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.

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
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. 

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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.

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

Zoom Information

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
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

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