Weekly Updates - January 23, 2012

By heffe004@dhe.duke.edu
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

Hey everyone! Hope you had a good week, despite the ugly last 0.4 seconds of the basketball game.  It’s the final week of recruiting coming up, so be sure to take advantage of meeting the future interns at the recruitment dinners.  Mark your calendars for the Stead Society draft on Thursday Feb 2 as well! I got some nice emails from attendings this week who were impressed with the work many of you are doing….notables were SAR Vaishali Patel (from Leonor Corsino on endocrine consults) and SAR Emily Rudenat the Pickett Road clinic, kudos to Intern Greg Brown for great work on PAC  (sent to me by Matt Roe), and Intern David Lerner recognized for outstanding care on CAD by Cardiology Fellow Christo Swan.  JARs Scott Tolan and Shereen Katrak kept us learning and entertained at Chair’s conference this week, with special thanks to Micah McClain, Cam Wolfe and Alan Proia (Pathology) for great discussion.  Disseminated toxo with a side of worm infestation doesn’t happen every day, so great to learn from it when we can! I mentioned at Chair’s that we have the opportunity to author the “voice activated power point” lectures for Duke-NUS.  Please see the sign-up sheet posted in the med res office, and a separate email to you all with directions on what is expected.  This is a great opportunity to contribute some academic product, enhance your CV, learn something valuable and contribute to the Duke NUS curriculum! A special thanks to the residency council for organizing a fellowship application information session.  Please see the attached document for details. Fellowship Review List - 2012 Pubmed from the program is pretty deep this week…congrats to all who had posters accepted to the NC ACP meeting.
  Author   Title
Resident Amanda Elliott   A Common, Inherited Genomic Deletion At Negr1 Is Associated With Body Mass Index And Highlights A Neuronal Influence On Body Mass
Resident Samuel Horr   A ''Deep Seeded'' Problem
Resident Brian Miller Tian Zhang, Daniel Kaplan Non-infectious mimics of infectious diseases: A case presentation of new onset Crohn?s disease
Resident John Roberts Arthur Greenberg MD Multi-Focal Fibromuscular Dysplasia causing Renovascular Hypertension and Chronic Mesenteric Ischemia
Resident John Stanifer Uptal Patel, MD; Nathan Thielman, MD Chronic Kidney Disease in Sub-Saharan Africa
Resident Sima Pendharkr Sundhar Ramalingam, Ambika Tumkur, Mitch Black, Thomas Ortel Cramping My Style: A Case of Quinine Induced TTP - HUS
Resident Richard Wu   Noncirrhotic Hyperammonemic Encephalopathy from an unusual ammonia cleaving bacteria
Resident Joel Boggan   Shift changes for the hospital team:  standardizing and evaluating transitions of care in the era of duty-hour reform
Resident Krish Patel George Cheely MD, Amanda George MD, Saumil Chudgar MD A "mass" to remember
Resident Jennifer Rymer Tian Zhang, MD;  Daniel Kaplan, MD Expanding the Differential of Vesiculobullous Disease: A Case of Vancomycin-Induced Linear IgA Bullous Dermatosis
Med Student Christina Behrend Nicole Greyshock MD, Daniel Ong MD, Alyssa Stephany MD A curious case of caffeine-induced hypokalemic paralysis
Med Student Jonathan O''Donnell John Posenau, MD, Kristen Dicks, MD, and Saumil Chudgar, MD A Rheumatologic Riddle
Have a great week! Aimee

Celebration & "Stead Society Draft"

We are closing in on the end of an enormously successful recruiting season.  The list of "thank yous" is almost endless, including our faculty, residents, and staff.  I would like to give a special shout out to our Chiefs, leadership team, and especially Emily Strollo for making each day special. On Thursday, February 2, everyone involved in the recruiting this year is invited to join us at the Durham Hilton from 6 - 7 to celebrate!  Refreshments and food for all!  Then, to cap off the evening, the Stead Society groups will be holding their "Faculty Draft'".  The clock will be ticking, music will be playing, and no doubt the excitement will outpace anyone's fantasy draft. Join us for the open celebration from 6-7, and residents - bring your pick lists to the draft! Where:  Durham Hilton, 3800 Hillsborough Road, When:  Thursday, February 2, 2012, starting at 6:00

What Did I Read This Week (by Suzanne Woods, MD)

[box] Infectious Diseases News, Vol 24 – No 12.Dec 2011   [/box] Yes…this is Dr. Woods (Med-Peds) and not Dr. Woods (ID) but a benefit of being married to “the other Dr. Woods” is access to interesting ID journals and mailings. I am a huge proponent of vaccine administration and found several updates in this volume of ID News to share as vaccines are clearly not just for kids.
  • The FDA backs pneumococcal vaccine in older adults:  the 13 valent pneumococcal conjugate vaccine has been approved for the prevention of pneumococcal disease in adults aged 50 years and older.  It is thought to be effective for 3-5years however there is no booster recommendation at this time.  You can refer to CDC MMWR September 3, 2010 / 59(34);1102-1106 for their recommendations.
  • The Advisory committee on Immunization Practices (ACIP) has voted in favor of hepatitis B vaccination for all patients with diabetes younger than 60 years old.  These patients are twice as likely as age-matched controls without diabetes to acquire hepatitis B and have greater morbidity and mortality from this infection.  (My recommendation:  think about Hep B vaccine use in all adults with risk factors!)
  • ACIP recommends updates to 2012 adult immunization schedule and this includes the use of Tdap in pregnant women after 20weeks gestation and in adults >65years who are in close contact with an infant ages younger than one year.  If not in contact with an infant, the vaccine is optional for older patients.  Also, while the FDA recommends herpes zoster vaccine for patients 50yrs and older, the ACIP’s recommendation begins at age 60yo.
  • Take advantage of immunizing your patients at every opportunity – outpatient and inpatien

QI Corner 

Please join us for the next Quality Improvement and Patient Safety Noon Conference When: Wednesday, January 25th 2012 from 12-1PM Where: Noon Conference (2002DN) Who: Dr. Bryan Sexton, Director, Patient Safety Center, Duke University Health System What: Burnout, Fatigue, and Resilience and the Culture of Safety Why: Because there will be Pita Pit.  And it will be amazing.  [hr] [divider]

From the Chief Residents

Grand Rounds

Date Topic Division Topic
1/27/12 Steve Choi Hepatology Liver Cirrhosis

Noon Conference

Day Date Topic Lecturer Time Vendor
Monday 1/23 Medicine Interview Day   12:00 Pipers
Tuesday 1/24 Med Peds SAR Talk Sima Pendharkar/Apara Dave Sima Pendharkar/Apara Dave 12:00 Domino's
Wednesday 1/25 QI/Patient Safety Conference Jon Bae 12:00 The Pita Pit
Thursday 1/26 Clin Pharm - Immunosuppressive therapy Dr. Zaas/Patel 12:00 Chick-fil-A
Friday 1/27 Chair's Conference Chiefs 11:00 Nosh

VA PRIME

Kudos go out to Dr. Jason Lappe for a special QI project!  He noticed that PRIME patients may miss going to ordered tests after their appointments, sometimes because they get confused about where the tests are done.  Dr. Lappe developed an instruction sheet and map for nurses to use when they check out patients to help make sure the tests get done.  The nursing staff is thrilled to have this tool, and nurses in other units want to use it now too.  Data will be collected to evaluate the efficacy, but if nothing else it has really saved time for nursing staff.  Great work, Dr. Lappe!"

City of Medicine Academy Mentor Project

If you are interested in signing up to be a mentor to motivated high school juniors or seniors at the City of Medicine Academy, please use the survey monkey link below. We definitely need current JARS and Interns to get involved so we can continue next academic year in addition to this year. I can try to answer any questions you may have, just email john.roberts@duke.edu Signup link: http://www.surveymonkey.com/s/YGW3ZQ8

Endocrinology Grand Rounds

Mondays, 5-6pm at the Alban K. Barrus Conference room 3031 in Duke South Monday, January 23rd, 2012:     Diabetes Drug Safety;  John B. Buse, MD, PhD

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From the Residency Office

Faculty Resident Research Grants - 2012-2013

Applications are being accepted for 2012-2013 research grants.  Please review the following attachments for details.

Application deadline is March 2, 2012

biosketch FORMS_2012     Faculty Resident Research Grant Instructions 2012-2013

Faculty Resident Research Grant Application Forms 2012-2013

Distribution of W-2’s for Housestaff Trainees Active Employees will access the new W-2 forms using their Duke@Work (work@duke.edu) account, the same method used for the pay statements.  Distribution Date for Electronic W-2 Forms will be January 20, 2012.

Technology User Among Physicians (by Orri Franko, Orthopaedic Resident)

This is a final request to please complete at 5-minute survey examining Technology Use Among Physicians.  Part 1 of this study has been published: Pubmed Link (Franko & Tirrell, J Med Syst 2011), and your assistance is requested to complete Part 2.As always, all responses are anonymous, and the study is approved by the UCSD IRB. Thank you for your help, Orrin Franko, MD Orthopaedic Resident University of California, San Diego

February - Month to Celebrate GME

Please join Duke GME Leadership and staff in celebrating our GME community and the contributions made towards making this a terrific year of GME.  The month of February has many events scheduled.  We encourage you to take advantage of some of these opportunities during the month.  GME Month 2012 - Calendar of Events<https://gme.duke.edu/sites/medicine.duke.edumedicine.duke.edudefault/files/files/GME%20Month%20Calendar%20of%20Events%201-18-12_0.pdf

C. difficile Toxin Assay and the Varicella zoster

Please note the attached testing changes that have been made by Clinical Microbiology for the C. difficile Toxin Assay and the Varicella zoster (VZV) PCR assay. Laboratory Memorandum 2012 C diff method change to pcr Laboratory Memorandum 2012 VZV PCR

Dates to Add to Your Calendars

February 1 - DEADLINE TO REGISTER FOR THE BOARDS February 2 - End of Recruiting Season Celebration / Stead Society "Draft" March 23 - Charity Auction - UPDATED  (previously posted as March 9) June 2 - Annual SAR Dinner June 13 –Resident Research Event, 5-7pm

Opportunities

Louisville - Academic Position

Useful links

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