The Internal Medicine Residency newsletter is posted each week to share important news, announcements and updates about the residency program. Please contact Randy Heffelfinger or Emily Strollo with corrections, contributions and suggestions.
One week done! Way to go everyone – thanks very much for making this a smooth first week of the year. Many attendings have come up to me and mentioned how outstanding the new interns are! Cases at report have been excellent (gastric adenoca metatstatic to submandibular nodes!), the interns nailed the ECGs at noon conference, and Emily Ruden did a fantastic presentation of a patient with CLL and cold agglutinin disease (see Tony, CAD is not always about the heart). Special thanks to Murat Arcasoy for leading a great discussion, and also to Xavier Preud’homme for reminding us that sleep and fatigue management are important parts of our professional responsibility as physicians.
Some new happenings this week …
Stead Attendings start rounding on GEN MED DUKE! We are very excited about this new program that will bring additional teaching at the bedside to this rotation. Named for famous Chair of Medicine Eugene Stead, our first Stead Attendings are Andrew Muir (hepatology) and Chet Patel (cardiology). Dr. Muir is a former Duke Chief Resident, director of the GI fellowship program, and is recognized as an expert in the field of HCV infection. Check out his recent NEJM article on telaprivir for treatment naïve patients with HCV. Dr. Patel trained at UTSW and did his cardiology and advanced heart failure fellowships here at Duke. He now rounds on the heart transplant service. His recent publications include a review of mechanical support in advanced heart failure, and a look at the role of B-arrestin in chronic heart failure.
[box]Telaprevir for previously untreated chronic hepatitis C virus infection.Jacobson IM, McHutchison JG, Dusheiko G, Di Bisceglie AM, Reddy KR, Bzowej NH, Marcellin P, Muir AJ, Ferenci P, Flisiak R, George J, Rizzetto M, Shouval D, Sola R, Terg RA, Yoshida EM, Adda N, Bengtsson L, Sankoh AJ, Kieffer TL, George S, Kauffman RS, Zeuzem S; ADVANCE Study Team.N Engl J Med. 2011 Jun 23;364(25):2405-16.[/box]
[box]β-Arrestin: A signaling molecule and potential therapeutic target for heart failure.Noor N, Patel CB, Rockman HA.J Mol Cell Cardiol. 2010 Nov 11. [Epub ahead of print][/box]
[box]Mechanical circulatory support for advanced heart failure.Patel CB, Alexander KM, Rogers JG. Curr Treat Options Cardiovasc Med. 2010 Dec;12(6):549-65.[/box]
Direct Observations: As you all noted in the recent ACGME survey, we could do more observing of you interviewing and examining patients, or giving you feedback on your skills.
Interns – your advisor or team attending will be asking to observe you during a patient encounter – either an H&P, daily visit or discharge rounds. This is called a “MiniCex”, and a sample MiniCex evaluation form is attached. This isn’t meant to be stressful…it’s early in the year and we can all use some feedback on how we are doing!
We will also be observing your transitions of responsibility (aka handoffs) on Duke Gen Med in the evenings. Again, not meant to be stressful…this is a VERY IMPORTANT skill, and this will be the first time we have systematically evaluated what happens during transitions.
JARs and SARs – Leading a team on Gen Med takes organization, planning, flexibility and confidence! Look for Eileen, Tony and I to be joining your teams in the during morning work rounds to observe this key skill. We practiced this a bit during How To Be A JAR, and most SARs were observed last year at the VA. A sample of the Team Leadership CEX is attached. We will let you know before we drop in on rounds!
Here’s to another great week!
Aimee
[divider]
Additions to our family!!
Dale Okorodudu sent the following pictures / updates to share with everyone:
“Please share with our internal medicine friends. Introducing Tony Raymond Oritsegbemi Okorodudu, born July 5, 2011. After 29 hours of labor, mother is doing great!!!”
Pictures!!
Our own Lipi Roy, SAR, has travelled to Hati to vounteer following the tradgedies that they have expeirnnced. It turns out that Lipi is also quite the photographer, and has had another picture published in this month's Archives. - titled "Haiti - Man Crossing Street".
Upcoming Dates
August 5th - Liver Rounds at the Zaas' home
[divider]
From the Director
One week done! Way to go everyone – thanks very much for making this a smooth first week of the year. Many attendings have come up to me and mentioned how outstanding the new interns are! Cases at report have been excellent (gastric adenoca metatstatic to submandibular nodes!), the interns nailed the ECGs at noon conference, and Emily Ruden did a fantastic presentation of a patient with CLL and cold agglutinin disease (see Tony, CAD is not always about the heart). Special thanks to Murat Arcasoy for leading a great discussion, and also to Xavier Preud’homme for reminding us that sleep and fatigue management are important parts of our professional responsibility as physicians.
Some new happenings this week …
Stead Attendings start rounding on GEN MED DUKE! We are very excited about this new program that will bring additional teaching at the bedside to this rotation. Named for famous Chair of Medicine Eugene Stead, our first Stead Attendings are Andrew Muir (hepatology) and Chet Patel (cardiology). Dr. Muir is a former Duke Chief Resident, director of the GI fellowship program, and is recognized as an expert in the field of HCV infection. Check out his recent NEJM article on telaprivir for treatment naïve patients with HCV. Dr. Patel trained at UTSW and did his cardiology and advanced heart failure fellowships here at Duke. He now rounds on the heart transplant service. His recent publications include a review of mechanical support in advanced heart failure, and a look at the role of B-arrestin in chronic heart failure.
[box]Telaprevir for previously untreated chronic hepatitis C virus infection.Jacobson IM, McHutchison JG, Dusheiko G, Di Bisceglie AM, Reddy KR, Bzowej NH, Marcellin P, Muir AJ, Ferenci P, Flisiak R, George J, Rizzetto M, Shouval D, Sola R, Terg RA, Yoshida EM, Adda N, Bengtsson L, Sankoh AJ, Kieffer TL, George S, Kauffman RS, Zeuzem S; ADVANCE Study Team.N Engl J Med. 2011 Jun 23;364(25):2405-16.[/box]
[box]β-Arrestin: A signaling molecule and potential therapeutic target for heart failure.Noor N, Patel CB, Rockman HA.J Mol Cell Cardiol. 2010 Nov 11. [Epub ahead of print][/box]
[box]Mechanical circulatory support for advanced heart failure.Patel CB, Alexander KM, Rogers JG. Curr Treat Options Cardiovasc Med. 2010 Dec;12(6):549-65.[/box]
Direct Observations: As you all noted in the recent ACGME survey, we could do more observing of you interviewing and examining patients, or giving you feedback on your skills.
Interns – your advisor or team attending will be asking to observe you during a patient encounter – either an H&P, daily visit or discharge rounds. This is called a “MiniCex”, and a sample MiniCex evaluation form is attached. This isn’t meant to be stressful…it’s early in the year and we can all use some feedback on how we are doing!
We will also be observing your transitions of responsibility (aka handoffs) on Duke Gen Med in the evenings. Again, not meant to be stressful…this is a VERY IMPORTANT skill, and this will be the first time we have systematically evaluated what happens during transitions.
JARs and SARs – Leading a team on Gen Med takes organization, planning, flexibility and confidence! Look for Eileen, Tony and I to be joining your teams in the during morning work rounds to observe this key skill. We practiced this a bit during How To Be A JAR, and most SARs were observed last year at the VA. A sample of the Team Leadership CEX is attached. We will let you know before we drop in on rounds!
Here’s to another great week!
Aimee
[divider]
Conferences
(submitted by Murat Arcaosy) I am pleased to share with everyone the attached compilation of teaching conferences offered by our program. This list will also be posted in MedHub and on our website for reference. [ilink url="http://medicinenews.duhs.duke.edu/wp-content/uploads/2011/07/Medicine-H…" style="download"]Medicine House Staff Teaching Conferences 2011[/ilink] What I Read This Week “WIRTW” (submitted by Larry Greenblatt) Keeping up with the literature is a challenge for all of us. It is particularly formidable for generalists who also practice hospital medicine and make rounds with extremely bright and well-read trainees. I wanted to introduce all to a very useful and FREE tool that can help. It is called Evidence Updates. Here is their strategy.- Scan 50 journals across a range of specialties.
- Have trained individuals apply critical appraisal criteria to all the articles.
- Present electronically the articles that are high quality to health care practitioners who rate the articles for relevance and newsworthiness.
- I am a reviewer too.
- Abstracts from highly rated articles are then compiled and sent to subscribers every 2 weeks or so.
- What you get is a list of valid and valuable articles from a range of journals, not just what the mailman delivers.
- My areas are Primary Care Internal Medicine and Hospital Medicine.
- Many specialties are available.
From the Chief Residents
Grand Rounds
|
Date |
Speaker | Division | Topic |
|
7/15/11 |
Ben Powers | General Internal Medicine | To be announced |
Noon Conference
|
Day |
Date |
Topic |
Lecturer |
Time |
Vendor |
Room |
| Monday |
7/11 |
GI Bleed | Dan Wild |
12:00 |
Jersey Mike's |
2002 |
| Tuesday |
7/12 |
Acute Renal Failure | John Middleton |
12:00 |
Dominos |
2002 |
| Wednesday |
7/13 |
Hazards of Hospitalization | Tony Galanos |
12:00 |
Moe's |
2002 |
| Thursday |
7/14 |
ABG Interpretation | Christina Barkauskas |
12:00 |
Rudinos |
2002 |
Data Request - Emergency Vehicles
If you have a 4 wheel drive vehicle – and have not all ready done so – please log in this week and complete this brief survey. https://www.surveymonkey.com/s/4wheeldriveVA Radiology Coverage
Starting July 1, 2011 the following changes are in effect:- Weeknights (Monday through Friday): There will be a radiologist in-house to answer questions, offer consultations, and interpret emergency room and inpatient studies from 5 pm until 10 pm. Please call VA Cell Phone: 919-695-2447 to reach the MD. Secondary number (technologist on duty): VA Pager: 0452
- Weekends and Holidays: In-house radiologist will cover from 8am until 12 noon. Please refer all questions to this MD. They will interpret the over-night studies during those hours. Same phone numbers as above.
- Weeknights after 10 pm and Weekends/holidays after 12 noon: Please refer all radiology questions and orders to the second call Duke resident at: 919-681-4422.
General Medicine Grand Rounds
Motivational Interviewing – when it’s time for a changeTuesday, July 12, 2011 7:30am to 8:15am 3024 Pickett Road, 2nd floor Presented by: Kathryn Pollack, M.D. and Lawrence Greenblatt, M.D.
Learning Objective: Learners will become familiar with techniques to motivate patients to change their health habits.
News From Our Residents
Additions to our family!!
Dale Okorodudu sent the following pictures / updates to share with everyone:
“Please share with our internal medicine friends. Introducing Tony Raymond Oritsegbemi Okorodudu, born July 5, 2011. After 29 hours of labor, mother is doing great!!!”
Pictures!!
Our own Lipi Roy, SAR, has travelled to Hati to vounteer following the tradgedies that they have expeirnnced. It turns out that Lipi is also quite the photographer, and has had another picture published in this month's Archives. - titled "Haiti - Man Crossing Street".
Upcoming Dates
August 5th - Liver Rounds at the Zaas' home
[divider]
From the Residency Office
Motivational Interviewing Club
(submitted by Larry Greenblatt) Had some training in motivational interviewing and want to work on your skills? Come out to an interdisciplinary session run by 2 excellent MI trainers. We'll have role play and review of key concepts as well as time to talk about our own experiences. Our next meeting will be Tuesday 7/12 4:30-6:00 at the School of Nursing room 1011. OK to arrive late and no need to rsvp.Cycling Around Durham
For those who like to work out on a bicycle, or just get out to enjoy the scenery, the Triangle offers many opportunities. You’ll find a fair number of our faculty ride (as well as myself) – and would be happy to share the road with other cyclist. This weekend Larry Greenblatt is taking the lead on offering to help coordinate a group ride. When – 8:30 Saturday; Where - at 1955 W Cornwallis (Maureen Joy charter school) How far/target pace - 18 miles, 15 mph If you would like to check out other opportunities, here is a link to one of the local cycling groups – with maps, links, and tips (www.tarwheels.org)Health Insurance Cards
Many of you have asked about your health insurance cards – please see response from Ms. Watkins below. “Insurance cards will be delivered to their home addresses within two to three weeks. If they have signed up to have their insurance start on 06/27/2011 they can email me and I will pull their policy number from the HR Office. Her email is j.watkins@dm.duke.edu All HR/Benefit questions should be directed to the GME office. Jill Watkins also processes all of your pay.Useful links
- Main Internal Medicine Residency website
- Main Curriculum website
- Ambulatory curriculum wiki
- Confidential Comment Line Note: ALL submissions are strictly confidential unless you chose to complete the optional section requesting a response.
- Department of Medicine website