Inaugural Workshop Positions Duke as Nation’s Leader in POCUS

Point-of-Care Ultrasound for the Perioperative PhysicianDuke Anesthesiology recently hosted a first-of-its-kind, intensive hands-on course designed around one of the hottest topics in health care. Held on November 5-6 in the Duke Medicine Pavilion, the inaugural “Point-of-Care Ultrasound for the Perioperative Physician” course drew in 26 attendees from not only Duke but also other regions in the southeast. A mix of faculty, attending physicians, residents, and fellows from a variety of disciplines were provided the basic knowledge and skill set required to perform a focused, diagnostic ultrasonographic assessment of different body systems – a skill that will help physicians and other health care providers better manage their perioperative and critically ill patients.

The concept of the point-of-care ultrasound (POCUS) workshop evolved from a Regional Anesthesiology divisional retreat this past February, where faculty identified the need for this type of educational activity. According to the group, POCUS has the potential to revolutionize value-based patient care, save health systems millions of dollars on an annual basis, and improve patient outcomes. They say the once bulky ultrasound machines have shrunk drastically over the years and are now being replaced by portable, diagnostic ultrasonography at the patient’s bedside in the form of laptops and tablets. As these devices are becoming less expensive, they’re also becoming more accessible to physicians and specialists. Thus, there is a current demand for specialized training courses, such as the POCUS workshop, but very few opportunities for perioperative physicians to acquire these skills.

“We’re flying the flag here at Duke for perioperative medicine,” said Dr. Jeff Gadsden, course program director, who also noted that Duke Anesthesiology is at the leading edge of the curve for using these new ultrasound techniques. “We’re very proud to be one of the first to offer this kind of perioperative-focused workshop, but there will be others as the need grows.”

Overall, the course received great feedback from participants who seemed especially excited to learn these new skills and appreciated the workshop’s intimate, small group, hands-on style. According to Dr. Gadsden, one of the challenges that can arise with hands-on workshops is when there are too many people around the table at once, participants may never get a chance to “get their hands dirty.” For this workshop to be a success, he felt it was crucial to provide the opportunity for all of the attendees to get a lot of scanning time with the ultrasound probe. Dr. Gadsden added that one of the attending physicians even asked him whether Duke Anesthesiology could turn the course into a “road show” and travel to various hospitals, signifying the need for this type of course.

For Dr. Gadsden, one of the highlights from the weekend occurred near the conclusion of Saturday’s workshop, when participants were presented a series of real-life patient cases and asked how they would use POCUS to sort out the problem. “What struck me was how proficient these participants became in such a short period of time,” he recalled. “Seeing all of that evolve just over the course of the first day was incredibly rewarding. It was inspiring to watch as they used this technology and newfound knowledge in a really meaningful way.”

Ten faculty from Duke Anesthesiology presented at the conference with the hope that participants will use this workshop as a starting point for the integration of POCUS into their daily practice. “We were extremely fortunate to make this a cross-divisional collaborative effort and feature the amazing talents of faculty within other Duke Anesthesiology divisions,” noted Dr. Gadsden.  “We had designed this to be a taste of POCUS and hopefully inspire them to go on to learn more. “

When asked about his long-term vision for the course, Dr. Gadsden expects it to develop over time and said, “When people think of POCUS and where to go for training, I want them to think of Duke Anesthesiology.” After the success of this workshop, the planning team has developed a list of ideas to implement for the next one, such as additional case-based modules. The next POCUS workshop is tentatively planned for the spring of 2017 with the goal of attracting a broader audience both geographically and across different disciplines.

Point-of-Care Ultrasound for the Perioperative Physician Course
Point-of-Care Ultrasound for the Perioperative Physician Course
Point-of-Care Ultrasound for the Perioperative Physician Course
Point-of-Care Ultrasound for the Perioperative Physician Course
Point-of-Care Ultrasound for the Perioperative Physician Course
Point-of-Care Ultrasound for the Perioperative Physician Course
Point-of-Care Ultrasound for the Perioperative Physician Course
Point-of-Care Ultrasound for the Perioperative Physician Course
Point-of-Care Ultrasound for the Perioperative Physician Course
Chris KeithInaugural Workshop Positions Duke as Nation’s Leader in POCUS
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That’s a Wrap! Highlights From ASA 2016

ASA 2016 - Thank YouWe would like to thank all members of our department who helped make this year’s American Society of Anesthesiologists (ASA) meeting in Chicago a huge success! Duke Anesthesiology made a big impression at this year’s event with 59 faculty and trainees participating in the conference, including 102 lectures, workshops, panel discussions, presentations, and more. Please join us in congratulating Dr. Miles Berger for receiving the inaugural William L. Young Neuroscience Research Award and Dr. Miklos Kertai for winning “Best of Abstracts: Clinical Science” for his project titled, “Interrelationship of Preoperative Anemia, Postoperative Anemia, Acute Kidney Injury And Mortality After Coronary Artery Bypass Grafting Surgery.”

During the conference, we hosted Duke Anesthesiology’s 28th Annual ASA Alumni Event at the ROOF on theWit. Nearly 200 guests (including Duke Anesthesiology faculty, trainees, staff, alumni, donors and friends) joined us atop the #1 rooftop bar in Chicago surrounded by breathtaking views of the “Windy City” for a night of music, dancing, culinary cuisine and celebration. Guests enhanced their evening by bidding on 16 silent auction items (graciously donated by our faculty and the department) to benefit our Global Health Program and the DREAM Campaign. This year’s winning bidders raised $3,630 which will help fund our residents’ travel expenses for their global health missions.

One of the most anticipated highlights of the evening was the announcement of the 2017 DREAM Innovation Grant (DIG) recipients. Congratulations to…

  • Kamrouz Ghadimi, MD – “Role of Sirtuins in Platelet Aging and Perioperative Thrombocytopenia after Mechanical Circulatory Support”
  • Ian Welsby, MB BS – “Red Cell Rejuvenation for Optimal Tissue Oxygen Delivery”

The DIG is part of the DREAM Campaign which was launched in 2007. These grants support innovative high-risk and potentially high-reward investigations to accelerate anesthesia and pain management research. This year’s DIG recipients will each receive $30,000 in seed money for their pilot study which ultimately helps them apply for and obtain extramural funding. To date, $542,900 has been funded by DIGs which has led to nearly $8 million in extramural funding. We’d like to express our appreciation to the DIG Application Review Committee, the DREAM Campaign board members and chairwoman, Elizabeth Allardice (who joined us at the alumni event), along with our donors who continue to support our research programs and initiatives, ultimately helping us transform the future of patient care.

It was also another successful fundraiser at the 7th Annual ASA Sponsored Run For The Warriors 5k race, dedicated to the men and women wounded in Iraq and Afghanistan, their families and families of the fallen. I’m proud to announce that for the sixth year in a row, the Duke Anesthesiology team won first place for fundraising – a total of $7,405! All proceeds from the race benefit wounded warriors and their families through the many Hope For The Warriors® programs. Thank you to the 34 Duke Anesthesiology race participants and donors who raised money for this good cause. A special congratulations goes to faculty members, Drs. Richard Moon and Catherine Kuhn, for being among the top five fundraisers of the entire event, and Drs. Jack Gamble (CA-2 resident) and Ying Hui Low (Duke Anesthesiology alumnus) who medaled for having one of the top three race times in their age group!

Click here for a photo tour of our 2016 ASA events.

We sincerely appreciate the continued support of our Duke Anesthesiology team and their commitment to our mission of providing extraordinary care through a unique culture of innovation, education, research and professional growth. We are particularly grateful to those who worked in the operating rooms during the ASA so that others on our team could attend. Here’s to a successful 2017 and we look forward to celebrating at our ASA alumni event next October in Boston!

Chris KeithThat’s a Wrap! Highlights From ASA 2016
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Duke AHEAD Grant Awarded

Drs Udani and De GagneThe Duke Academy for Health Professions Education and Academic Development (Duke AHEAD)  has awarded Dr. Jennie De Gagne (Duke School of Nursing) and her team of five co-investigators, including Duke Anesthesiology’s Dr. Ankeet Udani, a $5,025 grant for their project titled, “Needs Assessment of Cybercivility Learning in an Interprofessional Education.”

The goal of this study is to conduct a needs assessment to facilitate the development of interprofessional cybercivility learning modules and curriculum resources for health professions students.

Dr. Udani, assistant professor of anesthesiology and assistant director of the Duke Anesthesiology Residency Program, was awarded membership to Duke AHEAD in July of 2014. Its mission is to promote excellence in the education of health professionals by creating a community of education scholars, fostering innovation in health professions education, supporting outstanding teachers, providing faculty development programs, and facilitating quality education research.

Chris KeithDuke AHEAD Grant Awarded
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That’s a Wrap!
2016 Meeting Roundup

18th Annual Duke Anesthesiology Conference – Controversies in Perioperative Medicine

18th Annual Duke Anesthesiology Conference – Controversies in Perioperative MedicineAnother successful conference is in the books, helping to position Duke Anesthesiology as a premiere education destination! This year’s three-day conference, “Controversies in Perioperative Medicine,” drew in more than 120 attendees from all over the United States as well as 20 industry sponsors. It took place on September 9-11 at the prestigious Washington Duke Inn & Golf Club in Durham.

“Overall, I thought the conference went really well,” said Dr. Madhav Swaminathan, conference program director. 39 faculty presenters from Duke, University College London and The Ohio State University took part in 33 highly engaging lectures and debates, six panel discussions, and two workshops. This is the first time in 18 years that Duke Anesthesiology hosted a conference with such varied multi-subspecialty topics that encompass perioperative medicine, such as cardiac, regional anesthesia, obstetrics, pain medicine, and more. “The topics discussed by experts in the field were absolutely top notch,” he noted. “For our first attempt at incorporating all of these topics, I think it was well received.”

According to Dr. Swaminathan, one of the highlights of the meeting was Saturday’s educational session that was moderated by Dr. Ankeet Udani and included a debate about education strategies for teaching millennials. “The presentations from Drs. Brandi Bottiger, Jeff Gadsden, Richard Moon, and Annemarie Thompson were outstanding and highly engaging,” said Dr. Swaminathan. “Everyone could relate to this topic in the audience which was comprised of baby boomers, Generation-X and millennials. It went beyond just a practice boundary that was relevant to everyone. Education is relevant to all.”

The new perioperative medicine theme and multi-subspecialty format also contributed to increased interest from industry sponsors as well. This year’s 20 vendors, stationed within the conference exhibit hall, received valuable facetime with attendees and faculty during the breaks and receptions.

When asked what attendees can expect at next year’s conference, Dr. Swaminathan confirmed that it will retain the theme of controversies, or rather, the theme of panel discussions and debates that he believed worked really well. “The best take-away for me were the panel discussions and debates which have the best educational value for our participants.” He also noted that more interactive workshops would be incorporated into next year’s agenda, with distinct areas that interest different groups of people. Additionally, the theme of perioperative medicine will continue. “I don’t think we are keen on narrowing it down to any one subspecialty,” he suggested. “We’d like to keep it broad to enable more people to attend for years to come.”

View photos from this year’s Duke Anesthesiology conference below and stay tuned for more details about next year’s meeting!

Chris KeithThat’s a Wrap!
2016 Meeting Roundup
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Teaching Scholars Join Duke AHEAD

Drs. Stephanie Jones and Alexander ReskallahDuke Anesthesiology CA3 residents and teaching scholars, Drs. Stephanie Jones and Alexander Reskallah, have been appointed as new members of Duke AHEAD – the Academy for Health Professions Education and Academic Development. With their new memberships, they will have extended opportunities to collaborate on projects that align with the goal of increasing the use of teams in health care and creative teaching styles and methods.

Duke AHEAD’s mission is to promote excellence in the education of health professionals by creating a community of education scholars, fostering innovation in health professions education, supporting outstanding teachers, providing development programs and facilitating quality education research.

Chris KeithTeaching Scholars Join Duke AHEAD
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