Medical Grand Rounds

Fall 2014

Thursdays at 12:00 PM
Sanger Hall, Room 1-044

September | October | November | December

September

Sept. 4

Sponsored by the VCU Center for Interprofessional Education and Collaborative Care
"Challenges and Opportunities in Health Professions Education: Aligning Education with the Needs of the Public"

George E. Thibault, MD
President, Josiah Macy Jr. Foundation
Daniel D. Federman Professor Emeritus of Medicine
and Medical Education at Harvard Medical School
The Josiah Macy Jr. Foundation

Sept. 11

"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 FY14
  • Review the clinical operations of the DOIM in FY14
  • Review the research accomplishments of the DOIM in FY14
  • Discuss the short-term and long-term goals of the DOIM

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

Sept. 18

"Management of Acute Ischemic Stroke"

Warren L. Felton III, MD
Professor of Neurology and Ophthalmology
Medical Director, VCU Stroke Center
Department of Neurology

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

Sept. 25

"First Annual Quality and Safety Grand Rounds"

Jennifer K. O’Toole, MD, MEd
Associate Program Director, Internal Medicine and Pediatrics Residency Program
Medical Director of Education, Division of Hospital Medicine
Assistant Professor of Internal Medicine and Pediatrics
Cincinnati Children’s Hospital Medical Center
University of Cincinnati College of Medicine

  • Following this Grand Rounds presentation, participants will be able to:
  • Describe the complex relationship of sleep deprivation and fatigue with medical errors and adverse events.
  • Articulate vulnerable points during handoffs where communication errors are liable to occur.
  • Recite results of a multisite study that examined the impact of a resident handoff bundle on patient safety and resident work.
  • Detail the process of doing a standardized handoff using the I-PASS mnemonic.

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

October

Oct. 2

"Our Aging Brains:
Alzheimer's Disease, 'Type 3' Diabetes and the Complex Molecular Problems of Dementia"

James P. Bennett Jr., MD, PhD
Bemiss Professor of Neurology
Director, VCU Parkinson's Disease Center
Virginia Commonwealth University

  • Following this Grand Rounds presentation, participants will be able to:
  • Become familiar with the emerging demographics of dementia in the US, and the marked socioeconomic and medical threat posed by these demographics.
  • Review of the basics of dementia, including the "blurring" of vascular dementia and Alzheimer's disease.
  • Explore the possibility that AD-dementia is a form of brain insulin resistance, so-called "type 3 diabetes."
  • Present what is currently know about dementia risk factor reduction.

Oct. 9

"Do Concussions really lead to Dementia?
Update from the VCU Chronic Effects of Neurotrauma Consortium"

David X. Cifu, MD
Chairman and Herman J. Flax, MD Professor
Department of PM&R
Founding Director, Center for Rehabilitation Sciences and Engineering

  • Following this Grand Rounds presentation, participants will be able to:
  • Discuss the incidence and impact of sports, combat and civilian concussions.
  • Formulate assessment and intervention strategies for the early and late effects of concussions.
  • Critically review the association between concussions and neurodegeneration.
  • Summarize the current status of the VCU Chronic Effects of Neurotrauma Consortium (cenc.rti.org).

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

Oct. 16

Sponsored by the VCU Division of General Internal Medicine
• Markham Award Lecture •

"A Path to Practice Transformation: One Practice Evolves"

VISITING SPEAKER
Lori Wiviott Tishler, MD

Medical Director. Brigham and Women's Hospital
Instructor, Harvard Medical School Division of General Medicine,
Department of Medicine Brigham and Women's Hospital

  • Following this Grand Rounds presentation, participants will be able to:
  • The participant will become familiar with the concept of a Patient Centered Medical Home, team based care and measurement of change concepts.
  • The participants will have an understanding of the complexities and rewards of change management in a clinical setting.
  • The participants will understand the importance of both process and outcome measures in a practice setting.

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

Oct. 23

Sponsored by the VCU Division of Nephrology
"Current Management of Anti-Neutrophil Cytoplasmic Antibody (ANCA) Associated Glomerulonephritis"

Jason Kidd, MD
Assistant Professor
VCU Division of Nephrology
VCU Department of Internal Medicine

  • Following this Grand Rounds presentation, participants will be able to:
  • To understand what is Anti-Neutrophil Cytoplasmic Antibody (ANCA) associated glomerulonephritis.
  • To learn the current management of this disease.
  • To understand the potential adverse effects of therapy for this disease.

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

Oct. 30

"Pursuing Excellence: Quality and Safety as the New Currency"

VISITING SPEAKER
Richard P. Shannon, MD

Louise Nerancy Professor of Health Policy Science
Executive Vice President for Health Affairs
University of Virginia Health System

  • Following this Grand Rounds presentation, participants will be able to:
  • Understand how quality improvement provides a systematic opportunity to “do well by doing good.”

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

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November

Nov. 6

Sponsored by the VCU Division of General Internal Medicine
• Clinicopathologic Conference •

Alice Wong, MD
Assistant Professor
Division of General Internal Medicine
VCU Department of Internal Medicine

CPC Brief – Click to Open

  • 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.

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

Nov. 13

Sponsored by the VCU Division of Cardiology
• George and Frances Broaddus Crutchfield Lecture •
"Perspectives from a Pulseless Life: The emergence of continuous flow devices and the physiological impact of relative pulselessness"

Mandeep R. Mehra, MD, MBBS, FACC, FACP
Professor of Medicine, Harvard Medical School
Executive Director, Center for Advanced Heart Disease
Medical Director, BWH Heart and Vascular Center
Editor-in-Chief, The Journal of Heart and Lung Transplantation
Brigham and Women's Hospital

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

Nov. 20

Sponsored by the VCU Division of Infectious Diseases
"Infection Prevention: State of the Art"


Gonzalo Bearman, MD, MPH
Chair, Division of Infectious Diseases
Professor of Medicine, Epidemiology and Community Medicine
Associate Hospital Epidemiologist Virginia Commonwealth University

  • Following this Grand Rounds presentation, participants will be able to:
  • To recognize the significant paradigm shift in HAI prevention–many infections are indeed preventable.
  • To review evidence based interventions (bundles, checklists) that significantly decrease HAIs.
  • To review Horizontal IP strategies favoring multipotent interventions aimed at reducing risk from all pathogens transmitted in the same mechanism.
  • To understand the new debates and strategies which exist on the use of contact precautions, screening and isolation for MRSA, HCW apparel, environmental decontamination.
  • To understand the culture change needed to fully embrace and promote an environment of safety.

Nov. 27

HOLIDAY – NO GRAND ROUNDS

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December

Dec. 4

Sponsored by the VCU Division of Endocrinology and Metabolism
"The Quest for Personalized Medicine: A Metabolic Approach"

Phillip Gorden, MD
Director Emeritus and Senior Investigator
National Institutes of Diabetes and Digestive and Kidney Disease
National Institutes of Health

  • Following this Grand Rounds presentation, participants will be able to:
  • The participant(s) will be able to recognize the clinical manifestations of syndromes of extreme insulin resistance.
  • The participant(s) will be able to see how these syndromes are models for the common forms of the metabolic syndrome.
  • The participant(s) will be able to define targets in these syndromes that provide specific therapeutic approaches.

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

Dec. 11

Sponsored by the VCU Division of Pulmonary Disease and Critical Care Medicine
"Idiopathic Pulmonary Fibrosis 2014 update:
Why This Year is Different"

Steven Nathan, MD
Medical Director, Lung Transplant Program
Director, Advanced Lung Disease Program
Inova Fairfax Hospital

  • Following this Grand Rounds presentation, participants will be able to:
  • Outline the differential and diagnostic algorithm for IPF.
  • Provide insight into the pathogenesis of IPF .
  • Delineate prognosis and prognostic indicators in IPF .
  • Highlight recent results of clinical trials in IPF.

Dec. 18

Sponsored by the VCU Division of Endocrinology and Metabolism
• Clinicopathologic Conference •

Lori B. Sweeney, MD
Associate Professor
Division of Endocrinology & Metabolism
VCU Department of Internal Medicine

CPC Brief (Click to Open)

  • 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. 25

HOLIDAY – NO GRAND ROUNDS

There will be no Medical Grand Rounds on January 1, 2013
(Grand Rounds Calendar Subject to Change
)

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