De gauche à droite, Harry Yanoshak, agent de santé communautaire ; Nicole Lipinski, directrice de la ligne de service gériatrique du Wright Center ; Kathleen Doyle, directrice des services centrés sur le patient ; Kristin Zaorski, agent de santé communautaire, et Lou Strazzeri, coordinateur des références aux communautés et aux agences, au Wright Center for Community Health - Mid Valley.

Deux nouveaux agents de santé communautaire (CHW) offrent des services spécialisés aux patients du Wright Center for Community Health et aux habitants du nord-est de la Pennsylvanie, grâce à un programme unique du National Health Corps (NHC).

Harry Yanoshak, de Plains Township, travaillera avec les équipes de soins gériatriques du Wright Center et Kristin Zaorski, de Covington Township, collaborera avec les équipes de santé comportementale du Wright Center.

Les deux ASC sont financés par le NHC's Community Health Fellowship, un programme de services de santé communautaire de base qui forme des résidents de la communauté locale en tant qu'ASC. Les nouveaux employés s'engagent à répondre aux besoins non satisfaits des populations mal desservies et à perfectionner leurs compétences en tant que leaders de la santé communautaire.

Le programme NHC finance les ASC pour qu'ils travaillent dans des domaines spécialisés afin de faciliter l'intégration avec les services de santé primaire du Wright Center for Community Health, qui s'adressent à l'ensemble de la population.

"Il s'agit d'une étape supplémentaire dans l'offre de soins intégrés à la personne entière", a déclaré Lou Strazzeri, coordinateur des références à la communauté et aux agences pour le Wright Center. "Nous pouvons désormais proposer un agent de santé communautaire qui peut se concentrer spécifiquement sur les besoins d'un patient vu par notre équipe de soins gériatriques ou sur les besoins d'un de nos patients en matière de santé comportementale."

Nicole Lipinski, directrice de la ligne de services gériatriques du Wright Center, se réjouit des ressources et du soutien uniques que Yanoshak sera en mesure d'offrir aux patients et à leurs familles.

"Nous sommes en mesure d'aider cette population vulnérable à naviguer dans le continuum des soins lorsqu'elle vieillit sur place ou qu'elle a besoin d'une aide supplémentaire pour les soins dans les établissements", a-t-elle déclaré. "L'arrivée d'un ASC ne fera qu'améliorer ce que nous pouvons offrir.

Le Wright Center, dont le siège se trouve à Scranton, gère dix cabinets de soins primaires et préventifs dans le nord-est de la Pennsylvanie, y compris un véhicule mobile de soins médicaux et dentaires appelé Driving Better Health. Ses sites offrent des services de santé primaire intégrés, ce qui signifie que les patients ont la possibilité de se rendre en un seul lieu pour accéder à des soins médicaux, dentaires et comportementaux, ainsi qu'à des services communautaires de traitement des dépendances et de rétablissement. Pour plus d'informations, consultez le site TheWrightCenter.org ou appelez le 570-230-0019. 

Le Dr Kristina Tanovic, médecin interne hospitalier certifié au Wright Center for Community Health, a été élue membre de l'American College of Physicians (ACP), la société des internistes. Cette distinction récompense les réalisations dans le domaine de la médecine interne, la spécialité des soins médicaux aux adultes.

Diplômée de l'école de médecine de l'Université de Belgrade en Serbie, le Dr Tanovic a effectué son internat en médecine interne à l'Icahn School of Medicine at James J. Peters VA Medical Center, un établissement affilié à la Mount Sinai School of Medicine dans le Bronx, New York.

Le Dr Tanovic et son mari, le Dr Ivan Cvorovic, vivent à Scranton, avec leur fille Iskra Cvorovic.

L'ACP est la plus grande organisation de spécialités médicales et le deuxième groupe de médecins aux États-Unis. Les membres de l'ACP comprennent 143 000 médecins internes, sous-spécialistes et étudiants en médecine. Les médecins de médecine interne sont des spécialistes qui appliquent des connaissances scientifiques et une expertise clinique au diagnostic, au traitement et à la prise en charge des adultes, qu'ils soient en bonne santé ou atteints d'une maladie complexe. Pour plus d'informations sur l'ACP, consultez le site acponline.org.

Le Dr Ivan Cvorovic, médecin interne hospitalier certifié au Wright Center for
Community Health, a été élu membre de l'American College of Physicians (ACP), la société des internistes (
). Cette distinction récompense les réalisations en médecine interne, la spécialité
des soins médicaux pour adultes.

Diplômé de l'école de médecine de l'université de Belgrade, le Dr Cvorovic a effectué son internat en médecine interne à l'Icahn School of Medicine de New York, où il a été chef des résidents.

Le Dr Cvorovic et son épouse, le Dr Kristina Tanovic, vivent à Scranton, avec leur fille Iskra Cvorovic.

L'ACP est la plus grande organisation de spécialités médicales et le deuxième groupe de médecins aux États-Unis. Les membres de l'ACP comprennent 143 000 médecins internes, sous-spécialistes et étudiants en médecine. Les médecins de médecine interne sont des spécialistes qui appliquent des connaissances scientifiques et une expertise clinique au diagnostic, au traitement et à la prise en charge des adultes, qu'ils soient en bonne santé ou atteints d'une maladie complexe. Pour plus d'informations sur l'ACP, consultez le site acponline.org.

Un ancien élève qui travaille comme hospitalier et instructeur clinique à l'université de Pennsylvanie sera l'orateur principal de la 45e cérémonie de remise des diplômes du Wright Center for Graduate Medical Education, le samedi 22 juin, au Mohegan Pennsylvania Convention Center à Wilkes-Barre.

La cérémonie de remise des diplômes du Wright Center honorera et récompensera 67 médecins résidents issus de sept disciplines : 32 en médecine interne, 14 en médecine familiale régionale, 16 en médecine familiale nationale, un en psychiatrie, un en maladies cardiovasculaires, deux en gériatrie et un en gastro-entérologie.

Le Dr Humza Quadir de Philadelphie, orateur principal, a obtenu son diplôme de résident en médecine interne au Wright Center en 2022. Il a rejoint le personnel de la Perelman School of Medicine de Penn et est également affilié à l'Hôpital de l'Université de Pennsylvanie et au Penn Presbyterian Medical Center. 

The Wright Center for Graduate Medical Education was established in 1976 as the Scranton-Temple Residency Program, a community-based internal medicine residency. Today, The Wright Center is one of the largest U.S. Health Resources and Services Administration-funded Teaching Health Center Graduate Medical Education Safety-Net Consortiums in the nation.

Les programmes de résidence et de bourses du Wright Center for Graduate Medical Education sont accrédités par l'Accreditation Council for Graduate Medical Education (Conseil d'accréditation pour l'enseignement médical supérieur). Pour plus d'informations, consultez le site TheWrightCenter.org ou appelez le 570-866-3017.

Dr. Erin McFadden, center, collaborates with Dr. Ketaki Pande, a resident physician in The Wright Center for Graduate Medical Education’s Internal Medicine Residency, during an examination with patient Nicole Ammons at The Wright Center for Community Health – North Scranton. Drs. McFadden and Pande see patients together as part of The Wright Center’s new program that places medical residents on care teams to elevate the standard of care for all patients.

The Wright Centers for Community Health and Graduate Medical Education have launched an innovative program to enhance patient care while nurturing the skills of tomorrow’s physician workforce.

Medical residents at The Wright Center for Graduate Medical Education are now members of “care teams” that provide whole-person primary health services to people of all ages, income levels, and insurance statuses. The novel initiative elevates the standard of care provided at The Wright Center’s nine community health center locations in Northeast Pennsylvania while providing a platform for residents to refine their skills as compassionate healers.

By seamlessly integrating hands-on experience with comprehensive training, the program embodies The Wright Center’s mission.

“Patients get two sets of eyes – the resident and the doctor,” said Dr. Timothy Burke, a primary care physician at The Wright Center for Community Health – Mid Valley in Jermyn, Pennsylvania, and the associate program director of The Wright Center for Graduate Medical Education’s Internal Medicine Residency. “Seeing the same resident and the same doctor each time means the patient doesn’t have to repeat their medical history over and over. Both know who you are, the care you’re receiving, and the obstacles you face.”

“We’re giving an opportunity to our patients and our resident physicians to build a relationship,” she said. “If you want to take care of a disease and improve health, you need multiple pictures over time to watch cause and effect.” 

The care team concept is not new at The Wright Center for Community Health, which typically integrates medical, dental, and behavioral health care, as well as community-based addiction treatment and recovery services, at a single location for the convenience of patients. To ensure residents could become more involved in patient care teams, The Wright Center collaborated with its Electronic Health Record (EHR) vendor to redesign the scheduling of patient appointments to honor patient continuity. 

The program also means changing the way resident physicians are scheduled for rotations, which are completed at The Wright Center’s community health centers, local hospitals, and other medical settings in the region. Typically, resident physicians cycle through a number of assignments, each lasting a few weeks to a month. Now, the residents who are part of the new care teams are assigned to their doctor’s clinic location once a week.

“That came from a buy-in across the medical residency program leaders that continuity was important and a priority, so no other rotations were going to supersede their regularly scheduled continuity clinics,” said Tiffany Jaskulski, vice president of health innovation and strategic initiatives at The Wright Center.

First-year Internal Medicine resident Dr. Ketaki Pande sees patients at The Wright Center for Community Health – North Scranton on Fridays with Dr. McFadden. She’s enjoyed getting to know patients on a deeper level and says the team approach is helping her become a more effective physician.

“One of the big parts of primary care is managing chronic conditions,” Dr. Pande said. “For example, not everyone responds to a particular medication the same way. So, I prescribe something, and now I can follow up weeks and months later, to see how it’s working and if something else is needed.”  

Scholarly researchers at The Wright Center for Graduate Medical Education received a certificate of merit from the American College of Physicians for an abstract one of the authors presented at ACP’s Internal Medicine Meeting in Boston, Massachusetts. The authors, from left, Drs. Ali Shah and Lehka Yadukumar, Internal Medicine residency physicians; Dr. Milos Babic, associate program director of the Internal Medicine Residency; and Dr. Maimona Chaudhary, an Internal Medicine residency physician, wrote a case report on a 25-year-old patient with a rare cancer.

A Wright Center for Graduate Medical Education resident physician’s chance meeting with a patient at a local hospital led to the opportunity to present a winning scholarly abstract about a medical rarity at the American College of Physicians (ACP) Internal Medicine Meeting in Boston, Massachusetts.

Dr. Maimona Chaudhary, an Internal Medicine resident physician, first encountered the subject of the abstract, a 25-year-old woman, while on rotation at Geisinger Community Medical Center in Scranton, Pennsylvania. The patient arrived at the emergency department with lesions on her legs. What medical personnel initially diagnosed as second-degree burns ended up being a rare symptom of biclonal multiple myeloma – a cancer that only affects people under the age of 40 in about 2% of cases.

“Upon follow-up, the lesions were diagnosed as paraneoplastic pemphigus, which is rare in itself,” said Dr. Chaudhary. “But then they found she had multiple myeloma, without any of the usual symptoms, without any family history. There were a lot of oddities in this case.”

Dr. Chaudhary, a first-year resident physician from Hamilton, Ontario, followed the patient’s case over the next several months and produced a case report with colleagues from The Wright Center, including Drs. Ali Shah and Lehka Yadukumar, Internal Medicine residency physicians; Dr. Milos Babic, associate program director of the Internal Medicine Residency; and medical student Omaima Chaudhary, who received her medical degree from the University of Limerick School of Medicine and will join The Wright Center for Graduate Medical Education’s Internal Medicine Residency in July.

The researchers submitted the case report, “Paraneoplastic Pemphigus as the Presenting Sign of Biclonal Multiple Myeloma in a 25-Year Old Female: A Case Report,” to the ACP’s resident/fellow national abstract competition, which receives several hundred entries annually. The abstract was one of 20 awarded a certificate of merit by the ACP. Dr. Chaudhary delivered the five-minute presentation on the case.

“It was difficult to cover everything in five minutes,” she said. “I think this case really stood out to the ACP judges because it was so unusual.”

Dr. Chaudhary monitored the patient’s case, although she is not involved in her ongoing treatment. The woman’s cancer treatment was delayed for months as doctors worked to heal the skin lesions caused by paraneoplastic pemphigus, along with other complications. She recently began chemotherapy, and all signs point to a positive outcome.

As for Dr. Chaudhary’s future, she’s still deciding what type of medicine to pursue.

“I’m still exploring,” she said. “I want to do something I really enjoy. We get to pick electives in our second year, so I can start to see where I want to go from here.”

The Wright Center for Graduate Medical Education was established in 1976 as the Scranton-Temple Residency Program, a community-based internal medicine residency. Today, The Wright Center is one of the largest U.S. Health Resources and Services Administration-funded Teaching Health Center Graduate Medical Education Safety-Net Consortiums in the nation. Together with consortium stakeholders, The Wright Center trains residents and fellows in a community-based, community-needs-responsive workforce development model.