JUNE HOUSESTAFF MEETING June 1st, 2011. Dr. Ridgway

JUNE HOUSESTAFF MEETINGJune 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 No fellowship interviews next year Pushed back to fall of 2012

Thank you for all of your hard work!

Incoming CMRs!

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

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

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

ACP Associates MeetingJune 7th, 2011

4:30-pmBe there!

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

ACP Associates Conference!

Congrats to UCD Presenters: Steph Seiki Carrie Brown Rudy Kimmerling Erin Marcum Shabi Showell Ben Scheier Tracey Hansel Andrew Sweatt Alison Landrey Kirsten Regalia

Please RSVP to cochapteracp@msn.com Stay tuned for additional info by email…

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

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!

Upcoming Events

R3 Graduation Ceremony June 5th 6:00 PM at Maggiano’s Downtown Please RSVP to Kristy Zanao if 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

Research In Progress Dinner

The year’s last RIP dinner will be Wednesday, 6/14/11, at 6:30PM

Chili and 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!

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

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!

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

Housekeeping

Annual PPDs Exiting residents can have PPD placed also

Jeop-o-meter

May: 3 shifts called 2 for 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

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”

Journal Club Classics

Intern Classics at Karen Chacko’s (6/8) Light’s Criteria & SAAG

R2/R3 Block June Classics (6/15) PneumoVax & FluVax

Shout-Outs

For those who went above and beyond in May… Jonathan Schwartz

Chipped in for paternity leave Zuzanna Czernik

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?

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

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

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

More UCH Numbers

ICU: Kim/Nordsrom: Turcotte/Goodson: 45 Schneider/Stotts: 56 Olson/Narish:

ACE: Harry et al: 55

Onc: Tomlinson/Dirksen – 50ish

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!

P/SL

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…

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

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…

Greetings from the Veteran’s Hospital!

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)

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

Other news…

Inter-ward Jeopardy Battle (OBMT no-show) Still epic Wards victory!!

Sales at the pizza truck on Friday booming

Denver Health

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!

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)

Denver Health Admissions

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

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

Birthdays and Announcements!

Ben Scheier 6/1Tracey Hansel 6/2

RozinaChowdhe

ry 6/3Kirsten Regalia 6/4

RyanMcWillia

ms 6/14Joe Lutgring 6/18

Mark Navarro 6/13Andre Melendez 6/23Mary Anderson 6/23

KathrinHarringto

n 6/29

RudyKimmerli

ng 6/24

Rockies Game

Congratulations