ANNUAL ORHAN MUREN LECTURE Critical Care 2009: How We Got Here, Where We're Going, and Lessons Along the Way
Curt Sessler, MD
Professor of Medicine
Division of Pulmonary and Critical Care Medicine
Department of Internal Medicine
Virginia Commonwealth University Medical Center
Following this Grand Rounds presentation, participants will be able to:
Describe the background and rationale for intensive care
Discuss important themes in caring for critically ill patients
Identify and explore future directions for managing critically illness and injury
15-Jan
The Pharmaceutical Industry’s Influence on Medicine
Thomas P. Reinders, Pharm.D.
Associate Professor
Associate Dean for
Admissions and Student Services,
Virginia Commonwealth University School of Pharmacy
Following this Grand Rounds presentation, participants will be able to:
State at least three societal benefits associated with pharmaceutical products
Demonstrate a constructive skepticism toward marketing and sales strategies employed by the pharmaceutical industry
Describe challenges faced by the pharmaceutical industry and opportunities for change; and,
Assess the connections between ethical dilemmas and the challenges faced by patients, the pharmaceutical industry, government agencies and health professionals
22-Jan
The Art of Blood Pressure Management
Domenic Sica, MD
Professor of Medicine & Pharmacology and Toxicology
Division of Nephrology
Department of Internal Medicine
Virginia Commonwealth University Medical Center
Following this Grand Rounds presentation, participants will be able to:
Appreciate the biochemical factors that may guide the diagnostic work-up of the patient with hypertension
Discuss the rationale behind the selection of various drug classes in the management of hypertension
Recognize dose-response relationships for the various antihypertensive medication drug classes
Understand the mechanistic basis for drug-drug interactions and to recognize the most important idiosyncratic side-effects with antihypertensive medications
Be aware that patient profiling in determining antihypertensive therapy assumes less importance when multi-drug therapy is required
29-Jan
HIV in the 2nd decade of HAART
Daniel Nixon DO, PhD
Associate Professor of Medicine
Department of Internal Medicine
Virginia Commonwealth University Medical Center
Director, VCU HIV/AIDS Center
Following this Grand Rounds presentation, participants will be able to:
Identify the current CDC/ACP "opt out" HIV testing guidelines
Discuss data concerning when to start antiretroviral therapy
Describe the many faces of HIV and the role of the PCP in diagnosis, primary, and secondary disease prevention as it relates to HIV and its comorbidities
FEBRUARY
5-Feb
FELLOWS' RESEARCH DAY
Zoledronic Acid Treatment of Osteoporosis:
Effects in Men Douglas Johnson, MD
Fellow,
Division of Endocrinology and Metabolism
Ineffective Triggering Predicts Duration of Mechanical Ventilation Kristin Miller, MD
Fellow,
Division of Pulmonary Disease and Critical Care Medicine
Feasibility of Extracorporeal Photopheresis in Managing Patients with Bronchiolitis Obliterans following Allogeneic Stem Cell Transplantation: A Single Center Experience Alison Rome, MD
Fellow,
Division of Hematology/Oncology
Following this Grand Rounds presentation, participants will be able to:
Have a greater appreciation for the breadth and scope of research being conducted by fellows in VCUHS fellowship programs
Describe current and/or recent research projects conducted by VCUHS fellows
12-Feb
Humanism or Professionalism? The White Coat Ceremony and Medical Education
Judah L. Goldberg, MD, MA Department of Emergency Medicine
New York Hospital Queens
Following this Grand Rounds presentation, participants will be able to:
Summarize research on ethical erosion in medical students
Articulate the differences between Humanism and Professionalism
Discuss how medical students get caught in the gap between Humanism and Professionalism
Outline implications for the White Coat Ceremony and medical education
19-Feb
Confusional States in the Hospitalized Patient
Marjolein de Wit, MD, MS
Assistant Professor
Division of Pulmonary & Critical Care Medicine
Department of Internal Medicine
Virginia Commonwealth University Medical Center
Following this Grand Rounds presentation, participants will be able to:
List the diagnostic criteria for delirium
Explain the pathophysiology of delirium
Summarize the adverse consequences of delirium
Identify treatment options for delirium
26-Feb
What's New in Heart Disease in Women: Current Issues in Diagnosis and Treatment
C. Noel Bairey Merz, MD Professor of Medicine,
Department of Medicine
David Geffen School of Medicine at UCLA
Medical Director, Preventive and Rehabilitative Cardiac Center
Medical Director and Women's Guild Endowed Chair, Women's Heart Center,
Cedars-Sinai Medical Center
Los Angeles, CA
Following this Grand Rounds presentation, participants will be able to:
Describe the significance of angina pectoris in women regards risk compared to men.
List characteristics of angina in women.
Discuss the importance of diagnosis and specific therapy for women with angina pectoris.
MARCH
5-Mar
Patient Interview/Still's Disease
Richard, P. Wenzel, MD, MSc
William Branch Porter Professor and Chair
Department of Internal Medicine
Virginia Commonwealth University Medical Center
Lenore M. Buckley, MD, MPH Professor of Medicine and Pediatrics
Division of Rheumatology, Allergy & Immunology
Department of Internal Medicine
Virginia Commonwealth University Medical Center
Following this Grand Rounds presentation, participants will be able to:
Explain how AOSD can present as FUO
Describe the clinical picture, physical findings, and laboratory findings in AOSD
Understand that AOSD can be complicated by macrophage activation syndrome
12-Mar
RESIDENT RESEARCH PRESENTATIONS
Bacillus Cereus Meningoencephalitis
J. Peter Heyboer II, MD
R3, Medicine/Pediatrics Program
Human Monocytotropic Ehrlichiosis: An Elusive Predator of Woodland America
Andrew Munro, MD
R1, Internal Medicine Preliminary Intern
NHSN Methodology Overestimates Central Line-Associated Bloodstream Infection Rates
Michelle Nalepa, MD
R2, Internal Medicine Categorical Track
Following this Grand Rounds presentation, participants will be able to:
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
19-Mar
Humor in Medicine
Drs. John Glick and Steve Phillips Best friends, brothers-in–law, and partners in the practice of healing laughter, the duo of Glick & Phillips have performed in folk festivals, on radio, in cafes, and on stage. They have tickled the fancy of the Virginia State Animal Control Officers as well as knocked them dead at the Shenandoah Valley Funeral Directors annual Ladies’ Night.
Following this Grand Rounds presentation, participants will be able to:
Give examples (from the experience of Glick & Phillips) of how humor helps in healthcare
Incorporate humor into their own practice
Identify inappropriate uses of humor in healthcare
Have fun with the practice of medicine
26-Mar
Irritable Bowel Syndrome: More than a Gut Feeling
Margaret M. Heitkemper, PhD, RN, FAAN
Professor & Elizabeth Sterling Soule Endowed Chair
Biobehavioral Nursing and Health Systems
Director, Center for Women's Health
University of Washington
Following this Grand Rounds presentation, participants will be able to:
Identify the pathophysiological mechanisms that may account for irritable bowel syndrome
List the current research directions in the area of irritable bowel syndrome.
Describe current diagnostic approaches
Discuss current pharmacologic and non-pharmacologic therapeutic approaches.
APRIL
2-Apr
Value and limitations of Meta-Analysis in the
Era of Evidence-Based Medicine
Giuseppe Biondi-Zoccai, MD
Assistant Professor of Cardiology
University of Turin, Italy
Founder and President, METCARDIO
Following this Grand Rounds presentation, participants will be able to:
Explain the main strengths and weaknesses of meta-analyses in the hierarchy of clinical evidence
Critically read and appraise published meta-analyses in clinical medicine
Participate in the design, conduct and reporting of meta-analyses in clinical medicine
9-Apr
CA-MRSA: The New Face of Staphylococcus
Aureus
Richard, P. Wenzel, MD, MSc
William Branch Porter Professor and Chair
Department of Internal Medicine
Virginia Commonwealth University Medical Center
Following this Grand Rounds presentation, participants will be able to:
Discuss the history of S. aureus discovery and change in resistance patterns
Present the timelines for the emergence of hospital-aquired MRSA and CA-MRSA
List options for treatment of CA-MRSA and relative benefits and drawbacks
16-Apr
Multiple Small Feedings of the Mind—Chronic Pain
Leanne M. Yanni, MD
Assistant Professor
Division of General Medicine
Department of Internal Medicine
Virginia Commonwealth University Medical Center
Following this Grand Rounds presentation, participants will be able to answer the following questions:
What is the role of novel medications such as pregabalin in the treatment of chronic pain?
What medications should an internist consider for the treatment of fibromyalgia?
What is the evidence for supporting the use of epidural and facet injections for back pain?
23-Apr
Simulation in Medical Education:
More than Resusci Annie
Shawna J. Perry, MD
Associate Professor, Associate Chair
Department of Emergency Medicine
Director for Patient Safety Systems Engineering
VCU Health Systems
Following this Grand Rounds presentation, participants will be able to:
Discuss the status of simulation within healthcare
Describe a variety of simulation methods for advancing and meeting Medical educational requirement
Discuss a couple of approaches for matching simulation methods with educational goals
30-Apr
Youth Gang Violence and the VCU/MCV Experience
Michael B. Aboutanos, MD, MPH
Associate Professor
Division of Trauma, Critical Care, & Emergency Surgery
Department of Surgery
VCU Medical Center
Robin L. Foster, MD
Associate Professor
Director, Pediatric Emergency Medicine
Department of Emergency Medicine
VCU Medical Center
Following this Grand Rounds presentation, participants will be able to:
Identify the reality of gang violence in Richmond and Virginia
Distinguish the paradigm shift in the VCU Trauma Center role toward violence in the community
List collaborative efforts of the VCU Trauma Center, the Attorney General’s office and other community partners
MAY
7-May
ANNUAL WILLIAM BLACKARD LECTURE Organized by the Division of Endocrinology & Metabolism
Fat and Bone: New Paradigms
Clifford J. Rosen, MD
Senior Scientist
Maine Medical Center Research Institute
Following this Grand Rounds presentation, participants will be able to:
Understand the epidemiology of osteoporosis and obesity and shared genetic regulation
Discuss the origins of bone and fat cells
Define potential new treatments for bone by altering fat mass
14-May
H1N1 in Mexico:
Onsite Observations and Impressions
Richard P. Wenzel, MD, MSc
William Branch Porter Professor & Chair
Department of Internal Medicine
VCU Medical Center
Following this Grand Rounds presentation, participants will be able to:
Understand the impact medically, socially and economically for Mexico of
the H1N1 epidemic
Know the key clinical presentations of H1N1 in Mexico
Understand the infection control measures used in Mexico
21-May
ANNUAL MARKHAM AWARD LECTURE* Organized by the Division of General Medicine
The Future of Primary Care
Valerie Weber, MD Director, General Internal Medicine
Vice Chair, Clinical Operations
Department of Medicine
Geisinger Medical Center
Following this Grand Rounds presentation, participants will be able to:
List the reasons that the current primary care model requires urgent change
Describe the four basic ingredients of change needed, including new models of care, information support, payment reform and medical education reform
Discuss new care model implementation through the patient centered medical home
Infection Prevention:
Where Are We Going and Where Have We Been?
Gonzalo Bearman MD, MPH
Associate Professor of Internal Medicine and the Associate Hospital Epidemiologist
Division of Quality Health Care
Department of Internal Medicine
Virginia Commonwealth University Medical Center
Following this Grand Rounds presentation, participants will be able to:
Understand the changing paradigm in infection prevention
Identify process of care of measures related to infection prevention
Discuss new perspectives and controversies in infection prevention
JUNE
4-June
Updates on Anticoagulation
J. Christian Barrett, MD Assistant Professor
Division of Hematology/Oncology and Palliative Care
Department of Internal Medicine
Virginia Commonwealth University Medical Center
Following this Grand Rounds presentation, participants will be able to:
Know the current ACCP guidelines for the long-term treatment of idiopathic first venous thromboembolic event
Understand the evidence used to support the same guidelines
Discuss disease manifestations and biologic parameters that could potentially form the basis for deviation from the guideline recommended therapy in patient individualized therapy
11-June
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 Grand Rounds will resume on September 10, 2009
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