Insights, 10th Anniversary Edition: Fall 2014

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Learn the Art and Science of Caring

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INTERPROFESSIONAL Education and Practice Meeting the Challenges of the Dynamic Healthcare Environment

What’s New

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Message from the Dean 4 MHA Program’s New A Home 4 What’s in a Name? 5 New Pathways to Academic Excellence 5 New Center and Institute Focused on IPE 20 Welcome Aboard: New Faculty, Administrators and Staff

What’s New At SHMS

Alumni and Student News

7 Then & Now 15 Servant Leadership 18 The Essential MHA 19 Caring for the Woman Not the Whipple 24 You’re Hired!

Contents

Research Highlights

Interprofessional Education and Practice

Interprofessional Perspectives

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The New Norm

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epatitis C: Clinical Innovations 14 Medical H Faculty in Print 16 Voice Analytics: A New Way to Assess Health Globally 17 Historic and Visionary: 25th Anniversary Perez Research Colloquium

Special Features

6 Making Headlines 7 Think Tank: CEOs on Campus 14 Education for Educators 21 Faculty Achievement 22 Department News Insights magazine is published by the School of Health and Medical Sciences at Seton Hall University.

EDITORIAL OFFICE

Address Changes:

400 South Orange Avenue, McQuaid Hall

lori.riley@shu.edu, (973) 313-6077

South Orange, NJ 07079

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It Takes a Village

Dean

Contributing Writers

Brian B. Shulman, PhD, CCC-SLP, ASHA Fellow,

and Photographers

BCS-CL, FASAHP

Sarah Armenia, BS ’13

Senior Associate Dean for Academic Affairs Division of Health Sciences Mona M. Sedrak, PhD, PA-C

“Speaking Up” to Create Change Team IPE Team of Teams

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PLUS

John Blaine Terrence F. Cahill, EdD, FACHE Vikram N. Dayalu, PhD, CCC-SLP Jason S. Dazley, MD

Associate Dean, Division of Medical Residencies

William Denver

and Fellowships

Carolyn Goeckel, MA, ATC

John W. Sensakovic, MD, PhD

Lauren Guiliano

Assistant Dean for Special Academic Programs and Projects, Division of Health Sciences Christopher W. O’Brien, PhD, LAT, ATC

Christopher Hanifin, MS ’99, PA-C Taylor Kunkle, BS ’14 Sona Patel, PhD Molly Petrilla

Director of Public Relations, Marketing and

Kevin Riordan

Pictured above:

Special Events / Insights Editor

Ruth Segal, PhD, OTR

Physician Assistant alumni and faculty enjoy catching

Lori Riley, MA ’06

Prerak P. Shukla, MD

up at the School of Health and Medical Sciences’ “Celebrate the Summer” Annual Alumni Reception, which took place on August 5, 2014, at McLoone’s Boathouse in West Orange, New Jersey.

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Design and Production Anthony Liptak Lorraine Joyce

Milan Stanic, BS ’11 Doreen M. Stiskal, PT, PhD, ’03 Fred Stucker Kerrin Tengwall, BS

A Message from the Dean Dear SHMS Alumni, Students, Colleagues and Friends: Welcome to our 10th anniversary issue of . Thank you for staying connected to the School of Health and Medical Sciences.

Whether you are an alumnus, a clinical partner, a current or prospective student (or parent!) or another interested member of our vast community, you are important to us. On behalf of the entire School, I look forward to connecting with you through this new edition. is our annual opportunity to recap many of the year’s highlights, as well as look toward the future — often within the same story. With the theme of this issue being “Interprofessional Education (IPE),” you will see this come to life in many ways. “The New Norm” feature article, for example, is a narrative about the interprofessional work of four clinicians and the patient-centered collaborations they have participated in throughout their careers. The underlying message: Interprofessional practice is the new standard in health care, highlighting the promise of an even brighter future in which clinical outcomes are stronger as a result of the team-oriented approach.

You will also appreciate the touching reflection written by one of our current Physician Assistant students about her formative experience with

a patient who passed away. Witnessing the grave interactions between this patient’s spouse and the clinical team illuminated the context of disease in a patient’s life and helped our student to view her patients as much more than “the fascinating pathology afflicting them.” This is a poignant message we can all take to heart.

I am also pleased to share with you several wonderful updates about the School and its programs. A defining moment for SHMS this year was the acquisition of the Master of Healthcare Administration (MHA) degree program and the related renaming of the Department of Interprofessional Health Sciences and Health Administration. The MHA program, which also received national accreditation by the Commission on Accreditation of Healthcare Management Education (CAHME) this year, is a perfect complement to our School’s current inventory of academic programs, positioning SHMS to grow in new ways.

What else is new? A lot. We established the Center for Interprofessional Education in the Health Sciences and the Institute for Advanced Study of Rehabilitation and Sports Science; the Master of Science in

Occupational Therapy program launched a new curriculum; a third dual-degree program track leading to the Master of Science in Athletic Training was approved; and we celebrated the 25th Anniversary Dr. George Perez Research Colloquium in April 2014. These are just some of the accomplishments we chose to highlight in this magazine — we enjoy sharing even more news via our website (shms.shu.edu) and our Facebook page (facebook.com/shu.shms).

As you are reading this issue of and engaging with our School throughout the year, my hope, above all, is that we take pride, together, in educating the healthcare leaders of tomorrow and teaching them the importance of interprofessional, patient-centered care. At SHMS, we do this in various ways that always emphasize Interprofessional Education (IPE), and we do this together. Thank you for being part of “Team SHMS.” Sincerely,

Brian B. Shulman, PhD, CCC-SLP, ASHA Fellow, BCS-CL, FASAHP Dean and Professor of Speech-Language Pathology

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Interprofessional WORKING COLLABORATIVELY ACROSS PROFESSIONS

is the key to success in today’s complex healthcare environment. Every single individual involved in a patient’s care, including those in administrative and management positions, plays a role in the outcome. To help frame this important dialogue, colleagues throughout the School of Health and Medical Sciences’ community share their thoughts on interprofessional practice, further underscoring the significance of interprofessional education (IPE).

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ALL HAN DS ON D E C K: “Every decision affects the

patient. All employees must realize the importance of their role in delivering patient-centered care, regardless of the department or position one holds. For example, an environmental services worker’s role in infection-prevention cannot be overstated.”

DAVI D G O U R LEY, MHA ’07, Director of Quality and Outcomes Management at Chilton Medical Center and SHMS adjunct faculty member, Master of Healthcare Administration program

PUT TI NG TOGE TH E R TH E P UZ Z LE : “Within our classrooms, each therapist has a piece of the bigger puzzle and uses his or her discipline to help guide the team to a comprehensive understanding of each student’s individual needs. In today’s world, no single discipline has all the necessary information for a complete picture.

Working as a team is a must.”

L I N DA PE RO F F, MA, CCC-SLP, Therapy Coordinator at Horizon Lower School and Clinical Education Supervisor for the SHMS Master of Science in Speech-Language Pathology program

TH E H U M AN R E S OU RC E : “There are certainly times when journals and similar resources help us to understand a diagnosis or provide evidence-based practice for a treatment plan, but by using the invaluable resource of our colleagues’ knowledge, we can better understand that particular client and his or her wants and needs.”

PAU LI NA RU KA J, SHMS Master of Science in Occupational Therapy student

PROFE S S I ONAL D E V E LOPM E NT: “Working side-by-side

with a physician, I have learned more than I could ever imagine. Not only have I made strides in my evaluation skills since I was in school, but my confidence in my skills and my ability to safely return an athlete to play have vastly improved.”

A N D R EA H A P P L I, ATC, MS ’12 (Athletic Training), Physician Extender at Advantage Medical Care

Throughout this issue of , you will find more stories about interprofessional practice and SHMS’ IPE initiatives.

Collectively, these form the foundation of our commitment to developing students’ interprofessional abilities, thus supporting the patient-centered approach to practice.

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WHAT’S NEW IN SHMS

MHA Program’s New Home SHMS is the new academic home for New Jersey’s only CAHME-accredited Master of Healthcare Administration (MHA) program.

As of July 1, 2014, the new academic home for the University’s Master of Healthcare Administration (MHA) program is the School of Health and Medical Sciences. Dr. Larry A. Robinson, Provost and Executive Vice President at Seton Hall, announced the transition in March 2014, calling it “a springboard for growth and progress.”

The SHMS Department of Interprofessional Health Sciences and Health Administration (see story below) now houses the MHA program, which offers both on-campus and online delivery formats as well as a certificate program.

“In response to the ever-changing landscape of health care, the MHA program is a natural fit within our current health sciences graduate program inventory and our plans to increase and enhance our degree offerings in the future,” says Brian B. Shulman, PhD, Dean of the School of Health and Medical Sciences.

What’s In a Name The renamed Department of Interprofessional Health Sciences and Health Administration is New Jersey’s premier provider of comprehensive healthcare leadership education.

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The 42-credit degree program is the only MHA program in New Jersey accredited by the Commission on Accreditation of Healthcare Management Education (CAHME). Enrolling more than 100 students each year, topics of study include healthcare finance, healthcare ethics, healthcare economics, healthcare management and legal issues in health care. MHA faculty collaborate with seasoned healthcare executives and practitioners to add real-word experiences into the curriculum, and students complete rigorous internships.

“We are preparing our students for senior management leadership positions in the increasingly complex and dynamic healthcare industry,” says Anne M. Hewitt, PhD, MHA Program Director and Director of the Seton Center for Community and Population Health. “Our graduates achieve

great success in their careers at hospitals and regional healthcare systems, acute care facilities, assisted living and rehabilitation facilities, pharmaceutical and insurance companies and many other venues.” Hewitt also notes the MHA program’s strength in preparing clinical healthcare professionals to assume management positions, which is happening at a rapid pace as Baby Boomers retire and vacate their administrative posts.

In the lower level of Alfieri Hall, you will find faculty, students and staff representing many healthcare fields working together on diverse projects — a typical scene within a school that emphasizes interprofessional education. To better reflect the department’s multidisciplinary nature and to acknowledge the addition of a degree program, the Department of Graduate Programs in Health Sciences was renamed the Department of Interprofessional Health Sciences and Health Administration (IHSA).

IHSA houses the PhD in Health Sciences program, which offers doctoral studies in movement science, health professions leadership and speech-language pathology, and the Master of Healthcare Administration (MHA) program (see story above).

“With these robust and integrated offerings, IHSA continues to be New Jersey’s premier provider of comprehensive healthcare leadership education,” says Terrence Cahill, EdD, FACHE, Department Chair and Associate Professor.

The department’s distinction is apparent in the success of its alumni — for example, 2005 graduate Daniel Messina, PhD, is President and CEO of Richmond University Medical Center in Staten Island, New York, and 2011 graduate Lydia Stockman, MHA, is Assistant Vice President of Operations at Robert Wood Johnson University Hospital in New Brunswick, New Jersey — and in its industry connections, as IHSA regularly hosts hospital CEOs on campus for networking events in partnership with the American College of Healthcare Executives/New Jersey.

FOR MORE I N FORM ATION about the

MHA program, visit www.shu.edu/mha or contact Patrick McDermott, MA ’11, Director of Graduate Admissions, at patrick.mcdermott@shu.edu or (973) 275-2062.

New Pathways to Academic Excellence A constantly changing healthcare industry demands an increasingly skilled and versatile workforce. SHMS is answering the call.

Effective with the 2014-15 academic year, the Department of Occupational Therapy revised the curriculum for its professional program, better preparing students for future challenges and opportunities, including interprofessional and international collaborations. Changes include:

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linical courses organized into “trios” C taught in a reversed developmental order (older adults, adults, children/ adolescents); each trio includes courses in health and medical complexities, assessment and interventions; • Anatomy and kinesiology merged into one course; and • Addition of themes in professional formation, wellness and entrepreneurship.

New Center and Institute Focused on IPE Uniting education, research, community engagement and servant leadership is an ongoing priority.

Last spring, SHMS established the Center for Interprofessional Education in the Health Sciences (CIEHS) and the Institute for Advanced Study of Rehabilitation and Sports Science (IASRSS).

Also effective this academic year, the Psychiatry Residency Program has added topics in meditation therapy to its didactic curriculum. Purabi Bharatiya, MD, program director, says that meditation can be an alternative to medication, cognitive behavioral therapy and psychotherapy for patients dealing with panic disorder, anxiety and other psychiatric afflictions. Bharatiya was inspired to pursue this curriculum change while working with a resident who graduated this year, Sari Lehrhoff, MD, who is now an attending psychiatrist in a private practice. During her residency, Lehrhoff successfully integrated meditation into a patient’s treatment for panic disorders, and also practiced it herself while exploring her own mental makeup throughout

her psychiatry residency.

Undergraduate programming is also an important component to health sciences education at SHMS. The Department of Athletic Training in conjunction with the Department of Biological Sciences in the University’s College of Arts and Sciences (A&S) approved a third track in the five-year undergraduate-to-graduate dual-degree program. Now, undergraduate students pursuing a Bachelor of Arts degree in Biology through A&S can enroll in the accelerated program that leads to the Master of Science in Athletic Training degree. Effective January 2014, this third track complements the existing dual-degree majors of BS in Biology and BA in Social and Behavioral Sciences.

CIEHS is the result of the faculty-led Task Force on Interprofessional Education’s (IPE) efforts to create cross-disciplinary educational and research experiences that further develop SHMS’ patient-centered care mission. Numerous programs are already underway (see page 11).

A cornerstone of CIEHS’ anticipated success will be the involvement of diverse healthcare professionals. Please contact Genevieve Pinto Zipp, PT, EdD, Chair of the SHMS IPE Task Force and a Professor in the Department of Interprofessional Health Sciences and Health Administration, at (973) 275-2457 or genevieve.zipp@shu.edu to discuss collaborations.

IASRSS will provide an interdisciplinary forum for the conduct of clinical research on injuries that result from individuals’

participation in recreational exercise or competitive sports, as well as research on the physiological and biomechanical elucidation of novel or minimally explored topics in sports medicine, exercise and movement science or physical rehabilitation. IASRSS will foster interprofessional dialogue through hosted journal clubs, continuing education seminars and outreach. For more information, including opportunities to serve on the Scientific Advisory Board, please contact Michael LaFountaine, EdD, ATC, the Founding Director of IASRSS and Assistant Professor in the Department of Physical Therapy, at michael.lafountaine@shu.edu. or (973) 275-2918.

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Making Headlines The media — including U.S. News & World Report, New England Journal of Medicine and the ABC television network — often seek out SHMS faculty, students and alumni to talk about current topics in health and medicine.

ollaborations with the developed world broaden C what we look at. The phrase, ‘But we have always done it this way’ is from the last century.

Elizabeth M. Torcivia, PhD, OTR, Associate Professor

aving the lieutenant H [a former camp client who stutters] talk to the children really made such an impact. …They realized that they could do anything in life that they put their minds to, that nothing can hold them back.

Paige Jungsberger, MSCF-SLP ’14, alumna of the Speech-Language Pathology program, on her “magic moment” working as a counselor at Camp Shout Out | The ASHA Leader

of Occupational Therapy, on international education partnerships | OT Practice Magazine

Once you have your PA license, that basically affords you an opportunity to work in any medical specialty.

Christopher Hanifin, MS ’99, PA-C, Assistant Professor of Physician Assistant and Department Chair, on career flexibility for physician assistants | U.S. News & World Report

wim gloves are good for those with S arthritis in the wrists or hands because you don’t have to cup your hands as you swim, which can put pressure on those joints.

Doreen M. Stiskal, PT, PhD ’03, Associate Professor of Physical Therapy and Department Chair, offers tips on swimming with arthritis | Swimmer — The Official Magazine of U.S. Masters Swimming

More head-to-head comparisons of treatments are needed, and future trials should include children and elderly patients, those with secondary RLS [restless legs syndrome] and those with mild-to-moderate RLS. Sudhansu Chokroverty, MD, Professor of Neuroscience and Sleep Medicine Fellowship Program Director, on the potential efficacy of a non-dopaminergic drug in RLS therapy | New England Journal of Medicine

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We are prepping students for jobs that don’t even have names attached to them yet.

Anne M. Hewitt, PhD, Associate Professor and Master of Healthcare Administration (MHA) Program Director, on the MHA program’s response to a changing healthcare landscape | The Star-Ledger

I f a parent doesn’t realize that a child has a weight management concern or issue, then whatever we try to do with the child is not going to work out.

Jamie Pula, PhD ’07, RD, alumna of the PhD in Health Sciences Program and a Registered Dietician and Exercise Physiologist at St. Joseph’s Children’s Hospital in Paterson, New Jersey, on the importance of parental involvement in the hospital’s childhood obesity program | ABC Eyewitness News

As educators, it is our role to

create experiences that develop students’ interprofessional abilities, thus supporting a patient-centered approach to practice.

Brian B. Shulman, PhD, CCC-SLP, ASHA Fellow, BCS-CL, FASAHP, Dean of the School of Health and Medical Sciences, on the value of SHMS’ Clinical Education and Research Partnership Grants Program | The Record/Herald News

ThinkTank CEOs ON CAMPUS

Healthcare executives who participate in special programs on campus share their thoughts on the industry’s demands on its leadership and the CEO’s changing role.

“Given the rapid, unprecedented changes underway in the healthcare industry, leaders must be focused in the short term on how to adjust to the evolving realities of healthcare reform, particularly the impact of changes in payment from governmental and private payers. At the same time, leaders need to think ahead about what it’s going to take to assure their organization’s longterm viability.”

– Les D. Hirsch

Through its “Conversations with Senior Healthcare Executives” series, panel discussions and guest lectures, the Department of Interprofessional Health Sciences and Health Administration welcomes the industry’s top leaders to campus to interact with students and alumni.

Recent visitors include Leslie (Les) D. Hirsch, MPA, FACHE, President and CEO of Saint Clare’s Health System in Denville, New Jersey, and Chair-Elect of the New Jersey Hospital Association, and Deborah K. Zastocki, DNP, RN, FACHE, President of Chilton Medical Center in Pompton Plains, New Jersey, and Vice President of Atlantic Health System, who share their thoughts on leadership and the ever-changing workplace.

“The CEO role is no longer one of command and control. Rather, it is about building relationships and working strategically in dealing with the generational gap. You need to communicate and engage everyone. Healthcare leaders need to be able to deal with the unexpected and to create organizational agility.”

– Deborah K. Zastocki

Then Now From 2002-2007, while he was Advancing Knowledge: “I am very a candidate for the PhD in Health pleased to say that one of the Sciences degree in the now-named articles I published, which I extracted Department of Interprofessional from my dissertation research, is Health Sciences and Health widely cited by many authors Administration at SHMS, Jesus around the world,” Casida says.

“Jessie” Casida, PhD ’07, RN, APN-C, CCRN-CSC, conducted his dissertation research on the relationship of nurse managers’ leadership styles and nursing-unit organizational culture in acute-care hospitals in New Jersey. His research was the first to investigate the extent to which nurse managers’ leadership behaviors influence a nursing unit’s performance in areas such as patient satisfaction, length of hospital stay, cost effectiveness and quality care.

At the University of Michigan Forward Thinking: Casida hopes to School of Nursing, Casida is move these studies to large efficacy trials, an Assistant Professor in the followed by comparative effectiveness, Department of Acute, Critical dissemination and implementation and Long-term Care and studies in order to inform evidence-based the Chair/Faculty Lead for practice and healthcare policy. the Undergraduate Honors Program. His current research relates to the self-management of patients with life-limiting illness: complex and chronically ill, and patients tethered to a life-sustaining technology such as a mechanical heart. “Over the past five years, I focused on understanding the phenomenon from different angles of self-management, including but not limited to the intersections of the physical, physiological, biobehavioral and caregiver (family members and healthcare providers) support systems of these patients,” Casida explains.

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Yamiley ‘Millie’ Lemoine

Andrea Constandis

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By Kevin Riordan

Carol Ukstins

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Michael Subik

Interprofessional practice is not just a buzz word in the healthcare industry. It is the standard. Today’s practitioners do not work in silos — they work together, as partners in an interdependent, patient-centered care model. Clinicians who graduated from or serve as clinical supervisors for SHMS’ health sciences programs relate their experiences in this new era of healthcare delivery.

Yamiley ‘Millie’ Lemoine, MS ’11, OT, loves her job. An occupational therapist at a leading New Jersey rehabilitation hospital, she loves the opportunities it offers for creative, problem-solving partnerships with her peers, as inter- professional practice becomes the norm in a patient-centered world.

Caring for patients who had under- gone amputation of a limb enabled Lemoine, a graduate of the SHMS Occupational Therapy program, to partner with everyone from neuro- psychiatrists to dieticians. For Physical Therapy alumna Andrea M. Constandis, DPT ’07, the burn unit at St. Barnabas Medical Center in Livingston, NJ, has fostered similar collaborations.

Carol Ukstins, MS, CCC/A, FAAA, a clinical supervisor for the SHMS Speech-Language Pathology program, has built successful relationships with professionals in education and health care throughout her career as an audiologist for the Newark Public Schools. And Michael Subik, DPM, DABPS, FACFAS, ACLES, a board- certified podiatrist and foot, ankle and reconstructive rearfoot surgeon who is a preceptor for the Physician Assistant program, hails interprofes- sional collaboration as a diagnostic boon.

“I was working with a gentleman, 21 years old, who was in a motorcycle accident,” Lemoine says, by way of

example. “His left leg had to be amputated, and he had a hard time coping with the fact that something so traumatic had happened. Based on his disengagement from occupational therapy and his behavior that was consistent with depression symptoms, I reached out to the psychologist on the team.”

Another case involved a diabetic patient who also had undergone an amputation. The woman believed, wrongly, that a dose of insulin would counteract the impact of bad food choices. “As a new patient, you have so many people coming in and out of your room. It’s easy to miss [infor- mation],” says Lemoine, who urges that dietary professionals be included in medication management groups on the unit.

Constandis is a physical therapist at St. Barnabas. On the hospital’s burn unit, patients need physical therapy to prevent immobility and loss of range- of-motion and strength. These patients are at risk for decreased range-of- motion due to loss of skin elasticity during the healing phase, she explains.

“A medical doctor recently called me in to look at a patient’s shoulder range-of-motion,” says Constandis, who is also an adjunct professor continued

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“Speaking Up” to Create Change

Startling Facts about Medical Errors

Preventing medical errors is a team effort, according to national patient-safety advocate Sorrel King, who spoke on campus this fall.

“How to Save a Life: Speaking Up to Prevent Medical Errors” on September 17, 2014, was the Second Annual Interprofessional Perspectives Speaker Series event hosted by SHMS. National patient-safety advocate Sorrel King, founder of the Josie King Foundation, spoke to the hundreds who gathered in the Walsh Gymnasium on campus to learn how they could become part of the solution.

“Heads were shaking with disbelief as the audience heard the mother’s riveting story of how medical errors led to the death of her

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at Seton Hall. “It didn’t seem as if the burn injury was affecting it. Because of my experience, I could see that he needed therapy not because the skin was tight, but because of what turned out to be a rotator-cuff injury.”

Physical therapists, she notes, “may be the ones to see a change in a patient before a doctor does. We’re there when 10

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• Medical errors are the third leading cause of death in America

18-month-old daughter, Josie,” wrote Setonian newspaper reporter Erica Szczepaniak.

“Within 24 hours, we had gone from planning a welcome home celebration to planning a funeral,” said King. She talked frankly with the audience about dealing with the grief and anger and translating these raw emotions into motivation. King created the foundation to create awareness about this major healthcare issue and to support innovative patient-safety programs such as the “Condition H” patient hotline and the free Patient Journal app.

patients are getting their wounds cleaned and dressings changed. We often spend more direct contact time with patients.”

For Ukstins, a 20-year veteran audiologist serving the 45,000-student Newark Public Schools system, collaborating with the child study team leads to innovative partnerships with educational psychologists, school social workers, learning consultants and speech-language pathologists. For example, Ukstins consults on educational programming for children with hearing loss and central auditory processing disorder. Or, when children have parents who are deaf or hearingimpaired, she works with colleagues to address the children’s unique learning styles and helps to ensure their parents have access to the school for meetings and conferences. “When we can intervene on behalf of both children and families, the outcomes are far more successful,” Ukstins says.

• 1.5 million preventable adverse drug events occur in the United States each year • Only cancer and heart disease cause more deaths per year than medical errors • On average, hospital patients may be subjected to more than one medical error each day Source: Institute of Medicine (iom.edu)

Providing a second — or third — opinion is another invaluable form of interprofessional practice. At St. Mary’s Hospital in Passaic, NJ, where Subik is the medical director of the Advanced Wound Center and chief of the Section of Podiatry, he recalls an instance where his expertise led to a new course of treatment. “A gentleman with Hepatitis C had these large leg wounds that worsened after surgery, and I was called in as a third opinion,” he says. “I recom- mended a biopsy that hadn’t been done and, after confirmatory diagnosis of pyoderma gangrenosum was made, initiated the patient on steroids, which led to healing of the leg wound.”

Subik notes that patients are increas- ingly becoming their own healthcare advocates, which encourages physicians “to work with other specialists, to have discussions,” and arrive at conclusions together. “Interprofessional collaboration is more than beneficial,” he says. “I think it’s the standard.”

It Takes a Village Interprofessional Education (IPE) remains the cornerstone of SHMS’ strategic mission to promote a team-based, patient-centered approach to health care.

Communication. Collaboration. Teamwork. Partnerships.

You will see these words on the SHMS Interprofessional Education (IPE) banner and on the nametags worn by the School’s students, faculty, staff and administrators. But they are more than just words. They represent the very essence of IPE, which SHMS continues to embrace in its strategic mission to promote a team-based, patient-centered approach to healthcare.

Some of the School’s accomplishments in IPE over the last year include: Center for Interprofessional Education in the Health Sciences Established this past spring to foster meaningful and cross-disciplinary educational and research experiences for students, faculty and clinical partners in order to further develop SHMS’ patient-centered care mission (read more on page 5) Emergency Response Partnership with College of Nursing (CON) Annual event in which SHMS and CON students and faculty stage a disaster simulation on campus, participate actively in the emergency

response and debrief collaboratively (pictured above) IPE Core Signature Experiences A series of experiential learning opportunities for SHMS students to learn about, learn from and learn with each other • New Student Orientation each August features an IPE component, such as a short video and dialogue.

• T own Hall Discussion and the IPE Symposium take place in the Spring semester and feature structured, interactive programming for students, such as clinical problem- based learning exercises and guest speakers on broad topics such as barriers to providing patient- centered care.

• I nterprofessional Perspectives Speaker Series is the School’s signature IPE event. Held annually, it is open to the entire Seton Hall community including the public.

See page 10 for highlights from this year’s “Speaking Up” event.

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By Prerak P. Shukla, MD, Clinical Research Coordinator and Jason S. Dazley, MD, Fellow, Department of Infectious Diseases, SHMS Division of Medical Residencies and Fellowships, and St. Michael’s Medical Center

HEPATITIS C CLINICAL INNOVATIONS New oral medications and diagnostic technologies enable more effective treatment and detection of Hepatitis C. Pictured above: co-authors Jason S. Dazley, MD (left) and Prekak P. Skula, MD (right)

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During the last 20 years, Hepatitis C (HCV) has been diagnosed more frequently — especially recently, as screening has become mainstream.

Injectable interferon therapy was the standard of care for many years, until 2014, when newer oral medi- cations became available. It is now common for the treatment to last 12 to 24 weeks, versus a full year with the injections, and patients can be treated with more efficacy and fewer side effects (see sidebar).

Saint Michael’s Medical Center in Newark, New Jersey, where the School of Health and Medical Sciences’ Infectious Diseases Fellowship Pro- gram has been based since 1987, is consistently on the forefront of HCV treatment. Jihad Slim, MD, Assistant Professor and Program Director and Chief of the hospital’s Department of Infectious Diseases (ID), and his staff began treating the disease in patients without HIV infection in 1995 and with HIV in 1997. The ID department has since conducted more than 25 HCV trials. In 2012, the Liver Center opened at Saint Michael’s, where specialists in infectious diseases and gastroenterology provide medical therapy for viral hepatitis, mono- infected or co-infected with HIV, and non-infectious causes of liver disease.

Introduction of Fibroscan Saint Michael’s also was the first institution in New Jersey to

Pictured: Fibroscan technology (transient elastography) uses a tranducer-tipped probe and measures the speed of a shear-wave traveling through the liver, quantifying the stiffness. The score in kilopascals correlates to a stage of fibrosis.

implement Fibroscan technology (transient elastography) as an alter- native to liver biopsy, a new addition to the recommendations for evaluating fibrosis in patients with HCV — and an opportunity for fellows in the SHMS program to gain hands-on experience with leading-edge diagnos- tic equipment. The Fibroscan is similar to an ultrasound, except the probe has a transducer at its tip. It measures shear wave speed, represented by meters per second. As the wave travels through the liver, it quantifies the stiffness and expresses it in kilopascals.

The score generated correlates to a stage of fibrosis1.

Clinical Trials SHMS fellows also are involved with two investigator-initiated trials in coinfected patients receiving 12 or 24

Sustained Virologic Response for Hepatitis C Therapies

weeks of interferon-free regimen with a combination of integrase inhibitorbased therapy for HIV. These studies will provide data on the interaction between direct-acting antiviral agents (DAAs) and newly approved integrase inhibitors. Industry-sponsored trials in both mono-infected and co-infected patients will contrast and compare protease and polymerase inhibitors.

The studies include Interferon- and Ribavirin-free DAA studies and singletablet regimens of co-formulated HIV medications.

These advances in therapies, diagnostics and research are only the beginning of a bold future in the treatment of a viral infection that plagues millions of people globally.

Saint Michael’s and SHMS are proud to participate in the many clinical trials that improve the quality

Studies have shown that the combination of Interferon and Ribavirin attained a 40 to 50 percent sustained virologic response (SVR) 1 12 to 24 weeks post treatment . SVR signifies practical cure of Hepatitis C (HCV).

The addition of protease inhibitors such as Telaprevir and Boceprevir increased SVR rates 2 to 79 percent and 66 percent, respectively .

Newer generation oral treatments include Sofosbuvir and Simepravir for 12 3 weeks; together these have 90 percent SVR .

of these medical therapies, and together these partners will continue their efforts for the empowerment of their patients.

1 A fdhal, N. Fibroscan (Transient Elastography) for the Measurement of Liver Fibrosis. Gastroenteroly and Hepatology (NY). Sep 2012; 8(9): 605–607.

1 Chung R, Gale M, Polyak S, Lemon S, Liang T, Hoofnagle J. Mechanisms of Action of Interferon and Ribavirin in Chronic Hepatitis C: Summary of a Workshop. Hepatology. Jan 2008; 47(1): 306–320.

2 FDA News Release. FDA approves first genotyping test for patients with hepatitis C virus. June 20, 2013.

3 Camma C, Petta S, Cabibbo G, Ruggeri M, Enea M, Bruno R, Capursi V, et al. Cost-effectiveness of boceprevir or telaprevir for previously treated patients with genotype 1 chronic hepatitis C. Journal of Hepatology Volume 59, Issue 4, Pages 658–666, October 2013.

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Education for Educators Healthcare practitioners serving as SHMS-affiliated clinical supervisors can take advantage of SHMS-sponsored opportunities to enhance their professional development.

Last spring, SHMS’ Directors of Clinical Education organized an on-campus workshop, “The Challenge of Generational Diversity: Implications for the Clinical Instructor, Mentor and Supervisor,” for the affiliated clinical supervisors who mentor and train SHMS students on their clinical education rotations.

This eye-opening session, presented by Paige Shaughnessy, PhD, CCC-SLP, a professor (retired) from Loma Linda University’s Department of Communication Sciences and Disorders (pictured), took participants through a series of interactive exercises

related to the following topics:

Medical Faculty In Print

Abou Jaoude R, Zauk A, Morel C, McClure D, Lamacchia M, DeBari VA (2014). Fluconazole Prophylaxis is Associated with a Decreased Rate of Coagulase-negative Staphylococcal Infections in Extremely Low Birth Weight Neonates. Med Microbiol Immunol; 203:251-6.

Peer-reviewed publications feature the cutting-edge research by the faculty, graduates, residents and fellows in the SHMS Division of Medical Residencies and Fellowships.

• Communications Styles – Amiable, Analytical, Driver, Expressive

• Perception – “The way we see ourselves isn’t always the way others see us,” Shaughnessy reminded the approximately 130 attendees.

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This year’s event was coordinated by Natalie Neubauer, MS, CCC-SLP, Director of Clinical Education and Assistant Professor in the SHMS Speech-Language Pathology department.

• Supervising, Mentoring, and Instructing

VISIT www.shu.edu/go/supervisor

the Generation Mix – Silent, Baby Boomer, Gen X, Millennial • Value Programming – The shared experiences, such as events, popular culture

to find out more about becoming an affiliated clinical supervisor so that you, too, can attend future programs.

Alqaqa A, Suleiman A, Bernhak S, Tariq S, Sison R, Hamden A, DeBari VA, Shamoon F (2014).

Cardiac Sequelae of Human Immunodeficiency Virus Disease. Am. J. Med Sci; 348:82-6.

Bhat S, Gushway-Henry N, Polos P, DeBari VA, Riar S, Gupta D, Lysenko L, Patel D, Pi J, Chokroverty S (2014). The Efficacy of a Chinstrap in Treating Sleep-Disordered Breathing and Snoring. J Clin Sleep Med; 10:887-92.

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and socioeconomic conditions, that shape a generation’s values

Mahmood N, Mathew J, Kang B, DeBari VA, Khan MA. (2014). Broadening of the Red Blood Cell Distribution Width is Associated with Increased Severity of Illness in Patients with Sepsis. Int J Crit Illness Inj Sci (in press).

Kumarappa VS, Patel H, Shah A, Baddoura W, DeBari VA. (2014). Temporal Changes in Serum Albumin and Total Protein in Patients with Hospital-acquired Clostridium difficile Infection.

Annals Clin Lab Sci; 44: 5-10.

Punni E, Pula JL, Asslo F, Baddoura, W, DeBari (2014). Is Obesity a Risk Factor for Clostridium difficile Infection? Obes Res Clin Pract (in press).

Servant Leadership Students in the Doctor of Physical Therapy program’s Service Learning course develop “Fun Fitness Day” programs for 458 children and adolescents in five school-based settings.

Seton Hall prides itself on developing servant leaders — students who desire to serve others and improve their communities through acts of leadership. The Service Learning course offered in the Doctor of Physical Therapy (DPT) program allows for students to contribute in this way.

Third-year DPT students enrolled in the course — taught by Assistant Professors Irene De Masi, PT, DPT, and Catherine Maher, PT, DPT, GCS — create youth-friendly projects promoting health and fitness in collaboration with professional colleagues at school-based locations. Last spring, the 28 DPT students collaborated with five area schools, where a total of 458 children and adolescents participated in the events.

At Horizon High School in Livingston, New Jersey, an affiliated clinical education site for

SHMS, the DPT students organized a luauthemed “Fun Fitness Day” for the children who have a wide range of disabilities. The pictures above highlight the “fun” experienced by all.

“Within this natural milieu, students gain a broader academic experience and enhance skill development in interprofessional teamwork, communication, problem solving, critical thinking and professional development with emphasis on social responsibility and advocacy,” De Masi says. Throughout the semester, the DPT students explore the roles that they can play when working with other healthcare and school staff as advocates for best practice in areas of social justice for individuals with special needs.

Students also complete reflection assignments that encourage critical thinking. This activity fosters the identification of solutions to optimize the programs’ execution.

Team IPE The total amount collected by the interprofessional team of about 100 SHMS students for the Seton Hall University Relay for Life event on April 11-12, 2014, which raised nearly $40,000 for the American Cancer Society last year and approximately $350,000 since Seton Hall began hosting the fundraiser event in 2007.

SU PPORT TH E SHMS EFFORT – teams will be posted at

www.relayforlife.org/setonhallNJ in early 2015, and the Seton Hall Relay for Life is April 17-18.

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Voice Analytics: A New Way to Assess Health Globally A clinical tool that could assess a person’s health using computer voice analysis would have an enormous impact in developing nations.

By Sona Patel, PhD, Assistant Professor of Speech-Language Pathology and Director of the Voice Analytics and Neuropsychology Lab Globally, governmental agencies dedicate significant resources to identifying biomarkers that indicate neurological diseases, but currently no definitive tests exist. Invasive or costly procedures (neuroimaging, fluid analysis) are often not even available in developing nations or to the potentially 16.5 million undiagnosed people living with dementia (World Alzheimer Report 2009).

What if we could identify markers of neurological disease by examining a person’s vocal behavior? One of the easiest human behaviors that you can record is voice, and the voice signal is a goldmine of information.

When you speak with someone on the phone, for example, you can estimate a person’s gender, age, emotional state and maybe 16

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personality. It would be possible to develop a clinical tool to automatically assess a person’s health by a computer voice analysis. This clinical tool would be noninvasive and inexpensive, and a professional could perform the assessment remotely by using a cell phone. The impact of such a diagnostic aid for physicians in developing nations would be enormous.

This is the goal of the Voice Analytics and Neuropsychology (VAN) Lab in the Department of Speech-Language Pathology. At the VAN Lab, we examine how voice signals convey information about a speaker. We record people of all ages (healthy and those with neurological diseases) as they speak vowels and sentences, sometimes with emotional tones. We also use electrophysiology (EEG, evoked potentials) and neuroimaging (fMRI) to study brain activity during speaking and listening tasks. By integrating the two signals, it is possible to identify the abnormal changes in the voice that indicate

neurological changes due to specific diseases, such as Alzheimer’s and Parkinson’s.

Currently, we are using EEG to study sensorimotor integration, or how the brain and voice respond to altered auditory feedback (AAF). We already discovered that people with Parkinson’s disease differ, compared to healthy adults, in how they respond to changes in their voice when presented over headphones. By looking at patterns of brain activity during the vocal-motoric compensations to AAF in Parkinson’s compared to Alzheimer’s disease, it will be possible to determine specific voice changes of each disease, a behavioral biomarker with potential for use worldwide.

Patel received a $380,000 grant from the National Institutes of Health/National Institute on Deafness and Other Communication Disorders to conduct research on voice control in Parkinson’s disease and Alzheimer’s disease. Patents pending.

Pictured above: In the VAN Lab on campus, a research participant (background) sits in a soundproof booth to minimize noise contamination and wears a cap with electrodes for recording her brain waves, a microphone for recording her voice and ear inserts for listening to sounds. Patel (left) analyzes and models the recorded signals to understand the relationship between brain activity and voice activity during speech tasks.

Historic and Visionary 25th Anniversary Dr. George Perez Research Colloquium

In 1987, the year of the inaugural Research Colloquium hosted by the School of Health and Medical Sciences (then called the School of Graduate Medical Education), the Human Genome Project hadn’t even begun yet, and medical use of magnetic resonance imaging (MRI) was in its infancy.

Fast-forward 25 years to 2014, and there are daily discoveries that revolutionize health and medical sciences research via technological innovation and brilliant scholarship.

Dynamic ways to communicate findings are integral to this progress, and one such venue was the SHMS 25th Anniversary Dr. George Perez Research Colloquium on April 22, 2014, presented during Seton Hall University’s Petersheim Academic Exposition.

R EC I PI ENTS OF R ESEARC H AWAR DS Best in Basic Medical Sciences “Impact of Rack-1 on Mor Expression Under Dfo-Induced Hypoxia” Jennifer M. Candelora, BS ’14 Alberto Herrera, BS ’14 Jane L. Ko, PhD Best in Clinical Vignettes “Rare Case of Immune Reconstitution Inflammatory Syndrome Presenting as Sarcoidosis in Acquired Immunodeficiency Syndrome while on Highly Active Antiretroviral Therapy” Priyasha Srivastava, MD Honorable Mention in Clinical Vignettes “De Novo Stent-Stone Complex Formation with Resultant Secondary Sclerosing Cholangitis: A Case Report and Literature Review” Jaydev, MD Eyad Baghal, MD Pedro Cordero, MD

Best in Clinical Investigation “The Incidence of Arrhythmias in Patients with QTc Prolongation Secondary to Mild Therapeutic Hypothermia Treatment After Cardiac Arrest” Ayham Aboeed, MD Zeron Ghazarian, MD Nader Mahmood, MD Suresh Manickavel, MD Jacob J. Mathew, MD M. Anees Khan, MD Honorable Mention in Clinical Investigation “Protease Inhibitors Affect the Severity of Obstructive Sleep Apnea in HIV Positive Patients” Yazan Abdeen, MD Ingrid Fang-Yin Hao, MD Jason Dazley, MD Richard Miller, MD Jihad Slim, MD

Best in Health Sciences Research “Using Communication Coaching to Enhance Interactions Between Individuals with Rett Syndrome (Rtt) and Their Communication Partners” Patricia A. Remshifski, PhD, CCC-SLP Theresa E. Bartolotta, PhD, CCC-SLP Alexandra R. Arena, MS ’14 Kerri M. Rogers, MS ’14 Amanda E. Russo, MS ’13 Honorable Mention in Health Sciences Research “The Effect of Prenatal Education On A Woman’s Decision to Breastfeed” Anna Marie Avanesyan, MS ’14 Marie J. Kilby, MS ’14 Jennifer K. Koeller, MS ’14 Ephraim Wakszul, MS ’14 Denise Rizzolo, PhD, PA-C Honorable Mention in Health Sciences Research “Menstrual Dysfunction and Bone Metabolism in College-Aged Females” Michael F. LaFountaine, EdD, ATC Kim L. Bauernfeind Christopher J. Cordero Mercedes Cunningham, MS ’14 Matthew J. Dudek Brianna A. Hand, MS ’14 Sean M. McFadden Vicci Hill-Lombardi, EdD, ATC

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ALUMNI AMBASSADORS

The Essential MHA A hospital COO and a nursing home administrator, both alumni of the Master of Healthcare Administration program, reflect on the “extremely helpful” classes and “outstanding faculty.”

In 1999, Darrell K. Terry Sr., MHA ’01, FACHE, had a good job, a well-respected undergraduate degree and an aptitude for healthcare administration. Even so, he knew all that would only take him so far.

“I was starting to make some advances in my career,” he says now, “and I needed the MHA [Master of Healthcare Administration] degree in order to take the next step. It’s a very competitive market. I don’t see anyone going past the director level without having that advanced degree.”

Today, Terry is the Chief Operating Officer of Newark Beth Israel Medical Center and Children’s Hospital of New Jersey — a post he says he never would have reached without his MHA. Attracted by Seton Hall’s curriculum and campus, Terry describes his classes as “outstanding” and “extremely helpful.” He learned to read financial statements, discovered the statistical methods behind healthcare metrics and developed his personal management style.

A negotiations course helped him “understand that everyone should feel as though they won,” he says, while a leadership class proved one of the best he’s ever taken. “It was interactive, 18

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it was intense, it was comprehensive and it was a lot of fun, too.”

Caralee Zupa, MHA ’12, also found invaluable training through the Seton Hall program. Now a Nursing Home Administrator at CareOne in Jackson, New Jersey, Zupa completed the MHA program online — a convenient option that allowed her to work full-time while enrolled.

“I got to learn big-picture healthcare information and, at the same time, figure out my individual path,” she says. Taking what she learned in an emergency management class, she shaped her previous workplace’s emergency plan, and a course on ethics covered many of the issues she encounters in long-term care.

Zupa’s online classmates lived all around the country and included a doctor, a lawyer, a respiratory therapist and a practice manager.

“Health care is so different throughout the states,” she says. “We were able to get an understanding of what people are going through in their individual jobs and towns.”

Both Terry and Zupa found supportive, engaging professors at Seton Hall — experts who understand the field and the school/

Caralee Zupa, MHA ’12, Nursing Home Administrator at CareOne Above: Darrell K. Terry Sr., MHA ’01, FACHE, Chief Operating Officer, Newark Beth Israel Medical Center and Children’s Hospital of New Jersey

work balancing act their students face. “The faculty were down-to-earth. They understood health care, and they were visionaries as to how important this degree would be going forward,” Terry says.

Zupa says she graduated from the program with soaring confidence. “I would highly recommend it. It’s a phenomenal opportunity.”

– Molly Petrilla

Read more on page 4 about the MHA program, which became part of the School of Health and Medical Sciences on July 1, 2014.

Student

Reflections CARING FOR THE WOMAN NOT THE WHIPPLE

By Sarah Armenia, BS ’13, Third-Year Physician Assistant Student

During evening sign-out from my surgery rotation, the Chief Resident casually tossed the OR schedule on the table near where my fellow students and I were sitting. He told us to decide who would be scrubbing in to the pancreaticoduodenectomy, or the infamous “Whipple procedure.” I was sad to see that I would be post-call that day, but I still knew it was imperative for me to know the case inside and out. This patient was now officially “the Whipple” on our service.

Later that week, the other students and I frantically exchanged notes and vitals long before sunrise, as we always did before morning rounds. “You went in and checked on the Whipple, right?” another student nervously asked me. I nodded and gave him the pertinent lab values, in case he was asked about them during rounds. Throughout the day, a student or resident was always asking about “the Whipple,” as we had a somber understanding of how serious the surgery was and how quickly a good postoperative course could change for the worse.

After the procedure, the complicating events happened at lightning pace. The signs of an internal bleed were glaring, the prognosis was dubious, family members were called, and, after an emergency surgery, the patient was brought to ICU. When the nursing staff closed the ICU hallway doors for privacy, I knew that things were not going to improve.

However, I was utterly unprepared for the sight of the patient’s husband, who, I instantly knew, did not have a thorough prior understanding of the magnitude of the surgery or of how devastating a subsequent post-operative complication could be. On the edge of hysteria, he looked at his wife and back at the team and demanded answers.

I froze, wondering how I could have missed the importance of the preoperative family conversations or the consent process — or any point at which the gravity of the situation had been explained to him. I realized I had been so wrapped up in the technical aspects of the case itself that I did not know much about the patient’s family or the context of the disease in the patient’s life. She had been “the Whipple” to me — not a mother, a sister, a wife.

The eventual loss of this patient was a turning point for the way I view my future patients and their illnesses. I reflected on how often I looked at patients for the fascinating pathology afflicting them, rather than connecting with them more personally. This patient will always serve as my reminder for the rest of my time in practice.

Adapted and reprinted with the permission of MDAdvisor, A Journal for the New Jersey Medical Community, published

by MDAdvantage Insurance Company of New Jersey.

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H EALTH SC I EN C ES FAC U LT Y

Welcome Aboard New faculty, administrators and staff appointed at SHMS. The Department of Interprofessional Health Sciences and Health Administration is pleased to welcome six faculty members.

New to Seton Hall University are Drs. Beamer, D’Abundo and Zhang. Drs. Hewitt, Johri and Wagner transitioned to the SHMS faculty on July 1 through the Master of Healthcare Administration program acquisition (see page 4).

A DM I N ISTR ATIO N A N D STA FF

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Glenn Beamer, PhD, received a doctorate in political science from the University of Michigan and a bachelor’s degree in economics from the College of William & Mary. His research focuses on the interdependence of living wage policies, community sustainability and community health. Beamer is the author of Creative Politics: Taxes and Public Goods in a Federal System (University of Michigan Press, 1999) and Cities of Steel: A Worker-based Model for Retirement Security and Community Investment (forthcoming from Lehigh University Press/Rowman & Littlefield, 2015). His scholarly work has been published in the Journal of Health Politics, Policy & Law, Policy Studies Journal, State Politics & Policy Quarterly and the Review of Policy Research. From 1997-1999, Beamer served as a Robert Wood Johnson Foundation Scholar in Health Policy Research at the University of California at Berkeley and San Francisco.

Michelle Lee D’Abundo, PhD, MSH, CHES, received a doctorate from the University of Georgia. She previously was an Associate Professor of Public Health Studies at the University of North Carolina–Wilmington and the School Health Education Program Director at Salisbury University.

D’Abundo has developed a line of inquiry focused on online learning, measurement of well-being, promotion of mindfulness and community development in formal and informal learning environments. Her learnercentered instructional practices are influenced by her professional experiences in public health and her education that includes degrees in sociology, health promotion and adult education. Her scholarship and service are focused on the promotion of lifespan well-being through individual and organizational change, community development and social justice.

Anne M. Hewitt, PhD, is an Associate Professor and Program Director for the Master of Healthcare Administration (MHA) program.

She received an American Lung Association dissertation grant to complete her doctorate at Temple University, and she holds a master’s degree in nutrition education. Her current research interests focus on community health planning, state health policy and social causes of health disparities. She has been a Community-Campus Health Fellow, an invited presenter for the White House Faith-Based and Community Initiative National Conference and the recipient of national grants. She is an advocate of online education with recent publications in the field.

Hewitt joined Seton Hall in 2000 and founded the Seton Center for Community and Population Health in 2005. She continues to serve as faculty for the MHA internship and was instrumental in gaining CAHME accreditation for the MHA program.

Patricia Edwards, MA ’13, is the Director of Online Education for SHMS. She received a Master of Arts in Strategic Communication degree from Seton Hall University and a bachelor’s degree in psychology from Fairleigh Dickinson University-Teaneck. She has worked for SHMS since 2009 in a variety of administrative support positions, most recently as a Clinical Education Secretary. In her new role, Edwards will serve as the main contact for the Master of Healthcare Administration program and will work closely with SHMS administrators and faculty to develop and enhance online education offerings.

Health Sciences Faculty Achievements AT: Prof. Carolyn Goeckel contributed to a White Paper titled “Interprofessional Education and Practice in Athletic Training,” which was approved by the National Athletic Trainers’ Association Board of Directors and accepted as a poster in the 2014 “All Together Better Health” International Conference on Interprofessional Practice and Education.

Nalin Johri, PhD, MPH, is an Assistant Professor. He received a PhD in Health Policy and Administration from the University of North Carolina–Chapel Hill. He joined the Seton Hall faculty in 2010. Johri’s teaching topics include strategic planning and marketing for healthcare organizations as well as research methods, statistical analysis and financial management and control in nonprofit organizations. He has conducted studies on population, nutrition, reproductive health, women and children’s health, communication and training. He speaks, reads and writes fluent Hindi and English and has worked in Africa and Asia. Johri is a frequent presenter for the American Evaluation Association, and he served as the Impact Monitoring and Evaluation Advisor for the USAID-funded Palestinian Health Sector Reform project.

Stephen L. Wagner, PhD, FAcEM, FACMPE, is the Executive in Resi-

Ning Jackie Zhang, MD, PhD, MPH, received a doctorate from

dence for the Master of Healthcare Administration program and an Adjunct Professor. He has been with Seton Hall since 1997. He is the Director of Corporate Learning and Organization Development at Carolinas HealthCare System and a Fellow in both the American College of Medical Practice Executives and the Academy of Emergency Managers. He also is a faculty member at the University of North Carolina– Charlotte. Wagner’s principal areas of emphasis include leadership, organizational development, medical practice administration, medical economics, healthcare and educational technologies and healthcare policy. His research has focused on outcome measurement and the use of online tools for healthcare improvement.

the Department of Health Administration, Medical College of Virginia, Virginia Commonwealth University.

Zhang previously worked at the University of Central Florida as the Graduate Coordinator for the Doctoral Program in Public Affairs and Director of the Informatics Lab within the Department of Health Management and Informatics. His research interests include clinical outcomes research, nursing staffing policy and quality of care, emergency medical services and health informatics. Zhang has been a Principal Investigator (PI) and Co-PI on a number of National Institutes of Health (NIH) and foundation grants. He is a Fellow of the Gerontological Society of America, Associate Editor of the International Journal of Healthcare Technology and Management and a grant reviewer for the NIH Health Services Organization and Delivery section.

Lauren Smith, BA, joined SHMS in September 2014 as a Clinical Education Secretary. An ABA-certified paralegal, she received both her paralegal certification and Bachelor of Arts degree in psychology from Fairleigh Dickinson University. Prior to working at SHMS, Lauren specialized in mass tort litigation for a mid-sized law firm and provided legal service to clients while working at a legal non-profit organization. She also has experience with legal cases regarding consumer rights, domestic violence, family law, housing and public benefits. As a paralegal, Smith is trained in analyzing case facts, performing internet research and database entry. Her legal and administrative skills are an asset to the contractual aspects of her new position.

IHSA: The Master of Healthcare Administration program received initial accreditation by the Commission on Accreditation of Healthcare Management Education in May 2014.

OT: Drs. Thomas Mernar and Mara Podvey helped to facilitate international opportunities for students in the Philippines and Denmark, respectively.

PT: Dr. Preeti Nair co-authored: Nair, P.M., Phadke C.P. & Behrman A.L. (2014). Phase dependent modulation of soleus H-reflex in healthy, non-injured individuals while walking with and without an ankle foot orthosis. Gait & Posture. Apr; 39(4):1086-91.

PA: Dr. Denise Rizzolo and thirdyear student Shontelle Berfet collaborated with colleagues from various health professions to develop an oral health outreach program.

SLP: Dr. Deborah Welling coauthored: Welling, D. R. & Ukstins, C. A. (2014). Fundamentals of audiology for the speech-language pathologist. Jones & Bartlett: Baltimore, MD.

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DEPARTMENT NEWS The chairs of each department in the Division of Health Sciences share these updates on their programs.

Top row: Carolyn Goeckel Terrence Cahill Ruth Segal Bottom row:

Doreen M. Stiskal

Interprofessional Health Sciences and Health Administration (IHSA) Chair: Terrence Cahill, EdD, FACHE As introduced earlier in this edition (see page 4), the Department of Interprofessional Health Sciences and Health Administration (IHSA, formerly named Graduate Programs in Health Sciences) is in the midst of several changes that are transforming the vision and scope of the department. The Master of Healthcare Administration (MHA) program has replaced our Master of Science in Health Sciences (MSHS) program. With 126 MHA students and 125 PhD in Health Sciences students, 11 core faculty and numerous adjunct faculty, we are now the biggest SHMS department.

We attract students from across the United States and internationally. Currently we have students from Saudi Arabia, Canada, Jamaica, Iran, India, Nigeria and China.

Christopher Hanifin Vikram N. Dayalu

Athletic Training (AT) Chair: Carolyn Goeckel, MS, ATC Our AT alumni continue to make their presence known outside of SHU, as our students are learning to do so. Here are the ABCs of 2013–2014: ACCOMPLISHMENTS: Outcome on BOC exam was 100 percent first-time pass rate. Onehundred percent of student abstracts were accepted for poster presentations at the 2014 national conference. Total enrollment is the largest in program history at 45 students. We also had the largest graduating class (22) in program history. Since the program’s inception, 138 students have graduated from Seton Hall with an MSAT degree.

BUILDING PROFESSIONAL RELATIONSHIPS:

The alumni event held in Indianapolis on June 26, 2014, was well attended. More than 50 alumni, spanning the 10-plus years of the programs’ graduating classes, socialized and networked. Also in attendance were current students. Employed graduates are 22

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working in traditional and emerging athletic training settings. Graduates have assumed administrative positions in high schools and health and wellness centers. One graduate has begun medical school, and two students are pursuing doctorates.

CLINICAL NEWS: Newly developed sites include Bergen Catholic and Delbarton high schools, the Philadelphia Flyers and the New York Giants.

OTHER UPDATES: Within the SHMS interpro-

fessional education (IPE) initiative, the MSAT program offers opportunities for students to work with other professions, promoting the team approach to patient-centered care.

A dual-degree option, enabling students to pursue a BA degree in biology (BIAZ) and an MSAT, was newly approved (see page 5).

Students from Ireland and England were with us last spring as part of our international exchange agreement.

After offering both of these degrees for more than 15 years, our MHA graduates and PhD graduates are well established in their careers and making a difference in the delivery of health care. Many of our alumni have ascended to leadership positions in healthcare delivery systems, regulatory organizations, academia and research settings. Yet, even with their busy schedules, quite a few of our graduates continue to be involved in our IHSA learning community — conducting research with our faculty and serving our students as internship instructors, adjunct faculty and guest lecturers.

Our IHSA vision is to be recognized as a home for those who are interested in leading the 21st-century transformation of our healthcare delivery systems — students, practitioners and academics — to come together to develop better leadership, clinical, research and teaching solutions. We invite our alumni to join us as we pursue this exciting vision.

Occupational Therapy (OT) Chair: Ruth Segal, PhD, OTR It is an exciting year for the occupational therapy program at Seton Hall!

This is the 15th year of the program. To date, we have graduated 265 occupational therapists who have gone on to great things. At least three have completed doctoral programs.

Graduates working in Colorado, California, Florida, South Dakota and, of course, New

Jersey bring their expertise and excellence to clients in those states. We have even heard of one or two in Europe!

We took in our largest class ever this year, and we hope that our alumni will remember their fieldwork experiences and reach out to take students of their own (www.shu.edu/go/ supervisor). We will support you in any way we can in this, especially if you haven’t had students before. Remember that the profession grows when competent graduates learn from the best — and we know our alumni are the best!

Reaccreditation is also upon us this year, with the site visit scheduled for the spring. We also introduced a new curriculum this fall. Based on the principles of the International Classification of Functioning, Disability and Health, the organization of courses is different from our previous schedule and reflects changes in healthcare, teaching and technology. With the help of an outside consultant, our faculty developed this new curriculum, which was approved by the larger SHMS faculty last spring. We are all excited for these new opportunities to enhance the preparation of our students and to further explore partnerships with community agencies to provide hands-on experiences.

Physical Therapy (PT) Chair: Doreen M. Stiskal, PT, PhD ’03 Ten years and counting… The Department of Physical Therapy honored its 10th graduating class in May! Hard to believe that only a decade ago, in 2005, we celebrated 13 pioneering graduates, and now we graduate approximately 30 annually. This growth continues with 34 new students who entered this fall. Our expansion allows us to develop innovative learning to ensure that SHU DPT students become competent professionals.

Moreover, this growth would not be possible without you, our DPT alumni. With health care continually changing, the DPT program must emphasize classroom-to-clinic transitions.

Sending our students to formative clinical experiences assures us that they obtain the necessary experiential learning. We thank the many of you who support our clinical education program as clinical instructors. Your service in this critical role helps us graduate individuals who are well prepared for the workplace. If your employer does not yet have Seton Hall

DPT interns, kindly reach out to explore establishing this collaborative relationship.

for new grads about the transition from student to practitioner.

If you are a clinical education partner, look for an alumni clinical site visitor who may be assigned to meet with you and our student.

This summer, Irene De Masi, PT, DPT, and Kim Poulsen, PT, DPT, Directors of Clinical Education in our department, guided three alumni — Rachel Tolentino, DPT ’09; Haider Rizvi, DPT ’09; and Meg Wessel, DPT’12 — to serve in this important role. Not flexible during the day?

Then consider supporting one of our program’s advisory groups. The newly formed pediatric and acute care groups recruited several alumni to provide feedback for program development.

We are establishing groups in each practice area, and we welcome your participation.

Finally, as a testament to the hard work of our students and faculty, the Classes of 2013 and 2014 both enjoyed a 100 percent pass rate on the PANCE. Strong work, everyone!

Physician Assistant (PA) Chair: Christopher Hanifin, MS, PA-C It was great to catch up with many of you at the AAPA annual conference. At AAPA, faculty members Denise Rizzolo, MS ’00, PhD, PA-C; Abby Saunders, MS, PA-C; and Lauren Twombly, MPA, PA-C, presented CME lectures, and the Class of 2014 presented two research posters: University Community Tobacco Policy Knowledge and Interest in a Tobacco Education Program

by Theresa DiFabrizio, MS ’14, PA-C; Kate Buckley, MS ’14, PA-C; Carmen Simmonds, MS ’14, PA-C; and Sarah Osmun, MS ’14, PA-C, and A Discussion on Ultraviolet Light Disinfection Methods in Hospitals with Emphasis on Automated WholeRoom Methods by Emily McKinnon, MS ’14, PA-C; Rich Curran, MS ’14, PA-C; Elisabeth Davison, MS ’14, PA-C; Katelynn Dilendik, MS ’14, PA-C; and Alison Whitecavage, MS ’14, PA-C. Student accomplishments were the order of business this year. Class of 2015 students Shontelle Berfet and Sarah Armenia received awards. Berfet was named a Paul Ambrose Scholar by the Association for Prevention Teaching and Research, and Armenia received the Edward J. Ill Excellence in Medicine Foundation Scholarship.

We are always looking to improve alumni engagement. Clint Kaminski, MS ’01, PA-C, and Natasha Greendyk, MS ’13, PA-C, joined our expanding pool of alumni lecturers.

Recent graduates Sarah Gibson, MS ’09, PA-C; Liz LoBuglio, MS ’13, PA-C; Tim Dowse, MS ’13, PA-C; and Laura (Duberndorfer) Gibson, MS ’09, PA-C, participated in a panel discussion

Speech-Language Pathology (SLP) Chair: Vikram N. Dayalu, PhD, CCC-SLP This has been an exciting year for the department. The master’s program participated in the reaccreditation process, and we received positive feedback on our academic and clinical aspects.

We are proud that the Classes of 2013 and 2014 achieved 100 percent in employment, first-time Praxis pass rate and graduation. The department adopted a very progressive strategic plan focused on student success, academic and scholarly advancement, and expanding community outreach and alumni engagement. The faculty continues to make curricular changes by increasing the number of experiential training opportunities, requiring students to participate in four, schoolwide interprofessional activities and expanding the number of international training opportunities (e.g., Philippines, Brazil).

Graduate students continue to participate in a variety of faculty-driven research lines. Faculty continue to publish actively in high-impact journals, publish textbooks and author book chapters; present at national and international conferences; and submit grants. The department has established a new research lab in the domain of voice analytics (directed by Sona M. Patel, PhD). She was recently awarded a $383,000 National Institutes of Health grant to pursue her work here (see page 16).

Our alumni are engaged in the academic and clinical training of our students, teaching courses and serving as on-site clinical supervisors. Please feel free to contact me to explore collaborative opportunities and/or provide comments and suggestions on ways to expand our alumni engagement. Please also consider attending our biannual CEU event, free of charge, held on campus for our supervisors and alumni.

As always, we are committed to supporting our students during their time in the program as well as supporting the professional growth of our students. Go Pirates!

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You’re Hired When the three-time Super Bowl champions New England Patriots came calling for Athletic Training alumnus Nico Locandro, not even his own graduation ceremony stood in the way.

Recent graduate Nico Locandro, MS ’14, ATC, CSCS, had to forgo Commencement celebrations in favor of an opportunity for which he has worked his whole life: a job offer with the New England Patriots. A Seasonal Athletic Trainer with the highly successful NFL franchise, Locandro talks about the role he plays in helping the championship-winning athletes compete week after week.

The Business of Sports: “Being healthy is their livelihood. Their body is their professional career,” Locandro says about the intense nature of his work with professional football players.

Because an NFL player’s career is short compared to non-athletic jobs, the stakes are high. “They really rely on the medical staff to support their success.”

Thanks to Seton Hall: Locandro collaborates with the Patriots’ rehabilitation director, crediting his hands-on experiences in the Master of Science in Athletic Training program for giving 24

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him an edge. Gait analysis and biofeedback, advanced rehabilitation programs and the implementation of strength and conditioning techniques and functional exercises are areas where he excels.

Part of the Team: “Interprofessional relationships among health profes- sionals are vital to the operations of any sports medicine department, especially in the NFL,” Locandro affirms. “On a daily basis, I may be working with physicians, orthopedic surgeons, nurses, physician assistants, chiropractors, dentists, podiatrists, EMTs, phlebotomists, x-ray technicians and massage therapists, in addition to the two dual-credentialed physical therapist/athletic trainers on staff.”

On Missing Graduation: “It was tough to miss out on celebrating accomplishments with friends and family — but when you get a call from the New England Patriots, you kind of have to take it.”

– Taylor Kunkle, BS ’14, Second-Year Doctor of Physical Therapy Student

PHOTOGRAPHY BY JOHN BL AINE

400 South Orange Avenue South Orange, NJ 07079

SHU-205-14

Team of Teams The School of Health and Medical Sciences salutes the men and women of the U.S. military — the quintessential team of teams. Across branches and borders, they work tirelessly to serve our country and defend our freedoms. We are deeply appreciative for their interprofessional service.

The following profiles celebrate the work of some of SHMS’ community members who have answered the call to serve in various ways.

Karl Yves M. Grand Pierre, BS ’14

Commander Marc Herwitz, OD, MHA, FAAO, FACHE

Captain Joanna Borawski, DPT

Master of Science in Physician Assistant

Master of Healthcare Administration

Doctor of Physical Therapy

Class of 2016

Class of 2009

Class of 2010

Petty Officer First Class

Executive Officer (Chief Operating Officer)

U.S. Air Force 59th Surgical Specialist Squadron

U.S. Navy Health Services

Naval Ophthalmic Support and Training Activity

Joint Base San Antonio, Lackland

Collegiate Program

Yorktown, Virginia

Air Force Base, Texas

(Pictured second from the right)

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