Internal Medicine Residency News, Sept. 5, 2017

Clinic Corner: DOC

Contributed by Lynn Bowlby

…should I be concerned?  YES!!!

Smoking damages nearly every part of the body. 

• We all know the connection between smoking and cancer, but smoking also causes stroke, cataracts, gum disease, diabetes, reduced fertility, erectile dysfunction, poor recovery from surgery, impaired immune function, and many other health problems. 

Nicotine causes something called “the cruel illusion.” 

• Within 8 seconds of inhaling (slower for chewing tobacco), nicotine reaches the brain and triggers the release of dopamine, a chemical that acts as a messenger in the brain. 
• Dopamine is involved in the brain’s reward system, so it makes us feel good, as if we just won a prize or received a compliment. 
• Serotonin (keeps the emotions on an even keel) and norepinephrine (increases alertness and reaction time) are also released. 
• This is why people who smoke claim that it relaxes them or helps them stay focused. 
• Unfortunately, even though they temporarily feel better, the body is under increased stress. This includes increased BP/pulse, tense muscles, constricted blood vessels, and less oxygen going to the brain and body.

Just under 20% of North Carolinians are smokers, but smoking related illness costs North Carolina $3.81 billion a year! 

And tobacco is responsible for 1 out of every 5 deaths. For patients with mental illness, that number can be as high as 1 out of every 2 deaths!

Smoking is also harmful to those around smokers. 

• Secondhand smoke contains more than 7000 chemicals. 
• Secondhand smoke can also cause stroke, cancer, heart disease, SIDS and more. 

Third hand smoke (the residue left on hair, skin, clothes, carpets, furniture, walls and cars) is especially dangerous to children. It can lead to issues with wound healing and impaired respiratory development.

Nicotine dependence is a chronic and relapsing condition.

Coming next: Okay, but what about chewing tobacco or e-cigs?

From the Chief Residents

Morning Report and MGR: Sept. 4-8, 2017

Date	Topic	Lecturer	Time	Location
9/4/17	Labor Day - no conference
9/5/17	Inflammatory Skin Conditions	Sarah Wolfe	7:15 a.m.	DUH 8252
9/6/17	Case Presentation	Toi Spates to Joe Rogers	7:15 a.m.	DUH 8252
9/7/17	Dialysis	Michael Berkoben	7:15 a.m.	DUH 8252
9/8/17	Medicine Grand Rounds: Revascularization for Heart Failure	Eric Velazquez	8:00 a.m.	DN 2002

 

Noon Conference: Sept. 4-8, 2017

Date	Topic	Lecturer	Time	Location	Lunch
9/4/17	Labor Day - no conference
9/5/17	Hyponatremia	Ruediger Lehrich	12:15 p.m.	DUH 2002	Popeye's
9/6/17	AKI	John Roberts	12:15 p.m.	DUH 2002	Rudino's
9/7/17	Residency Town Hall	Residency Council	12:15 p.m.	DUH 2001	Domino's
9/8/17	Chair's Conference	Francis Ugowe	12:15 p.m.	DUH 2002	NOSH

 

 

Duke Gen Med Conference Schedule: Sept. 4-7, 2017
 

Date	Topic	Lecturer	Time
9/4/17	Labor Day - no conference
9/5/17	Case Presentation Intern Subspecialty Report	Kelly Ground with Joe Govert and Joe Rogers Talal Dahan on Pulmonary Embolism	1:15 p.m. 3 p.m.
9/6/17	Case Presentation Case Presentation	Amanda Boyd with Eileen Maziarz Tamara Saint-Surin and Kristen Batich with Ankoor Shah	1:15 p.m. 3 p.m.
9/7/17	Case Presentation  Intern Report	Elieth Martinez with Dr. Setji Monica Tang on Allergy/Immunology	1:15 p.m. 3 p.m.

 

From the Residency Office

 

Global Health Pathway and Clinical Elective Rotations

Applications for Global Health Pathway are now open through September 30, 2017 for incoming class beginning July 1, 2018. Learn more.

Applications are open for Global Health Clinical Elective Rotations; Deadline is September 29, 2017. Learn more.

 

 

6th Annual Stead Tread

Don't forget: Join us Saturday, Sept. 9 at 9 a.m. for the 6th Annual Stead Tread 5K Run and Walk on the American Tobacco Trail at Solite Park. The race benefits the Lincoln Community Healthcare Center. Learn more.

 

Trainee Fallfest

Duke Medical Alumni Association will host Trainee Fallfest on Sun., Sept. 10, 12:30-2:30 p.m. RSVP required by Sept. 5 to attend: bit.ly/fallfest2017

 

Society for Hospital Medicine Poster Competition

Society for Hospital Medicine - North Carolina Triangle Chapter announces a call for abstracts for its Research, Innovation and Clinical Vignette Poster Competition. Abstract submission deadline is 11:59 p.m. on Sept. 15, 2017. Learn more.

 

Duke Cystic Fibrosis Education Day

Duke Cycstic Fibrosis Education Day will be Sat., Sept. 16 from 9 a.m.-3 p.m. in the Great Hall of the Trent Semans Center. Learn more. RSVP by Sept. 11.

 

Faculty-Resident Research Grant

The applications are due on April 8, 2018 for a funding start date on July 1, 2018.

For JARs, the funding end date is June 30, 2019. For Interns, the funding end date is June 30, 2020.

Attached 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 2018. Please also find attached scholarship opportunity calendar for this academic year 2017-2018

For any questions, or to discuss mentorship and research project opportunities 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

• Sept. 9 - 6th Annual Stead Tread 5K Run and Walk

• Sept. 10 - Trainee Fallfest

• Sept. 29 & 30 - Global Health Clincal Elective and Pathway applications are due

• Oct. 1-31 - Doctoberfest!

• Oct. 13 - Recruitment Kickoff

Opportunities

• Tidelands Health

• 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