Medical Grand Rounds

Spring 2015

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

January | February | March | April | May | June

January

Jan. 15

Sjogren’s Syndrome
[Sponsored by the Division of Rheumatology, Allergy, & Immunology]

Stamatina J. Danielides, MD
Assistant Professor of Internal Medicine
Division of Rheumatology, Allergy and Immunology

Learning Objectives:

  • To understand why Sjogren’s syndrome is so underdiagnosed
  • To understand challenges in the differential diagnosis
  • To recognize the route to definitive diagnosis
  • To outline how to address and screen for comorbid conditions
  • To understand the management of Sjogren’s syndrome

Jan. 22

Geriatric Team-Based Care: Are We Competent?
[Sponsored by the Division of Geriatrics]

Peter Boling, MD
Professor of Internal Medicine
Chair, Division of Geriatrics
VCU Internal Medicine
Virginia Commonwealth University

  • Following this Grand Rounds presentation, participants will be able to:
  • List the aspects of care that define “geriatrics” and related “competency”
  • Describe an innovative new system for teaching and evaluating geriatric team competency
  • Summarize key findings from 3 years’ experience deploying this innovative system

Jan. 29

Improving Quality and Efficiency in Complex Systems: Applying Systems Engineering to Develop Geographically-Matched Patient-Provider Teams
[Sponsored by the Division of General Medicine]

Richard Lee Storch, PhD
Professor and Chair, Industrial and Systems Engineering
University of Washington

Shin-Ping Tu, MD, MPH Professor and Chair, Division of General Internal Medicine
Virginia Commonwealth University

Heather Masters, MD, FHM, FACP
Section Chief, Hospital Medicine
Assistant Professor, Department of Internal Medicine
Virginia Commonwealth University

Vimal K. Mishra, MD
Assistant Professor of Internal Medicine
General Medicine and Primary Care
Virginia Commonwealth University

  • Following this Grand Rounds presentation, participants will be able to:
  • Understand the challenges of complex systems
  • Introduce systems engineering principles and tools
  • Demonstrate the application of simulation modeling to address complex system challenges
  • Understand the application of systems engineering to improve quality and efficiency

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February

Feb. 5

Exploring Patient Ownership in the Department of Internal Medicine
[Sponsored by the Office of Educational Affairs]

Christopher Achilli, MD
Internal Medicine Chief Resident
VCU Department of Internal Medicine

Raquel Appa Falcao, MD
Internal Medicine Chief Resident
VCU Department of Internal Medicine

Krista Edelman, MD
Internal Medicine Chief Resident
VCU Department of Internal Medicine

Grant Farr, DO
Internal Medicine Chief Resident
VCU Department of Internal Medicine

Ryan Vega, MD
Internal Medicine Chief Resident
VCU Department of Internal Medicine

  • Learning Objectives:
  • Identify the progress made in the department in four key areas in patient ownership:
    • Transitions of Care
    • Discharge Planning
    • Safety Event Reporting
    • Cultural Competency
  • Provide a blueprint for continued growth in the arena of patient ownership

Feb.12

What is PCOS? Criteria, Diagnosis and Pitfalls
[Sponsored by the Department of Internal Medicine]

Ricardo Azziz, MD, MPH, MBA
President of the Georgia Regents University (GRU)
CEO of the Georgia Regents Health System
Office of the President, Georgia Regents University

  • Following this Grand Rounds presentation, participants will be able to:
  • Understand the current diagnostic criteria for PCOS
  • Develop a contemporary diagnostic strategy for PCOS
  • Understand and adjust for the potential limitations and pitfalls inherent to the diagnosis of PCOS
  • Counsel patients concerning the risks inherent to the diagnosis of PCOS, depending on the patient’s specific phenotype

Feb. 19

What Has Religion to Do with the Practice of Medicine?
[Sponsored by the Division of Hematology, Oncology, & Palliative Care]

Farr Curlin, MD
Josiah C. Trent Professor of Medical Humanities
Trent Center for Bioethics, Humanities & History of Medicine
Duke University Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Describe how physicians’ religious characteristics are associated with their practices in a range of clinical domain
  • Outline a basic framework to make sense of the connections between religious faith and the practice of medicine
  • Describe ways the profession of medicine might more fully engage religious traditions and practices as resources for understanding and practicing good medicine

Feb. 26

IM Grand Rounds was cancelled due to inclement weather

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March

Mar. 5

Contemporary Stroke Prevention Strategies in Patients with Atrial Fibrillation
[Sponsored by the VCU 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:
  • Understand the pathophysiology of stroke in Atrial Fibrillation
  • Discuss new and old oral anticoagulants
  • Review alternative therapies for Embolic stroke prevention in patients with Atrial Fibrillation

Mar. 12

• Clinicopathologic Conference •
[Sponsored by the Office of Educational Affairs]

Domenic Sica, MD
Professor and Eminent Scholar
Chair, Division of Clinical Pharmacology
Division of Nephrology
VCU Department of Internal Medicine

  • 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

Mar. 19

IM Grand Rounds was cancelled due to technical difficulties

Mar. 26

• Annual Shaia Lecture •
Learning How to Think Like A Clinician

Robert Centor, MD, FACP
Chair ACP Board of Regents Regional
Dean, UAB Huntsville Regional Medical Campus

  • Following this Grand Rounds presentation, participants will be able to:
  • Understand the concepts of heuristics and biases
  • Understand the road towards expertise–especially deliberate practice
  • Become familiar with the field of naturalistic decision making

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April

Apr. 2

Not everyone has PAH: Pulmonary Hypertension due to left heart disease
[Sponsored by the Division of Cardiology]

Melissa C. Smallfield, MD
Assistant Professor
Department of Internal Medicine
Division of Cardiology

  • Following this Grand Rounds presentation, participants will be able to:
  • Describe pulmonary venous hypertension
  • Differentiate between PAH and pulmonary venous hypertension
  • Treatments strategies for pulmonary venous hypertension

Apr. 9

Clinical Management of Patients with Ebola: The Nebraska Experience
[Sponsored by the Division of Infectious Diseases
]

Angela Hewlett MD, MS
Assistant Professor, Division of Infectious Diseases
Associate Medical Director, Dept. of Infection Control and Epidemiology
Associate Medical Director, Nebraska Biocontainment Unit
Director, Infectious Diseases Outpatient Clinics
University of Nebraska Medical Center

  • Following this Grand Rounds presentation, participants will be able to:
  • Recognize the clinical manifestations of Ebola virus disease
  • Understand the background and role of the Nebraska Biocontainment Unit in managing patients with Ebola virus disease
  • Identify operational and clinical lessons learned resulting from caring for patients with Ebola virus disease

Apr. 16

Influenza: the Red Queen Hypothesis and the rise of Dark Matter
[Sponsored by the Division of Hematology, Oncology, & Palliative Care]

Robert Finberg, MD
Chair, Department of Medicine
Professor of Medicine
University of Massachusetts Medical School

  • Following this Grand Rounds presentation, participants will be able to:
  • To understand the replicative cycle and pathogenesis of influenza
  • To understand how high throughput, “deep sequencing” has led to new discoveries about Influenza A virus
  • To understand the concept of “dark matter” RNA and its role in viral pathogenesis and evolution

Apr. 23

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

John Baillie, BSc, MB, ChB, FRCP, FACG, FASGE
Professor of Medicine
Director of Endoscopy
Division of Gastroenterology, Hepatology, and Nutrition
VCU Department of Internal Medicine

  • Following this Grand Rounds presentation, participants will be able to:
  • To appreciate the unpredictable nature of acute pancreatitis (AP)
  • To understand the importance of aggressive fluid replacement in AP
  • To recognize the systemic complications of AP and their role in mortality
  • To appreciate the role of contrastenhanced crosssectional imaging (esp CT scanning) in monitoring the progress of severe (necrotizing) AP
  • To know how and when to refeed patients with AP
  • To understand the roles of Therapeutic Endoscopy, Interventional Radiology (IR) and Surgery in managing severe AP and its complications

Apr. 30

Changing Paradigms of Acute Kidney Injury: From Mechanisms to Management
[Sponsored by the Division of Nephrology]

Mark D. Okusa, MD
John C. Buchanan Distinguished Professor of Medicine
Chief, Division of Nephrology
Director, Center for Immunity, Inflammation and Regenerative Medicine
University of Virginia

  • Following this Grand Rounds presentation, participants will be able to:
  • To review the systemic nature of AKI
  • To review risk stratification and primary prevention
  • To review early diagnosis
  • To review innovations in treatment

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May

May 7

Approaching Unilateral Pleural Effusion. Going Beyond Light’s Criteria!
[Sponsored by the VCU Pulmonary Disease and Critical Care Medicine Division]

Samira Shojaee, MD
Assistant Professor of Medicine
Division of Pulmonary Disease and Critical Care Medicine
VCU Department of Internal Medicine

  • Following this Grand Rounds presentation, participants will understand:
  • To understand physiology and pathophysiology of pleural fluid turnover
  • To understand pleural fluid composition and analysis in different disease states
  • Manage unilateral pleural effusion through a systematic approach

May 14

• The First Annual Ellis Women’s Health Lecture •
Women’s Health Update 2015: News You Can Use

Melissa A. McNeil, MD, MPH
Professor of Medicine
Associate Chief, Division of General Internal Medicine
Chief, Section of Women’s Health
Director, Comprehensive Women’s Health Program
Program Director, BIRCWH Program Director, Women’s Health Fellowship UPMC Montefiore Hospital

  • Following this Grand Rounds presentation, participants will understand:
  • To identify practice changing studies that have the potential to change our management of women immediately
  • To review the merits of these studies and to evaluate their significance
  • To articulate how we might incorporate the results of these studies into the management of our women patients

May 21

Clinicopathologic Conference
[Sponsored by the Office of Educational Affairs]

Jason M. Kidd, MD
Assistant Professor of Internal Medicine
Division of Nephrology
Virginia Commonwealth University

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

May 28

• Annual Thomas Lecture•
Premature Atherosclerosis in Systemic Autoimmune Diseases

[Sponsored by the Division of Rheumatology, Allergy and Immunology
]

Mariana J. Kaplan, MD
Chief, Systemic Autoimmunity Branch
Intramural Research Program
National Institute of Arthritis and Musculoskeletal and Skin Diseases
National Institutes of Health

  • Following this Grand Rounds presentation, participants will understand:
  • To review the epidemiology and impact of accelerated atherosclerosis in systemic rheumatic diseases.
  • To explore the putative pathogenic mechanisms leading to premature atherosclerosis in lupus and rheumatoid arthritis
  • To discuss preventive and treatment strategies for cardiovascular damage in systemic rheumatic diseases

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June

June 4

Hospital in the Home
[Sponsored by the Division of Gastroenterology, Hepatology and Nutrition]

Gideon Caplan, MB, BS Syd, FRACP, MD
Associate Professor, Prince of Wales Clinical School
Director of Geriatric Medicine, Prince of Wales Hospital
University of New South Wales Sydney

  • Following this Grand Rounds presentation, participants will understand:
  • Recognize the beneficial health outcomes of Hospital in the Home
  • Describe the range of treatable conditions for Hospital in the Home
  • Identify the benefits to patients, carers and healthcare systems of Hospital in the Home

June 11

Patient and Family Engagement Across the Continuum of Care: Medicine’s New “Blockbuster Drug?”
[Sponsored by the Division of General Internal Medicine
]

Crystal Wiley Cené, MD, MPH
Assistant Professor
Division of General Internal Medicine
School of Medicine University of North Carolina at Chapel Hill

  • Following this Grand Rounds presentation, participants will understand:
  • To learn with principles of patient and family centered care
  • To identify concrete strategies and behaviors that reflect patient and family centered centeredness, from the perspectives of VCU patient and family advisors
  • To become familiar with research on patient and family engagement in clinical care and its effects on health care processes and outcomes

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