Internal Medicine Residency News, Nov. 20, 2017

Monday, November 20, 2017

From the Director

It’s almost here! Turkey bowl, and the post-bowl residency gathering! Secret plays are being drawn up. T-shirts are ordered. Smack is being talked. Looking forward to a fun and injury-free Thanksgiving day game with you all.

Our very big thanks from the entire program to Dr. Chris Hostler for organizing and to Dr. Steven Pappas, Major Thomas W. Payne II, Dr. Jon Andrews, and MSG Aaron Wood for sharing their stories with us in a phenomenal Veteran’s Day noon conference.  We all learned a tremendous amount from you, and thank you for your candor, bravery and time.

We are finally ready to send out the signups for semi-annual evaluations with Bill Hargett and me. Please take time to read the information and we look forward to meeting with each of you! 

Kudos

Kudos this week to Nicole Pristera for a fantastic chair’s conference for the applicants, to Wynn Hunter for his great case presented at applicant afternoon report, to our My-Taker’s Austin Wesevich, Dan Turner, Caroline Sloan, Jessica Regan, Corey Bradley, and Dan Maselli and our tour guides Zach Il’Giovine, Tamara Saint Surin, Irena Tan, Claire Smith, Dan Turner, Mimi Xu , Sipa Yankey , Dan Maselli, and Jessie Gu.  Thank you from Tessa Genders to Tara Holder for covering the MICU so Tessa could hear her husband MSG Aaron Wood present at conference.  More kudos to Nick Kamp and Alie Mara from Ankeet Bhatt for crushing it on Duke Gen Med, to Chris Pumill and Melodi Whitley from Dr Kevin Gurysh in the ED for outstanding work by Chris caring for a very sick patient and for Melodi taking care of the rest of the B Pod while the ED was busy with Chris’ patient, to Marge DeOliviera from Tamara Saint Surin for going above and beyond in the care of her patient on Duke Gen Med, (belated) to Adrian Randall from Yusuf Zafar for fantastic patient centered care, including staying late to wait for a family member, to Kyle Guerink from Jason Webb for advocacy, great handoffs and excellent patient care, to Marge DeOliviera and Sheila Sherzoy from David Sterken for making his time covering on Gen Med so seamless, and to Kevin Smith from Paresah Roomiany at DRH for phenomenal teamwork and patient care, and to Juan Magana from Alex Sullivan for his amazing compassion and humanism when caring for patients.

Congratulations to Duke IM alum and next year’s DRH chief Winn Seay – Winn married anesthesia resident Theresa Crowgey this weekend! A beautiful wedding and great dukefam reunion! And congratulations to Joy Bhosai on her engagement!!

Also WAY TO GO Everyone! We raised $840 for our Thanksgiving food drive! SO proud of you all!!

PubMed from the Program

Dr. Arcasoy just sent me a huge list of recent publications by our graduates! Check out this “SuperSize” edition of Pubmed from the Program!

Platelet-related biomarkers and their response to inhibition with aspirin and p2y12-receptor antagonists in patients with acute coronary syndrome. J Thromb Thrombolysis. 2017 Aug;44(2):145-153. doi: 10.1007/s11239-017-1516-Lowenstern A, Storey RF, Neely M, Sun JL, Angiolillo DJ, Cannon CP, Himmelmann A, Huber K, James SK, Katus HA, Morais J, Siegbahn A, Steg PG, Wallentin L, Becker RC; PLATO Investigators.

J Thromb Thrombolysis. 2017 Aug;44(2):145-153. doi: 10.1007/s11239-017-1516-y. J Pain Symptom Manage. 2017 Jun;53(6):1079-1084.e1. doi: 10.1016/j.jpainsymman.2017.02.014. Epub 2017 Apr 27. Comparing the Palliative Care Needs of Those With Cancer to Those With Common Non-Cancer Serious Illness. Bostwick D1, Wolf S2, Samsa G2, Bull J3, Taylor DH Jr4, Johnson KS1, Kamal AH5.

Suboptimal HIV Testing Among Patients Admitted With Pneumonia: A Missed Opportunity. AIDS Educ Prev. 2017 Aug;29(4):377-388. doi: 10.1521/aeap.2017.29.4.377. Clifton DC1, Clement ME2, Holland TL2, Cox GM2, Dicks KV2, Stout JE2.

Open Forum Infect Dis. 2017 Jun 6;4(3):ofx120. doi: 10.1093/ofid/ofx120. eCollection 2017 Summer. Incidence, Long-Term Outcomes, and Healthcare Utilization of Patients With Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome and Disseminated Mycobacterium avium Complex From 1992-2015Collins LF1, Clement ME2,3, Stout JE2.

J Am Heart Assoc. 2017 Oct 24;6(10). pii: e007122. doi: 10.1161/JAHA.117.007122. Impact of Regional Systems of Care on Disparities in Care Among Female and Black Patients Presenting With ST-Segment-Elevation Myocardial Infarction. Hinohara TT1,2, Al-Khalidi HR1,2, Fordyce CB1,2, Gu X2, Sherwood MW1,2, Roettig ML2, Corbett CC3, Monk L2, Tamis-Holland JE4, Berger PB5, Burchenal JEB6, Wilson BH7, Jollis JG8, Granger CB9,2

J Invasive Cardiol. 2017 Nov 15. pii: JIC20171115-3. [Epub ahead of print] Lower Repeat Revascularization Rates Among Patients With Prior Coronary Artery Bypass Graft Surgery are Due to Lack of Adequate Target Vessels. Kumar A1, Wagener JF, Wojdyla D, Jones WS, Patel MR, Rao SV.

Am J Kidney Dis. 2017 Oct;70(4):541-550. doi: 10.1053/j.ajkd.2017.04.022. Epub 2017 Jun 21. Acid Load and Phosphorus Homeostasis in CKDKhairallah P1, Isakova T2, Asplin J3, Hamm L4, Dobre M5, Rahman M5, Sharma K6, Leonard M7, Miller E 3rd8, Jaar B9, Brecklin C10, Yang W11, Wang X11, Feldman H12, Wolf M1, Scialla JJ13; Chronic Renal Insufficiency Cohort (CRIC) Study Investigators.

AIDS Care. 2017 Oct 3:1-6. doi: 10.1080/09540121.2017.1384534. [Epub ahead of print] An educational initiative in response to identified PrEP prescribing needs among PCPs in the Southern U.S. Clement ME1,2, Seidelman J1, Wu J3, Alexis K4, McGee K1, Okeke NL1, Samsa G3, McKellar M1.

Infect Control Hosp Epidemiol. 2017 Jun;38(6):747-749. doi: 10.1017/ice.2017.32. Epub 2017 Mar 13. Using Clinical Scenarios to Understand Preventability of Clostridium difficile Infections by Inpatient Antibiotic Stewardship Programs. Seidelman J1, Dicks KV2, Durkin MJ3, Baker AW2, Moehring RW2, Anderson DJ2, Sexton DJ2, Chen LF2, Lewis SS2.

Have a great week and happy Thanksgiving!

Aimee

 

Clinic Corner: PRIME

Contributed by Sharon Rubin

Hi everyone -

I wanted to take a moment to introduce you to Alicia Watkins,  our new pharmacist that has joined our team in PRIME. Alicia grew up in Utah and completed her undergraduate and pharmacy studies at the University of Utah in Salt Lake City, UT. Following pharmacy school, she completed a year-long pharmacy practice residency with UNC in eastern North Carolina followed by a second year specialty residency in Geriatrics at the Durham VA HCS. She is excited to be working with patients in PRIME Med Management Clinic and will also be assisting with PRIME HEDIS metrics and population management via phone interventions.

PRIME Med Management Clinic is available on Mon. and Tues. morning and Wed all day. Patients can be referred to Med Management clinic for conditions such as hypertension, hyperlipidemia, hyperthyroidism, etc. to assist with getting patients to their goals, changing/ordering medications, and ordering or following up on labs as appropriate. Patients may also be referred for assistance with medication adherence problems. You can place an order for PRIME pharmacy under the Primary Care Screen Quick text orders, option #4.
List of possible reasons for referral:

  • chronic disease state management (DM, HTN, HLD, COPD, smoking cessation, etc.)
  • shared medical appointments (group visits)
  • clinical questions and drug information resource
  • assistance with the VA formulary
  • transitions of care/medication reconciliation
  • identification of high risk patients from panel/population management using VSSC and other reports
  • educational in-services

Please stop by and introduce yourself when you are next in PRIME clinic. 

Susan Bullard, who has been our clinical pharmacist since PRIME's inception, is transitioning to a leadership role in Pharmacy and therefore will not be our PRIME pharmacist anymore - but we will be happy to still see her around and wish her the best in her new position. She will be missed!

Sonal & Leigh

From the Chief Residents

 
 
Morning Report and MGR: Nov. 20-24, 2017
Date Topic Lecturer Time Location
11/20/17

CKD

Julia Scialla

7:15 a.m. DUH 8262
11/21/17

Thyroid Disorders

Matt Crowley

7:15 a.m.

DUH 8252

11/22/17

Case Presentation

Gilbert Acevedo to Harvey Cohen

7:15 a.m. DUH 8252
11/23/17

Thanksgiving - No Report

 

   
11/24/17

No Medicine Grand Rounds

 

   

 

Noon Conference: Nov. 20-24, 2017
Date Topic Lecturer Time Location Lunch
11/20/17

Medicine Interviews

 

12:10 p.m.

DUH 8252 Panera
11/21/17

Nephrology Review

Dinushika Mohottige

12:10 p.m. DUH 2002

Domino's

11/22/17

Stroke or Intern Only De-Brief

Jodi Dodds or Tony Galanos/Vicki Leff

12:10 p.m.

DUH 2002
DUH 8262

Guasaca
11/23/17

No Conference - Turkey Bowl + Thanksgiving

 

 

 

HOLIDAY
11/24/17

No Conference

 

 

 

HOLIDAY
 
 
Duke Gen Med Conference Schedule: Nov. 20-23, 2017
Date Topic Lecturer Time
11/20/17

Resident Report - Case Report with Interviewees

Signouts

Aimee Zaas, Dave Simel, Ankeet Bhatt

Joseph Rogers

1:15 p.m.

6:30 p.m.

11/21/17

SAR Report - DUH 8252

Megan Dupuis to Joe Govert

1:15 p.m.

11/22/17

SAR Report - DUH 8252

Intern Report 

David Beavers to Aimee Zaas

Martin Weiss and Kathryn Hutchins to Joseph Rogers

1:15 p.m.

3 p.m.

11/23/17

Holiday - No Presentations

 

 

From the Residency Office

 
 
Check out The Scope

The Scope is a weekly newsletter that goes out on Fridays and summarizes the best evidence-based medical research from the week in a few fun and easy-to-read sentences. You can check out this weeks email below and people can sign up, see prior issues, and learn more about it at www.medicinescope.com.

 
2018 Duke Health Annual Quality and Safety Call for Abstracts

All interested Duke Health and Duke affiliated health care professionals, including GME trainees and Duke Health professions students, are invited tosubmit projects for the poster session. 

The deadline for all abstract submissions is Mon., Nov. 27, 2017 by 5 p.m.

Abstracts may be submitted at this link: 2018qualityconferenceabstractsubmissionsite

For any questions, do not hesitate to reach out to Jonathan Bae, Cindy Gordon, or Margaret Sturdivant.

 
Faculty-Resident Research Grant

The applications are due on April 8, 2018 for a funding start date on July 1, 2018.

For JARs, the funding end date is June 30, 2019. For Interns, the funding end date is June 30, 2020.

Attached 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 2018. Please also find attached scholarship opportunity calendar for this academic year 2017-2018

For any questions, or to discuss mentorship and research project opportunities please contact murat.arcasoy@duke.edu

 
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

  • Nov. 23 - Turkey Bowl!

  • Dec. 7 - Res-teering: One Table: A World Relief Refugee Community Potluck Dinner

  • Dec. 9 - Department of Medicine Holiday Party