Annual Report 2017 by KSA&D Interactive

R E S E A R C H . I N N O VA T I O N . K N O W L E D G E . The power of enhancing clinical care.

2017 ANNUAL REPORT

Table of Contents Welcome Letter..................................................................................................................3 St. Luke’s University Health Network............................................................................4 Research & Innovation at St. Luke’s University Health Network.............................6 The Research Institute..................................................................................................6 Clinical Trials Office....................................................................................................... 7 Post-Doctoral Research Fellowship.............................................................................8 Research Volunteer Program........................................................................................8 Research & Innovation Faculty Council..................................................................... 10 Health Care Education.....................................................................................................11 Graduate Medical Education.......................................................................................13 The Medical School of Temple University/St. Luke’s University Health Network....15 Advanced Practice....................................................................................................... 18 Nursing........................................................................................................................20 Department of Pharmacy........................................................................................... 23 St. Luke’s Global Presence..........................................................................................26 Medical Textbooks......................................................................................................28 Departments Anesthesiology............................................................................................................30 Behavioral Health Services.........................................................................................34 Community Health & Preventive Medicine...............................................................36 Critical Care.................................................................................................................38 Dermatology...............................................................................................................43 Emergency Medicine...................................................................................................45 Family Medicine – Bethlehem & Warren Campuses.................................................50 Geriatric Medicine.......................................................................................................55 Heart & Vascular.........................................................................................................58 Internal Medicine & Subspecialties............................................................................65 Neurosciences.............................................................................................................70 Obstetrics & Gynecology............................................................................................ 76 Oncology.....................................................................................................................82 Orthopedic Surgery..................................................................................................... 87 Pain & Palliative Care Services.................................................................................... 92 Pathology.....................................................................................................................94 Pediatrics & Neonatology........................................................................................... 97 Physical and Occupational Therapy & Speech Language Pathology......................100 Podiatry & Foot Care................................................................................................. 104 Radiology................................................................................................................... 105 Surgery....................................................................................................................... 107 Traumatology, Surgical Critical Care & Acute Care Surgery.................................... 116 Wound Care & Hyperbaric Medicine.........................................................................122 Other: Dentistry, Oral-Maxilliofacial Surgery, Otolaryngology (Ear, Nose and Throat) & Ophthalmology....................................124

Contributing Medical Writers Dr. Sanjiv Agarwala Vice President, Dr. James Airoldi Marketing & Dr. James Anasti Public Relations Maureen Barrett, Ken Szydlow MPAS, PA-C Dr. Brent Bernstein Editor-in-Chief Dr. Aldo Carmona Stephen Andrews Dr. James Cipolla Dr. Bonnie Coyle Editorial Director Dr. William De Long Mary DeHaven Dr. Robert deQuevedo Peter Deringer, RN Art Director Dr. Ray Durkin Jen Rimonneau Dr. Steven Falowski Dr. Gloria Fioravanti Research Dr. Hal Folander Contributors Dr. William Hoff Tracy Butryn Dr. Jennifer Janco Stanislaw Stawicki Dr. Rebecca Jeanmonod Jill Stoltzfus Dr. Leslie Johnson Stephen Kareha, DPT Contributing Dr. Robert Lagan Photographers Dr. Marian McDonald Anne Kemp Dr. Scott Melanson Anita Sergent Dr. Alaa-Elin Mira Betsy Toole Dr. Hugh Moulding Tom Volk Dr. Sudip Nanda Darlene Nemeth Contributing Writers & Designers Dr. Stephen Olenchock Dr. Mohammed Qahash St. Luke’s Marketing Susan Reed, RPH & Public Relations Dr. Lee Riley Department Dr. Richard Sharpe Dr. Jamshid Shirani Dr. Jamie Thomas Dr. Peter Thomas Dr. David Yen Dr. Israel Zighelboim President & CEO Richard A. Anderson

Welcome to the Third Annual Research & Innovation Report St. Luke’s University Health Network (SLUHN) believes strongly that advancing medical practice and technologies through quality research and innovation fortifies our commitment to provide our patients and community with exceptional health care. Our world-class team of dedicated research professionals has expertise in a broad range of highly specialized skills, including biostatistics, data collection, grant preparation, regulatory compliance, clinical trials coordination, and manuscript writing, amongst many others. They are supported by the Department of Research & Innovation, which actively facilitates and coordinates research efforts across SLUHN, including: • The development and conduct of both internally driven studies and externally sponsored clinical trials • Faculty engagement with medical students, residents, and fellows • Sponsoring educational opportunities for SLUHN staff in the areas of research and clinical trials • Compliance and regulations • Statistical analysis of research and quality improvement projects • Integrating research efforts across disciplines. Working together with our team of dedicated and experienced clinicians and support staff colleagues, we are committed to advancing medicine while improving access to the highest quality of health care. Our ultimate goal is to improve the quality of life of all members of our community. Sincerely,

Stanislaw P. Stawicki, MD, MBA, FACS Chair & Network Medical Director Department of Research & Innovation

Tracy Butryn, MS, CCRP, CHRC Network Director Clinical Trials & Research

Jill C. Stoltzfus, PhD Director The Research Institute

Co-Director Post-Doctoral Research Program

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St. Luke’s University Health Network Research, innovation and education have been a vital force within the St. Luke’s University Health Network (SLUHN) for more than a century. Our commitment to forwarding the field of medicine began in 1873 in south Bethlehem with the opening of St. Luke’s Hospital, the area’s first hospital. Today, that desire to constantly improve permeates each of our seven non-profit hospitals and more than 200 outpatient locations serving Lehigh, Northampton, Carbon, Schuylkill, Bucks, Montgomery, Berks and Monroe Counties in Pennsylvania and Warren and Hunterdon Counties in New Jersey. At St. Luke’s, we believe that innovation is the very cornerstone of quality as we continuously strive to bring medical advances to the communities we serve. This commitment to quality is apparent to patients, physicians and staff and has been recognized by national evaluators of quality standards. For example, in February 2016, Truven Health Analytics, a provider of data-driven analytics and solutions for improving health care cost and quality, named St. Luke’s to its Top 100 Hospitals list – the only Lehigh Valley health system to achieve this distinction. The Allentown and Bethlehem Campuses were honored for the second year in a row in the Major Teaching Hospital category. St. Luke’s is the only hospital in the region classified as a Major Teaching Hospital. St. Luke’s Quakertown Campus was recognized in the Small Community Hospital category. In determining top performers, Truven uses 11 performance metrics, including patient care, operational efficiency and financial stability, to identify hospitals that provide the best value for their communities. The study incorporates public data, as well as proprietary, risk-adjusted and peer-reviewed methodologies. St. Luke’s has also been recognized by the Centers for Medicare and Medicaid Services (CMS). St. Luke’s University Health Network’s hospitals were awarded four stars in the 2016 Centers’ CMS national ratings of hospitals. Hospital Compare ratings summarize 64 quality measures that include safety of care, effectiveness of care, efficiency, patient experience and others. The Hospital Compare star rating is intended to help consumers choose the best hospital and highest quality care.

In 2016, St. Luke’s was named to Becker’s Hospital Review Top 100 List of Hospitals with Great Heart Programs. St. Luke’s Bethlehem earned a three-star rating from the Society of Thoracic Surgeons. The hospital includes a Heart Rhythm Center and accredited Chest Pain Center and is designated as a Blue Distinction Center+ for Cardiac Care by Blue Cross Blue Shield. These are just some of many quality awards SLUHN has received. For more information about St. Luke’s quality visit slhn.org/quality. St. Luke’s is always growing – not only in its geographical reach, but also in the breadth of services offered. Here are some facts you might not know about St. Luke’s: • SLUHN is a non-profit, regional, fully integrated, nationally recognized Network providing services at more than 270 sites. • As of December 31, 2016, SLUHN was comprised of seven hospitals: St. Luke’s University Hospital – Bethlehem, St. Luke’s Allentown Campus, St. Luke’s Anderson Campus (Bethlehem Township), St. Luke’s Miners Campus (Coaldale), St. Luke’s Monroe Campus (Bartonsville) and St. Luke’s Quakertown Campus, in Pennsylvania, and St. Luke’s Warren Campus in Phillipsburg, New Jersey. • SLUHN includes more than 300 physician-owned practice sites; various outpatient testing and service facilities; regional medical school campus; largest hospital-based EMS unit in PA; and other health care services, including hospice and home health.

We believe that innovation is the very cornerstone of quality as we continuously strive to bring medical advances to the communities we serve.

• Since 1997, SLUHN has been nationally and regionally recognized for clinical excellence more than 120 times by various prestigious organizations, including one of the nation’s 100 Top Hospitals and one of the nation’s 100 Top Teaching Hospitals. Since 1999, St. Luke’s has routinely been honored by U.S. News & World Report in its annual listings of America’s Best Hospitals and Hospital Top Performance. • In response to the impending physician shortage, St. Luke’s and Temple University School of Medicine developed the first and only medical school campus in the Lehigh Valley. St. Luke’s graduated its second class in 2016. Within 10 years, we expect to graduate 300 physicians and retain half of them in the Lehigh Valley.

St. Luke’s University Hospital – Bethlehem

• St. Luke’s offers 190 intern/ resident/fellowship positions in 25 accredited programs. • St. Luke’s School of Nursing is the nation’s oldest, continuously operating, hospital-based, diploma nursing school, currently enrolling 150+ students.

St. Luke’s Allentown Campus

St. Luke’s Anderson Campus

St. Luke’s Gnaden Huetten Campus

St. Luke’s Miners Campus

St. Luke’s Monroe Campus

St. Luke’s Palmerton Campus

St. Luke’s Quakertown Campus

St. Luke’s Warren Campus

• SLUHN serves more than 140,000 clinic patient visits at medical, specialty care, women’s, pediatric and dental clinics.

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Research & Innovation at St. Luke’s University Health Network Over the past six years, St. Luke’s University Health Network (SLUHN) has developed a formidable regional presence in the areas of research and innovation. Below are some of the most significant developments highlighting the growth of clinical research and associated innovation at SLUHN, including exciting developments from the 2016-17 academic year.

The Research Institute The Research Institute is intimately involved in efforts to promote original research among nurses, nursing students, medical students, residents and fellows. Impressive growth in scholarly activity continued in all focus areas during the 2016 academic year (AY). In addition to newly established competitive scholarship programs and an expanded full-day Network Research Celebration Day event, The Research Institute also contributed to the increase in the Network’s scientific publication output. The number of published manuscripts increased 73.5 percent since the 2013-14 academic year. For the first time in SLUHN’s history, the number of publications by residents and faculty exceeded 200! In addition to increasing the quantity of our publications, The Research Institute also strives to enhance the quality, with more than six research articles co-authored by our faculty in prestigious periodicals such as The New England Journal of Medicine during the past three years. As a further testament to the increasing impact of SLUHN’s scholarly publications, the average number of citations per manuscript during AY 2016 increased to 3.126. With the support of our Graduate Medical Education Office, SLUHN residents and fellows continue to present research projects at major regional, national, and international meetings, with more than 150 local, regional, and national presentations during AY 2016. Of note, during this academic year, three presentations by our residents and fellows received attention from national news outlets, including CNN, American College of Surgeons – Surgery News, and Clinical Neurology.

The following examples represent our many successful publications in collaboration with multiple departments across the Network, as well as outside institutions: • Coates WC, Stoltzfus J. Past Performance Probably is Indicative of Future Results. Academic Emergency Medicine. 2016; 23(2), 202-203. • El Chaar M, Stoltzfus J, Claros L, Wasylik T. IV Acetaminophen Results in Lower Hospital Costs and Emergency Room Visits Following Bariatric Surgery: a Double-Blind, Prospective, Randomized Trial in a Single Accredited Bariatric Center. Journal of Gastrointestinal Surgery. 2016; 20(4), 715-724. • El Chaar M, Ezeji G, Claros L, Miletics M, Stoltzfus J. Short Term Results of Laparoscopic Sleeve Gastrectomy in Combination with Hiatal Hernia Repair: Experience in a Single Accredited Center. Obesity Surgery. 2016; 26(1), 68-76. • Hon HH, Elmously A, Stehly CD, Stoltzfus JC, Granson MA, Stawicki SP, Hoey BA. Inappropriate Preinjury Warfarin Use in Trauma Patients: A Call for a Safety Initiative. Journal of Postgraduate Medicine. 2016; Apr-Jun; 62(2): 73-9.

220 200 180 160 140 120 100 80 60 40 20 0

Manuscripts (SLUHN)

185

203

117

2013

St. Luke’s University Health Network has developed a formidable regional presence in the areas of research and innovation.

2015

2016

St. Luke’s University Health Network was named one of the nation’s 100 Top Hospitals® by Truven Health Analytics™, a leading provider of data-driven analytics and solutions to improve the cost and quality of health care.

• Salen P, Grossman M, Grossman M, Milazzo A, Stoltzfus J. A Comparison of Ketamine Versus Etomidate for Procedural Sedation for the Reduction of Large Joint Dislocations. International Journal of Critical Illness and Injury Science. 2016; 6(2), 79-84. Nursing research is also a vibrant component of SLUHN, with numerous projects highlighting our Network’s creative and innovative approaches to patient care, as well as a new Nursing Residency program. Other exciting areas within research and innovation include the continued growth of the St. Luke’s Research Endowment Fund (2015) and the increasing utilization of the SLUHN REDCap project (Research Electronic Data Capture). Thanks to REDCap, St. Luke’s students, nurses, physicians, residents and fellows can engage in HIPAA-compliant, cloud-based data entry for the growing number of investigator-initiated clinical trials, surveys, and quality projects across the Network.

Clinical Trials Office

St. Luke’s University Hospital has a long tradition of participation in high-impact, high-quality clinical trials. Starting in 2012, following the founding of our Clinical Trials Office (CTO), SLUHN has been able to significantly increase its footprint in this important area of discovery and innovation. The CTO continues to demonstrate consistent growth and has been the true engine of research at the Network.

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$4,500,000

Post-Doctoral Research Fellowship

Financial Performance

$4,000,000 $3,500,000

Gross revenue

$300,000

Profit

$2,500,000 $2,000,000 $1,500,000 $1,000,000 $500,000

2010

2011

2012

2013

2014

2015

2016

Patients at SLUHN are among the first in the region to receive leading-edge, novel treatments available only through clinical trials. In diverse areas like melanoma, infectious diseases, necrotizing fasciitis, podiatry, pulmonary embolism, traumatic brain injury, and wound care, our physicians are now able to offer options not available anywhere else in the region, all thanks to the CTO. This corresponded with the tremendous amount of growth within the SLUHN Department of Research & Innovation. The leading-edge, innovative research endeavors currently available to our patients through the efforts of the CTO include: • Cancer and non-cancer immunotherapy trials • Cardiovascular interventions • National databases and registries in neurology, vascular surgery, and interventional radiology • New devices and software applications • Novel management approaches to necrotizing soft tissue infections • Numerous oncology protocols • Pioneering research in functional neurosurgery • Traumatic brain injury • Wound care research projects In addition, our CTO is the “control center” of research coordination for the entire Network, including oversight of research performed by post-doctoral researchers, research volunteers, medical students, residents and fellows. This process is under the supervision of the newly created Research Integration Coordinator position.

St. Luke’s University Health Network offers a unique opportunity for individuals holding advanced degrees (MD, DO, PharmD, PhD) who wish to develop a career in clinical research. Through our Post-Doctoral Research Fellowship Program, we facilitate personal and professional growth and development for individuals whose passion is to advance the knowledge of public health and disease management. Through a closely coordinated blend of mentorship and didactic activities, our Post-Doctoral Research Fellows are provided unique opportunities to build their research and professional skills while enhancing their competitiveness. Our inaugural class of graduating fellows saw a 50 percent NRMP “match” rate, with 50 percent continuing onto advanced research fellowship(s). We are especially proud of the B. Braun Research Fellowship, part of a joint effort between SLUHN and B. Braun. It is important to note that our fellows were among the most prolific contributors to SLUHN’s presentations and publications. These contributions include projects submitted to the SLUHN Annual Research Day and the SLUHN Quality Awards Program. Finally, our fellows are important to increasing the competitiveness of our GME programs (e.g., the Warren Family Medicine Program NRMP results in 2016 were among the best in years, in part due to increased academic productivity).

Research Volunteer Program

Through our competitive Research Volunteer Program, SLUHN is able to offer pre-medical and other undergraduate and graduate students a unique opportunity in advanced clinical trials methodologies, outcomes research, health care quality and performance improvement projects. The program was founded in conjunction with our Volunteer Office (Georgina Winfield, Director). In addition to acquiring important professional skills, our volunteers also gain valuable didactic experience by participating in the comprehensive, 52-week SLUHN Research & Innovation Curriculum. Some of our research volunteers have been able to complete projects that resulted in local, regional, and national scientific presentations, as well as manuscript publications.

St. Luke’s offers a unique opportunity for individuals holding advanced degrees (MD, DO, PharmD, PhD) who wish to develop a career in clinical research.

SUPPORT FOR SLUHN GME EXPANSION Graduate Medical Education (GME) at SLUHN is set to expand rapidly over the next several years, taking our trainee complement to well over 300 residents and fellows. New residency programs are being created, with the corresponding need for scholarly activity set to increase accordingly. The Department of Research & Innovation is ready to meet the increasing demands associated with GME growth. In fact, we were instrumental in ensuring that scholarly activity requirements were met ahead of the Residency Review Committee (RRC) application submissions for GME programs in gastroenterology, neurology, and psychiatry. Active preparations are being made for accommodating new residents and their scholarly projects at the Network’s Anderson Campus. PUBLICATION Butryn T, Cornejo K, Wojda TR, Papadimos TJ, Gerlach AT, Deb L, Sethi A, Kramer C, Stawicki SP. Keys to Success in Clinical Trials: A Practical Review. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 203. RESEARCH AND INNOVATION EMBRACES SEVERAL DEPARTMENTS St. Luke’s University Health Network’s Research and Innovation encompasses many departments and initiatives that further medical study, exploration and education. Not just a worthwhile pursuit, research and innovation benefits our patients by offering advanced treatments and procedures and by attracting exceptional health care professionals determined to advance their fields. THE RESEARCH AND INNOVATION SECTION CONSISTS OF: • The Research Institute • Clinical Trials • Health Care Education, including our Medical School and School of Nursing

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Research & Innovation Faculty Council The Research Faculty Council oversees and advises research and innovation. Council members: • Sanjiv Agarwala, MD • James Anasti, MD

• Peter Deringer, RN, MA Nursing, NE-BC

• Jennifer Axelband, DO

• Nancy Diaz-Pechar, MD

• Daniel Ackerman, MD

• Maher El Chaar, MD

• Brent Bernstein, DPM

• Steven Falowski, MD

• William Burfeind, MD

• Matthew Fenty, MBA

• Tracy Butryn, MS, CCRP, CHRC

• Brian Hoey, MD

• Gregory Carolan, MD

• Stephen Kareha, DPT

• Maria Collette, MLS • Kathleen Dave, PhD

• Daniel Longyhore, PharmD, MS Ed, BCACP

• Nimisha Deb, MD

• Sudip Nanda, MD

• William De Long, MD

• James P. Orlando, EdD

• Rebecca Jeanmonod, MD

RESEARCH POLICIES AND PROCEDURES WORKGROUP Also, providing oversight is the Research Policies and Procedures Workgroup. Members are: • Tracy Butryn, MS, CCRP, CHRC • Walter Harrison, RN, BSN • Jane Markson, Esquire • Amanda Mazza, MBA • JP Orlando, EdD • Stanislaw Stawicki, MD, MBA • Jill Stoltzfus, PhD PUBLICATIONS Coates WC, Stoltzfus JC. Past Performance Probably is Indicative of Future Results. Academic Emergency Medicine. Feb 1, 2016; 23(2): 202-3. El Chaar M, Ezeji G, Claros L, Miletics M, Stoltzfus J. Short-term Results of Laparoscopic Sleeve Gastrectomy in Combination with Hiatal Hernia Repair: Experience in a Single Accredited Center. Obesity Surgery. Jan 1, 2016; 26(1): 68-76. El Chaar M, Stoltzfus J, Claros L, Wasylik T. IV Acetaminophen Results in Lower Hospital Costs and Emergency Room Visits Following Bariatric Surgery: A Double-blind, Prospective, Randomized Trial in a Single Accredited Bariatric Center. Journal of Gastrointestinal Surgery. 2016; 4(20): 715-24.

• Peter Puleo, MD

• Jamie Thomas, DO

• Mohammed Qahash, MS, DDS

• Bob Weigand, EdD

• Kathy Ramson, DNP, RN, CCRN

• Thomas Wojda, MD

• Rajika Reed, PhD, MPH, MEd

• Richard Garwood, MD • Thomas Parsons, RN, CCRP

• Joel Rosenfeld, MD, MEd

• Joseph Patanella, PT, DPT, MBA

• Philip Salen, MD

• Dania Mosquera, MS

• Jamshid Shirani, MD

• Michelle Roeder, MBA

• Stanislaw Stawicki, MD, MBA

• Alyse LaLiberte, MPH

• Jill Stoltzfus, PhD Hon HH, Stoltzfus JC, Stawicki SP. Biostatistics for the Intensivist: A Clinically Oriented Guide to Research Analysis and Interpretation. In: Principles of Adult Surgical Critical Care. Springer, Cham, Switzerland. 2016; 453-463. Paredes I, Anasti J, Stoltzfus J. Postpartum Contraception: What do our Patients Understand? Obstetrics & Gynecology. May 1, 2016; 127: 125S. Salen P, Grossman M, Grossman M, Milazzo A, Stoltzfus J. A Comparison of Ketamine Versus Etomidate for Procedural Sedation for the Reduction of Large Joint Dislocations. International Journal of Critical Illness and Injury Science. Apr 2016; 6(2): 79. Stoltzfus JC. Analysis of Repeated Measures Data: A Quick Primer. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 95. Tolentino JC, Harris R, Mazza A, Foltz DF, Stoltzfus JC, Deringer P, Sabol DM, Sakran JV, Papadimos TJ, Stawicki SP. Polypharmacy-comorbidity Score is an Independent Predictor of Hospital Mortality and Readmissions for Medical-surgical Patients Across all Age Groups. Journal of the American College of Surgeons. Oct 1, 2016; 223(4): S64-5.

Health Care Education Twenty-five accredited graduate medical education programs, the Temple/St. Luke’s School of Medicine and the St. Luke’s School of Nursing exemplify St. Luke’s University Health Network’s commitment to providing quality medical education and training. SLUHN provides a nurturing, compassionate, patient-centered, and technologically sophisticated, teaching environment for more than 1,000 students each year, making St. Luke’s the largest community-based teaching hospital in the area. 2016 HIGHLIGHTS • St. Luke’s University Health Network’s Bariatric Surgery program earned the right to create a fellowship in its surgical weight loss program. St. Luke’s fellowship program request recently was approved by the Fellowship Council, a national body that oversees the training of physicians in advanced surgical specialties. EDUCATION-FOCUSED PUBLICATIONS AND PRESENTATIONS The 2016 St. Luke’s University Health Network Annual Research Symposium: Event Highlights and Scientific Abstracts. International Journal of Academic Medicine. 2016; 2, Suppl S1: 79-95. Agrawal SP. International Medical Graduate Perceptions of Health Policy: A Pilot Study. International Journal of Academic Medicine. 2016; 2, Suppl S1: 45-50. Coates WC, Stoltzfus JC. Past Performance Probably is Indicative of Future Results. Academic Emergency Medicine. Feb 1, 2016; 23(2): 202-3.

QUICK FACTS 25 accredited, graduate medical education programs (doctoral-level) • 14 Accreditation Council for Graduate Medical Education • 5 American Osteopathic Association • 2 Council on Podiatric Medical Education • 1 Commission on Dental Accreditation • 1 American Society of Health-System Pharmacists • 1 American Board of Physical Therapy Residency/Fellowship • 1 Fellowship Council (Bariatric)

190 house staff • 172 residents • 16 fellows

Unaccredited, graduate medical education programs (doctoral-level) • 2 fellows

Jeanmonod D. Developing Leaders Among Your Faculty Members. International Journal of Academic Medicine. 2016; 2: 83-8

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Jeanmonod R. Retaining Talent at Academic Medical Centers. International Journal of Academic Medicine. 2016; 2: 46-51. Orlando JP, Joshi A, Carter M, May H, Bortle C, White P. Parallel-group Randomized Study on the Impact of a Modified TeamSTEPPS Training on Resident and Nurse Attitudes Toward Teamwork and their Adherence to Patient Safety Protocols. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 145. Ranjan A, Kumar R, Sinha A, Nanda S, Dave KA, Collette MD, Papadimos TJ, Stawicki SP. Competing for Impact and Prestige: Deciphering the â&#x20AC;&#x153;Alphabet Soupâ&#x20AC;? of Academic Publications and Faculty Productivity Metrics. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 187.

Uchino R, Yanagawa F, Weigand B, Orlando JP, Tachovsky TJ, Dave KA, Stawicki SP. Focus on Emotional Intelligence in Medical Education: From Problem Awareness to System-based Solutions. International Journal of Academic Medicine. 2015 Jan 1; 1(1): 9. Wernick B, Wojda TR, Wallner A, Yanagawa F, Firstenberg MS, Papadimos TJ, Stawicki SP. Brain Drain in Academic Medicine: Dealing with Personnel Departures and Loss of Talent. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 68.

SLUHN provides a nurturing, compassionate, patientcentered, and technologically sophisticated, teaching environment for more than 1,000 students each year.

Graduate Medical Education The Graduate Medical Education (GME) program, a cornerstone of St. Luke’s educational efforts, provides 190 fellows, residents and interns with quality medical education. In fact, external national benchmarks credit St. Luke’s with providing a better training and learning environment than most other teaching hospitals nationally. More than 95 percent of resident and fellow graduates pass their board examinations on the first attempt. SLUHN sponsors medical education programs that are accredited by the Accreditation Council for Graduate Medical Education, American Osteopathic Association, Commission on Dental Accreditation, Council on Podiatric Medical Education, American Society of HealthSystem Pharmacists and American Board of Physical Therapy Residency and Fellowship. The Graduate Education Program is led by Joel C. Rosenfeld, MD, MEd, FACS, SLUHN Chief Academic Officer and Senior Associate Dean and Professor of Surgery at the Lewis Katz School of Medicine at Temple University, and James P. Orlando, EdD, Associate Chief Academic Officer and ACGME Designated Institutional Official. In addition, an experienced St. Luke’s physician serves as program director for each residency and fellowship. These include Robert C. Langan, MD, FAAFP, Family Medicine Residency Program Director & Medical Director, who was named 2015 Exemplary Teacher of the Year by the Pennsylvania Academy of Family Physicians. Associated with the American Academy of Family Physicians, the PAFP represents more than 5,000 Pennsylvania family physicians and family medicine residents and students. Dr. Langan is also the Medical Director, St. Luke’s Family Medicine Center in Bethlehem, and works closely with students in that capacity. At the center and elsewhere throughout St. Luke’s seven-hospital system, students experience compassionate, patient-centered care and work in technologically sophisticated environments. They also have the opportunity to work in St. Luke’s high-level Network Simulation Center. Offering simulation exercises that mirror real-life experiences, the center provides residents and fellows with outstanding opportunities to develop their clinical and procedural skills. The center is equipped with robotic simulators and standardized patients, as well as a variety of procedural skills training equipment. Megan Augustine, Network Director of Simulation, St. Luke’s University Health Network, recently earned certification as a Healthcare Simulation Operation Specialist (CHSOS) by the Society for Simulation in Healthcare (SSH). She is among the first 21 recipients worldwide to earn this certification. By working through simulations, as well as hand-on-experience with patients, students gain the knowledge and skills needed to enter private practice and/or go into fellowships for further training.

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RESIDENCY PROGRAMS AVAILABLE AT ST. LUKE’S UNIVERSITY HEALTH NETWORK

FELLOWSHIP & INTERNSHIP PROGRAMS

• Dental

• Cardiovascular Disease

• Emergency Medicine (ACGME)

• Gastroenterology

• Emergency Medicine (AOA)

• Geriatric Medicine

• Family Medicine at St. Luke’s University Hospital (dually accredited ACGME and AOA)

• Hospice & Palliative Medicine

• Family Medicine – St. Luke’s Hospital – Warren Campus (dually accredited ACGME and AOA)

• Minimally Invasive Gynecology (Unaccredited)

• Interventional Cardiology • Podiatric Dermatology

• General Surgery • Internal Medicine (dually accredited ACGME and AOA) • Obstetrics/Gynecology

• Primary Care Sports Medicine • Surgical Critical Care ADVANCED PRACTITIONER PROGRAMS

• Orthopaedic Surgery • Pharmacy

• Emergency Medicine Post Residency

• Podiatry • Transitional Year (dually accredited ACGME and AOA)

• Trauma Critical Care (PA/NP)

QUICK FACTS RESIDENCY PROGRAM SLOTS • Dental Residency

FELLOWSHIP PROGRAMS • Cardiology Fellowship

• Emergency Medicine Residency

• Gastroenterology 0

• Family Medicine Residency – Bethlehem Campus

• Geriatric Medicine Fellowship

• Family Medicine Residency – Warren Campus

• Hospice & Palliative Care Medicine

• Interventional Cardiology

• General Surgery Residency

• Podiatry/Dermatology Fellowship

• Internal Medicine Residency

• Sports Medicine Fellowship

• Obstetrics and Gynecology Residency

• Surgical Critical Care Fellowship

• Orthopedic Physical Therapy Residency

• Orthopedic Surgery Residency

• Pharmacy Residency

• Podiatry Residency

• Transitional Year Residency

GRAND TOTAL Post-Doctoral Research Programs

• Bariatric Surgery (Unaccredited)

Non-Accredited • Female Pelvic Medicine and Reconstructive Surgery Fellowship

• Bariatric Surgery Fellowship

190 3

The Medical School of Temple University/ St. Luke’s University Health Network The ONLY Medical School of the Greater Lehigh Valley Temple/St. Luke’s School of Medicine graduated its second class – comprised of 27 students – on May 13, 2016, at the Kimmel Center for Performing Arts in Philadelphia. The 27 St. Luke’s graduates have since moved onto residencies at outstanding hospitals such as Baylor College of Medicine, Duke University Medical Center, Kaiser Permanente Fontana, Mayo School of Graduate Medical Education and Tufts Medical Center. Seven students, or 22 percent, matched for residencies at St. Luke’s University Hospital – Bethlehem. The graduates will specialize in many areas, including anesthesiology, emergency medicine, family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, physical medicine and rehabilitation, psychiatry, radiology and surgery. FOR THE SECOND CONSECUTIVE YEAR, A ST. LUKE’S STUDENT WINS TOP PRIZE Among the Temple Medical School’s 200 graduates was Rachael Kyper, MD, from Manor, PA, who was awarded the Joseph C. Doane Memorial Prize for the member from the graduating class with the highest average throughout all four years of medical school. Rachael also won the Earl H. Spaulding Award in Microbiology and Immunology. Rachael will continue her training as an emergency medicine resident at the University of Pittsburgh, near her hometown. Fabio Dorville, MD, an internal medicine physician who completed his residency training at St. Luke’s and practices in Bethlehem, won the Blockley-Osler Award for an affiliate faculty selected for excellence in teaching by the Temple/St. Luke’s students. James Anasti, MD, a St. Luke’s obstetrics & gynecology physician and Program Director for the OB/GYN Residency Program at St. Luke’s won the Drs. Henry and Page Laughlin Award for excellence in clinical teaching as selected by Temple/St. Luke’s students. Dr. Anasti graduated from Temple University School of Medicine and completed his residency and internship at Johns Hopkins University Hospital.

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One of only 400 members of the prestigious Council of Teaching Hospitals, The Temple/St. Luke’s School of Medicine combines an enthusiastic faculty, eager to share their knowledge and skills, with leading-edge medicine and technology. The school is led by Joel C. Rosenfeld, MD, MEd, FACS, Chief Academic Officer for St. Luke’s University Health Network and Senior Associate Dean and Professor of Surgery for the St. Luke’s Campus at the Lewis Katz School of Medicine at Temple University. Temple/St. Luke’s students experience the energy and excitement of a new, innovative program that is firmly grounded in outstanding medical care resulting from decades of experience. The small class size offers students a supportive and interactive learning environment in a friendly, collegial setting that enables them to achieve their full potential. Students attend Lewis Katz School of Medicine at Temple University in Philadelphia during the first year of their medical degree program and then complete years two, three and four at St. Luke’s University Hospital – Bethlehem. For more information about the Temple/St. Luke’s School of Medicine, visit slhn.org/som. PUBLICATIONS INVOLVING TEMPLE/ST. LUKE’S STUDENTS & FACULTY The 2016 St. Luke’s University Health Network Annual Research Symposium: Event Highlights and Scientific Abstracts, Int. J Acad Med. 2017; 3: 177-930. Anagnostakos JP, Evans DC, Jones C, Stawicki SP. Evidence tables: Summary of Aeromedical Incidents (2013-2014). OPUS 12 Scientist. 2014; 8(1): 9-16. Duarte-Chavez R, Fegley MW, Stone LE, Singh A, Agrawal S, Nanda S. Heyde/Heyde-Warkentin Syndrome: A Case Report and Literature Review. International Journal of Academic Medicine. 2016; 2(2): 243-8. Fegley MW, Duarte-Chavez R, Agrawal S, Singh A, Longo S, Nanda S. Stroke in Pheochromocytoma: A Novel Mechanism. International Journal of Academic Medicine. 2016; 2(2): 220-4. Fegley MW, Duarte-Chavez R, Stone LE, Nanda S. Classic Brown Recluse Spider Bite. International Journal of Academic Medicine. 2016; 2(2): 256-9.

Fegley MW, Menak R, Agrawal S, Nanda S. VareniclineAssociated Cutaneous Reaction. International Journal of Academic Medicine. 2016; 2(1): 103-5. Fegley MW, Singh A, Longo S, Sharma SG, Nanda S. Central Pontine Myelinolysis: Insight into Pathogenesis, in the Absence of Hyponatremia. International Journal of Academic Medicine. 2016; 2(2): 249-52. Gifford A, Gayner RS, Stawicki SP, Lukaszczyk JJ. Peritoneal Dialysis Catheter Kinking: Description of Laparoscopic Management and a Synopsis of Related Complications. International Journal of Academic Medicine. 2016; 2: 262-5. Hon HH, Wojda TR, Barry N, MacBean U, Anagnostakos JP, Evans DC, Thomas PG, Stawicki SP. Injury and Fatality Risks in Aeromedical Transport: Focus on Prevention. Journal of Surgical Research. Aug 1, 2016; 204(2): 297-303. Kumar R, Sinha A, Lin MJ, Uchino R, Butryn T, O’Mara MS, Nanda S, Shirani J, Stawicki SP. Complications of Pericardiocentesis: A Clinical Synopsis. International Journal of Critical Illness and Injury Science. Jul 2015; 5(3): 206. Vince Lands, Ajith Malige, Chinenye Nwachuku, Kristofer Matullo. The Effect of an Orthopedic Surgeon’s Attire on Patient Confidence and Trust in a Suburban Setting. The 2016 St. Luke’s University Health Network Annual Research Symposium: Event Highlights and Scientific Abstracts. International Journal of Academic Medicine. 2016; 2, Suppl S1: 79-95. Lin MJ, Barry N, Akusoba I, Hon HH, Cohen MS, Shukla P, Cipolla J, Stawicki SP, Hoey BA. Traditional Autopsy Versus Computed Tomography Imaging Autopsy in Trauma: A case of “Synergistic Disagreement.” Surgery. Jul 1, 2016; 160(1): 211-9. Lin A, Fegley M, Singh A, Nanda S. Gossypiboma: A Clinical Vignette and Summary of Radiologic Characteristics. International Journal of Academic Medicine. 2016; 2: 106-8. Manda Y, Stone LE, Singh A, Agrawal S, Shirani J, Nanda S. Multiple Mechanisms of Cocaine-induced Brugada Electrocardiogram Pattern. International Journal of Academic Medicine. 2016; 2(2): 232-8.

Mubang R, Wojda TR, Nuschke JD, Hoff WS, Hoey BA, Thomas P, Falowski S, Stawicki SP. Prognostication of Traumatic Brain Injury Outcomes in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Cranial CT Findings. Journal of the American College of Surgeons. Oct 1, 2016; 223(4): S156-7. Ranjan A, Kumar R, Sinha A, Nanda S, Dave KA, Collette MD, Papadimos TJ, Stawicki SP. Competing for Impact and Prestige: Deciphering the “Alphabet Soup” of Academic Publications and Faculty Productivity Metrics. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 187. Styskel B, Wernick B, Mubang RN, Falowski SM, Papadimos TJ, Stawicki SP. Retained Surgical Items: Building on Cumulative Experience. International Journal of Academic Medicine. 2016; 2: 5-21. Tolentino JC, Harris R, Mazza A, Foltz D, Stoltzfus JC, Deringer P, Sabol D, Sakran J, Papadimos TJ, Stawicki SP. Polypharmacy-comorbidity Score is an Independent Predicator of Hospital Mortality and Readmissions for Medical-surgical Patients Across All Age Groups. Journal of American College of Surgeons. Oct 2016; 223(4): S64-S65. Wernick B, Wojda TR, Wallner A, Yanagawa F, Firstenberg MS, Papadimos TJ, Stawicki SP. Brain Drain in Academic Medicine: Dealing with Personnel Departures and Loss of Talent. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 68. BOOK CHAPTERS Cohen MS, Paul E, Nuschke JD, Tolentino JC, Mendez AV, Mira AE, Baxter RA, Stawicki SP. Patient frailty: Key Considerations, Definitions and Practical Implications. In: Challenges in Elder Care. InTech, London, England. 2016.

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Advanced Practice St. Luke’s University Health Network established the Advanced Practice Department in 2014 to recognize the ever-expanding role and influence of advanced practitioners (APs). Over the past 30 years, the Network AP workforce has grown to approximately 30 percent of the Network’s provider workforce. In 2016 SLUHN employed 345 physician assistants and nurse practitioners working in a variety of settings from physician offices to the delivery room to the operating room. Under the direction of Maureen Barrett, MPAS, PA-C, Network Chairman of Advanced Practice, the department functions through a committee structure. The committees establish network standards for advanced practice recruitment, onboarding and credentialing. CRITICAL CARE & EMERGENCY MEDICINE ADVANCED PRACTITIONER FELLOWSHIP SLUHN offers a paid, 12-month Acute Care Advanced Practitioner Fellowship with tracks in emergency medicine or critical care. The program provides an environment conducive to the education of physician assistants and nurse practitioners enabling them to acquire the knowledge, values and experience needed to provide cost-effective, quality health care in emergency medicine and acute care settings. The Advanced Practitioner Fellowship is led by Julie Gutzweiler, MSPA-C-EM, Co-Program Director, Emergency Medicine, and Dana Williams, CRNP, Co-Program Director, Critical Care. Six core clinical rotations are the mainstay of the fellowship for both tracks with specialization enabling fellows to refine their educational experience. St. Luke’s provides fellows the opportunity to acquire extensive experience and work alongside a diverse and active faculty committed to education. A dedicated faculty delivers a comprehensive approach to patient care in a complex environment. The magnitude of clinical experiences in this multidisciplinary program provides incomparable learning opportunities for the fellows. The program provides the advanced practitioner fellow with specialty training in the expert management of critically ill patients in the emergency department, intensive care units and the trauma bay.

PA/NP fellows become proficient in: • Evaluation of critically ill and injured patients • Initiation of appropriate, complete diagnostic and treatment plans • Development and implementation of patient care plans • Providing leadership Students receive systematic instruction in: • Resuscitation of critically ill patients • Advanced cardiac and trauma life support • Clinical features and physiology of disease states that lead to acute, life-threatening illnesses • Technical skills involved in monitoring, airway maintenance and mechanical ventilation • Theory and practical management of invasive and noninvasive monitoring systems For more information, contact: APEMCCfellow@sluhn.org. AWARDS AND RECOGNITIONS Maureen Barrett, MPAS, PA-C, received the American Academy of Physician Assistants and Physician Assistant Education Association 2016 Preceptor of the Year Award presented at the AAPA National Conference held in San Antonio in May 2016. This award represents a national honor signifying a Physician Assistant who has demonstrated a commitment to excellence in the clinical education of PA students, both as a mentor and instructor.

Over the past 30 years, the Network AP workforce has grown to approximately 30 percent of the Network’s provider workforce.

Lisa Culligan, CRNP, received the Preceptor of the Year Award for the DeSales University Nurse Practitioner Program in Family Practice in June 2016. Charles Sonday, DNP, received the Preceptor of the Year Award for DeSales University Nurse Practitioner Program in Acute Care in June 2016. PUBLICATIONS McHugh E, Wojda TR, Deringer P, Alban H, Buono A, Glaser K, Shine T, Wagner V, et al. The Senior Surgical Services Program. Selected Long Abstracts from the St. Luke’s University Health Network Quality Awards Program (2015–2016). International Journal of Academic Medicine. 2017; (3), Suppl S1: 176-88. Will KK, Williams J, Hilton G, Wilson L, Geyer H. Perceived efficacy and utility of postgraduate physician assistant training programs. Journal of the American Academy of Physician Assistants. Mar 1, 2016; 29(3): 46-8. Wilde-Onia R, Wojda TR, Grell J, Hoff WS, Mira AE, Thomas PG, Hlavinka P, Lipinski MF, Szoke AM, Wilson L, et al. Development of a Geriatric Trauma Clinical Management Guideline. Selected Long Abstracts from the St. Luke’s University Health Network Quality Awards Program (2015–2016). International Journal of Academic Medicine. 2017; (3), Suppl S1: 176-88. PRESENTATIONS Sonday C. Lab Utilization Report Cards. National Conference for Clinical Nurse Specialists; Jan 2016.

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Nursing The advancement of nursing has always been on the forefront of St. Luke’s University Health Network. Among the many testaments of this long-standing commitment is the St. Luke’s School of Nursing. Founded in 1884, the school is the oldest nursing school in the nation. During the 20-month nursing curriculum, students receive 900 hours of clinical practice in a variety of health care settings, preparing them well for success on state boards and careers in professional nursing. St. Luke’s University Health Network also offers a 12-month acute care, advanced practitioner postgraduate fellowship with tracks in emergency medicine/critical care or critical care/surgical subspecialty. Additionally, it serves as a clinical site for numerous nursing masters/doctorate practicums and internships. Employing more than 2,200 nurses, St. Luke’s University Health Network has been successful in attracting, cultivating and retaining nurses with extensive experience and education. Eight nurses have attained doctorate degrees in nursing and well over 100 have master’s degrees. Nursing leadership strongly supports and promotes professional inquiry as an essential component to the continued growth of a healthy evidence-based practice environment. Strong education and interdisciplinary partnerships have allowed St. Luke’s to excel in evidence-based and quality initiatives. An evidence-based Practice and Standards Council oversees important committees, including the Nursing Policy and Procedure, Nursing Practice Resource Site, EBP Education, and Nursing Research and Scholarship committees. At the 2016 SLUHN Research and Innovations event, the third annual Robin Haff Research and Scholarship Award was presented. The award, sponsored by Vincent Lucente, MD, honors the late Robin Haff, who was a committed and passionate nurse researcher. The award is presented to a St. Luke’s nurse who exemplifies those same qualities. The Center for Nursing Excellence at St. Luke’s was created to provide a forum to support nurses in their lifelong commitment to learning and self-development. Managed by nurses for the purpose of advancing the profession of nursing, it provides scholarships for nurses to pursue BSN, MSN or doctorate degrees,

offers nurses opportunities to obtain specialty certifications and hosts CEC conferences, often featuring national keynote speakers. In addition, the Center provides opportunities for nurses to attend national conferences and funds research projects. Nurses are supported and highly encouraged to share their research and experience through publications and presentations at conferences. With nurses in many key leadership positions, nurses are highly respected members of the St. Luke’s health care team. Nurses often initiate and lead projects that improve patient care and are submitted for recognition in the Annual SLUHN Quality Awards Program and the Hospital Association of Pennsylvania Achievement Awards. In addition, nursing’s strong evidence-based practice and culture of safety is essential to the Network’s success in earning such prestigious recognition as one of Truven Health Analytics Top 100 Hospitals. Nursing’s latest commitment to the advancement of evidence-based practice, performance improvement (PI) and research is evident in the new Nursing Leadership Fellowship program. The fellowship provides future nurse leaders with advanced education, coaching and mentoring, thereby preparing them to help lead meaningful and significant PI and research projects. AWARDS Third Annual Robin Haff Research and Scholarship Award (2016) Deborah K. Martin, MSN, RN, CCRN, St. Luke’s School of Nursing: Does a Clinical Preceptor Orientation Program, Using an Online Learning Module, Increase Nurse’s Clinical Teaching Knowledge and Skill Sets?

With nurses in many key leadership positions, nurses are highly respected members of the St. Luke’s health care team.

Hospital Association of Pennsylvania (HAP) In Safe Hands Award St. Luke’s University Hospital received the In Safe Hands Award from HAP. St. Luke’s Intensive Care Unit Patient Care Manager Rachel Lukow, submitted the entry entitled, Intermittent Pneumatic Compression Device (IPCD) Wear-Time: Decreasing VTE Rates in Major Orthopaedic Surgical Cases. The submission focused on joint replacement surgery patients who have a higher-than-average risk of developing blood clots that can cause pain, stroke or even death. The nursing staff educated and empowered patients to wear the pumps for at least the recommended minimum of 18 hours a day and consequently saw the number of total joint patients who developed the dangerous clots decrease by 72 percent over a three-year period. Community Champions Award St. Luke’s Miners Campus received the Community Champions Award from HAP. Donna Bryant Winston, MSN, RN, and Rosemarie Lister, MPH, submitted the entry entitled, A Vision for the Future – Connecting Students to Vision Shuttle Care through Community Partnerships in a Rural Community Setting. Community health, nursing and community health partnerships collaborated to develop a powerful program that connected 81 percent of eligible students who failed their vision exam with access to vision care services and transportation in a rural community. President’s Award, 2016 Annual SLUHN Quality Awards Program Nadine Yankowy, RN, BSN, and team: Whose Line is it Anyway? Eliminating patient harm secondary to wrong drug infusion errors by implementing a standardized IV tubing labeling system across the Network.

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PUBLICATIONS Birriel TJ, Uchino R, Barry N, Butryn T, Sabol DM, Valenza PL, Stawicki SP. Adverse Drug Reactions in the Era of Multi-morbidity and Polypharmacy. Journal of Basic and Clinical Pharmacy. Sep 2015; 6(4): 122. El Chaar M, Ezeji G, Claros L, Miletics M, Stoltzfus J. Short-term Results of Laparoscopic Sleeve Gastrectomy in Combination with Hiatal Hernia Repair: Experience in a Single Accredited Center. Obesity Surgery. Jan 2016; 26,(1) 68-76. El Chaar M, Stoltzfus J, Claros L, Miletics M. Indications for Revisions Following 630 Consecutive Laparoscopic Sleeve Gastrectomy Cases: Experience in a Single Accredited Center. Journal of Gastrointestinal Surgery. Jan 1 ,2017; 21(1): 12-6. Ramson KP, Dudjak L, August-Brady M, Stoltzfus J, Thomas P. Implementing an Acuity-adaptable Care Model in a Rural Hospital Setting. Journal of Nursing Administration. Sep 1, 2013; 43(9): 455-60. Sabol DM, Wittmann-Price RA. Get Creative with Performance Improvement Plans. Nursing Management. Aug 1, 2005; 36(8): 16-9. Tolentino JC, Harris R, Mazza A, Foltz D, Stoltzfus JC, Deringer P, Sabol D, Sakran J, Papadimos TJ, Stawicki SP. Polypharmacy-comorbidity Score is an Independent Predicator of Hospital Mortality and Readmissions for Medical-surgical Patients Across all Age Groups. Journal of American College of Surgeons. Oct 2016; 223(4): S64-S65. PRESENTATIONS Deringer P, Hlavinka P. Nursing Practice Resource Site (NPRS): A Dynamic and Innovative Clinical Information Tool. Podium Presentation. 2016 Premier Annual Breakthroughs Conference and Exhibition. Jun 2016; National Harbor, MD. Lukow R, Alston, K. HACing PSI’s. Podium Presentation. Premier Annual Breakthroughs Conference. Jun 2016; National Harbor, MD.

Miller A. Improved Coordination Between Hospital and Ambulatory Care. Podium Presentation. 2016 Premier Annual Breakthroughs Conference and Exhibition. Jun 2016; National Harbor, MD. Nourse R, Adamshick P, Stoltzfus J. College Binge Drinking and Its Association to Depression and Anxiety. Poster Presentation. American Psychiatric Nurses Association. Oct 2016; Hartford, CT. Ozekcin, L. Early Recognition Course for Medical/ Surgical Nurses: Targets Clinical Instability and Supports Cost Savings. Podium Presentation. 2016 Annual Conference National Association of Clinical Nurse Specialists. Mar 2016; Philadelphia, PA. Post H, Van Zandt M. Novel Home Health Team Palliative Care Program to Decrease Hospital Readmissions for Heart Failure Patients. Podium Presentation. Pennsylvania Homecare Association Annual Conference. May 2016; Lancaster, PA. Sabol DM. Bundled Payments: Success on a Large Scale. Podium Presentation. 2016 Premier Annual Breakthroughs Conference and Exhibition. Jun 2016; National Harbor, MD. Watchous MF. SOS: Save our Staff from Injury. Podium Presentation. 2016 Premier Annual Breakthroughs Conference and Exhibition. Jun 2016; National Harbor, MD. RESEARCH St. Luke’s Visiting Nurse Association: Toni M. Mazzariello, BSN, RN, CCAP, and Jesse Dulin-Soto, BSN, RN, CHPN IAC CYT; Impact of Aromatherapy on Hospice Patient’s Perceived Quality of Life.

Department of Pharmacy The St. Luke’s pharmacy team is committed to patient care in multiple ways. The pharmacy team provides all medications necessary to the care of patients using technologies and workflows which emphasize patient safety, such as bar code scanning, automated dispensing cabinets, sterile compounding areas, and many drug information resources. The medicationuse process is evaluated continuously to ensure safety and maximize efficiency. Routine communication among the Network pharmacy departments also serves to maintain an adequate inventory of medications, particularly those medications which are difficult to obtain due to manufacturer supply issues. Pharmacy advisement was instrumental in the safe implementation of the Network’s new electronic health record, Epic. Clinical pharmacists provide direct patient care in the context of a multidisciplinary team in order to optimize patients’ medication regimens and, therefore, patient outcomes. Clinical pharmacists are an integral part of several patient care service lines, including internal medicine, trauma, surgical critical care, medical critical care, pediatrics, cardiology, infectious diseases, hematology-oncology and emergency medicine. Clinical pharmacists also provide didactic education to medical students at the Temple University Lewis Katz School of Medicine regional campus at St. Luke’s University Hospital. RESIDENCY The PGY-1 Pharmacy Practice Residency is an ASHP-accredited program dedicated to excellence in training. Our residents are exposed to a variety of practice areas and are taught by an enthusiastic faculty in an innovative and dynamic environment. The residents benefit from the diverse training and background of our clinical pharmacists and preceptors. Our residents have access to integrated health care delivery systems, excellent learning resources, and multiple health care team members working together to provide quality care to all of the patients we serve. The Department of Pharmacy Services at St. Luke’s University Health Network is proud to offer three residency positions. Our residents experience educational offerings throughout the Network. The goal of our program is to provide high quality, comprehensive education that prepares residents to compassionately meet the needs of patients. Upon graduation, residents will be self-directed learners possessing clinical competence, leadership and professional skills, and will have the confidence to excel in diverse practice environments.

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MEDICATION USE EVALUATION

PUBLICATIONS

The Pharmacy Department conducts medication use evaluations (MUE) to pragmatically assess the safe and responsible use of new and established medications within the Network. This practice serves to help maintain a streamlined and fiscally sound medication formulary.

QUALITY IMPROVEMENT

Horger S, Kandrac S, Longyhore DS. Taste and Smell Disturbance Resulting from Midodrine. Journal of Pharmacy Practice. 2016; 29(6), 571-573.

St. Luke’s pharmacists are also involved in multidisciplinary quality improvement committees, providing input on the safe and rational use of medications as it pertains to respective committee objectives. INVESTIGATIONAL PHARMACY SERVICES At St. Luke’s University Health Network, the Department of Pharmacy actively supports medical research, innovation and education. In this capacity, our pharmacy professionals help investigators and research personnel in the use of medications utilized in clinical trials. The responsibilities of the Pharmacy related to clinical trials include: • Serving as a resource to investigators regarding the development of investigational drug studies • Obtaining and storing study medication and related supplies • Screening physician orders and patient information for safe use of study drugs and adherence to study protocols • Preparing medication according to protocol • Ensuring that labeling, drug storage, dispensing, and accountability records comply with federal, state and local guidelines • Maintaining accurate clinical trial medication accountability records • Meeting with study monitors and regulatory agencies • Providing information and training about study medications • Reviewing protocols for the Network’s Institutional Review Board Contact Information Pharmacy Department Clinical Trials Coordinator St. Luke’s University Health Network 801 Ostrum Street Bethlehem, PA 18015 484-526-4211

Labram Y, Civic N, Longyhore D. Evaluation of the Use of Three-factor Prothrombin Complex Concentrate in the Treatment of Bleeding Due to Target-Specific Oral Anticoagulants. International Journal of Academic Medicine. 2016; 2, Suppl S1: 79-95. Tolentino JC, Harris R, Mazza A, Foltz DF, Stoltzfus JC, Deringer P, Sabol DM, Sakran JV, Papadimos TJ, Stawicki SP. Polypharmacy-comorbidity Score is an Independent Predictor of Hospital Mortality and Readmissions for Medical-surgical Patients Across All Age Groups. Journal of the American College of Surgeons. Oct 1, 2016; 223(4):S64-5.

Tolentino JC, Stoltzfus JC, Harris R, Foltz D, Deringer P, Sakran JV, Menak R, Mira AE, Nguyen M, Moffatt-Bruce SD, Huerta T. Comorbidity-polypharmacy Score Predicts Readmissions and in-hospital Mortality: A Six-hospital Health Network Experience. Journal of Basic and Clinical Pharmacy. 2017; 8(3), 98-103. BOOK CHAPTERS Valenza PL, McGinley TC, Feldman J, Patel P, Cornejo K, Liang N, Anmolsingh R, McNaughton N. Dangers of Polypharmacy. In: Vignettes in Patient Safety. InTech, London, England. 2017; 47-70. doi.org/10.5772/intechopen.69169. PRESENTATIONS Labram Y. Evaluation of the Use of Three Factor Prothrombin Complex Concentration in the Treatment of Bleeding Due to Target Specific Anticoagulants. Oral Presentation. Eastern States Conference. May 2016; Hershey, PA. Longyhore DS, Haase K, Saseen J. Implementing Teaching & Learning Strategies, Oral Presentation. American College of Clinical Pharmacy. Apr 2016; Phoenix, AZ. Villamor J, Johnson LA. Evaluation of the Use of Codeine-containing Products at a Community Teaching Hospital Network. Poster Presentation. ASHP Mid-Year Clinical Meeting. Dec 2016; Las Vegas, NV. Williams S, Johnson LA. Medication use evaluation of rapid rituximab within St. Lukeâ&#x20AC;&#x2122;s University Health Network. Poster Presentation. ASHP Mid-Year Clinical Meeting. Dec 2016; Las Vegas, NV.

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St. Luke’s Global Presence Our faculty members are actively involved in promoting health and wellness around the globe. From providing much needed mentorship and surgical care in Cameroon, to educating emergency physicians in India, to participating in surgical mission trips to Ecuador, St. Luke’s physicians are there to help and lead. St. Luke’s University Hospital developed the St. Luke’s International Surgical Studies Program to help meet the health care needs of populations in developing nations through sustained improvements in care as well as training the next generation of medical professionals to meet the needs of the international community. This program was designed specifically to partner with hospitals in host nations and provide supplies, equipment, training and visiting medical professionals. To accomplish this, we partnered with Mbingo Baptist Hospital (MBH) in Cameroon, Africa, and will assist them in serving their patients. Much needed supplies are shipped and hand-carried to MBH. In addition, the SLISS program developed an elective where fourthyear general surgery residents, accompanied by an attending from the Division of Trauma and Acute Care Surgery, have the opportunity to spend one month at MBH. They work with MBH residents who are trained through a program administered by the Pan African Academy of Christian Surgeons (PAACS). Residents from St. Luke’s work side-by-side with their African counterparts in an ongoing exchange of training and experiences which will be mutually beneficial. October 2014 was the first rotation at MBH and an excellent start for the SLISS program. Due to this overwhelmingly positive experience, and the strong desire of MBH to have us continue, the SLISS program has grown markedly since its inception. By the end of 2016 there were nine trips completed by over 20 physicians, encompassing General Surgery, Obstetrics and Gynecology, Orthopedics, Critical Care and Respiratory Therapy. Furthermore, Temple University Lewis Katz School of Medicine has approved this program as an elective for fourth-year medical students. For more information on the SLISS program, including photos, videos and daily blog, please visit the program’s website: stlukesabroad.wordpress.com.

ST. LUKE’S FACULTY IN TOP LEADERSHIP AT THE AMERICAN COLLEGE OF ACADEMIC INTERNATIONAL MEDICINE St. Luke’s faculty members are among the founders of the American College of Academic International Medicine (ACAIM). The organization’s goals are to promote the mission of Academic International Medicine (AIM) professionals in the United States and beyond; to promote clinical, educational and scientific collaboration of AIM professionals, both domestically and globally; to create a platform for domestic and global coordination of academic, clinical and educational efforts involving AIM professionals; to educate, generate and publish new knowledge, create relevant guidelines, and assist policymaking in the area of international medicine; and to standardize processes and objective measurements of academic and clinical productivity associated with the participation of U.S. AIM professionals in international endeavors. The inaugural meeting of the group took places at St. Luke’s University Hospital on July 23, 2016. Present were representatives and experts from top national institutions, including the Centers for Disease Control and Prevention (Atlanta, Georgia), Johns Hopkins University (Baltimore, Maryland), SUNY Downstate (Brooklyn, New York), Temple University (Philadelphia, Pennsylvania), University of Florida (Jacksonville, Florida) and University of Toledo (Toledo, Ohio). St. Luke’s faculty members actively involved in the leadership of ACAIM include: Marian McDonald, MD; Donald Jeanmonod, MD; Rebecca K. Jeanmonod, MD; Sudip Nanda, MD; James P. Orlando, MD; Richard P. Sharpe, MD; and Stanislaw P. Stawicki, MD. For more information about ACAIM’s goals, accomplishment, leadership, and mission, visit acaim.org.

Our faculty members are actively involved in promoting health and wellness around the globe.

PUBLICATIONS Anderson HL, Arquilla B, Firstenberg MS, Garg M, Galwankar SC, Gracias VH, Hansoti B, Jeanmonod D, Jeanmonod R, Moffatt-Bruce SD, Nanda S. Mission Statement for the American College of Academic International Medicine: Empowering Individuals, Nurturing Wellness, Promoting Excellence, Stimulating Minds, Striving for Sustainability, and Celebrating Inclusion. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 121. Evans D, Firstenberg M, Galwankar S, Moffatt-Bruce S, Nanda S, O’Mara M, Papadimos T, Stawicki S. What’s New in Academic Medicine? Celebrating the Decade-long Journey from OPUS 12 Scientist to International Journal of Academic Medicine. International Journal of Academic Medicine. Aug 1, 2016; 2(3): 1. Galwankar SC, Swaroop M, Bhoi S, Jeanmonod R, Jeanmonod D, Firstenberg MS, Garg M, Paladino L, Anderson III HL, Arquilla B, Stawicki SP. The 11th Annual INDO-US World Academic Congress of Emergency Medicine,“Synergizing Science to Sustain Systems,” a Level One International Meeting, All India Institute of Medical Sciences, New Delhi, India. Sep 30 to Oct 4, 2015. International Journal of Academic Medicine. Aug 1, 2016; 2(3): 72. Madore F, Kube E, Stawicki SP, Bahner DP. Utility of Hand Held Portable Ultrasound in a Rural Guatemalan Hospital. International Journal of Academic Medicine. Aug 1, 2016; 2(3): 14. Ranjan A, Kumar R, Sinha A, Nanda S, Dave KA, Collette MD, Papadimos TJ, Stawicki SP. Competing for Impact and Prestige: Deciphering the “Alphabet Soup” of Academic Publications and Faculty Productivity Metrics. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 187. Sikka V, Chattu VK, Popli RK, Galwankar SC, Kelkar D, Sawicki SG, Stawicki SP, Papadimos TJ. The Emergence of Zika Virus as a Global Health Security Threat: A Review and a Consensus Statement of the INDUSEM Joint Working Group (JWG). Journal of Global Infectious Diseases. Jan 2016; 8(1): 3. Wernick B, Wojda TR, Wallner A, Yanagawa F, Firstenberg MS, Papadimos TJ, Stawicki SP. Brain Drain in Academic Medicine: Dealing with Personnel Departures and Loss of Talent. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 68. Wojda TR, Cornejo K, Valenza PL, Carolan G, Sharpe RP, Mira AE, Galwankar SC, Stawicki SP. Medical Demographics in Sub-Saharan Africa: Does the Proportion of Elderly Patients in Accident and Emergency Units Mirror Life Expectancy Trends? Journal of Emergencies, Trauma, and Shock. Jul-Sep 2016; 9(3): 122-5. doi: 10.4103/0974-2700.185278. No abstract available. PMID: 27512334. Wydo SM, Seamon MJ, Melanson SW, Thomas P, Bahner DP, Stawicki SP. Portable Ultrasound in Disaster Triage: A Focused Review. European Journal of Trauma and Emergency Surgery. Apr 1, 2016; 42(2): 151-9.

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Medical Textbooks BOOKS AUTHORED BY ST. LUKE’S RESEARCH FACULTY El Chaar M. Dr. E’s Guide to Weight Loss Surgery...... the Weight is Over! Amazon Books. 2016. ISBN: 978-1-62217-942-8. Falowski SM, Pope JE, Editors. Integrating Pain Treatment into Your Spine Practice. Springer, Cham, Switzerland. 2016.

Langan RC. Prostate Cancer: A Primary Care Perspective. Heidelbaugh JJ, Editor. In: Men’s Health in Primary Care, Current Clinical Practice. Humana Press, Switzerland. 2016; L269-281.

BOOK CHAPTERS AUTHORED BY ST. LUKE’S RESEARCH FACULTY

Pope JE, Falowski SM. Coding and Reimbursement for Spinal Cord Stimulation. In: Integrating Pain Treatment into Your Spine Practice. Springer, Cham, Switzerland. 2016; 89-96.

Becker M, Axelrod DJ, Chism K, Weinberger TE, Markov D, Denysenko L, Marchionni C, Oyesanmi O, Field H, Shakin Kunkel EJ. Hematologic Disorders. In: Psychiatric Care of the Medical Patient. Fogel BS, Greenberg DB, Editors. Oxford University Press, Oxford, England. May 28, 2015. Campbell PG, Falowski SM. Epidural Paddle Placement for Spinal Cord Stimulation. In: Integrating Pain Treatment into Your Spine Practice. Springer, Cham, Switzerland. 2016: 165-173. Carlson JD, Peloquin J, Falowski SM. Medications Used for the Treatment of Back Pain. In: Integrating Pain Treatment into Your Spine Practice. Springer, Cham, Switzerland. 2016; 99-108. Cohen MS, Paul E, Nuschke JD, Tolentino JC, Mendez AV, Mira AE, Baxter RA, Stawicki SP. Patient frailty: Key Considerations, Definitions and Practical Implications. In: Challenges in Elder Care. InTech, London, England. 2016. Falowski SM. Integration of specialties. In: Integrating Pain Treatment into Your Spine Practice. Springer, Cham, Switzerland. 2016; 85-87. Falowski SM. Practice setup. In: Integrating Pain Treatment into Your Spine Practice. Springer, Cham, Switzerland. 2016; 1-75. Hon HH, Stoltzfus JC, Stawicki SP. Biostatistics for the intensivist: A Clinically Oriented Guide to Research Analysis and Interpretation. In: Principles of Adult Surgical Critical Care. Springer, Cham, Switzerland. 2016; 453-463.

Hughes R, Cipolla J, Thomas PG, Stawicki SP. Extracorporeal Membrane Oxygenation in Traumatic Injury: An Overview of Utility and Indications. In: Extracorporeal Membrane Oxygenation-advances in Therapy. InTech, London, England. 2016.

Silmi R, Luster J, Seoane J, Stawicki SP, Papadimos TJ, Sholevar F, Marchionni C. Patient Self-harm in the Emergency Department: An Evidence-based Approach. In: Vignettes in Patient Safety-Volume 1. 2017. InTech, London, England. 2017: 157-179. Singh H. Eating Disorders. In: Psychiatry Board Review. Tampi R, Zdanys K, Oldham M, Editors. Oxford University Press, Oxford, England. 2017. Singh H. Mood Disorders. In: Psychiatry Board Review. Tampi R, Zdanys K, Oldham M, Editors. Oxford University Press, Oxford, England. 2017. Singh H. Schizophrenia and Other Psychotic Disorders. In: Psychiatry Board Review. Tampi R, Zdanys K, Oldham M, Editors. Oxford University Press, Oxford, England. 2017. Valenza PL, McGinley TC, Feldman J, Patel P, Cornejo K, Liang N, Anmolsingh R, McNaughton N. Dangers of Polypharmacy. In: Vignettes in Patient Safety. InTech, London, England. 2017; 47-70. doi.org/10.5772/ intechopen.69169. Wojda TR, Cornejo K, Lin A, Cipriano A, Nanda S, Amortegui JD, Wojda BT, Stawicki SP. Septic Embolism: A Potentially Devastating Complication of Infective Endocarditis. In: Contemporary Challenges in Endocarditis. InTech, London, England. 2016.

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Anesthesiology Approximately 70 anesthesiologists provide medical treatment and surgical procedures for patients at St. Luke’s University Health Network’s seven hospital campuses. They include fellowship-trained physicians specializing in critical care, trans-esophageal echocardiography and pain management. St. Luke’s anesthesiologists provide medical treatment and surgical procedures including: epidural injections; cervical, thoracic and lumbosacral nerve root blocks; spinal cord and peripheral nerve stimulation; caudal epidural injections; sacroiliac joint injections; discography; diagnostic medial branch block (cervical/ thoracic/lumbar); cervical, thoracic and lumbar medial branch radiofrequency neurotomy (rhizotomy); intercostal nerve blocks; occipital nerve blocks; hip joint injections; stellate injections; and lumbar sympathetic blocks. Led by Aldo Carmona, MD, Chief of the SLUHN Department of Anesthesiology and anesthesiology faculty member at Temple University School of Medicine, the department is in the process of developing and implementing a perioperative surgical home, a patient-centric approach to the management of a patient’s surgical episode from the time a case is scheduled, to the post-discharge period. To date, a new preadmission process that incorporates our geriatric surgery program, enhanced recovery pathways for individual surgery types, and acute pain service for the effective treatment of post-operative pain have been instituted. Plans for a post-discharge follow-up clinic are currently being developed. Also, the department has participated in an initiative to reduce the incidence of Acute Kidney Injury in total joint replacement. This initiative, which was begun at the Perioperative Surgical Home, has led to a marked reduction in this complication. It has been accepted by Premier, Inc. as a national collaborative for 2017-2018. The clinical monitoring pilot finished its first year and showed impressive results. There was a reduction of 25 percent in ICU readmission with a concurrent decrease of 21 percent in telemetry use. This continuous oximetry monitoring protocol was expanded to other areas of the hospital in 2017. Both of these projects have been submitted to major surgical conferences for presentation.

The fall of 2017 marked the opening of the Surgical Optimization Clinic. Plans included the expansion of the successful geriatric surgery program, robust risk stratification with identification of high-risk patients. Once identified, high-risk patients having high-to intermediate-risk surgery will have targeted interventions to improve surgical outcome. The clinic will participate in the Johns Hopkins collaborative of hospitals, expanding the pre-habilitation of surgical patients with evidence-based interventions. All anesthesiologists at the St. Luke’s University Hospital – Bethlehem have completed either basic or advanced trans-esophageal echocardiography certification. This unique capability ensures state-ofthe-art support for our cardiovascular and critical care programs, and helps facilitate the rapid diagnosis and treatment of cardiac conditions intra- and postoperatively. St. Luke’s Anesthesiology Department is the first department of its size in the nation to achieve this distinction. Among other educational efforts, the Department of Anesthesia supports St. Luke’s Critical Care Fellowship Program, and a three-year (PGY 1-3) ACGME-approved Emergency Medicine Residency Program providing an academically rigorous curriculum in a tertiary, academic medical center. The fully accredited program exposes residents to a broad spectrum of clinical experiences, providing them within the skills required to manage the breadth of conditions seen in emergency medicine, including issues central to anesthesiology, such as airway emergencies, endotracheal intubation, and a variety of critical care problems. The St. Luke’s Trauma Fellowship offers both a two-year Surgical Critical Care Fellowship for emergency medicine graduates and a one-year fellowship for graduates of surgical programs.

Anesthesiologists include fellowship-trained physicians specializing in critical care, trans-esophageal echocardiography and pain management.

In 2012, the fellowship was awarded ACGME (Accreditation Council for Graduate Medical Education) accreditation, and was approved by the American Board of Surgery to include surgical critical care into its curriculum and training. St. Lukeâ&#x20AC;&#x2122;s pioneering efforts in this area place it among the first institutions in the country to offer a two-year surgical critical care fellowship training for emergency medicine residency graduates approved by the American Board of Surgery. PUBLICATIONS Abcejo A, Andrejko KM, Ochroch EA, Raj NR, Deutschman CS. Impaired Hepatocellular Regeneration in Murine Sepsis is Dependent on Regulatory Protein Levels. Shock (Augusta, GA). Nov 2011; 36(5): 471. Amhaz HH, Chamoun RB, Waguespack SG, Shah K, McCutcheon IE. Spontaneous Involution of Rathke Cleft Cysts: Is it Rare or Just Underreported? Report of 9 Cases. Neurosurgery. Jun 2010; 112(6): 1327-32. Amhaz HH, Fox BD, Johnson KK, Whitehead WE, Curry DJ, Luerssen TG, Jea A. Postlaminoplasty Kyphotic Deformity in the Thoracic Spine: Case Report and Review of the Literature. Pediatric Neurosurgery. Mar 25, 2009; 45(2): 151-4. Amhaz HH, Fox BD, Johnson KK, Whitehead WE, Curry DJ, Luerssen TG, Jea A. Postlaminoplasty Kyphotic Deformity in the Thoracic Spine: Case Report and Review of the Literature. Pediatric Neurosurgery. 2009; 45(2): 151-4. doi: 10.1159/000209655. Epub 2009 Mar 25. Amhaz HH, Gupta DE, Manders LA, McKelvey GE, Orlewicz MS, Kaddoum RN. Renal Protection in the Cardiac Surgery Patient: Peri-operative Sodium Bicarbonate Infusion (POSBI) or Not? Middle East Journal of Anesthesiology. Feb 2015; 23(1): 17.

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Amhaz HH, Kuo R, Vaidya R, Orlewicz MS. Esophageal Perforation Following Cervical Spine Surgery: A Review with Considerations in Airway Management. International Journal of Critical Illness and Injury Science. Oct 2013; 3(4): 276. Amhaz HH, Manders L, Chidiac EJ, Pallekonda V, Chakrabortty S. Unusual Case of Contralateral Hornerâ&#x20AC;&#x2122;s Syndrome Following Stellate-ganglion Block: a Case Report and Review of the Literature. Local and Regional Anesthesia. 2013;(6): 31. Balinger KJ, Lam MT, Hon HH, Stawicki SP, Anasti JN. Amniotic fluid embolism: Despite Progress, Challenges Remain. Current Opinion in Obstetrics and Gynecology. Dec 1, 2015; 27(6): 398-405. Barry N, Mubang RN, Wojda TR, Evans DC, Sharpe RP, Hoff WS, Thomas P, Cipolla J, Stahl DL, Papadimos TJ, Stawicki SP. An Exploratory, Hypothesis-generating, Meta-analytic Study of Damage Control Resuscitation in Acute Hemorrhagic Shock: Examining the Behavior of Patient Morbidity and Mortality in the Context of Plasma-to-packed Red Blood Cell Ratios. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 159. Caggiano NM, Avery DM, Matullo KS. The Effect of Anesthesia Type on Nonsurgical Operating Room Time. Journal of Hand Surgery. Jun 30, 2015; 40(6): 1202-9. Chen J, Raj N, Kim P, Andrejko KM, Deutschman CS. Intrahepatic Nuclear Factor-k B Activity and a 1-acid Glycoprotein Transcription Do Not Predict Outcome After Cecal Ligation and Puncture in the Rat. Journal of Critical Care Medicine. March 2001; 29 (3): 589-596. Eiferman DS, Davido HT, Howard JM, Gerckens J, Evans DC, Cook CH, Stawicki SP. Two Methods of Hemodynamic and Volume Status Assessment in Critically Ill Patients: A Study of Disagreement. Journal of Intensive Care Medicine. Feb 2016; 31(2): 113-7. Evans DC, Forbes R, Jones C, Cotterman R, Njoku C, Thongrong C, Tulman D, Bergese SD, Thomas S, Papadimos TJ, Stawicki SP. Continuous Versus Bolus Tube Feeds: Does the Modality Affect Glycemic Variability, Tube Feeding Volume, Caloric Intake, or Insulin Utilization? International Journal of Critical Illness and Injury Science. Jan 2016; 6(1): 9. Falowski SM. Deep Brain Stimulation for Chronic Pain. Current Pain and Headache Reports. Jul 1, 2015; 19(7): 1-4.

Fox BD, Amhaz HH, Patel AJ, Fulkerson DH, Suki D, Jea A, Sawaya RE. Neurosurgical Rotations or Clerkships in US Medical Schools: Clinical Article. Journal of Neurosurgery. Jan 2011; 114(1): 27-33. Gerlach AT, Blais DM, Jones GM, Burcham PK, Stawicki SP, Cook CH, Murphy CV. Predictors of Dexmedetomidine-associated Hypotension in Critically Ill Patients. International Journal of Critical Illness and Injury Science. Jul 2016; 6(3): 109. Gifford A, Gayner RS, Stawicki SP, Lukaszczyk JJ. Peritoneal Dialysis Catheter Kinking: Description of Laparoscopic Management and a Synopsis of Related Complications. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 262. Gupta D, Amhaz H, Mazumdar A, Soskin V. Transient Compressive Lumbar Radiculopathy Following Post-epidural Blood Patch. Journal of Anesthesiology, Clinical Pharmacology. Jan 2014; 30(1): 112-4. doi: 10.4103/0970-9185.125723. Gupta D., Amhaz HH. Arterial Cannulation: Simple Swaying Rates. Middle East Journal of Anesthesiology. Jun 2016; 23(5): 591. Hughes R, Cipolla J, Thomas PG, Stawicki SP. Extracorporeal Membrane Oxygenation in Traumatic Injury: An Overview of Utility and Indications. Extracorporeal Membrane Oxygenation-Advances in Therapy. 2016; InTech, London, England. Jeanmonod R, Stawicki SP, Bahner DP, Zago M. Advancing Clinician-performed Sonography in the Twenty-first Century: Building on the Rich Legacy of the Twentieth Century Pioneers. European Trauma and Emergency Surgery: Official Publication of the European Trauma Society. Apr 2016; 42(2): 115. Kelly N, Esteve R, Papadimos TJ, Sharpe RP, Keeney SA, DeQuevedo R, Portner M, Bahner DP, Stawicki SP. Clinician-performed Ultrasound in Hemodynamic and Cardiac Assessment: A Synopsis of Current Indications and Limitations. European Journal of Trauma & Emergency Surgery. Oct 2015; 41(5): 469-80. doi: 10.1007/s00068-014-0492-6. Manda YR, Shirani Journal Prognostic Value of Dobutamine Stress Echocardiography in Renal Transplant Candidates: A Meta-analysis. Journal of the American College of Cardiology. May 2015; 65 (10_S).

Patil P, Kelly N, Papadimos TJ, Bahner DP, Stawicki SP. Republication: Correlations Between Venous Collapsibility and Common Hemodynamic and Ventilatory Parameters: A Multivariable Assessment. International Journal of Academic Medicine. Aug 1, 2016; 2(3): 25. Salen P, Grossman M, Grossman M, Milazzo A, Stoltzfus Journal A Comparison of Ketamine Versus Etomidate for Procedural Sedation for the Reduction of Large Joint Dislocations. International Journal of Critical Illness and Injury Science. Apr 2016; 6(2): 79. Stawicki SP, Deb L. Bronchial Nasoenteric Tube Misplacement: Effective Prevention, Prompt Recognition, and Patient Safety Considerations. International Journal of Critical Illness and Injury Science. Jul 2016; 6(3): 156. Stawicki SP, Shiroff AM, Hayden GE, Panebianco NL, Kirkpatrick JN, Horan AD, Gracias VH, Dean A Journal Incidental Findings on Intensivist Bedside Ultrasonographic Examinations: Why Should We Care? International Journal of Academic Medicine. Aug 1, 2016; 2(3): 18. BOOK CHAPTERS Hon HH, Stoltzfus JC, Stawicki SP. Biostatistics for the Intensivist: A Clinically Oriented Guide to Research Analysis and Interpretation. In: Principles of Adult Surgical Critical Care. 2016; (pp. 453-463). Springer, Cham, Switzerland. Wojda TR, Cornejo K, Lin A, Cipriano A, Nanda S, Amortegui JD, Wojda BT, Stawicki SP. Septic Embolism: A Potentially Devastating Complication of Infective Endocarditis. Contemporary Challenges in Endocarditis. 2016; InTech.

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Behavioral Health Services St. Luke’s Behavioral Health Services provides a wide variety of mental and behavioral health services, ranging from management of stress and work-life balance to medical treatment of complex conditions, such as bipolar disorder or post-traumatic stress. The Behavioral Health (BH) program strives to bring innovative approaches to improve access to mental health services and provide much needed expertise to our patients. For example, in 2015, St. Luke’s Behavioral Health Services launched a program that places a behavioral health therapist within primary care practices. The therapist coordinates the patient’s mental health care while working closely with the individual’s primary care physician. After meeting with the patient for 15 to 20 minutes, the behavioral health specialist develops a plan to improve emotional wellness, often involving referrals to in-network programs and outside community agencies. The BH specialist continues to guide the patient on an appropriate path to better mental health. The program began with two primary care practices and has now expanded to eight.

In order to meet the growing demand for geriatric behavioral services, St. Luke’s opened an Older Adult Behavioral Health Unit in February 2013. A specialist trained in geriatric psychiatry, a geriatrician, medicalsurgical nurses, mental health technicians, case managers and activity therapists ensure that the unit is both easily accessible and capable of meeting the increased demand from our community. In addition to treating patients’ behavioral health conditions, our geriatric behavioral health specialists also address various medical health concerns that often accompany advanced age, such as diabetes, hypertension and heart disease. In addition, St. Luke’s operates a 23-bed adult inpatient unit at St. Luke’s University Hospital – Bethlehem and a 19-bed acute, adult mental health unit at St. Luke’s Quakertown Campus. A team of psychiatrists, nurses, social workers, occupational therapists and other mental health experts staff both units. A crisis team, which operates around the clock, provides expert behavioral services to Emergency Departments at most hospitals within the St. Luke’s University Health Network. In addition to providing outstanding inpatient care, St. Luke’s Behavioral Health Services also operates a partial hospitalization day program, as well as individual, group, couples and family therapy. Among the many conditions treated are anxiety disorders, attention deficit disorder, depression, panic disorder, phobias, postpartum depression and post-traumatic stress disorder. PUBLICATIONS Butryn T, Bryant L, Marchionni C, Sholevar F. The Shortage of Psychiatrists and Other Mental Health Providers: Causes, Current State, and Potential Solutions. International Journal of Academic Medicine. Jan 1, 2017; 3(1): 5.

The Behavioral Health (BH) program strives to bring innovative approaches to improve access to mental health services and provide much needed expertise to our patients.

Tolentino JC, Guo WA, Ricca RL, Vazquez D, Martins N, Sweeney J, Moalem J, Derrick EL, Sholevar F, Marchionni C, Wagner V. Whatâ&#x20AC;&#x2122;s New in Academic Medicine: Can We Effectively Address the Burnout Epidemic in Health Care? International Journal of Academic Medicine. May 1, 2017; 3(3): 1. BOOK CHAPTERS Becker M, Axelrod DJ, Chism K, Weinberger TE, Markov D, Denysenko L, Marchionni C, Oyesanmi O, Field H, Shakin Kunkel EJ. Hematologic Disorders. In: Psychiatric Care of the Medical Patient. Fogel BS, Greenberg DB, Editors. Oxford University Press, Oxford, England. May 28, 2015. Singh H. Eating Disorders. In: Psychiatry Board Review. Tampi R, Zdanys K, Oldham M, Editors. Oxford University Press, Oxford, England. 2017. Singh H. Mood Disorders. In: Psychiatry Board Review. Tampi R, Zdanys K, Oldham M, Editors. Oxford University Press, Oxford, England. 2017. Singh H. Schizophrenia and Other Psychotic Disorders. In: Psychiatry Board Review. Tampi R, Zdanys K, Oldham M, Editors. Oxford University Press, Oxford, England. 2017.

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Community Health and Preventive Medicine The Community Health and Preventive Medicine Department at St. Lukeâ&#x20AC;&#x2122;s University Health Network (SLUHN) continues to strive to achieve its mission of partnering with the community to increase health awareness and healthy lifestyles, while also reducing health disparities and improving the health status of the community through access to care, especially for our vulnerable populations. At SLUHN, we are well underway with implementation of a variety of initiatives related to the health priorities identified in our 2016-2019 CHNA at all seven of our campuses. The five health priorities identified include: increasing access to care and reducing health disparities, increasing healthy living initiatives and reducing chronic diseases, improving mental/behavioral health, improving child/adolescent health and improving elder health. To address these priorities, Community Health and Preventive Medicine has successfully secured $3,091,404, of which $2,625,616 is from grants. We have strengthened our Network-wide approach through continued wellness and prevention programming in our campus communities.

Additionally, we have conducted preliminary assessments in our clinic systems, and incorporated care coordinators, navigators and community health workers to create a systems approach to care transformation. We strive to continue building partnerships and collaborations locally, regionally and nationally, while sharing successes related to our outcomesdriven work at six different national and three different state conferences, in additional to two publications in peer-reviewed international journals.

We have strengthened our Network-wide approach through continued wellness and prevention programming in our campus communities.

2016 REGIONAL, STATE, AND NATIONAL PRESENTATIONS • HRSA Rural Health Outreach Conference, St. Luke’s Miners Rural Health Outreach Poster Presentation, October 2016 • American Public Health Association Annual Meeting, October 2016  • Ryan White Conference, August 2016 • Association for Community Health Improvement (ACHI) and the American Hospital Association (AHA), March 2016 • Whole Health Conference, PA DOH and the University of Pittsburgh, March 2016 • Penn State Pro Wellness State Advisory Council, March 2016 RELATED AWARDS AND ACKNOWLEDGMENTS • Hospital Association of Pennsylvania (HAP) 2016 Community Champion Award • The Lehigh Valley Business Coalition on Healthcare (LVBCH) recognized St. Luke’s for its commitment to work site health and wellness as evidenced through its employee weight management programs, May 2016 • St. Luke’s University Health Network 2016 Quality Poster Award for the Vision Shuttle Program; poster displayed and shared at the HRSA Rural Health Outreach Conference, October 2016 • Pennsylvania Rural Health Magazine, Care Coordination Program for Lead Testing with the Local Head Start Organizations, Fall 2016 • Rural Program of the Year Award, Pennsylvania Office of Rural Health and the Pennsylvania Public Health Association, St. Luke’s Miners Campus Rural Health Centers, including Community Health Programs, 2016 PUBLICATIONS Mathews AL, Coyle BS, Deegan MM. Building Community While Complying With the Affordable Care Act in the Lehigh Valley of Pennsylvania. Progress in Community Health Partnerships: Research, Education, and Action. 2015; 9(1): 101-12. Reed RE, Bodzin AM. Using Web GIS for Public Health Education. International J. of Environmental and Science Education. 2016; 11(14): 6314-33.

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Critical Care St. Luke’s University Health Network is prepared to meet the needs of any critically ill or injured patient who arrives at any Network hospital. From trauma centers and emergency rooms to operating rooms and intensive care units, patients have access to the latest life-saving technology and critical care specialists. Robert deQuevedo, MD, leads a team of physicians and advanced practitioners who specialize in providing intensive care services. St. Luke’s critical care physicians come from diverse medical specialties, including pulmonary and critical care medicine, traumatology and surgical critical care, emergency medicine, anesthesiology and internal medicine. Critical care services at St. Luke’s University Health Network are unified under the Center for Critical Care, a high-performing, clinically-integrated organization dedicated to meeting the growing challenges and complexity of modern health care. Medical, surgical, cardiovascular and neuroscience services are pushing the envelope on patient outcomes and practical applications of research. Livia Bratis, DO, is Section Chief of Pulmonary Medicine and Medical Critical Care. James Cipolla, MD, is Section Chief of Emergency Surgery and leads Surgical Critical Care. Dr. deQuevedo also serves as the Director of Cardiovascular Critical Care. John Gillard, PA-C, leads the critical care advanced practitioners. CRITICAL CARE AND MEDICAL EDUCATION St. Luke’s has a long tradition of medical education and research in intensive care medicine. Our academic critical care faculty is diverse, with board-certified experts from general surgery, pulmonary and critical care medicine, emergency medicine, neurocritical care, obstetrics and gynecology, and anesthesiology. We train residents from our training programs in emergency medicine, internal medicine, general surgery, obstetrics and gynecology, orthopedics, family practice, podiatry and dentistry. The St. Luke’s Trauma and Surgical Care Fellowship offers both a two-year Surgical Critical Care Fellowship for emergency medicine graduates, and a one-year fellowship for graduates of general surgical programs.

In 2012, the fellowship was awarded ACGME (Accreditation Council for Graduate Medical Education) accreditation, and was approved by the American Board of Surgery to include surgical critical care into its curriculum and training. St. Luke’s is one of the first institutions to offer a two-year track for a Surgical Critical Care Fellowship for emergency medicine residency graduates approved by the American Board of Surgery. Dr. James Cipolla is the director of the Surgical Critical Care Fellowship. Like their physician colleagues, the specialty of critical care for advanced practitioners requires a significant amount of post-graduate education to achieve proficiency. This intensive training is offered via St. Luke’s University Health Network’s 12-month acute care, advanced practitioner, postgraduate fellowship with tracks in critical care/surgical or emergency medicine/critical care or subspecialty. Six core clinical rotations are the mainstay of the fellowship, followed by specialization in one of the two tracks, allowing fellows to both refine and personalize their educational experience. St. Luke’s University Health Network is one of only a small number of programs in the United States, and the only one in the region, to offer acute care, certified, registered, nurse practitioners and physician assistants, this level of comprehensive training. Dana Williams, CRNP, serves as the Program Director. Research has long been an important mission for the critical care team at St. Luke’s University Health Network. Critical care faculty, advanced practitioners, students, residents, and fellows all actively participate in a variety of projects, placing the Center for Critical Care as one of the most innovative areas within the entire Network.

The Center for Critical Care is one of the most innovative areas within the entire Network.

ST. LUKE’S OSTEOPATHIC PHYSICIAN EARNS SURGICAL CRITICAL CARE BOARD CERTIFICATION In 2016, Jennifer R. Axelband, DO, became the first-ever osteopathic emergency medicine trained-physician to be board certified in surgical critical care by the American Osteopathic Boards of Surgery (AOBS) in the United States. In fact, Dr. Axelband, Education Medical Director of Critical Care and Medical Director of Neurologic Critical Care at St. Luke’s University Hospital – Bethlehem, was the first osteopathic physician ever eligible to sit for a surgical critical care exam because that particular test did not exist. Due in part to Dr. Axelband’s efforts, the AOA and AOBS now recognize that qualified osteopathic emergency medicine-trained physicians who complete a surgical critical care fellowship are eligible to take the Surgical Critical Care boards. HONORS AND AWARDS In 2016, St. Luke’s Emergency and Transport Services received the American Heart Association’s Mission: Lifeline® EMS Silver Award for implementing quality improvement measures for the treatment of patients who experience severe heart attacks. In 2015, St. Luke’s Emergency Transport Service was recognized for its expertise in transporting pediatric patients through a multi-agency program that recognizes EMS agencies that are willing to go above and beyond current pediatric transport requirements within Pennsylvania. The Pennsylvania Emergency Medical Services for Children Program, in partnership with the Department of Health, Bureau of EMS and the Pennsylvania Emergency Health Services Council, has created the Pediatric Voluntary Recognition Program to recognize EMS agencies that consistently deliver excellence in emergency medical care to children within the Commonwealth. Also, in 2015, St. Luke’s University Hospital – Bethlehem emergency physician John Prestosh, DO, FACOEP, was named as the 20th president of the American College of Osteopathic Emergency Physicians (ACOEP) during its annual Scientific Assembly.

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PUBLICATIONS Barry N, Mubang RN, Wojda TR, Evans DC, Sharpe RP, Hoff WS, Thomas P, Cipolla J, Stahl DL, Papadimos TJ, Stawicki SP. An Exploratory, Hypothesis-generating, Meta-analytic Study of Damage Control Resuscitation in Acute Hemorrhagic Shock: Examining the Behavior of Patient Morbidity and Mortality in the Context of Plasma-to-packed Red Blood Cell Ratios. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 159. Costantini TW, Coimbra R, Holcomb JB, Podbielski JM, Catalano R, Blackburn A, Scalea TM, Stein DM, Williams L, Conflitti J, Keeney S. Current Management of Hemorrhage from Severe Pelvic Fractures: Results of an American Association for the Surgery of Trauma Multi-institutional Trial. Journal of Trauma and Acute Care Surgery. May 1, 2016; 80(5): 717-25. Gerlach AT, Blais DM, Jones GM, Burcham PK, Stawicki SP, Cook CH, Murphy CV. Predictors of Dexmedetomidine-associated Hypotension in Critically Ill Patients. International Journal of Critical Illness and Injury Science. Jul 2016; 6(3): 109.

Hon HH, Elmously A, Stehly CD, Stoltzfus JC, Granson MA, Stawicki SP, Hoey BA. Inappropriate Preinjury Warfarin Use in Trauma Patients: A Call for a Safety Initiative. Journal of Postgraduate Medicine. Apr 2016; 62(2): 73. Hon HH, Stoltzfus JC, Stawicki SP. Biostatistics for the intensivist: A Clinically Oriented Guide to Research Analysis and Interpretation. In: Principles of Adult Surgical Critical Care 2016 (pp. 453-463). Springer, Cham, Switzerland. Hon HH, Wojda TR, Barry N, MacBean U, Anagnostakos JP, Evans DC, Thomas PG, Stawicki SP. Injury and Fatality Risks in Aeromedical Transport: Focus on Prevention. Journal of Surgical Research. Aug 1, 2016; 204(2): 297-303. Jeanmonod R, Stawicki SP, Bahner DP, Zago M. Advancing Clinician-performed Sonography in the Twenty-first Century: Building on the Rich Legacy of the Twentieth Century Pioneers. European Journal of Trauma and Emergency Surgery. 2016; 42(2): 115â&#x20AC;&#x201C;118. Montoya J, Stawicki SP, Evans DC, Bahner DP, Sparks S, Sharpe RP, Cipolla J. From FAST to E-FAST: An Overview of the Evolution of Ultrasound-based Traumatic Injury Assessment. European Journal of Trauma and Emergency Surgery. Apr 1, 2016; 42(2): 119-26.

Mubang RN, Terzian WH, Cipolla J, Keeney S, Lukaszczyk JJ, Stawicki SP. Acute Myocardial Infarction Following Right Coronary Artery Dissection Due to Blunt Trauma. Heart Views: the Official Journal of the Gulf Heart Association. Jan 2016; 17(1): 35. Mubang R, Wojda TR, Nuschke JD, Hoff WS, Hoey BA, Thomas P, Falowski S, Stawicki SP. Prognostication of Traumatic Brain Injury Outcomes in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Cranial CT Findings. Journal of the American College of Surgeons. Oct 1, 2016; 223(4):S156-7. Patil P, Kelly N, Papadimos TJ, Bahner DP, Stawicki SP. Correlations Between Venous Collapsibility and Common Hemodynamic and Ventilatory Parameters: A Multivariable Assessment. International Journal of Academic Medicine. Aug 1, 2016; 2(3): 25. Sharma A, Bendas C. 1247: Impact of Early Mobility and Exercise on Mechanically Ventilated Patients. Critical Care Medicine. Dec 1, 2016; 44(12): 387. Sinha A, Sibel M, Thomas P, Burt F, Cipolla J, Puleo P, Baker K. Coronary Thrombosis Without Dissection Following Blunt Trauma. Case Reports in Cardiology. 2016: 2016. Stawicki SP, Cipolla J, Bria C. Comparison of Open Abdomens in Nontrauma and Trauma Patients: A Retrospective Study. International Journal of Academic Medicine. Aug 1, 2016; 2(3): 51. Stawicki SP, Deb L. Bronchial Nasoenteric Tube Misplacement: Effective Prevention, Prompt Recognition, and Patient Safety Considerations. International Journal of Critical Illness and Injury Science. Jul 2016; 6(3): 156.

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Stawicki SP, Papadimos TJ, Bahner DP, Evans DC, Jones C. Correlations Between Pulmonary Artery Pressures and Inferior Vena Cava Collapsibility in Critically Ill Surgical Patients: An Exploratory Study. International Journal of Critical Illness and Injury Science. Oct 2016; 6(4): 194. Stawicki SP, Shiroff AM, Hayden GE, Panebianco NL, Kirkpatrick JN, Horan AD, Gracias VH, Dean AJ. Incidental Findings on Intensivist Bedside Ultrasonographic Examinations: Why Should We Care? International Journal of Academic Medicine. Aug 1, 2016; 2(3): 18.

PRESENTATIONS Cipriano A, Wernick B, Odom SR, MacBean U, Mubang RN, Wojda TR, Liu S, Serres S, Evans DC, Thomas PG, Cook CH. Comparison of Platelet and RBC Indices After Splenectomy, Embolization, and Observation in Trauma. Presented at the 2016 Academic Surgical Congress, Jacksonville, FL.

Wojda TR, Cornejo K, Lin A, Cipriano A, Nanda S, Amortegui JD, Wojda BT, Stawicki SP. Septic Embolism: A Potentially Devastating Complication of Infective Endocarditis. In: Contemporary Challenges in Endocarditis. 2016. InTech, London, England.

Mubang RN, Wojda TR, Nuschke JD, Hoff WS, Hoey B, Thomas P, Falowski S, Stawicki SP. Prognostication of Traumatic Brain Injury Outcomes in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Cranial CT Findings. Podium Presentation at the Resident Surgical Forum, the 2015 Clinical Congress of the American College of Surgeons. Oct 2016. Washington, DC.

Wydo SM, Seamon MJ, Melanson SW, Thomas P, Bahner DP, Stawicki SP. Portable Ultrasound in Disaster Triage: A Focused Review. European Journal of Trauma and Emergency Surgery. Apr 1, 2016; 42(2): 151-9.

Sharma A, Bendas C. Impact of Early Mobility and Exercise on Mechanically Ventilated Patients. Presented at the 45th Critical Care Congress. Feb 20-24, 2016; Orlando, FL.

Dermatology St. Luke’s University Health Network is a leader in the treatment of skin conditions. Dermatologists treat a number of conditions, including: acne, cellulitis, hair disease, impetigo, psoriasis, vitiligo, skin cancer and melanoma. Joseph Zaladonis, MD, serves as the Section Chief of Dermatology for St. Luke’s University Health Network. The Melanoma Center at St. Luke’s is a regional center of excellence and provides comprehensive care for patients with all stages of the disease. The St. Luke’s team is guided by internationally recognized melanoma expert Sanjiv Agarwala, MD, and board-certified specialists who provide the latest diagnostic and therapeutic care. Under the leadership of Dr. Agarwala, St. Luke’s is highly active in cancer research. Its clinical trials portfolio includes trials supported by industry, government-sponsored studies through NCI’s National Clinical Trials Network (NCTN), such as ECOG-ACRIN and NRG, as well as investigator-initiated trials (IITs). As an area leader in cancer clinical trials, St. Luke’s Cancer Center offers more leading-edge immunotherapies than anyone else in the region. St. Luke’s immunotherapy program includes treatment of melanoma, lung cancer, head and neck cancer, bladder cancer, kidney cancer, stomach cancer and breast cancer. St. Luke’s Cancer Center has participated in several landmark clinical studies that have led to the Federal Drug Administration-approval of immunotherapeutic agents in melanoma and other cancers and has altered the standard of care for these diseases. Originating within the Network, some of these multi-site trials involve St. Luke’s as the lead coordinating center. In 2014, more than 10 percent of Network cases were enrolled in clinical trials. Within the last two years, St. Luke’s has increased the number of trials opened per year by more than 50 percent. St. Luke’s investigators have authored/co-authored numerous articles in prestigious medical journals, including The New England Journal of Medicine and Journal of Clinical Oncology. Caring for skin conditions related to feet is another area of focus. The three-year Podiatric Residency Program helps train experts in podiatric medicine and surgery. Started in 1991 with just a single residency slot, the program has since grown to nine slots because of the increased volume of foot surgery. The program also offers an elective fourth-year slot as a Podiatric Dermatology Fellowship, which was one of the first nationally recognized podiatry fellowships by the Council on Podiatric Medical Education. Our advanced Podiatry Center treats a broad range of podiatric problems, from claw foot to plantar fasciitis and nerve dysfunction. In addition to our busy clinical practice, our faculty and residents are actively involved in a number of high-profile research projects and clinical trials.

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HONORS AND AWARDS In 2015, Dr. Agarwala was named to the editorial board of a new magazine, Physician’s Life. The publication offers lifestyle news and features geared toward doctors and other medical professionals. In other recognitions, St. Luke’s was voted 2015 Top Reader’s Choice for Best Cancer Care by the readers of the Morning Call, a regional, daily newspaper based in Allentown. PUBLICATIONS Agarwala SS. Intralesional Treatment for Advanced Melanoma: What’s on the Horizon? Melanoma Management. Jun 2016; 3(2): 113-23. Agarwala SS, Andtbacka RHI, Hauschild A, Rice KN, Ross M, Scoggins CR, Smithers M, Whitman E, Wachter EA. Intralesional Rose Bengal for Stage III and IV Melanoma. Annals of Oncology. Oct 27, 2106.suppl(6). doi: 10.1093/ annonc/mdw379.52. Agarwala, Sanjiv S. The Role of Intralesional Therapies in Melanoma. Annals of Oncology. 2016; 30(5): 436-436. Alva A, Daniels GA, Wong MK, Kaufman HL, Morse MA, McDermott DF, Clark JI, Agarwala SS, Miletello G, Logan TF, Hauke RJ. Contemporary Experience with High-dose Interleukin-2 Therapy and Impact on Survival in Patients with Metastatic Melanoma and Metastatic Renal Cell Carcinoma. Cancer Immunology, Immunotherapy. Dec 2016; 65(12): 1533-1544. doi: 10.1007/s00262-016-1910-x. Andtbacka RH, Agarwala SS, Ollila DW, Hallmeyer S, Milhem M, Amatruda T, Nemunaitis JJ, Harrington KJ, Chen L, Shilkrut M, Ross M. Cutaneous Head and Neck Melanoma in OPTiM: A Randomized Phase 3 Trial of Talimogene Laherparepvec Versus GranulocyteMacrophage Colony-stimulating Factor for the Treatment of Unresected Stage IIIB/IIIC/IV Melanoma. Head & Neck. Dec 1, 2016; 38(12): 1752-8. Andtbacka R, Ross M, Agarwala SS, Taylor M, Vetto J, Neves RI, Daud A, Khong H, Ungerleider RS, Welden S, Tanaka M. Tumor Response from Pphase II Study of Combination Treatment with Intratumoral HF10, a Replication-competent HSV-1 Oncolytic Virus, and Ipilimumab in Patients with Stage IIIB, IIIC, or IV Unresectable or Metastatic melanoma. Annals of Oncology. Oct 27, 2015; suppl(6). doi: 10.1007/s00262016-1910-x.

Andtbacka RHI, Ross MI, Agarwala SS, Taylor MH, Vetto JT, Neves RI, Daud A, Khong HT, Ungerleider RS, Boran A. and Tanaka M. Preliminary Results from Phase II Study of Combination Treatment with HF10: A Replication-competent HSV-1 Oncolytic Virus, and Ipilimumab in Patients with Stage IIIb, IIIc, or IV Unresectable or Metastatic Melanoma. Journal of Clinical Oncology. May 2016; 34(15)suppl: 9543. Ascierto PA, Agarwala S, Botti G, Cesano A, Ciliberto G, Davies MA, Demaria S, Dummer R, Eggermont AM, Ferrone S, Fu YX. Future Perspectives in Melanoma Research. Journal of Translational Medicine. 2016; 14: 313. Hodi FS, Chesney J, Pavlick AC, Robert C, Grossmann KF, McDermott DF, Linette GP, Meyer N, Giguere JK, Agarwala SS, Shaheen M. Combined Nivolumab and Ipilimumab Versus Ipilimumab Alone in Patients with Advanced Melanoma: 2-year Overall Survival Outcomes in a Multicentre,Randomised, Controlled, Phase 2 Trial. The Lancet Oncology. Nov 2016; 17(11): 1558-1568. doi: 10.1016/S1470-2045(16)30366-7. Hughes MS, Zager J, Faries M, Alexander HR, Royal RE, Wood B, Choi J, McCluskey K, Whitman E, Agarwala SS, Siskin G. Results of a Randomized Controlled Multicenter Phase III Trial of Percutaneous Hepatic Perfusion Compared with Best Available Care for Patients with Melanoma Liver Metastases. Annals of Surgical Oncology. Apr 1, 2016; 23(4): 1309-19.

Emergency Medicine St. Luke’s University Health Network has been providing emergency care since 1872 when it was established to care for the workers of the steel foundries in Bethlehem. Today, under the leadership of Chair Rebecca Pequeno, MD, physicians and other staff members conduct research, present at national conferences, contribute to publications and educate future emergency medicine staff. St. Luke’s operates Emergency Departments in seven hospitals, including three Trauma Centers. In 2016, St. Luke’s Quakertown Campus earned trauma center status as a Level IV Trauma, joining St. Luke’s Hospital – Miners Campus, the first hospital in Pennsylvania to achieve designation as a Level IV Trauma Center. For more serious injuries, the trauma teams stabilize patients for safe transfer via ground or helicopter to St. Luke’s University Hospital – Bethlehem, a Level I Trauma Center for nearly 20 years and one of only 14 Level I Trauma Centers in the state. Approximately one in five trauma patients seen at Quakertown and Miners Campuses are transferred to Bethlehem, according to Peter Thomas, DO, Network Medical Director of Trauma. St. Luke’s Emergency Services stays abreast of advances in emergency medicine to continually improve the quality of services and patient satisfaction. For example, to better serve older adults, the Emergency Department at St. Luke’s University Hospital – Bethlehem opened a special Older Adult Section that offers a gentler, quieter alternative to the hustle and bustle of the traditional Emergency Department. Staffed with board-certified emergency care physicians, trained Emergency Department nurses and leading-edge diagnostic and treatment technology, St. Luke’s Emergency Departments and hospitals offer: • A consistently high level of care for heart attack patients with access to cardiac catheterization laboratories at three hospitals • Top-performing certified Stroke Centers – a 24-hour emergency response team dedicated to providing specialized stroke care • A strong team of medical and surgical specialists – including orthopedic physicians, plastic surgeons, pulmonologists, endocrinologists, and infectious disease physicians – working directly with our emergency medicine physicians and nurses. EMERGENCY MEDICINE EDUCATION St. Luke’s three-year (PGY 1-3) ACGME-approved Emergency Medicine Residency Program provides an academically rigorous curriculum in a tertiary, academic medical center. The fully accredited program exposes residents to a broad spectrum of pathology, which provides students with experience in managing the breadth of conditions seen in emergency medicine. The Center’s faculty is comprised of board-certified emergency physicians.

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The St. Luke’s Trauma Fellowship offers both a two-year Surgical Critical Care Fellowship for Emergency Medicine graduates and a one-year fellowship for graduates of surgical programs. In 2012, the fellowship achieved ACGME (Accreditation Council for Graduate Medical Education) accreditation, and was approved by the American Board of Surgery to include Surgical Critical Care into our curriculum and training. St. Luke’s is one of the first institutions to offer a two-year track for a Surgical Critical Care Fellowship for Emergency Medicine residency graduates approved by the American Board of Surgery. St. Luke’s University Health Network also offers a 12-month Acute Care Advanced Practitioner Postgraduate Fellowship with tracks in emergency medicine/critical care or critical care/surgical subspecialty. Six core clinical rotations are the mainstay of the fellowship, which are then followed by specialization in one of the two tracks. This enables fellows to refine their educational experience.

CLINICAL TRIALS The Emergency Medicine research team at St. Luke’s University Health Network is actively involved in leading-edge clinical trials. In conjunction with the SLUHN Department of Research & Innovation, we offer active trials in the areas of pulmonary thromboembolism, soft tissue infections, and trauma. PUBLICATIONS Anderson HL, Arquilla B, Firstenberg MS, Garg M, Galwankar SC, Gracias VH, Hansoti B, Jeanmonod D, Jeanmonod R, Moffatt-Bruce SD, Nanda S. Mission Statement for the American College of Academic International Medicine: Empowering Individuals, Nurturing Wellness, Promoting Excellence, Stimulating Minds, Striving for Sustainability, and Celebrating Inclusion. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 121.

St. Luke’s Emergency Services stays abreast of advances in emergency medicine to continually improve the quality of services and patient satisfaction.

Balakrishnan V, Roper J, Cossey K, Roman C, Jeanmonod R. Misidentification of English Language Proficiency in Triage: Impact on Satisfaction and Door-to-room Time. Journal of immigrant and Minority Health. Apr 1, 2016; 18(2): 369-73. Balakrishnan V, Wilson J, Taggart B, Cipolla J, Jeanmonod R. Impact of Phlebotomy Tourniquet Use on Blood Lactate Levels in Acutely Ill Patients. Canadian Journal of Emergency Medicine. Sep 2016; 18(5): 358-62. Chaturvedi A, Baker K, Jeanmonod D, Jeanmonod R. Lyme Disease Presenting with Multiple Cranial Nerve Deficits: Report of a Case. Case Reports in Emergency Medicine. 2016: 2016. Cohen MS, Paul E, Nuschke JD, Tolentino JC, Mendez AV, Mira AE, Baxter RA, Stawicki SP. Patient Frailty: Key Considerations, Definitions and Practical Implications. Journal of Challenges in Elder Care. 2016; InTech. Habeeb K, Stankewicz H, Axelband J, Melanson S. The Infected Heart: Ventriculoseptal Abscess and Intracardiac Fistulization. The American Journal of Emergency Medicine. Mar 1, 2016; 34(3): 678-e1. Jeanmonod D. Developing Leaders Among Your Faculty Members. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 83. Jeanmonod R. Retaining Talent at Academic Medical Centers. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 46. Jeanmonod R, Stawicki SP, Bahner DP, Zago M. Advancing Clinician-performed Sonography in the Twenty-first Century: Building on the Rich Legacy of the Twentieth Century Pioneers. European J. of Trauma and Emergency Surgery: Official Publication of the European Trauma Society. 2016 Apr; 42(2): 115. Lin MJ, Barry N, Akusoba I, Hon HH, Cohen MS, Shukla P, Cipolla J, Stawicki SP, Hoey BA. Traditional Autopsy Versus Computed Tomography Imaging Autopsy in Trauma: A Case of â&#x20AC;&#x153;Synergistic Disagreement.â&#x20AC;? Surgery. Jul 1, 2016; 160(1): 211-9. Phelps J, Evans D, Jeanmonod R. A 23-year-old Male with Intussusception Caused by Parasitic Flatworm Infection Acquired by Eating Sushi. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 109. Salen P, Grossman M, Grossman M, Milazzo A, Stoltzfus J. A Comparison of Ketamine Versus Etomidate for Procedural Sedation for the Reduction of Large Joint Dislocations. International Journal of Critical Illness and Injury Science. Apr 2016; 6(2): 79. Tran J, Jeanmonod D, Agresti D, Hamden K, Jeanmonod RK. Prospective Validation of Modified NEXUS Cervical Spine Injury Criteria in Low-risk Elderly Fall Patients. Western Journal of Emergency Medicine. May 2016; 17(3): 252. Vessio E, Finan M, Jeanmonod D, Balakrishnan V, Cross-Belser D, Melanson J, Jeanmonod RK. Experience Gained by Emergency Medicine Residents as Members of the Rapid Response Team. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 41. Wydo SM, Seamon MJ, Melanson SW, Thomas P, Bahner DP, Stawicki SP. Portable Ultrasound in Disaster Triage: A Focused Review. European Journal of Trauma and Emergency Surgery. Apr 1, 2016; 42(2): 151-9.

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PRESENTATIONS Berg E, Paukovits J, Axelband J, Trager J, Jeanmonod RK. Measurement of a Novel Biomarker, sPLA2-IIA, as a Marker of an Inflammatory Response in Patients Meeting SIRS Criteria: A Pilot Study. St. Luke’s Research Forum Bethlehem PA Jun 2016; Electronic Abstract Presentation, Oct 18, 2016; ACEP Research Forum, Las Vegas, NV. Cohen M, Habeeb K, Stankewicz H, Jeanmonod D, Berrios M, Jeanmonod RK. Patients’ Attitudes Regarding Tattooed Physicians: The ART Study. Electronic / Presentation, American College of Emergency Physicians Scientific Assembly, Boston, MA, 2015. Pennsylvania Chapter of the American College of Emergency Physicians Regional Scientific Assembly, King of Prussia, PA, 2016. Foundation for Osteopathic Emergency Medicine Annual Oral Abstract Competition, San Francisco, CA. Coppersmith V, Stankewicz H. The Use of N-Acetyl Cysteine in the Prevention of Hangover. PaACEP William Spivey Research Forum. Electronic Presentation. Apr 2016; Jun 2016; St. Luke’s Research Forum, Bethlehem, PA.

Jordan A, Salen P, Wojda TR, Cohen MS, Hasani A, Luster J, Stankewicz H , Stawicki SP. The Effect of Acute Alcohol Intoxication of Hematologic Parameters in Trauma.” Poster Presentation. American College of Surgeons Keystone Chapter, 2016; Nov 2016, Annual Scientific Meeting. Kelly B, Black J, Stankewicz H. Manipulation of Breath Alcohol Tests: Can Specific Techniques Alter Breath Alcohol Content? PaACEP William Spivey Research Forum. Oral Presentation. Apr 2016; St. Luke’s Research Forum, Bethlehem, PA, Jun 2016; Foundation for Osteopathic Emergency Medicine Annual Oral Abstract Competition, 2016, San Francisco, CA. Knowles K, Stankewicz H. Effects of Physician Gender and Residents Presence on Press Ganey Scores. PaACEP William Spivey Research Forum. Electronic Presentation. Apr 2016. Kravchik L, Layng E, Berrios M, Kadish J, Pester J. Cricothyrotomy training: Is the Current ACGME Requirement Sufficient? Poster Presentation. American Academy of Emergency Medicine Scientific Assembly. Feb 2016; Las Vegas, NV.

Krieg K, Phelps J, Stankewicz H. Accuracy of Self-Estimation of Breath Alcohol Concentration Compared to Objective Values. PaACEP William Spivey Research Forum. Electronic Presentation. Apr 2016. Layng E, Kravchik L, Berrios M, Kadish J, Pester J. STABCric 3: Surgical Technique against Bougie Cricothyrotomy. Poster Presentation. ACEP Research Forum Abstract 913. Las Vegas, NV. Accepted for Presentation. Oct 2016. Milano A, Salen P, Stankewicz H, Stoltzfus H. The Impact of a Standardized Checklist on Transition of Care During Emergency Department Physician Change of Shift. St. Luke’s Research Forum, Bethlehem, PA, Jun 2016; Electronic Abstract Presentation, Abstract #290, Oct 18, 2016, ACEP Research Forum, Las Vegas, NV. Milano A, Stankewicz H. The Effect of Physician Gender on Press Ganey Scores. Foundation for Osteopathic Emergency Medicine Annual Oral Abstract Competition. 2016; San Francisco, CA. Phelps J, Krieg K, Stankewicz H. Accuracy of Self-Estimation of Blood Alcohol Concentration Compared to Objective Values. St. Luke’s Research Forum, Bethlehem, PA, Jun 2016; Foundation for Osteopathic Emergency Medicine Annual Oral Abstract Competition, 2016; San Francisco, CA. Romash D, Stankewicz H. Impact of Brief Alcohol Educational Session on University Athletes’ Knowledge of and Participation in Binge Drinking. PaACEP William Spivey Research Forum. Electronic Presentation. St. Luke’s Research Forum, Apr 2016, Jun 2016, Bethlehem, PA. Spollen D. Visits to the Emergency Department for Psychosocial Problems. Foundation for Osteopathic Emergency Medicine Annual Oral Abstract Competition. 2016; San Francisco, CA. Swank D, Mary Eberhardt. Association of Elevated B-Type Natriuretic Peptide and Troponin: Do Increased BNP Levels Correlate with Troponin Elevation? PaACEP William Spivey Research Forum. Electronic Presentation. Apr 2016. Swank D, Mary Eberhardt. Effect of Antimicrobial Disinfectant Wipes on Bacteria on Computer Equipment in the Emergency Department. PaACEP William Spivey Research Forum. Electronic Presentation. Apr 2016. Vessio E, Roper J, Vera L, Jeanmonod D, Asher S, Winters J, Reiter M, Bruno E, Shah N, Jeanmonod RK. Intracranial Injury in Low Risk Elderly Fall Patients: A Multi-center Study. Oral Presentation. American Academy of Emergency Medicine Scientific Assembly, 2016. Las Vegas, Nevada. Oral Presentation, St. Luke’s Research Forum. 2016; Bethlehem, PA. Zwiebel S, Stankewicz H, Eckes N. Emergency Department Utilization for Less Urgent vs Non-urgent Care After the Affordable Care Act. Foundation for Osteopathic Emergency Medicine Annual Oral Abstract Competition. 2016; San Francisco, CA.

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Family Medicine – Bethlehem & Warren Campuses The St. Luke’s Family Medicine Centers provide a wide variety of health care services to meet the needs of the entire family. Under the direction of Michael A. Abgott, MD, Chief of Family Medicine, more than 150 family medicine physicians affiliated with St. Luke’s University Health Network’s seven hospitals provide care throughout the Lehigh Valley and surrounding areas. The program strives to bring innovative approaches to improve access to mental health and provide specialized services. For example, in 2015, St. Luke’s launched a program that places a behavioral health therapist within primary care practices. The therapist coordinates the patient’s mental health care while working closely with the individual’s treatment team at the practice. After meeting with the patient for 15 to 20 minutes, the therapist develops a plan to improve emotional wellness, often involving referrals to

in-network programs and outside community agencies. Then, he continues to guide the patient on an appropriate path to better mental health. The program began with two primary care practices and has since been expanded to four. Committed to medical education, the Department of Family Medicine offers two comprehensive residency programs. Robert C. Langan, MD, FAAFP, Program Director, and Martha E. Metzgar, DO, Osteopathic Program Director, lead the Bethlehem Campus program from our 425-bed St. Luke’s University Hospital – Bethlehem, PA. Dr. Metzgar serves on the faculty of the Philadelphia College of Osteopathic Medicine (PCOM), Department of Family Medicine. Since 2010, the Bethlehem residency has published 13 papers and presented regionally and nationally 18 times. Dr. Langan, who was named 2015 Exemplary Teacher of the Year award by the Pennsylvania Academy of Family Physicians, also serves as the Medical Director of St. Luke’s Family Medicine Center. In addition, he is an Associate Adjunct Professor at the Temple University School of Medicine, Department of Family and Community Medicine.

The Family Medicine program strives to bring innovative approaches to improve access to mental health and provide specialized services.

Other St. Luke’s physicians who serve as Assistant Adjunct Professors of the Temple University School of Medicine, Department of Family and Community Medicine, include Nguyet-Cam V. Lam, MD, Maria Ghetu, MD, and Jennifer Ranton, MD. Several of these faculty members are also fellowship-trained. Both Dr. Lam and Dr. Langan have completed a National Institute of Program Director Development Fellowship, while Dr. Metzgar is currently enrolled in the fellowship. Dr. Ranton currently participates in a Behavioral Medicine Fellowship through St. Luke’s Family Medicine. WARREN CAMPUS FAMILY RESIDENCY PROGRAM Students who prefer a more intimate setting may opt for the unopposed Warren Campus Family Medicine Residency Program based at the 214-bed St. Luke’s Hospital in Warren, NJ, located about 25 minutes east of Bethlehem. Since joining SLUHN in 2013, the physicians affiliated with the residency program have published five papers and presented regionally and nationally 20 times. Furthermore, as part of the Rutgers Robert Wood Johnson Network of Affiliated Residency Programs, the Warren Campus program collaborates on a number of academic areas, including research. Training high-quality physicians since 1980, the Warren Campus Family Residency Program was the first program nationally to be accredited by both the Accreditation Council for Graduate Medical Education (ACGME) and the American Osteopathic Association (AOA). Program Director Thomas McGinley, MD, FAAFP, has completed a National Institute of Program Director Development Fellowship. In addition, the St. Luke’s Warren Family Medicine faculty members serve many different academic and community roles. Mary Siciliano, DO, is the DO Director of Medical Education for the Philadelphia College of Osteopathic Medicine (PCOM), while faculty pediatrician Helaine Levine, MD, is a Clinical Assistant Professor of PCOM. In addition, she, as well as Raymond Buch, MD, are school physicians for the Phillipsburg School District. Eugene Decker, MD, is the Medical Director of the DeSales University Physician Assistant Program and a school physician for the Lopatcong and Harmony Elementary Schools. Pamela Valenza, MD, is a Clinical Assistant Professor at the Lewis Katz School of Medicine at Temple University, a Board Director of the Pennsylvania Academy of Family Physicians, Chair of the Primary Care and Community Health Subcommittee of the Research Faculty Council at St. Luke’s, and the Primary Care Specialties Section Editor of the International Journal of Academic Medicine. Dr. Valenza and faculty psychologist James Feldman, PhD, are local editors of the Family Physicians Inquiry Network. In 2016, St. Luke’s Warren Family Medicine Residency Program partnered with the Warren County Public Health Department to develop a unique, seven-part educational series on Community and Preventive Public Health. Each part of the series consisted of two one-hour lecture/practice sessions, and participants received two hours of CME credits for each session attended. The free series was open to all physicians, nurses, physician assistants, nurse practitioners, social workers, case managers, and hospital workers—both those employed by St. Luke’s University Health Network and those practicing elsewhere in the community.

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PUBLICATIONS Guido S, Lambert P, Levine H. Natural Evolution of Human Papilloma Virus Series Completion and Interdose Interval. The 2016 St. Luke’s University Health Network Annual Research Symposium: Event Highlights and Scientific Abstracts. International Journal of Academic Medicine. 2016; 2, Suppl S1: 79-95. Lam NC, Castellanos AM, Thompson K. A Vietnamese Child with a Rash on the Back. Photo Quiz. American Family Physician. Jan 2016; 93(2): 131-2. Lam NC, Ghetu MV, Bieniek ML. Systemic Lupus Erythematosus: Primary Care Approach to Diagnosis and Management. American Family Physician. Aug 2016; 94(4): 284-94. Lam NC, Matalia NB. A Truck Driver with a Skin Lesion on His Upper Arm. Consultant. 2016; 56(12): 1093. Lam NC. Joint Pain and Fatigue: It Could Be Anything. Close Ups, A Patient’s Perspective. American Family Physician. Aug 2016; 94(4): 304. Langan RC, Goodbred AG. Evaluation and Management of Peripartum Depression. American Family Physician. 2016; 93(10): 852-858.

Wernick B, Wojda TR, Wallner A, Yanagawa F, Firstenberg MS, Papadimos TJ, Stawicki SP. Brain Drain in Academic Medicine: Dealing with Personnel Departures and Loss of Talent. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 68. Wojda T, Cornejo K, Valenza P, Carolan G, Sharpe R, Mira A, Galwankar S, Stawicki S. Letter to the Editor. Medical Demographics in Sub-Saharan Africa: Increased Proportion of Elderly Patients in Accident and Emergency Units Mirror Life Expectancy Trends? Journal of Emergencies, Trauma, and Shock. Jul-Sep 2016; 9(3): 122–125. Wojda TR, Valenza PL, Cornejo K, McGinley T, Galwankar SC, Kelkar D, Sharpe RP, Papadimos TJ, Stawicki SP. The Ebola outbreak of 2014-2015: From Coordinated Multilateral Action to Effective Disease Containment, Vaccine Development, and Beyond. Journal of Global Infectious Diseases. Oct 2015; 7(4): 127. Yoder M, Lam NC, Dillon C, Kobialka A, Perez E. Empowering Patients to Take Ownership of Their Diabetes Care: A Quality Improvement Project. International Journal of Academic Medicine. 2016; 2, Suppl S1: 79-95. Zwolak Z, Langan R. Case report: Septic Pelvic Thrombophlebitis. Consultant. 2016; 56(6): 551-552. BOOK CHAPTERS Langan RC. Prostate Cancer: A Primary Care Perspective. In: Heidelbaugh JJ, Editor. Men’s Health in Primary Care, Current Clinical Practice. Humana Press, Switzerland. 2016; L269-281. Wojda TR, Cornejo K, Lin A, Cipriano A, Nanda S, Amortegui JD, Wojda BT, Stawicki SP. Septic Embolism: A Potentially Devastating Complication of Infective Endocarditis. In: Contemporary Challenges in Endocarditis. 2016; Rijeka, Croatia: InTech. PRESENTATIONS Cornejo K, McGinley T, Valenza P. From Patient to Population: Bridging the Gap with a Residency-Based Community and Population Health Curriculum. Oral Presentation. 35th Family Medicine Education Consortium Annual Meeting. Oct 28, 2016; Pittsburgh, PA.

Guido S, Lambert P, Levine H. Natural Evolution of HPV Series Completion and Interdose Interval. Poster Presentation. SLUHN Annual Research Symposium. Jun 9, 2016; Bethlehem, PA. 2nd Place Award. Guido S, Lambert P, Levine H. Natural Evolution of HPV Series Completion and Interdose Interval. Poster Presentation. 24nd Annual Robert Wood Johnson Network of Affiliated Family Medicine Residencies Research Symposium. Jun 8, 2016; New Brunswick, NJ. Langan RC, Goodbred AG. Depression KSA. Pennsylvania Academy of Family Physicians Clinical Education Series, Kalahari Resort, PA. Nov 2016; Pocono Manor, PA. Malik A, Levine H. Improving Diabetes Coding Accuracy for Increased Value. Oral Presentation. Rutgers Network of Affiliated Family Medicine Residencies of New Jersey Residentsâ&#x20AC;&#x2122; Research Symposium. May 2016; King of Prussia, PA. Malik A, Levine H. Improving Diabetic Coding Accuracy at a Residency-Based Family Medicine Practice. Poster Presentation. 49th STFM Annual Spring Conference. May 2016; Minneapolis, MN. Malik A, Levine H. Improving Diabetic Coding Accuracy at a Residency-Based Family Medicine Practice Step 1. Poster Presentation. 2016 Pennsylvania Osteopathic Medical Association (POMA). May 2016, Valley Forge, PA.

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Malik A, Levine H. Improving Diabetic Coding Accuracy at a Residency-Based Family Medicine Practice Step 2. Poster Presentation. (2nd Place in Poster Competition) 2016 Academy of Family Medicine. Jun 2016; Atlantic City, NJ.

Parmar J, Levine H. Outreach Study to Increase Number of DM Screenings at Coventry Family Practice. Oral Presentation. 24nd Annual Robert Wood Johnson Network of Affiliated Family Medicine Residencies Research Symposium. Jun 2016; New Brunswick, NJ.

Malik A, Levine H. Improving Diabetic Coding Accuracy for Increased Value. Poster Presentation (2nd Place Award). NJAFP Scientific Assembly. Jun 2016; Atlantic City, NJ.

Reichel M, Levine H. Improving Diabetic Nephropathy Screening Using a Simple Educational Intervention. Poster Presentation. 24th Annual Robert Wood Johnson Network of Affiliated Family Medicine Residencies Research Symposium. Jun 2016; New Brunswick, NJ.

Metzgar MM. Common Surgical Issues. ACOFP National Intensive Board Review. Aug 2016 Chicago, IL. Metzgar MM. Women’s Health. ACOFP National Intensive Board Review; Aug 2016; Chicago, IL. Parmar J, Levine H. Increasing Access to Diabetic Retinopathy Screening Step 3. Oral Presentation. 24th Annual Robert Wood Johnson Network of Affiliated Family Medicine Residencies Research Symposium. Jun 2016; New Brunswick, NJ.

Valenza P, Perini G, Decker E, Saha S, O’Donnell S, Feldman J. Pathways to Wellness: Multi-disciplinary, Longitudinal Care-coordination for Complex Patients with Diabetes and Hypertension. Oral Presentation. 49th STFM Annual Spring Conference. May 2, 2016; Minneapolis, MN. Yoder MR, Lam NC. Empowering Patients to Take Ownership of Their Diabetes Care: A Quality / Improvement Project. 2016 PAFP Residency Research Day, Pittsburgh, PA.

Geriatric Medicine St. Luke’s University Health Network provides a positive aging experience for older adults in the community through specialized services and care designed especially for seniors. Recognizing that with age come unique needs and challenges, St. Luke’s is committed to helping seniors and caregivers get the most out of life by offering a wealth of programs, classes and tools designed by geriatric specialists. Under the direction of Alaa A. Mira, MD, physicians, nurses, therapists and other staff, many of whom have specialized training in geriatrics, have developed programs to better meet the needs of older patients. In 2016, Carrie Fleckenstein was named Senior Network Director for Senior Care Services. She works with Dr. Mira in leading efforts to enhance and grow senior care services to serve this growing demographic Network-wide. For example, the Emergency Department at St. Luke’s University Hospital – Bethlehem is environmentally-friendly for older adults, offering a gentler, quieter alternative to the hustle and bustle of the traditional emergency room. Special features include: • A designated area specifically for our senior population with less noise and bathrooms in each room. • A geriatric nurse navigator available to assist with patient flow and facilitate communication between the patient and with the medical team to ensure timely evaluations and communication. • Various ancillary staff (physical/occupational therapy, case management, pharmacy) available for consults for these patients. • Volunteer rounding to help with patient comfort and socialization needs. The Network’s innovative services also include the Older Adult Behavioral Health Unit. A geriatric-trained psychiatrist, a gerontologist, medical-surgical nurses, mental health technicians, case managers and activity therapists staff the unit. In addition to treating patients’ behavioral health conditions, the team also addresses the medical health concerns that often accompany advanced age, such as diabetes, hypertension and heart disease. The Network also provides comprehensive evaluations and recommendations for senior care through St. Luke’s Senior Care Associates. A team of geriatricians, nurse practitioners and social workers staff the practice. The team provides specialized services and care designed for seniors at St. Luke’s Center for Positive Aging. St. Luke’s Senior Care Associates works with patients, family members and family physicians to assess the patient’s physical, emotional, social and functional needs and assists in planning for their future. St. Luke’s Senior Care Associates also provide inpatient, comprehensive, geriatric assessments through the inpatient consults led by a geriatrician and physician assistant. The goal of the inpatient consult service is to reduce and prevent hospital complications for seniors, which includes falls, delirium, cognitive decline, functional decline, immobility and polypharmacy.

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The Senior Surgical Program for Older Adults, led by a nurse navigator, has been implemented at St. Luke’s University Hospital – Bethlehem and St. Luke’s Quakertown Campus. The nurse navigator provides preoperative geriatric assessment and recommendations for older adults undergoing elective surgery. The nurse navigator helps the patient throughout the surgery process by providing education, communication, support and management. The nurse navigator works closely with anesthesiologists, surgeons, nurses and primary care physicians to prevent postoperative hospital complications. The Network is restructuring the post-acute care through the Bundled Payment initiative. St. Luke’s team and Senior Care Associates work closely with the skilled nursing facilities in our service area to improve quality of care, outcomes and transition of care. St. Luke’s University Health Network hospitals have achieved designation as NICHE hospitals. NICHE (Nurses Improving Care for Healthsystem Elders) is the leading nurse-driven program designed to help hospitals and health care organizations improve the care of older adults. Through NICHE, St. Luke’s will be recognized as a health network that is highly skilled in providing integrated clinical and supportive care directed at the unique and sensitive needs of older patients and their caregivers. GERIATRIC FELLOWSHIP Under the direction of Alaa A. Mira, MD, the St. Luke’s Geriatric Fellowship program trains physicians to become outstanding geriatricians. The program provides a wide variety of clinical experiences in geriatric care settings, including geriatric outpatient and inpatient consults, a comprehensive geriatric assessment program, long-term care, skilled nursing, physical medicine and rehabilitation, geropsychiatry, hospice and palliative care, as well as memory and dementia care. Fellows are trained in research projects with highly qualified mentors through the St. Luke’s Research Institute. The graduate physicians are prepared to provide exceptional patient care to older adults and lead the senior care services in their communities. BOOK CHAPTER Cohen M, Paul E, Nuschke J, Tolentino J, Castellanos A, Mira A, Baxter R, Stawicki S. Patient Frailty: Key Considerations, Definitions and Practical Implications. In: Geriatrics, Publisher: InTech, London, England. Apr 2016.

PUBLICATIONS Hon HH, Elmously A, Stehly CD, Stoltzfus JC, Granson MA, Stawicki SP, Hoey BA. Inappropriate Preinjury Warfarin Use in Trauma Patients: A Call for a Safety Initiative. Journal of Postgraduate Medicine. Apr 2016; 62(2): 73. Levy J. Annals on Being a Doctor Story Slam – Two More Days. Annals of Internal Medicine. Jan 19, 2016; 164(2):SS4. Mubang R, Wojda TR, Nuschke JD, Hoff WS, Hoey BA, Thomas P, Falowski S, Stawicki SP. Prognostication of Traumatic Brain Injury Outcomes in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Cranial CT Findings. The American College of Surgeons. Oct 1, 2016; 223(4):S156-7. Sidhom M, Castellanos A. Improving Delirium Detection in Nursing Home Residents: A Quality Improvement Project. International Journal of Academic Medicine. 2016; 2, Suppl S1: 79-95. Tolentino JC, Harris R, Mazza A, Foltz DF, Stoltzfus JC, Deringer P, Sabol DM, Sakran JV, Papadimos TJ, Stawicki SP. Polypharmacy-comorbidity Score is an Independent Predictor of Hospital Mortality and Readmissions for Medical-surgical Patients Across All Age Groups. Journal of the American College of Surgeons. Oct 1, 2016; 223(4):S64-5. Wojda T, Cornejo K, Valenza P, Carolan G, Sharpe R, Mira A, Galwankar S, Stawicki S. Medical Demographics in Sub-Saharan Africa: Does the Proportion of Elderly Patients in Accident and Emergency Units Mirror Life Expectancy Trends? Journal of Emergencies, Trauma, and Shock. Jul-Sep, 2016; 9(3): 122–125. doi: 10.4103/0974-2700.185278 PRESENTATION Castellanos A, Sidhom M. Improving Delirium Detection in Nursing Home Residents: A Quality Improvement Project. Poster Presentation. American Geriatric Society Conference. May 2016; Long Beach, CA.

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Heart & Vascular Recognized for its excellence in cardiovascular medicine, the St. Luke’s Heart & Vascular Center is committed to the three pillars of modern medicine: patient care, medical education and research. St. Luke’s Cardiovascular Center of Excellence continuously adds new services to benefit our community. In February 2015, the St. Luke’s Heart and Vascular Center opened the Center for Lipid Disorders, which focuses on the evaluation and treatment of a variety of conditions, including familial hypercholesterolemia and hypertriglyceridemia. The new center focuses on patients with a personal or strong family history of premature atherosclerosis as well as individuals with intolerance to or a suboptimal response to medications. During the last two years, there has been a large amount of research on this patient population, with new recommendations for care and treatment, as well as the approval of two new therapeutic agents for hypercholesterolemia. The St. Luke’s team is well versed in the latest research, experienced in the treatment of these complex conditions and wellequipped to treat patients at-risk for heart and vascular disease. Advanced lipid analysis, tailored evidence-based therapy and education in concert with a dietitian are offered to every patient who visits our center. The center is staffed by the largest number of board-certified lipid specialists within one network regionally. The staff includes one cardiologist, Sobhan Kodali, MD, and one doctor of nursing practice, Carla Weidner, DNP. She is board-certified in lipidology by the American Board of Clinical Lipidology and the National Lipid Association. St. Luke’s University Health Network had also teamed up with HealthFair, a leading health and wellness company offering consumers affordable mobile screening services, to provide heart and vascular screenings and annual wellness visits to residents throughout St. Luke’s service region. The screenings were available through a St. Luke’s branded mobile unit at various scheduled locations. The program will be piloted for three months followed by an evaluation of the continuance of the service. Altogether, more than 1,000 adults were screened in this program. The

screenings occurred on a mobile unit branded with the St. Luke’s logo. Potential participants were alerted to the location of the mobile unit through direct mail and print ads and directed to schedule appointments through an 800 number or by website, both managed by HealthFair. After the screening was completed, St. Luke’s physicians interpreted the studies and a dedicated St. Luke’s coordinator contacted participants with abnormal results regarding appropriate next steps. On February 20, 2016, the St. Luke’s Heart and Vascular Center held the “11th Annual Cardiac Update for the Practitioner” at the DeSales University campus. The program was designed to provide general practitioners, internists and family physicians with an update on strategies for the management of patients with cardiovascular diseases. The program was endorsed by the Pennsylvania Chapter of the American College of Cardiology and included presentations by St. Luke’s cardiologists and cardiovascular surgeons as well as invited, nationally known speakers, on topics such as: • Diagnosing Structural Heart Disease • The ABCs of ASDs, PFOs and MVCs • Transcatheter Intervention-Complex Valve Disease • State-of-the-art CVD Prevention: Looking Beyond and Interpreting the ACC/AHA Prevention of Cardiovascular Disease Guidelines • Stroke Prevention in Atrial Fibrillation • A-Fib Ablation: Timing and Effectiveness • Sports Cardiology: Screening the Athlete with Underlying Cardiovascular Abnormalities • Evidence Based Treatment of Hypertension • Guidelines for Screening and Intervention in Thoracic Aortic Disease • Interventions for Renal Artery Disease

St. Luke’s Cardiovascular Center of Excellence continuously adds new services to benefit our community.

St. Luke’s cardiothoracic surgery continues to be the leading regional center for percutaneous mitral valve repair using the new technology for patients with severe symptomatic degenerative mitral regurgitation. Percutaneous mitral valve repair using MitraClip© has expanded treatment options for patients suffering from this type of valvular dysfunction – particularly where surgical options are associated with an increased risk. St. Luke’s University Health Network was also the first in the region to offer patients new FDA-approved technology to treat sudden cardiac arrest. The Evera MRI™ SureScan© ICD System from Medtronic includes design enhancements from previous generation devices that allow it to safely undergo full-body magnetic resonance imaging (MRI), while maintaining the same longevity, proven shock reduction and physical size and shape of the original Evera ICD.

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• Complex aortic surgery for aneurysmal disease utilizing open and endovascular approach including TEAVR. This includes an aortic clinic that longitudinally follows and treats patients with aortic aneurysmal disease. • Structural heart program and valve clinic with expertise transcatheter aortic valve replacement, MitraClip percutaneous mitral repair and ASD closure. In 2014, Truven Health Analytics (formerly known as Thomson Reuters), a leading provider of information and solutions to improve the cost and quality of health care, named St. Luke’s University Health Network one of the nation’s 50 Top Cardiovascular Hospitals – the sixth time that St. Luke’s was named to Truven’s Top Cardiovascular Hospitals list. Led by Raymond Durkin, MD, Network Chairman of the Department of Cardiovascular Medicine, and Stephen Olenchock, DO, Section Chief of Cardiovascular Surgery, the St. Luke’s Heart and Vascular Center has earned many achievements, honors and awards. The Center: • Was named a Truven Top 50 Cardiovascular Hospital in 2012, 2014. • Achieved the highest rating for quality of cardiac surgery from the Society of Thoracic Surgeons. • Has the lowest mortality index in the region for heart disease and heart surgery patients. • Was selected as one of the first institutions in the country to offer both transcatheter aortic valve replacement (TAVR) and MitraClip percutaneous mitral valve repair due to its exceptional outcomes and multidisciplinary team approach. • Was first in the United States to install GE Healthcare’s Discovery IGS 730 Hybrid Operating Room and is one of only a handful of international GE Healthcare show sites. • Operates the first accredited Chest Pain Center in the Lehigh Valley region at the St. Luke’s University Hospital – Bethlehem. St. Luke’s Heart and Vascular Center offers the most advanced technologies, diagnostics and treatments to provide superior care. Some leading-edge treatments include: • Minimally invasive mitral and aortic valve surgery. • Mitral valve repair including complex disease processes such as Barlow’s valve.

• A comprehensive heart failure clinic, including evaluation for transplant, treatment of pulmonary hypertension, hypertrophic cardiomyopathy and advanced medical support utilizing extracorporeal life support (ECLS), also known as extracorporeal membrane oxygenation (ECMO), and the Heart Mate II Left Ventricular Assist Device (LVAD) as a destination therapy program. • Full service interventional cardiology program, including 24/7 MI coverage, structural heart program and PAD evaluation and treatment. • Advanced lead management for pacemakers and defibrillators – where malfunctioning leads and device infections are taken care of by a combined team (thoracic surgeon, electrophysiologists and cardiac surgeon) in the GE Healthcare’s 730 Hybrid Operating Room, providing the best outcomes for patients. • Subcutaneous defibrillators (SICD) – a new defibrillator for a select group of patients with high risk of sudden death. • Advanced ventricular tachycardia management – taking care of high-risk abnormal electrical circuits in the heart using a combined approach from both inside and outside the heart. • Atrial fibrillation center – using multimodal therapy for atrial fibrillation, the most common heart rhythm disorder in United States. In addition to usual medications and radiofrequency ablation (using heat to burn abnormal electrical circuits), we also offer cryo-ablation (freezing abnormal tissues) and hybrid ablation (unique technique of ablation with cardiac surgeon and electrophysiologist working together in a hybrid operating room).

St. Luke’s University Health Network believes that every patient with heart or vascular disease should have access to high quality cardiovascular services close to home. As a result, Heart and Vascular Centers are located throughout the Lehigh Valley and the surrounding areas. Providing services in Bucks, Carbon, Lehigh, Monroe, Montgomery, Northampton and Schuylkill Counties in Pennsylvania and Warren County in New Jersey, St. Luke’s Heart and Vascular Center has: • 12 cardiology offices • Cardiac catheterization capability at three hospitals • Three accredited chest pain centers • 34 cardiologists • Three cardiac surgeons • Six vascular surgeons • Six interventional radiologists • Three electrophysiologists • Five interventional cardiologists St. Luke’s University Health Network is fully committed to the second pillar of modern medicine – medical education. St. Luke’s provides training opportunities to medical students and residents from across the country to train in an ACGME (American College of Graduate Medical Education) recognized Cardiovascular Fellowship program and Interventional Cardiology Fellowship. Cardiology fellows from the program have successfully gone on to higher training and desirable positions across the country.

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St. Luke’s University Health Network is firmly entrenched in medical research, the third pillar of modern medicine. Led by Jamshid Shirani, MD, Program Director of the Cardiovascular Fellowship Program, physicians and fellows of the Department of Cardiovascular Medicine have published more than 200 peer-reviewed papers in internationally recognized journals. RESEARCH CONTACT INFORMATION – CARDIOLOGY For questions about research and clinical trials, contact Thomas Parsons, Manager, Integrated Med/ Surg Clinical Trials, at thomas.parsons@sluhn.org or call him at 484-526-6076. You may also write to St. Luke’s University Health Network Clinical Trials and Research, 801 Ostrum St., Bethlehem, PA 18015.

Bhatia N, Mohananey D, Garg L, Durkin M, Fegley M, Shirani J, Agrawal S. In-hospital Outcomes of Patients with End-stage Renal Disease Undergoing Transcatheter Aortic Valve Replacements: Insights from a National Database. Circulation. 2016; 134:A16430. Hadadi CA, Manikat R, Elmi F, Shirani J. Ruptured Caseous Mitral Annular Calcification Presenting as a Mobile Mass. Journal of the American College of Cardiology. 2016; 67 (13_S): 1200.

ABSTRACTS

Ray M, Guha S, Ray M, Kundu A, Ray B, Kundu K, Goswami S, Bhat D, Selker H, Goldberg R. Cardiovascular Health Awareness and the Effect of an Educational Intervention on School-aged Children in a Rural District of India. Indian Heart Journal. 2016; 68: 43-47.

Abichandani A, Signarovitz D, Branch K, Prutzman D, Agrawal S, Sadowski L, Stevens S, Traub D, Shirani J, Nanda S. Impact of CHA2DS2Vasc Score on Atrial Fibrillation Detection in Patients with Cryptogenic Stroke. Journal of Heart Disease. 2016; 13: 54.

Manda Y, Agrawal S, Bemalgi S, Quddus A, Vefali H, Singh A, Sinha A, Abichandani A, Shirani J, Puleo P. Use of Mechanical Circulatory Support in Octogenarians for Percutaneous Coronary Interventions. Journal of Heart Disease. 2016; 13: 89.

Agrawal A, Garg L, Maheshwari N, Mohananey D, Singh A, Sinha A, Quddus A, Nanda S, Shirani J. Temporal Trends in Prevalence of Comorbidities in Atrial Fibrillation Patients Admitted with First Ischemic Stroke. Journal of Heart Disease. 2016; 13: 54.

Manda Y, Nanda S, Singh A, Agrawal S, Towne WS, Shirani J. Electrocardiographic Brugada Pattern Unmasked by Coronary Vasospasm in a Cocaine User. Journal of Heart Disease. 2016; 13: 88.

PUBLICATIONS

Agrawal A, Nanda S, Bhatt SP, Longo S, Pamula S, Singh A, Fegley M, Shirani J. Determinants of Cardiac Dysfunction and Left Ventricular Hypertrophy in Pheochromocytoma. Journal of Heart Disease. 2016; 13: 63. Agrawal S, Bhatia N, Mohananey D, Singh A, Sinha A, Abichandani A, Fegley A, Quddus A, Nanda S, Shirani J. Recent Trends in Prevalence, Microbiology, Treatment, and Outcome of Infective Endocarditis in End-stage Renal Disease. Journal of Heart Disease. 2016; 13: 111. Agrawal S, Nanda S, Garg L, Manda Y, Singh A, Sinha A, Vefali H, Quddus A, Shirani J. Implantable Cardioverter Defibrillator Implantation Improves Outcome of Patients with Left Ventricular Assist Devices. Journal of the American College of Cardiology. 2016; 67(13_S): 1269.

Bhatia N, Garg L, Mohananey D, Durkin M, Agrawal S, Shirani J. Racial Differences in Outcomes of Transcatheter Aortic Valve Replacement: Insights from a National Database. Circulation. 2016; 134:A16323.

Quddos A, Smith A, Mclane M, Agrawal S, Sinha A, Prutzman D, Shirani J, Burt F. Patterns of Referral and Immediate Clinical Impact of Coronary Artery Calcium Scoring. Journal of Heart Disease. 2016; 13: 13. Quddus A, Smith A, Mclane M, Agrawal S, Singh A, Longo S, Shirani J. A Case of Inferior Vena Cava Mass on Echocardiography. Journal of Heart Disease. 2016; 13: 34. Quddus A, Smith A, Singh A, Manda Y, Puleo P, Shirani J. Acute Left Main Thrombosis During Exercise Testing. Journal of Heart Disease. 2016; 13: 82. Singh A, Agrawal S, Fegley M, Manda Y, Nanda S, Shirani J. Marijuana (Cannabis) Use is an Independent Predictor of Stress Cardiomyopathy in Younger Men. Circulation. 2016; 134:A14100.

Singh A, Agrawal S, Sinha A, Nanda S, Shirani J. Transient Left Ventricular Regional Ballooning During Dobutamine Stress Echocardiography. Journal of the American College of Cardiology. 2016; 29:B98. Singh A, Longo S, Agrawal S, Vefali H, Sinha A, Shi A, Amortegui J, Shirani J. Massive Thrombosis of Structurally Normal Mitral Valve in Primary Anti-phospholipid Antibody Syndrome. Journal of Heart Disease. 2016; 13: 102. Singh A, Longo S, Nanda S, Agrawal S, Vefali H, Quddus A, Abhichandani A, Sinha A, Radoianu N, Shi A, Amortegui J, Shirani J. Native Valve Emphysematous Enterococcal Endocarditis. Journal of Heart Disease. 2016; 13: 112. Singh A, Shi A, Vefali H, Agrawal S, Sinha A, Shirani J. Long-term Complications of Epicardial Pacing Wires Abandoned Following Cardiac Surgery. Journal of Heart Disease. 2016; 13: 80. Sinha A, Kumar R, Shirani J. Aortic Valve Replacement in Single Coronary Artery. Journal of Heart Disease. 2016; 13: 101. Sinha A, Nguyen KA, Singh A, Fedor A, Mousely K, Agrawal S, Vikram M, Stevens S, Traub D, Nanda S, Shirani J. Yield of Sports Pre-participation Cardiovascular Screening in Middle and High School Students. Journal of Heart Disease. 2016; in press. Journal of Heart Disease. 2016; 13: 33. Vefali H, Durkin M, Singh A, Agrawal S, Longo S, Averbach M, Shirani J. Spontaneous Left Atrial Dissection Caused by Mitral Valve Endocarditis. Journal of Heart Disease. 2016; 13: 101. Vefali H, Durkin M, Singh A, Agrawal S, Nanda S, Traub D, Shirani J. Safety and Efficacy of Transvenous Extraction of Pacemaker and Cardioverter-defibrillator Leads. Journal of Heart Disease. 2016; 13: 80.

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MANUSCRIPTS Agrawal S, Garg L, Garg A, Mohananey D, Jain A, Manda Y, Singh A, Nanda S, Durkin R, Puleo P, Shirani J. Recent Trends in Management and In-hospital Outcomes of Acute Myocardial Infarction in Renal Transplant Recipients. American Journal of Cardiology. 2016; 119: 542-552. Agrawal S, Garg L, Nanda S, Sharma A, Bhatia N, Manda Y, Singh A, Fegley M, Shirani J. The Role of Implantable Cardioverter-defibrillators in Patients with Continuous Flow Left Ventricular Assist Devices – A Meta-analysis. International Journal of Cardiology. 2016; 222: 379-384. Agrawal S, Garg L, Sharma A, Mohananey D, Bhatia N, Singh A, Shirani J, Dixon S. Comparison of In-hospital Mortality and Frequency of Coronary Angiography on Weekend Versus Weekday Admissions in Patients with Non-ST-Segment Elevation Acute Myocardial Infarction. American Journal of Cardiology. 2016; 118: 632-634. Agrawal S, Shirani J, Garg L, Singh A, Fegley M, Stone L, Razavi M, Radoianu N, Nanda S. Pheochromocytoma and Stress Cardiomyopathy: Insight into Pathogenesis. World Journal of Cardiology. 2017; 9(3): 255. Bhatia N, Agrawal S, Mohananey D, Agarwal M, Garg A, Garg L, Sharma A, Agrawal N, Nanda S, Shirani J. Trends and Outcomes of Infective Endocarditis in Patients on Dialysis. Clinical Cardiology. 2016; DOI 10.1002/clc.22688. Manda Y, Stone LE, Singh A, Agrawal S, Shirani J, Nanda S. Multiple Mechanisms of Cocaine-induced Brugada Electrocardiogram Pattern. International Journal of Academic Medicine. 2016; 2: 232-238. Shirani J, Agrawal S, Singh A, Dilsizian V. Myocardial Perfusion, Metabolism and Innervation in Hypertrophic Cardiomyopathy. Current Cardiology Imaging Reports. 2016; 9: 1-14. Shirani J, Singh A, Agrawal S, Dilsizian V. Molecular Imaging to Track Left Ventricular Remodeling in Heart failure. Journal of Nuclear Cardiology. 2017; 24(2): 574-90. PRESENTATIONS Cutitta C. Evidence-Based Treatment for Hypertension. 11th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University; Feb 2016; Center Valley, PA.

DiMaggio C. Interventions for Renal Artery Disease. 11th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University; Feb 2016; Center Valley, PA. Durkin R. Diagnosing Structural Heart Disease. 11th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University; Feb 2016; Center Valley, PA. Fitzpatrick R. Guidelines for Screening and Intervention in Thoracic Aortic Disease. 11th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University; Feb 2016; Center Valley, PA. Nanda S. Sports Cardiology: Screening the Athlete with Underlying Cardiovascular Abnormalities. 11th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University; Feb 2016; Center Valley, PA. Olenchock S. Transcatheter Intervention-Complex Valve Disease. 11th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University; Feb 2016; Center Valley, PA. Sarnosk C. The ABC’s of ASD’s, PFO’s and MVC’s! 11th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University; Feb 2016; Center Valley, PA. Shirani J. The Dark Side of Exercise. 18th Annual Cardiovascular Nursing Symposium – Walter W. Buckley Jr. Symposium in Cardiac Medicine, Sep 22, 2016; DeSales University; Bethlehem, PA. Shirani J. Multimodality Imaging in Cardiomyopathies. 21st World Congress on Heart Disease, International Academy of Cardiology. Annual Scientific Sessions; Jul 30-Aug 1, 2016; Boston, MA. Stevens S. A-Fib Ablation: Timing and Effectiveness. 11th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University; Feb 2016; Center Valley, PA. Traub D. Stroke Prevention in Atrial Fibrillation. 11th Annual Cardiac Update for the Practitioner, St. Luke’s Hospital Heart and Vascular Center; DeSales University; Feb 2016; Center Valley, PA.

Internal Medicine & Subspecialties The St. Luke’s Department of Internal Medicine has made a robust contribution to research and medical publications during the past year. Throughout the Lehigh Valley and surrounding areas, St. Luke’s more than 80 internal medicine physicians apply scientific knowledge and clinical expertise to the diagnosis, treatment and compassionate care of adults across the spectrum from health to complex illness. Justin Psaila, MD, leads the department. Many of our internal medicine physicians are also involved in cultivating future internists through the St. Luke’s Internal Medicine Residency Program. St. Luke’s offers two options. The first Internal Medicine Residency Program option falls under the Department of Medicine and is led by Gloria Fioravanti, DO, FACP, Program Director, Internal Medicine Residency, St. Luke’s University Health Network. Dr. Fioravanti is also a faculty member of Temple University School of Medicine. Fully accredited by the Accreditation Council for Graduate Medical Education (ACGME), the program excels amid state-of-the-art facilities, strong administrative support and a dedicated faculty. It enjoys a high passage rate on the American Board of Internal Medicine certifying examination. Also, the Internal Medicine Residency Program supports an ACGME-accredited Cardiology Fellowship and Interventional Cardiology Subspecialty Fellowship.

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Cara Ruggerio, DO, leads the Osteopathic Internal Medicine Residency Program at St. Luke’s. She is also a faculty member of the Temple University School of Medicine. The program is fully accredited by the Council on Post-Doctoral Training of the American Osteopathic Association, as well as the Accreditation Council for Graduate Medical Education (ACGME). The training program also has Osteopathic Recognition status. Upon successful completion of the program, residents may take both the American College of Osteopathic Internal Medicine Board examination and the American Board of Internal Medicine (ABIM) certifying examination. This enables residents interested in fellowships to pursue both osteopathic and/or allopathic fellowship-training opportunities. The program enjoys a high passage rate on both the American College of Osteopathic Internist and the American Board of Internal Medicine certifying examination. In addition to internal medicine physicians who provide primary care, many St. Luke’s physicians certified in internal medicine have received advanced training and certification in fields including cardiology, critical care, endocrinology, gastroenterology, infectious diseases, nephrology, oncology and pulmonology.

CARDIOLOGY See Cardiology Section. CRITICAL CARE See Critical Care Section. ENDOCRINOLOGY St. Luke’s Center for Diabetes & Endocrinology physicians are certified specialists who treat adults with diabetes and disorders of the hypothalamus, pituitary gland, pineal gland, parathyroid glands, adrenal gland, ovaries and testes. Bankim Bhatt, MD, serves as the Section Chief of Endocrinology for St. Luke’s University Health Network. Located in Center Valley, the Center provides care to patients in other St. Luke’s University Health Network locations through telehealth technology. Among the endocrinologists involved in telemedicine is Dr. Bhatt. Also, a Clinical Assistant Professor of Medicine at Temple University’s School of Medicine, he is particularly interested in treating patients with diabetes and has presented his research findings at national meetings and has published them in leading medical journals.

Fully accredited by the ACGME, the Internal Medicine program excels amid state-of-the-art facilities, strong administrative support and a dedicated faculty.

GASTROENTEROLOGY More than 30 gastroenterologists affiliated with St. Luke’s University Health Network’s seven hospitals are committed to caring for patients with digestive health disorders. Their expertise, combined with their focus on each patient, provides patients with high quality gastroenterological care. Many St. Luke’s gastroenterologists specialize in areas such as advanced endoscopy or oncological gastroenterology. Noel Martins, MD, serves as Chief of Gastroenterology for St. Luke’s University Health Network. HEMATOLOGY/ONCOLOGY See Oncology Section INFECTIOUS DISEASES Led by Peter Ender, MD, St. Luke’s Senior Vice President for Medical and Academic Affairs and Chief, Infectious Diseases, seven physicians affiliated with St. Luke’s University Health Network are available to prevent, diagnose and treat infectious diseases caused by organisms such as bacteria, viruses, fungi and parasites. Experts in epidemiology, these physicians are active in public health activities, such as identifying sources of infectious diseases, preventing their spread and educating the public. NEPHROLOGY St. Luke’s University Health Network is affiliated with 13 nephrologists. They provide kidney care and treat diseases of the kidneys. Office locations include Bethlehem, Easton, Jim Thorpe and Palmerton. Robert Gaynor, MD, serves as Section Chief of Nephrology for St. Luke’s University Health Network. PULMONOLOGY St. Luke’s Pulmonary & Critical Care Associates, as well as private practice pulmonologists affiliated with St. Luke’s University Health Network, treat lung diseases and recurring pulmonary conditions. Under the leadership of Livia Bratis, DO, Section Chief of Pulmonary Medicine at St. Luke’s University Health Network, approximately 15 physicians provide patients with up-to-date treatments. These dedicated professionals continually search for new therapeutic methods and technologies to improve patient care and quality of life. Specialty areas within pulmonology include critical care and sleep medicine. RHEUMATOLOGY Under the direction of Charles Ludivico, MD, seven rheumatologists diagnose and treat rheumatologic conditions such as rheumatoid arthritis, lupus, osteoarthritis, fibromyalgia and gout. Recently, St. Luke’s University Health Network recruited Sherilyn McCollum, DO.

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AWARDS Abbas Raza DO, third-year Internal Medicine resident, was selected by the faculty for recognition by the regional American College of Physicians for the “Resident’s Professionalism Award.” PUBLICATIONS Amin A, Modi RS, Riera AR, Patel V, Munoz SJ, Rothstein K. Su1514 Post-Operative Mortality in Cirrhotics has Decreased Over the Past Decade: MELD Score as Currently Used Overestimates Post-Operative Mortality. Gastroenterology. Apr 1, 2016; 150(4):S1117. Crismale JF, Riff BP, Schwartz M, DiMaio CJ, Ghevariya V, Pitea TC, Stavropoulos SN, Narula N, Peyrin-Biroulet L, Colombel JF, Kolb JM. Closure of an Iatrogenic Gastrogastric Fistula Created During EUS-directed Transgastric ERCP. VideoGIE. Nov 1, 2016; 1(3): 61-2. Duarte-Chavez R, Fegley MW, Stone, LE, Singh A, Agrawal A, Nanda S. Heyde/Heyde-Warkentin Syndrome: A Case Report and Literature Review. International Journal of Academic Medicine. Aug 2016; 2: 243-8. Fegley MW, Duarte-Chavez R, Agawal S, Singh A, Longo, S, Nanda, S. Stroke in Pheochromocytoma: A Novel Mechanism. International Journal of Academic Medicine. 2016; 2: 220-4.

Fegley, MW, Duarte-Chavez R, Stone LE, Nanda S. Classic Brown Recluse Spider Bite. International Journal of Academic Medicine. 2016; 2: 256-9. Johnson J, Davis G, Clabots C, Johnson B, Porter S, DebRoy C, Pomputius W, Ender P, Cooperstock M, SavvasSlater B, Banerjee R, Miller S, Kisiela D, Sokurenko E, Azia M, Price L. Household Clustering of Escherichia Coli Sequence Type 131 Clinical and Fecal Isolates According to Whole Genome Sequence Analysis. Open Forum Infectious Disease [Internet]. Volume 3, Issue 3, May 1, 2016; ofw129, https://doi. org/10.1093/ofid/ofw129. Genovese MC, Kremer J, Zamani O, Ludivico C, Krogulec M, Xie L, Beattie SD, Koch AE, Cardillo TE, Rooney TP, Macias WL. Baricitinib in Patients with Refractory Rheumatoid Arthritis. New England Journal of Medicine. Mar 31, 2016; 374(13): 1243-52. Genovese M, Kremer J, Zamani O, Ludivico C, Krogulec M, Xie L, Beattie S, Koch A, Cardillo T, Rooney T, Macias W. Baricitinib, an Oral Janus Kinase (JAK) 1/JAK2 Inhibitor, in Patients with Active Rheumatoid Arthritis (RA) and an Inadequate Response to TNF Inhibitors: Results of the Phase 3 RA-BEACON study. Rheumatology. Jun 1, 2016; 43(6): 1188-1188).

Ludivico C, Krogulec M, Xie L, Beattie SD, Koch AE, Cardillo TE, Rooney TP, Macias WL, Bono SD, Schlichting DE, Smolen JS. Baricitinib in Patients with Refractory Rheumatoid Arthritis. New England Journal of Medicine. 2016; 374: 1243-1252. DOI: 10.1056/ NEJMoa1507247. Raza, A. Unconventional Treatment of IGA-dominant Staphylococcus Infectionassociated Glomerulonephritis. The American Society of Nephrologyâ&#x20AC;&#x2122;s Abstract Supplement. 2016; 22: 209-210. Shah SN, Dutta A, Pillai A, Modi RS, Bhandari B. Tu1250 an Inner City Urban Adult Population Perspective: Prevalence of Eosinophilic Esophagitis in the African American Population. Gastrointestinal Endoscopy. May 1, 2016; 83(5):AB593. PRESENTATIONS Abichandani A, Signarovitz D, Branch K, Prutzman D, Agarwal S, Sadowski L, Stevens S, Traub D, Shirani J, Nanda, S. Impact of CHADS2Vasc Score On Atrial Fibrillation Detection in Patients with Cryptogenic Stroke. Oral Presentation. The 2016 World Congress of Heart Disease. Jul 2016; Boston, MA. Kim J, Ruggeri C. Dysphagia: An Unusual Presentation of Early Esophageal Bullous Pemphigoid. Poster Presentation. American College of Osteopathic Internists Convention; Oct 2016; Palm Desert, CA. Mankala, S, Bhatt, B, Matin, A, Desai, D, Shaik, S, Prutzman, D. IBD with a Side of Carcinoid. Poster Presentation. American Association of Clinical Endocrinologists; May 2016; Orlando, FL. Patel K. Ruggeri C, Ender P. An Unusual Neurological Complications Associated with Influenza Infection. Poster Presentation. American College of Osteopathic Internists Convention; Oct 2016; Palm Desert, CA. Radoianu N, Razavi M, Agrawal S, Shirani J, Leh D, Nanda S. When Less is More â&#x20AC;&#x201C; Ebstein Anomaly. Poster Presentation. PA-ACP Eastern Region Competition; Oct 2016; Danville, PA. Radoianu N, Singh A, Longo S, Proothi S, Leh D, Nanda S. A HA!. Poster Presentation. PA-ACP Eastern Region Competition; Oct 2016; Danville, PA. Raza A, Ruggeri C. Prompt Renal Biopsy May Improve Morbidity and Mortality Associated with Multiple Myeloma Associated Crystalglobulin Induced Nephropathy. Poster Presentation. American College of Osteopathic Internists Convention; Oct 2016; Palm Desert, CA. Rezk A, Fairley K, Chaput K, Berger A, Bergenstock M, Shellenberger M, Prall S, Babameto G, Inverso N. Patient Perception of Bowel Preparation for Colonoscopy is Inflated Compared to Endoscopist Assessment of Rectal Effluent. Pennsylvania Society of Gastroenterology Annual Meeting; Sep 2016; Pocono Manor, PA. Ruggeri C, Onia J, Marcantonio J. New Resident Orientation Redesign-Patient Experience Encounter and the HCAPS Doctors Domain. Poster Presentation. 16th International Meeting on Simulation in Healthcare; Jan 2016; San Diego, CA. Shah, P, McLane, M, Patel, K, Fioravanti, G. Refractory Hypokalemia; an Atypical Presentation in a Patient with Pheochromocytoma. Poster Presentation at American Association of Clinical Endocrinologists 26th Annual Scientific & Clinical Congress; May 2017; Austin, TX.

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Neurosciences St. Luke’s Center for Neuroscience continues to push the boundaries of what is possible to improve the quality of life for patients with neurological conditions. Under the leadership of Jonathan Hosey, MD, FAAN, Chief of Neurology and Network Chairman, Department of Neurosciences, St. Luke’s neurologists and neurosurgeons have brought leading-edge procedures to the Lehigh Valley. Dr. Hosey conducts several research and clinical studies relating to stroke diagnosis, treatment and management. Daniel Ackerman, MD, Director of Stroke, and Jessica Heckenberger, MSN, RN, Stroke Program Coordinator, have established clinical trials in stroke care in addition to establishing telestroke capabilities at all seven St. Luke’s Health Network Hospitals, cutting the critical time for acute stroke consultation to minutes. In addition, St. Luke’s Health Network Hospitals are Primary Stroke Center Certified with the same protocols in place for our new St. Luke’s Monroe Campus. St. Luke’s University Health Network has a team of four epileptologists and a cognitive neuropsychologist that offer the highest level of epilepsy evaluation and treatment with the Epilepsy Monitoring Unit at St. Luke’s University Hospital – Bethlehem.

Steven Falowski, MD, Chief of St. Luke’s Functional Neurosurgery and the region’s only fellowship-trained functional neurosurgeon, is dedicated to the surgical treatment of neurological conditions. He is a nationally recognized leader in research advancing functional neurosurgery and is currently working on a textbook in this pioneering area of neurosciences. Through this role, he continuously brings leading-edge technology and procedures to the region served by St. Luke’s University Health Network.

Hugh Moulding, MD, PhD, is the Director of the St. Luke’s Brain and Spine Tumor Center. A multidisciplinary team of neurosurgeons, radiation oncologists and medical oncologists meet with each patient and together provide a comprehensive treatment plan that may include a combination of innovative surgical, medical and radiation oncology treatments.

Dr. Falowski works with device manufacturers to continuously improve and enhance technological aspects of various devices and implants used in neurostimulation. In August 2015, Medtronic engineers in Minneapolis, MN, watched a live video feed as Dr. Falowski performed the implantation of the company’s spinal cord stimulator. In another example, he provided live intra-procedural feedback during a procedure involving the implantation of a deep brain stimulator device – a first-of-its-kind undertaking for both the company and St. Luke’s.

The St. Luke’s Center for Neuroscience provides expert care of conditions of the nervous system. Jonathan Hosey, MD, Chief of Neurology and Network Chairman, Department of Neurosciences Stroke/Vascular Neurology, leads the Center. Hugh Moulding, MD, PhD, serves as Chief of Neurosurgery. Under their leadership, the Center offers specialized services for patients with brain tumors, intracranial aneurysms, epilepsy, multiple sclerosis, spine conditions, normal pressure hydrocephalus, chronic pain, movement disorders, and traumatic injuries, as well as numerous other neurological and neurosurgical conditions. Additionally, St. Luke’s neurologists and neurosurgeons actively participate in leading-edge clinical research.

He was the first physician in the region to perform the surgery in 2011, and by the end of 2015, had performed more than 100 DBS procedures. Today, the St. Luke’s DBS program ranks among the top 10 percent nationally in new patient DBS implants and remains the only such program in the region.

The opportunity to witness the surgery and ask questions while it was occurring provided the engineers with invaluable information that they are now able to use in order to make modifications that will enhance and improve their devices for future patients.

The St. Luke’s Center for Neuroscience provides expert care of conditions of the nervous system.

In December 2016, Dr. Falowski surgically implanted the Proclaim™ Elite system, the only Bluetooth™-enabled Implantable Pulse Generator (IPG) that can be controlled by Apple™ technology to manage its stimulation therapy. This pioneering platform improves both the patient’s chronic pain and the overall therapy experience. The Proclaim Elite SCS for chronic pain is programmable using an Apple iPad mini-tablet by connecting it via Bluetooth. Continuing its role as a pioneer of neuroscience research, St. Luke’s University Health Network is participating in the Sunburst™ (Success Using Neuromodulation with Burst) clinical study to test the effectiveness of the Prodigy™ neurostimulator, which delivers closely spaced pulses of electrical energy to a patient’s spinal cord to manage chronic pain. St. Jude Medical, Inc., a global medical device company, selected St. Luke’s as one of only 20 hospitals in the country to participate in the study and named Dr. Falowski as one of the investigators. He is working closely with Scott Loev, DO, Director of Pain Medicine at St. Luke’s Spine and Pain Associates. Dr. Falowski also serves on the board of directors for the North American Neuromodulation Society, the largest society dealing with spinal cord stimulation and neuromodulative procedures.

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St. Luke’s Brain & Spine Tumor Center provides the region’s only patient-centered multidisciplinary clinic for primary and metastatic diseases of the brain and spine. Under the direction of Dr. Moulding, the Center gives the patient an opportunity to consult with a multidisciplinary team of doctors from neurosurgery, radiation therapy and medical oncology at one time and one location. This multi-disciplinary group is involved in several national multi-center clinical trials, making these treatment options and opportunities available to their patients. In addition, the Center recently upgraded its Stereotactic RadioSurgery system to a ‘frameless’ format, obviating the need for a rigid headframe to be affixed to the patient during focused, non-invasive radiation treatments – the only Center in the region to offer this innovation. The RadioSurgical team has been very proactive in adopting such new technologies as well as helping improve the techniques used to treat such patients, and is presenting part of this work at the upcoming International Stereotactic RadioSurgery Conference in Yokohama, Japan.

St. Luke’s Neurosurgical Associates is the only regional neurosurgical practice enrolled in the National Neurosurgery Quality Outcomes Database (N2QOD). National surgical outcomes data are collected for patients undergoing cervical and lumbar surgeries to better understand their impact on quality of life and daily function. Don Zhang, MD, FRCSC, and Doron Rabin, MD, FRCSC, neurosurgeons with special interest in complex spine surgery, routinely review these data and compare local and national outcomes. This information is used to guide and track initiatives that aim to improve the quality of inpatient and outpatient care for neurosurgical spine patients at St. Luke’s University Health Network. The St. Luke’s Center for Neuroscience is also a leader in the evaluation and treatment of stroke. Dr. Hosey brings three decades of clinical experience, and since 1997, ongoing recognition as one of the Best Doctors in America for Stroke Services. A member and fellow of the American Academy of Neurology Institute, he received AAN’s prestigious A.B. Baker Teacher Recognition Award in 2015.

Dr. Hosey and his team conduct several research and clinical studies relating to stroke diagnosis, treatment and management. He is a proponent of rapid evaluation to determine the best course of treatment. At St. Luke’s, stroke patients often go directly to the CT scan, while neurosurgeons connected via videoconferencing view images in real time to determine whether the patient needs immediate catheterization to open clogged arteries. PUBLICATIONS Ackerman D, Tzeng DL, Pineda MC. De-Depress: Detection of Post-Stroke Depression in the Outpatient Setting; the Interim Analysis. Stroke. Feb 1, 2015; 46(1)AWP384. Amhaz HH, Fox BD, Johnson KK, Whitehead, WE, Curry DJ, Luerssen, TG, Jea A. Postlaminoplasty Kyphotic Deformity in the Thoracic Spine: Case Report and Review of the Literature. Journal of Pediatric Neurosurgery. Mar 2009; 45(2): 151-4. Bansal V, Asmar NE, Selman WR, Arafah BM. Pitfalls in the Diagnosis and Management of Cushing’s Syndrome. Neurological Focus. Feb 2015; 38(2): E4. Balinger KJ, Elmously A, Hoey BA, Stehly CD, Stawicki SP, Portner ME. Selective Computed Tomographic Angiography in Traumatic Subarachnoid Hemorrhage: A pilot study. Journal of Surgical Research. Nov 2015; 199(1): 183-9. Daou B, Deprince M, D’Ambrosio R, Tjoumakaris S, Rosenwasser RH, Ackerman DJ, Bell R, Tzeng DL, Ghobrial M, Fernandez A, Shah Q. Pennsylvania Comprehensive Stroke Center Collaborative: Statement on the Recently Updated IV RT-PA Prescriber Information for Acute Ischemic Stroke. Clinical Neurology and Neurosurgery. Dec 2015; 139: 264-8. doi: 10.1016/j.clineuro.2015.10.010. Epub, Oct 21, 2015. Falowski SM, DiLorenzo DJ, Shannon LR, Wallace DJ, Devries J, Kellogg RG, Cozzi NP, Fogg LF, Byrne RW. Optimizations and Nuances in Neurosurgical Technique for the Minimization of Complications in Subdural Electrode Placement for Epilepsy Surgery. World Neurosurgery. Oct 2015; 84(4): 989-97. doi: 10.1016/j.wneu.2015.01.018. Epub, Feb 11, 2015. Falowski S, Ooi YC, Bakay RA. Long-term Evaluation of Changes in Operative Technique and Hardware-related Complications with Deep Brain Stimulation. Journal of Neuromodulation. [Internet]. 2015; 18(8). doi: 10.1111/ner.12335. Epub, Aug 5, 2015. Falowski S. Deep Brain Stimulation for Chronic Pain. Current Pain and Headache Report. Jul 2015; 19(7): 27. doi: 10.1007/s11916-015-0504-1. Falowski, S. The Ongoing Debate of the Utility of Magnetic Resonance Imaging Conditional Neuromodulation Devices. Journal of Neuromodulation. Jun 2015; 18(4): 337-8. doi: 10.1111/ner.12306. Fegley MW, Woodruff WW, Longo S, Nanda S. Extensive Periventricular White Matter Abnormality with Mediastinal Adenopathy. International Journal of Academic Medicine. Jan 1, 2015; 1(1): 41. Fox BD, Amhaz HH, Patel AJ, Fulkerson DH, Suki D, Jea A, Sawaya RE. Neurosurgical Rotations or Clerkships in US Medical Schools. Journal of Neurosurgery. Jan 2011; 114(1): 27-33.

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Pope J, Poree L, McRoberts WP, Falowski S, Deer T. Consent decree: Physician and Institution Ramifications. Journal of Neuromodulation. Dec 1, 2015; 18(8): 653-6. doi: 10.1111/ner.12374. Samuel B, Fioravanti G, Axelband J, Smith A, Hughes M, Longo S, Keeler E. Not Just a Simple Headache. Consultant. 2015; 55(6): 466-468. Stawicki SP, Wojda TR, Nuschke JD, Mubang RN, Cipolla J, Hoff WS, Hoey BA, Thomas PG, Sweeney J, Ackerman D, Hosey J. Prognostication of Traumatic Brain Injury Outcomes in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Cranial CT Findings. International Critical Illness and Injury Science. Jan 2017; 7(1): 23. Stawicki SP, Sharpe RP, Galwankar SC, Sweeney J, Martins N, Papadimos TJ, Jeanmonod D, Firstenberg MS, Paladino L, Hansoti B, Garg M. Reflections on the Ebola Public Health Emergency of International Concern, Part 1: Post-Ebolatyndrome: The Silent Outbreak. Global Infectious Diseases. Apr 2017; 9(2): 41.

Graves B, Bambach W, Hosey R, Hosey J. Non-HIV PML: A Case of PML in an Immunocompetent Patient with a Retrospective Review on Non-HIV PML Risk Factors. Journal of Neurology. Apr 2014; 82(10): P4-320. Graves B, Hosey J. Basal Ganglia Encephalitis and Autoimmune Retinitis Associated with Influenza. Journal of Neurology. Apr 8, 2014; 82(10): P5-034. Narayanaswami P, Showers D, Levi B, Showers M, Jones EC, Busis NA, Comella CL, Pulst SM, Hosey JP, Griggs RC. State Neurologic Societies and the Strengthening of Neurology for the Future. Journal of Neurology Clinical Practice. Jun 1, 2014; 4(3): 247-55.

Sweet JA, Mitchell LS, Narouze S, Sharan AD, Falowski SM, et al. Occipital Nerve Stimulation for the Treatment of Patients with Medically Refractory Occipital Neuralgia: Congress of Neurological Surgeons Systematic Review and Evidence-based Guideline. Neurosurgery. 2015; 77(3): 332-41. PRESENTATIONS Balinger KJ, Elmously A, Hoey BA, Stehly CD, Stawicki SP, Portner ME. Will I Miss an Aneurysm? The Role of CTA in Traumatic Subarachnoid Hemorrhage. Podium Presentation. The Academic Surgical Congress; Feb 2015; Las Vegas, NV. Falowski S. Fusion Methods for Surgeons. Pain Conference of the West Virginia Society of Interventional Pain Physicians (WVSIPP); Aug 2015; Miami, FL.

Pope J, Falowski S, Deer T. Advanced waveforms and Frequency with Spinal Cord Stimulation: Burst and High-frequency Energy Delivery. Expert Review of Medical Devices. June 2015; 18(4): 337-8. doi: 10.1111/ner.12306.

Falowski S. Infection Rates of Spinal Cord Stimulator Implants in High Risk Populations: A Multi-Center Study. North American Neuromodulation Society (NANS) Annual Meeting; Dec 2015; Las Vegas, NV.

Pope J, Poree L, Falowski S. Implications of the Medtronic Consent Decree on Your Practice. Journal of Neuromodulation. 2015; 18(8): 653-6.

Falowski S. Life After a DBS Fellowship: The First 6 Months. Deep Brain Stimulation (DBS) Fellows Course; Jan 2015. Minneapolis, MN.

Falowski S. Mentorship in Neuromodulation: Preliminary Results from a Society Driven, Multi-Center, Prospective National Pilot Mentorship Program. North American Neuromodulation Society (NANS) Annual Meeting; Dec 2015; Las Vegas, NV. Falowski S. NACC and PACC Consensus Guidelines â&#x20AC;&#x201C; Rationalized Step Wise Approach to Therapy and the Increased Pace of Technology. Pain Conference of the West Virginia Society of Interventional Pain Physicians (WVSIPP); Aug 2015; Miami, FL. Falowski S. Neuromodulation and Headache. Pain Conference of the West Virginia Society of Interventional Pain Physicians (WVSIPP); Aug 2015; Miami, FL. Falowski S. Preliminary Results from a Society Driven, Multi-Center, Prospective National Pilot Mentorship Program. American Society Regional Anesthesia and Pain Management (ASRA) Annual Meeting; Nov 2015; Miami, FL. Falowski S. Randomized Double Blind Crossover Study Examining the Safety and Effectiveness of Closed Loop Control In Spinal Cord Stimulation. North American Neuromodulation Society (NANS) Annual Meeting; Dec 2015; Las Vegas, NV. Falowski S. Reducing Bleeding and Infection with Implantable Devices. Pain Conference of the West Virginia Society of Interventional Pain Physicians (WVSIPP); Aug 2015. Miami, FL. Falowski S. Spinal Cord Stimulation for Pain. New York & New Jersey Society of Interventional Pain Physicians (NY/NJSIPP) Pain Medicine Symposium; Jersey City, NJ. Nov 2016. Falowski S. Spinal Cord Stimulator Paddle Implantation. American Association of Neurological Surgeons; May 2015; Washington DC. Mubang RN, Wojda TR, Hoff WS, Hoey BA, Thomas PG, Oâ&#x20AC;&#x2122;Rourke D, Stawicki SP. Determining the Futility of Operative Traumatic Brain Injury Management in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Brain CT Findings. Podium Presentation. 2015 Annual Pennsylvania Chapter of the American College of Surgeons Committee on Trauma Resident Paper Competition; Oct 2015; Harrisburg, PA. COURSES Falowski S. Course Instructor: Neuromodulation for Pain Fellows-Education; Oct 2015, Boston, MA. Falowski S. Course Instructor: Spinal Cord Stimulation Workshop Director. North American Neuromodulation Society (NANS) Annual Meeting; Dec 2015; Las Vegas, NV. Falowski S. Course Director: AANS Integrating Pain Treatments into Your Spine Practice. 83rd American Association of Neurological Surgeons (AANS) Annual Scientific Meeting; May 2015; Washington, DC. Falowski S. Course Director: Spinal Cord Stimulation Techniques and Patient Selection. New York & New Jersey Society of Interventional Pain Physicians (NY/NJSIPP) Pain Medicine Symposium; Jersey City, NJ. Nov 2016.

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Obstetrics & Gynecology The Department of Obstetrics & Gynecology has a rich tradition of research and innovation. Under the leadership of Israel Zighelboim, MD, FACOG, FACS, the department continues to be a clinical research hub for St. Luke’s University Health Network. Faculty members in multiple sections of the department devote their efforts to the tripartite mission of patient care, education of students and residents and clinical research. Our growing obstetrical services at St. Luke’s hospitals manage complex pregnancies, labors and deliveries. The Neonatal Intensive Care Units at both St. Luke’s Bethlehem and Allentown Campuses are designed to provide a high level of care for babies and families, offering the latest technology and developmental techniques. St. Luke’s embraces parental involvement and has been recognized for offering the only March of Dimes Neonatal Intensive Care Unit (NICU) Family Support Program in the Lehigh Valley. St. Luke’s is committed to providing the highest level of evidence-based, high quality care through a compassionate and personalized approach tailored to each family. Our new program, Baby and Me, focuses on offering personalized options that take into consideration and respect our patients’ goals and wishes. This program also offers comprehensive resources such as: • Ante-partum consultations by a dedicated fellowship-trained obstetric anesthesiologist • A comprehensive post-partum depression screening and management program • Inpatient and outpatient lactation consulting services • A dedicated smart-phone application (featuring weekly milestones, animations and videos, personalized journal, trackers for appointments, contractions and immunizations) • NICU cameras • An outpatient resource center to offer familycentered resources, consultations and activities for new mothers, their babies, families and supportive persons

A regional leader in managing expectant mothers with diabetes, St. Luke’s Maternal Fetal Medicine specialists offer a complete management program for pregnant women who have or have not developed diabetes or for non-pregnant women with diabetes who are contemplating a pregnancy in the future. GYNECOLOGICAL SERVICES Gynecological services include general care and a full complement of gynecologic specialists through St. Luke’s University Health Network Women’s Services and our affiliated private practice physicians. These include specialists in urogynecology, minimally invasive and robotic gynecological surgery and gynecological cancer treatment. OB/GYN MEDICAL EDUCATION This broad range of patient care provides excellent, hands-on learning experiences for students. Also, residents in Obstetrics & Gynecology participate actively in scholarly activities and quality improvement projects under the guidance of Elizabeth Dierking, MD, the Interim Residency Program Director. Our residency program continues to grow. ACGME has accredited a complement increase for our program which this year has six residents for the first time in its PGY-1 class. In the last five years, faculty members and residents have presented more than 30 abstracts at national and international scientific conferences, including meetings of the American College of Obstetricians and Gynecologists, the American Society of Reproductive Medicine, the Endocrine Society, the Society of Gynecologic Oncologists and the International Gynecologic Cancer Society.

Our growing obstetrical services at St. Luke’s hospitals manage complex pregnancies, labors and deliveries.

These presentations have generated important national accolades, such as a top research award at the annual meeting of the American College of Obstetricians and Gynecologists. During that time, members of the Obstetrics & Gynecology Department have authored or co-authored more than 35 peer-reviewed publications accepted by specialty and sub-specialty journals. Physicians in the urogynecology and gynecologic oncology sections are active members of national collaborative research organizations and run multiple clinical trials to benefit their patients. Many St. Luke’s physicians sit on national boards and editorial boards of high-impact national journals. They have also earned regional and national recognitions in patient care, such as multiple Patients’ Choice Awards, Compassionate Doctors Awards and being named among the Top Doctors in their sub-specialties. CLINICAL TRIALS Gynecological Oncology • NRG-GY004: A Phase III Study Comparing Single-Agent Olaparib or the Combination of Cediranib and Olaparib to Standard Platinum-Based Chemotherapy in Women With Recurrent Platinum-Sensitive Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (PI: Nicholas Taylor, MD) • NRG-GY005: A Randomized Phase II/III Study of the Combination of Cediranib and Olaparib Compared to Cediranib or Olaparib Alone, or Standard of Care Chemotherapy in Women With Recurrent Platinum-Resistant or -Refractory Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (COCOS) (PI: Nicholas Taylor, MD)

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Female Pelvic Medicine and Reconstructive Surgery • Prospective, Non-Randomized, Parallel Cohort, Multi-center Study of Uphold LITE vs. Native Tissue for the Treatment of Women with Anterior/ Apical Pelvic Organ Prolapse – Uphold LITE Study (Sponsored by Boston Scientific) 2016. (PI: Vincent Lucente, MD) • A Post-Market Evaluation of the Altis® Single Incision Sling System versus Transobturator or Retropubic Mesh Sling in the Treatment of Female Stress Urinary Incontinence (Altis 522 Study), 2015. (PI: Vincent Lucente, MD) • Evaluation of the Use of Transvaginal Resorbable Biologic Mesh as Compared to Traditional NonMesh Surgical Repair for Treating Pelvic Floor Disorders. (Sponsored by ACELL), 2014. (PI: Vincent Lucente, MD) • Restorelle® Transvaginal Mesh versus Native Tissue Repair for Treatment of Pelvic Organ Prolapse. (Sponsored by Coloplast), 2014. (PI: Vincent Lucente, MD) • Vaginal Tactile Imaging in Assessment of Pelvic Floor Conditions. (Sponsored by Artann Laboratories, National Institute of Aging (NIH), 2011. (PI: Vincent Lucente, MD)

• Subcutaneous Tibial Nerve Stimulation for Urgency Urinary Incontinence (Sponsored by Valencia Technologies Corporation), 2017. (PI: Vincent Lucente, MD) • Use of the Vesair® Bladder Control System in the Treatment of Post-Menopausal Female Subjects withtress Urinary Incontinence (Sponsored by Solace Therapeutics, Inc.), 2017. (PI: Vincent Lucente, MD) CURRENT RESEARCH PROJECTS As above plus: • Laparoscopic lens defogging: A simulation model comparing various techniques (James Anasti, MD) • Laparoscopic sacrocolpopexy with prior transvaginal mesh (Vincent Lucente, MD) • Cranberry juice capsules versus antibiotics after surgery: Comparing urinary tract infection rates (Vincent Lucente, MD) • Genetic counseling services in oncologic practice: Recognizing the underutilization of genetic referrals in at-risk patients (Israel Zighelboim, MD) • Giant cell arteritis in female genital tract (Israel Zighelboim, MD) • Comparing laparoscopic energy devices on extent of tubal damage at time of salpingectomy (James Anasti, MD) • Effects of anticoagulation agents on menses: A literature review (James Anasti, MD) • Management of severe pubic symphysis diastasis: A case report and review (James Anasti, MD/Holi Warholic, DO) • Evaluation of GYN compliance to ACOG recommendations for endometrial sampling (James Anasti, MD) • Amniotomy effects the urine protein creatinine ratio test accuracy in the diagnosis of preeclampsia (Elizabeth Dierking, MD/James Anasti, MD) • Uterine leiomyoma do not appear to be a risk factor for shortened cervical length (Christopher Wayock, MD/James Anasti, MD) • Effects of the use of an educational video on how to obtain a clean catch sample and rates of sample contamination (James Anasti, MD)

• Treatment of hemorrhage in pregnancy complicated by concurrent molar and singleton gestation (Elizabeth Dierking, MD) • Post-partum depo-provera continuation trends (James Anasti, MD) • EKG changes throughout pregnancy (Singh, MD/Anasti, MD) • Hypertrophic cardiomyopathy and obstetric & cardiovascular outcomes (Singh, MD) • Incidence of McGinn-White in pregnancy (Singh, MD) • 26-week glucola vs gycosylated albumin vs HbA1C performance (James Anasti, MD) • MRSA status in pregnant women s/p decontamination protocol (James Anasti, MD) • CT Scan, MRI, Ultrasound comparison of the pelvic mass (James Anasti, MD/ Israel Zighelboim, MD) • Comparison of anticoagulation on menses and AUB (James Anasti, MD) • Inflammatory markers in preterm labor: RDW, Netrophil/Lymphocyte ratio (James Anasti, MD) • Effect of 3-week postpartum visit on short interval deliveries (James Anasti, MD) • Diagnosis of cholestasis in pregnancy: Interpretation of bile acid (Jodi Schuker, MD) • Urine/Protein ratio clean catch vs random (James Anasti, MD) RESIDENCY AND FELLOWSHIP PROGRAMS • ACGME accredited-Residency Program in Obstetrics and Gynecology. Was approved for six residents per year beginning in 2017. • American Association of Gynecologic Laparoscopists (AAGL) accredited – Fellowship in Minimally Invasive Gynecologic Surgery.

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HONORS AND AWARDS • Vincent Lucente, MD – America’s Top Doctors 2016 • Riverside OB/GYN – Morning Call’s Readers Choice Award 2016 – Best Obstetrician Gynecologists • St. Luke’s University Health Network – Morning Call’s Readers Choice Award 2016 – Best Place to Have a Baby PUBLICATIONS Evans EC, Matteson KA, Orejuela FJ, Alperin M, Balk EM, El-Nashar S, Gleason JL, Grimes C, Jeppson P, Mathews C, Wheeler TL. Salpingo – Oophorectomy at the Time of Benign Hysterectomy: A Systematic Review. Washington, D.C. Obstetrics & Gynecology. 2016; 128(2): 476-486. Gillier CM, Sparks JR, Kriner R, Anasti JN. A Randomized Controlled Trial of Abdominal Binders for the Management of Postoperative Pain and Distress After Cesarean Delivery. International Journal of Gynecology & Obstetrics. May 1, 2016; 133(2): 188-91. Lam MT, Rios AR, Malik A, Airoldi J, Anasti J. Is Placental Abruption Still a Clinical Diagnosis? Obstetrics & Gynecology. May 1, 2016; 127: 35S-6S. Mellgren A, Zutshi M, Lucente VR, Culligan P, Fenner DE, & TOPAS Study Group. A Posterior Anal Sling for Fecal Incontinence: Results of a 152-Patient Prospective Multicenter Study. American Journal of Obstetrics & Gynecology. Mar 2016; 214(3): 349-e1. Olivera CK, Meriwether K, El-Nashar S, Grimes CL, Chen CCG, Orejuela R, Antosh D, Gleason J, Kim-Fine S, Wheeler T, McFadden, Balk EM, Murphy M. Systematic Review Group for the Society of Gynecologic Surgeons. Non-Antimuscarinic Treatment for Overactive Bladder: A Systematic Review. American Journal of Obstetrics & Gynecology. Jul 1, 2016; 215(1): 34-57 Paredes I, Anasti J, Stoltzfus J. Postpartum Contraception: What do our Patients Understand? Obstetrics & Gynecology. May 1, 2016; 127: 125S. Picerno TM, Wasson MN, Rios AR, Zuber MJ, Taylor NP, Hoffman MK, Borowsky ME. Morcellation and the Incidence of Occult Uterine Malignancy: A DualInstitution Review. International Journal of Gynecological Cancer. Jan 1, 2016; 26(1): 149-55.

Rios AG, Ephraim S, Murphy M, Lucente V. A Retrospective Comparison of Dyspareunia and Mesh Exposure Outcomes for Patients Who Have Undergone Gynemesh (Prolift) and Novasilk (Exair) for Treatment of Pelvic Organ Prolapse (POP). In: Neurourology and Urodynamics 2016; 35:S45-S46. Rios AG, Lam MC, Anasti J, & Lucente V. Failed Endometrial Ablation: Who is at Risk? Journal of Minimally Invasive Gynecology. Nov-Dec 2016; 23(7), S45. Rios AR, Lam MT, Gonzalez AH, Anasti J. What Does an Endometrial Biopsy Result Suggestive of an Endometrial Polyp Mean? Obstetrics & Gynecology. May 1, 2016; 127: 83S. Rios AR, Lam MT, Shollenberger C, Wagner J, Anasti J. Tissue Insufficient for Diagnosis on Endometrial Biopsy: What’s the Next Step? Obstetrics & Gynecology. May 1, 2016; 127: 73S. Shah N, Ginzburg N, Rinko R, Dawson M, Davila GW, Lucente V, Rosenblatt P, Van Drie D, Whitmore K. Long-term Outcomes for Axis (TM) Dermis for Female Pelvic Floor Repair. In: Neurourology and Urodynamics 2016; 35: S86-S86. Schimpf MO, Abed H, Sanses T, White AB, Lowenstein L, Ward RM, Sung VW, Balk EM, Murphy M. Society of Gynecologic Surgeons Systematic Review Group. Graft and Mesh Use in Transvaginal Prolapse Repair: A Systematic Review. Obstetrics & Gynecology. 2016; 128: 81-91. PRESENTATIONS Chu Lam M, Gonzalez AR, Airoldi J, Anasti J. Is Placental Abruption Still a Clinical Diagnosis? Poster Presentation. 2016 Annual Clinical and Scientific Meeting of the American College of Obstetrics and Gynecologists (ACOG); May 2016; Washington, DC. Gonzalez AR, Ephraim S, Murphy M, Lucente V. A Retrospective Comparison of Dyspareunia and Mesh Exposure Outcomes for Patients Who Have Undergone Gynemesh (PROLIFT) and Novasilk (EXAIR) for Treatment of Pelvic Organ Prolapse (POP). Oral Presentation. Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction; Feb 2016; New Orleans, LA.

Gonzalez AR, Chu Lam M, Anasti J. Tissue Insufficient for Diagnosis on Endometrial Biopsy: Whatâ&#x20AC;&#x2122;s the Next Step? Poster Presentation. 2016 Annual Clinical and Scientific Meeting of the American College of Obstetrics and Gynecologists (ACOG); May 2016; Washington, DC. Gonzalez AR, Chu Lam M, Herrera A, Anasti J. What Does an Endometrial Biopsy Result Suggestive of Endometrial Polyp Mean? Poster Presentation. 2016 Annual Clinical and Scientific Meeting of the American College of Obstetrics and Gynecologists (ACOG); May 2016; Washington, DC. Gonzalez Rios AR, Chu Lam M, Fouad L, Anasti J, Lucente V. Failed Endometrial Ablation: Who is at Risk? Abstract Presented. 45th AAGL Global Congress in Minimally Invasive Gynecologic Surgery. Nov 2015; Orlando, FL. BOOK CHAPTERS Rios AG., Ephraim S, Murphy M, Lucente V. A retrospective comparison of dyspareunia and mesh exposure outcomes for patients who have undergone Gynemesh (Prolift) and Novasilk (Exair) for treatment of pelvic organ prolapse (POP). In: Neurourology and Urodynamics; Vol. 35, pp. S45-S46).

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Oncology St. Luke’s University Health Network is committed to being one of the best places to receive comprehensive cancer care. Last year St. Luke’s provided cancer services to more than 2,900 new oncology patients. The Network has three comprehensive outpatient cancer centers in Allentown, Bethlehem and Easton (Anderson Campus), and also provides cancer services in Quakertown, Coaldale, East Stroudsburg and Warren County, NJ. St. Luke’s provides internationally recognized cancer care, participates in numerous clinical trials and conducts extensive research. The cancer team includes fellowship-trained cancer experts specializing in surgical, medical, radiation, gynecologic, thoracic, urologic and neurosurgical oncology. Committed to advancing the field of oncology, St. Luke’s oncologists frequently present at national conferences and contribute to well-respected peer-reviewed journals. St. Luke’s earned national Three-Year Accreditation with Commendation as an Integrated Network Cancer Program (INCP) through 2016 from the Commission on Cancer of the American College of Surgeons (ACS CoC). At the time of the survey, St. Luke’s was one of only two health care networks in the state of Pennsylvania to receive this distinction and one of only 51 health care networks nationwide. St. Luke’s Cancer Center maintains its current level of clinical excellence while embracing new advances and leading-edge technology to give patients the best possible care.

government-sponsored studies through NCI’s National Clinical Trials Network (NCTN), such as ECOG-ACRIN and NRG, as well as investigatorinitiated trials (IITs). As an area leader in cancer clinical trials, St. Luke’s Cancer Center offers more leading-edge immunotherapies than anyone else in the region. St. Luke’s immunotherapy program includes treatment of melanoma, lung cancer, head and neck cancer, bladder cancer, kidney cancer, stomach cancer and breast cancer. St. Luke’s Cancer Center has participated in several landmark clinical studies that have led to the Federal Drug Administration-approval of immunotherapeutic agents in melanoma and other cancers and has altered the standard of care for these diseases. Originating within the network, some of these multisite trials involve St. Luke’s as the lead coordinating center. In 2014, more than 10 percent of Network cases were enrolled in clinical trials. Within the last two years, St. Luke’s has increased the number of trials opened per year by more than 50 percent.

Under the leadership of Sanjiv Agarwala, MD, St. Luke’s is highly active in cancer research. Its clinical trials portfolio includes trials supported by industry,

“ What’s most important is getting information to patients so they are educated enough to make a well-informed decision and most importantly, get the best care.” — Lee Riley, MD, PhD, FACS

St. Luke’s provides nationally recognized cancer care, participates in numerous clinical trials and conducts extensive research.

Watch St. Luke’s cancer experts discuss how to access the latest and greatest cancer clinical trials with a focus on personalized cancer care and targeted therapies. Visit cancer.sluhn.org.

St. Luke’s investigators have authored/co-authored numerous articles in prestigious medical journals including The New England Journal of Medicine and Journal of Clinical Oncology. Also, St. Luke’s is the closest center, outside of Philadelphia and New York, to offer several immunotherapy clinical trials for patients with recurrent, metastatic head and neck, lung, bladder, breast and many other cancers, as well as gastrointestinal malignancies. In radiation oncology, St. Luke’s University Health Network is our region’s first health care provider to offer “Frameless” Stereotactic Radiosurgery (SRS) using Varian’s TrueBeam™. STx linear accelerator in 2015. The technology is offered through St. Luke’s Brain & Spine Tumor Center for malignant and benign brain tumors, as well as some cerebrovascular malformations. Stereotactic Radiosurgery (SRS) uses precise 3-D computerized planning and imaging to deliver a highly-concentrated dose to a targeted tumor or lesion, minimizing the amount of radiation exposure to normal, healthy tissues. In the treatment of brain tumors, St. Luke’s was the first hospital in the region to offer a new laser procedure that uses minimally invasive MRI-guided laser technology to target and destroy cancerous brain tumors. The breakthrough treatment was performed by Hugh Moulding, MD, PhD, Chief of St. Luke’s Department of Neurosurgery and Clinical Director of the St. Luke’s Brain and Spine Tumor Center in 2016. Using Visualase®, an MRI-guided laser ablation system by Medtronic, Dr. Moulding delivered laser energy through a hole with a diameter approximately the size of a coffee stirrer. The precision of the technology, also known as laser interstitial thermal therapy (LITT), allows the laser to destroy the tumor while minimizing harm to surrounding tissue. In 2015, St. Luke’s was the first hospital in the state to use robotic surgery for prostate cancer. Robotic prostatectomy, a computer-enhanced, minimally-invasive surgical technique. Surgeons access the prostate through small keyhole incisions. Compared with conventional open surgery, minimally-invasive robotic prostatectomy has reduced patient blood loss and post-operative pain, and results in shorter hospital stays and a quicker recovery.

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To treat breast cancer, SLUHN offers Intrabeam’s intraoperative radiation therapy (IORT). Designated as a Center of Excellence by the American College of Radiology, St. Luke’s Regional Breast Center was the first facility of its kind in the region to provide higherlevel breast imaging exclusively. Advanced imaging technology offered at the St. Luke’s Regional Breast Center includes Automated Breast Ultrasound (ABUS), which provides a clearer, more accurate evaluation of dense breast tissue. Advanced imaging technology is available at other sites, including the St. Luke’s Women’s Imaging Center in the West End Medical Center, Allentown, the location of the new low-dose 3D mammography system – GE’s SenoClaire® breast tomosynthesis. It uses a low-dose, short X-ray sweep around the compressed breast. The 3D technology separates the tissues to reduce overlapping of structures. St. Luke’s University Health Network facilities participate annually in the National Cancer Data Base (NCDB) through the Cancer Registry and utilize the Cancer Program Practice Profile Reports (CP3R) as a mechanism to assess and monitor concordance with standards of care. SLUHN facilities’ Accountability and Quality Improvements Measure rates surpassed the Commission on Cancer’s expected performance rates.

Also, the Network promotes programs to screen individuals for cancer and access risk of developing the disease. St. Luke’s Lung Cancer Screening Program was developed under the leadership of thoracic surgeon William Burfeind, MD. Through the end of 2016, more than 1,500 patients were screened. Cancer was found in one of every 100 people, compared with 1 of 320 in the national trial. Of those who were found to have cancer, half were early stage, underwent minimally-invasive resections and are cancer-free today as a result. St. Luke’s implemented a Lynch Syndrome Surveillance Program that involves universal screening for malignant lesions in patients at risk. The test, performed on endometrial and/or colonic tumors, helps direct the appropriate patients to genetic counseling and potential testing for the genetic mutations involved. Our infusion centers implemented a Distress Thermometer Screening for all new cancer patients undergoing treatment. This assures that every new patient starting chemotherapy has their psychosocial needs addressed and refers them to our Cancer Care Counselors if needed.

PUBLICATIONS Agarwala SS, Andtbacka RHI, Hauschild A, Rice KN, Ross M, Scoggins CR, Smithers M, Whitman E, Wachter EA. Intralesional Rose Bengal for Stage III and IV Melanoma. Annals of Oncology. Oct 27, 2106.suppl(6). doi: 10.1093/annonc/mdw379.52. Agarwala SS, Andtbacka RH, Rice KN, Ross MI, Scoggins CR, Smithers BM, Whitman ED, Wachter EA. Intralesional Rose Bengal for Treatment of Melanoma. Journal of Clinical Oncology 34, no. 15_suppl. doi: 10.1200/JCO.2016.34.15_suppl.TPS9600. Agarwala, SS. The Role of Intralesional Therapies in Melanoma. Journal of Clinical Oncology. 2016: 30(5): 436-436. Agarwala S. Intralesional Treatment for Advanced Melanoma: Whatâ&#x20AC;&#x2122;s on the Horizon? Melanoma Management. Jun 2016; 3(2): 113-23. Alva A, Daniels GA, Wong MK, Kaufman HL, Morse MA., McDermott DF, Clark JI, Agarwala SS, Miletello G, Logan TF, Hauke RJ. Contemporary Experience with High-Dose Interleukin-2 Therapy and Impact on Survival in Patients with Metastatic Melanoma and Metastatic Renal Cell Carcinoma. Cancer Immunology, Immunotherapy. Dec 2106; 65(12): 1533-1544. doi: 10.1007/s00262-016-1910-x. Anderson CM, Allen BG, Sun W, Argarwala SS, Lee CM, Venigalla ML, Greenberg L, Adkins D, Chen Y, Zhen W, Mould DR, Holmlund J, Brill J, Sonis ST, Buatti J. Phase 1b Trial of Superoxide (SO) Dismutase (SOD) Mimetic GC4419 to Reduce Chemoradiation Therapy (CRT)-induced Oral Mucositis (OM) in Patients (pts) with Oral Cavity or Oropharyngeal Carcinoma (OCC) [temple-primo.hosted.exlibrisgroup.com]. International Journal of Radiation Oncology, Biology, Physics. Oct 2016; 96(2): S83-S84. doi: 10.1016/j.ijrobp.2016.06.211. Andtbacka RH, Agarwala SS, Ollila DW, Hallmeyer S, Milhem M, Amatruda T, Nemunaitis JJ, Harrington KJ, Chen L, Shilkrut M, Ross M. Cutaneous Head and Neck Melanoma in OPTiM, a Randomized Phase 3 Trial of Talimogene Laherparepvec Versus GranulocyteMacrophage Colony-stimulating Factor for the Treatment of Unresected Stage IIIB/IIIC/IV Melanoma. Head & Neck. Dec 1, 2016; 38(12): 1752-8. Andtbacka R, Ross M, Agarwala, SS, Taylor M, Vetto J, Neves RI, Daud A, Khong H, Ungerleider R.S., Welden S, Tanaka, M. Tumor Response from Phase II Study of Combination Treatment with Intratumoral HF10, a replication-competent HSV-1 Oncolytic Virus, and Ipilimumab in Patients with Stage IIIB, IIIC, or IV Unresectable or Metastatic Melanoma. Annals of Oncology. Oct 27, 2015; Suppl(6). doi: 10.1007/s00262-016-1910-x. Andtbacka RHI, Ross MI, Agarwala SS, Taylor MH, Vetto JT, Neves RI, Daud A, Khong HT, Ungerleider RS, Boran A, Tanaka M. Preliminary Results from Phase II Study of Combination Treatment with HF10, a Replication-competent HSV-1 Oncolytic Virus, and Ipilimumab in Patients with Stage IIIb, IIIc, or IV Unresectable or Metastatic Melanoma. Journal of Clinical Oncology. May 2016; 34(15)suppl: 9543-9543.

American College of Surgery Commission on Cancer (ACoS CoC) CoC Accreditation

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Ascierto PA, Agarwala S, Botti G, Cesano A, Ciliberto G, Davies MA, Demaria S, Dummer R, Eggermont AM, Ferrone S, Fu YX. Future Perspectives in Melanoma Research. Journal of Translational Medicine. 2016. 14: 313. Fernandez FG, Kosinski AS, Burfeind W, Park B, DeCamp MM, Seder C, Marshall B, Magee MJ, Wright CD, Kozower BD. The Society of Thoracic Surgeons Lung Cancer Resection Risk Model: Higher Quality Data and Superior Outcomes. Annals of Thoracic Surgery. Aug 2016; 102(2): 370-7. Gaissert HA, Fernandez FG, Allen MS, Burfeind WR, Block MI, Donahue JM, Mitchell JD, Schipper PH, Onaitis MW, Kosinski AS, Jacobs JP, Shahian DM, Kozower BD, Edwards FH, Conrad EA, Patterson GA. The Society of Thoracic Surgeons General Thoracic Surgery Database: 2016 Update on Research. Annals of Thoracic Surgery. Nov 2016; 102(5): 1444-145. Hodi FS, Chesney J, Pavlick AC, Robert C, Grossmann KF, McDermott DF, Linette GP, Meyer N, Giguere JK, Agarwala SS, Shaheen M. Combined Nivolumab and Ipilimumab Versus Ipilimumab Alone in Patients with Advanced Melanoma: 2-year Overall Survival Outcomes in a Multicentre, Randomised, Controlled, Phase 2 Trial. The Lancet Oncology. Nov 2016; 17(11): 1558-1568. doi: 10.1016/S1470-2045(16)30366-7. Hodi FS, Postow MA, Chesney JA, Pavlick AC, Robert C, Grossmann KF, McDermott DF, Linette GP, Meyer N, Giguere JK, Agarwala S. Overall Survival in Patients with Advanced Melanoma (MEL) who Discontinued Treatment with Nivolumab (NIVO) Plus Ipilimumab (IPI) Due to Toxicity in a Phase II Trial (CheckMate 069). doi: 10.1200/JCO.2016.34.15_suppl.9518 Journal of Clinical Oncology 34, no. 15_suppl, May 20, 2016; 9518-9518. Hughes MS, Zager J, Faries M, Alexander HR, Royal RE, Wood B, Choi J, McCluskey K, Whitman E, Agarwala S, Siskin G. Results of a Randomized Controlled Multicenter Phase III Trial of Percutaneous Hepatic Perfusion Compared with Best available Care for Patients with Melanoma Liver Metastases. Annals of Surgical Oncology. Apr 1, 2016; 23(4): 1309-19. Johnson ML, Gonzalez R, Opyrchal M, Gabrilovich D, Ordentlich P, Brouwer S, Sankoh S, Schmidt EV, Meyers ML, Agarwala SS. ENCORE 601: A Phase II Study of Entinostat (ENT) in Combination with Pembrolizumab (PEMBRO) in Patients with Melanoma. Sepsis. May 20, 2017; 1: 8.

Louie BE, Wilson JL, Kim S, Cerfolio RJ, Park BJ, Farivar AS, Vallières E, Aye RW, Burfeind WR Jr, Block MI. Comparison of Video-assisted Thoracoscopic Surgery and Robotic Approaches for Clinical Stage I and Stage II Non-small Cell Lung Cancer Using the Society of Thoracic Surgeons Database. Annals of Thoracic Surgery. 2016; 102(3): g 917-24. Mankala S, Matin A, Desai D, Shaik S, Prutzman D, Bhatt B. IBD with a Side of Carcinoid. Endocrine Practice. May 1, 2016; 22: 209. Picerno TM, Wasson MN, Rios AR, Zuber MJ, Taylor NP, Hoffman MK, Borowsky ME. Morcellation and the Incidence of Occult Uterine Malignancy: A Dualinstitution Review. International Journal of Gynecological Cancer. Jan 1, 2016; 26(1): 149-55. Postow M, Chesney J, Pavlick A, Robert C, Grossmann K, McDermott D, Linette G, Meyer N, Giguere J, Agarwala S, Shaheen M. Initial Report of Overall Survival Rates from a Randomized Phase II Trial Evaluating the Combination of Nivolumab (NIVO) and Ipilimumab (IPI) in Patients with Advanced Melanoma (MEL). Cancer Research. Jul 1, 2016; 76(B) Rios AR, Lam MT, Gonzalez AH, Anasti J. What Does an Endometrial Biopsy Result Suggestive of an Endometrial Polyp Mean? Obstetrics & Gynecology. May 1, 2016; 127: 83S. Spacek LA, Solga SF. (2015). Comment on “When to Perform Hepatic Resection for Intermediate-stage Hepatocellular Carcinoma.” Hepatology [Internet]. Mar 2016; 63(3): 1050. doi: 10.1002/hep.27896. Valente SA, Tendulkar RD, Cherian S, O’Rourke C, Greif JM, Bailey L, Uhl V, Bethke KP, Donnelly ED, Rudolph R, Pederson A. TARGIT-R (Retrospective): North American Experience with Intraoperative Radiation Using Low-kilovoltage X-rays for Breast Cancer. Annals of Surgical Oncology. Sep 1, 2016; 23(9): 2809-15.

Orthopedic Surgery The St. Luke’s Department of Orthopedic Surgery is advancing the field by bringing advanced treatments to the Lehigh Valley and surrounding areas, providing orthopedic education, and sharing their knowledge with colleagues around the country through national publications and conferences. William G. De Long Jr., MD, Charles and Anna Kasych Family Chair of Orthopedic Surgery at St. Luke’s University Health Network, leads the department. Under his guidance, St. Luke’s physicians and staff provide outstanding diagnosis, treatment and rehabilitation for patients experiencing a wide variety of musculoskeletal disorders and injuries. St. Luke’s Bone and Joint Institute has locations in Quakertown, the St. Luke’s Hospital – Anderson Campus (Easton) and the Hillcrest Plaza in Phillipsburg, NJ. The Center aligns leading physicians and therapists to deal with all aspects of orthopedic conditions. In addition, St. Luke’s Orthopedic Specialists has 11 locations throughout Bucks, Lehigh, Northampton, Monroe and Schuylkill Counties, PA, and Warren County, NJ. St. Luke’s offers many advanced procedures, including anterior approach hip replacement and minimally invasive sacroiliac (SI) joint fusion procedure. Committed to medical education, St. Luke’s offers an Orthopedic Surgery Residency. This rigorous, five-year training program prepares residents to be leaders in the orthopedic community. HONORS AND AWARDS St. Luke’s Wins Hospital Association of Pennsylvania (HAP) In Safe Hands Award St. Luke’s University Hospital received the In Safe Hands Award from HAP. St. Luke’s Intensive Care Unit Patient Care Manager Rachel Lukow, submitted the entry entitled, Intermittent Pneumatic Compression Device (IPCD) Wear-Time: Decreasing VTE Rates in Major Orthopaedic Surgical Cases. The submission focused on joint replacement surgery patients who have a higher-than-average risk of developing blood clots that can cause pain, stroke or even death. The nursing staff educated and empowered patients to wear the pumps for at least the recommended minimum of 18 hours a day and consequently saw the number of total joint patients who developed the dangerous clots decrease by 72 percent over a three-year period.

St. Luke’s is the only Own the Bone-certified facility in the region.

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SPORTS MEDICINE In March 2016, St. Luke’s and Moravian College opened the new Sports Medicine and Rehabilitation Center in Bethlehem. The building encompasses a 33,000-squarefoot building for Moravian College and 10,000 square feet for SLUHN’s Sports Medicine and Physical Therapy Services. Highlights include six specialized teaching labs for Moravian College and space for St. Luke’s University Health Network’s Orthopedics, Sports Medicine and Physical Therapy services. The inclusion of St. Luke’s patient care facilities and state-of-the-art equipment in the building enables students to complete both didactic and clinical observation/education in the same building. Moravian College launched a Master of Science in its athletic training program in June 2016 and plans to develop doctoratal programs in occupational therapy, athletic training, physical therapy and rehabilitation sciences in the future. St. Luke’s provides a full spectrum of sports-related medical services, including orthopedic surgery, sports medicine, athletic training, physical therapy, primary care sports medicine, a concussion prevention and management program, sports performance facilities and expertise and fitness centers for many schools and youth organizations in the Lehigh Valley, Poconos and the Schuylkill County region. This includes the Pennsylvania Interscholastic Athletic Association’s District XI and the Parkettes National Gymnastics Training Center. In 2016, St. Luke’s was named official sports medicine and sports performance provider for Lehigh Valley United, an elite soccer club. CLINICAL TRIALS SLUHN 2014-35 A phase 3, prospective, randomized, partially blinded multi-center study to measure the safety and efficacy of Novocart 3D (Aesculap Biologics, LLC) compared to Microfracture in the treatment of articular cartilage defects. Principal Investigator: Gregory Carolan, MD (CoInvestigators: Brett Gibson, MD; Nicholas Avallone, MD; Daniel Heckman, MD; Chandra Reddy, MD, et al.)

SLUHN 2016-21 A prospective, multi-center, randomized study of instrumented, posterolateral spinal fusions with OsteoAMP® (Bioventus Surgical, Durham, NC) ORTHOPEDIC RESEARCH PROJECTS Current research projects and lead researcher: • Intertrochanteric Fracture TAD vs. Neck Shaft Angle – Retrospective Review, William De Long • Novocart Collection of Viable Chondrocytes of Specimen in the OR, William De Long • Role of EMG in Diagnosing and Treating Cubital Tunnel, Kristofer Matullo • Visual Analog Score for Visualization in Shoulder Arthroscopy: Intra- and Inter-observer Reliability, Gregory Carolan • Look at configuration of proximal femur, greater and lesser trochanter compared to femoral neck version, William De Long • Retrospective C-spine study (Association of Anterior Cervical Spine Fusion and Shoulder Arthroscopy Surgeries), Gbolabo Sokunbi • Effect of Adoption of an Electronic Medical Record System on an Orthopaedic Practice, Kristofer Matullo • Prevention of ACL Tears in Female Athletes, William De Long • Prospective Randomized Short vs. Long Unlocked Nail for Two-Part Intertrochanteric Fractures, William De Long • Distal femur and proximal tibia fractures and their associated injuries, Patrick Brogle • How Obesity Affects Outcomes of Joint Replacements in Obese Patients, William DeLong • Toradol versus steroid injections for knee DJD, Gregory Carolan • Ideal Fusion Angle for Thumb Interphalangeal Joint Arthrodesis in Osteoarthritis, Kristofer Matullo • Cost of care associated with low back pain when receiving physical therapy first (Physical Therapy Department), Stephen Kareha • Clinical Utility of Maceration Dressings in the Treatment of Hand Cellulitis Unyielding to Oral Antibiotics: An Evaluation of Treatment Outcomes, Kristofer Matullo

St. Luke’s provides a full spectrum of sports-related medical services, including orthopedic surgery, sports medicine, athletic training, physical therapy and more.

• Patient Survey: What is the effect of an orthopaedic surgeon’s attire on patient confidence and trust? Chinenye Nwachuku • Functional improvement status post-anterior hip replacement, William De Long • Post-operative Pain Control: An Out-Patient Shoulder Arthroscopy Survey, Gregory Carolan • Epidemiology and Biomechanical Basis for Tibial Non-Union after IM Nailing, Gregory Carolan • 3D Printing and Cartilage Matrix Formation, William De Long • Preoperative Pain Science Education for Rotator Cuff Repairs – A Case Series (Dept of Pt and Dept of Ortho), Stephen Kareha • Development of Deep Venous Thrombosis in Below Knee Fractures: A Retrospective Profile of Thrombi as Detected by Duplex Ultrasound, Chinenye Nwachuku • Benefits of a home hand-therapy program following carpal tunnel release, Kristofer Matullo • Efficacy of fascia-iliaca blocks in peritrochanteric femur fractures, Kristofer Matullo • Periprosthetic fractures and the use of cerclage wire, Chinenye Nwachuku

• Retrospective analysis of the cost per patient with compression fractures comparing CT to Non CT for Diagnosis, Gbalabo Sokunbi • The frequency of pin-site care for external fixation constructs and its effect on the rate of clinically significant pin-site infections in trauma patients: A prospective, randomized study, Gregory Carolan • Acute kidney injury and hypotension incidence following elective joint arthroplasty: A single center study utilizing a novel prevention protocol, William De Long • PATIENT SURVEY: The Influence of Physician-Rating Websites on a Patient’s Physician Preference, Kristofer Matullo • Shoulder Symptom Irritability: A Single-Blinded Observational Study (Physical Therapy Department), Steven Kareha • Adverse events in total knee arthroplasty: A retrospective review, William De Long

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PUBLICATIONS Black JD, Kancherla VK, De Long WG Jr. A Review of Atypical Femoral Fractures from a Tertiary Care Teaching Hospital: An Alarming Trend? Journal of Orthopaedic Trauma. Apr 2016; 30(4): 182-8. doi: 10.1097/BOT.0000000000000539. Review. PubMed PMID: 27003030. De Mattos CB, Ramski DE, Kushare IV, Angsanuntsukh C, Flynn JM. Radial Neck Fractures in Children and Adolescents: An Examination of Operative and Nonoperative Treatment and Outcomes. Journal of Pediatric Orthopaedics. Jan 2016; 36(1): 6-12. doi: 10.1097/BPO.0000000000000387. PubMed PMID: 25812145. Gangavalli A, Malige A, Terres G, Rehman S, Nwachuku C. Misuse of Opioids in Orthopaedic Postoperative Patients. Journal of Orthopaedic Trauma. Apr 2017; 31(4):e103-e109. doi: 10.1097/BOT.0000000000000741. PubMed PMID: 28323765. Gangavalli AK, Nwachuku CO. Management of Distal Femur Fractures in Adults: An Overview of Options. Orthopaedic Clinics of North America. Jan 2016; 47(1): 85-96. doi: 10.1016/j.ocl.2015.08.011. Review. PubMed PMID: 26614924. Kancherla VK, Heckman DS, Carolan GF. Luxatio Erecta Humeri in the Swimmer’s Shoulder: A Combination of Ligamentous Laxity and Motion Dyskinesis. Journal of Emergencies, Trauma, and Shock. Jan-Mar 2016; 9(1): 3940. doi: 10.4103/0974-2700.167665. PubMed PMID: 26957827; PubMed Central PMCID: PMC4766765.

McGowan S, Deisher M, Matullo KS. Functional Fusion Angle for Thumb Interphalangeal Joint Arthrodesis. Hand (N Y) [Internet]. 2016 [cited Mar 2016]; 11(1): 59-64. doi: 10.1177/1558944715614858. Epub Jan 14, 2016. PubMed PMID: 27418891; PubMed Central PMCID: PMC4920510. Wojda TR, Cornejo K, Valenza PL, Carolan G, Sharpe RP, Mira AE, Galwankar SC, Stawicki SP. Medical Demographics in Sub-Saharan Africa: Does the Proportion of Elderly Patients in Accident and Emergency Units Mirror Life Expectancy Trends? Journal of Emergencies, Trauma, and Shock. Jul-Sep 2016; 9(3): 122-5. doi: 10.4103/0974-2700.185278. PubMed PMID: 27512334; PubMed Central PMCID: PMC4960779. Wymore L, Chin P, Geary C, Carolan G, Keefe D, Hoenecke H, Fronek J. Performance and Injury Characteristics of Pitchers Entering the Major League Baseball Draft After Ulnar Collateral Ligament Reconstruction. American Journal of Sports Medicine. [Internet]. 2016 [cited Dec 2016]; 44(12): 3165-3170. Epub Aug 12, 2016. PubMed PMID: 27519677. PRESENTATIONS Gangavalli A, Malige A, Terres G, Rehman S, Nwachuku C. Misuse of Opioid Medications in Orthopaedic Postoperative Patients. Poster Presentation. Orthopaedic Trauma Association. Oct 2016; National Harbor, MD.

Lands V, Malige A, Nwachuku C, Matullo K. The Effect of an Orthopedic Surgeon’s Attire on Patient Confidence and Trust in a Suburban Setting. International Journal of Academic Medicine. 2016; 2(3): 79-95.

Kancherla V, Morton P, Nwachuku C, De Long,W. Short versus Long Intramedullary Nail Fixation for Treatment of Unstable Intertrochanteric Hip Fractures. Poster Presentation. Annual Meeting of the American Academy of Orthopaedic Surgeons. Mar 2016; Orlando, FL.

Matullo KS, Gangavalli A, Nwachuku C. Review of Lower Extremity Traction in Current Orthopaedic Trauma. Journal of the American Academy of Orthopaedic Surgeons. Sep 2016; 24(9): 600-6. doi: 10.5435/ JAAOS-D-14-00458. Review. PubMed PMID: 27454023.

Lands V, Malige A, Nwachuku C, Matullo K. What is the Effect of an Orthopaedic Surgeon’s Attire on Patient Confidence and Trust. Poster Presentation. Pennsylvania Orthopaedic Society. Oct 2016; Pittsburgh, PA.

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Pain & Palliative Care Services St. Luke’s University Health Network is committed to enhancing pain management and palliative care through treatment, consultation and education. Ric A. Baxter, MD, FAAHPM, Chairman, Department of Pain Medicine and Palliative Care, leads the specially trained team of doctors, advanced practitioners, nurses and social workers. In providing patient care, the St. Luke’s Pain and Palliative Care Services team assesses the physical, social, emotional and spiritual needs of patients coping with life-limiting illnesses. The team focuses on improving quality of life by helping patients emphasize what brings value to their lives. In addition, the team provides consultative services to health care professions. This includes guidance on providing advanced pain management of patients who receive peripheral nerve blocks/catheters and/or neuraxial analgesics and patients with complex cancer pain issues. Also, they advise staff on pain control of opioid-naive patients experiencing uncontrolled pain and acute-on-chronic pain management of opioidtolerant patients.

HOSPICE/PALLIATIVE MEDICAL FELLOWSHIP In addition, Dr. Baxter serves as Program Director of the Hospice/Palliative Medicine Fellowship, St. Luke’s Family Medicine Residency Program. Its goal is to provide fellows with expertise in managing primary and complex issues in hospice and palliative medicine focusing on symptom management and communication skills. Fellows provide care in a number of medical settings, including an inpatient consultation service and outpatient palliative medicine clinic. In addition, fellows see patients in an inpatient hospice unit and have a year-long continuity experience with a home hospice team. The St. Luke’s Hospice and Palliative Medicine Fellowship is accredited by the ACGME and participates in ERAS and the NRMP match. The fellowship allows flexibility for fellows to mold their training towards their career goals. Over the course of the 12-month fellowship, each fellow is given the responsibility of caring for a group of home hospice patients. This includes being the first contact for nurses, attending weekly inter-disciplinary group meetings, performing face-to-face visits and cultivating a personal relationship with these patients and their families. Rotations are completed at the St. Luke’s University Hospital – Bethlehem and St. Luke’s Allentown Campus, the St. Luke’s Hospice House, Good Shepherd Rehabilitation Hospital in Allentown and our patients’ homes. Our fellows engage in many activities to enhance their educational experience. These include weekly didactic sessions, journal club, case conferences, board review, attendance at tumor boards and participation in the Ethics Committee and Hospice Quality Council.

The St. Luke’s Pain and Palliative Care Services team assesses the physical, social, emotional and spiritual needs of the patients with life-limiting illnesses.

Finally, they are exposed to different complimentary techniques to enhance patients’ quality of life. This includes such services as aromatherapy, massage therapy, music therapy, Reiki, pet therapy and acupuncture. The Hospice and Palliative Medicine Fellowship requires that each fellow participate in a scholarly project that results in a regional or national presentation and/or publication in a peer-reviewed journal. Fellows are also encouraged to participate at St. Luke’s University Health Network’s Annual Residents’ and Fellows’ Research Symposium. BOOK CHAPTERS Cohen MS, Paul E, Nuschke JD, Tolentino JC, Mendez AV, Mira AE, Baxter RA, Stawicki SP. Patient Frailty: Key Considerations, Definitions and Practical Implications. In: Challenges in Elder Care. 2016; InTech. Falowski S, Pope J. In: Integrating Pain Treatment into Your Spine Practice, 1st edition. Santa Rosa, CA. Springer International. 2016. 1st ed. Apr 2016; Print. ISBN: 3319277944, 9783319277943. PUBLICATIONS Lam NC. Joint Pain and Fatigue: It Could Be Anything. Close Ups: A Patient’s Perspective. American Family Physician. Aug 2016; 94(4): 304. Falowski S, Dierkes J. An Analysis of the Use of Multichannel Microelectrode Recording During Deep Brain Stimulation Surgeries at a Single Center. Operative Neurosurgery. 2017; 14(4): 367-374. doi: 10.1093/0ns/opx139. Falowski S, Safriel Y, Ryan MP, Hargens L. The Rate of Magnetic Resonance Imaging in Patients with Deep Brain Stimulation. Stereotactic and Functional Neurosurgery. 2016; 94(3) (2016): 147-153. Gangavalli A, Malige A, Terres G, Rehman S, Nwachuku C. Misuse of Opioids in Orthopaedic Postoperative Patients. Journal of Orthopaedic Trauma. Apr 2017; 31(4):e103-e109. doi: 10.1097/BOT.0000000000000741. PubMed PMID: 28323765. Sidhom M, Castellanos A. Improving Delirium Detection in Nursing Home Residents: A Quality Improvement Project. International Journal of Academic Medicine. 2016; 2, Suppl S1: 79-95. PRESENTATIONS Gangavalli A, Malige A, Terres G, Rehman S, Nwachuku C. Misuse of Opioid Medications in Orthopaedic Postoperative Patients. Poster Presentation. Orthopaedic Trauma Association. Oct 2016; National Harbor, MD.

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Pathology David W. Anderson, MD, chairs the St. Luke’s University Health Network Department of Pathology and is a Clinical Professor of Pathology at the Lewis Katz Temple University School of Medicine. Dr. Anderson leads the department’s team of 11 pathologists. Our pathologists possess the latest knowledge and avail themselves of the newest technologies in the diagnosis and treatment of a wide array of diseases. A St. Luke’s pathologist director guarantees the delivery of a uniform, highest standard of diagnostic testing at each of the Network’s seven hospitals and stand-alone specialty laboratory. In the past six years, a nearly 60 percent growth in the number of diagnostic tests performed in our own laboratories reflects the equally impressive growth of the St. Luke’s Medical Staff to over 1,200 attending physicians and the addition of three new hospitals. The laboratory staff plays an increasing role in the education of 187 residents and fellows in 22 residency and fellowship programs. In 2016, the St. Luke’s laboratory staff was composed of 11 pathologists, 17 senior technical supervisors, 219 laboratory technicians and support staff. This team, in 2016, met the highest standards of mandatory licensing and certifying agencies as they performed 3.5 million clinical tests, 41,500 examinations on tissue specimens, and 12,000 Pap smears. GENOMICS LABORATORY TESTING AT ST. LUKE’S Annually, about 2,300-2,500 patients with newly found cancers are admitted to the St. Luke’s hospitals. For our patients, the most accurate cancer diagnoses were made possible with additional “genomic” tests currently done in very few specialized laboratories. In 2016, St. Luke’s pathologists requested 3,400 genomic tests from specialty laboratories.

Dr. Anderson represents the laboratory on the Clinical Council Utilization Committee. Part of this committee’s mission is to develop a useful primer of genomic terminology, establish an oversight of appropriate genomic test ordering, establish guaranteed expert interpretation of genomic test results, a single uniformly managed ordering process managed through the laboratory, and a search for a nationally-recognized provider of genomic testing with appropriate pricing. ST. LUKE’S PATHOLOGIST SPECIALIZATION The addition of two new associate pathologists in 2015 and 2016 facilitated our further consolidated and expanded commitment to providing dedicated, subspecialty, pathologist laboratory support and education to St. Luke’s practicing physicians, fellows, residents, medical students, and all other care givers, for all clinical specialties. All of St. Luke’s pathologists are board-certified by the American Board of Pathology in: • Anatomic Pathology • Clinical Pathology • Cytopathology

Dr. Anderson has been at the forefront of clinical research and the practice of pathology for 40 years. He is well-recognized for his landmark research in the virology of AIDS at the National Institutes of Health (NIH). This established his long-standing associations with national experts in genomics.

Our pathologists possess the latest knowledge and avail themselves of the newest technologies in the diagnosis and treatment of a wide array of diseases.

By additional board certification and/or specialty training, each of St. Luke’s pathologists has a leadership role and oversight of a designated pathology subspecialty: • Hematopathology (benign and malignant blood diseases) • David W. Anderson, MD • Michael Sherman, MD • Dattatrey Phadke, MD • Pulmonary Diseases • Stephen Tellschow, MD • Atef LaBeeb, MD • Breast Diseases • Emily Miller, MD • Steven Tellschow, MD • Gastrointestinal Diseases • Lisa Stoll, MD • Genitourinary Diseases • Sharon Steinman, MD • Malca Kierson, DO • Head and Neck Diseases • Adam Toll, MD • Obstetrical and Gynecological Diseases • Dattatreya Phadke, MD

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EDUCATION ACTIVITY IN 2016 BY PATHOLOGY FACULTY Medical School All of the pathologists hold teaching faculty appointments at the Lewis Katz Temple University School of Medicine (LKTUSM). All of the pathologists are active faculty at the St. Luke’s campus of the LKTUSM. In the 2016 academic year, 11 pathologists conducted: • 86 one-hour lectures to the medical students • 32 two-hour workshops/review sessions for the medical students • Seven four-week pathology clerkships Residents

Niewiarowski TJ, Stoll LM. Recurrent Dysphagia in a Patient with Chronic Esophagitis. Gastrointestinal Endoscopy. Dec 2016: 84(6): 1071-1072. Toll AD, Maleki Z. Cytomorphology of Non-small Cell Lung Carcinoma with Anaplastic Lymphoma Kinase Gene Rearrangement. Diagnostic Cytopathology. Jan 1, 2015; 43(1): 8-15. Toll AD, Upasana J, Palazzo JP. Pathologic Spectrum of Secretory and Mucinous Breast Lesions. Archives of Pathology and Laboratory Medicine. 2016; 140 (7): 644-650.

OB/GYN Department: • Quarterly lectures • Quarterly proctored and illustrated PPT examinations Orthopedics Department: • Six bone and cartilage pathology lectures PUBLICATIONS Bernstein B, Stouder MS, Bronfenbrenner E, Chen S, Anderson DW. Correlating Pre-operative MRI Measurements of Metatarsal Osteomyelitis with Surgical Clean Margins Reveals the Need for a One Centimeter Resection Margin. Journal of Foot and Ankle Research. 2017; 10(1): 40. Duarte-Chavez R, Stone LE, Fegley MW, Avani, Matin A, Longo S, Nanda S. Pancreatic Mass in a 95-Year-Old Male – A Rare Presentation of Tuberculosis. International Journal of Academic Medicine. 2017; 3(2): 285-290. doi: 10.4103/2455-5568.222477. Fegley MW, Singh A, Longo S, Sharma SG, Nanda S. Central Pontine Myelinolysis: Insight into Pathogenesis, in the Absence of Hyponatremia. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 249. Lin MJ, Barry N, Akusoba I, Hon HH, Cohen MS, Shukla P, Cipolla J, Stawicki SP, Hoey BA. Traditional Autopsy Versus Computed Tomography Imaging Autopsy in Trauma: A Case of “synergistic Disagreement.” Surgery. Jul 1, 2016; 160(1): 211-9.

Lin MJ, Sharpe RP, Stawicki SP, Tachovsky J, Longo S, Stoll LM. Primary Intramural Fibromatosis of the Small Bowel: An Uncommon Cause of Intestinal Obstruction. International Journal of Academic Medicine. 2017; 3: 280-4.

PRESENTATIONS Lin MJ, Barry N, Akusoba I, Hon HH, Cohen MS, Shukla P, Cipolla J, Stawicki SP, Hoey BA. Traditional Autopsy Versus Computed Tomography Imaging Autopsy in Trauma: A Case of “Synergistic Disagreement.” Podium Presentation at the 2016 Academic Surgical Congress, Feb 2-4, 2016; Jacksonville, FL. Singh A, Longo S, Nanda S, Agrawal S, Vefali H, Quddus A, Abhichandani A, Sinha A, Radoianu N, Shi A, Amortequi J, Shirani J. Native Valve Emphysematous Enterococcal Endocarditis. World Congress on Heart Disease; Aug 2016; Boston, MA.

Pediatrics & Neonatology St. Luke’s Pediatrics Department is comprised of board-eligible/ board-certified pediatricians and neonatologists, as well as expert advanced practitioners committed to caring for children and educating future pediatricians. The Neonatal Intensive Care Units at both St. Luke’s Bethlehem and Allentown Campuses are designed to provide a high-level of care for babies and families, offering the latest technology and developmental techniques. St. Luke’s embraces parental involvement and has been recognized as offering the only March of Dimes Neonatal Intensive Care Unit (NICU) Family Support Program in the Lehigh Valley. St. Luke’s is committed to providing the highest level of evidence-based, high-quality care through a compassionate and personalized approach tailored to each family. Our new program Baby and Me focuses on offering personalized options that take into consideration and respect our patients’ goals and wishes. This program also offers comprehensive resources, such as ante-partum consultations by a dedicated fellowshiptrained obstetric anesthesiologist, a comprehensive post-partum depression screening and management program, inpatient and outpatient lactation consulting services, a dedicated smart-phone application (featuring weekly milestones, animations and videos, personalized journal, trackers for appointments, contractions and immunizations), NICU cameras and an outpatient resource center to offer family-centered resources, consultations and activities for new mothers, their babies, families and supportive persons. PEDIATRIC CARE St. Luke’s Inpatient Unit cares for children who need the acute care services of a hospital. In 2016, it provided children in the community with diagnostic services, treatment and well baby/child check-ups through its six outpatient general pediatric practices in 11 locations and three subspecialist practices. Additionally, a pediatric radiologist and pediatric inpatient pharmacist help to deliver even more specialized care to our youngest patients. Chaired by Jennifer Janco, MD, the faculty of the St. Luke’s Pediatric Department represents a blend of clinical expertise, academics and personalized care delivery. The specialty physicians offer a broad range of difficult-to-find and advanced clinical skills. They include: Pamela Abrams, MD, board-certified pediatric endocrinologist; Leo Heitlinger, MD, a board-certified pediatric gastroenterologist with a lifetime certification in pediatric gastroenterology, and Tecile Andolino, MD, the only pediatric nephrologist in the Lehigh Valley. Dianne Jacobetz, MD, actively participates in medical student and resident-driven research, including designing a pediatric specific history and physical to improve quality of data collected during admissions and outcomes of infants born with meconium analysis positive for in utero alcohol exposure. In 2015, Laurel Erickson Parsons, MD, was named Medical Director of Inpatient Pediatric Unit and heads the quality improvement projects jointly with the American Academy of Pediatrics.

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Through her leadership, St. Luke’s has participated in both the Improving community acquired pneumonia management project and the Decreasing bronchodilator use in bronchiolitis project. She made a presentation about the community acquired pneumonia management project at this year’s American Academy of Pediatrics Conference. Prior to joining St. Luke’s, she completed her pediatric residency at St. Christopher’s Hospital for Children in 2010.

ACADEMIC APPOINTMENTS

MATERNITY QUALITY

A. North American Society for Pediatric Gastroenterology, Hepatology and Nutrition

St. Luke’s continuously receives recognition for its maternity services. For example, it earned Blue Distinction® Centers for Maternity Care Designation by Capital Blue Cross. The Blue Distinction Centers (BDC) designation signifies that our facility’s maternity program met nationally established criteria by demonstrating expertise in delivering quality specialty care, safely and effectively. Those facilities designated as Blue Distinction Centers+ (BDC+) also demonstrated both expertise and cost efficiency in delivering specialty care. In addition, St. Luke’s University Health Network’s Allentown and Bethlehem Campuses have received Women’s Choice Awards® for being among America’s Best Hospitals for Obstetrics. This evidence-based designation is the only award that identifies the country’s best health care institutions based on robust criteria that consider female patient satisfaction, clinical excellence, and what women say they want from a hospital. The list of over 400 award winners, including St. Luke’s, represents hospitals that offer exceptional obstetric services which ranked above the national average for patient safety, thereby supporting a woman’s decision when choosing the best for her maternity needs. Contact Information Research and clinical trial questions Pediatric Endocrine Pediatric GI Pediatric Nephrology KidsCare Coopersburg Pediatrics Pocono Pediatrics ABW Pediatrics Palmerton Pediatrics

484-526-4873 484-526-7300 484-526-7575 610-865-5888 484-526-3060 484-526-7337 570-664-8750 610-868-2007 610-826-1166

Dr. Abrams: Clinical Assistant Professor of Pediatrics, Temple University School of Medicine (2012-present) Lindy Cibischino MD: Teaching/clinical faculty for Temple, The Commonwealth Medical College, Kings College, DeSales University and Arcadia University Dr. Heitlinger: Temple University, Clinical Professor, (DeSales, PA program)

i. Professional Education Committee, 2007-2010 ii. Maintenance of Certification Task Force, 2011-2012 iii. Public Affairs and Advocacy Committee, 2011-present iv. Finance Committee, 2012-present v. Foundation Board, 2014-present

B. American Academy of Pediatrics

i. Section of Gastroenterology, Hepatology and Nutrition, Chair, 2009-present ii. Specialty Medical Home Leadership Team, 2011-present iii. PA Chapter Board, 2014-present

Dr. Sulaiman Sannoh: Assistant Clinical Professor of Pediatrics, Temple University School of Medicine, Philadelphia, PA TEACHING APPOINTMENTS WITH TEMPLE UNIVERSITY AND DESALES UNIVERSITY Dr. Janco, Dr. Jacobetz, Eyda Samuels, MD, Dr. EricksonParson, Maya Greenberg, DO, Aram Yousefi-Em, MD, Alycia Walty, MD, Dr. Andolino and Fatima Malik, MD. HONORS/AWARDS In 2016, St. Luke’s University Health Network again received top honors as part of the 13th Annual Morning Call Reader’s Choice Awards. The Network has been identified as the region’s: • Best Hospital/Health Network • Best MRI/Diagnostic Imaging • Best Obstetrician (St. Luke’s Riverside Women’s Healthcare) • Best Place to Have a Baby

Each year, Morning Call readers are asked to vote for exceptional businesses or services, including health care, throughout the Lehigh Valley. Over 77,000 readers weighed in with their choices in 294 categories. In 2015, the March of Dimes honored St. Luke’s with two regional awards. Neonatologist Kimberly Costello, DO, FAAP, Director of Neonatology, St. Luke’s University Health Network was named “Physician of the Year,” and St. Luke’s Neonatal Intensive Care Unit (NICU) nurse Karen Metzger, LPN, was selected as “Nurse of the Year.” Also in 2015, St. Luke’s Emergency Transport Service was recognized for its expertise in transporting pediatric patients through a multi-agency program that recognizes EMS agencies that are willing to go above and beyond current pediatric transport requirements within Pennsylvania. The Pennsylvania Emergency Medical Services for Children program, in partnership with the Department of Health, Bureau of EMS and The Pennsylvania Emergency Health Services Council, has created the Pediatric Voluntary Recognition Program to recognize EMS agencies that consistently deliver excellence in emergency medical care to children within the Commonwealth. In addition, St. Luke’s was voted 2016 Top Reader’s Choice for Best Place to Have a Baby by the readers of the Morning Call, a regional, daily newspaper based in Allentown. St. Luke’s was also voted 2015 Top Reader’s Choice for Best Urgent Care by the readers, as well as 2015 Top Reader’s Choice for Best Emergency Care.

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Physical and Occupational Therapy & Speech Language Pathology St. Luke’s University Health Network offers a wide range of physical, occupational, speech and wellness programs. Therapists actively pursue clinical research and participate in the education of therapy students. At St. Luke’s, patient care is paramount and therapists evaluate and treat various patient populations including: • Orthopedic/Spine

• Women’s Health

• Sports

• Pediatric

• Neurological/ Neurosurgical

• Geriatric

PHYSICAL THERAPY AT ST. LUKE’S (OUTPATIENT SERVICES) Under the direction of physical therapists Dennis and Judy Dougherty, approximately 200 clinical staff members provided 250,000 outpatient sessions (visits) in 2016. With more than 25 years of experience treating patients and operating practices in the Lehigh Valley, the Doughertys and their team are committed to providing high-quality rehabilitative services close to home. Physical Therapy at St. Luke’s operates 38 outpatient rehabilitation locations in Bucks, Carbon, Lehigh, Monroe, Northampton and Schuylkill Counties in Pennsylvania and Warren County in New Jersey.

Besides patient care, St. Luke’s therapists are actively involved in research and work with physician specialists in many areas, including joints, trauma, spine and pain. The therapy team also participates in several clinical studies. The Research Team consists of: Stephen Kareha, PT, DPT, OCS, ATC, CMP, CSCS Jeffrey Bays, PT, OCS, Cert MDT Nikol Tews, PT, DPT, OCS, Cert MDT Rett Holmes, PT, DPT, OCS, Cert MDT Timothy Miller, PT, DPT, OCS, SCS, CSCS Nick DeBlasio, PT, DPT, OCS, CSCS Laura Rothermel, PT, DPT, FAAOMPT

Physical Therapy at St. Luke’s has been successful in recruiting rehabilitation specialists skilled in advanced techniques to improve patients’ mobility, function and overall wellness. In fact, 85 percent of physical therapists are doctorally trained. In addition, the staff includes: • Twenty two board-certified orthopedic clinical specialists (five of these are pending results in mid-June) • Seven board-certified sports clinical specialists (two are pending results in mid-June) • Two board-certified neurologic clinical specialists (two are pending results in mid-June) • A board-certified geriatric clinical specialist • A board-certified pediatric clinical specialist (pending results in mid-June) • A Fellow of the American Academy of Orthopedic Manual Physical Therapists

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At St. Luke’s, patient care is paramount and therapists evaluate and treat various patient populations.

Physical Therapy at St. Luke’s is committed to furthering professional education for both staff and students. Kareha, Director of Physical Therapy Post-Graduate Education at St. Luke’s Physical Therapy and also adjunct faculty at Arcadia University, leads these efforts to facilitate learning and advancement of its clinical staff members, while also providing educational opportunities and clinical experience for students pursuing careers in physical therapy, occupational therapy, speech therapy and audiology programs. Working under the supervision and guidance of an expert clinician, St. Luke’s offers learning opportunities in orthopedic surgery observation, orthotic prescription and fabrication, audiology, and pediatric, occupational, vestibular, hand and aquatic therapies. In addition, Physical Therapy at St. Luke’s offers an Orthopaedic Residency program designed to provide physical therapists with advanced knowledge and skill training in the clinical environment. The curriculum enhances interprofessional collaboration and provides physical therapists with advanced training in orthopedic examination, clinical decisionmaking, and treatment skills. For more information, visit stlukesphysicaltherapy.com. HONORS/AWARDS National Outcomes Excellence Awards (Focus on Therapeutic Outcomes, Inc.): 22016Q4 – 68714081 – NEURO – Physical Therapy at St. Luke’s – Eighth Avenue 2016Q4 – 68714051 – ORTHO – Physical Therapy at St. Luke’s – Anderson Campus 2016Q4 – 68714201 – ORTHO – Physical Therapy at St. Luke’s – Bath 2016Q4 – 68714071 – ORTHO – Physical Therapy at St. Luke’s- Center Valley 2016Q4 – 68714181 – ORTHO – Physical Therapy at St. Luke’s- Commons 2016Q4 – 68714011 – ORTHO – Physical Therapy at St. Luke’s – Emmaus 2016Q4 – 68714061 – ORTHO – Physical Therapy at St. Luke’s – Hellertown 2016Q4 – 68714021 – ORTHO – Physical Therapy at St. Luke’s- Illick’s 2016Q4 – 68714151 – ORTHO – Physical Therapy at St. Luke’s- Macungie 2016Q4 – 68714091 – ORTHO – Physical Therapy at St. Luke’s – Nazareth 2016Q4 – 68714041 – ORTHO – Physical Therapy at St. Luke’s – North 2016Q4 – 68714101 – ORTHO – Physical Therapy at St. Luke’s – Northampton 2016Q4 – 68714121 – ORTHO – Physical Therapy at St. Luke’s – Orefield 2016Q4 – 68714161 – ORTHO – Physical Therapy at St. Luke’s – Pennsburg 2016Q4 – 68714031 – ORTHO – Physical Therapy at St. Luke’s – Quakertown 2016Q4 – 68714211 – ORTHO – Physical Therapy at St. Luke’s – Stroudsburg 2016Q3 – 68714081 – NEURO – Physical Therapy at St. Luke’s – Eighth Avenue 2016Q3 – 68714051 – ORTHO – Physical Therapy at St. Luke’s – Anderson Campus 2016Q3 – 68714071 – ORTHO – Physical Therapy at St. Luke’s – Center Valley 2016Q3 – 68714181 – ORTHO – Physical Therapy at St. Luke’s – Commons

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2016Q3 – 68714011 – ORTHO – Physical Therapy at St. Luke’s – Emmaus

2016Q2 – 68714091 – ORTHO – Physical Therapy at St. Luke’s – Nazareth

2016Q3 – 68714061 – ORTHO – Physical Therapy at St. Luke’s – Hellertown

2016Q2 – 68714101 – ORTHO – Physical Therapy at St. Luke’s – Northampton

2016Q3 – 68714021 – ORTHO – Physical Therapy at St. Luke’s – Illick’s

2016Q2 – 68714121 – ORTHO – Physical Therapy at St. Luke’s – Orefield

2016Q3 – 68714151 – ORTHO – Physical Therapy at St. Luke’s – Macungie

2016Q2 – 68714191 – ORTHO – Physical Therapy at St. Luke’s – Palmer

2016Q3 – 68714091 – ORTHO – Physical Therapy at St. Luke’s – Nazareth

2016Q2 – 68714161 – ORTHO – Physical Therapy at St. Luke’s – Pennsburg

2016Q3 – 68714041 – ORTHO – Physical Therapy at St. Luke’s – North

2016Q2 – 68714031 – ORTHO – Physical Therapy at St. Luke’s – Quakertown

2016Q3 – 68714101 – ORTHO – Physical Therapy at St. Luke’s – Northampton

2016Q2 – 68714131 – ORTHO – Physical Therapy at St. Luke’s – Wind Gap

2016Q3 – 68714121 – ORTHO – Physical Therapy at St. Luke’s – Orefield

2016Q1 – 68714081 – NEURO – Physical Therapy at St. Luke’s – Eighth Avenue

2016Q3 – 68714191 – ORTHO – Physical Therapy at St. Luke’s – Palmer

2016Q1 – 68714041 – NEURO – Physical Therapy at St. Luke’s – North

2016Q3 – 68714161 – ORTHO – Physical Therapy at St. Luke’s – Pennsburg

2016Q1 – 68714051 – ORTHO – Physical Therapy at St. Luke’s – Anderson Campus

2016Q3 – 68714031 – ORTHO – Physical Therapy at St. Luke’s – Quakertown

2016Q1 – 68714071 – ORTHO – Physical Therapy at St. Luke’s – Center Valley

2016Q3 – 68714131 – ORTHO – Physical Therapy at St. Luke’s – Wind Gap

2016Q1 – 68714181 – ORTHO – Physical Therapy at St. Luke’s – Commons

2016Q2 – 68714081 – NEURO – Physical Therapy at St. Luke’s – Eighth Avenue

2016Q1 – 68714011 – ORTHO – Physical Therapy at St. Luke’s – Emmaus

2016Q2 – 68714041 – NEURO – Physical Therapy at St. Luke’s – North

2016Q1 – 68714021 – ORTHO – Physical Therapy at St. Luke’s – Illick’s

2016Q2 – 68714051 – ORTHO – Physical Therapy at St. Luke’s – Anderson Campus

2016Q1 – 68714091 – ORTHO – Physical Therapy at St. Luke’s – Nazareth

2016Q2 – 68714071 – ORTHO – Physical Therapy at St. Luke’s – Center Valley

2016Q1 – 68714101 – ORTHO – Physical Therapy at St. Luke’s – Northampton

2016Q2 – 68714181 – ORTHO – Physical Therapy at St. Luke’s – Commons

2016Q1 – 68714121 – ORTHO – Physical Therapy at St. Luke’s – Orefield

2016Q2 – 68714011 – ORTHO – Physical Therapy at St. Luke’s – Emmaus

2016Q1 – 68714161 – ORTHO – Physical Therapy at St. Luke’s – Pennsburg

2016Q2 – 68714061 – ORTHO – Physical Therapy at St. Luke’s – Hellertown

2016Q1 – 68714031 – ORTHO – Physical Therapy at St. Luke’s – Quakertown

2016Q2 – 68714021 – ORTHO – Physical Therapy at St. Luke’s – Illick’s

2016Q1 – 68714141 – ORTHO – Physical Therapy at St. Luke’s – Tilghman

Contact Information Questions about research and clinical trials

484-426-2544

Established patients 484-526-5025 Referral line for new patients

484-526-5025

Research is conducted at the following locations: Central location: West End Clinic (501 Cetronia Rd., Suite 145, Allentown, PA 18104); Satellite locations: St. Luke’s North (153 Brodhead Rd, Bethlehem, PA 18017), Anderson Campus (1700 St. Luke’s Boulevard, Suite 201, Easton, PA 18045), Hellertown (2301 Cherry Lane, Hellertown, PA 18015), Illick’s Mill (1174 Illick’s Mill Rd, Bethlehem, PA 18017), Orefield (3560 Route 309, Orefield, PA 18069). CURRENT RESEARCH PROJECTS Current research projects and lead researcher: • Shoulder Symptom Irritability: A Single Blinded Observational Study, Kareha S. • Cost of care associated with low back pain, Kareha S. • The retention and short term effects of preoperative pain neuroscience education for shoulder disorders: A case series, Kareha S. • Movement System Screening Program, Kareha S. • Patients’ Thoughts and Perspectives on Pain in an Outpatient Physical Therapy Practice: A Descriptive Study, Kareha S. PUBLICATIONS Kareha S, Buggey JT, Miller TW, Carolan GF. Reliability of Shoulder Irritability Levels: A Pilot Study. Journal of Orthopaedic & Sports Physical. Jan 1, 2015; 45(1):A103-4. McClure P, Greenberg E, Kareha S. Evaluation and Management of Scapular Dysfunction. Sports Medicine and Arthroscopy Review. Mar 1, 2012; 20(1): 39-48.

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Podiatry & Foot Care St. Luke’s University Health Network has long been recognized for its excellence in the area of podiatry and foot care. In fact, St. Luke’s offers the only Podiatric Residency Program in the Lehigh Valley area. Its faculty includes national pioneers in the area of podiatric dermatology. Under the leadership of Robert A. Diamond, Chief, Division of Podiatry and Director of the Podiatry Surgery Residency; William De Long, MD, FACS, Chief, Department of Orthopedic Surgery; and Brent H. Bernstein, Director of Research Division of Podiatry, St. Luke’s podiatric physicians and residents are actively involved in research and scholarly activities. These include participating in national clinical trials, partaking in surgical mission trips to Ecuador, presenting original contributions at major national meetings, and publishing articles in major peer-reviewed scientific journals. The three-year Podiatric Residency Program helps train experts in podiatric medicine and surgery. The program started in 1991 with a single residency slot. Due to growth in foot surgery volume throughout the St. Luke’s University Health Network, the program now accepts nine residents in each class. The program also offers one elective fourth-year position as a Podiatric Dermatology Fellowship — one of the first nationally recognized fellowships in podiatry by the Council on Podiatric Medical Education. St. Luke’s state-of-the-art Podiatry Center treats a broad range of podiatric problems, from claw foot to plantar fasciitis and nerve dysfunction. In addition to serving the patients of the busy clinical practice, the faculty and residents are actively involved in a number of high-profile research projects and clinical trials. Contact Information Podiatry Center 1501 Lehigh Street Allentown, PA 18104 610-628-8260 Clinic Hours Mon-Thu: 8 am – 8 pm Fri: 8 am – 5 pm Podiatric Residency: 610-628-8364 Questions about Outpatient Clinical Trials: Contact the appropriate principal investigator directly.

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PUBLICATIONS Kirsner RS, Bernstein B, Bhatia A, Lantis J, Le L, Lincoln K, Liu P, Rogers L, Shaw M, Young D. Clinical Experience and Best Practices Using Epidermal Skin Grafts on Wounds. Wounds. 2015; 27: 282-292. Bernstein B, Ghosh P, Law C, Seiler D, Thuyhien V. Trigger Events Leading to Charcot Neuroarthropathy – Large Cohort Retrospective Case Series. The Foot and Ankle Online Journal. 2016. In press. Stouder M, Bernstein B. Osteomyelitic Rate of Positive Proximal Margins of Partial Ray Amputations. International Journal of Academic Medicine. 2016; 2, Suppl S1: 79-95. PRESENTATIONS Bernstein B. Osteomyelitic Rate of Positive Proximal Margins in Partial Ray Amputations. Scientific Conference. Poster Presentation. American College of Foot and Ankle Surgeons Annual Scientific Conference. Feb 2016; Austin, TX. Ghosh P. Charcot Athropathy Inciting Events. Poster Presentation. American College of Foot and Ankle Surgeons Annual Scientific Conference. Feb 2016; Austin, TX. Rocchio T, Kruger A, Grahn B. Lesser Metatarsal Decompression Fixation with an Ultrasonic Bioresorbable Polymer Pin Utilizing Bone Welding Principles. American College of Foot and Ankle Surgeons Annual Scientific Conference. Feb 2016; Austin, TX. Stouder M, Bernstein B, Osteomyelitic Rate of Positive Proximal Margins of Partial Ray Amputations. Poster Presentation. American College of Foot and Ankle Surgeons Annual Scientific Conference; Feb 2016; Austin, TX.

St. Luke’s state-of-the-art Podiatry Center treats a broad range of podiatric problems, from claw foot to plantar fasciitis and nerve dysfunction.

Radiology St. Luke’s University Health Network is committed to providing physicians with leading-edge imaging technology to give them a clearer picture of their patients’ health conditions. Hal L. Folander, MD, Network Chairman of the Radiology Department, leads a team of nearly 40 radiologists who specialize in areas such as interventional and neurointerventional radiology, advanced breast imaging, neuroradiology, nuclear medicine, musculoskeletal ultrasound, positron emission tomography (PET), computed tomography (CT), and magnetic resonance imaging (MRI). With more than 25 Network locations, our radiology specialists read exams from all seven St. Luke’s hospitals, numerous outpatient centers and many physician offices. St. Luke’s radiologists use some of the most advanced technologies available today. For example, St. Luke’s University Hospital – Bethlehem is home to the Discovery IGS 730 Hybrid OR from GE Healthcare. In fact, we were the first hospital in the United States to offer this technology, which effectively brings interventional radiology suite into the operating room, allowing the simulataneous performance of open and endovascular interventions. This state-of-the-art facility is utilized by out interventional radiologists, cardiovascular surgeons, and traumatologists. St. Luke’s University Health Network has been designated an international show site for GE Medical Systems. Physicians, clinical staff, and hospital administrators from all over the world visit St. Luke’s facilities to observe procedures being performed using this advanced equipment. Additionally, St. Luke’s radiologists and staff train other physicians, staff and GE applications specialists in its use.

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A leader in breast health services, St. Luke’s offers an Individualized Breast Screening Program. In Fall 2015, radiologist Joseph Russo, MD, St. Luke’s University Health Network Section Chief of Women’s Imaging, discussed the program at the National Consortium of Breast Centers (NCoBC) Annual Conference, Las Vegas, NV, during a special meeting hosted by GE. The program uses technologies such as breast MRI, automated breast ultrasound (ABUS) and 3D mammography (tomosynthesis) as an effective supplement to screening mammography that leads to a significant increase in cancer detection and reduction of unnecessary return visits and breast biopsy. In addition, in determining the most effective and efficient screening protocols for each patient, physicians use the Tyrer-Cuzick screening tool to gather the patient’s genetic and non-genetic information. Designated a Center of Excellence by the American College of Radiology, St. Luke’s Regional Breast Center was the first facility of its kind in the region to exclusively provide higher-level breast imaging. For example, ABUS provides a clearer, more accurate evaluation of dense breast tissue and elastography, which measures the tissue density of a mass using ultrasound. Advanced imaging technology is also available at our other Network sites, including the St. Luke’s Women’s Imaging Center in the West End Medical Center, Allentown, the location of the new low dose 3D mammography system – GE’s SenoClaire® breast tomosynthesis and also the new SensorySuite®. Using a low-dose, short X-ray sweep around the compressed breast, the 3D technology separates the tissues to reduce overlapping of structures, a limiting factor in standard 2D mammography. The SensorySuite uses the senses of sight, sound and smell simultaneously to create a pleasant atmosphere that helps reduce a patient’s worry or anxiety. St. Luke’s University Health Network radiologists participate in many research activities which include, but are not limited to: National Institutes of Healthsponsored ATTRACT trial for lower extremity deep vein thrombosis, The Angel® Catheter Clinical Trial: Prevention of Pulmonary Embolism in High Risk Subjects, as well as multiple trials in the realm of interventional oncology.

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Additionally, the Network offers breast screening, diagnostic and treatment services throughout the Lehigh Valley, Bucks County, and Monroe County in Pennsylvania and Warren County in New Jersey. PUBLICATIONS Jeanmonod R, Stawicki SP, Bahner DP, Zago M. Advancing Clinician-Performed Sonography in The Twenty-First Century: Building on the Rich Legacy of the Twentieth Century Pioneers. European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society. Apr 2016; 42(2): 115. Lin MJ, Barry N, Akusoba I, Hon HH, Cohen MS, Shukla P, Cipolla J, Stawicki SP, Hoey BA. Traditional Autopsy Versus Computed Tomography Imaging Autopsy in Trauma: A Case of “Synergistic Disagreement.” Surgery. Jul 1, 2016; 160(1): 211-9. Madore F, Kube E, Stawicki SP, Bahner DP. Utility of Hand-Held Portable Ultrasound in a Rural Guatemalan Hospital. International Journal of Academic Medicine. Aug 1, 2016; 2(3): 14. Montoya J, Stawicki SP, Evans DC, Bahner DP, Sparks S, Sharpe RP, Cipolla J. From Fast to E-fast: An Overview of the Evolution of Ultrasound-Based Traumatic Injury Assessment. European Journal of Trauma and Emergency Surgery. Apr 1, 2016; 42(2): 119-26. Stawicki SP, Deb L. Bronchial Nasoenteric Tube Misplacement: Effective Prevention, Prompt Recognition, and Patient Safety Considerations. International Journal of Critical Illness and Injury Science. Jul 2016; 6(3): 156. Stawicki SP, Shiroff AM, Hayden GE, Panebianco NL, Kirkpatrick JN, Horan AD, Gracias VH, Dean AJ. Incidental Findings on Intensivist Bedside Ultrasonographic Examinations: Why Should We Care? International Journal of Academic Medicine. Aug 1, 2016; 2(3): 18. Valente SA, Tendulkar RD, Cherian S, O’Rourke C, Greif JM, Bailey L, Uhl V, Bethke KP, Donnelly ED, Rudolph R, Pederson A. TARGIT-R (Retrospective): North American Experience with Intraoperative Radiation Using LowKilovoltage X-rays for Breast Cancer. Annals of Surgical Oncology. May 9, 2016; 23(9): 2809-2815. Wydo SM, Seamon MJ, Melanson SW, Thomas P, Bahner DP, Stawicki SP. Portable Ultrasound in Disaster Triage: A Focused Review. European Journal of Trauma and Emergency Surgery. Apr 1, 2016; 42(2): 151-9.

Surgery St. Luke’s University Health Network has significantly expanded its faculties and therefore the breadth of clinical expertise in recent years. Led by Chairman of Surgery Marc Granson, MD, surgeons from respected institutions throughout the country have been recruited to St. Luke’s University Health Network. Equipped with leading-edge technology, St. Luke’s surgeons continuously bring advanced procedures to residents of the Lehigh Valley and surrounding areas. For example, St. Luke’s University Hospital – Bethlehem is home to the Discovery IGS 730 Hybrid OR from GE Healthcare. The first hospital in the United States to offer this technology, the interventional suite essentially brings a radiology laboratory into the operating room. An international show site for GE Medical Systems, physicians from all over the world visit St. Luke’s to observe procedures being performed there.

The state-of-the-art facilities’ advanced procedures include transcatheter aortic valve replacements (TAVR). In 2014, cardiac surgeons and interventional cardiologists at St. Luke’s University Hospital – Bethlehem were the first in the region, and among the first group of hospitals in the country, to implant a smaller and more refined secondgeneration transcatheter aortic valve. Under Dr. Granson’s direction, surgeons perform a broad variety of surgeries. In 2015, Joseph Lennert, MD, FACS, was the first physician in northeast Pennsylvania to surgically implant the Urolift® System, the first permanent implant to treat symptoms of benign prostate enlargement in men. While relieving symptoms, including blocked urine flow, the UroLift® System is designed to relieve symptoms caused by an enlarged prostate, while preserving sexual function, according to Dr. Lennert.

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HONORS AND AWARDS In 2012, St. Luke’s Allentown Campus and gynecologic surgeons Michael Patriarco, DO, St. Luke’s Director of Minimally Invasive GYN Surgery; Tirun Gopal, MD; Sheldon Linn, MD; and David Hanes, MD, were awarded the Center of Excellence designation in Minimally Invasive Gynecology ™ (COEMIG). SURGICAL EDUCATION Surgical education is a priority for St. Luke’s University Health Network, which offers residencies in general surgery and orthopedic surgery. The General Surgery Residency provides access to a large number of diverse cases. The bulk of residents’ time is spent in the operating room. Under the watchful eye of experienced faculty members, surgical residents are encouraged to make patient-care decisions. Many of the general surgery residents go on to prestigious fellowships. Fourth-year general surgery residents may opt to complete a rotation through our International Surgical Studies Program – a partnership between St. Luke’s University Hospital’s Division of Trauma and Acute Care Surgery (ACS) and the Mbingo Baptist Hospital in Cameroon, Africa. The St. Luke’s University Health Network Orthopaedic Surgery Residency is a rigorous, five-year training program that prepares residents to be leaders in the orthopedic community. Upon completion of this program, residents will have the knowledge and skills necessary to compete for the best fellowships available in their area of interest. The St. Luke’s Trauma Fellowship offers both a two-year surgical critical care fellowship for emergency medicine graduates and a one-year fellowship for graduates of general surgery programs. In 2012, the fellowship was awarded ACGME (Accreditation Council for Graduate Medical Education) accreditation, and was approved by the American Board of Surgery to include surgical critical care into our curriculum and training. We are one of the first institutions to offer a two-year track for a surgical critical care fellowship for Emergency Medicine Residency graduates approved by the American Board of Surgery.

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ST LUKE’S UNIVERSITY HOSPITAL ADULT LEVEL I TRAUMA CENTER The St. Luke’s University Hospital Adult Level I Trauma Center has done much more than provide state-of-theart care of the injured from all corners of Lehigh Valley, eastern Pennsylvania and western New Jersey. Our Level I Trauma Center is among the top five percent of trauma centers in Pennsylvania and has undergone two consecutive accreditation cycles with no citations. Under the leadership of William S. Hoff, MD, FACS, Chief, Division of Trauma & Acute Care Surgery; Peter Thomas, DO, FACOG, Trauma Program Medical Director; and James Cipolla, MD, FACS, Section Head, Surgical Critical Care, the program has trained experts in trauma and surgical critical care for nearly a decade. This, combined with the establishment of the Medical School of Temple University/St. Luke’s University Health Network, has positioned the Center as a leader in trauma medical education. In addition, the Division of Trauma & Acute Care Surgery is among the research leaders of the St. Luke’s University Health Network, with clinical research being at the forefront of its mission. Our physicians and staff are actively involved in research and scholarly activities. They participate in high-profile national clinical trials, present original contributions at major national meetings, and publish work in notable, peer-reviewed scientific journals. More recently, the Division of Trauma & Acute Care Surgery has seen tremendous growth in volume and acuity of general surgery cases performed by its surgeons. This mission complements greatly the efforts of Brian A. Hoey, MD, FACS, Director, General Surgery Residency, by fostering a synergistic relationship between clinical practice, medical education and research. BARIATRIC SURGERY The St. Luke’s Weight Loss Center is accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program and is a center of quality and excellence. The comprehensive center includes bariatric surgeons, a bariatrician, social workers, dieticians, physician assistants, nurses and a coordinator. Under the direction of Leonardo Claros, MD, and Maher El Chaar, MD, the center performs approximately 500 cases a year including gastric bypass surgery, sleeve gastrectomy, gastric banding and revisional surgery.

Dr. Claros, Section Chief and Medical Director, St. Luke’s Bariatric Surgery Program, St. Luke’s University Health Network, performed the first robotic bariatric Roux-en-Y gastric bypass procedure using the daVinci® Surgical System at St. Luke’s University Hospital in May 2012. Assisting him was Dr. El Chaar, Co-medical Director. Drs. Claros and El Chaar are both fellowship-trained in bariatric surgery. Also in 2012, Dr. El Chaar, assisted by Dr. Claros, performed the first Natural Orifice Surgery (NOTES) in the Lehigh Valley. In 2016, St. Luke’s University Health Network’s Bariatric Surgery Program earned the right to create a fellowship in its surgical weight loss program. St. Luke’s fellowship program request recently was approved by the Fellowship Council. Additionally, the Foundation for Surgical Fellowships, an organization that provides funding for graduate medical training, has approved a grant for $20,000 to cover associated costs with the program. Dr. El Chaar will serve as the fellowship Director and Dr. Claros will be the Co-fellowship Director. Dr. El Chaar will report quarterly to the fellowship council and hopes the new grant will rapidly grow to include two more fellowship positions in the near future. St. Luke’s is the region’s only health network to have a bariatric fellowship program. AWARDS In 2016, the New Direction Program at St. Luke’s Weight Management Center earned an Outstanding Achievement Award at the Robard Corp.’s 2016 New Direction Conference in Memphis. Sagar V. Mehta, MD, Director of Bariatric Medicine, leads the New Direction Program at St. Luke’s.

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Centers of Excellence: • Optum (United Health Care) Bariatric Centers of Excellence Network • Aetna Institute of Quality in Bariatric Surgery • Cigna 3 Star Quality Bariatric Surgery Center • Blue Distinction + Center for Bariatric Surgery • MBSAQIP (Metabolic and Bariatric Surgery Accreditation Quality Improvement Program) Accredited Center – Comprehensive THORACIC SURGERY The Division of Thoracic Surgery is staffed by two board-certified cardiothoracic surgeons, William Burfeind, MD, and Matthew Puc, MD, who focus solely on general thoracic surgery. Their practice is heavily weighted toward thoracic cancers such as lung, esophagus, thymus, and chest wall, and a multidisciplinary team evaluates all patients. Performing more than 550 thoracic surgical procedures per year, the surgeons submit all their operative data to the Society of Thoracic Surgeons General Thoracic Surgery Database and have their outcomes benchmarked to the most prestigious centers in the United States. The practice is committed to continually developing expertise in minimally invasive surgery and performs more than 96 percent of their early-stage lung cancer operations thoracoscopically. The Lung Cancer Multidisciplinary Team ensures that all patients eligible for a clinical trial are offered enrollment. APPOINTMENTS William R. Burfeind Jr., MD • Associate Clinical Professor of Surgery, Temple School of Medicine • Society of Thoracic Surgery Taskforce memberships (General Thoracic Surgery Database, Access and Publication, Quality Initiatives, Public Reporting). Matthew M. Puc, MD • Assistant Clinical Professor of Surgery, Temple School of Medicine.

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NEUROSURGERY SLUHN is participating in the Sunburst™ (Success Using Neuromodulation with Burst) clinical study to test the effectiveness of the Prodigy™ neurostimulator, which delivers closely spaced pulses of electrical energy to a patient’s spinal cord to manage chronic pain. St. Jude Medical, Inc., a global medical device company, selected St. Luke’s as one of only 20 hospitals in the country to participate in the study. Steven Falowski, MD, was named as one of the investigators. He works closely with Scott Loev, DO, Director of Pain Medicine at St. Luke’s Spine and Pain Associates. Dr. Falowski also serves on the board of directors for the North American Neuromodulation Society, the largest society dealing with spinal cord stimulation and neuromodulative procedures. St. Luke’s Brain & Spine Tumor Center provides the region’s only patient-centered multidisciplinary clinic for primary and metastatic diseases of the brain and spine. Under the direction of Hugh Moulding, MD, PhD, Chief of Neurosurgery, patients consult with a team of doctors from neurosurgery, radiation therapy and medical oncology. This multi-disciplinary group is involved in several national multi-center clinical trials. In 2015, the center upgraded its Stereotactic RadioSurgery system to a ‘frameless’ format, obviating the need for a rigid headframe to be affixed to the patient during focused, non-invasive radiation treatments – the only center in the region to offer this innovation. The RadioSurgical team has been very proactive in adopting such new technologies while improving the techniques used to treat such patients, and is presenting part of this work at the upcoming International Stereotactic RadioSurgery conference in Yokohama, Japan. St. Luke’s Neurosurgical Associates is the only regional neurosurgical practice enrolled in the National Neurosurgery Quality Outcomes Database (N2QOD). National surgical outcomes data are collected for patients undergoing cervical and lumbar surgeries to better understand their impact on quality of life and daily function. Don Zhang, MD, FRCSC, and Doron Rabin, MD, FRCSC, neurosurgeons with special interest in complex spine surgery, routinely review these data and compare local and national outcomes. This information is used to guide and track initiatives that aim to improve the quality of inpatient and outpatient care for neurosurgical spine patients at St. Luke’s University Health Network.

Equipped with leading-edge technology, St. Luke’s surgeons continuously bring advanced procedures to residents of the Lehigh Valley and surrounding areas.

PUBLICATIONS Anderson HL, Arquilla B, Firstenberg MS, Garg M, Galwankar SC, Gracias VH, Hansoti B, Jeanmonod D, Jeanmonod R, Moffatt-Bruce SD, Nanda S. Mission Statement for the American College of Academic International Medicine: Empowering Individuals, Nurturing Wellness, Promoting Excellence, Stimulating Minds, Striving for Sustainability, and Celebrating Inclusion. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 121. Anderson HL, Arquilla B, Firstenberg MS, Garg M, Galwankar SC, Gracias VH, Hansoti B, Jeanmonod D, Jeanmonod R, Moffatt-Bruce SD, Nanda S. Mission Statement of the American College of Academic International Medicine. International Journal of Critical Illness and Injury Science. Jan 2017; 7(1): 3. Birriel TJ, El Chaar, M. Laparoscopic Revision of Chronic Marginal Ulcer and Bilateral Truncal Vagotomy. Surgery for Obesity and Related Diseases. 2016; 12(2): 443-444. DeMaria EJ, El Chaar M, Rogers AM, Eisenberg D, Kallies KJ, Kothari SN. American Society for Metabolic and Bariatric Surgery Position Statement on Accreditation of Bariatric Surgery Centers Endorsed by the Society of American Gastrointestinal and Endoscopic Surgeons. Surgery for Obesity and Related Diseases. 2016; 12(5): 946-954. Eiferman DS, Davido HT, Howard JM, Gerckens J, Evans DC, Cook CH, Stawicki SP. Two Methods of Hemodynamic and Volume Status Assessment in critically Ill Patients: A Study of Disagreement. Journal of Intensive Care Medicine. Feb 2016; 31(2): 113-7. El Chaar M, Stoltzfus J, Claros L, Wasylik T. IV Acetaminophen Results in Lower Hospital Costs and Emergency Room Visits Following Bariatric Surgery: A Double-Blind, Prospective, Randomized trial in a Single Accredited Bariatric Center. Journal of Gastrointestinal Surgery. 2016; 20(4): 715-724. Evans DC, Forbes R, Jones C, Cotterman R, Njoku C, Thongrong C, Tulman D, Bergese SD, Thomas S, Papadimos TJ, Stawicki SP. Continuous Versus Bolus Tube Feeds: Does the Modality Affect Glycemic Variability, Tube Feeding Volume, Caloric Intake, or Insulin Utilization? International Journal of Critical Illness and Injury Science. Jan 2016; 6(1): 9. Fernandez FG, Kosinski AS, Burfeind W, Park B, DeCamp MM, Seder C, Marshall B, Magee MJ, Wright CD, Kozower BD. The Society of Thoracic Surgeons Lung Cancer Resection Risk Model: Higher quality data and Superior Outcomes. Annals of Thoracic Surgery. Aug 2016; 102(2): 370-7. Gaissert HA, Fernandez FG, Allen MS, Burfeind WR, Block MI, Donahue JM, Mitchell JD, Schipper PH, Onaitis MW, Kosinski AS, Jacobs JP, Shahian DM, Kozower BD, Edwards FH, Conrad EA, Patterson GA. The Society of Thoracic Surgeons General Thoracic Surgery Database: 2016 Update on Research. Annals of Thoracic Surgery. Nov 2016; 102(5): 1444-145. Gerlach AT, Blais DM, Jones GM, Burcham PK, Stawicki SP, Cook CH, Murphy CV. Predictors of Dexmedetomidine-Associated Hypotension in Critically Ill Patients. International Journal of Critical Illness and Injury Science. Jul 2016; 6(3): 109. Hon HH, Elmously A, Stehly CD, Stoltzfus JC, Granson MA, Stawicki SP, Hoey BA. Inappropriate Preinjury Warfarin Use in Trauma Patients: A Call for a Safety Initiative. Journal of Postgraduate Medicine. Apr 2016; 62(2): 73.

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Hon HH, Mubang RN, Wernick BD, Freedman SF, Stoltzfus JC, Miele LF, Stawicki SP, Morrissey Jr WM. Acellular Dermal Matrix Versus Inferior Deepithelialized Flap Breast Reconstruction: Equivalent Outcomes, with Increased Cost. Plastic and Reconstructive Surgery Global Open. Jul 2017; 5(6): 1382.

Sikka V, Chattu VK, Popli RK, Galwankar SC, Kelkar D, Sawicki SG, Stawicki SP, Papadimos TJ. The Emergence of Zika Virus as a Global Health Security Threat: A Review and a Consensus Statement of the INDUSEM Joint Working Group (JWG). Journal of Global Infectious Diseases. Jan 2016; 8(1): 3.

Hon HH, Wojda TR, Barry N, MacBean U, Anagnostakos JP, Evans DC, Thomas PG, Stawicki SP. Injury and Fatality Risks interomedical Transport: Focus on Prevention. Journal of Surgical Research. Aug 1, 2016; 204(2): 297-303.

Sikka V, Gautam V, Galwankar S, Guleria R, Stawicki SP, Paladino L, Chauhan V, Menon G, Shah V, Srivastava RP, Rana BK. The 2017 International Joint Working Group White Paper by INDUSEM, The Emergency Medicine Association and The Academic College of Emergency Experts on Establishing Standardized Regulations, Operational Mechanisms, and Accreditation Pathways for Education and Care Provided by the Prehospital Emergency Medical Service Systems in India. Journal of Emergencies, Trauma, and Shock. Jul 2017; 10(3): 154.

Louie BE, Wilson JL, Kim S, Cerfolio RJ, Park BJ, Farivar AS, Vallières E, Aye RW, Burfeind WR Jr, Block MI. Comparison of Video-Assisted Thoracoscopic Surgery and Robotic Approaches for Clinical Stage I and Stage II Non-Small Cell Lung Cancer Using the Society of Thoracic Surgeons Database. Annals of Thoracic Surgery. May 18, 2016; 102(3): 917-924. doi: 10.1016/j. athoracsur.2016.03.032. Montoya J, Stawicki SP, Evans DC, Bahner DP, Sparks S, Sharpe RP, Cipolla J. From FAST to E-FAST: An Overview of the Evolution of Ultrasound-based traumatic injury assessment. European Journal of Trauma and Emergency Surgery. Apr 1, 2016; 42(2): 119-26. Mubang RN, Terzian WH, Cipolla J, Keeney S, Lukaszczyk JJ, Stawicki SP. Acute Myocardial Infarction Following Right Coronary Artery Dissection Due to Blunt Trauma. Heart Views. Jan 2016; 17(1): 35. Papasavas P, El Chaar M, Kothari SN. American Society for Metabolic and Bariatric Surgery Position Statement on Vagal Blocking Therapy for Obesity. Surgery for Obesity and Related Diseases. 2016; 12(3): 460-461. Sakran JV, Mylonas KS, Gryparis A, Stawicki SP, Burns CJ, Matar MM, Economopoulos KP. Operation Versus Antibiotics––The “Appendicitis Conundrum” Continues: A Meta-Analysis. Journal of Trauma and Acute Care Surgery. Jun 1, 2017; 82(6): 1129-37. Sawyer RG, Claridge JA, Nathens AB, Rotstein OD, Duane TM, Evans HL, Cook CH, O’Neill PJ, Mazuski JE, Askari R, Wilson MA. [Stawicki SP – Collaborator]. Trial of Short-Course Antimicrobial Therapy for Intraabdominal Infection. New England Journal of Medicine. May 21, 2015; 372(21): 1996-2005.

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Stawicki SP, Deb L. Bronchial Nasoenteric Tube Misplacement: Effective Prevention, Prompt Recognition, and Patient Safety Considerations. International Journal of Critical Illness and Injury Science. Jul 2016; 6(3): 156. Stawicki SP, Papadimos TJ, Bahner DP, Evans DC, Jones C. Correlations Between Pulmonary Artery Pressures and Inferior Vena Cava Collapsibility in Critically Ill Surgical Patients: An Exploratory Study. International Journal of Critical Illness and Injury Science. Oct 2016; 6(4): 194. Styskel B, Wernick B, Mubang RN, Falowski SM, Papadimos TJ, Stawicki SP. Retained Surgical Items: Building on Cumulative Experience. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 5. Wernick B, Cipriano A, Odom SR, MacBean U, Mubang RN, Wojda TR, Liu S, Serres S, Evans DC, Thomas PG, Cook CH. Temporal Changes in Hematologic Markers After Splenectomy, Splenic Embolization, and Observation for Trauma. European Journal of Trauma and Emergency Surgery. Jun 1, 2017; 43(3): 399-409. Wernick B, Jansen M, Noria S, Stawicki SP, El Chaar M. Essential Bariatric Emergencies for the Acute Care Surgeon. European Journal of Trauma and Emergency Surgery. Oct 1, 2016; 42(5): 571-84.

Wernick B, Wojda TR, Wallner A, Yanagawa F, Firstenberg MS, Papadimos TJ, Stawicki SP. Brain Drain in Academic Medicine: Dealing with Personnel Departures and Loss of Talent. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 68. Wojda TR, Stawicki SP, Yandle KP, Bleil M, Axelband J, Wilde-Onia R, Thomas PG, Cipolla J, Hoff WS, Shultz J. Keys to Successful Organ Procurement: An Experience-Based Review of Clinical Practices at a High-performing Healthcare Organization. International Journal of Critical Illness and Injury Science. Apr 2017; 7(2): 91. Wydo SM, Seamon MJ, Melanson SW, Thomas P, Bahner DP, Stawicki SP. Portable Ultrasound in Disaster Triage: A Focused Review. European Journal of Trauma and Emergency Surgery. Apr 1, 2016; 42(2): 151-9. BOOK CHAPTERS Cohen MS, Paul E, Nuschke JD, Tolentino JC, Mendez AV, Mira AE, Baxter RA, Stawicki SP. Patient Frailty: Key Considerations, Definitions and Practical Implications. In: Challenges in Elder Care. InTech; 2016. PRESENTATIONS Birriel TJ, El Chaar M. Laparoscopic Revision of Chronic Marginal Ulcer and Bilateral Truncal Vagotomy. Video Case Presentation. Annual Obesity Week. Nov 2015; Los Angeles, CA. Butryn T, Cornejo K, Wojda T, Papadimos T, Gerlach A, Deb L, Sethi A, Kramer C, Stawicki SP. Keys to success in clinical trials: A practical review. Poster Presentation. 25th Annual Conference for The Society of Clinical Research Associates (SoCRA). Sep 2016; Montreal, Canada.

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Ferguson NT, Warden BA, Thomas JL, Stawicki SP. Prealbumin Levels in Critically Ill Patients Correlate with CT-Derived Psoas Muscle Characteristics. Podium Presentation. 12th Academic Surgical Congress. Feb 2017; Las Vegas, NV. Habeeb K, Wojda TR, Hasani AZ, Nuschke JD, Khang ZK, Hoey BA, Hoff WS, Thomas P, Stawicki SP. Computed Tomography in Trauma: Effect of Provider Experience and Training Level on Patterns of Use. Podium Presentation. 12th Academic Surgical Congress. Feb 2017; Las Vegas, NV. Jordan A, Salen P, Wojda TR, Cohen M, Hasani A, Luster J, Stankewicz H, Stawicki SP. Acute Alcohol Intoxication Strongly Correlates with Polysubstance Abuse in Trauma Patients. Podium Presentation.12th Academic Surgical Congress. Feb 2017; Las Vegas, NV. Mubang RN, Wojda TR, Nuschke JD, Hoff WS, Hoey B, Thomas P, Falowski S, Stawicki SP. Prognostication of Traumatic Brain Injury Outcomes in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Cranial Ct Findings. Podium Presentation. Resident Surgical Forum, Clinical Congress of the American College of Surgeons. Oct 2016; Washington, DC.

Terzian WTH, Wojda TR, Thomas PG, Hoff WS, Szoke AM, Stawicki SP. Admission Vital Signs of the Aging Trauma Population: Are Old Stereotypes Dangerous? ePoster Presentation. 2017 Annual Scientific Meeting of the Southeastern Surgical Congress. Feb 2017; Nashville, TN. Tolentino JC, Harris R, Mazza A, Foltz D, Stoltzfus JC, Deringer P, Sabol DM, Sakran JV, Papadimos TJ, Stawicki SP. Polypharmacy-Comorbidity Score is an Independent Predictor of Hospital Mortality and Readmissions for Medical-Surgical Patients Across All Age Groups. Podium Presentation. Resident Surgical Forum; Clinical Congress of the American College of Surgeons. Oct 2016; Washington, DC. Turner AD, Stawicki SP, Guo WA. Competitive Advantage of MBA for Physician-Executives: A Systematic Literature Review. Podium Presentation. 12th Academic Surgical Congress. Feb 2017; Las Vegas, NV.

ST. LUKE’S TRAINEES HAVE IMPRESSIVE SHOWING AT THE 2016 ACADEMIC SURGICAL CONGRESS Three St. Luke’s residents and one Temple medical student presented papers at the Academic Surgical Congress (ASC), a joint meeting of the two leading associations for academic surgery — the Association for Academic Surgery (AAS) and the Society of University Surgeons (SUS). Together, the AAS and SUS boast more than 5,000 members from leading institutions nationwide. The 11th Annual Academic Surgical Congress (ASC) was held February 2-4, 2016, at the Hyatt Regency Jacksonville Riverfront in Jacksonville, Florida. Hundreds of academic surgeons from a breadth of subspecialties participated. Medical students, residents and young surgeons were acknowledged for their thought-provoking work and established surgical leaders presented keynote addresses. “This is only the second time our students have presented at ASC, and in only one year we have more than doubled the number of papers presented at one of the most prestigious academic surgical meetings,” notes Brian Hoey, MD, program director, St. Luke’s University General Surgery Residency. “This impressive showing demonstrates St. Luke’s commitment to research and medical education, as well as the outstanding leadership provided by Stanislaw Stawicki, MD, SLUHN Chair of Research and Innovation. Students presenting at this year’s conference and their topics were: • Maggie Lin, MD, general surgery resident (PGY 4) along with the SLUHN Vascular Surgery team, presented “Temporal Variability of Mortality & Readmission Determinants in Peripheral Vascular Surgery Patients.” This project also involved Temple medical student Eric Pletcher. • Another Vascular Surgery project presented by Dr. Lin was titled, “ComorbidityPolypharmacy Score Predicts Morbidity, Infections after Lower Extremity Bypass.” This project also involved Temple medical student Eric Pletcher. • Dr. Lin also presented a truly unique project titled, “Traditional Autopsy Versus CT-Imaging Autopsy in Trauma: A Case of ‘Synergistic Disagreement.’” This project also involved a recent Temple graduate, Dr. Marissa S. Cohen (now one of our SLUHN Emergency Medicine residents) and faculty members from St. Luke’s Level I Trauma Center and the Department of Radiology. • Heidi Hon, MD, general surgery resident (PGY3) along with our Level I Trauma Team presented “Identifying Injury and Fatality Risks in Aeromedical Transport: Making it Safer for the Life-Savers.” This project also involved Temple medical student, J.P. Anagnostakos. • Dr. Hon, under the direction of Dr. Morrissey (SLUHN Plastic Surgery) presented a project titled, “A comparative study: Acellular Dermis vs. Inferior De-Epithelized Flap in Breast Reconstruction.” • Brett Styskel, Temple medical student along with the SLUHN patient safety team presented “Natural History of Retained Surgical Items: Building on Cumulative Experience.” • Anthony Cipriano, MD, general surgery resident (PGY 2) along with the SLUHN Level I Trauma Center team presented “Comparison of Platelet & RBC Indices after Splenectomy, Embolization, & Observation in Trauma. This project also involved one of our Temple medical students, Suzie Liu.

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Traumatology, Surgical Critical Care & Acute Care Surgery The St. Luke’s University Network Trauma Program is committed to providing exceptional patient care to those requiring injury and emergency surgical expertise, offering outstanding education, conducting leading-edge research, and sharing its experience with others – regionally, nationally and internationally. In 2016, St. Luke’s Quakertown Campus earned trauma center status, bringing the total number of accredited Trauma Centers within St. Luke’s University Health Network to three. The Pennsylvania Trauma Systems Foundation (PTSF) Board of Directors approved St. Luke’s Quakertown Campus as a fully accredited Level IV Trauma Center in Pennsylvania effective November 1, 2016. St. Luke’s Miners Campus in Coaldale is also a fully accredited Level IV Trauma Center. Accreditation as a Level IV trauma center assures the public that hospital’s Emergency Department physicians and staff are well equipped to evaluate and treat trauma patients and rapidly transfer those patients requiring a higher-level of trauma care. St. Luke’s University Hospital – Bethlehem is accredited as an Adult Level I Trauma Center. It provides state-ofthe art care to patients throughout the Lehigh Valley area, eastern Pennsylvania and western New Jersey. The Trauma Center has completed two consecutive accreditation cycles with no citations. This is a very unique achievement that very few top trauma centers can claim. The St. Luke’s Division of Trauma & Acute Care Surgery has trained experts in critical care for nearly a decade. It is led by William S. Hoff, MD, FACS, Division Chief; Peter Thomas, DO, FACOG, Trauma Program Medical Director; and James Cipolla, MD, FACS, Section Head, Surgical Critical Care and Director of the Surgical Critical Care Fellowship. This effort, combined with the establishment of the Medical School of Temple University/St. Luke’s University Health Network, established our Level I Trauma Center as a local leader in trauma and medical education.

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In addition, the Division of Trauma & Acute Care Surgery is among the research leaders of the St. Luke’s University Health Network, with clinical research being at the forefront of its mission. Trauma physicians and staff are actively involved in research and scholarly activities, participating in high-profile national clinical trials, presenting original contributions at regional and national meetings, and publishing in major scientific journals. More recently, the Division of Trauma & Acute Care Surgery has seen tremendous growth in the volume and acuity of general surgery cases performed by its surgeons. This clinical mission greatly complements the efforts of Brian A. Hoey, MD, FACS, Director, General Surgery Residency, by fostering a synergistic relationship between clinical practice, medical education and growing research footprint. HONORS AND AWARDS St. Luke’s Trauma, Critical Care and Acute Care surgeon James Cipolla, MD, FACS, was named the Chief of Surgery for St. Luke’s Hospital – Miners Campus, Coaldale, PA. St. Luke’s University Hospital – Bethlehem emergency physician John Prestosh, DO, FACOEP, was named as the 20th president of the American College of Osteopathic Emergency Physicians (ACOEP) during its annual Scientific Assembly. St. Luke’s Trauma, Critical Care and Acute Care surgeon Stanislaw P. Stawicki, MD, MBA, FACS, became a member of both the Society of University Surgeons (SUS) and the American Association for the Surgery of Trauma (AAST).

The St. Luke’s Division of Trauma & Acute Care Surgery has trained experts in critical care for nearly a decade.

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Evans D, Firstenberg M, Galwankar S, Moffatt-Bruce S, Nanda S, O’Mara M, Papadimos T, Stawicki S. What’s New in Academic Medicine? Celebrating the DecadeLong Journey from OPUS 12 Scientist to International Journal of Academic Medicine. International Journal of Academic Medicine. Aug 1, 2016; 2(3): 1-6. Galwankar SC, Swaroop M, Bhoi S, Jeanmonod R, Jeanmonod D, Firstenberg MS, Garg M, Paladino L, Anderson HL, Arquilla B, Stawicki SP. 2016. The 11th Annual INDO-US World Congress of Academic Emergency Medicine, Synergizing Science to Sustain Systems: A Level One International Meeting, All India Institute of Medical Sciences, New Delhi, India. Sep 30 to Oct 4, 2015; International Journal of Academic Medicine. 2016; 2(3): 72.

Jaik NP, Hoey BA, Cipolla J, Risher WH, Stawicki SP. Simultaneous Aortic and Diaphragmatic Injury Following Blunt Trauma. International Journal of Academic Medicine. May 1, 2017;3(3): 166. Jeanmonod R, Stawicki SP, Bahner DP, Zago M. Advancing Clinician-Performed Sonography in the Twenty-First Century: Building on the Rich Legacy of the Twentieth Century Pioneers. European Journal of Trauma and Emergency Surgery. Apr 2016; 42(2); 115-118.

Gerlach AT, Blais DM, Jones GM, Burcham PK, Stawicki SP, Cook CH, Murphy CV. Predictors of Dexmedetomidine-associated Hypotension in Critically Ill Patients. International Journal of Critical Illness and Injury Science. Jul 2016; 6(3): 109.

Kancherla VK, Heckman DS, Carolan GF. Luxatio Erecta Humeri in the Swimmer’s Shoulder: A Combination of Ligamentous Laxity and Motion Dyskinesis. Journal of Emergencies, Trauma, and Shock. Jan-Mar 2016; 9(1); 39. doi: 10.4103/0974-2700.167665.

Gifford A, Gayner RS, Stawicki SP, Lukaszczyk JJ. Peritoneal Dialysis Catheter Kinking: Description of Laparoscopic Management and a Synopsis of Related Complications. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 262.

Lin MJ, Sharpe RP, Stawicki SP, Longo S, Stoll L. Primary Intramural Fibromatosis of the Small Bowel: An Uncommon Cause of Intestinal Obstruction. International Journal of Academic Medicine. Oct 2016; 3(2): 280-284

Hon H, Barry N, MacBean U, Anagnostakos JP, Wojda T, Evans D, Jones C, Portner M, Hoey B, Hoff W, Thomas P, Stawicki S. Identifying Injury and Fatality Risks in Aeromedical Transport: Making it Safer for the Life-savers. Journal of Surgical Research. 2016; 204(2): 297-303.

Lin MJ, Baky F, Housley BC, Kelly N, Pletcher E, Balshi JD, Stawicki SP, Evans DC. Temporal Variability of Readmission Determinants in Postoperative Vascular Surgery Patients. Journal of Postgraduate Medicine. Oct 2016; 62(4): 216.

Hon H, Mubang R, Wernick B, Corrdera C, Stoltzfus J, Stawicki S, Morrissey M. A Comparative Study: Acellular Dermis vs. Inferior De-epithelized Flap in Breast Reconstruction. Plastic and Reconstructive Surgery Global Open. 2017; 5(6): 1-7. Hon HH, Elmously A, Stehly CD, Stoltzfus JC, Granson MA, Stawicki SP, Hoey BA. Inappropriate Preinjury Warfarin Use in Trauma Patients: A Call for a Safety Initiative. Journal of Postgraduate Medicine. Apr 2016; 62(2): 73.

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Hon HH, Wojda TR, Barry N, MacBean U, Anagnostakos JP, Evans DC, Thomas PG, Stawicki SP. Injury and Fatality Risks in Aeromedical Transport: Focus on Prevention. Journal of Surgical Research. Aug 31, 2016; 204(2): 297-303.

Lin MJ, Barry N, Akusoba I, Hon HH, Cohen MS, Shukla P, Cipolla J, Stawicki SP, Hoey BA. Traditional Autopsy Versus Computed Tomography Imaging Autopsy in Trauma: A Case of “Synergistic Disagreement.” Surgery. Jul 31, 2016; 160(1): 211-9. Louie BE, Wilson JL, Kim S, Cerfolio RJ, Park BJ, Farivar AS, Vallières E, Aye RW, Burfeind WR, Block MI. Comparison of Video-assisted Thoracoscopic Surgery and Robotic Approaches for Clinical Stage I and Stage II Non-small Cell Lung Cancer Using the Society of Thoracic Surgeons Database. The Annals of Thoracic Surgery. 2016 Sep 30; 102(3): 917-24.

McCann SD, Nomura JT, Terzian WH, Breyer MJ, Davis BJ. Importance of the Emergency Medicine Application Components: The Medical Student Perception. The Journal of Emergency Medicine. Mar 31, 2016; 50(3): 466-70. Mubang RN, Terzian WH, Cipolla J, Keeney S, Lukaszczyk JJ, Stawicki SP. Acute Myocardial Infarction Following Right Coronary Artery Dissection Due to Blunt Trauma. Heart Views. Jan 2016; 17(1): 35. Otey AJ, Houser JS, Jones C, Evans DC, Dalal PP, Whitmill ML, Levine EJ, McKimmie RL, Papadimos TJ, Steinberg SM, Bergese SD. Republication: Examination of Financial Charges Associated with Intentional Foreign Body Ingestions by Prisoners: A Pattern of Escalation. International Journal of Academic Medicine. Aug 1, 2016; 2(3): 6. Ranjan A, Kumar R, Sinha A, Nanda S, Dave KA, Collette MD, Papadimos TJ, Stawicki SP. Competing for Impact and Prestige: Deciphering the “Alphabet Soup” of Academic Publications and Faculty Productivity Metrics. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 187. Sikka V, Chattu VK, Popli RK, Galwankar SC, Kelkar D, Sawicki SG, Stawicki SP, Papadimos TJ. The Emergence of Zika Virus as a Global Health Security Threat: A Review and a Consensus Statement of the INDUSEM Joint Working Group (JWG). Journal of Global Infectious Diseases. Jan 2016; 8(1): 3. Stawicki SP, Deb L. Bronchial Nasoenteric Tube Misplacement: Effective Prevention, Prompt Recognition, and Patient Safety Considerations. International Journal of Critical Illness and Injury Science. Jul 2016; 6(3): 156. Stawicki SP, Papadimos TJ, Bahner DP, Evans DC, Jones C. Correlations Between Pulmonary Artery Pressures and Inferior Vena Cava Collapsibility in Critically Ill Surgical Patients: An Exploratory Study. International Journal of Critical Illness and Injury Science. Oct 2016; 6(4): 194.

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Stawicki SP, Sarani B, Braslow BM. Reexpansion Pulmonary Edema. International Journal of Academic Medicine. May 1, 2017; 3(3): 59. Stawicki SP, Shiroff AM, Hayden GE, Panebianco NL, Kirkpatrick JN, Horan AD, Gracias VH, Dean AJ. Incidental Findings on Intensivist Bedside Ultrasonographic Examinations: Why Should We Care? International Journal of Academic Medicine. 2016; 2(3): 18-24. Styskel B, Wernick B, Mubang RN, Falowski SM, Papadimos TJ, Stawicki SP. Retained Surgical Items: Building on Cumulative Experience. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 5. Thomas W, Terzian H, Sun R, Hon HH, Jadeja P, Grant S. Surgery Comes of Age: The ACS and the Evolution of the Surgical Profession. Bulletin of the American College of Surgeons. Aug 2016; 101(7): 36.

Wojda T, Nuschke JD, Zhang K, Hasani A, Hoey B, Hoff W, Thomas P, Stawicki S. Do Provider-specific Computed Tomography Usage Patterns Correlate with Patient Outcomes in Trauma? International Journal of Academic Medicine. Jul 2016; 2(3): 79-95. Wojda TR, Cornejo K, Valenza PL, Carolan G, Sharpe RP, Mira AE, Galwankar SC, Stawicki SP. Medical Demographics in Sub-Saharan Africa: Does the Proportion of Elderly Patients in Accident and Emergency Units Mirror Life Expectancy Trends? Journal of Emergencies, Trauma, and Shock. Jul 2016; 9(3): 122.

Tolentino JC, Guo WA, Ricca RL, Vazquez D, Martins N, Sweeney J, Moalem J, Derrick EL, Sholevar F, Marchionni C, Wagner V. What’s New in Academic Medicine: Can We Effectively Address the Burnout Epidemic in Healthcare? International Journal of Academic Medicine. May 1, 2017; 3(3): 1

BOOK CHAPTERS

Tolentino JC, Harris R, Mazza A, Foltz DF, Stoltzfus JC, Deringer P, Sabol DM, Sakran JV, Papadimos TJ, Stawicki SP. Polypharmacy-comorbidity Score is an Independent Predictor of Hospital Mortality and Readmissions for Medical-surgical Patients Across All Age Groups. Journal of the American College of Surgeons. Oct 1, 2016; 223(4):S64-5.

Trate D, Hoey B, Stawicki SP. St. Luke’s Trainees Have Impressive Showing at the 2016 Academic Surgical Congress. St. Luke’s Provider News Network. Oct 2016 Bulletin. Valente SA, Tendulkar RD, Cherian S, O’Rourke C, Greif JM, Bailey L, Uhl V, Bethke KP, Donnelly ED, Rudolph R, Pederson A. TARGIT-R (Retrospective): North American Experience with Intraoperative Radiation Using Lowkilovoltage X-rays for Breast Cancer. Annals of Surgical Oncology. Sep 1, 2016; 23(9): 2809-15. Reilly WT, Bowers DJ, Eyvazzadeh DJ. Repair of Coloanal Anastomotic Dehiscence and Sinus Formation Using Intraluminal Application of Endo-SPONGE®. The American Surgeon. Jul 1, 2016; 82(7):E158.

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Cohen MS, Paul E, Nuschke JD, Tolentino JC, Mendez AV, Mira AE, Baxter RA, Stawicki SP. Patient Frailty: Key Considerations, Definitions and Practical Implications. In: Challenges in Elder Care. InTech, London, England. 2016.

PRESENTATIONS Butryn T, Cornejo K, Wojda T, Papadimos T, Gerlach A, Deb L, Sethi A, Kramer C, Stawicki SP. Keys to Success in Clinical Trials: A Practical Review. Poster Presentation. 25th Annual Conference for The Society of Clinical Research Associates (SoCRA); Sep 2016; Montreal, Canada. Cipriano A, MacBean U, Wernick B, Mubang R, Wojda T, Liu S . Bezner-Serres S, Evans D, Hoey B, Odom S, Thomas P, Cook S, Stawicki S. Comparison of Platelet & RBC Indices After Splenectomy, Embolization, & Observation in Trauma. 2016 Academic Surgical Congress; 59.01; Feb 2016; Jacksonville, FL. Mubang RN, Wojda TR, Nuschke JD, Hoff WS, Hoey B, Thomas P, Falowski S, Stawicki SP. Prognostication of Traumatic Brain Injury Outcomes in Older Trauma Patients: A Novel Risk Assessment Tool Based on Initial Cranial CT Findings. Podium Presentation. Resident Surgical Forum, the 2015 Clinical Congress of the American College of Surgeons. Oct 2016; Washington, DC. Tolentino JC, Harris R, Mazza A, Foltz D, Stoltzfus JC, Deringer P, Sabol DM, Sakran JV, Papadimos TJ, Stawicki SP. Polypharmacy-Comorbidity Score is an Independent Predictor of Hospital Mortality and Readmissions for Medical-Surgical Patients Across All Age Groups. Podium Presentation. Resident Surgical Forum, the 2015 Clinical Congress of the American College of Surgeons. Oct 2016; Washington, DC.

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Wound Care & Hyperbaric Medicine St. Luke’s University Health Network provides advanced diagnostics and treatment of non-healing wounds and ulcers. Specialty centers are located in Allentown, Bethlehem, Coaldale and Quakertown, Pennsylvania, and Phillipsburg, New Jersey. The multidisciplinary team of professionals includes general surgeons, traumatologists, plastic and vascular surgeons, podiatrists, infectious disease physicians, specially trained wound care nurses, certified wound ostomy continence nurses (CWOCN) and certified wound specialists (CWS). Under the direction of Steven R. Bowers, DO, Network Medical Director of Wound Care, the staff of the five St. Luke’s Wound Management Centers facilitates more than 14,000 patient visits per year, not including hyperbaric oxygen treatments. Available at four of the five locations, hyperbaric oxygen (HBO) therapy treats conditions including non-healing, complicated diabetic ulcers, lower extremity limb salvage, non-healing wounds due to radiation complications (STRN), radiation induced cystitis, proctitis and enteritis and dental/jaw complications associated with a history of radiation to the neck and jaw and chronic bone infections. St. Luke’s Wound Management Centers treat the entire spectrum of non-healing wounds and cutaneous manifestations of co-morbidities, such as chronic diabetes, scleroderma, pyoderma gangrenosum and systemic lupus erythematosus (SLE). We are also researching and pioneering new ways of treating wounds through close collaboration with the Clinical Trials Office. Because a nuanced understanding of the issues affecting a person’s ability to heal is so crucial to treating the wound itself, the doctors and nurses of the St. Luke’s Wound Management Centers coordinate with referring physicians and facilitate other clinical and non-clinical services to provide comprehensive patient care. In addition, our wound care team is actively involved in clinical trials, including novel pharmaceutical approaches to devastating conditions such as necrotizing fasciitis.

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PUBLICATIONS Fegley MW, Duarte-Chavez R, Stone LE, Nanda S. Classic Brown Recluse Spider Bite. International Journal of Academic Medicine. Jul 1, 2016; 2(2): 256. Gillier CM, Sparks JR, Kriner R, Anasti JN. A Randomized Controlled Trial of Abdominal Binders for the Management of Postoperative Pain and Distress After Cesarean Delivery. International Journal of Gynecology & Obstetrics. May 1, 2016; 133(2): 188-91. Hallock GG. The First Dorsal Metatarsal Artery Perforator Propeller Flap. Annals of Plastic Surgery. 2016 Jun 1; 76(6): 684-7. Lin A, Fegley M, Singh A, Nanda S. Gossypiboma: A Clinical Vignette and Summary of Radiologic Characteristics. International Journal of Academic Medicine. Jan 1, 2016; 2(1): 106. Oskin T, Quintana B, Hickerson W, Treadwell T, Brigido SA, Smith WB. The Complicated Diabetic Patient: The Team Approach to Perioperative Diabetic Foot and Ankle Complications. Foot & Ankle Specialist. Oct 2015; 8(5): 384-7. Stawicki SP, Cipolla J, Bria C. Comparison of Open Abdomens in Nontrauma and Trauma Patients: A Retrospective Study. International Journal of Academic Medicine. Aug 1, 2016; 2(3): 51.

St. Luke’s Wound Management Centers treat the entire spectrum of non-healing wounds and cutaneous manifestations of co-morbidities.

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Other Dentistry To improve dental health throughout the region, St. Luke’s University Health Network offers the Dental Health Initiative and our Dental Residency Program. The Dental Health Initiative provides care for children and adults at our dental health centers in Bethlehem and Easton. A program of the Bethlehem Partnership for a Healthy Community, the Dental Health Initiative is a collaborative effort dedicated to improving the quality of life and health of residents in Bethlehem and surrounding areas. The program includes two mobile dental vans, HealthStar I and HealthStar II, which are Winnebagos outfitted with dental chairs, X-ray and sterilization facilities and a patient waiting area. Working with school nurses, the vans offer comprehensive dental care for children ages 3 to 18 years and are staffed by dentists, dental hygienists and dental assistants.

Led by Mohammed O. Qahash, DDS, the St. Luke’s Dental Residency Program offers a comprehensive program, which is accredited by the Commission on Dental Accreditation (CODA). The St. Luke’s Dental Residency Program trains dentists to provide comprehensive primary care to all patients. The program serves a diverse patient population, including older adults and individuals with complex medical conditions and special needs. Clinical experiences include off-service rotations in anesthesiology, emergency medicine, family medicine and community health. Residents will acquire competency in the assessment and treatment of dental and facial trauma, dental emergencies, physical diagnosis and the treatment of office emergencies.

The Dental Health Initiative is a collaborative effort dedicated to improving the quality of life and health of residents in Bethlehem and surrounding areas.

HONORS & AWARDS St. Luke’s University Health Network was awarded a payment from Gateway Health’s Pay-for-Performance program, Gateway to Excellence, for the Network’s dental care performance. The award recognized primary care providers whose annual dental rate exceeded the published 2014 National Committee for Quality Assurance (NCQA) Quality Compass top 25 percent benchmark for annual pediatric dental visit rate for pediatric patients ages 2-21 (Medicaid only). Recognized were: St. Luke’s Community Health Department, St. Luke’s KidsCare – Bethlehem and Allentown, Fowler Family Center at Donegan Elementary, St. Luke’s Allentown Family Health Center and the William Penn Family Practice.

Oral-Maxillofacial Surgery The Center for Oral & Maxillofacial Surgery at St. Luke’s (St. Luke’s OMS) provides a full array of oral and maxillofacial surgery with expertise ranging from dental implant surgery and wisdom tooth removal to corrective jaw surgery. This includes advanced procedures designed to rebuild bone structure with minimal surgical intervention and optimal patient comfort. Wayne Saunders, DMD, Chief of Dentistry, leads St. Luke’s OMS. In addition to in-office procedures, the doctors of St. Luke’s OMS are on staff and on call for facial trauma needs at St. Luke’s University Health Network. St. Luke’s OMS also diagnoses and treats facial pain, facial injuries and fractures. In addition to offices in Bethlehem, Easton and Allentown, St. Luke’s OMS started the first and only oral surgery clinic in the Lehigh Valley. Located in Allentown, patients covered by medical assistance plans are given the medical care they need in a private and compassionate setting. The St. Luke’s OMS Oral Surgery Clinic provides treatment of dental infections, extractions, treatment of traumatic injuries and minor pathologic conditions. In addition, the clinic provides diagnostic services for more complicated conditions.

Otolaryngology To provide patients with the best treatment, otolaryngologists at St. Luke’s University Health Network are the first in the region to offer a wide variety of new technologies. These include the use of drug-eluting stents in sinus surgery and robotic surgery in treating cancers of the head and neck. Additionally, all physicians pursue continuing medical education, and many participate in clinical research to offer the most up-to-date care possible. Under the direction of David Yen, MD, St. Luke’s more than 15 otolaryngologists perform routine and advanced ear, nose and throat procedures. Conditions treated include acoustic neuroma, dizziness and vertigo, Meniere’s disease, sinusitis, esophageal disorders, various throat complaints, taste and smell disorders, and thyroid conditions (including hypothyroidism and hyperthyroidism).

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Ophthalmology The doctors at St. Luke’s are experienced in diagnosing and treating vision and eye disorders for patients of all ages. Under the direction of Marilyn McDonald, MD, more than 20 ophthalmologists provide routine vision care, including glasses. They manage many eye diseases medically, such as glaucoma and diabetic eye disease. When intervention is indicated, they perform advanced eye procedures, including laser eye surgery for glaucoma and retinal disease. For cataracts, they perform sutureless, small incision, cataract extraction with lifestyle intraocular lens implants. They use the latest innovations to treat macular degeneration, and the latest surgical techniques to repair eye injuries sustained in trauma. St. Luke’s Retina Center is the only hospital-based retina center in the Lehigh Valley. PUBLICATIONS Alterman MA, Young BK, Eggenberger ER, Kaufman DI. Macular Hole: A Rare Complication of Ocular Bartonellosis. Journal of Neuro-Ophthalmology. Jun 1, 2013; 33(2): 153-4. Barreto Vt. A Focused Review Of Local Anesthetic Admixture with Dexmedetomidine in Regional Anesthesia; What, if any, Clinical Implications Does This Have in Oral and Maxillofacial Surgery? Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. Jun 1, 2013; 115(6):e3-4. Barreto VT. Behavior of Oral and Maxillofacial Infections: Where Are We in 2013? Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. May 1, 2014; 117(5):e333. Bejjani FJ, Kaye GM, Benham M. Musculoskeletal and Neuromuscular Conditions of Instrumental Musicians. Archives of Physical Medicine and Rehabilitation. Apr 30, 1996; 77(4): 406-13.

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Fegley MW, Stone LE, Duarte-Chavez R, Singh A, Longo S, Nanda S. Bilateral Facial Palsy and Neurosarcoidosis – An Approach to a Difficult Diagnosis. International Journal of Academic Medicine. Jan 1, 2017; 3(1): 112. Kaye GM, Zorowitz RD, Baredes S. Role of flexible Laryngoscopy in Evaluating Aspiration. Annals of Otology, Rhinology & Laryngology. Aug 1, 1997; 106(8): 705-9. Toll AD, Rossi ED, Ali SZ. Role of Ancillary Testing in Thyroid Fine Needle Aspiration: Review and Update. Journal of the American Society of Cytopathology. 2014; 3(4): 218-224. Tsyvine IC, Fechtner RD, Cohen A, Berezina T, Pham M, Lu M. Ex-PRESS Glaucoma Shunt Versus Trabeculectomy: A retrospective Review of Post-Operative Complications and Need for Intensity of Post-Operative Interventions. Investigative Ophthalmology & Visual Science. Apr 22, 2011; 52(14): 641. Waninger KN, Gloyeske BM, Hauth JM, Vanic KA, Yen DM. Intratympanic Hemorrhage and Concussion in a Football Offensive Lineman. Journal of Emergency Medicine. Mar 1, 2014; 46(3): 371-2. PRESENTATIONS Barreto V. Trends of C-Reactive Protein Laboratory Values with White Blood Cell Count Levels in Maxillofacial Infections. American Association of Oral and Maxillofacial Surgeons (AAOMS) 95th Annual Meeting. Oct 10, 2013; Orlando, FL.

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