She has worked in cardiac catheterization labs, medical/surgical and ICU, and public health. She has served as the chair of the Regional Medical Institutional Review Board and as an advisor to Schneck Medical Center, Seymour, Indiana, on their Evidence Based Practice Committee and their Nurse Residency Program. Service to the community includes serving as a 4-H leader in Brown County, Indiana. Marsha is currently pursuing her PhD with a focus on patient information consent issues and health literacy.