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
We’re almost one month into 2012….while recruiting has been fun, I am happy to say that we have finished our last interview day this past Friday. Thanks to everyone for helping out – I have received many letters and emails from applicants who comment on the intelligence and camaraderie of the Duke residents. I couldn’t agree more. And of course a huge thanks to Emily Strollo and David Butterly!
Lots of great stuff happening on the wards and in the clinics (See Lynn Bowlby’s WIRTW for a great clinical question by intern Bobby Aertker). Intern Hany Elmariah was an outstanding presenter in Intern Report, reminding us that DGI presents as an acute, systemic inflammatory illness with the classic triad of dermatitis, tenosynovitis and migratory polyarthritis. SAR Jared Chiarchiaro gave the applicants a glimpse of some of our fantastic discussions by evaluating the diagnostic workup of HIT, Intern Jeremy Gillespie taught us about granulomatous polyangiitis at DRH and SAR Mike Chenier reminded us to be skeptical of an outside diagnosis of “chronic cellulitis”. Many thanks to SAR Tara Spector and guest discussant Anna Lisa Crowley for a great Chair’s conference presentation of Loeffler’s endocarditis. An additional thanks to our Stead Attendings Dr. Bill Fulkerson and Dr. Vance Fowler!
Pubmed from the program goes to the residents who responded quickly to APD for Research Murat Arcasoy’s request for abstract submissions to the upcoming clinical science day. We are looking forward to seeing the work of Mike Chenier, Jason Lappe, Kristen Dicks, Ann Marie Navvar-Boggan, Callie Coombs, Ryan Nipp, Jon Roberts and Jared Chiarchiaro.
Don’t forget to contact me if you want to write a “voice activated powerpoint” lecture for Duke-NUS. It’s a great opportunity to enhance your CV and to learn about a topic of your choice!
Have a great week! Aimee
What Did I Read This Week (by Lynn Bowlby, MD)
[box] NEJM: 2012:366:158-164 / 1/12/12; Clinical Practice: Hidradenitis Suppurativa[/box] One thing I love most about the DOC is how much I learn every week. Recently Bobby Aertker had a patient with a boil in her axilla. As he and I were examining the patient , he wondered if in fact this was hidradenitis suppurativa. He was correct, a great call! A few weeks later, this article was in NEJM-a great chance to read about what we saw. Hidradenitis suppurativa is a chronic, recurring inflammatory disease affecting the skin with apocrine glands. There is a genetic link, and it is associated with smoking and obesity. Younger women tend to be affected more commonly, and diagnosis is often delayed as it can appear as simply a boil. Point prevalence is as high as 1% of the population, and it is associated with severe acne and pilonidal cysts. There appears to be an association with increased cancer risk, but this data is confounded by the association with smoking. There is an increased incidence in those pts with Crohn’s disease, and an asymmetrical peripheral arthritis is more common in those with hidradenitis suppurativa. Pathogenesis not clear but it appears to be an immune/inflammatory disease with scarring and sinus tract formation. It is almost always a clinical diagnosis with nodules, sinus tracts, and abscesses in the axillary, inguinal and anogenital regions. Data for treatment is limited. The disease can be staged by severity. The most common treatment for mild to moderate disease is antibiotics-often tetracycline or combination of clindamycin/rifampin combination. Intralesional steroids, hormonal treatment, systemic immunosuppressive agents, laser, radiation or surgery are other treatments for more severe disease. So even for the patient who may appear to have just a boil, what we can diagnose and learn!QI Corner (by Jon Bae, MD)
Thank you to Dr. Bryan Sexton for presenting at Quality Improvement and Patient Safety Noon Conference. We greatly appreciate his very engaging discussion on burnout, fatigue and resilience. For those who are curious for more, here is the website for the Duke Patient Safety Center. www.dukepatientsafetycenter.com Additionally, here is the simple strategy ("3 Good Things") he mentioned to help combat burnout. I've included a link and a worksheet. I'm on day 3! http://www.youtube.com/watch?v=dwkDEM4gFBACelebration / Stead Society Drafts
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'". 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 [hr]
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From the Chief Residents
Grand Rounds
| Date | Topic | Division | Topic |
| 2/3/12 | Jason Stout | ID | TB Outbreak in NC |
Noon Conference
| Day | Date | Topic | Lecturer | Time | Vendor |
| Monday | 1/30 | SAR TALK | Richard Wu | 12:00 | Rudino's |
| Tuesday | 1/31 | SAR TALK | Kyle Hornsby/Leon Cannizarro | 12:00 | Moe's |
| Wednesday | 2/1 | Stead Society Townhall/Groups | Stead Societies | 12:00 | The Picnic Basket |
| Thursday | 2/2 | PWIM: billing | Diana Tadlock | 12:00 | Papa John's |
| Friday | 2/3 | Chair's Conference | Chiefs/Spector | 11:00 | Meelos |
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/YGW3ZQ8Endocrinology Grand Rounds
Mondays, 5-6pm at the Alban K. Barrus Conference room 3031 in Duke South. January 30th: Acromegaly, Current Treatment Options and Research Trends Jennifer Perkins, MD, Associate Program Director for Endocrinology Fellowship Program [divider]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
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.pdfDates 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, 5-7pmOpportunities
Howerton Dissertation Recruitment Flyer
Useful links
- Main Internal Medicine Residency website
- Main Curriculum website
- Ambulatory curriculum wiki
- Confidential Comment Line Note: ALL submissions are strictly confidential unless you chose to complete the optional section requesting a response.
- Department of Medicine