Internal Medicine Residency News, June 5, 2017

Clinic Corner: DOC

Contributed by Lynn Bowlby

Hi all!

1. Redesign 2/ HIDOC with Laurie (Laura) Germano as the Care Manager (think Marigny!) We are doing more onsite medical care--IV, managing SOB,  abd pain, mild DKA for example, without sending to the ED!
2. DOC has been part of a grant project related to improving geriatric services. We now have a structured process for assessing memory issues and connecting patients and their caregivers to resources and support. It takes our whole team, from the front desk staff giving out the screening forms (orange), to the CMAs doing the mini-cog, to providers/BHC/LCSW doing clinical assessment and referring to resources, and so much more.  Thanks for all you do to support these very vulnerable patients! 
3. We won 2 awards just the other week! for Team work--TAG team, our Coumadin management, and our work with complex patients!
4. Continue the smoking cessation referrals, Amb referral Smoking cessation and DM and HTN group...if need individual visit with Holly, put Holly 1:1 in followup ...

and of course, on site Cardiology, Pulmonary and Hep C for those that can't get to Duke South...

thanks for all that you do!

LB and team!

 

From the Chief Residents

Morning Report and MGR: June 5-9, 2017

Date	Topic	Lecturer	Time	Location
6/5/17	Contraception	Beverly Gray	7:15 a.m.	DUH 8252
6/6/17	MDS	Carlos DeCastro	7:15 a.m.	DUH 8252
6/7/17	Hep C	Susanna Naggie	7:15 a.m.	DUH 8252
6/8/17	Case Presentation	Jim Isaacs to Jason Stout	7:15 a.m.	DUH 8252
6/9/17	Medicine Grand Rounds: Acute Aortic Syndromes: When Chest Pain in the ER is NOT Acute Coronary Syndrome	Adam Banks, MD	8:00 a.m.	DN 2002

 

Noon Conference: June 5-9, 2017

Date	Topic	Lecturer	Time	Location	Lunch
6/5/17	MKSAP ID	G. Ralph Corey	12:00 p.m.	DUH 2002	Domino's
6/6/17	SAR Lecture Series: Common HIV Management Questions	Lauren Collins	12:15 p.m.	DUH 2002	Guasaca
6/7/17	MED-PEDS Combined: Transgender Health	Deanna Adkins	12:15 p.m.	DUH 2003	Popeye's
6/8/17			12:15 p.m.	DUH 2001	Domino's
6/9/17	Chair's Conference	Emily Kinsey	12:10 p.m.	DUH 2002	Jason's Deli

From the Residency Office

 

Book Club

Please join us for the final Book Club event of the academic year, on Wednesday, June 7, from 5:30-7 p.m. in the Searle Center Faculty Lounge. We’ll be discussing an audience pick novel, A Man Called Ove, by Fredrik Backman.  It’s available at bookstores and online- and do remember you don’t have to finish the novel to attend, as long as you don’t mind some spoilers! There’s a film adaptation on Amazon Prime as well!

RSVP at your convenience to laura.caputo@duke.edu OR manisha.bhattacharya@duke.edu.  As always, feel free to reach out with questions or suggestions, and share this information with friends. 

Employee Occupational Health & Wellness, including LIVE FOR LIFE, will relocate to the space previously occupied by the Student Health Center in Duke Clinic beginning June 12, 2017.

 

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 6 - Faculty v. House Staff Basketball Game

• June 7 - Book Club

• June 10 - End of Year Picnic

• 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