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Outbreak in New York! Measles Hepatitis

Stewart, Oliver A; Kingsbery, Joseph; Chang, Shannon
PMID: 31313710
ISSN: 1572-0241
CID: 3977892

Strongyloides stercoralis Hyperinfection and Concomitant Cytomegalovirus Gastroenteritis in an Immunocompromised Host [Case Report]

Crowe, Brooks R; Duenas, Sean M; Serrano, Antonio; Kingsbery, Joseph; Williams, Renee
Strongyloides stercoralis infection typically presents with nonspecific gastrointestinal symptoms and no definitive or pathognomonic endoscopic findings. Disease burden can vary depending on a patient's immune status. Immunocompromised patients with strongyloidiasis can develop tremendous disease burden, extraintestinal dissemination, and are at risk for coinfection with other organisms. We present the case of an immunocompromised patient presenting with multiple gastrointestinal complaints found to have S. stercoralis hyperinfection and concomitant cytomegalovirus gastroenteritis.
PMCID:6722353
PMID: 31620532
ISSN: 2326-3253
CID: 4140552

Evaluation of Dysplasia in Barrett Esophagus

Gross, Seth A; Kingsbery, Joseph; Jang, Janice; Lee, Michelle; Khan, Abraham
Barrett esophagus (BE) is the precursor lesion to adenocarcinoma of the esophagus. The current surveillance strategy of 4-quadrant Seattle protocol biopsies has been associated with sampling error and missing higher-risk lesions, and there is often less adherence to endoscopic surveillance with long segments. Advancements in endoscopic imaging and sampling techniques allow for better surveillance of BE, particularly when assessing for dysplasia. This article highlights the key endoscopic imaging and sampling advancements in the evaluation of dysplasia in BE.
PMCID:6009185
PMID: 29942221
ISSN: 1554-7914
CID: 3162502

EOSINOPHILIC ESOPHAGITIS FOLLOWING EXPOSURE TO BURN PITS DURING MILITARY DEPLOYMENT [Meeting Abstract]

Kingsbery, Joseph; Poles, Jordan
ISI:000450011102535
ISSN: 0016-5085
CID: 4519642

Esophageal Food Impaction Management: A Meta-Analysis Comparing Push and Pull Methods [Meeting Abstract]

Kingsbery, Joseph; McNeill, Matthew B; Popov, Violeta; Gross, Seth A
ISI:000403087400372
ISSN: 1097-6779
CID: 2611312

Using the Objective Structured Clinical Examination to Assess ACGME Competencies in Pediatric Gastroenterology Fellows

Solomon, Aliza B; Reed, Rachel; Benkov, Keith; Kingsbery, Joseph; Lusman, Sarah S; Malter, Lisa B; Levine, Jeremiah; Rabinowitz, Simon S; Wolff, Martin; Zabar, Sondra; Weinshel, Elizabeth
BACKGROUND:The Accreditation Council for Graduate Medical Education has described 6 core competencies with which trainees should demonstrate proficiency. Using the Objective Structured Clinical Examination (OSCE), we aimed to assess 4 of these competencies among Pediatric Gastrointestinal (GI) fellows (PGs). METHODS:Eight first-year PGs from 6 medical centers in the New York area participated in a 4-station OSCE with trained standardized patient (SP) actors. The cases included an emergency department (ED) consult, or "ED Consult" for lower gastrointestinal bleeding; "Breaking Bad News" focusing on CF nutritional complications; "Second Opinion" for abdominal pain; "Transition of Care" for inflammatory bowel disease. At each station, attending faculty observed the encounters behind a 1-way mirror. SPs and faculties provided immediate feedback to the examined fellows. Previously validated OSCE checklists were used to assess performance. On completion, fellows attended debriefing sessions and completed surveys about the educational value. RESULTS:Median overall milestone competency scores were 6.9 (PC1), 4.8 (PC2), 5.9 (MK1), 5.7 (MK2), 6.4 (ICS1), 6.9 (Prof1), and 6.7 (Prof3). Overall, fellows score highest (7/9) on the inflammatory bowel disease "Transition of Care" case, found the "Breaking Bad News" Cystic Fibrosis OSCE to be the most challenging, and were most comfortable with the "ED Consult" OSCE, as a commonly encountered scenario. Overall, the fellows rated the educational value of the program highly. CONCLUSIONS:To our knowledge, although the OSCE has been validated in other medical fields, this is the first OSCE program developed for PGs fellows. These OSCEs have included Accreditation Council for Graduate Medical Education competencies, serving to assess fellows' skills in these areas while exposing them to challenging medical and psychosocial cases that they may not frequently encounter.
PMID: 27782961
ISSN: 1536-4801
CID: 2956102

Complicated Metastatic Melanoma to the Gastrointestinal Tract

Kingsbery, Joseph P.; Poppers, David M.
ISI:000426657100004
ISSN: 0277-4208
CID: 4519632

Irritable Bowel Syndrome and Inflammatory Bowel Disease Overlap: Optimizing Management Through the Use of an Observed Structured Clinical Examination [Meeting Abstract]

Zalkin, Dana; Cohen, Cynthia; Zabar, Sondra; Kingsbery, Joseph; Weinshel, Elizabeth; Malter, Lisa
ISI:000395764601060
ISSN: 1572-0241
CID: 2492452

Dreaded Mainstem Nasogastric Tube Placement..But With Bilious Fluid Return? [Meeting Abstract]

Kingsbery, Joseph; Tzimas, Demetrlos; Metz, Yasmin
ISI:000363715902260
ISSN: 1572-0241
CID: 1854292

Adapting Lugasi's Core Conditions for Optimizing Transition of Pediatric to Adult Care in Inflammatory Bowel Disease

Kingsbery, Joseph; Wolff, Martin J.; McGreal, Nancy; Malter, Lisa B.
ISI:000422105600004
ISSN: 0277-4208
CID: 4519622