Internal Medicine Residency News, Sept. 16, 2019

Monday, September 16, 2019

From the Director

This week we have a group of visiting educators from Stanford University’s Internal Medicine Residency Program – we look forward to learning from them and to showing them many of the great things that are happening in our own program.  They will be joining us for various conferences and reports, as well as on rounds and at the DOC and Pickett clinics – please be sure to give them all a warm welcome to Duke!

This week we also have our first “Division Night!” at Thirsty Thursday – thank you to Hospital Medicine for sponsoring Thirsty Thursday at Northern Spy.  Hope to see a big crowd decompressing after work with the fantastic attendings from Hospital Medicine!

Are you interested in being a better writer? Do you want to work on narrative medicine? Please join Dr. Frank Neelon and colleagues for a wonderful new opportunity, La Pluma: A Narrative Essay Writing Group. Our first meeting for informational purposes, is scheduled for Wed, Sept. 18 at 5:30 p.m. in Seeley Mudd 212C. This group will be comprised of learners of all levels (students, trainees and faculty), and sounds like a fantastic opportunity to work with a committed group to enhance your narrative medicine skills.

Kudos
Kudos this week go to Jess Regan for her SAR talk, as well as Michael Burt from Charis Davis, RN (8300) for excellent communication with the nurses overnight while on NF, and from Lara Hayes to Dennis Narcisse for jumping in TWICE to help a busy colleague place a line even though he was trying to get out for an interview dinner (and notably barely beating out Matt Carlisle who was also rushing in to help out). To Dennis also going above and beyond and making coffee for the call teams when he went in for sign out, bringing Taylor a Cook Out milk shake for MICU call, and offering to take extra days of sign out. Kudos to Nick Ashur for doing an amazing job with his promotion to VA CCU, to Ahmad Mourad for jumping in to make coffee for his co-residents to have in report while the ACR was interviewing, to Sean Chen and Sunny Chung for bringing up an important VA safety issue about the needle stick protocol that is leading to policy changes, to All the SARs who have been doing excellent teamwork to make sure patient's get excellent care and everyone can get to interviews, and to Caroline and Jared for being awesome and offering to take extra sign out days even though they were so busy!

PubMed from the Program
This week’s pubmed from the program goes to Jess Regan and Bryan Golubski (with residency alums Liz Gilbert and Brian Sullivan) as well as senior author Suchita Sata for their recent publication Am J Med. 2019 Jul 29. pii: S0002-9343(19)30605-9. doi: 10.1016/j.amjmed.2019.07.018. [Epub ahead of print] Glycogenic Hepatopathy Causing Elevated Lactic Acid and Liver Enzymes. Regan JA1, Golubski B1, Gilbert EB2, Sullivan B3, McCall SJ4, Sata SS5.

If you recall, Jess presented this patient at a Chair’s Conference last year. Cases you prepare for Chair’s Conference are great opportunities to submit to the NC ACP and to write up as case reports!  A call for posters for the NC ACP will come out this week, so please consider submitting!

Have a great week!
Aimee

Clinic Corner: PRIME

Contributed by Sonal Patel and Leigh Wynkoop

PRIME staffing updates: LPN Scott Thomas is now fully on board and working with Michelle Dunlap and Cece Hamlett on the LPN team. New RN Lia Bertolaccini is assisting in PRIME sometimes (also is assigned to Women’s Health Clinic). Please welcome them both.

Construction update: Don’t forget everybody needs to be out of exam rooms by 4:30 p.m. We can move your patient to an LPN check-in room before then for you to finish your visit. You’re welcome to continue charting in the precepting room after 4:30.

Flu shots will be rolling out soon.  If a patient refuses a flu shot for the LPN on check-in, the LPN will leave the reminder in for you to complete. Please have another conversation to try to persuade them to be immunized.

“Clinical decision aid” black binders are available in the hall mailboxes – grab one before your clinic every day and return it at the end. LOTS of guideline-based goodies, including VA formulary drugs!

Good luck to all those in the midst of fellowship interviews!

From the Chief Residents

 
 
Morning Report and MGR: Sept. 17-20, 2019
Date Topic Lecturer Time Location
9/17/19 Depression Dr. Williams 7:15 a.m.

DUH 8253

9/18/19

Case Presentation with Stanford Chiefs

David Elliot with Stanford Chiefs 7:15 a.m.

DUH 8253

9/19/19

Vaginal Disorders

Dr. Muasher 7:15 a.m. DUH 8253
9/20/19

Medicine Grand Rounds: The Surprising Results from a Multi-center RCT of the First Personalized Acute Care Decision Aid—and the Real Story About End of Life Care in Duke ICUs

Christopher Cox, MD 8 a.m. DUH 2002

 

Academic Half Day: Sept. 20, 2019
 
Thread Topic Lecturer Time Location
Rheum/Renal/Endo

Gout

PCOS/Hypogoadism

Sophia Weinmann

Ali Qamar

9:15 a.m.

10:30 a.m.

VA NG032
ID/GI/GIM

Atypical Infections and Zoonoses

HIV/STD's

Micah McClain

Kristen Dicks

9:15 a.m.

10:30 a.m.

VA PRIME Conference Room
Card/Heme/Pulm/Onc

PE Management

Pulmonary Hypertension Overview

Talal Dahhan

9:30 a.m.

VA C8016

 

Noon Conference: Sept. 16-20, 2019
Date Topic Lecturer Time Location Lunch
9/16/19

Battle of the Boards: Rheum/COPD Navigator Update

Brian Andonian

12:10 p.m.

DUH 2002

Domino's

9/17/19 Chair's Conference

Kim Darlington

12:10 p.m.

DUH 2002

Sazon

9/18/19 Visiting Professors  Stanford Leadership

12:10 p.m.

DUH 2002

Subway
9/19/19 Fun Lunch --

12:10 p.m.

DUH 2001

Popeye's
9/20/19

Pancreatitis

Darsh Kothari

12:05 p.m.

DUH 2002

Mediterra
 
 
Duke Gen Med Conference Schedule: Sept. 16-19, 2019
Date Topic Lecturer Time
9/16/19

SAR Report 

Orientation

1:15 p.m.

9/17/19

SAR Report - DUH 8262

Intern Report 

Becca Lumsden to Joe Govert

Dr. Middleton

1:15 p.m.

3 p.m.

9/18/19

SAR Report 

Mark Robertshaw to Aimee Zaas

1:15 p.m.

9/19/19

QI Report

Intern Report - Respiratory Failure

Joel Boggan and Lara Hayes

Jenny Van Kirk

1:15 p.m.

3 p.m.

From the Residency Office

8th Annual Stead Tread 5K 
The 8th annual Stead Tread will be held on Saturday, Oct. 26, 2019 at 9 a.m. on the American Tobacco Trail (starting at Solite Park in Durham). Please visit the Stead Tread 2019 website (http://www.steadtread.org) for important race information, to securely register ($30), or to make a donation. Early Bird Registration: Save $5 if you register by September 29th ($25).

Now Accepting Applications for Global Health Elective Rotations
The Hubert Yeargan Center for Global Health (HYC) is now accepting applications for Global Health Elective Rotations for July 2020 and January and March 2021. Deadline for applciations is Sept. 30.

Application is open to Duke Residents from the Departments of Medicine and Pediatrics: Internal Medicine (PGY 2); Med-Peds (PGY 3); Med-Psych (PGY 4); Pediatrics (PGY 2), Family Medicine (PGY 2).

The application is available at https://dukeglobalhealth.org/programs/Clinical-Rotations-Abroad

For more information, contact Corrie Walston, Program Coordinator at corrie.walston@duke.edu or 668-5976.

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 

  • Sept. 17 - Happy Hour with guests from Stanford University
  • Sept. 18 - La Pluma: A Narrative Essay Writing Group
  • Sept. 19 - Thirsty Thursday with Hospital Medicine
  • Sept. 30 - Deadline for Short-term Global Health Rotations (JARS)
  • Oct. 26 - Stead Tread 5K