Medicine Grand Rounds

Medicine Grand Rounds (MGR) is a weekly seminar series to support the academic environment of the Duke Department of Medicine. Topics and speakers are selected to provide faculty and trainees with up-to-date knowledge about timely issues in internal medicine. MGR occurs every Friday at 8 a.m in Duke North 2002 unless otherwise noted below.

Faculty and trainees should use this Zoom link to join each week:

Meeting ID: 912 2757 9393
Passcode: 393431
Dial by Phone: +1 301 715 8592

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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.

MOC Logo 200

 

2023-2024 Upcoming Medicine Grand Round Lectures

Date Presenter Title Learning Objectives
3/1/24 Duke Internal Medicine Residents & Duke Faculty 2024 Faculty vs Trainee Annual Trivia Bowl (In-person only)
  • Review knowledge of rare medical diseases
  • Support collaboration amongst trainees in advancing medical education and
  • Facilitate networking and camaraderie between medicine faculty and residents
3/8/24 Nicoleta Economou-Zavlanos, PhD & Michael Pencina, PhD

 

Unlocking the Potential of Trustworthy AI in Healthcare
  • Understand pitfalls of artificial intelligence and machine learning for health
  • Understand core principles of trustworthy AI for healthcare
  • Understand how ethical and quality principles can be implemented through governance and oversight
  • Understand national efforts on trustworthy AI for health

Watch the Presentation

3/15/24
Katherine Garman, MD, Associate Professor of Medicine, Division of Gastroenterology

Mentoring: Evidence-Based Reflections

  • Review the evidence around the importance of strong effective mentoring in medicine
  • Discuss the importance of mentoring in the context of Equity, Diversity, and Inclusion
  • Review effective strategies for mentors to support mentees
  • Review effective strategies for mentees within the mentoring relationship

Watch the Presentation

3/22/24
Professor of Medicine, Division of Endocrinology, Metabolism, and Nutrition
Evolution of Endocrine Therapies for Breast
and Prostate Cancer
  • Question the longstanding objective of developing interventions that achieve absolute inhibition of estrogen and androgen action as a therapeutic approach in patients with breast and prostate cancer (respectively)
  • Differentiate contemporary estrogen receptor modulators at the level of their mechanism of action and how this impacts their clinical use in breast cancer
  • Differentiate contemporary androgen receptor modulators at the level of their mechanism of action and how this impacts their clinical use in prostate cancer

Watch the Presentation

3/29/24 Mitchell T. Heflin, MD, MHS, Professor of Medicine, Division of Geriatrics
Associate Dean for Interprofessional Education and Care (IPEC)
IPE @ Duke: Building Our Competency and Capacity for Collaboration
  • Describe the evidence supporting interprofessional collaborative practice (IPCP)
  • Define core competencies for interprofessional education (IPE)
  • List facilitators and barriers to implementation of IPE
  • Identify opportunities for preparing a “collaboration-ready” workforce

Watch the Presentation

4/5/24 Polly E. Parsons MD,
President and CEO, AAIM.  E. L. Amidon Chair and Professor of Medicine Emerita, UVM - VIRTUAL PRESENTATION VIA ZOOM
The Evolution of Academic Medicine: Career Challenges and Opportunities
  • Explain the evolution of academic medicine
  • Evaluate the impact of changes in academic medicine on careers
  • Discover that career paths can be non-linear

Watch the Presentation

4/12/24 Camille Frazier-Mills, MH, MHS, Professor of Medicine, Cardiology
 
Syncope: A health system approach to evaluation and management
  • Review guidelines for the evaluation and management of the recurrent syncope patient
  • Review health system data in syncope evaluation
  • Discuss areas of improvement in the evaluation and management of recurrent syncope

Watch the Presentation

4/19/24
William E (Bill) Kraus, Distinguished Professor, Division of Cardiology
Duke Cardiac Rehabilitation: Origins, Rich History and Victories in Caring for Our Patients after Cardiac Procedures and Events
  • Understand the history of cardiac rehabilitation and its importance to Duke Cardiology history
  • Understand the four clinical components of cardiac rehabilitation -- secondary prevention of cardiac events -- and the importance for preventing adverse outcomes after cardiac events and procedures
  • Understand the referral criteria for cardiac rehabilitation and how to make a referral
  • Understand the barriers for patient participation in cardiac rehabilitation

Watch the Presentation

4/26/24 Genevieve G. R. Embree, MD, MPH,
Assistant Professor of Medicine, Division of General Internal Medicine

Public Health within a Health Care System

  • Gain a greater appreciation for the role of population health management within Primary Care
  • Share a new model for increasing cancer screening rates
  • Understand the role of partnerships with community-based organizations to improve patients' health outcomes
  • Consider the value of tightening the intersection between public health and health care systems

Watch the Presentation

5/3/24

 

Neil L. Spector Art of Medicine Award Medicine Grand Rounds

Christopher E. Cox
Professor of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine

 
It is Always Possible
  • Understand different approaches to mentoring based on the differing needs of unique individuals
  • Consider the tradeoffs of experiencial stasis vs. dynamic innovation in mentoring
  • Reflect on how lucky we are to get to do what we do

Watch the Presentation

5/10/24

Resident Research Day 2024

Presenters:
Isabelle Byers, MD
PGY-2 Junior Assistant Resident, Internal Medicine Residency

Noah Hellermann, MD
PGY-2 Junior Assistant Resident, Combined Internal Medicine-Pediatrics Residency

Jay Lusk, MD
PGY-1 Intern, Internal Medicine Preliminary Residency,

 

Please note: The location for this Medicine Grand Rounds is Trent Semans - 6th Floor & Via Zoom

AGENDA:

7:45am - 8am: Coffee

8:00am - 9:00am: Califf Medicine Resident Winning Abstract Presentations
"Clinical research provides the connection between scientific discoveries and helping our fellow human beings: - Robert M. Califf, MD

9am - 10am: Poster Competition
Light breakfast will be served during poster session

Watch the Presentations

5/17/24

Barton F. Haynes, MD
Frederic M. Hanes Distinguished Professor of Medicine, Division of Rheumatology and Immunology,
Director, Duke Human Vaccine Institute

HIV Vaccine Development at Duke University

  • Learn why there is no current HIV vaccine developed to date
  • Learn the current strategy for development of an HIV vaccine ongoing at Duke

Watch the Presentation

5/31/24

Jane P. Gagliardi, MD, MHS
Professor of Medicine
Duke University Department of Medicine
General Internal Medicine Division

David Gordon, MD
Associate Professor of Emergency Medicine (MD)
Duke University School of Medicine

 

The Power of Seeing: Creating Positive
Learning Environments Across Generations
  • Discuss the values, attitudes, and communication styles ascribed to different generations
  • Review student feedback on their learning experiences on Internal Medicine
  • Describe the current needs and expectations of our learners
  • Discuss how the concept of “seeing” can be used to foster belonging and wellness in our learning communities

Watch the Presentation

 

6/7/2024

2024 Joseph C. Greenfield Visiting Professor of Medicine Lecture Series

Robert Gabbay, MD, PhD
Chief Scientific & Medical Officer,  American Diabetes Association

Improving Diabetes Care
  • Identify the 2024 ADA Standards of Care for classifying, diagnosing, preventing and treating prediabetes and diabetes.
  • Describe new recommendations for reducing cardiovascular and peripheral arterial disease.
  • Identify critical considerations for individualizing pharmacological treatment of type 2 diabetes.

Watch the Presentation

6/14/2024

2023-24 Internal Medicine Chief Residents

Ann Cameron Barr, MD
Michael Cosiano, MD
Courtney Dominguez, MD
Nathan A. Hirshman, MD

 

Reflections: Duke Internal Medicine Chief Residents Grand Rounds

Watch the Presentation
6/21/2024

2024 Joseph C. Greenfield Visiting Professor of Medicine Lecture Series

Sean van Diepen, MD
Associate Professor of Critical Care Medicine and Cardiology, University of Alberta
 

 

Putting the "C" before ICU: The Evolution of Patient Care, Staffing, and Training
  • Highlight the changing cardiac intensive care patient acuity
  • Propose changes to historical patient admission criteria to cardiac intensive care unit
  • Propose optimal staffing and training models for cardiac and cardiac surgical intensive care
  • Identify educational pathways for trainees and competency maintenance for existing practice pathway CICU physician

 

Date Presenter Title Learning Objectives
07/07/23 Chris Beyrer, MD, MPH
Professor of Medicine, Infectious Diseases
Director, Duke Global Health Institute (DGHI)
 
Global Health: Advancing Equity Through Science
  • Understand the role of health equity in global health
  • Review the research, teaching, and service opportunities available to Duke faculty at the Global Health Institute

Watch the recording

07/14/23

Svati Shah, MD, MHS
Ursula Geller Distinguished Professor of Research in Cardiovascular Diseases
Professor of Medicine, Cardiology
Professor of Biostatistics and Bioinformatics, Basic Science Departments

Anisha Chandiramani, MD
Assistant Professor of Medicine, General Internal Medicine
Duke Department of Medicine

Enabling Precision Medicine through Collaboration
  • Understand the principles of precision medicine, including the role of genomics, AI and implementation science to improve patient care
  • Discuss a new genomic medicine program at Duke University, discussing potential scientific output, benefits, challenges, and ethical considerations
  • Discuss strategies for integrating precision medicine into clinical practice and improving patient outcomes through a new Duke collaboration with a data science company

Watch the recording

07/21/23 David Casarett,MD
Professor of Medicine, General Internal Medicine
Section Chief of Palliative Care, General Internal Medicine
Duke Department of Medicine
How Duke Health is Using Design Thinking to Promote Goal-Concordant Care for All Patients
  • Define goal-concordant care
  • Explain obstacles to achieving goal-concordant care in advanced serious illness
  • Describe how design thinking can promote behavior change

Watch the recording

07/28/23 Ilan Schwartz,MD, PhD
Associate Professor of Medicine, Infectious Diseases
Duke Department of Medicine
Brave New World: Promise and Peril of Generative AI in Medicine
  • Define generative artificial intelligence, language models, and chatbots
  • Describe promising use cases for language models to improve work flows in clinical medicine
  • Describe limitations of current language models that make them poorly suited for some tasks in medicine

Watch the recording

8/4/23

2023 Joseph C Greenfield Visiting Professor


Martha Gulati, MD, MS, FACC, FAHA, FASPC, FESC
Director of Preventative Cardiology at the Smidt Heart Institute
Associate Director of the Barbara Streisand Women's Heart Center
Cedars-Sinai Medical Center, Los Angeles, CA

Understanding Sex Differences in Cardiovascular Disease
  • Address the persistent sex-specific gaps found in guidelines, recommendations and prevention of cardiovascular disease strategies for women, and recognize diagnostic and therapeutic adherence
  • Understand the differences in coronary artery disease patterns in women and its impact on prognosis
  • Recognize sex-specific risk factors that affect women that should be part of risk assessment of women

Watch the Recording

08/11/23 Sudarshan Rajagopal, MD, PhD
Associate Professor of Medicine, Cardiology
Duke Department of Medicine
Associate Professor of Cell Biology and Biochemistry,
Basic Science Departments
Pulmonary Hypertension: From Bench to Bedside
  • Gain knowledge about the various clinical definitions and classification systems used to categorize pulmonary hypertension
  • Explore the underlying pathologic processes contributing to the development of pulmonary hypertension
  • Discuss potential therapeutic targets related to receptor signaling in PH
  • Understand the advantages, limitations, and potential future directions of advanced imaging techniques for improving the diagnosis, monitoring, and management of pulmonary hypertension

Watch the Recording

08/18/23 Susan L. Murray, MD
Medical Instructor, Department of Medicine, Nephrology
Duke Department of Medicine

Lies, Damned Lies and Statistics: Medicine in the Age of Alternative Facts

 

(This lecture is approved for 200-level RCR credit. To receive credit, attendance must be for the entire 60 minute event.)

  • State the historical context of data manipulation in medicine
  • Explain some of the challenges facing us in today's research
  • Describe future challenges to research integrity

Watch the Recording

08/25/23

Kathleen Cooney, MD
Chair, Department of Medicine

Fireside Chat Watch the Recording
09/01/23

No Medicine Grand Rounds

   
09/08/23 Dr. Gene Nichol
Professor of Law, University of North Carolina at Chapel Hill
Poverty and Equal Dignity in North Carolina
  • The challenges of intense poverty and economic marginalization in one of the most economically vibrant states of the richest nation on earth, the richest and most unequal nation in human history

Listen to the Recording

09/15/23 Chetan B. Patel, MD
Associate Professor of Medicine, Cardiology
Duke Department of Medicine
Heart Transplant at Duke: Tradition and Innovation
  • Help audience understand donor and recipient limitations in heart transplantation
  • Describe the framework utilized for overcoming these limitations at our institution and how we are providing advanced heart therapies to more patients in need
  • Understand the potential for new science in heart transplantation

Watch the Recording

09/22/23

Danielle M. Brander, MD
Assistant Professor of Medicine,
Hematologic Malignancies and Cellular Therapy, Duke Department of Medicine

Chronic Lymphocytic Leukemia in 2023
  • Understand the heterogeneity of CLL/SLL in diagnosis, disease course, and treatment outcomes, and the factors that contribute to high risk CLL/SLL
  • Contrast available treatment options for patients in the frontline and relapsed setting
  • Recognize common toxicities of BTK inhibitors and venetoclax and describe strategies to mitigate and manage these side effects
  • Identify remaining areas of unmet need for patients with CLL/SLL and Richter's Transformation

Watch the Recording

09/29/23 Robert M. Tighe, MD
Associate Professor of Medicine, Pulmonary, Allergy, and Critical Care Medicine
Duke Department of Medicine
Climate Change and Health as Viewed Through the Prism of the Impacts of Air Pollution
  • Broadly define the impact of climate change and human health
  • Define sources and health effects of air pollution
  • Define mechanisms of susceptibility of air pollution

Watch the Recording

10/6/23

Christina E. Barkauskas, MD
Associate Professor of Medicine, Pulmonary, Allergy, and Critical Care Medicine
Duke Department of Medicine

Building Momentum for Clinical Trials in the Duke MICU

 

  • To learn of the clinical trials conducted in the Duke MICU during the COVID-19 pandemic
  • To understand the landscape of upcoming observational studies to phenotype patients with ARDS, pneumonia, and sepsis
  • To understand the challenges surrounding and solutions for consenting critically ill patients to clinical trials
  • To see how serendipity can play a role in the career of a physician in academic medicine.

Watch the Recording

10/20/23

Keynote Speaker:

John Duronville, MD
Assistant Professor of Medicine, Nephrology
Faculty Leader, Stepping In 4 Respect
Duke University School of Medicine

Guest Speakers:

Margaret Plews-Ogan, MD
Annie E. and Bernard B. Brodie Professor of Medicine, UVA School of Medicine,
Co-Director, Wisdom and Wellbeing Program, UVA Health
Co-Founder and Co-PI, Stepping in for Respect National Collaborative, University of Virginia

Gregory Clarke Townsend, MD
Associate Professor of Internal Medicine, Division of Infectious Diseases and International Health,
Associate Dean for Diversity, and Medical Education, UVA School of Medicine,
Co-Developer of Stepping In 4 Respect,
University of Virginia

Phillips-Winn Memorial Lecture
 

Stepping In 4 Respect: Upstander Training Nationally and at Duke University

  • Understand the importance of Upstander intervention in the academic/medical work environment
  • Gain insight on the incidents of bias and disrespect in the medical environment both at Duke and nationally
  • Learn how Stepping In 4 Respect training is utilized to promote a culture of respect and inclusion

Review the Presentation

10/27/23

Michael Hershfield, MD
Professor of Medicine & Biochemistry, Rheumatology and Immunology
Duke Department of Medicine

 

John Sundy, MD
Adjunct Professor in the Department of Medicine

 

The Path to Pegloticase for Refractory Gout - Intrapreneurial Drug Development at Duke
  • To appreciate the clinical consequences of inadequately treated chronic gout
  • To understand the potential advantages and disadvantages of replacement therapy with PEGylated enzymes
  • To review the development of PEG-enzyme therapy for two disorders of purine metabolism
  • To appreciate opportunities for translational laboratory-based research at Duke

Watch the Recording

11/03/23

Megan E.B. Clowse, MD
Associate Professor of Medicine, Division of Rheumatology and Immunology

 

Confronting new (and old) challenges in pregnancy prevention & planning with women living with chronic medical conditions
  • Identify women with lupus at risk for catastrophic pregnancies
  • Gain skills that promote honest & accurate conversations about pregnancy prevention and planning

Watch the Recording

11/10/23

    

Manesh R. Patel, MD
Richard S. Stack Distinguished Professor of Medicine,
Chief, Division of Cardiology, Director Duke Heart Center

Eugene A. Stead Jr. Memorial Lecture

Antithrombotic therapy and Vascular disease management: Moving towards precision CV care and the Duke Databank 3.0

  • Understand the Mechanism of Action of Current Anti-Thrombotic Therapies including oral anticoagulants, Factor X and Factor XI inhibitors
  • Understand the risk and benefits of anti-thrombotic therapy in patients with atrial fibrillation
  • Understand the various data sources that will provide precision care to patients with cardiovascular disease

Watch the Recording

11/17/23

Christopher J. Hostler, MD, MPH
Assistant Professor of Medicine, Division of Infectious Diseases,
Associate
Vice Chair for Veterans Affairs, Department of Medicine

Anna L. Rutherford, MD
Interim Deputy Chief of Staff Durham VA Medical Center

Meryl Severson, MD
Associate Professor, Neurosurgery

Michael Dore, MD
Assistant Professor of Medicine, General Internal Medicine

Veterans Experience Grand Rounds

Dr. Hostler

  • Understand ways to discuss issues unique to veterans
  • Learn ways to forge a deeper connection with veteran patients
  • Develop an understanding of the experiences our veterans face while in service
  • Understand the issues our veterans face when returning home from deployment or leaving service

Dr. Rutherford

  • To engage the learner with personal stories and lessons learned to create an improved awareness of military medicine and culture

Dr. Severson

  • Understand the concept of Echelons of Care
  • Understand the concept of Battlefield Triage and Tactical Combat Casualty Care (TCCC)
  • Understand the most common cause of battlefield trauma deaths

Dr. Dore

  • Discuss military culture and how it can affect healthcare

Watch the Presentation

12/1/23
Assistant Professor of Medicine, Department of Medicine, Division of General Internal Medicine
VA Hospitalists in Medical Education: A MODEL Approach
  • Review the current status of faculty development within VA hospital medicine
  • Introduce Project MODEL and its role in supporting a geographically diverse group of clinicians with common goals
  • Classify what we’ve learned about the VA hospitalist teaching experience and their relationships with medical education and academic affiliates
  • Explore potential future directions for faculty development in medical education in the VHA

Watch the Presentation

1/12/24 Gary Bennett, PhD
Dean, Trinity College of Arts & Sciences, Duke University
Professor, Department of Psychology and Neuroscience
Research Professor, Duke Global Health Institute
Associate Professor, Duke Department of Medicine, Division of Nephrology
Professor, Duke School of Nursing
You Have to Keep Moving Forward: Obesity in High-Risk Populations
  • Recall the descriptive and social epidemiology of obesity among U.S. high risk populations
  • Evaluate the empirical evidence on obesity interventions deployed among obesity high risk populations.
  • Appraise promising obesity treatment options for high risk populations

Watch the Presentation

1/19/24 James Davis, MD
Associate Professor of Medicine, Department of Medicine, Division of General Internal Medicine
Contemporary Tobacco Treatment Pharmacotherapy
  • Provide overview of current tobacco use in the US
  • Provide an overview of neurobiological processes central to tobacco addiction
  • Provide an overview of contemporary pharmacotherapy strategies used for tobacco use

Watch the Presentation

1/26/24

Diego Bohórquez, PhD
Associate Professor of Medicine, Division of Gastroenterology

Deciphering Visceral Instincts
  • Define neuropods
  • Discuss the neural basis of intestinal sensations
  • Understand the neural basis of sugar preferences
2/2/24

Amanda Marie Eudy, PhD Assistant Professor in Medicine, Division of Rheumatology and Immunology

The Type 1 & 2 SLE Model: A new model of care for systemic lupus erythematosus
  • Understand the patient-rheumatologist discordance in lupus
  • Introduce the Type 1 & 2 SLE Model
  • Describe the rationale for using the Type 1 and Type 2 in clinical care and research setting

Watch the Presentation

2/16/24

Richard Riedel, MD
Associate Professor of Medicine, Division of Medical Oncology

Making Progress in a Rare Disease: An Update on Sarcoma Management
  • Recognize the heterogeneity and increased complexity of sarcoma management
  • Review data supporting current decision making for patients in select histological subtypes
  • Highlight emerging therapeutic approaches in specific disease states
  • Introduce available clinical trials at Duke

Watch the Presentation

2/23/24

Trevor Sytsma, MS3

Allison Chu, MS3

Eleanor Seo, MS2

Rooted Together: Students Bridging Partnerships to Tackle SDOH in Durham
  • Identify key local resources for learning about the unique needs and assets of Durham County
  • Understand Root Causes as one of many Duke medical student-run organizations focused on community-engaged work
  • Learn tangible ways to partner with and leverage the strengths of students rotating on Medicine services who engage in community-facing programs addressing SDOH

Watch the Presentation