Medical grand rounds

Spring 2006
12:00 Noon
Hermes A. Kontos
Medical Sciences Building Auditorium

January | February | March | April | May

JANUARY

12-Jan

The Role of Raising Low Levels of HDL Cholesterol: The Imperative to Optimize Clinical Event Reduction with Combination Dyslipidemic Therapy"

William E. Boden, M.D.
Professor of Medicine
Director, Division of Cardiology Medicine / Cardiology - Research and Academics
University of Connecticut

Learning Objectives:
• To assess the epidemiologic & randomized, controlled trial data that link high-density lipoprotein (HDL) cholesterol (C) as an independent risk factor in the genesis of coronary heart disease (CHD).
• To review pharmacologic strategies designed to augment low levels of HDL-C in patients with CHD, focusing in particular on the role of extended-release niacin.
• To highlight the important clinical imperative of directing dyslipidemic pharmacotherapy to dual targets-both lowering elevated levels of low density lipoprotein (LDL) cholesterol and augmenting low levels of HDL-C-to optimize outcomes.

19-Jan

A Healer to Few: Reflections from Practicing a Year of Medicine in Iraq

Lori Sweeney, M.D.
Fellow, Division of Endocrinology
Department of Internal Medicine
Virginia Commonwealth University Medical Center

Learning Objectives:
• To gain a perspective of the unique challenges facing military physicians practicing in an austere environment
• To become familiar with some of the unique medical conditions arising in deployed soldiers

26-Jan

Clinicopathologic Conference:
A 54 Year Old Man with Rapidly Progressive Cellulitis

Discussant: Michael Scheld, M.D.
Professor of Medicine
Division of Infectious Disease
UVA Medical Center

CPC Protocol prepared by Anne Lipke, MD

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

FEBRUARY

2-Feb	*Teaching Falls and Gait Disorders* Angela Gentili, M.D. Associate Professor of Medicine Division of Geriatrics VA McGuire Medical Center Learning Objectives: •To recognize "teaching triggers" to teach falls and gait disorders •To recognize and teach risk factors for falls •To discuss interventions that decrease the risk of falling •To demonstrate how to teach gait disorders Note: Location Change to George Ben Johnson Auditorium 305 North 12th Street
9-Feb	*What Internists Should Know about Heart Failure Management* Lynne Warner Stevenson, M.D. Professor of Medicine Division of Cardiology Brigham & Women's Hospital Learning Objectives: • Review the key components of clinical assessment of heart failure • List three major components of the standard heart failure regimen • Describe the impact of transplantation and assist devices on the overall heart failure population
16-Feb	*Challenges to the Traditional Paradigm of Primary Care Delivery* Karen DeSalvo, M.D., M.P.H., M.Sc. C. Thorpe Ray Chair in Internal Medicine Associate Professor Chief, Section of General Internal Medicine and Geriatrics Tulane University School of Medicine Learning Objectives: • To understand new models of primary care delivery • To review the ethical considerations of this type of care
23-Feb	*Clinicopathologic Conference: A 75 year old Woman with Chest Pain* Discussant: Nelson Bernardo, M.D. Director, Cardiac Catheterization Laboratory VA McGuire Medical Center Division of Cardiology Department of Internal Medicine, VCU Medical Center Cardiologist: George Vetrovec, M.D. Professor of Medicine Chairman, Division of Cardiology Department of Internal Medicine VCU Medical Center CPC Protocol prepared by Jeffrey Kushinka, MD Learning Objectives: • To recognize etiologies and diagnosis from the clinicopathologic case presented • To observe an experienced clinician's diagnostic reasoning process

MARCH

2-Mar	Myelodysplastic Syndromes: Principles, Practice and Promise John McCarty, M.D. Assistant Professor of Medicine Division of Hematology Oncology Department of Internal Medicine Virginia Commonwealth University Medical Center Learning Objectives: • Understand key disease characteristics to facilitate appropriate MDS diagnosis, staging, and treatment • Define MDS treatment goals • Delineate how various treatment strategies fit into today’s MDS algorithm for treatment • Examine new treatment approaches in MDS • Discuss relevant pharmacologic and clinical issues associated with newer agents and stem cell transplantation for MDS therapy
9-Mar	*Anxiety Disorders* Robert Schneider, M.D. Associate Professor Chair, Division of Ambulatory Psychiatry Virginia Commonwealth University Medical Center Learning Objectives: • Understand the basic criteria for the 5 anxiety disorders • Distinguish disease level anxiety symptoms from subsyndromal symptoms • From the cases presented learn at least one of the following concepts including: - how a woman's menstrual cycle influences symptoms - the disorders that may have panic attacks - benzodiazepines and "addiction"
16-Mar	Community Associated Methicillin-Resistant Staphylococcus aureus Gordon Archer, M.D. Professor of Medicine Division of Infectious Disease Department of Internal Medicine Acting Associate Dean for Research Virginia Commonwealth University Health System Learning Objectives: • Be able to explain the difference between methicillin-susceptible and methicillin-resistant Staphylococcus aureus (MRSA) and the different risks between infections. • Understand the difference between community-associated (CA) and hospital-associated (HA) MRSA • Be able to describe the tests that differentiate CA from HA MRSA and list the infections that characterize CA-MRSA Note: Location Change to George Ben Johnson Auditorium 305 North 12th Street
23-Mar	Health Policy Stephani Woolhandler, M.D. Associate Professor of Medicine Harvard Medical School Learning Objectives: • Understand access care and payment problems in the U.S. • Comprehend economics of national health insurance and consumer directed health care
30-Mar	ACP State and National Presentations Internal Medicine Housestaff Department of Internal Medicine VCU Medical Center CARDIAC METASTASES FROM METASTATIC MELANOMA† Sarah Beth Harrington, M.D.,Third Year Resident FEVER, CHILLS AND ALTERED MENTAL STATUS: HOW BROAD SHOULD THE DIFFERENTIAL DIAGNOSIS BE? Kelly Letsinger, M.D.,Third Year Resident ANOTHER REASON TO VISIT YOUR DENTIST REGULARLY Zachary Shook, M.D., Third Year Resident AUTOIMMUNE HEPATITIS: NOT JUST FOR THE MIDDLE-AGED FEMALE† Jenny O. Smith, M.D., Second Year Resident ST SEGMENT ELEVATION AND NEW RIGHT BUNDLE BRANCH BLOCK: EXPANDING THE DIFFERENTIAL DIAGNOSIS† Susan Wolver, M.D., Third Year Resident †= To be presented at National ACP Meeting

APRIL

6-Apr	Post Cards from Palliative Care Laurel Lyckholm, M.D. Associate Professor of Medicine Division of Hematology/Oncology and Palliative Care Department of Internal Medicine Virginia Commonwealth University Medical Center Learning Objectives: • Distinguish between Hospice and Palliative Care • Examine data supporting the use of Palliative Care to support quality of life • Discuss cases of patients cared for by VCU's Thomas Palliative Care team
13-Apr	*Clinicopathologic Conference:* A 24 Year Old Man with Hypertension and a Cardiac Mass Discussant: Anne Lipke, M.D. Chief Resident, Department of Internal Medicine VCU Medical Center Cardiologist: Steven Zouzulous, M.D. Fellow, Division of Cardiology Department of Internal Medicine VCU Medical Center CPC Protocol prepared by Katie Bar, MD Learning Objectives: • To recognize etiologies and diagnosis from the clinicopathologic case presented • To observe a clinician's diagnostic reasoning process
20-Apr	The Evidence for DVT Prophylaxis and Treatment - Foiling the Real Threat of PE L. Bernardo Menajovsky, M.D. ,M.S. Assistant Professor of Medicine, Thomas Jefferson University, Jefferson Medical College Learning Objectives: • To review evidence outlining the need for prophylaxis of DVT/PE. •To evaluate individual practice and department / hospital protocols with respect to anticoagulant selection for the prophylaxis of DVT /PE Note: Location Change to George Ben Johnson Auditorium 305 North 12th Street
27-Apr	ANNUAL WILLIAM BLACKARD LECTURE Organized by the Division of Endocrinology & Metabolism Diagnosis and Treatment of Malignancy-Associated Hypercalcemia Andrew F. Stewart, M.D. Professor of Medicine Chief, Division of Endocrinology and Metabolism University of Pittsburgh School of Medicine Learning Objectives: • To understand the mechanistic subtypes of cancer hypercalcemia • To recognize why cancer hypercalcemia occurs • To understand mechanism-based approaches to treatment

MAY

4-May	ANNUAL CHARLES THOMAS LECTURE Organized by the Division of Rheumatology, Allergy & Immunology Type I interferons and the immunopathogenesis of systemic lupus erythematosus Westley Reeves, M.D. Marcia Whitney Schott Professor of Medicine and Chief, Division of Rheumatology & Clinical Immunology University of Florida (Gainesville) Learning Objectives: •
11-May	***Clinicopathologic Conference:* A 33 Year Old Man with Hemoptysis Discussant: Gonzalo Bearman, M.D., M.P.H. Assistant Professor Division of Infectious Diseases Associate Hospital Epidemiologist Department of Internal Medicine VCU Medical Center Radiologist: Mark S. Parker, MD Associate Professor of Radiology VCU Medical Center Diagnosis Discussant: Richard P Wenzel, MD, MSc William Branch Porter Professor and Chair Department of Internal Medicine VCU Medical Center CPC Protocol prepared by Katie Bar, MD Learning Objectives: • To recognize etiologies and diagnosis from the clinicopathologic case presented • To observe an experienced clinician's diagnostic reasoning process Note:** Location Change to George Ben Johnson Auditorium 305 North 12th Street
18-May	ANNUAL MARKHAM AWARD LECTURE Organized by the Division of General Internal Medicine & Primary Care This isn’t your father’s VA Hospital…overview of Veterans Healthcare including our Iraqi war veterans Judy Brannen, M.D. Interim Chief of Staff VA McGuire Medical Center Associate Professor Division of General Medicine Department of Internal Medicine VCU Medical Center Learning Objectives: • To provide an overview of Veterans Healthcare missions of Clinical Care, Education, Research, and backup to Department of Defense • To provide an overview of care of Iraqi War wounded, including Richmond’s Polytrauma Unit Note: Location Change to George Ben Johnson Auditorium 305 North 12th Street
25-May	HOUSESTAFF AWARDS CEREMONY Organized by the Office of Educational Affairs

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