From the Director
Hi Everyone! We are really happy that the weather held out and that so many of you could join us for the back porch Summerfest at our home! Special thanks to Erin Payne and Randy Hefflefinger for their help in making the party such a success, and very glad so many of our Stead Society faculty and APDs could join us. Kudos this week go to Joe Brogan, who I hear from many people did an amazing VA morning report, from Blake Cameron to Ashley Bock for her stellar work on renal consults, to Chris Hostler for planning the upcoming "Battle of the White Coat Paintball Extravaganza", and to Jim Lefler for what I hear was a fantastic chairs conference - sorry to have to miss it (especially w a diagnosis of cryptococcal disease!) Saumil sends his kudos and thanks to the chiefs and to the following residents who helped with the med student CSI course: Procedures: Lindsay Anderson; Brian Miller; Kevin Shah; Aaron Mitchell; Ryan Huey; Kathleen Broderick-Forsgren; Erin Boehm Handoffs: Adam Banks; Jenn Rymer. Congratulations to Ben Heyman and Anastasie Dunn Pirio on their wedding. A great showing by med and neuro. Also congrats to Armando and Jen Bedoya on their wedding in Nicaragua! We have some upcoming events to be aware of, including the 2nd annual Stead Society Trivia Night this week (Wednesday, August 21st). Check your emails from Murat for additional opportunities for research training as well. This week's pubmed from the program goes to Christine Bestvina for her abstract with Yousef Zafar, that she will present as an oral presentation at the upcoming ASCO Quality Conference! The abstract is titled" "Patient-oncologist cost communication, financial distress, and medication adherence." Have a great week! Aimee
Snapshots from the "Summer Celebration"
Friday night turned out to be an absolutely perfect evening to be outside. Can you believe it was even comfortable huddling about the fire pit making smores? Here are few snapshots from the evening. 
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What Did I Read This Week
Laura W. Musselwhite MD,MPH
PGY-2, IM Global Health Residency Program
Protection Against Malaria by Intravenous Immunization with a Nonreplicating Sporozoite Vaccine
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Why is this discovery one of the most exciting in public health this year? A quarter of a billion people get malaria every year and half a million die from it. This massive burden of disease results in millions of disability-adjusted life-years (DALYs), contributing to multigenerational cycles of poverty abroad, and some argue resultant political instability. 
From a drug development standpoint, a malaria vaccine is one of the few drugs for neglected tropical diseases for which there is a commercial market in the developed and developing world. In the developed world, the market lies in global tourism (108 malaria-endemic countries exist and travelers are susceptible) as well as global warming concerns (mosquito vectors are coming!). The following paper’s results show encouraging data in malaria vaccine development, albeit at an early phase. In this study, investigators report a highly efficacious, dose-dependent vaccine that targets the parasite at a particularly susceptible stage in its life cycle. Moreover, this research provides an ideal model of industry (Sanaria Inc.) and academia (the NIH) working together to create a marketable product for the public’s good. Abstract Consistent high-level, vaccine-induced protection against human malaria has only been achieved by inoculation of Plasmodium falciparum (Pf) sporozoites (SPZ) by mosquito bites. We report that the PfSPZ Vaccine, composed of attenuated, aseptic, purified, cryopreserved PfSPZ, was safe and well-tolerated when administered 4-6 times intravenously (IV) to 40 adults. 0/6 subjects receiving 5 doses, 3/9 subjects receiving 4 doses of 1.35x105 PfSPZ Vaccine, and 5/6 non-vaccinated controls developed malaria following controlled human malaria infection (P = 0.015 in the 5-dose group and P = 0.028 for overall, both versus controls). PfSPZ-specific antibody and T cell responses were dose-dependent. These data indicate there is a dose-dependent immunological threshold for establishing high-level protection Future directions We need bigger, prospective PfSPZ vaccine trials with fewer doses needed, in a non-IV formulation that is efficacious for a prolonged period of time. The future is bright. [divider]
From the Chief Residents
Grand Rounds
Date: August 23, 2013 Presenter: Dr. Olveen Carrasquillo
Noon Conference
| Date | Topic | Lecturer | Vendor | Room |
| 8/19 | Edema, Renal Syndromes and Clinical use of Diuretics | John Roberts | Saladelia | 2002 |
| 8/20 | Delirium OR Difficult Death Debriefing | Sarah Rivelli OR Galanos | Bullock's BBQ | 2002 OR DN9242 |
| 8/21 | QI & Patient Safety Noon Conference | Moe's | 2002 | |
| 8/22 | Inpatient management of CHF | Joe Rogers | Dominos | 2002 |
| 8/23 | Chair's Conference | Chiefs | Chick-fil-A | MEDRES |
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From the Residency Office
Annual Flu Vaccination - Condition of Employment at Duke University Health System
Annual vaccination against the flu is now a condition of employment at Duke University Health System. This policy applies to all people who provide care, treatment or services in the organization, including those receiving pay (for example, permanent, temporary, part-time personnel), as well as members of the medical staff, contract employees, volunteers, vendors and health profession students. Below are a few FAQ's to take note of and link to the website: https://intranet.dm.duke.edu/influenza/SitePages/Home.aspx Q: Exemptions: When will the exemption/vaccination forms be available to download, and where will we be able to find the forms?
MKSAP
Orders for MKSAP are now closed. We will contact you when we have comfirmation as to a release date.
Trivia Night - Carolina Ale House
The Warren Stead Society would like to invite the residents from ALL the Stead societies (i.e. all the residents) to a special Trivia Night to be held on Wed, Aug 21, at the Carolina Ale House at 7PM. Leaders from each Stead Society will be present at 7pm to claim a table, and the Societies will cover all your food and drink for the evening. Please feel free to bring your families. Trivia starts at 8pm. Each Stead group will form a table, and to the highest scoring Stead team, we will provide $100 to donate to their local charity of choice. Last spring the Stead societies took over the main room of the Ale House with this venture, and we’re hoping to have strong turnout again. This event should present another terrific opportunity to welcome our new interns. We hope to see all the housestaff there! The address of the Carolina Ale House is: 3911 Durham Chapel Hill Boulevard Durham, NC 27707
Abstract Submission for NIH Resident Research Career Day- September 1st Deadline
Please see the announcement of an wonderful opportunity below to submit an abstract for presentation of your research at the NIH on October 7, 2013. This is an excellent academic opportunity and outstanding experience. Furthermore, it would support fellowship applications for those of you applying this year. The deadline for submission is September 1, 2013 by email (see below) You will need:
- A brief letter of support from the training program director (Aimee and I are happy to provide this if you please let us know asap)
- The resident’s statement of career interest including intended clinical subspecialty field
- Curriculum vitae
The resident’s abstract of the research work or scholarly activity to be presented should be sent to:
- Robert M. Lembo, MD
- Chair, Resident Research Career Day Organizing Committee
- NIH Clinical Center, National Institutes of Health
- 10 Center Drive, MSC 1158, Bethesda, MD 20892
- or e-mailed to: lembor@mail.nih.gov.
Please let us know if you have any questions or if we can help in any way ! Murat and Aimee
2014 - 2016 Kraft Fellowship in Community Health
Funded by a generous gift from the Kraft family, the Fellowship is a two-year, multidisciplinary program that provides formal academic training in Community Health leadership while also immersing fellows in community health center practice. Fellows will be prepared to tackle complex public health problems and evolve to be leaders in community health centers or public health departments, faculty at academic medical centers, and charismatic role models for the next generation of medical students and residents. Open to graduates of residency training in primary care/internal medicine, pediatrics, family medicine, obstetrics/gynecology and psychiatry, the core Fellowship components include the following:
- Full tuition support for a Masters of Public Health degree at the Harvard School of Public Health
- Community health practice 3 sessions/week
- Mentorship from academic and community leaders
- Salary with benefits at the PGY4 and PGY5 levels
- Student loan repayment (up to $50,000)
Fellows will be expected to remain in Community Health for three years post-fellowship training. The deadline for the application is October 15, 2013. We would appreciate your sharing this information with your residents, and directing them to our website at http://www.kraftcommunityhealth.org/Participate/Physician-Fellowship-Program/Apply.aspx for detailed information. Derri Shtasel, MD, MPH, Executive Director
- Kraft Family National Center
- for Leadership and Training in Community Health
- 25 New Chardon Street, 3rd Floor
- Boston, MA 02114
- Phone: 617-726-6072
- Email: dshtasel@partners.org
VA Perceptions Survey (LPS)
This particular survey is being offered by the Office of Academic Affiliations (OAA). Because the VA oversees the largest health professions training program in the nation, the survey asks trainees to rate various aspects of their clinical training experiences. The (LPS) has proven to be very beneficial in collecting direct trainee information on a nation-wide level, this is our Return on Investment (ROI) by ultimately improving care to our Veterans. Listed below are just some of the improvements made here at the Durham VA Medical Center. These noteworthy improvements/changes are a direct result of working in conjunction with the ACOS/Education, OAA Liaison and the former trainees who completed the (LPS).
- Meal Cards- Physician Residents
- Physician Residents Sleep Rooms - updated - computers added
- Training areas/work rooms - updated
- Lactation Room added
- Laboratory hours extended
- Pharmacy hours extended
- Quality Management
- Tests completed in a timely manner
- Ancillary Support
Please note a trainee may complete the (LPS) for various rotations that begins our AY - 1 July 2013 and ends on the 30th of June 2014. LPS Flyer AY 2013-2014
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 Hospitalists Residency Flyer 8.12.13
Upcoming Dates and Events
- August 21st Trivia Night, Carolina Ale House, 16th 7 PM
- September 18/19 Flu Shot Blitz
Useful links
- August 2013 Resp Fit Testing-T-Dap-TB Skin Testing Flyer
- http://duke.exitcareoncall.com/.
- Main Internal Medicine Residency website
- Main Curriculum website
- Ambulatory curriculum wiki
- Department of Medicine
- Confidential Comment Line Note: ALL submissions are strictly confidential unless you chose to complete the optional section requesting a response.