Internal Medicine Residency News, May 22, 2017

Monday, May 22, 2017

From the Program

Hi everyone! Hope your week is off to a good start! This week brings us a Narrative Medicine event on Friday, and we are all anticipating the Faculty v. Residents basketball game and other fun events coming up in June.

Congratulations to Jackie Bolwell on the birth of her son Finn Prescott! Congratulations to Stephanie Li on her wedding!

Thanks for your patience last week as the MedRes office was renovated. Stop by and see our new space! 

Don't forget: Please send any of your news or kudos for your colleagues to Erin Payne.

Have a great week!


Kudos this week go to AJ Blood, Matt Labriola and MS-II Jenny Varner from a VA patient for their “professionalism, knowledge, patience and thoroughness” while he was hospitalized on VA Gen Med. Kudos to Kelly Ground for a great chair's conference, Michael Dorry for an excellent SAR Lecture, and to Sky Vanderburg and Gil Acevedo for great care of a critically ill veteran. Kudos to Kevin Smith for his "hard work, out of this world assessment" and "the excellent care you provided new patients" from Rania Kazan. And to Juan Magana from Dr. Liz Hankollari for outstanding social history documentation in his night float H and P's.

PubMed from the Program

This week's pubmed from the program goes to Ryan Orgel and colleagues for the upcoming publication in Circulation Cardiovascular Quality and Outcomes journal. Noncentral Nervous System Systemic Embolism in Patients With Atrial Fibrillation Results From ROCKET AF (Rivaroxaban Once Daily, Oral, Direct Factor Xa Inhibition Compared With Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation) Ryan Orgel, MD; Daniel Wojdyla, MS; David Huberman, BS; Jonathan L. Halperin, MD; Günter Breithardt, MD; Daniel E. Singer, MD; Keith A.A. Fox, MBChB; Graeme J. Hankey, MD; Kenneth W. Mahaffey, MD; W. Schuyler Jones, MD; Manesh R. Patel, MD.

Clinic Corner: VA PRIME

Contributed by Leigh Wynkoop, MHS, PA-C

PRIME is welcoming our newest preceptor – Dr. Genevieve Embree. A graduate of MIT, she attended Duke Medical School and then went to UNC for residency in Internal Medicine & Preventive Medicine. She will be precepting on Friday afternoons and is taking on Dr. Rakley’s K team. She spends her time away from work with her husband Stephen and sons Guenther (age 3) and Russell (age 1). Welcome, Dr. Embree!

Meanwhile, congratulations to Dr. Susan Rakley on her retirement from the Durham VAMC after 14 years as a PRIME preceptor and 25 years as a VA physician. She will still be here precepting on occasion when attendings are out of town, so happily she will still be around (after she gets married later this month!).

We have a new MSA at the front, Taylor Forrest. She is not assigned to any particular team but is here to assist all of PRIME. Welcome, Taylor!

We’re starting to see some of the departing residents have their last clinics in PRIME – we are so sorry to see you go but wish you the VERY BEST for your new adventures ahead. Keep in touch!

Also we’re making plans to welcome our interns for the coming year. We’ve started a “Thriving in PRIME” shared document in the PRIME RESIDENTS folder on the S drive, for people to give their sage advice about how to efficiently manage their PRIME duties; please share your wisdom.

Thank you for your continued efforts to complete every HEDIS reminder at every visit. Our weekly list of “uncompleted” ones continues to shrink. Use those reminders to document the work you did – for example, it’s obvious you may have talked about (and documented in your note) smoking cessation but didn’t complete the reminder, which can help guide your discussion with treatment options and serve as your documentation (and which is tracked as part of quality standards). These are evidence-based reminders and are national quality standards across organizations, not just at the VA.

VA Secretary Shulkin was at the Durham VAMC recently. Among his major initiatives are suicide prevention and IT/EMR upgrades. Suicide prevention for our Veterans has always been a high priority but VA wants to push Veteran suicides to zero. (So watch those HEDIS reminders!) A PRIME resident recently himself walked a patient to the PEC due to concerns for suicidality. That’s the kind of personal care we appreciate from all of you. Many of our Veterans have experienced things we would not want to imagine in our darkest moments and that can be a heavy burden for them to carry.

As always, our office door remains open so please feel free to share any thoughts/ concerns/ successes with us at any time.

From the Chief Residents

Morning Report and MGR: May 22-26, 2017
Date Topic Lecturer Time Location


Murat Arcasoy

7:15 a.m. DUH 8252

Case Presentation

Chidi Egwim to Ken Lyles

7:15 a.m.

DUH 8252


Knee Pain

Tracy Ray

7:15 a.m. DUH 8252

Valvular Heart Disease

Dr. Krasuski

7:15 a.m. DUH 8252

No Medicine Grand Rounds




Noon Conference: May 22-26, 2017
Date Topic Lecturer Time Location Lunch

MKSAP Cards/G Brief Session (MedRes Library)

Manesh Patel and Chet Patel

12:10 p.m. DUH 2002 Domino's

SAR Lecture Series: ABG Interpretation

Katrina Abril

12:15 p.m. DUH 2002



Gallops: Stump the Chump

Joe Govert, Eileen Maziarz, Tom Holland

12:15 p.m.

DUH 2003


QI Patient Safety Conference

Matt Atkins and Lish Clark

12:15 p.m.

DUH 2001

China King

Medicine Research Seminar

Anna Mae Diehl

12:00 p.m. DUH 2002 NOSH

From the Residency Office

Book Club

Please join us for the final Book Club event of the academic year, on Wednesday, June 7th from 5:30-7 p.m. in the Searle Center Faculty Lounge. We’ll be discussing an audience pick novel, A Man Called Ove, by Fredrik Backman.  It’s available at bookstores and online- and do remember you don’t have to finish the novel to attend, as long as you don’t mind some spoilers! There’s a film adaptation on Amazon Prime as well!

RSVP at your convenience to OR  As always, feel free to reach out with questions or suggestions, and share this information with friends. 

NC ACP Education Innovation Grant Program

In brief…

  • What: $2500 funding opportunity (2017-2018 NC-ACP Education Innovation Grant Program)
  • Why: People give you money to do what you want to do J (enhance the quality and effectiveness of health care, professional growth)
  • How: Complete an application (attached)
  • When: Submit a completed application to Dr. Arcasoy by JUNE 1, 2017

This NC ACP program began in 2014 and has already funded dozens of innovative projects at the various training sites across the state which have resulted in improvements in the delivery of medical education and/or patient care. The NC ACP hopes to support one educational innovation project per medical education training site from around the state with funding available up to $2500 per project.  Projects must include either a resident(s) of an internal medicine residency training program and/or a medical student(s) enrolled in a medical school within the state of North Carolina.

Of note, the NC ACP will consider only one submission from each training site. Dr. Arcasoy will coordinate a review committee to select the grant proposal that Duke will submit to the NC ACP for funding consideration. This is also a great opportunity for collaboration (e.g. peers, faculty, medical students, etc.) and we encourage it! The application seems straight-forward and not too onerous.


Duke Narrative Medicine Writing Evening

The first inaugural Duke Narrative Medicine Writing Evening will be held at the home of Dr. David Pisetskyon Friday, May 26 .  There is space for 8 residents to attend this event.

What you need to do: If you are interested, please email Erin Payne to let her know.  It will be first come, first serve, so if you would like to attend please sign up ASAP!  Our first writing prompt will be short and to the point.  Please submit a writing piece at least 72 hours prior to the event which follows the prompt guidelines.

Prompt: please write a short piece (500 words maximum) about an interaction in medicine that brought out a STRONG emotional reaction. Did you laugh?  Did you cry?  Did you fret endlessly?  Did you feel sorrow, or guilt, or regret?  How about joy, elation, pride?  If you have felt one of those things, then you can write this piece!  Please write it in first person, and base it off of a true event you have experienced.

What will happen at the writing evening: we will all receive our pieces from each other in advance (at least 3 days prior to the event), and be allowed to read and critique the pieces.  Then, we will all meet at Dr. Pisetsky's house for appetizers, drinks, and discussion about our pieces.


Resident Wellness Initiative Grants

We are pleased to announce a new funding opportunity entitled “Resident Wellness Initiative Grants” for resident-led, innovative projects dedicated to promote the well-being of our residents which is of utmost importance to our Program and Duke family. 

The proposed innovative initiatives will promote and preserve Internal Medicine resident physician wellness by building skills to handle the challenges and the pace of the current healthcare environment, while continuing to provide quality care to patients.

  1. Two awards each $2,500/project will be funded.
  2. Funding start date is July 1, 2017.
  3. Each proposal must be led by one or more SARs (current JARs) during the 2017-2018 academic year. Extension of funding may be requested next year beyond June 30, 2018.
  4. Teamwork is encouraged to include JARs and incoming interns and multiple SARs may lead one project.
  5. Faculty sponsor/advisor may be recruited but not required.
  6. Additional funding for a larger award may be available depending on the level of interest and budgets of the project(s). The award committee will review and make a decision on each proposal.
  7. The 2-page proposals are due on June 1, 2017 for review by an award selection committee.
  8. Applications forms are attached.

For any questions, please contact


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

  • May 26 - Duke Narrative Medicine Writing Evening

  • June 1 - Resident Wellness Initiative Grant Application Deadline

  • June 3 - SAR Dinner

  • June 6 - Faculty v. House Staff Basketball Game

  • June 7 - Book Club

  • June 10 - End of Year Picnic

  • June 30 - Medicine Grand Rounds: Dr. Klotman's final State of the Department