Weekly Updates: August 12, 2013

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From the Director

DUKE.RESEARCH.NIGHT.03 (1)Hi everyone! Hope you are staying cool in the first real week of an NC summer. Hopefully you took advantage the chance to sign up for up to date on your phone. Also please remember to log in and sign up for MKSAP if you are placing an order this year - see the details below. Kudos this week go to Amy Little and Adva Eisenberg from Carter Davis for outstanding 9300 handoffs, to Jessica Morris for a great diagnosis at the DOC, to Carli Lehr for being selected for the Cleveland Clinic Lung Summit, and to Bobby Aertker for helping a colleague. Also to the MSIVs for fantastic work that we were able to see at AOA day on Friday. Spectacular work! Final kudos to Carling Ursem and Steve Bergin for getting coffee at DRH report! Look at the lengths we will try to get you there!!!!  Bring your mug and enjoy! If you haven't had a chance to watch our first QI conference on "healthcare stewardship" then please watch it on Medhub. Looking forward to seeing you all at the Summerfest this Friday! Keep Stead trivia on your calendars for next week. This weeks pubmed from the program goes to Aaron Mitchell:  Mencarelli C, Mitchell A, Leoncini R, Rosenbaum J, Lupetti P., Isolation of IFT trains. Cytoskeleton. 2013 Jun 27. doi: 10.1002/cm.21121. [Epub ahead of print], PMID: 23804580 Have a great week! Aimee

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What Did I Read This Week

Submitted by Aimee Zaas, MD

2013 Milliman Medical Index;  22 May 2013 | LORRAINE MAYNE | CHRIS GIROD | SCOTT WELTZ

and

The cost and use of healthcare for Baby Boomers and Generation Y The role of payment models, From the Health Management Academy, July 2013

[/box] Why did I read these?  Well, first, my husband sent them to me since the work-related conversation at our house has centered around health care stewardship.   Don't worry, we can talk about normal stuff too.  Also, I am always looking for ways to make the topic relevant to the program and also to myself, as I can tend to glaze over at the MBA/policy wonk-style conversations. What are the articles about? The first focuses on healthcare cost and how it affects patients (do a search on Yousef Zafar and his "financial toxicity" of cancer care work...very interesting). Basically, they calculate that the average family of four will spend more on healthcare than on food...$9,144/year in payroll deductions and out of picket costs, as part of the 22k total for the family (employer costs). The remainder of the article looks at the components of these costs and how they might be affected by the ACA. The second article relates how much more money Gen Y will spend on health care than the baby boomers. Being neither a boomer or a gen Y, I suppose I will spend somewhere in the middle.  They calculate that Gen Y will spend twice as much as a boomer, but that they will use 3x as much as they paid for, in contrast to the boomers who will spend 2x as much as they paid into the system. One can only wonder how any of this is sustainable and what increasing proportion of our costs will be passed on to patients and families (which includes us). So, my take home message from these two articles is that we have to keep trying to control health care costs because it really will affect our patients livelihoods. [divider]

From the Chief Residents

Grand Rounds

Date:  August 16, 2013 Presenter:  Dr. Sway Desai

Noon Conference

Date Topic Lecturer Vendor Room
8/12 Hem-Onc Emergencies Rich Reidel Saladelia 2002
8/13 Withdrawal Sarah Rivelli The Pita Pit 2002
8/14 Schwartz Rounds Lynn Bowlby, Lynn   O'Neill Jersey Mike's 2002
8/15 Insulin/DMS Overview Lillian Lien Sushi 2002
8/16 Chair's Conference Chiefs Rudinos 2002

Interns Selected to Residency Council:

Congratulations to the following interns who were recently selected to represent the intern class:
  • Jessie Seidelman
  • Matt Atkins
  • Jess Tucker
  • Andrea Sitlnger

Coffee at the DOC

We realize your expert diagnostician brain may not be fully engaged at 7:15, so we're providing coffee to help!placebo Comments overheard this week: "We should have done this a long time ago!" Dr. Greenblatt: "Coffee, where did that come from?" Brice Lefler: "Heaven" interventionTo quantify the importance of this addition, some residents were randomized (after IRB approval of course):   [divider]

From the Residency Office

QI Corner

Medicine Residency Patient Safety and Quality Council Our next meeting is THIS WEEK! It will be Wed., 8/14, at 5:30 PM in the Med Res Library.  We'll discuss each of our potential project topics for this year, including recruiting Hand Hygiene Champions for each of our wards, and try and shake Jon Bae out of his #dufnering.  If you can't make it, email me at joel.boggan@dm.duke.edu. Patient Provider Awareness Study & Patient Centered Business Cards (submitted by Kathleen Broderick-Forsgren) As some of you may know, we are in the process of doing a quality improvement project to examine patient awareness of their physicians, their role, and how to contact them.   The recent advent of resident duty hour restrictions has fragmented care between more health care providers.  There is increasing use of a night float system to provide patient coverage overnight which increases hand-offs between physicians and likely decreasing time spent with patients.  Patients are also frequently introduced to inpatient consultation teams.  According to one study, 75% patients could not identify one provider on their medical team. One of the focuses of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is improving healthcare communication between caregivers and patients.  As part of this project (and to hopefully improve patient care), we are trying out different interventions including the use of patient-centered business cards.  The program has designed new patient-centered business cards which will be available for you to pick up in the next week (watch for an email from the office).  The business cards are designed to help improve communication with your patients (both inpatient and outpatient) to alert them to who you are, your role, and how best to contact you.  We encourage you to use your cards on both the inpatient wards and your outpatient clinics.  Thanks in advance for your participation and please contact Katie Broderick at kathleen.broderick-forsgren@dm.duke.edu for any questions, comments, or feedback. QI Craigslist We will lay out some of the Craigslist options at the meeting (see above)!  Look for another email later in the week . . . Follow Us on Twitter - @DukeMarines - Duke Chief Resident Updates - @JonBae01 - QI and Patient Safety (general news and program updates) - @DukeDOMQuality - Duke DOM Quality Updates - @bcg4duke - Maestrocare and health informatics Joel C. Boggan, MD, MPH Chief Resident in Quality and Safety

New Phone # for Lauren Dincher

Following up on last week's announcement, please note that Lauren also has a new phone number:  681-4090.

MKSAP

Last week to submit requests for MKSAP. How?
  • Confirm that you are a member of the ACP  (annual fee for residents $109)
  • Have your membership number when you are ready to submit your request
  • Decide which level of MKSAP is right for you.
  • Complete the online request form
https://www.surveymonkey.com/s/SBL8C7B How much does it cost?
  • MKSAP 16 Digital – $389 for members (paid for by the program)
  • MKSAP 16 Print – $389 for members  (paid for by the program)
Note - ACP has made either option the same price
  • MKSAP 16 Complete Set – $629 for members (your cost $240 - includes Digital and Print copies)
Summary:
  • This offer is open to all Categorical, Med Peds, and Med Psych trainees who have NOT previously received a copy of MKSAP
  • We cover the cost of the MKSAP16 Digital or print copies this year
  • You are required to be a current ACP member to participate
  • We do not place orders randomly at different times in the year.  This offer is for a limited time only – ending on August 18, 2013.

Now recruiting eligible candidates for Duke’s Global Health-Internal Medicine Residency Program

Duke Global Health Residents from the Department of Medicine extend the duration of their residency training by 12 months to gain specific global health core competencies. This extended residency includes nine months of course work which will lead to a Master of Science in Global Health and a total of nine months providing clinical care and conducting mentored research at a Duke University international partner site. Please visit our website for an in-depth description of the core curriculum including rotations, global health competencies, and program requirements as well as application instructions: www.dukeglobalhealth.org Watch:  Current Global Health Resident, John Stanifer, discusses his decision to pursue global health training at Duke. Internal Medicine Residents who have successfully completed PGY1 are eligible to apply.  Send all application materials electronically to cecelia.pezdek@duke.edu. Applications accepted on a rolling basis until October 1, 2013.  Offers will be made November 1, 2013. Contact Information/Opportunities IM or FP needed in RI      Cardiologist Opportunuity Texas Idaho Hospitalist        North Dakota Internal Medicine Idaho Internal Medicine     July 2013 - Hosp Opp Flyer

Upcoming Dates and Events

  • August 16th  Program Wide "Summerfest Party" at the Zaas's

Useful links

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