Internal Medicine Residency Brochure

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CHRISTIANA CARE Internal Medicine, Preliminary and Transitional Year Residency Programs What’s New at Christiana Care Innovative Curriculum Expanded Fellowship Programs New Research and Leadership Tracks Christiana Care Health System Wins Best in the Business Honors Scholarly Activities & Research Salary & Benefits Branch Campus of the Jefferson Medical College of Thomas Jefferson University

Transcript of Internal Medicine Residency Brochure

Page 1: Internal Medicine Residency Brochure

CHRISTIANA CAREInternal Medicine, Preliminary and Transitional Year

ResidencyPrograms

What’s New at Christiana CareInnovative Curriculum

Expanded Fellowship Programs

New Research and Leadership Tracks

Christiana Care Health SystemWins Best in the Business Honors

Scholarly Activities & ResearchSalary & Benefits

Branch Campus of the Jefferson Medical Collegeof Thomas Jefferson University

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At Christiana Care our mission is to take care of our neighbors. With this noble purpose in mind, our

staff are constantly reminded to “Think of Yourself as a Patient”, always caring for a patient as they

themselves would want

to be cared for. If you

take a close look at

the Christiana Care

diamond, you’ll find

that the patient is at the

center of everything

we do.

As part of our mission

to care for our

neighbors, Christiana

Care Health System is

dedicated to the pursuit

and recognition of Service Excellence. With this in mind, Christiana Care is committed to being a world-

class health care provider and takes pride in having on our team, people who care about people and

who are inspired in their work by a desire to help others.

Mission Statement�

The Christiana Care Health System is a not-for-profit, nonsectarian health

care system located in northern Delaware. Our mission is dedicated to

improving the health of all individuals in the communities we serve

through health care services, education and research.

At the heart of our program is Christiana Hospital, Delaware’s only

tertiary care and Level-I trauma facility. In combination with Wilmington

Hospital, Christiana Care hospitals comprise more than 1,100 beds

with over 10,400 employees, 1,400 physicians and 230 residents. The

institution is the 17th largest hospital system in the country based on

annual admissions. We provide high-quality primary and referral care

to patients from the urban, suburban and rural areas of Delaware,

Maryland, Pennsylvania and New Jersey. This means that you’ll see a

wide variety of patients from many different cultures, backgrounds and

socioeconomic groups. In combination with the Helen F. Graham

Cancer Center and Center for Heart & Vascular Health, our facilities

offer some of the most advanced technology in the region and provide

our residents unparalleled clinical experiences.

Focus on Excellence

WHAT’S INSIDE

What’s New at Christiana Care . . . . . . . 4

Core Internal Medicine and Transitional Year Faculty . . . . . . . . . . . 17

Our Residents 2011-2012. . . . . . . . . . 21

Our Graduates . . . . . . . . . . . . . . . . . . 26

Research. . . . . . . . . . . . . . . . . . . . . . . 33

Salary and Benefits . . . . . . . . . . . . . . . 39

Delaware . . . . . . . . . . . . . . . . . . . . . . 40

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What if youhad moretime to dedicate

to the rotation that you’re doing?What if you didn’t have to worry about leaving a floor rotation or an elective to get to clinic or an outpatient continuity practice?What if you never had to do two inpatient rotations back to back andhad more time for rest and study?

Two years ago the internal medicineresidency program introduced an innovative curriculum design.Rather than typical half-day clinicsadded to all inpatient and outpatientrotations, the new curriculum splitsthe residents’ experiences intoinpatient and outpatient blocks oftime. Your clinical experience is a four week inpatient medicine rotation alternating with a two weekambulatory medicine experience.The new design allows residents to

completely focus on the rotation. Soresidents on an inpatient rotation,will not need to leave in the middleof the day to go to clinic.

Similarly, when residents are in theoutpatient setting, they will not need to run back to the hospital.“Creating block ambulatory timewill become the trend at residencyprograms nationally,” comments Dr. Brian Aboff, Internal Medicine &Transitional Year Residency ProgramDirector, “but right now we’re one ofonly a few programs who haveadopted this innovative solution toresidency training.” We’ve heardgreat feedback from the residents. In clinic, the residents are lessstressed and more focused on caring for their patients and learning. On the inpatient rotations,residents have more time to takecare of their patients, attend lecturesand teaching rounds and do lesscross coverage.

What if?

What’s New at Christiana Care

John Donnelly, M.D. Assistant Program Director,

Director of Ambulatory Medicine

"The new curriculum looks greatbecause it separates the inpatientand outpatient obligations of theresidents. When we decided tomake this change, our primary obligation was making sure this was better for the residents’education. I loved working on this project because I knew that it was a change that the residents wanted."

The Department of Medicine is the proud sponsor of cardiologyand nephrology fellowship programs.

On July 1, 2009 we expanded the size of the cardiology fellowshipto four fellows per year and started a new invasive cardiologysubspecialty fellowship training program. The fellowship isled by William S. Weintraub, M.D., FACC, John H. AmmonChair of Cardiology, an internationally distinguished cardiologistand expert in outcomes research from Emory University. He,along with Associate Fellowship Director Ehansur Rahman,M.D. leads the rigorous fellowship which provides the fellowswith outstanding clinical, research, and didactic experiences.

The nephrology fellowship started in July 2009, and recentlygraduated its first fellow this past academic year. Led by Program Director, Prayus Tailor, M.D. and Associate Program Director, Robert Dressler, M.D., MBA, the program will soon expand to two fellows per year.

Christiana Care Expands Fellowship Programs

Innovative New Curriculum for Categorical Medicine

David Aljadir, M.D. Internal Medicine, Class of 2010Hematology/Oncology Fellow

“Christiana has a large number of specialists on faculty, givingresidents ample opportunities for exposure in specialty fields.In addition to that, many of our specialists come from programsacross the country which gives residents at Christiana exposure to a wide variety of opinions and practices.”

Sample PGY – 1 Block Schedule

BLOCK1

BLOCK2

BLOCK3

BLOCK4

BLOCK5

BLOCK6

BLOCK7

BLOCK8

BLOCK9

BLOCK10

BLOCK11

BLOCK12

BLOCK13

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Sample Ambulatory ScheduleTwo days of the week are spent in Outpatient Continuity Practice.

SubspecialtyOutpatientRotation

SubspecialtyOutpatientRotation

Subspecialty OutpatientRotation

MICU AMB NF Elec AMB Floor AMB Elec AMB AMB FloorFloor AMB AMB ElecCICU AMB Floor

OutpatientContinuity Practice

OutpatientContinuity Practice

Fellowship Placement

Here are some places our residents have gone for fellowship:• Albany Medical Center (Cardiology)• Bridgeport/Yale (Cardiology)• Brown (Pulmonary/Critical Care)• Christiana Care (Cardiology, Nephrology)• Dartmouth (Nephrology)• Drexel (Hematology/Oncology, Nephrology)• George Washington (Endocrinology)• Georgetown (Pulmonary/Critical Care)• Hartford Hospital (Cardiology)• Johns Hopkins/Bayview (Geriatrics)• Lankenau (Cardiology)• Mass General (Pain & Palliative Care)• Medical College of Georgia (Pulmonary/Critical Care)• Medical College of Virginia (Cardiology)

• North Shore/LIJ (Cardiology, Hematology, Oncology)• Ohio State (Pulmonary/Critical Care)• Rhode Island (Hemotology, Oncology)• Rush (Infectious Disease)• Temple (Geriatrics)• Thomas Jefferson (Gastroenterology, Infectious Disease,Nephrology)

• Tulane (Allergy/Immunology)• UCSD (Peds, Hemotology, Oncology)• UMDNJ (Gastroenterology)• University of Minnesota (Nephrology)• University of Pennsylvania (Gen. Internal Medicine, Nephrology)

• University of Pittsburgh (Pulmonary/Critical Care)• University of Texas (Infectious Disease)• Wake Forest (Rheumatology)• Wayne State (Cardiology)

Other24%

Fellowship47%

Hospitalist29%

Our residents match with the nation’smost prestigious insititutions.

Out of the 19 graduating residents in 2011(IM, Med-Peds, and EM/IM), the chart aboveshows where they went after residency.

More than a third of our internal medicine residents pursue fellowshipsin subspecialties after graduation. This past year, seven of our residentsmatched in fellowships including cardiology, pulmonary/critical caremedicine, rheumatology, and hematology/oncology. Six of the sevenresidents matched into one of their top two choices! In addition, theChristiana Care Health System offers fellowships in cardiology,interventional cardiology, nephrology and sports medicine.

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New technology provides electronicintensive care unit (eICU®) coveragefor all of our ICU's.

Through the eICU, Board CertifiedIntensivists monitor dozens of patientssimultaneously at both hospital campuses. Remotely stationed intensivists use a multitude of medical monitoring devices, audio-visual equipment, and computer algorithms to care for more than 50patients who occupy eICU beds. “Enhanced intensive care technology

that operates 24/7 allows us to leverage the skills of our intensivists…”observes Dr. Marc T. Zubrow, Director of Critical Care Medicineand Medical Director of eCare. Management by intensivists has been shown toreduce ICU mortalityby up to 40 percent.It is listed by theLeapfrog Group—a nonprofit coalition of business and other groups working to improvepatient safety and quality of health care—as a key quality measures. EICU intensivists areavailable to help residents with anypatient in either hospital, with anyaspect of medicine, including x-ray interpretation. The eICU physiciansand residents work together as a team to provide the best patient care possible.

In addition to their own knowledgeand skills, intensivists on duty in theremote monitoring room are “backedup” by the new eICU eCareManager®

software, which causes a “smart alert”to be triggered when a patient needs

attention, accordingto Edward Ewen,M.D., director ofClinical Informatics.“As an added safetymeasure, decisionsupport softwareruns continuouslyin the backgroundand monitors all the

patients simultaneously,” Dr. Ewensays. “Rules and alerts built into thissystem look at vital signs and otherclinical data to bring significant clinical changes or developing problems directly to the intensivists’attention, allowing them to moreproactively intervene in a settingwhere rapid response can determinethe outcome.”

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Christiana Care Commits to New “Virtual” ICU Technology

Electronic ICU will leverage intensivists’ skills which are in high demand.

A 913-bed, 1.3-million-square-foot,modern facility in Newark, Delaware,Christiana Hospital provides a levelof care only available in large-scaleteaching hospitals. Christiana Hospitalincludes Delaware's only Level Itrauma center (as verified by theAmerican College of Surgeons),which is prepared to handle themost extreme medical emergencies.In fact, it is the only Level I traumacenter on the East Coast corridor between Baltimore and Philadelphia.

Christiana Hospital is also the onlydelivering hospital in Delaware witha Level 3 neonatal intensive-care unit,which is the highest level of capability.More than 6,500 babies are born atChristiana Hospital each year. More

than 1,400 physicians and surgeonsare active members of ChristianaCare's Medical-Dental staff, andmore than one in 10 of them have located at least part of their practiceson the Christiana Hospital campusin two Medical Arts Pavilions adjoining the main hospital.

The Center for Heart & VascularHealth in the Bank of America Pavilionat Christiana Hospital offers the latest“vascular surgery, cardiac rehabilitationand preventive medicine. Each year,the medical team at the Center forHeart & Vascular Health performsmore than 800 open-heart surgicalprocedures, plus thousands of diag-nostic and interventional proceduresin our cardiac catheterization andelectrophysiology labs.

The recently added Gerret and TatianaCopeland Arrhythmia Center is afully capable electrophysiology suitethat features advanced stereotaxistechnology for the diagnosis andtreatment of heart-rhythm disorders.Using the Stereotaxis Niobe MagneticNavigation System, we are the onlyhospital in Delaware and among aselect group of high-volume centersnationally with the capability to performa new type of ablation—a correctiveprocedure—that cures atrial fibrillationin up to 80 percent of our patients.

Adjacent to the Center for Heart &Vascular Health is the John H. AmmonMedical Education Center, which

houses 13 classrooms, a 300-seat auditorium equipped with audio-visual and video-conferencing technology and a 7,000-square-footmedical library.

It also hosts a 9,000-square-foothigh-tech physician Virtual Educatonand Simulation Training Center thatallows doctors and residents to trainin a realisic, simulated hospital setting.The center is equipped with a working laparoscopy station withsimulated tissues, an endoscopy/bronchoscopy simulator, 3D visualization software and display,and numerous task trainers.

Located on the Christiana Hospitalcampus, the beautifully designedand landscaped, 200,000-square-footHelen F. Graham Cancer Center is astate-of-the-art facility that serves amajority of the cancer patients residingin Delaware. This National CancerInstitute designated CommunityCancer Center features advancedmedical, surgical and radiation procedures and diagnostic services.The cancer research program includesthe Center for Translational Research,a collaborative program with theUniversity of Delaware.

The Helen F. Graham Cancer Centeralso includes the Christiana CareBreast Center, an outpatient facilitywith the state's only dedicated breast MRI.

Christiana Hospital Among the Busiest on the East Coast

Christiana Hospital Campus

Dena Florczyk, M.D. Med-Peds Class of 2010 and

Former Med-Peds Chief Resident

"The new additions to ChristianaHospital have provided residentswith state-of-the-art inpatient as well as educational facilities.These include patient care facilities,a medical education center, a simulation laboratory and employeewellness center. These visionary andtechnologically advanced additionshave created intensive care units andlibrary medical facilities that enhanceresident education. In addition, theresources provided by the educationcenter facilitate resident and physician success in patient care and professional advancement."

Matthew Stofferahn, M.D. PGY-5 EM/IM resident, EM/IM Chief Resident

“As the only tertiary care hospitalfor the entire state of Delaware andmuch of the surrounding tri-statearea, the diversity of patients andexposure to pathology is truly unmatched. The medicine servicealso has primary responsibility for many problems that would bedelegated solely to specialists atuniversity hospitals. As a result,there is scarcely a more clinicallycomprehensive internal medicineresidency anywhere.”

“Enhanced intensivecare technology thatoperates 24/7 allowsus to leverage theskills of our

interventionists.”

ICU electronic medical record.

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Christiana Care Health System hasembarked on a five-year, $210million expansion and renovation of Christiana Care’s WilmingtonCampus, to transform the medicalcampus in the heart of downtownWilmington by 2014. The upgradedhospital campus, with new, renovated and expanded facilities,will allow it to continue its traditionof service for many years to come.

“For over a century, the nurses and physicians at Christiana Care’s Wilmington Campus and itsEmergency Department have beenserving the Wilmington community,meeting the community’s diversemedical needs and providing thesafety net for the underserved,” saysDr. Robert Laskowski, ChristianaCare’s President and CEO. “Expandingand renovating Christiana Care’sWilmington Campus continuesChristiana Care’s commitment toserve, to benefit our community andto ensure that our neighbors can access and receive the highest level of care and comfort.”

The construction project adds 337,000square feet to the hospital campus,bringing the campus’ total medicalsquare footage to more than one million.All medical services will continue tobe provided during construction.More than 62,000 square feet of existinghospital space will be renovated aspart of this project. The plan includes:

• A nine (9) story, 286,000 squarefoot tower that includes 13 new operating room suites, replacingthe existing 10 operating rooms;

30 new patient beds and an Intensive Care Unit; and the capacity for up to 120 private patient rooms.

• A new 61,000 square foot medicaloffice building (10,000 square feetrenovated plus approximately 51,000square feet of new construction).

• Doubling thephysical size of the EmergencyDepartment andits related services.

The facility’s newpatient rooms are single roomsincluding space forfamilies, and use asmuch natural lightingas possible throughout the campus.Additionally, the new patient roomsinclude flat-screen monitors to provideinternet access and patient educationvideos (GetWell Network).

Christiana Care is embarking on thisproject to address demand for healthcare services that grew dramaticallyover the past decade. A key component

of the Christiana Care’s WilmingtonCampus transformation is the expansion and renovation of itsemergency department. ChristianaCare’s Wilmington Campus 31-roomEmergency Department experiencespatient volumes normally seen atlarge hospital emergency departments.

Since 1998, thenumber of patientsusing the ChristianaCare’s WilmingtonCampus EmergencyDepartment hasincreased by 9.5 percent, outpacing growthin most emergencydepartments nationally. Last

year, 51,559 patients came to theChristiana Care’s Wilmington Cam-pus Emergency Department for care.Straining to accommodate the growingdemand for medical services, thenumber of patients walking throughthe doors of Christiana Care’s Wilmington Campus’ EmergencyDepartment is twice that for which it was originally designed.

Plans include new 9-story tower, expanded emergencydepartment, new medical office building, redesigned

hospital entrance, surgical suites and more patient beds.

Expanding and renovating

Christiana Care’sWilmington Campuscontinues ChristianaCare’s commitment

to serve.

Wilmington Campus $210 Million Transformation is Progressing

William Chasanov, II, D.O. Internal Medicine, Class of 2010,

CCHS Nephrology Fellow

“I earned an MBA at a reduced cost whilestill drawing a partial salary and benefits.Even when I was at the University ofDelaware focusing on my MBA coursework, I still kept my internal medicineskills up by moonlighting. I hope to use myMBA skills in hospital management or tobranch into the pharmaceutical industry”

Christiana Care Health System Partnership with the University ofDelaware Allows Residents to Obtain MBAIn cooperation with the University of Delaware, the InternalMedicine Residency program supports an optional four- yearprogram that will allow residents to complete their internal medicine residency and earn an MBA, Masters of Health Science Administration, Masters in Management, or Masters of Organizational Development.

The joint Internal Medicine residency-MBA program lasts fouryears. Residents complete their first year of residency and thenstart a modified schedule. In the remaining three years, residentsspend approximately one third of their time each year attendingclasses at the nearby University of Delaware while being free ofclinical duties. Residents continue to receive 70 percent of theirbase salary during the last three years of their residency, whileattending full-time MBA course work. Even while attendingclasses, residents remain employees of the hospital so they continue to receive benefits. As an added benefit, for residentswho live in Delaware, Christiana Care pays half of their in-statetuition costs.

The first resident to earn the opportunity to participate in theprogram, Billy Chasanov, D.O. describes this opportunity as, “One I didn’t want to pass up.”

One of the valuable resources that

the medicine residents utilize is the

medical simulation lab which features

technologically advanced mannequins

for residency training and ongoing

professional education. Some of the

uses of the lab include central line

training and rapid response team

scenarios for the interns as they

transition to becoming a senior

resident. Code blue training using

realistic scenarios is another tool

used to teach the residents.

Simulation Lab Helps Residents Gain Experience

Christiana Care Simulation Lab

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The newspaper bases the honor on employee surveys from 100 companies inthe Delaware region. Only 50 companiesmade the best place to work list this year.

Here is what some of our employees say:• I believe this organization is going in the right direction.

• I have many opportunities to learn andgrow at this organization.

• I have the flexibility I need to balance my work and personal life.

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Honors, Awards & Public Recognition

Christiana Care Named Top Workplace

For the eighth consecutive year, the News Journal, astate wide daily newspaper, has named

Christiana Care a Top Workplace employer.

Former president William J. Clinton and Timothy J. Gardner, M.D., formerpresident of the American Heart Association and medical director ofChristiana Care’s Center for Heart &Vascular Health, participated in apress conference in New York Cityapplauding a new report showingthat the beverage industry continuesto reduce calories in schools.

Dr. Gardner and President ClintonPraise Report

Dr. Timothy J. Gardner, left, and SusanK. Neely, president and CEO of theAmerican Beverage Association, right, at the press conference with formerpresident William J. Clinton.

“Who has clout,” the publication asks?“There’s a new generation of moversand shakers emerging who are shapingpolicies and making things happen.”

Here’s what Delaware Todaysays about Dr. Robert J.Laskowski and Christiana Care:“Under CEO Robert Laskowski,Christiana Care has emerged as anindomitable healthcare force on theEast Coast.”

“Between two acute-care hospitalsstaffed by some of the most talentedphysicians in the country, Laskowskiis steering a very large ship—and therest of the country is taking notice.”

“The leadership here is viewed as aresponsibility,” Laskowski says. “We

need to not only follow standards,but develop standards of excellencethat set the tone for the entire region.Our aspirations are pretty bold.Given the resources and strengths ofour community and my colleagues, webelieve we can transform ourselvesto the very best health care in theUnited States.”

Those strides are being made. InMarch of 2009, Laskowski announceda partnership between Christiana,Nemours, Thomas Jefferson Universityand the University of Delaware collectively known as the DelawareHealth Science Alliance. The healthcare super-group is pooling resources, contacts and assets to develop a campus for healthcare education, a cancer biology center,

and the Delaware Valley Institute forClinical and Translational Science, aconsortium they hope will lead tomore grant money and fund evengreater innovation. “That’s a multi-year effort that we think willbe transformative in its own right,”Laskowski says.

Dr. Laskowski, Christiana Care President and CEO Named Influential PersonDelaware Today features Robert J. Laskowski, M.D.

Robert J. Lasokowski, M.D.

Bob Laskowski, M.D., Christiana Care president andCEO, joined David Blumenthal, M.D., national coordinator for Health Information Technology, andother U.S. health care leaders on Thursday, Aug. 5 atthe National Press Club in Washington, DC to promoteuse of electronic health records in physician practices.

The event focused on the value of health informationtechnology (HIT) and the federal government's effortsto bring about greater use of electronic health records.Dr. Laskowski outlined how Christiana Care will assist community physicians in the rapid adoption of electronic health records.

Sponsors of the event were Health Affairs, a leadinghealth policy publication, and Brandeis University'sHealth Industry Forum.

Dr. Laskowski Appears atNational Press Club Event

Christiana Care Health System Wins NationalAward for InnovationChristiana Care Health System hasbeen named the 2010 Alliance InnovationAward winner from the Alliance of Independent Academic Medical Centers(AIAMC), a national organizationmade up of 69 major academic medical centers and health systems.

The award recognizes Christiana Carefor innovative approaches to medicaleducation and research that result inbetter patient outcomes.

Christiana Care received the award for developing and implementing aninnovative graduate-level, 12-weekcourse. The curriculum focuses oninter-professional learning throughcollaboration on quality improvementprojects. The aim of the course is toproduce measurable improvements in quality and patient safety.

"We are honored to receive the InnovationAward," says Robert J. Laskowski, M.D.,MBA, president and chief executiveofficer of Christiana Care. "It validatesthe dedication of so many of my colleagues at Christiana Care to providequality education aimed at transformingthe way we deliver care."

"Christiana Care has been an activeparticipant and leader in the AIAMCNational Initiative: Improving PatientCare through Graduate Medical Education since 2007," says KimberlyPierce-Boggs, AIAMC executive director. "Christiana Care serves as an excellent example of the successfulintegration of graduate medical education and quality. The AIAMCboard of directors is delighted to present Christiana Care with this award."

Christiana Care HealthSystem has achievedMagnet® recognition forexcellence in nursing bythe American NursesCredentialing Center(ANCC). Only 6 percentof the nation's hospitalshave earned this honor,the highest level of national recognition to health care organizations thatdemonstrate sustained excellence in nursing care.

Christiana Care is the only hospital in Delaware toachieve Magnet status.

Christiana Care Health SystemAchieves Magnet® Recognition

Lionel Malebranche, M.D. Internal Medicine, Class of 2011,

CCHS Cardiovascular Disease Fellow

"The night float system provides a goodbalance between work, medical experienceand much needed rest. The day team isguaranteed not to spend any overnightcalls during the week days, which isgreat. The night team doesn't have to seepatients in the morning before they leave.The clinical experience is so much betterwhen you have enough rest time. It's really a win-win situation."

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Grant Enhances Research Efforts At Christiana Care Health System,reasearch into treatments for cancerand cardiovascular disease is expanding thanks to a five-year,$17.4 million federal grant.

Christiana Care is a member of theDelaware IDeA Network of BiomedicalResearch (INBRE), a consortium ofsix Delaware institutions awardedthe grant from the National Centerfor Research Resources at the National Institutes of Health.

The grant is a federal award for the partnership, whose other membersare the University of Delaware’sDelaware Biotechnology Institute,

Delaware State University, Wesley College, Delaware Technicaland Community College andNemours/Alfred I. duPont Hospitalfor Children.

Cutting-edge cancer andcardiovascular researchThe grant supports 15 research projects during its first year. The research includes Christiana Care’swork to develop cutting-edge medicaltreatments to improve the health of Delawareans.

“The INBRE funding allows us tocontinue translational cancer

research in the area of cancer stemcells and biomarkers,” says NicholasJ. Petrelli, M.D., the Bank of Americaendowed medical director of theHelen F. Graham Cancer Center atChristiana Care, who will leadINBRE’s cancer-research program.

William Weintraub, M.D., John H.Ammon Chair of Cardiology atChristiana Care’s Center for Heart &Vascular Health, says the INBRE awardis “a major step in the developmentof cardiovascular research in the stateof Delaware, with cardiovascularprojects both at Christiana Care and at the University of Delaware.”

“The INBRE grant will help developa broad range of translational researchprojects and make new ideas for improved diagnostics and therapyavailable to the state and nation,”says Dr. Weintraub, who also headsthe Christiana Care Center for Cardiovascular Outcomes Research.The center serves as an analytic center for INBRE’s cardiovascular research effort.

Funded projects under the grantinclude research by Claudine Jurkowitz, M.D., MPH, Director of Operations for the Center for Cardiovascular Outcomes Research,

into the effect of kidney function onthe association between obesity andcardiovascular events.

One of several biomedical research projectsThe Delaware IDeA Network for Biomedical Research Excellence, established in 2004, received a five-year, $16.7 million grant in 2004from NIH’s National Center for Research Resources. Christiana Carewas also part of the consortium’sforerunner, the Delaware BiomedicalResearch Infrastructure Network,started in 2001.

Christiana Care is involved in a host of other clinical and biomedicalresearch partnerships, including the Delaware Health Sciences Alliance in which it collaborates with the University of Delaware,Thomas Jefferson University andNemours/Alfred I. duPont Hospital for Children onresearch into cancer, cardiovascular diseaseand rehabilitative medicine.

“We are looking forward to expanding our collaborationsin clinical research, especially to treat patients with

common clinical problems more effectively.” Timothy J. Gardner, M.D.

Christiana Care Participates in Jefferson’s Delaware Branch CampusChristiana Care has been approvedas a participating hospital in Jefferson Medical College’s DelawareBranch Campus. This achievementunderscores the transformative roleChristiana Care plays in medical education. It specifically spotlightsour core competency in providingclinical education to third-and fourth-year medical students. Eleven studentsstarted their third year ofmedical education atChristiana Care at the beginning of July. They areour inaugural class, the class of 2013.

Christiana Care has a long-standingrelationship in providing first-ratemedical education to students fromJefferson Medical College, one of thetop-rated medical schools in thecountry. This new designation

enables Christiana Care to providebetter care to our neighbors by allowing these students to receiveadditional medical education opportunities on our campus. Also, receiving more of their clinicaltraining at Christiana Care increasesthe likelihood that these students

remain to practice in Delaware whenthey complete their residency train-ing. This new partnership with oneof the nation’s foremost medical re-search institutions, in collaborationwith other Branch Campus partners,strengthens Christiana Care’s abilityto pursue a Clinical Translational

Science Award grant. It also betterpositions us to seek other grants. Designation as a Delaware BranchCampus benefits the DelawareHealth Sciences Alliance, of which we are one of four member institutions. A key component of theAlliance is a future Jefferson facility

at the University ofDelaware to accommo-date medical students inDelaware. Other BranchCampus partners are theDuPont Hospital for Children and the

Wilmington Veterans AdministrationHospital. Branch Campus approvalcomes from The Liaison Committeeon Medical Education, the accredit-ing authority for medical educationprograms leading to the M.D. degree in U.S. and Canadian medical schools.

MICU Work Rounds with MichaelBenninghoff, D.O. (Intensivist).

Leaders of the Delaware IDeA Network of Biomedical Research consortium gatherto discuss the National Institutes of Health’s National Center for Research Resources grant.

Medical College

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Is therelife afterresidency?Our graduates

definitely think so!

Our graduates choose from a variety of options after they leaveresidency. About 30 percentchoose to be hospitalists. Severalmembers of each graduating classstay at Christiana Care HealthSystem to become hospitalistshere. An equal number of residentschoose traditional internal medicinepractices, with a mixture of outpatient and inpatient care.Our graduates criss-cross the nation, some going as far asWyoming or Hawaii. This pastyear about 47% have gone on tofellowships. In the past two years,we have seen residents successfullymatch in fellowships in Cardiology,Gastroenterology, Endocrinology,Infectious Diseases, Hematology-Oncology, Pulmonary/CriticalCare and Rheumatology.

Deborah Zarek, M.D., one of our graduates who remained in Wilmington, Del. to join an outpatient internal medicine practice, says, “Christiana Care is more than a hospital…it’s acommunity. After residency, I felt confident and well preparedto go into private practice, andhad a family of support from thefaculty and staff of the residencyprogram at Christiana.”

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Lionel Malebranche, M.D. Class of 2011, CCHS Cardiovascular Disease Fellow

"The residency program fully supported my endeavor to volunteer inHaiti after the earthquake. Although only a second-year resident, Ihad the opportunity to lead the medical staff and help strategize ouraction plan. My training from Christiana Care equipped me for thechallenging cases I met and allowed me to make decisions thathelped save lives. The experience was life-changing for me."

Ben Goodgame, M.D. EM/IM, Class of 2010

"In my fifth year, I had an amazingopportunity through an InternalMedicine scholarship program tospend one month in a rural hospitalin Kenya. This was one of the most rewarding experiences of my residency. I was able to see an incredible patient pathology that I would have never experiencedwithout the opportunity for an international rotation."

One of only 3 percent of UShospitals to make the list.

In its annual America’s Best Hospitaledition, U.S. News & World Reportplaces Christiana Care among thetop 50 listings in two specialties – Diabetes & Endocrine Disorders and Digestive Disorders.

Christiana Care is the only hospitalin Delaware to make the list. Ofmore than 4,800 hospitals evaluatedthis year, only a select 174 – or 3 percent – are included.

“Receiving national recognition in these specialties is a testimony to theexceptional care provided by ourdoctors, nurses and allied healthprofessionals,” says Robert J.Laskowski, M.D., president and CEOof Christiana Care. “To be listed threeyears in a row underscores our regional and national reputation as a premier health care provider.”

“Being named one of the top 50 hospitals in the US in diabetes and digestive disorders is a reflection ofthe hard work, dedication, teamwork

and focus on excellence of all ourcaregivers and validates that we aretruly transforming care for our patients," says Virginia E. Collier,M.D., FACP, Hugh R. Sharp, Jr. Chairof Medicine at Christiana Care.

To receive this prestigious honor, themagazine uses a methodology thatranks hospitals on several metrics including mortality rates, reputation,number of patients cared for, qualityof nursing care, use of advancedtechnology and a trauma center. Anew metric added this year – patientsafety – shows how well a hospitalminimizes harm to patients.

U.S. News & World Report Ranks Christiana Care Among America’s“Best Hospitals”

• Christiana Care’s Center forHeart & Vascular Health wasawarded three stars, the highestpossible national ranking,from The Society of Thoracic Surgeons for our quality ofcardiac surgery.

• Christiana Care is the winner of the American Heart Association’s Gold PerformanceAchievement Awards for both heart attack and heart failure treatment.

• Christiana Care is the recipient of the Gold Seal ofApproval™ from the JointCommission as a Certified rimary Stroke Center.

For the fifth straight year, Christiana Care has been ranked one of the nation's best hospitals.

Jennifer Rowland, M.D. (Transitional Year PGY-1) andPoonam Maru, D.O. (PGY-1).

Residentsreaching out

Volunteer Endeavors

More Recognition of Excellence

Elizabeth Kunkel, D.O. Internal Medicine, Class of 2011

"Christiana Care offered me a fantastic opportunity to live outmy dream of practicing medicine inPapua New Guinea. When I waspicking residency programs, Iwanted a program that supportedinternational medicine, not onlydid Christiana support it in theory,but through a Delaware ACPscholarship made it financiallypossible to go as well."

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Be in theKnow

ELECTRONIC MEDICAL RECORDSThe institution has a fully incorporated EMR for boththe inpatient and outpatient side of care, to allowphysicians and other health care providers access to all dictations, pathology reports, laboratory data, radiologic studies, ER records and ECGs 24 hoursa day, 7 days a week. Residents have the ability to access all of the Web-based technologies remotelyfrom home as well. In the next year, the institutionwill be using computer order entry by the physicians.

MEDICAL LIBRARYThere are medical libraries at both the Christiana andWilmington hospitals where residents have access 24hours a day, 7 days a week. Many library services andreferences are available including medical librarians toperform literature searches for the residents.

MEDICAL KNOWLEDGE SELF ASSESSMENT PROGRAM (MKSAP)The MKSAP is one of the most comprehensive boardreview materials for the Internal Medicine certificationexam. The Department of Medicine makes the MKSAPavailable to all residents during their residency.

EDUCATION, NOT SERVICEChristiana Care offers outstanding ancillary support24 hours a day, 7 days a week so that you are not burdened with the traditional “scut” of residency. We strictly adhere to the ACGME work hour guidelines so that you are assured adequate rest.

EDUCATIONAL FUNDEach of the residents is allowed $1,000 from Academic Affairs for the purchase of educational materials and scientific meetings yearly.

PARKINGAt both Christiana and Wilmington Hospital, parking is free for the residents.

DAY CAREA full-service child day care and drop-in day care, Imaginations, is available on the Christiana Hospital campus. See page 32 for more detailed information about these services.

You may be interested to know some of thethings that Christiana Care offers you…

Christiana Care is located in New CastleCounty, Delaware which is within driving distance from some of America's most exciting cities. Located 10 minutes from Wilmington(a city of approximately 73,000 people)Christiana Care residents have the opportunity to reside in the city or in a neighborhood in the suburbs. In fact, the cost of living in Wilmington is approximately 13 percent below the national average. Coupled with an intern salary of $51,900 and nosales tax, residents can buy or rent affordable housing.

Brooke Mobley, D.O. Internal Medicine, Class of 2011,

CCHS Nephrology Fellow

“I have learned thatNewark, Delaware is thebest of both worlds it hasthat suburban architecturewith a big city edge justminutes away. Either wayon I95 you are bound to runinto a big city to feed thosesocial needs but when youjust want some homemadeice cream and a nice peacefulwalk along Main Streetyou can just come HOMEto Newark. I must say thisbig-city girl has learned tolove this little-city life.”

The Bottom Dollar

Core Internal Medicine and Transitional Year Residency FacultyBrian Aboff, M.D., FACPCornell University Medical College, 1985Residency, Vanderbilt UniversityChief Medical Resident, Vanderbilt UniversityProgram Director, Internal Medicine and Transitional Year Residency Programs Associate Chair for EducationClinical Associate Professor of Medicine,Jefferson Medical College

Kunal P. Bhagat, M.D.University of Kansas School of Medicine, 1994Residency, Christiana Care Health SystemEducation Coordinator, Section of Hospitalist Medicine

Matthew Burday, D.O., FACPUniversity of Medicine & Dentistry of New Jersey, 1984Residency, Christiana Care Health SystemAssociate Program DirectorDirector, Second and Third Year Student ProgramsDirector, Medical Student EducationClinical Assistant Professor of Medicine,Jefferson Medical College

Tabassum Salam, M.D. , FACPUniversity of Pennsylvania, 1997Residency, MCP HahnemannChief Medical Resident, MCP HanhnemannAssociate Program Director, InternalMedicine and Transitional YearPreceptor, Women’s Health

Virginia U. Collier, M.D., FACPJohns Hopkins School of Medicine, 1976Residency, Johns Hopkins HospitalFellowship (Nephrology), Johns Hopkins HospitalHugh R. Sharp Jr. Chair of MedicineProgram Director, Internal Medicine & TransitionalYear Residency Program, 1992-2005Vice Chairman and Director of Education 1997-2006Governor, DE Chapter, American Collegeof Physicians, 2000-2004Member, Board of Regents, ACP 2004Chief, Section of General Internal Medicine 2005-2007Chair, Public and Professional and AdvocacyCommittee, Medical Society of DelawareProfessor of Medicine, Jefferson Medical College

Robert M. Dressler, M.D.Sackler School of MedicineResidency, Montefiore Hospital & Medical CenterFellowship, Albert Einstein College MedicineVice Chair, Dept. of MedicineAssociate Program Director, Nephrology Fellowship

John Donnelly, M.D.Michigan State University, 1997Residency, Christiana Care Health SystemChief Resident, Christiana Care Health System 2001-2002Assistant Program DirectorDirector, Ambulatory MedicinePreceptor, Adult Medicine Office

Frank Beardell, M.D.Georgetown University School of MedicineResidency, Christiana Care Health SystemFellowship (Hematology/Oncology), JeffersonMedical CollegeDirector, Bone Marrow and Stem Cell Transplant ProgramEducation Coordinator, Sectionof Hematology

Tony Bianchetta, M.D.Temple University School of Medicine, 1994Med-Peds MCD/Christiana Care Health System 1994-98; Chief Medical Resident,Medical Center of Delaware 1998-99Med-Peds Associate Residency Program DirectorClinical Instructor, Internal Medicine

David Biggs, M.D.University of Kansas School of Medicine, 1984Residency, Medical College of WisconsinFellowship, University of Pennsylvania HospitalChief, Section of Oncology

Allison Buonocore, M.D.Jefferson Medical College, 2001Residency, Christiana Care Health ServicesInternal Medicine/Pediatrics Faculty Member

Jeff Cicone, M.D.Eastern Virginia Medical School, 1997Residency, Christiana Care Health SystemFellowship, Johns Hopkins UniversityChief Resident, Christiana Care Health System, 2000-2001Education Coordinator, Section of Renaland Hypertensive Diseases

Robert Cox, M.D.Jefferson Medical College, 1970Residency, Christiana Care Health SystemFellowship (Nephrology)Chief, Section of Renal and Hypertensive Diseases

Tony Cucuzzella, M.D.New Jersey College of Medicine, 1962Residency, Physical Medicine & RehabilitationHospital, University of PennsylvaniaChief, Section of Physical Medicine and Rehabilitation

Patricia M. Curtin, M.D., FACPJefferson Medical College, 1988Residency, Christiana Care Health SystemFellowship (Geriatrics), Jefferson Medical CollegeChief, Section of GeriatricsClinical Assistant Professor, JeffersonMedical College

Attending Appreciation Breakfast: Allison Buonocore, M.D., Tony Bianchetta, M.D.,Allen Friedland, M.D. (Medicine Pediatrics Program Director) and John Donnelly, M.D. (Internal Medicine Assistant Program Director).

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Marci Drees, M.D.Pritzker School of Medicine, The Universityof Chicago, 1998Residency, University of Colorado Health Sciences CenterFellowship (Infectious Disease), New England Medical Center HospitalDirector of Resident Research

Joseph Deutsch, M.D.Jefferson Medical College, 2006Residency, Christiana Care Health SystemInternal Medicine Faculty Member

Dan Elliott, M.D.Jefferson Medical CollegeResidency, Christiana Care Health SystemChief Resident, Christiana Care Health System, 2005-2006Fellowship (General Internal Medicne), University of PennsylvaniaCo-Director, Ambulatory MedicineResearch and OutcomesActing Associate Chair for Research

Ed Ewen, M.D.University of Illinois Medical School, 1985Residency, Northwestern UniversityDirector of Clinical Computing, Christiana Care Health SystemClinical Assistant Professor of Medicine,Jefferson Medical College

Marciana Filippone, M.D.Jefferson Medical College, 1978Residency, Temple UniversityFellowship (Gastroenterology), TempleChief, Section of Gastroenterology

Allen Friedland, M.D., FACP, FAAPSUNY- Buffalo School of Medicine and Biomedical Sciences, 1993Residency, Med-Peds, University of Cincinnatiand Children's Hospital Medical CenterChief Medical Resident, University ofCincinnati Internal MedicineMed-Peds Residency Program DirectorAssistant Professor, Internal Medicineand Pediatrics, Jefferson Medical College

Frederick A. Giberson, M.D., FACSUniversity of Medicine and Dentistry of NewJersey - Robert Wood Johnson MedicalSchool, 1991Residency, Medical Center of DelawareFellowship, (Trauma and Surgical Care), R. Adams Cowley Shock Trauma Center, Baltimore, MDProgram Director, General Surgery

Terry Horton, M.D.Jefferson Medical College, 1987Residency, Beth Israel Medical CenterInternal Medicine Faculty Member and Preceptor

Ripu Hundal, M.D.Government Medical College, India 1987Residency, Albert Einstein Medical CollegeFellowship (Endocrinology), Yale – NewHaven HospitalEducation Coordinator, Section of Endocrinology

Neil Jasani, M.D., FACEPGeorgetown University,Residency, Medical Center of DelawareProgram Director, Emergency MedicineCo-Program Director, Emergency Medicine/Family Medicine Residency ProgramAssistant Chair, Emergency Department

John Kelly, III, M.D.Jefferson Medical College, 1984Residency, University of Illinois – ChicagoFellowship (Cardiology), Texas Heart InstituteEducation Coordinator, Section of Cardiology

Stephanie Lee, M.D.Jefferson Medical CollegeResidency, Christiana Care Health SystemChief Medical Resident, Christiana CareHealth System, 2002-2003Fellowship (Infectious Disease), Universityof TexasEducation Coordinator, Section of Infectious Diseases

James Lenhard, M.D.Albany Medical College, 1987Residency, Miriam HospitalFellowship (Endocrinology), Joslin/HarvardDirector, Diabetes and Metabolic DiseaseCenter, Christiana Care Health SystemChief, Section of EndocrinologyClinical Assistant Professor of Medicine,Jefferson Medical College

Vinay Maheshwari, M.D.Medical College of VirginiaResidency, Medical College of Virginia HospitalsFellowship, New England MedicalCenter HospitalEducation Coordinator, Pulmonary Medicine

Gregory V. Marcotte, M.D.New York University School of Medicine, 1992Residency, University of Colorado HealthSciences CenterFellowship, John Hopkins UniversityChief, Section of Allergy

Lisa Maxwell, M.D.UMDNJ-Robert Wood Johnson MedicalSchool, 2002Residency, Crozer Keystone Family Practice ResidencyFellowship, Christiana Care Health ServicesInternal Medicine Faculty Member

Neeta Milasincic, M.D.Baylor College of Medicine, 2000Residency, Christiana Care Health ServicesChief Resident, Christiana Care Health System, 2003-20044th Year Student Clerkship DirectorInternal Medicine Faculty Member

Thomas Mueller, M.D.Thomas Jefferson University Hospital, 1986Internship, UDMNJ/Cooper Medical CenterResidency, Thomas Jefferson University HospitalFellowship, Crozer-Chester Medical Center Chief, Section of Neurology

Anthony Munson, M.D.University of Virginia, School of Medicine, 2000Residency (Neurology), University of Maryland Health SystemMedical Director, Stroke Unit EducationCoordinator, Section of Neurology

Jason Nace, M.D.Medical College of Virginia, 1997Residency, Christiana Care Heath SystemDirector, Clinical Decision Unit Internal Medicine Faculty Member

Anand Panwalker, M.D.Christian Medical College, 1967Residency, University of Illinois at ChicagoCollege of MedicineFellowship (Infectious Disease) University ofIllinois at Chicago College of MedicinePresident-Elect, Christiana CareHealthSystem Medical/Dental Staff

Badrish J. Patel, M.D.Virginia Commonwealth University, 2001Residency, Virginia CommonwealthUniversity Health SystemFellowship, Temple University School of MedicineMedical Director, Medical Intensive Care UnitEducation Coordinator, Section of CriticalCare Medicine

Amy M. Patrick, M.D.University of Pennsylvania School of Medicine, 1989Residency, Graduate HospitalFellowship, Graduate HospitalEducation Coordinator, Section of Gastroenterology

Stephen Pearlman, M.D.University of Rome, 1981Residency, Long Island Jewish Childrens' HospitalFellowship (Neonatal), Hershey Medical CenterAssociate Director, Department ofNeonatologyMedical Director of PediatricsClinical Assistant Professor of Medicine,Jefferson Medical College

Shakaib Qureshi, M.D.King Edward Medical College, 1994Residency, UPMC – McKeesport (IM)Residency, UMDNJ – Robert Wood Johnson(Occupational Medicine)Fellowship (Rheumatology), University of OklahomaEducation Coordinator, Section ofRheumatology

Charles L. Reese, IV, M.D., FACEPJefferson Medical College, 1978Residency, Internal Medicine, Medical Center of DelawareChairman, Department of Emergency MedicineProgram Director, Combined Emergency Medicine/Internal MedicineResidency ProgramClinical Assistant Professor of Surgery(Emergency Medicine), Jefferson Medical College

Albert A. Rizzo, M.D.Thomas Jefferson University Hospital, 1978Residency, Thomas Jefferson University HospitalSection Chief, Pulmonary

James E. Ruether, M.D.University of Toronto, 1993Residency, Christiana Care Health SystemMedical Director, Unit BasedInternal Medicine Faculty Member

Sarah Schenck, M.D.Jefferson Medical College, 2000Residency, Medical College of Virginia HospitalsDirector, Adult Medicine Office

Anthony Sciscione, D.O.University of New England, 1987Residency, Christiana Care Health SystemFellowship, Maternal-Fetal MedicineProgram Director, OB-GYNAssociate Professor, Drexel Medical College

Jason M. Silversteen, D.O.Lake Erie College of Osteopathic Medicine, 2005Internship, Graduate HospitalResidency, Drexel College of MedicineFellowship, University of Texas Southwest-ern Medical CenterEducation Coordinator, Section of Neurology

Julie Silverstein, M.D., FACPNYU School of Medicine, 1985Residency, Cambridge HospitalChief Medical Resident, Cambridge HospitalDirector, Patient Safety and PerformanceImprovement, Department of MedicineChief, Section General Internal MedicineAssociate Chair for Ambulatory MedicineClinical Associate Professor of Medicine,Jefferson Medical College

Pamela Simpson, M.D.Jefferson Medical College, 2001Residency, Christiana Care Health ServicesFellowship, MCP-Hahnemann UniversityEducation Coordinator, Section of Oncology

Shveta Singh, D.O.Arizona College of Osteopathic Medicine, 2003Residency, Christiana Care Health ServicesInternal Medicine Faculty Member

R. Bradley Slease, M.D.University of Kansas, 1972Internship, National Naval Medical Center, BethesdaFellowship (Hematology/Oncology) NationalNavy Medical CenterChief, Section of Hematology

Michael Sneider, M.D.Wayne State, 1988Residency, Oakwood Hospital & Medical CenterFellowship, University of MichiganProgram Director, DiagnosticRadiology ResidencyChief, Cardiothoracic Radiology

Cem H. Soykan, M.D.University of Virginia School of Medicine, 2002Residency, Children's National Medical CenterInternal Medicine Faculty Member

Maurice Thew, M.D.University of Leeds, 1964Residency, University of PennsylvaniaSchool of MedicineChief, Section of Dermatology

Marc T. Zubrow, M.D.Jefferson Medical College, 1977Residency, Lankenau HospitalFellowship (Pulmonary and Critical Care),University of PittsburghDirector of Critical Care, Christiana Care Health SystemMedical Director, eCareClinical Assistant Professor of Medicine,Jefferson Medical College

Our Faculty (continued) Our Faculty (continued)

Neeta Milasincic, M.D., FACP Alumna, previous Chief Resident, 4th Year Student Clerkship Director

“At Christiana Care Health System,tremendous diversity of disease, excellent teaching and mentorship, andvast research support create the ideallearning environment for trainees atall a levels. With these opportunities,our residents and students succeed atbuilding the best foundation vital forthe rest of their careers as physicians"

Dr. Tabassum Salam (Associate Program Director), Dr. John Donnelly (Assistant Program Director), Dr. Brian Aboff (Program Director), Dr. Matthew Burday (Associate Program Director).

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By the Numbers

913 number of beds at

Christiana Hospital

$51,900Salary of a PGY 1 medicine resident

$210 millionWilmington campus

undergoing transformation

More than 10,000 employeesChristiana Care is the largest private employer in

Delaware and the 10th largest employer in the Philadelphia region.

Wide Variety of Content and Formats for Internal Medicine Residents’ Conferences

Internal Medicine residents need toacquire a vast spectrum of knowledgeand skills during their training.Hence, we use a variety of formatsand settings to deliver this to ourresidents. Every day at noon, there isa didactic session – many take theform of lectures, but, several are presented as workshops. Proceduralskills, including office based procedures such as joint injectionsand skin biopsies are taught in workshops.Residents experience simulated cases lifted from potentially high-stress situations, suchas Code Blues,in a simulationlab. Residents at-

tend regular EKG reading sessions.An exciting addition to the lecture experience for our residents has been the use of an electronic Audience Response System, which allows the residents to interact withpresenters. Apart from core medical knowledge, residents alsohave the opportunity to developleadership skills and learn the business of medicine. U.S. RANK

17th in Admissions26th in Births20th in Emergency Visits23rd in Total Surgeries

EAST COAST RANK10th in Admissions12th in Births10th in Emergency Visits11th in Total Surgeries*Source: American Hospital Associa-tion Annual Survey Database of 6,280U.S.Hospitals. Copyright HealthForum, LLC

Christiana Care’s Ranking

by Volume Compared to Other U.S. Hospitals

Delaware experienced themost rapid decline in cancermortality in the United Statesfrom 1990-2005, at a timewhen cancer deaths wereincreasing nationwide.

Our Residents 2011–2012Internal Medicine

Justin Morea, D.O. (Internal Medicine, Class of 2011) presenting atMedicine Grand Rounds

PGY 1Enoch Arhinful, M.D.Saba University

Muhammad Baig, D.O.Lake Erie College of Osteopathic Medicine

Lauren Douglas, M.D.Jefferson Medical College

Foyin Fasanmi, M.D.University of Maryland School of Medicine

Christopher George, M.D.Temple University

Michael Gross, M.D.University of Medicine and Dentistry of New Jersey

Ali Hamid, MBBSDow Medical College

JJ Hernandez, D.O.University of Medicine and Dentistry of New Jersey Schoolof Osteopathic Medicine

Adrian Hurst, D.O.Philadelphia College of Osteopathic Medicine

Adam Lammly, D.O. Philadelphia College of Osteopathic Medicine

Poonam Maru, D.O.Western University of Health Sciences

Tresa Mascarenhas, MBBSMadurai Medical College - India

Calvin Williams, M.D., Ph.D.University of MarylandSchool of Maryland

PGY 2Peter Burke, D.O.Philadelphia College of Osteopathic Medicine

Claudia Dal Molin, D.O.Edward Via Virginia

Jennifer Juice, D.O.University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine

Ruhong Ma , D.O.Edward Via Virginia

Amratash Malodiya, MBBSKastarba Medical College

Kathy McGill, D.O.Philadelphia College of Osteopathic Medicine

Adaorah Okafor, D.O.New York College of Osteopathic Medicine

Donald Slack, M.D.University of Maryland

Aubre Weber, D.O.Philadelphia College of Osteopathic Medicine

Chia-Shing Yang, M.D.Eastern Virginia Medical School

PGY 3Courtney Ackerman, M.D.Saint George's University

Roi Altit, M.D.Jefferson Medical CollegeDavid Armstrong, D.O.

New York College of Osteopathic Medicine

Jennifer Brettler, D.O.University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine

Bobby Gulab, M.D.Ross University

Jennifer Hurd, M.D.Jefferson Medical College

Narrani Kanapathippillai, M.D.Saint George's University

Jason Magargle, D.O.University of Medicine and Dentistry of New Jersey Schoolof Osteopathic Medicine

Heather Ragozine-Bush, M.D.Jefferson Medical College

Lauren Salmon, D.O.Edward Via Virginia

Sandra Schwarcz, D.O.Philadelphia College of Osteopathic Medicine

Anna Taran, D.O.Lake Erie College of Osteopathic Medicine

Intern Welcome Celebration: Lauren Salmon, D.O. (PGY-3) and Anna Taran, D.O. (PGY-3).

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PGY 1Matthew Butler, M.D.University of Medicine and Dentistry of New Jersey

Nirav Das, M.D.University of Texas Southern Medical Center

Assaf Graif, M.D.Technion

Sameul Hanif, M.D.George Washington University

Sergey Kochkine, M.D.SUNY Stony Brook

Christopher O'Neill, M.D.Columbia University

Samir Thaker, M.D.Case Western Reserve University School of Medicine

Preliminary Medicine

PGY 1Megan Dowling, M.D.Eastern VA Medical School

Nathan Finch, M.D.Eastern Virginia Medical School

Daniel Fistere, M.D.Virginia Commonwealth School ofOsteopathic Medicine

Chad Hummel, M.D.Jefferson Medical College

Roshan Modi, M.D.Drexel University

Matthew Moon, M.D.Mount Sinai School of Medicine

Tim Niesen, M.D. Drexel University

Jennifer Rowland, M.D. University of Pennsylvania

Vivek Sahani, D.O., University of Medicine and Dentistry of New Jersey Schoolof Osteopathic Medicine

Transitional Year

PGY 1David Chen, M.D., MPHUniversity of Medicine and Dentistry of New Jersey

Himani Divatia, D.O.Philadelphia College of Osteopathic Medicine

Stephanie Guarino, M.D.Baylor College of Medicine

Vishal Patel, M.D. Albany Medical College

Giovanna Uzelac, M.D.Jefferson Medical College

PGY 2Sneha Daya, M.D.Albany Medical College

Jennifer Gauntt, M.D.Georgetown University

Christopher Prater, M.D.Michigan State University

Christopher Prendergast, M.D.Brown University

PGY 3Kelly Billig-Figura, M.D.State University of New York

Candace Sprott, M.D.Wake Forest University

Mark Troiano, D.O.Philadelphia College of Osteopathic Medicine

PGY 4Raymond Carter, M.D.New York College of Medicine

Samantha DeCouto, D.O.Philadelphia College of Osteopathic Medicine

Andrea Read, D.O.Philadelphia College ofOsteopathic Medicine

Karla Testa, M.D.Georgetown University

Medicine Pediatrics

PGY 1Stephen Boone, M.D.University of Texas

Tam Dang, M.D.Creighton University

Andrew Deitchman, M.D. Temple University

PGY 2Nour Rifai, MBChBRoyal College of Surgeons in Ireland

Brian Robertson, M.D.Virginia Commonwealth UniversitySchool of Medicine

Joseph Romano, M.D.Virginia Commonwealth UniversitySchool of Medicine

PGY 3Mary-Stewart Grote, M.D.University of Kansas

Daniel Hess, M.D.University of Maryland

Vikram Marocha, M.D.Baylor College of Medicine

PGY 4Edgardo Ordonez, M.D.University of Medicine and Dentistry of New Jersey

Alon Payenson, M.D.Drexel University

Margaux Snider, M.D.Oregon Health Science University School of Medicine

PGY 5

Hana Choy, M.D.Case Western University

Elizabeth Lee, M.D.University of Maryland

Matthew Stofferahn, M.D.Johns Hopkins University

Emergency Medicine/Internal Medicine

Internal Medicine Residents (continued)

Physical Diagnosis Charades, Intern Orientation: Tresa Mascarenhas, MBBS(PGY-1), Muhammad Baig, D.O. (PGY-1),Roy Kao, M.D. (Chief Resident),Amratash Malodiya, MBBS (PGY-1).

Wahida Azimi, D.O.Internal Medicine, Class of 2010

"I loved the wonderful camaraderie and social network at CCHS!"

Narrani Kanapathippillai, M.D.PGY-3 IM Resident

“Everyone from the office staff to my attendings havebeen nothing but helpful and encouraging. Christiana Careis a great nest for residents togrow in and learn to fly.”

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Teaching Skills Course

TO BECOME OUR FAN ON FACEBOOKhttp://www.facebook.com/home.php?#!/pages/Newark-DE/Christiana-Care-Internal-Medicine-Residency/

168912839788310 • http://www.twitter.com/cchsimresidency • http://cchsimresidency.wordpress.com

The Christiana Care Diamond

Residency training is first and foremost about learning to take safeand effective care of our patients.However, 21st century demands the high quality that comes from effective teamwork with other doctors and the healthcare team.Physicians are the natural leadersof these teams. To that end, ourresidency program is excited to announce the start of a new optionalleadership track. Built into the curriculum so that your clinical experiences are undisturbed, residents who participate in this

three year track will acquire theknowledge and skills to be a highlyeffective leader.

In the first year of the program,you’ll participate in the AchievingCompetence Today course. A twelve week, nationally acclaimedcurriculum developed by the leadership at Christiana Care, residents learn in multidisciplinarygroups about patient safety, changetheory, health care financing, andquality improvement. In the secondand third years of training, residents

will learn the skills of negotiationand conflict resolution, effective communication and learning styles,business fundamentals, organizationaldevelopment, managing people, andmastering the physician leader role.Residents who successfully completethe program will be given an additional certificate of completion at graduation. The knowledge andskills developed through this program will provide our residentswith a competitive advantage for getting jobs, fellowships, and helplaunch their leadership career.

New Leadership Track for Residents

Good leaders are made not born. If you have the desire andwillpower, you can become an effective leader. Good leadersdevelop through a never ending process of self-study, educa-

tion, training, and experience (Jago, 1982).

The Active Learning Credo(from Silberman, 1996 Active Learning 101 Strategies)

What I hear, I forget.

What I hear and see, I remember a little.

What I hear, see, and ask questions about or discuss with someone else, I begin to understand.

What I hear, see, and do, I acquire as knowledge and skill.

What I teach to another, I master.

Did you know that the word doctor in Latin meansteacher? Becoming an effective teacher is an importantcomponent of a physician’s growth. As an intern, you’llbe teaching 3rd and 4th year medical students. As aPGY-2 and more senior resident, you’ll have the excitingopportunity to lead and teach teams. Our program helpsyou become an excellent teacher through a series of

three enjoyable off-site retreats that you’ll experienceover the course of the residency program. For those individuals who are interested in pursuing additionalteaching skills education, our program offers a yearlyten week course held every Fall. Topics covered in thecourse include:

• Adult learning theory and learning preferences

• The One Minute Teacher

• Using the Data Gatherer-Reporter-Interpreter-Educator(D-RIME) model for teaching

• Oral presentations and documentation

• Teaching medical decision making and strategies toavoid cognitive bias – Donnelly

• Teaching during bedside rounds – Deutsch

• Teaching the physical exam – Burday

• Teaching in a lecture format – Schenck

• Conflict resolution

• Effective evaluation

• Feedback skills

• Preparing abstracts and presentations

Basic Research Opportunities at the University of Delaware

For residents with an interest in basicresearch, Christiana Care is sponsoring residents to perform basic and

translational research full time at theDelaware Biotechnology Institute and University of Delaware.

With the approval of the program director, residents can spend one to two years in the labparticipating in programs at these research

centers. While doing research, residents would remain employees of the hospital with full benefits and salaries. The institute’s current emphasis is in the fields of oncology and sophisticated imaging technologies.

PGY2 Retreat 2011: Nour Rifai, MBChB (EMIM PGY-2),Ruhong Ma, D.O. (PGY-2), Kathy McGill (PGY-2), John Donnelly, M.D. (Assistant Program Director), Brian Robertson, M.D. (EMIM PGY-2), Sarah McTighe (2010-2011 Chief Resident).

PGY2 Retreat 2011

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Recent GraduatesInternal Medicine GraduatesRESIDENT FELLOWSHIP PROGRAM2010–2011Matthew Barrett, D.O. (EMIM) Pulmonary Critical Care University of MarylandWilliam Chasanov, D.O., MBA Nephrology Fellowship Christiana CareMatthew Dunn, M.D. (Med-Peds) Practice (AZ) HospitalistYugenia Hong, M.D. (Med-Peds) Infectious Disease Washington Hospital Center (DC)Roy Kao, M.D. (Med-Peds) Pediatric Hematology/Oncology UCLAElizabeth Kunkel, D.O. Practice (WA) HospitalistLionel Malebranche, M.D. Cardiology Christiana CareBrooke Mobley, D.O. Nephrology Christiana CareJohn Mohline, D.O. (EMIM) Practice (DE)Justin Morea, D.O. Medical Informatics Regenstrief Institute Indiana UniversitySajid Noor, D.O. Practice (DE) HospitalistJames Perkins, M.D. Cancer Research (PA)Briana Sanders, M.D. Practice (MD) HospitalistJenny Taylor, D.O. (Med-Peds) Practice (DE) HospitalistJessica White, M.D. Quality and Patient Safety Christiana CareDe Winter, M.D. (EMIM) Emergency Medicine Pracice (NC)

2009–2010Dave Aljadir, M.D. Hematology/Oncology Roger WilliamsWahida Azimi, D.O. Practice (HI) HospitalistBrad Bley, D.O. (Med-Peds) Sports Medicine University of MassachusettsChris Coletti, M.D. (EM/IM) Emergency Administration Christiana CareJennifer Cooke, D.O. Private Practice (FL)Nancy Fleurancois, M.D. (Med-Peds) Practice (DE) HospitalistDena Florczyk, M.D. (Med-Peds) Sports Medicine UCLARalph Gonzalez, M.D. Practice (DE) HospitalistBen Goodgame, M.D. (EM/IM) Critical Care Cooper University HospitalLalitha Gudipaty, M.D. Endocrine Research University of PennsylvaniaAman Jalali, M.D. Practice HospitalistJennifer LeComte, D.O. (Med-Peds) Peds Chief AI duPont Hospital

for Children (DE)Sarah McTighe, D.O. Chief ResidentPhyllis Owusu-Griffin, M.D. Practice (MA) Hospitalist

Christopher Rogan, M.D. (EM PGY-3),Vikram Marocha, M.D. (EM/IM PGY-3), Justin Morea, D.O. (Internal Medicine, Class of 2011), Chaney Stewman,M.D. (Preliminary, Class of 2010), LionelMalebranche, M.D. (IM, Class of 2011),Anna Taran, D.O. (PGY-2).

27

Internal Medicine Graduates (continued)

RESIDENT FELLOWSHIP PROGRAM2009–2010 (continued)Jennifer Packard, M.D. (Med-Peds) Practice - Medicine Pediatrics (NH) Adam Rudnick, M.D. (Med-Peds) Practice - Medicine Pediatrics (DE)Stephen Walsh, M.D. Radiology Oncology Residency,

GeorgetownErin Watson, M.D. (EM/IM) Practice- Emergency Medicine (MD) Esther Wong, M.D. Practice (CA) Hospitalist

2008–2009Kevin Copeland, D.O. Chief ResidentJoseph Deutsch, M.D. Practice (DE) HospitalistJamie Fountain, M.D. (Med-Peds) PracticeCherilyn Hall, M.D. (Med-Peds) Practice (MD)Tamar Jackson, M.D. Practice (DE) HospitalistLisa Jones, D.O.Matthew Judd, D.O. (EM/IM) EM Administrative Christiana Care, Private Practice (PA)Jonathan Kaufmann, D.O. Practice (HI) HospitalistJeffrey Mindel, M.D. Endocrinology George Washington UniversityMichael Perraut, M.D. (EM/IM) Practice Lisa Preston, D.O. (EM/IM) Private Practice (CT) Marina Pulini-Franks, M.D. Rheumatology Medical University of South CarolinaNiksad Puthiya Purayil, M.D. Cardiology Christiana CareMina Rim, M.D. (Med-Peds) Practice (DE) HospitalistTequa Salehi-Rad, D.O. (Med-Peds) Infectious Disease Cooper University

2007–2008Abimbola Olowo, M.D. Practice Armin Marefat, D.O. Gastroenterology UMDNJCaroline Weston, M.D. (Med-Peds) Practice (NJ) HospitalistChristine Manley, M.D. (Med-Peds) Gastroenterology Jefferson Medical CollegeGreg Beato, D.O. Sports Medicine Virginia TechHayley Rintel-Queller, M.D. (Med-Peds) Sports Medicine Christiana CareJason Nomura, M.D. (EM/IM) EM Ultrasound Christiana CareJennifer Genuardi, M.D. (Med-Peds) Chief ResidentJonna Gies, M.D. (EM/IM) Practice (WY)Matthew Grove, D.O. Cardiology Christiana CareMichael Silverberg, M.D. Emergency Medicine Drexel UniversityThinesh Dahanayake, M.D. (EM/IM) Critical Care Rochester

Jennifer Genuardi, M.D. Alumna and previous Chief Resident

"My experience of residency training at CCHS has prepared me better than Icould ever have imagined for my job. The diversity of the cases I saw, the volume of patients, the innovativeness of the residency program and outpatientexperiences, the nurturing atmosphere, and the technology at Christiana has allowed for this easy transition into a busy inner city clinic. My colleaguescome to me with questions about managing all of the challenging patients, look to me as a leader on improvement projects and problem-solving, and count on me to be a teacher for the mid-level providers."

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Internal Medicine Graduates (continued)

RESIDENT FELLOWSHIP PROGRAM2007–2008 (continued)Tina Mirza, M.D. Private Practice (PA)Uzoma Kalu, M.D. Private Practice (OH)Vivek Reddy, M.D. Practice (DE) HospitalistZeshan Rana, M.D. Cardiology

2006–2007Eric Adkins, M.D. (EM/IM) Critical Care Ohio State Ankush Bansal, M.D. Practice (DE) HospitalistRani Beharry, M.D. Geriatrics TempleDoreen Bett, M.D. Nephrology DartmouthYolanda Domond, M.D. (Med-Peds) Practice (OR)Richa Gopal, M.D. Practice (DE) HospitalistLacy Hobgood, M.D. (Med-Peds) Practice (NC) Matt Jacobson, M.D. Practice (DE)Nana Kutateladze, M.D. Practice (DE) Brian McGillen, M.D. Chief ResidentAlexia Moutsatsos, M.D. Practice (DE)Rob Myers, M.D. Cardiology Christiana CareJean Rim, M.D. (Med-Peds) Infectious Disease RushCharles Roche, M.D. Practice (HI) HospitalistRani Singh, D.O. Practice (DE)Sue Thompson, D.O. (EM/IM) Practice (DE)Dennis Trigueros, M.D. (EM/IM) ED Ultrasound UC - Irvine

2005–2006Rigoberto Acosta, M.D. Practice (DE) Scott Dyer, D.O. Allergy TulaneDan Gilday, D.O. (EM/IM) Practice (WA)John Granger, M.D. Infectious Disease UTBinu Jacob, M.D. Practice (DE) HospitalistMichelle Jordan, D.O. Chief ResidentColin Kane, M.D. (Med-Peds) Peds Cardiology Emory UniversityKaren Kinkel, M.D. Practice (DE) Thomas Mathew, M.D. Practice (DE) HospitalistCollette Mehring, D.O. Nephrology Thomas JeffersonKendall Ritz, M.D. (Med-Peds) Practice (DE)

Intern Retreat, Rehoboth Beach: Dan Hess,M.D. (EM/IM PGY-3), David Armstrong, D.O.(PGY-3), Jason Magargle, D.O. (PGY-3), Stephen Walsh, M.D. (Alumnus)

29

Internal Medicine Graduates (continued)

RESIDENT FELLOWSHIP PROGRAM2005–2006 (continued)David Rosenstein, M.D. (Med-Peds) Practice (TX)Mike Schiano, M.D. Practice (NY) HospitalistAndy So, D.O. Cardiology Lankenau HospitalJason Sperberg, D.O. Practice (CO) HospitalistAlex Straight, M.D. (EM/IM) Nephrology University of MinnesotaSeth Torregiani, D.O. (Med-Peds) Practice (DE)Chris Valle, M.D. (EM/IM) Practice (FL)

2004–2005Stephen Chrzanowski, M.D. Cardiology Hartford HospitalAmy Collis-Cowitch, M.D. Practice (PA) HospitalistJasdeep Dalawari, M.D. (EM/IM) Cardiology Medical College of VirginiaKerri Donahue, M.D. Pulmonary/CC Medical College of GeorgiaAaisha Haque, M.D. Practice (DE) HospitalistVinay Hosmane, M.D. Cardiology Christiana CareQing Liu, M.D. Practice (DE) HospitalistCybele Mathai, M.D. Practice (AZ) HospitalistParag Patel, M.D. (Med-Peds) Atherosclerosis BaylorRebecca Resnik, M.D. Pain/Palliative Care Mass General Hospital

Gregory Beato, D.O.Alumnus

"I always knew my training at Christiana was excellent, but I didn't fully appreciatethe diverse exposure and attention to teaching we have until experiencing othergraduate medical education programs and community hospitals. Being able to consult with any number of well trained and approachable specialists and internistsassisted my training exponentially. Christiana Care Health System and the graduatemedical education program were thorough and detailed in preparing me for becomingan attending. The exposure to pathology and excellent teaching made the transitionto fellowship smooth. Going from CCHS Internal Medicine residency to a SportsMedicine fellowship was smooth because I felt prepared on the medicine topics sothat I could focus on learning my specialty information. I believe even after beingaway from internal medicine on a day to day basis for one year, my training at CCHS has allowed me to pick up right where I left off now as a primary care physician and hospitalist."

Physical Diagnosis Charades, Intern Orientation: Lauren Douglas, M.D. (PGY-1), Jennifer Rowland, M.D.(Transitional Year PGY-1), Poonam Maru, D.O. (PGY-1).

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Transitional Year GraduatesRESIDENT RESIDENCY PROGRAM2010–2011Yousaf Awan, M.D. Radiology Univeristy of MarylandAdam Fang, M.D. Radiology University of RochesterShoheb Farooqui, M.D. Radiology Christiana CareJudith Gadde, D.O., MBA Radiology Christiana CareMamta Gupta, M.D. Radiology MCV/VCUAmr Kouchouk, M.D. Ophthalmology George Washington UniversityHeather Mosca, D.O. Radiology Christiana CareHemesh Rama, M.D. Radiology Beth Israel Medical CenterDillenia Reyes, M.D. Radiology Temple University

2009–2010Kazal Bahl, M.D. Radiology Christiana CareBelal Bakir, M.D. Opthamology University of TexasJoanna Busquets, M.D. Dermatology Thomas Jefferson UniversityRebekah Clarke, M.D. Diagnostic Radiology Baylor UniversityAndrew Gunn, M.D. Radiology Mass General HospitalSonia Gupta, M.D. Radiology Christiana CareSoham Mahadevia, M.D. Radiology Emory UniversityDavid Raj, M.D. Radiology Christiana CareElana Smith, M.D. Diagnostc Radiology Morristown Memorial Hospital

2008–2009Patrick Chan, M.D. Opthamology Columbia UniversityJanine Collinge, M.D. Opthamology Washington National Eye CenterBryan Franck, M.D. Radiology Christiana CareKathryn Grandfield, M.D. Radiology Brown UniversityEric Ko, M.D. Radiology Oncology Mt. Sinai Medical CenterJames Lee, M.D. Radiology Christiana CareJoseph Le, M.D. Radiation Oncology Washington UniversityThomas Reilly, M.D. Radiology Albert Einstein Medical CenterClint Wrigley, M.D. Radiology Christiana Care

2007–2008Gregory Chandler, M.D. Radiology Temple UniversityKriti Gwal, M.D. Radiology Pennsylvania HospitalAaron Parnes, M.D. Radiology University of MarylandKeyur Patel, M.D. Radiology UMDNJ- Robert Wood Johnson

Team building exercise at the PGY2 Retreat 2011.

31

Transitional Year Graduates (continued)

RESIDENT RESIDENCY PROGRAM2007–2008 (continued)Shivam Patel, M.D. Radiology Temple UniversityDaymen Tuscano, M.D. Radiology Emery UniversityMichael Spina, M.D. Radiology Christiana Care Health SystemJesus Velez, M.D. Radiology Christiana Care Health System

2006–2007Rachel Brock, M.D. Radiology Christiana Care Health SystemKevin Bowman, M.D. Radiology Jefferson Medical CollegeGabriel Chong, M.D. Ophthalmology Duke UniversityF. Char DeCroos, M.D. Ophthalmology Duke UniversityAnton Delport, M.D.Radiology Jefferson Medical CollegeJoanna Galati, M.D. Psychiatry Johns Hopkins UniversityAndrew Gargiulo, M.D. Radiology Temple UniversityJohn Scheel, M.D. Radiology University of Virginia

2005–2006Paul Cedeno, M.D. Radiology Christiana Care Health SystemLawrence Cheung, M.D. Radiology StanfordMatthew Keller, M.D. Dermatology Jefferson Medical CollegeSamri Kodsi, M.D. Radiology Tufts New England Medical CenterKaryn Leniek, M.D. Preventive Medicine University of North CarolinaJohn Moore, M.D. Ophthalmology Johns HopkinsJocelyn Park, M.D. Radiology Beth Israel HospitalKatie Rossy, M.D. Dermatology Metropolitan HospitalKamyar Sartip, M.D. Radiology Christiana Care Health System

2004–2005Julie Bykowski, M.D. Radiology University of California San Diego Andrew Chen, M.D. Radiology University of MassachusettsKheng Lim, M.D. Radiology Christiana Care Health SystemKristen Lott, M.D. Radiology University of Pennsylvania HospitalAnkit Patel, M.D. Physical Medicine Baylor Medical Center

& RehabilitationAron Rosenthal, M.D. Radiology University of California San DiegoJessica Wei, M.D. Radiology Pennsylvania HospitalGreg Wilde, M.D. Radiology Christiana Care

Sarah Schenck, M.D., FACP Medical Director, Adult Medicine Office

“My favorite, most rewarding part of residency training was having my ownoutpatient practice in a residents' clinic. As the medical director of the AdultMedicine Office at Christiana Care, I strive to impart that enthusiasm andpassion for outpatient medicine to our residents. Residents are privileged totake care of their own panel of patients with the support of an expert faculty,dedicated staff and a sophisticated electronic medical record. Through the development of the doctor-patient relationship over the course of their residency, residents learn the art and science of outpatient medicine.”

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Imaginations— Child Care —

Tuition Rates (effective July, 2011)

Visit our web site www.brighthorizons.com

Full Time Rates (40 Working Hours)Infant Program $250 Per Week(Babyland, Creepers)

Toddler Program $230 Per Week(Toddlers)

Twos Program $222 Per Week(Rompers, Explorers)

Preschool Program $211 Per Week(Preschool, Pre K)

Drop-In Rates (Daily) 5-9 5 Hours Hours or Less

Infant Program $56 $44Toddler Program $53 $41Twos Program $51 $39Preschool Program $49 $37

Registration Fees: $100Registration Fee 2nd Child: $50

NOTES:• Please see the Center Director for part time options• For two (2) or more children, a 10% discount will be given on tuition for the oldest child.

• Payments are made two (2) weeks in advance and will be made through payroll deduct.

• Rates are subject to change.• Tuition is reflective of staff-child ratios in assigned classrooms.

For the second consecutive year,Christiana Care is a ThomsonReuters 100 Top Hospital

Performance Improvement Leader.

Formerly Solucient, ThomsonReuters is a nationally

known provider of health care information.

This prestigious award places

Christiana Care among the top 100

U.S. hospitals—and among the top

15 major teaching hospitals—

for the fastest, most consistent

performance improvement

over five consecutive years.

CHRISTIANA CAREnamed a

“Thomson 100 Top Hospitals Performance Improvement Leader”

33

The types of activities that qualify tocomplete the scholarly activity requirement include:

• Writing and presenting an abstractto a regional or national conference.

• Presenting research findings at aregional or national meeting.

• Peer-reviewed publications.

• Book chapters, review articles or similar non-peer-reviewed publication.

• Presenting a ClinicopathologicalConference (CPC) at MedicalGrand Rounds.

• Original research.

• Other special projects may be approved by the Program Directoron a case-by-case basis (e.g. newcurricula, performance improvementprojects that are published)

Abstracts are frequently case reportsof interesting or unusual clinicalcases but can also be descriptions of original research projects. The Department of Medicine (DOM) submits multiple resident and medical student abstracts to theDelaware American College ofPhysicians (ACP) meeting, which occurs annually in February. Severalresidents are also selected to presenttheir work at the national ACP meeting in April. CCHS will printresident posters at no cost for the

residents, and will pay for travel tonational meetings if residents’ workis selected for presentation. In recentyears, DOM residents have also presented their work at such nationalmeetings as the American College ofCardiology, Infectious Diseases Societyof America, American College ofEmergency Physicians, AmericanHeart Association, and others.

Peer-reviewed publications can occasionally arise from these abstracts,and are expected to result from originalresearch projects. The Delaware Medical Journal is a peer-reviewedpublication that is a particularlygood opportunity for residents to

publish their work. Please see theattached list of publications for other examples. Residents can alsoparticipate by working with a facultymember who is asked to write areview article or book chapter.

The Clinicopathological Conference(CPC) is an opportunity for residents(typically PGY-III or higher) to workwith a faculty mentor to investigatean interesting, unknown case and topresent the case, their differential diagnosis, and their diagnostic approach at a session of MedicalGrand Rounds. These sessions aregenerally greatly enjoyed by both thepresenting resident and the audience.

Department of Medicine Scholarly Activities and Original ResearchAll categorical internal medicine, medicine/pediatrics, and emergency medicine/internal medicine residents are requiredto complete at least one scholarly activity during their residency, although many residents complete more than one.These scholarly activities are intended, given that residency is a unique time in one’s training with an extremely highlearning curve, to encourage residents to satisfy their intellectual curiosity and place the clinical information they’veacquired into the context of population health and the overall health system. In addition, residents will gain writingand presentation skills, work closely with one or more faculty mentors, improve their abilities to search and understandthe medical literature, and potentially gain skills in performance improvement and evaluation. Residents who complete one or more scholarly activities are generally considered more competitive candidates for fellowship and other career opportunities.

Intern Welcome Event, Neeta Milasincic, M.D., Lionel Malebranche, M.D. (Class of2011), Enoch Arhinful, M.D. (PGY-1).

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Program Announces NewOptional Research TrackBeginning in the 2011-2012 academicyear, the Department of Medicine(DOM) added an optional “ResearchTrack” for those residents who knowearly in their residency that they areinterested in pursuing a researchproject. The goal of the ResearchTrack is to provide interested andmotivated residents with the infra-structure and support to successfullycomplete and present and/or publishan independent research project.Please note that residents who do notenroll in the Research Track up frontare not precluded from conductingresearch at a later date. Advantagesof the Research Track will includemore structured research mentoring,education in research methodology,administrative support, and higherpriority in accessing informationtechnology (IT) and statistical support.

Residents will enroll in the ResearchTrack early in their intern year, andover the first year will identify a faculty mentor and develop their research question and protocol. Earlyin their second year of residency,they will submit their projectthrough the Christiana Center forOutcomes Research (CCOR, seebelow) for study design and statisticalevaluation, then the DOM ClinicalResearch Committee and the Institutional Review Board (IRB) forapproval. Once these steps have occurred, the resident will conducttheir research during their secondyear, with the goal to finish the datacollection and analysis by the begin-ning of the third year, which willthen be spent writing up, presentingand publishing their work. This timeline will be stretched out slightly forresidents in combined programs.

Research SupportMarci Drees, MD, MS, and Daniel Elliott, MD, MSCE, serve as the Co-directors of Resident Research for the DOM and help to coordinateresident research efforts. Dr. Dreesperiodically distributes researchideas and opportunities for residents,and can help to find a research mentorfor residents who are interested inworking in a particular subject area(such as in preparation for fellowshipapplication). Patty McGraw, RN, MSN,

is the research nurse supervisor assigned to the DOM to assist withresident research projects. She andher staff of 5 additional researchnurses will help with IRB applications,obtaining funding if necessary, chartabstraction, subject enrollment andother research activities.

Types of Resident Research ProjectsFor the most part, due to residents’clinical responsibilities and othertime constraints, most resident projectsinvolve retrospective review of existingmedical records via chart reviewand/or database analysis. CCHS’patient volume and excellent medicalinformatics provide an extremelyrich source of data for a wide varietyof research questions. However,some residents have successfullymanaged to conduct prospectivestudies, such as surveying healthcare workers before and after an intervention, or screening a specifiedpatient population for a given condition, or even randomized controlled trials. Many residents alsobecome involved in both informaland formal performance improvementprojects, many of which result inpublishable results.

Steps to Successfully Completingan Original Research ProjectSuccessfully completing an originalresearch project is time-consuming,and always requires a team effort.CCHS and the DOM are dedicated toproviding as much oversight andsupport as residents need to initiateand complete their projects. Suchsupport includes:

1) Institutional Review Board (IRB)Human Subjects Protection Trainingand IRB approval. IRB training isan online course available via the

Heather Ragozine-Bush, M.D.PGY-3 Internal Medicine resident

Chief Resident 2012-2013

“Christiana allows you the autonomyto grow and develop into an individualphysician while offering an infiniteamount of teaching, both didactic andSocratic, to help guide you along theway. Nowhere is this more true thanin the MICU, where attendings,physician assistants, nurses, residents,and medical students work together to form plans using evidence-basedmedicine while emphasizing the needto practice cost-effective medicine.Opportunities to preform supervisedprocedures, such as central line placement and paracentesis, are abundant. These procedures aretaught and perfected in a simulationlab to develop our technique prior to patient contact.”

35

CCHS intranet. All EM/IM residentsare required to complete thiscourse as part of their residencytraining; all other residents whohave even the slightest interest inconducting a research or PI projectare strongly encouraged to completethis training as early as possible.Dedicated time will be allotted tocomplete these modules duringthe Evidence-based Medicine elective or other time allowable bythe Program Director. Incomingresidents who have documentationof completion of similar trainingduring medical school may beexempted from this requirement.All research projects must be approved by the IRB prior to commencement; while PI projectsmay be considered exempt fromIRB approval, they must still beapproved prior to any publicationor presentation of results outsideof CCHS.

2) Literature review. The Lewis B.Flinn Medical Library, located inthe John H. Ammon Medical Educational Center, has a wide variety of print and electronic articlesavailable, which can be printed orcopied for no cost. Articles fromjournals for which CCHS does not

hold a subscription can be ordered individually through the librariansat no cost to residents. In addition,the medical librarians will gladlyassist with performing an effectiveliterature search on the topic of interest.

3) Finding a Research Mentor. TheCo-directors of Resident Research,Dr. Drees and Dr. Elliott, are theprimary contact persons withinthe DOM for residents interestedin research. Dr. Drees will distributepotential opportunities (facultymembers who have an ongoingproject or an idea for a project, whoare willing to mentor residents interested in participating), try to identify research mentors forresidents interested in a particularsubject matter, and will meet withresidents individually as needed to discuss the Scholarly ActivityRequirement and original research.In addition, Dr. Drees and Dr. Elliott both have masters-leveltraining in clinical research andepidemiology, and can assist assecondary mentors for those faculty-resident teams who needadditional assistance with clarifyingthe research question, study designand analysis.

4) Statistical Analysis and InformationTechnology (IT) support. Established in 2005, the ChristianaCare Center for Outcomes Research(CCOR) not only conducts a num-ber of clinical research projects, buthas a fundamental goal to assistfaculty and residents across CCHSto successfully complete clinicalresearch projects. Residents whorequire IT and/or statistical supportcan submit a brief request to theIT/Statistics Planning Committee,which meets monthly and will review the study design, data elements needed, planned measurableoutcomes and statistical analysis.Members include faculty from theDOM, biostatisticians (PhD andMasters’ level), epidemiologists,and IT specialists. After review,the committee will determine aplan and time line for data extractionand statistical analysis.

5) Writing, Publication & PresentationSupport. Dr. Drees and Dr. Elliottare also available to edit and reviewabstracts, Powerpoint presentations,posters, and all other publicationssubmitted by residents. The MedicalImaging Department will printposters at no cost for residents.

Roy Kao, M.D. (Med Peds, (Class of 2011,Chief Resident 2011-2012) demonstratingon the Sim Lab mannequin at MedicalGrand Rounds.

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6) Funding. Most resident researchprojects do not require any external funding. However, someprojects may require supplies,computer software, additional laboratory testing, etc. Proposalscan be submitted to the ClinicalResearch Committee, a multidisci-plinary group from the DOM who will review the protocol anddetermine if funding is appropriate.The Committee has access to morethan $50,000 in funding for residentresearch projects per fiscal year.Each resident through the Department of Academic Affairsmay be awarded and additional$800 per year for costs associatedwith their proposals.

7) Other Educational Opportunities.The Center for Outcomes Researchholds the biweekly EpidemiologyLuncheon Lecture Series, a noonconference where CCHS and outsidespeakers will discuss their ongoingresearch projects. All CCHS staffand residents are welcome to attend(lunch is provided). As part of theResident core lecture series, severaldidactic lectures annually are

devoted to research-related topics,such as study design and biostatistics.In addition, both basic and advanced biostatistical seminars areregularly offered through CCOR.

Research AwardsThere are a number of opportunitiesfor residents to be recognized fortheir research and other scholarly activities. The DE ACP will nominateone resident with an outstanding abstract to present at the nationalACP meeting. The CCHS Departmentof Academic Affairs conducts Education Week festivities annuallyin March, and provides a number ofawards for resident research, includingbest case report, best abstract, bestclinical discussion, best original research project, and awards in specialized topics such a family medicine and medical imaging. Cash prizes are provided. In addition,there is annual Focus on Excellenceawards to recognize PI-related projects.One session of Medical GrandRounds (held annually in June) is devoted to recognizing resident research, and residents are invited for both oral and poster presentations.

Jason Sperberg, D.O. Alumnus

“I would never change my residencytraining for anything else. ChristianaCare was terrific in so many ways.Spending time working alongside thespecialists (pulmonary, cardiology,GI, renal) was important. I thinkthe structure set up there for managinginterns and residents as you maturethrough the program builds a

tremendous amount of organizationand management skills. The intensetime in the medical and cardiac

ICUs improved my skills in criticalcare patient management and

procedures – which I use every daynow. The best experience came frommy time at Wilmington hospitalwhere we were independent and theinternist faculty there encouragedextreme independence. This is whereI became confident and efficient. Iwas well prepared for my career as ahospitalist and had no problem stepping comfortably into my rolemanaging internal medicine patients

on the floor, in the ICU, or in consultation with surgical specialties.In fact, I quickly became one of themost effective and respected physiciansat my hospital, in large part because of

the training at Christiana.”

37

Examples of Recent ResidentResearch Projects & Abstractsin the Past Three Years

• Using a Report Card to Improve theQuality of Care for Patients with Diabetes. Presented at the Society of General Internal Medicine, 2011 –Dr. Prater

• Increased Utilization of UltrasoundGuidance for Central VenousCatheters by Non-Emergency Medicine Residents Due to Emergency Medicine Related Programs. Presented at the Societyfor Academic Emergency Medicine,2010 – Dr. Winter

• RITE -->O: Residents ImprovingTransitions of Care; ED to Outpatient. Presented at theAlliance of Independent AcademicMedical Centers National Meeting,2011 – Dr. Stofferahn (EM/IM), Dr.DeCouto (Med-Peds), Dr. Read(Med-Peds) and Dr. Kunkel

• Resident Knowledge of ResuscitationMedication Availability. Presentedat the Society of Academic Emergency Medicine, 2011 – Dr. Hess

• Acceptance of Novel H1N1 Vaccination During Pregnancy.Presented at the Infectious DiseasesSociety of America (IDSA) meeting,2010 – Dr. Wong

• Survival and Neurologic Recoveryin Patients with ST-Elevation AfterResuscitation from Cardiac ArrestFound to have Non-obstructive Disease on Angiography. Presentedat the American Heart Association,2010 – Dr. Malebranche

• In Setting of Normal White BloodCell (WBC) Counts, Elevated BandsPredict Infection and Death. Presented at the Infectious DiseasesSociety of America (IDSA) meeting,2010 – Dr. Kanapathippillai

• Long Term Morbidity and Healthcare Utilization among

Uninfected Children with PerinatalHIV Exposure. Presented at theEastern Pediatric Research SocietyMeeting and the Pediatric AcademicSociety National Meeting, 2009 – Dr. Salehi-Rad

• Zinc Intake and Biochemical Markers of Bone Turnover in Type 1Diabetes. Published in DiabetesCare, 2008 – Dr. Owusu-Griffin

• Resident Perceptions of an Integrated Remote ICU MonitoringSystem. Presented at the Society ofCritical Care Medicine, 2009

Examples of Recent Resident Case Report Abstracts & Publications• Palms that Unraveled an OccultCarcinoma. Presented at DelawareACP and National ACP meetings,2011 – Dr. Malodiya

• Suspected Levamisole Contami-nated Cocaine Induced Vasculitis. Presented at Delaware ACP andNational ACP meetings, 2011 – Dr. Billig-Figura (Med-Peds), Dr.Burke (IM), and Dr. Ragozine-Bush

• Diagnosis and management ofauto-immune mediated myocarditis.Presented at the DE ACP, 2011 – Dr. Burke

• Fanconi Syndrome Induced byTenofovir. Presented at the DEACP, 2011 – Dr. Chasanov

• Purpura Fulminans: a Severe Microvascular Complication ofPneumococcal Sepsis. Presented atthe DE ACP, 2011 – Dr. Read

• Aggressive Pancreatic Adenocarci-noma after Kidney Transplantation.Presented at the DE ACP, 2011 – Dr. Reyes

• CNS Deficits in Multiple Myelomawith Primary Amyloidosis. Presented at DE ACP and NationalACP meetings, 2010 – Dr. Taran

• Paraganglioma Precipitating Reversed Takotsubo Cardiomyopathy.Presented at DE ACP and NationalACP meetings, 2010 – Dr. Gonzalez

• Relapsed Disseminated CutaneousMALT Lymphoma. Presented atDE ACP, 2010 – Drs. Goodgame &Coletti

• A Large Bleed From Ockham’sRazor. Presented at DE ACP, 2010– Dr. Brettler (IM)

• Spontaneous factor XI inhibitorpresenting as bilateral subduralhematomas in a 67 year-old male.Presented at DE ACP, 2010 – Dr. Packard

PGY2 Retreat 2011

Post Match Event: Muhammad Baig, D.O. (PGY-1), JJ Hernandez, D.O. (PGY-1), Vivek Sahani, D.O. (Transitional Year PGY-1), Jennifer Rowland, D.O. (Transitional Year PGY-1),Foyin Fasanmi, M.D. (PGY-1), Tresa Mascarenhas, MBBS (PGY-1), Tim Neisen, M.D. (Transitional Year PGY-1), Kathryn Bowser, M.D. (Surgery PGY-1).

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• Segmental Arterial Mediolysis:First Case Reported of a PatientPresenting with Abdominal Painand Biliary Obstruction. Presentedat DE ACP and National ACPmeetings, 2009 – Dr. Malebranche

• Occam’s Razor Not Always Right,In AIDS Keep Hickam’s Dictum InSight. Presented at DE ACP 2009 –Dr. Gulab & Dr. Salehi-Rad

• Adult Onset Acute Epiglottitis.Presented at DE ACP 2009 – Dr. Payenson (EM/IM)

• Primary CNS Lymphoma, a Challenging Diagnosis. Presentedat DE ACP 2009 – Dr. Kao

• Signet Ring Cell AdenocarcinomaPresenting as an Aggressive Hypercoagulable State. Presentedat DE ACP 2009 – Dr. Mindel

• Primum Non Nocere: Bisphospho-nate-Induced Hypocalcemia in aPatient with Severe Occult VitaminD Deficiency. Presented at DE ACP2009 – Dr. Rim

• Acute Tongue Swelling in a PatientTaking Lisinopril: Not Always Angioedema Presented at DE ACP2009 – Dr. Stofferahn

Examples of Current/Ongoing Resident Research Projects• Factors influencing survival ratesand neurological outcomes in patients who undergo hypothermiaprotocol after a cardiac arrest. Retrospective cohort study – Dr. Ma (IM)

• Risk of Rapid Response Team(RRT) Activation within 4 hours of Admission. Retrospective case-control study – Dr. Malodiya

• RITE -->O: Residents ImprovingTransitions of Care; ED to Outpatient. Prospective study – Dr. Stofferahn, Dr. DeCouto,Dr. Read and Dr. Kunkel

• New Patient Engagement Program(N.P.E.P.). Prospective PI project.Drs. Chasanov and Lee

• In Setting of Normal White BloodCell (WBC) Counts, ElevatedBands Predict Infection and Death.Retrospective cohort study – Dr.Kanapathippillai

• Frequency of severe valve diseaseassociated with mediastinal XRT.Retrospective case-control study –Dr. Copeland

• Standardized H+P's for AdmittedWard Patients from the ED.Prospective study – Dr. Lee

Combined Programs Journal Club: KellyBillig-Figura, M.D. (Med-Peds PGY-3),William Chasanov, II, D.O. (IM, Class of 2011).

39

SALARYPGY 1 $51,900PGY 2 $53,434PGY 3 $55,921

BENEFITSVacation: Three weeks paid vacation for all house staff plus one week off for educational conference.

Education allowance: $1,300 Allowance to be applied toward thecost of an educational conferenceand/or purchase of medical textbooks or related items such as Palm Pilots.

Insurance (disability, life, medical,dental): see Residency Program catalogue.

Computers: Compaq computers are available for use by all medicineresidents in the Medical Resident'sLibrary providing:

• Free internet access.

• Computerized medical literaturesearching over the internet withOVID which allows for full text reprints.

• Networked access to various Microsoft Office applications withfree training available.

• Networked access to Micromedex,Cerner Power Chart (clinicalrepository for lab and x-ray reports, discharge summaries, path reports, etc) and Logician(electronic medical record for

adult medicine office patients). In addition, all residents have remote access to the ChristianaCare Health System network viathe Internet.

Communication services: Allincoming interns are provided withreimbursement for cell phones.

Extracurricular activities: Tickets tomany of Wilmington’s subscriptionseries (theater, opera) and professionalathletic events in the Philadelphia -Baltimore - Washington area are offered through the Department of Medicine. These tickets are available to medical residents on a rotating basis.

Department of Medicine 2011-2012

Salary and Benefits

Brandywine Park in Delaware

Intern Welcome Event: TresaMasacarenhas, MBBS(PGY-1), Lauren Douglas, M.D.(PGY-1), Jennifer Hurd, M.D. (PGY-3), Heather Ragozine-Bush,M.D. (PGY-3, 2012-2013 ChiefResident), Foyin Fasanmi, M.D.(PGY-1), Joe Deutsch, M.D.

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Traveling from the rolling hillsof Northern Delaware to themore than 20 miles of coastalbeaches is a mere two hourdrive through the green farmlands of central and southern Delaware and alongthe haunting marshes of theDelaware River and Bay.

Delaware’s location affords easyaccess to the major metropolitanareas of the northeast, with bothNew York City and Washington,DC just two hours away. Thestate has three counties: NewCastle, Kent and Sussex, with

more than 875,000 people callingthe First State their home.

Delaware’s high quality of life is not accompanied by ahigh price tag. Cost of livingcomparisons conducted by recognized experts indicate thatthe costs associated with livingand doing business in Delawareare far below those experiencedin the neighboring states ofNew Jersey, Pennsylvania and Maryland.

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Delaware

Rehoboth Beach, Delaware

The Christina Riverfront in Wilmington.

A great place to work. A great place to live.Centrally located between New York and Washington, D.C.Destination Drive timePhiladelphia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 minutesBaltimore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.5 hoursWashington, D.C. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 hoursNew York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 hoursPocono (PA) mountains . . . . . . . . . . . . . . . . . . . . . 2.5 hoursDelaware beaches . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.5 hours

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Wilmington Hospital

University of Delaware, Newark, Delaware

One of the beautiful scenes in Delaware.

Cost of Living Comparisons Below is the Delaware medianhousehold income according toAmerican Community Survey(based on 2010 data) compared toother cities in America.

INDEX OF LIVING COSTS

Yearly Family Income $53,774

City State

Wilmington DE 1.00

Baltimore MD 1.13

Philadelphia PA 1.20

Princeton NJ 1.19

Boston MA 1.26

Washington DC 1.33

New York NY 2.05

Outdoor and Cultural Life• Five state parks within 15 minutes.

• 150 miles of mountain biking, hiking and equestrian trails.

• University of Delaware sports, minor-league baseball.

• Close to beaches and Chesapeake Bay.

• Longwood Gardens, Winterthur.

• Delaware Symphony, OperaDelaware, Delaware Art Museum.

Grand Opera House on Market Street Mall in the city of Wilmington.

Despite its small size, Delaware is blessed with natural beauty, cultural diversity, rich local history, and warm friendly people.

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Notes

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Christiana Care is a private, not-for-profit regional health care system and relies in part

on the generosity of individuals, foundations and corporations to fulfill its mission.