Weekly Updates - March 19, 2012

By heffe004@dhe.duke.edu

From the Director

Hey everyone. Fortunately I had the awesome intern match to revel in this week and take my mind off my completely worthless March Madness bracket! In all seriousness, we matched a spectacular class and I can't thank you all enough for your role in making that possible. Details on the class are shown below, and a BIG THANK YOU to the Drs. Klotman for a wonderful post match party. In the National Medical Matching Program today – aka Match Day – our Internal Medicine Residency program once again filled with top-notch candidates. The intern class that arrives July 1st will be among our strongest ever.  We filled all of our spots (42 categorical, 4 preliminary, 5 neurology preliminary, 6 med/peds and 2 med/psych) with outstanding applicants. Six of the incoming interns have combined degrees (MD/PhD, MD/MPH or other), and quite a few have expressed interest in participating in the global health residency training program on campus. Eight interns will come from Duke, three each from Indiana, UNC-CH, Pitt and UVA; two each from Case, Florida, Penn and VCU and many other institutions represented by one new MD (including the University of Iceland). Half of the categorical interns are female, half male. Other great things have been happening with particular shout outs to Intern Nancy Lentz for her work on 9300 (thanks Dr Meade for sending this in) and also to Ds Kevin Parrott, Audrey Metz, Scott Westphal, and Chris Hostler for great work at the  VA (per Dr Karen Barnard). Next up - the CHARITY AUCTION - can't wait! Have a great week Aimee

PubMed

We are recognizing two Pubmed awards for this week - The first goes to Callie Coombs  for her article in the Am J Clin Oncol. 2012 Feb;35(1):40-4. Outcomes in transplant patients undergoing brachytherapy for prostate cancer. Coombs CC, Hertzfeld K, Barrett W. And our 2nd award goes to Hassan Dakik….The use of GTX as second-line and later chemotherapy for metastatic pancreatic cancer: a retrospective analysis.   Dakik HK, Moskovic DJ, Carlson PJ, Tamm EP, Qiao W, Wolff RA, Abbruzzese JL, Fogelman DR., Cancer Chemother Pharmacol. 2012 Feb;69(2):425-30. Epub 2011 Aug 18

QI Corner

Get ready guys to hear the results of the SAQ - the safety attitudes questionnaire.  We have the largest participation of trainees ever and some really cool data. To increase our "resilience" (I.e. ability to handle challenging situations), duke ACR Johanna Chan and I held intern report outside on Wednesday.  Ben Heymann presented a great case and we all got some vitamin d.  And fruit snacks..... Thanks all for indulging my pre-match spring fever" [caption id="attachment_5766" align="alignleft" width="528" caption="Spring Fever Version of Intern Report Hits Residency Program)"][/caption]

What Did I Read This Week (by Murat Arcasoy, MD )

[box]     Medical Education in Medical Ethics and Humanities as the Foundation for Developing Medical Professionalism.  Doukas et al- Academic Medicine 87:334, 2012     [/box] How do we learn and teach medical professionalism? This question has been of great interest to many of us, both as life-long learners and as educators, and not necessarily because Professionalism happens to be an accreditation competency. How do we define and recognize professionalism? Do we know it when we see it ? Professionalism “…comprises a set of observable behaviors… the means by which individual physicians fulfill the medical profession’s social contract with society…” and “… entails actions that are required by physicians to meet the expectations of patients and the public… “  Jordan J. Cohen, MD, President Emeritus, AAMC, Academic Medicine 82:1029, 2007 The manuscript I read this week describes the perspectives of an expert panel representing major medical ethics and humanities teaching programs and disciplines, convened to examine the role of medical ethics and humanities teaching in medical professionalism education. The panel takes note of Abraham Flexner’s studies of American medical education and his 1910 report to the Carnegie Foundation.  While the Flexner Report emphasized the development of the physician-scientist through improvements in teaching of basic and clinical sciences, it also argued for humanities education and the acquisition of humanistic skills. The panel set out to describe the “major pedagogical goals of art, ethics, history, and literature as disciplines contributing to professional formation in medical education”.  A theme that emerged was that medical ethics and humanities build skill sets in visual observation, textual reading and interpretation (unrelated to texting using smartphones!), oral reasoning and writing. In one example discussed in the article, “the study of the visual arts through art history or production of art works cultivates “slow looking” ie- the disciplined observation, interpretation, and reflection on visual details and on the overall picture essential to conducting and interpreting the results of…..”- yes you guessed it- the physical examination! I think I will visit one of the local art museums this weekend! In another example, “the study and creation of creative literature encourage humanism and critical thinking and serve as a vehicle to improve care, commitment and self-care. Literature teaches that in any given situation, there are multiple perspectives, making suspect the privileging of any one perspective (e.g. the physician’s versus that of the patient or family).” The article goes on to state that the “Study of medical ethics develops skills of moral discernment, reasoning, and judgment in the care of patients” and “the study of the history of medicine helps students and residents stand in the past so that what we now take for granted, which is usually invisible, becomes visible and therefore open to critical appraisal.” What do you read during the last half hour of the day? [hr] [divider]

From the Chief Residents

Grand Rounds

3/23 - Aimee Zaas, State of the Internal Medicine Residency Program, 8am 3/30 - Brown University's Louis Rice, MD, chair of the Dept of Medicine at The Warren Alpert Medical School and chief of medicine at Rhode Island and The Miriam hospitals, "For the duration-rational antibiotic administration in an era of antimicrobial resistance," 8am 4/6 - Michael Berkoben, Division of Nephrology, 8am 4/13 - Roy Pleasants, Current tobacco issues and strategies, 8am Research Grand Rounds is scheduled on the last Friday of the month @ noon in 2002.    The next Conference will be held on Fri., April 27, 2012, with presentations by Kenneth Schmader, MD, and Heather Whitson, MD, from the Division of Geriatrics.

Noon Conference

Day Date Topic Lecturer Time Vendor
Monday 3/19 Stead Society Conference Stead Leaders 12:00 Bullock's BBQ
Tuesday 3/20 Myeloma/MGUS Murat Arcasoy 12:00 Domino's
Wednesday 3/21 PWIM talk Criscione/Douglas 12:00 Jersey Mike's
Thursday 3/22 SAR TALK Blair Irwin/John Roberts 12:00 Papa John's
Friday 3/23 Chair's Conference Chiefs 12:00 The Pita Pit
Find these and other events on the MedicineNews blog, the Department of Medicine calendar page, and the Duke Events Calendar.

Charity Auction

When - THIS COMING FRIDAY,March 23rd, 7pm, at the Durham Arts Council Building.  Tickets are available at the Med Res office on the 8th floor or outside Grand Rounds on Friday morning. ($20 in advance, $25 at the door, includes heavy appetizers and two drinks) Online pre-bidding is open at  http://Tiny.cc/duke2012 – items include an iPad 3, fine wine, restaurant gift certificates, vacation rentals, spa services, Duke basketball tickets, and much more!

Stead Society Activities

Stead "B" STEAD TREAD Stead Society B (B for best!!) is planning a 5 k April 22nd at the Al Bueler trail.

    Sunday April 22nd 2012;  10am registration, 11am start time

    Rain or Shine; bring your pets!

Stead "E" Society  (Steve Crowley's group) We will host / prepare a dinner for the residents at Ronald McDonald house Durham (2 blocks from Duke campus) on Thursday, April 26.  Some of us will begin cooking / arranging at about 4pm with a plan to serve the food at 6pm.  Everyone is welcome to join in.  Contact Steve Crowley or Michael Shafique for more information or to sign up.   steven.d.crowley@dm.duke.edu     michael.shafique@duke.edu

The March Newsletter and DOC Townhall Recap has arrived!

Check out the "hot off the press" DOC Newsletter - and a special shout out to a very amusing John Roberts for his help on this month's issue!

Fellowship Interest Discussion Opportunities

Hematology Oncology - Tuesday, April 10, 2012  (1:00 p.m. – 2:00 p.m. 405 Seeley G. Mudd Building Conference Room) Dr.  Carlos deCastro and Dr. Richard Riedel will be available to answer questions reqarding the Hem/Onc Program as well as to share why you should consider the Hem/Onc Program at Duke.  Please contact Sarah Overaker if you are planning to attend.  sarah.overaker@dm.duke.edu Applying for Fellowship Q & A Residents and interns interested in learning more about applying for medicine subspecialty fellowships are invited to attend our annual "Applying for Fellowship Q & A" information session.  Typical FAQs will be covered (e.g. application process and timeline) but the session is primarily an informal Q & A focused on how to "shine" as an applicant before, during, and after your interview.  To accommodate for potential schedule conflicts and trainee availability, there will be two sessions with identical planned content (though there may be differences in based on interactive Q & A). Title:  Applying for Fellowship Q & A Date/Time:  Tuesday March 20  OR  March 27, from 5 – 6 pm Location:  Medical Resident Library Moderator:  Bill Hargett [divider]

From the Residency Office

Notary Services

We are pleased to announce that Lauren Dincher is now available to help residents who may be in need of notary services.

Prescription Pads

If you are running out of prescription pads, you can request a new supply either by calling the GME office (684-3491) or by  using the link on your MedHub home page to submit a request. Orders are sent to our office and you will be notified when available to pick up.

RESIDENT RESEARCH NIGHT, June 13, 2012, SEARLE CENTER 5 - 7 PM   and presentation of the 2012

THE CALIFF MEDICINE RESIDENT RESEARCH AWARDS

We are now receiving submissions for the annual Califf Medicine Resident Research Awards.  All medicine residents and interns are eligible to submit an abstract of their work, including those already presented at national and regional meetings Abstracts will be judged by a faculty committee, and the top 3 will be presented as research talks (15 minutes each) during Resident Research Night on June 13, 2012 (5-7 pm) All Resident Research Night participants will present their abstracts as a poster during the poster sessions. The best poster will be selected between 5 – 6 pm. Poster viewing will commence at 5 pm and continue after the research talks until 7pm Poster templates are available to facilitate preparation. For further assistance with printing posters, please contact Shawna Alkon in the residency office. Califf Award RFA_ 2012     Califf Award-INSTRUCTIONS-2012

Professionalism

PLEASE review and adhere to the policies regarding use of medical records.  DON’T look up records for friends, family, famous people, or anyone that you are not caring for without WRITTEN PERMISSION.  If you do this and you are caught, it’s an AUTOMATIC two week UNPAID SUSPENSION. IF you moonlight (TSMA) your HOURS LOGGED for moonlighting MUST match your hours logged in the duty hours system. Using your ID to get food in the cafeteria is a privilege for when you are “on call” overnight or on a “long call” day or perhaps here on night float/night medicine.  Every time you purchase food with your card, it is tagged WITH YOUR NAME .  Don’t abuse this privilege.

ExitCare

Duke Medicine has contracted with ExitCare, an evidence-based online library of patient education materials.  The Duke Medicine-ExitCare Patient Education Library can be accessed at http://duke.exitcareoncall.com/.  This resource provides continually updated materials, including illustrations, that assist providers and clinicians with educating patients about their associated diagnosis, procedures, treatments and medications.

Dates to Add to Your Calendars

March 23 - Charity Auction April 27 - DoM Annual Faculty/Resident Photo  Shoot (after Grand Rounds) Rain date - May 18 May 4 - Humanism in Medicine May 19 - Annual Resident Picnic (Dr Burton's Farm) - new June 2 - Annual SAR Dinner (invitations only) June 13 –Resident Research Event, 5-7pm

Useful links

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