Internal Medicine Residency News, June 19, 2017

Clinic Corner: PRIME

Contributed by Leigh Wynkoop

If you were in clinic last week, you participated in our latest clinic flow study, designed to see how long every step of a visit lasts, from:

Lobby checkin --> nursing check in --> your initial time in the room --> time with preceptor --> closing time in room --> nursing/lobby checkout.  We've been aware that there can be hangups in the process but, spurred by your survey input, we proceeded to implement a flow study to get some data to illuminate exactly where the problems lie.

Speaking of which, those of you who replied to the survey, thanks for your input.  We have discussed them with the attendings and staff and are grateful for constructive feedback which can improve your experience.

REMINDER: At every visit, please renew all medications to get the patient easily to their next appointment.

Lync has been replaced by "Skype for Business" which might not automatically open when you log-in the first time, so be sure to get that up and running. Vetlink is still unreliable and we are awaiting a patch from national, so you'll need Skype to be informed patients are here if Vetlink is not working.

Hard to believe we are saying good-bye to our crop of PRIME folks moving out into the world!  Thank you so much for your service to our clinic and especially to our Veterans.  We happily accept any news updates from you either in person or by email if you want to tell us how things are going in your next phase of career and life!

 

From the Chief Residents

Morning Report and MGR: June 19-23, 2017

Date	Topic	Lecturer	Time	Location
6/19/17	Case Presentation	Lindsey Shantzer to Diana McNeill	7:15 a.m.	DUH 8252
6/20/17	A-fib	Sana Al-Khatib	7:15 a.m.	DUH 8252
6/21/17	Case Presentation	Landon Brown to Joe Rogers	7:15 a.m.	DUH 8252
6/22/17	Heart Failure	Dennis Abraham	7:15 a.m.	DUH 8252
6/23/17	Medicine Grand Rounds:	Alyson McGhan Johnson, MD	8:00 a.m.	DN 2002

 

Noon Conference: June 19-23, 2017

Date	Topic	Lecturer	Time	Location	Lunch
6/19/17	Goodbye celebration for Lish Clark in DUH courtyard		12:10 p.m.	DUH Courtyard
6/20/17	SAR Lecture Series: Rheumatologic Emergencies	Brian Andonian	12:15 p.m.	DUH 2002	Subway
6/21/17	SAR Lecture Series: Acute Liver Failure - Recognition & Management	Juan Sanchez	12:15 p.m.	DUH 2003	Makus Empanada
6/22/17	ACGME Survey Results	Aimee Zaas and Bill Hargett	12:15 p.m.	DUH 2001	Chick-fil-A
6/23/17	Chair's Conference	Zach Il'Giovine	12:10 p.m.	DUH 2002	Guasaca

From the Residency Office

 

Small Group for Partners of Internal Medicine Residents

A small group of resident partners & I are planning a welcome party for incoming intern partners! If you have a partner, significant other or children… please take 30 seconds to email erin.payne@duke.edu:

1. Significant Others Name:
2. SO Email Address:
3. Children Name(s) & Age(s):

Please note: an additional use in providing email addresses would be to start including significant others in weekly updates! Please let me know if they prefer to NOT be included! Our hope is to help make connections, provide support in the transition & to build a sense of community!

Thanks,
Erin

 

2017 Stead Resident Research Grant

We are pleased to announce a request for proposals for the 2017 Stead Resident Research Grant. The applications are due on Sept. 3, 2017 for a funding start date to be determined in October 2017.

Review the application instructions and sample forms.

 

New Location for Employee Occupational Health & Wellness

The office will relocate to the sub-basement of the Orange Zone in Duke Clinic and will be accessible from the following two locations:

From Duke South Clinic:

1. Enter Duke South on 1st floor
2. Follow the signs to Clinic 1K
3. Take the double orange elevators to the sub-basement
4. Follow the hallway to the right to the EOHW check in desk

From Flowers Drive: Enter the sub-basement of the Orange Zone directly from Flowers Drive across from the Sarah P. Duke Gardens.

Phone numbers for EOHW will not change, and Personal Assistance Service will remain in its current location at Erwin Tower. For more information, including a map and directions to the new location, please visit the Duke Human Resources website.

Among its services, EOHW provides employment and travel health reviews, treatment of occupational illness and injury, occupational health surveillance, influenza vaccinations, FMLA and ADA reviews, and employee wellness programs through LIVE FOR LIFE.  

 

Clearing the VA - Some reminders for outgoing house staff

As you move on to accomplish other great things, there are a few items we would like you to complete on or before your last day of your last rotation at the Durham VAMC.

1. Progress Notes/Discharge Summaries - Please make sure to sign (co-sign) or delete (if not needed) any progress notes and/or discharge summaries.  Any left unsigned will have to be reviewed by the Section Chief or Chief Resident for disposition.
2. Alerts - Please clear all active alerts prior to leaving.  Also assign a surrogate in CPRS to receive any future alerts so that we can ensure any urgent clinical issues are addressed.  If you are unsure of who to assign as a surrogate, please talk to your section chief or Chief Resident (PRIME residents should speak with Dr. Patel or Leigh Wynkoop).
3. Personal Lists - Please delete all personal lists created in Vista/CPRS (and remove yourself from any team lists).  If these lists are left, they will continue to generate unnecessary alerts that will go to your surrogate and either the surrogate, Section Chief, or Chief Resident will have to review before they could be deleted.
4. Sticky Notes - Please review, resolve, and delete any "sticky notes".  These notes can only be seen by you so if there are actions that need to be taken after you're gone please document in the record or hand-off to a continuing clinical staff such as a team resident/fellow, mid-level, or other attending.
5. PIV Card Reader - If you were issued a PIV Card Reader, please return it to me.  If I am not available, you can leave it in the Medical Service Office (C8017).

Thank you for your service to the Medical Service and Durham VAHCS.  We wish you only the best in your future endeavors!

Karen D. Higgins
Program Analyst/ADPAC
VA Medical Center

 

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

• June 19 - Fun Lunch honoring Lish Clark

• June 30 - Medicine Grand Rounds: Dr. Klotman's final State of the Department

Opportunities

• https://www.phs.wakehealth.edu/public/edu.cfm

• www.FloridayPhysicianWork.com
• www.bidmc.org/CentersandDepartments/Departments/BIDHC
• http://www.careermd.com/employers/latestbulletins.aspx
• Fellowship Hall physician opportunity

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