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MidAmerica Division GME Healthcare Symposium 2026

MidAmerica Division GME Healthcare Symposium 2026

The inaugural MidAmerica Healthcare Symposium was held on March 27th, 2026, at HCA Healthcare Centerpoint Medical Center in Independence, MO. Residents and fellows from all MidAmerica residency/fellowship programs were represented and in attendance, along with faculty, attendings and GME/hospital administrators. Kimberly Swan MD, MBA (MidAmerica DIO) was the clinical director of the symposium. The keynote speaker was Hali Baker, MSN, APRN-CNP, TCRN, who is a Pediatric Surgery Nurse Practitioner and Quality Lead for the Division of Pediatric Surgery at Akron Children’s Hospital in Akron, OH.

There were a total of nine podium presentations and 42 poster presentations. Winners were as follows:

Poster Presentations

First Place	Gluteal Compartment Syndrome Following Prolonged Immobilization in the Setting of Polysubstance Use: A Two-Patient Case Series Dalton Sauce DO PGY2, Mark Gamadia BS, Robert Garner DO PGY4, Molly Black MD HCA Healthcare Research Medical Center Orthopedic Surgery Residency Program / Kansas City University Consortium, Kansas City, MO
Second Place	Xylazine Associated Progressive Cutaneous Ulcerations with Non-Injectable Fentanyl Use Briana Saravanan-Dougherty DO PGY2, Gazala Parvin MD HCA Healthcare Research Medical Center Family Medicine Residency Program, Kansas City, MO
Third Place	Esophageal Stents: How High Can You Go? A Traumatic Injury Treated with High Esophageal Stent Placement John W Surbeck MD PGY4, Anthony Melillo DO, James Scott MD HCA Healthcare Menorah Medical Center General Surgery Residency Program, Overland Park, KS

Podium Presentations

First Place	Optimizing Anticoagulation Monitoring Through Standardized Warfarin Management in a Primary Care Clinic Ali Haider Arsiwala MD PGY3, Ryan Ansari MD PGY3, Karin Cha DO PGY3, Shalin Patel DO PGY3, Natalie Powell DO PGY3, Aliza Tan DO PGY3, Karen Foote MD HCA Healthcare Lee's Summit Medical Center Family Medicine Residency Program, Lee's Summit, MO
Second Place	Retrospective Correlation Analysis of Tumor Infiltrating Lymphocytes in Triple Negative Breast Cancer: Examining Associations with Tumor Grade, Histologic Grade, and Lymph Node Status at a Tertiary Hospital in the Philippines Jonathan Paul Ladera MD PGY1, Dubert Guererro MD HCA Healthcare Centerpoint Medical Center Internal Medicine Residency Program, Independence, MO
Third Place	New-Onset Atrial Fibrillation in Labor: A Case Report and Review of Recommendations Margaret “Molly” Carrig MD PGY2, Megan Kohman MD PGY4, Jessica Richter DO, Cristina Enrique DO HCA Healthcare Overland Park Regional Medical Center Obstetrics and Gynecology Residency Program, Overland Park, KS

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2026 MidAmerica GME Research Symposium

HCA Healthcare
A Double-Edged Sword: Accelerated Metastasis After Video-Assisted Thoracoscopic Surgery in Advanced Lung Adenocarcinoma

Grace Anne Martin, Kanwar Bir Dhaliwal, and Mala Goyal
A Histopathological Mystery: A Rare Atypical Feature of Microscopic Colitis

Mohammad Mahfouz, Pratyush Kumar, Kumar Abhishek, and Archana Machavarapu
Alpha 1 Antitrypsin Deficiency In Primary Care: A Case Presentation

John Sweetman and Gazala Parvin
A Rare Case of New Onset Lisinopril-Induced Angioedema Improved with Tranexamic Acid: A Case Report

Hafiz Numan Ijaz, Shahzaib Maqbool, and Yugandhar Kandimalla
Artificial Intelligence-Based Prediction of Mortality in Acute-On-Chronic Liver Failure: A Systematic Review of Prognostic Models

Pradeep Rajbhandari, Lawrence San Jose, Mohammad Mahfouz, and Michael Waxman
Atypical Del(5q) Mutation in Myelodysplastic Syndrome Presenting with Thrombocytopenia: A Case Report of Tp53-Mutated High-Risk Biology

Shahzaib Maqbool, Munaf Siyamwala, Amelia Goslin, Shivani R. Scharf, and Katsiaryna Laziuk
Autoimmune Hemolytic Anemia Precipitated by Trimethoprim-Sulfamethoxazole Use

Karin Cha and Sparshitha Adapa
Baseline Right Ventricular-Pulmonary Arterial Coupling as a Predictor of Clinical Outcomes in Endobronchial Valve Therapy for Advanced Emphysema

Syed Ali Raza Abidi, Prithvi Basu Roy, Munaf Siyamwala, and Amelia Goslin
Baseline Sympathetic Nervous System Activity and Blood Pressure Response to Renal Denervation: A Systematic Review and Meta-Analysis

Prithvi Basu Roy, Syed Ali Raza Abidi, and Louis Orlando
Beyond Clinical Outcomes: The Operational and Financial Benefits of Insulin Lispro in Hyperkalemia Protocols

Cassandra Van Horn, Kevin Welch, and Justin Solomon
Beyond Drainage: Can Pleural Effusion Serve as a Natural Tamponade Against Tumor Hemorrhage? A Case Report and Mechanistic Hypothesis

Pratyush Kumar, Kumar Abhishek, Pankti Shah, Amelia Goslin, Archana Machavarapu, Catherine Joyce, and Michael Waxman
Bridging Cardiothoracic Care: Using CardioMEMSTM to Mitigate Effusion-Driven Respiratory Events in Post-Surgical Heart Failure

Pankti Shah, Kumar Abhishek, Pratyush Kumar, and Aradhana Pandey
Case Report: Spontaneous Gastric Intramural Hematoma with Intramural Dissection

Pedro De Castro, Rachel Steffes, John Surbeck, Anthony Melillo, Vince Narciso, and Mohsin Soliman
Cauda Equina Syndrome with Atypical Presentation

Natalie Powell and Karen Foote
Efficacy and Safety Profile of Busulfan Plus Low Dose Melphalan Versus High Dose Melphalan as a Conditioning Regimen for Autologous Hematopoietic Stem Cells Transplantation in Multiple Myeloma Patients

Shahzaib Maqbool and Munaf Siyamwala
Efficacy of a Vertically Integrated, Module-Based Small Group Discussion and Virtual Patient Simulation Model to Enhance Cardiology Knowledge and Clinical Reasoning in Medical Students

Kumar Abhishek, Pratyush Kumar, O Puri, and M Pathania
Empiric Antibiotic and Corticosteroid Prescribing for Hospitalized Acute Exacerbations of COPD: Associations with Length of Stay and Readmissions in a Large Multicenter U.S. Cohort

Kumar Abhishek, Pratyush Kumar, Archana Machavarapu, Munaf Siyamwala, Michael Waxman, Jeffrey Durbin, and Kari Nilsen
Esophageal Stents: How High Can You Go? A Traumatic Injury Treated with High Esophageal Stent Placement

John W. Surbeck, Anthony P. Melillo, and James S. Scott
From Focal Peroneal Neuropathy to Complex Regional Pain Syndrome: A Case of Progressive Unilateral Lower Extremity Pain

Ali Haider and Yu-Shiuan Hsu
Gluteal Compartment Syndrome Following Prolonged Immobilization in the Setting of Polysubstance Use: A Two-Patient Case Series

Daulton Sauce, Mark Gamadia, Robert Garner, and Molly Black
Harmonizing Healing: Examining Music Therapy as an Adjunctive Treatment for Mental Health

Shalin Patel and Karen Foote
Heparin-Induced Thrombocytopenia Among Patients with Acute Pulmonary Embolism and Risk Factors for Mortality

Kawar Bir Dhaliwal, Rahul Pawa, and Naresh Kodwani
High-Flow Ectatic Anomalous Right Coronary Artery from the Pulmonary Artery with Stimulant-Induced Cardiomyopathy: A Case Report

Prithvi Basu Roy, Danish Bawa, and Louis Orlando
Histotripsy in Liver Tumors: A Non-Thermal, Cavitation Platform Redefining Precision Ablation and Immuno-Oncology Synergy

Subuhee Ahmed, Shahzaib Maqbool, Pradeep Rajbhandari, Mohamad Mahfouz, and Maikel Tawadrous
Hypercalcemia Due to Hyperparathyroidism in Metastatic Prostate Cancer: A Case Report

Geonho Koh, Ryan Ansari, and Amit Kashyap
Impact of Dapagliflozin on Diastolic Function in Asymptomatic Patients with Type 2 Diabetes Mellitus: A Prospective Observational Study

Pankti Shah, Kumar Abhishek, Pratyush Kumar, and Aradhana Pandey
Impact of Pharmacist Intervention and Cardiac Rehab in Post-Acute Myocardial Infarction Patients on 90-Day Readmission Rates

Paige Hall, Jennifer Wong, and Tricia Walsh
Implications of GLP-1 Receptor Agonist Semaglutide for Hysterectomy Outcomes

Tess Branstetter, Megan Foster, Abbey Fritzel, Kimberly Swan, Alyssa Kozlowski, Jeffrey Durbin, Jordan Martin, and Kari Nilsen
Intermittent Hypoxia in a Middle-Aged Woman with a Probable Bethlem Myopathy Carrier State and Suspected Complex Sleep-Related Hypoventilation

Jonathan Paul Ladera and Louis Orlando
Interventions to Reduce 30-day Re-hospitalization Rates in Skilled Nursing Facilities: A Systematic Review

Pradeep Rajbhandari, Karl E. Minges, Lawrence San Jose, and Michael Waxman
Intestinal Tuberculosis Masquerading as Crohn’s Disease: A High-Risk Diagnostic Mimic

Maikel Tawadrous, Tejaswi Vadde, Subuhee Ahmed, Lawrence San Jose, Chelsea Curry, and Aradhana Pandey
Left Atrial Appendage Occlusion vs. Oral Anticoagulation for Atrial Fibrillation in End-Stage Kidney Disease

Mohammed Ashwaq Hussain Shaik, S Paramkusam, SK Majety, LPS Preetha, T Gupta, and V Potluri
Long-Term Incidence Trends and Stage Distribution of Cutaneous Melanoma in the United States (1975–2022): A SEER Population-Based Analysis

Thea Danielle Amadasun and Shahzaib Maqbool
New-Onset Atrial Fibrillation in Labor: A Case Report and Review of Recommendations

Margaret Carrig, Megan Kohman, Jessica Richter, and Cristina Enrique
Opioid Prescribing Patterns Following Isolated Trigger Finger Release: A Single-Institution Quality Improvement Study

Brandalynn Mathis, Robert Garner, Cameron Sprong, Mark Gamadia, Alan Cornett, and Steven Smith
Optimizing Anticoagulation Monitoring Through Standardized Warfarin Management in a Primary Care Clinic

Ali Hader Arsiwala, Ryan Ansari, Karin Cha, Shalin Patel, Natalie Powell, Aliza Tan, and Karen Foote
Overcoming Resistance to CAR T-Cell Therapy in Hematologic Malignancies: Mechanisms, Counter-Strategies, and the Emerging Triple-Threat Multi-Antigen Approach

Muhammed Salman Ullah
Post-Vaccination Cardiac Arrhythmias: Phenotype-Specific Severity, Temporal Patterns, and Vaccine-Type Associations in a National Pharmacovigilance Cohort

Prithvi Basu Roy, Syed Ali Abidi, Lawrence San Jose, and Louis Orlando
Presentation and Application of External Fixator Kickstand De-Rotational Bar Modification

Speros Gabriel, Grace Thiel, Cameron Sprong, and Molly Black
"QT Okay, Bowel Not Okay"- Dofetilide Masking an Evolving Small-Bowel Obstruction

Tejaswini Yeshala, Pankti Shah, Syed Ali Abidi, and Archana Machavarapu
Retrospective Correlation Analysis of Tumor Infiltrating Lymphocytes in Triple Negative Breast Cancer: Examining Associations with Tumor Grade, Histologic Grade, and Lymph Node Status at a Tertiary Hospital in the Philippines

John Paul Ladera and Duebrt Guererro
SMARCA4-deficient Carcinoma of the Gastroesophageal Junction

Hanna Riga and Austin Lehr
Sudden Onset Idiopathic Necrotizing Pancreatitis Unmasking Undiagnosed Advanced Cirrhosis

Maikel Tawadrous, Mohammad Mahfouz, Aradhana Pandey, and Namin Farid
Termination of a Fatal Malignant Arrhythmia by Treating Respiratory Alkalosis at the Ventilator: A Case Report

Thea Danielle Amadasun, Muhammed Salman Ullah, and Vladimir Begilman
Time to Safe Chest Tube Removal After Water-Seal Trial

Rahul Pawa, Joshua Gazzetta, Leo A. Benedict, Sean Nix, Phillip Jones, Yoon Cho, and Alyssa Fesmire
Transient Stunning of Leadless Pacemaker Diagnostic Function Following Pulse Field Ablation for Atrial Arrythmia

Danish Bawa, Stephanie Billingsly, Thomas Pritchard, Rachad Ghazal, Adnan Ahmed, Douglas Darden, and Dhanunjaya Lakkireddy
Turning Yellow on Rhythm Control: Dofetilide and the Unexpected Cholestatic Storm

Tejaswi Vadde, Mohammad Mahfouz, Prithvi Basu Roy, Subuhee Ahmed, Archana Machavarapu, and Chelsea Curry
Type 2 Myocardial Infarction in Adults Admitted for Severe Persistent Asthma with Status Asthmaticus: Evaluating Predictors and Mortality Burden

Kanwar Bir Dhaliwal, Rahul Pawa, and Naresh Kodwani
Understanding Resiliency in NRMP Match Applicants Pursuing Orthopaedic Surgery Residency

Sean McMillan, Shelby Ramsey, Brian Truong, Manuel Pontes, Charlie Yoo, Efstratios Papdelis, Elizabeth Ford, Robert Garner, and William DiCiurcio
When a Rare Neuromuscular Disorder Meets COVID-19: A Challenging Case of Myotonic Dystrophy in the Intensive Care Unit

Pradeep Rajbhandari, Lawrence San Jose, and Michael Waxman
Xylazine Associated Progressive Cutaneous Ulcerations with Non-Injectable Fentanyl Use

Briana Saravanan-Dougherty and Gazala Parvin