Wynn Hunter, MD, MHSc

Start Year
2016

Basics

Hometown?
Cincinnati, OH

Where did you attend college/university?
Duke University

Where did you attend medical school?
Duke University

What additional degrees do you have and from what institution?
MHSc, Duke-NIH Clinical Research Training Program

What are your career goals?
Academic Cardiology

What did you do the summer before internship?
Spent time with my wife and close friends, and developed some new interests. I learned masonry and built a flagstone patio and fire pit. Additionally, I learned carpentry and built a few pieces of outdoor furniture and timber retaining walls.

The clinical expertise, research prowess, and opportunities for career advancement are outstanding. More importantly, though, is the environment and expectations -- challenge and support are given in equal measures. The expectation is that we grow, learn, and become better doctors every day, and we are given the tools, encouragement, and support we need to do this.

Reflections on the Duke Program

What were you looking for in a residency program?
From a clinical perspective, I was seeking a program with high clinical volume, complexity, and acuity. Research was important to me as well -- I was looking for a program with strong clinical and translational research in cardiology. Importantly, I was hoping to find a program that also emphasized the importance of developing strong peer-to-peer and faculty-trainee relationships.

What are the strengths of the Duke program?
The clinical expertise, research prowess, and opportunities for career advancement are outstanding. More importantly, though, is the environment and expectations -- challenge and support are given in equal measures. The expectation is that we grow, learn, and become better doctors every day, and we are given the tools, encouragement, and support we need to do this.

What are your observations about the relationships between faculty and house staff?
The camaraderie is remarkable. Year after year, this program is filled with down-to-earth people who seek to support each other and have a good time, in and out of the hospital. Facades and hierarchy are minimal, allowing us to relate to each other and faculty as real people. We learn, grow, and have fun together, period.

What would you like faculty members to know about you before starting service together?
I love spending time at the bedside. Clear, two-way communication with patients, consultants, and nurses/ancillary staff is very important to me. I work hard to be efficient in my workflow so that I can allocate a few extra minutes at the bedside with patients, or talking with other members of the care team. 

Understanding the strengths and limitations of the evidence base on which we make medical decisions is also very important to me, and I appreciate teaching/discussions about the formative trials that have shaped the fields in which we are practicing.

Tell us about your co-interns. How long did it take to connect?
My co-interns are a bunch of talented, personable, dedicated, and resilient people. Accomplished yet humble, hard-working and fun-loving -- couldn't have picked a better group of people with which to share this experience.

About Duke University and Durham

What's best about living in Durham and the Triangle?
The quality of life here is outstanding. You can find top-notch restaurants and entertainment typical of major cities without the high cost, traffic, and busy-ness. The weather is outstanding 8/12 months, the real-estate is cheap, and the career opportunities for significant others in healthcare, research, or engineering are plentiful.

Where did you choose to live, and why?
My wife and I chose to live in south Durham, in a neighborhood called Hope Valley Farms. Many residents and fellows live in this neighborhood, because of the wide array of townhouses and starter homes at competitive prices. The neighborhood is quiet, and located 15 minutes from downtown Durham and 15 minutes from Chapel Hill, facilitating short commute and easy access to both.

Based on your life, what advice would you give about moving to Durham?
Give it a fair shot. Durham does not have the incredible variety or depth of New York City, Chicago, Boston, or San Francisco, but it does have many of the elements of those cities (i.e. outstanding restaurants, entertainment, cultural growth) with fantastic weather and an ease of living that is tough to beat.

What do you like to do outside of medicine?
My wife and I love to travel -- whether it is lederhosen and beer in Munich, coffee and art in Copenhagen, mountain hikes in Denver and Asheville, or pizza in Rome, we have a lot of fun seeing new places and meeting new people. I am also an avid golfer, and enjoy masonry and carpentry.

Parting thoughts?
We look forward to welcoming the next class of interns to the Duke Medicine family!

Publications

Brown, GD, Hunter, WG, Hesson, A, Davis, JK, Kirby, C, Barnett, JA, Byelmac, D, and Ubel, PA. "Discussing Out-of-Pocket Expenses During Clinical Appointments: An Observational Study of Patient-Psychiatrist Interactions." Psychiatric services (Washington, D.C.) 68, no. 6 (June 2017): 610-617.

PMID
28292225
Full Text

Hunter, WG, Zhang, CZ, Hesson, A, Davis, JK, Kirby, C, Williamson, LD, Barnett, JA, and Ubel, PA. "What Strategies Do Physicians and Patients Discuss to Reduce Out-of-Pocket Costs? Analysis of Cost-Saving Strategies in 1,755 Outpatient Clinic Visits." Medical decision making : an international journal of the Society for Medical Decision Making 36, no. 7 (October 2016): 900-910.

PMID
26785714
Full Text

Hunter, WG, Kelly, JP, McGarrah, RW, Khouri, MG, Craig, DM, Haynes, C, Ilkayeva, O, Stevens, RD, Muehlbauer, MJ, Newgard, CB, Felker, GM, Hernandez, AF, Velazquez, EJ, Kraus, WE, and Shah, SH. "Plasma amino acid concentrations are independently associated with adverse outcomes in heart failure and preserved ejection fraction: prognostic utility of amino acid profiles in HFpEF." August 1, 2016.

Scholars@Duke

Hunter, WG, Kelly, JP, McGarrah, RW, Khouri, MG, Craig, D, Haynes, C, Ilkayeva, O, Stevens, RD, Bain, JR, Muehlbauer, MJ, Newgard, CB, Felker, GM, Hernandez, AF, Velazquez, EJ, Kraus, WE, and Shah, SH. "Metabolomic Profiling Identifies Novel Circulating Biomarkers of Mitochondrial Dysfunction Differentially Elevated in Heart Failure With Preserved Versus Reduced Ejection Fraction: Evidence for Shared Metabolic Impairments in Clinical Heart Failure." Journal of the American Heart Association 5, no. 8 (July 29, 2016).

PMID
27473038
Full Text

Hunter, WG, Kelly, JP, McGarrah, RW, Kraus, WE, and Shah, SH. "Metabolic Dysfunction in Heart Failure: Diagnostic, Prognostic, and Pathophysiologic Insights From Metabolomic Profiling." Current heart failure reports 13, no. 3 (June 2016): 119-131. (Review)

PMID
27216948
Full Text

Broderick-Forsgren, K, Hunter, WG, Schulteis, RD, Liu, W-W, Boggan, JC, Sharma, P, Thomas, S, Zaas, A, and Bae, J. "Doctor Who? A Quality Improvement Project to Assess and Improve Patients' Knowledge of Their Inpatient Physicians." Journal of graduate medical education 8, no. 2 (May 2016): 197-201.

PMID
27168887
Full Text

Ubel, PA, Zhang, CJ, Hesson, A, Davis, JK, Kirby, C, Barnett, J, and Hunter, WG. "Study Of Physician And Patient Communication Identifies Missed Opportunities To Help Reduce Patients' Out-Of-Pocket Spending." Health affairs (Project Hope) 35, no. 4 (April 2016): 654-661.

PMID
27044966
Full Text

Hunter, WG, Hesson, A, Davis, JK, Kirby, C, Williamson, LD, Barnett, JA, and Ubel, PA. "Patient-physician discussions about costs: definitions and impact on cost conversation incidence estimates." BMC health services research 16 (March 31, 2016): 108-.

PMID
27036177
Full Text

Hunter, W, McGarrah, RW, Kelly, JP, Haynes, C, Velazquez, EJ, Kraus, WE, and Shah, SH. "Circulating High-Density Lipoprotein Particle Profiles Are Independently Associated With Heart Failure With Preserved Ejection Fraction and Predict Adverse Clinical Outcomes." The Japanese Circulation Society, 2016.

Scholars@Duke

Kwee, LC, Hunter, W, McGarrah, RW, Kelly, JP, Craig, DM, Shipkova, P, Reily, M, Chen, J, Chasalow, S, Hnatyshyn, S, Thompson, J, Gargalovic, P, Hernandez, AF, Felker, GM, Velazquez, EJ, Kraus, WE, and Shah, SH. "Global Metabolomic Profiling in Heart Failure With Preserved Ejection Fraction Identifies Markers of Myocardial Dysfunction." The Japanese Circulation Society, 2016.

Scholars@Duke

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