From the Director
Closing in on the month of September! Lots of fun at the intern retreat (thanks Dr. Cooney for your home!). Big thanks to Kayla Humphreys for her work on making the retreat run smoothly! Big thanks to our SARs and JARs for covering so the interns could spend some learning and bonding time together.
Kudos
Kudos this week to Meghana Rao from Dan Weinberg for making his job easy as a JAR, to Mark Brahier for not only crushing VA GM but getting the old water cooler replaced in the workroom (From Sachi Oshima), to Karen Young for leading a master class GOC discussion (also from Sachi), and to Carter Devlin from Amanda Broderick for getting a patient to the right level of care. Kudos to Kristen McClellan from Dr. Genao for "efficient and professional with excellent bedside manners". Also huge kudos for the IM Res turnout at Medicine Grand Rounds on Friday. Way to represent!
Pubmed from the Program
This week’s pubmed from the program goes to Emilio Guzman-Cisneros for his upcoming poster at the American College of Rheumatology meeting “Racial Differences in Medication Beliefs and Barriers to Taking Medications Among Patients with SLE”
Have a great week!
Aimee
Clinic Corner by Dr. Dani Zipkin
August 29, 2022
#AmbulatoryLife
Even though clinical acuity is lower in the clinic, the pace of visits and multi-tasking through multiple clinical, social and financial variables can be exhausting. You may feel out of sorts in the clinic even after you’ve gotten into the zone on inpatient. This is normal! Please reach out to Dani or Nathaniel if you want to talk more about adjusting to the ambulatory part of your training.
Continuity
So, while I’m talking about getting into “the zone” in ambulatory, it bears mentioning that continuity is the key to making it easier. Seeing patients back who you know, who you have some traction with, is critical. So, give out your cards and tell patients your name over and over again. At check out for DOC and Pickett, give WIDE intervals for follow up to make sure they capture your weeks back in clinic, and specify that the visit should be only with you!
POSH Clinic
When interns see the VA POSH clinic on their schedule (Perioperative Optimization for Senior Health), please note the clinic does indeed start at noon with interdisciplinary team rounds. You are expected to present at noon or as close as you can reasonably get there, and it is ok to pack a lunch and eat it during the team rounds.
Morning Report: August 30- September 01, 2022 via Zoom
| Date | Topic | Lecturer | Time | Location |
|---|---|---|---|---|
| 08/30/22 | Insomnia | Dr. Maggie Soltis Kilgore | 7:15 a.m. | Zoom |
| 08/31/22 | Breast feeding medicine | Dr. Katie Young | 7:15 a.m. | Zoom |
| 09/01/22 | Smoking Cessation | Dr. James Davis | 7:15 a.m. | Zoom |
Academic Half Day: September 02, 2022
| Thread | Topic | Lecturer | Time | Location |
|---|---|---|---|---|
| Rheum/Renal/Endo/ID/GI/GIM |
Dysphagia CKD2 |
Dr. Richard Wood Dr. Dave Butterly |
9:15 a.m. 10:45 a.m. |
VA Surgery Conference Room C5010 |
| Card/Heme/Pulm/Onc |
Pulmonary Embolism Pulmonary Hypertension |
Dr. Talal Dahhan Dr. Talal Dahhan |
9:15 a.m. 10:45 a.m. |
Noon Conference: August 29- September 02, 2022
| Date | Inpatient Topic | Lecturer | Time | Location | Lunch |
|---|---|---|---|---|---|
| 08/29/22 |
CKD |
Dr. Micah Schub | 12 p.m. | DUH 2002 & Zoom | Chick-fil-A |
| 08/30/22 | LEADS: The Journey Towards a More Equitable and Just Duke |
Kevin Thomas, MD |
12 p.m. | DUH 2002 & Zoom | Guasaca |
| 08/31/22 | Management of Nausea and Vomiting | Dr. Neha Kayastha | 12 p.m. | DUH 2002 & Zoom |
Itaewon Grill |
| 09/01/22 | SAR Talk: Acute Decompensated Heart Failure |
Dr. Harsh Patolia |
12 p.m. | DUH 2002 & Zoom | Saladelia |
| 09/02/22 | MGR: Cardiovascular Complications Across the Spectrum of Kidney Disease | Daniel Edmonston, MD, MHS Assistant Professor of Medicine Division of Nephrology Department of Medicine, Duke University Duke Clinical Research Institute |
8 a.m. | DUH 2002 & Zoom | Dominos |
Report Conference Schedule: August 29 - September 01, 2022
| Date | Topic | Lecturer | Time |
|---|---|---|---|
| 08/29/22 |
VA JAR CAT DUKE SAR Report- held in 2253 MS2 Report |
Dr. Schwennesen w/ Dr. Simel Dr. Craig w/ Dr. Kussin Student Teaching w/ ACR |
11 a.m. 1:15 p.m. 2:30 p.m. |
| 08/30/22 |
VA JAR Case Report DUKE SAR Report- held in 2253 VA Intern Case Report DUKE Intern Report- held in 2253 |
Dr. Pinion w/ Dr. Zaas Dr. Barrett w/ Dr. Govert Dr. Byers w/ ACR/Chief Dr. Anderson w/ Dr. Lyles |
11 a.m. 1:15 p.m. 1:30 p.m. 2:30 p.m. |
| 08/31/22 |
VA JAR CAT DUKE SAR Report- held in 8262 |
Dr. Caputo Dr. Cavalier w/ Dr. Zaas |
1 p.m. 1:15 p.m. |
| 09/01/22 |
VA JAR Case Report Duke SAR Report- held in 2253 VA Intern Case Report Duke Intern Report-held in 2253 |
Dr. Morgan QI w/ Drs. Boggan and Duffy Dr. Young Dr. Telloni |
11 a.m. 1:15 p.m. 1:30 p.m. 2:30 p.m. |
Our Wellbeing
The Department of Medicine is keeping an updated list of wellbeing resources during this extraordinary time. Click here for more information.
Employee Health has Expanded Hours!
Based on feedback from team members who are seeking COVID testing so they can safely return to work with EOHW approval, the COVID hotline has expanded hours for employees: 5:30 a.m. - 6:00 p.m. 7 days per week.
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. Prioritized GME appts are now available also at 6 pm and 7 pm! 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/
- 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