JUNE/JULY 2015 - a monthly (or so) and evolving snapshot of GME news & highlights

WALTER REED DOM GME Snapshot

Graduate Medical Education

Department of Medicine

Walter Reed Bethesda

Welcome NEW INTERNS, RESIDENTS AND FELLOWS

highlights

3, 2, 1 ACTION - The new interns have arrived and are excited to be here and seeing patients. Heard recently on the IM program's anonymous "Instafeedback Line: “I'm pretty sure I saw some interns literally running from patient room to patient room on 3c...July 1st is awe-some.” Please welcome the new Interns. To help get better acquainted, here is a

link to the photo roster (Thanks to Marc Barredo): https://learning.usuhs.edu/x/gjXQgQ NCC-IM BECOMES "Quad-Service" For the first time ever this month, NCC-IM became "Quad-Service" with a new AF preliminary year intern here now along with a USPHS rising 3rd year resident in the program.

THE INTERNS ARE HERE—ALL 27 OF THEM “Congratulations to everyone on a successful start to the year! New PGY1s hit the wards, ICU, ER, and clinic seamlessly. New PGY2s & PGY3s stepped up as leaders and mentors to keep everything running smoothly. Thank you for such strong work!” - Sakai Internal Medicine Portal

Rite of Passage to the Medical Community

- New Interns Trying on the White Coats

In small groups, during the Intern Orientation, Interns discussed and applied key points made by CAPT (ret) David Marquet’s in his TED Talk http://tedxtalks.ted.com/video/TEDxScottAFB-David-Marquet-How, to medical situ-ations they could anticipate in the coming years. Key phrases LT Ben Vipler highlighted in-cluded: “Train for critical thinking, not compliance” and “deliberate action vs. reac-tion.” “To be a leader…we need to give control, not take control”

was the main concept intro-duced by Marquet in the TED talk. The Director of IM Resi-dency, CAPT Bill Shimeall, rein-forced that to the new Interns of 2015-2016 by explaining how “this [IM Residency] pro-gram is your program” and giving several examples of how Residents took control of their Residency program by identifying areas for improve-ment and by providing solu-tions, making major contribu-tions and improvements the program.

This year's new internal medicine intern orientation was truly groundbreaking. This was the first year where a joint IM/TY intern orientation for wards was implemented to help increase productivity and unit cohesiveness between our two training programs. This was the first year that the lovely new USO building was utilized to create a more comfortable learning climate. This was the first year where a scavenger hunt was implemented, both for the hidden curriculum of team building, as well as to orient many interns from medical schools around the country to the beauty, culture, history, and experiences of our nation's capital.

IM Holds Successful and Enjoyable Intern Orientation

Click here to view current and past publications of Walter Reed DOM GME , including

DOM GME Snapshot, ImmunoNEWS, Chief of Medicine Weekly Update, and The Reeder

OFTHEPEOPLEBYTHEPEOPLEFORTHEPEOPLE of dom gme

2 June/July 2015 Walter Reed DOM GME Snapshot

highlights

We are very proud of our Residents, Fellows, and Staff and of the accomplishments they have achieved this year. Thank you for all of your hard work, curiosity, and dedica-tion, and best of luck to the graduates at their next duty stations! CPT Nathaniel Miletta: Awarded at the 2015 NCC Gradua-tion for the General Graves B. Erskine Award . The General

Graves B. Erskine award is presented annually to the outstanding resi-dent and fellow as determined by a selection committee. These awards are sponsored by Mrs. Graves B. Erskine in the name of her husband, General Graves Blanchard Erskine, who served in both World War I and World War II. He commanded the 3rd Marine Division in Iwo Jima and the 1st and 3rd Marine Division at Camp Pendleton and later served as Commanding General, Fleet Marine Force, Atlantic.

Awarded the COL (ret) Lenard Sperling Award for Clinical Excellence CPT Christopher D. Lowe (PGY-4 and first Chief Resident for the 2015-2016 academic year)

Staff Award nominated by our Residents: The Golden Cryac Award for Teaching Excellence (2015) LCDR Joshua Kentosh

Next Duty Stations for Dermatology Graduates: MAJ Luke Bloomquist- Ft Hood, Texas CPT Hannibal Eccles- Ft Wainwright, Fairbanks, Alaska CPT Martin Harris- Ft Campbell, Kentucky CPT Nathanial Miletta- Civilian Fellowship LtCol Marsha Mitchum- Andrews AFB LCDR Jerry Yuan- Cherry Point, NC

Rising PGY1s Scavenge in Style! Rising PGY1s Partake in Scavenger Hunt

As part of orientation for internal medicine, new PGY1s divided into groups and went on a “Tour de DC,” competition to find the most listed items in the DC, metro area. Some of the high-lights to find and photograph (with at least one team member in the group) were MAJ Walter Reed’s grave at Arlington National Cemetery, embassies (the winning team visited 46), Bao Bao the panda at the National Zoo, and the local sports stadiums for the Redskins, Capitals, Na-tionals, and DC United. Also, any team that was able to get a picture with POTUS with proof of date got an instant 100 points. The Tour culmi-nated with a rooftop barbecue at the residence of Navy Chief Resident LT Ben Vipler where priz-es were given to the winning team of 5 (Stacey McClintick, Chase Foy, Andrew Miller, Ross Humes, and Joe Maciuba). Now there will be no excuse this month when asked to “print an echo report” or “direct your patient where to get compression stockings;” finding the locations where to do these tasks was worth 2 and 3 points respectively!

IM Holds Successful and Enjoyable Intern Orientation cont.

During a discussion around making rounds and leadership, CPT Adam Barelski recom-mended Reading - Why Hospi-tals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care by John J. Nance

Photo right: Small group dis-cussions during intern orienta-tion related to potential sce-narios.

Photo left: The new Chiefs of Residents huddle during small group discussions at Intern Orientation. LT Ben Vipler and CPT Adam Barelski planned and ran an engaging and bene-ficial Intern Orientation for our 27 new Interns. We are very fortunate and grateful to have two such dedicated and talent-ed Chiefs.

Dermatology Resident Graduation Awards

3 June/July 2015 Walter Reed DOM GME Snapshot

highlights

LAMPOON

On June 6, the Residency celebrat-ed an outstanding year at the Be-thesda Woman’s Club of Bethesda with a traditional annual Lampoon (and counter-Lampoon). The vide-os broke new ground in dramatic and technical excellence, and sev-eral Residents and Faculty received additional recognition, including:

2014-2015 Internal Medicine Residency Awards

Outstanding Graduating Resident

CPT Michael Dore

Outstanding Teaching Resident

CPT Jack Hutter

Resident Researcher of the Year CPT Jen Masel

Brian Cuneo Award

Most Dedicated Resident CPT Blair Glasgo

Intern of the Year

CPT Zachary Junga

Fellow Teacher of the Year LT Geoff Cole (Cardiology)

Fellow Mentor of the Year LCDR Andrew Letizia (ID)

Outstanding Teaching Attending

John Betteridge, MD (GI)

Mentor of the Year CDR Patrick Young (GI)

Subspecialty/Service Awards for Residents: Heme-Onc - Platinum Jamshidi Award for performance and enthusiasm for hematology & oncology presented by MAJ Mary Kwok and LTC David Van Echo to CPT Ryan Haley GI - Brown Finger Award for perfor-mance and enthusiasm for gastroen-terology Presented by MAJ John Betteridge to MAJ Ted Bridges Dr. Julie Chen presented the resident continuity clinic awards: RADM John Eisold Award for superior performance in outpatient medicine by a Navy Resident – LT Christa Eick-hoff and LT Michael Dore Dr. Kurt Kroenke Award for superior performance in outpatient medicine by an Army Resident - CPT Blair Glasgo The Internal Medicine Residency Award for Excellence in Subspecialty Medicine Education went to the Pul-monary, Critical Care and Sleep Medi-cine Department (Subspecialty Educa-tion Coordinator LCDR Andrew Philip)

Kudos to the Lampoon organiz-ing committee LT Zoe Marinides, LT Laura Gilbert, CPT Blair Glas-go, and LT Julia Cheringal for an outstanding venue and event!

CPT Zach Junga receives Intern of the Year Award

LCDR Andy Philips shown with CAPT (sel) Nations, SN Vogdes, and HM3 Macanas

check it out

AIR FORCE ADDS NCC-IM AS

TRAINING SITE Colleagues, The Air Force has agreed to list NCC-IM (one start) on the 2015 Health Professions Educa-tion Requirements Board (HPERB). This is very exciting and I wanted to thank the NCC and Dr. Curtis for supporting this request. Bill Shimeall, IM PD

POSITIVE PATIENT STORY

Another great example of putting patients first: “This comment is being specifically placed to com-mend Army Captain Gilda Bobele MD. (Internal Medicine Resident). My patient encounter with her was one of the most positive experiences I have ever had with a healthcare provider. She went above and beyond the call of duty through not only her mastery of medicine, but in her ability to con-nect with me as a patient on a personal level to help me through a deeply stressful period in my life. If this comment reaches her superiors I sincerely hope that you appreciate what a talented young doctor you have at your disposal.”

SAVE THE DATES

State of the Department

Led by Dr. Nations, new trainees and staff will

be introduced. DATE: Friday August 14, 1200-

1300 in Clark Auditorium

Fellowship Forum for Program Directors and

Administrators

Thursday, July 30, 1200-1300, in Bldg 19,

Shore Conference Room 1118

IM RESIDENCY FACULTY

Do you want to know what’s going on in

the residency? Sign up for SAKAI http://tinyurl.com/IMaccountrequest

Sakai, if you don’t get it,...you DON’T GET IT.

ADMINISTRATIVE TIPS Don’t use Expedia or similar booking sites

for hotels

If you share a hotel room split the bill in-

stead of 1 person submitting for both

If you cannot update vouchers, it may

mean JAVA is not working - ask IT (295-

6300 Ext 1) to update JAVA.

4 June/July 2015 Walter Reed DOM GME Snapshot

2014-2015 has been a banner year for Team Walter Reed Be-thesda Internal Medicine. Suc-cesses for our housestaff abound, with some notable achievements being a transition to a 4+1 block schedule and presentation at local and nation conferences such as Chest, APDIM, National ACP as well as many others, which were highlighted in previous publica-tions of Snapshot. Graduation Awards Most recently, at the National Capital Consortium Graduation Ceremony held June 19, 2015 at Strathmore Hall in Be-thesda, a strong contingent of Walter Reed Bethesda Department of Medicine Residents, Fellows, and Faculty received recognition as special awardees, earning 9 of the 12 possible designated awards:

LT Alison Lane, IM Intern, received the Outstanding Intern Award, given for the Walter Reed intern among more than 120 peers judged to have the best aca-demic performance, compassion for pa-tients, and outstanding interpersonal skills.

LT Michael Dore, IM PGY3 Resident, was voted by the intern class to receive the Lieutenant Neil Holland Award, present-ed annually to the Walter Reed house staff member who best exemplifies ex-cellence in teaching and humanitarian-ism, ability as a clinician, instructor, counselor and mentor.

LCDR Melissa Butts, Rheumatology Fel-low, received the General Graves B. Er-skine Award, presented annually to one resident and one fellow demonstrating outstanding academic performance as determined by a selection committee. To

view LCDR Butts Letter of Commendation https://learning.usuhs.edu/x/WcI3Ei

MAJ Robert Walter, Sleep Medicine Fel-low, received the Major General Lewis A. Mologne Award, given to the physician in training who best exemplifies MG Mo-logne’s commitment to the care of pa-tients with a deep sense of loyalty to country, the US Army and fellow soldiers, whiles showing the greatest respect for truth, honesty and dedication to the practice of medicine. (See photo of MAJ Walter under Research and Academic Success – Pulmonary)

MAJ John Betteridge, Gas-troenterology Faculty, was voted by the intern class to receive the Outstanding Faculty Award, given for the most outstanding physician, teacher and role model and based on the physician’s demonstrated abilities as a clinician instructor, counse-lor and mentor.

LTC Joshua Hartzell, ID Staff and IM Residency Associate Program Director, received the Staff Physician Teacher of the Year Award, given to the Walter Reed Faculty member by a committees of program directors and

house staff members who best demon-strates the attributes of a knowledgea-ble, accomplished clinician, a dedicated and tireless instructor, and a principled, compassionate leader.

MAJ (P) Joseph Cheatham, Gastroenter-ology Associate Program Director, and CAPT (sel) Timothy Whitman, Infectious Disease Program Director, received both Lieutenant General Claire L. Chennault Awards, presented to two teaching staff who best demonstrate overall excel-lence, professional medical expertise and personality traits of innovativeness, fair-

ness, leadership and tenacity in the face

of adversity.

highlights

Congratulations INTERNAL MEDICINE GRADUATES

LT Alison Lane wins Intern of the Year award for the entire command (Note: photo was taken at Maryland ACP her 2nd place clinical vignette podium)

LTC Josh Hartzell received Teacher of the Year Award

5 June/July 2015 Walter Reed DOM GME Snapshot

highlights

At the ceremony 17 Internal Medi-cine Residents graduated and will travel this summer near and far to care for our soldiers, sailors, air-men, and marines as internists. INTERNAL MEDICINE— CPT Melanie Acevedo Valle – McDonald Army Health Center, Fort Eustis, VA as a

staff internist

CPT Adam Barelski – WRNMMC Chief of Medical Residents, 2015-2016 (photo, second from left, shown receiving the Joint Service Commendation Medal)

MAJ Ted Bridges – Fort Belvoir Commu-nity Hospital as a staff internist (photo,

third from left, shown receiving the Joint Service Commendation Medal)

LT Michael Dore – Naval Hospital Guam as a staff internist (photo, fourth from left, shown receiving the Joint Service

Commendation Medal)

LT Christa Eickhoff – WRNMMC as a staff internist and hospitalist (photo, fourth from right, shown receiving the Joint

Service Commendation Medal)

LT Jeffrey Eickhoff – WRNMMC as a rheumatology fellow

CPT Derek Forsthoefel – WRNMMC as a staff internist (photo, third from right, shown receiving the Joint Service Com-

mendation Medal)

CPT Brian Foster – 168th Medical Battal-ion at Camp Red Cloud in Area I, South

Korea as a staff internist (photo, second from right, shown receiving the Joint

Service Commendation Medal)

CPT Blair Glasgo – WRNMMC as a staff internist and hospitalist (photo, top left, shown receiving the Joint Service Com-

mendation Medal)

CPT Camellia Hernandez – WRNMMC as an allergy and immunology fellow

CPT Nathan Hutter – WRNMMC as an infectious disease fellow

LT Christie Joya – WRNMMC as an infec-tious disease fellow

LT Donovan Mabe – WRNMMC as a pul-monology critical care fellow

CPT Jennifer Masel – WRNMMC as an infectious disease fellow

LT Brian Park – CAPT James A. Lovell Fed-eral Health Center, Great Lakes, IL as

staff internist

LT Tyrone Robinson – WRNMMC as a staff internist

LT Benjamin Vipler – WRNMMC Chief of Medical Residents, 2015-2016 (photo, far

right, shown receiving the Joint Service Commendation Medal)

While many of our internal medicine interns are remaining for continued IM training, we would like to recog-nize our outstanding interns who will be leaving to serve in the field or fleet as General Medical Officers:

LT Allison Gould – CBMU3, San Diego, CA (SeaBees)

LT Alex Gutweiler – Naval Training Cen-

ter, San Diego, CA

LT William (Tony) Lewis – Camp Lejeune (FMF)

LT Meredith Lütz – Naval Aerospace

Medical Institute (NAMI), Pensacola, FL (Flight Surgery)

LT Zoe Marinides – Naval Undersea Med-

ical Institute (NUMI), Groton, CT (Undersea Medicine)

LT Andrew Peacock – Naval Aerospace Medical Institute (NAMI), Pensacola, FL

(Flight Surgery)

LT John Peters – Naval Aerospace Medi-cal Institute (NAMI), Pensacola, FL (Flight

Surgery)

CPT Stephen Savioli – General Medical Officer, MFO TF Sinai south camp, Egypt

LT Benjamin Wilson – Naval Aerospace Medical Institute (NAMI), Pensacola, FL

(Flight Surgery)

We look forward to hearing about the successes, achievements and memories you will make in your new assignments!

Bravo Zulu. Fair winds and following seas.

CAPT Bill Shimeall

Congratulations INTERNAL MEDICINE GRADUATES

6 June/July 2015 Walter Reed DOM GME Snapshot

research and academic success

DAVID HOSTLER (Pulm/CCM Fellow) WINS THE ROBERT A. PHILIPS CLINICAL RESEARCH AWARD Robert Allan Phillips MD (July 16, 1906 in Clear Lake, Iowa[1] – September 20, 1976)[1] was a research scientist during World War II who developed battlefield methods to evalu-ate hemoglobin levels using specific gravity saving many lives. This method is used in blood donor clinics to determine whether a person is healthy enough to donate blood. Continuing in the Navy his research turned to cholera where he spearheaded the efforts of Naval Medical Research Unit Two to develop a cure for the disease. He evaluated the course of the disease and developed the pro-tocol for rehydration used today which has saved millions of lives. His research lead the Lasker Foundation to award him a prize in 1967. In his retirement, he collaborated with the University of Washington and the Chinese Government doing research in kidney failure again using hydration as a solution in remote areas of China where dialysis was not availa-ble.

Residents Present at National Sleep Medicine Conference…

(Sleep's CHEST equivalent)

PCCM fellow CPT Billy Londeree and CPT Patrick Smith both presented posters at the meeting [29th Annual Meeting of the Associated Professional Sleep Societies (APSS)]. They did an ex-cellent job, and Dr Smith even got inter-viewed and had a story written about his project, “Some Sedative Hypnotics Not Ideal for Predicting Low-Arousal Thresh-old”:http://tinyurl.com/DrSmithInterview

To view the full abstract referred to above: Eszopi-

clone versus Zolpidem for Polysomnograph” Au-

thors: Londeree, W. A.·Sheikh, K.·Andrada, T.

F.·Hostler, J. M.·Khramtsov, A. N.·Holley, A. B.

https://learning.usuhs.edu/x/4WoRpK

To view the full abstract referred to above: Non-

benzodiazepine Sedative Hypnotics Reduce The

Occurence Of The Low Arousal Threshold Pheno-type Of OS, Authors: Smith, P.·Forsthoefel,

D.·Sheikh, K.·Bridges, E.·Andrada, T.·Hostler,

J.·Holley,A.B. https://learning.usuhs.edu/x/QNu8HD

CPT Shannon Wood (Internal Medi-cine—photo above) also presented a poster at the national sleep conference in early June: “Does positive airway pres-sure adherence reflect medication com-pliance?” Authors: S. Wood, K. Sheikh, R. Walter, M. Rodgers, V. Capaldi, C. Lettie-ri. She did an outstanding job - there was A LOT of traffic at her poster so I know she generated interest.

DR. ROB WALTER WINS AASM 2015 YOUNG INVESTIGATOR

AWARD: Abstract: “Correlation be-

tween Respiratory Resistance Measure-ments and Apnea-Hypopnea Index.”

This award was for the Airflow Pertuba-tion Device (APD) project that could not have been completed without CAPT (s) J. Nations' support during his time here. There were multiple other team mem-bers involved, including Karen Sheikh, Teotimo Andrada, Ray Irvine, Andrea Pham, Daniel Ephrem and Tina Blythe. This was very much a team effort, led by Dr Walter. Sleep Medicine fellows and Vin Capaldi and Matt Rodgers also presented pro-jects. Please congratulate all involved. Aaron Holley Chief of Sleep Medicine

Rob Walter (left) accepting an award from the President of the AASM - Dr Timothy Morgenthaler from Mayo Clinic.

PCCM Fellow CPT

Londeree presents at AASM

PULMONARY / SLEEP MEDICINE AND CRITICAL CARE MEDICINE—

Title: "High value cost conscious care: An intervention for the reduction of unnecessary diagnostics" Members: Brett Sadowski, Derek Forsthoefel, Shannon Wood, Ben Wilson, Jimmy Fisher, Alison Lane; Faculty Mentor: Dr Chin Hee Kim Title: "Improving Annual Hemoglobin A1c Testing through PCMH Diabetic Champions" Members: Laura Gilbert, Pitter Ho-gan, Jace Mattingly, Allison Gould, Chioma Umeh; Faculty Mentor: Dr Timothy Krohe The presentation generated a lot of interest in the command, including a request by MG Clark to have these presented at the Board of Directors meeting. (Note: these are the results of the QIRC article, “Great Turnout” in May’s Snap-shot).

Q I R C

Two Winners from

3rd

Annual IM Resi-

dency QI Poster Fair

7 June/July 2015 Walter Reed DOM GME Snapshot

JUST PUBLISHED GASTROENTEROLOGY—

Congratulations CPT Pence on your recent publica-tion (9 JULY) in the ACG Case Reports Journal! Esophagogastric Fistula Caused by an Angelchik Antireflux Pros-thesis, Authors: Mark M. Pence, DO, Mark Hubbard, MD, Manish B. Singla, MD, and Patrick E. Young, MD

Abstract The Angelchik prosthesis is an antireflux device that was popular in the 1980s for treatment of refractory gas-troesophageal reflux disease (GERD). We present a patient who developed a gas-troesophageal fistula 17 years after Angelchik prosthesis place-ment. The incidence of late complications continues to grow, and clinicians should consider device malfunction in patients with history of Angelchik placement presenting with abdominal symptoms. To read the entire article: https://learning.usuhs.edu/x/MKIqbY Thank you LCDR Manish Singla and CDR Pat Young for your mentorship in this case, and for LT Mark Hubbard your efforts!

RHEUMATOLOGY – Rheumatology staff MAJ Chris Tracy and LTC Jess Edison, Rheu-matology PD, (below) recently co-authored a book chapter: Tra-cy C and Edison J. “Intra-articular Corticosteroid Treatment of Inflammatory Joint Diseases” Local Treatment of Inflammatory Joint Disease: Benefits and Risks, 1st ed. Ed. W.U. Kampen and Manfred Fischer. Springer International Publishing Switzerland. 2015. http://preview.tinyurl.com/TracyEdisonChapter

LCDR Butts receives the General Graves B. Erskine Award, shown with MAJ Tracy and LTC Edison

research and academic success

RHEUMATOLOGY – Dr. Melissa Butts (Graduating Fellow in photo below) was selected as podium winner at the Rheumatism Society of the District of Columbia 13th Annual Rheumatology Fellows Forum, for her research titled Characterization of epitopes identified with cerebral vas-culature injury.” Melissa was also selected for the poster presentation for the case titled “Critical Mass – A Severe Presentation of Crowned Dens Syn-drome, for which Ryan Jones (current IM PGY3) was also involved.

IM Residents and USUHS Students pre-sent at DC ACP Residents meeting at Georgetown. Congratulations to the Stu-dents and Residents on your presenta-tions representing Walter Reed / Uni-formed Services University at the DC Re-gional ACP Resident Abstract Competition at Georgetown University on Saturday, 30 May. Our presenters and awards includ-ed: Research/Process Improvement Podium Submission: Title: “Block 4+1 Scheduling in Ambulatory Clinic: Effects on the Internal Medicine Res-ident Continuity Clinic Experience” Authors: Nicholas Fiacco, MD (PGY2) and Julie Chen, MD (GIM Staff) SECOND PLACE PO-DIUM RESEARCH

Vignette Podium submission: Title: “Pneumatocele as a Consequence of Bronchoscopy” Authors: John Greenwald, MD (PGY1), Sarah Petteys, MD (Pulm/CC Fellow) Vignette poster submissions: Title: "More Stubborn than Congress: A Case of Difficult to Eradicate h. Pylori Infec-tion" Authors: Blake Cirks (USU MS4), Mi-chael Dore, MD (PGY3), and Todd Gleeson, MD MPH (USU ID Staff) CLINICAL 1st PLACE POSTER Title: "A Case of ETOH-Induced Pain in Lym-phoma" Authors: Daren Yang, DO (PGY1)

and Timothy Krohe, MD (GIM Staff) – CLINICAL 2nd PLACE POSTER Title: "A Curious Case of a Black Esopha-gus" Authors: Patrick Coleman (USU MS4), Ryan D Haley, MD(PGY2) and Brian Cohee, MD (Pulm/CC Fellow) Title: “Hemoglobin SC Disease and Multiple Organ Dysfunction Syndrome” Authors: Jeffrey Spiro (USU MS4), Laura Gilbert, MD (PGY2) and Rose Ressner, DO (ID Staff) A special thanks to the resident, fellow and faculty mentors for these abstracts as well as our three Walter Reed volunteer judges for the event: Dr. Joanne Chang, MD, FACP, Dr. Chris Tracy, MD, and Dr. Casey Flanagan, MD

INTERNAL MEDICINE AND UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES –

8 June/July 2015 Walter Reed DOM GME Snapshot

comfort corner LT Hogan, LCDR Chiaruttini and CPT Masel

Conduct Civil-Military Operations Aboard USNS Comfort

U.S. Naval Hospital Ship COMFORT “ACAJUTLA, El Salvador (June 22, 2015) – [LT] Patricia Ho-gan, a native of St. Louis, Mo., and an internal medicine physician... examines a patient at a medical site established at the Centro Escolar Lisandro Larin Zepeda in support of Continuing Promise 2015.” (U.S. Navy photo by Mass Com-munication Specialist 2nd Class Derek Paumen/Released) http://tinyurl.com/PatriciaHoganUSNSComfort

“HATTIEVILLE, Belize, (April 15, 2015) – Army [CPT] Jen Ma-sel, a native of Bethesda, MD...examines a patient at the Hattieville Government School, one of two medical sites set up for USNS Comfort (T-AH 20) medical personnel to pro-vide services during Continuing Promise 2015.” (U.S. Navy photo by Mass Communication Specialist 2nd Class Derek Paumen/Released) http://tinyurl.com/JenMaselUSNSComfort

“COLÓN, Panama (June 4, 2015) [LCDR] Robert Chiaruttini, a native of Paoli, Penn., and internal medicine physician as-signed to Walter Reed National Military Medical Center Be-thesda, Md., examines a patient at a medical site estab-lished at the Instituto Benigno Jimenez during Continuing Promise 2015. (U.S. Navy photo by Mass Communication Specialist 2nd Class Brittney Cannady/Released)” http://preview.tinyurl.com/RobertChiaruttiniUSNSComfort

LCDR Bob Chiaruttini CP15 – Panama

CPT Jen Masel CP15 Photo – Belize

LT Patricia Hogan—El Salvador

Saving Lives on the World's Biggest Hospital Ship

By Samantha Bresnahan, for CNN Updated 4:35 AM ET, Thu July 9, 2015

“Kingston, Jamaica (CNN)With more than 700 medical per-sonnel, 5,000 units of blood and 12 operating rooms, it is one of the largest trauma facilities in the United States. What sets it apart from most others is that it just happens to float. This is the USNS Comfort, which, along with its sister ship, the Mercy, is the largest hospital ship in the world. The twin ships are actually oil tankers-turned-floating hospitals -- each the height of a 10-story building and the length of three football fields.” To read more, including interviews of staff aboard the ship, and to see some fantastic photographs, click on http://www.cnn.com/2015/07/09/health/usns-comfort-hospital-ship/index.html

9 June/July 2015 Walter Reed DOM GME Snapshot

well-deserved recognition

Under the leadership of Sa-rah Cantrell, Kimberly Adams and colleagues, our very own Darnall Medical Library awarded FEDLINK Small Fed-eral Library/Information Center of the Year, FY14 Darnall Medical Library, Walter Reed National Military Medical Center was awarded the Library of Congress FEDLINK “Small Library/Information Center. Darnall Medical Library is recognized for dedicated library leadership in support of qual-ity patient care and health educa-tion. By embedding a clinical librari-an into the inpatient internal medi-cine and pediatrics teams, the li-brary gave providers the rapid abil-ity to identify esoteric drug interac-tions, radiologic procedures and other up-to-date guidelines. With the combination of evidence-based medical teaching and online medica-tion resource sites, librarians orga-nized and presented an array of electronic resources into custom-ized web portals with the latest data and information.” http://loc.gov/today/pr/2015/15-065.html

An article was also written up in the Journal with a photo of senior offi-cials and Darnall Medical Library staff re-dedicating the library (located in building 1, third floor) in February following renovations: http://preview.tinyurl.com/Darnall-Journal

The library’s mission is to “provide quality information and services to

support the readiness and care of the Uniformed Services and their families. ”Visit the Darnall website, and you will quickly see why the Darnall team, including Sarah Cantrell, who supports the Depart-ment of Medicine, received this well-deserved recognition. You will find a very user-friendly website of useful resources, including journals, databases, books, drug information, EBM Resources, mobile Resources, specialty portals, and more. Cantrell created a specialty portal for Inter-nal Medicine that includes selected journals, eBooks, and databases that are important to this specialty: http://wrnmmc.libguides.com/internal_medicine Another illustration of their exem-plary and continued support to our Residents and Staff –Cantrell joins morning rounds with Internal Medi-cine ward teams in order to support clinical decision-making at the point of care. She helps the team answer a variety of clinical questions as they arise, using evidence-based medi-cine resources such as Essential Evidence Plus, ClinicalKey, Up-ToDate, and quality journal articles found via PubMed. Additionally, Cantrell provides literature search support for clinical and research projects and also participates in journal clubs. Sarah Cantrell, MLIS, Clinical Librari-an, can be reached at O: 301.295.2603 |M: 240.472.7598, sarah.e.cantrell.civ@mail.mill

education

Medical Improv course improves

GME interpersonal communication

skills using a novel methodology of

improvisational theater techniques.

Andrea Creel, MSW, Clinical Skills Educator working at

Val G. Hemming Simulation Center http://

simcen.usuhs.edu at USU, teaches the Medical Improv Ad-

vanced Communication Course. Andrea and her team have

run the Medical Improv course for a total of 4 sessions, 3

of which have included GME learners, and one which was

run for Psychiatric Nurse Practitioner students at USUHS.

Each course is limited to 10 participants to ensure that all

learners have ample opportunity to

practice all of the exercises and

skills in the course.

Medical Improv is an advanced

communication skills training us-

ing a novel methodology of impro-

visational theater exercises. The course consists of five, two

-hour sessions, and is available for NCC residents, fellows,

and attending level physicians. Medical Improv was creat-

ed by Katie Watson at Northwestern University, and has

been used successfully in improving interpersonal commu-

nication skills in medical learners for almost a decade. The

course builds interpersonal communication skills as well as

increases self-awareness, empathy, and the ability to think

on one’s feet. It is helpful both for learners who may be

struggling with interpersonal communication skills as well

as for learners who would like to

refine and expand the skills they

already possess. Please click here

https://learning.usuhs.edu/x/Ps9vCA

to read a published article by Katie

Watson which gives a more detailed

description of the course and the

origins of this learning methodology.

They hope to offer the course again sometime this fall. Anyone who is interested in the course for themselves or their residents/fellows is welcome to email her at andrea.creel.ctr@simcen.usuhs.edu. She can also be reached at 301 295-8132 (direct).

"I really enjoy improv. I learned about myself through the course; I am able to think on my feet better."

"I found that the basic rules of improv are all very useful for patient and family encounters."

"I learned how to communi-cate with another person using several techniques that might enhance the relationship."

GOOD THINGS COME IN SMALL PACKAGES

To Share DOM GME News and Highlights, Please Contact Sean M. Lynch, Self-Declared Supreme, Editor-in-Chief, Sean.M.Lynch36.CTR@mail.mil, (301) 319-4399