ࡱ> %` ebjbj ̟̟A-V V V V V V V 4 ֯֯֯h>$b, (¹¹¹  ɺ$h&9V @@@&V V ¹¹_555@V ¹V ¹5@55<V V ¹ y#֯ 2.rD u0 3&V tѺ#5+t ѺѺѺ&&D5XѺѺѺ@@@@ $ D V V V V V V  College of Human Medicine Michigan State University Lansing Community Graduate Medical Education Annual Report 2007-2008 The 2007-2008 academic year was a very exciting one for the residency and fellowship programs served by CHMs Lansing Community Campus. Our training programs continued their success in attracting highly qualified trainees. Current residents and fellows distinguished themselves through their clinical work, publication of original research, and presentations at regional and national meetings. Program faculty also displayed excellence in teaching and in mentoring their charges. And program directors continued their expert leadership, directing our programs through difficult budgetary times while adhering to each of their programs rigorous training requirements. This report will summarize the activities of the Assistant Deans office and each of our training programs, highlighting the educational and research activities of our trainees and faculty. The greater Lansing community should be proud to have our programs delivering excellent care to the community at the same time that they are advancing the medical knowledge of our trainees and furthering research in medicine. Assistant Deans Report The past academic year was one of tremendous change in the Lansing community. Along with transition in the Assistant Deans office, we saw many changes in leadership and sponsorship of our training programs. At the same time, the Lansing medical community has been faced with difficult budget decisions, reflective in part of trying financial times within our area. Despite this, our programs have continued to provide excellent education to our residents and fellows and continue to adhere to the highest standards of education as set forth by the Accreditation Council on Graduate Medical Education. Highlights of the academic year are as follows: The year began with a transition in leadership within the Graduate Medical Education office. The Associate Dean for GME, Dianne Wagner, MD, assumed the position of Associate Dean for College-Wide Assessment, and the Director of Medical Education, Lyn Farquhar, Ph.D., left to pursue other opportunities. As part of the colleges expansion to the Grand Rapids campus, Peter Coggan, MD, replaced Dr. Wagner as Associate Dean with his office in Grand Rapids. A new position, the Assistant Dean for Graduate Medical Education, was created and filled by Randolph L. Pearson, MD. The director of the Internal Medicine Residency, Davoren Chick, MD, left the program and was replaced by Heather Laird-Fick, MD. Dr. Laird-Fick began an effort, along with faculty of the Sparrow Health System Osteopathic Internal Medicine Residency, to more closely align the programs. This has resulted in a joined program, ultimately with shared faculty and resources. Peter Gulick, DO, is the current director of the Osteopathic Internal Medicine program. The director of the MSU Surgery Residency, Keith Apelgren, MD, resigned and was replaced by Andrew Saxe, MD, as interim director. Permanent director for the program will be named after conclusion of the departments chair search. The director of the MSU Pediatric Residency, Peter Jennings, MD, announced his resignation, effective August, 2008. He will be replaced on an interim basis by Yakov Sigal, MD. Multiple changes in sponsorship are in transition over the coming years. All of the Internal Medicine Residency and Physical Medicine and Rehabilitation positions will be financially supported by Sparrow Health System. Residency Review Committee reviews and reports were submitted for a number of programs. The Electrophysiology Fellowship received notice of two-year accreditation. The Hematology and Oncology Fellowship was reviewed in October, 2007, and given a one-year accreditation. The Psychiatry Residency was reviewed in October, 2007, and given a full five-year accreditation. The Surgery Residency was notified in February, 2008, that they were placed on probation. Repeat visit from the RRC will occur in two years. The Infectious Disease and Endocrinology Fellowships were reviewed in June, 2008, and their reports are pending. We will be faced with many challenges in the upcoming year. However, the quality of our trainees and the commitment of our faculty will help us meet the challenges and continue our excellent training and excellent care to the Lansing community. Randolph L. Pearson, MD Assistant Dean for Graduate Medical Education College of Human Medicine Michigan State University MSU Internal Medicine Residency Heather Laird Fick, MD, Program Director Academic Year Highlights: Heather Laird-Fick, MD was named program director to replace Davoren Chick, MD, who left to pursue other opportunities. Under Dr. Laird-Ficks leadership, the program has moved to become dually accredited by the ACGME and the AOA. The current osteopathic program director is Peter Gulick, DO. Parallel Accreditation/Program Merger: Our program began the process of merging with the Sparrow Osteopathic Internal Medicine Residency in August 2007. The new combined program received approval for increased number of positions from both the ACGME and AOA. This process included significant coordination of effort, revision and addition of rotations (such as inpatient ward experiences), coordination of recruiting processes, and communication to accomplish. The first merged or parallel accredited class begins July 2008. Plans for new teaching rounds: The ACGME requires 4.5 hours of teaching per week above and beyond that required for patient care during inpatient internal medicine rotations. In the past, the residency has utilized three, 1.5 hour sessions per week over the lunch period. There has been mounting dissatisfaction with these sessions on the part of residents and attending physicians for a number of reasons. During early 2008, an alternate plan for teaching sessions was designed and piloted. Under the new format, residents will participate in teaching sessions for 3.5 hours divided over four mornings per week. The Monday, Wednesday, Friday sessions will engage participants in case-based discussions with bedside teaching. Residents will be evaluated using mini-CEXes. The Thursday sessions will emphasize systems based practice, ethics, and clinical pharmacology. The additional 1 hour per week of teaching required by the ACGME will be incorporated into the management attending rounds. Match Results: We completed a successful Match for the incoming class of 2008-09, coordinating both the osteopathic and allopathic match processes. We matched one candidate and scrambled for a second in the osteopathic match. This was an anticipated likelihood, as the parallel accreditation had not been formally approved prior to the recruiting season. We had one allopathic pre-match, and filled the remaining nine slots within the top 1/3 of our rank order list. Fellowship Match Results: We had an outstanding fellowship match this year. Of nine applicants, six matched into their specialty choice (see below). One has decided to remain within general internal medicine, one is applying for a single year fellowship for AY 2009-10 with plans to re-apply for cardiology fellowship, and the other is applying for research fellowships with plans to re-apply for cardiology fellowship. Gadeela, Nitesh: Cardiology fellowship, Michigan State University Grover, Madhusudan: Gastroenterology fellowship, Mayo Clinic Jagtap, Deepa: Hematology/Oncology fellowship, Wayne State University Karnchanasorn, Rudruidee: Endocrinology fellowship, University of California Los Angeles Latif, Sahibzada: Gastroenterology fellowship, University of Alabama- Birmingham Mukerji, Siddharth: Cardiology fellowship, University of Texas-Houston Picker Institute Challenge Grant: Drs. Laird-Fick, Smith and Dwamena received one of four Picker Institute Challenge Grants specified for graduate medical education projects. This is a prestigious and highly competitive grant program. The three, working closely with leadership and staff members at Sparrow Hospital, will implement and evaluate their project, Patient-Centered Training of Residents on a Medical Ward, during AY 2008-09. Curricular Dissemination: Our core competency and rotation curricula, including the PGY1 Ambulatory and PGY3 Ambulatory Surgical Subspecialties, continue to be used as references or templates for a number of residency programs across the country. Facilities: The program was able to work with the Sparrow Director of GME to identify a new call room for the ICU senior resident, and a new resident lounge space for all programs to use beginning sometime in 2008-09. New discovery. Dr.s Kiran Sarikonda (faculty) and Rubens Ribeiro helped discover a new form of hemoglobin that will be dubbed Hemoglobin Lansing. They sent a patients blood off for additional analyses at the Mayo Clinic after finding an unusual form of hemoglobin on electrophoresis in a patient admitted to Sparrow Hospital with an unrelated complaint. Scientists at Mayo Clinic worked to describe the chemical structure of the new hemoglobin. Dr.s Sarikonda and Ribeiro have maintained contact with the Mayo group, and publication of the discovery is pending. Graduating Residents: Chandra, Shalabh: Cardiology fellowship, Michigan State University Choure, Gautam: Nephrology fellowship, Temple University Gadeela, Nitesh: Cardiac Electrophysiology fellowship and the Cardiology fellowship, Michigan State University Gourineni, Nandu: Chief resident, MSU Internal Medicine Gupta, Ashwani: Nephrology fellowship, Henry Ford Kaur, Tarundeep: Nephrology fellowship, University of Minnesota Kosuri, Kalyan: Pulmonary/Critical Care fellowship, Wayne State University Opara, Oluchi: Hospitalist, Academic Internal Medicine Associates, Detroit, MI Yasin, Fadi: Academic internist, MSU Department of Medicine Incoming Residents: Banga, Amit: Gajra Raja Medical College, India Bhutani, Manisha: Pt Bhagwat Dayal Sharma Post-Grad Institute of Medical Sciences, India Chung, Won: Soonchunhyang University, South Korea Contractor, Tahmeed: Lokmanya Tilak Municipal Medical College, India Durga, Sridevi: Andhra Medical College, India Gaurav, Kumar: BP Koirala Institute of Health Science, Nepal Lilagan, Menelito: Touro University Narayanan, Santhosshi: Stanley Medical College, India Efeovbokhan, Nephertiti: Obafemi Awolowo University, Nigeria Peddi, Prashanth: Kakatiya Medical College, India Rayamajhi, Supratik: Tribhuvan University, Nepal Schneider, Brian: Michigan State University College of Osteopathic Medicine Research publications/presentations (resident and faculty): See report Honors (resident and faculty): Senior resident Dr. Shalabh Chandra was inducted into the Alpha Omega Alpha National Honor Society in fall 2007 along with past resident and faculty member Dr. Adesuwa Olomu. Dr.s Sahibzada Latif, Abhijeet Dhoble and Kevin Patel all received Honorable Mentions for their submissions to the Johns Hopkins General Internal Medicine Research Awards. The research contest includes several different categories of scholarship. Dr. Sahibzada Latif received a Poster of Distinction award at the 2008 North American Society of Pediatric Gastroenterology, Hepatology and Nutritions annual meeting in Utah. At the 2008 Lansing Research Day, first year residents Dr.s Erin Sarzynski and Neethi Sural tied for Best Case Study Poster. At the Michigan American College of Physicians Associates Meeting in May 2008, Dr. Ashima Makol received First Place in the EBM category for her oral presentation on a diabetes quality improvement project. The MSU Internal Medicine Residencys Doctor's Dilemma Team (consisting of Dr.s Madhusudan Grover, Chethan Puttarajappa and Abhimanyu Beri) placed first in their round and will advance to championship round at the September meeting. Dr. Rey Bouknight (key faculty) received the Michigan State University College of Human Medicine Outstanding Clinician Award. Dr. Alan Neiberg (key faculty) was named a fellow in the American College of Emergency Physicians, and continues to be named on the Best Doctors in America honor roll. Dr. Robert Smith received multiple awards during 2007-08, including: Mentor Award, College of Human Medicine, Michigan State University College of Human Medicine Distinguished Faculty Award, Michigan State University University Distinguished Faculty Award, Michigan State University The following resident awards were presented at this years graduation ceremonies: Outstanding Junior Resident: Dr. Chethan Puttarajappa Outstanding Senior Resident: Dr. Gautam Choure Outstanding Resident in Research: Dr. Ashwani Gupta Bernard H. Smookler Endowment Award: Dr. Nandu Gourineni Sparrow Outstanding Junior Resident Award: Dr. Neethi Sural Sparrow Outstanding Senior Resident Award: Dr. Kalyan Kosuri Outstanding Resident in Cardiovascular Diseases: Dr. Siddharth Mukerji Outstanding Resident in Hematology/Oncology: Dr. Deepa Jagtap Outstanding Resident in Endocrinology: Dr. Rudruidee Karnchanasorn The following faculty awards were presented at this years graduation ceremonies: Excellence in Teaching Award for University Faculty: Dr. Rey Bouknight Excellence in Teaching Award for Community Faculty: Dr. Alan Neiberg Research Teacher of the Year: Dr. Ade Olomu Outstanding Support Staff and Clinical Support Staff Award: Trinh Tran Rose Award for Outstanding Service in Education: Dr. Heather Laird-Fick Goals for upcoming year: Integration of programs: Although much of the groundwork was laid for the dually accredited program in AY 2007-08, success still depends on ongoing communication and coordination of effort. This includes redesigning the website, residency materials, and recruitment process to reflect the merger; coordinating two sets of administrative staff; educating attending physicians about the evaluation and documentation requirements for the osteopathic accreditation; and acculturating the residents, faculty and staff. Dr.s Laird-Fick and Gulick are working closely with Carol Parker Lee and the GMEI staff on website and recruiting efforts specifically. . Picker Institute Challenge Grant: The program will be implementing the grant proposal, Patient-Centered Training of Residents on a Medical Ward, during AY 2008-09. The grant proposal requires some restructuring of the educational activities, particularly during the FIRM rotations, and will require a total of 0.2 FTE of key faculty time to implement. It also requires significant coordination with Sparrow Hospital to develop an academic ward on 8South. The results of the project will be presented at the spring ACGME meeting in Dallas, Texas at the request of the ACGME and Picker Institute. We anticipate developing a resource manual to disseminate the curriculum, as well as submitting presentations and publications based upon our experiences and research results. Contact with Subspecialty Programs: As the core program has transitioned out of IRMC, we must be very sensitive to the level of contact between the core residents and the hematology/oncology fellows. Hematology/Oncology is a required senior-level rotation, and our residents work closely with the fellows at the Breslin Cancer Center. The MSU Hematology/Oncology program now sees consults at Sparrow Hospital as well, as part of the duties of the fellows inpatient consult experience. Residents on the Hem/Onc rotation will see these consults with the fellows. We are looking at ways to increase contact through didactics and research as well. We have increased the number of fellows providing didactic talks to the core program across all fellowship programs for 2008-09 already. Core competency highlight: Patient care Night Float residents complete two mini-CEXes with attending physicians per 2 week Night Float block. After morning report, the resident meets with the attending physician to complete a mini-CEX focusing on data gathering/history, physical exam, medical decision making, and/or counseling. Each encounter takes 15-30 minutes, including feedback. The attending physician documents the interaction in the residencys web-based evaluation system. Medical knowledge All of our residents are required to participate in the Board Review lecture series. From September through June, topics are assigned on a 2-4 week block basis. The chief resident and guest attending physicians review MKSAP questions and answers with the group. At the end of each section, the residents take a MKSAP-based exam. The minimum passing scores vary for junior (PGY-1) and senior (PGY-2 and -3) residents. All residents must pass 60% of the examinations to complete the requirements for that academic year. Practice-based learning and improvement The junior residents worked with Dr. Julie Felt at Sparrow Hospital to learn more about Practice Improvement activities at the hospital during their required ambulatory rotation. Dr. Felt reviewed the basic tenets of practice improvement with them, and had them review a series of charts for the congestive heart failure project. The residents were also required to write a brief paper focusing on practice improvement. In addition, the junior residents have to review five clinic charts for compliance with hypertension treatment goals as part of the ambulatory rotation, and suggest changes in evaluation or management if the patient is not at goal. Both activities are required elements of the rotation. Interpersonal and communications skills All of our residents are required to complete a 4-week rotation in psychosocial medicine. Among other things, this rotation emphasizes relationship centered interviewing and communication skills. Residents are required to tape record and analyze interactions with patients, and participate in psychosocial rounds in the hospital. These rounds are supervised by Dr.s Robert Smith and Francesca Dwamena, who collectively have been organizing the rotation for more than 20 years. The residents routinely evaluate this as one of the best rotations in the residency program. Professionalism Professionalism is emphasized throughout all residency experiences. The required psychosocial rotation provides one example. The rotation is designed to address important professionalism attitudes, behaviors and skills particularly those involving the medical interview, caring for somatic disorders, and counseling. The rotation also includes a small group discussion series on ethics topics. Systems-based practice: The MSU FIRM (general internal medicine ward) service residents work with an academic case manager, Angela Schmalbach. Ms. Schmalbach attends morning reports and coordinates discharge planning with the residents. She also educates them about systems issues such as medical insurance coverage, admission criteria, length of stay/DRGs, etc., as part of the morning report teaching. The Night Float residents meet with her to perform a chart-simulated review regarding admission criteria and order writing as well. Internal Medicine Residency Publications and Presentations Last NameFirst NameTypeTitleStatusMeeting2007-2008 AwardBeriAbhimanyuPoster PresentationThird Trimester Hamman's SyndromePresented2008 Lansing Research DayBeriAbhimanyuPoster PresentationThird Trimester Hamman's syndromeSelected to Present2008 Internal Medicine ACP abstract competition to be held in Washington D.C,ChandraShalabhOral PresenationCaught in the act: Inter-atrial thrombus trapped in patent foramen ovale.AcceptedChoureGautamPoster PresentationA Case of Adult Onset Still's disease with An Atypical Pruritic RashPresented2008 ACP Michigan Chapter Associates Day, Sterling Heights , MIDhobleAbhijeetAbstractUse of Beta Blockers, Lipid Lowering agents, and Angiotensin Converting Enzyme - Inhibitors Before Recurrent Acute Myocardial Infarction".Award2007 GIM Johns Hopkins Housestaff Research AwardHonorable MentionDhobleAbhijeetPoster presentationsOlomu AB, Dhoble A, Siddiqi A, Burton K, Oluwole D, Holmes-Rovner MM. Use of beta blockers, lipid lowering agents, and Angiotensin converting enzyme- inhibitors before recurrent acute myocardial infarction. Midwest regional meeting, Accepted2007 Society of General Internal Medicine. Chicago, IllinoisHonorable Mention at the Johns Hopkins GIM Housestaff Research ProgramDhobleAbhijeetPoster PublicationAbdelmoneim SS, Dhoble A, El-Nashar SA, Bernier M, Moir S, Mankad SV, Mulvagh SL. Can Quantitative Myocardial Contrast Echocardiography During Vasodilator Stress Diagnose Coronary Artery Disease? A Systematic Review and Meta-Analysis. AcceptedBubble Conference 2007, Chicago, IllinoisDhobleAbhijeetPoster presentationDhoble A, Khasnis A. Mesenteric ischemia secondary to low output cardiac failure: A series of unfortunate hemodynamic events. Accepted2007 Michigan chapter scientific meeting, American College of Physician. Kalamazoo, MichiganDhobleAbhijeetPoster presentationKaur T, Williams N, Dhoble A. Emphysematous pyelonephritis: a rare case and novel approach to treatment. Accepted2007 Michigan chapter scientific meeting, American College of Physician. Kalamazoo, MichiganLast NameFirst NameTypeTitleStatusMeeting2007-2008 AwardDhobleAbhijeetPoster PublicationBernier M, Dhoble A, Abdelmoneim SS, Moir S, Pellikka PA, Mulvagh SL. Quantification of myocardial perfusion during real time contrast Dobutamine stress echocardiography to detect angiographically significant stenosis. Accepted2007 Canadian Cardiovascular Congress, Qubec City, CanadaDhobleAbhijeetPublicationAortic Dissection presenting with new onset atrial fibrillation: very unusual presentation"PublishedSouth Med J 2008:101.DhobleAbhijeetOral PresenationAbhijeet Dhoble, MD: Disparity in Use of Beta Blocks Before Recurrent Acute Myocardial Infarction.Presented2008 Lansing Research DayDhobleAbhijeetPoster PresentationDermatomyositisPresented2008 Lansing Research DayDhobleAbhijeetPoster PresentationLeft Ventricular Apical Ballooning During Excercose Stress Echocardiagram Secondary to Hypertensive Response.Presented2008 Lansing Research DayDhobleAbhijeetPoster PresentationAbnormal Hypertensive Response during Exercise Stress Echocardiogram Leading to transient Left Ventricular Apical BallooningPresented 2008 ACP Michigan Chapter Associates Day, Sterling Heights , MIDhobleAbhijeetOral PresenationRacial Differences in the Use of Beta Blockers, Lipid Lowering Agents, and Angiotensin Converting Enzyme Inhibitors before Recurrent Acute Myocardial InfarctionPresented 2008 ACP Michigan Chapter Associates Day, Sterling Heights , MIGadeelaNiteshAbstractsType 1 Diabetes versus Type 2 Diabetes: A Classification Dilemma Anjana Myneni, MD, Panchali Khanna, MD, Nitesh Gadeela, MD, Saleh Aldasouqi, MD, Andamal Hammoud, MDPresentedAmerican Association of Clinical Endocrinologists, 2007, Seattle WAGadeelaNiteshPoster PresentationDo b Blockers Reduce Ventricular Arrhythmias In ICD Patients? Punnam S, Gadeela N, H Li, R Touma, M Patel, George Abela, Thakur R. PresentedMichigan Chapter ACC, Presented by me at 19th Annual Chapter Conference, 2007. Last NameFirst NameTypeTitleStatusMeeting2007-2008 AwardGadeelaNiteshPeer ReviewMehul B. Patel, MD, Haiyan Li, MD, Sujeeth Punnam, MD, Nitesh Gadeela, MD, Ashok Shah, MD, Ranjan K. Thakur, MD. The impact of AF in patients with implantable cardioverter defibrillators. AcceptedTo be presented at ECAS 2008, Journal of Interventional Cardiac Electrophysiology. GadeelaNiteshPeer ReviewNitesh R. Gadeela, Haiyan Li, Mehul B. Patel, Sujeeth R. Punnam, Ashok Shah, Ranjan K. Thakur. Can Recurrence of Inappropriate ICD Therapy be prevented? AcceptedTo be presented at ECAS 2008, Journal of Interventional Cardiac ElectrophysiologyGadeelaNiteshAbstractCan Recurrence of Inappropriate ICD Therapy be prevented?Selected to PresentEuropean Cardiac Arrhythmia Society 2008 (ECAS 2008) Meeting in Marseille, France GadeelaNiteshAbstractsUtility of Isoproterenol during Catheter Ablation of Paroxysmal Atrial Fibrillation Hakan Oral, Thomas Crawford; Melissa Frederick; Nitesh Gadeela; Alan Wimmer; Sujoya Dey; Jean F. Sarrazin; Michael Kuhne; Nagib Chalfoun; Darryl Wells; Eric Good; Krit Jongnarangsin; Aman Chugh; Frank Bogun; Frank Pelosi, Jr.; Fred MoradyPublishedAbstract published in Circulation Supplements, Vol 116 Supplement 16, October 2007.GadeelaNiteshPublication Inducibility of Parozysmal Atrial Fibrillation by Isoproterenol and its Relation to the Mode of Onset of Atrial Fibrillation PublishedJournal of Interventional Cardiac Electrophysiology.GadeelaNiteshOral PresenationNitesh Gadeela, MD: Do B Blockers Reduce Ventricular Arrythmias in ICD Patients?Presented2008 Lansing Research DayGourineniNanduPublicationsWatson RE, Gourineni N. Hypertension in Hispanics. In: Keller KL, Golson JG, eds. Encyclopedia of Obesity. Thousand Oaks: Sage Publications, 2007: (in press)PublishedEncyclopedia of ObesityGourineniNanduPoster Presentation - Endothelin-1 content is not increased in the presence of diabetes or hyperlipidemia in human arteries and veins in patients with hypertension. Watson RE, Pereira CN, Li MW, Pervaiz M, Gourineni N, Talbott JD, Fink GD. Presented10th International Conference on Endothelin in Bergamo, ItalyLast NameFirst NameTypeTitleStatusMeeting2007-2008 AwardGourineniNanduPoster PresentationRecurrent Thrombotic Thrombocytopenic Purpura complicated by Heparin induced thrombocytopenia successfully treated using Rituximab. Nandu Gourineni, MD, Sunil Nagpal , MD, Kenneth Schwartz, MD. PresentedACP Michigan MeetingGourineniNanduPublicationInterferon-Ribavirin-Associated Ischemic Colitis.PublishedMarch issue of the Journal of Clinical Gastroenterology.GourineniNanduPoster PresentationInterferon and Robavirin Associated Ischemic Colitis Presented2008 Lansing Research DayGoyalSandeepPublicationGoyal SK. Learning procedural skills: Ethical dilemma for medical students.AcceptedStudent BMJGoyalSandeepPoster PresentationCocaine and Alcohol: A Lethal DuoPresented2008 Lansing Research DayGoyalSandeepPoster PresentationLactic Acidosis: Under Recognized but Fatal Complication of LymphomaPresented2008 Lansing Research DayGoyalSandeepLettersAdverse Events Associated with Stopping Clopodogrel After Acute Corinary SyndromePublishedJAMAGoyalSandeepLettersNonInvasive Risk Assessment Early After a Myocardial Infarction: Are We Looking at the Right Indicators?PublishedJournal of American College of CardiologyGroverMadhusudanPublicationGrover M, Chronic Abdominal Wall Pain- A missed diagnosis. Digest Newsletter. UNC Functional GI and Motility center, 2007.AcceptedUNC Functional GI and Motility Center NewsletterGroverMadhusudanPublicationGrover M, Laird-Fick H. Gastrointestinal disorders. Encyclopedia of obesity, SAGE publications, 2007.AcceptedEncyclopedia of obesityGroverMadhusudanPublicationGrover M, Makol A, Laird-Fick H. Fatty Liver disease. Encyclopedia of obesity, SAGE publications, 2007.AcceptedEncyclopedia of obesityGroverMadhusudanAbstracts"A case of chronic constipation-Structural, Functional or What? PresentedGI Grand Rounds, UNC, Chapel Hill, North Carolina, GroverMadhusudanAbstractsAnti-TNF agents in Rheumatoid arthritis- a double edged sword? PresentedAmerican College of Physician Michigan Chapter,Last NameFirst NameTypeTitleStatusMeeting2007-2008 AwardGroverMadhusudanAbstractsHypercalcemic crisis in hepatic tuberculosis: An Uncommon Presentation in an uncommon condition PresentedAmerican College of Physician Michigan Chapter,GroverMadhusudanAbstractsSmall Intestinal bacterial OvergrowthPresentedUNC Functional GI and Motility center Biopsychosocial research day, Bioinformatics building, UNC, Chapel Hill, North Carolina, GroverMadhusudanAbstracts"The use of quetiapine and other atypical antidepressants in IBS PresentedUNC Functional GI and Motility center Biopsychosocial research day, Bioinformatics building, UNC, Chapel Hill, North Carolina, GroverMadhusudanPublicationGrover M, Gupta A, Wagner D, Orringer M. Hard to Swallow. American Journal of Medicine, 2007, Dec; 120(12): 1023-1025PublishedAmerican Journal of MedicineGroverMadhusudanAbstractSmall Intestinal Bacterial Overgrowth in Irritable Bowel Syndrome; Association with Colon Mobility, Bowel Symptoms, and Psychological DistressPresentedth Annual National Meeting of the Functional Brain-Gut Research Groups Functional GI Disorders Young Investigators' Forum in La Jolla, California GroverMadhusudanArticleSmall Intestinal Bacterial Overgrowth in Irritable Bowel Syndrome; Association with Colon Mobility, Bowel Symptoms, and Psychological DistressPublishedNeurogastroenterol Motil (2008) doi: 10.1111/j.1365-2982.2008.01142.xGuptaAshwaniPoster Presentation A Distributed Lag Model for Hemoglobin (Hb) response to Epoetin alfa (EPO) in Hemodialysis (HD) PatientsPresentedAmerican Medical Informatics Association(AMIA) Annual Meeting 2007GuptaAshwaniPoster Presentation A Time Series Model for Hemoglobin Response to Erythropoietin in Dialysis PatientsPresentedNational Kidney Foundation (NKF) Spring Clinical Meeting 2007GuptaAshwaniPoster PresentationCross-Correlation Analysis of Hemoglobin (Hb) to Epoetin Alfa Dose (EPO) in Hemodialysis (HD) PatientsPresentedAmerican Society of Nephrology (ASN) Annual Meeting 2007 KarnchanasornRudruidreePoster PresentationSustained-Release Diltiazem Overdoese; An Uncommon Yet Lethal PoisoningPresented2008 Lansing Research DayKarnchanasornRudruidreePoster PresentationSustained-Release Diltiazem Overdose; An Uncommon Yet Lethal Poisoning,Presented 2008 ACP Michigan Chapter Associates Day, Sterling Heights , MILast NameFirst NameTypeTitleStatusMeeting2007-2008 AwardKaurTarundeepPoster presentationA High Risk Case of Emphysematous Pyelonephritis: Successful Conservative Management Quesitons Risk Factor and Treatment Guidelines, Co-authored with Williams, Narreinar M.D. Presented2007 ACP conference, KalamazooKosuriKalyanPublicationsAldasouqi SA, Kosuri K, Mattewal A, Gossain VV (2007) Visual Vignette, Endocrine Practice 2007, 13(4); 429.PublishedVisual Vignette, Endocrine Practice 2007KosuriKalyanPublicationsTonelli A., Kosuri K. (2007) Seizures as the first manifestation of chromosome 22q11.2 deletion syndrome in a 40-year old man: a case report, Journal of Medical Case Reports 2007, 1:167PublishedJournal of Medical Case Reports 2007,LatifSahibzadaAbstractPediatric Pancreatitis; Incidence and Analysis of Etiologies and Recurrence".Award2007 GIM Johns Hopkins Housestaff Research AwardHonorable MentionLatifSahibzada (Usman)Abstract Presentation"Pediatric Pancreatitis; Incidence and Analysis of Etiologies and Recurrence"AcceptedNeil R. Powe Award for achievemnet in clinical epidemology and outcomes of researchHonorable Mention at the Johns Hopkins GIM Housestaff Research ProgramLatifSahibzada (Usman)Abstract Presentation cAMP is an Important Signaling Molecule in the Aberrant Calcium Signal Associated with Pathologic Pancreatic Zymogen Activation and Pancreatitis,Accepted NASPGHAN (North American Society of Pediatric Gastroenterology Hepatology and Nutrition) Annual meeting at Uttah, USA. Poster of DistinctionLatifSahibzada (Usman)Poster Presentation A series of unfortunate events in a patient with Non-occlusive mesenteric ischemia,PresentedACP Michigan chapter meeting at Kalamazoo,Michigan LatifSahibzada (Usman)Poster Presentation Gastric perforation secondary to a Naso-Gastric tube placement in a patient with severe hemodynamic instability PresentedACP (America College of Physicians) Michigan chapter meeting at Kalamazoo, Michigan. LatifSahibzada (Usman)Poster PresentationCyclic-AMP Increases the Speed of Carbachol-Induced Apical to Basal Calcium Waves in Pancreatic Acinar CellsPresented APA (American Pancreatic Association) annual meeting at Chicago. Last NameFirst NameTypeTitleStatusMeeting2007-2008 AwardLatifSahibzada (Usman)Book Chapter Lower GI bleed for Evidence at Hand (Now known as Essential Evidence Plus) by Mark Ebell, MD, PublishedJhon Wiley & Sons Publishers, an online and print resource having recent evidence based practice guidelines for physicians soon to be published by the publishers of Info-Retriever. LatifSahibzadaPoster PresentationAn Intriguing Case of Leflunomide-Induced Hepatic Cirrhosis Presented2008 Lansing Research DayLatifSahibzadaPoster PresentationAn Intriguing Case of Leflunomide-induced Hepatic Cirrhosis, Presented 2008 ACP Michigan Chapter Associates Day, Sterling Heights , MIMakolAshimaAbstracts "Anti-TNF Agents in Rheumatoid Arthritis: A Double Edged Sword !" AcceptedACP National Clinical Vignette Poster Competition will take place on Friday, May 16, 2008 in the Walter E. Washington Convention Center .Accepted for ACP National Meeting May 2008MakolAshimaAbstractsYour abstract titled, "Anti-TNF Agents in Rheumatoid Arthritis: A Double Edged Sword !" has been selected by the Abstract Review Board for presentation as a poster finalist and will be judged on-site at Internal Medicine 2008 in Washington, DC.AcceptedACP National Clinical Vignette Poster Competition will take place on Friday, May 16, 2008 in the Walter E. Washington Convention Center .Accepted for ACP National Meeting May 2008MakolAshimaOral PresenationA Quality Improvement Project for the Diabetic Foot,Presented 2008 ACP Michigan Chapter Associates Day, Sterling Heights , MIFIRST PLACE EBM SeriesMakolAshimaPoster Presentation 2. Anti-TNF agents in Rheumatoid arthritis- a double edged sword? PresentedAmerican College of Physicians Michigan Chapter, Selected to present at National ACP in Washington, May 2008MakolAshimaPublicationGrover M, Makol A, Laird-Fick H. Fatty Liver disease. Encyclopedia of obesity, SAGE publications, 2007.AcceptedEncyclopedia of obesityMakolAshimaPublicationMakol A, Aggarwal C, Singh NP. Acute Renal Dysfunction in patients with burns-Incidence, Mortality and Prognosticating factors. AcceptedIndian Journal of Nephrology, 2007Last NameFirst NameTypeTitleStatusMeeting2007-2008 AwardMakolAshimaPublicationMakol A., Malaviya AN. Effect of Rheumatoid Factor levels on Response to Standard DMARD-Combination Treatment in patients with Rheumatoid Arthritis. PublishedArthritis and Rheumatism 2007;56(9 Supplement)MakolAshimaPoster Presentation 1. Effect of Rheumatoid Factor levels on Response to Standard DMARD-Combination Treatment in patients with Rheumatoid Arthritis PresentedAmerican College of Rheumatology National Meeting-2007, Boston, Massachusetts,MakolAshimaOral PresenationAshima Makol, MD: Effect of Rheumatoid Factor (RF) Levels on Response to Stamdard Dmard-Combination Treatment in Patients with Rheumatoid Athritis (RH).Presented2008 Lansing Research DayMakolAshimaPoster PresentationAnti-TNF Agents in Rheumatoid Arthritis: A Double Edged Sword!Presented2008 Internal Medicine ACP abstract competition to be held in Washington D.C,MukerjiSiddharthPublicationCrawford TC, Mukerji S, Good E, Chugh A, Bogun F, Pelosi F, Oral H, Morady F, Jongnarangsin K. Utility of atrial and ventricular cycle length variability in determining the mechanism of paroxysmal supraventricular tachycardia. J Cardiovasc Electrophysiol. 2007 Jul; 18(7):698-703.Published J Cardiovasc Electrophysiol.MukerjiSiddharthPublicationPatel RB, Mukerji S, Abela GS. Crossing atrial thrombus in a patient with pulmonary embolism. Clin Cardiol. 2007 Oct 23.PublishedClin Cardiol. PatelKevinAbstractEvaluation of the Prevalence and Economic Burden of Adverse Drug Reactions Presenting to the Medical Emergency Department of a Teriary Referral Centre: A Prospective Study. Award2007 GIM Johns Hopkins Housestaff Research AwardHonorable MentionPatelKevinAbstractEvaluation of the Prevalence and Economic Burden of Adverse Drug Reactions Presenting to the Medical Emergency Department of a Teriary Referral Centre: A Prospective Study. Award2007 GIM Johns Hopkins Housestaff Research AwardHonorable MentionLast NameFirst NameTypeTitleStatusMeeting2007-2008 AwardPatelKevinPaper PresentationEvaluation of the prevalence and economic burden of adverse drug reactions presenting to the medical emergency department of a tertiary referral centre: a prospective study Presented38th Annual Conference of the Indian Pharmacological Society at Chennai, South India; Honorable Mention at the Johns Hopkins GIM Housestaff Research ProgramPatelKevinPoster PresentationRare and Unusual Presentation of Poorly Differentiated Neuroendocrine Tumor of EpoglottisPresented2008 Lansing Research DayPhamAlbertPoster presentationCase Report Bronchiectasis as a result of ammonia inhalation PresentedMichigan ACP in Lansing, MichiganPuttarajappaChethanPoster PresentationLeukocytosis and Hupercalcemia in a Patient with Exophageal Cancer Presented2008 Lansing Research DayPuttarajappaChethanPoster PresentationPeripheral Facial Paralysis as the Initial Manifestation of Hypertension Presented2008 Lansing Research DaySarzynskiErinPoster PresentationCommon Manifestations of Hereditary Hemorrhagic Telangiectasia Presented2008 Lansing Research DayBest Case StudySuralNeethiAbstract Presentation "A for Angiotensin Converting Enzyme Inhibitors and A for Angiodema: A complication internist should not forget.PresentedACP National Clinical Vignette Poster Competition will take place on Friday, May 16, 2008 in the Walter E. Washington Convention Center .Accepted for ACP National Meeting May 2008SuralNeethiPoster PresentationA for Angiotensin Converting Enzyme Inhibitors and A for Angiodema: A Complication Internists Should Not Forget Presented2008 Lansing Research DayBest Case StudySuralNeethiPoster PresentationPoorly Differentiated Lung Adenocarcinom, Scleroderma and Vasculitis, Presenting Together as One or Seperately at One Time,Presented 2008 ACP Michigan Chapter Associates Day, Sterling Heights , MIVaidyaRobertOral PresenationRobert Vaidya, DO: Secondary Prevention Guidelines for Stroke in Diabetics. Presented2008 Lansing Research DayVaidyaRobertOral PresenationRobert Vaidya, DO: Secondary Prevention Guidelines for Stroke in Diabetics. Presented2008 Lansing Research DayVaidyaRobertOral PresenationGlycemic Control, and ACE Inhibitor and ARB use, among Diabetics Hospitalized for Acute Ischemic Stroke and Transient Ischemic AttackPresented 2008 ACP Michigan Chapter Associates Day, Sterling Heights , MILast NameFirst NameTypeTitleStatusMeeting2007-2008 AwardVaidyaRobertOral PresenationGlycemic Control, and ACE Inhibitor and ARB use, among Diabetics Hospitalized for Acute Ischemic Stroke and Transient Ischemic AttackPresented 2008 ACP Michigan Chapter Associates Day, Sterling Heights , MI Child and Adolescent Psychiatry Residency Madhvi Richards, MD, Program Director Academic Year Highlights: Internal Site Review by GMEI - April 10, 2008 Michigan School Counselors Association's conference at MSU - Presentation by all the child fellows (Alyse Ley, DO, Denial Zak, DO and Tia Knower, DO), June 2008 CATCH Grant - Working in collaboration with Deptartment of Pediatrics on a CATCH grant from the American Academy of Pediatrics Graduating Residents: Alyse Ley, DO - MSU, Dept of Psychiatry Denial Zak, DO - Pine Rest Hospital, Grand Rapids Incoming Residents: Jillian Moneypenny, DO - MSU Emily Brown, DO - MSU Furhut Mansour, DO - MSU Research publications/presentations (resident and faculty): Alyse Ley, DO - Grand Rounds, Dept of Psychiatry, MSU Tia Knower, DO - Grand Rounds, Dept of Psychiatry, MSU Jed Magen, DO, MS and Madhvi Richards, MD - Workshop on GME funding at AADPRT, March 2008 Tia Knower, DO - Presentation on Sex Education for the Genesee County School District Paul Quinlan, DO, MS - Epidemiology Chapter accepted to Clinical Psychiatry Essentials textbook Brian Smith, MD and Madhvi Richards, MD - Psychiatric Emergencies, chapter accepted to Clinical Psychiatry Essentials textbook Paul Quinlan, DO - Poster presentation at the American Association of Suicidology, Boston, 2008 Christopher Giuliano, Ph.D - Poster presentation at the American Association of Suicidology, Boston, 2008 Brian Smith, MD - Publication - Self Injurious behavior, Psychiatric Times Margaret Semrud-Clikeman, Ph.D - MRI study on Children with Autism and ADHD Michael Boivin, Ph.D - Cerebral Malaria Study in collaboration with Malawi NIH funding Honors (resident and faculty): Brian Smith, MD -Awarded Lilly Teaching fellowship Goals for upcoming year: AOA site visit for August 2008 ACGME site visit for April 2009 Recruiting for upcoming years Participation in Lansing Community Research Day Presentations at MSMS annual meeting in October 2008 - Jed Magen, DO, MS, Paul Quinlan, DO, Madhvi Richards, MD, and Brian Smith, MD Core competency highlight: Patient care Chart reviews Review of patient outcomes on inpatient unit Rating form Faculty evaluation on all rotations Medical knowledge Child PRITE Exam Diagnostic assessments (Mock boards) Review of charts and records Faculty evaluation Resident presentations Practice-based learning and improvement Resident seminar presentations Required written case presentations Seminar discussions Journal clubs Interpersonal and communications skills Staff feedback Survey of patient satisfaction Direct observation Faculty evaluations Professionalism Faculty evaluations Direct observation Attendance sheets Patient satisfaction survey Systems-based practice Faculty evaluation Resident QIA project in outpatient clinic Physical Medicine and Rehabilitation Residency Michael Andary, MD, Program Director Academic Year Highlights: Moving the primary inpatient residency over to Sparrow Hospital Opening a resident clinic at Sparrow Professional Building Residents were the Team Physicians for MSU Women's Ice Hockey Club Graduating Residents: Emily DeSantis: Non-ACGME accredited fellowship in interventional spine. Scottsdale Health Care, Scottsdale, AZ Nanette Joyce: University of California Davis, ACGME accredited fellowship in neuromuscular medicine Incoming Residents: Casey Chamberlain: Ohio University College of Osteopathic Medicine Mike Homer: Philadelphia College of Osteopathic Medicine Ravi Sankaran: Manipal Academy of Higher Education, Manipal, India Research publications/presentations (resident and faculty): Cannon, DE, Dillingham, TR, Miao, H, Andary, MT Pezzin, LE: Musculoskeletal Disorders in Referrals for Suspected Lumbosacral Radiculopathy Amer J of Phys Med & Rehab., 2007; 86:957-961. Cannon, DE, Dillingham, TR, Miao, H, Andary, MT Pezzin, LE. Musculoskeletal disorders in referrals for suspected cervical radiculopathy Archives of Physical Medicine and Rehabilitation 2007; 88(10):1256-9. Farooq MU, Martin JH, Andary MT Unusual presentation of hereditary neuropathy with liability to pressure palsies Journal of Brachial Plexus and Peripheral Nerve Injury 2008, 1749-7221. Jeff Pederson presented at Lansing Community Research Day, "The effectiveness of Spurling's maneuver, with Extension, as a predictor of cervical radiculopathy." Accepted to poster presentation at AANEM 2008 "The effectiveness of Spurling's maneuver, with Extension, as a predictor of cervical radiculopathy." Dr. Joyce is working on a presentation and case study for publication on neurodegenerative disorders in pediatrics. Honors (resident and faculty): None reported Goals for upcoming year: Maintain viability of the program. Complete the ACGME and AOA inspections. Core competency highlight: Patient care Monthly evaluations Medical Knowledge Monthly evaluations Self assessment exams Practice-based learning and improvement Portfolio Monthly evaluations Interpersonal and communications skills MiniCEX Monthly evaluations Professionalism Monthly evaluations Portfolio and Monthly Systems-based practice Monthly evaluations Pediatrics Residency Yakov Sigal, MD, Interim Program Director Academic Year Highlights: Peter Jennings, MD, announced his resignation as program director. Dr. Jennings will be relocating to Florida. Yakov Sigal, MD, has been promoted to interim program director. Graduating Residents: No report Incoming Residents: No report Research publications/presentations (resident and faculty): No report Honors (resident and faculty): No report Goals for upcoming year: No report Core competency highlight: No report Psychiatry Residency Jed Magen, DO, Program Director Academic Year Highlights: The Psychiatry Residency underwent an ACGME site visit in October, 2007, receiving a full five-year accreditation Graduating Residents: Nancy Pinagel, DO: Atascadero State Hospital-California Stephanie Commings, MD: private practice Lansing area Rishi Mahabir, DO: private practice, Carson City Hospital, Carson City, MI Erin Fry, DO: Olin Health Center, MSU Incoming Residents: Jose Herrera MD: College of Human Medicine, MSU Christine Leszewski MD: College of Human Medicine, MSU Joe Reiman DO: Ohio University College of Osteopathic Medicine Roohi Sualah MD: Dow Medical College, Karachi, Pakistan Jennifer Lentini MD (PGY-II): University of Toledo College of Medicine Research publications/presentations (resident and faculty): Alyse Ley, DO Grand Rounds, Dept of Psychiatry, MSU Tia Konzer, DO Grand Rounds, Dept of Psychiatry, MSU Jed Magen, DO, MS and Madhvi Richards, MD Workshop on GME funding at AADPRT, March 2008 Jed Magen DO MS, Alyse Ley DO, Deborah Wagenaar DO MS- Life Phases Chapter in Foundations of Osteopathic Medicine Tia Konzer, DO Presentation on Sex Education for the Genesee County School District Paul Quinlan, DO, MS Epidemiology Chapter accepted to Clinical Psychiatry Essentials textbook Brain Smith, MD and Madhvi Richards, MD Psychiatric Emergencies. Chapter accepted to Clinical Psychiatry Essentials textbook Paul Quinlan, DO Poster presentation at the American Association of Suicidology, Boston, 2008 Christopher Giuliano, PhD Poster presentation at the American Association of Suicidology, Boston, 2008 Brian Smith, MD Publication Self Injurious Behavior, Psychiatric Times Margaret Semrud-Clikeman, Ph.D MRI study on children with Autism and ADHD (Foundation Funding) Michael Boivin, Ph.D Cerebral Malaria Study in collaboration with Malawi NIH funding Honors (resident and faculty): Farha Abbasi, MD - APA/SAMSHA Award for Minority Residents Goals for upcoming year: Recruiting for upcoming years Participation in Lansing Community Research day Presentations at MSMS annual meeting in October 2008 Jed Magen, DO, MS, Paul Quinlan, DO, Madhvi Richards, MD and Brian Smith, MD Reformat Part I Psychiatry Board Exams as they move into residency Core competency highlight: Patient care Chart reviews Review of patient outcomes on inpatient unit Rating form Faculty evaluation on all rotations Medical Knowledge PRITE Exam Diagnostic assessments (Mock boards) Review of charts and records Faculty evaluation Resident presentations Practice-based learning and improvement Resident seminar presentations Required written case presentations Seminar discussions Journal clubs Interpersonal and communications skills Staff feedback Survey of patient satisfaction Direct observation Faculty evaluations Professionalism Faculty evaluations Direct observation Attendance sheets Patient satisfaction survey Systems-based practice Faculty evaluation Resident Q/A project in outpatient clinic MSU Surgery Residency Andrew Saxe, MD, Interim Program Director Academic Year Highlights: The Surgery Residency realigned its conference schedule to allow residents rotating in both Lansing and Flint to attend required didactic sessions. The Department of Surgery accepted the resignation of Keith Apelgren, MD, as program director. Andrew Saxe, MD, was named interim director. The Department engaged in a national search for a department chair to replace the retiring James Harkema, MD. The new chair is expected to be named early in the new academic year. The Surgery Residency was notified in June that it was placed on probation by the ACGME. The program has already rectified many of the concerns listed in the RRC letter and is working diligently to completely address all concerns within the next year. Graduating Residents: No report Incoming Residents: No report Research publications/presentations (resident and faculty): No report Honors (resident and faculty): No report Goals for upcoming year: Address and rectify all concerns listed by the RRC. Core competency highlight: No report Cardiology Fellowship George Abela, MD, Program Director Academic Year Highlights: Hired new attending, Dr. Ibrahim Shah Started a Nuclear Cardiology program with MSU Radiology Started a vascular lab at MSU Graduating Residents: Adam Elhaddi, M.D.: Borgess Hospital for Interventional Program Appa Rao Bandi, M.D.: TCI as Attending Faculty member Incoming Residents: Maria Viqar, M.D.: Mayo Clinic Rochester, MN; King Edward Medical College Graduation 12/99 Ameeth Vedre, M.D.: MSU Cardiovascular Research Lab.; M.S. Ramaiah Medical College Graduation 12/00 Shalabh Chandra, M.D., MPH and prize awardee: MSU Internal Medicine Residency. Seth G.S. Medical College Graduation 2003 Research publications/presentations (resident and faculty): Abela GS, Aziz K, Huang R, DeJong J. Statins Inhibit Cholesterol Crystallization and Prevent Perforation of Biological Membranes and Intima in Human Coronary Arteries of Patients with Acute Coronary Syndrome. J Am Coll Card 49; 358A, 2007. Abela GS, Rosen B, Huang R. Effects of Ultraviolet and Infrared Laser on Cholesterol Crystals: Implications for Heart Attacks and Strokes. Lasers in Surg and Med Suppl 19;150:2007. Abela GS, Aziz K, Danielewicz D, Huang R, DeJong J, Pridjian AK, Talbott JD. Cholesterol Crystallization Induces Volume Expansion to Cause Plaque Rupture while Statins or Ethanol Interrupt this Process to Stabilize Plaques. J Clinic Lipidol 1;162 (301), 2007. Katki KA, Huang R, Karve A, Shah I, Bowers MC, Chiasson VL, Supowit SC, DiPette DJ, Abela GS. Deletion of the Mouse Alpha Calcitonin Gene-Related Peptide Gene Increases the Vulnerability of the Heart to Ischemia/Reperfusion Injury (AHA Council on HBP 2007). Rubinstein J, Abela OG, Vedre A, Abela GS. Ezetimibe is Protective from Myocardial Effects of Thrombus Triggering in an Atherosclerotic Model (ACC-MI, 2007). Patel R, Vedre A, Rubinstein J, Huang R, Abela AJ, Abela GS. Cholesterol Lowering with Ezetimibe Inhibits Intimal Injury by Cholesterol Crystallization and Reduces Arterial Thrombosis. (ACC-MI, 2007). Recipient of second prize. Vedre A, Rubinstein J, Abela AJ, St. John L, Gaymer J, Ferguson D, Huang R, Abela GS. Increasing Myocardial Cholesterol Causes Left Ventricular Systolic Dysfunction while Lipid Lowering with Ezetimibe Preserves Systolic Function (ACC-MI, 2007). Vedre A, Aziz K, Huang R, Abela GS. Aspirin Prevents Cholesterol Crystallization: A Potential Mechanism of Plaque Stabilization. J Am Coll Card 51;A318, 2008. Abela GS, Vedre A, Pathak DR, Martin CJ, Huang R, Lum C, Koochesfahani M. Physical Conditions that can Trigger Cholesterol Crystallization leading to Plaque Rupture J Clinic Lipidol 2:207 (200), 2008. Rubinstein J, Vedre A, Huang R, Abela GS. Hypercholesterolemia Causes Systolic and Diastolic Dysfunction. Euro Congress Cardiol (in press), 2008. Punnam SR, Holiday J, Janes R, Touma R, Li H, Patel M, Abela GS, Thakur RK. Hemodynamic Collapse During Left Ventricular Lead Implantation. PACE 30:1112-1115, 2007. Johnstone E, Friedl SE, Maheswari A, Abela GS. Distinguishing Characteristics of Erythrocyte-Rich and Platelet-Rich Thrombus by an Intravascular Ultrasound Catheter System. J Thromb Thrombol 24;233-239:2007. Huang R, Karve A, Shah I, Bowers MC, DiPette DJ, Supowit SC, Abela GS. Detection of the Mouse -Calcitonin Gene-Related Peptide Gene Increases the Vulnerability of the Heart to Ischemia/Reperfusion Injury. Am J Physiology Circ Physiol 294:H1291-129:2008. Aziz K, Berger K, Claycombe K, Huang R, Patel R, Abela GS. Non-Invasive Detection and Localization of Vulnerable Plaque and Arterial Thrombosis Using CTA/PET Circulation 117; 2061-2070, 2008. Patel R, Mukerji S, Abela G. Crossing Atrial Thrombus in a Patient with Pulmonary Embolism. Clin Card (in press). Punnam S, Hadid TT, Franklin PP, Gandhi DB, Abela GS, Shah DD, Prieto AR. Shaft Aneurysm of a Femoropopliteal Expanded Polytetrafluoroethylene Graft Treated with Covered Stent. Vascular and Endovascular Surgery (in press). Dhoble A, Patel M, Shah I, Thakur RK, Abela GS. Cor-triatriatum Sinister with Bicuspid Aortic Valve A Rare Association. Clin Card (in press). Vedre A, Pathak DR, Crimp M, Lum C, Koochesfahani M, Abela GS. Physical Factors that Trigger Cholesterol Crystallization Leading to Plaque Rupture. Atherosclerosis (in press). Rubenstein J, Abela GS. Sinoatrial Nodal Reentry Tachycardia: An Unusual Type of Sinus Tachyarrhythmia. Resident and Staff Physician 54;14-19,2008. Shamoun F, Sural N, Abela GS. Peripheral Arterial Disease: Advances in Medical Therapy. Expert Review of Cardiovascular Therap 6:539-553, 2008. Khunnawat C, Mukerji S, Daniel Havlichek, Jr, Rabih Touma, Abela GS. Cardiovascular Manifestations in Human Immunodeficiency Virus-Infected Patients. Am J Card (in press) Aziz K and Abela GS (Editors). Nuclear Cardiology and Cardiac CT Handbook. Lippincott Publisher, Inc. New York, NY, (in press). Honors (resident and faculty): Kusai Aziz, MD. First place on Resident Research Day, 2006 Jack Rubinstein, MD. First place on Resident Research Day; Young Investigator Award Presentation at Northwestern University, 2008 Dr. Abela Top Cardiologists of the year; Madisons Whos Who Goals for upcoming year: Hiring new attendings is a major goal and challenge. Core competency highlight: Patient care All patients are seen by the attending in both the out-patient clinics and in the hospital. Direct observation of fellows examining patients occurs during cases when both attending and fellow are together. Also, all procedures are monitored by an attending while fellows are performing cardiac catheterization including Swan-Ganz insertion, trans-esophageal echo, and on occasion trans-thoracic echos as well. Medical Knowledge Board Review Courses are provided to all fellows. There is a weekly cardiology grand rounds where a topic is presented. These include core lectures at the beginning of the year. These are presented by attendings. Later in the year, fellows present various topics. Echo conference and EKG conference that is set up in the format of the board questions. There is a bi-weekly journal club where the fellow presents a paper with a formal slide presentation that is followed by an analysis and discussion. There is a monthly pathology conference with Dr. Shirley Siew reviewing histological and morphological specimens of various cardiovascular conditions. Practice-based learning and improvement There is a weekly Friday morning conference where a specific case is discussed and then relevant articles are provided related to the case. These include problem cases and discussion is related to management issues. Similarly, a weekly catheterization conference is presented and complications of specific cases are shown with an in depth discussion of those issues. This is a multi-disciplinary including cardio-thoracic surgery and cardiology. Interpersonal and communications skills A monitored study will be conducted on the pager response time. The officially designated response time is within 15 min. We will page fellows randomly and a response time determined. If in excess of the expected response, feedback to the fellows will be provided. Professionalism There is a 360 degree feedback on professional behavior. On any occasion that a fellow does not seem to be complying with the appropriate professional behavior, there is a meeting held to address the issue. Likewise a similar feedback is provided to the attending based on any unprofessional behavior. Systems-based practice A system was developed with the participation of one of the fellows related to a rapid response pager that is activated when an acute myocardial infarction comes into the emergency department. Once this system is activated the fellow carrying that pager will respond any time, day or night. This is the first step in the cascade that then leads to activation of the cardiac catheterization laboratory and alerting the interventional attending. This is designed to help reduce delays in delivery of care to patients with acute cardiac events. Finally, work hours. Our fellows take call from home. However it is possible that they may be in the hospital all night. Given such a circumstance, we have provided fellows who have had such night shifts to leave for home the next day by noon. We will provide a back up from a fellow on the non-invasive service or other services as needed. Also, we now do not have the fellow on Clinical I service, our busiest service to take call during the week but rather give them only one day and night call over the weekend. This has greatly reduced the stress on the Clinical 1 service. Endocrinology Fellowship Ved Gossain, MD, Program Director Academic Year Highlights: 1st fellow graduating ACGME site visit completed June 4, 2008 Graduating Residents: Anjana Myneni, MD - Private practice, Pittsburgh, PA. Incoming Residents: Saadia Mian, MD - Michigan State University College of Human Medicine Research publications/presentations (resident and faculty): Nelson P, Gossain V. (2008, April). A Large Solitary Fibrous Tumor Causing Hypoglycemia. Poster presented at Lansing Research Day, East Lansing, Michigan Nelson P, Gossain V. Cushing's Syndrome. Essential Evidence Plus. In press Anjana Myneni, MD; Ved Gossain, MD. Comparison of Insulin Infusion Pumps Versus Basal/Bolus Insulin Injections for Treatment of Type l Diabetes Mellitus in Clinical Practice. Diabetes, 57: (suppll). Anjana Myneni, MD, Saleh Aldasouqi, MD, et al. Graves' Ophthalmopathy-An Imitator. American Association of Clinical Endocrinologists. April2007:72-73 Anjana Myneni, MD, Panchali Khanna, MD et al. Type 1 Diabetes Versus Type 2 Diabetes: A Classification Dilemma. American Association of Clinical Endocrinologists. April 2007:9 Sahibzada Latif, MD, Anjana Myneni, MD et al. Interferon Induced Thyroid Dysfunction in a Patient with Hepatitis C. American Association of Clinical Endocrinologists. April 2007:76 Anjana Myneni, MD; Saleh Aldasouqi, MD. Orlistat. Encyclopedia of Obesity. Sage Publications, Inc. Volume 2: page 563-564. Anjana Myneni, MD; Saleh Aldasouqi, MD. Pheochromocytoma chapter. Essential Evidence Plus. John Wiley & Sons. (In press) Prevalence and Mechanism of Aspirin Resistance in Patients with Type 1 Diabetes Mellitus. Principal Investigator: Ved Gossain, MD. Co-Investigators: Kenneth Schwartz, MD; Anjana Myneni, MD. Michigan State University, East Lansing, MI Insulin Infusion Pumps versus Basal/Bolus Injections for Type 1 Diabetes. Principal Investigator: Ved Gossain, MD. Co-Investigators: Saleh Aldasouqi, MD; Anjana Myneni, MD, Michael Carella, MD. Michigan State University, East Lansing, MI -(in the process of submitting manuscript) Honors (resident and faculty): No report Goals for upcoming year: Our challenge remains that we have insufficient number of faculty members. We need at least one more (and preferably two) full time faculty members, in the Division of Endocrinology. Core competency highlight: Patient care No report Medical knowledge No report Practice-based learning Fellows are routinely questioned when on the management rounds. This provides the fellows and the faculty an idea of the medical knowledge of the fellows. The fellows are asked to present at our weekly "core conference". To prepare for their presentation, they are required to perform a current literature search which provides them with an idea of their current medical knowledge. We also incorporate in our "core conference" series a self assessment program provided by the Endocrine Society and the American Association of Clinical Endocrinologists. This exercise allows us to identify knowledge gaps and also provides an opportunity for the fellows to direct their learning to remedy their knowledge gaps. Communications skills ndocrinology service predominantly functions as a consultation service. Therefore, opportunities for our fellows to function as team members and team leaders are rather limited. However, in the diabetes clinic our fellows work with nurse practitioners, diabetes educators and nutritionists. The care of the patients is thus coordinated between the fellows (always backed by a faculty person) and the nurse practitioner. Professionalism Professional behavior is modeled by the faculty as far as interaction with patients and their families, staff, and other health care professionals. Ethical behavior is constantly emphasized not only in the patient care, but other aspects of life. If issues of "ethical concerns" arise, they are discussed between the fellows and the attendings at the clinical case conferences. If a particularly difficult situation should arise, we plan to have consultants from the MSU Center for Ethics and Humanities come and discuss these with us on an as needed basis. Systems-based practice System based practice is learned through a variety of mechanisms. One of our fellows serves as a representative to the Graduate Medical Education Committee (GMEC). At least once a year the issues of patient safety and system based practice are discussed in this committee, so that the fellows become familiar with these issues. Secondly, the fellows learn to navigate the system on a case by case basis. For example, recently we encountered a patient who could not afford any of her medications for the treatment of hypocalcemia. Our fellow was able to contact a social worker at the hospital and was able to secure some medications for her. This patient also made frequent visits to the Emergency Room due to hypocalcemia. Since this patient required frequent calcium infusion, the fellow was advised to contact the infusion center. She was able to arrange with the infusion center of the hospital for the patient to receive calcium infusion, thus essentially eliminating her emergency room visits and netting substantial cost savings. The fellows also coordinate the care of patients after discharge from the hospital, when follow-up is needed in the Endocrine/Diabetes clinic. Similarly they also coordinate the care, if patients need procedures in Radiology (1-123 uptake/scan) or treatment with 1-131 for hyperthyroidism. In addition our nurses have educated our fellows on how some very expensive medications can be obtained for patients who cannot afford these through the programs sponsored by pharmaceutical companies. Some of our patients with acromegaly are receiving Sandostatin through the pharmaceutical company which they otherwise could not afford. Hematology and Oncology Fellowship Kenneth Schwartz, MD, Program Director Academic Year Highlights: All fellows have passed boards All but one first-year fellow has published at least an abstract Program review approved with full accreditation Graduating Residents: Dexter Estrada, MD VA, California Sunil Nagpal, MD - Private practice, with Dr. Arora, Flint, MI. Will be key faculty in our program. Ganapathy Krishnan, MD - private practice, Chillicothe, Ohio. Incoming Residents: Vijay Chaudhary, MD - University of New Delhi, New Delhi, India Simona Chivu, MD - University Transilvania Brasov, Romania Research publications/presentations (resident and faculty): Amato RJ, Messman R, Hernandez-McClain J, Conley B. A Phase Ib Study of Folatelmmune (EC90) with GP1-0110 Adjuvant Followed by (EC17). Submitted to ASCO 2007. Krishnan GS, D'Silva K, AI-Janadi A. "Cetuximab Induced Tumor Lysis Syndrome in a Patient with Metastatic Colon Carcinoma. Case report accepted for publication in the Journal of Clinical Oncology 2008. Rastogi P, Anderson S, Bear HD, Geyer CE, Kahlen berg MS, Robidoux A, Margolese RG, Hoehn JL, Voget VG, Dakhil Sr, Tamkus D, et al. Preoperative Chemotherapy: Updates of NSABP Protocols B-18 and B-27. J Clin Onc 26(5), February 10, 2008, pp. 778-785. Siebert JE, DeLano, MD, Latourette MT, Schwartz, Krishnan GS and Siddique, MK. R2 Quantitation Reveals that Serum Ferritin is an Unreliable Surrogate for Tissue Iron Concentration in Myocardium and Liver. Abstract ISMRM meeting Berlin, May 19-25, 2007. Dimitrov NV, Colucci P, Nagpal S. Some Aspects of the Endocrine and Management of Hormone Dependent Male Breast Cancer. The Oncologist, 2007; 12:798-807. Mehrotra A, Barry H, Dimitrov N. Lipodema, Underestimated Entity. Submitted J Fam Prac 2007. Krishnan GS. Efficacy and Safety of Rituximab in Post Transplant Lymphoproliferative Disorders (PTLD): Pooled Analysis and Review of the Literature. Abstract ASH Meeting, Atlanta, GA, December 11, 2007. Faber EA. Positive Axillary Lymph Node and BRCA Gene Mutation in a Patient with DCIS. ACP Michigan Chapter. Traverse City, September 7, 2007. Krishnan GS, Chaudhary V, AI-Janadi A, Ramanarayanan J, D'Silva K. BCHU Toxicity Presenting with a Large Pericardial and Pleural Effusion. Ann Transplant 2008; 13(1):44-47. Krishnan GS, D'Silva K, AI-Janadi A. Cetuximab Induced Tumor Lysis Syndrome in a Patient with Metastatic Colon Carcinoma. Case report accepted for publication in the Journal of Clinical Oncology 2008. Chandana SR, Mowa S, Arora M, Singh T. Primary Brain Tumors in Adults. American Family Physician May 15, 200877:10), pp. 1423-1430. Chandana SR, Conley BA. Salivary Gland Cancers: Current Treatments, Molecular Characteristics and New Therapies. Expert Rev Anticancer Ther. 2008 Apr; 8 (4):645-52. Kaiser L, Davis J, Patterson J, Boyd R, Oliver NB, Bohart G, Schwartz KA. Iron Does Not Cause Arrhythmias in the Guinea Pig Model of Transfusional Iron Overload? Comparative Medicine, 57(4), August 2007, pp. 383-389 Schwartz KA, Schwartz 0, Barber, K, Reeves M, DeFranco A. Low Prevalence of Minimal Platelet Inhibition in Aspirin Compliant Patients. Submitted to Thrombo & Haem. 2008 Honors (resident and faculty): The Breslin Cancer Center was honored in April by the American Cancer Society with a Five Star Community Investor Award and a Five Star Investor Award. Goals for upcoming year: Retaining key faculty Helping junior faculty develop their research interest and become productive. This will insure that the publication record of key faculty is not cited by the next ACGME review. Core competency highlight: Patient care No Report Medical knowledge No Report Practice-based learning One of the learning activities in which the fellow's strengths, deficiencies and limits in their knowledge and expertise are evaluated is their presentations at the Michigan State University's Hematology/Oncology Seminar. The goal of this exercise is to help the fellow learn how to present a "State of the Art" lecture on a hematology/oncology topic of their choice. The fellow must choose a hematology/oncology topic that is focused enough so that primary reports as well as review articles can be used in a logical presentation. Through the use of Michigan State University's electronic library the fellow must assemble a bibliography using one of several medical databases that rely on the national library of medicine. Primary reports as well as review articles from peer reviewed journals are reviewed. The information from these readings is then organized into a logical lecture. In addition, fellows are encouraged to use appropriate graphics to either introduce the audience to a new concept such as a biochemical signal transduction pathway or survival data from a clinical trial evaluating new therapies. The use of "PowerPoint" is encouraged. Fortunately, the fellows are facile with computer retrieval of specific information and the use of "PowerPoint" slides. These lectures are critiqued by Dr. Schwartz and other faculty members. Usually, fellows have problems with organizing and assembling data into a clearly understandable format. Occasionally, concepts and facts that are presented reflect poor understanding by the fellow. Learning and improvement goals are then set for the fellow's subsequent presentations. These exercises in learning how to collect, assimilate, organize and present information are skills that the fellow will use in part or together for the rest of their medical care. Life-long learning is enabled by helping the fellows develop the skills necessary for finding and incorporating new information. Fellows who have trained in the program have voluntarily given very positive feedback for teaching them how to prepare for and deliver a focused lecture. I believe it is true that the person who learns the most from a lecture is the lecturer. Communications skills Fellows must rotate through the in-hospital rotation that takes care of the MSU Hematology and Oncology hospitalized patients. In addition, consultations are provided for other hospital groups such as surgery, general medicine and intensive care units. During this in-hospital rotation fellows develop skills that competently allow them to effectively communicate with patients, families, physicians, other health professionals and health related agencies. Professionalism Professional behavior by fellows and faculty is promoted via role modeling. Senior faculty as well as experienced oncology nurses demonstrate appropriate professional behavior in their interactions with patients and health care colleagues. Professional behavior is modeled in the outpatient clinic, during in-hospital rotations, during educational lectures, journal club and other attending fellow interactions. It is also passed down from second and third year fellows to fellows beginning the program. It may be demonstrated as simply as an unstated standard of dress or a greeting or a polite thank you. Our experienced oncology nurses also help faculty and fellows promote professional behavior. These seasoned health care professionals serve as role models that faculty and fellows either consciously or subconsciously emulate. Faculty serve as role models demonstrating for fellows appropriate professional behavior. Modeling occurs during interactions with patients, nurses and other health care professionals. This is also demonstrated during educational and other meetings when faculty displays the polite way to disagree with a colleague. It is the job of the supervising attending to correct breaches of professional behavior as they occur. Systems-based practice Fellows attend tumor boards at the different hospitals and tumor multidiscipline clinics. Surgeons, radiologists, pathologists, radiation therapists, psychologists and medical oncologists attend these conferences. A particular patient is discussed with the group coming to a consensus as to the best diagnostic and therapeutic plan. It is during these experiences that fellows learn how to work effectively in inter-professional teams to enhance the quality and safety of the patient's care. Learning about systems based practice is integrated into the fellow's patient care experiences. Faculty, social workers, discharge planers and physicians from other disciplines help with this aspect of the fellows' education. Infectious Disease Fellowship Daniel Havlichek, MD, Program Director Academic Year Highlights: Worked with EWSH Infection Control and Prevention Office to review MRSA susceptibilities to other antibiotics. This work was sent to all EWSH physicians. Graduating Residents: MaryAnn Tran, MD, MSU College of Human Medicine, Division of Infectious Diseases Incoming Residents: Suresha Rajaguru, MD University of Colombo, Sri Lanka Research publications/presentations (resident and faculty): MaryAnn Tran, MD: "Streptococcus intermedius: molecular identification and typing of isolates from a spectrum of clinical cases," submitted with Vincent B. Young, MD. Book chapter in press: 2007 MaryAnn Tran, MD: Subacute bacterial endocarditis. Evidence at Hand, with Mary Nettleman, MD. Internet chapters: 2007 MaryAnn Tran, MD: Non-genital Herpes Simplex Infections. Medicine.net, with Mohamad EI Mortada, MD and Mary Nettleman, MD 2008 MaryAnn Tran, MD: HIV Update. eMedicineHealth.com, with Mary Nettleman, MD. MaryAnn Tran, MD: "Phenotypic and Genotypic Analyses of MRSA Isolates with Decreased Susceptibility to Vancomycin," submitted to ICAACIIDSA Washington, DC, October 2008. MaryAnn Tran, MD: "Reduced susceptibility of MRSA isolates in a community/teaching hospital," Michigan Infectious Diseases Society. Novi, MI March 2008. Honors (resident and faculty): None reported Goals for upcoming year: Rapid integration of new faculty and new fellow into Lansing environment. Core competency highlight: Patient care We closely monitor patient care provided by fellows . Medical knowledge We conduct monthly board reviews and journal clubs directed by the fellows. Practice-based learning and improvement Fellows do literature reviews for patients they see and this is kept in their files. During the year, they also present at core conference concerning their practice. Interpersonal and communications skills A patient survey was done concerning appropriateness of communication skills. Professionalism Timeliness of medical records. Systems-based practice Worked with EWSH Infection control and prevention office to provide data to physicians about MRSA sensitivities. Neonatology Fellowship Ira Gewolb, MD, Program Director Academic Year Highlights: No report Graduating Residents: No report Incoming Residents: No report Research publications/presentations (resident and faculty): No report Honors (resident and faculty): No report Goals for upcoming year: No report Core competency highlight: No report Cardiac Electrophysiology Fellowship R.K. Thakur, MD, Program Director Academic Year Highlights: No report Graduating Residents: No report Incoming Residents: No report Research publications/presentations (resident and faculty): No report Honors (resident and faculty): No report Goals for upcoming year: No report Core competency highlight: No report Interventional Cardiology Fellowship Tim Fischell, MD, Program Director Academic Year Highlights: No report Graduating Residents: No report Incoming Residents: No report Research publications/presentations (resident and faculty): No report Honors (resident and faculty): No report Goals for upcoming year: No report Core competency highlight: No report Sparrow MSU Fellowship in Surgical Critical Care Chet Morrison, M.D., Program Director Graduating residents and destinations: N/A Incoming residents (include medical school attended): Benjamin Mosher, MSU CHM graduate and MSU faculty member Major accomplishments over previous year: Fellowship categorically approved by ACGME Research publications/presentations (resident and faculty): Pending Honors (resident and faculty): None reported Challenges/opportunities for upcoming year: First year of fellowship Get fellow integrated and clinically and academically productive Briefly address at least one way your program addresses each of the ACGME Core Competencies: Patient care Teaching rounds Presentations at didactic session as noted below. Proposed Schedule for Didactic Instruction, Surgical Critical Care General Week # Title Instructor Competencies Week 1The Administrative Structure of the ICU/Patient care and safety initiativesMorrisonSystems based practiceWeek 2Hemodynamic monitoring the invasive and the non-invasiveTBAPatient CareWeek 3Systemic Response to Injury Shock and Resuscitation including endpointsTBAMedical KnowledgeWeek 4Basic research models and performing clinical researchTBASystems based practiceWeek 5Patient Counseling, Informed Consent, Risk Management in ICU AndersonCommunication and interpersonal skillsWeek 6Hemostasis Principles and Coagulation DisordersTBAMedical Knowledge Week 7Transfusions pro & con/Principles of transfusion therapyMorrisonPatient CareWeek 8Ventilators ITBAMedical KnowledgeWeek 9Ventilators II/Liberation from mechanical ventilationTBAPatient CareWeek 10Sedation and delirium in the ICU: Current guidelines for managementTBAPractice=Based Learning & Improvement General Week # Title Instructor Competencies Week 11Introduction to trauma systems, injury severity scoring and critical illness scoring systemsTBASystems based practiceWeek 12Strategies in Management of Renal FailureTBAMedical KnowledgeWeek 13The critical care of the acute abdomen and complex postoperative surgical patientTBAPatient CareWeek 14Traumatic injury: Cranial traumaTBAPatient CareWeek 15Traumatic Injury: Chest/abdominal/pelvic injuryMorrisonPatient Care Week 16Traumatic injury: Extremity, airway management and spinal traumaKeprosPatient Care Week 17Mediators of acute inflammation: The molecular basis of critical care/ Basic Science WeekToledoMedical KnowledgeWeek 18Pneumonia/ Acute lung injuryTBAMedical KnowledgeWeek 19Skin/soft tissue infections, indications for hyperbaric oxygenMissavagePatient CareWeek 20Catheter related and other bloodstream infections/recommendations for preventionTBAPractice-Based Learning & ImprovementWeek 21Other ICU infections: CNS, urologic and atypical presentations of feverTBAPatient CareWeek 22Novel therapies for sepsis: Evidence based guidelinesTBAPractice based learning and improvementWeek 23Nutrition in the ICU: Enteral and parenteral caloric replacementTBAPatient CareWeek 24Cardiac pathology and treatment of Acute MI and acute cardiac syndromesTBAMedical KnowledgeWeek 25Cardiac dysrythmias, pathophysiology and treatmentTBAMedical KnowledgeWeek 26Fluid and Electrolytes/Acid base disordersTBAMedical KnowledgeWeek 27Physiology and treatment of BurnsMissavageMissavage/Patient CareWeek 28Environmental injuries and envenomationsTBAPatient CareWeek 29ICU pharmacology; rational dosing of commonly used medicationsTBAMedical KnowledgeWeek 30MCCKAP reviewTBAMedical knowledgeWeek 31Transplantation and the biology of immunosuppressionTBAMedical KnowledgeWeek 32Gastrointestinal bleeding and hepatic failureTBAPatient CareWeek 33Pulmonary embolism, deep vein thrombosis and Heparin Induced ThrobocytopeniaTBAPatient CareWeek 34AIDS and the intensivistTBAPatient CareWeek 35Antibiotics for the intensivistTBAMedical KnowledgeWeek 36Crush injury, compartment syndrome, and rhabdomyolysisTBAPatient CareWeek 37Non-traumatic central nervous system pathology: Stroke, seizures and infectionsTBA Patient Care Week 38RESEARCH PRESENTATIONSN/ACommunication and interpersonal skillsWeek 39Cost containment in Critical Care/billing strategiesTBASystem-Based PracticeWeek 40Care of the special population I: The obstetric patientTBAPatient Care Week 41Care of the Special Population II: The pediatric patientTBAPatient CareWeek 42Care of the Special Population III: The morbidly obeseTBAPatient CareWeek 43Fundamentals of disaster managementTBASystems-Based PracticeWeek 44Toxicology and Drug OverdosesReedMedical Knowledge Reed Morrison General Week # Title Instructor Competencies Week 45Critical care in the Coming Decade: A long term secular Growth Story. Options In career ChoicesMorrisonProfessionalismWeek 46Biostatistics and critically reading a study DavisSystems based practiceWeek 47Ethics in the ICU, including the withholding of care and End of Life Decisions TBACommunication & IP SkillsWeek 48Palliative Care in the ICUTBAProfessionalism  Medical Knowledge Assigned readings and didactic schedule Practice-based learning and improvement Review of Medical Critical Care Course Curriculum Board review session planned Interpersonal and communications skills Fellow involved in discussions with family, teaches junior residents and does primary interactions with nursing staff Professionalism Fellow will present during rounds and academic sessions Frequent evaluations will be conducted Systems-based practice Fellow participates in ICU keystone and QI initiatives z '(  34MN[\ST3@AZjkT!a! #*#+#C#y#z#$$$$%%%%?&@&&&&&&N(O(g(&)F)G)½νڽνڽڽڽڽνν h 35 h^F5 h`l5h=gh+s6 h+s5h+sh+s5h+sh7=h+s6h h/5 hC5 h5h/h 3h<{ htN5\htNA4ayz  fgv]D\[\ & FgdtN & 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