1 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

Welcome new Interns,

Residents, and Fellows p 3

RDML Lane is

guest judge at An-

nual IM Residency

Clinical Leader-

ship/Quality Im-

provement Fair

p 13

Nine internal medicine residents volunteered

their time and teaching talent for the first

ever USU Internal Medicine Interest Group

(IMIG) Procedure Day at the Walter Reed

Simulation Center p 11

Internal Medicine has unprecedented 11 resi-

dents accepted for presentation at the Ameri-

can College of Physicians scientific meeting in

Washington, DC p 7

Fun, Family, and Laughs at

Internal Medicine Lampoon

2016 p 5

CPT Zachary C. Junga Exemplifies High

Caliber Resident in Internal Medicine

pp 3, 7, 11, 14

highlights

June 2016 - GRADUATION EDITION

WALTER REED DOM

GME Snapshot

GRADUATE MEDICAL EDUCATION

Department of Medicine

Walter Reed Bethesda

WORLD CLASS RESIDENCY PROGRAM

National Capital Area Joint Service Graduation Ceremony

On Friday, 17 June, we celebrated the achievements and graduation of our interns, residents and fellows at The Strathmore Music Center, in Bethesda MD.

During the celebration, Rear Admiral David Lane, Director of National Capital Region Medical Directorate, delivered the Opening Remarks, an Introduction of Speaker was made by Dr. Arthur Kellerman, Professor and Dean, F. Edward Herbert School of Medi-cine, Uniformed Services University of the Health Sciences (USUHS), and the Graduation Address was delivered by COL Frederick Lough, Deputy Chairman, Department of Sur-gery, USUHS. We were honored to have the United States Army Band play the National Anthem and Recessional.

Internal Medicine presented 19 Interns completion of Internal Medicine certificates, and 24 graduating residents completion of IM residency certificates CAPT Bill Shimeall, Internal Medicine Program Director, presented the completion of Internal Medicine (IM) internship certificates to 19 interns (representing the Army, Navy, and Air Force) and completion of IM residency certificates to 24 graduating residents (representing the Army, Navy, and US Public Health Service). CDR (SEL) Casey Flanagan and Dr. Julie Chen, both IM Residency Associate Program Directors, joined Dr. Shimeall on the stage to present the certificates.

To read more about the Graduation and Program Awards, see pages 2-4

Congratulations Walter Reed Bethesda

ARMY, NAVY, AIR FORCE, and U.S. PUBLIC HEALTH SERVICE GRADUATES

Department of Medicine, Graduate Medical Education Army and Navy Internal Medicine Graduates—Photo by Mr. Ted Mueller

2 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

highlights

Continued next page...

Internal Medicine presented 19 Interns completion of IM certificates, and 24 gradu-ating residents completion of IM residency certificates Several internship graduates will be stay-ing at Walter Reed Bethesda for residen-cies in IM or other specialties, but many will be serving Sailors, Soldiers and Ma-rines as Flight Surgeons, Undersea Medi-cal Officers, or General Medical Officers with Army Brigades, Navy Fleet or Fleet Marine Force for 2-3 years before return-ing to future GME training programs. Our residency graduates have completed three years of training in Internal Medi-cine, and are also going to several diverse locations. Many are advancing to fellow-ship training at Walter Reed Bethesda, Johns Hopkins, National Institutes of Health or NMC San Diego in an internal medicine subspecialty like pulmonary medicine, critical care, hematology/oncology, geriatrics/palliative care, infec-tious diseases, or cardiology. Others will embark on their first utilization tours as Staff Internists at such locales as Walter Reed Bethesda, Fort Belvoir Community Hospital (VA), Naval Hospital Camp Lejeu-ne (NC), Naval Hospital Guam, Naval Hos-pital Pensacola (FL), Brian Allgood Army Community Hospital (Korea), Naval Hospi-tal Yokosuka (Japan) and Army Special Operations Command at Joint Base Lewis-McChord (WA).

Click on this link to view the NCC Gradu-

ation Program, which includes a complete

list of the graduates:

https://learning.usuhs.edu/x/EXId4n

DOM Internal Medicine Army IM Residency Graduates

DOM Internal Medicine Navy and USPHS IM Residency Graduates

Proud to be IM Grads, and ready to help the world.

WORLD CLASS RESIDENCY PROGRAM continued

3 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

Department of Medicine GME Residents and Faculty Shine at NCC/WRNMMC Graduation Awards LIEUTENANT NEIL HOLLAND AWARD CPT Zachary C. Junga, MC, USA, IM PGY3 This award is presented annually to the Walter Reed National Military Medical Center house staff member who best exemplifies excellence in teaching and humanitarianism, ability as a clinician, instructor, counselor and mentor voted on by the intern class. (Also, read about CPT Junga in Research and Aca-demic Success on p 7, Education, Scholarship and Outreach on p 11, and Well-Deserved Recognition for Outstanding Patient Care on p 14)

GENERAL GRAVES B. ERSKINE AWARD LT Brett W. Sadowski, MC, USN, IM PGY-3, and LTC Michael S. Cahill, MC, USA, Fellow, Cardiovascular Diseases The General Graves B. Erskine award is pre-sented annually to the outstanding resident and fellow as determined by a selection com-mittee. These awards are sponsored by Mrs. Graves B. Erskine in the name of her husband, General Graves Blanchard Erskine, who served in both World War I and World War II. He commanded the 3rd Marine Division in Iwo Jima and the 1st and 3rd Marine Division at Camp Pendleton and later served as Com-manding General, Fleet Marine Force, Atlantic.

VICE ADMIRAL JAMES A. ZIMBLE AWARD LTC (P) Todd C. Villines, MC, USA, Program Director, Cardiovascular Diseases The Vice Admiral James A. Zimble Award is presented to recognize the Program Director whose contribution, dedication and interest in teaching have significantly supported the WRNMMC Graduate Medical Education Pro-gram. In addition to teaching, all candidates for consideration of the Vice Admiral Zimble award must have demonstrated scholarly activities including publications, invited lec-tures, membership and/or fellowship in na-tional/international societies. LIEUTENANT GENERAL CLAIRE L. CHENNAULT AWARD COL Barbara A. Crothers, MC, USA, Pathology, and LTC Roseanne A. Ressner, MC, USA, Infec-tious Diseases The Lieutenant General Claire L. Chennault Awards are presented annually as faculty recognition awards to two members of the teaching staff, as determined by a selection committee. The awards are presented to fac-ulty who best demonstrate overall excellence, professional medical expertise and personality traits of innovativeness, fairness, leadership and tenacity in the face of adversity. The awards are sponsored by Mrs. Anna C. Chen-nault in honor of her husband, Lieutenant General Claire L. Chennault, who founded the “Flying Tigers,” the American flyers who raid-ed Japan from China in World War II. GRADUATE MEDICAL EDUCATION MENTOR AWARD CDR Todd D. Gleeson, MC, USN, Infectious Diseases This award recognized a WRNMMC/NCC facul-

ty member who has had a profound impact on an individual or group of individuals as a men-tor. The award is based on cumulative mentor-ing impact to include testimonials, success of mentors, mentoring awards, or mentoring that extends beyond one department. INNOVATIVE CURRICULUM AWARD Dr. Julie Chen, MD, Internal Medicine This award recognizes the WRNMMC/NCC faculty member who has developed a Gradu-ate Medical Education curriculum that signifi-cantly improves resident education or patient outcomes. The award is based on the impact of the curriculum, e.g. national presentation, publication, and/or dissemination beyond WRNMMC. (Also, read about Dr. Chen’s contributions in Re-search and Academic Success on pp 6, 7, and Well-Deserved Recognition on p 15)

WORLD CLASS RESIDENCY PROGRAM continued

highlights

Welcome New Interns, Residents, and Fellows Internal Medicine Residency welcomed 31 new PGY1 interns and 8 PGY2 Navy residents returning from the fleet. They are ready to join the Walter Reed Family and get this year started! Our PGY2 and PGY3 residents are ready to take on their roles as leaders in military medicine.

The new Interns get settled and get their new White coats during Orientation.

Innovative Curriculum Award presented to Dr. Julie Chen by

RDML David Lane, NCR-MD Director, during the 2016

Graduation ceremony in June.

4 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

Congratulations to Internship, Residency and Fellowship Graduates in DoM GME! “Congratulations on finishing up a great academic year with LT Ben Vipler and

CPT Adam Barelski at the helm! We are incredibly excited to be your chief resi-dents for the next year and are already inspired by your devotion to patient care in a time when there is a lot of cross-covering for people coming on board and departing the program.” “On Friday at graduation, the senior residents received their certificates of com-pletion of residency we just wanted to take a moment to congratulate them all. Our classmates went through a lot with us over the last three years and the time together will be something that we will never forget.” Brett Sadowski and Hector Medina (a.k.a. “#Brector”) Chiefs of Residents, Internal Medicine 2016-2017

WORLD CLASS RESIDENCY PROGRAM continued

highlights

NCC Hematology/Oncology Fellowship

Congratulations Fellows MAJ Eric Scofield and MAJ Emily McDuffee

NCC Hematology/Oncology Fellowship graduation day photo: Fellows (middle): MAJ Eric Scofield and MAJ Emily McDuffee, and (left) PD, LTC

David Van Echo, and (right) APD, MAJ Mary Kwok

It’s been an amazing journey, and we’re ready for more. The IM Program Director, CAPT

Shimeall (center) stands between the out-going and incoming Chiefs of Residents (L-R) LT

Ben Vipler and CPT Adam Barelski, CPT Hector Medina and LT Brett Sadowski.

CAPT Bill Shimeall, IM PD, LTC Josh Hartzell, IM APD, and SSG

David Firth are proud of their Residents and Interns.

CDR (SEL) Casey Flanagan (left) and Dr. Julie Chen, both IM

Residency Associate Program Directors, joined Dr. Shimeall

(center) on the stage to present the certificates.

These proud, young doctors have completed their Intern year in

Internal Medicine and are moving up to residency or service

with the Fleet or Marines!

5 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

Internal Medicine Lampoon 2016

A big congratulations to everyone involved in mak-ing the Internal Medicine Lampoon 2016 such a big success and so enjoyable. We would especially like to thank the three social chairs, LT Laura Gilbert, CPT Jed Mangal, LT Andy Miller, for doing all of the heavy lifting! We had a lot of laughs, awards, and delicious food. The Lampoon/Counter-lampoon was hilarious.

The following interns, residents, fellows, fac-ulty and services were given special recogni-tion at the 2016 Lampoon: LT William Rainey Johnson Intern of the Year CPT Akira Shishido Outstanding Teaching Resident CPT Michael McMahon Resident Researcher of the Year LT Nick Fiacco Outstanding Graduating Resident LCDR Lauren Weber Fellow Teacher of the Year LCDR Geoff Cole Fellow Mentor of the Year LCDR M. Casey Flanagan Outstanding Teaching Attending

LTC Rose Ressner Mentor of the Year Infectious Disease Service Chief Residents’ Award for Outstanding Teaching Service SUBSPECIALTY AWARDS FOR RESIDENTS LT Nick Fiacco Golden Calipers Award – presented by Dr. Flanagan, Cardiology LT Ian Grasso Platinum Jamshidi Award – Presented by Drs. Kwok, Cheringal, and Roswarski from Hematolo-gy/Oncology LT Brett Sadowski Brown Finger Award (and accoutrements) – Present-ed by Dr. Singla and Dr. Bassett LT Scott Snyder John Eisold Award to a Navy Resident demonstrating dedication to the field of General Internal Medicine CPT Shannon Wood Kurt Kroenke Award to an Army Resident demon-strating dedication to the field of General Internal Medicine LT Ben Vipler and CPT Adam Barelski, Chiefs of Residents were presented with paddles with pro-gram inscriptions and in-laid coins from the Walter Reed Medical Brigade, Command Master Chief, and the Director for Medical Services Dr. Tim Krohe (former faculty member) was a spe-cial guest, and presented some of the GIM awards, reminding us to remember the “Common, Deadly and Exotic when developing our differential diagno-ses, always…”

Also (photo above and top right), SSG David Firth, Ms. Marla Redmond, Ms. Geraldine Marquez, Mr. Sean Lynch, and Team DOM GME, were also recog-nized for exceptional service to the residency pro-gram (not present but recognized as well were Mr. Marc Barredo and Ms. Bernadette Roach).

When asked about this year’s graduates, this is how CAPT Shimeall, IM Program Director, responded: “This year's graduates have impressed me in multi-ple ways. They stand out as leaders, scholars and mentors. They are exceptionally patient-centered and have a zeal for learning and teaching medicine. Residents and faculty from other programs routinely observe that they are impressed with "how our resi-dents consider it a privilege to learn medicine." They are invested in the success of both Walter Reed Bethesda and their residency program and are not afraid to speak up and take chances on efforts to make the clinical and learning environment better than when they found it. Above all they leave me with a great confidence that the future of Military Health Care will be safe and thriving for years to come. “

highlights

Residency

is a family

affair.

Thank you

for all of

your

support

along the

way!

The hand off – (L-R) in-coming Chiefs of Residents LT

Brett Sadowski and CPT Hector Medina, and out-going

Chiefs of Residents LT Ben Vipler and CPT Adam

Barelski (“Wave and smile boys, wave and smile”)

IM Residents make great doctors and great friends!!

Recognized for exceptional service to the residency

program (L-R) Ms. Geraldine Marquez, Residency

Program Assistant, and Ms. Marla Redmond, Supervisor,

Medical Education Specialist

CAPT Shimeall, and LT Nick Fiacco (IM PGY3),

recipient of the “Outstanding Graduating Resident”

6 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

research and academic success

APDIM SUCCESS Association of Program Directors in Internal Medicine (APDIM) Spring Meeting

Poster Winner for Best Original Research

Internal Medicine: Innovative Curriculum of "Panel Management in the 4+1 System” Congratulations to Dr. Julie Chen, Internal Medicine Residency Associate Program Direc-tor, on her winning poster presentation for best original research at the Association of Program Directors in Internal Medicine (APDIM) Poster Reception for the 2016 APDIM Spring Meeting. The meeting was held April 19-20 in Las Vegas, NV.

The poster on 4+1 block scheduling and the effects on care quality measures in residents' patients is the winner for APDIM's poster competition for best original research. Data tying an educational intervention to impact on patient quality outcomes also made an impact in the medical education community. Dr. Chen, along with co-authors LT Nick Fiac-co (Internal Medicine PGY-3 Resident) and CAPT William Shimeall (Internal Medicine Program Director) submitted their abstract which was accepted as one of 82 Research and Programmatic Innovation Abstracts out of hundreds of submissions for presentation at the APDIM Spring Meeting Poster Session. The abstract is available at the following link: http://www.im.org/p/cm/ld/fid=1421

APDIM CHIEF RESIDENTS MEETING Congrats Adam, Ben and Erin! The out-going Chief Residents, Adam Barelski and Ben Vipler, along with Erin Vipler (Chief Resident at George Washington University and Ben’s better half) presented two work-shops at the APDIM Chief Residents Meeting in Las Vegas this past April. Their workshop, "Human Knot Versus Happy Hour: Enhancing Teamwork, Resiliency, and Identity Formation during Orientation and Beyond," presented a framework for team building and explored both quantitative and qualitative data from Walter Reed Bethesda and George Washington about the effective-ness of a variety of orientation program activ-ities and the cognitive psychology behind the tasks. To read the full description and educational objectives, go to http://www.im.org/p/cm/ld/fid=1375 Walter Reed Bethesda presents the “TED Toolbox” at the 2016 APDIM Spring Meeting Presentations LT Nicholas Fiacco, LT Julia Cheringal, and LTC Joshua Hartzell presented the well-attended “TED Toolbox: Using TED Talks to Enhance Resident Education and Profession-al Development” at the 2016 APDIM Spring Meeting and APDIM Chief Residents Meeting in Las Vegas. To see their PowerPoint presentation, go to http://www.im.org/p/cm/ld/fid=1424

"Poster Winner for Best Original Research” -

Dr. Julie Chen and LT Nick Fiacco (IM PGY3) – A

packed room and outstanding presentation.

APDIM Success – Many reasons to celebrate!

DERMATOLOGY

CPT Christopher Lowe Places 3rd Dermatologic Society Resident Case Competition

Dr. Lowe presented a case at the Washington DC Dermatologic Socie-ty Resident Case Competition Wednesday April 13, 2016 and re-ceived third place for his presenta-tion, "Primary Cutaneous Zygomyco-sis in an extremely preterm infant". Ten cases total were selected to be presented. Cases were presented from dermatology programs from Walter Reed Bethesda, Howard Uni-versity, Georgetown/Washington Hospital Center, and George Wash-ington University.

7 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

Walter Reed Bethesda Internal

Medicine has unprecedented 11

residents accepted for presenta-

tion at the American College of

Physicians (ACP) Meetings

Internal Medicine Residents and Faculty hold major presence at National ACP Internal Medicine 2016 Meeting in DC! Internal Medicine has unprece-dented 11 residents accepted for presentation at the American College of Physicians “Internal Medi-cine 2016” scientific meeting in Washington, DC, May 5-7, 2016.

LT Pat Moon One of the Top Winning Re-search Abstracts!! Lieutenant Moon's submitted an interim re-port of his research entitled, “Long Term Mortality Associated with Coronary Artery Calcium,” and was selected from a group of 2,834 resident and fellow submissions as one of the top twelve winning research ab-stracts." He presented his work in a special showcase podium presentation session on Thursday, May 5th. LT Ian Grasso (PGY-2) presented a case of shrapnel-related lead poisoning in a veteran, which previously won Best Clinical Vignette Podium at the 2015 Navy ACP Meeting in Bethesda, as a poster at the Internal Medi-cine 2016 ACP meeting. He was part of an unprecedented team of ten Walter Reed Bethesda Internal Medicine poster presenters at this preeminent national meeting, includ-ing LT Dean Drizin (PGY-1), LT Ayee Azah (PGY-1), CPT Zach Junga (PGY-2), LT Brett Sadowski (PGY-3), LT Alison Lane (PGY-2), LT Mickey Skaret (PGY-1), LT Laura Gilbert (PGY-3), LT Pat Moon (PGY-2), and CPT Akira Shishido (PGY-3).

Some selected details… LT Alison Lane presented “Ehrlichia-Induced Hemophagocytic Lymphohistiocytosis Causing Multi-System Organ Dysfunction.”

Click here to view LT Lane’s abstract: https://learning.usuhs.edu/x/NtskUB

CPT Zach Junga (IM PGY2), mentored by CPT Rodger Stitt, CAPT Michael Keith, and MAJ Christopher Tracy from rheumatology, pre-sented, “A Pyrrhic Victory No Longer?: A Case

Series Of Two Patients With Autoimmune Disorder-induced Hemophagocytic Lympho-histiocytosis Treated Successfully With Rituxi-mab And Modified Hlh-2004 Protocol.” To read the full case: https://learning.usuhs.edu/x/UdFbe6

LT Dean Drizin (Internal Medicine PGY-1) presented "Chylothorax: An unusual type of pleural effusion" as a poster finalist. A truly remarkable accomplishment repre-senting the program, Walter Reed, and the National Capital Consortium! Congrats to all of the presenters and their mentors!! Doctor’s Dilemma (Medical Jeopardy) Walter Reed Bethesda Army ACP Chapter-winning team advanced to the Battle Round!

(L-R) CPT Mike McMahon (PGY-3), CPT Ryan Jones (PGY-3), and CPT Joe Maciuba (PGY-1) took first place in their bracket in the 50-team elimination round and advanced to the battle round of 20 teams before being defeated by a strong UPenn team that ultimately placed second in the final. ACP Waxman Skills Sessions Led by MAJ Renee Mallory, Dr. Joan Ritter, and Dr. Julie Chen

Faculty conducted a workshop on the most common complaints involving the foot and ankle at the 2016 National ACP Meeting as part of the Herbert S. Waxman Clinical Skills Center. Participants learned the appropriate use of foot and ankle orthotics and were in-structed on how to recognize indications for imaging studies and subspecialty referrals. The Faculty have been asked to present this well received workshop multiple times.

Here is a link to the Scientific Program for the ACP meeting: http://tinyurl.com/hle3wgc - See page 34 for the Foot and Ankle Disor-ders session description

GASTROENTEROLOGY

Walter Reed gastroenterologists LTC Dawn

Torres and MAJ Ryan Kwok also delivered

state of the art updates to packed audiences at

the recently held National ACP meeting here

in DC.

MAJ Ryan Kwok, Associate Program Director, GI Fellowship / Transplant Hepatology Staff, spoke on “The Evaluation of Abnormal Liver Enzymes” to an audience of approximately 400-500 attendees. The talk was well re-ceived and he fielded a dozen or more ques-tions from the audience in both the formal Q&A portion of the talk and with attendees afterwards. Congratulations on your first national level talk!! LTC MC Dawn Torres, Chief, Gastroenterolo-gy Service, spoke about "Evolving Paradigms in Chronic Hepatitis." Her interview in the ACP Internist can be read at http://www.acpinternist.org/im2016/2016-5-6-index.html (See “NAFLD treatment starts with weight loss, but can include meds” near the top of the webpage) Also, Educational Recordings of Dawn Torres on “Evolving Paradigms of Chronic Hepatitis”: http://www.playbackacp.com/catalog/product/view/id/24216/s/856-149/category/330/ And “Inpatient Management of Acute and Chronic Liver Disease”: http://www.playbackacp.com/836-185cme To view other education recordings by Dawn Torres, you can search ‘ACP 2016 Dawn Torres’.

We are proud of Drs. Torres and Kwok for being such great teachers and mentors to our residents and staff.

research and academic success

New DOM Research Coordinator

Thank you MAJ Charlie Magee for serving as our Research Coordinator, and good luck in your new role supporting the mission as HHC 02 Headquarters Brigade Surgeon at Fort Bragg, NC.

LCDR Manish Singla (GI Associate Program Director), we are looking forward to working with you as the new Research Coordinator. Thank you for stepping up to the challenge to lead us to new heights.

8 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

Internal Medicine Had a Great Showing at the DC ACP Chapter Residents Meeting at Georgetown Medical Center

On Saturday, June 4, IM had six clinical vignette poster presenters; a clinical research podium presentation, a clinical vignette podium presentation, and our joint Army-Navy Jeopardy team took 2nd Place to rivals Washington Hospital Center—we’ll get them next year!! THE WALTER REED POSTER PRESENTERS WERE:

Clinical Research Podium Presentation We had one clinical research podium presentation by Ross Humes, who did an excellent job discussing research on the frequent use of opioids in patients with gastroparesis – “Opiates in Gastroparesis: Help or Hindrance?” Best Posters - Two Winners Hector Medina and Ben Goldenberg – selected from the Walter Reed cohort as having the best poster presentations representing Walter Reed Bethesda. Overall Winner!! - Ben Kurth – Clinical Vignette Podium Presentation We had one clinical vignette podium presentation by Ben Kurth – “Consider What’s Below the Diaphragm when Evaluating Pulmonary Hypertension.” This presentation on pulmonary tumor thrombotic microangiopathy was selected as the overall winner among the DC programs in this category.** Jeopardy Team Wins 2nd Place!! Our Jeopardy team, comprised of CPT Joe Maciuba, LT Ben Kurth, and LT Brett Sadowski, competed against five other DC teams in two rounds of competition. We won the first round convincingly, and fin-ished a hard-fought second to Washington Hospital Center's team. Overall a very strong performance!

Clinical Vignette Poster Presentations Walter Reed Bethesda Internal Medicine had six clinical vignette post-er presenters: Chase Foy, MD - A novel mutation in the Birt-Hogg-Dubé (BHD) gene in an Active Duty service member presenting with recurrent pneumotho-rax. Andrew Miller, MD - A case of a Jarish-Herxheimer reaction in a pa-tient with Leptospirosis. Hector Medina MD - Cut by Occam's Razor: How a Procedural Compli-cation Tied Together Sinusitis, Elevated Alkaline Phosphatase, Paraprotein Gap, and Infiltrative Liver Disease. Rebecca Wetzel, MD - Doctor's Orders: A Case of Unintentional Over-treatment. Benjamin Goldenberg, MD - An uncommon presentation of cardiac myxoma. Shannon Wood, MD - An Incidental-Melanoma.

We would also like to thank our Walter Reed volunteer ACP judges for the event in the write-up:

MAJ Meredith Hays CPT Adam Barelski

LT Ben Vipler Great job pulling together highly competitive and successful entries into this regional event with our DC area colleagues.

research and academic success

DC ACP Participants: (back) Drs. Rebecca Wetzel, Joseph Maciuba, Brett

Sadowski, Hector Medina, (middle row) Benjamin Kurth, Benjamin

Goldenberg, Ross Humes, and (front) Andrew Miller

DC ACP Walter Reed Winners: (L-R) LT Goldenberg, LT Kurth, CPT Medina

9 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

research and academic success

PULMONARY/SLEEP AND CIRTICAL CARE MEDICINE DEPARTMENT

Members of Pulmonary/Sleep and CCM made six presentations at Meeting of the Associated Profes-sional Sleep Societies Capt Whittney War-ren, Pulmonary and Critical Care Medicine (PCCM) Fellow: Can medication adherence predict adherence to positive airway pres-sure (photo) LTC Aaron Holley, Research Director PSCCM Fellowships: Using a novel CPAP delivery platform to improve compliance in patients diagnosed with OSA and comorbid PTSD CDR Arlene Hudson, Anesthesia: No change in home sleep testing parameters in ambula-tory orthopedic surgical patients with and without OSA: a prospective observational study LTC (P) Brian Robertson, Sleep Medicine Fellow: The predictive value of individual Hepworth sleepiness scale questions for ob-structive sleep apnea in pediatric patients CPT William Harner, PCCM Fellow: In a popu-lation with predominantly mild-to-moderate disease, existing pre-test probability scores do not predict the presence of sleep apnea.

MAJ Rajesh Daniels, Sleep Medicine Fel-low: “Is the Hep-worth sleepiness scale useful for pre-dicting OSA?” PHOTO LEFT: (L-R)

Dr. Jacob Collen

(fellowship program director) and Dr. Raj Daniels

(graduating sleep medicine fellow)

In addition to serving as co-author on three posters, LTC Scott Williams, the current Chief of Sleep Medicine, also served as an advisor to the American Academy of Sleep Medicine

(AASM) Scoring Manual Com-mittee. He is also the vice-chair of the AASM Educa-tion Committee and is in charge of creating many of the educational products that the AASM distributes to its members. He led a session in the AASM Learning Lounge directed toward standardizing the scoring of overnight polysomnography as part of his work on the AASM Inter-Scorer Reliability (ISR) Gold Standard panel. “SLEEP 2016, the 30th Anniversary Meeting of the

Associated Professional Sleep Societies, is the larg-

est gathering of sleep medicine physicians, sleep

researchers and allied sleep professionals.” The

conference was held on June 11-15, 2016 at the

Colorado Convention Center in Denver, CO” -

APSS website

INTERNAL MEDICINE

2016 Mulholland-Mohler

Maryland ACP Residents Meeting

2016 Mulholland-Mohler Residents Meeting and Profiles in Excellence Winners presented by the Chief Residents Association of Balti-more (CRAB). Sarah Ordway was Walter Reed Bethesda’s Profile in Excellence Awardee!!! See details about 2016 Mulholland Mohler award winners, Profiles in Excellence award-ee list and link to video at: http://tinyurl.com/hbcazhu

Walter Reed Bethesda Residents also pre-sented podium and poster presentations at the MD ACP M-M Residents Meeting:

“Celiac Crisis Incognito” (Podium Clinical Vi-gnette Presentation)

Daniel Selig, MD,1 Brian Daily, BS2, Sarah Ordway, MD,1 John Mattingly, MD,1 Joseph Louden, MD1

1 - Walter Reed National Military Medical Center, Bethesda, Maryland 2 - Georgetown University School of Medicine, Washington, DC

To read the full abstract: https://learning.usuhs.edu/x/NCHQVd

Clinical Vignette Poster Presentations: “A Case of Stubborn Staph Sepsis” Brian Cervoni, MD1; Sarah Cantrell, MLIS1; Kevin Douglas, MD, MPH, FACP2 1. Walter Reed National Military Medical Center, Bethesda, MD. 2. Uniformed Services University of the Health Sciences, Bethesda, MD.

To read the full abstract: https://learning.usuhs.edu/x/BHD9O9

“An Atypical Case of Meningioma in Muir-Torre Syndrome (MTS)” Cynthia Philip, MD; Sam O. Wanko, MD, FACP

To read the full abstract: https://learning.usuhs.edu/x/8KvEXq

Capt Whittney Warren,

PCCM Fellow

LTC Scott Williams (right) leads a

session in the AASM Learning

Lounge

Congrats to Dr. Yuan

and colleagues from Walter Reed Nephrology!

Published in the May issue of Journal of Graduate Medical Education!!

Faculty education and the introduction of a 5-point centered end-of-rotation evaluation are associated with significant declines in superior scores. Nicely done! “Combating Grade Inflation in Nephrology Clinical Rotation Evaluations Using Faculty Education and a 5-Point Centered Rating Scale” Christina M. Yuan, Robert Nee, Kevin C. Abbott and James D. Oliver III To read the Abstract: http://tinyurl.com/jpa5wpv

JUST PUBLISHED

10 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

education, scholarship, outreach

CPT Joe Maciuba Presented at

the 2016 Society of General In-

ternal Medicine (SGIM) Annual

Meeting in FL

Presentation: "An Exacerbation of Paroxys-mal Nocturnal Hemoglobinuria in a Patient with Cobalt Metallosis." https://learning.usuhs.edu/x/7uCzra Dr. Joan Ritter was his mentor on the project. “SGIM’s 2016 annual meeting theme was Generalists Engaged in Population Health: Improving Outcomes and Equity through Research, Education and Patient Care. Population health focuses on the health outcomes of a group of individuals, including the distribution of such outcomes within the group. General internal medicine sits uniquely at the nexus of caring for individuals and popula-tions, demanding us to achieve innovation and excellence in the education, research and patient care of populations, one patient at a time.” Source: http://connect.sgim.org/sgim16/home

Job well done, Dr. Maciuba!

Next year, the National SGIM is in DC - will be a good opportunity to maximize participation at this incredible meeting.

Accepted for presentation at the 2016 Military Health System Research Symposium (MHSRS)

1,538 The record number of submissions

MHSRS received for consideration for presen-tation

Congratulations to CPT Sarah Ordway (“Soldier With Sandstorm Exposure Battles Unresponsive Pneumonia”) and the trio of CPT Jason Unger, CPT Daniel Selig, and LT Sara Robinson (“Diagnosis and Management of Urinary Tract Infections According to Clini-cal Practice Guidelines: A Survey of Providers at a Tertiary Military Treatment Facility”) for having their work accepted for presentation at the 2016 Military Health System Research Symposium (MHSRS) conference coming up in August. The MHSRS received a record 1,538 submissions for consideration for presentation. Being selected is quite an hon-or!

Successful Presentations at Conferences: University of Virginia 11th Annual Conference on Gastrointestinal and Liver Disorders Please congratulate CPT Cynthia Philip on a successful conference presentation on 11 June in Charlottesville!!! She presented, “Mixed Pattern Hepatitis: A Rare Conse-quence of Invectious Mononuclelosis.” Link to poster: https://learning.usuhs.edu/x/MaieJI

New pilot curriculum for medic and corpsman training in the gen-eral internal medicine clinic. The internal medicine chiefs, LT Vipler and CPT Barelski have recently implemented a new pilot curriculum for medic and corpsman training in the general internal medicine clin-ic. The chiefs met with the GIM Clinic NCOIC, HMC De La Cruz, and partnered with him in order to plan for and create the curriculum. The comprehensive curriculum of sick-call and deployment relevant topics was devel-oped and will be taught by internal medicine residents to the medics and corpsman every Monday afternoon. The ten topics were spe-cifically chosen based on feedback of those who have deployed as well as issues that

corpsman and medics face when assisting with sick-call at Walter Reed Bethesda. The new curriculum will impact medic and corps-man performance at Walter Reed Bethesda but more importantly is aimed at training them to enhance readiness for future deploy-ments. The course will also provide medicine housestaff with a better understanding of the roles of medics and corpsmen better prepar-ing medicine housestaff for future roles with line units in the Army and Navy. “Alex did an incredible job today. Most important-ly he ‘started with why’ explaining both how he was former enlisted and knew where the corps-men/medics were, and also pointed out…they will be on the front lines taking care of all of us (beyond sick call).” - big fan

CPT Joseph Maciuba presented at the 2016 SGIM

Annual Meeting in FL

CPT Alex Dew is leading the inaugural session on sick call or deployment related medical conditions that require a

higher level of care." Photo taken on 4/4/16

11 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

education, scholarship, outreach

2016 ACP Steps to Success

The 2016 ACP Steps to Success Meeting was held at Harbor Hospital on Saturday, 09April2016. Over 140 students and faculty from USUHS, Georgetown, GW, Johns Hop-kins, University of Maryland, Ross, AUA, and others participated in the event. Congratulations to 2d Lt Gyan Das for win-ning the Clinical Vignette Competition! His poster was entitled "Progressive Multifocal Leukoencephalopathy: Debilitating and Dead-ly." His mentor is LCDR Kristina St. Clair (NMC Portsmouth Infectious Disease Faculty and NCC ID Fellowship graduate) 2LT Bryan Adams, ENS Jessica Saeger, 2LT Dallin Rowley, 2LT Michael Baird, and ENS Lucy Ma also presented posters. CPT Meredith Hays and Maj Brian Neubauer served as poster competition judges. LTC Joshua Hartzell, LT Benjamin Vipler, and CPT Adam Barelski moderated a breakout session for military medical students on inter-viewing and the military match. Thank you to all the students who participat-ed and faculty who served as mentors and volunteered their time for this event. Thank you also to the Army, Navy, and Air Force ACP Chapter Governors for their continued sup-port of this meeting.

Walter Reed Bethesda joins list of Air Force Internal Medicine categorical training sites

Air Force HPSP Medical Student 2nd Lt Eli Kin-berg, University of Central Florida, and his team from the AF ACP chapter compiled in-formation about our residency program as part of a larger document detailing the

unique aspects of each Air Force internal medicine residency program.

This is an outstanding resource and we really appreciate being included in the compendi-um.

Click here to view the compilation of AF Residency

programs: https://learning.usuhs.edu/x/1Jto2d

2nd Lt Das and Dr. Sisson MD ACP Governor

IM Resident CPT Cynthia Philip provides preclerkship

students instruction and hands-on practice on Art Line

IM Resident CPT Junga provides preclerkship students

instruction and hands-on practice on Central Line

IM Resident LT Camille Costan-Toth provides

preclerkship students instruction and hands-on practice on

Paracentesis

First Ever Uniformed Services University (USU) Internal Medi-cine Interest Group (IMIG) Pro-cedure Day at the Walter Reed Simulation Center

Nine internal medicine residents (CPT Mike McMahon, LT Huyn Park, CPT Jed Mangal, CPT Ryan Jones, CPT Diana Dougherty, CPT Sarah Ordway, LT Camille Costan-Toth, CPT Zachary Junga, and CPT Cynthia Philip) volunteered their time and teaching talent for the first ever USU Internal Medicine Interest Group (IMIG) Procedure Day at the Walter Reed Simulation Center on 11 and 13 April. The resi-dents gave 50 preclerkship students instruction and hands-on practice performing thoracentesis, paracen-tesis, central line, arterial line, and lumbar puncture. Student feedback about the event was overwhelm-ingly positive and the IMIG looks forward to making this Procedure Day an annual event. Photos provided by LCDR Mary Andrews, Assistant Professor of Medicine, Assistant Clerkship Direc-tor, Uniformed Services University of the Health Sciences

12 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

USUHS Class of 2016 Graduation Awards

Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine “America’s Medical School” Faculty Awards School of Medicine Outstanding Civilian Educator Award Recipient: Mark Haigney, M.D., Professor, Department of Internal Medicine (Division of Car-diology), Professor, Department of Pharmacology The Outstanding Civilian Educator Award is pre-sented to Mark Haigney, M.D., the civilian faculty member chosen by the graduating medical stu-dents as the individual who displays the highest qualities of a medical educator by personal exam-ple and performance. Named Awards Incoming Walter Reed IM Intern 2LT Todd Looney received the Marcia Salzer Award for Humanism in Medicine Incoming Walter Reed IM Intern 2LT Todd Looney also received the LTC Daniel Kayanan AMSUS Mili-tary Medicine Award Incoming Walter Reed IM Intern MAJ Timothy Hunter received the Gregory Argyros Army Chap-ter of the American College of Physicians Out-standing Achievement Award Congrats Todd and Tim and welcome aboard! CDR Todd Gleeson, previous USU VA Medicine Clerkship Director and current Infectious Disease and Internal Medicine Core Faculty, received the Alpha Omega Alpha Volunteer Clinical Faculty Award Click here to see the Program, which shows the com-plete list of recipients of the many awards, including the Surgeon General Awards, Service Awards, Faculty Awards, Specialty Awards, and others in the Program: https://learning.usuhs.edu/x/H1cHTm

education, scholarship, outreach

CONGRATULATIONS

Leonard Award Winners for Medical Student Teaching

Background: Dr. James J. Leonard II (17JUN1924 – 16DEC2005) The Leonard Award recognizes outstanding skill and dedication in teaching and practicing internal medicine. Vital contribution to the

success of the clinical training program in internal medicine. Recognized by students and peers alike. There are intern, resident, staff, and preceptor categories. James J. Leonard (1924-2005) was the founding chair of the USU Department of Medicine and was instrumental in establishing un-dergraduate clinical education at USU and graduate medical education programs at

affiliated hospitals. Dr. Leonard's approach to medicine and his accessibility endeared him to students and colleagues.

(L-R) COL (ret.) Louis Pangaro, Professor and Chairman, USUHS Department

of Medicine; LTC John Sherner, Program Director, NCC Pulmonary/Critical

Care Medicine Fellowship, LT Christa Eickhoff, Office of the Attending

Physician, US Capitol; Dr. Chin Hee Kim, Assistant Chief, Inpatient Medicine,

General Internal Medicine; Dr. John Massey, Clinical GIM Faculty, LCDR Mary

Andrews, Assistant Clerkship Director, Uniformed Services University of the

Health

13 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

Big Turn Out 4th Annual Internal Medicine Residency Clinical Leadership/Quality Improvement Fair Thank you to everyone who attended and supported our internal medicine residents as they presented their year-long quality im-provement projects at the 4th annual QI poster fair on Tuesday June 7th. The Residents did a fantastic job with their posters, and discussing their research with the attendees and judges. We reviewed posters, shared ideas, and heard presentations from the top two posters. We also had three very distinguished judges for the event. Many thanks to Assistant PD for Quality Improvement/Patient Safety and organizer Dr. Chin Hee Kim (Assistant Chief, Inpatient Medicine, General Internal Medicine), numerous faculty mentors, and our dis-tinguished panel of judges: NCR-MD Director RDML David Lane, Director for Medical Services CAPT Anthony Nations, and Walter Reed Chief of Quality COL(ret) Thomas Fitzpatrick!

Winning Quality Improvement Proposals: AY 2015– 2015

High Value Cost Conscious Care: Laboratory Price Transpar-ency to Reduce Unnecessary Ordering by Providers Congratulations to the winning team members: LT Alison

Lane, Team Leader, Brett Sadowski, Shannon Wood, Jim-

my Fisher, Sara Robinson, Becky Wetzel, and Faculty

member, Chin Hee Kim

Mobile Healthcare Applications in Modern Military Medicine Congratulations to the winning team members: Patrick Moon,

Team Leader, and Faculty member, Aaron Holley

For a complete list of all thirteen QI proposals, and team members, click here: https://learning.usuhs.edu/x/FReRuA

education, scholarship, outreach

“Three Lanes:” (L-R) LT Michelle Lane, Aid de Camp for

RDML Lane, LT Alison Lane, IM Resident (PGY2), and

RDML David Lane, NCR-MD Director (serving as one of

the QI judges). In case you were wondering, they are not

related.

CPT Yu-Ching Yeh explains her poster to Dr. Lou Pangaro

Drs. Josh Hartzell, Chin Hee Kim, and Adam Barelski

were very impressed with the QI projects.

LT John Greenwald and LT Jeanette Collins are proud of their work.

COL Clifton Yu asks LT Emily Brown a questions about her poster.

CAPT Nations judges LT Lane’s poster. LT Kyle Mikals presents his poster.

LT John Greenwald and LT Jeanette Collins are proud of their work.

CAPT Nations judges LT Lane’s poster. LT Kyle Mikals presents his poster.

Who said Quality Improvement can’t be fun?!

COL Clifton Yu asks LT Emily Brown a questions about her poster.

LT John Greenwald and LT Jeanette Collins are proud of their work.

CAPT Nations judges LT Lane’s poster. LT Kyle Mikals presents his poster.

14 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

well-deserved recognition

Administrative Professionals Day Team DOM GME Admin, I wanted to take a moment on this Adminis-trative Professionals Day to recognize all of the hard work and incredible teamwork that you continually display in meeting the mission of our GME programs - outstanding patient care, education and research while ensuring that our trainees are ready to meet tomor-row's mission and challenges in the MHS. Our GME programs have seen ever-increasing complexity through engagement with more and more Military, Federal and civilian part-ners in medical education (i.e. more and more temporary licenses, training agreements, and MOUs), and our trainees and faculty continue to increase their scholarly accomplishments (i.e. Travel requests) as they have matured since BRAC. I am impressed and humbled how you so often pull together collectively to meet the challenges of increasing travel, GME and Military deadlines, and continual accredi-tation cycles. Your efforts behind the scene are not unno-ticed, but today is a good reminder to let you know how much we appreciate your efforts in helping our residents and fellows become leaders in healthcare. Thank You!!! Bill William Shimeall, MD MPH FACP Captain, Medical Corps, US Navy Program Director, National Capital Consorti-um - Internal Medicine

Chaconia Agyenkwah

Marc Barredo

Sylvia Cook

Moszella Humphrey

Geraldine Marquez

Rachel Martin

Marla Redmond

Bernadette Roach

Penny Sharps

Keisha White

Outstanding Patient Care CAPT Shimeall, I wanted to make you aware of the out-standing care that [CPT Zachary] Dr. Jun-ga provided to one of our CCU patient's tonight. He admitted a young otherwise healthy man in heart block, presumed to be related to lyme carditis. The patient developed pause dependent TdP sudden-ly this evening while in the ICU, resulting in a ventricular fibrillation arrest. Dr. Junga lead a successful resuscitation effort, promptly defibrillated this patient with return of spontaneous circulation. This was not just a matter of being in the right place at the right time. Dr. Junga promptly responded to a call from the interns, identified the acute issue, and treated it without delay, resulting in no neurologic consequences for this patient. Dr. Junga literally saved this patient's life with his knowledge and action. It's been a pleasure to have him on our CCU service. VR Matt Needleman, MD, FACC, FHRS CDR, MC, USN Cardiac Electrophysiology, WRNMMC

AND Dr. Needleman, thank you for sharing this excellent story! Dr. Junga, this is most excellent!! We talk about the exceptional patient experience. I think we would all agree that you deliv-ered "the" exceptional patient experience last night. Thank you and bravo zulu. IM/Cardiology leadership, you have a lot to be proud of here. Proudly, Dr. Nations Joel Anthony Nations, MD Chief of Medicine

Unity of Effort with NIH, and Outstanding Teamwork All The Way Around!! Thank you all for making a difference for our patients! Great work by LTC Collen, LT Alison Lane and the WRNMMC Sleep Lab Dr. Nations and Dr. McKay, Just wanted to highlight some of the work that Dr. Jacob Collen did this week. He was the ICU attending, but he still found time to set up a bipap titration study with trans-cutaneous CO2 monitoring for a complicated NIH patient with hyper-IgE syndrome, a CO2 of 78 and chronic pneumatoceles. Somehow he also coordinated pre and post PSG CHEST imaging to prove to the NIH that NIPPV wouldn't make her pneumatoceles worse. He quarter-backed the PSG and it ended up running perfectly. Patient felt significantly better the following morning, and pCO2 was down in the 40s. NIH was thrilled. This could not be pulled off in another sleep lab (or by another doctor). If you get a chance to highlight his work in the weekly newsletter, please do so. Aaron LTC Aaron Holley, MD, FACP, FCCP Interim Chief of Sleep Medicine Pulmonary/Sleep and Critical Care Medicine Department Research Director Dr. Holley and Dr. Nations, I want to make sure to thank Dr. Alison Lane, medicine resident. She admitted the patient for me to facilitate getting all our studies done. A huge help!! Thank you Jacob F Collen MD, FACP, FCCP LTC, MC, USA Program Director, NCC Sleep Medicine Fel-lowship Assistant Professor of Medicine, USU Pulmonary, Critical Care and Sleep Medicine

15 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

well-deserved recognition

GRAND ROUND CO-COORDINATORS MAJ Mary Kwok and LCDR Amy Frankston, thank you for serving as our Grand Rounds Co-Coordinators for the last two years. Team DOM, Mary and Amy have done a tremendous job with this and ongoing sustainment of this high level of grand rounds conferences is an im-portant objective for our Academic Department of Medicine. Thank you both for the last two years of highly successful grand rounds! Thanks Mary and Amy!! V/r, Bill PATIENT OVATION Here is what a patient had to say about…Dr. Shanley Ignacio [Banaag] (Internal Medicine) “I would like to give kudos and recognition to Dr. Shanley Ignacio (Internal Medicine). I re-cently had an appointment with Dr. Ignacio about a medical concern of a sensitive nature. I was nervous and concerned the doctor would be dismissive or judgmental. My experience with Dr. Ignacio was the exact opposite, and was one of the best experiences I have had as a patient. She was very professional, and provid-ed me with excellent care. Please let me know the best way to ensure she gets recognized.” Note: The message above was submitted to Patient Relations via WRNMMC Public Web – Email Form

SIX FOR SIX LTC Mike Cahill again scored a perfect 300 on his Army Physical Fitness Test (APFT), making this 6 for 6 during his cardiology fellowship where he maxed his APFT (in fact, he has maxed every single one of them during his career)!! As most of us know, the APFT is aimed to assess a Soldier's level of aerobic fitness and strength. To max it is difficult and to max it every year during one's career is rare.

ORTHOPEDICS—THANK YOU The message below recognizes CPT Shannon Wood “with her role in this specific comment about our patient.” Thank you Shannon for your exceptional care and consultation. Strong work! Dr. Kim, I wanted to extend our personal thanks to you and your team for performing/coordinating the pre-operative risk stratification and managing the medical comorbidities for our mutual pa-tient… I look forward to future opportunities to work with you and your team and hope that you feel the same towards us in Orthopaedics. V/r, Sean Wade, MD LT, MC (FS), USN Orthopaedic Surgery Resident Walter Reed National Military Medical Center OUTSTANDING INTERN Drs. Shimeall and Decker, I just wanted to commend the hard work, com-passion, and overall great experience and inter-action I had working with Dr. Rebecca Wetzel. She clearly went above and beyond during the management of our mutual patient who had a very complex disposition issue. One specific act worth mentioning is when she organized and led a meeting with multiple providers from the VA and DoD and exhibited a level of professionalism and skill commensu-rate with senior residents and even staff physi-cians. It is not often that we work with junior resi-dents of this caliber. Very Respectfully, Edward A Dolomisiewicz, MD CPT, MC, USA Chief Resident Physical Medicine & Rehab

NOMINATION Dr. Allison Webb (PGY1) was nominated and selected for the AADPRT (American Association of Directors of Psychiatric Residency Training) appointee to the AAMC's Organization of Resi-dent Reps!

ENGAGING FUTURE WORKSHOP

Dr. Julie Chen’s workshop proposal (“Faculty Development: Evaluation and Feedback in the Continuity Clinic: Chal-lenges and Innovations in an X+Y Block System,”) was accepted for inclusion in October’s Alliance for Academic Internal Medicine (AAIM) meeting. If you would like to attend Dr. Chen’s workshop, the 2016 AAIM Skills Development Conference will be held October 20-22, 2016, at the Gaylord National Resort and Convention Center in Na-tional Harbor, MD.

&

Julie, This is outstanding, and thanks for your initia-tive in submitting this. I know that you, Marc Barredo, and the GIM Core Faculty, Academic Staff, and APD's have put a lot of work into capturing feedback in the PCMH Resident Conti-nuity Clinic, and I know both the residents and the competency committees have benefited from and appreciate all of the hard work. Shar-ing our program's experiences with this while comparing notes with other programs should make this a very interesting and engaging work-shop. Congrats! Bill

& Julie, Congratulations on this outstanding accom-plishment! Your efforts not only improve the GME program, but also enhance our overall mission in GIMS! Thanks for everything you do. v/r Doug Douglas G. Hawk, MD CAPT MC USN Service Chief, General Internal Medicine Service

16 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

hails, farewells, and promotions

New members of our Board of Directors Please join me in congratulating the following new members of our Board of Directors at Walter Reed National Military Medical Center. CDR Joel A. Nations is our next Director of Medical Services. CDR Nations is currently serving as our Chief, Department of Medicine, and he will replace COL Stuart Roop later this summer. [Both are faculty in Pulmonary and Critical Care Medicine.] CDR Saira N. Aslam is our next Director of Healthcare Operations, replacing COL Tom Burklow. CDR Aslam [Internal Medicine and Cardiology faculty] has been serving as the Executive Assistant to the Director for the last two years. In addition, congratulations to CDR Satyen M. Gada [Allergy faculty], who was elected by the medical staff to serve as Vice President of the Medical Staff and Vice Chair of ECOMS. He will replace CDR Randy Bell, who, in turn, will succeed CDR Jason Schroder as President of the Medical Staff and Chair of ECOMS. We are fortunate to have these very talented clinician leaders join our Board, and I am con-fident they will help lead us to new heights as the Flagship of the MHS, ensuring an Extraor-dinary Patient Experience for Every Patient, Every Time. I also want to publicly thank COL Roop , COL Burklow, and CDR Schroder for their dedicated service to the WRNMMC Board of Directors, and for the leadership they've provided during this critical phase of the post-BRAC integra-tion. Thank you. Respectfully, David A. Lane RDML, MC, USN Director, WRNMMC (O) 301.295.5800 Promotion in DOM Medical Corps Congratulations LTC Dustin Little and LTC Lisa Prince on your recent promotions to Lieuten-ant Colonel. Well deserved.

Faculty Appointments & Promotions Department of Medicine (MED) Janine R. Danko, CDR, MC, USN Deputy Director, Education/Training/Research Directorate, promoted to Associate Professor of Medicine (Division of Infectious Diseases) Todd D. Gleeson, CDR, MC, USN Staff, Infectious Diseases, promoted to Asso-ciate Professor of Medicine Roseanne A. Ressner, LTC, MC, USA Staff, Infectious Diseases, promoted to Asso-ciate Professor of Medicine John H. Sherner, LTC, MC, USA Program Director, Pulmonary/Critical Care Medicine Fellowship, promoted to Associate Professor of Medicine

Nephrology Subspecialty Education Coordinators

We look forward to working with MAJ Maura Watson as primary and LTC Meagan Rizzo as an alternate going forward for resident rota-tors. Thank you LTC Dustin Little for your tremendous service and mentorship for the residency program! Thank you in advance Maura and Meagan for your leadership and help. We look forward to working with you.

Promotion to Major

Congratulations Dr. Jason Unger on your recent promotion to Major. MAJ Unger is a member of the Internal Medicine house staff.

Congrats LCDR Cole on your promotion! Congrats as well on your selection by the IM Residency Program as Fellow Mentor of the Year for 2015-2016 (see page 5). We are extremely fortunate that you will be staying on as staff.

Selection of Pulmonary Medicine Service Chief, Dr. McKay, and Farewell to Dr. Holley

Department of Medicine Colleagues, Please join me in welcoming Dr. Sean McKay as our newly selected Pulmonary Medicine Service Chief… He is published in pulmonary medicine and leads as an ardent educator for military relevant medicine topics, including arranging GME education as well as CME during Continuing Promise 2015 and most recently as Navy ACP Speaker on Academics Afloat. We are privileged to have Dr. McKay leading in Pulmonary Medicine, sincerely thank him for his leadership as interim Pulmonary Service Chief and welcome him as the newly selected Pulmonary Medicine Service Chief. I would like to thank Dr. Aaron Holley who Dr. McKay is relieving. Dr. Holley has been selected to PCS next month. While this is a huge loss to our team, it has been our privilege to have him lead in Sleep Medicine as well as the Pulmonary Service Chief during 2015 and early 2016. I thank him for his service to our leadership team and we hope he will find his way back to Walter Reed and our team soon...

AND

Selection of Endocrinology Service Chief, Dr. Mai, and Farewell to Dr. Clyde Department of Medicine Colleagues, Please join me in welcoming Dr. Vinh Mai as our newly selected Endocrinology Service Chief. CDR Mai is a 2002 graduate of the Kansas City University of Medicine and Biosciences where he graduated Magna Cum Laude. He trained in Internal Medicine at the Naval Medical Center Portsmouth and in Endocrinology at the National Naval Medical Cen-ter. Dr. Mai is widely published with 16 peer re-viewed articles in print and is frequently requested to present at national endocrine society meetings. He is also a scientific reviewer of multiple journals. In 2016, he was advanced to the rank of Associate Professor at the Uniformed Services University… As Dr. Mai takes the helm in Endocrinology, I would like to thank CAPT Patrick Clyde for his tireless leadership of the Endocrinology Service for the last 10 years. He led in Endocrinology prior to and through the BRAC process and continued to lead as the newly integrated Walter Reed National Military Medical Center Endocrinology Service Chief. We thank him for his service to our leadership team during this time of unprecedented change... V/R CDR Nations Joel Anthony Nations MD, MBA, FACP, FCCP Commander, Medical Corps, United States Navy Chief of Medicine

17 Spring 2016 previous publications — click: Walter Reed DOM GME Snapshot

check it out

Current and Future Leaders in the Army and Military GME MHS Female Leadership Meeting

Photo from the Army Medical Corps Newsletter - June 2016 - (9th from the right) MAJ Mary Kwok, Heme/Onc APD (8th from right) MAJ Lisa Prince, Nephrology PD, and MAJ Maura Watson (in rear directly to right of host BG John Cho in center), Nephrolo-

gy Key Clinical Faculty. General Cho is Deputy Chief of Staff for Support (G-1/4/6), HQDA, Army Office of the Surgeon General.

To share the incredible things our residents, fellows, administrators, and faculty are doing, contact

Sean Lynch, Editor, at Sean.M.Lynch36.CTR@mail.mil, or (301) 319-4399

shared events & deadlines AUGUST 2016 2016 Military Health System Research Symposium, Orlando, FL https://mhsrs.amedd.army.mil/SitePages/Home.aspx 15-18 August State of the Department of Medicine, Memorial Auditorium 26 Aug, 1200-1300 SEPTEMBER 2016 Army / Air Force ACP, Lackland AF base, San Antonio, TX https://www.acponline.org/about-acp/chapters-regions/us-armed-forces/u-s-army-chapter/news-meetings Sep 8-10, 2016 OCTOBER 2016 Alliance for Academic Internal Medicine (AAIM) Skills Development Conference Gaylord National Resort and Convention Center, National Harbor, MD https://online.im.org/aaimssa/ecmssamsganalytics.click_through?p_mail_id=E15811A367607B1C49656

October 20-22, 2016

Registration opened online Monday, June 27 http://www.im.org/p/cm/ld/fid=1370 Agenda for Skills Development Conference: https://learning.usuhs.edu/x/aCZhK3 WRNMMC Open House POC: Elijah.C.Harvey.Ctr@mail.mil

October 21, 2016 LONG-TERM PLANNING AAIM - The New Academic Internal Medicine Week: Coming in 2017 Baltimore Convention Center, Baltimore, MD http://www.im.org/p/cm/ld/fid=1349 March 19-22, 2017 The Call for Workshops for Academic Internal Medicine Week 2017 is open, deadline is 19 August. https://online.im.org/aaimssa/ecmssamsganalytics.click_through?p_mail_id=E18412A448827B1C63008 The Call for Poster Abstracts for Academic Internal Medicine Week 2017 will open in September.