Introduction

The fifth annual Guthrie Research Day was held April 22, 2022, on the Robert Packer Hospital campus in Sayre, PA. The event showcases research and quality improvement projects from fellows and residents of Guthrie as well as medical students from Geisinger Commonwealth School of Medicine (GCSOM) and Lake Erie College of Osteopathic Medicine (LECOM). This year’s Research Day featured 13 oral presentations and 53 posters. Here we share 2022 award winners along with a full listing of oral presentations and posters.

Award Winners


Oral Presentations

First Place

Ahmad Lone, MD
Cardiovascular Fellow
Title: Cardiovascular outcomes with use of primary prevention implantable cardioverter defibrillators in patients with non-ischemic cardiomyopathy: a meta-analysis and meta-regression analysis
Authors: Ahmad Lone, MD; Priyanka Ghosh, DO; Daniel Sporn MD, FACC, MHA

Second Place

Abbey Halula, DO
Anesthesiology Resident
Title: Oxygen wastage in perioperative units - time to intervene
Authors: Natesh Yepuri, MD; Sudhakar Kinthala, MD; Praneeth Madabhushi, MD; Anjalena J. Pasam, MD; Abbey Halula, DO

Third Place

Enoch Yeung, MD
General Surgery Resident
Title: A Guthrie Clinic study: Society of Thoracic Surgeons (STS) database analysis of BMI disparities in coronary artery bypass grafting outcomes
Authors: Enoch Yeung, MD; Sierra Smith, DO; Michael Scharf (GCSOM); Cynthia Wung, DDS; Sri Harshavardhan Senapathi, MD, MPH; Stephanie Lawson, AGNP-C; Richard Rockwell, PA-C; Burt Cagir, MD, FACS; Felice Reitknecht, MD, FACS

Research Posters

First Place

Swadha Guru, MD
General Surgery Resident
Title: Systematic review with data analysis of malignant perianal fistulae
Authors: Swadha Guru, MD; Michael Scharf (GCSOM); Anthony Morada (GCSOM); Luke Dombert, MD; Amir Bashiri, MD; Niteesh Sundaram, MS; Sri Harshavardhan Senapathi, MD; Burt Cagir, MD, FACS

Second Place

Zachary E. Dewar, MD
Emergency Medicine Chief Medical Resident
Title: Prehospital portable ultrasound for safe and accurate pre-hospital needle thoracostomy: a pilot educational study
Authors: Zachary E. Dewar, MD; Stephanie Ko (GCSOM); Cameron Rogers, EMT-P; Alexis Oropallo, DO; Andrew Augustine, MD; Ankitha Pamula; Christopher Berry, MD

Third Place

Sneha Singh, MD
Internal Medicine Resident
Title: A glimpse into the inpatient setting through the SDOH lens
Authors: Balkishan Malviya, MD; Sneha Singh, MD; FNU Manas, MD; Tanya Gupta, MD; John Pamula, MD; Victor Kolade, MD

Quality Improvement Projects

First Place

Shista Priyadarshini, MD
Internal Medicine Resident
Title: Are you due for lung cancer screening?
Authors: Shista Priyadarshini, MD; Suchetha Jagan, MD; John Pamula, MD

Second Place

FNU Manas, MD
Internal Medicine Resident
Title: Multidisciplinary approach: key to improvement in diabetic bundle compliance
Authors: FNU Manas, MD; Pooja Jaiswal, MD; John Pamula, MD

Third Place

Tanya Gupta, MD
Internal Medicine Resident
Title: Improving osteoporosis screening rates in IM clinic
Authors: Tanya Gupta, MD; Noor Fatima, MD; John Pamula, MD

Case Report

First Place

Mansur Assaad, MD
Pulmonary Disease and Critical Care Medicine Fellow
Title: Massive football-sized thymoma in a previously healthy 44-year-old man
Authors: Mansur Assaad, MD; Rajamurugan Meenakshisundaram, MD; Faraz Siddiqui, MD

Medical Student Posters

First Place

Briana Sylvester (GSCOM); Giovanni Baiamonte (GCSOM); Jonathan Pou (GCSOM); Zoya Rahman (GCSOM)
Title: Improving medication reconciliation in the emergency department
Authors: Briana Sylvester (GSCOM); Giovanni Baiamonte (GCSOM); Jonathan Pou (GCSOM); Zoya Rahman (GCSOM); John Pamula, MD

Making A Relevant Collaborative Poster (Marc P) Award and Second Place

Emily Converse (LECOM); Ananya Chandra (GCSOM)
Title: Complications of GI endoscopic procedures in patients with cardiac comorbidities
Authors: Emily Converse (LECOM); Ananya Chandra (GCSOM); Shri Jai Kirshan Ravi, MD (Gastroenterology Fellow); Matthew Lincoln, DO, FACG; Michael Georgetson, MD, FACG


All Presentations and Posters

Presenters are denoted by an asterisk (*) following their names. Award winners are denoted by a pound sign (#) following their names.

Oral Presentations

Anesthesiology

Natesh Yepuri, MD; Sudhakar Kinthala, MD; Praneeth Madabhushi, MD; Anjalena J. Pasam, MD; Abbey Halula*#, DO. Oxygen wastage in perioperative units - time to intervene.

Cardiovascular Fellowship

Ahmad Lone*#, MD; Priyanka Ghosh, DO, Daniel Sporn MD, FACC, MHA. Cardiovascular outcomes with use of primary prevention implantable cardioverter defibrillators in patients with non-ischemic cardiomyopathy: a meta-analysis and meta-regression analysis.

Emergency Medicine

Zachary E. Dewar*, MD; Stephanie Ko (GCSOM); Cameron Rogers, EMT-P; Alexis Oropallo, DO; Andrew Augustine, MD; Ankitha Pamula; Christopher Berry, MD. Prehospital portable ultrasound for safe and accurate pre-hospital needle thoracostomy: a pilot educational study.

Michael Sonnier*, MD; Jon C. Rittenberger, MD. The Golden Rule: decreasing delays in imaging and diagnosis in trauma activations in a rural emergency department.

Laura Walker*, DO; Jon Cimini, RPh, PharmD; Jon C. Rittenberger, MD. Point-of-care naloxone distribution in the ED to increase provider prescription rate.

Pharmacy

Amandeep Kaur*, PharmD; Karen S. Williams, PharmD, BCPS-AQ ID. Improving harm reduction services in people who inject drugs at a rural health system.

Gastroenterology Fellowship

Mohammad A. Yousef*, MD; Niteesh Sundaram, MS; Swadha Guru, MD; Burt Cagir, MD, FACS; Robert Behm, MD; Michael Georgetson, MD, FACG; Matthew Lincoln, DO, FACG. The influence of demographic, racial and socioeconomic factors on colorectal cancer screening at a Mid-Atlantic tertiary rural healthcare center.

General Surgery

Austin Carmack*, MD; Misha Patel, MD; Sri Harshavardhan Senapathi, MD; Burt Cagir, MD, FACS; John Pamula, MD. Improving timely electrocardiogram interpretation documentation within Guthrie Robert Packer Hospital.

Swadha Guru*, MD; Niteesh Sundaram, MS; Robert Behm, MD. Postoperative outcomes in elderly patients undergoing colon screening.

Enoch Yeung*#, MD; Sierra Smith, DO; Michael Scharf (GCSOM); Cynthia Wung, DDS; Sri Harshavardhan Senapathi, MD; Stephanie Lawson, AGNP-C; Richard Rockwell, PA-C; Felice Reitknecht, MD. A Guthrie Clinic study: Society of Thoracic Surgeons (STS) database analysis of BMI disparities in coronary artery bypass grafting outcomes.

Internal Medicine

Amlish Gondal*, MD; Umer Farooq, MD; Victor Kolade, MD; Zahir Tarrar, MD; Jogeet Sekhon, MD; Sultan Mahmood, MD. Age-stratified outcomes of urgent endoscopic retrograde cholangiopancreatography for acute cholangitis.

Sushmita Khadka*, MD; Shantanu Solanki, MD; S. Balaji; S. Mullangi; J. Kaur; M. Kasianchyk; H. Chowdhury; D. Lal; I. Patel; M. R. Lekkala. Disparities in outcomes of hospitalization due to multiple myeloma—a nationwide comparison.

Balkishan Malviya, MD; Sneha Singh*, MD; FNU Manas*, MD; Tanya Gupta, MD; John Pamula, MD; Victor Kolade, MD. A glimpse into the inpatient setting through the SDOH lens.

Research Posters

Emergency Medicine

Zachary E. Dewar*#, MD; Stephanie Ko (GCSOM); Cameron Rogers, EMT-P; Alexis Oropallo, DO; Andrew Augustine, MD; Ankitha Pamula; Christopher Berry, MD. Prehospital portable ultrasound for safe and accurate pre-hospital needle thoracostomy: a pilot educational study.

Gastroenterology Fellowship

Mohammad A. Yousef*, MD; Niteesh Sundaram, MS; Swadha Guru, MD; Burt Cagir, MD, FACS; Robert Behm, MD; Michael J. Georgetson, MD, FACG; Matthew Lincoln, DO, FACG. The influence of demographic, racial and socioeconomic factors on colorectal cancer screening at a Mid-Atlantic tertiary rural healthcare center.

General Surgery

Austin E. Carmack*, MD; Niteesh Sundaram, MS; Kayla Robinson, RN; Cathy Lanning, BS; Anne Rizzo, MD; Burt Cagir, MD, FACS. Assessment of cleaning stethoscopes using UV-C sanitation.

Swadha Guru, MD*#; Michael Scharf (GCSOM); Anthony Morada (GCSOM); Luke Dombert, MD; Amir Bashiri, MD; Burt Cagir, MD, FACS. Systematic review with data analysis of malignant perianal fistulae.

Niteesh Sundaram*, MS; Yang Hai, MD; Silviu Marica, MD; Lawrence Sampson, MD; Burt Cagir, MD, FACS; Joseph Ronsivalle, MD. Starting an independent interventional radiology residency at a rural healthcare center

Internal Medicine

Balkishan Malviya*, MD; Sneha Singh*#, MD; FNU Manas*, MD; Tanya Gupta*, MD; John Pamula, MD; Victor Kolade, MD. A glimpse into the inpatient setting through the SDOH lens.

Orthopaedic Surgery

Anna Moravec*, MD; Niteesh Sundaram, MS; Wade Gordon, MD; Brett Auerbach, DO; Stephen Casos, MD; Robert Behm, MD. Triage of fracture patients reduces trauma admissions to non-surgical services.

Pharmacy

Alena Thannikal*, PharmD; Karen S Williams, PharmD, BCPS-AQ-ID; Joshua Campbell, PharmD, BCCCP; Lucy Ellis, PharmD, BCPS. Assessing knowledge and attitudes of nursing staff regarding congestive heart failure medication regimens and impact on patient understanding post-discharge.

Quality Improvement Posters

Anesthesiology

Natesh Yepuri, MD; Sudhakar Kinthala, MD; Praneeth Madabhushi, MD; Anjalena J. Pasam, MD; Abbey Halula*#, DO. Oxygen wastage in perioperative units - time to intervene.

Family Medicine

Claudia DiBlasi*, DO; Corina Marshall, MD. Quality improvement initiative to increase naloxone prescriptions for patients on chronic opioids by implementing a refill protocol in Epic.

Maria Caperelli Gergel*, DO; Corina Marshall, MD. Postpartum breastfeeding support.

Michael Gergel*, DO; Michael Gillan, DO. CBC collection after blood transfusion.

Molly Witham*, DO; Corina Marshall, MD. Screening for syphilis with RPR at delivery.

General Surgery

Swadha Guru*, MD; Niteesh Sundaram, MS; Mohammad Yousef, MD; Robert Behm, MD. Elective vs emergency surgery for colorectal cancer at a rural healthcare center.

Internal Medicine

Premjeet Dhillon*, MD; Sohaib Shabih, MD; John Pamula, MD. QI to improve compliance of PDMP review and Medication Agreement contract among IM residents.

Tanya Gupta*#, MD; Noor Fatima, MD; John Pamula, MD. Improving osteoporosis screening rates in IM clinic.

Junfei Hu*, MD; Muhammad Aleem, MD; John Pamula, MD. Reduce unnecessary blood draw in inpatient setting.

Miji Kim*, MD; Nadiya Dukhnych, MD; Shoba Mandal, MD; John Pamula, MD. Education to the residents and systemic improvements in Epic facilitated goals of care discussion in Internal Medicine clinic.

Balkishan Malviya*, MD; Bikal Lamichhane, MD; John Pamula, MD. Path towards good sleep.

FNU Manas*#, MD; Pooja Jaiswal, MD; John Pamula, MD. Multidisciplinary approach: key to improvement in diabetic bundle compliance.

Sudhir Pasham*, MD; Ghanashyam Bhatta, MD; John Pamula, MD. Quiet night – improving sleep in in-patients.

Sanjay Paudel*, MD; Shashank Battarai, MD; John Pamula, MD. Is your patient’s BP under control?

Sravan Ponnekanti*, MD; Rabin Adhikari, MD; John Pamula, MD. Understanding our patients—can we do better?—screening SDOH.

Shista Priyadarshini*#, MD; Suchetha Jagan, MD; John Pamula, MD. Are you due for lung cancer screening?

Oneeb Sanaullah*, MD; Muhammad Aslam Khan, MD; Anam Aqeel, MD; Taimoor Haider, MD; John Pamula, MD. Improving in-hospital and post-discharge patient experience.

Sneha Singh*, MD; Charu Bajracharya, MD; John Pamula, MD. A step towards Mission Slimpossible

Case Report Posters

Family Medicine

Patricia Catala*, MD; Gunveer Dhaliwal*, MD; Michael Gergel*, DO; Ashley Cipriano, DO. It’s never lupus, except this time it is.

Danielle Gagnon*, MD; Michelle Nanda, MD. Making the diagnosis: vasospastic angina.

Molly Witham*, DO; Michael Gillan, DO. New colon cancer presenting with clostridium septicum bacteremia.

Gastroenterology Fellowship

Mohammad A. Yousef*, MD; Ashraf Rezk, BS; Ibrahem Shawky, BS; Marc Incitti, MS; Shri Jai Kirshan K. Ravi, MD; Alaa Daghlas, PA-C; Thomas McDonald, MD. A less common cause of pancreatitis.

General Surgery

Swadha Guru*, MD; Mansur Assaad, MD; Poovendran Saththasivam, MD; Faraz Siddiqui, MD; Nathaniel McElhaney, MD. Conservative management of an iatrogenic left bronchial injury following double-lumen endotracheal tube placement.

Internal Medicine

Rabin Adhikari*, MD; Shista Priyadarshini, MD; Sarmad Aleem, MD; Vrushali Pachpande, MD; Subash Ghimire, MD. Late breast cancer recurrence with bone marrow metastasis.

Muhammad Sarmad Aleem*, MD; Bikal Lamicchane, MD; Subash Ghimire, MD. Post colonoscopy splenic injury: a rare complication.

Charu Darshan Bajracharya*, MD; Pooja Jaisawal, MD; Suchetha Jagan, MD; Sravan Ponnekanti, MD; Leonard Walsh, MD; Violeta Zeykan, MD. Rare case of gastric cancer metastatic to the colon.

Ghanshyam Bhatta*, MD; Tejaswini Maganti, MD; Subash Ghimire, MD; Gerald Shovlin, MD. Hydralazine-induced antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis.

Shashank Bhattarai*, MD; Tejaswini Maganti, MD; Violeta Zeykan, MD; Jackie Clowes, MD. Pantoprazole—rare cause of systemic drug-induced lupus.

Nadiya Dukhnych*, MD; Violeta Zeykan, MD. Axillary lymphadenopathy as the only site for late recurrence of breast cancer.

Noor e Fatima*, MD; Asaad Mansur, MD; Siddiqui Faraz, MD. Candida pericarditis in the setting of prior esophagogastrostomy for recurrent gastrointestinal hemorrhage.

Suchetha Jagan*, MD; Shobha Mandal, MD; Violeta Zeykan, MD. Typhlitis as a complication of platinum-based chemotherapy for triple negative breast cancer.

Pooja Jaisawal*, MD; Suchetha Jagan, MD; Charu Bajracharya, MD; Sravan Ponnekanti, MD; Leonard Walsh, MD; Violeta Zeykan, MD. A rare case of Mirizzi Syndrome.

Muhammad Aslam Khan*, MD; Taimor Haider, MD; Amber Khan, MD; Vrushali Rajaram Pachpande, MD. A rare case of elderberry induced acute pancreatitis.

Bikal Lamichhane*, MD; Taimoor Haider, MD; Pamula John, MD. Culture negative endocarditis with multi-focal spread.

Sohaib Shabih*, MD; Jagdesh Kumar, MD and Violeta Zeykan, MD. A case of advanced cervical cancer presenting as acute hypoxic respiratory failure.

Pulmonary Disease and Critical Care Medicine Fellowship

Mansur Assaad*#, MD; Rajamurugan Meenakshisundaram, MD; Faraz Siddiqui, MD. Massive football-sized thymoma in a previously healthy 44-year-old man.

Medical Student Posters

Quality Improvement

Briana Sylvester# (GCSOM); Giovanni Baiamonte# (GCSOM); Jonathan Pou# (GCSOM); Zoya Rahman# (GCSOM); John Pamula, MD. Improving medication reconciliation in the emergency department.

Sarah Branch (GCSOM); Ananya Chandra (GCSOM); Leonard Javick (GCSOM); Rebecca Lees (GCSOM); John Pamula, MD, Brittany Liberati, RN. Improving stroke quality metrics at Robert Packer Hospital.

Anthony Marchlewski (GCSOM); Ana Rahman (GCSOM); April White (GCSOM); Leah Osnis (GCSOM); John Pamula, MD. Up, up, and away: from bed-bound to home-bound.

Jing Ran Chan (GCSOM); Jesse Constantino (GCSOM); Maria Cristina Marcos (GCSOM); Emily Jo Pocius (GCSOM); Joseph Choi, MD, PhD. Perceptions of post-operative urinary tract infections (UTIs) in nursing staff.

Marzia Choudhury (GCSOM); Julia Hendricks (GCSOM); Erin Warnick (GCSOM); Victor Kolade, MD. Social determinants of health (SDOH) screening at pediatric well-visits.

Research

Emily Converse (LECOM); Ananya Chandra (GCSOM); Shri Jai Kirshan Ravi, MD (Gastroenterology Fellow); Matthew Lincoln, DO, FACG; Michael Georgetson, MD, FACG. Complications of GI endoscopic procedures in patients with cardiac comorbidities.

Michael Scharf (GCSOM), Briana Sylvester (GCSOM), Anthony Morada (GCSOM); David Levine, MD (General Surgery Resident); Leonard Walsh, MD (Gastroenterology Fellow); Michael Georgetson, MD, FACG; Burt Cagir, MD, FACS. QT prolongation in patients who received cisapride for compassionate use for gastroparesis.

Case Reports

Emily Converse (LECOM)#; Alexandra Stroia# (LECOM); Amlish Gondal, MD (Internal Medicine Resident); Priyanika Ravi, MBBS; Shri Jai Kirshan Ravi, MD (Gastroenterology Fellow); Matthew Lincoln, DO, FACG. Conjugated linoleic acid (CLA), collagen and hyaluronic acid-based weight loss supplement induces hepatotoxicity: a case report.

Alexandra Stroia (LECOM); Marcelle Meseeha, MD. Oropharyngeal dysphagia and periorbital edema as warning signs for severe dermatomyositis: a case report.