Medical Grand Rounds

Spring 2007
12:00 Noon
Hermes A. Kontos
Medical Sciences Building Auditorium

January | February | March | April | May

JANUARY

11-Jan

The Childhood Cancer Survivor in Your Practice

Nancy L. Dunn, MD
Associate Professor, Division of Hematology/Oncology
Department of Pediatrics
Virginia Commonwealth University Medical Center

Learning Objectives:

Understand the nature and scope of problems potentially facing adult childhood cancer survivors
Learn what resources are available to enhance the care of adult childhood cancer survivors
Understand how to best utilize the available resources when managing adult childhood cancer survivors

18-Jan

ANNUAL MARKHAM AWARD LECTURE
Organized by the Division of General Internal Medicine

Pseudoevidence-Based Medicine: the New Threat to Evidence-Based Medicine

Wally R. Smith, MD
Professor and Chair
Division of Quality Health Care
Department of Internal Medicine
Virginia Commonwealth University Medical Center

Learning Objectives:

Understand the value and premises of Evidence-Based Medicine
Understand new threats to the validity and appropriate dissemination and use of scientific evidence in medicine
Understand how to avoid, confront, and combat these threats

25-Jan

Clinicopathologic Conference:
A 27 Year-Old Man with Cough, Dyspnea and Fever

Discussant: Gustavo Heudebert, MD
Associate Professor of Medicine
Department of Internal Medicine
UAB School of Medicine

Radiologist: James Anthony Moore, MD
Department of Radiology

Pathologist: H. Davis Massey, DDS, MD, PhD
Department of Pathology

CPC Protocol prepared by Kelsey E.S. Salley, MD

Learning Objectives:

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

FEBRUARY

1-Feb	DIVISION OF CARDIOLOGY WALLERSTEIN LECTURESHIP Myocarditis: Still A Diagnostic, Therapeutic Enigma Nanette K. Wenger, MD, FACC, MACP Professor of Medicine, Division of Cardiology Emory University School of Medicine Chief of Cardiology Grady Memorial Hospital Atlanta, GA Learning Objectives: Know the diagnostic strategies for myocarditis Understand the clinical presentations of myocarditis Know the therapeutic recommendations for myocarditis
8-Feb	**Breast Imaging: An Overview Gilda Cardenosa, MD** Professor of Radiology Director of Breast Imaging VCU Medical Center 9000 Stony Point Parkway Learning Objectives: An overview of screening and diagnostic mammography will be presented. Define and discuss the use of adjunctive tools such as breast ultrasound, ductography and imaging guided biopsies Understand indications and current diagnostic uses of magnetic resonance imaging in breast imaging Outline the current guidelines for breast cancer screening
15-Feb	Airing Our Dirty Laundry: Public Reporting of Healthcare Quality Data Michael Edmond, MD, MPH, MPA Professor of Internal Medicine Epidemiology and Community Health Hospital Epidemiologist and Medical Director of Performance Improvement VCU Medical Center Learning Objectives: To examine the concept of mandatory reporting and public disclosure of healthcare quality data in the context of the consumer-directed healthcare movement To explore the assumptions underlying mandatory reporting and public disclosure of healthcare quality data To examine the policy implications, including unintended consequences, of public reporting
22-Feb	*Paget's Disease of Bone: What's New in 2007?* Kenneth W. Lyles, MD Associate Professor, Division of Geriatrics Department of Internal Medicine Duke University Medical Center Learning Objectives: Appreciate the variety of clinical manifestations of the disease Understand how to manage the disease with current therapies

MARCH

1-Mar	Prescription Drug Abuse: Everything Old is New Again Sidney Schnoll, MD, PhD Vice President, Risk Management Services Pinney Associates Learning Objectives: Participants will know the major federal laws aimed at addressing prescription drug abuse Participants will know the federal surveys used to measure prescription drug abuse Participants will know the major components of FDA's risk management guidances
8-Mar	*VCU Internal Medicine Training Program:* *2007 American College of Physicians Abstract Winners & Society of General Internal Medicine* Darryn Appleton, M.D (Research) Bo Chao, MD (Research) Kyong Chong, MD (Clinical) Kristin Fabiato, MD (Research) Andrew Poklepovic, MD (Clinical) Learning Objectives: Gain an appreciation for the breadth and depth of scholarly activities for resident trainees Gain exposure to several unique case presentations for the inpatient setting at VCUHS Recognize the complexity of patient pathology in the educational VCUHS setting
15-Mar	Clinicopathologic Conference: *A 68 Year Old Man with Confusion and Weakness* Discussant: Venkat Ramachandran, MD Chief Resident Department of Internal Medicine VCU School of Medicine Radiologist: Warren Stringer, MD Assistant Professor Department of Radiology VCU School of Medicine CPC Protocol prepared by John Port, MD Learning Objectives: To recognize etiologies and diagnosis from the clinicopathologic case presented To observe an experienced clinician's diagnostic reasoning process
22-Mar	Incretin Physiology and Emerging Treatments for Type 2 Diabetes Mellitus Edmond P. Wickham, III, MD Assistant Professor, Division of Endocrinology & Metabolism Department of Internal Medicine Department of Pediatrics Virginia Commonwealth University Medical Center Learning Objectives: To describe the role in incretins in normal glucose homeostasis To recognize the defects in incretin action/secretion in Type 2 Diabetes To describe the anticipated clinical response to incretin based therapies
29-Mar	The Teaching Physician Regulations Scott Manaker, MD, PhD Vice Chair for Regulatory Affairs Associate Professor Pulmonary, Allergy & Critical Care Division Department of Internal Medicine University of Pennsylvania Medical Center Learning Objectives: To supervise residents properly for billing medicare To minimize malpractice risks from supervising residents To increase clinical productivity

APRIL

5-Apr	*Who Should Be Dialyzed?* Alvin H. Moss, MD, FACP Director of the Center for Health Ethics and Law Professor, Section of Nephrology, Department of Medicine Robert C. Byrd Health Sciences Center of West Virginia University Learning Objectives: Discuss the increasing relevance of palliative care to the care of chronic kidney disease patients Present clinical practice guideline recommendations on when it is appropriate to withhold and stop dialysis Demonstrate application of recommendations to end-of-life decision-making for three dialysis patient cases
12-Apr	ANNUAL CHARLES THOMAS LECTURE *Developing a New Treatment for Rheumatoid Arthritis from a Chinese Herbal Remedy* Organized by the Division of Rheumatology, Allergy & Immunology Peter E. Lipsky, MD Chief, Autoimmunity Branch National Institute of Arthritis and Musculoskeletal and Skin Diseases Bethesda, MD Learning Objectives: Define characteristics of rheumatoid arthritis; Recall steps involved in development of a new therapy for rheumatoid arthritis; Recognize characteristics of the Chinese herbal remedy, thundergod vine.
19-Apr	Integrating Palliative and Critical Care: Can We Blend these Dichotomous models? Kenneth P. Steinberg MD Associate Professor, Division of Pulmonary and Critical Care Medicine Department of Medicine Univeristy of Washington Medical Center Learning Objectives: Review of the epidemiology of death in the ICU Define methods to promote and improve the quality of clinician – family communication centered around end of life care in the ICU. Assess system level intervention and collaboration of health care providers to improve end of life care.
26-Apr	*What Happens to a Living Kidney Donor?* Eric M. Gibney, MD Assistant Professor, Division of Nephrology Department of Internal Medicine Virginia Commonwealth University Medical Center Learning Objectives: Describe how the success of kidney transplantation has increased demand for organs Discuss the long-term risks of donating a kidney Determine whether there are subgroups of kidney donors who may be at greater risk

MAY

3-May	*ALPHA OMEGA ALPHA VISITING LECTURER* *If You Exercise, Will You Live Forever?* Pamela S. Douglas, MD, MACC Chief, Division of Cardiovascular Medicine Ursula Geller Professor of Research in Cardiovascular Disease Duke University Medical Center Learning Objectives: Understand the effects of exercise training on the cardiovascular system Appreciate the negative effects of endurance exercise Understand the importance of exercise as part of a clinical cardiovascular prevention strategy.
10-May	Beyond Lipid Profiles: How Much Do We Really Know? Shobha Gosh, Ph.D. Associate Professor of Medicine and Physiology Division of Pulmonary & Critical Care Department of Internal Medicine Virginia Commonwealth University Medical Center Learning Objectives: Understand the cellular processes affecting plasma cholesterol levels Role of macrophage cholesterol metabolism in regulating arterial plaque development Identification of a new target to attenuate CAD
17-May	ANNUAL WILLIAM BLACKARD LECTURE Organized by the Division of Endocrinology & Metabolism Note: Lecture will be held in the Baruch Auditorium of the Egyption Building (across from the Medical Sciences Building) Eugene J. Barrett, MD, PhD Professor of Internal Medicine and Pediatrics Director, Diabetes Center Associate Chair for Research Division of Endocrinology and Metabolism Department of Department of Medicine University of Virginia Health System Learning Objectives: To learn the role of the endothelium in mediating insulin movement from the vasculature to the interstitium of muscle and liver tissue. To learn the cellular pathways whereby insulin transits the vascular endothelial To understand how endothelial dysfunction impacts insulin access to its target tissues and its action in those tissues
24-May	GRAND ROUNDS-CANCELED
31-May	DEPARTMENT OF INTERNAL MEDICINE GRADUATION & RECOGNITION CEREMONY Stephanie A. Call, MD, MSPH Associate Professor and Residency Program Director Department of Internal Medicine Virginia Commonwealth University Medical Center Please join us as we recognize DOIM resident, fellow and faculty accomplishments. Reception and research poster presentation immediately following ceremony in MSB rooms 104 & 105.

Grand Rounds Calendar Subject to Change
DOIM Grand Rounds to resume on September 13, 2007

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Medical Grand Rounds

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