Duke Medicine Learning, Education, and Discussion Series

Established in October 2020, the Department of Medicine Learning, Education, and Discussion Series (LEADS) is designed to showcase clinical excellence and expertise in the Department of Medicine with an emphasis on health equities and disparities and quality and systems-based approaches.

About LEADS

Background

LEADS is the conference series that addresses clinically relevant topics for all trainees and faculty members in the Department of Medicine. The presentation format is primarily Topic-based Clinical Updates presented by leaders in their field speaking on a targeted area of clinical focus designed to provide the most up-to-date clinical knowledge in every subspecialty of medicine and Diagnostic Reasoning Discussions in which a faculty member or the assistant chief residents present a challenging patient case to a panel of subspecialists for discussion on how they think through clinical problems to further evaluate and make diagnoses.

Additional special LEADS presentations will include the annual Duke It Out resident teaching competition, and topic-based presentations delivered by the current cohort of Duke Department of Medicine SEEDS fellows.

Together with Medicine Grand Rounds, Duke Medicine LEADS will keep our knowledge current and our skills sharp while strengthening our commitment to being a values-driven, data-driven, and anti-racist department.

Leadership Committee

Ann Cameron Barr
Michael Cosiano
Courtney Dominguez
Ryan Duffy
Nathan Hirschman
Alexandra Horne
Nilesh Patel
Nishant Shah
Aimee Zaas
Current Assistant Chief Residents

Activity Director

Lisa Criscione-Schreiber

Program Coordinator

Christopher Skowronek

Continuing Medical Education Credits

CME	MOC-ABIM
Physician Credit - Duke Continuing Education designates Medicine Grand Rounds and Duke Medicine Learning, Education, and Discussion Series (LEADS) activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Physicians must attend the CME activity, must have an active ETHOS account, and must text their attendance (with the weekly text code) to 919-213-8033 starting at 8:00am and must do so within 24 hours. GME Trainees are not eligible for CME credit. The referenced media source is missing and needs to be re-embedded.	Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to one (1) MOC credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

CME

MOC-ABIM

Physician Credit - Duke Continuing Education designates Medicine Grand Rounds and Duke Medicine Learning, Education, and Discussion Series (LEADS) activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Physicians must attend the CME activity, must have an active ETHOS account, and must text their attendance (with the weekly text code) to 919-213-8033 starting at 8:00am and must do so within 24 hours. GME Trainees are not eligible for CME credit.

The referenced media source is missing and needs to be re-embedded.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to one (1) MOC credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

How to Participate in LEADS

LEADS is a hybrid presentation that occurs the 2^nd and 4^th Tuesday of each month from 12:15-1:00pm in Duke North 2002 and via Zoom.

Zoom Information

Link: https://duke.is/LEADS
Meeting ID: 936 0331 3850

Attendees have the option to use the chat function to ask questions during the session.

Upcoming 2024-2025 LEADS Lectures

Date & Location	Presenter	Title	Link to Recorded Presentation
12/6/2024	Presenters: Haley Bush, MD Sandra Au, MD Amber Fleck, MD Expert Discussants: Aparna Swaminathan, MD (Pulmonary and Critical Care) Christopher Hostler MD (Infectious Diseases) Hilary S. Friedlander, MD (Reproductive and Infertility)	LEADS Diagnostic Reasoning: A Curious Case of Respiratory Failure	Watch the Presentation
11/12/2024	Presenter: Michelle Ponder, MD Assistant Professor of Medicine, Division of Endocrinology, Metabolism, and Nutrition	Updates in Obesity Medicine
10/22/2024	Presenter: Elias Pratt, MD Medical Instructor in the Department of Medicine	"Everything Old Is New Again: Redefining ARDS"	Watch the Presentation
10/8/2024	Presenters: Mark Brahier, MD; Liz Kobe, MD; Nivita Sharma, MD	“Can’t swallow, Can’t breathe,” A Case of Progressive Dysphagia and Respiratory Failure	Watch the Presentation
9/24/2024	Presenter: Sona Sharma, MD Associate Professor of Medicine, Division of Endocrinology, Metabolism, and Nutrition	Adrenal Insufficiency: Update on Diagnosis and Management
9/10/2024	Presenter: Nishant Shah, MD, FACC Assistant Professor of Medicine in Cardiology, Associate Program Director, Cardiovascular Disease Fellowship	Updates in Dyslipidemia Management	Watch the Presentation
08/13/2024	Presenters: Ashutos Patel, MD, Fourth Year Resident Clare Anderson, MD, Senior Assistant Resident Eric Wilson, MD, Senior Assistant Resident	Diagnostic Reasoning: A Confusing Case of Confusion	Watch the Presentation

Past Lectures

Date & Location	Presenter	Title	Learning Objectives
08/29/23 Duke North 2002	Ziad Gellad, MD, MPH Associate Professor, Gastroenterology Associate Vice Chair, Ambulatory Services Duke University School of Medicine	Entrepreneurship in Academic Medicine View recorded session	Make a compelling case for physician entrepreneurship Outline key principles of physician entrepreneurship Identify concrete ways to begin your entrepreneurial journey
09/12/23 Duke North 2002	Alexandra Horne, MD Medical Instructor, General Internal Medicine Case Discussants: Lisa Criscione-Schreiber, MD, MEd Professor of Medicine, Rheumatology and Immunology Aparna Swaminathan, MD, MHS Assistant Professor of Medicine, Pulmonary, Allergy, and Critical Care Medicine Aimee Zass, MD, MHS Professor of Medicine, Infectious Diseases and International Health	Clinical Unknown: An Elusive Case of Hypoxemia View recorded session	Learn from master clinicians in infectious disease, rheumatology, and pulmonary as they reason through a diagnostically challenging case unknown to them Topic-specific teaching points will follow the discussion
09/26/23 Duke North 2002	Shivram Chandramouli, MD Senior Assistant Resident, Internal Medicine Shannon McGue, MD Senior Assistant Resident, Internal Medicine	Diagnostic Reasoning: A Complex Case of Confusion	Learn from master clinicians in infectious disease, oncology, and neurology as they reason through a diagnostically challenging case unknown to them Topic-specific teaching points will follow the discussion Improve diagnostic reasoning skills by engaging with senior clinicians as they reason through a complex case Evaluate subspecialty specific differential diagnosis Discuss how to select appropriate diagnostic tests to evaluate complex diagnosis
10/03/23 Duke North 2002	Caroline Sloan, MD Assistant Professor of Medicine, Division of General Internal Medicine	Doc, what's this going to cost me? Incorporating cost information into medical decision-making View recorded session	Understand the impact of high out-of-pocket costs on patient outcomes Become familiar with health care cost terminology Learn about recent federal legislation and regulations that aim to increase price transparency and reduce financial barriers to care Discuss ways to engage patients in conversations about costs during clinic visits
11/14/23 Duke North 2002	Neha Kayastha, MD Assistant Professor of Medicine, General Internal Medicine Roberta Turner, MD Assistant Professor of Medicine, General Internal Medicine	Caring for Hospitalized Patients at the End-of-Life View recorded session	Use the physical exam to provide a prognosis in a dying patient. Identify helpful ways to provide anticipatory guidance about difficult changes at the end-of-life. Develop a treatment approach to the common physical symptoms that arise at the end-of-life. Describe the hospice benefit and Duke-specific resources.
11/28/23	Presenters: Jackie Kercheval, MD Senior Assistant Resident Andrew Maul, MD, MBA Senior Assistant Resident Sachi Oshima, MD Senior Assistant Resident Expert Discussants: Eileen Maziarz, MD Assistant Professor of Medicine Division of Infectious Diseases and International Health Terri Tarrant, MD Associate Professor of Medicine Division of Rheumatology and Immunology Louis Diehl, MD Professor of Medicine Division of Hematologic Malignancies and Cellular Therapy	Diagnostic Reasoning: What Caused the Hole? View recorded session	Learn from experts in infectious diseases, rheumatology, and oncology as they reason through a diagnostically challenging case unknown to them Topic-specific teaching points to follow discussion
12/12/23	Matthew Sinclair, MD Medical Instructor in the Department of Medicine	Clinical Updates on Acute Kidney Injury and Chronic Kidney Disease: What Nephrologists Want You to Know View recorded session	Define acute kidney injury (AKI) and chronic kidney disease (CKD) Implement evidence-based testing and therapy provision in treating patients with AKI and CKD Recognize patient populations who are disproportionately burdened by adverse kidney outcomes and apply strategies to optimize care for these patients
01/09/24	Jason Stout, MD Professor of Medicine, Infectious Diseases	Tuberculosis	To understand the diversity of clinical presentations of tuberculosis disease To appreciate the epidemiology of tuberculosis and how it informs clinical decision making To learn how to appropriately evaluate and treat individuals at risk for latent tuberculosis infection
01/23/24	Alyssa Soskis, MD Assistant Professor of Medicine, Pulmonary, Allergy and Critical Care Medicine	Condensing the Alphabet Soup: A Pulmonologist’s Approach to Interstitial Lung Disease	Construct a framework for classifying the main subtypes of ILD Implement an initial diagnostic evaluation for patients with undifferentiated ILD Summarize several recent advances in ILD approaches and therapeutics Watch the Presentation
02/13/24	Shelief Robbins-Juarez, MD Resident Physician, Internal Medicine Apurva Khedagi, MD Resident Physician, Internal Medicine Callie Lilley, MD Senior Assistant Resident, Internal Medicine	Diagnostic Reasoning: Do You Even Lift?	Learn from endocrinology, nephrology, and rheumatology experts as they reason through a diagnostically challenging case unknown to them. Topic-specific teaching points to follow discussion. Watch the Presentation
02/27/24	April Salama, MD Associate Professor of Medicine, Medical Oncology	Managing Immune Related Adverse Events (IRAEs) of Cancer Therapy	Recognize and correctly diagnose common IRAEs Understand initial management strategies for IRAEs Understand when subspecialty consultation may be warranted Watch the Presentation
03/12/24	Heather Whitson, MD, MHS Professor of Medicine, Geriatrics	A New Era in Diagnosing and Managing Alzheimer's Disease	List biomarkers that are useful in the biomedical diagnosis of Alzheimer's disease Describe the action and potential benefits of lecanemab for patients with mild cognitive impairment or early dementia List risk factors for amyloid-related imaging abnormalities (ARIA) among patients who receive lecanemab Discuss factors that should be considered in any shared decision-making process regarding potential treatment with anti-amyloid antibodies Watch the Presentation
04/9/24	Amreen Dinani MD, FRCPC & Cindy Moylan MD, MHS, MS	What’s New in MASLD? More than just the name…	Recognize new nomenclature of MASLD and MASH Understand how to correctly diagnose and risk stratify MASLD and MASH patients Understand management strategies and when to refer to hepatology Watch the Presentation
04/23/24	Presenters: Drew Vista, MD Senior Assistant Resident Jacob Pierce MD, MPH Senior Assistant Resident Carolyn Ahlers MD Senior Assistant Resident Expert Discussants: John Roberts, MD, Alyssa Soskis, MD, Gary Cox, MD	"LEADS: A Diagnostic Challenge"	Learn from experts in nephrology, pulmonary, and infectious disease as they reason through a diagnostically challenging case unknown to them. Topic specific teaching points to follow discussion. Watch the Presentation
05/28/24	Kai Sun MD, MS Assistant Professor of Medicine, Division of Rheumatology and Immunology	Demystifying Systemic Lupus Erythematosus	Understand lupus epidemiology and health disparities Review lupus pathogenesis Discuss the approach to lupus diagnosis and management Recognize lupus comorbidities and emergencies
06/11/24	Presenters: Sandra Loriaux, MD, Kaela Miller, MD & Katelynn Smith, MD Expert Discussants: Aimee Zaas, MD, MHS (Infectious Disease), Rebecca Sadun, MD, PhD (Rheumatology), and Niraj Patel, MD, MS (Allergy Immunology)	"Which came first: the chicken or the egg?"	Learn from experts in infectious disease, rheumatology, allergy immunology as they reason through a diagnostically challenging case unknown to them. Watch the Presentation