3 Resident Perspectives…Patient Load and Complexity 9 Great performance by NCC Dermatology Resident Jeopardy Team 6 Military Medicine Dominates at American College of Chest Physi
Trang 1IM Residents and Faculty Advance in Regional Innovation Competition
Internal Medicine Residents and Faculty presented Innovation Proposals during the National Capital
Region – Medical Directorate round 2 of “Shark Tank” style Innovations, overseen by NCRMD
Di-rector RDML David Lane Twelve projects were presented, with Team IM earning three of the six final third round selections 3
Resident Perspectives…Patient
Load and Complexity 9
Great performance by NCC
Dermatology Resident Jeopardy
Team 6
Military Medicine Dominates at
American College of Chest
Physi-cians 4
USU Clerkship Director Receives
Kudos for Exceptional Workshop 10
highlights December 2016
WALTER REED DOM
GME Snapshot GRADUATE MEDICAL EDUCATION Department of Medicine
Walter Reed Bethesda
Gastroenterology Faculty and Fellows Present to World-Wide Audience 2
Six IM Residents Promote Science-based Education
at Area High School 10 Resident Shows
Initiative and Leadership at National Level 11
IM Resident Awarded Joint Service Achieve-ment Medal for Excep-tional Leadership and Humanism 11
DOM team members recognized for pro-fessionalism and dedication to mission
at Walter Reed Bethesda 12
Endocrinology — Hail to the new Program Director - virtues of compassion, commit-ment and understanding 15
Joint Services GME Selection Board Results 15
Rheumatology –
Publication Powerhouse 8
Internal Medicine’s Annual Holiday Party –
a special occasion 16
Team Cardiology Wins ACC Cardiology Fellows Jeopardy Competition 5
Trang 2research and academic success research and academic success
GASTROENTEROLOGY
FELLOWSHIP PROGRAM
Faculty and Fellows Present
to World Wide Audience
ACG Annual Scientific Meeting
Our faculty and fellows presented to more
than 5,000 gastroenterologists and other
health care professionals from around the
world at the 2016 American College of
Gas-troenterology’s (ACG) 81st Annual
Scien-tific Meeting in Las Vegas, where the most
recent scientific advances in
gastrointesti-nal research, treatment of digestive
diseas-es and clinical practice management were
reviewed
Walter Reed Bethesda's Department of
Medicine was well represented! Seven
fellows and five residents presented
post-ers on cases and research mentored by the
attendings from Division of
Gastroenterol-ogy, and CAPT Patrick Young won the
Board of Governors Service Award!
PLENARY PRESENTATION
CAPT Patrick Young (GI Program Director), Dr Fouad
Moawad (former WRNMMC and USU Faculty) ̶
“Development and Validation of a Prediction Model
Associated with Neoplastic Progression of Barrett’s
Esophagus (BE): Data from a Multi-Center Prospective
Cohort.”
POSTER PRESENTATION
WRNMMC GI Fellows:
Dustin Albert ̶ "Positive predictive value of physician
database diagnostic codes for identifying Crohn's
disease"
Jonathan Francis ̶ "Two Cases of Brunner's Gland
Hamartoma: A Potentially Difficult to Recognize
Duo-denal Lesion"
Jisun Hahn ̶ "Confounding Presentation of Small
Bowel Ischemia in an IBS Patient and Diagnosis and
Treatment Utilizing CO2 Angiography"
Noah Hall (GI Fellow) ̶ “A Chylous Mesenteric Cyst
Masquerading as a Pancreatic Mass”
Phillip Lindholm ̶ "CMV Collitis Presenting as
Pseudo-membranes"
Charlene Vestermark ̶ "Salmonella-associated
Clos-tridium difficile Infection Presenting as New Onset Ascites for Adults with Inflammatory Bowel Disease"
Charlene Vestermark ̶ "Uncovering the Mask: A Rare
Presentation of Autoimmune Hepatitis Type 2 in a 54-Year-Old Man"
Noah Hall ̶ "A Validation Study on the Diagnosis of
Celiac Disease in Military Service Members"
Kimberly Zibert ̶ Isolated Jejunal Vasculitis in a
Young Male Treated with Exchange Blood Transfu-sion"
Kimberly Zibert ̶ "Males with Inflammatory Bowel
Disease Have a High Prevalence of Hypogonadism and Erectile Dysfunction"
Kimberly Zibert ̶ "An Elusive Fishbone: The Role for
Repeat Imaging and Rigid Endoscopy"
WRNMMC IM RESIDENTS:
Benjamin Collen ̶ Acute Sickle Cell Intrahepatic
Cholestasis (SCIC) Successfully
Zachary Junga ̶ Rare Malignancy Found on
Endosco-py for GERD Associated with Dysphagia
Alison Lane ̶ More Than Skin Deep: A Rare Cause of
Dysphagia
Sarah Ordway ̶ Hepatic Granulomas: An Unusual
Presentation of Sarcoidosis
Michael Skaret ̶ Colonic Extramedullary Leukemia: A
Liquid Tumor Solidified
AWARDS
INTERNAL MEDICINE
Twenty-Eight Presenters
at Navy ACP Meeting in Norfolk, VA
Congratulations to the following Residents and Recent Internship Graduates for the their selection
to present abstracts as posters and podiums at the upcoming Navy American College of Physi-cians Scientific Meeting in Nor-folk, VA on 13-14 January (results not available at press time)
Click here to see the complete list of twenty-eight presenters:
https://learning.usuhs.edu/x/
niXyL0 The abstracts include everything from Near Lemierre"
to "Food Fright."
Also speaking at the meeting, Navy ACP Governor and Rheu-matology Service Chief CAPT Michael Keith, BUMED Chief Medical Officer and former DOM Chief CAPT Kevin Dorrance, and WRB Chief of Medical Residents Brett Sadowski
CPT Zachary Junga
CAPT Patrick Young ̶ Board of
Governor’s Service Award
Trang 3NATIONAL CAPITAL REGION
IM Residents and Faculty Advance to Round 3 of Regional Innovation Competition
“Shark Tank” Style Innovations
Three projects from Internal Medicine were chosen to move forward to Round 3!
Presenters were given 5 minutes to “pitch” their ideas, including a problem description and
pro-posed solution with scope and mission applicabil-ity Each presenter then answered key questions from judges and RDML Lane
Dr Julie Chen (IM Associate Program
Director): “Promoting Provider Well-being and Mitigating Burnout in
Medi-cine Providers”
LT Krystle Salazar (Pulmonary/Critical
Care Fellow), LCDR Raj Singaraju (IM
Resident): “Required end of life training and documentation”
LT Patrick Moon (IM Resident): “Mobile
Health Applications in Modern Military Medicine”
Congrats to presenters and their men-tors It was a fun morning and great to see all of our residents, fellows and fac-ulty move forward in the competition!!
What’s next?
For those who advance to Round 3 of the Innovation Competition, NCRMD provides business support to write out each candidate’s pilot proposal to en-sure that all bases are covered for the business case and feasibility Once pilot studies are developed (late January/
early February time frame), they will be presented to Rear Admiral Lane and his board of directors (all of the Command-ing Officers/Directors across the NCR) to
determine which pilots move forward for support and execution across the region
Good luck with Round 3!!
Previously, and just as Impressive:
Before the 2nd Round, innovators were hand selected by RDML Lane, from 42 submis-sions for the Shark Tank Style Event, based
on alignment with strategic goals for the region The majority of the ideas were se-lected from the across the region at the NCRMD Quality Symposium RDML Lane had also attended proposal presentations for the Internal Medicine Residency Quality Improvement Program and encouraged trainees to submit their work Their ideas strongly align with the quadruple aim of the NCRMD, and show great potential for the region According to panel members, LCDR Singaraju and LT Salazar also deserve credit for “bravely addressing an incredibly im-portant” topic
Very Respectfully, Michelle Hartman Lane, Ph.D
LT, MSC, U.S Navy Flag Aide to RDML David Lane NCRMD/DHA
research and academic success research and academic success
L-R: Dr Julie Chen, LT Krystle Salazar, LCDR Raj Singaraju, LT Patrick Moon move to Round 3
Innovation Contestants in Round 2 (L-R): LCDR Raj Singaraju (IM Resident), Dr Julie Chen (IM Faculty), LT Paul Tanjutco, Mr Ted Mueller (IM), LT Krystle Salazar (Pulmonary/Critical
Care Fellow), LTC Mike McCown (Pediatrics), LT Pat Moon (IM Resident), Ms Gayathri Vemuri (Social Work), CAPT Moira McGuire (IM)
Trang 4research and academic success
DIVISION OF PULMONARY,
CRITICAL CARE, AND
SLEEP MEDICINE
WRNMMC-SAMMC CHEST 2016
Military Medicine Makes Impact at
American College of Chest Physicians
The Walter Reed Bethesda Division of
Pulmo-nary, Critical Care, and Sleep medicine had a
very successful performance at the American
College of Chest Physicians annual meeting in
Los Angeles this past October Internal medicine
residents CPT Ross Humes, CPT Rebecca Wetzel,
MAJ Jason Unger, LT Benjamin Kurth, and LCDR
Bob Chiaruttini all presented posters LT Camille
Costan-Toth presented original sleep research
with her mentor LTC Aaron Holley They were
joined by PCCM fellows MAJ Mike Sobieszczyk
who presented a podium presentation, USAF
Capt Whitney Warren who mentored Dr Humes
and also served as faculty in a faculty
develop-ment course, and MAJ Billy Londeree who
pre-sented a poster
LCDR Andrew Philip (PCCM Associate Program
Director) was selected as Fellow in the American
College of Chest Physicians Walter Reed
Be-thesda staff leading multiple educational ses-sions during the meeting included LTC(P) John Sherner (PCCM Program Director), COL Lisa Moores (USU), and COL William Kelly (USU)
CHEST 2016 - WRNMMC/USU Accomplishment Details
Fellows, Residents and Staff
MAJ Mike Sobieszczyk
“Biopsy of a Peripheral Nodule Using
Navigation-al Bronchoscopy and an Off Airway Access Tool”
COL Lisa Moores (USU)
“Effective Small Group Teaching”
Update: "The Antithrombotics Living Guidelines"
COL William Kelly (USU)
“Remediating Deficiencies in Medical Knowledge (Part of: The Art of Teaching Medi-cine Clinician Educator Symposium.)” And over
1300 meeting attendees played one or more of
Dr Kelly's medical knowledge arcade-style and
live games
LTC John Sherner
Case Based Interactive Discussion: Clinical Use
of Non-Vitamin K Anticoagulants in 2016
Capt Whittney Warren
Faculty Development Seminar: "Teaching the
Teacher"
CPT Ross Humes
Poster: "A Lady and Her Bird"
LCDR Bob Chiaruttini
Poster: "Primary Pulmonary Choriocarcinoma"
CPT Rebecca Wetzel
Poster: "Doctor's Orders: A Case of
Unintention-al Overtreatment"
MAJ Jason Unger
Poster: "A New Case of Cerebral Angiitis in the
ICU"
LT Benjamin Kurth
Poster: "Consider What's below the diagphragm
when evaluating Pulmonary Hypertension"
LTC John Sherner
Faculty Panel Multidisciplinary Session Cased
Base Reviews: Evidenced Based Guidelines for
Diagnosis, Staging, and Specimen Acquisition and Treatment of Late Stage Lung Cancer"
Capt Whittney Warren
Faculty Development
Seminar: "Teaching the
Teacher"
CPT Billy Londeree
Poster: "Balloon
broncho-plasty for radiation in-duced bronchial stenosis"
COL Lisa Moores
Presentation: CHEST Foundation 101 Flipped Classroom Work-shop: Effective Mentoring
LTC Aaron Holley, LT Camille Costan-Toth
Podium presentation: "Using a novel cpap
deliv-ery platform to improve compliance in patients diagnosed with OSA and co-morbid PTSD"
Ses-sion: Research investigations in obstructive sleep apnea
research and academic success
LT Camille Costan-Toth delivered a wonderful research podium presentation
LT Benjamin Kurth proudly stands in front of his poster
CPT Rebecca Wetzel
Capt Whittney Warren CPT Ross Humes
LCDR Andrew Philip in Fellow Regalia
posing with his family
Trang 5research and academic success research and academic success
American College of Allergy, Asthma, and Immunology
2016 Annual Meeting
IM Resident LT Hyun “Robert” Park and Allergy Fellow CPT Camellia Hernandez
presented the following cases at the ACAAI Conference in San Francisco in November:
LT Park’s poster was entitled, “Metastatic
Cancer Treatment In A Pediatric Patient Causes Life Threatening Reaction: No Plan B.” Click on this link to view LT Park’s
poster: https://learning.usuhs.edu/x/
Gpv5Df
CPT Camellia Hernandez’s poster was
entitled, “Barley Allergy Manifesting as
Beer Anaphylaxis”
Congratulations to both of you and your mentors!
Impressive Showing by Cardiology
Fel-lows (L-R) MAJ Jason Reese, LCDR
Lau-ren Weber and CPT Jeremy Docekal
who represented us at the Mid-Atlantic Capitol Cardiovascular Sympo-sium (MACCS)
[In mid November], our team participated
in and WON the ACC cardiology fellows Jeopardy competition for DC/Maryland, crushing teams from the Washington Hos-pital Center and an all-star team that was a combined Johns Hopkins/University of Maryland team (team Baltimore)
As a result, our Walter Reed Bethesda team will represent Maryland and DC in the national fellowship cardiology Jeopardy competition at the 2017 ACC meeting in D.C I am thinking that this team has the makings of a national champion? As you
can see in the photo above, this is an im-pressive team! Additionally,…they
compet-ed in an exhibition match against the win-ning teams from the states of Pennsylvania and Virginia and were edged out by a single point
Finally, Jason Reese moderated a session at the meeting where he and other fellows from the Mid-Atlantic region reviewed key studies from the recent AHA scientific ses-sions
Thanks to all!
Todd
TODD C VILLINES COL, MC, USA Program Director, NCC Cardiovascular Diseases Fellowship Director, Cardiovascular Research and Cardiac CT Program
Good Luck at the
2017 ACC in DC!!
Cardiology Team Wins the ACC Cardiology Fellows Jeopardy Competition for DC/Maryland
Congratulations Colonel Jess Edison with an academic promotion at USU to Associate Professor in the Department of
Medicine, SOM
CPT Camellia Hernandez
LT Hyun “Robert” Park
Trang 6research and academic success research and academic success
DERMATOLOGY
NCC Dermatology Resident
Jeopardy Team Came
in 2nd Place
American Society of
Dermatological Surgeons
Walter Reed Bethesda
Dermatolo-gy Residency had a strong
perfor-mance at the American Society of
Dermatological Surgeons in the
New Orleans In the premier
na-tional dermatological surgical
com-petition, LT John W Roman and LT
Thomas Evans competed against
top programs in the nation and
earned a silver medal in the
Gold-en Scalpel Knowledge Bowl They
demonstrated their knowledge in
dermatology and surgical
princi-pals to outperformed 12 of the
leading dermatological residencies
in the nation
Congratulations on performing so
well in such a competitive
compe-tition!
MEET THE TEAM
ID Week 2016
Infectious Disease Fellows and Internal Medicine Resident Present Their Post-ers
ID Fellow CPT Evan Ewers - "Preliminary
Clinical and Microbiological Characteristics of Campylobacter Infection at a Military Medi-cal Center in Hawaii" Click on the link to
view the abstract:
https://learning.usuhs.edu/x/1C2qvc
ID Fellow CPT Jack Hutter - "Acid
Suppres-sion with Histamine[H2] Blockers and Proton Pump Inhibitors[PPIs] is not Associated with
an Increased Risk of Traveler's Diarrhea [TD]"
Click on this link to view the poster:
https://learning.usuhs.edu/x/Qh4m3Y
IM Resident LT Alison Lane - “Effectiveness
of Alcohol-Based Hand Sanitizers in Reducing Bacterial Colonization of Stethoscopes” Click
on this link to view the poster:
https://learning.usuhs.edu/x/USA9kz
INFECTIOUS DISEASES
American Society of Tropical Medicine and Hygiene
(ASTMH 2016), 13-17 November, Atlanta, GA
POSTER
“Post-artesunate delayed hemol-ysis in a returning traveler”
LT Sara Robinson, MD, CPT Na-thanial Copeland, MD, MAJ Jason Blaylock, MD, Dept of Internal Medicine & Infectious Diseases, Walter Reed National Military Medicial Center, Bethesda, MD
Congratulations
LT Robinson and mentors!
ID Fellow CPT Jack Hutter, IM Resident LT Alison Lane, ID Fellow CPT Evan Ewers
LT Thomas Evans
LT John
W Roman
Trang 7research and academic success
IM Residents Deliver
Resident QI projects
Project Proposals to Improve Patient Safety, Efficiency, and Resource Utili-zation
On three separate occasions In No-vember/
December, we learned about the WRB internal med-icine resident qual-ity improvement project proposals
14 different pro-jects aimed to im-prove patient
safe-ty, efficiency, and resource utiliza-tion Attendees, including RDML David Lane, Director of NCRMD, provided sup-port and feedback to our residents as they refined their projects
Some of the proposals included,
“Automation of the I-PASS Tool to Reduce Errors in Transitions of Care,” “Improve procedure completion rates for internal medicine residents,” and “Improving weight-based vancomycin dosing.”
To view the complete list of 2016-2017 QI Teams and proposals:
https://learning.usuhs.edu/x/pjlM6a
Thank you Dr Chin Hee Kim (Assistant Chief, General Internal Medicine, Inpa-tient Medicine), the IM Chiefs of Resi-dents LT Brett Sadowski and CPT Hector Medina, and others who led this effort
Impressive Accomplishment!
Intern LT Richard Wu Selected for Chrysalis Project
The Chrysalis Pro-ject presents a great opportunity
to explore a ca-reer in allergy / immunology The core of the pro-ject is a program that takes place during the Ameri-can Academy of Allergy Asthma & Immunology (AAAAI) Annual Meeting, the premier allergy / immunology event of the year Participant selection is based on research experience, publications, presentations and a career goals statement.*
* http://www.aaaai.org/about-aaaai/
service-and-stewardship/chrysalis-project
“Hymenoptera Venom Hypersensiti Evalu-aation (HVHE): A prospective study”
Richard Wu (a), Jeannie Bay (b) DO, Cecilia Mikita (b) MD, Sarah Spriet (b) MD, Douglas Beakes (b) MD
(a) Uniformed Services University of the Health Sciences, Bethesda, MD, United States (b) Walter Reed National Military Medical Center, Bethesda, MD, United States Click here to view the poster:
https://learning.usuhs.edu/x/7i5qFa
Strong work! This is a great accom-plishment and we are happy to see you have this success in your field of interest
research and academic success
INTERGRATED HEALTH
The Mindful Minute
Small changes can have a big impact!
Coming soon: The Mindful Mi-nute presents practical skills for improved health and well-being through weekly podcasts and videos via the intranet In just 60 seconds learn tools and tech-niques to support a healthy life-style, promote wellness, and maintain good health The pro-gram launches in January
You’ll find a link to the Mindful Minute by clicking on the Quick
Link Icon for Staff Information
Join the Integrative Health &
Wellness Team every Wednesday morning for your Mindful Mi-nute!
For more information, please contact:
Lynne Valdes, MS, C-IAYT Mind-Body/Yoga Therapist Integrative Health and Wellness Services (IHWS) lynne.m.valdes.ctr@mail.mil office: 301.295.8752
LT Mickey Skaret presents his QI project
Trang 8education scholarship, and outreach publications
RHEUMATOLOGY
Publication Powerhouse
Big Publication Quarter for Rheumatology
Former Fellow: Vanya Wagler Staff: Robert O'Brian
Wagler, Vanya D; Mitchum, Marsha D; O'Brian, Robert J “Proton
PumpInhibi-tor-Associated Subacute Cutaneous Lupus Erythematosus in a Patient With
Granulomatosis With Polyangiitis.” Journal of Clinical Rheumatology 2016;
22(8):436-437 PMID 27870768
Fellow: Jeff Eickhoff Staff: Jess Edison
Eickhoff JC, Smith J, Landau M, Edison JD “Iatrogenic thenar eminence
atro-phy after Botox A injection for (Secondary) Raynaud's Phenomenon.” J Clin
Rheumatol 2016 Oct;22(7):396-7 PubMed PMID: 27410925
Fellow: Rodger Stitt Staff: Christopher Tracy, Jess Edison
Stitt R, Edison JD, Tracy C “An Unusual Case of a Swollen Elbow Arthritis
Rheumatol.” 2016 Oct 9 doi: 10.1002/art.39949 [Epub ahead of print]
Pub-Med PMID: 27723278
Staff: Jess Edison, Chris Tracy
Former Fellows: Melissa Butts, Sharon Frattalone
Edison J, Frattalone S, Tracy C, Woodard GE, Butts M, Moratz CM “Inhibition
of Sphingosine-1-phosphate receptors in ischemia reperfusion injured
autoim-munity-prone mice.” Cell Immunol 2016 Oct 27 pii: S0008-8749(16)30120-4
doi: 10.1016/j.cellimm.2016.10.005 [Epub ahead of print] PubMed PMID:
27816167
Abstract at the American College of Rheumatology Annual Scientific meeting
Staff: Jess Edison
Robbins RC, Tracy C, Edison J, Peng
S, Moratz C “Coagulation Pathway
Function in Ischemia/Reperfusion Tissue Injury in Autoimmune Prone Mice [abstract].” Arthritis
Rheu-matol 2016; 68 (suppl 10) http://
acrabstracts.org/abstract/
coagulation-pathway-function-in- ischemiareperfusion-tissue-injury-in-autoimmune-prone-mice/ Accessed November 30, 2016
Former Fellow: Vanya Wagler Staff: Michael Keith
Kurth BJ, Wagler V, Keith M
“Cardiac tamponade as a manifesta-tion of severe dermatomyositis.”
BMJ Case Rep 2016; Sep 23 PMID
27664227
Former Fellow: Patricia Papadopoulos Staff: Michael Keith Affiliate Staff: William Gilliland
Bardenheier BH, Duffy J, Duderstadt SK, Higgs JB, Keith MP, Papadopoulos PJ,
Gilliland WR, McNeil MM “Anthrax vaccine and the risk of rheumatoid
arthri-tis and systemic lupus erythematosus in the US Military: A case-control study.” Mil Med 2016:181(10):1348-1356 PMID 27753574
Staff: Michael Keith
“Dysregulation of innate and adaptive serum mediators precedes systemic lupus erythematosus classification and improves prognostic accuracy of autoan-tibodies.” Lu R, Munroe ME, Guthridge
JM, Bean KM, Fife DA, Chen H, Slight-Webb SR, Keith MP, Harley JB, James JA
J Autoimmun 2016 Nov;74:182-193
PMID: 27338520
Staff: Michael Keith
“Altered type II interferon precedes autoantibody accrual and elevated type
I interferon activity prior to systemic lupus erythematosus classification.”
Munroe ME, Lu R, Zhao YD, Fife DA, Robertson JM, Guthridge JM, Niewold
TB, Tsokos GC, Keith MP, Harley JB, James JA Ann Rheum Dis 2016 Nov;75 (11):2014-2021 PMID: 27088255
Also see Rheumatology’s Jeff Eickhoff,
helping out at USU Specialty Night on
page 9 Chris Forster, and Nancy Sein
also helped (not shown in picture).
COL Jess Edison, Program Director, Rheumatology Fellowship, and CPT Rachel Robbins
Left to right: Jason Weiner - he's doing an outservice fellowship at Duke University, Jeff Eickhoff - 2nd year fellow, Michael Keith,
Christopher Forster, Rachel Robbins (Back Row) - graduate / staff at DDEAMC, Nancy Sein - 1st year fellow, Nick Kortan (back row) -
graduate / staff at LRMC, Sharron Frattalone = graduate / staff at SAMC, Robert O'Brian (Back row), Rodger Stitt - 2nd year fellow,
Patrick Mastin (Back row) - 1st year fellow , Jess Edison
Trang 9education scholarship, and outreach
Internal Medicine Was Well Rep-resented at USU Alpha Omega Alpha (AOA) Military Medical Specialty Night
The WRB Internal Medicine Residency Program and associated subspecialties were well represented at the recent Mili-tary Medical Specialty Night held Novem-ber 15th at the Uniformed Services Uni-versity (USU), hosted by the USU Gamma chapter of AOA Over 250 medical stu-dents from 35 different medical schools attended the event, including USU and HPSP students from all branches of the military and from around the country
Students had the opportunity to discuss career goals with program directors rep-resenting all military graduate medical education programs One of the most popular events was Iron Med, a picture-based challenge organized by WRB IM residents to spark interest in internal medicine
LT Jeff Gray & LT Alison Lane WRB IM Residents
Alliance for Academic Internal Medicine Skills Development Conference (AIMM)
For the Alliance for Academic Internal Medi-cine Skills Development Conference on
Oct.20th, 2016, (photo L-R) Dr Monica Yepes -Rios (USU DOM Faculty), MAJ Renee Mallory (USU DOM Faculty) and Dr Julie Chen (WRB
Internal Medicine Residency Associate Pro-gram Director) led a workshop entitled
"Faculty Development: Evaluation and Effec-tive Feedback in the Continuity Clinic - Chal-lenges and Innovations in an X+Y Block Sys-tem." The workshop outlined use of an
inno-vative tool for evaluation, which helps miti-gate the decrease in continuity that comes with an X+Y block system, while
concomitant-ly promoting meaningful feedback in the clinic setting
Academic Mission and Patient Care
Internal Medicine Realigns, Restructures for Enhanced Academic Mission and Delivery of Primary Care
Internal Medicine is in the process of restructuring for better alignment with its academic mission and enhanced delivery of its Patient-Centered Medical Home (PCMH) model of primary care It is moving from a structure that embeds interns and residents
in all of its nine medical home to one that focuses them in just four teams
By focusing its GME efforts on just four teams, leadership anticipates a more tightly integrated structure among residents and core faculty, aca-demic schedules, rotations, and the demanding requirements of a robust program in the context of
a complex clinical setting
The six additional PCMH teams, which will still accommodate medical, Physician Assistant (PA) and Nurse Practitioner (NP) students, will gain the flexi-bility needed to implement the PCMH model with better adherence to military guidelines and for more effective patient health outcomes
The restructuring effort, slated to begin the end of December, is expected to be completed by early January 2017
publications
RESIDENT PERSPECTIVES…
Walter Reed Bethesda Offers Pa-tient Load and Complexity in Resi-dent Training Program
My name is Zach Junga and I am a
PGY-3 in the Internal Medicine Residency Training Program at Walter Reed Na-tional Military Medical Center (WRNMMC) in Bethesda, MD In my 2.5 years training here, the patient load and complexity have increased significantly As an intern in 2014, I was impressed by the patient complexity at WRNMMC, but there were some slow times throughout the year Since that time, there has been a steady increase
in our patient numbers and the com-plexity has risen with it This has been especially apparent in the medical intensive care unit where we have seen the number of critically ill patients reach new levels Concerns over pa-tient numbers and complexity are im-portant but you need not have them here at Walter Reed Bethesda
Ultimately your training is what you make of it, and at WRNMMC, you will have every opportunity to work with the best physicians with some of the best resources at your disposal on a patient population that is complex and varied
- Internal Medicine PGY3 Zach Junga
A packed house for AOA specialty night to showcase military medicine’s training programs to medical students traveling from near and far
Jeff Eickhoff (Rheumatology) shows senior physicians the value of ultrasound while trying to diagnose Adam Barelski’s aches and pains
Trang 10well-deserved recognition education scholarship, and outreach
INTERNAL MEDICINE
USU/WRB Inpatient Clerkship Director
Receives Kudos for Exceptional
Workshop
LCDR Mary Andrews, Uniformed Services
Universi-ty/Walter Reed Bethesda inpatient clerkship
direc-tor (who is GIM Fellowship trained), presented a
workshop on developing improvement plans for
residents at Alliance for Academic Internal
Medi-cine Skills Development Conference in October in
Maryland, and received some very complementary
kudos on the AAIM/APDIM List-serve stream The
excerpt is pasted below
Link to meeting website for materials:
http://www.im.org/p/cm/ld/fid=1466
Link to Dr Andrew’s workshop materials:
http://www.im.org/d/do/7931
KUDOS:
“Dr Andrews' presentation was based on ongoing work that she is doing with collaborators COL Wil-liam Kelly (USU) and COL Kent DeZee (TAMC) I attended her workshop and it was exceedingly well done and had the room buzzing Mary, a nice demonstration of real-time impact of your ground-breaking work!”
- A better-educated attendee
“At the AAIM Skills Develop-ment Conference last week, I also attended a great work-shop by Mary Andrews and colleagues at Uniformed Services University (I think
#110) on self-regulated learning There materials on the AAIM website include a worksheet and the materials are quite thorough I am using this now and find it to
be a wonderful resource to help me help my residents.”
- Jacqueline Darcey, MD
INTERNAL MEDICINE
Army and Navy Medicine
Community Service
IM Residents Promote
Science-Based Education
Six Internal Medicine Residents participated
in a conference attended by hundreds of high school students across Howard County to promote awareness about the importance and applications of a science-based educa-tion
Sarah and team,
Thank you for coordinating our presence and vol-unteering at this great opportunity to show a bunch of talented high school students some of the possibilities that military medicine has to offer
You clearly gave them a great view of the future of Army and Navy Medicine Cathy ('Chili Dog') Po-padiuk, is that your flight helmet that I saw on the table?
Strong work!
V/r, CAPT Bill Shimeall
IM Program Director
As a part of the Walter Reed Action Group,
I'd like to acknowledge and thank IM Residents CPT
Joe Maciuba, LT Jeff Gray, LT Mickey Skaret, CPT Cynthia Philip and LCDR (SEL) Cathy ‘Chili Dog’
Popadiuk for volunteering for 4 hours last
Thurs-day by leading 2 panel discussions at the Science in Society Conference at River Hill High School (RHHS)
in Maryland The conference was held for approxi-mately 300 high school students across Howard County to promote awareness about the im-portance and applications of a science-based edu-cation to high school students They each discussed why they chose careers in medicine and shared some of their experiences They encouraged the students to consider careers in military medicine, and represented Walter Reed Bethesda with pride and professionalism
Thank you again for volunteering your precious time to potentially make a difference in the lives of these high school students!
V/R Sarah,
CPT Sarah Ordway Founder of Walter Reed Action Group (WRAG)
2017 IM Chief of Residents
IM Residents LT Mickey Skaret, , CPT Sarah Ordway, LT Jeff Gray, LCDR (SEL) Cathy ‘Chili Dog’ Popadiuk, CPT Cynthia Philip, and CPT Joe Maciuba
volunteering by leading two panel discussions at the Science in Society Conference at River Hill High School in Maryland
LT Mickey Skaret and CPT Joe Maciuba talking with
two RHHS students during the conference. Also see page 11 to read about how CPT Sarah Ordway
received the Joint Service Achievement Medal.