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CHRISTIANA CARE
Residency Programs
Focus on Excellence
At Christiana Care our mission is to take care of our neighbors. With this noble purpose in mind, our
Mission Statement
The Christiana Care Health System is a not-for-profit, nonsectarian health care system located in northern Delaware. Our mission is dedicated to improving the health of all individuals in the communities we serve through health care services, education and research.
staff are constantly reminded to Think of Yourself as a Patient, always caring for a patient as they themselves would want to be cared for. If you take a close look at the Christiana Care diamond, youll find that the patient is at the center of everything we do. As part of our mission to care for our neighbors, Christiana Care Health System is dedicated to the pursuit and recognition of Service Excellence. With this in mind, Christiana Care is committed to being a worldclass health care provider and takes pride in having on our team, people who care about people and who are inspired in their work by a desire to help others.
At the heart of our program is Christiana Hospital, Delawares only tertiary care and Level-I trauma facility. In combination with Wilmington Hospital, Christiana Care hospitals comprise more than 1,100 beds with over 10,400 employees, 1,400 physicians and 230 residents. The institution is the 17th largest hospital system in the country based on annual admissions. We provide high-quality primary and referral care to patients from the urban, suburban and rural areas of Delaware, Maryland, Pennsylvania and New Jersey. This means that youll see a wide variety of patients from many different cultures, backgrounds and socioeconomic groups. In combination with the Helen F. Graham Cancer Center and Center for Heart & Vascular Health, our facilities offer some of the most advanced technology in the region and provide our residents unparalleled clinical experiences.
WHATS INSIDE
Whats New at Christiana Care . . . . . . . 4 Core Internal Medicine and Transitional Year Faculty . . . . . . . . . . . 17 Our Residents 2011-2012. . . . . . . . . . 21 Our Graduates . . . . . . . . . . . . . . . . . . 26 Research. . . . . . . . . . . . . . . . . . . . . . . 33 Salary and Benefits . . . . . . . . . . . . . . . 39 Delaware . . . . . . . . . . . . . . . . . . . . . . 40
What if?
What if you had more time to dedicate to the rotation that youre doing? What if you didnt have to worry about leaving a floor rotation or an elective to get to clinic or an outpatient continuity practice? What if you never had to do two inpatient rotations back to back and had more time for rest and study? Two years ago the internal medicine residency program introduced an innovative curriculum design. Rather than typical half-day clinics added to all inpatient and outpatient rotations, the new curriculum splits the residents experiences into inpatient and outpatient blocks of time. Your clinical experience is a four week inpatient medicine rotation alternating with a two week ambulatory medicine experience. The new design allows residents to
completely focus on the rotation. So residents on an inpatient rotation, will not need to leave in the middle of the day to go to clinic. Similarly, when residents are in the outpatient setting, they will not need to run back to the hospital. Creating block ambulatory time will become the trend at residency programs nationally, comments Dr. Brian Aboff, Internal Medicine & Transitional Year Residency Program Director, but right now were one of only a few programs who have adopted this innovative solution to residency training. Weve heard great feedback from the residents. In clinic, the residents are less stressed and more focused on caring for their patients and learning. On the inpatient rotations, residents have more time to take care of their patients, attend lectures and teaching rounds and do less cross coverage.
John Donnelly, M.D. Assistant Program Director, Director of Ambulatory Medicine "The new curriculum looks great because it separates the inpatient and outpatient obligations of the residents. When we decided to make this change, our primary obligation was making sure this was better for the residents education. I loved working on this project because I knew that it was a change that the residents wanted."
Christiana has a large number of specialists on faculty, giving residents ample opportunities for exposure in specialty fields. In addition to that, many of our specialists come from programs across the country which gives residents at Christiana exposure to a wide variety of opinions and practices.
Fellowship Placement
Our residents match with the nations most prestigious insititutions.
More than a third of our internal medicine residents pursue fellowships in subspecialties after graduation. This past year, seven of our residents matched in fellowships including cardiology, pulmonary/critical care medicine, rheumatology, and hematology/oncology. Six of the seven residents matched into one of their top two choices! In addition, the Christiana Care Health System offers fellowships in cardiology, interventional cardiology, nephrology and sports medicine.
Here are some places our residents have gone for fellowship:
Albany Medical Center (Cardiology) Bridgeport/Yale (Cardiology) Brown (Pulmonary/Critical Care) Christiana Care (Cardiology, Nephrology) Dartmouth (Nephrology) Drexel (Hematology/Oncology, Nephrology) George Washington (Endocrinology) Georgetown (Pulmonary/Critical Care) Hartford Hospital (Cardiology) Johns Hopkins/Bayview (Geriatrics) Lankenau (Cardiology) Mass General (Pain & Palliative Care) Medical College of Georgia (Pulmonary/Critical Care) Medical College of Virginia (Cardiology)
North Shore/LIJ (Cardiology, Hematology, Oncology) Ohio State (Pulmonary/Critical Care) Rhode Island (Hemotology, Oncology) Rush (Infectious Disease) Temple (Geriatrics) Thomas Jefferson (Gastroenterology, Infectious Disease, Nephrology) Tulane (Allergy/Immunology) UCSD (Peds, Hemotology, Oncology) UMDNJ (Gastroenterology) University of Minnesota (Nephrology) University of Pennsylvania (Gen. Internal Medicine, Nephrology) University of Pittsburgh (Pulmonary/Critical Care) University of Texas (Infectious Disease) Wake Forest (Rheumatology) Wayne State (Cardiology) 5
than 1,400 physicians and surgeons are active members of Christiana Care's Medical-Dental staff, and more than one in 10 of them have located at least part of their practices on the Christiana Hospital campus in two Medical Arts Pavilions adjoining the main hospital. The Center for Heart & Vascular Health in the Bank of America Pavilion at Christiana Hospital offers the latest vascular surgery, cardiac rehabilitation and preventive medicine. Each year, the medical team at the Center for Heart & Vascular Health performs more than 800 open-heart surgical procedures, plus thousands of diagnostic and interventional procedures in our cardiac catheterization and electrophysiology labs. The recently added Gerret and Tatiana Copeland Arrhythmia Center is a fully capable electrophysiology suite that features advanced stereotaxis technology for the diagnosis and treatment of heart-rhythm disorders. Using the Stereotaxis Niobe Magnetic Navigation System, we are the only hospital in Delaware and among a select group of high-volume centers nationally with the capability to perform a new type of ablationa corrective procedurethat cures atrial fibrillation in up to 80 percent of our patients. Adjacent to the Center for Heart & Vascular Health is the John H. Ammon Medical Education Center, which
houses 13 classrooms, a 300-seat auditorium equipped with audiovisual and video-conferencing technology and a 7,000-square-foot medical library. It also hosts a 9,000-square-foot high-tech physician Virtual Educaton and Simulation Training Center that allows doctors and residents to train in a realisic, simulated hospital setting. The center is equipped with a working laparoscopy station with simulated tissues, an endoscopy/ bronchoscopy simulator, 3D visualization software and display, and numerous task trainers. Located on the Christiana Hospital campus, the beautifully designed and landscaped, 200,000-square-foot Helen F. Graham Cancer Center is a state-of-the-art facility that serves a majority of the cancer patients residing in Delaware. This National Cancer Institute designated Community Cancer Center features advanced medical, surgical and radiation procedures and diagnostic services. The cancer research program includes the Center for Translational Research, a collaborative program with the University of Delaware. The Helen F. Graham Cancer Center also includes the Christiana Care Breast Center, an outpatient facility with the state's only dedicated breast MRI. 7
Matthew Stofferahn, M.D. PGY-5 EM/IM resident, EM/IM Chief Resident As the only tertiary care hospital for the entire state of Delaware and much of the surrounding tri-state area, the diversity of patients and exposure to pathology is truly unmatched. The medicine service also has primary responsibility for many problems that would be delegated solely to specialists at university hospitals. As a result, there is scarcely a more clinically comprehensive internal medicine residency anywhere.
ICU electronic medical record.
Dena Florczyk, M.D. Med-Peds Class of 2010 and Former Med-Peds Chief Resident "The new additions to Christiana Hospital have provided residents with state-of-the-art inpatient as well as educational facilities. These include patient care facilities, a medical education center, a simulation laboratory and employee wellness center. These visionary and technologically advanced additions have created intensive care units and library medical facilities that enhance resident education. In addition, the resources provided by the education center facilitate resident and physician success in patient care and professional advancement."
Christiana Care Health System Partnership with the University of Delaware Allows Residents to Obtain MBA
In cooperation with the University of Delaware, the Internal Medicine Residency program supports an optional four- year program that will allow residents to complete their internal medicine residency and earn an MBA, Masters of Health Science Administration, Masters in Management, or Masters of Organizational Development. The joint Internal Medicine residency-MBA program lasts four years. Residents complete their first year of residency and then start a modified schedule. In the remaining three years, residents spend approximately one third of their time each year attending classes at the nearby University of Delaware while being free of clinical duties. Residents continue to receive 70 percent of their base salary during the last three years of their residency, while attending full-time MBA course work. Even while attending classes, residents remain employees of the hospital so they continue to receive benefits. As an added benefit, for residents who live in Delaware, Christiana Care pays half of their in-state tuition costs. The first resident to earn the opportunity to participate in the program, Billy Chasanov, D.O. describes this opportunity as, One I didnt want to pass up.
William Chasanov, II, D.O. Internal Medicine, Class of 2010, CCHS Nephrology Fellow I earned an MBA at a reduced cost while still drawing a partial salary and benefits. Even when I was at the University of Delaware focusing on my MBA course work, I still kept my internal medicine skills up by moonlighting. I hope to use my MBA skills in hospital management or to branch into the pharmaceutical industry
The facilitys new patient rooms are single rooms including space for families, and use as much natural lighting as possible throughout the campus. Additionally, the new patient rooms include flat-screen monitors to provide internet access and patient education videos (GetWell Network).
Expanding and renovating Christiana Cares Wilmington Campus continues Christiana Cares commitment to serve.
Christiana Care is embarking on this project to address demand for health care services that grew dramatically over the past decade. A key component
Heres what Delaware Today says about Dr. Robert J. Laskowski and Christiana Care:
Under CEO Robert Laskowski, Christiana Care has emerged as an indomitable healthcare force on the East Coast. Between two acute-care hospitals staffed by some of the most talented physicians in the country, Laskowski is steering a very large shipand the rest of the country is taking notice. The leadership here is viewed as a responsibility, Laskowski says. We
and the Delaware Valley Institute for Clinical and Translational Science, a consortium they hope will lead to more grant money and fund even greater innovation. Thats a multi-year effort that we think will be transformative in its own right, Laskowski says.
Dr. Timothy J. Gardner, left, and Susan K. Neely, president and CEO of the American Beverage Association, right, at the press conference with former president William J. Clinton.
Lionel Malebranche, M.D. Internal Medicine, Class of 2011, CCHS Cardiovascular Disease Fellow "The night float system provides a good balance between work, medical experience and much needed rest. The day team is guaranteed not to spend any overnight calls during the week days, which is great. The night team doesn't have to see patients in the morning before they leave. The clinical experience is so much better when you have enough rest time. It's really a win-win situation." 11
Leaders of the Delaware IDeA Network of Biomedical Research consortium gather to discuss the National Institutes of Healths National Center for Research Resources grant.
Medical College
remain to practice in Delaware when they complete their residency training. This new partnership with one of the nations foremost medical research institutions, in collaboration with other Branch Campus partners, strengthens Christiana Cares ability to pursue a Clinical Translational
into the effect of kidney function on the association between obesity and cardiovascular events.
We are looking forward to expanding our collaborations in clinical research, especially to treat patients with common clinical problems more effectively. Timothy J. Gardner, M.D.
Delaware State University, Wesley College, Delaware Technical and Community College and Nemours/Alfred I. duPont Hospital for Children. The INBRE grant will help develop a broad range of translational research projects and make new ideas for improved diagnostics and therapy available to the state and nation, says Dr. Weintraub, who also heads the Christiana Care Center for Cardiovascular Outcomes Research. The center serves as an analytic center for INBREs cardiovascular research effort. Funded projects under the grant include research by Claudine Jurkowitz, M.D., MPH, Director of Operations for the Center for Cardiovascular Outcomes Research,
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U.S. News & World Report Ranks Christiana Care Among Americas Best Hospitals
For the fifth straight year, Christiana Care has been ranked one of the nation's best hospitals.
One of only 3 percent of US hospitals to make the list.
In its annual Americas Best Hospital edition, U.S. News & World Report places Christiana Care among the top 50 listings in two specialties Diabetes & Endocrine Disorders and Digestive Disorders. Christiana Care is the only hospital in Delaware to make the list. Of more than 4,800 hospitals evaluated this year, only a select 174 or 3 percent are included. Receiving national recognition in these specialties is a testimony to the exceptional care provided by our doctors, nurses and allied health professionals, says Robert J. Laskowski, M.D., president and CEO of Christiana Care. To be listed three years in a row underscores our regional and national reputation as a premier health care provider. Being named one of the top 50 hospitals in the US in diabetes and digestive disorders is a reflection of the hard work, dedication, teamwork and focus on excellence of all our caregivers and validates that we are truly transforming care for our patients," says Virginia E. Collier, M.D., FACP, Hugh R. Sharp, Jr. Chair of Medicine at Christiana Care. To receive this prestigious honor, the magazine uses a methodology that ranks hospitals on several metrics including mortality rates, reputation, number of patients cared for, quality of nursing care, use of advanced technology and a trauma center. A new metric added this year patient safety shows how well a hospital minimizes harm to patients.
Residents
reaching out
Volunteer Endeavors
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Be in the
Know
You may be interested to know some of the things that Christiana Care offers you
EDUCATION, NOT SERVICE
Christiana Care offers outstanding ancillary support 24 hours a day, 7 days a week so that you are not burdened with the traditional scut of residency. We strictly adhere to the ACGME work hour guidelines so that you are assured adequate rest.
EDUCATIONAL FUND
Each of the residents is allowed $1,000 from Academic Affairs for the purchase of educational materials and scientific meetings yearly.
MEDICAL LIBRARY
There are medical libraries at both the Christiana and Wilmington hospitals where residents have access 24 hours a day, 7 days a week. Many library services and references are available including medical librarians to perform literature searches for the residents.
PARKING
At both Christiana and Wilmington Hospital, parking is free for the residents.
DAY CARE
A full-service child day care and drop-in day care, Imaginations, is available on the Christiana Hospital campus. See page 32 for more detailed information about these services.
I have learned that Newark, Delaware is the best of both worlds it has that suburban architecture with a big city edge just minutes away. Either way on I95 you are bound to run into a big city to feed those social needs but when you just want some homemade ice cream and a nice peaceful walk along Main Street you can just come HOME to Newark. I must say this big-city girl has learned to love this little-city life.
Brooke Mobley, D.O. Internal Medicine, Class of 2011, CCHS Nephrology Fellow
Attending Appreciation Breakfast: Allison Buonocore, M.D., Tony Bianchetta, M.D., Allen Friedland, M.D. (Medicine Pediatrics Program Director) and John Donnelly, M.D. (Internal Medicine Assistant Program Director).
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Dr. Tabassum Salam (Associate Program Director), Dr. John Donnelly (Assistant Program Director), Dr. Brian Aboff (Program Director), Dr. Matthew Burday (Associate Program Director). Albert A. Rizzo, M.D. Thomas Jefferson University Hospital, 1978 Residency, Thomas Jefferson University Hospital Section Chief, Pulmonary James E. Ruether, M.D. University of Toronto, 1993 Residency, Christiana Care Health System Medical Director, Unit Based Internal Medicine Faculty Member Sarah Schenck, M.D. Jefferson Medical College, 2000 Residency, Medical College of Virginia Hospitals Director, Adult Medicine Office Anthony Sciscione, D.O. University of New England, 1987 Residency, Christiana Care Health System Fellowship, Maternal-Fetal Medicine Program Director, OB-GYN Associate Professor, Drexel Medical College Jason M. Silversteen, D.O. Lake Erie College of Osteopathic Medicine, 2005 Internship, Graduate Hospital Residency, Drexel College of Medicine Fellowship, University of Texas Southwestern Medical Center Education Coordinator, Section of Neurology Julie Silverstein, M.D., FACP NYU School of Medicine, 1985 Residency, Cambridge Hospital Chief Medical Resident, Cambridge Hospital Director, Patient Safety and Performance Improvement, Department of Medicine Chief, Section General Internal Medicine Associate Chair for Ambulatory Medicine Clinical Associate Professor of Medicine, Jefferson Medical College Pamela Simpson, M.D. Jefferson Medical College, 2001 Residency, Christiana Care Health Services Fellowship, MCP-Hahnemann University Education Coordinator, Section of Oncology Shveta Singh, D.O. Arizona College of Osteopathic Medicine, 2003 Residency, Christiana Care Health Services Internal Medicine Faculty Member R. Bradley Slease, M.D. University of Kansas, 1972 Internship, National Naval Medical Center, Bethesda Fellowship (Hematology/Oncology) National Navy Medical Center Chief, Section of Hematology Michael Sneider, M.D. Wayne State, 1988 Residency, Oakwood Hospital & Medical Center Fellowship, University of Michigan Program Director, Diagnostic Radiology Residency Chief, Cardiothoracic Radiology Cem H. Soykan, M.D. University of Virginia School of Medicine, 2002 Residency, Children's National Medical Center Internal Medicine Faculty Member Maurice Thew, M.D. University of Leeds, 1964 Residency, University of Pennsylvania School of Medicine Chief, Section of Dermatology Marc T. Zubrow, M.D. Jefferson Medical College, 1977 Residency, Lankenau Hospital Fellowship (Pulmonary and Critical Care), University of Pittsburgh Director of Critical Care, Christiana Care Health System Medical Director, eCare Clinical Assistant Professor of Medicine, Jefferson Medical College
Neeta Milasincic, M.D., FACP Alumna, previous Chief Resident, 4th Year Student Clerkship Director At Christiana Care Health System, tremendous diversity of disease, excellent teaching and mentorship, and vast research support create the ideal learning environment for trainees at all a levels. With these opportunities, our residents and students succeed at building the best foundation vital for the rest of their careers as physicians"
Anthony Munson, M.D. University of Virginia, School of Medicine, 2000 Residency (Neurology), University of Maryland Health System Medical Director, Stroke Unit Education Coordinator, Section of Neurology Jason Nace, M.D. Medical College of Virginia, 1997 Residency, Christiana Care Heath System Director, Clinical Decision Unit Internal Medicine Faculty Member
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By the Numbers
More than 10,000 employees
Christiana Care is the largest private employer in Delaware and the 10th largest employer in the Philadelphia region.
913
number of beds at Christiana Hospital
Enoch Arhinful, M.D. Saba University Muhammad Baig, D.O. Lake Erie College of Osteopathic Medicine Lauren Douglas, M.D. Jefferson Medical College Foyin Fasanmi, M.D. University of Maryland School of Medicine Christopher George, M.D. Temple University
Claudia Dal Molin, D.O. Edward Via Virginia Jennifer Juice, D.O. University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine Ruhong Ma , D.O. Edward Via Virginia Amratash Malodiya, MBBS Kastarba Medical College Kathy McGill, D.O. Philadelphia College of Osteopathic Medicine Adaorah Okafor, D.O. New York College of Osteopathic Medicine Donald Slack, M.D. University of Maryland Aubre Weber, D.O. Philadelphia College of Osteopathic Medicine Chia-Shing Yang, M.D. Eastern Virginia Medical School
New York College of Osteopathic Medicine Jennifer Brettler, D.O. University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine Bobby Gulab, M.D. Ross University Jennifer Hurd, M.D. Jefferson Medical College Narrani Kanapathippillai, M.D. Saint George's University Jason Magargle, D.O. University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine Heather Ragozine-Bush, M.D. Jefferson Medical College Lauren Salmon, D.O. Edward Via Virginia Sandra Schwarcz, D.O. Philadelphia College of Osteopathic Medicine Anna Taran, D.O. Lake Erie College of Osteopathic Medicine
$210 million
Wilmington campus undergoing transformation
$51,900
Salary of a PGY 1 medicine resident
Wide Variety of Content and Formats for Internal Medicine Residents Conferences
Internal Medicine residents need to acquire a vast spectrum of knowledge and skills during their training. Hence, we use a variety of formats and settings to deliver this to our residents. Every day at noon, there is a didactic session many take the form of lectures, but, several are presented as workshops. Procedural skills, including office based procedures such as joint injections and skin biopsies are taught in workshops. Residents experience simulated cases lifted from potentially high-stress situations, such as Code Blues, in a simulation lab. Residents attend regular EKG reading sessions. An exciting addition to the lecture experience for our residents has been the use of an electronic Audience Response System, which allows the residents to interact with presenters. Apart from core medical knowledge, residents also have the opportunity to develop leadership skills and learn the business of medicine.
Delaware experienced the most rapid decline in cancer mortality in the United States from 1990-2005, at a time when cancer deaths were increasing nationwide.
Michael Gross, M.D. University of Medicine and Dentistry of New Jersey Ali Hamid, MBBS Dow Medical College JJ Hernandez, D.O. University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine Adrian Hurst, D.O. Philadelphia College of Osteopathic Medicine Adam Lammly, D.O. Philadelphia College of Osteopathic Medicine Poonam Maru, D.O. Western University of Health Sciences Tresa Mascarenhas, MBBS Madurai Medical College - India Calvin Williams, M.D., Ph.D. University of Maryland School of Maryland
PGY 3
Courtney Ackerman, M.D. Saint George's University Roi Altit, M.D. Jefferson Medical College David Armstrong, D.O.
PGY 2
Peter Burke, D.O. Philadelphia College of Osteopathic Medicine
Intern Welcome Celebration: Lauren Salmon, D.O. (PGY-3) and Anna Taran, D.O. (PGY-3).
Justin Morea, D.O. (Internal Medicine, Class of 2011) presenting at Medicine Grand Rounds
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Medicine Pediatrics
PGY 1
David Chen, M.D., MPH University of Medicine and Dentistry of New Jersey Himani Divatia, D.O. Philadelphia College of Osteopathic Medicine Stephanie Guarino, M.D. Baylor College of Medicine Vishal Patel, M.D. Albany Medical College Giovanna Uzelac, M.D. Jefferson Medical College Narrani Kanapathippillai, M.D. PGY-3 IM Resident Jennifer Gauntt, M.D. Georgetown University Christopher Prater, M.D. Michigan State University Christopher Prendergast, M.D. Brown University
Preliminary Medicine
PGY 1
Matthew Butler, M.D. University of Medicine and Dentistry of New Jersey Nirav Das, M.D. University of Texas Southern Medical Center Assaf Graif, M.D. Technion Sameul Hanif, M.D. George Washington University Sergey Kochkine, M.D. SUNY Stony Brook Christopher O'Neill, M.D. Columbia University Samir Thaker, M.D. Case Western Reserve University School of Medicine
PGY 4
Raymond Carter, M.D. New York College of Medicine Samantha DeCouto, D.O. Philadelphia College of Osteopathic Medicine Andrea Read, D.O. Philadelphia College of Osteopathic Medicine Karla Testa, M.D. Georgetown University
PGY 3
Kelly Billig-Figura, M.D. State University of New York Candace Sprott, M.D. Wake Forest University Mark Troiano, D.O. Philadelphia College of Osteopathic Medicine
Transitional Year
PGY 1
Megan Dowling, M.D. Eastern VA Medical School Nathan Finch, M.D. Eastern Virginia Medical School Daniel Fistere, M.D. Virginia Commonwealth School of Osteopathic Medicine Chad Hummel, M.D. Jefferson Medical College Roshan Modi, M.D. Drexel University Matthew Moon, M.D. Mount Sinai School of Medicine Tim Niesen, M.D. Drexel University Jennifer Rowland, M.D. University of Pennsylvania Vivek Sahani, D.O., University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine
PGY 2
Sneha Daya, M.D. Albany Medical College
Everyone from the office staff to my attendings have been nothing but helpful and encouraging. Christiana Care is a great nest for residents to grow in and learn to fly.
PGY 3
Mary-Stewart Grote, M.D. University of Kansas Daniel Hess, M.D. University of Maryland Vikram Marocha, M.D. Baylor College of Medicine Wahida Azimi, D.O. Internal Medicine, Class of 2010 "I loved the wonderful camaraderie and social network at CCHS!" Hana Choy, M.D. Case Western University Elizabeth Lee, M.D. University of Maryland Matthew Stofferahn, M.D. Johns Hopkins University
PGY 2
Nour Rifai, MBChB Royal College of Surgeons in Ireland Brian Robertson, M.D. Virginia Commonwealth University School of Medicine
Physical Diagnosis Charades, Intern Orientation: Tresa Mascarenhas, MBBS (PGY-1), Muhammad Baig, D.O. (PGY-1), Roy Kao, M.D. (Chief Resident), Amratash Malodiya, MBBS (PGY-1).
PGY 4
Edgardo Ordonez, M.D. University of Medicine and Dentistry of New Jersey Alon Payenson, M.D. Drexel University Margaux Snider, M.D. Oregon Health Science University School of Medicine
PGY 5
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Did you know that the word doctor in Latin means teacher? Becoming an effective teacher is an important component of a physicians growth. As an intern, youll be teaching 3rd and 4th year medical students. As a PGY-2 and more senior resident, youll have the exciting opportunity to lead and teach teams. Our program helps you become an excellent teacher through a series of
PGY2 Retreat 2011: Nour Rifai, MBChB (EMIM PGY-2), Ruhong Ma, D.O. (PGY-2), Kathy McGill (PGY-2), John Donnelly, M.D. (Assistant Program Director), Brian Robertson, M.D. (EMIM PGY-2), Sarah McTighe (2010-2011 Chief Resident).
Recent Graduates
Internal Medicine Graduates
RESIDENT
20102011
Matthew Barrett, D.O. (EMIM) William Chasanov, D.O., MBA Matthew Dunn, M.D. (Med-Peds) Yugenia Hong, M.D. (Med-Peds) Roy Kao, M.D. (Med-Peds) Elizabeth Kunkel, D.O. Lionel Malebranche, M.D. Brooke Mobley, D.O. John Mohline, D.O. (EMIM) Justin Morea, D.O. Sajid Noor, D.O. James Perkins, M.D. Briana Sanders, M.D. Jenny Taylor, D.O. (Med-Peds) Jessica White, M.D. De Winter, M.D. (EMIM) University of Maryland Christiana Care Practice (AZ) Hospitalist Infectious Disease Washington Hospital Center (DC) Pediatric Hematology/Oncology UCLA Practice (WA) Hospitalist Cardiology Christiana Care Nephrology Christiana Care Practice (DE) Medical Informatics Regenstrief Institute Indiana University Practice (DE) Hospitalist Cancer Research (PA) Practice (MD) Hospitalist Practice (DE) Hospitalist Quality and Patient Safety Christiana Care Emergency Medicine Pracice (NC) Pulmonary Critical Care Nephrology Fellowship
FELLOWSHIP
PROGRAM
Practice - Medicine Pediatrics (NH) Practice - Medicine Pediatrics (DE) Radiology Oncology Residency, Georgetown Practice- Emergency Medicine (MD) Practice (CA) Hospitalist
FELLOWSHIP
PROGRAM
Jennifer Packard, M.D. (Med-Peds) Adam Rudnick, M.D. (Med-Peds) Stephen Walsh, M.D. Erin Watson, M.D. (EM/IM) Esther Wong, M.D.
20082009
Kevin Copeland, D.O. Joseph Deutsch, M.D. Jamie Fountain, M.D. (Med-Peds) Cherilyn Hall, M.D. (Med-Peds) Tamar Jackson, M.D. Lisa Jones, D.O. Matthew Judd, D.O. (EM/IM) Jonathan Kaufmann, D.O. Jeffrey Mindel, M.D. Michael Perraut, M.D. (EM/IM) Lisa Preston, D.O. (EM/IM) Marina Pulini-Franks, M.D. Niksad Puthiya Purayil, M.D. Mina Rim, M.D. (Med-Peds) Tequa Salehi-Rad, D.O. (Med-Peds) Chief Resident Practice (DE) Hospitalist Practice Practice (MD) Practice (DE) Hospitalist EM Administrative Endocrinology Christiana Care, Private Practice (PA) Practice (HI) Hospitalist George Washington University Practice Private Practice (CT) Medical University of South Carolina Christiana Care Practice (DE) Hospitalist Cooper University
20092010
Dave Aljadir, M.D. Wahida Azimi, D.O. Brad Bley, D.O. (Med-Peds) Chris Coletti, M.D. (EM/IM) Jennifer Cooke, D.O. Nancy Fleurancois, M.D. (Med-Peds) Dena Florczyk, M.D. (Med-Peds) Ralph Gonzalez, M.D. Ben Goodgame, M.D. (EM/IM) Lalitha Gudipaty, M.D. Aman Jalali, M.D. Jennifer LeComte, D.O. (Med-Peds) Sarah McTighe, D.O. Phyllis Owusu-Griffin, M.D. Hematology/Oncology Sports Medicine Emergency Administration Roger Williams Practice (HI) Hospitalist University of Massachusetts Christiana Care Private Practice (FL) Practice (DE) Hospitalist UCLA Practice (DE) Hospitalist Cooper University Hospital University of Pennsylvania Practice Hospitalist Peds Chief AI duPont Hospital for Children (DE) Chief Resident Practice (MA) Hospitalist
20072008
Abimbola Olowo, M.D. Armin Marefat, D.O. Caroline Weston, M.D. (Med-Peds) Christine Manley, M.D. (Med-Peds) Greg Beato, D.O. Hayley Rintel-Queller, M.D. (Med-Peds) Jason Nomura, M.D. (EM/IM) Jennifer Genuardi, M.D. (Med-Peds) Jonna Gies, M.D. (EM/IM) Matthew Grove, D.O. Michael Silverberg, M.D. Thinesh Dahanayake, M.D. (EM/IM) Gastroenterology Gastroenterology Sports Medicine Sports Medicine EM Ultrasound Practice UMDNJ Practice (NJ) Hospitalist Jefferson Medical College Virginia Tech Christiana Care Christiana Care Chief Resident Practice (WY) Christiana Care Drexel University Rochester
Christopher Rogan, M.D. (EM PGY-3), Vikram Marocha, M.D. (EM/IM PGY-3), Justin Morea, D.O. (Internal Medicine, Class of 2011), Chaney Stewman, M.D. (Preliminary, Class of 2010), Lionel Malebranche, M.D. (IM, Class of 2011), Anna Taran, D.O. (PGY-2).
"My experience of residency training at CCHS has prepared me better than I could ever have imagined for my job. The diversity of the cases I saw, the volume of patients, the innovativeness of the residency program and outpatient experiences, the nurturing atmosphere, and the technology at Christiana has allowed for this easy transition into a busy inner city clinic. My colleagues come to me with questions about managing all of the challenging patients, look to me as a leader on improvement projects and problem-solving, and count on me to be a teacher for the mid-level providers."
Intern Retreat, Rehoboth Beach: Dan Hess, M.D. (EM/IM PGY-3), David Armstrong, D.O. (PGY-3), Jason Magargle, D.O. (PGY-3), Stephen Walsh, M.D. (Alumnus)
"I always knew my training at Christiana was excellent, but I didn't fully appreciate the diverse exposure and attention to teaching we have until experiencing other graduate medical education programs and community hospitals. Being able to consult with any number of well trained and approachable specialists and internists assisted my training exponentially. Christiana Care Health System and the graduate medical education program were thorough and detailed in preparing me for becoming an attending. The exposure to pathology and excellent teaching made the transition to fellowship smooth. Going from CCHS Internal Medicine residency to a Sports Medicine fellowship was smooth because I felt prepared on the medicine topics so that I could focus on learning my specialty information. I believe even after being away from internal medicine on a day to day basis for one year, my training at CCHS has allowed me to pick up right where I left off now as a primary care physician and hospitalist."
FELLOWSHIP
FELLOWSHIP
PROGRAM
20062007
Eric Adkins, M.D. (EM/IM) Ankush Bansal, M.D. Rani Beharry, M.D. Doreen Bett, M.D. Yolanda Domond, M.D. (Med-Peds) Richa Gopal, M.D. Lacy Hobgood, M.D. (Med-Peds) Matt Jacobson, M.D. Nana Kutateladze, M.D. Brian McGillen, M.D. Alexia Moutsatsos, M.D. Rob Myers, M.D. Jean Rim, M.D. (Med-Peds) Charles Roche, M.D. Rani Singh, D.O. Sue Thompson, D.O. (EM/IM) Dennis Trigueros, M.D. (EM/IM) ED Critical Care Geriatrics Nephrology Ohio State Practice (DE) Hospitalist Temple Dartmouth Practice (OR) Practice (DE) Hospitalist Practice (NC) Practice (DE) Practice (DE) Chief Resident Practice (DE) Christiana Care Rush Practice (HI) Hospitalist Practice (DE) Practice (DE) UC - Irvine
20042005
Stephen Chrzanowski, M.D. Amy Collis-Cowitch, M.D. Jasdeep Dalawari, M.D. (EM/IM) Kerri Donahue, M.D. Aaisha Haque, M.D. Vinay Hosmane, M.D. Qing Liu, M.D. Cybele Mathai, M.D. Parag Patel, M.D. (Med-Peds) Rebecca Resnik, M.D. Cardiology Cardiology Pulmonary/CC Cardiology Hartford Hospital Practice (PA) Hospitalist Medical College of Virginia Medical College of Georgia Practice (DE) Hospitalist Christiana Care Practice (DE) Hospitalist Practice (AZ) Hospitalist Baylor Mass General Hospital
Ultrasound
20052006
Rigoberto Acosta, M.D. Scott Dyer, D.O. Dan Gilday, D.O. (EM/IM) John Granger, M.D. Binu Jacob, M.D. Michelle Jordan, D.O. Colin Kane, M.D. (Med-Peds) Karen Kinkel, M.D. Thomas Mathew, M.D. Collette Mehring, D.O. Kendall Ritz, M.D. (Med-Peds) 28 Allergy Infectious Disease Practice (DE) Tulane Practice (WA) UT Practice (DE) Hospitalist Chief Resident Emory University Practice (DE) Practice (DE) Hospitalist Thomas Jefferson Practice (DE)
Physical Diagnosis Charades, Intern Orientation: Lauren Douglas, M.D. (PGY-1), Jennifer Rowland, M.D. (Transitional Year PGY-1), Poonam Maru, D.O. (PGY-1).
Peds Cardiology
Nephrology
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My favorite, most rewarding part of residency training was having my own outpatient practice in a residents' clinic. As the medical director of the Adult Medicine Office at Christiana Care, I strive to impart that enthusiasm and passion for outpatient medicine to our residents. Residents are privileged to take care of their own panel of patients with the support of an expert faculty, dedicated staff and a sophisticated electronic medical record. Through the development of the doctor-patient relationship over the course of their residency, residents learn the art and science of outpatient medicine.
RESIDENCY
PROGRAM
RESIDENCY
PROGRAM
20062007
Rachel Brock, M.D. Kevin Bowman, M.D. Gabriel Chong, M.D. F. Char DeCroos, M.D. Radiology Joanna Galati, M.D. Andrew Gargiulo, M.D. John Scheel, M.D. Radiology Radiology Ophthalmology Ophthalmology Jefferson Medical College Psychiatry Radiology Radiology Christiana Care Health System Jefferson Medical College Duke University Duke UniversityAnton Delport, M.D. Johns Hopkins University Temple University University of Virginia
20092010
Kazal Bahl, M.D. Belal Bakir, M.D. Joanna Busquets, M.D. Rebekah Clarke, M.D. Andrew Gunn, M.D. Sonia Gupta, M.D. Soham Mahadevia, M.D. David Raj, M.D. Elana Smith, M.D. Radiology Opthamology Dermatology Diagnostic Radiology Radiology Radiology Radiology Radiology Diagnostc Radiology Christiana Care University of Texas Thomas Jefferson University Baylor University Mass General Hospital Christiana Care Emory University Christiana Care Morristown Memorial Hospital
20052006
Paul Cedeno, M.D. Lawrence Cheung, M.D. Matthew Keller, M.D. Samri Kodsi, M.D. Karyn Leniek, M.D. John Moore, M.D. Jocelyn Park, M.D. Katie Rossy, M.D. Kamyar Sartip, M.D. Radiology Radiology Dermatology Radiology Preventive Medicine Ophthalmology Radiology Dermatology Radiology Christiana Care Health System Stanford Jefferson Medical College Tufts New England Medical Center University of North Carolina Johns Hopkins Beth Israel Hospital Metropolitan Hospital Christiana Care Health System
20082009
Patrick Chan, M.D. Janine Collinge, M.D. Bryan Franck, M.D. Kathryn Grandfield, M.D. Eric Ko, M.D. James Lee, M.D. Joseph Le, M.D. Thomas Reilly, M.D. Clint Wrigley, M.D. Opthamology Opthamology Radiology Radiology Radiology Oncology Radiology Radiation Oncology Radiology Radiology Columbia University Washington National Eye Center Christiana Care Brown University Mt. Sinai Medical Center Christiana Care Washington University Albert Einstein Medical Center Christiana Care
20042005
Julie Bykowski, M.D. Andrew Chen, M.D. Kheng Lim, M.D. Kristen Lott, M.D. Ankit Patel, M.D. Aron Rosenthal, M.D. Jessica Wei, M.D. Greg Wilde, M.D. Radiology Radiology Radiology Radiology Physical Medicine & Rehabilitation Radiology Radiology Radiology University of California San Diego University of Massachusetts Christiana Care Health System University of Pennsylvania Hospital Baylor Medical Center University of California San Diego Pennsylvania Hospital Christiana Care 31
20072008
Gregory Chandler, M.D. Kriti Gwal, M.D. Aaron Parnes, M.D. Keyur Patel, M.D. Radiology Radiology Radiology Radiology Temple University Pennsylvania Hospital University of Maryland UMDNJ- Robert Wood Johnson
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Imaginations
Child Care
Tuition Rates
(effective July, 2011) Visit our web site www.brighthorizons.com Full Time Rates (40 Working Hours)
Infant Program (Babyland, Creepers) Toddler Program (Toddlers) Twos Program (Rompers, Explorers) Preschool Program (Preschool, Pre K) $250 Per Week $230 Per Week $222 Per Week $211 Per Week 5-9 Hours $56 $53 $51 $49 5 Hours or Less $44 $41 $39 $37
CHRISTIANA CARE named a Thomson 100 Top Hospitals Performance Improvement Leader
Department of Medicine
Scholarly Activities and Original Research
All categorical internal medicine, medicine/pediatrics, and emergency medicine/internal medicine residents are required to complete at least one scholarly activity during their residency, although many residents complete more than one. These scholarly activities are intended, given that residency is a unique time in ones training with an extremely high learning curve, to encourage residents to satisfy their intellectual curiosity and place the clinical information theyve acquired into the context of population health and the overall health system. In addition, residents will gain writing and presentation skills, work closely with one or more faculty mentors, improve their abilities to search and understand the medical literature, and potentially gain skills in performance improvement and evaluation. Residents who complete one or more scholarly activities are generally considered more competitive candidates for fellowship and other career opportunities. The types of activities that qualify to complete the scholarly activity requirement include: Writing and presenting an abstract to a regional or national conference. Presenting research findings at a regional or national meeting. Peer-reviewed publications. residents, and will pay for travel to national meetings if residents work is selected for presentation. In recent years, DOM residents have also presented their work at such national meetings as the American College of Cardiology, Infectious Diseases Society of America, American College of Emergency Physicians, American Heart Association, and others. Peer-reviewed publications can occasionally arise from these abstracts, and are expected to result from original research projects. The Delaware Medical Journal is a peer-reviewed publication that is a particularly good opportunity for residents to publish their work. Please see the attached list of publications for other examples. Residents can also participate by working with a faculty member who is asked to write a review article or book chapter. The Clinicopathological Conference (CPC) is an opportunity for residents (typically PGY-III or higher) to work with a faculty mentor to investigate an interesting, unknown case and to present the case, their differential diagnosis, and their diagnostic approach at a session of Medical Grand Rounds. These sessions are generally greatly enjoyed by both the presenting resident and the audience.
For the second consecutive year, Christiana Care is a Thomson Reuters 100 Top Hospital Performance Improvement Leader. Formerly Solucient, Thomson Reuters is a nationally known provider of health care information. This prestigious award places Christiana Care among the top 100 U.S. hospitalsand among the top 15 major teaching hospitals for the fastest, most consistent performance improvement over five consecutive years.
Book chapters, review articles or similar non-peer-reviewed publication. Presenting a Clinicopathological Conference (CPC) at Medical Grand Rounds. Original research. Other special projects may be approved by the Program Director on a case-by-case basis (e.g. new curricula, performance improvement projects that are published) Abstracts are frequently case reports of interesting or unusual clinical cases but can also be descriptions of original research projects. The Department of Medicine (DOM) submits multiple resident and medical student abstracts to the Delaware American College of Physicians (ACP) meeting, which occurs annually in February. Several residents are also selected to present their work at the national ACP meeting in April. CCHS will print resident posters at no cost for the
NOTES: Please see the Center Director for part time options For two (2) or more children, a 10% discount will be given on tuition for the oldest child. Payments are made two (2) weeks in advance and will be made through payroll deduct. Rates are subject to change. Tuition is reflective of staff-child ratios in assigned classrooms.
Intern Welcome Event, Neeta Milasincic, M.D., Lionel Malebranche, M.D. (Class of 2011), Enoch Arhinful, M.D. (PGY-1).
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is the research nurse supervisor assigned to the DOM to assist with resident research projects. She and her staff of 5 additional research nurses will help with IRB applications, obtaining funding if necessary, chart abstraction, subject enrollment and other research activities.
Roy Kao, M.D. (Med Peds, (Class of 2011, Chief Resident 2011-2012) demonstrating on the Sim Lab mannequin at Medical Grand Rounds.
Research Support
Marci Drees, MD, MS, and Daniel Elliott, MD, MSCE, serve as the Co-directors of Resident Research for the DOM and help to coordinate resident research efforts. Dr. Drees periodically distributes research ideas and opportunities for residents, and can help to find a research mentor for residents who are interested in working in a particular subject area (such as in preparation for fellowship application). Patty McGraw, RN, MSN,
CCHS intranet. All EM/IM residents are required to complete this course as part of their residency training; all other residents who have even the slightest interest in conducting a research or PI project are strongly encouraged to complete this training as early as possible. Dedicated time will be allotted to complete these modules during the Evidence-based Medicine elective or other time allowable by the Program Director. Incoming residents who have documentation of completion of similar training during medical school may be exempted from this requirement. All research projects must be approved by the IRB prior to commencement; while PI projects may be considered exempt from IRB approval, they must still be approved prior to any publication or presentation of results outside of CCHS. 2) Literature review. The Lewis B. Flinn Medical Library, located in the John H. Ammon Medical Educational Center, has a wide variety of print and electronic articles available, which can be printed or copied for no cost. Articles from journals for which CCHS does not
hold a subscription can be ordered individually through the librarians at no cost to residents. In addition, the medical librarians will gladly assist with performing an effective literature search on the topic of interest. 3) Finding a Research Mentor. The Co-directors of Resident Research, Dr. Drees and Dr. Elliott, are the primary contact persons within the DOM for residents interested in research. Dr. Drees will distribute potential opportunities (faculty members who have an ongoing project or an idea for a project, who are willing to mentor residents interested in participating), try to identify research mentors for residents interested in a particular subject matter, and will meet with residents individually as needed to discuss the Scholarly Activity Requirement and original research. In addition, Dr. Drees and Dr. Elliott both have masters-level training in clinical research and epidemiology, and can assist as secondary mentors for those faculty-resident teams who need additional assistance with clarifying the research question, study design and analysis.
4) Statistical Analysis and Information Technology (IT) support. Established in 2005, the Christiana Care Center for Outcomes Research (CCOR) not only conducts a number of clinical research projects, but has a fundamental goal to assist faculty and residents across CCHS to successfully complete clinical research projects. Residents who require IT and/or statistical support can submit a brief request to the IT/Statistics Planning Committee, which meets monthly and will review the study design, data elements needed, planned measurable outcomes and statistical analysis. Members include faculty from the DOM, biostatisticians (PhD and Masters level), epidemiologists, and IT specialists. After review, the committee will determine a plan and time line for data extraction and statistical analysis. 5) Writing, Publication & Presentation Support. Dr. Drees and Dr. Elliott are also available to edit and review abstracts, Powerpoint presentations, posters, and all other publications submitted by residents. The Medical Imaging Department will print posters at no cost for residents.
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6) Funding. Most resident research projects do not require any external funding. However, some projects may require supplies, computer software, additional laboratory testing, etc. Proposals can be submitted to the Clinical Research Committee, a multidisciplinary group from the DOM who will review the protocol and determine if funding is appropriate. The Committee has access to more than $50,000 in funding for resident research projects per fiscal year. Each resident through the Department of Academic Affairs may be awarded and additional $800 per year for costs associated with their proposals. 7) Other Educational Opportunities. The Center for Outcomes Research holds the biweekly Epidemiology Luncheon Lecture Series, a noon conference where CCHS and outside speakers will discuss their ongoing research projects. All CCHS staff and residents are welcome to attend (lunch is provided). As part of the Resident core lecture series, several didactic lectures annually are
devoted to research-related topics, such as study design and biostatistics. In addition, both basic and advanced biostatistical seminars are regularly offered through CCOR.
Examples of Recent Resident Research Projects & Abstracts in the Past Three Years
Using a Report Card to Improve the Quality of Care for Patients with Diabetes. Presented at the Society of General Internal Medicine, 2011 Dr. Prater Increased Utilization of Ultrasound Guidance for Central Venous Catheters by Non-Emergency Medicine Residents Due to Emergency Medicine Related Programs. Presented at the Society for Academic Emergency Medicine, 2010 Dr. Winter RITE -->O: Residents Improving Transitions of Care; ED to Outpatient. Presented at the Alliance of Independent Academic Medical Centers National Meeting, 2011 Dr. Stofferahn (EM/IM), Dr. DeCouto (Med-Peds), Dr. Read (Med-Peds) and Dr. Kunkel Resident Knowledge of Resuscitation Medication Availability. Presented at the Society of Academic Emergency Medicine, 2011 Dr. Hess Acceptance of Novel H1N1 Vaccination During Pregnancy. Presented at the Infectious Diseases Society of America (IDSA) meeting, 2010 Dr. Wong Survival and Neurologic Recovery in Patients with ST-Elevation After Resuscitation from Cardiac Arrest Found to have Non-obstructive Disease on Angiography. Presented at the American Heart Association, 2010 Dr. Malebranche In Setting of Normal White Blood Cell (WBC) Counts, Elevated Bands Predict Infection and Death. Presented at the Infectious Diseases Society of America (IDSA) meeting, 2010 Dr. Kanapathippillai Long Term Morbidity and Healthcare Utilization among
Research Awards
There are a number of opportunities for residents to be recognized for their research and other scholarly activities. The DE ACP will nominate one resident with an outstanding abstract to present at the national ACP meeting. The CCHS Department of Academic Affairs conducts Education Week festivities annually in March, and provides a number of awards for resident research, including best case report, best abstract, best clinical discussion, best original research project, and awards in specialized topics such a family medicine and medical imaging. Cash prizes are provided. In addition, there is annual Focus on Excellence awards to recognize PI-related projects. One session of Medical Grand Rounds (held annually in June) is devoted to recognizing resident research, and residents are invited for both oral and poster presentations.
Jason Sperberg, D.O. Alumnus I would never change my residency training for anything else. Christiana Care was terrific in so many ways. Spending time working alongside the specialists (pulmonary, cardiology, GI, renal) was important. I think the structure set up there for managing interns and residents as you mature through the program builds a tremendous amount of organization and management skills. The intense time in the medical and cardiac ICUs improved my skills in critical care patient management and procedures which I use every day now. The best experience came from my time at Wilmington hospital where we were independent and the internist faculty there encouraged extreme independence. This is where I became confident and efficient. I was well prepared for my career as a hospitalist and had no problem stepping comfortably into my role managing internal medicine patients on the floor, in the ICU, or in consultation with surgical specialties. In fact, I quickly became one of the most effective and respected physicians at my hospital, in large part because of the training at Christiana.
Uninfected Children with Perinatal HIV Exposure. Presented at the Eastern Pediatric Research Society Meeting and the Pediatric Academic Society National Meeting, 2009 Dr. Salehi-Rad Zinc Intake and Biochemical Markers of Bone Turnover in Type 1 Diabetes. Published in Diabetes Care, 2008 Dr. Owusu-Griffin Resident Perceptions of an Integrated Remote ICU Monitoring System. Presented at the Society of Critical Care Medicine, 2009
Fanconi Syndrome Induced by Tenofovir. Presented at the DE ACP, 2011 Dr. Chasanov Purpura Fulminans: a Severe Microvascular Complication of Pneumococcal Sepsis. Presented at the DE ACP, 2011 Dr. Read Aggressive Pancreatic Adenocarcinoma after Kidney Transplantation. Presented at the DE ACP, 2011 Dr. Reyes CNS Deficits in Multiple Myeloma with Primary Amyloidosis. Presented at DE ACP and National ACP meetings, 2010 Dr. Taran Paraganglioma Precipitating Reversed Takotsubo Cardiomyopathy. Presented at DE ACP and National ACP meetings, 2010 Dr. Gonzalez Relapsed Disseminated Cutaneous MALT Lymphoma. Presented at DE ACP, 2010 Drs. Goodgame & Coletti A Large Bleed From Ockhams Razor. Presented at DE ACP, 2010 Dr. Brettler (IM) Spontaneous factor XI inhibitor presenting as bilateral subdural hematomas in a 67 year-old male. Presented at DE ACP, 2010 Dr. Packard
Post Match Event: Muhammad Baig, D.O. (PGY-1), JJ Hernandez, D.O. (PGY-1), Vivek Sahani, D.O. (Transitional Year PGY-1), Jennifer Rowland, D.O. (Transitional Year PGY-1), Foyin Fasanmi, M.D. (PGY-1), Tresa Mascarenhas, MBBS (PGY-1), Tim Neisen, M.D. (Transitional Year PGY-1), Kathryn Bowser, M.D. (Surgery PGY-1).
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BENEFITS
Vacation: Three weeks paid vacation for all house staff plus one week off for educational conference. Segmental Arterial Mediolysis: First Case Reported of a Patient Presenting with Abdominal Pain and Biliary Obstruction. Presented at DE ACP and National ACP meetings, 2009 Dr. Malebranche Occams Razor Not Always Right, In AIDS Keep Hickams Dictum In Sight. Presented at DE ACP 2009 Dr. Gulab & Dr. Salehi-Rad Adult Onset Acute Epiglottitis. Presented at DE ACP 2009 Dr. Payenson (EM/IM) Primary CNS Lymphoma, a Challenging Diagnosis. Presented at DE ACP 2009 Dr. Kao Signet Ring Cell Adenocarcinoma Presenting as an Aggressive Hypercoagulable State. Presented at DE ACP 2009 Dr. Mindel Primum Non Nocere: Bisphosphonate-Induced Hypocalcemia in a Patient with Severe Occult Vitamin D Deficiency. Presented at DE ACP 2009 Dr. Rim Acute Tongue Swelling in a Patient Taking Lisinopril: Not Always Angioedema Presented at DE ACP 2009 Dr. Stofferahn Risk of Rapid Response Team (RRT) Activation within 4 hours of Admission. Retrospective casecontrol study Dr. Malodiya RITE -->O: Residents Improving Transitions of Care; ED to Outpatient. Prospective study Dr. Stofferahn, Dr. DeCouto, Dr. Read and Dr. Kunkel New Patient Engagement Program (N.P.E.P.). Prospective PI project. Drs. Chasanov and Lee In Setting of Normal White Blood Cell (WBC) Counts, Elevated Bands Predict Infection and Death. Retrospective cohort study Dr. Kanapathippillai Frequency of severe valve disease associated with mediastinal XRT. Retrospective case-control study Dr. Copeland Standardized H+P's for Admitted Ward Patients from the ED. Prospective study Dr. Lee Education allowance: $1,300 Allowance to be applied toward the cost of an educational conference and/or purchase of medical textbooks or related items such as Palm Pilots. Insurance (disability, life, medical, dental): see Residency Program catalogue.
Combined Programs Journal Club: Kelly Billig-Figura, M.D. (Med-Peds PGY-3), William Chasanov, II, D.O. (IM, Class of 2011).
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Delaware
Despite its small size, Delaware is blessed with natural beauty, cultural diversity, rich local history, and warm friendly people.
Traveling from the rolling hills of Northern Delaware to the more than 20 miles of coastal beaches is a mere two hour drive through the green farmlands of central and southern Delaware and along the haunting marshes of the Delaware River and Bay. Delawares location affords easy access to the major metropolitan areas of the northeast, with both New York City and Washington, DC just two hours away. The state has three counties: New Castle, Kent and Sussex, with more than 875,000 people calling the First State their home. Delawares high quality of life is not accompanied by a high price tag. Cost of living comparisons conducted by recognized experts indicate that the costs associated with living and doing business in Delaware are far below those experienced in the neighboring states of New Jersey, Pennsylvania and Maryland.
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$53,774
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Christiana Care is a private, not-for-profit regional health care system and relies in part on the generosity of individuals, foundations and corporations to fulfill its mission.
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