Guthrie Robert Packer Hospital
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Guthrie Robert Packer Hospital is a
rural In general, a rural area or a countryside is a geographic area that is located outside towns and cities. Typical rural areas have a low population density and small settlements. Agricultural areas and areas with forestry are typically desc ...
teaching hospital A teaching hospital or university hospital is a hospital or medical center that provides medical education and training to future and current health professionals. Teaching hospitals are almost always affiliated with one or more universities a ...
in
Sayre, Pennsylvania Sayre is a borough in Bradford County, Pennsylvania, United States. It is part of Northeastern Pennsylvania. It is the principal city in the Sayre, PA Micropolitan Statistical Area. It lies southeast of Elmira, New York, and southwest of Bin ...
. It was founded as Robert Packer Hospital in 1885, making it the oldest hospital in the
Twin Tiers The Twin Tiers are the collective counties that lie on the New York–Pennsylvania border on either side of the 42nd parallel north. The region is predominantly rural and contains many small towns. Separately, the two halves of the Twin Tiers ...
of
Pennsylvania Pennsylvania, officially the Commonwealth of Pennsylvania, is a U.S. state, state spanning the Mid-Atlantic (United States), Mid-Atlantic, Northeastern United States, Northeastern, Appalachian, and Great Lakes region, Great Lakes regions o ...
and
New York New York most commonly refers to: * New York (state), a state in the northeastern United States * New York City, the most populous city in the United States, located in the state of New York New York may also refer to: Places United Kingdom * ...
. The hospital is a primary
stroke Stroke is a medical condition in which poor cerebral circulation, blood flow to a part of the brain causes cell death. There are two main types of stroke: brain ischemia, ischemic, due to lack of blood flow, and intracranial hemorrhage, hemor ...
center and level I
trauma center A trauma center, or trauma centre, is a hospital equipped and staffed to provide care for patients suffering from major traumatic injuries such as falls, motor vehicle collisions, or gunshot wounds. The term "trauma center" may be used incorr ...
. It has received numerous awards, including being named one of the Truven Top 50 Cardiovascular Hospitals 10 times since 2001, "America’s 100 Best Hospitals for Coronary Intervention" by HealthGrades in 2017, 2018, and 2019 and receiving a
Bariatric Surgery Bariatric surgery (also known as metabolic surgery or weight loss surgery) is a surgical procedure used to manage obesity and obesity-related conditions. Long term weight loss with bariatric surgery may be achieved through alteration of gut ho ...
Excellence Award in 2019. It has also received a Center of Distinction Award for
wound care The history of wound care spans from prehistory to modern medicine. Wounds naturally Wound healing, heal by themselves, but hunter-gatherers would have noticed several factors and certain herbalism, herbal remedies would speed up or assist the pro ...
and hyperbarics in 2018.


Early history

Robert Asa Packer, son of
Asa Packer Asa Packer (December 29, 1805May 17, 1879) was an American businessman who pioneered railroad construction, was active in Pennsylvania politics, and founded Lehigh University in Bethlehem, Pennsylvania. He was a conservative and religious man who ...
, was a business magnate and president of the Northern Division of the
Lehigh Valley Railroad The Lehigh Valley Railroad was a railroad in the Northeastern United States built predominantly to haul anthracite, anthracite coal from the Coal Region in Northeastern Pennsylvania to major consumer markets in Philadelphia, New York City, and ...
. After his death in 1883, his mansion (built 1879–80) sat empty and was inherited by his sister, Mary Packer Cummings. She was approached by Rev. W. B. Morrow, the rector of the Church of the Redeemer, with plans for a hospital and she donated the home to the Lehigh Valley Railroad Company on February 14, 1885 to be used for that purpose. She also offered to pay for any required alterations. In turn, a corporation formed for the care of "injured and sick persons without distinction on account of creed, race, or nationality," and a charter was granted for the hospital one month later on March 16. Robert Packer Hospital was dedicated on July 13, 1885, the house surgeon being Dr. Franklin M. Stephens, with the first patient, Alonzo House, arriving two weeks later. The majority of the patients in the first years were injured while working for the Lehigh Valley Railroad and Sayre Locomotive Shops. The hospital was known for its use of aseptic techniques, only resorting to amputation for infection once in the first five years. Despite the fact that patients generally feared hospitals, in 1893 and 1894 that the hospital often went over capacity and had to turn away admissions. Some patients would wait weeks for admission. Early on, money was set aside for repairs to the old building and construction of a new ward, but it turned out not to be enough. Despite rarely having vacant beds, the hospital still went further into debt, largely due to not charging patients for their care.


History after Dr. Guthrie's arrival

January 10, 1910, Dr. Donald Guthrie succeeded the surgeon-in-chief Dr. Ott, who had died the year prior. He founded the Guthrie Medical Group and expanded services in the hospital to model it after the
Mayo Clinic Mayo Clinic () is a Nonprofit organization, private American Academic health science centre, academic Medical centers in the United States, medical center focused on integrated health care, healthcare, Mayo Clinic College of Medicine and Science ...
, where he had completed his residency. In 1912, Mary Packer Cummings died and willed funds to build a children's ward. By 1920, Dr. Guthrie had added 11 more physicians to the group. Only eight years later, the four story Guthrie Clinic building opened with 27 physicians. The hospital and its buildings were considered to be some of the most advanced in the country. In September, 1916, Ornan H. Waltz noted in ''Modern Hospital,'' "Sayre, Pa., a city of only eight thousand people, can boast of one of the most serviceable institutions in the country". A major portion of the hospital burned down in a fire on May 3, 1933, forcing the hospital administration to successfully raise funds for a larger updated building for which they had been planning since 1929. At the time, some of the patients were moved to Tioga County General Hospital. The hospital received a Public Works Administration loan in the amount of $420,000 to complete the new building meant to house 285 beds, which was opened on December 6, 1934. Multiple changes have taken place since then, including addition of new buildings, operating suites, educational buildings, and an emergency department. 1981 saw the formation of the Guthrie Medical Center, a new corporation and restructuring of the existing Guthrie Clinic. In 1986, the hospital switched its focus to taking care of trauma patients, adding an $85,000 heliport, establishing trauma-related hospital procedures, and bringing in appropriate staffing.


Education

Robert Packer Hospital had its first intern in 1887, at a time when most physicians did not do internships. Its first residency began in 1923 in partnership with the University of Pennsylvania Graduate School of Medicine and Hahnemann Medical School, and was in general surgery. Five years later, a residency in medicine was added. The hospital employed its first Director of Medical Education in 1967, also breaking ground for the Carl V. S. Patterson Education Building. The same year, the School of Nursing was accredited by the
National League for Nursing The National League for Nursing (NLN) is a national organization for faculty nurses and leaders in nurse education. It offers faculty development, networking opportunities, testing services, nursing research grants, and public policy initiative ...
. In 1987, nursing education changed at Robert Packer Hospital and it no longer offered a diploma program. Instead, it partnered with
Mansfield University Mansfield University of Pennsylvania is a campus of Commonwealth University of Pennsylvania, and is located in Mansfield, Pennsylvania, United States. It is part of the Pennsylvania State System of Higher Education (PASSHE). The campus's total e ...
in offering the
Bachelor of Science in Nursing The Bachelor of Science in Nursing (BSN, BScN) also known in some countries as a Bachelor of Nursing (BN) or Bachelor of Science (BS) with a Major in Nursing is an academic degree in the science and principles of nursing, granted by an accredited ...
degree. As of July 2021, the hospital has physician residencies in
emergency medicine Emergency medicine is the medical specialty concerned with the care of illnesses or injuries requiring immediate medical attention. Emergency physicians (or "ER doctors") specialize in providing care for unscheduled and undifferentiated pa ...
,
family medicine Family medicine is a medical specialty that provides continuing and comprehensive health care for the individual and family across all ages, genders, diseases, and parts of the body. The specialist, who is usually a primary care physician, is ...
,
internal medicine Internal medicine, also known as general medicine in Commonwealth nations, is a medical specialty for medical doctors focused on the prevention, diagnosis, and treatment of diseases in adults. Its namesake stems from "treatment of diseases of ...
,
general surgery General surgery is a Surgical specialties, surgical specialty that focuses on alimentary canal and Abdomen, abdominal contents including the esophagus, stomach, small intestine, large intestine, liver, pancreas, gallbladder, Appendix (anatomy ...
,
orthopedic surgery Orthopedic surgery or orthopedics ( alternative spelling orthopaedics) is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal ...
,
anesthesiology Anesthesiology, anaesthesiology or anaesthesia is the medical specialty concerned with the total perioperative medicine, perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critica ...
, and fellowships in
cardiology Cardiology () is the study of the heart. Cardiology is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery di ...
,
gastroenterology Gastroenterology (from the Greek gastḗr- "belly", -énteron "intestine", and -logía "study of") is the branch of medicine focused on the digestive system and its disorders. The digestive system consists of the gastrointestinal tract, sometime ...
, and
pulmonology Pulmonology (, , from Latin ''pulmō, -ōnis'' "lung" and the Greek suffix "study of"), pneumology (, built on Greek πνεύμων "lung") or pneumonology () is a medical specialty that deals with diseases involving the respiratory tract. ...
and critical care. Additionally, the hospital has a nursing residency,
pharmacy residency Pharmacy residency is education a pharmacist can pursue beyond the degree required for licensing as a pharmacist (in the United States of America: PharmD). A pharmacy residency program allows for the implementation of skill set and knowledge acq ...
, and is the Guthrie Campus of the Geisinger Commonwealth School of Medicine. Of historical note, it used to have residencies in neurosurgery, pathology, pediatrics, radiology, and urology.


References

{{authority control 1885 establishments in Pennsylvania Hospitals established in 1885 Sayre, Pennsylvania Teaching hospitals in Pennsylvania Level 1 trauma centers