department of internal medicine what we have accomplished
Post on 26-Dec-2014
415 Views
Preview:
DESCRIPTION
TRANSCRIPT
Department of Internal Medicine
What WE have accomplishedWhere We are going
Department of Internal MedicineFull time Faculty 11Divisions 18Clinical Faculty 80Adjunct Faculty 5
Program Director Lisa Staton MDAssociate Program Director Cathy Payne MDProgram Coordinator Ms. Deborah FullerClerkship Director Gary Malakoff
MDResearch Director Victor Kolade MDUMA Director Lisa Staton MDAssociate Director Victor Kolade MDChief Residents D Meadows MD/A
BhushanMD M Tveite MD/N Gupta MDAdministrative Assistant Ms. Laura NihiserTransitional Year Program Ms. Joyce Poke Coordinator
Leadership
Department of Medicine
Dr. BW Ruffner
President-elect of the TMA for 2009-2010
Dr. Charles F. Longer
Chairman, Board of Trustees
New FacultyGeneral IMGIEndocrineCardiologyHospitalistsNeurohospitalistNeurology
Administrative Staff
New Administrative Assistant - Ms. Laura Nihiser
Electronic Completion of Evaluations via New Innovations by Faculty, Residents and Staff
Monthly Staff MeetingsFaculty Appointment System (Notification of Final Appointment
Completion)Monthly UTCOMC sponsored New
Innovation & Web Training Sessions
Residency and Fellowship Program
Dr Lisa Staton
Palliative Care FellowshipSuccessful accreditationSuccessful completion of first yearSuccessful recruiting
Medical Knowledge Noon Conference Block In-training Exam Board Passage Rate
Patient Care Home Visits ACLS one-on-one
Practice Based Learning Quality Data Dedicated Case manager and Clinical documentation
personnel
Interpersonal Skills and Communication Ethics Quarterly One on One mentoring
The Past Year
Professionalism Transition to Residency – Chief Residents Pharmaceutical Company Interactions- Bhushan and Grubb Ethics Conferences Esprit de Corp Activities RRRnR sessions 3 Alper Humanism inductees, IM resident received award DOM established the UT campus wide Gold Humanism
Society Chapter
Systems Based Practice Recruiting Inpatient Teams (core faculty and hospitalists) Rotation updates (Inpatient Medicine, Critical Care, Night
float, Private Office, Neurology) Competency committee enhanced Accountability committee
The Past Year
University Medical Associates
Dr Lisa StatonDr Victor KoladeMs M Calloway
OVERVIEWFirm AssignmentsChange in Continuity Clinic HoursChanges in Cardiology ClinicStaff Retreat
WHY FIRM ASSIGNMENTSTo structure resident clinic as a group
practiceTo allow for shared responsibility for
learning To provide continuity of patient careTo promote an interdisciplinary approach
to patient careTo encourage mutual support and
collegialityTo help ensure mentoring and supervision
during resident’s continuity experience
CHANGE IN CONTINUITY CLINIC HOURSAllow residents to be able to round on
inpatients without interruption for clinic
Provides adequate time for conferences
Allows time for clinic staff to prepare for clinic
Allows time for clinic staff to handle calls and additional paper work
CHANGES IN CARDIOLOGY CLINICCardiology Clinic changed from two clinic a
month to four clinics a month to allow for increase in patient volumes
Pacemaker Clinic implemented (1st Wednesday of each month)
Referral Form implemented to ensure that patient referred have specific test prior to appointment
New EKG machine purchasedDedicated Medical Assistant for Cardiology
ClinicProposal for onsite Chest X-Rays
STAFF RETREAT JUNE 12, 2009 Team building activities
To foster better communication between staff, residents and attending physicians
To improve staff moraleTo improve patient flow
Medical Students
M3 Clerkship AccomplishmentsRestructured orientation to include
How to write notesHow to present to an attendingProfessionalism
Instituted shelf reviews with faculty/chief residents
Moved several core lectures to beginning of the clerkship to avoid interruptions in clinical rotations
Physical diagnosis teleconference across all 3 campuses
First class of GHHS inducted
Medical Student AccomplishmentsPulmonary/critical care as separate entitiesInitiated student evaluation of
clerkship/rotationsSecured palliative care experience in the
ambulatory and specialty rotationsGME office organizing special interest groups
for medical students rotating hereTotal of 7 students completed their patient
safety QI clerkship through our department4 of our 10 new IM interns rotated in our
department1 of 6 new TY interns rotated in our
department
Youth Health Forum M3 and M4 students, IM and TY
residents and Dr Malakoff and Panda participated
Mentoring of 4 UTC premed students
Future of Medical Student RotationsPossible neuro/psych rotationsIncreased class size = more students
in Chattanooga in 2 yearsActively involved in selection process
for these students
Quality Improvement ProjectsInitiated chapter of IHI Open SchoolImproving inpatient glycemic ControlEvaluating the global trigger tool to
identify adverse events in the hospitalEvaluating and improving inpatient VTE
prophylaxis protocolEvaluating successful implementation of
the national patient safety goals in regards to anticoagulation medications
Review of internal medicine admissions daily to assure equitable distribution between hospitalists and teaching service
Quality Improvement Projects Ambulatory Geriatric Screen & chart
auditConsultation formCode committeeInpatient Medicine ScorecardTransfer of CarePneumonia Core MeasuresCHF core measuresAMI core measuresAntibiotic StewardshipHand Hygiene
Quality Improvement ProjectsVAP bundleSepsis protocolPatient flowMortality reduction
Publications, Lectures, Meetings, Research, QI,
UMA, Education, Scholarships
Department of MedicineScholarly Activity Update
Peer-Reviewed Publications
Patel V, Yalavarthy U, Desbiens NA. Does reporting estimated glomerular filtration rate affect ordering of timed urine collections? Am J Med Sci. Mar 2009;337(3):185-187
Li HY, Grubb M, Panda M, Jones R. A Sore Throat-Potentially Life-Threatening? J Gen Intern Med. May 10 2009
Gupta N, Patel C, Panda M. Hepatitis following famotidine: a case report. Cases J. Jan 27 2009;2(1):89
Rahman AA, Panda M. Locked lung by looped hernia: a case report. Cases J. Jan 8 2009;2(1):29
Pai S, Panda M. Limited Wegener's granulomatosis presenting as lung nodules in a patient with rheumatoid arthritis: a case report. Cases J. Dec 23 2008;1(1):417
Estrada C, Panda M, Landry M. Why Should I Write a Case Report or Clinical Vignette? SGIM Forum December 2008; 31(12):5, 9
Gray ER, DeVersa R. Hereditary Multiple Exostoses. Hospital Physician. November 2008;44(11):8
Navaid M. Perception of hospice/palliative medicine: a fellow's narrative. J Palliative Med. Apr 2009; 12(4):385-6
• Tumlin JA. Lupus nephritis: histology, diagnosis, and treatment. Bull NYU Hosp Jt Dis. 2008;66(3):188-194
• Desbiens NA. A departmental experience in promoting oral and poster presentations. Teach Learn Med Jul-Sep 2008;20(3):254-260
• Heath GW. Recommended Levels of physical activity and health-related quality of life among overweight and obese adults in the US. Journal of Physical Activity & Health 2008;JPAH-2008-0028.R1
• Tindni A, Gaurav K, Panda M. Non-healing painful ulcers in a patient with chronic kidney disease and role of sodium thiosulfate: a case report. Cases J. 2008;1(1):178
• Ross MA, Amsterdam E, Peacock WF, et al. Chest pain center accreditation is associated with better performance of centers for Medicare and Medicaid services core measures for acute myocardial infarction. Am J Cardiol. Jul 15 2008;102(2):120-124. (F Fesmire)
• Jones R, Panda M, Desbiens N. Internal medicine residents do not accurately assess their medical knowledge. Adv Health Sci Educ Theory Pract. Nov 2008;13(4):463-468
Roux L, Pratt M, Tengs TO, Yore MM, Yanagawa TL, Van Den Bos J, Rutt C, Brownson RC, Powell KE, Heath G, et al. Cost effectiveness of community-based physical activity interventions. Am J Prev Med. Dec 2008;35(6):578-588
Bhattarai N, Panda M. Uremic Frost. Mayo Clin Proc. December 1, 2008;83(12):1309
Dutta G, Panda M. An uncommon cause of lower gastrointestinal bleeding: a case report. Cases J. 2008;1(1):235
Conner C, Paydar A. Intradural Extramedullary Arachnoid Cyst Presenting as Arteriovenous Malformation in the Thoracic Spinal Cord. Radiology Case Reports 2009;4:263
Cecil WT, Kasteridis P, Barnes JW, Jr., Mathis RS, Patric K, Martin S. A meta-analysis update: percutaneous coronary interventions. Am J Manag Care. Aug 2008;14(8):521-528
Edlow JA, Panagos PD, Godwin SA, Thomas TL, Decker WW, (Fesmire FM, et al), American College of Emergency Poisoning. Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with acute headache. Ann Emerg Med. Oct 2008;52(4):407-436
Cardiel MH, Tumlin JA, Furie RA, Wallace DJ, Joh T, Linnik MD. Abetimus sodium for renal flare in systemic lupus erythematosus: results of a randomized, controlled phase III trial. Arthritis Rheum. Aug 2008;58(8):2470-2480
Scherer K, Gupta N, Caine W, Panda M Differential Diagnosis and Management of a Recurrent Hepatic Cyst: A Case Report and Review of Literature JGIM
Navaid M Power of presence and compassion J Palliative Med
Makdsi F, Brit M A Case of Sclerosing Mesenteritis With Rheumatoid Arthritis South Med J
Makdsi M, Fall M Acute Renal Infarction J Hosp Med
Dutta G, Panda M Bands of cacophony Cases JScherer K, Panda M, Johnston J Dural Based
Mass Journal of RadiologyMakdsi F Acute Pancreatitis with Eruptive
Xanthomas J Hosp Med
Book ReviewMathis R. Cause And Coincidence In Autism. Health Aff. May 1, 2009;28(3):916-917
SubmissionsMakdsi F Transient Thyrotoxicosis as an Initial
Presentation of Rheumatoid Arthritis, accepted Cases J Makdsi F Inflammation of Actinic Keratosis with
Combination of Alkylating and Taxane Agents, Cases J Staton L, Rybolt A, Panda M, Jones R Achieving the
AAA's of Ambulatory Medicine - Aptitude, Appeal and Appreciation J GME, in review
Panda M, Desbiens N Life long learning after residency J GME, in review
Increased frequency and nocturia in a middle-aged male may not always be due to Benign Prostatic Hypertrophy (BPH): a case report Gaurav, Panda JCR in review
Submissions Pending DecisionsLeucocytoclastic vasculitis JGIMAVM Cases JDKA and Pneumomediastinum Cases JSubacute Combined Degeneration With
Normal Vitamin B12, submitted to Cases J
Manuscripts in PreparationCatastrophic Antiphospholipid Antibody
Syndrome JacobsonScrofula KafleExtragonadal Germ Cell Tumor Hadgu, Tindni,
PandaHow much is too much Grubb, Gaurav, PandaClonidine overdose TveiteA Rare Cause of Acute Seizure in a Young Man
Krummert, Scherer, Whitley, Dixon, Sirelkahtim, Panda
Diabetes Insipidus Chhakchhuak, TumlinPulmonary LCNEC Kaako
Local and Distant Conferences
Posters and Oral Presentations
Panel DiscussionsApproaches to Interactions with Industry:
A Multidisciplinary Panel Discussion to Educate Residents In TrainingDr MalakoffRobin Grant, R.Ph.Dr MathisDr ForeSylvia Friedl
Physician Stress & Burnout” at the Departmental Residency Retreat Cohen, Barker, Panda
Research Week Research AbstractsRAPID RESPONSE TEAMS: Their Impact on the
Rate of Cardiac Arrests at the Baroness Erlanger Hospital (BEH) of the University of Tennessee at Chattanooga Jacobson, Tindni, Panda, Staton (2nd place poster)
The Frequency and Significance of Incidental Thyroid Nodules (ITNS) on Chest CT Scans, a retrospective study: Scherer, Means, Chijioke, Karmin, Panda (3rd place poster)
Clinical Decision Making for Pulmonary Embolism: Are Physicians Using the Latest Evidence? Makdsi, Staton, Panda
Research Week Case Reports1. A Rare Cause of Acute Seizure in a Young
Man Krummert, Scherer, Whitley, Dixon, Sirelkhatim, Panda (3rd place poster)
2. Painful Ophthalmoplegia as the first Manifestation of Lung Carcinoma Mocanu, Obaid, Kolade
3. Late-Onset Asthma and Stridor; Think about Adenoid Cystic Carcinoma! Kaako, Stansell, Kolade
4. The Persistent Parasite, Patient, and Physician Scherer, Gupta, Caine, Panda (also presented at Internal Medicine 2009)
3 workshops9 oral presentations13 posters
SSGIM, 2/09
Presented at National SGIM
1. Numbness in a 39 Year-old Man Makdsi F, Kadrie H2. Common shortness of breath for uncommon reason:
Rahman A, Kolade V3. When A Piece Of Heart Hurts The Brain. Kafle P,
Dutta G, Yium J4. Painful Ophthalmoplegia as the first Manifestation of
Lung Carcinoma Mocanu B, Obaid B, Kolade V5. Late-Onset Asthma and Stridor; Think about Adenoid
Cystic Carcinoma! Kaako A, Stansell K, Kolade V6. Oral: A Case of Leukocytoclastic Vasculitis with Rare
Complications Finch T, Brit M, Panda M7. Workshop: Getting your vignette published, a step
wise approach Panda et al
International Humanities in Medicine (Posters)Chijioke C, Scherer K, Panda M
Relaxing, rejuvenating and rejoicing in residency: RRR in Residency
Kaako A, Panda M Taking care of the Muslim patient: How culturally aware are our health care providers?
International Conference of the American Thoracic Society, May 15-20, 2009
Food and Particulate Aspiration Pneumonia Gupta N, Enjeti S
Abstracts Dr Yium Lead Toxicity: Lead and Moonshine
NephropathyNorth American Society for Dialysis and
Transplantation, July 12-16, 2009; Kapalua-Maui, Hawaii
Dr Tumlin 1.Bilateral Symmetry in Chronic Uremic Pruritus: The
Brain-Skin Connection2.A Phase III, Randomized, Double-Blind, Placebo-
Controlled Study of Tenecteplase for Improvement of Hemodialysis Catheter Function: TROPICS 3American Society of Nephrology MeetingOctober 27 - November 1, 2009; San Diego
Ongoing Research And QI
Current projectsKyle, Stansell, Rahman, Anower, Tumlin,
Boldt, Gunter, Shome: PRESSURE TrialGupta, Strelnikova, Boldt, Panda: VIPP
studyKaako, Panda: Care of Muslim PatientsTodd, Payne: Vaccine history and
pneumococcal sepsis in alcoholics Hawkins, Malakoff, Chhakchhauk: C.
difficile ColitisNavaid: Quality of life in hemodialysis patientsBhushan, Payne: Patient handoffs
Bringing Back the Black BagDrs Rybolt, Panda and C. Cunningham; begun
March 09 This 3-year project promotes improving humanism in
medicine through the use of House CallsInternal medicine residents do house calls in teams of
two residents, attending physician and nurse and/or home care agency/other community care provider
We expect residents will develop stronger physician-patient connections and have more interaction with the multidisciplinary team caring for their patients
Residents will be taught skills needed to make house calls
Surveys of physicians, patients and caregivers will explore attitudes toward and benefits of house calls
H.A.I.R Scherer, Chijioke, Waterhouse, Cunningham, Kramer-Mai; Fore, Panda,
ObjectivesExplore the influence of breast cancer treatment
associated side effects (including alopecia) in patients diagnosed with breast cancer, their spouses/significant others, and health-care providers
Provide a structured opportunity to teach and role model the concept of “taking ownership” and “getting to know” the patient as a complete human being
Study the influence of journaling in coping strategies of breast cancer patients undergoing treatment, spouses/significant others, and their health-care providers
Evaluate potential resident outcomes as they relate to fatigue and resource recovery
Provide financial and cosmetic support to patients as needed
RRR in RChijioke, Scherer, C Cunningham, Panda
Pilot study to address the following aims: To provide and promote an encouraging environment in
which information is shared among residents, faculty, and healthcare workers from different spiritual and cultural backgrounds
To facilitate discussion regarding issues about cultivating good human interactions, improving well-being of health care providers, achieving personal growth and becoming sensitive to the needs of fellow human beings
To evaluate the effectiveness of the RRR in R sessions as a mechanism for recovery and fatigue/burnout prevention for residents, as indicated by scores on the Need for Resource Recovery Scale, the Fatigue Assessment Scale and Burnout scale as well as more qualitative questions about RRR in R sessions
To assess and monitor stress/fatigue/burnout amongst resident over a three year period and evaluate the effectiveness of RRR intervention
To begin to develop a process for identifying residents at the highest risk of developing burnout and a connected process to train these individuals in the necessary techniques to prevent these negative outcomes from developing
Grant SubmissionsHi-TECH project: Technology Enhanced
Code team HelpDr Kolade, Panda, DartSubmitted to NIH
Controlling Diabetes Among Low-Income Patients: Physical Activity, Dietary Assessment and Counseling Coupled with Community NavigationCollaboration with Family Medicine and
community physiciansStaton, Heath, Kolade, PandaSubmitted to CDC/CTSI
Grants ReceivedArnold P Gold Foundation BBBB project Gold Humanism Honor Society H.A.I.RHulbert FoundationBCBSTDCI
PRESSURE trial Kyle, Stansell, Rahman, Anower, Tumlin, Boldt, Gunter, Shome
Hypothesis: Primary ventilatory therapy using Airway Pressure Release Ventilation (APRV) will improve recovery from Acute Lung Injury (ALI) or Adult Respiratory Distress Syndrome (ARDS), and reduce all cause mortality at 28 days compared to conventional ventilation using low tidal volume-cycled ventilation
IHI
Lectures
Stop Stroke SaturdayDr. Malakoff
Grand RoundsDesignation as an ACP educational
event means attendance counts towards participation in College activities
Topics includedPsoriatic ArthritisCan One Patient Teach It All?Renin-Angiotensin-Aldosterone Axis in
Chronic Kidney DiseaseAcute Renal Failure: Pathogenesis, New
Definition and Role of Cytokines
Grand Rounds
Papadakis M, et al.Ann Intern Med. 2008;148:869-876.
J Cohen MD “Stress Management in Residency: First Line Medications with Psychiatric Disorders,” at the Family Medicine Update
J Cohen MD “Psychological Aspects of Coping with Chronic Kidney Disease,” Chattanooga Renal Symposium
J Cohen MD “Treatment of the Agitated Dementia Patient” Geriatric Medicine-Phoenix, Arizona
J Cohen MD “Adapting to Change,” Jewish Community Federation of Greater Chattanooga
J Sizemore MD Antibiotic StewardshipJ Boldt MD Interpreting PFTs Tennessee ACP
BCBST/Lunch & LearnVitamin D deficiency - Harmful, but preventable and treatable: Kolade
ARDS: KyleBariatric Surgery – Criteria, Outcomes and Pitfalls : Payne
HHP 597: Introduction to Epi. MethodsKoladeCigarette Smoking and Lung Cancer
Clinical Applications: Vitamin D, the Sunshine Vitamin
Resident Education
ScholarshipsMohammed Anower, MD and Brett Krummert, MD
received scholarships from the Ochsner Clinic to attend a resident symposium titled ‘Clinical Updates in Cardiology,’ November 2008 in New Orleans
Molly Tveite, MD received a scholarship from Boston University to attend ‘Addiction Medicine: Improving Clinical and Teaching Skills for Generalists - A Chief Resident Immersion Training (CRIT) Program’ from May 6-9 in Cape Cod, Massachusetts; Faculty Mentor - Dr Kolade
Andrew Todd, MD received a scholarship from the American Pain Society to attend its 28th Annual Scientific Meeting and a pre-course entitled ‘Fundamentals of Pain Management: A Primer for Residents and Fellows’ May 5-9 in San Diego, California
Amanda Grubb, MD has been awarded a scholarship by the Mayo Clinic for its Internal Medicine Board Review scheduled for July 17-23 in Rochester, Minnesota
Scholarly Points PolicyExpected total - 21 or more points,
obtainable throughManuscriptsMedical Images publicationsResearch: Proposal approval, data collectionPosters/oral presentationsWorkshopsIHI modules
Points garnered over 3 years
Summary 2008-2009>20 peer-reviewed publications on file>11 oral and 32 poster presentations6 workshops Several intramural and extramural
lectures
Esprit de corps Activitiesand
Community Service
Department of Medicine
Esprit de corps Activities 2008-2009
Chambliss Shelter and Audobon Acres Service Project
Annual Canned Food Drive/Design Competition
Recruitment Dinner and Match Day Celebration
Ocoee River Rafting TripBoy Scout Medicine Merit BadgeRace for the CureHalloween/Fall Festival CelebrationTrunk or Treat/Chili PartyMulticultural Lunches
Thanksgiving Canned Food DriveHoliday Musical PerformanceUMA patient sponsorship for ChristmasTransitional Year and Internal Medicine
Holiday PartySporting Activities (Basketball and
Soccer)Chattanooga Girls Leadership Academy
Service ProjectEagle Scout Service Project Phase 1 and
2
Mutia Health Center Fundraiser/BowlingApril Day of Service Activity in
coordination with Weed and SeedTour de Cure in coordination with
Erlanger and American Diabetes Association
YMCA “BIG” Project“Press Out” Domestic Violence Bench
Press Competition RRR in R SessionsIM/TY Retreat Gold Humanism Honor Society
Minority Health FairWomen's Health FairUS Xpress Health Fair
Department of Internal Medicine
What WE have accomplishedWhere We are going
Medical KnowledgeNew MKSAP available in July John Hopkins Ambulatory Curriculum In Training Exam Dates
Patient Care Intern Clinic Orientation Additional Clinics Resident Chart Simulated Recall
Practice Based LearningScholarly Point AssignmentsRevise Evaluations
Interpersonal Skills and Communication Professionalism
Abstracts (professionalism and multicultural) Systems Based Practice
Site Visit 2010New Program Guidelines
The Upcoming Year
GoalsContinue to improve the education, patient
care, faculty structureJournal clubM & MRecruitment for Divisions of Endocrinology,
GI, Cardiology, Critical CareFaculty Practice Plan will improve primary
careStandardization based on new CMS
requirementsWW6 renovationDepartmental expansion
Department of Internal Medicine
TEAM = Together Everyone Achieves
More
top related