This Week 8/25/19

Welcome to the 10th edition. I’m going out of town tomorrow so sending this out a day early. Last week of vacation before the academic calendar begins. The leaderboard is on damonsdue.com and has not changed. Starting next week conference is in full swing and we’ll have a lot more updates & activities. 

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General:

4 Houses – Shirts are available in Christie’s office. 

MedHub – needs to be updated immediately with all of your resident activities. Each entry takes about 30 seconds and the program needs to keep track of what we are doing. 

Residency Peer Review – will start again next block so send me cases you think would be useful. Give MRNs to either myself, Barb, or Roberta. 

Annual Learning Modules– These are due August 31st, no exceptions.  No excuse for not getting these done and time is running out. 

Upcoming Social Events:

None

Conference:

Thursday, August 29th – Extraction Day (Interns only), see calendar invitation for details, PGY2/3 have no obligations so get your learning modules finished then if you haven’t already. 

Scheduling:

PGY 2/3 – upcoming 10-week schedule should be out soon. We will send a notification when it is published. As always, take a look and make sure you don’t have any conflicts. 

Podcast/Blog post of the Week: 

With ophthalmology month right around the corner, here’s a link to the EM:RAP crunch time review of “the eye”. These are terrific (brief) summaries of each topic and perfect for on the go learning. 

https://www.emrap.org/episode/theeye/blepharitisand

Crunch Time – Blepharitis and Dacryocystitis | EM:RAPwww.emrap.orgEye Full episode audio for MD edition 45:39 min – 63 MB – M4A Crunch Time EM – Eye – Individual MP3 Files 84 MB – ZIP Crunch Time EM – Eye – Written Summary 221 KB – PDF

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

This Week 8/11/19

Welcome to the 8th edition. 

General:

4 Houses – House Perkins is still holding strong in first place after another solid turnout for the tubing event. Thanks again to all that participated. Be sure to log your community service hours on Med Hub. 

– Shirts are available now in Christie’s office. When you pick up your shirt also get your QR code. 

Master Calendar(s) – are on damonsdue.com. However, we had to embed them separately instead of having them all in 1 calendar. It’s mainly because of sharing permissions from Tangier. We are still trying to figure out a way around this. 

Annual Learning Modules– now available on both MedHub & cornerstone. There is a lot to get done so start working on them now. These are due August 31st, no exceptions. 

Upcoming Social Events:

Sunday, August 11th @ 5:30pm (today)- VTC Mentorship Block Party for medical students, residents, and fellows. Krista Lukos & Andrew’s house. Free food. Family welcome.

Conference:

Thursday, August 15th – Independent Study, this is the day to finish all your learning modules for the year. The due date for modules is August 31st but use Thursday to knock out a good chunk of it. 

Thursday, August 22st – Riverside GME Session, details to follow, tentative time 9am – noon. We need 100% attendance to get this to actually count and free up some time at the retreat. 

Thursday, August 29th – Extraction Day (Interns only), great experience, see calendar invitation for details, PGY2/3 have no obligations so get your learning modules finished

Scheduling:

PGY 2/3 – Sept 29 – Dec 7 requests are due August 11th (today!). Submit as soon as possible. 

Podcast/Blog post of the Week: 

IBCC did a post last week on Angioedema, best I’ve heard on this topic. 

Angioedema – EMCrit Projectemcrit.orgCONTENTS Overview Diagnosis of angioedema Histamine-mediated vs bradykinin-mediated angioedema Airway management Histamine-mediated angioedema Bradykinin-mediated angioedema Pathophysiology Differential diagnosis Evaluation Treatment Extubating the angioedema patient Algorithms Podcast Questions & discussion Pitfalls Angioedema is a common indication for critical care admission.

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

This Week in Residency (August 4th)

Welcome to the 7th edition. The 4 house competition is now underway and House Perkins is off to an early lead after coming out victorious in the trash collecting portion of Thursday’s games.

General:
4 Houses – For those that were not present Thursday, rosters are:

  • Perkins (biohazard logo) – Perkins, JY, J Burton, White, Abii, Linger, Williams, Cassie, Moses, Oswald, Schwab, Taylor
  • Kuehl (bone logo) – Kuehl, Coleman, Meier, Gorman, Enes, Wilkinson, Gollar, Chrabaszcz, Lou, Ickes, Achatz
  • Fortuna (tuna logo) – Fortuna, Hamden, Prusakowski, Hinshaw, Rawlings, Lukos, C Burton, Smith, Bhandari, Kip, Zink, Faiz
  • Clinton (US logo) – Clinton, Borloz, Stromberg, Nguyen, Dykstra, Beauchamp, Taylor, Meade, Kovacs, Jess, Bodeau, Rahul

Greenway Clean-up & Kickball – great experience and thank you to those that participated. I brought home a car load of gross but recyclable products. Every bit counts.  Remember to log your community service hours (Med Hub > portfolios > new entry). House Perkins was victorious in the trash collection with Houses Kuehl/Fortuna establishing dominance on the kickball field.

August Attendancethere have been some questions about whether or not these August sessions are mandatory. The department is providing coverage in the ED in order to free up this time for us, so the expectation is that you are showing up. Obviously, if you are working overnight or on GME vacation this does not apply to you. We have made some adjustments to the schedule (see below).

ED Provider Notes – when charting in the ED you need to complete an “ED provider note” not an “ED note”. I sent out instructions earlier in the week but be conscious of this. Go to ED navigator > provider notes > blank note (if you use a template and not the general note). If you do not know how to do this please confirm with your attending or another resident.

Master Calendar – is up and running, however I can’t seem to get it to load to Damon’s Due. Hopefully you’ll be able to see it this week. It has everything broken down by PGY 1, 2, 3, admin, etc so will be a great place for all things scheduling.

Annual Learning Modules – not available at this time. We will let you know as soon as they are so you can get them done well ahead of time.

Upcoming Social Events:

  • Wednesday, August 7th @ 7:05 pm – Salem Red Sox vs Lynchburg Hillcats. We have 34 tickets to go around so please RSVP. Fun group outing to watch some baseball. This is a social event and not part of the August conference schedule.
  • Sunday, August 11th @ 5:30pm – VTC Mentorship Block Partyfor medical students, residents, and fellows. Krista Lukos & Andrew’s house. Free food. Family welcome.

Conference: Make sure you let your off-service rotations know ahead of time.

Thursday, August 8th – Roanoke River Tubing & Clean-up, meet @ 10am at the Wasena Tap Room.

  • What: clean up the river, relax, and get some tubing in.
  • When: 10am – 1pm, float is about 2.5 hours, lunch after for those that are interested
  • Where: Roanoke River, meet at Wasena Tap Room
  • Misc: Bring sunscreen, water, sodas, etc. Dress for getting wet.

Thursday, August 15th
Independent Study, this is the day to finish all your learning modules for the year. Due date for modules is September 1st.

Thursday, August 22st
Riverside GME Session, details to follow, tentative time 9am – noon. We need 100% attendance to get this to actually count and free up some time at the retreat.

Thursday, August 29th
Extraction Day (Interns only), great experience, see calendar invitation for details, PGY2/3 have no obligations so get your learning modules finished

Scheduling:

PGY 2/3 – Sept 29 – Dec 7 requests are due August 11th. Submit as soon as possible.

Podcast/Blog post of the Week: 

This is a podcast that’s pretty interested if you like infectious disease. Specifically Podcast 19 in which they discuss the best antibiotics in the form of a draft.

Updates 7/28/19

General:

Interns -Congrats on finishing orientation month. Now begins the real journey that is residency. For those of you that start with off-service rotations, feel free to ask any of us for inside tips & tricks. 

PGY 2/3s – Schedule requests are due August 11th for the next 10-week block (September 29 – December 7). You should have gotten four different calendar reminders. These are honored in the order they are received so get them in as soon as possible. 

– Evaluations are to be sent before you leave shift. Please follow the evaluation policy sent out by Dr Kuehl this week. Part of being a resident is being evaluated, so if you finish a block without any completed evaluations from the GME office perspective the rotation didn’t happen. Yes, faculty are being reminded/encouraged to complete said evaluations on their end. 

Lockers – If you don’t have a locker, feel free to take any of the lockers that don’t have a name on it. Some of the lockers still have stuff from graduated residents so you may have to do a little cleaning. Make sure you share a locker with another resident as there aren’t enough lockers. 

Honor Walk – you may have gotten pages recently about this really powerful thing Carilion has started as of June 3. See below link for more information. If you YouTube this you can see what it looks like. DO NOT USE YOUR PHONES per Carilion policy during these walks. Completely voluntary and a really terrific way to show gratitude towards donor patients. Long story short when you get the page, if you want to participate, go to the hallways between the unit the patient is in and the 4th floor OR. 

https://insidecarilion.org/hub/news/honoring-donors-and-their-families-at-crmh

Mobile UpToDate – A lot have asked about getting mobile access so you can use the app on your phones. I renewed mobile access yesterday so thought I’d share the step by step way to do it. 

– drive to medical school parking garage, park in one of the outside “visitor” stalls. You can’t get onto the correct WiFi from underneath the building. Obviously, you can also walk into the school if on foot. 

– connect to the “Virginia Tech” WiFi, not VTCSOM, VTCRI, or any of the others. You will need to make a temporary guest account. 

– go to uptodate.com/login from a mobile browser NOT the uptodate app

– log in with whatever personal account you have

– This will “confirm” your affiliation with VTC and give you mobile access for 3 months, yes you have to renew it every three months. 

Happy learning.

Upcoming Social Events:

Friday, August 2nd – National Parks Radio concert at PGY-3 Jessica Nguyen’s house. Details to follow. 

Wednesday, August 7th @ 7:05 pm – Salem Red Sox vs Lynchburg Hillcats. We have 34 tickets to go around so please RSVP. Fun group outing to watch some baseball. 

Upcoming Residency Events:

The long-awaited unveiling of the 4 house rosters! To be done before kickball this Thursday (see below).

Conference: Make sure you let your off-service rotations know ahead of time. 

Thursday, August 1st – Greenway Clean-up & Kickball (w/ roster unveiling) 

      What: clean up the trash on the Greenway followed by an intense game of kickball. 

      When: 9am – 11am clean-up, 11am – 1pm kickball (or later for those interested)

      Where: Rivers Edge Park

      Misc: Bring sunscreen, water, sodas, etc. Dress for comfort not for show, it will be hot. 

Thursday, August 8th – Roanoke River Tubing & Clean-up, details next week, tentative time 10am-1pm. 

Thursday, August 15th – Cascades Trail Hiking (& Clean-up), details to follow, tentative time 7am – 2pm. 

Thursday, August 22st – Riverside GME Session, details to follow, tentative time 9am – noon. 

Thursday, August 29th – Lake Day Part 2, details to follow, come and go as you wish

Scheduling:

Interns – block 4 schedule requests are due July 29th

PGY 2/3 – Sept 29 – Dec 7 requests are due August 11th

Podcast/Blog post of the Week: 

I couldn’t think of anything overly specific this week so wanted to put this podcast on everyone’s radar. It’s a great monthly summary of the articles published and a great way to stay up to date. Send suggestions for next week!

https://podcasts.apple.com/us/podcast/annals-of-emergency-medicine-june-2019-summary/id301441978?i=1000442570591

‎Annals of Emergency Medicine (Summary – Audio): Annals of Emergency Medicine June 2019 Summary on Apple Podcastspodcasts.apple.com‎Show Annals of Emergency Medicine (Summary – Audio), Ep Annals of Emergency Medicine June 2019 Summary – Jun 24, 2019

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

Updates 7/14/19

General:

Cornerstone – Annual onboarding for providers. Due July 23,2019. GET IT DONE ASAP. If you are reading this email and haven’t completed this task, stop reading and log onto cornerstone. 

Interns – BDLS/ADLS this week. Arrive 15 minutes early. If you are late they will not let you in. This class is offered on a limited basis so there won’t be a chance to make it up.

PGY 2/3s – Committee list was sent out last week. Let Christie know if you would like to stay on your current committee or if you would like to join a new one. 

– Block 2 and 3 schedules are now published. Please look over and let us know if you have any issues. The earlier we know, the more likely we will be able to help. 

August Conferences – Lindsey, Jessie, and I should have a tentative schedule out to everyone tomorrow. All of the events are informal, outdoors, and meant to give us a break from the hospital. Use the rest of the free time in the month to do your admin modules for the year and get ahead on your reading. 

Upcoming Social Events:

Saturday, July 20th – Lake Day at the Kuehl’s House. You should have received an e-vite so respond as soon as possible including how many people are attending. This is for food ordering purposes so please RSVP

Friday, August 2nd – National Parks Radio concert at PGY-3 Jessica Nguyen’s house. Details to follow. 

Upcoming Residency Events:

Tuesday, July 16th, 8am – ED Peer Review, 1S ED conference room. This is the attending version. If you are available it is very useful and interesting. 

Wednesday, July 17th, noon – PEC Meeting, Riverside 1 4th Floor Conference Room. Only pertinent to those on the committee. 

Conference:

Thursday, July 18th – Trauma Conference, 1S ED, 7:30am. Interns this is the monthly trauma conference that we do with the surgery program. 1S ED Conference room is above the coffee shop, climb the stairs, go through the doorway, walk left to the end of the hall then go right, the door is on the right. Arrive early because seating is limited. 

Thursday, July 18th – SIM Lab @ 9am – TBD, still finalizing the exact details. You will get an iCal event this week. Most likely will be at SIM Lab. 

Scheduling:

Blocks 2 & 3 should be available on Tangier. Please let us know if you see any duty hours violations or issues now so we can fix them. 

Podcast/Blog post of the Week: 

With the temperature rising, I thought it would be appropriate to choose a podcast on Hyperthermia/Heat Stroke. This is from last month’s EM:RAP and I thought it was interesting. 

https://www.emrap.org/episode/emrap2019june/heatstroke

New Year Updates

General:

Interns
Welcome to residency! Enjoy orientation. Don’t be afraid to ask questions. We were all there once and know how overwhelming this seems right now. We are here to help so don’t be shy. 

PGY 2/3s —
Full transparency, July schedule is tight for coverage. We are aware and solutions are being put in place now. This is not how it is going to be moving forward so please try to be patient. If you have any issues that you see solutions for feel free to reach out. 

Upcoming Social Events:

Friday, June 28th —
Wilderness Medicine is hosting a sailing day on Smith Mountain Lake. Meet at Parkway Marina @ 10:30am. Email Dr. Matt Robichaud if interested. 

Thursday, July 4th —
Intern welcome party. Hosted by rising PGY-3 Roberta Enes. Details to follow. 

Saturday, July 20th —
Lake Day at the Kuehl’s House. Details also to follow, mandatory for interns, highly encouraged for PGY2/3s. 

Friday, August 2nd —
National Parks Radio concert at rising PGY-3 Jessica Nguyen’s house. Details to follow. 

Upcoming Residency Events:

July 5th —
US Bootcamp at VTC Medical school. Dr Jon Noguiera is the contact person so email him if you are available to help out. It’s supposed to run in the afternoon ~1p – 4p. 

July 8, 9, 10 —
US Bootcamp for the new interns. If you ARE NOT SCHEDULED TO WORK as a PGY-2/3, you are expected to help out in some fashion. 

Conference: Social Disparities Month

June 27th —
Critical Care Conference – 7:30am, 1S ED
SIM – 1pm @ the SIM Lab, email Jennifer is you are going (aka you are not scheduled to work) so she can make a set schedule. 

Scheduling:
email rmhchiefs@gmail.com and put in Tangier

Interns —
get your requests in for block 3 by July 7th,  

PGY 2/3s —
pay attention to your iCal events. You will get a calendar invite when the next 10 week block request is due. 

Website: damonsdue.com

Chiefs Email: rmhchiefs@gmail.com

March – Women’s Health

Individual Assignments



Group Assignments

NowVacations DueWork Together
3/21FOAMEdLinks Below
3/31RoshReviewAssigned Exams
6/21GraduationSee Ya!

Lectures to Watch

March 7th Guest lecturers from the Forensic Nursin team will be coming to discuss sexual trafficking and FNE basics.  We are incredibly fortunate to have these dedicated specialists working with our sexual assault patients and have much to learn from them.  

March 14th   Pelvic models from EVMS will be here for our Transvaginal US workshop.  This is a rare opportunity to practice TV US, please do no miss this workshop! This will occur from 12:30-3:30 in the Psych Annex B of the ED.  You will be assigned a 20-30 minute time slot.  If you have a completely unavoidable conflict, please email Christie and let her know. 

March 21st  Ernesto Romo, Sim director from Washington University in St Louis will be our visiting lecturer.  Dr. Romo will be speaking on OB emergencies with an amazingly awesome sim lab for all residents to follow his lecture. 

Resuscitative Hysterotomy (preview not loading)

http://www.tamingthesru.com/blog/air-care-orientation-curriculum/resuscitative-hysterotomy