Medical Grand Rounds

Fall 2012

Thursdays at 12:00 PM
Hermes A. Kontos Medical Sciences Building Auditorium

September | October | November | December

September

Sept. 1

Milestones—Steps on a Professional Journey: Using Skill and Knowledge Benchmarks to Document Trainee Development

Stephanie A. Call, MD, MSPH
Associate Professor of Medicine
Associate Chair for Education
Residency Program Director
Department of Internal Medicine
VCU Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Define "milestone" and "competency-based training"
  • Identify the educational purpose for the use of milestones
  • Describe several existing models for competency-based advancement
  • Gain an appreciation for the national state of affairs in the milestone movement
  • Recognize the implications for future training

Sept. 8

State of Department

John Nestler, MD
William Branch Porter Professor and Chair
Department of Internal Medicine
VCU Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Review the educational and academic progress of the DOIM in FY11
  • Review the clinical operations of the DOIM in FY11
  • Review the research accomplishments of the DOIM in FY11
  • Discuss the short-term and long-term goals of the DOIM

Sept. 15

How the Liver Controls the Brain

Jasmohan Bajaj, MD
Associate Professor of Medicine
Division of Gastroenterology, Hepatology & Nutrition
Department of Internal Medicine
VCU Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Understand the relationship between liver disease and brain dysfunction
  • Understand the differential diagnosis of altered mental status and cognitive impairment in cirrhosis 
  • Understand the diagnostic and therapeutic modalities for Hepatic Encephalopathy

Sept. 22

ANNUAL SHAIA LECTURE
From Whipple's disease to Trophyrema whipplei

Didier Raoult, MD, PhD
Professor and Director,
Research Unit in Infectious & Tropical Emergent Diseases
University of the Méditerranée, Marseille

Following this Grand Rounds presentation, participants will be able to:

  • Review the clinical spectrum of diseases associated with Trophyrema whipplei
  • Discuss new advances in diagnostic testing for Whipple's disease
  • Review currently available therapies for Whipple's disease

Sept. 29

Menopause and Therapeutic Options
Co-sponsored by the VCU Institute for Women's Health

Holly L. Thacker MD, FACP, CCD, NCMP
Director, Center for Specialized Women's Health
Women's Health and Breast Pavilion-Cleveland Clinic
Associate Professor of Surgery-CCLCM of CWRU
OB-GYN and Women's Health Institute
Executive Director, Speaking of Women's Health

Following this Grand Rounds presentation, participants will be able to:

  • Review newer data re: HT risk/benefits especially with respect to CV disease

  • Compare/contrast risks of HT with other commonly used therapies in women
  • Describe newer therapies

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October

Oct. 6

ANNUAL ORHAN MUREN LECTURE
Division of Pulmonary & Critical Care Medicine

"I Have a Spot on My Lung"
Approach to the Pulmonary Nodule

R. Wesley Shepherd, MD
Associate Professor of Medicine
Division of Pulmonary and Critical Care Medicine
Department of Internal Medicine
VCU Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Be familiar with various nodule characteristics and their utility
  • Summarize approach to small indeterminate nodules
  • Review recommendations for larger (> 8 mm) indeterminate nodules
  • Recognize pulmonary nodule biopsy techniques and when they are indicated

Oct. 13

SUBSPECIALTY FELLOW RESEARCH PRESENTATIONS

Persistent Anemia in Patients Supported with the TAH
Anit Mankad, MD
Cardiology Fellow, PGY-6

Following this Grand Rounds presentation, participants will be able to:

  • Describe the components of the total artificial heart 
  • Evaluate potential adverse effects of the total artificial heart
  • Describe the potential causes of anemia in patients supported by the artificial heart

Bile acid-induced TGR5 receptor signaling and peptide release in STC-1 cells
Vanitha Bala, MBBS
Gastroenterology Fellow, PGY-4

Following this Grand Rounds presentation, participants will be able to:

  • Understand the physiological significance of novel Bile Acid receptor TGR5

Massive Tracheoesophageal Fistula Following Chemotherapy with Bevacizumab
Tom Iden, MD
Pulmonary and Critical Care Fellow, PGY-6

Following this Grand Rounds presentation, participants will be able to:

  • Review the presentation of malignant tracheoesophageal fistula
  • Highlight the association between bevacizumab and tracheoesophageal fistula

Metabolomic Profiling to Define Predictors of Response to Vitamin E for Non-Alcoholic Steatohepatitis
Jianfeng Cheng, MD, PhD
Gastroenterology Fellow, PGY-5

Following this Grand Rounds presentation, participants will be able to:

  • Identify baseline metabolomic profiles that could identify who would respond to Vitamin E treatment
  • Identify end of treatment metabolomic profiles reflective of histologic improvement

Oct. 20

Diagnostic Application of Ultrasound Contrast Agents

Thomas R. Porter, MD, FACC
Professor of Medicine
Director, Non-invasive Cardiology Laboratory
Theodore F. Hubbard Distinguished Chair of Cardiology
Department of Internal Medicine
University of Nebraska Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Update the audience on current clinical trials utilizing ultrasound contrast agents in detecting coronary artery disease and myocardial viability
  • Demonstrate the potential for ultrasound contrast agents in therapeutic applications in acute coronary syndromes and stroke

Oct. 27

Quality, Cost and Value in Patient-Centered Advanced Chronic Illness Care

Peter A. Boling, MD
Professor of Medicine
Interim Chair, Division of General Medicine
Director, Geriatrics Program
Department of Internal Medicine
VCU Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Describe the medical and economic rationale for focused attention on improving advanced chronic illness care
  • List major existing problems with this aspect of health care delivery
  • Outline successful and emerging models that can improve advanced chronic illness care

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November

Nov. 3

Clinicopathologic Conference: 37 year old female who presents with constitutional symptoms, pancytopenia and splenomegaly

Prithviraj Bose, MD
Assistant Professor of Medicine
Division of Hematology/Oncology
Department of Internal Medicine
VCU Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Recognize etiologies and diagnosis from the clinicopathologic case presented
  • Observe an experienced clinician's diagnostic reasoning process

Nov. 10

Dyslipidemia in Liver Disease: Examining the Increased Risk of Cardiovascular Events in Nonalcoholic Fatty Liver Disease (NAFLD)

Michael Fuchs, MD, PhD, FEBG
Associate Professor of Medicine
Division of Gastroenterology, Hepatology & Nutrition
Department of Internal Medicine
VCU Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Review clinical data that link NAFLD to increased cardiovascular events
  • Define the metabolic basis for atherogenic dyslipidemia in NAFLD
  • Evaluate emerging treatment options for NAFLD

Nov. 17

What's New in the Management of Coronary Heart Disease?

Michael J. Cowley, MD
Professor of Medicine
VCU Pauley Heart Center
Department of Internal Medicine
VCU Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Understand the roles and limitations of drug-eluting stents in coronary interventions
  • Understand the expanding role of coronary intervention in patients traditionally treated with bypass surgery
  • Understand the role of newer antiplatelet therapy in patients with acute coronary syndromes and coronary intervention

Nov. 24

THANKSGIVING HOLIDAY

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December

Dec. 1

Cholesterol Control and Cardiovascular Risk Management: An Update

J. V. (Ian) Nixon, MD, FACC, FAHA
Director, Cardiovascular Imaging and
Noninvasive Cardiology
VCU Pauley Heart Center
Department of Internal Medicine
VCU Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Review the current data regarding cardiovascular risk management and cholesterol control
  • Present the recently published clinical trials pertinent to the areas of cardiovascular risk management and cholesterol control
  • Summarize the recommendations and possible changes in these important areas of patient management

Dec. 8

Multi-Disciplinary Medicine/Surgery Conference

**NOTE SPECIAL LOCATION AND TIME**

Sanger Hall 1-044  7:15 - 8:15 am

Stephanie A. Call, MD, MSPH
Associate Professor of Medicine
Associate Chair for Education
Department of Internal Medicine
VCU Medical Center

Brian Kaplan, MD
Associate Professor of Surgery
Vice-Chair for Education
Department of Surgery
VCU Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Identify specifics of a case requiring multi-disciplinary intervention and coordination of care
  • Explain factors which make the case complex and challenging
  • Outline steps to improve outcome and quality of patient care for similar cases

Dec. 20

The Difficult Clostridium: The Latest on Clostridium difficile Colitis

Jane Cecil, MD
Assistant Professor of Medicine
Division of Infectious Diseases
Department of Internal Medicine
VCU Medical Center

Following this Grand Rounds presentation, participants will be able to:

  • Appreciate recent trends in the epidemiology and virulence of C difficile
  • Understand the pathophysiology of C difficile colitis, and recognize associated risk factors for primary infection and recurrence
  • Understand the advantages and disadvantages of recent advances in diagnostic testing for suspected C difficile colitis cases
  • Understand the appropriate use of current and emerging treatment options
  • Identify and address infection control considerations

There will be no Medical Grand Rounds on January 3, 2013
(Grand Rounds Calendar Subject to Change
)

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