Spring 2011

7:30 a.m.
Sanger Hall, Room 4-026

Podcasts on select lectures may be accessed from VCU’s iTunes University and requires download of iTunes from Apple’s website and a VCU eID to access. PowerPoint presentations also require a VCU eID to access.

January

Jan. 6

Clinicopathologic Conference: 52-year-old man who presents with syncope and acute pancytopenia

Jeffrey M. Tessier, M.D.
Assistant professor
Division of Infectious Diseases
Department of Internal Medicine
VCU School of Medicine
CPC Protocol prepared by Sarah Hartigan, M.D. [PDF]

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

Jan. 13

Orhan Muren Lecture
Acute Lung Injury: Four Decades of Discovery ... and Disappointment

Berry Fowler, M.D.
Professor of medicine and chair
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:

  • Gain insight into human lung injury
  • Understand the pathobiology of lung injury
  • Understand the rationale for future therapy

Description: Podcast feed: Subscribe

Jan. 20

Anticoagulation: The Good, the Bad, and the Ugly

Kenneth Ellenbogen, M.D.
Chair, Division of Cardiology
Department of Internal Medicine
VCU School of Medicine
VCU Pauley Heart Center

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

  • Learn about the incidence and risk of stroke with AF
  • Learn about the risks and efficacy of coumadin to prevent stroke in AF
  • Learn about new drugs to prevent stroke in AF

Description: Podcast feed: Subscribe

Jan. 27

Polycystic Ovary Syndrome: A Metabolic Disorder for the Internist

John Nestler, M.D.
William G. Blackard Professor of Medicine and Chair
Department of Internal Medicine
VCU School of Medicine

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

  • Understand the relationship between insulin resistance and PCOS
  • Discuss the risk for type 2 diabetes in women with PCOS
  • Explore the risk for cardiovascular disease in women with PCOS

Description: Podcast feed: Subscribe

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February

Feb. 3

97,999 and Florence: Creating a Culture of Safety

Jeffrey Glasheen, M.D.
Director, Hospital Medicine Group
Department of Internal Medicine
University of Colorado, Denver

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

  • Detail the current state of health care safety
  • Overview methods of improvement
  • Develop actionable steps toward creating a culture of safety

Feb.10

Drug Therapy: How the Seemingly Uncommon Occurrence Interfaces with Clinical Care

Domenic Sica, M.D.
Professor
Division of Nephrology
Chair, Section of Clinical Pharmacology and Hypertension
Department of Internal Medicine
VCU School of Medicine

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

  • Understand how the Food and Drug Administration influences standard of care for prescription practice in the U.S.
  • Appreciate the several ways that non-prescription over-the-counter medications can impact a patient's health
  • Recognize the role of herbal products and supplements in causing disease or exacerbating underlying conditions
  • Understand the role of nutriceticals/food stuffs in drug effect

Feb. 17

Chronic Kidney Disease Part 1: Defining Risk and Altering Progression

Todd W.B. Gehr, M.D.
Professor of medicine and chair
Division of Nephrology
Department of Internal Medicine
VCU  School of Medicine

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

  • Understand how ckd is classified and the risk factors for the development of ckd
  • Understand the importance of albuminuria as a biomarker for ckd
  • Understand the factors that are important in the progression of ckd and how they might be altered to slow the progression of ckd

Description: Podcast feed: Subscribe

Feb. 24

Methemoglobin-Carbon Monoxide-Cyanide Toxicit

Brandon Wills, D.O., M.S.
Fellowship Director, Medical Toxicology
Department of Emergency Medicine
VCU School of Medicine
Associate Medical Director, Virginia Poison Center

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

  • Discuss pathophysiology and common pharmaceuticals implicated in MetHb
  • Review indications and contraindications of antidotal treatment
  • Discuss controversies and potential indications relating to hyperbaric oxygen therapy for carbon monoxide exposure
  • Highlight the toxicity of cyanide and review surrogate markers for severe exposures
  • Review the pharmacology and indications for the old and newer cyanide antidotes

Description: Podcast feed: Subscribe

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March

March 3

Complicated skin and soft tissue infections: Understanding a Surgeon’s Role

Therèse M. Duane, M.D.
Associate Professor
Department of Surgery
Trauma, Critical Care and Emergency Surgery
VCU School of Medicine

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

  • Differentiate between types of skin and soft tissue infections
  • Understand the differences in management between the types of infections
  • Recognize the severity of necrotizing fasciitis and the urgency of the approach

March 10

Annual Shaia Lecture
Role of islet beta-cell dysfunction in type 2 diabetes: More questions or answers?

Jack Leahy, M.D.
Professor of medicine and chief
Endocrinology, Diabetes and Metabolism Unit
University of Vermont

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

  • Understand the roles of environmental factors and defective islet beta-cells in the rising worldwide incidence of type 2 diabetes
  • Know the potential mechanisms for the beta cell dysfunction in evolving type 2 diabetes, and for the progressive loss in beta-cell mass and function in established type 2 diabetes
  • Identify therapies that hold the potential to improve beta-cell function in type 2 diabetes

Description: Podcast feed: Subscribe

March 17

Why is pulmonary hypertension so difficult to treat?

Norbert F. Voelkel, M.D.
Professor of medicine
Division of Pulmonary and Critical Care Medicine
Department of Internal Medicine
Director, The Victoria W. Johnson Center for Obstructive Pulmonary Disease Research
VCU School of Medicine

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

  • Understand the importance of pulmonary hypertension
  • Understand the differential diagnosis of pulmonary hypertension, how to make the diagnosis and what treatment options are available
  • Conclude that a much better understanding of pulmonary vascular diseases is necessary and how disease models can provide insights into the pathobiology and provide concepts for new treatment strategies

March 24

How Close are Biologics for Lupus? A review organized around progress in drug treatment

W. Neal Roberts, M.D.
Professor of medicine
Division of Rheumatology, Allergy and Immunology
Department of Internal Medicine
VCU School of Medicine

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

  • Memorize (at the level of recognition) known mechanisms and level of efficacy of seven drugs used in SLE
  • Appreciate how evolution of the immune system(s) make dramatic therapeutic success (a la anti TNF in RA) unlikely in the short term

March 31

Gout and Hyperuricemia: A New Look at an Old Phenomenon

Christopher Wise, M.D.
Professor of medicine
Division of Rheumatology, Allergy and Immunology
Department of Internal Medicine
VCU School of Medicine

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

  • Recognize classic gout and our current approach to recognition and treatment of this disease
  • Understand the changing epidemiology and risk factors for gout and hyperuricemia
  • Recognize comorbities in gout and our current understanding of the relationship among gout and comorbid conditions
  • Understand our current understanding of the role of uric acid in human health and disease
  • Understand the role of new treatment options in gout

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April

April 7

Medicine/Surgery Conference

Note location change to Sanger Hall, Room 1-044

Stephanie A. Call, M.D., M.S.P.H.
Associate professor of medicine
Associate chair for education
Department of Internal Medicine
Program director, Internal Medicine Residency Program
VCU School of Medicine

Brian Kaplan, M.D.
Associate professor of surgery
Deparment of Surgery
Vice chair, Surgery Education
Program director, General Surgery Residency Program
VCU School of Medicine

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

  • Outline specifics of a case requiring multidisciplinary intervention and coordination of care
  • Identify issues related to the supervision of residents and the need for clearly defined guidelines
  • Outline steps to improve outcome and the quality of patient care in similar cases

April 14

Grand rounds canceled

April 21

Healthcare Reform: The Policy Imperative

Sheldon Retchin, M.D., M.S.P.H.
Vice president for health sciences, VCU
CEO, VCU Health System

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

  • Gain a better understanding of the current reform goals and initiatives

April 28

Chronic Kidney Disease Part 2

Todd W.B. Gehr, M.D.
Professor of medicine and chair
Division of Nephrology
Department of Internal Medicine
VCU School of Medicine

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

  • Understand the basics of management of the CKD patient with regards to:
    • Cardiovascular risk
    • Anemia
    • Calcium phosphorus metabolism
    • Metabolic acidosis
  • Understand the options for renal replacement therapy

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May

May 5

Diabetes Management: Transitions

John Clore, M.D.
Professor of medicine
Associate vice president for clinical research, and director, VCU Center for Clinical and Translational Research
Division of Endocrinology and Metabolism
Department of Internal Medicine
VCU School of Medicine

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

  • Establish the effects of acute hyperglycemia in the hospitalized patient
  • Review recommendations for the inpatient management of diabetes
  • Establish a process for the transition from the inpatient to the outpatient setting in the patient with diabetes mellitus

May 12

Grand rounds canceled

May 19

William Blackard Lecture

Development of a Non-Pharmacologic Intervention for the Treatment of Osteoporosis and Obesity: A Voyage from Benchtop to Barnyard to Bedside

Clinton T. Rubin, Ph.D.
Professor of orthopaedics, anatomy, molecular biophysics and mechanical engineering
Chair, Department of Biomedical Engineering
State University of New York Stony Brook University

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

  • Understand the importance of exercise in defining skeletal quantity and quality
  • Address the potential of mechanical signals in preventing and treating osteoporosis
  • Recognize the contribution of mesenchymal stem cells in the anabolic response of bone
  • Address the potential etiologic interrelationship of osteoporosis and obesity

May 26

Charles Thomas Lecture

David J. Rawlings, M.D.
Children’s Guild Association Endowed Chair in Pediatric Immunology
Director, Center for Immunity and Immunotherapies
Seattle Children's Research Institute
Chief, Division of Immunology
Seattle Children's Hospital
Adjunct professor, Immunology
University of Washington School of Medicine

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June

June 2

Clinicopathologic Conference

Learning objectives
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

June 9

Housestaff Research Presentations

Learning objectives
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 VCUHS
  • Recognize the complexity of patient pathology in the educational VCUHS setting

June 16

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

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