The Internal Medicine Residency newsletter is posted each week to share important news, announcements and updates about the residency program. Please contact Randy Heffelfinger with corrections, contributions and suggestions.
From the Director
Happy New Year! By the time you read this, you will have made it through the holiday schedule and are hopefully gearing up for a fantastic 2012!
Thanks to everyone for their hard work! Looking forward to 6 more days of recruiting in January!
Aimee
What Did I Read This Week (by Dave Butterly, MD)
[box]Focal Segmental Glomerulosclerosis, Vivette D. D’Agati, M.D., Frederick J. Kaskel, M.D., Ph.D., and Ronald J. Falk, M.D.[/box]
NEJM-FSGSReview
This review of FSGS appeared in the December 22nd issue of
NEJM. This week we've had 2 patients on the consult service with Nephrotic syndrome so I pulled it for my team. The authors are prominent researchers in the area of glomerular disease and have published extensively in this area. Like all of the reviews published in the
NEJM it is well written and gives the reader a broad overview of the pathophysiology, clinical presentation, and the treatment options available for FSGS.
FSGS is a leading cause of nephrotic syndrome in our patient population and is the most common primary glomerlar disease leading to ESRD. The incidence of FSGS is higher and the rate of renal survival is worse in our African American patients. Most cases are primary however FSGS is seen in viral infection (HIV, EBV, Parvo) or related to drugs (heroin, interferon, pamidronate). There are also specific podocyte gene mutations which have been associated with familial FSGS.
Dr Michelle Winn and her group here at Duke have described a mutation in the TRPC6 channel associated with familial FSGS and her work is referenced in # 25 and 5 in this article.
The genetics of the disease along with an overview of podocyte biology is covered. The disease also poses a problem for the transplant community with a recurrence rate of 30-40% after transplantation. Therapeautic options are summarized and a treatment algorithm is included on page 2408.
Happy New Year!!
Final SAQ Tally
Although we did NOT reach our goal of 100%, we achieved quite an admirable performance. Neuro and Derm narrowly edged us out of 1st place (who have much smaller programs), but we clearly had the best response rate for any program >20 residents. Excellent work to all (except the 26 of you who did not respond)
SAQ Response - Final Tally
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From the Chief Residents
Grand Rounds
| Date |
Speaker |
Division |
Topic |
| 1/6/12 |
Christopher Granger |
Cardiology |
Apixaban NEJM |
Noon Conference
| Day |
Date |
Topic |
Lecturer |
Time |
Vendor |
| Monday |
1/2 |
HOLIDAY |
|
12:00 |
|
| Tuesday |
1/3 |
Calcium and Phosphorus Management |
Steven Crowley |
12:00 |
Picnic Basket |
| Wednesday |
1/4 |
EKG conference |
Dr. Greenfield |
12:00 |
Moe's |
| Thursday |
1/5 |
SAR TALK |
Chiarchario/Gupta |
12:00 |
Papa John's |
| Friday |
1/6 |
Chair's Conference |
Chiefs |
11:00 |
Pipers |
Rising JAR and SAR Preferences - 2013 Academic Year
Categorical rising JAR's and SAR's schedule preferences for the next academic year are to be submitted no later than Sunday, January 8, 2012. Should you need assistance or have questions, contact Laura Kujawski.
Other Important Reminders
- Schedules - A reminder that schedules are prominently posted in MedHub, including detail schedules for CAD, CCU (Duke and VA), CCU Intern, MICU (Duke and VA), Duke Night Float-SS, Gen Med (DRH, VA, and Duke), Neuro, Pulm, Hem Onc. We would recommend reviewing these documents prior to starting rotations on these services so that you are fully aware of your assignments. The DOC Call Schedule has also been recently added to the list.
- ACR Applications are to be submitted to the Chief Residents no later than Tuesday, January 3rd
- Clinical Research Course Applications are to be submitted by Tuesday, January 3rd
- Ambulatory Care Leadership Track Applications are due by January 8th
- SAR's - End of Year: If you will be leaving Duke at the end of the academic year it is not too early to think about/discuss travel plans with the Chiefs. We will consider your requests, but in doing so, please be aware that we must meet certain training requirements, and that last minute changes/requests are the most challenging or in fact may not be possible to accommodate.
- IM Boards - February 1, 2012 is the deadline to register to take the boards
Hospital-onset Clostridium Difficile
There appears to be an increase in the number of hospital-onset Clostridium difficile cases since July 2011. Although there may be many contributing factors, please review the attached guidelines "
Clostridium difficile cases"
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From the Residency Office
Dates to Add to Your Calendars
March 9 - Charity Auction
June 2 - Annual SAR Dinner
June 13 –Resident Research Event, 5-7pm
Recruiting Days - January, 2012
| 6-Jan |
Medicine Recruitment Day |
Friday |
| 6-Jan |
Med-Psych Recruitment Day |
Friday |
| 9-Jan |
Medicine Recruitment Day |
Monday |
| 10-Jan |
Med-Peds Recruitment Day |
Tuesday |
| 13-Jan |
Medicine Recruitment Day |
Friday |
| 13-Jan |
Med-Psych Recruitment Day |
Friday |
| 17-Jan |
MD PhD Recruitment PM |
Thursday |
| 20-Jan |
Medicine Recruitment Day |
Friday |
| 23-Jan |
Medicine Recruitment Day |
Monday |
| 27-Jan |
Medicine Recruitment Day |
Friday |
Opportunities
IM -Plymouth MA
Useful links
