Internal Medicine Residency News, June 24, 2019

Monday, June 24, 2019

From the Director

First, a huge THANK YOU to our 2018-19 Chief Residents Winn Seay, John Paul Shoup, Jenny Van Kirk and Kara Wegermann! Such a tremendous year.

Welcome to our 2019-20 Chiefs Amanda Boyd, Lara Hayes, Jared Lowe and Caroline Sloan! We are excited for another fantastic year.

New interns are here this week! Today is GME Orientation, and they will be with us starting on Tuesday for our orientation. Shadow Day is Friday, and they start on their new teams on Monday, July 1. Be sure to come welcome them at lunch this week.

Now should be the time that those applying to fellowship are getting their letter of recommendation forms out to writers. Any questions with the process, please be sure to ask me or Dr. Hargett.

We have really exciting news from one of our Duke IM Residency alumni, Dr. Dale Okorodudu.  Dale is currently an APD at UTSW and also founded the Black Men in White Coats organization. He started his mentoring work prior to residency, and his original mentoring website, DiverseMedicine, was funded with a Faculty Resident Research Grant!  Dale will be on the third hour of NBC’s "Today" show on June 27, talking about Black Men In White Coats and their work to grow diversity in medicine. Black Men in White Coats is a youth mentoring program created to motivate and increase the amount of young black men in the medical field. Congratulations Dale on your amazing work (check out their Facebook page, which also features interviews with Duke IM Residency Alums Dr. Kevin Thomas and Dr. Darrell Gray II).

Kudos
Kudos this week go to our Bruce Dixon Award winner Dr. Shannon Niedermeyer, as well as our Stead Teaching Award Winners Drs. Stephen Bergin and John Roberts, and our Outstanding Service Award to Cory Miller. Congratulations also to Jenny Van Kirk on her fantastic Grand Rounds, as well as Nick Shelburne and Lindsey Shantzer on their outstanding SAR talks and Steve Pappas on a great Chair’s Conference. Kudos also from Mike Grant to Nick Ashur in the CCU this week for taking on extra work and being a true team player.

Congratulations to you! Take a look at the BONUS section of your June paycheck. I am proud to announce that we met ALL FOUR incentive metrics for GME this year (hand hygiene, RL6 reporting, Patient Satisfaction and participation in CLER).  What does this mean? It means the $1,600 bonus will be in your June paycheck. Soon, the new metrics for 2019-20 will be announced. We are proud of your commitment to patient safety and quality here at Duke and look forward to even more continued engagement next year.

PubMed from the Program
This week’s pubmed from the program goes to Tamara Saint-Surin for her publication - McManus KA, Debolt C, Elwood S, Saint-Surin T, Winstead-Derlega C, Brennan RO, Dillingham RA, Flickinger TE. Facilitators and Barriers: Client's Perspective on the Virginia AIDS Drug Assistance Program's Affordable Care Act Implementation. AIDS Res Hum Retroviruses. 2019 May 31. doi: 10.1089/AID.2018.0254. Great work!!

Have a great week!
Aimee

Clinic Corner: Ambulatory

Contributed by Daniella Zipkin

Welcome New Interns! Read About the Ambulatory Threads Structure
The Duke internal medicine residency changed to a 4+2 format in 2016, a schedule where 4 week in-patient rotations alternate with two week rotations such as ambulatory, geriatrics, or consults. In 2018 we introduced the Ambulatory Threads for categorical interns and JARs, which we will outline here.

The threads are designed to achieve the following goals:

  1. Enhance longitudinal learning/engagement between a faculty and trainee, thereby improving the overall sense of investment in trainee education
  2. Increase the breadth of exposure to subspecialty ambulatory training for residents
  3. Provide early exposure to subspecialties that do not have inpatient services (lnfectious diseases, Nephrology, Gastroenterology, Rheumatology, and Endocrine)
  4. Improve the ability of both faculty and trainees to effectively and constructively evaluate the ambulatory learning experience

Threads Description:
“+2” blocks include clinics in specific sub-specialties, bundled together. During the +2, you will also have continuity clinic and other important educational experiences. 

Threads run for six months, allowing each resident to experience two threads per year. Academic Half Day will be built to be thread specific, so the teaching will match the clinics experienced during the year.

Thread subspecialty bundles are:

  • Intern Thread A: GI/ID/other VA clinics
  • Intern Thread B: Renal/Rheumatology/Endocrine
  • JAR Thread A: Hematology/Cardiology
  • JAR Thread B: Oncology/Pulmonary

The threads have been adjusted significantly over this past year to account for faculty clinic changes and geography of clinics. We look forward to hearing your feedback about the current schedule for ambulatory!

**Please note – the threads are complex to build and include a network of faculty at many locations. Faculty receive notice that you are coming and prepare to have you in clinic. Your presence at any assigned clinic is expected! Please notify a chief resident or Dani Zipkin if you are ever not able to be present at a clinic. Thank you!

From the Chief Residents

 
 
Morning Report and MGR: June 25-28, 2019
Date Topic Lecturer Time Location
6/25/19 Breast Cancer Monitoring and Referral Lola Fayanju 7:15 a.m.

Pickett Road

6/26/19

No Morning Report

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6/27/19

Cost Conscious Case

Alex Grubb to Kathleen Cooney 7:15 a.m. DUH 8253
6/28/19

Medicine Grand Rounds: The Year In Review

Kathleen Cooney, MD
Chair, Department of Medicine

8 a.m. Great Hall, Trent Semans Center
 
Academic Half Day: June 28, 2019
 
Thread Topic Lecturer Time Location
No Academic Half Day -- -- -- --

 

Noon Conference: June 24-28, 2019
Date Topic Lecturer Time Location Lunch
6/24/19

Town Hall/Welcome with New Chiefs

Jared, Amanda, Caroline, Lara

12:10 p.m.

DUH 2002

Domino's

6/25/19

Fun Lunch

 

12:10 p.m.

DUH 2002

Popeye's

6/26/19 Flight Medicine Jason Theiling and Lauren Siewny

12:10 p.m.

DUH 2002

Azeb Ethiopian
6/27/19 Tom Holland Memorial Lecture Chris Ferreri

12:10 p.m.

DUH 2002

Chick-fil-A
6/28/19

Lunch with Interns and Q&A with SARs

 

12:05 p.m.

DUH 2002

El Chapin
 
 
Duke Gen Med Conference Schedule: June 24-27, 2019
Date Topic Lecturer Time
6/24/19

SAR Report

CPC 

--

Kathleen Cooney and GM3

--

4:15 p.m.

6/25/19

SAR Report - No report

Intern Report - No report

--

--

--

--

6/26/19

SAR Report - No report

--

--

6/27/19

QI Case Presentation - No report

Intern Report - No report

--

--

From the Residency Office

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/