Weekly Updates - April 16, 2012

By heffe004@dhe.duke.edu

From the Director

Hi everyone! Greetings from Juliessa and Tony (Ning)'s wedding! They are now officially Mr. And Mrs. (well, Dr. And Dr.). Thanks to all for a great week - heard compliments from the team at DRH regarding SAR Richard Wu and how he dealt with a tough situation - nice job Richard. We had fantastic SAR talks from Mike Durheim, Dan Ong and Steve Sumner, and intern Lauren Prats taught us about the zebra of all zebras PAPFO at DRH report! We are getting into the home stretch of this academic year - look for the plenty of opportunities to evaluate the program coming up.  The JARS are getting ready for fellowship applications and thanks SARS for getting those procedures signed off and signing up for exit interviews. Please get in touch with Shawna for any meeting related questions or to drop off paperwork that I need to sign!  How To Be A JAR sessions start on April 22, so stay tuned. The ACGME Survey opens TOMORROW.  It's important to get 80% response rate, it's anonymous and we take it very seriously! Please take time to fill it out.  You will get an email with login instructions. Thank you! Please stop by the office and welcome program coordinator Jennifer Averitt! We are thrilled to have Jennifer join us and look forward to getting her integrated into our team. Pubmed from the program goes to JAR Hassan Dakik:  The use of GTX as second-line and later chemotherapy for metastatic pancreatic cancer: a retrospective analysis. Dakik HK, Moskovic DJ, Carlson PJ, Tamm EP, Qiao W, Wolff RA, Abbruzzese JL, Fogelman DR., Cancer Chemother Pharmacol. 2012 Feb;69(2):425-30. Epub 2011 Aug 18. Have a great week Aimee

What Did I Read This Week (by Eileen Maziarz, MD, and Tony Gutierrez, MD )

[box]  Is the Schedule Done Yet?” Journal of Bitching & Moaning 2012; 10:666.  [/box] Why we read this? After receiving countless of requests for schedule changes past the deadline and having to dodge questions such as: 1) Is the schedule done yet? Or 2) How many weeks of night float or XXX will we get next year, and other such questions, we dove into pubmed to see if other Chiefs around the country experienced the same nail on a chalkboard questions…and how these programs fared... What we found? Surprisingly a group of internal residency programs in the northeast (think of any program that refers to themselves as The…) performed a prospective study highlighting the following: Despite 90% of the polled residents going into competitive fellowships: Cardiology, Gastroenterology, or Hematology-Oncology, 75% of these same housestaff listed Geriatrics, Palliative Care, Dermatology or Rheumatology as their first choice of preferred consult/ambulatory rotation.  This was interpreted as either residents plan on providing a high level of subspecialty care that will help their patients live well to the age ≥ 75 and they want to ensure that their patients’ joints, skin and overall health is optimized well past the time that their DTIs have been effective…We may infer, perhaps, a simpler answer… the third year slide (aka senioritis). Ultimately the correlation between preference list requests and final outcomes were as follows: Odds Ratio of asking for Geriatrics/Palliative Care as first choice and getting it: 0.00000000000000000000000000000001 In the same group, OR of getting Renal Consults: 99 (this is not a typo) Odds of getting Vacation requests granted: 0.99 Chances of getting something other than a 2 wk and a 1 wk scheduled vacation: 0 What did we learn?  Ultimately the likelihood of residents getting their ideal schedule was inversely proportional to the number of requests + emails + and in person questions directed to the Chiefs making the schedule.  Good thing that we are no longer a “malignant” program Conclusions: Schedule should be out this week, (THANKS for your patience), unless there are more last minute requests… E, T, & and a newly wed J (Feel free to send Juliessa all of your requests for any last minute schedule changes.  She will sort through them while on her honeymoon sipping a beverage on the beach with the new Mr. Tony Pavon) [hr] [divider]

From the Chief Residents

Grand Rounds

4/20 - Victor Tapson, Pulmonary Critical Care 4/27 - Stan Branch, Gastroenterology

Noon Conference

Day Date Topic Lecturer Time Vendor
Monday 4/16 Peripheral Arterial Disease Manesh Patel 12:00 The Pita Pit
Tuesday 4/17 MedPeds Conference-Mortality in Adolesences and Young Adults Richard Chung 12:00 Domino's
Wednesday 4/18 SAR TALK Ryan Schulteis 12:00 Jersey Mike's
Thursday 4/19 Clin Pharm/Drug Interactions in Clinical Practice Nancy Allen Lapointe 12:00 Papa John's

Newest Member of our "Family" (submitted by Tian Zhang)

Vivianne Ziyi Wang was born on 4/5/2012 at 2:30 am. She weighed 7lbs and 4oz and measured 19.75 inches. We are now home and both mother and baby are doing well.  

 

More Pictures To Enjoy:  Garber, Menachem, Garber, Menachem, Hodavance

From time to time we enjoy sharing other pictures submitted by our residents, whether it be the Turkey Bowl, the world famous Duke Faculty vs Resident Basketball game, or in this case - a fine selection of "couch potatoes".  As they say, pictures say a thousand words.  Enjoy! [divider]

From the Residency Office

Please Welcome Jennifer Averitt - Program Coordinator

We are VERY HAPPY to report that the vacant office in the Med Res office is now occupied!  Many of you have all ready had a chance to meet Jen, but if by chance you have not, please stop by and help us extend a warm welcome. Jen comes to us from The University of North Carolina, Chapel Hill where she managed The North Carolina State Improvement Project ,  a program focused on improving the instructional outcomes for K-12 students with disabilities across the state.   A graduate of the University of Southern California, she lived and worked in Los Angeles for several years, until re-locating to North Carolina over ten years ago.  She lives in Burlington with her husband Jason, and their two daughters, Remy and Rowan.

GME Concentrations

We are excited to introduce a new educational opportunity for Duke residents and fellows GME Concentrations were developed, with support of the GME Innovation Fund, in response to resident/fellow and program feedback to provide critical content to better prepare physicians for practice in the current & future health care system. These Concentrations are being offered as an optional  "minor" for residents and fellows, PGY level 2 and above) across specialties at Duke. Residents/fellows will participate in development of their individualized education plan by choosing from a list of educational opportunities related to their concentration. Participation will span over the course of their training and last a minimum of one year (some exceptions may apply) resulting in the awarding of a Certificate of Completion. Please review the following attachment for more information regarding this exciting program.   Concentrations Brochure

NC Tobacco Prevention and Control Branch's Tobacco Cessation Quitline  (Chitra Subramaniam, Ph.D)

The Duke CME office is undertaking an educational initiative to engage the Duke Medicine Residents in the use of the NC Tobacco Prevention and Control Branch's Tobacco Cessation Quitline.  This telephone-based counseling service, provided by highly trained Quit Coaches, is evidence-based and has been shown to improve smoking cessation rates by 50-100%, AND is free to any NC citizen. Click here to access the CME educational materials.(link to course)- In your blog could you hyperlink this to http://cmetracker.net/DUKE/Login?FormName=RegLoginLive&eventid=43985 There are 3 choices for a healthcare provider to refer tobacco users to receive this telephone counseling: 1) healthcare provider tells the patient to call 1-800-QUITNOW OR 2) healthcare provider completes the referral form, patient signs form, and the referral form is faxed by the provider to 1-800-483-3114 OR 3) healthcare provider completes e-version of the form available at  http://cme.mc.duke.edu/wysiwyg/downloads/2010-FAX-REFERRAL-eFORM_022712_distributed.pdf and submit as an email attachment to supportservices@alere.com via a secure email (NOTE: As compared to telling the patient to call 1-800-QUITNOW, the referral form greatly increases the likelihood patient will get the telephone counseling) The Quit Coach will call the patient at the telephone number provided, at the times specified - typically within 72 hrs of referral. Please also note that the NC Tobacco Prevention and Control Branch will be distributing free nicotine replacement therapy to 9500 NC citizens in 2012 on a first-come, first-served basis (info available on www.quitnownc.org website)  

Dates to Add to Your Calendars /Contact Information

April 22 - Stead Tread 5 K, hosted by Stead B  (Stead Tread 5 K) April 25 - Cardiology Symposium, Searle Lecture Hall 8:00am to 5:00pm. April 26 - Ronald McDonald House  dinner, hosted by Stead E (michael.shafique@duke.edu) April 27 - DoM Annual Resident Photo  Shoot, after Grand Rounds (rain date - May 18) April 27  Nephrology Fellowship Discussion (contact Dr. Steve Smith (stephen.smith@duke.edu)) May 1 - Annual Duke Residents vs Faculty Basketball Game (6:00 @ Cameron Indoor Stadium) May 4 - Humanism in Medicine May 19 - Annual Resident Picnic (Dr Burton's Farm) June 2 - Annual SAR Dinner (invitations only) June 13 –Resident Research Event, 5-7pm

Opportunities

Carolinas Health Care

Useful links

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