Internal Medicine Residency News, February 13, 2017

Monday, February 13, 2017

From the Director

Continued Happy Fun-bruary to all! Special thanks to Amanda and Jeff Boyd for hosting the Funbruary House Party this weekend and to GME for hosting the Duke beats Carolina basketball watching party.

You guys were awesome about alerting me to the great work your colleagues are doing!

Thank you to Micah McClain, Lynn Bowlby and Jay Wilder (with host Tony Galanos) for serving on our “Faculty Stories” panel this week. We really appreciate you taking the time to talk with us.

We had our first resident-faculty dinner - a great time had by all with Jenny Van Kirk, Julia Xu, Sarah Cohen, Wynn Hunter, and Lauren Sharan with faculty lead Diana McNeill. We got some great ideas from their conversation and can’t wait to hear from the second group.

Look out for the Social Action Council meeting this week - join fellow residents in figuring out ways we can make a difference in Durham.  The Social Action Council was the group that put together the Lincoln Clinic Volunteer Program, and we are looking for the next great ideas, big or small to keep us involved and giving back to our community.

SARs, please don’t forget to log your procedures and to register for the boards before the price goes up.


Kudos this week to Lakshmi Krishnan for her awesome SAR talk, to Ali Saadi for a great chair’s conference, to Adam Brock for receiving a gold star from a patient, to Jared Lowe from Kahli Zietlow, who cared for a patient who said “Dr. Lowe worked triple overtime to provide great patient care,” to the 7800 NF residents Sam Lindner and Lauren Collins from Brittany Gatta and the 7800 team for being helpful, thorough, and thoughtful, to Kristen Glisinski from the MICU Crew for being an awesome fellow, to Maggie Infeld from Meg Steiner for helping out so much as an ACR, and more to Maggie Infeld from Laura Caputo for her great work with the physical exam rounds, and also for helping a veteran out with a wheelchair as he was leaving the VA (spotted by Michael Grant), and to Amanda Boyd from Ali Saadi for outstanding work on a complex patient. Also thanks to Claire Il’Giovine for bringing food to our entire night float crew this past week!  I honestly think she would have done it even if Zach wasn’t on nights. Also Kudos to Katie Charles from Ravi Karra for PHENOMENAL work on cardiology!

PubMed from the Program

It is spring abstract season, and you guys are doing really well at getting your work accepted!

In the first of several upcoming SGIM abstracts, this week’s pubmed from the program features Leah Machen! “Racial variations in medical care spending patterns among high risk primary care patients: results from the STOP-DKD study” with mentor Clarissa Diamantidis.

Have a great week!

Clinic Corner: VA PRIME

Contributed by Sonal Patel, MD

Hi everyone.  Just another reminder to look at all reminders each visit and focus on  HEDIS specific reminders.  HEDIS stands for Healthcare Effectiveness Data and Information Set (HEDIS).  It is one of the most widely used sets of health care performance measure in the United States. The term “HEDIS” originated in the late 1980s as the product of a group of forward-thinking employers and quality experts, and was entrusted to NCQA in the early 1990s. - See more at:

The National Committee for Quality Assurance (NCQA) defines Quality Health Care as the extent to which patients get the care they need in a manner that most effectively protects or restores their health. This means having timely access to care, getting treatment that medical evidence has found to be effective and getting appropriate preventive care. Choosing a high quality health plan--and a high-quality doctor--plays a significant role in determining whether you'll get high-quality care.

Remember HEDIS compliance does tie into saving lives and improving our patients' health. 

Heart disease is the No. 1 killer of men and women in the USA. Many of the HEDIS metrics (see attached list) measure how well we are doing at addressing the risk factors for heart disease in our patients such as tobacco use, high blood pressure, diabetes control and elevated lipids.

Stroke is the No. 1 cause of long term disability in the USA. Many of the HEDIS metrics measure how well we are doing at addressing the risk factors for stroke in our patients such as tobacco use, high blood pressure, diabetes and elevated lipids.

Lung cancer is the number one cancer killer in the USA and Colorectal cancer (CRC) is the second most deadly. Breast Cancer and cervical cancer are also still out there negatively impacting countless women, claiming lives and causing long term. HEDIS focuses on tobacco cessation as well as screening for most of these killers.

Lastly, behavioral health issues continue to take their toll on Veterans their families and our nation. HEDIS screens for critical ones like depression, alcoholism and PTSD.

Please let us know in PRIME clinic if you have any questions about these reminders or anything else that we can help with.

From the Chief Residents

Morning Report and MGR: February 13-17, 2017
Date Topic Lecturer Time Location

Inhaler Technique 

Roy Pleasants

7:15 a.m. DUH 8253

Renal Evaluation in the Elderly


7:30 a.m.

Pickett Road Clinic


Cost-conscious presentation

Maggie Infeld with Mary Klotman

7:15 a.m. DUH 8253

Advanced Liver Disease

Carl Berg

7:15 a.m. DUH 8253

Medicine Grand Rounds: An App a Day to Keep the Doctor Away

Nirmish Shah 8:00 a.m. DUH 2002


Noon Conference: February 13-17, 2017
Date Topic Lecturer Time Location Lunch


Rick Wood

12:00 p.m. DUH 2002



SAR Lecture Series: Acute Abdominal Pain

Kavisha Singh

12:00 p.m. DUH 2002



Diverticular diseases: A colorectal surgeon's point of view/Intern G Brief

Billy Lan

12:00 p.m.

DUH 2002

China King

Gallops - Ask the expert

Rogers, Wilder, Wolf, Gilstrap

12:00 p.m.

DUH 2001


Chair's Conference

Kevin Smith

12:00 p.m. DUH 2002 Firehouse Subs

From the Residency Office

Town Halls with Dr. Klotman

There will be class-specific town halls with Dr. Klotman this week. These meetings happen quarterly in the Med Res library and are a time to provide feedback and speak candidly with Dr. Klotman. Please try to be there, if possible. SARS will meet Tues., Feb. 8 from 8-9 a.m. Interns will meet Wed., Feb. 15, from 8-9 a.m. JARS will meet Wed., Feb. 15, from 5-6 p.m.


DoM Book Club

Mark your calendars for a very special book club event on Mon., March 20, from 5:30 - 7 p.m. in the Searle Center Faculty Lounge!  We'll be reading "Modern Death" by Duke's very own Dr. Haider Warraich, who has kindly agreed to attend our event and join us for a lively discussion.  This will be a fantastic event that you don't want to miss!  

Copies of Modern Death are available at Barnes and Noble or online.  If you're interested in attending, RSVP to  

Heme/Onc Fellowship Info Meeting

The Duke Heme/Onc Fellowship Program will hold an informational meeting from 4-5 p.m. on Feb. 28 in room 212C Medical Center Library for house staff interested in the program. Drop by for pizza, drinks and to hear from current fellows. Email Nyasias Lloyd, if you plan to attend.


Stories of Careers in Medicine

The Program for Women in Internal Medicine and the Resident Professional Development Committee invite you to attend Stories of Careers in Medicine from 6-8 p.m. on Thur., March 2, in the Faculty Lounge (Seeley Mudd Building). Appetizers and drinks included.

Faculty-Resident Research Grant

We are pleased to invite you to apply for the 2017 annual “Faculty-Resident Research Grant” applications. The applications are due on April 9, 2017 for a funding start date on July 1, 2017. For JARs, the funding end date is June 30, 2018. For Interns, the funding end date is June 30, 2019

Please find the application forms, instructions, and sample NIH format biosketch (the old NIH Bioskecth format forms are acceptable for your CV).

Please submit your application as a single word or pdf file that includes your mentor’s NIH Biosketch (the new versus old NIH Biosketch format is optional for your mentor). Please email a pdf file of the signed mentor's support letter with your application by April 9, either as part of the entire application or separately.

Each proposal must have a Human subjects section that describes the protections of the patients and patient data, describe the consent procedure if applicable, status of IRB protocol (to be submitted, already submitted or already approved, as appropriate) etc. This section is required whether to not your project is a retrospective or prospective study, whether patient identifiers are exposed (or not) during data collection/analysis, whether consent is to be obtained or there is a waiver for consent. Please see attached example language that you can adapt to your own specific protocol after discussing with your research mentor.

The next opportunity to apply for a research grant will be in September 2017. For any questions, please contact


BLS Blitz

For any trainee whose BLS will expire between 3/13/2017 and 11/1/2017

The BLS Blitz is an opportunity for house staff to renew their American Heart Association (AHA) BLS provider certification at no cost.  Classes will run March 13, 2017 to March 17, 2017. Registration is open now and all trainees’ whose certification will expire between 3/31/2017 and 11/01/2017 are encouraged to participate. There will be no other BLS classes given at Duke until November 2017.  If you miss this Duke provided session and need BLS certification, at a cost to you, you may make arrangements with an outside AHA provider. We recommend CPR Consultants (919-850-9295) or Triangle CPR (919-851-4380).

To register
  • Log into the Duke LMS at your NetID and Password.
  • In the Learning Catalog Search box, enter BLS30101 (or Basic Life Support) and click Search.
  • Locate the desired class to attend and click Register.
Facts to Remember
  • All classes will be held in Hock Plaza, Suite G07 and will be three hours long.
  • Participants must review and have a current AHA BLS Provider Manual 2015 in hand for class.
  • A Duke ID badge must be brought to the session.
  • The class will involve physical activity, so please dress accordingly.
  • Employees are expected to park in their designated area and walk or ride the van to Hock.
  • Questions can be directed to Clinical Education and Professional Development (684-4293).
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.

Office hours for program leaders

Please feel free to stop by during these times and of course always feel free to reach out to program leaders to set up a meeting outside of these times if needed.

  • Aimee Zaas: Thursday, 11 a.m. to 12 p.m.

Upcoming Dates and Events

  • February 14 - SAR Town Hall with Dr. Klotman (8-9 a.m.)

  • February 15 - Intern Town Hall with Dr. Klotman (8-9 a.m.)

  • February 15 - JAR Town Hall with Dr. Klotman (5-6 p.m.)

  • February 23 - JAR Fellowship/Career Networking Night at Dr. Klotman's House

  • February 28 - Heme/Onc fellowship informational meeting

  • March 2 - Stories of Careers in Medicine

  • March 3 - Charity Auction at Motorco

  • March 17 - Match Party Celebration at Tyler's Taproom

  • March 20 - DoM Book Club

  • April 9 - Deadline for Faculty-Resident Research Grant

Funbruary Events
  • February 14 - Stead Society Valentine's Breakfast
  • February 15 - Social Action Committee Meeting
  • February 18 - Salsa Lessons & Dancing
  • February 20 - Community Building Dinner
  • February 23 - JAR Networking Event
  • February 27 - Indian Food, Games & Drinks