Internal Medicine Residency News, Sept. 27th, 2021

Monday, September 27, 2021

CHIEF TAKEOVER! GET HYPE!

When the boss is away, the chiefs get to give out all the kudos and tacos! We are off to the races in Block 4 and we want to keep up all the energy and good vibes that have been buzzing around the hospital. Glad to see many of you at the recent Town Hall and appreciate all the awesome feedback! Make sure to keep supporting your co-residents and colleagues with not just Slack #tacos but the new THANKSRx app to give kudos across all GME programs! Our residents are the best, so let's show that off! We are working on options to get nurses and other staff added, but in the meantime please don’t hesitate to send along kudos to us or nursing and other staff supervisors to keep the good vibes rolling!

If you’ve spotted the chiefs sipping pumpkin spice lattes in Regan’s office, then you know that means one thing -- fall is here (#PSL)!! But more importantly, we are less than 1 week until DOCTOBERFEST kicks off! We are spicing it up this year and will have special DOCTOBERFEST treats in the MedRes Office every day during the month. Come get to know our awesome staff who support this program so much! We are going to have some awesome giveaways, trivia, contests, and maybe even some special candy basket surprises. Details to come. GET HYPE.

And Stead Tread is right around the corner - Chalupas to Ryan Duffy and all the members of the planning committee! Make sure you register here before Friday 10/1 to get in at the $5 discounted rate! 

Next up - recruitment! We can’t believe our first interview day to start recruiting next year’s interns is just over 1 month away! Interns, the time to hand over the pager duties will come soon enough! Be on the lookout for recruitment emails and how to be involved.

Dr. Zaas, the Chiefs and our awesome staff have joined a #HealthPact and we are committing to exercise even with busy schedules. Join us! If you Peloton, come ride with Chiefs and Z on Monday and Friday AMs! #DukeIMFam. If you don’t Peloton, we can still get you hype at 6 AM!

Kudos
Kudos to Peggy Sahu, Harsh Patolia and Tingrui Zhao from the chiefs for taking care of each other and #Dukefam and crushing it on a  busy VA CCU shift, to Michael Burt for an excellent SAR talk, the second time around #Legend, to Emory Buck for a fantastic Cohen Conference, to Sam Curtis from ED attending Lindsey White, to Chris Lucarelli from Neuro resident Dylan Ryan, to Johnathan Kusner from Matt Abbott for discharging like a boss at DRH, to Sam Rauch from Sarah Morgan for being a great SAR on Duke Gen Med, to Saad Atiq, Andrew Andreae and Megan Barrett from Nathan Hirshman for helping coordinate the care of our veterans, to James Helzberg and Emory Buck from Sean Taasan for helping an interview day go more smoothly, to James Helzberg from J.R. Peacock for being a team player at Pickett, to Daniel Bernstein and Emilio Guzman Cisneros from Nijat Aliyev for being great JARs on VA GenMed - with some right back ‘atcha tacos for Nijat, to David Bader and Courtney Dominguez from Sachi Oshima for rockstar level work on VA GenMed to Hannah Schwennesen from Aaron Hein for excellent recognition of a ill patient at sign out on Duke GenMed; to Colin Smith from Alex Cho for volunteering at a community vaccination event when they were short staffed (80 shots given!), and kudos to Stephanie Reyes from Dr. Lisa Pickett from a patient she cared for in the ED.

PubMed from the Program (#DUKEFAM New and Old)
The week’s PubMed from the Program highlights our stellar residents (and alum) with abstracts accepted at the 2021 American College of Gastroenterology Conference (Nancy is so proud):

  • “Patient Factors Associated With Oral Feeding Within 1 Day of Admission for Acute Pancreatitis in a Large Multihospital Health System” Aaron M. Hein MD, Neesha Nama MD, Sandra Au, Jared Gloria MD, Courtney M. Richman MD, Alice Parish, MSPH, Donna Niedzwiecki PhD, Alyson McGhan Johnson MD, Joshua P. Spaete MD, and Darshan Kothari MD
  • "Sexual function and health in patients with primary sclerosing cholangitis" James H. Helzberg MD, Jackie B. Henson MD, Andrew J. Muir MD. 
  • "Same Admission Cholecystectomy for Patients Admitted With Acute Gallstone Pancreatitis: Testing a Hospital-Based Quality Metric" Neesha Nama MD, Aaron M. Hein MD, Sandra Au, Jared Gloria, MD, Courtney M. Richman, MD, Alice Parish, MSPH, Donna Niedzwiecki, PhD, Alyson McGhan Johnson MD, Joshua P. Spaete, MD, and Darshan Kothari MD.
  • “Small Bowel Adenocarcinoma After Bariatric Surgery: A Case Report” Joseph Wawrzynski MD, Kara Wegermann MD, Amanda Boyd MD, and Melissa Teitelman, MD.
  • “Colorectal Cancer Screening: Quality Improvement and Education at a Resident-led Clinic.” Melanie N. Cabezas, Rachael E. Mahle, Nancy Yang, Diana M. Mosquera, Pooja Patel, Sukrit S. Jain, Joel Boggan, Lynn A. Bowlby, Brian Sullivan.
  • “Family History Screening Tool Reveals Gaps in Colorectal Cancer Screening and Surveillance.” Song EJ, O’Connell BM, Sullivan BA, Myers R, Rakhra-Burris T, Parish A, Niedzwiecki D, Wu RR, Orlando LA, Garman KS.

Remember - every day is an opportunity to be legendary. Keep crushing it!  #MakeResidencyGreatAlways

-Chiefs

Clinic Corner: Ambulatory

Contributed by Daniella Zipkin

Continuity Clinic Survey
Be on the lookout in October for a survey to give us feedback about your continuity clinic experience, which will launch in MedHub.

 Ambulatory Threads updates
Interns and JARs on the 4+2 schedule have Ambulatory Threads in most of their +2 blocks, bundles of clinical subspecialties where you can gain some continuity with certain attendings over the course of six month, then switch mid-year. As we emerged from phase I of COVID disruptions, many changes occurred in the sub-specialties regarding clinic scheduling and logistics, and this has affected the threads. We’ve drawn on some GIM opportunities such as obesity clinics to fill in gaps as a result. As we step back and reevaluate the status of each division in post-COVID times, it’s clear that adjustments are needed. We will be working on a re-shuffling of the thread combinations to better distribute clinic availability and bolster your clinical experiences. These changes will go into effect in July 2022. In the meantime, we appreciate your patience and as always we welcome your feedback!

 The 2021 launch of the Advocacy in Clinical Leadership Track
The Advocacy in Clinical Leadership Track (ACLT) has gotten rolling for the year, starting this block. Founded in 2012, the ACLT is an elective track for second and third year residents which focuses on health policy and advocacy. Residents come together during ambulatory clinical time, with weekly academic seminars on Friday afternoons. Participating in the ACLT does not change the length of training, though it may conflict with some other elective opportunities. The curriculum includes:

  • Advocacy and health policy seminars given by faculty in government relations and health policy throughout the year, covering topics such as the legislative process, public health insurance structure, health finance, policy regarding social drivers, how to make a pitch, and more.
  • Advocacy trip in the spring to either Washington DC or Raleigh, NC, alternating years. Residents create a platform based on issues they wish to address as a group and meet directly with lawmakers at the state and national level to present their views.
  • Seminars in leadership and career planning

Current ACLT residents are:

SARs – Sunny Chung, Hayley Cunningham, Ryan Duffy, Hannah Florian, Sea Bass Franco, Ryan Keane, Amber Meservey, Karina Mora Massad, Neesha Nama, Chelsea Perfect
Med Psych – Alyssa Stavig, Gregg Welty, Ryan Slauer
JARs –Emilio Guzman Cisneros, Shannon Herndon, Sarah Moserowitz, Allison Taylor, Monroe Wolf, Audrey Zhang

Applications will be distributed in November, and due at the beginning of January. Please email Dani Zipkin with any questions!

Med Res Team Office Calendar

 

From the Chief Residents

 
 
Morning Report: September 28-30, 2021 via Zoom
Date Topic Lecturer Time Location
09/28/21

Menopause

Dr. Moreno 7:15 a.m. Zoom
09/29/21 Smoking Cessation Dr. Davis 7:15 a.m. Zoom
09/30/21 PMR/FM Dr. Criscione-Schreiber 7:15 a.m. Zoom

 

Academic Half Day: October 1st, 2021 
 
Thread Topic Lecturer Time Location
Rheum/Renal/Endo/ID/GI/GIM

SpA & Non-inflammatory back pain

CKD 2

Dr. Apte

Dr. Smith

9:00 a.m.

10:30 a.m.

VA Surgery Conference Room C5010
Card/Heme/Pulm/Onc

PAD

Hematology-Thrombocytosis and Thrombotic Disorders

Dr. Swaminathan

Dr. Fager

9:00 a.m.

10:30 a.m.

VA Medicine Conference Room C8016

 

Noon Conference: September 27-October 1, 2021
Date Inpatient Topic on Zoom Lecturer Time Location Lunch
09/27/21 SAR Talk: Approach to Anemia Dr. Florian 12 p.m.

Zoom/in-person

Secrets Pho & Noodles

09/28/21

Medicine LEADS: Women in Medicine: Equity, Intersectionality, and Belonging at Duke

Pamela Douglas, MD
Professor of Medicine (Cardiology)
Ursula Geller Distinguished Professor for Research in Cardiovascular Disease, in the School of Medicine

Dinushika Mohottige, MD, MPH
Medical Instructor (Nephrology)

Panelists: Camille Frazier-Mills, MD, MHS; David Kirsch, MD, PhD; Amber Graham, MD

12 p.m.

Zoom/in-person

Happy + Hale

09/29/21

QI Conference

Drs. Burt and Boggan 12 p.m.

Zoom/in-person

Itaewon
09/30/21

Cohen Conference

Dr. Buck 12 p.m.

Zoom/in-person

Mediterra
10/01/21 Medicine Grand Rounds: The Alpha Cell and Glucagon: Digging Deeper into Diabetes

Jonathan Campbell, PhD
Associate Professor of Medicine (Endocrinology, Metabolism, and Nutrition)
Assistant Research Professor, Department of Pharmacology and Cancer Biology
Associate Research Professor, Department of Pharmacology and Cancer Biology
Member, Duke Molecular Physiology Institute

12 p.m.

Zoom

Chick-fil-A

 

 
 
Report Conference Schedule: September 27-30, 2021 
Date Topic Lecturer Time
09/27/21

VA JAR CAT - held in 2253

MS2 Report - held in 8626

Dr. Simel with Dr. Rauch

Faculty

 

1:15 p.m.

2:30 p.m.

09/28/21

VA JAR Case Report

VA Intern Case Report

Duke SAR Report - held in 2253 

 

Dr. Egbonim

Dr. Cooney

Dr. Barr with Dr. Govert

11:00 a.m.

2:00 p.m.

1:15 p.m.

09/29/21

VA JAR CAT

QI Conference

Duke SAR Report - held in 8262

Dr. Batch with Dr. Broderick

Drs. Burt and Boggan

Dr. Wawrzynski with Dr. Zaas

11:00 a.m.

12:00 p.m.

1:15 p.m.

09/30/21

VA JAR Leadership

VA Intern Case Report

ACR Equity Report - held in 2253

MS2 Teaching

Dr. Caputo

Dr. Kercheval and Dr. Kime

 

Faculty

11:00 a.m.

1:30 p.m.

1:15  p.m.

2:30 p.m.

From the Residency Office

Now Accepting Applications for Global Health Elective Rotations
The Hubert-Yeargan Center for Global Health (HYC) is now accepting applications for eight week Global Health Elective Rotations for July 2022, January 2023 and March 2023. (Please note that while we hope rotations can begin in July 2022, we continue to monitor pandemic conditions at home and abroad and will schedule/modify rotations in coordination with Duke Travel/GTAC and Program Directors.)

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), Neurology (PGY 3) and Radiology (PGY 4). Click here for the application.

For more information, contact Corrie Walston, Program Coordinator at corrie.walston@duke.edu or 919-306-6032 (cell).

Academic Hospital Medicine Fellowship Opportunity
Northwestern University’s Division of Hospital Medicine is now accepting applications for their Academic Hospital Medicine Fellowship. This two-year fellowship is designed to provide advanced training to junior hospitalists to launch them into successful academic careers. The program includes formal training, mentorship, and a capstone project. Each fellow receives protected time, ranging from 25-75%, as they focus their training in 1 of 3 areas: Quality Improvement, Medical Education, or Health Services and Outcomes Research. More information is available on our fellowship website. Interested residents should feel free to reach out to Dr. Kevin J. O'Leary directly and can complete the application here.

Action Collaborative on Preventing Sexual Harassment in Higher Education

Duke University is cohosting the third annual public summit of the National Academies’ Action Collaborative on Preventing Sexual Harassment in Higher Education. President Vincent Price will give the opening remarks, and Provost Sally Kornbluth will close the event with final remarks. Registration is free to attend the online event.

When: October 12-13, 2021
Register: https://nas.swoogo.com/acpublicsummit2021/1399428

Participation is open to all students, staff and faculty across higher education institutions, as well as members of the public who wish to contribute to the discussion. See the agenda and register now. Join Duke and the larger educational community in this important conversation!

2021 Stead Tread 5K Fun Run/Walk
You are invited to sign up to participate in the annual Stead Tread 5K fun run/walk on Saturday October 16th at 9:00 AM on the American Tobacco Trail in Durham.

We will start and finish the race at Solite Park and will have an award ceremony and hang out afterward. 100% of the proceeds from this race benefit Lincoln Clinic, which provides health care to the medically underserved population of Durham. Lincoln has been a huge asset to Durham for decades, but especially over this past year. So, I hope we can pitch in to raise money to help them out and show how much they are appreciated.  If you want to help but can’t participate in the race for whatever reason, you can help in other ways, just ask how you can get involved!

Registration is $30 (if you sign up before October 1st) which includes a fashionable T-shirt as well as race day snacks. Please invite your friends, significant other, and anyone else who might join. There will be prizes for:

  • Five fastest runners

  • Fastest Lincoln clinic patient

  • Fastest housestaff

  • Fastest faculty

  • Fastest runners under 12 years old

  • Most creative outfit

Please email Ryan Duffy if you have any questions or concerns ryan.duffy@duke.edu.

Our Wellbeing

The Department of Medicine is keeping an updated list of wellbeing resources during this extraordinary time. Click here for more information.

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/