When UPMC Pinnacle set out to design West Manchester Township-based, UPMC Memorial hospital, the system laid out its imaging and emergency departments next to one another, and operating rooms were expanded to leave room for advances in surgical equipment such as robotics.

Matt Leonard, who has worked as a drafting technician at the Lititz-based architectural firm Derck & Edson for nearly 14 years, said a shortage of drafters who know how to use computer-aided design, or CAD, has created a real need for skilled workers in the field.

Michelle Brummer, 47, is a project manager and senior environmental planner for Camp Hill-based Gannett Fleming and has been with the company since 2001.