Internal Medicine Residency News, Aug. 27, 2018

Monday, August 27, 2018

From the Director

Happy Monday! Hope you all got to enjoy some of the beautiful weekend this weekend! I know a lot of you had a great time at the annual Kerby Society Durham Bulls Game – thank you to Ernest and Joel for planning the perfect night at the ballpark.

Go ahead and go from computer to 5K with the upcoming Stead Tread – mark your calendars for Sept. 29 and join one of our “signature” events of the year! Get a little Vitamin D, some exercise and support the Lincoln Community Health Center. Check with Dan Turner for details!

Other upcoming events include our “Meet Dr. Cooney” night at Ponysaurus on Sept. 12.


Kudos this week go to Ashley Naughton for a magnificent SAR talk, to Lauren Ranard from Cameron Oswalt for being an amazing SAR on Duke Gen Med, to our outgoing ACR’s Matt Tucker, Wynn Hunter and Ashley Naughton for great work on organizing conferences, reports, and teaching the students, to Sheila Sherzoy from Bruce Peyser for an outstanding diagnosis made in the clinic. Kudos for being amazing #dukefamily to Dennis and Sarah Lynne Narcisse and Nick and Bridget Kamp from Bryan Golubski. Also welcome to the Duke family to Hailey Jawitz, with proud parents Nicole and Oliver Jawitz!

PubMed from the Program

This week’s pubmed from the program goes to graduate Ashley Spann, and current residents Shaki Salvador, Talisha Ramchal, Lauren Donnangelo, Maryann Osayande, Josh Lee and Diana Mosquera for the team effort (and to graduate and now attending Julius Wilder) for their poster accepted to the AASLD meeting in San Francisco! “Prognostic Utility of Ammonia Testing on Admission in Cirrhotic Patients with and without Acute on Chronic Liver Failure (ACLF).”

Have a great week everyone!

Clinic Corner: Ambulatory

Contributed by Daniella Zipkin

What on earth is a “CEX”??? I didn’t know we could talk like that in clinic?
Don’t worry, it’ll be alright – it stands for Clinical Evaluation eXercise and is a brief observation of your clinic encounters by faculty. These observed visits tend to be very rich teaching opportunities around all the nuances of doctor patient communication. They are also considered a professional expectation for all residents. Please help your clinic attendings get them done! Here’s the details:

  • Interns should log at least TWO CEX’s per year, at least one of them this fall. JARs need at least ONE, SARs should also do ONE.
  • BE PROACTIVE! If your patient has arrived and the attendings aren’t busy, grab one and get observed. (Attendings will let you know if the resident-attending ratio is too tight that day to step out).
  • The observation should generally be the history and the beginning of the visit, the attending may linger through the exam portion. The attending will remain silent and let you do your thing.
  • You will then sign out the clinical portion of the visit, and make time for feedback on how the CEX went after that, either right away or at the end of clinic.
  • CEX evaluation forms are brief and will be logged in MedHub by the attendings.
  • The residency office will keep count and share counts with the clinics.

Ambulatory Threads Roll Out
How are the threads going for you, categorical interns and JARs? Please share feedback with Winn, Emily, or Dani.


From the Chief Residents

Morning Report and MGR: Aug. 27-31, 2018
Date Topic Lecturer Time Location


Dr. Arcasoy 7:15 a.m. DUH 8253
8/28/18 HTN Dr. Tyson 7:15 a.m.

Pickett Road



Dr. Yancy 7:15 a.m. DUH 8253

Case Presentation

Dr. Badjatiya to Dr. Cohen 7:15 a.m. DUH 8253

Medicine Grand Rounds: IgG4-Related Disease: The Many Faces of a New Pathologic Entity

Dr. Bill St. Clair

8 a.m. DUH 2002


Noon Conference: Aug. 27-31, 2018
Date Topic Lecturer Time Location Lunch

MKSAP Cardiology 

Adam Banks

12:10 p.m.

DUH 2002


Heart Failure

Joseph Rogers

12:10 p.m.

DUH 2002



Res-Co Town Hall


12:10 p.m.

DUH 2002


Pulmonary HTN

Terry Fortin

12:10 p.m.

DUH 2001


Chair's Conference

Akash Goyal

12:05 p.m.

DUH 2002

Duke Gen Med Conference Schedule: Aug. 27-30, 2018
Date Topic Lecturer Time

SAR Report

Chair's Sign Outs

Dr. Chris Pumill presents to Dr. Hargett

Dr. Cooney and Dr. Tim Sciallawith GM1 and GM7

1:15 p.m.

7:15 p.m.


SAR Report

Intern Report

Dr. Sky Vanderburg presents to Dr. Govert

​Dr. Christopher Witt presents to Dr. Arepally

1:15 p.m.

3 p.m.


SAR Report 

Dr. Tara Holder presents to Dr. Zaas

1:15 p.m.


SAR Report/QI Conference 

Intern Hospitalist Series

Dr. Washington presents with Dr. Boggan


1:15 p.m.

3 p.m.


From the Residency Office

Now Accepting Applications for Global Health Elective Rotations
The Hubert-Yeargan Center for Global Health (HYC) is now accepting applications for Global Health Elective Rotations for the 2019-2020 year.
Application is open to Duke Cardiology Fellows (2nd & 3rd Year) and Duke residents from the Departments of Medicine and Pediatrics:

Internal Medicine (PGY 2); Med-Peds (PGY 3); Med-Psych (PGY 4); Pediatrics (PGY 2).

The application can be completed online here and all information is available at

For more information about this opportunity, contact Madi Smith, HYC Program Coordinator, at or 668-5976.

Application Deadline: September 30, 2018

Stead Tread 5K Fun Run/Walk
The 7th annual Stead Tread will be held on Saturday, Sept. 29, 2018 on the American Tobacco Trail (starting at Solite Park in Durham). Please access the Stead Tread 2018 website ( for important race information, to securely register ($30), or to make a donation. 100% of proceeds go to Lincoln Community Health Center. Your $30 registration fee includes an official Stead Tread 2018 T-shirt – register ASAP to reserve your size! Participants are welcome to run or walk, and strollers are permitted - kids under 12 walk/run for free (but should be registered by their parent/guardian). 

NC Triangle Chapter Society of Hospital Medicine Poster Session
The Triangle Chapter of the Society of Hospital Medicine will host a meeting and poster session on Oct. 2. Deadline for abstracts is Sept. 2. Categories include research, innovation, and clinical vignettes. Learn more.

2018 Stead Resident Research Grant applications
The program invites residents to apply for a 2018 Stead Resident Research Grant. The applications are due on September 3, 2018 for a funding start date to be determined in October 2018. See email for application instructions, forms, and sample NIH biosketch are attached. Please include your mentor’s NIH Biosketch and support letter.

The REACH Health Equity Center is offering funding for resident research
The Research Scholars Development Program supports health disparities research and is a funding opportunity for residents and fellows. Trainees are required to work with a faculty mentor to develop a research proposal to bring together faculty across disciplines who have a common interest in addressing racial and ethnic disparities in the clinical encounter. Applications are due Sept. 3. Funding begins in October.

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.

Upcoming Dates and Events

  • Sept. 9 - Stead Fall Festival

  • Sept. 12 - Meet Dr. Cooney Happy Hour

  • Sept. 19 - Stead Society Trivia Night

  • Sept. 29 - Stead Tread 5K

  • Nov. 2 - Recruitment Kickoff