From the Director
Hi everyone! What a fantastic week! I hear the chiefs were issued a recording contract,
Adam Garber and Mandy George had awesome SAR talks, as did
Sundhar Ramalingam with a great chairs conference.
The fellowship match was INCREDIBLE - congrats to our amazing SARs and also to the Duke fellowship directors. Our program will be well represented in fellowships and jobs here, and at fantastic institutions around the country. A special thanks to our Stead leaders, Stead faculty, and others who helped with mock interviews for our SARs as well. And a final thanks to the elves who gift wrapped my office!
[caption id="" align="alignright" width="179"]
Match Day "ALL WRAPPED UP"[/caption]
Kudos were passed on about
Claire Kappa and Alex Clarke from Dr. Diehl for great care at night on 9100, to
Armando Bedoya for helping the nurses with a complicated patient on 8300, and to
Kedar Kirtane for stepping up to help a friend. We are almost halfway through a tremendous interview season, and thanks to all who have hosted dinners, went to dinners, led tours and spent time chatting with applicants. Also thanks to
Jim Lefler, Brice Lefler, Hal Boutte, Nick Rohrhoff, Carli Lehr, DeAnna Baker, Adrienne Belasco, Katie Broderick, Armando Bedoya, Laura Caputo, Chris Hostler, Nancy Lentz, Marianna Papademitriou, Carling Ursem, Jen Rymer, Matt Chung, Sam Horr, Jon Menachem, Ryan Nipp, Bonike Oloruntoba, and Scott Westphal for speaking at the end of the interview days. Many more of you will be doing this in the second half of the interview season and we look forward to that as well.
Please look out for the new initiative on Gen Med -
sympathy cards for patient families.
Laura Musselwhite has spearheaded the effort, with help from
Manesh Patel and Cecily Peterson. Also, don't forget
gift drive donations - see
Joel Boggan for any questions.
Congraluations go out to
Lisa and Simon Vann on the birth of
Abigail - the newest addition to our "family"!.
This week's pubmed from the program goes to
Hany Elmariah for the two posters he is presenting at the American Society for Hematology meeting! Great work Hany!
Have a great week,
Aimee
SAR Fellowship Match 2012
| Blake Cameron – Nephrology at Duke |
| Jennifer Chen – Cardiology at Columbia |
| Rex Cheng – GI at University of Washington, Seattle |
| Matthew Chung – Medicine at Durham VA Medical Center |
| Catherine Coombs – Hem/Onc at MSKCC |
| Hassan Dakik – GI at Duke |
| Coral Day – Pulmonary-Critical Care Medicine at Duke |
| Megan Diehl – Hem/Onc at Duke |
| Denise Duan-Porter – GIM at Duke |
| Adam Garber – Hospital Med at Virginia Commonwealth University |
| Amanda George – Primary Care at Virginia Commonwealth University |
| Brett Goodwin – Cardiology at Texas Heart Institute |
| Ivan Harnden – GI at Duke |
| Zachary Healy – Pulmonary-Critical Care Medicine at Duke |
| Sima Hodavance – Cardiology at Duke |
| Carrie Horney – Geriatrics at University of Colorado-Denver |
| Samuel Horr – Cardiology at Cleveland Clinic |
| Shereen Katrak – ID at UCSF |
| Kathleen Kiernan – Hem/Onc at Duke |
| Andy Livingston – Hem/Onc at MD Anderson |
| Sahar Koubar – Nephrology at Johns Hopkins |
| Jonathan Menachem – Cardiology at University of Pennsylvania |
| Ann Marie Navar-Boggan – Cardiology at Duke |
| Ryan Nipp – Hem/Onc at Dana Farber Cancer Institute |
| Dustin Norton – Hospital Medicine at Durham Regional Hospital |
| Dale Okorodudu – Pulmonary-Critical Care Medicine at UTSW |
| Bonike Oloruntoba – GI at Duke |
| Kevin Parrott – Cardiology at Kentucky |
| Nilesh Patel – Hospital Medicine at Duke |
| Priyesh Patel – Cardiology at Duke |
| Sundhar Ramalingam – Hem/Onc at Duke |
| Jason Rose – Pulmonary-Critical Care Medicine at Pittsburgh |
| Leah Rosenberg – Palliative Care at MGH-Dana Farber |
| Krishn Sharma – Medicine-Hospitalist at New Hanover Regional |
| Nicki Storms - Hospital Medicine at Durham VA Medical Center |
| Josh Thaden – ID at Duke |
| Lisa Vann – Hospital Medicine at Duke |
| Jason Webb - Hospice and Palliative Medicine at Duke |
| Tara Weiselberg – Geriatrics at Cleveland Clinic |
| Scott Westphal – Nephrology at Duke |
| Newton Wiggins – Cardiology at Cleveland Clinic |
What Did I Read This Week (by Aimee Zaas, MD)
[box] Norovirus Gastroenteritis in Immunocompromised Patients, Karin Bok, Ph.D., and Kim Y. Green, Ph.D., N Engl J Med 2012; 367:2126-2132 November 29, 2012DOI: 10.1056/NEJMra1207742 [/box]
Why did I read this? Timely article based on what's been happening around town.
What are the take home points? Norovirus is the #1 infectious GI illness to send people to the ED and will likely be #1 overall once rotavirus in kids is controlled by an effective vaccine.
In normal hosts, winter is norovirus season (hence its nickname of "winter vomiting syndrome", which is a pretty kind nickname considering the diarrhea involved with acute infection). Onset is quick and dramatic, but generally limited to 48 hours duration. While it only takes 20 copies of these single stranded RNA caliciviruses to get infected, normal hosts shed 10e8 to 10e9 copies per gram of stool. Hand hygiene is the best way to prevent ingesting those 20 copies. Soap and water is best, but alcohol is ok. Surfaces should be cleaned with bleach solution or any one of the EPA approved cleaners.
Norovirus enters the GI epithelium through binding to histo blood group antigens. Therefore, polymorphisms in these HGBAs can render people less susceptible to infection. The predominant outbreak straining GII.4 currently. Diagnosis canbe made by RTPCR of stool or clinical criteria. Treatment is supportive.
Immunocompromised hosts can be sick longer, with a chronic low grade diarrheal syndrome. It is thought that certain immunosuppressants (antimetabolites) increase risk as compared to mTOR inhibitors (sirolimus), but not well established.
So......
wash Your hands, wash your hands, wash your hands!!!!
QI Corner (by Jon Bae, MD)
Patient Safety and Quality Improvement Noon Conference
When: THURSDAY Dec 13
Who: Evan Frasure, Dept of Pharmacy
What: Medication Reconciliation AKA Pharmacy Follies AKA Check Yourself before you Med Rec Yourself
Featuring: George Cheely and Ryan Schulteis and program QI updates
GME Performance Incentive Program Update
Check out the latest from the GME Performance Incentive Program (posted to sharepoint)
We are still meeting target on 2 of 4 measures which (if held steady) = $400!
And don't look now, readmissions have inched downward as well....
Talk to George, Ryan, or Jon if you want to get involved
From the Chief Residents
Grand Rounds
| Date |
Division |
Speaker |
| 14-Dec-12 |
Cardiology |
Drs. Chet Patel and Joe Rogers |
Noon Conference
| Date |
Topic |
Lecturer |
Time |
Vendor |
| 12/10 |
INTERVIEW |
|
12:00 |
Pipers |
| 12/11 |
MED PEDS INTERVIEW |
|
12:00 |
Saladelia |
| 12/12 |
SAR talks |
Adia Ross, Hassan Dakik |
12:00 |
Sushi |
| 12/13 |
Quality Improvement & Patient Safety |
Jon Bae |
12:00 |
Chick-fil-A |
| 12/14 |
INTERVIEW |
|
12:00 |
Saladelia |
Endocrine Grand Rounds (by Nicole Greyshock, MD)
Dr. Lewis Blevins from UCSF will be giving Endocrine Grand Rounds on Monday December 10th from 5-6pm in Duke South Barrus Conference Room 3031 on Acromegaly: 25 Years of Growth. Please join us for this wonderful opportunity.
DOC Clinic Reminders ( by Nicole Greyshock, MD)
Team DOC, please remember that morning clinic starts at 8:30 and afternoon clinic starts at 1:00. Please be on time for your clinics. If you are listed to be at the DOC in medhub/amion but do not see patients listed on your schedule, you still need to go because you are the acute care provider for that day! We appreciate all you do to provide excellent care for our patients!
Annual Holiday Gift Drive
Reminder - the
ANNUAL HOLIDAY GIFT DRIVE closes on December 13, 2012. We have identified five DOC families (yes, one for each Stead Society).
BASICS:
A.
2 ways to give: 1) Paypal, 2) Purchase gifts and bring to ACR office (wrapped with gift receipt inside, tag on outside identifying for whom and from which society, AND with a separate tag for us to know what it is so we don't duplicate).
B.
TIMELINE: Must have the donation by
12/13 in order to deliver to the DOC in time for delivery to the families.
C.
BONUS #1: Last year, we were able to get each person at least something from their list, and we were also able to help out several additional needy families with gift cards. Any leftover funds will be used in the same way this year.
D.
BONUS #2: The friendly residents of the ECRC can always use
electric razors and Renuzit air fresheners, should anyone be buying those. These don't need to be wrapped, but can also be dropped off in the ACR office . . .
PAYPAL LINK:
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=YGR55TRWRB8VA
Cash and checks also welcome !
Thanks! Joel Boggan
Addition to our MedPsych Family !
We missed including this earlier, but not to be forgotten - please help us all congratulate Josh and Amanda Briscoe on the birth of their son Noah.
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From the Residency Office
How to Search Weekly Updates Database
Weekly Updates is posted each week to Medicine News, which can be accessed using the following link
http://news.medicine.duke.edu/category/medical-education/internal-medicine-residency/ . This format provides a permanent data base for reference, AND is searchable. For example, if you are looking for information regarding moonlighting opportunities, open Medicine News, enter “moonlighting” in the search engine, and each issue of Weekly Updates where this topic has been discussed will be listed.
Recruiting Dinners and Tour Guide
If you haven't done so already, PLEASE sign up for a Recruitment Dinner and/or to be a Tour Guide on a Recruitment day! The links to sign up for both are below!
http://www.signupgenius.com/go/60B084FAEAE2CA13-december
http://www.signupgenius.com/go/60B084FAEAE2CA13-december1
Note: The MedRes office will be closed (no admin staff on duty) December 24 - January 1, 2013
Contact Information/Opportunities
The Department of Psychiatry and Behavioral Science at Carolinas HealthCare System is accepting applications for its
Primary Care in Psychiatry Fellowship. The first year of this non-ACGME fellowship is successfully underway and Dr. Oleg Tcheremissine is now accepting applications for the second year. A brief “job description” is attached. More extensive information is readily available.
Carolinas HealthCare System; (704) 446-9246
Useful links
Match Day "ALL WRAPPED UP"[/caption]
Kudos were passed on about Claire Kappa and Alex Clarke from Dr. Diehl for great care at night on 9100, to Armando Bedoya for helping the nurses with a complicated patient on 8300, and to Kedar Kirtane for stepping up to help a friend. We are almost halfway through a tremendous interview season, and thanks to all who have hosted dinners, went to dinners, led tours and spent time chatting with applicants. Also thanks to Jim Lefler, Brice Lefler, Hal Boutte, Nick Rohrhoff, Carli Lehr, DeAnna Baker, Adrienne Belasco, Katie Broderick, Armando Bedoya, Laura Caputo, Chris Hostler, Nancy Lentz, Marianna Papademitriou, Carling Ursem, Jen Rymer, Matt Chung, Sam Horr, Jon Menachem, Ryan Nipp, Bonike Oloruntoba, and Scott Westphal for speaking at the end of the interview days. Many more of you will be doing this in the second half of the interview season and we look forward to that as well.
Please look out for the new initiative on Gen Med - sympathy cards for patient families. Laura Musselwhite has spearheaded the effort, with help from Manesh Patel and Cecily Peterson. Also, don't forget gift drive donations - see Joel Boggan for any questions.
Congraluations go out to Lisa and Simon Vann on the birth of Abigail - the newest addition to our "family"!.
This week's pubmed from the program goes to Hany Elmariah for the two posters he is presenting at the American Society for Hematology meeting! Great work Hany!
Have a great week,
Aimee
We missed including this earlier, but not to be forgotten - please help us all congratulate Josh and Amanda Briscoe on the birth of their son Noah.
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