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JUNE HOUSESTAFF MEETING

JUNE HOUSESTAFF MEETING. June 1st , 2011. Dr. Ridgway. Dr. Schwartz, Chair of the Department of Medicine. Dr. Suzanne Brandenburg. Annual ACGME survey Please finish ASAP! Institutional site visit June 2011 Fellowship match timeline changed for next year

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JUNE HOUSESTAFF MEETING

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  1. JUNEHOUSESTAFFMEETING June 1st, 2011

  2. Dr. Ridgway

  3. Dr. Schwartz, Chair of the Department of Medicine

  4. Dr. Suzanne Brandenburg • Annual ACGME survey • Please finish ASAP! • Institutional site visit June 2011 • Fellowship match timeline changed for next year • No fellowship interviews next year • Pushed back to fall of 2012 • Thank you for all of your hard work!

  5. Incoming CMRs!

  6. Kazarian Award • Annual award which honors a former resident who exemplified humanism, professionalism and dedication to the practice of medicine • This year’s recipient is Mim Ari

  7. Interns leaving us… • Thank you for all of your hard work this year! • Adam Bartlett – UMDNJ Newark, PM&R • Zach Jones – UT Houston, Anesthesiology • Brian Keogh - Indiana University, PM&R • Megan Furlong – UC Denver, Anesthesiology • Shin Kayama – UC Denver, Anesthesiology • Alex Mohler – UC Denver, Neurology • Dan Wells – UC Denver, Radiology • Zeke Volkert – University of Rochester, Internal Medicine

  8. Clinic Updates • All clinics follow the same ACGME rules • Each clinic can decide their own template for scheduling based on their unique populations • All 7 clinic sites are very similar: • DHHA uses R1/R2/R3 graduated template of 5/6/7 max with 20% no show rate • High Street – 7 max template with 20% no show rate • University – 6 max template with 10-15% no show rate • VA – 5 max template with 15-20% no show rate

  9. ACP Associates Meeting June 7th, 2011 4:30-pm Be there!

  10. ACP Associates Conference! • Combined UCD/St. Joe’s Resident meeting • Presentation of Oral Clinical Unknown Vignettes (guess the diagnosis!) • Poster Presentations • Judging, cash prizes for presenters • Free Dinner and time to hang, socialize! • Held at St. Joes, Tuesday June 7, 2010, 4-9:30 PM

  11. ACP Associates Conference! • Congrats to UCD Presenters: • Steph Seiki Carrie Brown • Rudy Kimmerling Erin Marcum • ShabiShowell Ben Scheier • Tracey Hansel Andrew Sweatt • Alison Landrey Kirsten Regalia • Please RSVP to cochapteracp@msn.com • Stay tuned for additional info by email…

  12. Congratulations! • Noelle Northcutt and Chi Zheng • Selected to receive the Humanism and Excellence in Teaching Award • Nominated by third year medical students • Also nominated from our program: • Eric Young, Maria Astiz, Christopher King, Brian Keogh, Zachary Reese,  Jennifer Fraser, Mark Learned, and Rachael Dirksen

  13. Upcoming Events • Residency Continuation Ceremony (AKA Trivia Bowl) • June 2nd 6:30 PM at the Wynkoop • It is not too late for your stories, pictures, etc… • R1 to R2 Transition Day • June 3rd • Interns will be excused from clinical responsibilites • Thanks senior residents for pitching in to help!

  14. Upcoming Events • R3 Graduation Ceremony • June 5th 6:00 PM at Maggiano’s Downtown • Please RSVP to Kristy Zanaoif you have not already • Intern Welcome Dinner • June 22nd at Wash Park • All residents invited! • Intern Orientation, June 15-22 • Interns will join teams at the site where they will be starting on 21st and 22nd

  15. Research In Progress Dinner • The year’s last RIP dinner will be Wednesday, 6/14/11, at 6:30PM • Chiliand the fixin’s, beverages courtesy of Dr. Ginger Borges • Any level of interest/experience is welcome! • Stay tuned for Evite, and please RSVP so we can ensure plenty of food!

  16. Program Requirements • 2010-2011 Residency Requirements • CEX • 4 this academic year • 2 in primary clinic • 1 in OBMT, 1 on inpatient service • CEX forms on the residency website • To be completed by both resident and preceptor • Due May 1st, 2011 • Hopkins Modules • Back Pain, Immunizations, Professionalism: Challenging Conversations and Encounters • Due May 1st, 2011

  17. Email Accounts • For residents leaving this year • Email accounts will terminate on 6/23/11 or 6/30/11 (Last day of employment) • No exceptions! • Forward to new address or activate “out of office” assistant • Will be active for approximately 45 days • Contact Jennifer Weber or Tibor if you have other questions!

  18. Housekeeping • For Continuing R1 and R2 residents • VA paperwork and Mandatory Modules Training need to be completed ASAP! • If you took the mandatory training modules after March 2010, you only need to take the Refresher Course   • All forms/paperwork must be given to Kristy Zanao by May 13, 2011 • Badging/Fingerprinting cannot be done unless the VA HR office has all the completed paperwork • For those leaving • Formal clearance procedure required • Forms will be mailed to you

  19. Housekeeping • Annual PPDs • Exiting residents can have PPD placed also

  20. Jeop-o-meter • May: 3shifts called • 2for illness, 1 for capping • Thanks to those who served! • Theresa Medina • Sarah Hubbell • Dan Hoody • REMINDERS: • Call starts at 7! (thus pager and cell must be on by that time…!) • If called in, you are responsible to stay till 12pm the next day, present pts

  21. Jeop-o-meter • “Percentage of Jeopardy Used” • 3% of total jeopardy coverage • 9% of R3 Short jeopardy coverage • “Percent of Teams that called jeopardy for cap” • 5 services every day that could cap… • “155 jeopardizeable days” • 1 day, 1 team • ”our services exceeded cap < 1 % of the time”

  22. Journal Club Classics Intern Classics at Karen Chacko’s (6/8) Light’s Criteria & SAAG R2/R3 Block June Classics (6/15) PneumoVax & FluVax

  23. Shout-Outs • For those who went above and beyond in May… • Jonathan Schwartz • Chipped in for paternity leave • ZuzannaCzernik • One woman MICU team! • Dan Hoody • Jeopardized to MICU, admitted 4 sick patients • Theresa Medina • Covered another resident’s jeopardy shift, got called to DG ICU • The President’s Awards for Outstanding Clinical Care • Kristen Stratton • Sarah Christensen • Megan Key?

  24. News from UH • New restraints policy • Q4 hour renewals • Thanks to Drs. Kahr, Olson and Mohler • ICU transfer process changed! • MICU, Floor, New ACE service to start June 23rd • Oncology service to start July 1st • Resident Liaison Project to be piloted mid September • Inpatient EPIC to roll out 9/3/11

  25. New University Team Names • Finalists • Jonathan Schwartz • ACE Gold, ACE Silver • Medicine Copper, Medicine Bronze, and Medicine Platinum • Davey Williams • ACE Teams: Eagle, Hawk • Gen Med Teams: Elk, Deer, Coyote • Runners up • Neiss, Lemond, Marx, Heppe, Griffith

  26. UCH Numbers • Floors: • Porter/Earle/Lutgring: 97 • Warner/Olson/Mohler: • Pisney/Patel/Sachs: • Moles/Hall/McCormick: 90 • Cards: • Duong/Ari: 46 • Northcutt/Chou: “More than Jenny, Less than Syki” • Fraser/Sprague: 55 • Kimmerling/Isfort: 35-40

  27. More UCH Numbers • ICU: • Kim/Nordsrom: • Turcotte/Goodson: 45 • Schneider/Stotts: 56 • Olson/Narish: • ACE: • Harryet al: 55 • Onc: • Tomlinson/Dirksen – 50ish

  28. Challenging Cases… • Primary Adrenal Insufficiency • + 21-hydroxylase antibodies • Cutaneous T cell lymphoma • Aortic Dissection • Not seen on initial TTE or CT PE • New Diagnosis of Myasthenia Gravis • Elderly couple presented with AMS • Had unknowingly eaten pot brownies prior to church!

  29. P/SL

  30. Updates from P/SL Continuing to refine the new “split-intern call” that complies with new duty hours… New Chief Resident is waiting in the wings…

  31. Admission Numbers (4/23-5/22) • Most admissions, and won a free dinner! • LeMond/McCaffrey/Bartolini/Harada/Jung: 48 • Runners-up (but might still get a dinner yet…) • Kao/Foley/Neidert/Regalia/Bratton: 47 • Solid numbers, and took home the quiz dinner! • Sumey/Keogh/Pollitt/E. Martin/Haeussner: 38 • Lots of high-quality teaching on call days: • Jovanovich/Burkee/Yang/Chou/Mawad: 32

  32. Unusual & Challenging Cases 51 yo woman, p/w gastric ulcer, no therapeutic GI at outside hosp, so txfrd. Got 14+ units PRBC, eventually partial gastrectomy. 69 woman, p/w AMS, rigidity. Appeared to have O/D’d on compazine. Complete reversal with physostigmine. 54 yo man w/ HIV, p/w Pneumococcal meningitis. Prior AAA seemed involved, likely mycotic aneurysm. After 2 weeks, gradually progressed, d/c’d on hospice…

  33. Greetings from the Veteran’s Hospital!

  34. May Admissions • Near Record Numbers! • Team Hernia – carried the heaviest load of vets • Lin/Dunn/Volkert (90!) • Sweatt Sixteen - always at 16 patients • Sweatt/Hutchison/Grayson (too busy to count) • Team Denver Health – treating and streeting • Reither/Kamaya/Marx (80+) • Team Jovial • Annis/Griffith/Theobald - ? (probably not as many patients because always in a good mood)

  35. Memorable May Cases • Vet who exerted himself so little his unstable angina only manifested when he ate • CK of 68,000 after two “intensive weight training sessions” • Recurrent syncope from tumor compressing carotid sinus body requiring pacer and midodrine • Ridiculous subQ emphysema

  36. Other news… • Inter-ward Jeopardy Battle (OBMT no-show) • Still epic • Wards victory!! • Sales at the pizza truck on Friday booming

  37. Denver Health

  38. DH Prepares for Mike Mohning’s Takeover • Maintenance crews working overtime to complete his list of requests for up-grades to the chief office • New, more colorful paint for the walls • Espresso machine • Big-screen TV • Pull-up bar • Denver Health is looking forward to their new chief!

  39. Denver Health Admissions May Floor Admissions Longs: 79(Davis/Scheier) Pikes: 76(Keys/D. Sprague & Anderson/Liu) Evans: 75(Mohning/Melzer) Aspen:68(Gerimaro/Hou) Juniper: 65(Freese/Czwornog) Spruce: 56(Christensen/King & Brown/Collins)

  40. Denver Health Admissions May MICU Admissions Allyn/Cobb/Hou: 56 Stitt/Johnston/Scheier: 54 Jackson/Czernik/Czwornog: 46 Finehout/Colbert/Johnson: 44

  41. Cool cases 61 y/o F on chronic anticoagulation with compartment syndrome due to a massive bleed into the thigh after falling out of bed Severe thrombocytopenia due to abciximab for treatment of STEMI Paradoxical reaction to TB therapy causing a sepsis-like syndrome 54 y/o M with history of latent TB admitted with fevers, chills, sweats and found to have a pyogenic liver abscess CT

  42. Birthdays and Announcements!

  43. Rockies Game

  44. Congratulations

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