From the Director
It’s the last med res news of the year! Always hard to believe we are getting ready to bring the new interns onto the wards, to have everyone “move up” a year and to start the whole cycle over again. Its been an extraordinary year to say the least, and my sincere thanks for everyone’s hard work, heart and efforts this year. As with any change, it is bittersweet with saying goodbye to our outgoing SARs and chiefs, but certainly we are so proud of them and excited to hear about their next adventures. A huge thank you again to the entire class of 2016 and to our outgoing chiefs Jenn, Armando, Chris and Lindsay. Also special thanks to our finishing ACRs – Kristen Glisinski, Andrea Sitlinger and Li-Wen Huang.
Welcome to our class of 2019! It was great to have you finally here for our first day of orientation and the welcome party! Thanks to Lynsey, Jen, Madi and Tia for outstanding planning and to Kara Wegermann, Christine Bates, Maggie Infeld and Winn Seay for representing at Tobacco Road. A big welcome to our chiefs Alyson, Adam, Aparna and (Matt) Atkins. Clearly the “A” Team! Stop in and say hi to the chiefs anytime. We will be starting a new “SAR” event called the “SAR entry meeting” (again, need some marketing help here!)….every rising SAR will have a chance to have a 1:1 meeting with one of the chiefs just to discuss thoughts about SAR year, questions that they have, etc. This was inspired by Bill McManigle who emailed me to set up a meeting with this objective. I am happy to meet with anyone as well, just email Madi!
Social event for the week includes Tuesday night at Ponysaurus, sponsored by your fearless Stead leaders. Hope to see you there.
Our committee work is kicking off in earnest as well – thanks to the “Education” committee for hosting your first meeting this week (Tuesday at Parts and Labor). Sorry about the overlap – feel free to head over to the ‘saurus after the meeting.
Lots of kudos came my way this week … first to Jordan Mayberry for being the first responder to an event that happened outside the parking lot, lots of kudos from all those who watched him take care of an urgent situation until the official first responders arrived, to Shai Posner, Drew DeMaio, and Jordan Pomeroy from Luke Cerbin for helping out with a scheduling issue, to George Cheely from Peter Kussin for gen med teaching to the teams, to Rachel Hu, Brittany Dixon, and Ryan Orgel from Deng Madut for helping out on ID consults, to Julia Xu and Leah Machen from Dani Zipkin for “in-basket” magic and patient follow up at the DOC, to Zach WEgermann from Dr. Chuck Gerardo in the ED for “TCOB”, and to Jared Lowe and Maggie Moses from Carter Davis for superior work and communication skills on 9300. Keep on sending the kudos my way!
This week’s pubmed from the program goes to Jordan Pomeroy - Stem Cells Transl Med. 2016 May 9. pii: sctm.2015-0250. [Epub ahead of print] Stem Cell Surface Marker Expression Defines Late Stages of Reprogramming to Pluripotency in Human Fibroblasts. Pomeroy JE1, Hough SR2, Davidson KC3, Quaas AM1, Rees JA1, Pera MF4.
Have a GREAT week, and CONGRATULATIONS TO ALL ON YOUR NEXT STEPS!
(Interns….dont forget to pick up your BLUE badge backer from Lynsey …. It says “resident” :>)
Aimee
What Did I Read This Week?
Suzanne Woods MD
When Breath Becomes Air by Paul Kalanithi MD
Why did I read this? One of the Med Peds faculty members, Carolyn Avery, gave this book to our entire faculty as a holiday present. The author’s widow is Lucy Kalanithi MD, an internist at the Stanford School of Medicine. I will give you the brief Amazon summary below and encourage you to consider reading this book. The reality, as we all know, is that life is unpredictable and we all need to consider – what does make life worth living? The Med Peds community has just lost in the past month two of our young faculty colleagues at other institutions and it really makes one stop and think carefully about family, friends and our professional lives.
Summary: “At the age of thirty-six, on the verge of completing a decade’s worth of training as a neurosurgeon, Paul Kalanithi was diagnosed with stage IV lung cancer. One day he was a doctor treating the dying, and the next he was a patient struggling to live. And just like that, the future he and his wife had imagined evaporated. When Breath Becomes Air chronicles Kalanithi’s transformation from a naïve medical student “possessed,” as he wrote, “by the question of what, given that all organisms die, makes a virtuous and meaningful life” into a neurosurgeon at Stanford working in the brain, the most critical place for human identity, and finally into a patient and new father confronting his own mortality.
What makes life worth living in the face of death? What do you do when the future, no longer a ladder toward your goals in life, flattens out into a perpetual present? What does it mean to have a child, to nurture a new life as another fades away? These are some of the questions Kalanithi wrestles with in this profoundly moving, exquisitely observed memoir.
Paul Kalanithi died in March 2015, while working on this book, yet his words live on as a guide and a gift to us all. “I began to realize that coming face to face with my own mortality, in a sense, had changed nothing and everything,” he wrote. “Seven words from Samuel Beckett began to repeat in my head: ‘I can’t go on. I’ll go on.’” When Breath Becomes Air is an unforgettable, life-affirming reflection on the challenge of facing death and on the relationship between doctor and patient, from a brilliant writer who became both.”
My thoughts: Self-study is an incredibly important part of our profession to improve medical knowledge. Additional reading outside of textbooks and journals is important to broaden one’s mind, further our overall education and can be a great source of enjoyment! So maybe on a day off or vacation week you can pick up a copy or download to your reader!! Please feel free to email your thoughts on the book!!
QI CORNER
This feature will return next week!
Clinic Corner
Clinic Corner 6/27/16
Welcome NEW INTERNS!! Let’s talk about “all things ambulatory”! As I mentioned on your interview day, the clinic is the only rotation you will have that lasts all three (or more) years of your training, and we love watching you grow during that time. Here are some key pearls:
- Your 4+2 schedule will allow for an ambulatory (or ambulatory-ish) rotation in most of the +2 blocks. During your two weeks of ambulatory you will have one admin session at your clinic – Pickett and Prime clinic admin slots will occur on Tuesday mornings, DOC admin will occur on Wednesday mornings. Admin time is for getting acquainted with the ins and outs of your clinic, getting calls and paperwork done, and participating in the curriculum set up by your site.
- Ambulatory blocks for interns consist of continuity clinic plus VA sub-specialty clinics and ACC at the VA
- Ambulatory blocks for JARs and SARs consist of sub-specialty or gen med themed blocks (cards, pulm, GI, renal, rheum, ID, endocrine, allergy, heme-onc, palliative care, gen med, dermatology, sports medicine, and Lincoln clinic). Lynsey and Erin will assist in assigning these.
- New blocks we are working on building include Pain Medicine, Integrative Medicine, and Women’s Health!! Stay tuned for details.
- Academic Half Day is a longitudinal series of lecture/seminars on Friday mornings on a wide breadth of topics. Faculty come from multiple departments to bring you this small group, case based teaching. This year, residents in the ED will be coming to AHD on Fridays as well!! AHD takes place at the VA, 8th floor conference room.
- Ambulatory Evaluations come in different flavors:
- Continuity Clinic eval twice per year, called the Learners Perception Survey
- Ambulatory rotation eval for feedback on your two week block
- You will also evaluate ambulatory faculty you work with
- Feedback directly to Dani Zipkin is always welcome!!
- CEX = Clinical Evaluation Exercise = being observed during clinical encounters. When staffing ratios with attendings are favorable, please ask attendings to observe your visit! We strive for 3 inpatient and 3 outpatient CEX’s per year, per person.
Also, some Duke Outpatient Clinic updates:
- Chancellor Washington visited the DOC on June 15th! We invited him to hear about our efforts in supporting the highest utilizing population we see through clinic re-design and the HomeBASE intensive case management program. Dr. Washington has prioritized population health, and making Durham the healthiest county in North Carolina, and he was very impressed by what we’ve done towards those ends at the DOC.
- The DOC has had a lot of staffing changes lately! We appreciate your patience as we shift and expand. Introduce yourself to your nursing team when you are there and “huddle” ahead of time to set expectations for how best to navigate your clinic time.
From the Chief Residents
Grand Rounds
Friday, July 1 - No MGR
Noon Conference
| Date | Topic | Lecturer | Time | Vendor | |
| 6/27/16 |
ACGME - Rising SARs |
|
12:00 | Dominos | |
| 6/28/16 |
ACGME - Rising JARs |
Jason's Deli |
|||
| 6/29/16 | Tom Holland Lecture | Lakshmi Krishnan | 12:00 | Chick Fil A | |
| 6/30/16 |
Fun Day |
12:00 | Firehouse | ||
| 7/1/16 |
Chair's |
12:00 |
From the Residency Office
Office Hours for Dr. Zaas
Dr. Zaas will have the following office hours. Please feel free to stop by during these times and of course always feel free to reach out to her office to set up a meeting outside of these times if needed!
Monday - 3:00 p.m. to 4:00 p.m.
Thursday 10:00 a.m. to 11:00 a.m.
LiveSafe Mobile App
Duke is introducing a new mobile app called LiveSafe to put a powerful safety tool in the hands of the Duke community.
The app, available as a free download from Apple and Android app stores, enables smartphone users to submit real-time tips to Duke Police, virtually “SafeWalk” friends and family while traveling, place emergency calls, and access important resources for support.
You can find more information, including instructions on how to download the free app, on the DukeALERT website: http://emergency.duke.edu/notified/livesafe.
Opportunities for Wellness
Feeling down? Need to talk to someone?
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
9/16/16 - Intern Retreat
Useful links
GME Mistreatment Reporting Site
https://intranet.dm.duke.edu/influenza/SitePages/Home.aspx
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
Opportunities
https://www.phs.wakehealth.edu/public/edu.cfm
www.bidmc.org/CentersandDepartments/Departments/BIDHC
http://www.careermd.com/employers/latestbulletins.aspx