Duke Medicine Learning, Education, and Discussion Series

In October 2020, the Department of Medicine launched a new continuing medical education series for our faculty and trainees.

The Duke Medicine Learning, Education, and Discussion Series (LEADS) will take place each Tuesday at 12 p.m.

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.

Background

Chetan Patel, MD, vice chair for clinical affairs, is activity director for Duke Medicine LEADS.

"We live in a rapidly changing world, and there are many forces pushing and pulling the delivery of health care in the United States. New medical knowledge is broadly available through multiple platforms; value-based care and other payment models are creating practice changes; wearable devices and other technologies are connecting us to our patients in unprecedented ways; and there is a need for a thorough examination of racism and systemic causes of health disparities."

Duke Medicine LEADS will help fill gaps in knowledge as well as cultivate the inspiration that comes from interacting with our community of faculty and trainees.

Dr. Patel and a planning committee will tap the vast knowledge within the department to invite faculty and trainees to be presenters and discussion facilitators. See below to learn more.

Rotating themes

The series will include four rotating themes, guided by teams of faculty and our chief residents:

Health Equities and Disparities in Medicine, for ongoing dialogue about diversity, equity, and inclusion — Laura Svetkey and Kim Evans (senior leads), Julius Wilder (faculty lead), and Stephanie Garbarino (chief resident).
Diagnostic Reasoning and Discussions, a case-based discussion — Aimee Zaas (senior lead), Eileen Maziarz (faculty lead), and Matt Labriola (chief resident).
Quality and Systems-based Approaches in Medicine, explorations of quality, process improvement, and value-based care — Chet Patel (senior lead), Darsh Kothari (faculty lead), and Govind Krishnan (chief resident).
Topic-based Clinical Updates, to review internal medicine guidelines and explore new therapies — Anne Phelps (senior lead), David Leverenz and Stephen Bergin (faculty leads), and Hannah Dzimitrowicz (chief resident).

Credits

Category 1: Duke University Health System Department of Clinical Education and Professional Development designates this activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

Attendance and CME credit is tracked online by Duke Continuing Medical Education.

Special Note: Faculty who teach residents and fellows are especially encouraged to attend Medicine Grand Rounds sessions note with an asterisk* below as part of their annual faculty development activities.

How to participate

Duke Medicine LEADS sessions will take place in Zoom. Instructions for connecting will be included in a weekly email message sent to all faculty and trainees in the Department of Medicine.

Schedule

Date	Theme	Presenter	Title	Pearls and Recordings
7/6/21	No LEADS conference - Holiday
6/29/21	Health Equities and Disparities in Medicine	To be announced	To be announced
6/22/21	Topic-based Clinical Updates	David Tendler, MD Clinical Associate (Gastroenterology)	Evaluation and Management of Functional Bowel Disease
6/15/21	Quality and Systems-based Approaches in Medicine	Yousuf Zafar, MD, MHS, FASCO Chief Quality & Innovation Officer Associate Professor of Medicine, Public Policy, and Population Science Duke Cancer Institute	Intervening on the Financial Toxicity of Health Care
6/8/21	Diagnostic Reasoning and Discussions	Sara Coles, MD Micah Schub, MD Ruchi Doshi, MD, MPH Panelist: Cristiana Chase, DO, David Leiman, MD, Michel Khouri, MD	An Uncommon Cause of Syncope	Review 6/8 Pearls Watch recording of talk
6/1/21	Health Equities and Disparities in Medicine	Rosa M. Gonzalez-Guarda, PhD, MPH, CPH, RN, FAAN Associate Professor Dorothy L. Powell Term Chair of Nursing Duke University School of Nursing	Syndemic and Community Engaged Approaches to Promoting Health Equity Among Latinx Communities	Review 6/1 Pearls Watch recording of talk
CANCELLED: 5/25/21	Topic-based Clinical Updates	Thomas Ortel, MD, PhD Professor of Medicine Chief, Division of Hematology	Treatment of Venous Thromboembolism
5/18/21	Quality and Systems-based Approaches in Medicine	Susan Spratt, MD Associate Professor of Medicine (Endocrinology, Metabolism, and Nutrition)	Creating a Statewide Social Network to Improve Health Equity: NCCare360	Review 5/18 Pearls Watch recording of talk
5/11/21*	Diagnostic Reasoning and Discussions	Anthony Galanos, MD Professor of Medicine (Geriatrics) Rebecca Spicehandler, MD, MPH (Class of 2021, Duke University School of Medicine)	Grief 101: What Words, What Actions - How to support those who grieve	Review 5/11 Pearls Watch recording of talk
5/4/21	Health Equities and Disparities in Medicine	Keisha L. Bentley-Edwards, PhD Associate Director of Research, Samuel DuBois Cook Center on Social Equity Co-Director, Special Populations Core, Clinical and Translational Sciences Award Assistant Professor of Medicine (General Internal Medicine)	African American Health, the ‘Racial Reckoning’ and the Push for Health Equity	Review 5/4 Pearls Watch recording of talk
4/27/21	Topic-based Clinical Updates	Thomas Weber, MD Professor of Medicine (Endocrinology, Metabolism, and Nutrition)	A Bone-afide Approach to the Management of Postmenopausal Osteoporosis	Review 4/27 Pearls Watch recording of talk
4/20/21*	Quality and Systems-based Approaches in Medicine	Suchita Shah Sata, MD, FACP, SFHM Assistant Professor of Medicine (General Internal Medicine)	Upstream, Downstream, and Bridges Over Troubled Waters: Embracing High-Value Care	Review 4/20 Pearls Watch recording of talk
4/13/21	Diagnostic Reasoning and Discussions	Kim Darlington, MD, PhD Vinay Choksi, MD Neha Kayastha, MD Expert Consultants: Eileen Maziarz, MD; Matthew Luedke, MD, FACNS; Xunrong Luo, MD, PhD	Oh, Rats! Another Case of Encephalopathy	Review 4/13 Pearls Watch recording of talk
4/6/21*	Health Equities and Disparities in Medicine	Kimberly S. Johnson, MD, MHS Professor of Medicine (Geriatrics) Panelist: Larry Jackson, MD; Kai Sun, MD; Isaretta Riley, MD	The Why, What, and How of Conducting Health Disparities Research	Review 4/6 Pearls This session was not recorded
3/30/21	Topic-based Clinical Updates	Loretta G. Que, MD Professor of Medicine (Pulmonary, Allergy, and Critical Care Medicine)	It's a "NO" Brainer: A "SMART"er Approach to Asthma	Review 3/30 Pearls Watch recording of talk
3/23/21*	Quality and Systems-based Approaches in Medicine	Stephen Telloni, MD Assistant Professor of Medicine (General Internal Medicine) Associate Medical Director, DUHS Mortality Review Program Noppon Setji, MD Associate Professor of Medicine (General Internal Medicine) Medical Director, Duke University Hospital Medicine Program Medical Director, DUHS Mortality Review Program	Where There's Smoke, Is There Fire? Two Systems-Based Approaches to Identifying Safety Issues and Improving Quality of Care at Duke	Review 3/23 Pearls Watch recording of talk
3/16/21	Diagnostic Reasoning and Discussions	George Sipa Yankey Jr., MD Expert Consultants: Anna Lisa Crowley, MD; Dorlan Kimbrough, MD; Andrew Vekstein, MD	Altered Mental Status.... Oh No!	Review 3/16 Pearls This session was not recorded
3/9/21	Health Equities and Disparities in Medicine	John K. Roberts, MD, MS, MEd Assistant Professor of Medicine (Nephrology) Richard Lee, MD Assistant Professor of Medicine (Endocrinology, Metabolism, and Nutrition)	Hidden in Plain Sight: Race, GFR, and the Will to Change Hidden in Plain Sight: Resetting the Racial Disparities Break in FRAX	Review 3/9 Pearls Watch recording of talk
3/2/21	Topic-based Clinical Updates	Sophia Weinmann, MD Assistant Professor of Medicine (Rheumatology and Immunology) Director of the Duke Rheum-Oncology Clinic	Rheum-Oncology: The Intersection of Rheumatic Disease, Chronic Inflammation and Cancer	Review 3/2 Pearls Watch recording of talk
2/23/21*	Quality and Systems-based Approaches in Medicine	James Fox, MD Professor of Pediatrics Pediatric Emergency Medicine Associate Director, Pediatric Residency Training Program Associate Director, Clinical Skills Foundation	This is your brain on DIAGNOSIS	Review 2/23 Pearls Watch recording of talk
2/16/21	Diagnostic Reasoning and Discussions	Yolanda Guzman, MD Matthew Harbrecht, MD Jonathan Komisar, MD Expert Consultants: Christopher P. Eckstein, MD; Thomas Holland, MD; Neal Ready, MD, PhD	71-year-old male with dizziness, nausea, and difficulty walking	Review 2/16 Pearls Watch recording of talk
2/9/21*	Health Equities and Disparities in Medicine	Dinushika Mohottige, MD, MPH John Duronville, MD Panel Includes: Manesh Patel, MD; George Yankey, MD; Francis Ugowe, MD; Andy Mumm, MD; Yoli Guzman, MD; Jon Reichstein, MD	Case Dissection: Confronting Structural Racism and Implicit Bias	Review 2/9 Pearls This session was not recorded
2/2/21	Topic-based Clinical Updates	E. Magnus Ohman, MD, FRCPI, FESC, FACC, FSCAI Professor of Medicine The Kent and Siri Rawson Director, Duke Program for Advanced Coronary Disease Associate Director, Duke Heart Center	New Medications and New Uses: Advanced Cardiovascular Prevention Strategies	Review 2/2 Pearls Watch recording of talk
1/26/21	Quality and Systems-based Approaches in Medicine	J. Bryan Sexton, PhD Associate Professor in Psychiatry and Behavioral Sciences Director of the Duke Center for Healthcare Safety & Quality	Bite-Sized Coping During Times of Uncertainty	Review 1/26 Pearls Watch recording of talk
1/19/21	Diagnostic Reasoning and Discussions	David Casarett, MD, MA Kristen Lakis, MDiv, MSW, LCSW Rev. Artie Hendricks, MDiv, ThM, BCC Senior Clinical Administrative Chaplain Palliative Care and Bereavement Services Tara Coleman, PA-C (Palliative Care) Delani Mann-Johnson, MD Jonathan Fischer, MD	The Art and Science of Effective Family Meetings	Review 1/19 Pearls Watch recording of talk
1/12/21*	Health Equities and Disparities in Medicine	Ada Gregory, MA Associate Director, Kenan Institute for Ethics	Bystander Intervention: Microinterventions to Respond to Bias in Clinical Care	Review 1/12 Pearls This session was not recorded
1/5/21 12/29/20 12/22/20	No LEADS conference
12/15/20*	Quality and Systems-based Approaches in Medicine	Kyle Rehder, MD, CPPS Associate Professor of Pediatrics Section Chief, Pediatric Intensive Care and PCCM Fellowship Director Division of Pediatric Critical Care Medicine Medical Director, Duke Center for Healthcare Safety and Quality	Practical QI for the Busy Clinician	Review 12/15 Pearls Watch recording of talk
12/8/20	Diagnostic Reasoning and Discussions	Trent Wei, MD Lonnie Sullivan, MD Stacy Bagrova, MD Expert Consultants: Lance Okeke, MD, MPH; Chet Patel, MD; John Carney, MD	26-year-old male with syncope and fevers	Review 12/8 Pearls Watch recording of talk
12/1/20*	Health Equities and Disparities in Medicine	Kenyon Railey, MD Assistant Chief Diversity Officer in the School of Medicine Office of Diversity & Inclusion Assistant Professor in Family Medicine and Community Health	Merry Go Round or Modify: Defeating Disparities through Disruption	Review 12/1 Pearls Watch recording of talk
11/24/20	Topic-based Clinical Updates	John K. Roberts, MD, MS, MEd Assistant Professor (Nephrology)	Protein, Baking Soda, and Sugar: Ingredients for Better CKD Care in 2020 and Beyond	Review 11/24 Pearls Watch recording of talk
11/17/20	Quality and Systems-based Approaches in Medicine	Richard Shannon, MD Chief Quality Officer, Duke Health	Leaning into Harm: The Evolving Partnership Between the Duke Quality System and Clinical Departments	Review 11/17 Pearls Watch recording of talk
11/10/20	Diagnostic Reasoning and Discussions	Discussion led by Matthew Labriola, MD, chief resident for Duke University Hospital Terri Tarrant, MD Associate Professor of Medicine (Rheumatology and Immunology) Rami Nayef Al-Rohil, MBBS Assistant Professor of Pathology and Dermatology Meenal Kheterpal, MD Assistant Professor of Dermatology Julia McQueen, MPH, RD, LDN, CNSC Clinical Dietitian	57-year-old female with rash and liver injury	Review 11/10 Pearls Watch recording of talk
11/3/20	No LEADS Conference - Election Day
10/27/20	Topic-based Clinical Updates	Diana McNeill, MD, MACP Professor of Medicine (Endocrinology, Metabolism, and Nutrition) Director Duke AHEAD Co-Director of PACT Program	Clinical Dilemmas in Endocrinology	Review 10/27 Pearls Watch recording of talk