From the Director
"Hi everyone! It was another busy week - the last few weeks of the year always seem to fly by! We had a fantastic SAR dinner last night, with superior emcee's
Dan Fox and
Ryan Schulties (aka Laverne and Shirley) and legendary toasts to our fabulous chief residents. The night is fun and a bit irreverent, but, trust me, we are so proud of our graduating SARs and humbled by their impressive accomplishments. Plus, congrats to SAR
Johanna Chan and her fiancé
Steve Huang on their engagement!!!
I got many emails about Kudos for excellent patient care this week, including ones regarding intern
Carter Davis for ensuring a well- informed transition of patient care from VA gen med to PRIME clinic, JAR
Matt Chung for excellent care of a patient in the ED, and Intern
Kim Bryan for her care of patients at the DOC.
Just because it's June, doesn't mean we are slacking off at report or chairs conference either! intern
Brian Miller presented a case of recurrent severe abdominal pain, episodic over 5 years duration, which co-intern
Amanda Elliott nailed the diagnosis as ace inhibitor induced gut angioedema! Then SAR
Priyesh Patel and intern
Sara Wingfield reminded us of the many mysteries of vasculitis with a case of PAN presenting as acute ischemic colitis.
Dr. Corey has never even seen this! We also heard excellent SAR talks from
Rebecca Burke and
Ike ILochonwu.
In GME news, please be aware that after July 1, you won't get paid for moonlighting unless you log your moonlighting hours in medhub. We will send out a reminder of all the other GME policies and procedures in the coming weeks, and they can always be accessed from the GME website.
Be sure to put grand rounds on your calendar!
This week, it's DRH/amb chief Juliessa Pavon!
Pubmed from the program goes to incoming intern
Laura Musselwhite. Her recent article in PLoS Neglected Tropical Diseases is getting great press and, as intended, bringing attention to health needs of marginalized populations. Nice work, Laura. The article was also featured on CNN.
Chagas Disease: “The New HIV/AIDS of the Americas”. Peter J. Hotez
1,2*, Eric Dumonteil
3, Laila Woc-Colburn
2,4, Jose A. Serpa
2,4, Sarah Bezek
2,5, Morven S. Edwards
2,6, Camden J. Hallmark
2,7, Laura W. Musselwhite
8, Benjamin J. Flink
8, Maria Elena Bottazzi
1,2
Have a great week
Aimee
What Did I Read This Week (submitted by Aimee Zaas, MD)
[box]
Residents' Response to Duty-Hour Regulations — A Follow-up National Survey [/box]
I read the perspectives article in the NEJM "Residents Response To Duty Hours Regulations - A Follow Up National Survey" by Drolet, BL, et al.
Why did I read this? It's a timely article as we are almost finishing the first year of the ACGME duty hour and supervision rules. I think we've had some great discussions at the program feedback conferences, and many of you are interested in looking at the curriculum further. This article gives a look at the perceptions of residents in many programs nationwide regarding the 2011 ACGME rules. As a matter of fact, we just got our ACGME survey results back they are posted on my door and we will talk about the results at noon conference in a few weeks. Thanks to the 113 of you who filled it out!
What did the authors study? The authors (a surgeon from Vanderbilt and one surgeon and one medicine doctor from Brown), developed a short survey to evaluate the perceptions of residents regarding education, safety, and quality of life under the 2011 rules. DIOs from all teaching institutions were invited to have their trainees participate, and ultimately responses were received from 6202 residents at 123 institutions. Medicine residents represented 28% of the respondents.
Overall, Table 2 is the money in this article. In response to the question "
how have the following been affected by the new ACGME regulations?", respondents had this to say
| Table 2 |
Worse % |
No change % |
Better % |
| Pt Safety |
27 |
52 |
20 |
| Quality of Ed |
40 |
43 |
16 |
| Rest |
20 |
50 |
29 |
| Prep for Sr Role |
51 |
38 |
11 |
| Schedules |
43 |
27 |
30 |
Frequency of handoffs were felt to increase by 72% of respondents 48% disapproved of the regulations while 22.9% approved
What does this mean? Well, based on my conversations with many of you, we are similar to the rest of your peers. I truly believe that the regulations have not eroded your ethos about patient care and what it means to be responsible for a patient and for your learning. You all are as committed as we were in the "pre duty hours" era. This article is interesting and compelling, but I don't think a reversion to the 24+6 for interns is on the horizon. It's incumbent on us to figure out the best ways to teach and train in the system we have.
Aimee
[hr]
From the Chief Residents
Grand Rounds
| Date |
Speaker |
Topic |
|
|
|
| 6/8/12 |
Juliessa Pavon |
Chief Resident Grand Rounds |
| 6/15/12 |
Tony Gutierrez |
Chief Resident Grand Rounds |
| 6/22/12 |
Eileen Maziarz |
Chief Resident Grand Rounds |
Noon Conference
| Date |
Topic |
Lecturer |
Time |
Vendor |
| 6/4 |
Stead Society Conference |
Stead Leaders |
12:00 |
Jersey Mike's |
| 6/5 |
Medical Problems in Pregnancy |
Lynn Bowlby |
12:00 |
Domino's |
| 6/6 |
Anxiety |
Virginia O'Brien |
12:00 |
Saladelia |
| 6/7 |
Hepatitis B-dn2003 |
Hans Tillman |
12:00 |
Papa John's |
[divider]
From the Residency Office
EPIC Training
The Epic training schedule can be found on your daily schedule MedHub. Plan ahead, and please do not miss the day on which you are scheduled. Classes are from 8 - 5 and are held at the Golden Drive training center. The email that you receive from Epic also includes specific instruction as to the modules to complete prior to training (attached).
Class reminder - from the Epic Team (Maestro). Training will be held at the Golden drive location.
Directions to Golden Drive Training Center
Duke Internal Medicine Residency Research Conference – 2012
The annual conference recognizes both the research efforts of our residents and the mentors who dedicate their time and resources supporting their work. The conference is open to residents and faculty and will be held in the Searle Center Auditorium on June 13, 2012, from 5 - 7,
5:00 -5:45 pm: Poster session and reception
5:45- 6:00 pm: Keynote Speaker
6:00- 6:45 pm: Selected abstracts
6:45- 7:00 pm: Presentation of the Califf Medicine Resident Research Awards
Annual Housestaff Survey (from Duke GME)
The time for the annual survey is here again. Please use the link in the email you received for the Annual Housestaff Survey to complete the survey.
As in the past, this spring survey had little to do with duty hours, but rather focuses on the educational environment. The greater the input, the better we can help. These surveys are used for informing senior administration regarding needs, assessing quality of graduate medical education programs during internal reviews, and ammunition for infrastructure changes, to mention a few purposes. Specific items that the results of the annual survey have played a part in, include the creation of Trainee gathering space in the Bunker, Salary increases, access to UpToDate and security upgrades. Your participation in this survey does correlate to tangible changes in caring for patients, training and working at Duke.
There are
33 questions in the survey and it should take about
10 minutes to complete.
Survey closes June 30, 2012.
As of June 1, 407 trainees have completed the survey or about 43%. Our goal is to have every trainee complete the survey.
Dates to Add to Your Calendars /Contact Information
- June 13 –Resident Research Event, 5-7pm
- June 13 - Resident Research Night, Searle Center, from 5-7 PM
Useful links
