Medical Grand Rounds

Spring 2014

Thursdays, 12:00 PM
Kontos Medical Sciences Building Auditorium

January | February | March | April | May | June

January

Jan. 16

Cardiovascular Disease: An Infectious Disease Doctor's Perspective

Daniel Nixon, DO, PhD
Associate Professor of Medicine
Director, VCU HIV/AIDS Center
VCU Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Gain appreciation for the role of infection and immune activation in cardiovascular disease
  • Become familiar with some approaches to attenuate infection associated immune activation
  • Consider recent lipid management guidelines in the context of infection

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

Jan. 23

The New Cholesterol Guidelines Guideline:
Has the World turned Upside Down?

[Sponsored by the Division of Endocrinology & Metabolism]

Franklin Zieve, MD
ACOS for Research, McGuire VAMC
Associate Professor of Medicine
Division of Endocrinology & Matabolism
VCU Medical Center

  • Following this Grand Rounds presentation, participants will:
  • Know the four patient groups that clearly benefit from statin therapy.
  • Know when to obtain a lipid panel after initiating statin therapy.
  • Know the rationale for abandoning specific LDL goals.

Jan. 30

Innovation in Our Training Program... Is it Working?
[Sponsored by the Office of Educational Affairs]

Steven Bishop, MD
Joshua Morales, MD
James Pellerin, MD
Joseph Pitcher, MD

  • Following this Grand Rounds presentation, participants will:
  • Be able to identify current challenges in graduate medical education Internal Medicine training.
  • Be familiar with innovative solutions and strategies to answering current challenges.
  • Be familiar with data from the Department of Internal Medicine at VCU regarding effectiveness of innovative educational strategies and structures utilized at VCU.

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

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February

Feb. 6

What Do Kidney Disease and Sleeping Sickness Have In Common?
[Sponsored by the Division of Nephrology]

Anna Vinnikova, MD
Assistant Professor of Medicine
Division of Nephrology
VCU Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Discuss prevalence of kidney disease in African Americans
  • Recognize histopathology of hypertension-attributed chronic kidney disease (CKD) in African Americans
  • Interpret some common population genetics methods revealing the link between CKD in African Americans and African Trypanosomiasis
  • Review biologic roles of APO L1
  • Appreciate clinical impact of identification of nephrotoxic APO L1 genotypes

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

Feb.13

CANCELLED DUE TO INCLEMENT WEATHER

Feb. 20

• Clinicopathologic Conference •
[Sponsored by the Division of General Internal Medicine]

Evan Meadors, MD
Assistant Professor of Medicine
Division of General Medicine and Primary Care
VCU Medical Center

Click here for the 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

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

Feb. 27

What If?: The Uses of Healthcare Systems Science
[Sponsored by the Office of Educational Affairs]

Kedar Mate, MD
Assistant Professor of Medicine, Weill Cornell Medical College
Research Associate in Medicine, Harvard Medical School
Vice President, Institute for Healthcare Improvement

  • Following this Grand Rounds presentation, participants will be able to:
  • Define and understand the uses of healthcare systems science
  • Describe results of health systems science research proj
  • ects from multiple settings both in the US and abroad
  • Recognize connection between health systems science and the daily work of caring for patients at VCU/MCV

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

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March

Mar. 6

Giant Cell Arteritis
[Sponsored by the Division of Rheumatology, Allergy, & Immunolog]y

Beth K. Rubinstein, MD
Assistant Professor
VCU Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Recall the clinical features of and complications associated with Giant Cell Arteritis (GCA)
  • Identify laboratory markers and temporal artery biopsy findings used in the diagnosis of Giant Cell Arteritis (GCA)
  • Describe recent developments regarding the pathogenesis of Giant Cell Arteritis (GCA)
  • Describe recent developments regarding the treatment of Giant Cell Arteritis (GCA)

This presentation is provided in video form below:
Video

Mar. 13

Management of Acute Pancreatitis
[Sponsored by the Division of Gastroenterology, Hepatology, & Nutrition]

Doumit BouHaidar, MD
Associate Professor of Medicine
Director, Advanced Therapeutic Endoscopy
VCU Department of Internal Medicine

  • Following this Grand Rounds presentation, participants will be able to:
  • Recall the clinical features of and complications associated with acute pancreatitis
  • Describe recent developments regarding the management of acute pancreatitis, (hydration, nutrition, antibiotic usage)
  • Describe recent developments regarding the prevention of post ERCP pancreatitis

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

Mar. 20

Left Atrial Appendage: Friend or Foe?
[Sponsored by the Division of Cardiology]

Jayanthi N. Koneru, MD
Assistant Professor
Division of Cardiology
VCU Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Structure and function of Left atrial Appendage
  • Interventions to prevent stroke prevention in Atrial Fibrillation
  • Safety and efficacy of various interventional procedures to prevent stroke prevention in AF
  • Future directions in atrial appendage interventions: rationale and feasibility

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

Mar. 27

• Annual Shaia Lecture •
Realizing the Promise of CBME for Patients and Professionals

Eric Holmboe, MD
SVP, Milestones Development and Evaluation
Accreditation Council for Graduate Medical Education
Professor Adjunct of Medicine at Yale University
Adjunct Professor at the Uniformed Services University of the Health Sciences

  • Following this Grand Rounds presentation, participants will be able to:
  • Review why competency-based medical education (CBME) is a necessary framework for transforming graduate medical education
  • Identify the next steps needed to fully realize the potential of a competency-based approach
  • Discuss how competency-based models can lead to improvement in the quality and safety of care patients receive

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

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April

Apr. 3

Update on Colorectal Cancer
[Sponsored by the Division of Hematology, Oncology, & Palliative Care]

Khalid Matin, MD, FACP
Associate Professor of Medicine
Division of Hematology, Oncology & Palliative Care
Medical Director of Community Oncology and Clinical Research Affiliations,
Massey Cancer Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Know the incidence of Colon and Rectal Cancers
  • Know the possible causative agents and screening modalities
  • Know the latest Staging for Colorectal Cancer and its impact on prognosis
  • Be aware of the current treatment strategies
  • Have insight into novel therapies being developed

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

Apr. 10

• Resident Research Presentations •

Dr. Sanah Christopher
Dr. David Jared Kobulnicky
Dr. Alex Ortega Loayza

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

Apr. 17

Team-based Care to Improve Blood Pressure Control: The CAPTION Trial
[Sponsored by the Division of General Internal Medicine and the Center for Interprofessional Education and Collaborative Care]

Barry L. Carter, PHARM.D., FCCP, FAHA, FASH, BCPS
Patrick E. Keefe Professor in Pharmacy,
Department of Pharmacy Practice and Science
Director of the National Interdisciplinary Primary Care Network
University of Iowa College of Pharmacy

  • Following this Grand Rounds presentation, participants will be able to:
  • Briefly review rigorously designed, controlled clinical trials on team-based care for the management of hypertension.
  • Discuss various methodologies for conducting prospective interventional studies.
  • Describe the main results of the CAPTION trial.

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

Apr. 24

Diabetes in Older Persons: Times Are Changing
[Sponsored by the Division of Geriatrics]

John E. Morley, MD, BCh
Professor and Division Chief
Division of Geriatric Medicine
St. Louis University Medical Center

  • Following this Grand Rounds presentation, participants will understand:
  • New guidelines concerning relaxing diabetic control in older persons.
  • Key physiologic changes that impact management of older diabetic patients.
  • Evidence supporting various interventions to improve metabolic health in older patients with diabetes.
  • Strategies for optimal management of older diabetic patients.

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

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May

May 1

Pulmonary Hypertension
[Sponsored by the Division of Pulmonary Disease and Critical Care Medicine]

Dan Grinnan, MD
Associate Professor
Division of Pulmonary Disease and Critical Care Medicine
VCU Medical Center

  • Following this Grand Rounds presentation, participants will understand:
  • To understand the classification and diagnosis of pulmonary hypertension
  • To understand the current and emerging treatment approaches to pulmonary arterial hypertension
  • To understand the role of the right ventricle in patients with pulmonary hypertension

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

May 8

MEDICINE AND SURGERY CONFERENCE

Stephanie A. Call, MD, MSPH
Associate Professor of Medicine
Program Director, Internal Medicine Residency Program
Associate Chair for Education
VCU Medical Center

Brian Kaplan, MD
Professor of Surgery
Program Director, General Surgery Residency Program
Vice‐Chair of Education, Department of Surgery
VCU Medical Center

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

May 15

• Annual William G. Blackard Lecture •
[Sponsored by the Division of Endocrinology & Metabolism]

Francesco Celi, MD, MHSc
Chair, Division of Endocrinology & Metabolism
Professor of Medicine
VCU Medical Center

May 22

Inpatient Diabetes Management

John Clore, MD
Professor of Medicine
Associate Vice-President for Clinical Research, Director, VCU Center for Clinical and Translational Research
Division of Endocrinology and Metabolism
VCU Medical Center

Rajiv Malhotra, DO, MS, BS
Assistant Professor
Division of Pulmonary Disease and Critical Care Medicine
VCU Medical Center

  • Following this Grand Rounds presentation, participants will understand:
  • To discuss current recommendations for inpatient diabetes care
  • To contrast inpatient insulin strategies
  • To describe diabetes care sets

May 29

Lost in translation?: Implications for Care of the Dying of the Withdrawal in the UK of the Liverpool Care Pathway
[Sponsored by the Division of Hematology, Oncology, & Palliative Care]

• Dr. Seymour is a VCU Global Visiting Scholar and this Grand Rounds is supported by funding from the VCU Global Education Office •

Jane Seymour, BA (hons), MA, PhD, RGN
Sue Ryder Care Professor of Palliative and End of Life Studies
School of Nursing, Midwifery and Physiotherapy
University of Nottingham

  • Following this Grand Rounds presentation, participants will be able to:
  • Understand the history and original aims of the Liverpool Care Pathway for the Care of the Dying Patient (LCP)
  • Understand the criticisms related to the LCP and the interplay of controversies in media, public and professional arenas in the UK
  • Critically review key recommendations from the UK national independent review of the LCP and the related findings of a rapid review of research evidence, with particular emphasis on communication practice in end of life care
  • Debate the risks of unintended consequences for patients when evidence is either poor, or poorly used in the implementation of complex interventions in clinical care.

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

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June

June 5

• Annual Charles Thomas Lecture •
[Sponsored by the Division of Rheumatology, Allergy, & Immunology]

Steven M Holland, MD
Chief, Laboratory of Clinical Infectious Diseases
Chief, Immunopathogenesis Section, LCID
National Institute of Health

June 12

Internal Medicine Awards and Recognition Ceremony
5:00 PM in the Hermes A. Kontos Medical Sciences Auditorium

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