Dr. Gray’s illustration in Annals Graphic Medicine

This isn’t the first time, and I’m sure it won’t be the last either! Our own palliative care physician and amateur cartoonist, Nathan A Gray, MD, continues to doodle his way in to another web-only Annals Graphic Medicine! This is where Annals of Internal Medicine brings together original graphic narratives, comics, and other creative forms by those who provide or receive health care. These graphics address medically relevant topics—be they poignant, thought-provoking, or just plain entertaining.

Check out Dr. Gray’s cartoon entitled “I’d Want a Natural Death” below. You can also check it out on the Annals Graphic Medicine page here. His previous drawing, also featured in Annals Graphic Medicine (April 2016), was entitled “Please Don’t Use Patient Names“.


Nice work Dr. Gray!

Read more about Dr. Gray in this GIM Spotlight from December 5, 2014

Follow @NathanAGray on Twitter

Perlman featured in news articles on “cupping”

Screen Shot 2016-08-10 at 10.42.47 AMIf you have been paying close attention to the 2016 olympic games, then you may have noticed some strange red circle marks on some of the competing athletes. These are a result from a practice that is supposed to aid recovery and boost performance referred to as “cupping”, and Duke GIM’s own Adam Perlman, MD, executive director for Duke Integrative Medicine, knows quite a bit about it. He was recently interviewed by CBS News and WRAL News to give a little bit of insight on the benefits of cupping and why some olympians are choosing to do it.

In the article by WRAL, Perlman explained:

“Part of what you’re doing is enhancing the blood flow, sort of pulling blood to the surface. Chinese practitioners call it ‘enhancing the flow of energy’ – or ‘chi’ – through the body.”

Click below to read the full articles.

CBS News: Why is “cupping” attracting Olympic athletes like Michael Phelps?
WRAL: Olympians, weekend warriors turn to cupping for drug-free pain relief

Read more about Dr. Adam Perlman in this faculty spotlight from February 2015.

Follow him on Twitter @DrAdamPerlman

Perlman featured in Arthritis Today magazine.

PerlmanMagMany Americans these days are finding ways to treat symptoms using a nondrug treatment such as acupuncture, chiropractic care, or massage therapy. Just recently, Arthritis Today magazine, featured an article on these treatments called “Hands-on Healing”.

For massage therapy, the article discusses research studies led by Adam Perlman, MD, executive director of Duke Integrative Medicine and faculty member in general internal medicine. His research showed Swedish Massage significantly improved arthritis “pain, physical function, range of motion and walking.”

Researchers say massage therapy has many benefits. For more information, read about massage therapy in the “Hands on Healing” article here.

*** Dr. Perlman was co-author, with Dr. Alan Spiro, of an editorial in the August 4, 2016 edition of Hospitals & Health Networks (H&HN) about the value of holistic care. Read “A Holistic Approach to Health Care Can Lower Costs and Improve Quality”.

Congratulations, Dr. Perlman!
Follow on Twitter @DrAdamPerlman


Welcome new faculty member Dr. Bentley-Edwards


Dr. Bentley-Edwards

Keisha Bentley-Edwards, PhD, has come to us from The University of Texas at Austin where she was an Assistant Professor in Educational Psychology.  She received her PhD in Developmental Psychology from the University of Pennsylvania in 2009.  Dr. Bentley-Edwards joined Duke July 1st as an Assistant Professor at the DuBois Cook Center on Social Equity while also conducting research and assisting in the Duke Center for Community and Population Health Improvement. Welcome Dr. Bentley-Edwards!

BMC Nephrology names Wang to editorial board

Virginia Wang, PhD

Virginia Wang, PhD

Typically editorial board members for medical journals are chosen from the population of excellent reviewers. No exception for Virginia Wang, PhD who recently accepted an invitation to be on the editorial board of BMC Nephrology as Associate Editor of the Epidemiology and Outcomes Section.

Editorial work is hard – reviewing manuscripts, advising on journal policy and scope, identifying topics for special issues, even performing as a guest editor, plus attracting new authors and submissions. Though not financially rewarding, one gains visibility and a significant increase in knowledge in the related field. Dr. Wang, no doubt, will be an ambassador for the journal and add her academic credentials to it’s editorial board.

BMC Nephrology is “an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of kidney and associated disorders, as well as related molecular genetics, pathophysiology, and epidemiology.”

Congratulations, Dr. Wang!

Read more about Dr. Wang from this DGIM faculty Spotlight March 6, 2016.


Bosworth and Diamantidis share DKD research

Type 2 diabetic kidney disease (DKD) is the major cause of end-stage renal disease (ESRD) in the United States and is a growing global health concern accounting for over half of all new cases and over $10 billion in medical expenditures each year. While many people with diabetes do not develop kidney disease, those who do have very poor outcomes. Among those with DKD, about 60% have uncontrolled hypertension that increases the risk of ESRD, cardiovascular events and death.

Improving the control of multiple risk factors can be effective in reducing progression and death in patients with diabetes. Reducing blood pressure, blood glucose, and lipoprotein levels, while also promoting smoking cessation, healthy dieting, exercise and weight control, can delay progression of DKD. Principal Investigators, Hayden Bosworth, PhD and Clarissa Diamantidis, MD are investigating whether or not medication management, behavior therapies, and education can slow the progression of DKD.

Here is the project summary:

DKDName of Study: Multi-factorial Intervention to Slow Progression of Diabetic Kidney Disease

Study Acronym: STOP-DKD

PI(s): Hayden Bosworth, PhD and Clarissa Diamantidis, MD

Funding Agency: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Project Staff-

Study Coordinator: Megan M. Oakes, MS

Clinical Trials Assistants: Julie Miller, Shauna Malone, and Mark von Achen

Statisticians: Huiman Barnhart, Jane Pendergast, and Peter Merrill

Interventionists: Jivan Moaddeb, PharmD and Sejal Patel, RPh

Study Description: 

STOP-DKD is a randomized, controlled clinical trial to slow diabetic kidney disease (DKD) progression using an innovative telehealth approach that simultaneously addresses medication management and behavioral therapies and education that can potentially optimize adherence and self-efficacy.

Intervention: Our intervention is pharmacist-administered and addresses multiple modifiable DKD risk factors (i.e. hypertension, poor glycemic control, smoking, obesity, etc.). Content delivered to study participants includes: medication therapy management, diet, exercise, weight loss, tobacco use, CVD and DKD knowledge and risk perception, and diabetes education.  Study participants are also seen on annual basis for follow-up for 3 years.

Study Progress: STOP-DKD completed enrollment in December 2015, enrolling 281 participants. We are currently conducting both 1 and 2yr follow-up study visits.


Tell us about your clinical research or your projects in education or clinical practice.
Write to GIM Communications Strategist, Clare Il’Giovine

Annual wine, cheese, and poster event

Dr. Bowlby and DOC Leadership

Join your fellow GIM colleagues for our second annual Wine, Cheese, and Posters social!

Event Information

Date: Wednesday, September 21, 2016

Time: 4:30 – 6:00 pm

Location: the Great Hall in the Trent Semans Building

This is a great opportunity to get to know one another and to share all of the work that is taking place in GIM.


Check back soon to submit nominations for each category!

GIM Funding Opportunities

Duke Internal

  • DIHI Innovation Jam, seeking health innovations; submit ideas by August 12, 2016. (read more)
  • Next cycle of the Bridge Funding Program, application deadline August 15, 2016. (read more)
  • Duke SoM Inaugural Fund to Retain Clinician Scientists – up to $50,000/year and matching from the Dean (read more)

MacArthur Foundation, John D. and Catherine T.

  • “100&Change” MacArthur Foundation competition for a $100 million grant to fund a single proposal that will make measurable progress toward solving a significant problem (read more)


  • CDC  “Strengthening of Public Health Programs to address Communicable and Non-Communicable Diseases in the Republic of Kenya” August 15, 2016. (read more)


  • Multiple comparative Clinical Effectiveness Research (CER) opportunities (read more)


  • NIH R21 Small Grants for New Investigators to Promote Diversity in Health-Related Research PAR-16-064, NIDDK (read more)
  • NIH Pioneer Award Program (DP1) (RFA-RM-16-005) NIH Roadmap Initiative, Application Date: September 02, 2016
  • NIH Director’s New Innovator Award Program (DP2) (RFA-RM-16-004) NIH Roadmap Initiative, Application Date: September 09, 2016
  • NIH Director’s Transformative Research Awards (R01) (RFA-RM-16-007) NIH Roadmap Initiative, Application Date: October 07, 2016
  • NIH Program announcement: Advancing Basic Behavioral and Social Research on Resilience: An Integrative Science Approach (UG3/UH3) PAR-16-326 Letter of intent due November 1, 2016.
  • NIH Science of Behavior Change Common Fund Program. PA-16-334. Application due November 10, 2016.

For a weekly comprehensive listing of opportunities email request to michael.gunn@duke.edu.

Welcome new hospitalists!


alcazarGerardo E. Alcazar, MD

Dr. Alcazar just finished his Internal Medicine residency at the University of Arizona and now joins Duke University Hospital as a Medical Instructor for Hospital Medicine.



batleyKathleen Batley, MD

Dr. Batley comes from the University of Colorado and just completed her Internal Medicine Residency. She is coming to Duke as a Medical Instructor for the Duke University Hospital group of Hospital Medicine.



CliftonDana Clifton MD

Dr. Clifton joins Hospital Medicine as a medical instructor and will have a primary appointment in GIM and a secondary appointment in Pediatrics. She is coming off a combined Internal Medicine & Pediatrics Residency at Duke.

MKSAP collaborative work at Pickett Road

Duke Primary Care Pickett Road Clinic

Duke Primary Care Pickett Road Clinic

With many physicians using the Medical Knowledge Self-Assesment Program (MKSAP), and the Duke Primary Care Clinic at Pickett road looking for a way to get attendings and learners together to review common topics and issues relevant to their internal medicine practice, the answer seemed obvious. Many use the MKSAP review texts and questions to cover topics and areas of interest and weakness, and now you can do it in a group setting.

“Our intention is to make this fun, interactive, informal,  and collaborative,” says Bruce Peyser, co-Director from the Department of Medicine. “We very much are focusing on the learning atmosphere to make this positive, since many individuals have not so very fond memories of studying for the board exams using the MKSAP format.”

“Our intention is to make this fun, interactive, informal,  and collaborative.”

In the session, they will review 15-20 questions from the MKSAP format in internal medicine. Individuals are given the option of seeing questions in advance so that they can read or think about answers. At the session, attendees divide into groups so that the questions and answers can be discussed in a supportive and collaborative manner.  Participants will earn CME credit for each hour of participation.

The event will most likely cover one or two topics per session.  The Pickett Road clinic is hoping that going over the questions and answers provides a comfortable way for busy internists to stay up to date with latest developments in their field. Also, they can easily review national standards of care for a variety of issues, illnesses, and symptoms. Though we know MKSAP questions are reviewed with house staff elsewhere, we are not aware of any other venue in the department where questions are reviewed in the manner that we have detailed.

These sessions will occur on the 4th Tuesday of every month in the 2nd Floor Conference Room of the Pickett Road Clinic at 7:30 AM, with the inaugural session taking place on July 26, 2016. For more information, please contact GIM Program Director, Megan Churchill