Tag Archives: training

Expanding the Role of Medical Simulation Technology in Medical Digestive Health Student Training

Long before they are admitted to medical school, students have well-honed studying and testtaking skills. But they often lack the skills needed to apply what they’ve learned in the classroom to the clinical setting. Emmanuelle D. Williams, M.D., director of gastroenterology training for second-year medical students for Penn State Milton S. Hershey Medical Center’s Division of Gastroenterology and Hepatology, is working to change that.

“At Penn State Hershey, all of our second-year medical students (currently more than 140) are required to participate in handling initial intake of a simulated ‘patient’ who presents to the emergency department with a gastrointestinal bleed,” said Williams. The case builds directly on classroom lectures about obtaining a medical history, monitoring vital signs and differential diagnosis.

“It’s usually a very emotional experience for the students,” said Williams. “The clinical routine begins to fall apart; they don’t get a proper history, they struggle with differential diagnosis, and professionalism is lacking. It opens their eyes to the difference between book learning and applying that knowledge in the clinic.” Continue reading

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Digestive Health Update: Thomas J. McGarrity, M.D.

The Division of Gastroenterology and Hepatology recently welcomed Karen Krok, M.D. Dr. Krok earned her medical degree and completed internal medicine training at the University of Pennsylvania. She completed a gastroenterology fellowship at Johns Hopkins University which included an additional year of transplant hepatology training. Dr. Krok returned to the Hospital of the University of Pennsylvania as a fulfilled hepatologist for the past five years. At Penn State Hershey, she serves as director of the live donor liver transplant program.

Award presentation photo

Dr. Harold L. Paz, Chief Executive Officer, Senior Vice President for Health Affairs, and Dean, Penn State College of Medicine presented the 2013 Penn State Hershey Medical Center and Penn State College of Medicine Community Service Award for Faculty to Dr. Ian Schreibman.

Transplant hepatologist Ian Schreibman, M.D., recently received the 2013 Penn State Hershey Medical Center and Penn State College of Medicine Community Service Award for Faculty. He was recognized for his ongoing contributions at the Bethesda Mission free medical clinic in Harrisburg, PA. Dr. Schreibman has volunteered many hours of service and has mentored many medical students and internal medicine residents at the Bethesda Mission.

Nurse practitioner Marjorie Lebo, C.R.N.P., received a staff community service Award for organizing the annual Colon Cancer Prevention 5K Run and Fun Walk. This event—held in June for the last seven years—has rapidly become a focal point for the racing community in central Pennsylvania. Proceeds from this event in part support colorectal cancer genetics counseling for individuals without health insurance.

The Penn State Hershey Inflammatory Bowel Disease (IBD) Center works with the Crohn’s and Colitis Foundation of America (CCFA). The IBD Center continues to serves as a major sponsor of the CCFA’s Take Steps for Crohn’s and Colitis contribution to patient awareness efforts throughout Pennsylvania.

Emmanuelle D. Williams, M.D., a member of the IBD Center, also serves on the Advisory Board for the Gluten Intolerance Group of South Central Pennsylvania. Dr. Williams is the recipient of the 2013 American Gastroenterological Association Bridges to Excellence “Recognition for Excellence in the Delivery of Quality Inflammatory Bowel Disease Care”—the only one awarded in Pennsylvania and one of eighteen in the country.

Penn State Hershey physician demonstrating endoscopy techniques to medical students

Dr. McGarrity shares endoscopy techniques as part of the 2013 Ghana Endoscopy Training Program at Korle Bu teaching hospital in Accra, Ghana.

Thomas J. McGarrity, M.D., Professor of Medicine, recently returned from an endoscopy training program at Korle Bu Hospital in Accra, Ghana. With collaborators from Mayo Clinic and Oslo, Norway, a hands-on endoscopy training is provided annually for physicians from Ghana and West Africa. The Ghana College of Medicine has also approved funding for a first-ever gastroenterology fellowship program. The first gastroenterology fellow began training in January 2013.

Finally, Abraham Mathew, Professor of Medicine, was recognized at the annual Penn State Hershey Innovation Ceremony. Dr. Mathew, in collaboration with members of the mechanical engineering department at Penn State University, was awarded two patents for endoscopic devices which will be useful in the development of new endoscopic surgical procedures including NOTES (Natural Orifice Transluminal Endoscopic Surgery).

To learn more about Penn State Hershey Gastroenterology and Hepatology, and to watch a video featuring Dr. McGarrity, please visit http://www.pennstatehershey.org/web/gi/home/aboutus .

photo of Thomas J. McGarrity, M.D.

Thomas J. McGarrity, M.D.

Thomas J. McGarrity, M.D.

  • Professor of Medicine
  • Chief, Division of Gastroenterology and Hepatology
  • Penn State Hershey Gastroenterology
  • Phone: 717-531-1441
  • Fellowship: Gastroenterology, Penn State Milton S. Hershey Medical Center
  • Residency: Medicine, Penn State Milton S. Hershey Medical Center
  • Internship: Medicine, University of Pittsburgh – University Health Center of Pittsburgh; University of Virginia, School of Medicine

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IBD Center Advances Toward Official Announcement

Inflammatory bowel disease (IBD), has increasingly been a focus of clinical attention at Penn State Hershey Medical Center. The multidisciplinary care needed by these patients has brought together surgeons, gastroenterologists, radiologists, nutritionists, and other sub-specialists to foster the creation of an IBD center focused on providing excellence in IBD patient care and promoting access to cutting-edge research and treatments. This initiative has been directed by Walter Koltun, M.D., F.A.C.S., F.A.S.C.R.S., chief, Division of Colon and Rectal Surgery, and Emmanuelle Williams, M.D., assistant professor of medicine. Koltun explains, “The Penn State Hershey IBD Center has three major components that include a multidisciplinary patient care clinic where surgeons and gastroenterologists see patients together; educational and training programs for both medical professionals and patients; and, an IBD research program that includes benchtop basic science and clinical trials of new, investigative treatments.”
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A Leap Forward for Simulation Training in GI Procedures

“Simulation is a technique, not a technology, to replace or amplify real experiences with guided experiences, often immersive in nature, that evoke or replicate substantial aspects of the real world in a fully safe, instructive, and interactive fashion.” 1

Matthew T. Moyer, M.D., M.S.

Matthew T. Moyer, M.D., M.S.

The limitations of standard classroom didactics and “on-the-job-training” for the initial training of residents and fellows in their procedural skills are well recognized and have helped fuel the growing emphasis on simulation training for medical students, residents, and support staff by the governing bodies of medical education such as the ACGME. For residents and fellows at Penn State Milton S. Hershey Medical Center, simulation training in gastrointestinal (GI) procedures has just taken a large leap forward. A recent multimillion dollar investment in renovating simulation facilities and technology has resulted in the nationally recognized Penn State Hershey Simulation Center, now under the direction of Elizabeth Sinz, M.D., professor of anesthesiology and associate dean for simulation. New generation simulators for diagnostic and therapeutic upper endoscopy, colonoscopy, and ERCP are available and are light-years ahead of what was available just a few years ago. For fellows in the GI-hepatology training program, Matthew T. Moyer, M.D., M.S., the new director of endoscopic education, is incorporating these technologies and training techniques to increase the depth of the curriculum. Moyer explains, “Simulation is becoming important, perhaps even mandatory, in the early instruction of our residents and fellows. This process allows them to have initial exposure to certain high-risk procedures (such as ERCP), or crisis situations (such as ACLS), during simulated sessions, prior to practicing on actual patients. This gives new trainees an opportunity to achieve a certain level of comfort and technical proficiency in a safe environment with continual feedback prior to entering the busy workflow of patient care.”    Continue reading

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