Forefront Collaborative is an ACCME-accredited independent healthcare education company that engages, unites, and supports the best minds in healthcare in the pursuit of moving patient care forward.


For more than a decade, Forefront Collaborative (formerly CME Enterprise) has worked in partnership with leading organizations and healthcare professionals to improve health outcomes. Today, we continue to combine solid medical information, sound learning principles, tailored education strategies, and custom-designed learner experiences into unbiased healthcare education that fosters greater understanding, increased accountability, and improved outcomes.


In virtually every segment of the healthcare education process, you’ll find a role Forefront Collaborative can play that advances the success of your initiative or endeavor. Whether partnering on learner strategy; providing continuous assessment; filling in research gaps; or allocating scientific, creative, editorial, project management, or technology-based support to a project, we stand ready to offer the resources necessary to positively transform the value and quality of healthcare.

About Jessica

As Educational Projects Manager, Jessica Porucznik assists with developing medical education proposals and material for independent/certified education projects. Jessica provides a heavy logistical background to the Forefront team, previously working as a meeting planner in the promotional pharmaceutical industry and for Marriott. Jessica received her Bachelor of Science in Hospitality & Tourism Management from Purdue University. Her free time is spent traveling to new countries, being active outdoors, or cheering on her favorite hometown Chicago teams – the Blackhawks and the Cubs.

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About Marianna

As Director of Educational Development and Research, Marianna Shershneva, MD, PhD, works on educational and research projects in multiple clinical areas, and has extensive experience collaborating with professional societies and academic and community partners. Trained as a rheumatologist in Russia, Dr. Shershneva acquired additional expertise as an educational researcher and medical educator through her participation in Ukrainian medical education reform and graduate study in adult education in the US. She has authored and co-authored more than 20 papers devoted to medical education, educational measurement, program evaluation, and the improvement of clinical practice. Dr. Shershneva enjoys reading and is also an outdoors enthusiast, spending her free time exploring new places or camping in the company of family and friends.

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About Sydney

As Educational Projects Manager, Sydney Pate assists developing medical education proposals and material for independent/certified education projects. Sydney leads the execution of projects by utilizing the Project Management Institution methodologies. She collaborates with teammates to keep projects within scope, budget, and on time. Sydney received her Bachelor of Science in Chemistry from Butler University. In her free time, she is passionate about traveling and creating art through various forms of media.

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About Christine

As Director of Operations, Christine Tebben manages the planning and execution of certified medical education programs conducted in a variety of program formats in compliance with all requirements related to the CE program. She also leads our educational project managers and assists with operational duties for our organization. Chris has completed extensive Project Management Institute training and is certified as a Lean Six Sigma Yellow Belt. She has almost 10 years of CME experience. She received her Bachelor of Arts in Communications/Advertising from Purdue University. On her spare time she enjoys spending time with her family outdoors, watching her children’s sporting events, and attending concerts.

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About Kathy

As Content Associate, Kathleen Cox, MA, has over 40 years of experience as an editor and communication specialist. Kathy supports the content team in the development of accurate medical educational content deliverables such as slides, speaker notes, outlines, handouts, evaluations, faculty communications, audience generation copy, and other initiatives, as well as the business development team in the development and submission of grant proposals. Kathy received her Bachelor and Master of Arts in Journalism from The Ohio State University. She is a member of the American Medical Writers Association and a former member of the International Association of Business Communicators and Women in Communications.

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About Lily

As Senior Medical Director, Lily Zurkovsky, PhD, leads the content team with the goal of improving patient care through developing continuing medical education activities. Working with cross-functional colleagues, she develops strategies to harness Forefront Collaborative’s expertise in creative, outcomes-oriented educational design across a variety of therapeutic areas, including neurology, psychiatry, rheumatology, dermatology, pain management, oncology, women’s health, diabetes, and cardiovascular disease. Lily completed her PhD in Neuroscience at the University of Illinois at Urbana-Champaign and post-doctoral training at Vanderbilt University. Before joining Forefront Collaborative, she worked in the pharmaceutical industry as a Medical Science Liaison. In her spare time, she enjoys walking and hiking with her husband, son, and two dogs and trips to visit family and friends.

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As Associate Director of Development, Jonathan Scoble establishes and maintains relationships with grantors, collaborators, and educational partners. In doing so, he discerns business opportunities that align with the company's mission and values through relationship building, negotiation, and timely facilitation of educational grant proposals. Jonathan also plays a key role in conceptualization of strategy and tactics, managing proposals through all stages of development and execution. A graduate of the University of Massachusetts where he earned a bachelors in management, Jonathan has close to ten years of CME industry experience, having worked in both academia and the industry sector prior to returning to Forefront Collaborative where he started his career. In his spare time, Jonathan is an avid golfer, a backwoods camping enthusiast, and a hopelessly dedicated freshwater angler.

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About Ro

As Vice President and General Manager, Ro Brual, RPh, plays a critical leadership role at Forefront Collaborative in its mission to deliver top-quality independent healthcare education. He incorporates patient, payer, and healthcare professional insights into his daily work. Ro brings more than 30 years of experience in sales, marketing, and medical education with a Fortune 500 pharmaceutical company with more than 10 years of experience in continuing medical education. He is a registered pharmacist and a graduate of the University of Cincinnati College of Pharmacy. In his spare time, Ro and his wife enjoy spending time with their three children. Ro is a cantor at his church and sings in his church choir. He has led 18 medical mission trips to Haiti for his church in the past 15 years.

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About Katie

Katie Detzler, CAPM, Associate Director, manages the planning, execution, sustainment, and growth of multi-organization, multiyear initiatives with established partners. As such, she is instrumental in overall initiative success, having responsibility for project milestones, partner communications, day-to-day operations, and budget/financial aspects. A graduate of Indiana University where she earned her Bachelor of Science in Telecommunications with a double minor in Psychology and Human Development and Family Studies, Katie is also a Certified Associate in Project Management. In her spare time, she enjoys antiquing, interior design, and spending time with family and friends.

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General Career Opportunities, Forefront Collaborative

At Forefront Collaborative, our team consists of highly talented, passionate people who come together to create a collaborative, professional, and successful working environment. Because of our commitment to excellence, we're known for developing high-quality continuing medical educational activities based on innovative strategies and solutions. And, it's our unique combination of smart, savvy, hard-working team members from various disciplines that makes them happen. Without exception, we hire people of talent, character, and commitment. Interesting, challenging work? We have it. The opportunity to excel? Absolutely. Collaboration with colleagues? We've got that too. If you are interested in being a part of our team, please submit your resume.

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About Maria

Maria Rovere, MTSC is a Medical Director at Forefront Collaborative where she gains funding for and designs clinician-focused continuing medical education with tailored learning strategies that improve patient care; she also oversees accreditation procedures and provides guidance on industry-specific compliance regulations. Previously, as a Scientific Communications Associate in the pharmaceutical industry, Maria wrote regulatory documentation on a clinical trial submission team and supported a variety of cross-functional teams and therapeutic areas, including neuroscience, bone/osteoporosis, and men’s urology; she enhanced her scientific writing expertise as an editor of publication materials in health outcomes. Maria completed her Master of Technical and Scientific Communication degree at Miami University in Oxford, Ohio, where she taught business writing classes. Maria gained additional expertise in the educational field as a senior associate assisting in the development of educational programs and materials, as well as marketing strategies, for a Montessori-based language school.

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