development of The Commonwealth Medical College, now Geisinger Commonwealth School of Medicine, with the first class entering in 2009.

Today, Geisinger Commonwealth is one of the nation’s newest fully accredited medical colleges,

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offering a community-based model of medical education with regional campuses in Scranton, Wilkes-Barre, Williamsport and Sayre. Dr. Tracy “officially” retired in May 2014 from the medical college as the regional associate dean of the North Campus, but continues to work with various departments including the Dean’s Office, Admissions, Institutional Advancement and Student Affairs.

He was nominated for the award by the Lackawanna County Medical Society, and has been a member of the Pennsylvania Medical Society for 40 years.

“Dr. Tracy and other visionaries associated with bringing a medical college to northeastern Pennsylvania demonstrated an innovative way to increase access to care in an area of the state that needed a boost,” says Charles Cutler, MD, president of the Pennsylvania Medical Society. “We are very honored to have Dr. Tracy as a long-time member of our organization.”

The award was formally presented to Dr. Tracy on Oct. 14 during PAMED’s annual House of Delegates meeting in Hershey.

More than 300 physicians, staff, family and guests were in attendance.

Geisinger Commonwealth School of Medicine

Department of Basic Sciences It is truly exciting to be the chair of the Department of Basic Sciences, whose mission includes the delivery of foundational biomedical knowledge to students in the MD and MBS programs, scientific discoveries oriented toward the improvement of healthcare, and fostering an environment in which students can be engaged in biomedical research. As a member of the department for nearly eight years, I am intimately aware of the faculty’s commitment to students and educational programs, to laboratory-based and educationally oriented research and to service to the institution. It is an understatement to say that the Department of Basic Sciences is a cornerstone of continued development and advancement of the institution, especially as the medical school and Geisinger become an integrated enterprise.

Members of the department have been key players in the creation and establishment of the new School of Graduate Studies, as well as the redesign of the masters of biomedical sciences into a program that is much more student-centered than it was in the past. Without a doubt, education is a primary identifier of the department. Not to stand on their laurels, faculty continue to develop contemporary educational strategies to ensure the best possible experience and outcomes for our students.

Assimilation into the Geisinger enterprise is a motivation for the department to be a site where discoveries coming from the MyCode initiative can be advanced to the level of mechanistically oriented improvements in healthcare. Although we cannot predict the future, we intend to move toward it without trepidation.

– David Averill, PhD Chair of the Department of Basic Sciences Professor of Physiology

Presentations • DB Averill, M Cornacchione, M Shoemaker, D Bremer, K Winston. Linking IRAT and GRAT questions through clinical concepts. Presented at the Second Conference for the Institute of Teaching and Learning.

• DB Averill. Clinically relevant application exercises which emphasizes decision-making.

Presented at the Second Conference for the Institute of Teaching and Learning.

Professional development • Innovation ecosystems for leaders:

Delivering sustainable competitive advantage. Massachusetts Institute of Technology, Sloan School of Management.

Proudest moments Initially, I was attracted to The Commonwealth Medical College (now Geisinger Commonwealth School of Medicine) in 2010 because of the challenge offered as a founding faculty member of a newly formed medical school. My early years at the medical school proved that starting a new medical school was more than a challenge; it was an experience like no other that I could have imagined. It reaffirmed a fundamental principle of this country. Great aspirations can lead to great accomplishments in spite of overwhelming odds.

Although this could have been my proudest experience, I was fortunate to be offered a few even greater “proudest moments.” These moments were opportunities to step into an arena of which I had only dreamed. I distinctly remember the day in August 2013 when Dr. Steven Scheinman, president and dean of TCMC, called me into his office to ask me if I would consider taking on the role as interim associate dean of curriculum. The timing of this request was key — the school was within six months of its scheduled site visit to determine full accreditation by the Liaison Committee on Medical Education and the Middle States Commission on Higher Education. The effort leading to two successful site visits was intense, yet incredibly rewarding.

But there was another “proudest moment” to come. It was the day in April 2017 when Dr. William Iobst, vice president for academic affairs and vice dean for medical education, asked me to be the chair of the Department of Basic Sciences.

As a person who little more than 10 years ago thought research in the field of hypertension defined my professional career, I can only express extreme gratitude to the Geisinger Commonwealth School of Medicine for letting me grow personally and professionally.

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Faculty Forward

Proudest moments Jennifer M. Boardman, PhD Assistant Dean for Academic Affairs for Graduate Studies Associate Professor of Microbiology/Immunology

This past academic year marked a significant achievement in the story of graduate education at Geisinger Commonwealth. Our first cohort of Doylestown master of biomedical sciences students received their MBS degrees on Aug. 13. While earning the degree is, of course, the personal accomplishment of each student, building the program they completed to reach their goals was the work of numerous colleagues. The most amazing thing to me about this achievement is that it took us just three months to prepare the Doylestown Campus for our first group of learners.

The work began with Scott Koerwer, EdD, who recognized marketplace demands for more flexible, student-centered graduate programs closely connected to real-world opportunities.

This recognition led to our great fortune in finding a similarly forward-looking partner in the Baruch S. Blumberg Institute (BSBI) at the Pennsylvania Biotechnology Center of Bucks County.

I give BSBI’s Dr. John Kulp tremendous credit for making our new program work in a novel learning arena — the biotech incubator. He was in the trenches, doing everything from managing our students’ learning experiences to onboarding new faculty to technical troubleshooting. Similarly, the Admissions team at Geisinger Commonwealth is to be commended for recruiting the fantastic students who composed our first cohort. The students were ambitious and bright and the proof is in the outcomes. We welcomed one Doylestown graduate to our MD program this fall and another has gone to Temple University to begin a podiatry program.

We have also had significant success with students gaining employment in the biotech industry.

None of this would have been possible without our own devoted Geisinger Commonwealth faculty, as well as the adjunct faculty that came to us through Dr. Kulp’s efforts at the biotech center and a nearby university. I thank all of you for such a successful inaugural year. I look forward to continuing the innovation as we grow the number and type of programs offered at Doylestown.

Patrick Boyd, PhD Professor of Biochemistry

Presentations • Kathleen Doane, Patrick Boyd, Kyle Chapman, Ying-Ju Sung. Requirement of Performance on Assessments Determines Students’ Learning in Anatomy Laboratory.

Poster Presentation. International Association of Medical Science Educators Annual Meeting. Burlington, VT. June 2017.

Kathleen Doane, PhD Professor of Anatomy

Presentations • Kathleen Doane, Patrick Boyd, Kyle Chapman, Ying-Ju Sung. Requirement of Performance on Assessments Determines Students’ Learning in Anatomy Laboratory.

Poster Presentation. International Association of Medical Science Educators Annual Meeting. Burlington, VT. June 2017.

Raj Kumar, PhD Director of Research Professor of Biochemistry

Publications • Khan SH, Jasuja R, Kumar R. Trehalose induces functionally active conformation in the intrinsically disordered N-terminal domain of glucocorticoid receptor. J. Biomol.

Structure Dynamics 35, 2248-2256, 2017.

• Khan SH, Kumar R. Trehalose induced conformational changes in the amyloid-β peptide. Pathol Res Pract. 213, 643-648, 2017.

• Miller AL, Elam WA, Johnson BH, Khan SH, Kumar R, Thompson EB. Restored mutant receptor: corticoid binding in chaperone complexes by trimethylamine N-oxide. PLoS ONE 12, e0174183, 2017.

• Khan SH, Kumar R. A novel mechanism to understand the glucocorticoid receptor’s AF1 activity (abstract).

Endocrine Rev. 38(3s), MON261, 2017.

• Kumar R, Khan SH. Structural and functional consequences of site-specific phosphorylation in the action of glucocorticoid receptor (abstract). Endocrine Rev. 38(3s), MON262, 2017.

• Kumar R. Gene Regulation by the Steroid Hormone Receptors: New Promises and Challenges for Therapeutic

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Geisinger Commonwealth School of Medicine

Endocrine Rev. 37(2s), FRI-225, 2016.

Targeting. Biomed Genet Genomics 1(5), 1-3, 2016 • Kumar R. Steroid hormone receptors and prostate cancer: Role of structural dynamics in therapeutic targeting. Asian J Androl. 18, 682-686, 2016.

• Garza AS, Kumar R. Role of Site-Specific Phosphorylation in the Action of Glucocorticoid Receptor (abstract).

Endocrine Rev. 37(2s), OR06-5, 2016.

• Kumar R. A novel therapeutic target for triple negative breast cancer. Biomed Genet Genomics 1(1), 1-2, 2016.

• Miller AL, Johnson BH, Kumar R, Thompson EB. A Naturally Occurring Molecule Restores GlucocorticoidSensitivity in Steroid-Resistant Leukemic Cells (abstract). Endocrine Rev. 37(2s), SUN-084, 2016.

• Khan SH, Kumar R. A Potential Mechanism for Isoform Specific Glucocorticoid Receptor Activity.

Proudest moments Darina Lazarova, PhD Director of Master of Biomedical Sciences Program Associate Professor of Molecular Biology

This year, our master’s in biomedical sciences (MBS) program matriculates its ninth class. In the past eight years, the successful outcomes of the program have been attributed to the talented and inspirational Geisinger Commonwealth faculty and staff, and the dedicated effort of more than 300 students.

I am taking the role of program director at a time when the school is aligning the MBS program outcomes with new trends in higher education and evolving job-market requirements.

Proudest moments William McLaughlin, PhD Associate Professor of Computational Biology

I completed work to map disease and functional descriptions of protein structures as part of a Structural Biology Knowledgebase project, which was funded by the National Institute of General Medical Sciences.

My laboratory was able to unify the data integration programs across the multiple sites of the research consortium into a standalone platform that is maintained at the Geisinger Commonwealth School of Medicine. Access to the information is through the KB-Rank search engine, protein. tcmc.edu/KB-Rank/, via the visualization tool, protein.tcmc.edu/Charts/index.jsp.

Such alignment will allow our students to: a) become lifelong learners; b) acquire the foundational knowledge that makes them competitive in any academic environment; c) develop critical analytical skills; and d) gain actionable knowledge that secures employment in an increasingly competitive job market. I would like to thank the team dedicated to building the Geisinger Commonwealth School of Graduate Studies for inviting me to contribute to the exciting MBS program redesign. The team is currently led by Drs. Koerwer, Sutzko and Boardman, and it will continuously engage more of our faculty and staff in order to provide unique graduate education experiences to the students.

Jun Ling, PhD Associate Professor of Molecular Biology

Publications • Ling J, Brey C, Schilling M, Lateef F, Lopez-Dee ZP, Fernandes K, Thiruchelvam K, Wang Y, Chandel K, Rau K, Parhar R, Al-Mohanna F, Gaugler R, Hashmi S. (2017). Defective lipid metabolism associated with mutation in klf-2 and klf-3: important roles of essential dietary salts in fat storage. Nutrition and Metabolism. 14:22 DOI 10.1186/s12986-017-0172-8.

• Ling J, Lopez-Dee ZP, Cottell C*, Wolfe L*, Nye D**.

(2016). Regulation of mRNA Translation is a Novel Mechanism for Phthalate Toxicity. PLoS ONE. 11(12): e0167914. doi:10.1371/journal. pone.0167914. *Marywood University student **Wilkes University student

Presentations • Oral presentation: Glucocorticoid signaling is a molecular mechanism underlying the heterogeneity of different subtypes of breast cancer. 2nd World Congress on Breast Cancer, September 2016, Phoenix, AZ. 29

Faculty Forward

Brian J. Piper, PhD, MS Assistant Professor of Neuroscience

Publications • Piper B, Beals M, Abess A, Nichols S, Martin M, Cobb C, DeKeuster R. (in press). Chronic pain patients’ perspectives of medical cannabis. Pain.

• Piper B, Desrosiers C, Fisher H, McCall K, Nichols S. (in press).

A new tool to tackle the opioid epidemic: Description, utility and results from the Maine Diversion Alert Program. Pharmacotherapy.

• Piper B, DeKeuster R, Cobb C, Burchman C, Perkinson L, Lynn S, Nichols S, Abess A. (2017).

Substitution of medical cannabis for pharmaceutical agents for pain, anxiety, and sleep. Journal of Psychopharmacology, 31(5):569–575.

• Piper B, Meyer J. (2017).

Developmental neurotoxicology of abused drugs. In Reproductive & Developmental Toxicology (2nd edition, Edited by Ramesh C. Gupta), pp. 413–429, Elsevier: Amsterdam.

Ying-Ju Sung, PhD Director of Anatomical Services Professor of Anatomy

Publications • Sung YJ, Sofoluke N, Nkamany M, Deng S, Xie Y, Greenwood J, Farid R, Landry DW, Ambron RT. (2017). A novel inhibitor of active protein kinase G attenuates chronic inflammatory and osteoarthritic pain. Pain, 158(5):822-832.

Presentations • Kathleen Doane, Patrick Boyd, Kyle Chapman, Ying-Ju Sung.

Requirement of Performance on Assessments Determines Students’ Learning in Anatomy Laboratory.

Poster Presentation. International Association of Medical Science Educators Annual Meeting.

Burlington, VT. June 2017.

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John L. Szarek, PhD, CHSE Professor and Director of Clinical Pharmacology Education Director for Simulation

Presentations • Szarek JL. University of Vermont College of Medicine Teaching Academy presentation – Active Learning 2.0: The Flipped Course. Burlington VT, April 2016.

• Szarek JL, Swiderski D, Charles S. Society for Simulation in Healthcare: CHSE Readiness Review Course. Greenville, SC, August 2016; Philadelphia, PA, September 2016; Orlando, FL, January 2017.

• Szarek JL. Focused Discussion: Interprofessional education as a means to enhance collaboration and promote effective team-based healthcare.

Association of American Medical Colleges (AAMC), Seattle, WA, November 2016.

• Szarek JL, Callender D, Gnecco S, Sheakley M. Strategies for implementing simulation in preclinical medical education: Experience from three schools. International Meeting for Simulation in Healthcare (IMSH), Orlando, FL, January 2017.

• Reed T, Dong C, Szarek JL. Using the flipped classroom model in healthcare simulation.

International Meeting for Simulation in Healthcare (IMSH), Orlando, FL, January 2017.

• Szarek JL. Webinar #11: IUPHAR Web Resources – Simplifying Complexity for Medicine and Education: The Pharmacology Education Project. International Council for Science World Data System, February 2017.

• Szarek JL. IUPHAR Pharmacology Education Project- Development, Structure and Future.

Experimental Biology, Chicago, IL, April 2017.

• Kozmenko V, Bye EJ, Szarek JL, Waite GN, Burns C, Kuperschmidt S, AbouSmara H. When is the best time to introduce interprofessional education in the health professions curriculum?

International Association of Medical Science Educators (IAMSE), Burlington, VT, June 2017.

• Sheakley M, Callender D, Waite GN, Szarek JL. Using simulation to enhance learning and retention of basic science concepts. International Association of Medical Science Educators (IAMSE), Burlington, VT, June 2017.

Honors/awards • ASPET Division of Pharmacology Education Symposium: Delivering Innovative Solutions in Pharmacology Education: Leveraging Web-Based Technologies. Szarek JL, Maxwell S, cochairs.

Experimental Biology 2017, Chicago, IL. • AAMC Council of Faculty and Academic Societies (CFAS) and Organization of Resident Representatives (ORR) Spring Meeting. Szarek JL. Society representative representing the American Association for Pharmacology and Experimental Therapeutics (ASPET).

Geisinger Commonwealth School of Medicine

Proudest moments Gabi N. Waite, PhD

Books

Professor of Physiology and Immunology

• Waite GN and Sheakley MS. Integrated Medical Physiology, USMLE Test Prep. Thieme Medical Publishers. New York, Stuttgart, 2017.

To successfully prepare for the medical profession, medical students must be able to synthesize physiological concepts and principles, and must possess the ability to apply those concepts and principles to healthy and diseased patients. This requires the ability to integrate basic and clinical science information, such as understanding how the Frank Starling principle applies to cardiac resuscitation, and how gastrointestinal physiology can aid in choosing the best diet for a patient.

To assist students in this task, I am publishing a new book, Thieme Test Prep for the USMLE: Medical Physiology, which is scheduled to be available in print in fall 2017. It contains more than 750 USMLE®-style multiple-choice questions and detailed explanations of physiology and pathophysiology solutions and is coedited by Maria Sheakley, PhD, from Western Michigan University Homer Stryker MD School of Medicine. Dr. David Averill and Dr. Brian Wilcox from our school have contributed by reviewing book sections.

A primary goal of my book is to provide examples of synthesis, integration and application of physiological concepts in clinical situations, using a format similar to the USMLE exam format. Hence, I have incorporated examples of high-yield, classroom-tested concepts into challenging multiple-choice questions that emphasize the thought process used to derive the correct answer.

Test Prep is my third book, adding to a list which includes the undergraduate textbook Cell and Molecular Biology for Engineers and Clinical Science: Laboratory and Problem Solving, a laboratory teaching book. I have published 13 book chapters and more than 55 peer-reviewed papers in teaching and research journals around the world.

I am very proud to have joined Geisinger Commonwealth in August 2016, and have discovered a wonderful cadre of friends and colleagues.

The special combination of friends, colleagues, facilities and opportunities that exist at Geisinger Commonwealth has allowed me to pursue my goal of positively impacting the next generation of Geisinger Commonwealth students and physicians, as well as the people in our community.

Papers • Panta M, Cox JH III, Gurovich A, Geib RW, Alakhdhair S, Rahmatullah A, Waite GN. Use of wearable technology in monitoring heart rate variability during mind-body exercise (tai chi). Biomedical Science Instrumentation 52, pp. 278–283, 2016.

• Cox JH III, Balcavage WX, Panta M, Geib RW, Oggero E, Waite GN. Heart rate variability during sitting, standing, and treadmill exercise: A case study.

Biomedical Science Instrumentation 53, 2017.

• Noone P, Pagnacco Gl, Carrick FR, Keiser N, Wright CHG, Waite GN, Oggero E. Using posturography in a practicebased setting to investigate the effect of saccades in healthy subjects. Biomedical Science Instrumentation 53, 2017.

• Danek R, Berlin K, Waite GN, Geib R. Perceptions of nutrition education in the current medical school curriculum, accepted for publication in Family Medicine, May 2017.

Abstracts • Sheakley M, Callender D, Waite GN, Szarek JL. Using simulation to enhance learning and retention of basic science concepts. 21st annual meeting, International Association of Medical Science Educators (IAMSE), Burlington, VT, June 2017.

• Kozmenko V, Burns C, Szarek J, Bye E, AbouSamra HR, Waite GN. Determining the optimal time window for introducing interprofessional education into the health professions curriculum. 21st annual meeting, International Association of Medical Science Educators (IAMSE), Burlington, VT, June 2017

Posters • Waite GN, Balcavage WX, McLaughlin WA, Allen V, Lyshkow H, Averill D. Heart Rate Variability, Cardiometabolic and lifestyle marker with implications for medical treatment and public health. 1st Annual Faculty Research Symposium, Geisinger Commonwealth, Scranton, PA, December 2016.

• Lyshkow H, Balcavage WX, Lyshkow E, Waite GN. Advancing healthcare through big data analytics.

54th International ISA Biomedical Sciences Instrumentation Symposium, Rocky Mountain Bioengineering Society, Denver, CO, March 2017.

Awards • Honors in recognition for dedication to the mission of Indiana University School of Medicine – Terre Haute, Board of Trustees, June 2016.

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Faculty Forward

Alumni research news Daniel Baldoni, MD ’17 Daniel Baldoni, MD, just graduated with Geisinger Commonwealth School of Medicine’s Class of 2017, but even as he launches his career as a healer, it won’t begin with residency training. Dr. Baldoni, who has long been fascinated by neuro-electrical circuitry and neuromodulation, has taken a position as a research scientist with Nevro, a medical device company headquartered in Redwood City, Calif. Dr. Baldoni’s research will help develop technologies that alleviate the suffering of people with chronic pain and other neurologic conditions.

“This is where everything that I love — electronics, biology and medicine — meets,” he said. The neuromodulation research he will conduct may lead to such miracles as helping the blind to see and curing autoimmune diseases. Initially, however, he will focus on chronic pain.

His decision to devote himself to research began with work he did in the laboratory of Mark Wu, MD, PhD, at Johns Hopkins — work that is detailed in a paper published in the May 5 edition of Science, entitled “Branchspecific plasticity of a bifunctional dopamine circuit encodes protein hunger.” In the paper, the researchers discuss identifying a “dopamine circuit that encodes proteinspecific hunger in Drosophila (fruit flies). They found that the activity of two specific neurons increased after substantial protein deprivation.

Activation of this circuit simultaneously promoted protein intake and restricted sugar consumption.” In layman’s terms, Dr. Baldoni said researchers “basically activated the Atkins diet” in fruit flies, which could point to neuromodulation therapies to address obesity.

Dr. Baldoni said he was exhilarated by his experience at Johns Hopkins. “Fruit flies are complex enough — they sleep, court and can be aggressive — that research with them has implications for humans, yet they are simple enough that we can pinpoint their neurons and even begin to build a wiring diagram of their neuro circuitry,” he said. He explained that fruit flies’ simplicity lies in the fact that they have 100,000 neurons. People have 100 billion.

Studying the complex dance between chemical sensory input and behavior

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so captivated Dr. Baldoni that he began to seriously consider a career in research rather than medicine. His next lab experience sealed his decision.

During research rotations in his third and fourth year at Geisinger Commonwealth, Dr. Baldoni engaged with researchers at the Janelia Research Campus of the Howard Hughes Medical Institute in Ashburn, Va. He worked with the lab of Davi Bock, PhD, whose work is devoted to creating anatomical “wiring” diagrams of neurons in an effort to create the complete fruit fly “connectome.” In the same way a genome is a complete map of genetics, a connectome is a complete map of neural connections that is determined by both genetics and environmental conditions. Dr. Bock is using the simpler neural circuitry of fruit flies to build diagrams that show the precise neuron path between external stimulus and brain. In the past, scientists believed these paths had a more random nature, with input traveling any path it found conducive at the time.

Now, however, data suggest the path is quite deliberate and thus can be diagrammed. If the Bock lab is able to complete the connectome, the implications for neuroscience are vast.

During his time at Janelia, Dr. Baldoni traced out neural pathways associated with olfactory memory and postulated their mechanism based on the wiring diagrams. He said, “The brain seems to work to not simply learn what smells are good or bad, but to learn which bad smells should be tolerated because there is more good fragrance than bad in a given mixture.” It was enough to persuade him that “neuroscience and neuromodulation is where I want to be,” he said.

“I am so glad I went to medical school,” he said.

“It gives me a different point of view. I know how neurosurgeons use devices — I can speak that language. That gives me better insights and it makes me stand out. I can take that MD perspective on research anywhere I go.”

Geisinger Commonwealth School of Medicine

Faculty Council

Faculty awards

2016–2017

Master of Biomedical Sciences (MBS) Class of 2017

Faculty Council Chair Patrick Boyd, PhD Faculty Council Vice Chair John Arnott, PhD Faculty Council Secretary William McLaughlin, PhD

2017–2018

MBS-Scranton Professor of the Year for Fall 2016

Faculty Council Chair John Arnott, PhD

Gregory A. Shanower, PhD

Faculty Council Vice Chair Anthony Gillott, MD

Assistant Professor of Molecular Biology

Faculty Council Secretary William McLaughlin, PhD

Faculty promotions Jennifer Boardman, PhD, associate professor of microbiology/ immunology, took on the additional role of assistant dean for academic affairs for graduate studies.

MBS-Scranton Professor of the Year for Spring 2017 Youngjin Cho, PhD Assistant Professor of Cell Biology

Jun Ling, PhD, has been promoted to the rank of associate professor of molecular biology in the Department of Basic Sciences.

MBS-Doylestown Distinguished Faculty Award 2017 John Kulp lll, PhD

Ying-Ju Sung, PhD, has been promoted to the rank of full professor of gross anatomy in the Department of Basic Sciences.

Regional Assistant Dean for Doylestown Campus Associate Professor and Director of Academic Affairs at Baruch S. Blumberg Institute Chief Executive Officer of Conifer Point Pharmaceuticals

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Faculty Forward

Doctor of Medicine (MD) Class of 2017

Professor of the Year for South Geisinger Region Anja Landis, MD Assistant Professor of Family Medicine

Professor of the Year for MD Class of 2020 Abhishek Yadav, MBBS, MSc Associate Professor of Anatomy

Professor of the Year for West Campus Margrit Shoemaker, MD Director of Clinical Competencies Assistant Chair of Internal Medicine Assistant Professor of Medicine

Professor of the Year for Guthrie Campus Thomas VanderMeer, MD Associate Regional Dean for Guthrie Campus Professor of Surgery

Most Valuable Professor Professor of the Year for MD Class of 2019 Carmine Cerra, MD

Awarded to the professor who has contributed most significantly to our education over the last four years.

William Zehring, PhD Professor of Biochemistry

Associate Professor of Pathology

The Oracle Award Professor of the Year for North Campus Harold Davis, MD Regional Education Coordinator of OB/GYN, North Campus Associate Professor of OB/GYN

Professor of the Year for Pocono Musa Tangoren, MD Associate Professor of Surgery

Professor of the Year for South Campus Juan DeRojas, MD Assistant Professor of Surgery 34

Awarded to someone from ancient times (first year or second year) whose wise words you still remember during discussions on rounds.

Patrick Coughlin, PhD Professor of Anatomy

Geisinger Commonwealth School of Medicine

Outstanding Faculty Mentor Awards Presented to a Geisinger Commonwealth volunteer community-based faculty physician who exemplifies the qualities of a caring and compassionate mentor in the teaching and advising of medical students.

North: Glen Digwood, DO, Assistant Professor of Internal Medicine South: John Citti, MD, Regional Education Coordinator of Medicine for South Campus and Assistant Professor of Medicine, and John Brady, DO, Associate Professor of Medicine West: Joseph DeMay, MD, FAAP, Regional Education Coordinator of Pediatrics for West Campus and Assistant Professor of Pediatrics Guthrie: Donald Phykitt, DO, Regional Education Coordinator of Family Medicine for Guthrie Campus and Assistant Professor of Family Medicine

Mark Miller Faculty Award Presented to a Geisinger Commonwealth faculty member who has exhibited excellence in faculty/student relations by connecting with students in and out of the classroom while being an excellent teacher.

Brian Wilcox, MD, PhD Associate Professor of Obstetrics and Gynecology

Leonard Tow Humanism in Medicine Faculty Award Selected based on the rules of the Gold Humanism Society.

Shubhra Shetty, MD, FACP Associate Regional Dean for North Campus Professor of Medicine

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Faculty Forward

New leadership Harry Wollman, MD Interim Senior Associate Dean for Undergraduate Medical Education

Harry Wollman, MD has accepted the position of interim senior associate dean for undergraduate medical education and began his duties on July 17. This is a new position created to strengthen the leadership team’s ability to manage our now much-larger array of academic and training programs.

In this role, Dr. Wollman will oversee functions central to undergraduate medical education and research, reporting to William F. Iobst, MD, vice president for academic affairs and vice dean for medical education.

Dr. Wollman was professor of anesthesiology and pharmacology at the University of Pennsylvania, where he served as chair of the Department of Anesthesiology and was the founding president of Penn’s faculty practice plan.

He went on to become senior vice president, chief academic officer and dean of the School of Medicine at Hahnemann University. He held leadership positions at the National Institutes of Health, the National Academy of Sciences and the Association of University Anesthetists. He has served on

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the editorial board of Anesthesiology, as president of the Pennsylvania Society of Anesthesiologists, as president of the Society of Academic Anesthesia Chairmen and on the advisory board of the American Dental Society of Anesthesiology. He is part of the consulting and executive search firm of Alexander, Wollman and Stark.

Dr. Wollman received his doctor of medicine degree from Harvard Medical School, followed by an internship at The University of Chicago. He went on to residency in the Department of Anesthesia at the University of Pennsylvania School of Medicine, completing two years of clinical training and two years of research training in the Department of Pharmacology.

Dr. Wollman will manage a number of areas that relate to medical education, clinical affairs and research. Direct reports tentatively scheduled to report to the senior associate dean include the following: • Associate dean for student affairs • Associate dean for curriculum • Associate dean for research • Chair of the Department of Clinical Sciences • Chair of the Department of Basic Sciences • Regional associate deans

Geisinger Commonwealth School of Medicine

Nicole Woll, PhD, MEd Associate Dean for Faculty Development and Continuing Professional Development

Nicole Woll, PhD, MEd, is the associate dean and vice president for faculty and continuing professional development at Geisinger Commonwealth and is an assistant professor at Temple University School of Medicine. Dr. Woll oversees activities within the Center for Continuing Professional Development and is engaged in the Geisinger integrated curriculum, as well as in faculty development efforts. She received a

BS from Bucknell University and completed her PhD at The Pennsylvania State University College of Medicine. She also earned her master’s in education from the University of Illinois. She has a focus on communication competencies, educational research and providing research training opportunities to the clinician investigator, with her own research interests in emotional intelligence.

Michelle Thompson, MD Associate Dean for Graduate Medical Education

Michelle Thompson, MD, is the associate dean of graduate medical education at Geisinger Commonwealth and serves as the designated institutional official at Geisinger. Dr. Thompson has led innovations in medical education curriculum at Geisinger for the last decade, focusing on teaching students, residents and practicing physicians about improving the quality of care. She came to Pennsylvania from North Carolina after completing

her BS at University of North Carolina at Chapel Hill and her MD at the Brody School of Medicine at East Carolina University. After completing a combined internal medicine-pediatrics residency program at Geisinger, she served as chief resident for the internal medicine residency and joined the faculty in pediatrics and medicine.

Vicki T. Sapp, PhD Director of Student Engagement, Diversity and Inclusion Assistant Professor

Vicki T. Sapp, PhD has been named director of student engagement, diversity and inclusion for student affairs and assistant professor in the Department of Clinical Sciences at Geisinger Commonwealth. In her new positions, she will develop programming and support services, as well as offer instruction to promote cultural competency and student leadership among

Geisinger Commonwealth graduate and medical degree students. In addition, she will serve as an academic advisor for medical students. She will also serve as the advisor to the school’s medical student council and work closely with clubs and organizations to promote leadership and diversity and inclusion.

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Faculty Forward

News Geisinger integration

This Community’s Medical College “ Nothing more closely resembles a monastery — lost in the countryside, walled, and flanked by alien barbarian hordes, inhabited by monks who have nothing to do with the world and devote themselves to their private researches — than an American university campus.”

— Author and philosopher Umberto Eco in his book Travels in Hyperreality

In an eerily prescient 1995 work, a SUNY Oneonta philosophy professor wrote an essay on what he believed to be a crisis in modern universities — they have become bastions for an elite who talk to each other but fail to connect to the wider community. His essay compared today’s universities to the cloistered monasteries of the early middle ages when, in fact, they should resemble the communityoriented universities founded in the high middle ages.

Achim Köddermann, PhD, describes those universities, notably at Paris and Bologna, as places where people with a minimal set of academic credentials could argue points with the august administrators. Instead of defending a thesis to a group of academics, students were required to deliver a “summa” of their work in plain language the whole community could understand. These universities were the vibrant

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centers of their cities, their doors thrown open to anyone who proposed a solution to the issues and problems of the community at large. In this sense, Geisinger Commonwealth School of Medicine can claim medieval kinship.

The medical school has always prized community. Its regional campus model and its community faculty, so instrumental to teaching students unparalleled patient care, have been the school’s hallmarks. Since its integration with Geisinger, however, Geisinger Commonwealth has embarked on an ambitious plan to grow and will create a medical university with community well-being at its beating heart.

Steven J. Scheinman, MD, Geisinger Commonwealth president and dean, explains the idea, saying, “The medical university concept means that, in addition to the School of

Geisinger Commonwealth School of Medicine

Medicine, there will be other schools under the Geisinger Commonwealth umbrella. Our vision is to educate not just doctors, but a wide array of other professionals who, as members of a team, will gain the skills necessary to discern the social risk factors of health distinctly prevalent in northeastern and central Pennsylvania — but relevant universally — and bring their unique expertise to bear on finding solutions.”

Moreover, Dr. Scheinman says, Geisinger Commonwealth will be a university that lives not in a hallowed hall, but everywhere in the community, from the clinic to social service agencies which have for years worked in the trenches on issues vital to population health.

The School of Medicine has already done this to great effect.

William F. Iobst, MD, FACP, vice president for academic affairs and vice dean for medical education, points to School of Medicine curricular requirements like the Longitudinal Community Health Intervention Project (L-CHIP). The L-CHIP

gives students the opportunity to work in small groups with a course instructor and one or more community organizations and participate in a multisite, multiyear project aimed at improving the health of the local communities.

Dr. Iobst also cites the Family-Centered Experience program, where students are matched with a family coping with a chronic illness. “Illness and disease don’t occur in a vacuum. In fact, many chronic diseases arise specifically from a confluence of genetics and social risk factors — things like where you live, your cultural influences and barriers to care. Our students get experiences that put them directly in contact with this reality,” Dr. Iobst says. “As we grow into a medical university, nurses and graduate students will be immersed in community this way, as well.”

(continued on page 40)

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Faculty Forward

curriculum. Scott Koerwer, EdD, who now serves as vice president for strategy, planning and communication, will also serve as the school’s dean. He says graduate students pursuing a degree in population health, for example, will be required to develop a workable program for solving an issue of direct concern to northeast and central Pennsylvanians.

Once a student learns how to foster partnerships to effect community change, those skills transfer anywhere in the country or around the world.

To help with the requirement, community stakeholders, including social service agencies, will play a central role in student instruction. “Our community is brimming with experts outside the realm of medicine — people who run homeless shelters, shelters for victims of domestic abuse, food pantries — who have unique and valuable insights. Bringing their depth and breadth of knowledge to our curriculum is a vital component in the way Geisinger Commonwealth will educate the healthcare teams of the future. Our new graduate programs will be grounded in the most pressing healthcare challenges in our communities, and they will serve as not only an arena for education, but also the foundation of workforce development.”

The philosopher, Dr. Köddermann, pointed out in his essay that the medieval university’s authority “was not founded solely on knowledge, but on the capacity of the university to build a bridge between knowledge and the needs of society.”

Geisinger Commonwealth recognizes its obligation, not just to be that bridge, but to encourage the community itself to actively construct and maintain it.

(continued from page 39)

Geisinger Commonwealth’s Regional Education Academy for Careers in Health – Higher Education Initiative (REACH-HEI) is one of the school’s earliest community outreach initiatives and among its most successful. Of her growing number of REACHHEI students, Ida L. Castro, JD, vice president for community engagement and chief diversity officer, says, “We’re trying to enrich the educational experiences of our low-income and first-generation-tocollege students and make them continue to fall in love with learning, and particularly with life sciences and careers in health and medicine.”

Geisinger Commonwealth’s new School of Graduate Studies is a good example of how community informs

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This community’s medical college takes the message of Dr. Köddermann quite seriously. Founded by and for the community, the school is embarking upon the kind of changes in its program that will transform how student success is measured in traditional master’s degree programs. By evolving from emphasis on test scores to assessment of impact on specific community health challenges, Geisinger Commonwealth is poised to change why students enroll in programs. When students can work within a community to find collaborative solutions, they can take what they’ve learned and apply those skills anywhere.

“ How can we assume equal responsibility in a society which bases its decisions on the findings of an elite of experts?”

— “ Why the Medieval Idea of a Community-Oriented University is Still Modern,” Achim Köddermann, Educational Change (Spring 1995)

Geisinger Commonwealth School of Medicine

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Faculty Forward

Graduate medical education Written by Michelle Thompson, MD, Associate Dean for Graduate Medical Education The mission of graduate medical education (GME) is to enhance the Geisinger family, the region and the nation with professionals focused on the patient experience; and to prepare competent health professionals to partner with each other, as well as with patients, families and communities to co-create and implement compassionate, collaborative care.

GME leverages Geisinger’s resources to create a culture of innovation that trains professionals to be practice-ready upon graduation. To achieve this goal, experiences reflecting new and evolving competencies — such as care coordination, patient safety, quality improvement, high-value care, interprofessional teamwork, genomics, population health and

health information technology — are integrated into existing curricula. GME focuses on interdisciplinary learning and interprofessional team-based education to promote patient safety, quality of care and provider wellness.

Geisinger sponsors accredited GME programs with the Accreditation Council for Graduate Medical Education (ACGME), the American Osteopathic Association, the Commission on Dental Accreditation, the Council on Podiatric Medical Education, the American Psychological Association and the American Board of Radiology. Currently, there are 23 accredited residencies and 21 accredited fellowships, encompassing 375 residents and 71 fellows.

Residencies include:

Fellowships include:

• Anesthesiology • Clinical Psychology • Dermatology • Emergency Medicine • Family Medicine – GWV • General Surgery – GMC • General Surgery – GWV • Internal Medicine • Medicine – Pediatrics • Neurology • Neurosurgery • Obstetrics/Gynecology • Ophthalmology • Oral & Maxillofacial Surgery • Orthopaedic Surgery • Otolaryngology • Pathology • Pediatrics • Pediatric Dentistry • Podiatry • Psychiatry • Radiology • Urology

• Cardiovascular Medicine • Clinical Cardiac Electrophysiology • Clinical Informatics • Critical Care • Cytopathology • Dermatopathology • Gastroenterology • Interventional Cardiology • Maternal-Fetal Medicine • Medical Physics • Nephrology • Palliative Medicine

• PM&R • Micrographic Surgery & Dermatology Oncology • Pulmonary Critical Care • Rheumatology • Sports Medicine – GMC • Sports Medicine – GWV • Transitional year • Vascular & Interventional Radiology • Vascular Surgery

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Geisinger Commonwealth School of Medicine

“ In the upcoming academic year, the Office of Graduate Medical Education is developing a five to 10-year strategic plan whose intent is to ensure that our residency and fellowship training programs will meet the present and future healthcare needs of the communities we serve.”

— J amie (Resseguie) Arsenyevictz, MPH, Manager of Graduate Medical Education

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Faculty Forward

(continued from page 42)

The majority of these programs are located at Geisinger Medical Center in Danville, with an additional three programs at Geisinger Wyoming Valley Medical Center (GWV) in Wilkes-Barre and one program at Geisinger Community Medical Center (GCMC) in Scranton. While the programs are based at three different hospitals, the residents and fellows have the opportunity to do rotations at several of the other hospitals and clinics within Geisinger, such as Geisinger Bloomsburg Hospital, Geisinger Lewistown Hospital, Geisinger Gray’s Woods and Geisinger Holy Spirit. Geisinger’s Graduate Medical Education Council (GMEC) also provides oversight of non-accredited (also known as nonstandard) fellowships, which includes Addiction Medicine, Advanced Cardiac Imaging, Advanced Endoscopy, GWV Hospitalist Medicine, GWV Transition to Advanced Practice for Hospitalists in Critical Care Medicine, Minimally Invasive Surgery, Neuropsychology, Obesity Medicine & Nutrition Support, Orthopaedic Trauma Research, Point of Care Ultrasound, Psychology Fellowship and Spine Fellowship.

Along with a robust clinical training experience, Geisinger residents and fellows are also exposed to an institutional integrated curriculum and simulation experience. The institutional curriculum is designed to provide educational activities for residents and fellows to develop their ongoing skills in professionalism, interpersonal and communication skills, systemsbased practice and practice-based learning and improvement. Examples of institutional courses are Relationship-Centered Communication, Appreciative Coaching, Fundamentals of Research and Bioethics.

Residents and fellows gain experience in simulation through the utilization of our Geisinger Education and Medical Simulation (GEMS)

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Program. The GEMS Center was designed to provide a comprehensive program of clinical skills education and assessment. This includes such things as standardized patients, task trainers, high-fidelity simulations, web-based modules and workshops for medical students, residents, attending physicians, advanced practitioners, nurses, respiratory therapists and other members of the healthcare team. The GEMS Center promotes clinical skills activities that support and enhance interprofessional and interdisciplinary teamwork, educational accreditation, maintenance of certification and patient safety and quality of care initiatives.

These initiatives integrate simulation to effectively train and objectively assess applied knowledge, adequacy of skills and level of competence.

The GEMS Center has a strong role in developing individualized programs for simulation and standardized patients. Several of the current high fidelity simulation programs involve residents from internal medicine, medicine pediatrics and OB/GYN. The center recently held a Neurology Stroke Alert Simulation Program, in which neurology residents used standardized patients to go through scenarios involving ischemic stroke, intracranial hemorrhage and status epilepticus. Postpartum hemorrhage, seizure and shoulder dystocia are some of the scenarios our high-fidelity mannequin (SimMom) recently simulated, with help from our simulation technician, for the OB/GYN nurses at Geisinger Bloomsburg Hospital.

GME has continued to grow as the health system expands. Five new programs have been added in the last three years and an additional four new programs are projected to open over the next two years.

Geisinger Commonwealth School of Medicine

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New GME programs: Psychiatry – Started in 2015, graduating first class in 2019 Clinical Informatics – Started in 2016, graduating first class in 2018 Oral and Maxillofacial Surgery – Started in 2016, graduating first class in 2020 Sports Medicine (Pediatrics) – Started in 2017, graduating first class in 2018 Pathology – Starts in 2018, graduating first class in 2022

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Anticipated GME growth: Physical Medicine & Rehabilitation – ACGME-approved Transitional year – GMEC-approved, application to be submitted fall 2017 Family Medicine Lewistown Hospital – GMEC-approved, application to be submitted in fall 2017 Integrated IR/DR Residency – GMECapproved, have both but newer pathway is integrated training, application to be submitted in fall 2017

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GME had 168 new residents and fellows start in July 2017 with 89 coming from allopathic schools, 56 coming from osteopathic schools and 23 coming from other types of training programs (e.g., dentistry, medical physics, clinical psychology). Forty-six percent of our AY2018 incoming house staff came from a Pennsylvania medical school or residency program or were residing in the state. Of our 2017 graduates, 36 percent remained in Pennsylvania and 23 percent stayed within Geisinger. In 2017, approximately 56 percent of the graduates entered into practice and approximately 44 percent went on to pursue fellowship programs.

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Faculty Forward

School of Graduate Studies Geisinger Commonwealth School of Medicine has launched new School of Graduate Studies Building upon its vision to create a university for health sciences, Geisinger Commonwealth School of Medicine has launched its new School of Graduate Studies. The master of biomedical sciences (MBS) program, which has graduated 410 students since 2009, serves as the cornerstone of the school. Additional degrees in areas including informatics, genomics and population health are under development and will soon follow. The school will also house administration of joint degrees with academic partners in the region, including The University of Scranton and the Baruch S. Blumberg Institute (BSBI) in Doylestown, where Geisinger Commonwealth and BSBI offer a novel delivery of the MBS program at the Pennsylvania Biotechnology Center.

“When the School of Medicine integrated with Geisinger, the strategic intent was to offer a range of new degree programs built upon Geisinger’s unique research and systems strengths,” said Steven J. Scheinman, MD, Geisinger Commonwealth president and dean and chief academic officer of Geisinger. “Our new School of Graduate Studies is the first step in that direction and I am pleased to announce that Scott Koerwer, EdD will oversee the new school as vice dean for graduate studies. Under his leadership, our master of biomedical sciences program has been redesigned to accommodate a broader array of students with varied professional goals. I am confident his vision, energy and drive will make the Geisinger Commonwealth School of Graduate Studies the first choice for students seeking instruction that is both excellent and relevant to the health careers of the future.”

partnerships with other institutions of higher learning and with local social service agencies. In this way, the School of Graduate Studies intends to encourage community to inform curriculum. Students pursuing a degree in population health, for example, will be required to develop a workable program for solving an issue of direct concern to northeast and central Pennsylvanians. Once a student learns how to foster partnerships to effect community change, those skills transfer anywhere in the country or around the world.

To help with the requirement, community stakeholders, including social service agencies, will play a central role in student instruction. The idea is to consult the people who run homeless shelters, shelters for victims of domestic abuse, and food pantries, and to bring their depth and breadth of knowledge to our curriculum. Our new graduate programs will be grounded in the most pressing healthcare challenges in our communities and they will serve not only as an arena for education, but also as the foundation of workforce development.

Geisinger Commonwealth marked this milestone in its growth with a celebration on Sept. 8.

Dr. Koerwer, who also serves as Geisinger Commonwealth’s vice president for strategy, planning and communication, said the new School of Graduate Studies will make the community its classrooms. Students will be required to consider community health needs and to engage with community partners when pursuing graduate studies in biomedical sciences, population health or any number of other degree programs that will be built around Geisinger’s intellectual and technological prowess.

The School of Graduate Studies intends to engage the community in a variety of ways, largely through

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Geisinger Commonwealth School of Medicine

School of Graduate Studies leadership Venard Scott Koerwer, EdD Vice Dean for Graduate Studies Vice President of Strategy, Planning & Communication Professor of Organizational Systems & Innovation

Erin Sutzko, EdD

John Kulp lll, PhD

Assistant Dean for Graduate Studies Director of Graduate Admissions

Regional Assistant Dean for Doylestown Campus Associate Professor and Director of Academic Affairs at Baruch S. Blumberg Institute Chief Executive Officer of Conifer Point Pharmaceuticals

Jennifer Boardman, PhD

Darina Lazarova, PhD

Assistant Dean for Academic Affairs for Graduate Studies Associate Professor of Microbiology/ Immunology

Director of Master of Biomedical Sciences Program Associate Professor of Molecular Biology

Geisinger Commonwealth School of Medicine 2017 Master of Biomedical Sciences Degree

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Faculty Forward

Alex Slaby, MD ’17 (left) and Sanjay Chandragiri, MD, director of the Psychiatry Residency Training Program at The Wright Center for Graduate Medical Education (TWC), celebrate at Geisinger Commonwealth’s Match Day on March 17. Dr. Slaby matched to TWC’s psychiatry residency program.

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Behavioral Health Initiative’s psychiatry residencies at The Wright Center

Geisinger Commonwealth School of Medicine

Community-based psychiatry Seers and mystics, divinely inspired or demonically possessed, morally weak and lacking in willpower — through the ages each of these labels, along with the awe, fear, stigma and misunderstanding they provoke, have been applied to people struggling with a mental illness.

Care and workforce fragmentation perpetuate such stigma.

Thanks to a large-scale collaborative effort in northeast Pennsylvania (NEPA), people facing behavioral and mental health challenges will be less likely to suffer such labels that mark them as “other.” Their health needs will be less bifurcated between physical and mental. Many will receive the mental and behavioral health support services they need in the same facility that addresses their blood pressure and cholesterol levels. Best of all, these patients will receive comprehensive health care from well-trained, cross-disciplinary healthcare teams prepared to view each patient as a whole person — a person whose diagnoses developed in a time and a place and a context that all have a bearing on health outcomes.

This is the bold vision of the Behavioral Health Initiative (BHI), a collaborative venture with more than 100 community partners launched in 2014 by the Geisinger Commonwealth School of Medicine. With Terri Lacey, RN, serving as executive director, BHI envisions a multipronged approach to the region’s behavioral health needs, especially its workforce problem. Proposed solutions include a behavioral health certificate program for primary care providers. The greatest need, however, has undeniably been for psychiatrists. BHI partners agreed that developing a community-based residency that encourages psychiatrists to plant their roots right here in NEPA could be an incredible catalyst to transformational redesign and integration of mental and behavioral healthcare services.

With well-established primary care graduate medical education (GME) programs in family medicine and internal medicine, The Wright Center, the largest national Teaching Health Center GME Consortium, was the logical partner to seek program accreditation and funding for a psychiatry residency. Scranton psychiatrist Sanjay Chandragiri, MD, stepped up to be the residency’s founding program director. Dr. Chandragiri worked with BHI to create a unique training program, one in which the community is the classroom and psychiatry residents learn alongside their primary care peers in family and internal medicine to converge these disciplines around shared concern for the overall health and well-being of every patient served.

“Our program is a bit unique, as most psychiatry residencies are located in large academic medical centers.” said Dr. Chandragiri. “We are community-based — we are one of only 10 such programs in the nation. In community

settings, our residents will treat patients in the primary medical and mental health trenches, seeing a wide variety of conditions, while developing longitudinal relationships with patients with serious, persistent mental illness in more traditional settings.”

Dr. Chandragiri also noted that the community setting means residents will work cooperatively with community-based case managers and healthcare resource providers who don’t necessarily have a large presence in hospitals. “This is truly integrated, comprehensive primary healthcare,” he said. “It’s where psychiatry is going, but few training programs currently reflect this future.”

Among the incoming residents is Alex Slaby, MD, a 2017 graduate of Geisinger Commonwealth School of Medicine. He represents a Geisinger Commonwealth trend — its students choose psychiatry as their specialty at higher rates than the national norm. In the 2017 Match, just 3 percent of U.S. fourth-year medical students chose psychiatry residencies. At Geisinger Commonwealth, the rate was double that, at 6 percent.

Dr. Slaby said he chose to pursue psychiatry because of the impact it has on the lives of the patients he has encountered. He said he chose The Wright Center because he had an exceptional experience at Geisinger Commonwealth as a medical student and the community immersion aspect of the new program inspired him. “I am motivated to build deeper connections to my patients and my community. I find the severe pathology you see in inpatient settings fascinating. It keeps you on your toes. But I am really looking forward to longer-term relationships with my patients across community-based venues.”

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