Medical Grand Rounds

Fall 2013

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

September | October | November | December

September

Sept. 5

State of the Department

John E. Nestler, MD
William Branch Porter Professor of Medicine
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 Department of Internal Medicine (DOIM) in FY13
  • Review the clinical operations of the DOIM in FY13
  • Review the research accomplishments of the DOIM in FY13
  • Discuss the short-term and long-term goals of the DOIM

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

Sept. 12

High Value Care: What does it mean to our patients, practitioners, & learners?

Stephanie Call, MD
Professor of Medicine
Program Director, Internal Medicine Residency Program
Associate Chair for Education, Department of Internal Medicine
Division of General Internal Medicine
VCU Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Define and emphasize the importance of high value, cost-conscious care
  • Introduce a simple five-step model for delivering high-value, cost-conscious care
  • Articulate strategies for bringing high value care into daily practice
  • Challenge participants to identify an action plan: at least one thing to start doing and one thing to stop doing

Sept. 19

Fever of Unknown Origin in the Solid Organ Transplant Patient

Jeff Tessier, MD
Assistant Professor of Medicine
Transplant Infectious Diseases Attending
Division of Infectious Diseases
VCU Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Define "fever of unknown origin" (FUO) in patients following solid organ transplantation (SOT).
  • Review the possible etiologies for FUO in the SOT patient population.
  • Discuss the diagnostic workup for FUO in SOT patients.

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

Sept. 26

Clinicopathologic Conference

Reena Hemrajani, MD
Assistant Professor
Division of General Internal Medicine
VCU Medical Center

The CPC Protocol for this presentation can be found here.

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October

Oct. 3

Rheumatology, Allergy and Immunology
A Focus on Angioedema: Key Insights in Diagnosis and Management

VISITING SPEAKER
Bruce L. Zuraw, MD

Professor of Medicine
Chair, Section of Allergy & Immunology
Director, Allergy & Immunology Training Program
UC San Diego Medical Center

Click here to view a preview flyer of the event.

  • Following this Grand Rounds presentation, participants will be able to:
  • Discuss epidemiology, morbidity and mortality, and socioeconomic consequences associated with HAE
  • Describe the etiology and pathophysiology of the different types of HAE and other bradykinin-mediated angioedema
  • Summarize the signs and symptoms of HAE, differential diagnosis, and clinical and laboratory workup

Oct. 10

Cardiology
• George and Frances Broaddus Crutchfield Lecture •
Anemia and Heart Failure: Results of RED-HF

VISITING SPEAKER
Dr. Jim Young, MD

Professor of Medicine and Executive Dean
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
George and Linda Kaufman Chair, Kaufman Center for Heart Failure
Chairman of the Cleveland Clinic Endocrinology & Metabolism Institute
Cleveland Clinic Main Campus

  • Following this Grand Rounds presentation, participants will be able to:
  • Determine if anemia in heart failure is a problem.
  • Learn about the pathophysiology of anemia in heart failure.
  • Consider the use of darpoetin alpha in heart failure.

Oct. 17

Fellow Research Presentations

Tommy Pacana, MD | Gastroenterology Fellowship
Lindsay Holtz, MD | Rheumatology Fellowship
Radhika Thorn, MD | Hematology-Oncology Fellowship
Linda Hu, MD | Cardiology Fellowship

  • 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

Oct. 24

Division of Pulmonary Disease and Critical Care Medicine
Cystic Fibrosis in the Adult

Nauman Chaudary, MD, FACP, FCCP
Associate Professor
Director, Adult Cystic Fibrosis Center
Division of Pulmonary Disease and Critical Care Medicine
VCU Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Describe the key components of a CF Center and Adult CF Program.
  • Summarize the key aspects of the pathophysiology of CF-related lung disease.
  • Formulate a comprehensive therapeutic plan for a "typical" adult patient with pancreatic insufficient CF.

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

Oct. 31

Update on Renal Dysfunction in Cirrhosis

Daniel Carl, MD
Associate Professor
Program Director, Nephrology Fellowship
Division of Nephrology
VCU Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Definition of AKI and how it pertains to cirrhosis
  • Limitations in diagnosing renal dysfunction in cirrhosis
  • Why are patients with cirrhosis prone to kidney injury
  • Treatment of AKI in HRS

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November

Nov. 7

Evolving Trends in Staging Cirrhosis Progression:
HVPG as a Marker of Cirrhosis Progression

Jaime Bosch, MD, PhD, FRCP
Professor of Medicine
Liver Unit, Hospital Clínic-IDIBAPS, University of Barcelona
Director, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd)
Instituto de Salud Carlos III, Ministerio de Economía y Competitividad

  • Following this Grand Rounds presentation, participants will be able to:
  • Define the key role of portal hypertension in cirrhosis progression
  • Review new concepts in the pathophysiology of portal hypertension and how these can be used as new targets for therapy
  • Outline the use of HVPG as a measurement of portal pressure, a guide for therapy, an index of progression/regression of chronic liver disease, and as a tool for staging and risk stratification

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

Nov. 14

Division of Hematology, Oncology and Palliative Care
HER2 Positive Breast Cancer - A Disease Transformed by Targeted Therapy

Charles E. Geyer, Jr. MD, FACP
Professor of Medicine
Associate Director for Clinical Research, VCU Massey Cancer Center
Division of Hematology, Oncology and Palliative Care
VCU Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Understand the outlook for HER2 positive breast cancer prior to trastuzumab
  • Understand the cellular pathway aberrations in HER2 positive breast cancer
  • Understand the impact of trastuzumab and other targeted agents on HER2 positive metastatic breast cancer
  • Understand the impact of trastuzumab and other targeted agents on early stage HER2 positive breast cancer

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

Nov. 21

MEDICINE AND SURGERY CONFERENCE
[ Special Time & Location ]
Sanger Hall - Room 1-044
7:00 AM - 8:00 AM

Stephanie A. Call, MD, MSPH
Professor of Medicine
VCU Medical Center

Brian Kaplan, MD
Professor of Surgery
VCU Medical Center

Nov. 28

THANKSGIVING HOLIDAY

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December

Dec. 5

VCC and Population Health Management

Arline Bohannon, MD
Associate Professor of Medicine
Division of Geriatrics
VCU Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Understand key elements of population health managment
  • Understand the challenges of providing care management for vulnerable populations
  • Understand the key role multidisciplinary teams play in population health managment

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

Dec. 12

Division of Internal Medicine
What Kind of Physician Do We Need?

Alan Dow, MD, MSHA
Macy Faculty Scholar
Assistant Vice President of Health Sciences for Interprofessional Education and Collaborative Care
Assistant Dean of Clinical Curriculum
Associate Professor of Medicine
VCU Department of Internal Medicine

  • Following this Grand Rounds presentation, participants will be able to:
  • Describe the demographic, cultural, and practice changes facing healthcare
  • Compare current medical practices with the current and future needs of society
  • Identify some changes in training and practice to close the gap between current practice and societal needs

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

Dec. 19

• Clinicopathologic Conference •

Thokozeni Lipato, MD
Assistant Professor of Medicine
Division of General Medicine and Primary Care
VCU Department of Internal Medicine

Click for CPC Protocol

  • Following this Grand Rounds presentation, participants will be able to:
  • To recognize etiologies and diagnosis from the clinicopathologic case
    presented
  • To observe an experienced clinician's diagnostic reasoning process

Dec. 26

CHRISTMAS HOLIDAY

There will be no Medical Grand Rounds on January 2, 2013
(Grand Rounds Calendar Subject to Change
)

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