She received her Bachelor's Degree at Brandeis University in 1982 and went on to complete her Physician Assistant Certificate and Masters of Health Professions at Northeastern University in 1988. Since completing her training, Ms. Reffel has gained experience working in primary care, women's health, urgent care and gastroenterology. Through her gastroenterology experience, she has developed a special interest in liver disease and colorectal cancer prevention and screening. She is trained to perform flexible sigmoidoscopy for colorectal cancer screening.