Dr. Stafford-Smith Receives High Honor from ACGME

Mark Stafford-Smith, MDThe Accreditation Council for Graduate Medical Education’s Board of Directors confirmed Dr. Mark Stafford-Smith’s appointment to the ACGME Review Committee for Anesthesiology on June 8. Dr. Stafford-Smith is Duke Anesthesiology’s vice chair of education and the director of the fellowship education program. In his new role with the ACGME, Dr. Stafford-Smith, professor of anesthesiology, will help the non-profit organization achieve its mission to “improve health care and population health by assessing and advancing the quality of resident physician’s education through accreditation.”

Members of review committees set accreditation standards, provide peer evaluation of programs or sponsoring institutions to assess the degree to which these comply with the published educational requirements, and confer an accreditation status on each program or sponsoring institution with regard to meeting those standards. The ACGME is responsible for accrediting graduate medical education programs and institutions, while other organizations accredit medical schools (e.g. LCME, COCA) and continuing medical education (e.g. ACCME).

To learn more about the ACGME, visit http://www.acgme.org/.

Chris KeithDr. Stafford-Smith Receives High Honor from ACGME
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That’s a Wrap! Highlights from Duke Anesthesiology’s 24th Annual Academic Evening

2016 Academic Evening Feature

Duke Anesthesiology hosted another successful Academic Evening on May 9 at the Millennium Hotel in Durham. The 24th Annual Academic Evening featured an impressive 103 poster abstract presentations from the department’s junior level investigators and faculty. The ePosters represented challenging clinical cases and research reports from all training levels and departmental divisions. This annual event helps promote research and discovery with the overall goal of advancing anesthesia, critical care and pain management.

“Academic Evening is a great opportunity to learn more about all of the amazing work our peers are doing,” said Dr. Sarah Cotter, one of Duke Anesthesiology’s resident interns. “Participating in Academic Evening reminded me of the many reasons why I was so excited to Match here and of all the things I’m looking forward to starting in my CA-1 year.”

New to this year’s category line-up was the addition of “Quality Improvement Projects,” a new educational initiative led by Dr. Brad Taicher with the Department of Anesthesiology.

Duke Anesthesiology alumna and former faculty member, Dr. Debra Schwinn, served as this year’s guest judge and speaker. Dr. Schwinn is currently the associate vice president for medical affairs at the University of Iowa and also holds appointments as a professor of anesthesiology, pharmacology and biochemistry. Her inspiring speech touched on lifestyle advice and ways to better improve patient care. When presenting awards for each of the winning posters, she described each project and its potential implications to the science and practice of anesthesiology.

Incoming Duke Anesthesiology resident intern, Dr. Russ Horres, was given the opportunity to recite a quote from Antonio Machado during Dr. Schwinn’s speech: “Traveler, there is no path; paths are made by walking.” He said the event is “a great opportunity to meet and interact with attendings in the department. I was really impressed by all of the research going on in the department, especially from a basic science standpoint.”

At the conclusion of the evening, program directors, Dr. David Warner and Dr. Cathleen Peterson-Layne, thanked all of the participants and everyone who helped make this event possible, especially those who served as abstract judges, moderators, mentors, and support staff. “At the end of a long year, spending the evening surrounded by great people, great ideas, and great food can be the exact reminder we need that we are all so fortunate to be here and to be part of this group,” said Dr. Cotter when asked about her overall experience participating in this year’s event and winning runner-up in the “Resident Research category.

Congratulations to each of the award winners and teams, listed below.

2016 Academic Evening Winners

1st Place
Satya Achanta, DVM, PhD
(Duke Anesthesiology Chemical Sensing, Pain and Inflammation Research Laboratory)
TRPV4 Inhibitor Improves Pulmonary Function and Oxygen Saturation in a Pig Translational Model of Chemically Induced Acute Lung Injury

Runner-Up
Shuai Liu, PhD
(Duke Anesthesiology Molecular Neurobiology Laboratory)
SUMO2 plays a critical role in episodic and fear memories

1st Place
Ying Hui Low, MD
(Adult Cardiothoracic Anesthesiology Fellow, Duke Anesthesiology)
Heart-specific release of immune mediators during surgical ischemia-reperfusion and their association with postoperative adverse outcomes

Runner-Up
Lisa Einhorn, MD
(Pediatric Anesthesiology Fellow, Duke Anesthesiology)
Percutaneous Endoscopic Gastrostomy versus Surgical Gastrostomy in Infants with Congenital Heart Disease

Runner-Up
Tiffany Richburg, MD
(Adult Cardiothoracic Anesthesiology Fellow, Duke Anesthesiology)
Postoperative Atrial Fibrillation:  Predictive Value of Global Longitudinal Strain

1st Place
Brittney Ciszek, PhD
(Pending Dental Student, Duke Anesthesiology Center for Translational Pain Medicine)
Peripherally located β2-and β3-adrenergic receptors contribute to the development of COMT-dependent pain in rats, but not the maintenance of pain in COMT-/-mice

Runner-Up
Daniel DeMasi
(Clinical Trial Assistant, Duke Human Pharmacology and Physiology Lab)
Measurement of Non-Invasive Cerebral Flow During Hypocapnia & Hypercapnia

1st Place
Nathan Waldron, MD
(CA-3 Resident, Duke Anesthesiology)
Adverse outcomes associated with postoperative atrial arrhythmias after lung transplantation

Runner-Up
Sarah Frush Cotter, MD
(Resident Intern, Duke Anesthesiology)
Blood-Brain Barrier Permeability and Cognitive Dysfunction After Cardiac and Non-Cardiac Surgery

Runner-Up
Lauren H. Jones, MD
(CA-1 Resident, Duke Anesthesiology)
Early Progressive Mobility Protocol Implementation in the ICU:  Analysis of Medical and Fiscal Benefits

1st Place
Alexander Chamessian
(Medical Student, Duke University School of Medicine)
Optogenetic control of A-beta fibers using a novel VGLUT1-Channelrhodopsin-EYFP mouse

Runner-Up
Yul Daniel Huh
(Medical Student, Duke University School of Medicine)
Intrathecally injected bone marrow stromal cells produce sustained neuropathic pain reduction in paclitaxel-treated mice

1st Place
Hassan Amhaz, MD
(Adult Cardiothoracic Anesthesiology Fellow, Duke Anesthesiology)
Upper Extremity Peripheral Intravenous Line Infiltration with Concomitant Loss of Pulses Treated with Lipoaspiration: A Case Report

Runner-Up 
Bronwyn Southwell, MD
(Pain Medicine Fellow, Duke Anesthesiology)
Intramedullary implantation of an intrathecal catheter

Runner-Up
Agnes Lamon, MD
(Obstetric Anesthesiology Fellow, Duke Anesthesiology)
TWO DIFFICULT AIRWAYS AT ONCE: EXIT procedure for severe fetal micrognathia in a mother with Pierre-Robin syndrome

1st Place
Kendall Smith, MD
(CA-2 Resident, Duke Anesthesiology)
Real-time electronic reminders improve timely re-dosing of prophylactic antibiotics during surgery

Runner-Up
Suraj Yalamari, MD (CA-3 Resident, Duke Anesthesiology)
Jamie Privratsky, MD (CA-3 Resident, Duke Anesthesiology)
Dissemination of a Simple Flowchart to Reduce the Unnecessary Escalation of Antibiotic Prophylaxis

Runner-Up
Nazish K. Hashmi, MD
(Critical Care Medicine Anesthesiology Fellow, Duke Anesthesiology)
Development, implementation and evaluation of the impact of a standardized perioperative blood transfusion protocol for cardiac surgery patients at the Durham VAMC

View the 2016 AcademicEvening Photo Gallery

Chris KeithThat’s a Wrap! Highlights from Duke Anesthesiology’s 24th Annual Academic Evening
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Duke Anesthesiology Introduces New Education Classes

Drs. Warlick, Quinones and VegaDuke Anesthesiology has taken another step forward in achieving its mission of “providing extraordinary care through a unique culture of innovation, education, research and professional growth” with the launch of new education initiatives focusing on medical students.

For the first time ever, this department has created courses that venture into a new environment and accept fourth-year medical students outside of Duke, all in effort to increase diversity and allow medical students here and abroad the opportunity to take part in premier anesthesia rotations in the Department of Anesthesiology.

The Creation of “Anesth401C” and “Anesth402C” 

Dr. Quintin Quinones believes the Cardiothoracic Intensive Care Unit (CTICU) is one of the premiere learning environments at Duke University Hospital (DUH) but nationwide, he says it’s not typically a place where med students are part of the team or where education is offered due to the high acuity of the patients and lack of educational focus. It wasn’t until he became faculty with the Department of Anesthesiology that Dr. Quinones realized the vital need for a course in the CTICU where students could receive critical care training like never before.

Determined to make that happen, he spent about one year, from start to finish, on his “passion project” – writing two cardio intensive care courses (a four-year elective and a sub-internship), formally proposing them to the Duke University School of Medicine’s curriculum committee and getting them approved.

“When I saw the opportunity to write a course, I was really excited about it,” says Dr. Quinones. “The next generation of physicians needs to be well-equipped with the knowledge provided in these new courses and medical school is where we lay that foundation.”

The courses were rolled out to medical students this past February – courses that Duke Anesthesiology has never offered before until this year. Dr. Quinones’ courses are unique because the sub-internship is also offered to visiting medical students and because of what students will be exposed to in the CTICU at DUH. According to Dr. Quinones, medical students rarely see patients who are on ECMO, and they almost never see patients who are on veno-arterial ECMO for cardiogenic shock or patients who have mechanical assisted devices such as LVADs and RVADs. Now, they have that opportunity; students can interact with cardiac intensivists and play an active role in how those patients are cared for.

“When I was a medical student at Duke, I never saw a patient on ECMO or saw an LVAD,” says Dr. Quinones. “These are parts of 21st century medicine that are becoming more and more common; it’s not unheard of to take care of a patient that has one of these devices as a non-cardiac anesthesiologist. Med students should understand how these novel techniques work and the basics of how to care for patients that require this high level of support.”

Not only are these courses a milestone for the Department of Anesthesiology, they’re a milestone for Dr. Quinones’ career as a first-time medical course creator. “I really like education and I love teaching. I discovered that during my residency and fellowship here at Duke.”

But in true Duke fashion, Dr. Quinones gives credit to the team of colleagues who helped him implement these courses including his mentor, Dr. Mihai Podgoreanu, chief of the Cardiothoracic Anesthesia Division, and Dr. Nancy Knudsen, course director for the Surgery Intensive Care Unit medical student rotation, both of whom were supportive and instrumental in guiding him through the process. He also credits Jaime Cooke who helps administrate the courses which begin again this August.

“I have found that training others is the highest level of education you can achieve. When you can teach others that means you really know your craft well and that’s very satisfying to me. And, it’s rewarding to see medical students picking up that knowledge,” says Dr. Quinones. “I hope this advanced level of learning will continue to be a cornerstone of education at Duke.”

Newly Designed Course Rolls Out This Fall

When Duke Anesthesiology’s chairman asked for an existing course to be opened, for the first time, to visiting medical students, Drs. Alicia Warlick and Eleanor Vega were excited to take on the role as course directors.

With leadership from Duke University’s School of Medicine, Drs. Warlick and Vega spent the past few months creating the new course, titled “Clinical Anesthesiology for Visiting Medical Students,” which will officially roll out this August and will be offered to four visiting medical students – one for each of the elective periods for the fall 2016 term.

Throughout the four-week course, visiting students will spend their days in different operating rooms interacting with a variety of anesthesiology attendings. Dr. Warlick hopes to lead these students through a very diverse curriculum, including every subspecialty in anesthesia, along with offering them the opportunity to do airways, lines and clinical procedures.

“This course aims to provide visiting medical students with the whole perioperative picture which I hope will ultimately peak these students’ interests in something they’ve never experienced before – something new that they see during this rotation that solidifies their interest in a subspecialty,” says Dr. Warlick. “In turn, we hope to recruit more diverse students and receive more applications for our department’s residency program.”

“We certainly attract the best of the best to apply for the Duke Anesthesiology Residency Program and we want to ensure that we’re attracting excellent students from a wide variety of backgrounds and institutions,” adds Dr. Vega. “This rotation will give visiting medical students in-depth exposure to our curriculum, residents and faculty which we hope will encourage them to apply for our residency program.”

As Duke Anesthesiology continues to broaden its educational offerings, it’s clear that its faculty will continue the Duke tradition of being an institution of lifelong learning. “Anytime people come together with different backgrounds and experiences, we all learn from one another,” concludes Dr. Vega. “We’re excited to meet the students and see what they can bring to the table.”

Chris KeithDuke Anesthesiology Introduces New Education Classes
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Ankeet Udani, MD, Wins New Scientist Award

Ankeet D. Udani, MD, MSEdDr. Udani recently received a notice of award in the amount of $150,000 by the Anesthesia Patient Safety Foundation for a two-year APSF Safety Scientist Career Development Award for his research project titled, “A Comparison of two learning theories on emergency manual use: Classroom-based experiential learning versus electronic-based self-directed learning.”

Ankeet Udani, MD, MSEd, is an assistant professor in the Department of Anesthesiology, the assistant director of the Human Simulation and Patient Safety Center (HSPSC), and an assistant director of the Anesthesiology Residency Program at Duke University. His primary mentor, Jeffrey Taekman, MD, is a professor of Anesthesiology, the director of the HSPSC, and the assistant dean for Educational Technology at Duke University. Dr. Udani completed a fellowship in Patient Safety and Simulation-based Medical Education at Stanford University and a Master’s in Education at Johns Hopkins University. He has previously designed and studied the impact of educational strategies in anesthesiology. With this career development award of $150,000 over two years, Dr. Udani will develop skills in implementation science to complement his knowledge in anesthesia education, simulation and patient safety. The proposed project, “A comparison of two learning theories on emergency manual use: Classroom-based experiential learning versus electronic-based self-directed learning,” will study the effectiveness of two exclusive educational strategies.

Using emergency manuals during intraoperative crises enhances patient safety by ensuring critical steps are considered and completed. Dr. Udani and his team of mentors and consultants will use quantitative and qualitative methodology to assess the impact of each educational strategy both in simulation and the clinical environment. Dr. Udani’s development through this award will give him the skills necessary to gain experience in implementation science and translational research design in medical education. Dr. Udani aims to be a leader in thematic and systematic design of educational interventions to best impact perioperative patient safety at the level of clinical care and population outcomes.

View Dr. Udani’s feature article about this award in the Newsletter, the official journal of the APSF.

Chris KeithAnkeet Udani, MD, Wins New Scientist Award
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