Medical Grand Rounds

Fall 2012

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

September | October | November | December

 

September

Sept. 6

State of the Department

John E. Nestler, MD
William Branch Porter Professor of Medicine
Chair, Department of Internal Medicine
Virginia Commonwealth University


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

  • Review the educational and academic progress of the Department of Internal
  • Medicine (DOIM) in FY12
  • Review the clinical operations of the DOIM in FY12
  • Review the research accomplishments of the DOIM in FY12
  • Discuss the short-term and long-term goals of the DOIM

Sept. 13

Clinicopathologic Conference: 67 year old white man with Chronic Lymphocytic Leukemia presents with chronic progressive severe non-bloody diarrhea and 20 pound weight loss

Michelle Brooks, MD
Assistant Professor of Medicine
Division of General Medicine
Department of Internal Medicine
VCU Medical Center

CPC Protocol

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

  • Know and recognize different subtypes of amyloidosis
  • Identify potential therapies for each subtype

Sept. 20

VISITING SPEAKER
Dissemination of Evidence-based Interventions to Minority Populations: Challenges and Opportunities

Shin-Ping Tu, MD, MPH, FACP
Associate Professor of Medicine
Adjunct Associate Professor, Department of Health Services
Joint Associate Member, Fred Hutchinson Cancer Research Center
Division of General Internal Medicine
University of Washington

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

  • Identify challenges to disseminating evidence-based interventions to minority populations
  • Understand dissemination and implementation theoretical models
  • Discuss properties of complex adaptive systems
  • Discuss elements of Practice Adaptive Reserve
  • Examine factors associated with the implementation of interventions

Sept. 27

VISITING SPEAKER
Regenerative Medicine: New Approaches to Healthcare

Anthony J. Atala, MD
Professor of Urology
Director, Institute for Regenerative Medicine
Chair, Department of Urology
Wake Forest School of Medicine

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

  • Describe the field of tissue engineering and regenerative medicine
  • Appraise the current state of stem cell research
  • Describe some of the current research and clinical applications

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October

Oct. 4

Lung Cancer in Women

Mark S. Parker, MD
Professor of Diagnostic Radiology and Internal Medicine
Director, Thoracic Imaging
Director, Thoracic Imaging Fellowship
Department of Radiology
Virginia Commonwealth University

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

  • Know current demographic statistics regarding lung cancer in the United States
  • Understand the role smoking plays in the development of lung cancer
  • Understand the various genetic and molecular factors predisposing women to the carcinogenic effects of cigarette smoke and the development of lung cancer.
  • Name additional risks factors for the development of lung cancer other than cigarette smoking.
  • Recognize the variations in the clinical, radiologic and histologic manifestations of lung cancer in women and men.
  • Understand the pros and cons of lung cancer screening in the early diagnosis of lung cancer.

Oct. 11

Update on Therapy for Hepatitis C Virus 2012: Are We There Yet?

Richard K. Sterling, MD, MSc
VCU Hepatology Professor of Medicine
Chief, Section of Hepatology
Division of Gastroenterology, Hepatology, and Nutrition
Virginia Commonwealth University

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

  • To understand patterns of response to HCV Therapy
  • To understand predictors of response
  • To understanding the life cycle of HCV
  • To understand current treatments
  • To understand future directions in HCV therapy

Oct. 18

Therapy of Rheumatoid Arthritis: Past, Present and Future

Sudha Rao, MD
Associate Professor of Medicine
Section Chief, Rheumatology
Hunter Holmes McGuire VA Medical Center

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

  • Discuss the pathogenesis of Rheumatoid Arthritis, old and new
  • Discuss past and present treatment options
  • Discuss future therapies

Oct. 25

Affordable Care Act: Keep or Replace?

VISITING SPEAKER
Louis F. Rossiter, PhD

Research Professor
Thomas Jefferson Program in Public Policy
College of William & Mary

Sheldon M. Retchin, MD, MSPH
Vice President for Health Sciences,
Virginia Commonwealth University
Chief Executive Officer,
VCU Health Systems

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

  • Understand options for health reform
  • Know stresses on current delivery and payment systems
  • Describe the consequences of not reforming current system for future of health care
  • Describe extraneous factors that may and do influence choices
  • Understand what interest groups have done and will do going forward

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November

Nov. 1

Fellow Research Presentations

Validation of a Definition and Grading System for Acute on Chronic Liver Failure
Harjit Bhogal, MBBS
Division of Gastroenterology, Hepatology and Nutrition

Endobronchial Ultrasound with Transbronchial Needle Aspiration for Concurrent Diagnosis and Molecular Analysis: A Single-Center Experience
John Sentz, DO
Categorical

Feasibility of Percutaneous Tracheostomy in Patients with Ventricular Support Devices and/or Total Artificial Heart on Bivalirudin
Ehab Hussein, DO
Division of Pulmonary Disease and Critical Care Medicine

Is In-hospital Mortality in ST-segment Myocardial Infarction Associated With Core Measure Compliance?
Stephen Rennyson, MD
Division of Cardiology

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

  • Have a greater appreciation for the breadth and scope of research being conducted by fellows in VCUHS fellowship programs
  • Describe current and/or recent research projects conducted by VCUHS fellows

Nov. 8

VCU Global Health in Rural Honduras: A 7 Year Journey

Gonzalo Bearman MD, MPH
Associate Professor of Medicine, Epidemiology and Community Medicine
Associate Hospital Epidemiologist
M4 Acting Internship Director
Virginia Commonwealth University

Mike Stevens, MD, MPH
Assistant Professor of Medicine
Associate Hospital Epidemiologist
Director, Antimicrobial Stewardship Program
Director, Travel & Tropical Medicine Clinic
Associate Program Director,
Internal Medicine Residency Program
Virginia Commonwealth University

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

  • Describe the issues associated with short-term medical relief missions
  • Discuss the health pressures facing impoverished, rural third world Latin American communities
  • Outline key strategies to address health issues in the aforementioned communities
  • Describe the evolution of VCU Internal Medicine’s health programs in the Department of Yoro, Honduras

Nov. 15

Prepped and Ready? Pre-operative Care of the Geriatric Patient

Sara Hobgood, MD
Assistant Professor
Division of Geriatrics
Virginia Commonwealth University

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

  • Understand the importance of pre-op risk assessment
  • Review current cardiovascular pre-op risk stratification guidelines
  • Review current pre-op pulmonary risk stratification guidelines
  • Review current guidelines for pre/peri/post op management when increased risk is identified
  • Introduce upcoming issues in pre-operative care

This presentation is provided in video and audio forms below:
Video | Podcast

Nov. 22

THANKSGIVING HOLIDAY

Nov. 29

The future of palliative care in the US: What can we learn from the United Kingdom?

J. Brian Cassel, PhD
Assistant Professor, Hematology Oncology & Palliative Care
Director, Analytic Services, Massey Cancer Center
Virginia Commonwealth University

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

  • Understand the research to date on the impact of specialist palliative care services on healthcare utilization and costs.
  • Understand the interplay between healthcare funding, policy, and practice for patients with advanced disease.
  • Understand how specialist palliative care in the US compares to that in the UK and elsewhere.

This presentation is provided in video and audio forms below:
Video | Podcast

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December

Dec. 6

Infection Control is the Key to Prolonging Survival in Patients with End Stage Liver Disease

Jasmohan Bajaj, MD
Associate Professor of Medicine
Division of Gastroenterology, Hepatology, and Nutrition
Department of Internal Medicine
Virginia Commonwealth University

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

  • Identify infections as part of the natural history of cirrhosis
  • Understand what infections patients with cirrhosis are prone to
  • Understand steps to prevent and treat infections in end-stage liver disease

Dec. 13

Cervical Cancer Prevention Update

David Chelmow, MD
Leo J. Dunn Distinguished Professor and
Chair of Obstetrics and Gynecology
Virginia Commonwealth University

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

  • Review 2012 American Cancer Society Cervical Cancer Screening Guidelines
  • Review rationale and supportive data for changes
  • Review revised terminology and upcoming management changes

This presentation is provided in video and audio forms below:
Video | Podcast

Dec. 20

Lung Protective Strategies for Critically Ill Patients

Jonathon D. Truwit, MD
E. Cato Drash Profesor of Medicine
Division of Pulmonary and Critical Care Medicine
Senior Associate Dean for Clinical Affairs
Chief Medical Officer, UVA Health Systems
University of Virginia

Following this Grand Rounds presentation, participants will:

  • Understand appropriate ventilation in critically ill patients
  • Understand appropriate fluid management in ALI

Dec. 27

CHRISTMAS HOLIDAY

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

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