Internal Medicine Residency News, March 20, 2017

Clinic Corner: VA PRIME

Contributed by Leigh Wynkoop

Staffing updates: Lori White-Johnson has moved away and is transferring to the Greenville, VA. We welcome Cecilia Hamlett, who will be assisting while we look to hire a new LPN for our team. She’s already been working some in PRIME and has years of experience in primary care in the Durham VA. As a reminder, Team 1 MSA is still Medenna Carr; Team 2 is Anthony McCrea; Team 3 is Latasha Alston.

HEDIS: great job everybody on working your HEDIS reminders! HEDIS tracking is used by >90% of American healthcare plans to assess patient care. Remember to clear every HEDIS reminder even if it’s a gap visit. Huge ones to be certain not to miss are positive alcohol, depression, PTSD screens.  Alcohol will now flag as positive only if AUDIT-C score is >= 5 (i.e. less often than before); also will flag if patient has an alcohol-related diagnosis.  We know you talk about tobacco cessation with your patients, but document it via the reminder!

There is now a facility opioid nurse, Florence McDonald. She is working on our NC state database reviews and UDS screens. If you have comp and those items are due, still take care of them. There is now a SEPARATE note to enter for review of the NC state database; you will be given info on this.

COMP time has been modified; you will be given longer to complete it but also to do population management and assist with team paperwork, etc.  Plan to be physically in clinic and working on PRIME-related matters that entire session.

There’s now a pain e-consult with interdisciplinary recommendations from a chart review, generally within one week. To order: Consults, choose Pain Consults, choose DIPC Interdisciplinary Pain Management E-consult.

Our late policy has been modified to 20 minutes from the stated time of the appointment. If your patient arrives after that, the MSA should Lync you to see if you want to see the patient; otherwise the plan is for the RN to triage the patient for acute needs such as med refills (or chest pain!), and the patient will need to reschedule.

Lastly, if you sometimes wonder about why you do what you do, this article might remind you: https://mobile.nytimes.com/2016/10/06/well/live/a-letter-to-the-doctors-and-nurses-who-cared-for-my-wife.html?referer.

From the Chief Residents

Morning Report and MGR: March 20-24, 2017

Date	Topic	Lecturer	Time	Location
3/20/17	Wellness	Jim Lefler	7:15 a.m.	DUH 8253
3/21/17	Osteoporosis	Ken Lyles	7:15 a.m.	DUH 8253
3/22/17	GI Bleeding	Daniel Wild	7:15 a.m.	DUH 8253
3/23/17	HIV	Susanna Naggie	7:15 a.m.	DUH 8253
3/24/17	Medicine Grand Rounds: The ceiling is (not) the roof: A review of local and national antibiotic trends	Elizabeth Dodds Ashely, PharmD	8:00 a.m.	DUH 2002

 

Noon Conference: March 20-24, 2017

Date	Topic	Lecturer	Time	Location	Lunch
3/20/17	MKSAP GI/G Brief Session	Alyson McGhan-Johnson	12:10 p.m.	DUH 2002/8262	Domino's
3/21/17	SAR Lecture Series: Decompensated ESLD (Ascites, SBP, Hepatic Encephalopathy)	Jenny Van Kirk	12:15 p.m.	DUH 2002	China King
3/22/17	Gallops: Ask the Expert	Lindsey King, Loretta Que, Jason Stout, Ankoor Shah	12:15 p.m.	DUH 2003	Subway
3/23/17	Biliary Disease	Josh Spate	12:15 p.m.	DUH 2001	Mediterra
3/24/17	Chair's Conference	Rachel Feder	12:10 p.m.	DUH 2002	Cosmic Cantina

From the Residency Office

 

Resident Wellness Initiative Grants

We are pleased to announce a new funding opportunity entitled “Resident Wellness Initiative Grants” for resident-led, innovative projects dedicated to promote the well-being of our residents which is of utmost importance to our Program and Duke family. 

The proposed innovative initiatives will promote and preserve Internal Medicine resident physician wellness by building skills to handle the challenges and the pace of the current healthcare environment, while continuing to provide quality care to patients.

1. Two awards each $2,500/project will be funded.
2. Funding start date is July 1, 2017.
3. Each proposal must be led by one or more SARs (current JARs) during the 2017-2018 academic year. Extension of funding may be requested next year beyond June 30, 2018.
4. Teamwork is encouraged to include JARs and incoming interns and multiple SARs may lead one project.
5. Faculty sponsor/advisor may be recruited but not required.
6. Additional funding for a larger award may be available depending on the level of interest and budgets of the project(s). The award committee will review and make a decision on each proposal.
7. The 2-page proposals are due on June 1, 2017 for review by an award selection committee.
8. Applications forms are attached.

For any questions, please contact murat.arcasoy@duke.edu.

 

Califf Medicine Resident Research Award Competition

The annual Califf Medicine Resident Research Award competition abstracts are due on April 10, 2017.

Awards presentation will take place on May 4, 2017 between 5-7 p.m. in Searle Center Lecture Hall. Abstracts (300 words) and supporting mentor's letter are due on April 10, 2017. Please see attached abstract preparation instructions. All abstracts submitted for competition will also be presented as posters.

The top 3 abstracts will be selected by a faculty committee for the Califf Research Awards and these research projects will be presented as 15 minute talks 6 pm – 7 p.m. Two best poster awards will be selected (Research poster and QI poster) by the Chief Residents during the poster viewing session prior to Grand Rounds.

We invite all of you to present your scholarly activities as posters (we can send you poster templates):

1. Basic, clinical and translational research projects
2. Case studies / vignettes including ACP posters from 2017
3. QI projects
4. Please plan on presenting your posters posters that you have presented previously at a national scientific meeting

To discuss any issues related to the application process or once you have decided to submit an abstract, please e-mail murat.arcasoy@duke.edu to declare your intention to submit, your research mentor's name and the title of your poster.  Please contact the MedRes office staff (Ms. Tia Williams) for assistance with the poster preparation process.

 

DoM Book Club

Mark your calendars for a very special book club event on Mon., March 20, from 5:30-7 p.m. in the Searle Center Faculty Lounge!  We'll be reading "Modern Death" by Duke's very own Dr. Haider Warraich, who has kindly agreed to attend our event and join us for a lively discussion.  This will be a fantastic event that you don't want to miss!  

Copies of Modern Death are available at Barnes and Noble or online.  If you're interested in attending, RSVP to laura.caputo@duke.edu.  

 

Faculty-Resident Research Grant

We are pleased to invite you to apply for the 2017 annual “Faculty-Resident Research Grant” applications. The applications are due on April 9, 2017 for a funding start date on July 1, 2017. For JARs, the funding end date is June 30, 2018. For Interns, the funding end date is June 30, 2019

Please find the application forms, instructions, and sample NIH format biosketch (the old NIH Bioskecth format forms are acceptable for your CV).

Please submit your application as a single word or pdf file that includes your mentor’s NIH Biosketch (the new versus old NIH Biosketch format is optional for your mentor). Please email a pdf file of the signed mentor's support letter with your application by April 9, either as part of the entire application or separately.

Each proposal must have a Human subjects section that describes the protections of the patients and patient data, describe the consent procedure if applicable, status of IRB protocol (to be submitted, already submitted or already approved, as appropriate) etc. This section is required whether to not your project is a retrospective or prospective study, whether patient identifiers are exposed (or not) during data collection/analysis, whether consent is to be obtained or there is a waiver for consent. Please see attached example language that you can adapt to your own specific protocol after discussing with your research mentor.

The next opportunity to apply for a research grant will be in September 2017. For any questions, please contact murat.arcasoy@duke.edu.

 

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

• March 20 - DoM Book Club

• April 9 - Deadline for Faculty-Resident Research Grant

• April 10 - Deadline for Califf Medicine Resident Research Awards

• May 4 - Resident Research Night

• June 1 - Resident Wellness Initiative Grant Application Deadline

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

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