Weekly Updates: May 20, 2013

From the Director

Another busy week! The services are still busy, everyone is taking time out of their day to train for inpatient Maestro (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 SY, Sharma-Kuinkel BK, Thaden JT, Whitney AR, Yang SJ, Mishra NN, Rude T, Lilliebridge RA, Selim MA, Ahn SH, Holt DC, Giffard PM, Bayer AS, Deleo FR, Fowler 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.

What Did I Read This Week

(submitted by Aimee Zaas, MD)

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.

From the Chief Residents

Grand Rounds

Date

May 24        Chief Resident Grand Rounds

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

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 – Jason Webb, 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 – Ryan Schulteis, MD
  • June 21:  Chief Grand Rounds – Jeffrey Clarke, MD

Useful links

 

by · Posted on May 19, 2013 in Uncategorized · Read full story · Comments { 0 }

Resident Research Night scheduled for 6/4/13

The Department of Medicine’s Internal Medicine Residency Program will hold its annual Resident Research Night on Tues., June 4 from 5:30-7:30 p.m. in the Searle Center Conference Hall.

The resident research poster session and reception will begin at 5:30 p.m., and talks will begin at 6:30 p.m. followed by presentations of the Califf Medicine Resident Research Awards.

Resident Research Night is coordinated by Murat Arcasoy, MD, FACP, associate professor of medicine (Hematology) and associate program director for curriculum and resident research.

by · Posted on May 17, 2013 in Events, Internal Medicine Residency, Research · Read full story · Comments { 0 }

Funding opp: Pilot and feasibility program in Duke O’Brien Center for Kidney Research

The Pilot and Feasibility Program of the Duke O’Brien Center for Kidney Research is designed to enhance the ability of investigators to explore the Center’s areas of emphasis as well as to increase the number of investigators working to solve biological and patient care issues related to the complex interplay of kidney disease, cardiovascular disease and hypertension.

The Program supports applicants from the existing biomedical research community at Duke University Medical Center and provides research support for limited time (one to two years) to selected applicants who meet eligibility criteria.

Deadline: May 31, 2013

Find details here.

by · Posted on May 17, 2013 in Funding, Nephrology · Read full story · Comments { 0 }

Scott Palmer named Vice Chair for Research

Scott Palmer, MD, MHS

Scott Palmer, MD, MHS

Mary Klotman, MD, chair of the Department of Medicine, shared the following message today with faculty, fellows, residents and staff.

I’m pleased to share the news that Scott Palmer, MD, MHS, associate professor of medicine with tenure in the Division of Pulmonary, Allergy and Critical Care Medicine, has agreed to serve as Vice Chair for Research for the Department.

Scott replaces Monica Kraft, MD, who stepped down earlier this year to become chief of the Division of Pulmonary, Allergy and Critical Care Medicine.

I look forward to Scott’s leadership and oversight of our research activities. The Department’s research portfolio is large and critically important to the institution. Indeed, among clinical departments in the School of Medicine, the Department of Medicine accounts for a majority of research funding. There are 292 Medicine faculty with some research funding – more than $174 million in federal expenditures (direct and indirect) and $140 million in non-federal expenditures (direct and indirect) in fiscal year 2012. And each year, you co-author more than 1,200 peer-reviewed research articles.

Scott brings much experience and perspective to his new role. He is a graduate of Oberlin College. He earned his M.D. and M.H.S. at Duke, and completed his residency and fellowship training in pulmonary, allergy and critical care medicine here. A member of the faculty since 1999, he currently serves as Duke’s Scientific Director for Transplant, Director of Pulmonary Research at the Duke Clinical Research Institute, and Associate Director of the Clinical Research Training Program in the School of Medicine.

Scott’s own research interests include laboratory and clinical research in transplantation, including immune and genetic mechanisms of obliterative bronchiolitis (the subject of his recent grand rounds presentation). His work has received continuous support through NIH and industry grants, his publications span the Annals of Internal Medicine to the Journal of Immunology, and his research accomplishments were recognized last year with election to the American Society for Clinical Investigation. His broad clinical, translational and basic research interests will support the growth and development of our research mission.

Scott joins the Department’s research leadership team that includes Ken Lyles, MD, director of the Medicine Clinical Research Unit, Tom Ortel, MD, PhD, director of lab-based research, Dee Gunn, MD, coordinator of the Medicine Research Development Council, and Laurianne Torres, director of research administration.

Please join me in welcoming Scott to his new role.

by · Posted on May 16, 2013 in Leadership roles, Pulmonary, Allergy & Critical Care Medicine, Research · Read full story · Comments { 0 }

Snowdon visit highlights importance of LGBT patient care education for physicians

Shane Snowdon, MA, director of Health & Aging at the Human Rights Campaign, met with leaders and members from the Department of Medicine in April to talk about what faculty and trainees need to know about how to improve the medical care for lesbian, gay, bisexual or transgender patients, and how best to teach residents and students about the importance of these competencies.

During her talk, Snowdon addressed some challenges clinicians may encounter in providing care to LGBT patients, such as access to health care, the stigma that LGBT patients may face coming into the health system, medical problems that are distinct to this patient population and the need to improve the education of physicians and students on LGBT patient care issues.

Jason Webb, MD, chief resident for the Durham VA Medical Center, attended the talk. He said that part of the challenge for clinicians with caring for LGBT patients is that there has been no formalized curriculum for medical students or residents on LGBT patient care, and so the training physicians receive varies across the country.

Dr. Webb said he would like to see more educational opportunities for residents, fellows and faculty on LGBT patient care at Duke.

“Our job in medical education is to be the voice for our patients and to educate the residents and medical students on competencies for the future that are relevant,” Webb said. “From my perspective, the LGBT population is not a small percentage of our total population in the U.S., and if we are going to provide good care to our patients, we have to be well educated and willing to sit down and listen.”

Webb hopes the department will incorporate more formal training opportunities for the faculty, residents and medical students on LGBT patient care and has been working with Mary Klotman, MD, chair of the Department of Medicine, on integrating more educational topics into Grand Rounds and resident noon conferences in the coming year.

For now, anyone interested can reference a comprehensive list of key LGBT resources Snowdon provided for health care practitioners who would like to learn more. Snowdon recommended browsing through these resources, and she highlighted the World Professional Association for Transgender Health, the UCSF Center of Excellence for Transgender Health  and Trans Care Project, Vancouver, as good sources for information on transgender patient care.

Webb also recommended the following resources from Snowdon’s list for quality, evidence-based practices for LGBT patient care:

by · Posted on May 15, 2013 in Diversity, Medical Education · Read full story · Comments { 0 }

Grand Rounds 5/17/13: State of the Internal Medicine Residency Program – 2013

Medicine Grand Rounds on Fri., May 17 at 8 a.m. in Duke Hospital room 2002 will feature Aimee Zaas, MD, MHS, associate professor of medicine (Infectious Diseases), assistant professor of molecular genetics and microbiology, and director of the Duke Internal Medicine Residency Program.

Dr. Zaas will present State of the Internal Medicine Residency Program – 2013.

Video archives

If you can’t make Medicine Grand Rounds this week, watch a live stream or view the archived video at http://bit.ly/RSlrBP (ignore the security certificate warning, then use your Duke NetID & password).
by · Posted on May 15, 2013 in Events, Grand Rounds, Internal Medicine Residency · Read full story · Comments { 0 }

Research Conference 5/31/13: Dynamic Regulation of Epstein-Barr Virus-Mediated B Cell Immortalization

The Medicine Research Conference returns Fri., May 31 at 12 p.m. in Duke Hospital 2002 with a presentation by Micah Luftig, PhD, assistant professor, Molecular Genetics and Microbiology and Medicine, and deputy director at the Center for Virology.

Dr. Luftig will present Studies at the Oncogenic Virus/Host Interface: Dynamic Regulation of Epstein-Barr Virus-Mediated B Cell Immortalization.

Lunch will be provided. Presentation begins promptly at noon.

Medicine Research Conference is a monthly presentation of outstanding research in the Department of Medicine and is designed to foster new initiatives and collaborations among our faculty.

Watch

Video from the presentation live or after the fact on the Department’s new video catalog (log in with your NetID).

by · Posted on May 15, 2013 in Events, Medicine Research Conference · Read full story · Comments { 0 }

5/15/13: Chemical Cleanout Amnesty Program

Are there chemicals in your lab that you would like to discard? Duke’s Chemical Cleanout Amnesty Program gives labs an opportunity to safely clean up.

Simply identify which chemicals in your lab you want to discard, then on Wed., May 15, from 9 a.m.-4 p.m., come to Jones Building, Room 138 to set up a time to have Duke Environmental Programs collect the chemicals you would like to get rid of.

Questions? Contact Duke Environmental Programs, 684-2794.

by · Posted on May 14, 2013 in Events, Research · Read full story · Comments { 0 }