Medical Grand Rounds

7-Sep

Understanding Medicare Part D

Peter A. Boling, MD
Professor of Medicine
Interim Chair, Division of General Medicine
Director of Long Term Care & Geriatrics
Department of Internal MedicineVCU Medical Center

Learning Objectives:

• Describe the main features of the Medicare Part D drug benefit
• List strategies that physicians can employ to eanble their pateints to obtain help from the new benefit
• Evaluate the health policy implications of the changes in Medicare for the aging population

14-Sep

What Does the War on Terror Teach Us About Medical Ethics?

Steve Miles, MD
Professor, Internal Medicine and the Center for Bioethics
University of Minnesota Medical School

Learning Objectives:

• Understand the obligations of physicians to prisoners of war
• Know the medical ethics pertaining to physicians and torture
• Appreciate the importance of the events at Abu Ghraib to the world's medical community

21-Sep

Treatment of Alcohol Abuse and Withdrawal

28-Sep

Update in Chronic Kidney Disease

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

Learning Objectives:

• Review CKD staging and stage-specific interventions to slow disease progression
• Review CKD comorbidities and their treatment
• Discuss PCP-Nephrologist collaboration

5-Oct

Community-Acquired Pneumonia: Perspectives for Clinicians

Richard P. Wenzel, MD, MSc
Professor and Chairman
Department of Internal Medicine
VCU Medical Center

Learning Objectives:

• Know the common cases of CAP
• Understand the clinical and epidemiological clues to specific diagnosies
• Understand the rationale for therapy

12-Oct

Subintimal Angioplasty:
for the treatment of Chronic Limb Ischemia

Daniel A. Leung, MD
Associate Professor
Director of Interventional Radiology
VCU Medical Center

Learning Objectives:

• Understand the clinical presentation and indications for treatment of CLI
• Differentiate between surgical and endovascular techniques oflower limb revascularization

19-Oct

Pharmacogenetics and Asthma: Which Drugs for Which Patients?

Elliott Israel, MD
Director, Clinical Research Pulmonary Division
Associate Professor of Medicine
Harvard Medical School
Brigham & Women's Hospital

Learning Objectives:

• Define the area of pharmacogenetics
• Understand how greater variation influences responses to the drug
• Recognize variations that affect individual responses to asthma drugs

26-Oct

The Role of Nitric Oxide in Prevention and Modulation of Vascular Disease: Old and New Paradigms

David  G. Harrison, MD, FACC, FAHA
Bernard Marcus Professor of Medicine
Director, Division of Cardiology
Emory University School of Medicine

Learning Objectives:

• Understand how diseases affect vascular NO production
• Understand new concepts of oxidant stress

2-Nov

A Clinicopathologic Conference:
A 46 Year-Old Renal Transplant Patient with Fevers and Dyspnea

Discussant: Leonard Moses, M.D.
Associate Professor
Division of Pulmonary & Critcial Care
Department of Internal Medicine
VA McGuire Medical Center

Pathologist: Margaret Grimes, M.D.
Professor
Department of Pathology
VCU Medical Center

Radiologist: James Anthony Moore, MD
Instructor
Department of Radiology
VCU Medical Center

CPC Protocol prepared by Venkat Ramachandran, MD

Learning Objectives:

• To recognize etiologies and diagnosis from the clinicopathologic case presented
• To observe an experienced clinician's diagnostic reasoning process

9-Nov

A Cardiologist Confronts Obesity: Two Stories

1. Dietary Therapy or Obesity: An Emperor with no clothes
2. Sympathetic and Cardiovascular Actions of Leptin and the Concept of Selective Leptin Resistance in Obesity Induced Hypertension

Allyn L. Mark, MD
Carver Professor of Medicine
University of  Iowa
Carver College of Medicine and Visiting Professor
The Rockefeller University

Learning Objectives:

• Recognize the evidence for a substantial genetic neurobiologic contribution to adiposity and obesity in humans
• Recognize the high frequency of relapse from weight loss during dieting and the biologic as opposed to behavioral basis for this high incidence of relapse from weight loss
• Develop an introductory understanding of the discovery, biology and clinical significance of leptin

16-Nov

Fellows Research Day

Novel Role in Rapamycin in Cardioprotection

Shakil Khan, MD
Cardiology Fellow
VCU Medical Center

Differential Activation and Dysregulation of Unfolded Protein Response (UPR) in Nonalcoholic Fatty Liver Disease (NAFLD): Implications for Pathogenesis

Puneet Puri, MD
Hepatology Fellow
VCU Medical Center

Targeting Insulin-like Growth Factor I Signaling in Small Cell Lung Cancer Cells  

Juddi Yeh, MD
Hematology & Oncology Fellow
VCU Medical Center

23-Nov

Thanksgiving Holiday
No Grand Rounds

30-Nov

Annual Orhan Muren Lecture: Pathogenesis and Pathophysiology of Pulmonary Arterial Hypertension

Lewis J. Rubin, MD
Professor of Medicine
Director, Pulmonary Hypertension Program
University of California

San Diego Medical Center

Learning Objectives:

• Understand the basic cellular and molecular mechanisms responsible for the vascular remodeling that characterizes pulmonary artery hypertension. These include the roles of endothelial dysfunction, alterations in smooth muscle tone, and vasoproliferative stimuli.

• Recognize the predisposing factors to the development of pulmonary hypertension, including genetic and exogenous factors, and gain an understanding of the mechanisms whereby they may produce pulmonary hypertension.

• Gain an understanding of the pathophysiology of pulmonary hypertension, and understand why certain indices of severity serve as predictors of survival.

7-Dec

Healthcare and Public Health Emergency Preparedness - A Shared Responsibility

Lisa G. Kaplowitz, MD, MSHA
Deputy Commissioner, Emergency Preparedness and Response
Virginia Department of Health
Associate Clinical Professor, Department of Medicine
Affilate Professor, Department of Health Administration
Virignia Commonwealth University

Learning Objectives:

• Describe the roles of public health in all hazards   emergency preparedness and response
• Describe opportunities for public health and the healthcare system to collaborate
• List challenges faced by the healthcare system in emergency preparedness and response
  

14-Dec

Clinicopathologic Conference:

 A 71-year-old Man with Fever and Rash

Discussant:      Michael Kontos, MD

                         Assistant Professor of Medicine

                         Department of Internal Medicine

                         VCU Medical Center

Radiologist:       John D. Grizzard, M.D.

                          Assitant Professor

                          Department of Radiology

                          VCU Medical Center

Radiologist:       Patrick McDonough, M.D.

                          Resident, Department of Pathology

                          VCU Medical Center

CPC Protocol prepared by Douglas Johnson, MD

Learning Objectives:

• To recognize etiologies and diagnosis from the clinicopathologic case presented
• To observe an experienced clinician's diagnostic reasoning process

*Last Grand Rounds for fall 2006