February 1, 2017
The weekend was busy and fun. Our very own Dr. Paul Wischmeyer gave a moving, unforgettable presentation at the ACES Symposium on why he chose a career in medicine and what drove his decision to continue his career at Duke. Our annual resident bowling event this weekend ended with no one scoring near a 300, but everyone enjoyed themselves. Thank you to our social chairs, Annie and Michael, for organizing the event and continuing the raffle tradition. A big thank you to all the faculty who donated items for the raffle. The residents really appreciated it. The “top-shelf” prizes of scotch tasting with Dr. Stuart Grant and bourbon tasting with Drs. Erin and Mike Manning will end with an UBER ride home!
Residents and core faculty – you should have received the emails from ACGME (from donotreply@acgme, so check your junk folder!) about the annual survey. Please complete it now so Jessica doesn’t have to hound you to do it. The residents and faculty are neck and neck in completion percentages.
Speaking of the ACGME, our residency program is officially approved for another position so on Match Day, March 17th, we’ll see 15 new faces.
Lastly, don’t forget to vote for the 2017-2018 resident leadership by replying to Jessica’s email.
Have a great week!
Presented at ACES Symposium 2017
Clarifying Confusion in the PACU: Using CAM-ICU and 3D-CAM as Early Postoperative Delirium Screening Tools
Michael J. Devinney Jr., MD, PhD, Marc McLawhorn, MD, Brad Taicher, DO, MBA, and Miles Berger, MD, PhD
Over 200 million major surgeries occur annually worldwide, and are frequently complicated by postoperative delirium, which is associated with persistent cognitive deficits, longer hospital stays, and increased mortality. Postoperative delirium is often unrecognized, limiting investigations into potential interventions to reduce its incidence. Postoperative delirium often begins in the postoperative care unit (PACU) following emergence from anesthesia, but is not screened for in this early postoperative period at Duke. The implementation of a validated screening tool in the PACU would enable early detection of delirium. In this study we sought to compare two commonly used, validated delirium detection tools, the CAM-ICU and the 3D-CAM. No studies to date have validated 3D-CAM for delirium detection in the PACU. We hypothesized that the 3D-CAM would detect more cases of postoperative delirium in the PACU, compared to the CAM-ICU, and thus would be a useful tool for the early detection of postoperative delirium.
- 2/5 – 2/11
- This weekend (2/4-5): Jia, Bangura
- Next weekend (2/11-12): Wahal, Chen
- This week (Sat PM 2/4 – Fri AM 2/10): Herbert, Devinney
- Next week (Sat PM 2/11 – Fri AM 2/17): Seifert, Anderson
Friday Night Call
- This Friday (2/3): Wahal, Cobert
- Next Friday (2/10): Falcinelli, Ellison
Liver Call Weekend (pager: 7320)
- This weekend (Fri PM 2/3 – Sun PM 2/5): Mintz-Cole
- Next weekend (Fri PM 2/10 – Sun PM 2/12): Hulsey
Liver Call Weekday (pager: 7320)
- Liver day (Mon AM 2/6 – Fri PM 2/10): Mintz-Cole
- Liver night (Sun PM 2/5 – Fri AM 2/10): Jia
- Saturday 2/4 AM: Overmon
- Saturday 2/4 PM: Wang
- Sunday 2/5 AM: Horazeck
- Saturday 2/11 AM: Castro
- Saturday 2/11 PM: Donald
- Sunday 2/12 AM: Mangan
- This Friday (2/3): Cobert, Cotter
- Next Friday (2/10): Anderson, Mangubat
Simulator (4-6 p.m. — page charge CRNA *7853 to ask for relief at 3:45 p.m.)
*These are mandatory sessions*
- Mon (2/6): none
- Thurs (2/9* – all day ACRM): Doshi, Gamble, Johnbull, Crowgey, Mangan
- CA3 on call pager (970-9313) is covered by CA3 on general OR call.
- Liver call pager (970-7320) is always covered.
Have a good week!
Please stop by during the office hours listed below. Or, please feel free to contact any of our leadership to schedule a meeting outside of standard office hours.
Duke Health wants to showcase our residents as faculty are! Contact Jennifer Schwabel at firstname.lastname@example.org if you’re interested in being videoed for your profile! Check out Dr Allan Kirk’s profile for a great example. Please let Jessica know if you’re interested in this!
Want to talk with someone?
Personal Assistance Service (PAS) is the faculty/employee assistance program of Duke University, that is FREE. The staff of licensed professionals offer assessment, short-term counseling, and referrals to help resolve a range of personal, work, and family problems. PAS services are available at no charge to Duke faculty and staff, and their immediate family members. An appointment to meet with a PAS counselor may be arranged by calling the PAS office at 919-416-1PAS (919-416-1727), Monday through Friday between 8:00 A.M. and 5:00 P.M. If you need assistance outside of those hours, call the Blood and Body Houtlins (684 1115) for behavioral health concerns.
This Week in Lectures
CA1 (1/31): Perioperative Acute Kidney Injury and Acute Renal Failure with Dr Stafford Smith
CA2/3 (2/1): Carotid Management with Dr Brian Colin
Thursday (2/2): Building the Foundations for Effective Communications (Leadership Workshop Series) with David Bond, MA, MSc
Series led by Ashley Grantham, PhD and Jennifer Hauck, MD
Next Week in Lectures
CA1 (2/7): **DMP 2W93 Kidney Physiology and Diuretics with Dr Swaminathan
CA2/3 (2/8): Critical Thinking during Anesthetic Planning for the Complex Patient with Dr M Manning
Interns (2/9): Interpretation of EKG’s with Dr Moon
Thursday (2/9): Jeopardy with Dr Andrea Udani
Private practice group in Lewes Beach Delaware is expanding! See Dr Jay Hutson’s email in the jobs box account for more details about the job and how to reach him.
Emory is expanding faculty – high risk OB, peds, cards, thoracic, general cases, etc. Contact Dr Bola Faloye, 2013 alumni, for more information. Contact information is in box account!