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Meet your chief resident: Stephen Bergin, MD

Stephen Bergin, MD

Stephen Bergin, MD

As chief resident for Duke Regional Hospital and ambulatory medicine, Stephen Bergin, MD, spends a lot of time thinking about how to maximize learning opportunities for residents.

“A good bit of my time is dedicated to the ambulatory setting, making sure that our continuity clinic experiences are meaningful and that our residents are truly developing a good understanding of what it means to be a primary care physician,” Dr. Bergin said.

Bergin looks for opportunities to improve these learning experiences, taking advantage of the vast knowledge of Duke faculty and making sure residents have opportunities to develop relationships with their patients.

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by · Posted on September 12, 2013 in Chief Residents, Internal Medicine Residency · Read full story · Comments { 0 }

Med Res News: September 9, 2013

From the Director

DUKE.RESEARCH.NIGHT.03 (1)Hi everyone! Pumpkin spice lattes are back (and it’s apparently the 10th anniversary for them).  Don’t mind my shameless advertising…with PSL’s (not to be confused with one of our favorite attendings PSK), there are a lot of things “fall” happening! See below for information about the flu blitz as well as fleece orders.  Haiku’s (in honor of Chris Hostler) have been flying around regarding both of these events…SAR Phil Lehman offers the following…”On Tuesday I cried; for the obvious reason; Bye stripes, its been fun”.  Of course, we can remember “Fear not, preppy ones; Seersucker makes a comeback; Memorial Day”, and the all important “Alas, it is fall; no more white striped pants for me — MUST ORDER DUKE FLEECE!”

You will hear about flu shots until you feel flu-like from hearing about them.  Many of you are aware that the medicine residency program has led the way in getting 100% of the house staff vaccinated for the past 2 years (when it wasn’t a mandatory condition of employment).  Last year, we were able to reach our 100% vaccination status by OCTOBER 23rd! This year, we are setting the ambitious goal of vaccination by OCTOBER 1st! As a Stead competition, the Kerby Society (led by Heather Whitson) has won both years by being the society to have all members vaccinated first.  Competition is on, and Matt Crowley and the Kempner Society are starting to talk some trash.  “Flu season awaits; vaccines remain free this year; Steads, immunize fast!”

Kudos this week go to our 5 gold star winners Nancy Lentz, Matthew Summers, Trevor Poseneau, Armando Bedoya and Lindsay Boole! Gold stars were awarded by patients who appreciate your care. Congratulations to you all! Also congratulations to Med Peds 2013 graduate Steve Dolgner and Med Peds SAR Anna Teeter Dolgner on the birth of Andrew.  We are excited to welcome another baby into the Duke family.

Pubmed from the program this week goes to JAR Mike Woodworth for his article in Academic Medicine! “The Design of a Medical School Social Justice Curriculum”  Alexandra Coria, T. Greg McKelvey, Paul Charlton, Michael Woodworth, MD, and Timothy Lahey, MD, MMSc  Academic Medicine 2013; 88.

Have a great week!

Aimee

QI Corner (submitted by Joel Boggan, MD)

 

Flu Flyer 2

Flu Vaccination Campaign
Our flu blitz kicks off 9/18 at our next High Value, Cost-Conscious Care noon conference led by Duke’s most frequent NPR contributory, Dan Ariely.  As part of the conference, flu shots will be given both before and after outside DN 2002.  We had 100% compliance last year within 35 days of the kickoff, and we’re planning on doing even better this year.  IF YOU NEED AN EXEMPTION, THAT IS DUE BY 9/13.  IF YOU HAVE QUESTIONS ABOUT EXEMPTIONS, PLEASE EMAIL US!!!  As per last year, the Stead Societies will be competing to see who can reach 100% first . . . and the Kempner society plans to have Matt Crowley wearing the belt . . .

Final Policy Flyer 2013 Med Res

https://intranet.dm.duke.edu/influenza/SitePages/Home.aspx

Patient Safety and Quality Council Meeting
We will be having our next monthly meeting this coming Wednesday, 9/11, at 5:30 in the Med Res Library.  Come and check out the latest Sharknado sequel follow-up and create your own animal-natural disaster hybrid.  Also, we’ll discuss high value, cost-conscious care projects and how to get information to residents.

Hand Hygiene and the Incentive Program
You’ll be seeing information out in front of you soon from our Hand Hygiene Champions, Emily Ray, Jessica Seidelman, Stephanie Giattino, and Jonathan Hansen.  Here’s just a taste – the August monthly aggregate data – we were close (total observations = 120), but not there yet!

Actual Hand Washing Rate = 86%
Goal = 91%

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

 

What Did I Read This Week

Submitted by Murat Arcaosy, MD

Physical Examination Education in Graduate Medical Education- a systematic review of the literature by Mookherjee et al.  Journal of General Internal Medicine 28: 1090-1099, 2013

What did the authors do?Murat Arcasoy

The authors from three academic centers reviewed the literature (1951-2012) to determine effectiveness of published methods to teach PE in GME, focusing on the use of deliberate practice.  In this method, the trainee repetitively practices skills and undergoes assessment with feedback, resulting in observed improvement of the skills. The eligibility criteria for studies included description of GME study population, description of an intervention, assessment of efficacy, inclusion of a control group and report of data analysis. Out of 15,759 articles, it was striking that only 14 studies met inclusion criteria (only 8 included Internal Medicine residents).

Why did the authors perform this review?

Training in PE skills is a core element of undergraduate medical education, but in GME, the teaching of PE is inconsistent. PE skill deficiency in GME does not only involve issues with performance of maneuvers or identification of abnormalities. Residents sometimes struggle to understand the significance of PE findings, tend to have low confidence in their PE skills, and may spend a short time actually performing a PE. Going through a residency training program in itself is not expected to resolve these deficiencies, therefore, PE education must be improved.  The question is which PE teaching methods are optimal in the GME setting (this review did not answer this question).

What did the authors find?

Twelve studies assessed knowledge and skill. Two studies assessed changes in behavior. Seven studies examined resident and human examinee interaction and four of these were actual patients in a clinical context (genital exam in continuity clinic, bedside rounds with medicine residents (yaay!), breast exam in breast care clinic, pelvic exams in pediatric clinic). Two studies used teaching associates (as examinees) who were also responsible for teaching the residents.  Seven studies targeted cardiac exam and the educational material did not involve patient interaction.  Of the seven studies where residents interacted with human examinees as part of curriculum only one did not show improved educational outcomes. The great majority of studies with definite use of deliberate practice showed beneficial outcomes.

What did the authors conclude (or not)?

The authors could not conclude that one teaching method is superior to others. They suggested “attention to deliberate practice when designing PE curricula and that interaction with human examinees may be useful to residents” (Hmmm).

What is my take?

I read this article as part of an effort to educate myself on the published experience on the teaching of PE skills and to learn about novel methods of PE skills education, an area of medical education I have felt so passionate about throughout my career.  I remember how I learned (and continue to learn) PE skills during med school and beyond, the faculty and patients who so graciously taught me, so that I could formulate a reasonable clinical diagnosis, order laboratory investigations rationally, and perhaps most importantly, to make that essential human connection to the patient, thus laying the foundation of a doctor-patient relationship based on mutual respect and trust.

What do you think ?

May I suggest please that you take a moment to reflect upon how it is that you were taught PE skills and how you continued to learn/improve? If you are a current Intern, how do you teach your med student at the bedside? how do you teach PE skills to multiple junior trainees as a team leader JAR at the VA or a SAR at Duke? how do you make time during the day to keep going back to your patients, resisting the multiplicity of forces that pull us away from the bedside? how do you prepare for bedside rounds as team-leader and encourage deliberate practice of PE skills?

..” the best way to learn is to teach, the best way to teach is to keep learning, and that what counts in the end is having had a shared, reflected experience.” …(attributed to Frank Oppenheimer (1912-1985), Science magazine, 1998)

From the Chief Residents

Grand Rounds

Date:  September 13, 2013

Presenter:  Dr. Rob Keenan, Division of Rheumatology

 

Noon Conference

Date Topic Lecturer Time Vendor Room
9/9 PWIM noon   conference Chad Kessler 12:00 The Picnic Basket 2002
9/10 Evidence   Based Hypertension Mgmt Daniella Zipkin 12:00 Moe’s Burritos 2002
9/11 Schwartz   Rounds Lynn O’Neill, Lynn   Bowlby 12:00 Jersey Mike’s 2002
9/12 How   To Give a Talk Zaas 12:00 Sushi 2001
9/13 Chair’s   Conference Chiefs 12:00 Rudinos MEDRES

 

Time for PAINTBALL (submitted by Chris Hostler)

paintball_tarifa_8

Reminder to sign up today for the upcoming White Coat Paintball Game on 9/28/13 from 12-4.  Either respond to the calendar event via Outlook or email Chris Hostler by 9/21.

Thanks, Chris

 

From the Residency Office

Conference Recordings/Presentations

Did you know we upload conference recordings to MedHub?  Do you know where to find them, and do you find them useful?

We really would like to know.  If you would, please take 20 seconds to click on the following link and give us your feedback.  Just 3 questions, but your answers will help keep us going in the right direction.

https://www.surveymonkey.com/s/Conference_Recordings

 

Duke Internal Medicine Residency Program Fleece – Time To Place Your Order

The sun is settling lower in the sky, the seersucker is safely tucked away, and the mornings are starting to get chilly – which can only mean one thing – time to pull out your  Med Res Fleece.  Back by popular demand our office will again facilitate collecting fleece orders.   We will be sending an email to our residents and senior leadership on Monday with the details – including the link and detail directions as to how to place orders.  Sample jackets will also be available to check out/try on first of the week in our office.  Lynsey will be the point person managing the project this year.

NOTE:  Fleece orders will only be collected for the next two weeks, so PLEASE watch your email so you do not miss this opportunity.

 

hyc_logo_lrg

Developing the next generation of globally educated, socially responsible healthcare professionals dedicated to improving the health of disadvantaged populations.

Accepting Applications for Global Health Elective Rotations

The Hubert-Yeargan Center for Global Health (HYC) is accepting applications for Global Health Elective Rotations for July 2014 and March 2015. Application is open to residents from Departments of Medicine: Internal Medicine (PGY 2); Med-Peds (PGY 3) and Med-Psych (PGY 4).  Access the application form and FAQ at http://dukeglobalhealth.org/education-and-training/global-Global Healthhealth-elective-rotation.

(Application addendum is available by request – tara.pemble@duke.edu)

Application deadline is September 17, 2013. Interviews will be held in late September/early October. We encourage you to speak with past participants to get a better idea of what daily life is like on the wards of your top sites. For more information, contact Tara Pemble, Program Coordinator at tara.pemble@duke.edu or 668-8352.

 

Crime Prevention Briefings

In light of the incidences that took place this summer, the Duke University Police Department will be offering safety briefings at three different locations and times on campus. The briefings will cover building safety, parking deck safety and personal safety.

Friday – Sept 13 from 11 – 12 in MSRB 1, Room 001

Tuesday – Sept 17 from 1:30 – 2:30 in 143 Jones Building

Wednesday – September 18 from 11 – 12 in Classroom 4, Trent Seamans Center

For more information, contact Duke Crime Prevention at (919) 684-2444.

Contact Information/Opportunities

Global Health Hospitalist Position — Harvard Medical School & Nyaya Health

Nyaya Health and Harvard Medical School are excited to announce that we are now accepting applications for a position that will be divided half-time between the Brigham & Women’s Hospital (Boston, USA) and Bayalpata Hospital (Achham, Nepal). This is an ideal position for an Internal Medicine or Medicine/Pediatrics-trained physician interested in launching a career in global health hospital medicine and medical education. While in Boston, the candidate will serve as an associate physician at Brigham & Women’s Hospital — a Harvard University teaching hospital. In Achham, the candidate will be responsible for programmatic development, medical education of Nepali clinical staff, quality improvement initiatives, and implementation research regarding best practices for healthcare in resource-poor settings.

Applications will be accepted from August 26th, 2013 on a rolling basis. The interview and hiring process will be finalized by October, 2013. Start date will be July, 2014, and minimum contractual agreements will be for one year (12 months); however, longer contractual agreements are preferred.

For more information about the position, please see attached, or: http://bit.ly/16vvWf9
For additional information about Nyaya Health and Bayalpata Hospital: http://www.nyayahealth.org

For additional information about the Brigham & Women’s Hospital: http://www.brighamandwomens.org/

Interested applicants should send a cover letter and CV to hospitalist@nyayahealth.org

Nyaya Health Clinical Advisor & BWH Hospitalist RFA 2013

 

Chapel Hill CareerMD – Career Fair:

physicians-in-training will be able to connect with representatives from leading healthcare organizations across the country and learn about the career opportunities available to them.

RSVP by emailing  charles.howell@CareerMD.com or through their website at www.CareerMD.com/ChapelHill

Location: Sheraton Chapel Hill Hotel, One Europa Drive, Chapel Hill,   NC
Date/Time: Thursday, September 12, 2013; arrive any time between 5:00   PM and 8:00 PM
Details: Casual attire, complimentary light refreshments, spouses   and significant others welcome

Upcoming Dates and Events

  • September 17:  Application deadline for Global Health Electives
  • September 18/19:  Flu Shot Blitz
  • October 1:  Duke’s Global Health-Internal Medicine Residency  deadline to submitt applications
  • October 18:  SoM Clinical Science Day
  • October 28:  Annual Recruitment Kickoff
  • November 28:  Annual “Turkey Bowl”
  • December 4:  “Voices in Medicine”

Useful links

by · Posted on September 8, 2013 in Chief Residents, Internal Medicine Residency, Medical Education, Uncategorized, Weekly Update · Read full story · Comments { 0 }

Weekly Updates: September 2, 2013

From the Director

DUKE.RESEARCH.NIGHT.03 (1)The last seersucker Tuesday of 2013 has come and gone…what next now that it is not appropriate to wear seersucker?  Get ready to order your Duke Medicine Residency Fleece! Be on the look out … we plan to have the order set up in a couple weeks. And don’t worry, it’s still cool to wear a Duke tie on Fridays, and to bring your seersucker clothes back out after Memorial Day.  And, for some JARs, it is apparently ok to wear red, purple, yellow, etc pants to work.

First kudos go to our awesome ACRs – Carling “Coffee at Report” Ursem, JennLet Me Help you With that CATRymer, and Brian “Have A Cookie, Don’t Starve on Gen Med” Miller.  You’ve been amazing! And welcome to Lauren Porras, Alex Fanaroff and Matt Summers.  Big shoes to fill, and we know you will do that very well! Also kudos this week from Sajal Tanna to Hal Boutte for his outstanding work on GI consults at the VA, to Armando Bedoya for his willingness to pitch in when VA Gen Med got really busy really fast, to Brittany Dixon for taking on the first intern report of block 3 (great presentation as well), to the DRH Gen Med SARs for coming to morning report (See earlier reference to coffee!) and to Rachel Titerance for her extraordinary work making a diagnosis on Duke Night JAR.   Brice, Mike, Claire, Adrienne and I had a great time at JAR dinner night – dates for September to be posted soon.

Kudos for Aaron Mitchell and Eric Yoder for receiving our first GOLD STARs for the year. Gold stars are given by Duke Hospital when a patient mentions you by name in a patient satisfaction survey or sends a letter on your behalf! WAY TO GO!  Also kudos to Adva Eisenberg for helping Dr. Peyser figure out a complicated clinic patient!

September is going to be a great month…Turkey Bowl practices should begin soon, paintball is on the horizon, the SARs are interviewing all over the country, and we are kicking off some other residency program initiatives.  Again thanks to our hand hygiene champions Emily Ray, Jessie Seidelman and Steph Giattino for leading this charge, with help from Joel Boggan and Jon Bae.  Please remember to pick up your photo business cards from the med res office (since they have photos on them, its pretty easy for us to tell who hasn’t picked them up yet) and GIVE THEM TO YOUR PATIENTS (inpatients and outpatients).  This is a project being led by Katie Broderick, and we are hoping to increase awareness among patients of who their doctor is.

Coming up soon is also the 2013 FLU VACCINE BLITZ! As you may know, we have led the way at Duke for the past 2 years in getting 100% of our house staff vaccinated (last year we FINISHED vaccination by 10/23!).  The race to immunization is a Stead Society competition, with Kerby Society winning for the past 2 years.  Kempner is challenging them big time this year, so that they can try to boast TRIVIA and VACCINE championships.  We will be having a flu shot station outside noon conference on 9/18, and many other opportunities to get your (mandatory!) vaccine.   

CONGRATULATIONS TO THE NEWEST MEMBER OF THE MED RES FAMILY….Carter and Katie Davis are now proud parents of Charles “Charlie” Hughes Davis.

Pubmed from the program this week goes to Jon Bae for the paper he co-authored with Mamata Yanamadala and Mitch Heflin for the Journal of Graduate Medical EducationCan graduate medical education trainees learn clinical quality improvement principles through online modules?”

Have a great week!

Aimee

QI Corner (submitted by Joel Boggan, MD)

New Patient-Centered Business Cards

slide 1

The new patient-centered business cards have arrived.  Please pick them up if you haven’t had a chance to help the good Dr. Broderick-Forsgren improve patient awareness of providers.  On the cards, there are places where you can help fill out information to tell patients who you are, what your role is, and who else might be taking care of them in the hospital . . .
 

Morbidity and Mortality Conference

Thank you to Peter Kussin and Jason Stout for leading our first M&M of the year and to Laura Caputo for presenting our case.  If you’d like to view some of the articles that were discussed in the conference, please check out http://news.medicine.duke.edu/2013/08/grand-rounds-83013-mm-conference/.

Flu Vaccination Campaign
Our flu blitz kicks off 9/18 at our next High Value, Cost-Conscious Care noon conference led by the very engaging and very awesome Dan Ariely.  As part of the conference, flu shots will be given both before and after outside DN 2002.  We had 100% compliance last year within 35 days of the kickoff, and we’re planning on doing even better this year.  IF YOU NEED AN EXEMPTION, THAT IS DUE BY 9/13.  IF YOU HAVE QUESTIONS ABOUT EXEMPTIONS, PLEASE EMAIL US!!!  As per last year, the Stead Societies will be competing to see who can reach 100% first . . .

 

What Did I Read This Week

Submitted by Carling Ursem, MD

Freedman, Neal D., et al. “Association of coffee drinking with total and cause-specific mortality.” New England Journal of Medicine 366.20 (2012): 1891-1904.

Why I read this: During my tenure as ACR at DRH I made it my personal goal to get coffee provided at morning report. I thought that if I as ACR would rather stay in bed (okay I won’t lie, go to a morning spin class) than go to morning report, I know other people must feel the same way. I thought that a warm caffeinated beverage might serve as a token of appreciation for our early morning efforts, and also help to jazz up the 7:15am conversation. I wondered if there was any data to support the seemingly miraculous powers of coffee and came across this article.CARLING_URSEM_

Background: Multiple prior studies have tried to look for an association between coffee consumption and health outcomes. Most of them have been small and retrospective, with varied results ranging from associations with increases in LDL and blood pressure to decreases in the incidence of stroke and diabetes. Prior studies looking at the relationship between coffee drinking and mortality have shown either no association, or a small decrease in mortality.

Results: The NIH-AARP Diet and Health study sent extensive health related questionnaires to 617,119 AARP members ages 50-71 in 8 states, one of which was NC. Coffee consumption was just one element of the questionnaire. The study excluded people with cancer, heart disease and prior stroke, leaving 402,260 participants. They were followed from 1995-2008, during which time 52,515 died. In the raw analysis there was an increased risk of death among coffee drinkers, however this was confounded by the strong correlation between smoking status and drinking coffee. After controlling for smoking, alcohol and other potential confounders they found a decreased risk of death among coffee drinkers, with an approximate dose relationship. For men the hazard ratios for death among those who drank coffee compared with those who did not were: 0.94 (95% CI 0.90-0.99) for 1 cup/day, 0.90 (95% CI 0.85-0.96) for 2-3 cups/day, 0.88 (95% CI 0.84-0.93) for 4-5 cups and 0.90 (95% CI 0.78-0.93) for 6 or more cups. For women the hazard ratios were: 0.95 (95% CI 0.9-1.01), 0.87 (95% CI 0.83-0.92), 0.84 (95% CI 0.79-0.90) and 0.85 (95% CI 0.78-0.93). Additionally, there was a correlation between coffee consumption and decreased incidence of diabetes, similar to in previous studies.

What does this mean: Unfortunately, nothing. Although the dose response relationship is encouraging that some sort of causation could be present, at the end of the day this is still just an observational study. Despite what the authors state in their discussion, we can’t even conclude that coffee doesn’t increase mortality. Without an RCT I will have to continue enjoying coffee for no other reason than just that it makes me happy.

Addendum:  The following video demonstrates the postive effects that have been document at DRH morning report:  http://youtu.be/EWbwfXaq-xE

From the Chief Residents

Grand Rounds

Date:  September 6, 2013

Topic:  ARDS

Presenters:  Dr. Neil MacIntyre

Noon Conference

Date Topic Lecturer Time Vendor
9/2 Labor Day- No   Noon Conference 12:00
9/3 CXR   Interpretation Phil Goodman 12:00 Saladelia
9/4 IM-ED   Combined Conference: U/S guided resuscitation 12:00 Saladelia
9/5 Gallops ACRs 12:00 Dominos
9/6 Chair’s   Conference Chiefs 12:00 Chik-Fil-a

From the Residency Office

hyc_logo_lrg

Developing the next generation of globally educated, socially responsible healthcare professionals dedicated to improving the health of disadvantaged populations.

Accepting Applications for Global Health Elective Rotations

The Hubert-Yeargan Center for Global Health (HYC) is accepting applications for Global Health Elective Rotations for July 2014 and March 2015. Application is open to residents from Departments of Medicine: Internal Medicine (PGY 2); Med-Peds (PGY 3) and Med-Psych (PGY 4).  Access the application form and FAQ at http://dukeglobalhealth.org/education-and-training/global-health-elective-rotation.

(Application addendum is available by request – tara.pemble@duke.edu)

 IMG_0871

Annual Flu Vaccination

This is week 3 of our campaign, and the first critical date is fast approaching.  If you are planning to request an exemption you only have 2 weeks left to do so.

To review options and/or download the forms, please log into the Duke intranet using the following link.

https://intranet.dm.duke.edu/influenza/SitePages/Home.aspx

The Blitz is also only a few weeks away – September 18/19to be exact.   Watch for the flyers and more announcements in the coming weeks.

More Dates to Put on Your Calendar

The annual “Recruitment Kick-off” will be held on Monday, October 28th, 7:00 to 9:00pm at Alivia’s. We are very excited for another recruitment season and want to thank you for all the help you will provide!

Voices in Medicine: Wednesday, December 4th. Details to come but please mark your calendar! Last year was a hit and we hope to make this one even larger! This is an amazing opportunity to connect and see each other in a different light!

Mini CEX – Program Requirements

In an effort to clarify the process by which Mini CEXs are tracked and reported on, we have decided it is best to no longer list them as required procedures.  The program will continue to require three (3) inpatient Mini CEXs per trainee each year, and the evaluation will not change.  As a reminder, all Interns should have at least one (1) completed by August 30th.

In addition to this change, the currently entitled “Mini CEX-Ambulatory Evaluation” has been re-named “Ambulatory Evaluation.”  We will continue to require that at least three (3) ambulatory evaluations be completed on each trainee each academic year and we are working with the lead attendings at the continuity clinics to determine the best plan of action as to how these evaluations will be assigned and completed prior to each of the three Clinical Competency Meetings.

 

Changes to the Step 3 Examination in 2014

Reminder that residents are required to take and pass Step 3 prior to the start of their SAR year.  Please take note of the following changes that will happen in 2014

The current Step 3 examination is administered in two 8-hour test sessions, which must be taken on consecutive days. The restructured examination will also be two test days; however, examinees will be able to schedule the two test days on non-consecutive days. The examination days will consist of the following:

Step 3 Foundations of Independent Practice (FIP)this test day will focus on assessment of knowledge of foundational medicine and science essential for effective health care. Content areas covered will include applying foundational sciences; biostatistics, epidemiology/population health, and interpretation of the medical literature; and social sciences, including communication and interpersonal skills, medical ethics, and systems-based practice/patient safety. The test day will also include some content assessing knowledge of diagnosis and management. This test day will consist solely of multiple-choice questions and will include some of the newer item formats, such as those based on scientific abstracts and pharmaceutical advertisements.

Step 3 Advanced Clinical Medicine (ACM): this test day will focus on assessment of applying comprehensive knowledge of health and disease in the context of patient management. Content areas covered will include assessment of knowledge of history and physical examination, diagnosis and use of diagnostic studies, prognosis/outcome, health maintenance/screening, therapeutics, and medical decision-making. This test day will include multiple-choice questions and computer-based case simulations.

A single score (with graphical performance profile information) and a single pass/fail outcome will be reported following completion of both examination days.

The restructured Step 3 examination will be administered beginning November, 2014. During an approximately one-month period (October, 2014), it is likely that no Step 3 examinations will be administered.

Practice materials for the restructured examinations will be posted to the USMLE website in mid-2014. Examinees should anticipate a score delay following the introduction of the restructured examinations. Additional information will be posted as soon as it is available.

For more information and to register for the panel please use the following link – https://www.surveymonkey.com/s/HealthCareReformPanel2013

 

Duke GME Health Policy Lecture Series

OPEN TO ALL DUKE GME TRAINEES & PROGRAM DIRECTORS

Registration Link: https://www.surveymonkey.com/s/2013HealthPolicyRegistration 

2013.2014 HEALTH POLICY: JUST IN TIME LECTURE SERIES

Supported in part by the Chancellor’s GME Innovation Fund

The Fuqua School of Business and the Duke University Hospital Office of Graduate Medical Education have joined together for the 5th year to offer a Health Policy lecture series for Duke GME programs. Program Directors, residents and fellows are invited to participate. Physicians will benefit from an understanding of health care delivery systems, payment structures, incentives, and policy.  Increasingly, the role of the physician will be less of a clinical technician and more of a team-leader as our health care system evolves, using a more multidisciplinary & team-based model.  To this end, we are offering a program which covers topics that will allow residents and fellows to acquire a baseline understanding of our health care system. Participation addresses the ACGME competency of Systems Based Practice and provides critical knowledge to graduate physician leaders.

HEALTH POLICY LECTURE SERIES OBJECTIVES:

Objective 1: Provide health policy content for residents and fellows, to better prepare them for practice following GME training.

Objective 2: Offer content using a hybrid approach with live lectures and online material, to attempt to meet individual schedule needs and learning styles.

Objective 3: Enhance GME training with topics that address the ACGME Core Competencies, specifically, systems-based practice.

Objective 4: Enhance interaction and collaboration across Duke GME departments and programs by enrolling together GME Program Directors, resident and fellows from a variety of programs.

Objective 5:  Evaluate the usefulness of content and delivery method using confidential written evaluations as well as qualitative verbal feedback.

TOPICS INCLUDE:

  • Health Care Policy (September      19th, 2013)
  • Comparative Health Systems      (October 10th, 2013)
  • MedPac Annual Report Overview:      Medicare/Medicaid (November 14th, 2013)
  • Health Informatics (December      12th, 2013)
  • Quality & Pay for      Performance (January 9th, 2014)
  • Healthcare Reform (February      13th, 2014)
  • Health Care Disparities (March      13th, 2014)
  • Accountable Care Organizations      (April 10th, 2014)
  • Conflicts of Interest (May 8th, 2014)

The series will kick-off with the “Health Care Reform Panel: Obama-care versus Canada Single-Payer Care”;  Thursday, September 12th 

5pm – 7pm, Duke South Amphitheatre

Light refreshments will be served

For more information and to register for the panel please use the following link – https://www.surveymonkey.com/s/HealthCareReformPanel2013

PROGRAM FORMAT:  Sessions will be held the second Thursday of each month (6:00pm-7:30pm) in the Medical Center Board Room from September 2013 to May 2014.

PARTICIPATION OPTIONS

1. Residents/fellows can earn a Health Policy Series Certificate of Completion (with letter presented to their Program Director) by completing these requirements:

  • - Attend all sessions
  • - Complete a self-assessment at the beginning and end of the series
  • - Evaluate all sessions and provide feedback on the program overall (via on-line surveys)
  • - Please use the link below to register

2. Residents/fellows (and their Program Directors) are welcome to attend as few or many sessions as they would like and their schedules will permit. Register for individual sessions via the link below.

Registration Link: https://www.surveymonkey.com/s/2013HealthPolicyRegistration 

Contact Information/Opportunities

I-M Outpatient Feb2012

Upcoming Dates and Events

  • September 17:  Application deadline for Global Health Electives
  • September 18/19:  Flu Shot Blitz
  • October 1:  Duke’s Global Health-Internal Medicine Residency  deadline to submitt applications
  • October 18:  SoM Clinical Science Day
  • October 28:  Annual Recruitment Kickoff
  • December 4:  “Voices in Medicine”

Useful links

by · Posted on September 2, 2013 in Chief Residents, Internal Medicine Residency, Medical Education, Uncategorized, Weekly Update · Read full story · Comments { 0 }

Meet your chief resident: Krish Patel, MD

Krish Patel, MD

Krish Patel, MD

Since he became the chief resident of Internal Medicine for Duke University Hospital, Krish Patel, MD, has learned first-hand the many logistical details in the Internal Medicine Residency Program.

“There’s a part of my role that ends up being scheduling and maintenance of schedules for the various services in the hospital,” Dr. Patel said. “Much of that is troubleshooting the small things that could make the educational experience on those services better.”

While Patel and his team keep all the different parts of the program at Duke University Hospital moving, he also is responsible for weekly Chair’s conferences, Resident Report sessions that residents on the General Medicine service attend four days a week, and a similar didactic small group session for interns that meets once a week. These sessions are teaching opportunities and chances for Patel to see what parts of the program need improvement.

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by · Posted on August 28, 2013 in Chief Residents, Internal Medicine Residency, Medical Oncology · Read full story · Comments { 0 }

Weekly Updates: August 26, 2013

From the Director

DUKE.RESEARCH.NIGHT.03 (1)Happy end of block 2, interns! Hard to believe how fast time goes. We’ve had a great week in the program, with Jon Bae and the Quality Team receiving an NC ACP grant to support Share point and also a similar grant went to Tim Mercer and Jane Trinh! We have 8 posters accepted at Clinical Science Day as well. Exceptional!

Kudos to Marc Samsky from the endocrine team for outstanding work. It has been fun watching the interns and residents teaching our new MSIIs – spotted has been ED intern Andrew Iannuzi, night resident Ben Lloyd, and also Myles Nickolich. I know the rest of you are teaching as well!

This week we have our second JAR dinner – looking forward to seeing 5 of you at Mateo. Dr Klotman starts her SAR mentoring lunches as well. While I shamelessly stole the JAR dinner idea from my good friend Harry Hollander at UCSF, I’m not aware if any other chairs who do lunch with small groups of residents – please sign up if you haven’t yet!

This week’s pubmed from the program goes to Jenn Rymer who will be presenting the GME incentive program at the national AAMC meeting! Congrats to Jenn and coauthors George Cheely and Jon Bae.

Have a great week!

Aimee

QI Corner (submitted by Joel Boggan, MD)

New Patient-Centered Business Cards

The new patient-centered business cards have arrived!  Please pick them up in the Med Res office this week.  Your business cards are primarily geared towards inpatient care, but your clinics will have stickers to place on the back for outpatient use.  We encourage you to use your cards on both inpatient wards and outpatient clinics.  On the examples, please note there are places where you can help fill out information to tell patients who you are, what your role is, and who else might be taking care of them in the hospital . . .

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Patient Safety Noon Conference

A big thank you to Luke Chen who presented on Infection Control procedures at Duke on Wednesday.  Hopefully, you’re inspired to wash hands, use (and ask for) the contact stethoscopes, and wash your white coats!

August QI Champs
A special congratulations to our first QI champs of this academic year:  Jonathan Hansen, Stephanie Giattino, and Jessica Seidelman, who were our first people to sign up to be Hand Hygiene Ward Champions.  You’ll be hearing updates from all of us through the year as we work toward our 91% hand hygiene goal on the 7th, 8th, and 9th floors.
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

What Did I Read This Week

 Submitted by Krish Patel, MD

Long-Term Survival of Participants in the Prostate Cancer Prevention Trial. N Engl J Med 2013; 369:603-610

http://www.nejm.org/doi/full/10.1056/NEJMoa1215932?query=featured_home#t=article

Why I read this:  I recently learned that the Surviving Sepsis Guidelines had been updated in Feb 2013 and having not been the primary doctor in the MICU for at least 1 year, I wanted to know what was good and new.  Well after reading the 56 page manifesto and realizing that the levels of evidence for many of the new guidelines left a lot to be desired (and that I’d never WIRTW it as well as Bill Hargett!) I quickly retreated back to my oncology roots… No but really, I came across this article in this week’s NEJM and was intrigued. All in all, it was a pretty interesting read as it tries to answer some important questions left open by an almost 20 year old study that investigated the use of finasteride to prevent prostate cancer back in the 1990s.

Background:  In 2003, a large RCT (n=18,882) published in NEJM looked at whether finasteride 5mg daily (vs. placebo) could reduce the prevalence of prostate cancer in healthy men (median age 63.2 yrs) over a 7 year treatment period.  The take home from that study was that finasteride did indeed reduce the prevalence of prostate cancer (18.4% vs 24.4%, a relative risk reduction of 24.8%; p<0.001) but it resulted in an increase in the prevalence of high-grade prostate cancer (6.4% vs 5.1%, a relative risk increase of 25%;  p<0.001).  There was no mortality analysis reported in that study (fair I guess since mortality from prostate cancer typically occurs over 10+ years), so it was unknown what the possible benefit of reducing the overall rate of prostate cancer was versus what the harm may have been from the absolute increase in prevalence of high-grade cancers.  This study actually lead to the FDA requiring finasteride to be labelled as increasing the risk of developing high grade prostate cancer and finasteride never received approval for use in prostate cancer prevention.

Results: Now, almost 10 years later, three of the authors from the original paper have published a mortality analysis from the long term (15+ years) follow of the 2003 study to try answer the question of what the ultimate harm/benefit of finasteride chemoprevention is.  A picture is worth a thousand words                       Copy of Snapshot of Med Onc Data (2)

Yep, that line is as purple as Nick Rohroff’s pants…Ok, they found no difference in overall survival in the study population…  So, perhaps the concerns from the original study that development of more high grade cancers would lead to harm were unfounded. Or perhaps there were increased harms but they were offset by the benefits of preventing more low grade cancers (and those people died of something else).  Unfortuntately we just don’t know. The majority of the mortality data used in this follow up was largely obtained through the Social Security Death Index so there was no way to know who died of what or calculate prostate-specific mortality.  The follow up did show a lower prevalence of high grade prostate cancer than the 2003 study (3.5% vs 3.0%; p=0.05 compared to 6.4% vs 5.1%; p<0.001) and continued to show a lower overall rate of prostate cancer (10.5% vs 14.9%; p<0.001) in the finasteride group.  The authors also looked at survival by cancer grade and again found no significant difference between finasteride and placebo despite stratification by grade.

What does this mean: Preventing prostate cancers with finasteride doesn’t appear to affect mortality, so why even bother thinking about it? Well, I’ll make a controversial suggestion: perhaps finasteride can be used to prevent certain patients from the morbidity of diagnosis and treatment of low grade prostate cancers detected by PSA/DRE screening.  It’s certainly not clear that universal prostate cancer screening substantially reduces mortality (hence the USPTF recommendation against it).   Yet, it still widely occurs and results in the over diagnosis of low grade prostate cancers that are then managed/treated aggressively with potential harms and few benefits.  Could we offer finasteride prophylaxis instead of (or along with) prostate cancer screening to low risk men who still elect for screening with the goal of reducing the likelihood (and cost) of potentially unnecessary surgery and/or radiation therapy for low grade prostate cancers?  Hmm…or perhaps we should just stop screening low risk patients…

Krish Patel, MD

SOM Clinical Science Day

Congratulations to the following residents who have been selected to present their work at the School of Medicine Clinical Science Day, to be held on October 18, 2013.

  • Dr Hany Elmariah
  • Dr Lindsay Anderson
  • Dr Jennifer Rymer
  • Dr Carling Ursem
  • Dr Aaron Mitchell
  • Dr Wassim Shatila
  • Dr John Stanifer
  • Dr Noah S Kalman

From the Chief Residents

Grand Rounds

Date:  August 30, 2013

Topic:  M&M

Presenters:  Dr. Kussin and Dr. Stout

Noon Conference

Date Topic Lecturer Vendor
8/26 Diagnostic   Radiology Essentials Lexie Riofrio The Picnic Basket
8/27 Approach   to the Anemic patient Murat Arcasoy Jersey Mike’s
8/28 IM-ED   Combined Conference: Evidence Based Emergency Medicine David Newman The Pita Pit
8/29 Liver   Transplantation Alastair Smith Moe’s
8/30 Chair’s   Conference Chiefs Rudinos

 

Thanks For Helping Out (from Yevgeniya Foster)

My wonderful friend and colleague Andrea Sitlinger is doing me a huge favor this weekend. She’s covering my pull list while I go on the vacation I planned without adequately ensuring I had no other obligations. She offered to do it when no one else would, and even though she has no other weekend to switch with me.  I’d love for everyone to know how amazingly gracious she is…

Thank you! Have a great day!”    

From the Residency Office

Med Res Comment Line

The link to the comment line, which is just one of the many ways residents can share their recommendations or concerns, can always be found in the “Useful Links” section of Weekly Updates.  One of the recent submissions was a request to offer Indian or Tai food  for lunch at noon conference.  This can be a little tricky, but we are working on the idea, and expect to try it out this fall to see how it might work.

Keep watching the noon conference schedule to see when, and thanks for the recommendation.

 

hyc_logo_lrg

Developing the next generation of globally educated, socially responsible healthcare professionals dedicated to improving the health of disadvantaged populations.

Accepting Applications for Global Health Elective Rotations

The Hubert-Yeargan Center for Global Health (HYC) is accepting applications for Global Health Elective Rotations for July 2014 and March 2015. Application is open to residents from Departments of Medicine: Internal Medicine (PGY 2); Med-Peds (PGY 3) and Med-Psych (PGY 4).  Access the application form and FAQ at http://dukeglobalhealth.org/education-and-training/global-health-elective-rotation.   (Application addendum is available by request – tara.pemble@duke.edu)

Application deadline is September 17, 2013. Interviews will be held in late September/early October. We encourage you to speak with past participants to get a better idea of what daily life is like on the wards of your top sites. For more information, contact Tara Pemble, Program Coordinator at tara.pemble@duke.edu or 668-8352.

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Annual Flu Vaccination – Condition of Employment at Duke University Health System

Last week we started to announce the annual flu shot campaign.  We will keep the link to the intranet site posted in Updates and the dates for the Blitz and other information as it becomes available.

Exemptions:  If you are planning to submit a request for an exemption, please note that you only have 3 weeks left to do so.

You can download the following:

Medical Exemption Application, Religious Exemption Application, Outside Vaccination Reporting.

https://intranet.dm.duke.edu/influenza/SitePages/Home.aspx

Trivia Night / Stead Society Overview

Results are in – and once again, Kempner Society (lead by Matt Crowley) came out on top.  Congratulations, and the word we heard is that everyone enjoyed the competition.

Just in case there is still confusion as to the titles of each Stead Society (which used to be labeled A through E), we are attaching the Stead Society Overview for reference.  Each society is named after a distinguished Duke faculty member, led by a prior chief resident, and supported by a team of attendings.

Stead Society overview_2013

2013.2014 HEALTH POLICY: JUST IN TIME LECTURE SERIES

Supported in part by the Chancellor’s GME Innovation Fund

Thre Fuqua School of Business and the Duke University Hospital Office of Graduate Medical education have joined together for the 5th year to offer a Health Policy lecture series for Duke GME programs. Program Directors, residents and fellows are invited to participate. Physicians will benefit from an understanding of health care delivery systems, payment structures, incentives, and policy.  Increasingly, the role of the physician will be less of a clinical technician and more of a team-leader as our health care system evolves, using a more multidisciplinary & team-based model.  To this end, we are offering a program which covers topics that will allow residents and fellows to acquire a baseline understanding of our health care system. Participation addresses the ACGME competency of Systems Based Practice and provides critical knowledge to graduate physician leaders.

TOPICS INCLUDE:

  • Health Care Policy (September 19th, 2013)
  • Comparative Health Systems (October 10th, 2013)
  • MedPac Annual Report Overview: Medicare/Medicaid (November 14th, 2013)
  • Health Informatics (December 12th, 2013)
  • Quality & Pay for Performance (January 9th, 2014)
  • Healthcare Reform (February 13th, 2014)
  • Health Care Disparities (March 13th, 2014)
  • Accountable Care Organizations  (April 10th, 2014)
  • Conflicts of Interest (May 8th, 2014)

The series will kick-off with the “Health Care Reform Panel: Obama-care versus Canada Single-Payer Care”

Thursday, September 12th 

5pm – 7pm, Duke South Ampitheatre

Light refreshments will be served

For more information and to register for the panel please use the following link – https://www.surveymonkey.com/s/HealthCareReformPanel2013

Contact Information/Opportunities

Upcoming Dates and Events

  • September 17:  Application deadline for Global Health Electives
  • September 18/19:  Flu Shot Blitz
  •  October 1:  Duke’s Global Health-Internal Medicine Residency  deadline to submitt applications
  • October 18:  SoM Clinical Science Day

Useful links

by · Posted on August 25, 2013 in Chief Residents, Internal Medicine Residency, Medical Education, Uncategorized, Weekly Update · Read full story · Comments { 0 }

Meet your chief resident: Vaishali Patel, MD

Vaishali Patel, MD

Vaishali Patel, MD

Vaishali Patel, MD, has a lot of ideas for her year as chief resident of the Durham VA Medical Center, a role she began earlier this summer.

Dr. Patel says it has already been an exciting summer for her as she has watched the interns join the program and the junior assistant residents take on new leadership roles. She hopes that the Durham VA will be a robust and gratifying learning environment where the residents can take an active role in the program.

“I think it’s important for the residents to remember that thinking about your patients is fun – this is why we chose this profession,” Patel said. “I want to create a lively environment because the more the residents are enjoying themselves at work, the more they will learn.”

Patel said she is collecting data about areas in which the residents would like to improve as well as changes that they would like to see at the VA that will help them take better care of their patients. She is looking for opportunities to help the residents grow and also to impact process improvement at the VA.

“I would like to promote a culture that allows the residents to feel empowered to get involved and shape their training. This is their program,” Patel said.

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by · Posted on August 21, 2013 in Chief Residents, Internal Medicine Residency · Read full story · Comments { 0 }

Meet your chief resident: Joel Boggan, MD, MPH

Joel Boggan, MD, MPH

Joel Boggan, MD, MPH

This summer Joel Boggan, MD, MPH, became the Durham VA Medical Center’s second chief resident of quality improvement and patient safety.

Dr. Boggan is one of 32 such chief residents across the country who will be leading QI projects, receiving expert training from mentors and participating in a national curriculum meant to help usher in a new generation of QI leaders who will help residents implement QI initiatives.

For Boggan, chief resident training began last January with a series of seminars on quality improvement theory led by Dave Simel, MD, vice chair for Veterans Affairs in the Department of Medicine. Boggan will continue the work of Ryan Schulteis, MD, who served in the chief resident role last year.

“The projects I’m beginning are focusing on decision support around the ordering of diagnostic imaging, hand hygiene monitoring and infection control on the wards, hand-off standardization between emergency room providers and the inpatient team, and generating feedback for individual residents on the care they provide,” Boggan said.

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by · Posted on August 19, 2013 in Chief Residents, Internal Medicine Residency, Quality Initiatives · Read full story · Comments { 0 }

Weekly Updates: August 19, 2013

From the Director

DUKE.RESEARCH.NIGHT.03 (1)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.

Bae+at PartyFood Truck - 2

 

 

 

SmooresResident Summer Celebration

 

 

 

 

 

 

 

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

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. Musslewhite

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 1.35×105 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.

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

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?

A: The forms are currently available online now.  You can download the following: Medical Exemption Application, Religious Exemption Application, Outside Vaccination Reporting.
If you are requesting an exemption, your request MUST be submitted no later than September 13, 2013
Q: Can I self-declare a medical exemption to the influenza vaccine?
A: No, medical exemptions must be documented by your healthcare provider on the application form for a medical exemption. This is the same process that was used last year.
Q: Who should I contact if I have additional questions about the policy?
A: First, ask your manager. If you have additional questions, submit them to stoptheflu@duke.edu. The Universal Flu Vaccination Work Group will respond within 72 hours. Questions will be used to continue to build on the FAQs, as we intend for this to be a dynamic document.
Q: Will we have a BLITZ again this year?
A: Yes – the blitz is scheduled for September 18/19.  Watch for more information in the coming weeks.

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

by · Posted on August 18, 2013 in Chief Residents, Fellowship programs, Internal Medicine Residency, Medical Education, Uncategorized, Weekly Update · Read full story · Comments { 0 }