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Duke Heart Week Ending July 12th 2020

Highlights of the week:

New Faculty Spotlight: Stephen Greene, MD, Advanced Heart Failure Team

Stephen Greene

We recently welcomed Stephen Greene, MD, to the Duke faculty as an assistant professor of medicine in the division of cardiology. We spoke with Greene about his experiences in fellowship, his research goals, and his decision to join our faculty.

“Duke has been an outstanding place to train – it really is the best place to be in terms of training for clinical care and clinical research,” said Greene. “There are other places across the country that do one or the other really well, but Duke is unique in that it provides both in an outstanding way. For this same reason, I’m very glad to be coming on board as faculty with the heart failure team.”

Greene developed a strong interest in heart failure during medical school and planned to focus in this clinical area once he arrived at Duke.

“While a medical student at Northwestern, I met Dr. Mihai Gheorghiade. He was the first person who sparked my interest in heart failure and clinical research,” adds Greene. “I can’t quantify how much I learned from him and the support he gave me. He was also an adjunct professor at Duke and had so many Duke collaborators. He was the first person to put Duke on my radar and strongly recommended it for fellowship.”

Also while at Northwestern, Greene began collaborating with Rob Mentz, who he also credits with driving his interest in Duke for training. Once at Duke, he received a lot of support and guidance from Mike Felker, Adrian Hernandez, Chet Patel, and Adam DeVore and says “I felt right at home from the get-go. Everyone is so great to work with, great mentors everywhere you look.”

Greene is particularly interested in outcomes research and clinical trials for patients with worsening heart failure, and exploring strategies to close gaps in the use and dosing of guideline-directed medical therapy for heart failure.

“We have a lot of evidence that approved heart failure medications offer major benefits in this patient population, but they just aren’t being used like they need to be. There are huge gaps in what we should be doing and what we are actually doing. We need to address it — whether novel strategies involve behavioral economics, patient education, provider incentives, having alerts in the electronic health record, or something else. The great thing about Duke is that we have the ability to be at the forefront of this type of research and make a lasting difference for heart failure patients.

“I want heart failure patients to be aware of all the therapies available to them, all that they are eligible for, and to understand the risks of both trying and not trying new treatments. Heart failure is a journey for both patients and clinicians, and each one of these decisions on therapies is a potential fork in the road. When I see patients, I want them to be aware of the pros and cons for each decision so they make a truly informed choice. In this way, I like to tie my research to how I practice on the wards and in the clinic.”

Originally from Litchfield, CT, Greene received his BA from Brown University and his MD from the Feinberg School of Medicine at Northwestern University. He remained in Chicago for residency at McGaw Medical Center of Northwestern University. Greene arrived at Duke in 2015 for Cardiovascular Medicine fellowship training; he completed fellowship in Cardiovascular Clinical Research with Duke Clinical Research Institute and most recently, the fellowship in Advanced Heart Failure and Cardiac Transplantation. He is the recipient of a number of honors and awards, including the Joseph C. Greenfield Scholar in Cardiology Award (2019), the DCRI’s Executive Director Pathway Award (2018) and the Heart Failure Society of America’s Young Investigator Award (2017-2019), and is a co-author on more than 150 peer-reviewed publications.

Steve and his wife Lora reside in Durham with their 2-year-old son Adam. Lora is an emergency medicine physician at Duke Regional Hospital. They just moved into a new home and continue to love living in the Triangle area.

We are very pleased to welcome him to the Duke Heart faculty. Congratulations, Steve!

 

CDU Hosts Annual Echo Boot-camp for Fellows

The Cardiac Diagnostic Unit hosted our new Duke Cardiology fellows at the annual Echo Boot camp on July 3rd and 7th. This year, the schedule allowed for a more extensive boot-camp format across two days with lectures from faculty and senior sonographers as well as a scanning workshop. The first day of boot-camp, lectures included “Echocardiography Emergencies”, “Echo Instrumentation and Knobology,” and “Basic Echo Measurements,” among other interesting topics. Day two of boot-camp, the fellows learned about important IT considerations, and the basics of scanning an echo. Fourteen Duke CDU sonographers were involved with teaching the Cardiology fellows the basics of scanning each view, how to get an image, and machine orientation. Great teamwork made it all come together! Special thanks to Dr. Anita Kelsey, Dr. Anna Lisa Crowley, and Jon Owensby who put together a great program. Shout out to CDU sonographers Danny Rivera, Rebekah Henry, Stephen Shipman, Carissa Marsiglio, Brenda Sedberry, Emily Deason, Sarah Hatton, Anna Pruzaneic, Andy Dhimitri, Jean Woolard, Eddy Sandoval, Jeff Graham, Dallas Gardner, John Toptine and Richie Palma for their excellent teaching.

 

ACLS/BLS Courses Held

The Duke Heart Leadership ACLS Instructor group, led by Dr. Kristen Newby, held the first of two faculty ACLS/BLS make-up sessions at DMP last week. The courses were pushed out and required a new process due to new safety guidelines around COVID-19. The ACLS Instructor group includes Cory Miller, Laura Dickerson, Heather McKinney, Mary Lindsay and Jill Engel. With support of Clinical Education and Professional Development and Cory Miller’s dedication, the team was able to use a modified online and in-person training combination to get 16 faculty members through their required ACLS and BLS courses, including mega code sessions, while observing social distancing guidelines.

The faculty were great – everyone was prompt and prepared, and the course went off without a hitch. The team is looking forward to completing the second make-up class on July 16. Great job, everyone!

 

ICYMI: Duke Moments to Movement Series on Race and Social Injustice

Along with the impacts of COVID-19, people across the U.S. are engaging in important discussions related to race and social injustice. Our HR teams are working to create sessions and safe forums to promote discussion and awareness throughout Duke. One such way is through the Duke Moments to Movement Series on Race and Social Injustice. The most recent session, Black Men at Duke and in America, was held on June 25.

Panelists shared their thoughts, experiences and reactions to recent events, what it’s like to be a Black leader at Duke, how to be a good ally and what they hope for in the future. The panel included:

Dr. A. Eugene Washington, Chancellor for Health Affairs at Duke University and President and CEO of the Duke University Health System; Dexter Nolley, Chief Human Resource Officer, Duke Regional Hospital; Fabian Stone, Associate Vice President, Revenue Cycle & Health Information Management at Duke University Health System; and Brian Wofford, Vice President, Heart Operations for Durham County. The session was moderated by Rhonda Brandon, Senior Vice President and Chief Human Resources Officer at Duke University Health System.

To view the session, you can visit: https://players.brightcove.net/5844457457001/default_default/index.html?videoId=6167555251001

For additional resources, please see the website for Duke’s Office for Institutional Equity. They have an extensive list of resources that may be of interest to you and others on your team. https://oie.duke.edu/resources-understanding-and-confronting-racism-and-its-impact.

Duke is keeping the conversation going with their next two panels: Black Women at Duke and in America (July 23 at 1:00 p.m.) and Clinicians on Race and Health Disparities (August 13). Information about these sessions are being sent via email. If you have not received an email invitation to attend these panels and would like to, please send a note to: DUHSLeaders@duke.edu.

 

DHTS: Email Services Update, July 24 & 25

Head’s up. DHTS is planning for an email services update the weekend of July 24-25. Beginning at 11:59 p.m. on Friday, July 24, through 11:59 p.m. on Saturday, July 25, Duke University and Duke Health email services will be updated and access to email, MS Teams and other programs may be temporarily impacted during this time. A user’s email account and related Microsoft services may become temporarily unavailable anytime within the 24-hour window, however no individual user should be impacted for more than 4 hours.

This important update will touch all Duke email accounts through Microsoft Office 365, regardless of whether they are accessed through Outlook, webmail or mobile phone. No email will be lost during the update, and messages will be visible once a user logs back in after the update is complete. Maestro Care will not be affected. For more information, including contact numbers for Duke’s technology service desks, visit the Office of Information Technology website.

 

COVID-19 Updates:

All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:

 

Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.

Duke Heart in the News:

July 2 — Joseph Rogers

The Charlotte Observer

Despite rise in COVID-19 cases, Triangle hospitals say it’s safe to have visitors again

https://www.charlotteobserver.com/news/coronavirus/article243926607.html

 

July 6 — Eric Peterson

DAIC Diagnostic and Interventional Cardiology

Blacks Have Higher Mortality After PCI

https://www.dicardiology.com/content/blacks-have-higher-mortality-after-pci

 

July 6 — Eric Peterson and Michael Nanna

Healio/Cardiology Today

MACE risk after PCI higher for Black patients than white patients

https://bit.ly/38OifkX

 

July 6 — Shannon Boxter

DailyNurse.com

Nursing Side Gigs: Working as a Photographer

https://bit.ly/38OifkX

 

July 6 — Guillaume Marquis-Gravel

tctMD/the heart beat

PCI or Not, Post-ACS Bleeding Is Tied to Mortality

https://www.tctmd.com/news/pci-or-not-post-acs-bleeding-tied-mortality

 

July 6 — Michael Nanna

HealthDay News

Black Patients Fare Worse After Angioplasty

https://bit.ly/3ef5hxF

(story carried by 11 other news outlets including United Press International & U.S. News & World Report)

 

July 6 — Ann Marie Navar

tctMD/the heart beat

Statins Cut CV Risk but Don’t Boost Disability-Free Survival in Healthy Elderly

https://bit.ly/38LQR7h

 

July 7 — Adam Nelson

Healio/Cardiology Today

Over Age 75? Statins Still Linked to Outcomes in Primary Prevention

https://www.medpagetoday.com/cardiology/prevention/87432?vpass=1

 

July 8 — Guillaume Marquis-Gravel

Cardiovascular Business

Post-discharge bleeding among ACS patients: Does PCI have a fatal effect?

https://bit.ly/2W6jmre

 

July 9 — Adam Nelson

Physician’s Weekly

Statins for Primary Prevention in Elderly Reduce All-Cause Mortality

https://bit.ly/2BXzPXO

 

July 9 — Adam Nelson

MDedge

Primary prevention statins cut mortality even in the very elderly: VHA study

https://bit.ly/3ekbjNH

 

July 9 — Oliver Jawitz

Cardiovascular Business

Outcomes ‘worse than expected’ when TAVR fails and surgery is required

https://bit.ly/2ZgQWwF

 

July 10 — Kevin Thomas and Oluwandamilola Fuyanju

News & Observer

Duke Professors: To fight COVID-19, health officials need to build trust in government

https://bit.ly/2OcMTuT

(accessible only to those with Duke Box accounts)

 

July 10 — Kevin Thomas

Spectrum News

Discussion on COVID-19 Racial Disparities

https://bit.ly/38Hq0t4

(news clip starts at 4:36:15)


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