Internal Medicine Residency News, Aug. 21, 2017

Monday, August 21, 2017

From the Director

Hi Everyone!

It’s a busy week this week! Looks like the eclipse will be passing through around 2:45 this afternoon (partial at 1:16, complete by 4:05 according to my sources https://www.timeanddate.com/eclipse/in/usa/durham).  We don’t have eclipse glasses for everyone but we do have cookies! So come on by and experience some science history, with cookies, near the med res library if you can. 

Football practice continues on Sunday afternoons; thank you to Tara Holder for organizing this past week.  We also have our HANG OUT WITH YOUR COACH HAPPY HOUR on Thursday at West End Billiards, and the SUMMER MED RES PARTY at the home of Dr. Rogers on Friday night.  It is ok to come to the coach happy hour even if your coach is unable to make it, so we hope to see you there. Thirsty Thursdays with ResCo will continue at that same location after the Coach Happy Hour this week!

Kudos

Kudos this week to Liz Gilbert for her great SAR talk, and to Irena Tan, with technical assistance from Kent Feng, for an awesome chair’s conference complete with new format this past Friday. Thank you also to the 29 people who responded to the informal feedback – the opinion was overwhelmingly positive for the format and for having the extra consultants present. Other kudos to Keva Garg and JD Ike from Neuro Attending Shreyansh Shah for outstanding work, to Dr. David Leverenz for his outstanding care, to Matt Labriola and Lara Kapp for superb care to a very sick patient at the DOC from Dinushika Mohottige, and to Katie Charles, Akash Goyal, Divya Natesan and Hannah Dzmictrowicz for awesome work on VA Gen Med from Brian Schneider.

Congratulations to Lauren Sharan and Ben Ranard on their wedding this past weekend and to John Paul Shoup and family on the birth of Dominic John! A great weekend for the #dukefamily!

PubMed from the Program

This week’s pubmed from the program goes with an upcoming theme for our PICTURE OF THE WEEK (“THROWBACK”) Here are recent publications from one of our  former chief residents and one of our graduates!  Juliessa Pavon, our 2011-12 Duke Regional/Ambulatory Chief and current Geriatrics faculty, recently published this article regarding care of our patients at the DOC! J Grad Med Educ. 2017 Jun;9(3):338-344. doi: 10.4300/JGME-D-16-00428.1. Internal Medicine Residents' Ambulatory Management of Core Geriatric Conditions.

Callahan KE, Wilson LA, Pavon JM, Lovato JF, Atkinson HH, Busby-Whitehead J, Dalton T, Heflin MT, Iverson P, Lawlor JS, Marsden J, Moran WP, Roberts E, Williamson JD. 

Duke Grad Mike Woodworth just had this publication as well: Woodworth, MH, Saullo, JL, Lantos, PM, Cox, GM, and Stout, JE. "Increasing Nocardia Incidence Associated with Bronchiectasis at a Tertiary Care Center." Annals of the American Thoracic Society 14, no. 3 (March 2017): 347-354. PMID: 28231023

Have a great week!  And use those eclipse glasses if you are looking at the sun!

Aimee

Clinic Corner: PRIME

Contributed by Sonal Patel and Leigh Wynkoop

We are proud to say that PRIME is doing a great job on our HEDIS reminders – don’t let up, keep getting them all done at each visit!  These aren’t just about satisfying metrics but are about markers of providing quality care.  Clinic-wide data will be posted in the staff hall area and you’ll soon receive a paper copy of how each of you are managing your own panel’s measures.

If you haven’t met your PRIME Family Medicine resident colleague Alexa Mieses, it is because she is off in NYC doing a one-month internship at ABC News doing health reporting. Soon Phil Liu will be returning from China where he is doing a rotation. Not to mention we are thrilled to have our newbies on board!

Be aware that soon you’ll have to enter a provisional diagnosis for EVERY consult per national directive. Don’t forget there’s a top 100 list of primary care diagnoses on the bulletin board in your exam room if you get stuck and can’t find one. Also you can use ICD10data.com or even Siri for help if you can’t find a diagnosis code.

Thanks everyone for all that you do,

Sonal Patel and Leigh Wynkoop

 

From the Chief Residents

Morning Report and MGR: Aug. 21-25, 2017
Date Topic Lecturer Time Location
8/21/17

Cirrhosis

Steven Choi

7:15 a.m. DUH 8252
8/22/17

Pickett Road Conference: Pelvic Exam

 

7:30 a.m.

Pickett Road Clinic

8/23/17

Case Presentation

Kent Feng to Joe Rogers

7:15 a.m. DUH 8252
8/24/17

Case Presentation

Lauren Sharan to Jason Stout

7:15 a.m. DUH 8252
8/25/17

Medicine Grand Rounds: Solving the Puzzle: Improving the Assessment of Candidates for Lung Transplantation

Laurie Snyder

8:00 a.m. DN 2002

 

Noon Conference: Aug. 21-25, 2017
Date Topic Lecturer Time Location Lunch
8/21/17

MKSAP Nephrology

Dinushika Mohottige

12:15 p.m.

DN 2002 Domino's
8/22/17

SAR Lecture: Decompensated Liver Disease

Amanda Boyd

12:15 p.m. DUH 2002

Rudinos

8/23/17

Diabetes

Diana McNeill

12:15 p.m.

DUH 2002

Popeyes
8/24/17

SAR Lecture: Skin and Soft Tissue Infections

Joy Bhosai

12:15 p.m. 

DUH 2001

Subway
8/25/17

HOPE program/Geriatrics/Transitions of Care for Elderly

Heidi White

12:15 p.m.

DUH 2002

China King
 
 
Duke Gen Med Conference Schedule: Aug. 21-24, 2017
 
Date Topic Lecturer Time
8/21/17

Case Presentation

Sign-out

Annie Reihman with Bill Hargett

Murat Arcasoy

1:15 p.m.

8 p.m.

8/22/17

Case Presentation

Subspecialty Intern Report

Julia Xu with Joe Govert

Ara Metjian

1:15 p.m.

3 p.m.

8/23/17

Case Presentation

Case Presentation

Landon Brown with Tim Scialla

Nancy Yang and Lauren Donnangelo with Jon Bae

1:15 p.m.

3 p.m.

8/24/17

Patient Safety Conference

Intern Diadactic

Steve Kimani with Joel Boggan

David Ortiz

1:15 p.m.

3 p.m.

 

From the Residency Office

 
Trainee Fallfest

Duke Medical Alumni Association will host Trainee Fallfest on Sun., Sept. 10, 12:30-2:30 p.m. RSVP required by Sept. 5 to attend: bit.ly/fallfest2017

 
Society for Hospital Medicine Poster Competition

Society for Hospital Medicine - North Carolina Triangle Chapter announces a call for abstracts for its Research, Innovation and Clinical Vignette Poster Competition. Abstract submission deadline is 11:59 p.m. on Sept. 15, 2017. Learn more.

 

Duke Cystic Fibrosis Education Day

Duke Cycstic Fibrosis Education Day will be Sat., Sept. 16 from 9 a.m.-3 p.m. in the Great Hall of the Trent Semans Center. Learn more. RSVP by Sept. 11.

 
How much does that antibiotic cost?

Check out https://www.customid.org/antimicrobial/antimicrobial-cost-chart!

The ASET pharmacists (Christina Sarubbi and Rebekah Wrenn) have worked with the Center for Medication Policy to put together a handy chart that compares the costs of antimicrobials at DUH. Please use this as you’re considering clinical choices, doing QI projects, or if you’re just curious! These are inpatient direct pharmacy costs per day for Duke University based on common dosing schedules. They will be updated every 6 months by the Center for Medication Policy and maintained on CustomID. If there is a large change in cost, it will be updated more frequently.

 
 
6th Annual Stead Tread

Save the Date: Join us Saturday, Sept. 9 at 9 a.m. for the 6th Annual Stead Tread 5K Run and Walk on the American Tobacco Trail at Solite Park. The race benefits the Lincoln Community Healthcare Center. Learn more.

 

2017 Stead Resident Research Grant

We are pleased to announce a request for proposals for the 2017 Stead Resident Research Grant. The applications are due on Sept. 3, 2017 for a funding start date to be determined in October 2017.

Review the application instructions and sample forms.

 

Feeling down? Need to talk to someone? Opportunities for Wellness

All trainees at Duke have FREE access to Personal Assistance Services (PAS), which is the faculty/employee assistance program of Duke University. The staff of licensed professionals offer confidential assessment, short-term counseling, and referrals to help resolve a range of personal, work, and family problems. PAS services are available free of charge to Duke faculty and staff, and their immediate family members. An appointment to meet with a PAS counselor may be arranged by calling the PAS office at 919-416-1PAS (919-416-1727), Monday through Friday between 8:00 A.M. and 5:00 P.M. For assistance after hours, residents and fellows can call the Blood and Body Fluid Hotline (115 inside DUH, 919-684-1115 outside) for referral to behavioral health resources. Another resource is Duke Outpatient Psychiatry Referrals at (919) 684-0100 or 1-888-ASK-DUKE. https://www.hr.duke.edu/pas/

Upcoming Dates and Events

  • Aug. 25 - Residency Welcome Event hosted by Dr. Rogers

  • Aug. 30 - Warren Stead Society will host Dinner, Drinks and Trivia Night at Bull McCabe's

  • Sept. 3 - 2017 Stead Resident Research Grant Deadline

  • Sept. 9 - 6th Annual Stead Tread 5K Run and Walk