From the Director
The days are getting longer, and it's nice to have warm weather and sunshine into the later evening! A lot happened this week, and there are some important program work about to happen, so bear with me if this is a little bit long.
First, congratulations to JARs
Sam Horr and Tara Weiselberg on their engagement! Other notable residents of the week include JAR
Jason Rose for being a huge asset to the Heme consult service this week (thanks
Jeff Van Duesen for letting me know), SAR
Johanna Chan for doing a fantastic presentation of pseudomonas bacteremia and acquired antibiotic resistance to our visiting Chair Pro Tem
Dr. Louis Rice, and to SARS
Talal Dahhan and Krish Patel for outstanding SAR talks. Intern
Amy Newhouse stumped Eileen and I on a case of a heart transplant patient with a fever (AML! Who knew!) as well.
We also had a great debriefing of the Safety Attitudes Questionnaire (program director fail for having to go to another meeting during the noon conference!)…
Jon Bae and others are brainstorming ways to improve our resilience, so please talk to him or I if you are interested in getting involved.
Huge Kudos to SAR
Adia Ross and the DOC team for a flawless strategic planning session at the DOC. Other participants included JARs
Newton Wiggins, Phil Lehman and Dale Okorodudu, and Interns Kevin Shah and Jeremy Gillespie. I learned a lot during the session and feel confident that we will be prepared for Maestro.
The last quarter of the academic year is also known as SURVEY TIME! Please get ready, because a number of VERY IMPORTANT surveys are about to come your way…
- ACGME Resident Survey — for medicine residents, this comes out on 4/16. This survey is very important to us and to the RRC. We need at least 80% participation to be in the good graces of the RRC. We will be talking more about the survey on 4/11 at noon conference.
- Annual Program Survey — This comes from my office and is used to help us learn how we can do better, and what we are doing well. It's another chance to give us feedback on the leadership team and the program.
- The Learner's Perception Survey — this is a survey of your continuity clinic. We've collected this data for the past 5 years, and it has been the force behind improvements in your clinic experience.
We'll try to stagger these so you don't get "survey fatigue" but PLEASE help us make OUR program better by participating. As always, they are anonymous!
Pubmed from the program goes to program alumni
Tony Tran and Doug Srygley for "
Does this Patient have a GIB" as the next installment in the awesome rational clinical exam series….check it out and NG tubes may be a thing of the past!
Have a great week. I'll think of you while I am in Florida..
Aimee
QI Corner
Thank you once again to
Dr. Bryan Sexton for his lively discussion of our program's Safety Assessment Questionnaire (SAQ) results during Patient Safety and Quality Noon Conference. For those who are interested in our performance, we have included the results in this week's updates. Clearly, many opportunities exist to study and improve our culture, so if you have ideas, please seek out
Jon Bae.
Also, in response to our resiliency scores, here is a copy of the simple tool "3 Good Things" which Dr. Sexton mentioned. Studies prove 14 days is better the Prozac! And it takes < 90 seconds a day.
Duke Resilience 3 good things 2 week inventory ICGME Internal Med Only
The first meeting of the Medicine Residency Patient Safety and Quality Council will be coming in the next 2 weeks (Date TBA). All are welcome to attend but below are the selected representatives from each Stead Society. For those interested in participating, stay tuned to the weekly updates for the date and time of the first meeting.
Stead A (Whitson): Aaron Mitchell, Jennifer Rymer
Stead B (M. Crowley): Joel Boggan, Nilesh Patel, Adia Ross, Kevin Shah
Stead C (Powers): Ryan Nipp
Stead D (Naggie): Priyesh Patel
Stead E (S. Crowley): Mallika Dhawan, Sima Hodavance
Save the Date: Our next Patient Safety and Quality Conference will take place
MONDAY, APRIL 23rd. Bill Burton, director of Duke Performance Services, will be providing an overview of our performance and data infrastructure here at DUHS.
Lastly, check out the new
Medicine Residency Quality Improvement website. Just type
DOMCentral into the address bar when logged into a pinstation or through virtual pin (username = dhe\username [YOURS], password = pin station password).
What Did I Read This Week (by Saumil Chudgar, MD )
[box]
Handoffs in the Era of Duty Hours Reform: A Focused Review and Strategy to Address Changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. DeRienzo CM, Frush K, Barfield ME, Gopwani PR, Griffith B, Jiang X, Mehta AI, Papvassilious P, Rialon KL, Stephany AM, Zhang T, and Andolsek KM., Acad Med 2012; 87:403–410. [/box]
Handoffs in the Era of Duty Hours Reform
Why I read this? The title caught my eye when I received the email with the table of contents of the April 2012
Academic Medicine. I saw the authors were Duke trainees and faculty, including current IM resident Tian Zhang, Hospital Medicine faculty Brian Griffith and Alyssa Stephany, and Med-Peds alum Priya Gopwani. Congratulations to them!
What they found? The ACGME added the requirement of training in transitions of care to the Common Program Requirements in July 2011. In response, the authors as members of the Duke GME Patient Safety and Quality Council (PSQC) conducted a focused review of the current literature to determine best practices and develop a plan for Handoff education and evaluation for all Duke GME trainees. Their literature review identified 102 articles (all included in their references for anyone who is interested) including 4 comprehensive reviews and the remainder focused on handoff structure, evaluation, and education.
The authors also described Duke’s institution-wide response to the change in requirements, including the creation of the handoff core content guidelines, a plan for educating the residents, and the development of a Handoffs CEX tool (created by the Medicine QI group!).
What I learned? The new ACGME requirement around transitions of care provides programs another method to train residents to improve both the quality and safety of patient care. Duke GME addressed this requirement successfully through a resident-driven process that was very effective in leading change within the health system.
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From the Chief Residents
Grand Rounds
4/6 - Michael Berkoben, Division of Nephrology, 8am
4/13 - Roy Pleasants, Current tobacco issues and strategies, 8am
Cardiology Grand Rounds - Week of April 2
A reminder that we will have
two Cardiology Grand Rounds this week -
Monday will be
Robert Gerszten, Cardiology Division Chief candidate from Massachusetts General Hospital, who will be speaking on “Towards Less Impersonal Medicine Using Metabolite Profiles”
Tuesday will be Ken Mahaffey who will lead a discussion on “Highlights from the ACC”.
Both grand rounds will take place at 5pm in Duke North 2002. Pizza and soft drinks provided.
Noon Conference
| Date |
Topic |
Lecturer |
Time |
| 4/2 |
SAR TALK |
Johanna Chan |
12:00 |
| 4/3 |
SAR TALK |
Tara Spector/Paul Park |
12:00 |
| 4/4 |
Disability |
Marc Flur |
12:00 |
| 4/5 |
SAR TALK |
Vaishali Patel/Ryan Schulteis |
12:00 |
"Personal Statement" Presentation Slides
Just in case you missed Dr. Criscione-Schreiber's conference last week, the following link will take you to her slides for reference.
The Personal Statement for Residents
GME Grand Rounds
April's Medical Education Grand Rounds session -
"Legal Issues & Remediation" with
Jamie Padmore, MSc and
Kerry Richard, Esq., MedStar Health, Inc – will be held Tuesday, April 3rd (
MEGR Legal Issues Remediation Flyer) Two session times are being offered:
12noon – 1pm (DN2001)
5pm – 7pm (DN2003)
If you would like to attend this session and have not yet registered, please do so by clicking the following link -
https://www.surveymonkey.com/s/LegalIssuesRemediation
Stead Society Activities
Stead "B" STEAD TREAD
Still time to train up for the 5 K to be hosted by Stead Society B
Where - the Al Bueler trail
When- Sunday April 22
nd2012; 10am registration, 11am start time. Info available at
Stead Tread 5 K
Rain or Shine; bring your pets!
Stead "E" Society (Steve Crowley's group)
Reminder: The "team" will be preparing/hosting dinner for the residents at Ronald McDonald house Durham (2 blocks from Duke campus) on Thursday, April 26. Contact Steve Crowley or Michael Shafique for more information or to sign up.
steven.d.crowley@dm.duke.edu michael.shafique@duke.edu
Nephrology Interest Reception
The Division of Nephrology will host a reception for all Medicine House Staff with an interest in possibly pursuing fellowship training in Nephrology on Friday April 27, 2012 from 5:30 – 8 PM at the home of Dr. Rudy Lehrich. This will be a low key setting to obtain information from current fellows, our current SAR’s who will be joining the program in July, and a handful of faculty. If you would like to attend (or wish to express interest even if you cannot attend) please contact Dr. Steve Smith (
stephen.smith@duke.edu). Directions and a reminder will be sent to those who will be attending.
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From the Residency Office
Questions with Audio Enhancements Added to Summer 2012 Internal Medicine Certification Examination
Take note that ABIM has added something new to the certification exams - a small number of audio-based questions that will require you to recognize and interpret recorded heart sounds. You will listen to the sounds using headphones supplied at the test center.
How to prepare for your exam:
- Schedule your exam - If you have not done so already, schedule your exam by contacting Pearson VUE: www.pearsonvue.com/abim
- 1-800-601-3549, Mon. – Fri., 7 a.m. to 7 p.m. CT.
- The updated tutorial will also feature how to use highlight and strikethrough capability when reviewing all exam questions.
- Take the ABIM Exam Tutorial, which will be updated with an example of an audio-based question in May 2012.
- View the Internal Medicine Certification Examination Blueprint (pdf), which provides specifications of the content of the exam questions.
- Visit Dates, Blueprints and Scoring for complete information about the Internal Medicine exam.
- Take the tutorial at the test center on exam day, which allows you to practice listening to the audio-based questions using headphones.
Questions? Call 1-800-441-ABIM (2246), Mon. – Fri., 8:30 a.m. to 8 p.m. ET, Sat., 9 a.m. to 12 p.m. ET or
send us an e-mail.
Cardiology Symposium - Wednesday April 25 , Searle Lecture Hall 8:00am to 5:00pm.
This free event is available to everyone and provides
6.50 AMA PRA Category 1 Credit(s)TM (all in one day!!). Please register at
http://cmetracker.net/DUKE/Courses.html
Pre-register by April 9, 2012 to receive lunch.
Young Investigators Competition - Poster Information –
Winner will receive an iPad with Wi-Fi + 4G LTE for AT&T 16GB
There will also be a poster session to highlight the work of our talented students, post-doctoral fellows, and housestaff. If you are interested in presenting your work as a poster, please
email your abstract to c.ward@duke.edu by March 30, 2012. All who submit abstracts will be given space to display their poster and will have an opportunity to discuss their work with symposium attendees. In addition, after reviewing the abstracts three finalists will be chosen to participate in a Young Investigators Competition and will present their work orally on the day of the symposium (they will be notified around April 9th in order to have time to prepare). A winner will be announced at the end of the day.
Dates to Add to Your Calendars
April 10 - Hematology Oncology Fellowship Discussion (1:00 p.m. – 2:00 p.m. 405 Seeley G. Mudd Building Conference Room)
April 22 - Stead Tread 5 K, hosted by Stead B
April 26 - Ronald McDonald House dinner, hosted by Stead E
April 27 - DoM Annual Resident Photo Shoot, after Grand Rounds (rain date - May 18)
April 27 - Nephrology Interest Reception
May 1 - Annual Duke Residents vs Faculty Basketball Game (6:00 @ Cameron Indoor Stadium) NEW
May 4 - Humanism in Medicine
May 19 - Annual Resident Picnic (Dr Burton's Farm)
- new
June 2 - Annual SAR Dinner
(invitations only)
June 13 –Resident Research Event, 5-7pm
Useful links
