March 9, 2017
There are several announcements as you head toward the weekend:
Next week is Match Week! We are looking forward to what is our own version of March Madness.
As many of you may have noticed, CA-1s have started some of the subspecialty rotations. We’re excited about the adjustment in educational curriculum and know they’ll excel at this opportunity.
ITE scores should be back around the first week of April.
CA-3s…make sure to register for the ADVANCED exam and send the receipt to Jessica for approval (we’ll reimburse if you hit the 50 percent threshold on your CA-2 or CA-3 ITE).
A big thank you to the residents and core faculty who completed the ACGME survey. The residents hit 100 percent participation and the faculty were at 97 percent. We’ll collate the results and present them to you once we receive them, usually mid-July.
You’ve asked and we’ve listened. To address the question of how to prepare for life after residency, we’re collaborating with UNC for the Transitions to Practice Symposium. Dr Brian Colin is working with Dr. Kimberley Nichols on the event to cover key topics of practice management including contract negotiations, billing arrangements, professional liability, legislative issues, and more. Keep an eye out for more information regarding the symposium on Saturday, May 6.
The official call for abstracts is out for Academic Evening (submissions are due by April 7). We’re celebrating 25 years of this event that emphasizes junior level investigator research and is a great avenue to share the research you’ve all been doing during your time here at Duke. Dr. Aman Mahajan, chairman of the Department of Anesthesiology and Perioperative Medicine at UCLA, will be our guest judge this year.
The ACGME had rolled out some changes to the Common Program Requirements that will go into effect July 1, 2017. We’re currently working as an institution and a program on how to best incorporate these changes but you can read a summary here. If you have any ideas or suggestions regarding these, please let Ankeet, Brian, or me know.
Lastly, impressive job to ‘just because he moves’ who is holding on to the top of the leaderboard in the “Get Moving Challenge,” department and institution wide! They currently have more than 780,000 steps! Next week is the final week for this challenge, so I hope all of the anesthesia teams will have a strong finish.
Have a great week!
Presented at ASA 2016
Liver Transplantation in a Patient With Systolic Anterior Motion of the Mitral Valve
Katie Z. Garrett, Eun J. Eoh, MD, Bradford E. Berndt, MD, Xueyuan S. Wang, MD
A 63 year-old male with end stage liver disease secondary to hepatitis C and hepatocellular carcinoma presented for liver transplantation. Post-induction TEE showed SAM with turbulent flow through the left ventricular outflow tract which did not resolve with volume loading. Based on hemodynamics during the dissection phase, we determined complete IVC clamping would not be tolerated; therefore, the surgical approach was changed to piggyback technique with venovenous bypass on standby. The patient was profoundly preload dependent, requiring large volume resuscitation and significant vasopressor support throughout the case. He was extubated on postoperative day (POD) 1 and discharged on POD 7.
3/12 – 3/18
There is still an OB moonlighting shift available on Sat 4/15 AM – if not taken by tomorrow when I send out the prelim April schedule, I will have to use the hit list. Sign up for it ASAP if you want it and are free!
Jack will be your go-to chief from Sat 3/11 through Sun 3/19! Please direct your day-to-day questions to him.
Starting tomorrow, there will be an envelope in my mailbox to collect donations for Office Professionals’ Day (see Dr. Flanagan’s email on 3/6) – please donate, even if just a few bucks.
In addition to logging your moonlighting hours on medhub, please make sure to email Jessica these hours when you do liver transplants overnight (6:30p-6:30a) or on weekends.
This weekend (3/11-12): Rogers, Mangubat
Next weekend (3/18-19): Smith, Chen
This week (Sat PM 3/11 – Fri AM 3/17): Thapa, Castro
Next week (Sat PM 3/18 – Fri AM 3/24): Hulsey, Fox
Friday Night Call
This Friday (3/10): Hulsey, Cotter
Next Friday (3/17): Herbert, Hall
Liver Call Weekend (pager: 7320)
This weekend (Fri PM 3/10 – Sun PM 3/12): Seifert
Next weekend (Fri PM 3/17 – Sun PM 3/19): Doshi
Liver Call Weekday (pager: 7320)
Liver day (Mon AM 3/13- Fri PM 3/17): McCauley
Liver night (Sun PM 3/12 – Fri AM 3/17): Bluth
Saturday 3/11 AM: Mangan
Saturday 3/11 PM: Crowgey
Sunday 3/12 AM: Horazeck
Saturday 3/18 AM: Brockbank
Saturday 3/18 PM: Seifert
Sunday 3/19 AM: Mangan
This Friday (3/10): Mangubat, Hall
Next Friday (3/17): none
Simulator (4-6 p.m. — page charge CRNA *7853 to ask for relief at 3:45 p.m.)
*These are mandatory sessions*
Mon (3/13): cancelled!
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 online! Please contact Jennifer Schwabel and Jessica Burkhart if you’re interested in creating a video for your physician profile page! Check out Dr. Thomas Buchheit’s profile video for a great example.
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 (3/7): Case Review with Dr Annemarie Thompson
CA2/3 (3/8): Valvular Heart Diseases wth Dr Nazish Hashmi
Interns (3/9): Acute Pain Management with Dr Padma Gulur
Thursday (3/9): Strategies for Balance and Success: Time Management and Study Skills with Dr Michael Manning and Dr Ashley Grantham
Next Week in Lectures
CA1 (3/14): Cardiac Physiology, Preload, Afterload and Frank Sterling Law with Dr Mauricio Del Rio
CA2/3 (3/15): Pacemakers and AICDS with Dr Anne Cherry
Thursday (3/16): Principles of Doppler Ultrasound and Image Optimization with Dr Alina Nicoara
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!