Internal Medicine Residency News, Aug. 27, 2018

Clinic Corner: Ambulatory

Contributed by Daniella Zipkin

What on earth is a “CEX”??? I didn’t know we could talk like that in clinic?
Don’t worry, it’ll be alright – it stands for Clinical Evaluation eXercise and is a brief observation of your clinic encounters by faculty. These observed visits tend to be very rich teaching opportunities around all the nuances of doctor patient communication. They are also considered a professional expectation for all residents. Please help your clinic attendings get them done! Here’s the details:

• Interns should log at least TWO CEX’s per year, at least one of them this fall. JARs need at least ONE, SARs should also do ONE.
• BE PROACTIVE! If your patient has arrived and the attendings aren’t busy, grab one and get observed. (Attendings will let you know if the resident-attending ratio is too tight that day to step out).
• The observation should generally be the history and the beginning of the visit, the attending may linger through the exam portion. The attending will remain silent and let you do your thing.
• You will then sign out the clinical portion of the visit, and make time for feedback on how the CEX went after that, either right away or at the end of clinic.
• CEX evaluation forms are brief and will be logged in MedHub by the attendings.
• The residency office will keep count and share counts with the clinics.

Ambulatory Threads Roll Out
How are the threads going for you, categorical interns and JARs? Please share feedback with Winn, Emily, or Dani.

From the Chief Residents

Duke Gen Med Conference Schedule: Aug. 27-30, 2018

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 Global Health Elective Rotations for the 2019-2020 year.
Application is open to Duke Cardiology Fellows (2nd & 3rd Year) and Duke residents from the Departments of Medicine and Pediatrics:

Internal Medicine (PGY 2); Med-Peds (PGY 3); Med-Psych (PGY 4); Pediatrics (PGY 2).

The application can be completed online here and all information is available at https://dukeglobalhealth.org/programs/Clinical-Rotations-Abroad. 

For more information about this opportunity, contact Madi Smith, HYC Program Coordinator, at madi.smith@duke.edu or 668-5976.

Application Deadline: September 30, 2018

Stead Tread 5K Fun Run/Walk
The 7th annual Stead Tread will be held on Saturday, Sept. 29, 2018 on the American Tobacco Trail (starting at Solite Park in Durham). Please access the Stead Tread 2018 website (http://www.steadtread.org) for important race information, to securely register ($30), or to make a donation. 100% of proceeds go to Lincoln Community Health Center. Your $30 registration fee includes an official Stead Tread 2018 T-shirt – register ASAP to reserve your size! Participants are welcome to run or walk, and strollers are permitted - kids under 12 walk/run for free (but should be registered by their parent/guardian). 

NC Triangle Chapter Society of Hospital Medicine Poster Session
The Triangle Chapter of the Society of Hospital Medicine will host a meeting and poster session on Oct. 2. Deadline for abstracts is Sept. 2. Categories include research, innovation, and clinical vignettes. Learn more.

2018 Stead Resident Research Grant applications
The program invites residents to apply for a 2018 Stead Resident Research Grant. The applications are due on September 3, 2018 for a funding start date to be determined in October 2018. See email for application instructions, forms, and sample NIH biosketch are attached. Please include your mentor’s NIH Biosketch and support letter.

The REACH Health Equity Center is offering funding for resident research
The Research Scholars Development Program supports health disparities research and is a funding opportunity for residents and fellows. Trainees are required to work with a faculty mentor to develop a research proposal to bring together faculty across disciplines who have a common interest in addressing racial and ethnic disparities in the clinical encounter. Applications are due Sept. 3. Funding begins in October.

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. 9 - Stead Fall Festival

• Sept. 12 - Meet Dr. Cooney Happy Hour

• Sept. 19 - Stead Society Trivia Night

• Sept. 29 - Stead Tread 5K

• Nov. 2 - Recruitment Kickoff

Opportunities

• ​https://www.phs.wakehealth.edu/public/edu.cfm
• http://www.careermd.com/employers/latestbulletins.aspx
• Fellowship Hall physician opportunity
• Duke Health Hospital Medicine Program
• Doctors Making House Calls
• FirstHealth Physician Group
• CompHealth
• ​Stanford University Clinical Excellence Research Center Design Fellowship

Useful links

• 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