Internal Medicine Residency News: December 9, 2013

Sunday, December 8, 2013

From the Director

DUKE.RESEARCH.NIGHT.03 (1)Hi everyone!

Seems like winter is officially here!   December generally flies by, and this is no exception.  Thanks to everyone for keeping up the recruitment spirit.  This was a great week for our SARs, with the announcement of an absolutely SPECTACULAR fellowship match.  See the list below for where our fellowship-bound and job-bound Class of 2014 will be heading! We are all extremely proud of you.


Kudos this week go to Rebecca Sadun for her help with a coverage situation at the VA, to Meredith Clement and Aaron Mitchell for fantastic SAR talks, to Kim Bryan for a great Chair's conference and to Hal Boutte and Jenn Rymer for speaking to the applicants at the end of recruitment day on Friday.  CONGRATULATIONS to Marcus Ruopp and Nikki Frederick on their engagement!  We also got to see 2013 graduate Mandy George on Friday, who came in town for 2013 graduate and heme onc fellow Megan Diehl's wedding.  Congrats Megan!

This is the last week to submit your abstracts to the NCACP meeting.  Many of you have already done so.  Please let the me or the chiefs know if you need any help with the submission process. We look forward to having a strong presence in Greensboro at the meeting.  There is no Jeopardy competition this year, so unfortunately we cannot defend our title.  Wait til next year!

This week's Pubmed from the Program goes to 2013 graduate Adam Garber for his abstract presented at the recent AHA meeting.  This work was supported by a resident research grant:  Predictors of left ventricular thrombus formation following ST segment elevation myocardial infarction : findings from the Duke databank for cardiovascular disease and the Duke echocardiography database;  poster presentation at the annual meeting  of the American Heart Association in Dallas Texas November 2013, By Adam Garber   Mentor: Eric Velazquez,MD.

We look forward to seeing you all at the Medicine Holiday Party on Saturday night!



QI Corner (submitted by Joel Boggan, MD)

Duke Quality and Safety Conference
Abstracts are due Monday, 12/9.  Thanks to all our residents who are submitting - we'll send out a list next week.  Please let us know if you need a last minute review of your work!

Medicine PSQC Wednesday

We'll have our next Medicine PSQC meeting on Wednesday at 5:30 pm in the Med Res Library.  Food will be provided, please RSVP to Jon and I so we can keep an accurate count . . .

Medication Safety Alert

The FDA has recently advised for a change in the coloration and labeling of fentanyl patches for patient use, which will make them more identifiable when used.  However, not all these may have been switched over by companies yet, so beware of the appearance of these patches!!!  If any similar patch/dressing is on a patient (especially if transferred from an outside facility), think about the possibility of it being a fentanyl patch

Institute for Healthcare Improvement

The annual IHI conference is this Tues/Wed, and Jon Bae is giving a presentation about our Incentive Program.  Congrats to Jon - if you're interested in watching any or all of the conference at the Duke South Amphitheatre, you may register at this link . . .



What Did I Read This Week?

By Jen Averitt, Sr. Program Coordinator, Internal Medicine Residency Program

Closing Address for Former President Nelson Mandela

XII International AIDS Conference, July 14, 2000, Durban, South Africa


 With the passing of Nelson Mandela this week, people and nations around the globe are mourning the loss of a man who embodied moral courage.  An activist and leader in the anti-apartheid movement, his ascension from prisoner to the first black president of South Africa illustrate the remarkable journey of a man whose life was spent in the pursuit of freedom, dignity and equality for all.  As such, I felt compelled to read not one of the many well-deserved tributes written in his honor, but rather the words of the man Nelson Mandelahimself.  In doing so, I selected his closing address at the XII International AIDS Conference, held in 2000 in Durban, South Africa, both as a topic that I hoped would resonate with members of the medical community and to remember the role he played in the fight against HIV/AIDs, specifically in Africa.While Mandela’s closing remarks in Durban are considered by some to be a “watershed” moment in the fight against HIV/AIDS, he was also widely criticized for the lack of attention he paid to the spread of the disease in South Africa in the 1990s during his presidency.  At the time of this conference, South Africa was the worst-affected country on the planet, with more than 4 million people infected and rising.  Directing his attention towards the political infighting that existed at the time, both within government and scientific communities, he reminds his audience of the devastation the disease has caused on a human level, and the unspeakable toll it has taken on his own country of South Africa.  The weight of the man can be felt in his words; they are direct, powerful and forceful in their impact.The import of this speech is not about numbers, or statistics, or even the politics of the moment.  This speech is, in my opinion, a beautiful reflection of the greatness of the man giving it.  Nelson Mandela spent his life reminding us all of the importance of humanity, in every sense of the word. His remarks that day have their greatest impact when he reminds us not only of the human cost of the disease on its victims, but of the cost inaction will have on humanity as a whole.We all have heroes – men and women who have impacted us as individuals and as a society.  I know that for a great many people, and nations, Nelson Mandela is true a hero.  I think the conclusion of his speech reminds us why:“…it is the humble men and women that you find in all communities but who have chosen the world as the theatre of their operations, who feel the greatest challenges are the socio-economic issues that face the world like poverty, illiteracy, disease, lack of housing, inability to send your children to school-those are my heroes.”

From the Chief Residents

SAR Talks

   Thursday, December 12, 2013

     Bronwen Garner and Alex Fanaroff


Grand Rounds

Dr. Larry Goldstein PFO and Cryptogenic Stroke

Noon Conference

Date Topic Lecturer Time Vendor
12/11 Lipid   Management Update Daniella Zipkin 12:00 Baked Potato Bar
12/12 SAR   talks: Physician's Guide to the Affordable Care Act / Bronwen Garner / Alex Fanaroff 12:00 Bullock's BBQ


From the Residency Office

Wanted: Future leaders in ambulatory care

Have you thought about how your training provides the kinds of knowledge and skills you'll need in your career?  For many medicine residents, a background in leadership, clinical teaching, advanced EBM, GreenblattLarry08communication, and strong ambulatory clinical skills will best support their career.  This is particularly true for our residents wanting to pursue careers in academic medicine or perhaps as physician leaders -- which led me to create the Ambulatory Care Leadership Track (ACLT) a few years ago, with the support of Aimee and Randy and the MedRes Office.

Four JAR spots and two SAR spots are now open for the 2014-15 academic year.  I encourage you to consider applying, and talk to residents in the program or ambulatory faculty to see if the ACLT is the right choice for you.  The track was designed not only for residents interested in primary care, but also for those of you who are interested in ambulatory subspecialty careers.  We can promise you social events and camaraderie with like-minded residents and faculty, too, organized by Sharon Rubin and others.

If interested or if you have questions please contact current ACLT leaders Alex Cho, Stephen Bergin, Daniella Zipkin, or me.  A brief, one-page application will be due Monday, December 30. You can also go to for more information.  Thanks!

ACLT application form

Technology Survey (University of California, San Diego)

Since August 2010 our program has participated year study examining smartphones and tablets as reference devices among medical providers (references below).  This study is IRB approved (UCSD Project #110845XX) and all results will be published in the peer-review literature and publicly available.

Prior published results:  or,

Please consider minute survey examining smartphone and tablet use in hospitals that can be found HERE.
Orrin Franko, MD
Resident Physician, Post-Graduate Year 5
University of California, San Diego

USMLE 3 - Changes

PLEASE note and review the changes to the Step 3 coming for the 2014-15 year, in particular the substantial score delay beginning for test takers in November 2014!




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Idaho Internal Medicine
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Upcoming Dates and Events

  • December 14:  DoM Holiday Party
  • January 15th:  "Voices in Medicine"


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