community service Summer Fun at Camp Horizon

community service Summer Fun at Camp Horizon By: Kim Quach, m.D. For many children, summer camp can be the highlight of the season. Children with ch...
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community service Summer Fun at Camp Horizon By: Kim Quach, m.D.

For many children, summer camp can be the highlight of the season. Children with chronic skin conditions are no exception. Thanks to scholarships from the American Academy of Dermatology and the work of countless volunteers, children ages 8-13-years-old with chronic skin conditions can enjoy camp activities with acceptance from their peers and appropriate medical supervision at Camp Horizon. Children with skin conditions are referred to the camp by their dermatologists.

andrea Zaenglein, m.D. (second row, far left), and alison Basak, m.D. (third row, fourth person from the right), with the “med Shed” staff of nurses and dermatologists.

Operating since 1995, Camp Horizon is a week-long summer camp dedicated to children with chronic skin conditions located in Millville, Pennsylvania. The 35-acre scenic camp ground includes cabins for campers, a pool, outdoor ropes course, as well as a fishing and paddleboat pond. Campers are encouraged to participate in activities to the best of their abilities with the support and supervision of camp counselors. The campground also includes a medical facility or “Med Shed” equipped with medical supplies and medications, where Andrea Zaenglein, M.D., pediatric dermatologist at Penn State Hershey Dermatology, is the medical director. The Med Shed is also staffed by nurses and other dermatologists to provide appropriate care for children with chronic skin conditions, including severe eczema and inherited blistering conditions (among many other skin conditions) during their stay.

Jessica Kaffenberger, m.D. (second row, far right), with fellow camp counselors and campers.

Each year, several Penn State Hershey Dermatology physicians volunteer their time at Camp Horizon as camp counselors or as Med Shed staff. In the summer of 2012, dermatology residents Alison Basak, M.D., Charlene Lam, M.D., Jessica Kaffenberger, M.D., and Kim Quach, M.D., were volunteer camp counselors and medical staff at Camp Horizon. Keeping up with the energetic campers throughout daily activities, they sang by camp fires, tended to bug bites and scrapes, and consumed many S’mores during the week-long camp. Camp Horizon has been and will continue to be a wonderful opportunity for Penn State Hershey Dermatology to help children with chronic skin conditions experience the joys and adventures of summer camp in a supportive environment. charlene Lam, m.D. (second row, second from right), with fellow camp counselors and campers.

Kim Quach, m.D. (second row, far left), with fellow camp counselors and campers.

research Research Endowment Fund Supports Medical Student Research Project By: caroLine LaroSa, B.S., anD GaLen FouLKe, m.D.

Penn State Hershey Dermatology’s tradition of excellence grows from a commitment to the four core missions of the institution: patient care, research, education, and community service. The ongoing research of student Caroline LaRosa embodies our continued passion for two of these missions. LaRosa is a third year Penn State Hershey medical student from Connecticut with a background in nutritional science. She is bright, hard working and inquisitive, with an interest in dermatology. Like most everyone, LaRosa had heard the phrase “you are what you eat” throughout her youth, and suggestions that chocolate, or greasy foods might lead to acne. Unlike most others, LaRosa wanted to know whether these claims had been substantiated. She found that the interaction between diet and acne was not fully understood, and decided that she would like to investigate any association for herself.

Gifts to the Penn State Hershey Dermatology’s endowments directly help young investigators like LaRosa develop as physicians and scientists. Help Penn State Hershey Dermatology continue as a leader in education and research, and consider making a tax-deductible contribution to the fund today. PennStateHershey.org/web/dermatology/community/give

As a first year Penn State Hershey medical student, LaRosa approached Andrea Zaenglein, M.D., associate professor of dermatology and pediatrics, for guidance in starting a project. With Zaenglein’s mentorship, she developed a plan for a pilot study to investigate the relationship between dairy intake and acne. Her design called for special nutritional science software demonstrated to accurately quantify servings of dairy consumed by study participants. The software required an investment that LaRosa was unsure how to secure. Finding sources of funding for research projects are a challenge for any investigator, especially medical students. However, through Zaenglein’s mentorship, LaRosa was able to find financial support through The James and Joyce Marks Endowment Fund and the generous donors that have made the endowment possible. LaRosa notes that looking for funding as a first-year medical student was intimidating. Despite her passion for research, she was worried that she would appear as a “risky investment” to possible sources. She feels very fortunate to have found the confidence and support of Penn State Hershey Dermatology James and Joyce Marks Endowment Fund, so now she can focus on adding to our understanding of acne as a disease. LaRosa has since expanded the project. With the addition of Kim Quach, M.D., a second-year resident who was awarded a national grant from the American Acne and Roscea Society based on the information LaRosa gathered in her pilot study. They are currently recruiting many more teens, with a goal of 300 participants.

The SupporT oF The JameS anD Joyce marKS enDowmenT FunD aLLowS caroLine LaroSa, ThirD year meDicaL STuDenT, To inveSTiGaTe The inTeracTion oF DieT anD acne.

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patient care Penn State Hershey Dermatology is Headed West! By: chriSTie reGuLa, m.D.

Penn State Hershey Dermatology is headed back to the West Shore. In an effort to expand services and provide a more convenient location for our West Shore patients, the department has a regular presence at Penn State Hershey Medical Group— Camp Hill at 3025 Market Street. Currently, Todd Cartee, M.D., travels to this office on the first Friday of every month. Cosmetic consultations and treatments are offered, including ablative CO2 laser resurfacing. As of July 1, 2013, several additional physicians offer office hours every Wednesday. Bryan Anderson, M.D., is the primary attending provider at this location. Services include general medical and surgical dermatology. Phototherapy, however, is not available at this location. Anderson, commenting on this exciting additional location, states “we look forward to increasing patient access for dermatological care.” For more information, please visit PennStateHershey.org/dermatology or call 717-761-8900 for an appointment at the Camp Hill location.

penn STaTe herShey meDicaL Group–camp hiLL

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2012 Dermatology Achievements By: James Marks, M.D.

Education –

Patient Care –

• Loren E. Clarke, M.D., was awarded tenure and promoted to associate professor.

• UPC Clinic in top 10 percentile nationwide Press Ganey Patient Satisfaction – Star Site.

• Rogerio Neves, M.D., was promoted to professor.

• Eleven faculty scored in the top 10 percentile in Press Ganey Patient Satisfaction.

The excitement of learning

• Five-year residency accreditation continued with no deficiencies. • More than fifty community dermatologists attended our monthly patient-centered conference. • Lookingbill, Schragger, and Hassel Endowments sponsored prominent visiting professors. • Christie Travelute, M.D. – chair, American Board of Dermatology, Maintenance of Certification Committee • Diane M. Thiboutot, M.D., appointed director of education, clinical and translational science institute • Bryan E. Anderson, M.D., published “The Netters System” collection integumentary textbook. • Andrea L. Zaenglein, M.D., was associate editor for the Journal of Pediatric Dermatology. • Jeffrey J. Miller, M.D., earned the Dean’s Award for excellence in teaching. • Loren E. Clarke, M.D., distinguished educators, Teaching Award at Penn State College of Medicine • Galen Foulke, M.D., earned the Arthur P. Gold Foundation Humanism and Excellence in Teaching Award  

Research –

The joy of discovery • Todd V. Cartee, M.D., was awarded the American Society of Dermatologic Surgery’s 2012 Young Investigators Writing Competition Award and the Research Award. • Eleven sponsored clinical studies (nine industry sponsored and five investigator initiated). • Sixty-nine peer-reviewed publications featured in national and international journals. • Annual food and wine event raised more than $29,000 for translational research. • Sun screen usage at HersheyPark.

The reward of healing

• Twelve of the faculties were recognized in Best Doctors in America. • Galen Foulke, M.D., earned the Penn State Hershey Intern of the Year Award • Patient visits: UPC: 31,068 State College: 10,701 Camp Hill: 86 Cancer Institute: 827 Plastic Surgery: 83 Pediatric Specialty Clinic: 257 TOTAL PATIENT VISITS: 50,800 • Skin pathology cases: Inpatient: 12,995 Outpatient: 11,006

Community Service – The satisfaction of giving

• There were 230 individuals examined at our annual free skin cancer screening clinics. • Monthly Bethesda Mission Clinic for the homeless in Harrisburg. • Volunteered for children with severe skin diseases at Camp Horizon. • First “March of the Umbrellas” to educate the public about sun protection and skin cancer. • Jeffrey Miller, M.D., served as president, PA Academy of Dermatology. • Jeffrey Miller, M.D., serves as secretary, Atlantic Dermatology Society. • Elizabeth Billingsley, M.D., serves as president, International Transplant Skin Cancer Collaborative. • Diane M. Thiboutot, M.D., serves as president for the American Acne and Rosacea Society. • Andrea L. Zaenglein, M.D., serves as secretary for the American Acne and Rosacea Society. • Joslyn S. Kirby, M.D., became a member of the American Academy of Dermatology Leadership Program. • David L. Shupp, M.D., was appointed to The Pennsylvania State University Faculty Senate as representative for the College of Medicine. • Andrea L. Zaenglein, M.D., received the AAD Presidential Citation for volunteering at Camp Horizon. • Jeffrey J. Miller, M.D., and David R. Adams, M.D., American Academy of Dermatology 2012 Volunteer Program, New Orleans, Louisiana, helped paint at a homeless shelter. • Bryan E. Anderson, M.D., serves on the Board of Directors for the American Contact Dermatology Society.

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research/education Bridging Patient Care and Research: Our New 2+2 Physician Scientist Residency Track By younG Lee, m.D.

It is an exciting time of growth for our residency program! In 2011, the Penn State Hershey Dermatology Residency Program received approval for a two-year clinical + two-year research (2+2) Physician Scientist Residency Track to train future clinician-scientists in dermatology. The goal of the program is to train future dermatologists to bridge research with clinical practice, with hopes of discovering novel diagnostic and treatment options to improve the dermatologic care of our patients. The new program is facilitated by Diane Thiboutot, M.D., professor of dermatology and director research education and training, Penn State Hershey Clinical and Translational Sciences Institute (CTSI). The 2+2 Residency Track trains one resident per year, and combines research with the tradition of excellent clinical training. During the first six months of residency, the resident identifies a research mentor in the College of Medicine or at the University Park campus with the intent of drafting an application for a National Institutes of Health postdoctoral training award or other source of funding. The resident has

access to various strong mentors available at the Medical Center campus or at the University Park campus. The individual receives superior clinical training either at the Penn State Hershey Dermatology outpatient location on the Medical Center campus or at the State College Penn State Hershey Medical Group outpatient facilities. The new Clinical and Translational Science Institute at Penn State Hershey also offers additional opportunities for research training. The research residency program is structured over four years. For the first two years and three months, the resident follows the same curriculum as the general dermatology residency program. Then, the resident enters the laboratory for the remainder of their training, with one day of continuity clinic per week to maintain clinical skills. During the fourth (PGY-5) year, residents become an instructor within the department. We look forward to welcoming dermatology’s future physician scientists to Penn State Hershey!

Diane Thiboutot, m.D., Zhaoyuan cong, and Kathy Gilliland of the Thiboutot Lab

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community service Spreading the Sunscreen By Tim hanSen, m.D.

Growing up in southern Indiana, my summers often included a trip to a nearby theme park. One of the unique aspects of the park was the inclusion of complimentary sunscreen stations around the roller coasters and water attractions. People were constantly gathered around the stations, liberally applying the sunscreen from gallon-sized containers. After moving to Hershey for residency training, my family purchased season passes to Hersheypark, and spending hot summer days enjoying the attractions reminded me of the utility and convenience provided by those sunscreen stations. Serendipitously, I came across one of the executives with Hershey Entertainment and Resorts and mentioned my previous experiences, asking if this may be replicated at Hersheypark. He gave me contact information for the general manager of the park, and I sent him my proposal. A few weeks later, I was pleasantly surprised to hear from the manager’s secretary that he would like to meet and discuss my proposal. During this meeting, we discussed the benefits of sun protection and how the park environment could be enhanced by the addition of sunscreen stations. Plans were made to install a station near the newest roller coaster as a pilot project. This was accomplished in June of 2012, and over the remaining season visitors used twenty gallons of sunscreen. As summer was coming to a close, I was able to work with two medical students (Colleen Sabella and Maxine Fields) and one of the dermatology faculty members (Joslyn Kirby, M.D.) to administer a survey to park visitors regarding their impressions of the station. A majority of respondents indicated that they would use the station, and we also collected suggestions regarding how it could be advertised more effectively. Promoting sun protection and community service represent key missions of Penn State Hershey Dermatology. Hersheypark has now become another partner in our effort to improve sun protective behaviors, prevent skin cancer, and improve the community.

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patient care Life of a Biopsy: What Happens to the Skin Sample Once It Leaves You By: S. aLiSon BaSaK, m.D., m.a.

Dermatopathology (a.k.a. dermpath) is a subspecialty of both dermatology and pathology that focuses on the study of cutaneous diseases at the microscopic level. When a dermatologist takes a sample of skin, dermatopathologists are the folks that get up-close and personal with those skin cells to help diagnose and treat skin conditions. At Penn State Hershey, our dermatopathologists review approximately 25,000 specimens each year from both the Medical Center and community dermatologists and surgeons. The journey from skin sample to microscope slide is quite involved. The overall process is known in pathology as “grossing” the specimen: the tissue has to be measured in all dimensions and a general description of the biopsy to the unaided eye is documented. The sample is then embedded into paraffin, a waxy material that supports and fixes the tissue so it can be thinly sliced and preserved. The biopsy is specifically oriented within the paraffin so that the tissue is cut in just the right plane. A special machine called a microtome is used to hold the paraffin block in place and create thin slices of tissue that are gently placed onto a glass slide. The thickness of each sample is approximately half that of a sheet of paper. Once the tissue is fixed to a slide, it is ready to be stained. Numerous stains are available to highlight different skin parts and cells. The basic stain used for nearly all biopsies is called hematoxylin and eosin, (H&E). The dermatopathologist uses this basic stain to assess the skin and, in combination with the history provided by the dermatologist, to determine if additional specialized stains need to be done. A list of potential diagnoses are generated based on the pattern of skin cells under the microscope. Penn State Hershey Dermatopathology includes three full-time dermatopathologists and one dermatopathologist-in-training. The full-time faculty consists of Loren Clarke, M.D., Michael Ioffreda, M.D., and Klaus Helm, M.D., who interpret biopsies, and manage patient care, teaching, and research. The fellowship program trains one dermatologist or pathologist each year in the art and science of looking at biopsies. In keeping with the Penn State Hershey Dermatology teaching mission, it is a rigorous program designed to create the best future dermatopathologists.

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exampLe oF normaL SKin unDer The microScope.

Catherine Chung, M.D., is a current fellow in the program. She completed her dermatology residency at the University of Rochester in New York and now spends all of her time learning about dermpath. Together with our faculty, she is conducting research for immunohistochemistry, fluorescence in situ hybridization studies, and optimizing biopsy sections. Dermatopathologists generally work behind the scenes, but are crucial to the way dermatologists diagnose and manage skin conditions. The Penn State Hershey Dermatopathology program is a skilled and dedicated team. To quote Chung: “Theodore Roosevelt once said ‘Far and away the best prize that life has to offer is the chance to work hard at work worth doing.’ It amazes me to think he could come up with this without ever having done dermpath.”

special event

stewardship of endowments and Gifts

Save the Date

By: JameS marKS, m.D.

Plan to attend the taste of tango, saturday, october 19, 2013, at the antique automobile club of america museum in hershey.

Last year (2012) was a year of many accomplishments for Penn State Hershey Dermatology. A number of these could not have been done without the funding from our donors and the interest from our endowments. Here is an update of where we stand and the stewardship of these funds.

Cars, dancing, and chocolate dominate the evening. explore the wonderful collection of antique cars. •

music for all styles of social dancing •

tango dance show •

feast on a delightful selection of chocolate desserts. •

cash bar

Doors open at 7:00p.m., tango lesson at 7:30p.m. Dancing scheduled from 8:00p.m.-11:00p.m. TicKeTS: $60 per perSon   call penn State hershey Dermatology to reserve your tickets: 717-531-8307, option 3. Proceeds benefit the education and research endowment funds for Penn State Hershey Dermatology.

The Sun protection project educated the public about sun protection and skin cancer.    Jeanne Donlevy Arnold’s previous gift purchased umbrellas, hats, and long-sleeve shirts for outdoor workers and participants in our skin cancer screening day. The Donald p. Lookingbill Lectureship, entitled “Practice Gaps in Dermatology,” was presented by erik Stratman, m.D., associate dean for the Marshfield Clinic Academic Campus, and Clinical Associate Professor, University of Wisconsin on March 1, 2013.  The alan Schragger endowment visiting professor was Moise Levy, M.D., chief of the dermatology service at Dell Children’s Medical Center in Austin, Texas. On April 5, 2012, he lectured on genodermatoses (inherited diseases of the skin). The mark hassel education endowment lecture (“Body Contouring”) was given by Murad Alam, M.D., professor of dermatology, otolaryngology, and surgery, and chief of the Section of Cutaneous and Aesthetic Surgery at Northwestern University’s Feinberg School of Medicine on June 7, 2012. The James and Joyce marks clinician educator endowment provided seed funding for an American Acne and Rosacea Society (AARS) grant on how nutrition affects acne. Kimberly Quach, M.D., third year dermatology resident, and Carolina LaRosa, Penn State College of Medicine medical student, are currently collecting data under the supervision of Andrea Zaenglein, M.D., our faculty pediatric dermatologist.

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patient care On the twelfth day of September, my chairman sent to me….. One PDL and a partridge upon a pear tree By: charLene Lam, m.D., m.p.h.

The holidays came early this year for Todd V. Cartee, M.D., in the form of Candela’s Vbeam Perfecta® pulsed dye laser (PDL). Cartee, Andrea Zaenglein, M.D., and the rest of the Penn State Hershey Dermatology team are now able to use the PDL at a moment’s notice. Typically, Cartee and Zaenglein have monthly laser clinics. Zaenglein is also able to use a PDL in an outpatient operating room to facilitate treatment for children who need anesthesia.

The PDL has also enhanced Penn State Hershey Dermatology’s education mission. With guidance, residents can treat their own patients with the PDL and fully appreciate the impact of the treatment. Overall, it has been great addition to the clinic.

The PDL utilizes a liquid dye to produce a yellow laser light. The light is absorbed by hemoglobin, the red pigment in blood; therefore, the laser can treat most red and purple skin lesions. It is commonly used for port-wine stains, hemangiomas, rosacea, spider angiomas, scars, and spider veins. The Vbeam® also has a patented Dynamic Cooling Device™, providing epidermal cooling and reducing discomfort for patients. It selectively cools the upper layers of the skin (epidermis) with a burst of cryogen milliseconds before the laser pulse. Cartee remarks the new PDL produces less bruising than previous PDLs, while producing excellent results in fewer treatments: “With the Vbeam Perfecta®, most facial spider veins can be removed in two treatments with no bruising and only mild redness and swelling.”

Todd cartee, m.D., treating a patient with the vbeam perfecta® pulsed dye laser (pDL).

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Todd cartee, m.D., with our new addition to clinic, the vbeam perfecta®.

strateGic initiatives eDucation goal – recruit, train, and retain the best faculty, residents, medical and graduate students by: • Recruiting a pediatric dermatologist. • Initiating a chair’s endowment. • Building our education resources with the Hassel, Lookingbill, Marks, and Schragger endowments. • Starting clinician-educator and dermatologic surgery fellowships (post-residency training). • Training residents in a dermatology research residency track.

research goal –

Save the date

A Taste of the

Great Northwest

Being nationally recognized leader in research by: • Building our Dermatology Research Endowment with our annual food and wine event. • Supporting translational research with the Professor of Dermatology Endowment. • Continuing innovative clinical research which takes discovery from the lab to the patient. • Collaborating with investigators at University Park in skin cancer research. • Recruiting a basic scientist.

An elegant evening of Food and Wine Pairings

SatuRday, aPRil 12, 2014 Seven o’clock in the evening Purcell Friendship hall at Milton hershey School hershey, Pennsylvania

Patient care goal – give the highest level of care to our patients by: • Increasing clinic space at Penn State Hershey with a new building. • Expanding care with acute care access and evening clinics. • Starting practices in Camp Hill, Mount Joy, and Palmyra. • Continuing quality improvement.

community service goal – Partner with our neighbors to improve skin health by: • Promoting sun protection for the general public to prevent skin cancer. • Volunteering at the Bethesda Mission, annual skin cancer screenings and Camp Horizon. • Increasing our communication and alignment with our community.

Proceeds to benefit the Penn State hershey dermatology Research endowment Fund U.Ed. MED 13-8438 DER

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research “Let’s bundle up!” By: JeSSica KaFFenBerGer, m.D.

what is your collaboration project with highmark? “We are partnering with administrators at Highmark and the faculty from the Center for Applied Studies in Health Economics (CASHE – what a great acronym) at Penn State Hershey to study alternative methods of reimbursement. The times are a-changin’ and we choose to anticipate change rather than react to change. In particular, we are studying a common skin condition called actinic keratoses (or AKs). AKs are pre-cancerous areas that occur after many years of ultraviolet (UV) damage, and are becoming increasingly common as the “baby boomers” reach the golden years of retirement. These areas have the potential to turn into skin cancer, therefore they are treated with liquid nitrogen or topical creams. In an effort to streamline and improve care, we are investigating a novel model of care delivery called ‘bundled care.’”

you mentioned bundling, and i don’t think it has to do with keeping warm in the winter. what does bundling have to do with health care delivery?

The reality of medical practice and health insurance is quickly changing, and Penn State Hershey Dermatology is committed to investigating new systems-based practices to support more efficient, yet high quality patient care. Joslyn Kirby, M.D., a dermatologist well-known for her proactive approach to medicine, recently initiated a collaboration with Highmark regarding “bundled reimbursements.” Below, Kirby explains an upcoming study:

“‘Bundling’ or bundled reimbursement is an alternative to the ‘fee-for-service’ model of health care reimbursement. For example: a patient has surgery to remove skin cancer, then unfortunately develops a wound infection, and goes to the emergency room. In the current model, the patient and insurance pay fees for the initial surgery, the emergency room, the emergency room tests, and perhaps the consultation fee for a dermatologist to see the patient in the emergency room. The fees seem never-ending! The ‘bundled’ care model hopes to change this. In this model, the patient and insurance company pay one fee for the treatment of the patient with skin cancer. If additional fees occur (such as the emergency room), those are deducted from the initial fixed fee. Thus, the ‘bundled’ model encourages doctors to prevent complications and use resources (like tests and emergency room services) more efficiently.”

what was your inspiration for this idea? “I traveled to a wedding of a colleague in India and what I saw there changed my perspective. In this country we have access to so much – medicines, technology, etc. – so I wondered, are there ways to use our resources more efficiently, so we can help more people? A less romantic version of the story is that I was thinking like an insurance company. If I ran an insurance company and wanted to save money what would I do to encourage efficiency?”

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community service

how is this going to affect the patient? “Great question! Patients are the reason we do what we do. The bundled care model encourages care that is supported by high-quality studies. It promotes coordinated care and prevention. It also emphasizes the need for patient education so patients understand their medical conditions and the treatments. For example, with psoriasis (a common skin rash), by educating patients we can empower them to start treatments at home at the first sign of a flare-up and thereby reduce the need for doctors’ appointments. This does not mean people are being discouraged from contacting their doctors – if anything we want people to contact us with questions, so they can be handled before a visit is needed.”

Do you foresee this going into effect in the near future? “We expect to develop the hypothetical bundled model in the next several months. Subsequently, about a year from now, we will apply it in the outpatient setting. The purpose of the realworld application or ‘test-drive’ of the model is two-fold – first, to determine how well we did building the model, and second, to examine the administrative aspects of making the jump from one method of reimbursement to another. We hope to refine the methods we used to develop the model so that we can activate this method for other skin conditions. Going back to your question about preserving high-quality patient care – patients are going to provide very important feedback during the course of the study. Patients will describe their satisfaction with the quality of their care and their access to physicians. We are dedicated to improving the efficiency of medical care, but not at the expense of the quality. We will preserve the high quality dermatologic care patients at Penn State Hershey have come to know!”

Derm presenting grounds crew_001.JPG

Penn State Hershey Dermatology provided sun protective hats and shirts to the Penn State Hershey Medical Center grounds crew to reduce the potential of skin cancer in these outdoor workers.

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community service Celebrating more than twenty years of annual free skin cancer screening By: DaviD BairD, m.D.

One in five Americans will develop a skin cancer during his or her lifetime. The total number of skin cancers annually is higher than all other types of cancer combined. Fortunately, the vast majority of these cancers are basal cell or squamous cell carcinomas. Since 1989, the incidence of malignant melanoma, a more worrisome and potentially deadly skin cancer, has increased at an increased rate of 2.6 percent per year since. The National Cancer Institute estimated that in 2012, 76,250 people would be diagnosed with melanoma and 9,180 people would die of melanoma in the U.S. Melanoma is the most common form of cancer for young adults age 25- 29-years-old and the second most common form of cancer for adolescents and young adults 15-29-years-old. Many of these skin cancers can be treated successfully if detected early.   For more than twenty years, Penn State Hershey Medical Center has offered skin cancer screenings annually at no cost to participants. This community service program has been coordinated by Elizabeth Billingsley, M.D., and Christie Travelute, M.D., each spring. Volunteer physicians, staff, and nurses from Penn State Hershey Dermatology, as well as family members, have worked to make the event extremely successful. Data since 2000 show nearly 4,000 individuals have been screened during these skin cancer screenings. Full skin exams are performed, and patients are educated about the importance of sun protection and skin examination. Numerous skin cancers have been detected, including many malignant melanomas.  This year’s event was held on Saturday April 27. For more information visit pennstatehershey.org/web/dermatology/home

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thank you 2012 Donors Ms. Jean M. Long American Acne & Rosacea Society Advanced Dermatology Associates James G. Marks, Jr., M.D. Ms. Anne G. Leader G. R. Sponaugle & Son Stephen M. Purcell, D.O. John G. Stoner, M.D. Janssen Biotech, Inc. Dr. Byron L. Rinehimer, Jr. Hershey Entertainment & Resorts Diane M. Thiboutot, M.D. Ronald P. Thiboutot, Ph.D. Mrs. Jeanne Donlevy Arnold Mr. Edward H. Arnold Children’s Specialty Group, PLLC Ms. Geraldine K. Kook George P. Ong, M.D. Nancy Egan, M.D. Jeffrey J. Miller, M.D. Shore Dermatology Dr. Patrick R. Feehan Steven K. Orman, M.D. Dr. Dale Greenspan Orman Dr. Stanton S. Lebouitz Dr. Marie Helmold Thomas A. Davidowski, M.D. Mr. Warren Lewis Mr. Warren Lewis, Jr. Alan I. Westheim, M.D. Mr. Kenneth E. Lehman Dermatology Assoc. of Leb Ltd Jo Herzog, M.D. Shari Skinner, M.D. Mr. Craig A. Obeck Robert L. Pearlman, M.D. Dr. William A. Tisdall Emmy M. Graber, MD Klick Lewis Buick-Chev Inc. Dr. Talaat S. Eid Ms. Elizabeth S. Gault Mr. Millard C. Freysinger Dr. William L. Hennrikus, Jr. Mrs. Helen J. Stonesifer Mr. John J. Robertson Ms. Jane M. Rhen Dr. Eileen F. Hennrikus Dr. Gregory Fulchiero Mr. William F. Suhring Dr. A. Craig Hillemeier Dr. Lynne Britton Ms. Linda A. Gibbs

Dr. David K. Murdock Mr. Thomas G. Burkey Mr. Charles Berman Mr. Michael J. Precopio Dr. David R. Adams Dr. Mark B. Gibbs United Way of The Capital Region Mr. Mark M. Schwartz William H. Saye Jr., M.D. Dr. Stanley M. Tarka, Jr. Mr. Paul Joong Ms. Elizabeth Crowejoong Mrs. Laurell A. Tarka Mrs. Susan Saye Dr. Robert Nagy Mrs. Elizabeth G. Simcox Mr. Leon M. Kopec Mr. Jeffrey J. Tearpock Ms. Sherri L. Luchs Dr. Harriet Isom Mr. Paul E. Steinmetz Mr. Kenneth J. Cole Mr. Kenneth S. Spatz Dr. Jerome W. Buzas Dr. Michael T. Gette Maria A. Paul, M.D. Elizabeth Y. Billingsley M.D. David L. Snook, M.D. Yoke Y. Tan, M.D. Dr. Paul P. Bricknell Herbert M. Parnes, M.D. Mr. Prosper F. Santangelo Mr. Henry O. Miruka Mrs. Ann R. Agapis Mr. George Chronister Mr. Richard Barnoski Ms. Jeanette L. Hebel Jack L. Lesher, Jr., M.D. Mr. Gary W. Cooper Gentle Laser Skin Care Center, Inc. Mrs. Barbara L. Daniels Mr. John A. Pringle Mrs. Carolyn G. Fishburn Mr. Larry D. Kopp Mr. Christian M. Klepeiss Dr. Stacy A. Klepeiss Mrs. Joyce L. Marks Mr. Mark Oggero Dr. Russel S. Glaun Mr. Bill Sponaugle Ms. Christine R. Baker Mr. Walter K. Morris

Dr. Jay Moskowitz Mrs. Jane L. Morris Mr. Dale E. Yingst Dr. Michael D. Ioffreda Arthur J.C. Cronin, M.D. Mrs. Trudy Spangler Mr. Douglas A. Dohne Mrs. Dorothy Mullen Mr. H. Sheldon Parker Jr. Dr. Joslyn Kirby Ms. Jean P. Lonie Mr. Fred Hopkins Mrs. Donna Cronin Mr. Bryon L. Rinehimer Ms. Cheryl L. Green G. Michael Leader III, Esq. Ms. Joanie Stavig Dr. Satvir S. Tevethia Dr. Mary J. Tevethia Mr. John Hall Mrs. Karen C. Leader Mr. Barry L. Everly Mrs. Deborah L. Everly Dr. Todd Cartee Mrs. Sara L. Parker Mrs. Joanne C. Moskowitz Mr. Henry W. Daniels Mrs. Ellen Finberg Ms. Suzanne Ioffreda Mrs. Ruth A. Howe Ms. Brenda L. Berman Ms. Doris E. Do Mr. Robert J. Baker Mrs. Jody R. Folk Alan C. Teplis, M.D. Mrs. Stephanie L. Oster-Canouse Ms. Anna M. Lacey Mr. Ralph J. Fetrow Mr. Allen J. Baumbach Mr. K. T. Warner Dr. Virginia E. Hall Dr. Bryan E. Anderson Andrea L. Zaenglein, M.D. Mrs. Judith L. Anderson Mr. Richard L. Adams Mr. Edward T. Wassel Mr. David M. Lally Ms. Peggy L. Baker Mrs. Kim M. Rodkey Ms. Patricia A. Gerhart Mr. Richard W. Rundle Mr. Charles E. Radle

Mrs. Virginia H. Caton Mrs. Susan M. Marks Mr. Richard A. Landy Mr. Angelo J. Costanzo Ms. Wanda G. Leiby CPT Paul Nuschke Mrs. Susan K. Davidson Mrs. Linda Bolig Rhoads Ms. Mary B. Janes Ms. Stephanie L. Brown Ms. Rida Schultz Ms. June Umberger Ms. Lisa M. Imbriaco Mrs. Virginia T. Lutkewitte Mr. Melvin Rosenberry Mr. Jeroo Irani Mr. Gregory Lewis Ms. Claire E. Cooper Mr. Donald J. Hess Mr. Silvan B. Lutkewitte, III Mr. Francis R. Knepper Mr. Gary Arbegast Ms. Jean C. Janssen Mr. Gary E. Nokes Mr. Gourden Heikenfeld Mr. James A. Metzler Mr. Patrick J. Hall Mr. James G. Swearingen Mrs. Kelli K. Gratz Ms. Cheryl K. Ronan Mr. Gordon N. Ginter, Jr, David L. Shupp, M.D. Ms. Charlotte Hood Mr. Dennis L. Cooper, PE Mrs. Ruth E. Adams Mrs. Eleanor D. Wassel Ms. Minnie Hassler Mr. Joseph A. Klein, III Mr. Edward A. Woolford, Jr. Mr. Arden G. Wickenheiser Ms. Harriet F. Whitesel Mr. Dale Lippy Ms. Doris Zerbe Robert J. Andreozzi, M.D. Ramsay S. Kurban, M.D.

noTe To DonorS: Despite every effort to prevent them, errors sometimes occur in producing a report of private giving. If your name has been omitted or misprinted, please accept our sincere apologies and notify us by calling the Office of University Development 717-531-8497.

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Penn State Hershey Dermatology University Physician Center II-Suite 4300 500 University Drive, MC HU14 Hershey, PA 17033-0850

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U.Ed. MED 13-8705 DER

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