Internal Medicine Residency News, Aug. 28, 2017

Monday, August 28, 2017

From the Director

Hi Everyone!

A huge thank you to Dr. Joseph Rogers and his amazing wife Katina for hosting a fun summer party for the residency program. We all had a great time and many thanks also to Erin Payne and Kerri Shore for their excellent planning and work to make it happen! We also enjoyed a great coach-coachee happy hour on Thursday- glad to see so many of you there!

Many of you may have friends or family affected by the flooding in Texas. Via social media, I've heard our many members of the Duke family who are in Houston are safe. We will be working to find a way to help our colleagues there, so stay tuned for that this week.

Don't forget to come out and support VA CRQS Sam Lindner and future VA CRQS JP Shoup this Friday for our first M and M QI Grand Rounds of the year!

Kudos

Kudos this week go to Joe Lerman from Matt Labriola for being a team player at the DOC; to Peter Lewis and Al Sun from Leah Machen for phenomenal care of a patient in the VA CCU; to Elizabeth Ockerman from Sarah Nouri for taking great care of a really sick patient overnight on Duke GenMed. Kudos to Bryan Golbulski from Nick Kamp and Claire Smith for bringing delicious snacks for our long call! Kudos to Nick Kamp from Claire Smith for incredible patient care on VA GenMed. And to Hannah Dzimitrowicz from Akash Goyal for always having her intern's back and putting her patients and team first, and kudos to James Deardorff from Megan Dupuis for excellent patient care in PRIME clinic. Kudos to Tanya Aylward from Dinushika Mohottige for being a tremendous asset at DRH and in the AMB setting and from Dinushika to the Lincoln Health leadership and volunteer crew, and especially Helen Zhang, who has stepped up to take charge of the expanding clinic staffing by residents. Also kudos to Amanda Boyd  and Joy Bhosai for great SAR talks, and a thank you to our outgoing ACRs Ankeet Bhattacharya, Tanya Aylward and Amanda Boyd—great job, all!

PubMed from the Program

This week’s pubmed from the program goes to Amanda Boyd for "Bolus Administration of Fentanyl and Midazolam for Colonscopy Increases Endoscopy Unit Efficience and Safety Compared With Titrated Sedation" in Clinical Gastroenterology and Hepatology. R. Thomas Finn III,  Amanda Boyd, Li Lin, Ziad F. Gellad.

Have a great week! 

Aimee

Clinic Corner: Ambulatory

Contributed by Daniella Zipkin

Clinic LEAD (Leadership, Education, Administration and Doctoring ) Takes Off!!
Thank you to everyone for embracing the new Clinic LEAD roles at DOC, Prime and Pickett. This is an exciting new endeavor that has led to better clinic continuity, management of unexpected issues in each clinic, and resident teaching. Keep it up! Contact Dinushika or Dani Zipkin with questions!!

Introducing the Ambulatory Care Leadership Track (ACLT)
Attention Interns!

Are you thinking of going into a subspecialty or general medicine, where you will have an ambulatory practice? Do you want to learn how to have an impact on health policy and use your voice to improve patient care? Please consider being a part of the ACLT. Founded in 2012, It is an elective track for second and third year internal medicine residents which serves as a foundation for careers as leaders in academic medicine subspecialties, primary care, research, or education. Residents come together during twelve ambulatory weeks per year of ambulatory clinical time and weekly academic seminars, including: 

  • Advocacy and health policy seminars given by faculty in government relations and health policy throughout the year, with an advocacy trip in the spring to either Washington DC or Raleigh, NC, alternating years. Residents create a platform based on issues they wish to address as a group and meet directly with lawmakers at the state and national level to present their views.
  • Seminars in population health and practice management
  • Curricula in teaching and opportunities to teach as a senior resident
  • Each block also includes General Internal Medicine Journal Club, presented by residents with support from EBM teaching faculty.
  • Access to all the clinical opportunities during ambulatory blocks, including: sports medicine, women’s health, ENT, ophthalmology, dermatology, palliative care, integrative medicine, pain medicine, obesity medicine, gen med, as well as all medicine subspecialties

The ACLT has evolved significantly since its inception, in response to residents’ feedback. This is a wonderful opportunity to realize your personal impact on the worlds of clinical medicine, education, leadership, and health policy.

We will ask for a one page application closer to to December, stay tuned! If you have questions, please email Dr. Zipkin

Current ACLT residents:

  • SARs – Megan Gillum, Kelly Ground, Jared Lowe, Leah Machen, Maggie Moses, Sarah Nouri, Annie Reihman, Caroline Sloan, Meghan Steiner
  • JARs – Ryan Anderson, Joe Plaksin, Ben Ranard, Jasmine Washington
  • Med Psych – Sarah Nelson, Nicole Helmke, Johnny Komisar, Colin Smith

From the Chief Residents

Morning Report and MGR: Aug. 28-Sept. 1, 2017
Date Topic Lecturer Time Location
8/28/17

HIV

Mehri McKellar

7:15 a.m. DUH 8252
8/29/17

Atrial Fibrillation

Sana Al-Khatib

7:15 a.m.

DUH 8252

8/30/17

Case Presentation

Ankeet Bhatt to Ankoor Shah

7:15 a.m. DUH 8252
8/31/17

Vaginitis

Lisa Muasher

7:15 a.m. DUH 8252
9/1/17

Medicine Grand Rounds: Quality Improvement Grand Rounds

Samuel Lindner

8:00 a.m. DN 2002

 

Noon Conference: Aug. 28-Sept. 1, 2017
Date Topic Lecturer Time Location Lunch
8/28/17

Conversation on Diversity and Inclusion

Ben Reese, Judy Seidenstein, Kim Evans

12:00 p.m.

DN 2002 Dominos
8/29/17

SAR Lecture: Peripheral Blood Films

Megan Dupuis

12:15 p.m. DUH 2002

Guasaca

8/30/17

TTP/HUS

Gow Arepally

12:15 p.m.

DUH 2002

Chick-fil-A
8/31/17

Resident QI Conference

Joel Boggan/Stephen Telloni

12:15 p.m. 

DUH 2001

China King
9/1/17

Chair's Conference 

Tara Holder

12:10 p.m.

DUH 2002

Jason's Deli
 
 
Duke Gen Med Conference Schedule: Aug. 28-31, 2017
 
Date Topic Lecturer Time
8/28/17

Gen Med Orientation

Chair Sign-out

 

Joe Rogers

1:15 p.m.

8 p.m.

8/29/17

Case Presentation

Paul Riordan with Joe Govert

1:15 p.m.

8/30/17

Case Presentation

Case Presentation

David Sterkin with Joel Boggan

Tamara Saint-Surin and Kara Amavizca with Eileen Maziarz

1:15 p.m.

3 p.m.

8/31/17

Intro to Patient Safety 

Intern Diadactic

Joel Boggan

Lisa Criscione-Schreiber

1:15 p.m.

3 p.m.

 

From the Residency Office

 
Global Health Pathway

Applications for Global Health Pathway are now open through September 30, 2017 for incoming class beginning July 1, 2018. Learn more.

 
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. 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