Spring 2009

Noon
Hermes A. Kontos Medical Sciences Building Auditorium

January

Jan. 8

Annual Orhan Muren Lecture

Critical Care 2009: How We Got Here, Where We're Going and Lessons Along the Way

Curt Sessler, M.D.
Professor of medicine
Division of Pulmonary and Critical Care Medicine
Department of Internal Medicine
VCU School of Medicine

Following this grand rounds presentation, participants will be able to:

  • Describe the background and rationale for intensive care
  • Discuss important themes in caring for critically ill patients
  • Identify and explore future directions for managing critically illness and injury

Jan. 15

The Pharmaceutical Industry’s Influence on Medicine

Thomas P. Reinders, Pharm.D.
Associate professor
Associate dean for admissions and student services
VCU School of Pharmacy

Following this grand rounds presentation, participants will be able to:

  • State at least three societal benefits associated with pharmaceutical products
  • Demonstrate a constructive skepticism toward marketing and sales strategies employed by the pharmaceutical industry
  • Describe challenges faced by the pharmaceutical industry and opportunities for change
  • Assess the connections between ethical dilemmas and the challenges faced by patients, the pharmaceutical industry, government agencies and health professionals

Jan. 22

The Art of Blood Pressure Management

Domenic Sica, M.D.
Professor of medicine and pharmacology and toxicology
Division of Nephrology
Department of Internal Medicine
VCU School of Medicine

Following this grand rounds presentation, participants will be able to:

  • Appreciate the biochemical factors that may guide the diagnostic work-up of the patient with hypertension
  • Discuss the rationale behind the selection of various drug classes in the management of hypertension
  • Recognize dose-response relationships for the various antihypertensive medication drug classes
  • Understand the mechanistic basis for drug-drug interactions and to recognize the most important idiosyncratic side effects with antihypertensive medications
  • Be aware that patient profiling in determining antihypertensive therapy assumes less importance when multi-drug therapy is required

Jan. 29

HIV in the 2nd decade of HAART

Daniel Nixon D.O., Ph.D.
Associate professor of medicine
Department of Internal Medicine
VCU School of Medicine
Director, VCU HIV/AIDS Center

Following this grand rounds presentation, participants will be able to:

  • Identify the current CDC/ACP “opt out” HIV testing guidelines
  • Discuss data concerning when to start antiretroviral therapy
  • Describe the many faces of HIV and the role of the PCP in diagnosis, primary and secondary disease prevention as it relates to HIV and its comorbidities

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February

Feb. 5

Fellows’ Research Day

Zoledronic Acid Treatment of Osteoporosis: Effects in Men
Douglas Johnson, M.D.

Fellow, Division of Endocrinology and Metabolism

Ineffective Triggering Predicts Duration of Mechanical Ventilation
Kristin Miller, M.D.

Fellow, Division of Pulmonary Disease and Critical Care Medicine

Feasibility of Extracorporeal Photopheresis in Managing Patients with Bronchiolitis Obliterans following Allogeneic Stem Cell Transplantation: A Single Center Experience
Alison Rome, M.D.

Fellow, Division of Hematology, Oncology and Palliative Care

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
  • Describe current and/or recent research projects conducted by fellows

Feb. 12

Humanism or Professionalism? The White Coat Ceremony and Medical Education

Judah L. Goldberg, M.D., M.A.
Department of Emergency Medicine
New York Hospital Queens

Following this grand rounds presentation, participants will be able to:

  • Summarize research on ethical erosion in medical students
  • Articulate the differences between humanism and professionalism
  • Discuss how medical students get caught in the gap between humanism and professionalism
  • Outline implications for the White Coat Ceremony and medical education

Feb. 19

Confusional States in the Hospitalized Patient

Marjolein de Wit, M.D., M.S.
Assistant professor
Division of Pulmonary and Critical Care Medicine
Department of Internal Medicine
VCU School of Medicine

Following this grand rounds presentation, participants will be able to:

  • List the diagnostic criteria for delirium
  • Explain the pathophysiology of delirium
  • Summarize the adverse consequences of delirium
  • Identify treatment options for delirium

Feb. 26

What’s New in Heart Disease in Women: Current Issues in Diagnosis and Treatment

C. Noel Bairey Merz, M.D.
Professor of medicine, Department of Medicine
David Geffen School of Medicine at UCLA
Medical Director, Preventive and Rehabilitative Cardiac Center
Medical Director and Women’s Guild Endowed Chair, Women's Heart Center, Cedars-Sinai Medical Center
Los Angeles

Following this grand rounds presentation, participants will be able to:

  • Describe the significance of angina pectoris in women regards risk compared to men
  • List characteristics of angina in women
  • Discuss the importance of diagnosis and specific therapy for women with angina pectoris

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March

March 5

Patient Interview/Still’s Disease

Richard, P. Wenzel, M.D., M.Sc.
William Branch Porter Professor and chair
Department of Internal Medicine
VCU School of Medicine

Lenore M. Buckley, M.D., M.P.H.
Professor of medicine and pediatrics
Division of Rheumatology, Allergy and Immunology
Department of Internal Medicine
VCU School of Medicine

Following this grand rounds presentation, participants will be able to:

  • Explain how AOSD can present as FUO
  • Describe the clinical picture, physical findings and laboratory findings in AOSD
  • Understand that AOSD can be complicated by macrophage activation syndrome

March 12

Resident Research Presentations

Bacillus Cereus Meningoencephalitis
J. Peter Heyboer II, M.D.
R3, Medicine/Pediatrics Program

Molar Pregnancy-Induced Thyroid Storm
Brett Montgomery, M.D.
R2, Internal Medicine Categorical Track

Human Monocytotropic Ehrlichiosis: An Elusive Predator of Woodland America
Andrew Munro, M.D.
R1, Internal Medicine Preliminary Intern

NHSN Methodology Overestimates Central Line-Associated Bloodstream Infection Rates
Michelle Nalepa, M.D.
R2, Internal Medicine Categorical Track

Following this grand rounds presentation, participants will be able to:

  • Gain an appreciation for the breadth and depth of scholarly activities for resident trainees
  • Gain exposure to several unique case presentations for the inpatient setting at VCU Medical Center
  • Recognize the complexity of patient pathology in the educational VCU Medical Center setting

March 19

Humor in Medicine

John Glick, Ph.D. and Steve Phillips, Ph.D.
Best friends, brothers-in–law and partners in the practice of healing laughter, the duo of Glick & Phillips have performed in folk festivals, on radio, in cafes and on stage. They have tickled the fancy of the Virginia State Animal Control Officers as well as knocked them dead at the Shenandoah Valley Funeral Directors annual Ladies’ Night.

Following this grand rounds presentation, participants will be able to:

  • Give examples (from the experience of Glick & Phillips) of how humor helps in health care
  • Incorporate humor into their own practice
  • Identify inappropriate uses of humor in health care
  • Have fun with the practice of medicine

March 26

Irritable Bowel Syndrome: More than a Gut Feeling

Margaret M. Heitkemper, Ph.D., R.N., FAAN
Professor and Elizabeth Sterling Soule Endowed Chair
Biobehavioral Nursing and Health Systems
Director, Center for Women's Health
University of Washington

Following this grand rounds presentation, participants will be able to:

  • Identify the pathophysiological mechanisms that may account for irritable bowel syndrome
  • List the current research directions in the area of irritable bowel syndrome
  • Describe current diagnostic approaches
  • Discuss current pharmacologic and non-pharmacologic therapeutic approaches

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April

April 2

Value and limitations of Meta-Analysis in the Era of Evidence-Based Medicine

Giuseppe Biondi-Zoccai, M.D.
Assistant professor of cardiology
University of Turin, Italy
Founder and President, METCARDIO

Following this grand rounds presentation, participants will be able to:

  • Explain the main strengths and weaknesses of meta-analyses in the hierarchy of clinical evidence
  • Critically read and appraise published meta-analyses in clinical medicine
  • Participate in the design, conduct and reporting of meta-analyses in clinical medicine

April 9

CA-MRSA: The New Face of Staphylococcus Aureus

Richard, P. Wenzel, M.D., M.Sc.
William Branch Porter Professor and chair
Department of Internal Medicine
VCU School of Medicine

Following this grand rounds presentation, participants will be able to:

  • Discuss the history of S. aureus discovery and change in resistance patterns
  • Present the timelines for the emergence of hospital-aquired MRSA and CA-MRSA
  • List options for treatment of CA-MRSA and relative benefits and drawbacks

April 16

Multiple Small Feedings of the Mind — Chronic Pain

Leanne M. Yanni, M.D.
Assistant professor
Division of General Medicine
Department of Internal Medicine
VCU School of Medicine

Slides and handouts

Following this grand rounds presentation, participants will be able to answer the following questions:

  • What is the role of novel medications such as pregabalin in the treatment of chronic pain?
  • What medications should an internist consider for the treatment of fibromyalgia?
  • What is the evidence for supporting the use of epidural and facet injections for back pain?

April 23

Simulation in Medical Education: More than Resusci Annie

Shawna J. Perry, M.D.
Associate professor and associate chair
Department of Emergency Medicine
VCU School of Medicine
Director for patient safety systems engineering
VCU Health System

Following this grand rounds presentation, participants will be able to:

  • Discuss the status of simulation within health care
  • Describe a variety of simulation methods for advancing and meeting medical educational requirement
  • Discuss a couple of approaches for matching simulation methods with educational goals

April 30

Youth Gang Violence and the VCU/MCV Experience

Michael B. Aboutanos, M.D., M.P.H.
Associate professor
Division of Trauma, Critical Care and Emergency Surgery
Department of Surgery
VCU Medical Center

Robin L. Foster, M.D.
Associate professor
Director, pediatric emergency medicine
Department of Emergency Medicine
VCU Medical Center

Following this grand rounds presentation, participants will be able to:

  • Identify the reality of gang violence in Richmond and Virginia
  • Distinguish the paradigm shift in the VCU Trauma Center role toward violence in the community
  • List collaborative efforts of the VCU Trauma Center, the attorney general’s office and other community partners

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May

May 7

William Blackard Lecture
Organized by the Division of Endocrinology and Metabolism

Fat and Bone: New Paradigms

Clifford J. Rosen, M.D.
Senior scientist
Maine Medical Center Research Institute

Following this grand rounds presentation, participants will be able to:

  • Understand the epidemiology of osteoporosis and obesity and shared genetic regulation
  • Discuss the origins of bone and fat cells
  • Define potential new treatments for bone by altering fat mass

May 14

H1N1 in Mexico: Onsite Observations and Impressions

Richard P. Wenzel, M.D., M.Sc.
William Branch Porter Professor and chair
Department of Internal Medicine
VCU School of Medicine

Following this grand rounds presentation, participants will be able to:

  • Understand the impact medically, socially and economically for Mexico of the H1N1 epidemic
  • Know the key clinical presentations of H1N1 in Mexico
  • Understand the infection control measures used in Mexico

May 21

Annual Markham Award Lecture*
Organized by the Division of General Medicine

The Future of Primary Care

Valerie Weber, M.D.
Director, general internal medicine
Vice chair, clinical operations
Department of Medicine
Geisinger Medical Center

Following this grand rounds presentation, participants will be able to:

  • List the reasons that the current primary care model requires urgent change
  • Describe the four basic ingredients of change needed, including new models of care, information support, payment reform and medical education reform
  • Discuss new care model implementation through the patient-centered medical home

*Note location change to GBJ Auditorium

May 28

Infection Prevention: Where Are We Going and Where Have We Been?

Gonzalo Bearman M.D., M.P.H.
Associate professor of Internal Medicine and the Associate Hospital Epidemiologist
Division of Quality Health Care
Department of Internal Medicine
VCU School of Medicine

Following this grand rounds presentation, participants will be able to:

  • Understand the changing paradigm in infection prevention
  • Identify process of care of measures related to infection prevention
  • Discuss new perspectives and controversies in infection prevention

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June

June 4

Updates on Anticoagulation

J. Christian Barrett, M.D.
Assistant professor
Division of Hematology, Oncology and Palliative Care
Department of Internal Medicine
VCU School of Medicine

Following this grand rounds presentation, participants will be able to:

  • Know the current ACCP guidelines for the long-term treatment of idiopathic first venous thromboembolic event
  • Understand the evidence used to support the same guidelines
  • Discuss disease manifestations and biologic parameters that could potentially form the basis for deviation from the guideline recommended therapy in patient individualized therapy

June 11

Department Of Internal Medicine  Graduation and Recognition Ceremony

Stephanie A. Call, M.D., M.S.P.H.
Associate professor and residency program director
Department of Internal Medicine
VCU School of Medicine

Please join us as we recognize DOIM resident, fellow and faculty accomplishments. Reception and research poster presentation immediately following ceremony in MSB rooms 104 and 105.

Grand rounds will resume on Sept. 10, 2009

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