From the Director
Doctoberfest continues! We are so excited to report that we reached 100% flu vaccination for the program on Oct 10th!!!! Tremendous job,and thanks to our Stead leaders for encouraging everyone in this important patient safety effort.
Congrats to our residents with best noon conference attendance - Brittany Dixon, Christine Bestvina and Jim Gentry as well as best Grand Rounds attendance - Deanna baker, Marc Samsky and Tyler Black! We have (root) beer and pretzels this week so be sure to be there!
Other kudos go to Stephanie Giattino and Ashley Bock for excellent work from their VA gen Med JARs Michael Woodworth and Kedar Kirtane, to Mike Shafique from Matt Sparks for his leadership as VA day float, to Howard Lee for his appearance on Animal Planet (the liver fluke!) and to Amanda Verma from Neil Friedman for her work on cards consults! Our nurses have recognized great patient care and teamwork from Myles Nickolich, Matt Atkins and Alan Erdmann! Please remember to send in the names of nurses who are doing a great job helping you care for patients.
We will have the opportunity to use Paypal for our community service project - raising money to buy a portable wheelchair ramp for the North Street Community. You can find the link below next to the picture of sumo wrestlers (which I hear is what you might get to see). If we all donate $10, we can meet our goal.
Our "safe discharge" milestones study has begun on gen med. we are part of a 14 center study looking at milestones needed to allow residents to do all the steps of a patient discharge independently. Unlike other milestone studies, we involved nurses and patients in choosing the milestones. Our site PIs are David Ming and Mitch Black. Please remember to fill out the pre study survey, and, interns on gen med should have attendings observe them doing the components of patient discharge.
This weeks pubmed from the program goes to Tyler Black for his article with Dr Rebecca Burbridge. Black TP, Guy CD, Burbridge RA, "Retroperitoneal Cystic Lymphangioma Diagnosed by Endoscopic Ultrasound Guided Fine Needle Aspiration," Clinical Endoscopy 2013; 46 (5): 595-597.
Also congratulations to duke residency alum and renal fellow Blake Cameron on the birth of Elizabeth Ann, to Tim and Sarah Mercer on the birth of Isaaya ("Isa") Jilani Mercer ( Isa - born October 11. - wearing the cap) and to the Trulock family 
on the birth of Eliza Renee Trulock, pictured here with her big sis Hattie!
Have a great week! Aimee
[box]
What Did I Read This Week
Submitted by Saumil Chudgar, MD
Strausburg MB, Djuricich AL, Carlos WG, Bosslet GT. “The Influence of the Residency Application Process on the Online Social Networking Behavior of Medical Students: A Single Institution Study.” Acad Med. Epub ahead of Print, 25 Sep 2013
[/box]
Why did I read this? It is that time of year again – recruitment season! Drs. Zaas, Butterly, and Hargett are reviewing thousands of residency applications, Erin Payne is scheduling hundreds of interviews, and Dr. Hargett and I recently finished advising the ~60 Duke med students applying for Categorical or Prelim Residencies. A couple students had sought my advice regarding social media during the application process. This article piqued my interest as I was skimming the email from Academic Medicine with recent articles.
What I learned from reading this?
A survey study from Indiana University showed that of the 3rd and 4th year medical students who answered their survey, 99% used an online social networking site. Over half (60%) either changed/plan to change the profile somehow in preparation for applying to residency. Of the people who changed their profiles, 50% deleted pictures/posts, 13% deleted their profile completely, 28% changed privacy settings, and 10% changed their names. Reasons for change include inappropriate for PD to view their site (30%) and not believing they should be judged professionally by their personal site (60%).
Of those who did not change their profiles, the primary reasons were that they felt the content of their site was appropriate (42%) and due to privacy settings they had in place (36%).
70% of students believed program directors would use social media accounts to screen applicants, and most about half felt it was ethically acceptable to do so.
Thoughts about the article
I found the social media article very interesting in that medical students recognize that their online profiles may be accessible to program directors, and 70% of them believe PDs screen their social networking sites. Admittedly this article is from a single institution and has a modest response rate for a survey study (30%). It would be interesting to see if this behavior holds across other institutions.
A similar survey of program directors looking to see if they actually do so would be interesting—my guess is most of them don’t have time for that! The implication for our own residents as they apply for fellowships should also be considered. Finally, in the context of the new Duke social media policy, are our patients and colleagues also looking at our social media profiles, and how should that change our behavior?
[divider]
From the Chief Residents
Grand Rounds
| Alumni/Stead | Dr. Lefkowitz |
Noon Conference
| Date | Topic | Lecturer | Time | Vendor | Room |
| 10/14 | Acute Leukemias Overview | Louis Diehl | 12:00 | Picnic Basket | 2002 |
| 10/15 | MED PEDS SAR TALK (Awerbach/Tolan) OR Difficult Death Debrief | SARS/Galanos | 12:00 | Saladelia Salads | 2002 OR DN9242 |
| 10/16 | Inpatient Pain and Opiate Management | Chris Jones | 12:00 | Pita Pit | 2002 |
| 10/17 | Intraosseous Line Lab | Chiefs/EZ-IO Group | 12:00 | Domino's | 2001 |
| 10/18 | Chair's Conference | Chiefs | 12:00 | Chick-Fil-A | MEDRES |
[divider]
From the Residency Office
DOCTOBERFEST IS HERE !
"Building Our Community" October 1-31, 2013 Thank you to everyone who has donated so far to our Doctoberfest Fundraiser for the Northstreet Community project. We have raised $135 to date! The option to have our Chief Residents and Dr. Zaas sumo wrestle is by far the most popular option. If you would like to see
that happen, (and really, who wouldn’t?) we must reach at least 50% of our goal of $1240, the amount needed to purchase a new portable wheelchair ramp for the community. Please donate using the link below and help us reach $620 by October 31, 2013 – every penny counts!
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=4UF7XQFW9EGWS
Also, don’t forget to acknowledge a nurse for their outstanding work:
https://www.surveymonkey.com/s/doctoberfest2013_greatnurses
October 16 Join us at noon conference for a traditional “beer” garden treat!
October 31 Halloween Tricks and Treats! Join us at Noon Conference for some Halloween goodies and for the announcement of our fundraiser’s “winning” Chief!
We look forward to celebrating with and honoring our incredible Duke Medicine community all month
Evaluations - How do They Get Assigned?
Some of the evaluations that residents are assigned happen automatically - like rotation evaluations, which are generated directly from MedHub at the end of each rotation. However, the vast majority of evaluation assignments start with you - the resident - beginning with the Resident Identify Supervisor (RIS) request. You are asked to select the faculty you worked with on the rotation, and on some rotations you are asked to assign no less than an minimum number of faculty. Please do not wait to make the assignments - complete the RIS selections when you receive the request - hopefully on the same day. Why? Faculty want to give you accurate feedback, and the only way to do that is if you give them the chance to do so BEFORE they move on to work with other residents. Waiting weeks to make RIS selections does not help you - or the faculty you work with. Delays generate the largest # of complaints that we receive from faculty when it comes to completing evaluations of trainees."Help me, I'm burned out....."
Judy Milne, RN MSN CPHQ CPPS Patient Safety Officer, Duke University Hospital You may be looking for resources for your team related to resilience. The following information is offered by Bryan Sexton, PhD, Director of the Duke Patient Safety Center:1) Consider the 3 day Resilience Retreat (every May and November) coming up November 4-6 2013, at the University Tower, 17th Floor. Click the link to register. - Registration Information; November 4 - 6, 2013 - Course Description
2) A shorter alternative, newly created is the 1 day Resilience Essentials Course (January 28 2014 will be awesome) - Registration Information; January 28, 2014 - Registration Information; April 22, 2014 - Registration Information; September 30, 2014 - Course Description 3) And something you can do individually or with your group is to sign up for “Three Good Things”: November/December 2013 For other course options, please check out the website: www.dukepatientsafetycenter.com There is much more to come from the Patient Safety Center, as it is expanding the line of tools for patient safety and resilience significantly in 2014. In terms of numbers, the center has trained over 2,600 in our Resilience and Patient Safety Officer Certification courses! Wow. Keep them coming, the center can handle the numbers. In fact, the favorite evaluation item is "I would recommend this course to a friend," which has had nothing but "agree" for 2 years now, and 95% of that is "agree strongly"! You will certainly enjoy any of these options you select!GME Research Training Series
This is a reminder of the GME Research Training Series for residents beginning this month. Registration for the October sessions will close this week. Please note two updates in this announcement:- Learning Objectives for the Sessions are attached
- Given program feedback, we have added a new day/time option of two Saturdays (and deleted the April/May session times)
Information/Opportunities
CareerMD Career Fair
"I am writing to let you know that the physicians in your program are invited to attend the CareerMD Career Fair for residents and fellows in Winston-Salem on the evening of Monday, December 02, 2013. Could you please advise the residents or fellows in your program of the upcoming event, at which they will be able to learn about postgraduate career opportunities and network with prospective employers? Representatives from leading hospitals, practices, and healthcare organizations from around the country will be at the Winston-Salem CareerMD Career Fair to meet residents and fellows in all specialties and in all years of training. Residents and fellows who would like to attend are asked to RSVP online at www.CareerMD.com/Winston-Salem or by emailing me directly at charles.howell@CareerMD.com. The event is free of charge to residents, fellows and their guests.| Location: | The Hawthorne Inn & Conference Center, 420 High Street, Winston-Salem, NC | |
| Date & Time: | Monday, December 02, 2013; arrive any time between 5:00 PM and 8:00 PM | |
| Details: | Casual attire, complimentary light refreshments, spouses and significant others welcome |
Upcoming Dates and Events
- October 18: SoM Clinical Science Day
- October 28: Annual Recruitment Kickoff
- November 13: Networking Event at Dr. Klotman’s! (An opportunity for JAR’s, fellowship directors, and division chiefs to connect!)
- November 28: Annual "Turkey Bowl"
- December 4: "Voices in Medicine"
Useful links
- https://intranet.dm.duke.edu/influenza/SitePages/Home.aspx
- http://duke.exitcareoncall.com/.
- Main Internal Medicine Residency website
- Main Curriculum website
- Ambulatory curriculum wiki
- Department of Medicine
- Confidential Comment Line Note: ALL submissions are strictly confidential unless you chose to complete the optional section requesting a response.