Duke Health engages GIM to show off their health equity work

HealthEquityDukeHealth has been featured in a Health Equity Virtual Site Visit (VSV), an initiative of the Association of American Medical Colleges (AAMC). The AAMC developed the VSV in 2014 to highlight the outstanding health equity research portfolio at its member institutions. Each VSV incorporates videos, webinars, presentations, journal articles, and other resources that reflect the innovative research, curricula, and care delivery at the featured institution.

Duke addresses health equity through clinical service, research, education, and community engagement, and established the Duke Center for Community and Population Health Improvement, led by GIM Chief Dr. Ebony Boulware, to facilitate and coordinate these efforts. Improving health equity and eliminating disparities in health are a major focus of the center’s activities. The center leverages academic, health system, and multi-sector community partnerships to improve community and population health, and through research and programs seeks to understand and address key biomedical, behavioral, and contextual health determinants to improve community and population health. GIM Communications Strategist, Clare Il’Giovine, produced each of these videos.

Previous VSV collections have featured NYU School of Medicine/NYU Langone Medical Center, University of Massachusetts Medical School (UMMS), and UC Davis School of Medicine. For more information about the AAMC’s VSV initiative, send an email to healthequityresearch@aamc.org.

Williams shares “Why You Deserve Shared Decision Making”

CFYMCare for Your Mind™ is a place where those affected by the mental health care system can openly discuss its strengths and weaknesses with thought leaders and advocates so that the readers can collaboratively build a solution that works.

John W. Williams, MD, MHSc

John W. Williams, MD, MHSc

Recently, our own John W. Williams Jr., MD was featured on their blog and shared his thoughts on “Why You Deserve Shared Decision Making”. In the post, Williams explains that shared decision making (SDM) “is particularly important when it comes to mental health care.” He talks about how common conditions like depression and anxiety can be treated in many ways, but patients are often unaware of those different options.

The Editor of Care for Your Mind™ contacted Dr. Williams after his recent editorial in Annals of Internal Medicine regarding ACP’s new guideline for treating depression. They were particularly interested in his comment that there was a mismatch between the treatment patients with Major Depressive Disorder (MDD) receive and the treatment they want.  The ACP guideline makes a recommendation  “that clinicians select between either cognitive behavioral therapy or second-generation antidepressants to treat patients with major depressive disorder after discussing treatment effects, adverse effect profiles, cost, accessibility, and preferences with the patient”.

“What we know is that many patients with depression who see a generalist, walk out with a prescription,” says Williams. “Depending on the study, about 50% or more want therapy – so there is an important mismatch.  SDM has the potential to help resolve that mismatch.  This is what made me willing to give the interview.  I think it is an important issue.”

Read the full blog post here. 

Welcome new chief residents!

Duke.Chiefs.05Did you know this? In recognition of the important contributions to teaching, research and patient care, our Medicine Chief Residents receive academic appointments as “Medical Instructors” in the Division of General Internal Medicine. In fact, many former Chiefs fill our leadership ranks at Duke. [Tip: Dr. Oddone was a Duke Chief. We are #ProudtobeGIM]

The 2016-17 Medicine Chief Residents, pictured from left to right: Alyson McGhan, MD, Matthew Atkins, MD, Adam Banks, MD, and Aparna Swaminathan, MD.

Alyson McGhan, MD is chief resident for Duke University Hospital. After her year of chief resident she will return to her Duke Gastroenterology fellowship.

Adam Banks, MD is chief resident for the Durham VA Medical Center. Dr. Banks will return to his Duke cardiology fellowship after this year.

Aparna Swaminathan, MD is chief resident for ambulatory medicine in the various Duke Medicine outpatient clinics. She will return to her Duke fellowship in Pulmonary, Allergy, and Critical Care Medicine

Matthew Atkins, MD is chief resident for quality and patient safety. In his career he plans to focus on health systems improvement and practice primary care.

Learn more from this DoM Residency page.

A note of thanks from the Associate Program Director for Ambulatory Care

 

Zipkin

Daniella Zipkin, MD

Residents in the internal medicine training program see patients regularly at one of three continuity clinic sites. The ambulatory portion of their education is unique in allowing a longitudinal view of residents’ progress and building longer term relationships with both faculty and patients. Many DGIM faculty carve out a portion of their time to precept residents during their clinics. We would like to take a moment to acknowledge our division faculty who have brought their skill and dedication to teaching residents in the clinic setting this year. Thank you for all that you have done for ambulatory teaching at Duke! We look forward to further strengthening the residents’ experience in ambulatory medicine.

Listed below are the incoming, current, and outgoing teaching faculty at the clinics as of July 2016!

Pickett Road:

Farewell and thank you to Claire Kappa and Jennifer King!

Thank you to our continuing attendings:

Vaidehi Boinapally

David Halpern

Michael Meredith

Audrey Metz

Bruce Peyser

Sharon Rubin

VA Prime:

Farewell to and thank you to Zaid Razouki and India Reid!

Thank you to our continuing attendings:

Sophia Califano

Marisa D’Silva

Jerome Ecker

David Edelman

Susan Isbey

Douglas McCrory

Gene Oddone

Sonal Patel

Susan Rakley

Jeanette Stein

John Whited

John Williams

Duke Outpatient Clinic:

Welcome to Kathy Waite and welcome back Jim Kelly who are joining this year! Welcome to Greg Brown, our new Med-Psych attending! Also, Nia Mitchell will be joining us this fall!

Welcome to Aparna Swaminathan, Ambulatory Chief Resident!

Thank you to our continuing attendings:

Cheryl Baker

Ebony Boulware

Lynn Bowlby

Alex Cho

Natasha Cunningham

Marisa D’Silva

Larry Greenblatt

J. Patrick Hemming

Diana McNeill

John Paat

Anne Phelps

Brian Wolf

Dani Zipkin

__________________________

Dr. Zipkin is associate professor of medicine, general internal medicine, and associate program director for ambulatory care in the Internal Medicine Residency Program. Read more about Dr. Zipkin from our blog.

Most viewed GIM news stories of 2016

Can you believe we are already over halfway through 2016?! Let’s take a look back and see our most viewed news stories so far in 2016!

We counted your click rate from eNews to the articles. Of course, the most popular always are Spotlights of our faculty and staff and announcements of the new faculty. Excluding those Spotlights and announcements, we found you are reading news articles, listed from 5th to 1st place in popularity:

IMG_29395. Faculty vs. Resident basketball game

 

 

 

 

obrien

4. Obrien’s multiple funding awards 

 

 

Screen Shot 2016-07-17 at 10.20.09 AM3.Yancy quoted in CBS News on “The Biggest Loser” controversy

 

 

Oddone_1_02. Oddone comments on co-authoring conundrum

 

 

 

excellence-300x3001. 2016 GIM end-of-year awards

New Faculty Spotlight: Adrienne Klement, MD

Adrienne Klement, MD

Adrienne Klement, MD

Dr. Adrienne Klement joined the division earlier this month! She works as a hospitalist and medical instructor at the Durham VA Medical Center. Dr. Klement recently completed her Internal Medicine residency and fellowship in Hospice and Palliative Medicine at Duke. Her clinical interests include providing comprehensive care to our veteran population as both an internist and palliative care physician, and teaching medical students and residents. She anticipates using her palliative care skill set routinely this year, as these fields intersect frequently. Eventually, she hopes to work in the VA system as both a palliative care specialist in the clinic and consulting settings, and as an attending physician on the medicine teaching service. 

I look forward to an exciting and productive year! 

      – Adrienne Klement, MD

Screen Shot 2016-07-08 at 9.51.34 AMOutside of the hospital, Dr. Klement enjoys exercising, exploring the outdoors, golfing, playing with her dog, reading, watching Game of Thrones and Pittsburgh sports, and spending time with her husband, Mitch Klement, who is currently a Duke Orthopedic Surgery chief resident. She and her husband are also looking forward to welcoming their daughter into the world in the coming weeks! 

[EDITORIAL COMMENT: We learned also that Dr. Klement has a bioengineering degree from the University of Pittsburgh, Summa Cum Laude! She completed medical school at Georgetown University in 2012 but, ever since then, in the Duke family for residency and fellowship. Dr. Klement’s experiences at Duke are varied – she was co-chair 3 years for the charity auction committee, assistant chief resident and has numerous teaching experiences including the medical student Capstone course. We are proud to have her in our midst!]

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Duke Primary Care Research Consortium advances value of Shared Decision Making

Rowena Dolor continues to champion primary care research in her leadership role as the director of the Primary Care Research Consortium (PCRC), a network of primary care practices in the Duke University Health System and outlying communities. She is a primary care physician herself and serves on staff in the Ambulatory Care Service at the Durham VA Medical Center.

On July 12, 2016, Dr. Dolor is giving an oral presentation for a national conference that she co-chairs, the North American Primary Care Group (NAPCRG) Practice-Based Research Network (PBRN) Conference in Bethesda.

The presentation delivers the results of a collaborative project involving clinical practice networks in Wisconsin, North Carolina, and the Interstate Postgraduate Medical Association (IPMA), a study evaluating the use of shared decision making (SDM) between patients and providers to improve clinical care for women with post-menopausal vulvo-vaginal atrophy (VVA). The initiative is targeting increased awareness and improved diagnosis. This is Shared Decision Making and improved Quality of Life (QOL) for the treatment of symptomatic vulvovaginal atrophy in women ages 50-80.

We have received positive feedback on the online educational module and brochures from the participants and providers that were involved in the project. Several providers have asked if they can share this with colleagues and continue to use the resources after the study ends in August.  We are ready to disseminate widely so that others can benefit from these resources.

according to Dr. Dolor

We want to acknowledge the collaboration with these Duke clinical practices:

Anne Ford MD, Duke OB-GYN

Duke Primary Care Hillsborough

Sutton Station Internal Medicine

Women’s Health Associates – Brier Creek

Duke Primary Care Henderson

Durham OBGYN

Duke Primary Care Croasdaile

Women’s Health Associates – Patterson Place

We learned more about this important topic:

Remember ‘the talk’ where mothers talk with their teenage daughters about sex?  Raising Awareness: Starting the Conversation- Vulvovaginal Atrophy takes this ‘coming of age’ tradition to the next generation.

VulvoVaginal Atrophy, or “VVA” for short, is also called genitourinary syndrome of menopause. VVA can cause a variety of annoying symptoms. Less estrogen leads to thinner, dryer skin and can make a woman feel uncomfortable in daily activities, during sexual activity, or during a clinical exam.

Many women are uncomfortable or embarrassed to discuss symptoms of menopause, and therefore, suffer in silence.

The project team has developed a variety of documents and other resources for clinicians and patients to raise awareness and facilitate the treatment decision process.

__________________

Follow Dr. Dolor on Twitter @RowenaDolorMD

Second quarter 2016 GIM funding awards

Congratulations to these general medicine faculty members who are recipients of recent research funding!

  • Hayden Bosworth, PhD has received an award from Improved Patient Outcomes, Inc. for a project entitled “Utilization of an innovative intervention to improve medication adherence and clinical outcomes in gout patients.” Total funding will be $135,422.
  • Jeffrey Clough, MD received a 2 year award funded by the AHA for $149,163 entitled, “Variability in Clinician-Patient Risk Discussions for Using Statins and Association with Statin Prescription”. The project seeks to further our understanding of how the 2013 ACC/AHA cholesterol guidelines are implemented in real-world practice by examining the association between clinicians’ beliefs and attitudes with decisions to initiate statin therapy.
  • Julia Gamble, a nurse practitioner in the DOC clinic, has received an award from the Project Access of Durham County for a project entitled “Durham Medical Respite Pilot Program Expansion.” Total funding will be $4,865.
  • Paul Lantos, MD received a $20,000 grant from Duke University’s Educational and Research Initiatives in China (ERIC) program. ERIC funding is intended to help faculty develop innovative education and research programs at the Duke Kunshan University campus and other areas in China.
  • Shelby Reed, PhD, has received an award from Janssen Research & Development, LLC for a project entitled “Treatment Resistant Depression – US.” Total funding will be $443,671.
  • Helene Vilme (Postdoctoral Research Fellow) (Mentor: Leigh Boulware) has received an award (3R01-DK098759-05S1) from the National Institutes of Health for a project entitled “Potential Barriers and Facilitators to Living Donor Kidney Transplantation Among Black Americans.” Total funding will be $89,040.
  • Leah Zullig, PhD (PI) received $50,000 from the Duke Cancer Institute for the pilot study “Using a Geriatric Oncology Assessment to Link with Services (GOAL)”. The co-investigators are: Hayden Bosworth, PhD (GIM), Gretchen Kimmick, MD (Oncology), Ivy Altomare, MD (Oncology), Linda Sutton. MD (Oncology) and Rebecca Shelby, PhD (Psychiatry).
  • Leah Zullig, PhD is also a co-investigator of a new CTSA “Carolinas Collaborative” project between Duke, Wake Forest, and UNC Chapel Hill, receiving $75,000 for their project entitled “Harmonization of Patient-Reported Outcomes Across Three CTSAs: Leveraging EHRs to Enable Comparative Effectiveness Research to Improve the Quality of Cancer Care”. The goal is to integrate and harmonize patient reported outcomes into cancer care across three electronic health records. The Duke Team also consists of the principal-investigator Syed Yusuf Zafar, MD (Oncology) and co-investigator Thomas LeBlanc, MD (Heme-Onc).

doctor_hologram_display_17753

GIM Faculty: Have you updated your Faculty Bios and your Scholars@Duke Page?

Screen Shot 2016-07-07 at 8.33.23 AM

The division of General Internal Medicine is conducting its annual faculty updates. All GIM faculty members will soon be receiving an email message containing a link to update the Duke CV, demographic information, and professional photo. The expected completion date is Thursday, September 1st.

And, if you haven’t done so within the past year, please double-check your Scholars@Duke page to make sure that it is complete and up-to-date. If you have any questions, visit the Department of Medicine’s “Update Your Profile Page” or contact Megan Churchill.

Thank you for attention to this important matter.

______________________

Read more about professional profiles in our DGIM blog post February 21, 2016 “Have you googled your name lately“.

Welcome new GIM faculty members

Welcome the newest members of Duke General Internal Medicine!

Eric Fountain, MD

Eric Fountain, MA, MD

Eric Fountain, MA, MD

Dr. Fountain is transitioning from Duke medicine residency to his clinical position as a hospitalist for the Preston Robert Tisch Brain Tumor Center at Duke.

 

 

 

 

 

Nia Mitchell, MS, MD, MPH

Nia Mitchell, MS, MD, MPH

Dr. Mitchell joins GIM as a researcher with a focus on obesity and as a clinician practicing at both the DOC clinic and the Diet and Fitness Center.  She comes to us from University of Colorado Anschutz Medical Campus where she completed her medicine residency and served as Assistant Professor from 2010-2016.

 

 

 

 

Eric Pollak, MD

Eric Pollak, MD

Eric Pollak, MD

Finishing Duke medicine residency just last month, we welcome Dr. Pollak now to the Duke Hospital Medicine team.

 

 

 

 

 

 

Corinna Sorenson, MPH, MHSA, PhD
Dr. Sorenson received her PhD degree in 2015 from the London School of Economics. She comes to the DCRI from Avalere Health, a healthcare consultative group in Washington, DC, and the Duke Fuqua Business School where she has been an adjunct Professor since January 2016.

 

 

 

 

Tara Spector, MD

Tara Spector, MD

Tara Spector, MD

Welcome back! Dr. Spector completed medicine residency training at Duke in 2012. Since then she has been a hospitalist and comes to Duke Hospital Medicine now from the University of Michigan Health System where she was Assistant Professor of Medicine.

 

 

 

 

John Yeatts, MD, MPH

John Yeatts, MD, MPH

John Yeatts, MD, MPH

After completing medical school at UNC, Dr. Yeatts became a Duke medicine resident and now joins Duke Hospital Medicine.

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