Faculty News

We are proud of our affiliate hospital, the Ziv Medical Center in Safed!

A 2019 Israeli Ministry of Health report has announced that the Ziv Medical Center in Safed, an affiliate hospital of the Azrieli Faculty of Medicine, has ranked first place among all Israeli public and governmental hospitals and the Clalit HMO, for the prevention of infectious diseases.

This is not by chance. The Ziv Medical Center has made this battle a priority, especially considering the new Covid-9 reality. The 2018 report placed the Medical Center seventh. Hard work has paid off, and has proven the hospital a safe place for those seeking treatment and hospitalization.

Dr. Shimon Edelstein who directs the Unit for Infectious Diseases and Prevention stated, "This is a great achievement, as it is a result of hard, sustained efforts of the Unit, including a long tradition at the hospital of placing the patient's safety first. We stress clean hands, disinfecting, and distancing contaminants from our patients."

Dr. Jalal Tarabeia, the Center's clinical epidemiology supervisor, added, "Infection prevention has become part of the organizational culture, for all staff members. This success, at the national level, would not have been possible if not for education, constant monitoring, feedback, and built-in QA."

Dr. Salman Zarka, director of Ziv Medical Center, is especially proud, and congratulated the diverse staff. "This report shows the patients and visitors who have complimented us on the hospital's cleanliness - that this goes deeper than what is apparent to the naked eye. Covid-19 has taught all of us new rules, most especially that each and every one of us plays a part in the prevention of infectious contamination. We must all continue to wear masks that cover the mouth and nose, be scrupulous about keeping our hands clean, and keep social distance."

The novel coronavirus, Covid-19, has taken us all by surprise and is challenging health systems worldwide. It is also showing us how population groups are being affected differently. The Galilee region in Israel exemplifies this most poignantly. The diversity of vast ethnic and religious as well as socioeconomic backgrounds, coupled with limited accessibility to medical services and advanced medical care, and a high rate of chronic illness – is proving particularly challenging for caregivers.

Bar-Ilan University’s Azrieli Faculty of Medicine has joined together with its partners, affiliate hospitals, community clinics, NGOs, foundations and donors to build a new platform to rise to the challenge.

Prof. Karl Skorecki, Dean of the faculty, explains: “As a Faculty whose mission is to train excellent doctors, who are dedicated to their community, we have built a three-tiered approach that will answer not only to the current urgent needs, but will build and strengthen the structure for our activity in the Galilee."

A result of roundtable discussions, this platform has begun, led by students and faculty alike.

The biological aspect – Supporting and improving the ability of the authorities in the area to do testing

The psychosocial aspect – Students from the Faculty supporting NGOs with follow up on chronic patients in order to minimize physical and emotional decline resulting from lack of control. This will continue even after the epidemic.

In addition, the Faculty is improving the medical infrastructure by placing ultrasound stations, and training additional clinical staff in the affiliated hospitals and community health centers. The staff will be trained in the operation of the instruments, analyzing the patient's status, and referring them to the hospital if and as needed. The staff will continue even after the pandemic, incorporating all they have learned for ongoing patient care.

This win-win situation serves to advance the health of the patient and the education of the medical students.

The Azrieli Faculty of Medicine congratulates our Dr. Ayelet Shai (head of oncology at the Galilee Medical Center in Naharia) on her important appointment as member of the National Council for Prevention, Diagnosis & Treatment of Cancer, of the Israeli Ministry of Health.

The novel Coronavirus, Covid-19, took us all by surprise. At the Azrieli Faculty of Medicine especially, we had to act fast. The Galilee, with its noticeable health disparities, was a source of major concern for the Covid-19 outbreak. We quickly created a roundtable with our community partners and affiliated hospitals and HMOS, and luckily, with the generous support of the Russell Berrie Foundation and the enthusiastic dedication of our medical students and staff, we were able to make a noticeable change in the Galilee and north of the country.

“What started as an emergency has actually morphed into a chronic situation,” explained Dr. Sivan Spitzer-Shohat who spearheaded the endeavor. “At the Faculty we have always dedicated ourselves to being socially accountable to our community, and this is a perfect example. It has also proven to be an excellent teaching and learning opportunity.” Under the new project, medical students are sent to the field – primary care clinics across the Galilee community – to reinforce the medical establishment in the north during this crisis. So far, 60 medical students have been placed in clinics. Among other tasks, they follow-up on chronic patients via telephone calls and home visits, filling a crucial void. About 20 more students will be added in the second phase.

In the past, medical students have expressed difficulties emanating from cultural differences with the local population, and lack of understanding; this project opens up the lines of communication for not only the patient, but also the practitioner. By stepping out of their comfort zones, it is proving to be a learning experience for all involved, bridging gaps while also offering critically necessary and urgent medical services. The students are learning alongside chronic care management, cultural competence practice, and the population is gaining from the increased presence of medical personnel who are there to treat as well as educate.

Prof. Skorecki, the Dean of the Faculty, also expressed his enthusiasm for this endeavor, adding, “This has proven to be an excellent opportunity to create a long-term platform with our community partners to improve the health of the Galilee.”

Thanks to the Russell Berrie Foundation, we can see some positive outcomes of Covid-19! This new project, born out of an acute immediate need, will ultimately serve the long-term chronic medical needs of the Galilee and north of the country.

Azrieli Faculty students – like all of us – are adapting to the new reality, Covid-19. On March 13, 2020 a call for volunteers went out and Azrieli medical students indeed jumped right in.

Magen David Adom quickly trained the students in how to properly protect themselves and do Corona testing. Then, with a rental car, they began their work on March 15, 2020. Activity grew and grew, until eventually the national Corona "drive ins" were set up, and the IDF stepped in with a fresh source of manpower. Omri Cohen, a three-year track student who was at the helm of the initiative, mentioned how challenging the beginning was, with endless work, but how at some point everyone functioned "on autopilot." He tells of doing testing at a Bnei Brak old age home after Pesach, and struggling with the cultural challenges and physical discomfort of the protective gear.

Some students found themselves helping out at a local hospital, doing triage at the ER, and others working with the elderly who live alone at home.  Those with lab experience were recruited to help in the laboratories. And of course, "Physicians Assistant" has become a household word, with the Ministry of Health calling on medical students to help out professionally in this capacity with the epidemic.

Pre-clinical studies have continued, albeit online, and even solutions to online clinical learning are being initiated, in order to continue keeping pace with the academic requirements and not lose previous time.

In the beginning, many students found themselves asking many questions, due to the uncertainty – should I be leaving my apartment in the north? Where should I spend Pesach, risk my family's health if I go home? But a new rhythm seems to be falling into place.

As Omri Cohen said, "We are a country that is used to emergencies. We are fighters. This is just another war we are fighting, and I feel like I am in miluim [reserve duty]."

We wish them health and success in their studies and endeavors.

Photo credit: דין אריאל, התאחדות הסטודנטים לרפואה בישראל

At a recent national ear, nose, and throat (ENT) conference in Eilat, Dr. Maayan Gruber was awarded the prize for excellent clinical research.

Of fourteen preliminary papers, six were chosen to be presented at the conference. Dr. Gruber's paper was cited as the outstanding research - the effect of a program of intervention on reducing medical mistakes on hospitalized children. This study was also carried out by Rozeen Abu Shqara for her MD thesis. Abu Shqara is a medical student at the Faculty.

Dr. Gruber was recently appointed senior clinical lecturer at the BIU Azrieli Faculty of Medicine. He is head of pediatric ENT and pediatric otolaryngology specialist at the Galilee Medical Center in Naharia

• On February 12, 2020, proud and excited, 44 students from the three-year track (those having returned from medical schools abroad) received their white coats in the famed "White Coat Ceremony" traditionally held at medical schools. These students comprise the 9th graduating class of the Bar-Ilan University Azrieli Faculty of Medicine. Offering warm greetings and congratulations were Prof. Karl Skorecki, Dean; Prof. Eric Shinwell, Associate Dean, Medical Education; and Prof. Johnny Younis, Vice Dean, Clinical Studies. A representative of the parents association also came to the podium to express her thoughts.

  In addition to the speeches, a short film was shown and the students participated in a musical performance (pictures can be seen here).

  Refreshments were served, and souvenirs were distributed, to make sure everyone went home from the momentous evening with tangible memories above and beyond the white coat.

  After such an intensive period of studies, the evening, shared by family members and friends, was warm, welcoming, and positive, excitedly looking forward to the next stage of medical education and training.

   

In February 2020, approximately 50 participants representing the Israeli health system and five Galilee community municipalities took part in a diabetes workshop, led by Dr. Sivan Spitzer-Shohat, Principal Investigator HEAL - Health Equity Advancement Lab and Head of Population Health Education at the Azrieli Faculty of Medicine. The goal was to shed light on the Faculty's planning for a diabetes center.

Using design thinking methodology the participants each reviewed the diabetes patient pathway to discuss their pains and gains and current efforts to address diabetes. Afterwards, the groups convened to discuss possible solutions and areas for cooperation.  The workshop ended with group presentations to all participants. 

Dr. Spitzer-Shohat enthusiastically shared that "Positive feedback included shared sentiments by the participants, that the Faculty serves as a connecting force for all of the different actors in the Galilean health ecosystem."

Dr. David Peleg, head of the High-risk Unit at Ziv Medical Center in Safed's Department of Gynecology & Obstetrics, has just been informed by Dr. Roberto Romero, Editor-in-Chief for Obstetrics of the American Journal of Obstetrics & Gynecology, that his paper, published in 2018 in the American Journal of Obstetrics & Gynecology, “A randomized clinical trial of knotless barbed suture vs conventional suture for closure of the uterine incision at Cesarean delivery,” is one of the top-cited papers over the last two years in AJOG, as determined by Scopus. Each year, AJOG recognizes top-cited papers presented at the SMFM and published in AJOG. Dr. Peleg's contribution will be the subject of recognition during the Awards Ceremony at the Society for Maternal-Fetal Medicine.

Dr. Milana Frenkel-Morgenstern's team was the only Israeli group to take part in the genomics and transcriptomics studies of the Pan-Cancer Analysis of Whole Genomes Project (PCAWG), also known as the Pan-Cancer Project. A collaboration of over 1,300 scientists and clinicians from 37 countries, more than 2,600 genomes of 38 different tumor types, were analyzed, creating a huge resource of primary cancer genomes. Sixteen working groups studying many aspects of cancer’s development, causation, progression and classification ensued.

Two of the PanCancer papers resulting from this collaboration have just been published back-to-back in Nature, among five papers published in Nature from the PanCancer consortium: 

https://www.nature.com/articles/s41586-020-1970-0

https://www.nature.com/articles/s41586-020-1969-6

These projects were carried out over the past seven years and are the most comprehensive study of whole cancer genomes to date, significantly improving our understanding of cancer and offering new directions for diagnosis and treatment.

On January 30, 2020, Azrieli Faculty clinical instructors from the Galilee Medical Center in Naharia were awarded certificates of appreciation for their hard work. Dean Karl Skorecki opened the ceremony, praising the close and special relationship between the Faculty and affiliate hospital. Following the Dean, Prof. Eric Shinwell, Associate Dean of Medical Education, spoke, then Dr. Nomy Dickman Head of Educational Evaluation and Advancement, read aloud kind words from the students. Dr. Masad Barhoum, GMC General Director then offered words of thanks to the excellent instructors. In all, 56 outstanding doctors were awarded by the Faculty for their excellence as clinical instructors.

Dr. Ayelet Shai has been invited to join the new research fellows forum at the International Center for Health, Law, and Ethics at Haifa University. This interdisciplinary forum includes law, ethics, sociology, and anthropology researchers, to name a few. Her current research will include gender and medicine and end of life care, in light of the Dying Patient Act (2005).

Congratulations to Prof. Tzipora Falik Zaccai who was appointed member of the national committee for multi-center clinical trials, by the Directorate of Medical Technologies, Informatics & Research of the Israeli Ministry of Health.

Dr. Erez Onn, General Director of The Baruch Padeh Medical Center, Poria (an Azrieli Faculty of Medicine affiliate hospital) has been appointed Head of the Government Hospitals Division. Congratulations!

On January 9, 2020, the Israel Society of Obstetrics and Gynecology (ICOG) held its annual conference and conferred upon Dr. Menachem Fisher a prestigious certificate of appreciation. Dr. Fisher, viewed as a visionary, has through his involvement, contributed considerably to patients, colleagues, and to the advancement of the fields of ob/gyn and fertility in Israel.

Dr. Fisher studied medicine at the Technion, specializing in ob/gyn at the Rambam Hospital. He proceeded to pursue a sub-specialty in "mother and fetus" at the University of Vancouver. Returning to Israel in 1986, Dr. Fisher chose to settle down in the Galilee where he devoted himself to women's health in the Galilee, all the while recruiting senior gynecologists from all over the country to join him in this mission.

Dr. Fisher established the Society for Community Gynecology and served as its head for many years. He made other physicians and scientists aware of this important field of medicine and as such is being awarded a certificate of appreciation by the ICOG.