From the Director
Today is our first ever joint noon conference with Wake Forest and UNC residents! We are looking forward to learning about and discussing health disparities and clinician challenges when taking care of patients with COVID-19 in North Carolina. Please see your email for a preview of the cases for discussion and also the zoom link to join in. Please note that this conference starts at noon.
We also have an awesome lineup of other noon conferences and reports this week so look forward to seeing you there. Please also see the email from Tim Hopper about the meeting of the Narrative Medicine group – did you know this group started over 5 years ago with a GME Innovations Grant submitted by Duke residency legends Amy Little Jones (now Heme Onc Asst PD at UTSW), Lakshmi Krishnan (now IM and Humanities/English Dept faculty at Georgetown) and Dinushika Mohottige? We are so happy to see the group continue to thrive each year.
SARs – we are working on creating quiet and convenient places for you to interview for fellowship, if you choose to interview at the hospital – please see the signup that Hannah sent out so that we can ensure this goes smoothly for all. Many thanks to Anton Zuiker and Elizabeth McCamic for helping us make this happen.
Brand new MS2’s start on Gen Med tomorrow! Let’s be sure to make their introduction to the wards one that is welcoming, educational, team-work oriented and reminds them that IM is the BEST field!
Check out the amazing VA workrooms (more photos below)! Huge thanks to Dr. Cooney for inspiring the “Great Workroom De-Cluttering and Cleaning” – results are super impressive. More thanks to Dr. Cooney for providing a celebratory dinner to the VA teams and to Dr. Simel for arranging for new art for the workroom walls!
Kudos
Kudos this week go to John “JT” Tanaka from Jasmine Harvey (Case Manager) for fantastic communication about patients, to Seabass Franco from Kayla Humphreys for going above and beyond to get the delivery for the monthly MICU G-brief, to Stacy Bagrova for a fantastic public speaking noon conference, to Saad Atiq for a masterful Cohen Conference and to our first three ACRs of the year Bhavik Patel, Nick Ashur and Nathaniel Harris for wonderful teaching, morale boosting, candy-rounding, report leading awesomeness. Kudos to Ann Cameron Barr for getting accepted into the (Virtual) Harvard Macy PGME teaching course! What a great opportunity.
Also congratulations to Nate Goodwin on his wedding this past Friday! (We need some pics!)
PubMed from the Program
This week’s pubmed from the program goes to Nicholas Koutlas for his recent article! Congrats Nick! Abdelfatah, M.M., Gochanour, E., Koutlas, N.J., Hamed, E., Harvin, G., Othman, M.O. Rectal indomethacin reduces the risk of post-endoscopic retrograde cholangiopancreatography pancreatitis in low-risk patients. Ann Gastroenterol. 2020 July-August. 33(4): 405-411. PMID: 32624662.
Have a great week!
Aimee
Clinic Corner: Ambulatory
Contributed by Daniella Zipkin
Ambulatory Threads 2020-2021
As a reminder, subspecialty options are slowly filling into your ambulatory schedules. (see clinic corner from June 29 and July 27 for more info on Threads) The clinics have received your continuity assignments through block 4 and blocks 5 and 6 are coming soon. Thanks for your patience as we navigate this nutty year!
Reminder: “Reading time” or free space in your schedules can get filled in last minute with clinical opportunities that open up, in line with your thread or amb week theme. Please be available for those changes. If you schedule research meetings, mentorship meetings, doctor’s appointments, or anything else in that time and a conflict arises, just tell the chiefs! We will make it work.
Q: “Why am I going to ophthalmology and ENT clinics?”
A: These were options we had reserved for “gen med” themed blocks in the past, and they became available to us when sub-specialty sites weren’t up and running yet. There is always crossover with these specialties and common medicine complaints. Thanks for making the most of these experiences!
DOC people
Q: “When should I check out my folder and get some paperwork done?”
A: Every time you’re in clinic, during no shows or empty slots or after you finish seeing patients. Chip away at it, do a few items or whatever you can manage each time. Please come to the attendings with questions! The paperwork isn’t the glamorous part of primary care, but patients need their stuff. Thank you!
From the Chief Residents
| Date | Topic | Lecturer | Time | Location |
|---|---|---|---|---|
| 8/25/20 |
LUTS for primary care |
Dr. Peterson | 7:15 a.m. | Zoom |
| 8/26/20 | Case Conference | Dr. Kansal and Dr. Zaas | 7:15 a.m. | Zoom |
| 8/27/20 | Rheumatology Topic | TBD | 7:15 a.m. | Zoom |
Academic Half Day: Aug. 28, 2020 via Zoom
| Thread | Topic | Lecturer | Time | Location |
|---|---|---|---|---|
| Rheum/Renal/Endo |
Gout Diabetic Nephropathy |
Dr. Maheswaranathan Dr. Crowley |
9 a.m. 10:30 a.m. |
-- |
| ID/GI/GIM |
Nutrition Pancreatitis |
Dr. Lloyd Dr. Liddle |
9 a.m. 10:30 a.m. |
-- |
| Card/Heme/Pulm/Onc |
Thrombocytosis and thrombotic disorders Hypoproliferative anemias and transfusion medicine |
Dr. Onwuemene Dr. Lee |
9 a.m. 10:30 a.m. |
-- |
| Date | Inpatient Topic on Zoom | Lecturer | Time | Location | Lunch |
|---|---|---|---|---|---|
| 8/24/20 | Social Disparities of Health In collaboration with Wake Forest & UNC |
-- | 12 p.m. |
Zoom |
Pipers in the Park |
| 8/25/20 |
SAR Talk: Chest Pain/ACS |
Dr. Wei | 12:15 p.m. |
Zoom |
Mediterra |
| 8/26/20 |
QI Conference |
Dr. Boggan and Dr. Krishnan | 12:15 p.m. |
Zoom |
Chick-fil-A |
| 8/27/20 |
Cohen's Conference |
Dr. Harding | 12:15 p.m. |
Zoom |
Sazon |
| 8/28/20 | Medicine Grand Rounds: Rapid Translational Research Response to COVID-19 |
Ephraim Tsalik, MD, PhD Chris Woods, MD Micah McClain, MD, PhD Moderated by Andrew Alspaugh, MD |
12 p.m. |
Zoom |
Popeye's |
Report Conference Schedule: Aug. 24-27, 2020
| Date | Topic | Lecturer | Time |
|---|---|---|---|
| 8/24/20 |
VA JAR CAT Duke SAR Orientation |
Dr. Cunningham and Dr. Simel -- |
11 a.m. 1:15 p.m. |
| 8/25/20 |
VA JAR Case Report VA Intern Report Duke SAR Report Duke Intern Report |
Dr. Hopper and Dr. Garbarino Dr. Jew and Dr. Garbarino Dr. Norton with Dr. Govert Dr. Rosenberg with Dr. D'Alessio |
11 a.m. 1:30 p.m. 1:15 p.m. 2:30 p.m. |
| 8/26/20 |
VA JAR CAT Presenter Duke SAR Report |
Dr. Florian and Dr. Woods Dr. Darlington with Dr. Zaas |
11 a.m. 1:15 p.m. |
| 8/27/20 |
VA JAR Series VA Intern Report Intern Report - HVC and Waste |
Dr. Caputo Dr. Dhoot and Dr. Johnson Dr. Sata |
11 a.m. 1:30 p.m. 2:30 p.m. |
From the Residency Office
Narrative Medicine
The Duke Narrative Medicine group will be having its first meeting of the year in-person on Sept. 1 at 7 p.m. in the Med Res! Narrative Medicine is a low-key, fun group where we usually eat dinner together and take the opportunity to share and discuss pieces that we've written. It's not a place for academic writing or publication or intense critiques, but it IS a great opportunity to get to know some of your colleagues outside of work on a more personal level. You're more than welcome to come hang out and talk with us even if you haven't written anything lately.
There's usually a loose theme for each session, but not all the pieces have to be about that topic.
This session's theme will be "Overcoming Barriers." The theme was inspired by the "Forgotten Voices: Confronting Duke Hospital's Racial Past" Medicine Grand Rounds on 8/14, so if you have any written reflections from that session, we would love to discuss them! However, we would be equally thrilled to hear about your experience overcoming the barriers of PPE to bond with patients or overcoming the barrier of crushing fatigue at the end of 28-hour call. Sean Taasan, Austin Wesevich, and Tim Hopper will be there to facilitate the discussion along with our esteemed faculty mentor, Dr. G! In the interest of social distancing, this event will be limited to 10 people, so email Tim if you're planning to come.
Stead Research Grants - call for applications
We are accepting applications for the 2020 Stead Resident Research Grants. The applications are due on Sept. 2, 2020 for a funding start date to be determined in October 2020. Application instructions, forms, and sample NIH biosketch are in an email from Dr. Arcasoy. Please include your mentor’s NIH Biosketch in a single file with the grant. Your mentor's support letter can be emailed separately. We have research funding application opportunities twice in each academic year: in the fall (Stead grants) and spring (Faculty Resident Research Grants). The next funding opportunity will be in April 2021 (Faculty Resident Research Grants).
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/
Opportunities
Useful links
- ACR Teach Blog
- GME Mistreatment Reporting Site
- Duke Health Influenza Policy
- http://duke.exitcareoncall.com/
- Main Internal Medicine Residency website
- Main Curriculum website
- Department of Medicine
- Confidential Comment Line Note (All submissions are strictly confidential unless you chose to complete the optional section requesting a response.)
- Updates from the Division of Hematology
- The Scope