Weekly Updates: May 20, 2013

By admin3

From the Director

Another busy week! The services are still busy, everyone is taking time out of their day to train for inpatient Maestro Care (thank you all for managing the services with people away!), another successful "How To Be A JAR" session, and more.  We are very happy with the end result of the 6th Annual Humanities in Medicine Night, held on Wednesday in conjunction with the Talk Story: Voices in Medicine program.  Thanks to all who participated and who joined us to see and hear the incredible talents from our residents and co-workers. Special thanks to Erin Payne, Jason Webb, Juliessa Pavon, and Anton Zuiker for partnering with Jeff Polish to make this happen.  If you want to hear the amazingly talented Scott Tolan, Marisa D'Silva, Juliessa Pavon and others, check out the link on the medicine blog.  Also thanks to Schuyler Jones and Manesh Patel for taking our cardiology-interested residents out to Alivia's to discuss careers in cardiology! Kudos this week go to Chris Merrick (from future chief Vaishali Patel) for taking time to teach the med student on his service and to do a "fellow level" workup of his patient and also to Jenn Rymer and Armando Bedoya from Lynn Bowlby and Jessica Simo at the DOC for working extra to get some patients seen. In other great news this week…3 new additions to the residency program family! Congratulations to Jason Webb and Maria Papiez, to Phil and Emily Lehmann and to Brett and Liz Goodwin on their new babies! Three baby girls added to our program family!  We'll post pictures for everone to enjoy as they come in. This week's Pubmed from the Program goes to Josh Thaden! Congratulations Josh on your recent publication.  J Infect Dis. 2013 May 8. [Epub ahead of print]  Virulence of Endemic Nonpigmented Northern Australian Staphylococcus aureus Clone (Clonal Complex 75, S. argenteus) Is Not Augmented by Staphyloxanthin.  Tong SYSharma-Kuinkel BKThaden JTWhitney ARYang SJMishra NNRude TLilliebridge RASelim MAAhn SHHolt DCGiffard PMBayer ASDeleo FRFowler VG Jr. Please don't forget to RSVP for the upcoming CPC, featuring Scott Westphal as our presenter. Have a great week Aimee

QI Corner (submitted by Jon Bae, MD)

Thank you to Bryan Sexton for his update on our Three Good Things Project in the fall. We have the opportunity to participate in another online Three Good Things experience at the end of May.​  The link is posted below. https://duke.qualtrics.com/SE/?SID=SV_0CXvJUWPIURrGyF​ If you sign up, you will receive an invitation to complete a simple burnout inventory as well as nightly reminders for 2 weeks to complete Three Good Things online. Keep an open mind and give it a try If you do this activity (which takes <3 minutes/night) for 2 weeks and do not have improved fatigue and burnout, Jon Bae will buy you a (?pumpkin) latte. [box]

What Did I Read This Week

(submitted by Aimee Zaas, MD)

[/box] I read three  essays and two articles which are definitely re-reads for me, but always worth a few minutes.  The first essay is "The Generic H and P" and the second is "The Art of Pimping",  and the third is "Morning Distort" all by Fred Brancati. The two articles, also by Fred are "Attributes of Outstanding Attending Physicians" and my all time favorite "Patient Perceptions of Bedside Rounds". bedsidepresentations      excellentattending generichandp                    morningdistort The Art of Pimping Why did I read (or re-read) these?  Fred Brancati, one of my first mentors as an intern, died this week after a long battle with ALS.  There are a series of emails going around amongst my Hopkins crew, all remembering Dr. Brancati and his wonderful career and lovely family. He was truly brilliant, and has a tremendous number of scientific publications in the field of general internal medicine (actually over 300 when I did my pubmed to find the articles again), and was also extremely funny, as you can perhaps tell by his essays.  I started to reflect on a couple of times when Dr. Brancati taught me, and, during this, I also noted how Dr. G's great noon conference on Monday was a valuable tool as I took some time to remember Dr. B. Why Is Dr. Brancati Such a Memorable Mentor?
  1. He was the first person (about halfway thru my intern year) to use attending rounds (our version of Stead Rounds) to observe each of us talking to a patient, and give us feedback.  We all sort of rolled our eyes at this stupid "MiniCex" until after it happened and we realized that he had      some great insight onto what we could do better.  Importantly, he had someone hold our intern pager during the MiniCex, which perhaps was the carrot we all needed to agree to have this done!
  2. He taught us to call patients after they left the hospital.  Again, it seemed totally PAINFUL at the time to listen to the calls our co-interns were making, and to listen to him (with the patient on speaker phone) call one of his patients who was recently hospitalized.  But, he was teaching us  about connecting with patients, follow up and the longitudinal care that is necessary to really be someone's doctor.  Way ahead of his time,this being 1998 or 1999.
  3. He had us over to his house for dinner after his month as teaching attending, and we got to meet his wife, his twin girls and just hang out for a few hours away from the hospital.  A lost art, but something worth considering to resurrect when we can.
So, here's to Fred….read the essays and the article when you can.  They may be a little dated, but still true and still funny regardless.  And if anyone wants to re-do the bedside rounds study once we have Maestro and computers in the rooms, let's go for it. [divider]

From the Chief Residents

Grand Rounds

Date                  Chief Resident Grand Rounds May 24             Ryan Schulteis, MD

Noon Conference

Day Date Topic Lecturer Time Vendor
Monday 5/20 Visiting   Professor from MD Anderson Cancer Center Scott Kopetz 12:00 Jersey Mike's
Tuesday 5/21 Med-Peds   Conference: Allergy/Anaphylaxis Patricia   Lugar 12:00 Sushi
Wednesday 5/22 Pericardial   Disease Andrew   Wang 12:00 Moe's
Thursday 5/23 Peripheral   Vascular Disease Dr.   Manesh Patel 12:00 Rudinos
Friday 5/24 Research   Conference Chiefs 12:00 Panera

SAR - Photo Op

Confirming that the SAR photo op will be held this Friday, May 24th at 9:10am in the lobby/ healing path of the Duke Cancer Center! Please make sure this is on the calendar- we want to capture your incredible class in a photo!

Clinical Pathology Conference (CPC)

This is a reminder that this year’s CPC conference will be held on May 22nd at 7PM at 604 West Village!  Please join us with many of our faculty members, including Dr. Klotman and Dr. Zaas, to hear a fantastic case presented by Scott Westphal.  We hope you will be able to join us for some drinks, hors d'oeuvres, and a great discussion. 604 West Village Address:  604 Fernway Ave  Durham, NC 2770 Please RSVP to Erin Payne erin.payne@dm.duke.edu [divider]

From the Residency Office

Additions to Our Family (submitted by Brett Goodwin)

Liza Goodwin"Liz and I were blessed with a wonderful baby girl, Elizabeth Mary "Liza" Goodwin, Friday at 10:52 PM.  She clocked in at 7 pounds, 5 ounces and 20 inches long.  Mom and baby are doing great!  We wanted to send a pic your way for inclusion in the weekly updates.  Thanks for all your support throughout the process."

2013 Learners' Perceptions Survey: Continuity Clinics

The survey is still open for the remainder of this week.  If you have not already done so, please log in using the link you received via email.  This survey is specific to your continuity clinic experience and is used by the program to improve the educational experience for you and your fellow trainees. This is a confidential survey and focuses exclusively on your CONTINUITY CLINIC EXPERIENCE.

SAR Board Review Schedule

Board Review Sessions will be held in the MedRes Library, Duke North, 8th Floor. Please contact Megan Diehl or Jeff Clarke if you would like to attend.  The schedule is as follows:
Date Topic Faculty
22-May Renal Dr.   Butterly
28-May Neurology Dr.   Skeen
5-Jun Dermatology/Rheumatology Dr.   Criscione
11-Jun Mixed   Bag (Medical ethics, Palliative Medicine, Psych) Dr.   Zaas, Chiefs

Housestaff Annual Survey - GME Office

Residents have  by now received an invitation to participate in the annual GME Housestaff Annual Survey.  This survey will remain open through June 30, 2013.

Contact Information/Opportunities

I-M Outpatient Feb2012

Upcoming Dates and Events

  • May 22:  CPC @ 604 West Village
  • May 24:  Chief Grand Rounds - Ryan Schulteis, MD
  • May 24:  SAR photo following Grand Rounds
  • May 31:  Chief Grand Rounds - George Cheely, MD
  • June 4:  Resident Research Conference, Searle Center
  • June 7:  Chief Grand Rounds - Nicole Greyshock, MD
  • June 8:  SAR Dinner, Hope Valley Country Club
  • June 14:  Chief Grand Rounds - Jason Webb, MD
  • June 21:  Chief Grand Rounds - Jeffrey Clarke, MD

Useful links

 

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