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MAY HOUSESTAFF MEETING

MAY HOUSESTAFF MEETING. May 4th, 2011. Dr. Ridgway (Interim Chair). Dr. Suzanne Brandenburg. Annual ACGME survey coming up this month Questions? Institutional site visit June 2011 Fellowship match timeline changed for next year No fellowship interviews next year

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MAY HOUSESTAFF MEETING

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  1. MAY HOUSESTAFFMEETING May 4th, 2011

  2. Dr. Ridgway (Interim Chair)

  3. Dr. Suzanne Brandenburg • Annual ACGME survey coming up this month • Questions? • 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!

  4. 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

  5. Housestaff Association • Updates from Noelle • Meal allowances will be allocated based on this year’s meal tickets as opposed to new shift calculations in order to avoid a decrease

  6. 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

  7. 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…

  8. 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

  9. 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! • Activate “Out of Office Assistant” a few days before you leave • Will be active for approximately 45 days • Contact Jennifer Weber if you have other questions!

  10. Housekeeping • Educational Funds • All receipts for any educational funds you plan to use must be turned into Jennifer Weber no later than May 20, 2011 • 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 Zanaoby May 13, 2011 • Badging/Fingerprinting cannot be done unless the VA HR office has all the completed paperwork

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

  12. Pager Forwarding • How is Pager Forwarding Going?

  13. Planning for the Future • Five Areas of Focus • Fellowship Interviews and Coverage • No fellowship interviews 2011-2012 • Interviews in Sept/Oct 2012 • Resident task force to develop solutions? • Contact Nick Weber • Categorical Resident Mentoring and Curriculum • Pathways will start next year • New APD for research • Dr. Schwartz • Recruiting faculty member for mentoring future physician scientists • See Tibor with other thoughts, suggestions

  14. Planning for the Future • Improved Program-Wide Communication • Housestaff meeting will be presented monthly at each site next year • Continued monthly emails from Dr. Brandenburg • See Tanner/Taylor with thought/suggestions • Personal/Family Emergencies • Call CMR on call, your APD or Dr. Brandenburg • We want to help! • Resident Appreciation and Feedback • See Lindsey with thoughts/suggestions

  15. Upcoming Events • CMRs planning Rockies Outing! • Details will be coming soon… • Residency Continuation Ceremony (AKA Trivia Bowl) • June 2nd 6:30 PM at the Wynkoop • We are still looking for good stories, pictures, etc! • R1 to R2 Transition Day • June 3rd • Interns will be excused from clinical responsibilites

  16. Upcoming Events • R3 Graduation Ceremony • June 5th 6:00 PM at Maggiano’s Downtown • Please RSVP to Kristy Zanao by May 27th • Intern Welcome Dinner • June 22nd at Wash Park • All residents invited! • Intern Orientation • Interns will join teams at the site where they will be starting

  17. Duty Hours: April • 30 hour rule: • Total of 11 • University Ward, University Cardiology (1 at PSL!!) • 80 hour rule: • NONE! • 10 hour rule: • Much improved at University Cards • 7 vs 21! • Days-off: • 2 violations

  18. Jeop-o-meter • April: 5 shifts called • 3 for capping (DG ICU, floor) • 2 for family emergency • Thanks to those who served! • Paul Allyn Kate Jennings • Aaron Scott x2 days Matt Moles • 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

  19. Jeop-o-meter • “Percentage of Jeopardy Used” • 3.3 % of total jeopardy coverage • 10 % of R3 Short jeopardy coverage • “Percent of Teams that called jeopardy for cap” • 5 services every day that could cap… • “150 jeopardizeable days” • 3 days, 3 teams • DH Wards 1 • DH ICU 2 • ”our services exceeded cap 2 % of the time”

  20. Shout-Outs • For those who went above and beyond in April… • Dan Wells • Agreed to schedule change with call on June 22nd! • Matt Moles • Kindly agreed to cover second jeopardy on Easter weekend • Jared Davis • Will cover a night shift in the DH MICU for R3 Graduation • Joe Sweigart • Admitted for the DH MICU team after they capped to prevent a jeopardy call • Let us know about others who deserve kudos!

  21. Journal Club Classics Intern Classics at Dr. Albert’s (5/11) COURAGE and CARP Dr. Hattler will be discussant R2/R3 Block B Classics (5/18) PneumoVax & FluVax

  22. News from UH • April cardiology schedule will be continued • Four teams of one resident, one intern • Teams are long call q3 during days, 6 days of nights • Parking • Trial of PCDs on ward services • Improvements to cross cover • Please let Taylor or Dr. Aagaard know how it is going! • MICU, Floor, New ACE service to start June 23rd • Oncology service to start July 1st

  23. UCH Numbers • Floors: • Sleesman/Sprague/Foley: 70s-80s? • Schwartz/Hou/Webb: 92 • Medina/Nordstrom/Pendyal: 84 • Brown/Bartlett/McCormick: 81 • Cards: • Dalton/Burke • Miles/Kahr • Hodges/Huang • Spence/Dunn

  24. More UCH Numbers • ICU: • Desai/Wells: ? • Reichelt/Regalia: 42 • Cunningham/Peter: ? • Harrington/Ewert: ? • ACE: • Inman et al: 55 • Onc: • Rosen/Stratton - ?

  25. Challenging Cases… • Cerebral Air Embolism • IJ pulled out • 32 year old female with Hantavirus! • Required ECMO • Aseptic Meningitis • Serology showed EBV • New diagnosis of HIV on the ACE service

  26. P/SL

  27. Updates from P/SL • New call-system to comply w/ ACGME rules: • “staggered-start” for interns, “split-call system”… • Continuing to refine • Appreciate everyone’s patience, hardwork, especially the residents!

  28. Admission Numbers (4/1-4/30) • Most admissions, record for capping at 4:20pm, and won a free dinner! • Vasquez/Jennifer Jung/Stotts/Burke/Dawn Yang: 52 • Working hard to test-drive new duty hours: • Silverberg/Cash Horn/Paula Pecen/Newton Neidert/Foley: 48+ • Solid Teaching, Keeping Spirits High! • McWilliams/Tompkins/Tyler Chernin/ McCaffrey/Claudia Bartolini: 48+ • Plenty of admissions, excact number…?” (but solid winners of the Quiz, and a free dinner!) • Sakai/Hemmat/Ricardo Pollitt/Julie Weintraub/ Keogh: 25 + 4 calls…?

  29. Unusual & Challenging Cases Acute Rheumatic Fever in a young man Lymphocytic Interstitial Pneumonia in a 40 yo woman, with new dx of HIV RPGN due to pauci-immune vasculitis in a mid-age woman

  30. SE Asia:

  31. Greetings from the Veteran’s Hospital!

  32. April Admissions • Only slightly cooled off… • Team Hernia – carried the heaviest load of vets • Borne/Colbert/Nathan (87) • In like a lion, out like a lamb (started strong but finished light) • Montford/Mohler/Furlong (82) • The Intensivists • Reese/Ari/Bagley (77) • Team enigma • Kirkland/Goodson/Czwornog (?)

  33. A few of the many great cases: • Cold + warm hemolytic anemia • Myasthenic crisis • 2L acute hemorrhagic pleural effusion • Diffuse Alveolar Hemorrhage • Neurosyphilis

  34. Other news… • OBMT vs. WARD Jeopardy Battle (10th edition) • Lopsided victory for OBMT • Officials are looking into foul play… • Reports that Sumey knew the questions in advance • Epic Montford vs. Keys battle for Renal dominance ending in fisticuffs • New pizza truck outside the VA on Fridays for lunch

  35. Denver Health

  36. When Lunch is 5 Minutes Late at Denver Health… • Two residents choose to eat this abandoned pizza of unknown source and age • Scott Davis • Post-call from the MICU • Joe Sweigart • Just hungry • Quiznos arrives minutes later

  37. Denver Health Admissions April Floor Admissions Longs: 95(Mertz/Smolkin and Coffey/Williams) Evans: 92 (Sweigart/Navarro) Pikes: 88 (FM: Meeuwsen/Knierim/Ringwood) Spruce: 88 (Hansel/Miller) Aspen:87 (Virostko/Chapman/Siriphatnaboon) Juniper: 79 (Zipse/Collins and Heinzen/Czernik)

  38. Denver Health Admissions April MICU Admissions Davis/King/Colbert : 73 Puls/Taecker/Cobb: 64 Hartman/Griffith/Czernik: 43 Schneider/Keogh/Johnston: Lots

  39. Cool cases 62 y/o F with intravascular large B-cell lymphoma presenting with intranasal mass NMS in a patient with bipolar disorder who received antipsychotic agents after being tazed by police for erratic behavior 18 y/o M with murmur since childhood, diagnosed with membranous VSD that expanded to involve the aortic root Two patients transferred to the MICU for TTP/HUS in one week!

  40. Birthdays and Announcements!

  41. Outside the Hospital…

  42. Congratulations!!

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