MSU Internal Medicine Residency
College of Human Medicine
Michigan State University
Lansing Community Graduate Medical Education
Annual Report 2007-2008
The 2007-2008 academic year was a very exciting one for the residency and fellowship programs served by CHM’s Lansing Community Campus. Our training programs continued their success in attracting highly qualified trainees. Current residents and fellows distinguished themselves through their clinical work, publication of original research, and presentations at regional and national meetings. Program faculty also displayed excellence in teaching and in mentoring their “charges”. And program directors continued their expert leadership, directing our programs through difficult budgetary times while adhering to each of their program’s rigorous training requirements.
This report will summarize the activities of the Assistant Dean’s office and each of our training programs, highlighting the educational and research activities of our trainees and faculty. The greater Lansing community should be proud to have our programs delivering excellent care to the community at the same time that they are advancing the medical knowledge of our trainees and furthering research in medicine.
Assistant Dean’s Report
The past academic year was one of tremendous change in the Lansing community. Along with transition in the Assistant Dean’s office, we saw many changes in leadership and sponsorship of our training programs. At the same time, the Lansing medical community has been faced with difficult budget decisions, reflective in part of trying financial times within our area. Despite this, our programs have continued to provide excellent education to our residents and fellows and continue to adhere to the highest standards of education as set forth by the Accreditation Council on Graduate Medical Education. Highlights of the academic year are as follows:
1. The year began with a transition in leadership within the Graduate Medical Education office. The Associate Dean for GME, Dianne Wagner, MD, assumed the position of Associate Dean for College-Wide Assessment, and the Director of Medical Education, Lyn Farquhar, Ph.D., left to pursue other opportunities. As part of the college’s expansion to the Grand Rapids campus, Peter Coggan, MD, replaced Dr. Wagner as Associate Dean with his office in Grand Rapids. A new position, the Assistant Dean for Graduate Medical Education, was created and filled by Randolph L. Pearson, MD.
2. The director of the Internal Medicine Residency, Davoren Chick, MD, left the program and was replaced by Heather Laird-Fick, MD. Dr. Laird-Fick began an effort, along with faculty of the Sparrow Health System Osteopathic Internal Medicine Residency, to more closely align the programs. This has resulted in a joined program, ultimately with shared faculty and resources. Peter Gulick, DO, is the current director of the Osteopathic Internal Medicine program.
3. The director of the MSU Surgery Residency, Keith Apelgren, MD, resigned and was replaced by Andrew Saxe, MD, as interim director. Permanent director for the program will be named after conclusion of the department’s chair search.
4. The director of the MSU Pediatric Residency, Peter Jennings, MD, announced his resignation, effective August, 2008. He will be replaced on an interim basis by Yakov Sigal, MD.
5. Multiple changes in sponsorship are in transition over the coming years. All of the Internal Medicine Residency and Physical Medicine and Rehabilitation positions will be financially supported by Sparrow Health System.
6. Residency Review Committee reviews and reports were submitted for a number of programs.
a. The Electrophysiology Fellowship received notice of two-year accreditation.
b. The Hematology and Oncology Fellowship was reviewed in October, 2007, and given a one-year accreditation.
c. The Psychiatry Residency was reviewed in October, 2007, and given a full five-year accreditation.
d. The Surgery Residency was notified in February, 2008, that they were placed on probation. Repeat visit from the RRC will occur in two years.
e. The Infectious Disease and Endocrinology Fellowships were reviewed in June, 2008, and their reports are pending.
We will be faced with many challenges in the upcoming year. However, the quality of our trainees and the commitment of our faculty will help us meet the challenges and continue our excellent training and excellent care to the Lansing community.
Randolph L. Pearson, MD
Assistant Dean for Graduate Medical Education
College of Human Medicine
Michigan State University
MSU Internal Medicine Residency
Heather Laird Fick, MD, Program Director
Academic Year Highlights:
1. Heather Laird-Fick, MD was named program director to replace Davoren Chick, MD, who left to pursue other opportunities. Under Dr. Laird-Fick’s leadership, the program has moved to become dually accredited by the ACGME and the AOA. The current osteopathic program director is Peter Gulick, DO.
2. Parallel Accreditation/Program Merger: Our program began the process of merging with the Sparrow Osteopathic Internal Medicine Residency in August 2007. The new combined program received approval for increased number of positions from both the ACGME and AOA. This process included significant coordination of effort, revision and addition of rotations (such as inpatient ward experiences), coordination of recruiting processes, and communication to accomplish. The first merged or parallel accredited class begins July 2008.
3. Plans for new teaching rounds: The ACGME requires 4.5 hours of teaching per week above and beyond that required for patient care during inpatient internal medicine rotations. In the past, the residency has utilized three, 1.5 hour sessions per week over the lunch period. There has been mounting dissatisfaction with these sessions on the part of residents and attending physicians for a number of reasons. During early 2008, an alternate plan for teaching sessions was designed and piloted. Under the new format, residents will participate in teaching sessions for 3.5 hours divided over four mornings per week. The Monday, Wednesday, Friday sessions will engage participants in case-based discussions with bedside teaching. Residents will be evaluated using mini-CEXes. The Thursday sessions will emphasize systems based practice, ethics, and clinical pharmacology. The additional 1 hour per week of teaching required by the ACGME will be incorporated into the management attending rounds.
4. Match Results: We completed a successful Match for the incoming class of 2008-09, coordinating both the osteopathic and allopathic match processes. We matched one candidate and scrambled for a second in the osteopathic match. This was an anticipated likelihood, as the parallel accreditation had not been formally approved prior to the recruiting season. We had one allopathic pre-match, and filled the remaining nine slots within the top 1/3 of our rank order list.
5. Fellowship Match Results: We had an outstanding fellowship match this year. Of nine applicants, six matched into their specialty choice (see below). One has decided to remain within general internal medicine, one is applying for a single year fellowship for AY 2009-10 with plans to re-apply for cardiology fellowship, and the other is applying for research fellowships with plans to re-apply for cardiology fellowship.
• Gadeela, Nitesh: Cardiology fellowship, Michigan State University
• Grover, Madhusudan: Gastroenterology fellowship, Mayo Clinic
• Jagtap, Deepa: Hematology/Oncology fellowship, Wayne State University
• Karnchanasorn, Rudruidee: Endocrinology fellowship, University of California – Los Angeles
• Latif, Sahibzada: Gastroenterology fellowship, University of Alabama- Birmingham
• Mukerji, Siddharth: Cardiology fellowship, University of Texas-Houston
6. Picker Institute Challenge Grant: Dr’s. Laird-Fick, Smith and Dwamena received one of four Picker Institute Challenge Grants specified for graduate medical education projects. This is a prestigious and highly competitive grant program. The three, working closely with leadership and staff members at Sparrow Hospital, will implement and evaluate their project, “Patient-Centered Training of Residents on a Medical Ward,” during AY 2008-09.
7. Curricular Dissemination: Our core competency and rotation curricula, including the PGY1 Ambulatory and PGY3 Ambulatory Surgical Subspecialties, continue to be used as references or templates for a number of residency programs across the country.
8. Facilities: The program was able to work with the Sparrow Director of GME to identify a new call room for the ICU senior resident, and a new resident lounge space for all programs to use beginning sometime in 2008-09.
9. New discovery. Dr.’s Kiran Sarikonda (faculty) and Rubens Ribeiro helped discover a new form of hemoglobin that will be dubbed Hemoglobin Lansing. They sent a patient’s blood off for additional analyses at the Mayo Clinic after finding an unusual form of hemoglobin on electrophoresis in a patient admitted to Sparrow Hospital with an unrelated complaint. Scientists at Mayo Clinic worked to describe the chemical structure of the new hemoglobin. Dr.’s Sarikonda and Ribeiro have maintained contact with the Mayo group, and publication of the discovery is pending.
Graduating Residents:
• Chandra, Shalabh: Cardiology fellowship, Michigan State University
• Choure, Gautam: Nephrology fellowship, Temple University
• Gadeela, Nitesh: Cardiac Electrophysiology fellowship and the Cardiology fellowship, Michigan State University
• Gourineni, Nandu: Chief resident, MSU Internal Medicine
• Gupta, Ashwani: Nephrology fellowship, Henry Ford
• Kaur, Tarundeep: Nephrology fellowship, University of Minnesota
• Kosuri, Kalyan: Pulmonary/Critical Care fellowship, Wayne State University
• Opara, Oluchi: Hospitalist, Academic Internal Medicine Associates, Detroit, MI
• Yasin, Fadi: Academic internist, MSU Department of Medicine
Incoming Residents:
• Banga, Amit: Gajra Raja Medical College, India
• Bhutani, Manisha: Pt Bhagwat Dayal Sharma Post-Grad Institute of Medical Sciences, India
• Chung, Won: Soonchunhyang University, South Korea
• Contractor, Tahmeed: Lokmanya Tilak Municipal Medical College, India
• Durga, Sridevi: Andhra Medical College, India
• Gaurav, Kumar: BP Koirala Institute of Health Science, Nepal
• Lilagan, Menelito: Touro University
• Narayanan, Santhosshi: Stanley Medical College, India
• Efeovbokhan, Nephertiti: Obafemi Awolowo University, Nigeria
• Peddi, Prashanth: Kakatiya Medical College, India
• Rayamajhi, Supratik: Tribhuvan University, Nepal
• Schneider, Brian: Michigan State University College of Osteopathic Medicine
Research publications/presentations (resident and faculty):
See report
Honors (resident and faculty):
• Senior resident Dr. Shalabh Chandra was inducted into the Alpha Omega Alpha National Honor Society in fall 2007 along with past resident and faculty member Dr. Adesuwa Olomu.
• Dr.’s Sahibzada Latif, Abhijeet Dhoble and Kevin Patel all received Honorable Mentions for their submissions to the Johns Hopkins General Internal Medicine Research Awards. The research contest includes several different categories of scholarship.
• Dr. Sahibzada Latif received a Poster of Distinction award at the 2008 North American Society of Pediatric Gastroenterology, Hepatology and Nutrition’s annual meeting in Utah.
• At the 2008 Lansing Research Day, first year residents Dr.’s Erin Sarzynski and Neethi Sural tied for Best Case Study Poster.
• At the Michigan American College of Physicians Associates Meeting in May 2008, Dr. Ashima Makol received First Place in the EBM category for her oral presentation on a diabetes quality improvement project. The MSU Internal Medicine Residency’s Doctor's Dilemma Team (consisting of Dr.’s Madhusudan Grover, Chethan Puttarajappa and Abhimanyu Beri) placed first in their round and will advance to championship round at the September meeting.
• Dr. Rey Bouknight (key faculty) received the Michigan State University College of Human Medicine Outstanding Clinician Award.
• Dr. Alan Neiberg (key faculty) was named a fellow in the American College of Emergency Physicians, and continues to be named on the Best Doctors in America honor roll.
• Dr. Robert Smith received multiple awards during 2007-08, including:
o Mentor Award, College of Human Medicine, Michigan State University
o College of Human Medicine Distinguished Faculty Award, Michigan State University
o University Distinguished Faculty Award, Michigan State University
• The following resident awards were presented at this year’s graduation ceremonies:
o Outstanding Junior Resident: Dr. Chethan Puttarajappa
o Outstanding Senior Resident: Dr. Gautam Choure
o Outstanding Resident in Research: Dr. Ashwani Gupta
o Bernard H. Smookler Endowment Award: Dr. Nandu Gourineni
o Sparrow Outstanding Junior Resident Award: Dr. Neethi Sural
o Sparrow Outstanding Senior Resident Award: Dr. Kalyan Kosuri
o Outstanding Resident in Cardiovascular Diseases: Dr. Siddharth Mukerji
o Outstanding Resident in Hematology/Oncology: Dr. Deepa Jagtap
o Outstanding Resident in Endocrinology: Dr. Rudruidee Karnchanasorn
• The following faculty awards were presented at this year’s graduation ceremonies:
1 Excellence in Teaching Award for University Faculty: Dr. Rey Bouknight
o Excellence in Teaching Award for Community Faculty: Dr. Alan Neiberg
o Research Teacher of the Year: Dr. Ade Olomu
o Outstanding Support Staff and Clinical Support Staff Award: Trinh Tran
o Rose Award for Outstanding Service in Education: Dr. Heather Laird-Fick
Goals for upcoming year:
Integration of programs: Although much of the groundwork was laid for the dually accredited program in AY 2007-08, success still depends on ongoing communication and coordination of effort. This includes redesigning the website, residency materials, and recruitment process to reflect the merger; coordinating two sets of administrative staff; educating attending physicians about the evaluation and documentation requirements for the osteopathic accreditation; and acculturating the residents, faculty and staff. Dr.’s Laird-Fick and Gulick are working closely with Carol Parker Lee and the GMEI staff on website and recruiting efforts specifically.
.
Picker Institute Challenge Grant: The program will be implementing the grant proposal, “Patient-Centered Training of Residents on a Medical Ward,” during AY 2008-09. The grant proposal requires some restructuring of the educational activities, particularly during the FIRM rotations, and will require a total of 0.2 FTE of key faculty time to implement. It also requires significant coordination with Sparrow Hospital to develop an academic ward on 8South. The results of the project will be presented at the spring ACGME meeting in Dallas, Texas at the request of the ACGME and Picker Institute. We anticipate developing a resource manual to disseminate the curriculum, as well as submitting presentations and publications based upon our experiences and research results.
Contact with Subspecialty Programs: As the core program has transitioned out of IRMC, we must be very sensitive to the level of contact between the core residents and the hematology/oncology fellows. Hematology/Oncology is a required senior-level rotation, and our residents work closely with the fellows at the Breslin Cancer Center. The MSU Hematology/Oncology program now sees consults at Sparrow Hospital as well, as part of the duties of the fellows’ inpatient consult experience. Residents on the Hem/Onc rotation will see these consults with the fellows. We are looking at ways to increase contact through didactics and research as well. We have increased the number of fellows providing didactic talks to the core program across all fellowship programs for 2008-09 already.
Core competency highlight:
1. Patient care
Night Float residents complete two mini-CEXes with attending physicians per 2 week Night Float block. After morning report, the resident meets with the attending physician to complete a mini-CEX focusing on data gathering/history, physical exam, medical decision making, and/or counseling. Each encounter takes 15-30 minutes, including feedback. The attending physician documents the interaction in the residency’s web-based evaluation system.
2. Medical knowledge
All of our residents are required to participate in the Board Review lecture series. From September through June, topics are assigned on a 2-4 week block basis. The chief resident and guest attending physicians review MKSAP questions and answers with the group. At the end of each section, the residents take a MKSAP-based exam. The minimum passing scores vary for junior (PGY-1) and senior (PGY-2 and -3) residents. All residents must pass 60% of the examinations to complete the requirements for that academic year.
3. Practice-based learning and improvement
The junior residents worked with Dr. Julie Felt at Sparrow Hospital to learn more about Practice Improvement activities at the hospital during their required ambulatory rotation. Dr. Felt reviewed the basic tenets of practice improvement with them, and had them review a series of charts for the congestive heart failure project. The residents were also required to write a brief paper focusing on practice improvement. In addition, the junior residents have to review five clinic charts for compliance with hypertension treatment goals as part of the ambulatory rotation, and suggest changes in evaluation or management if the patient is not at goal. Both activities are required elements of the rotation.
4. Interpersonal and communications skills
All of our residents are required to complete a 4-week rotation in psychosocial medicine. Among other things, this rotation emphasizes relationship centered interviewing and communication skills. Residents are required to tape record and analyze interactions with patients, and participate in psychosocial rounds in the hospital. These rounds are supervised by Dr.’s Robert Smith and Francesca Dwamena, who collectively have been organizing the rotation for more than 20 years. The residents routinely evaluate this as one of the best rotations in the residency program.
5. Professionalism
Professionalism is emphasized throughout all residency experiences. The required psychosocial rotation provides one example. The rotation is designed to address important professionalism attitudes, behaviors and skills particularly those involving the medical interview, caring for somatic disorders, and counseling. The rotation also includes a small group discussion series on ethics topics.
6. Systems-based practice: The MSU FIRM (general internal medicine ward) service residents work with an academic case manager, Angela Schmalbach. Ms. Schmalbach attends morning reports and coordinates discharge planning with the residents. She also educates them about systems issues such as medical insurance coverage, admission criteria, length of stay/DRGs, etc., as part of the morning report teaching. The Night Float residents meet with her to perform a chart-simulated review regarding admission criteria and order writing as well.
Internal Medicine Residency Publications and Presentations
|Last Name |First Name |Type |Title |Status |Meeting |2007-2008 Award |
|Beri |Abhimanyu |Poster Presentation |Third Trimester Hamman's syndrome |Selected to |2008 Internal Medicine ACP abstract competition to be | |
| | | | |Present |held in Washington D.C, | |
|Chandra |Shalabh |Oral Presenation |Caught in the act: Inter-atrial thrombus trapped in |Accepted | | |
| | | |patent foramen ovale. | | | |
|Choure |Gautam |Poster Presentation |A Case of Adult Onset Still's disease with An Atypical|Presented |2008 ACP Michigan Chapter Associates Day, Sterling | |
| | | |Pruritic Rash | |Heights , MI | |
|Dhoble |Abhijeet |Abstract |Use of Beta Blockers, Lipid Lowering agents, and |Award |2007 GIM Johns Hopkins Housestaff Research Award |Honorable Mention |
| | | |Angiotensin Converting Enzyme - Inhibitors Before | | | |
| | | |Recurrent Acute Myocardial Infarction". | | | |
|Dhoble |Abhijeet |Poster presentations |Olomu AB, Dhoble A, Siddiqi A, Burton K, Oluwole D, |Accepted |2007 Society of General Internal Medicine. Chicago, |Honorable Mention at the |
| | | |Holmes-Rovner MM. Use of beta blockers, lipid lowering| |Illinois |Johns Hopkins GIM |
| | | |agents, and Angiotensin converting enzyme- inhibitors | | |Housestaff Research |
| | | |before recurrent acute myocardial infarction. Midwest | | |Program |
| | | |regional meeting, | | | |
|Dhoble |Abhijeet |Poster Publication |Abdelmoneim SS, Dhoble A, El-Nashar SA, Bernier M, |Accepted |Bubble Conference 2007, Chicago, Illinois | |
| | | |Moir S, Mankad SV, Mulvagh SL. Can Quantitative | | | |
| | | |Myocardial Contrast Echocardiography During | | | |
| | | |Vasodilator Stress Diagnose Coronary Artery Disease? A| | | |
| | | |Systematic Review and Meta-Analysis. | | | |
|Dhoble |Abhijeet |Poster presentation |Dhoble A, Khasnis A. Mesenteric ischemia secondary to |Accepted |2007 Michigan chapter scientific meeting, American | |
| | | |low output cardiac failure: A series of unfortunate | |College of Physician. Kalamazoo, Michigan | |
| | | |hemodynamic events. | | | |
|Dhoble |Abhijeet |Poster presentation |Kaur T, Williams N, Dhoble A. Emphysematous |Accepted |2007 Michigan chapter scientific meeting, American | |
| | | |pyelonephritis: a rare case and novel approach to | |College of Physician. Kalamazoo, Michigan | |
| | | |treatment. | | | |
|Last Name |First Name |Type |Title |Status |Meeting |2007-2008 Award |
|Dhoble |Abhijeet |Publication |Aortic Dissection presenting with new onset atrial |Published |South Med J 2008:101. | |
| | | |fibrillation: very unusual presentation" | | | |
|Dhoble |Abhijeet |Oral Presenation |Abhijeet Dhoble, MD: Disparity in Use of Beta Blocks |Presented |2008 Lansing Research Day | |
| | | |Before Recurrent Acute Myocardial Infarction. | | | |
|Dhoble |Abhijeet |Poster Presentation |Dermatomyositis |Presented |2008 Lansing Research Day | |
|Dhoble |Abhijeet |Poster Presentation |Left Ventricular Apical Ballooning During Excercose |Presented |2008 Lansing Research Day | |
| | | |Stress Echocardiagram Secondary to Hypertensive | | | |
| | | |Response. | | | |
|Dhoble |Abhijeet |Poster Presentation |Abnormal Hypertensive Response during Exercise Stress |Presented | 2008 ACP Michigan Chapter Associates Day, Sterling | |
| | | |Echocardiogram Leading to transient Left Ventricular | |Heights , MI | |
| | | |Apical Ballooning | | | |
|Dhoble |Abhijeet |Oral Presenation |Racial Differences in the Use of Beta Blockers, Lipid |Presented | 2008 ACP Michigan Chapter Associates Day, Sterling | |
| | | |Lowering Agents, and Angiotensin Converting Enzyme | |Heights , MI | |
| | | |Inhibitors before Recurrent Acute Myocardial | | | |
| | | |Infarction | | | |
|Gadeela |Nitesh |Abstracts |“Type 1 Diabetes versus Type 2 Diabetes: A |Presented |American Association of Clinical Endocrinologists, | |
| | | |Classification Dilemma” Anjana Myneni, MD, Panchali | |2007, Seattle WA | |
| | | |Khanna, MD, Nitesh Gadeela, MD, Saleh Aldasouqi, MD, | | | |
| | | |Andamal Hammoud, MD | | | |
|Gadeela |Nitesh |Poster Presentation |Do b Blockers Reduce Ventricular Arrhythmias In ICD |Presented |Michigan Chapter ACC, Presented by me at 19th Annual | |
| | | |Patients? Punnam S, Gadeela N, H Li, R Touma, M | |Chapter Conference, 2007. | |
| | | |Patel, George Abela, Thakur R. | | | |
| | | | | | | |
| |First Name |Type |Title |Status |Meeting |2007-2008 Award |
|Last Name | | | | | | |
|Gadeela |Nitesh |Peer Review |Nitesh R. Gadeela, Haiyan Li, Mehul B. Patel, Sujeeth |Accepted |To be presented at ECAS 2008, Journal of | |
| | | |R. Punnam, Ashok Shah, Ranjan K. Thakur. Can | |Interventional Cardiac Electrophysiology | |
| | | |Recurrence of Inappropriate ICD Therapy be prevented? | | | |
|Gadeela |Nitesh |Abstract |Can Recurrence of Inappropriate ICD Therapy be |Selected to |European Cardiac Arrhythmia Society 2008 (ECAS 2008) | |
| | | |prevented? |Present |Meeting in Marseille, France | |
|Gadeela |Nitesh |Abstracts |Utility of Isoproterenol during Catheter Ablation of |Published |Abstract published in Circulation Supplements, Vol 116| |
| | | |Paroxysmal Atrial Fibrillation Hakan Oral, Thomas | |Supplement 16, October 2007. | |
| | | |Crawford; Melissa Frederick; Nitesh Gadeela; Alan | | | |
| | | |Wimmer; Sujoya Dey; Jean F. Sarrazin; Michael Kuhne; | | | |
| | | |Nagib Chalfoun; Darryl Wells; Eric Good; Krit | | | |
| | | |Jongnarangsin; Aman Chugh; Frank Bogun; Frank Pelosi, | | | |
| | | |Jr.; Fred Morady | | | |
|Gadeela |Nitesh |Publication | Inducibility of Parozysmal Atrial Fibrillation by |Published |Journal of Interventional Cardiac Electrophysiology. | |
| | | |Isoproterenol and its Relation to the Mode of Onset of| | | |
| | | |Atrial Fibrillation | | | |
|Gadeela |Nitesh |Oral Presenation |Nitesh Gadeela, MD: Do B Blockers Reduce Ventricular |Presented |2008 Lansing Research Day | |
| | | |Arrythmias in ICD Patients? | | | |
|Gourineni |Nandu |Publications |Watson RE, Gourineni N. “Hypertension in Hispanics”. |Published |Encyclopedia of Obesity | |
| | | |In: Keller KL, Golson JG, eds. Encyclopedia of | | | |
| | | |Obesity. Thousand Oaks: Sage Publications, 2007: (in | | | |
| | | |press) | | | |
|Gourineni |Nandu |Poster Presentation | - Endothelin-1 content is not increased in the |Presented |10th International Conference on Endothelin in | |
| | | |presence of diabetes or hyperlipidemia in human | |Bergamo, Italy | |
| | | |arteries and veins in patients with hypertension. | | | |
| | | |Watson RE, Pereira CN, Li MW, Pervaiz M, Gourineni N, | | | |
| | | |Talbott JD, Fink GD. | | | |
|Last Name |First Name |Type |Title |Status |Meeting |2007-2008 Award |
|Gourineni |Nandu |Publication |Interferon-Ribavirin-Associated Ischemic Colitis. |Published |March issue of the Journal of Clinical | |
| | | | | |Gastroenterology. | |
|Gourineni |Nandu |Poster Presentation |Interferon and Robavirin Associated Ischemic Colitis |Presented |2008 Lansing Research Day | |
|Goyal |Sandeep |Publication |Goyal SK. Learning procedural skills: Ethical dilemma |Accepted |Student BMJ | |
| | | |for medical students. | | | |
|Goyal |Sandeep |Poster Presentation |Cocaine and Alcohol: A Lethal Duo |Presented |2008 Lansing Research Day | |
|Goyal |Sandeep |Poster Presentation |Lactic Acidosis: Under Recognized but Fatal |Presented |2008 Lansing Research Day | |
| | | |Complication of Lymphoma | | | |
|Goyal |Sandeep |Letters |Adverse Events Associated with Stopping Clopodogrel |Published |JAMA | |
| | | |After Acute Corinary Syndrome | | | |
|Goyal |Sandeep |Letters |NonInvasive Risk Assessment Early After a Myocardial |Published |Journal of American College of Cardiology | |
| | | |Infarction: Are We Looking at the Right Indicators? | | | |
|Grover |Madhusudan |Publication |Grover M, “Chronic Abdominal Wall Pain- A missed |Accepted |UNC Functional GI and Motility Center Newsletter | |
| | | |diagnosis”. Digest Newsletter. UNC Functional GI and | | | |
| | | |Motility center, 2007. | | | |
|Grover |Madhusudan |Publication |Grover M, Laird-Fick H. Gastrointestinal disorders. |Accepted |Encyclopedia of obesity | |
| | | |Encyclopedia of obesity, SAGE publications, 2007. | | | |
|Grover |Madhusudan |Publication |Grover M, Makol A, Laird-Fick H. Fatty Liver disease. |Accepted |Encyclopedia of obesity | |
| | | |Encyclopedia of obesity, SAGE publications, 2007. | | | |
|Grover |Madhusudan |Abstracts |"A case of chronic constipation-Structural, Functional|Presented |GI Grand Rounds, UNC, Chapel Hill, North Carolina, | |
| | | |or What?” | | | |
|Grover |Madhusudan |Abstracts |“Anti-TNF agents in Rheumatoid arthritis- a double |Presented |American College of Physician Michigan Chapter, | |
| | | |edged sword?” | | | |
|Last Name |First Name |Type |Title |Status |Meeting |2007-2008 Award |
|Grover |Madhusudan |Abstracts |“Small Intestinal bacterial Overgrowth” |Presented |UNC Functional GI and Motility center Biopsychosocial | |
| | | | | |research day, Bioinformatics building, UNC, Chapel | |
| | | | | |Hill, North Carolina, | |
|Grover |Madhusudan |Abstracts |"The use of quetiapine and other atypical |Presented |UNC Functional GI and Motility center Biopsychosocial | |
| | | |antidepressants in IBS” | |research day, Bioinformatics building, UNC, Chapel | |
| | | | | |Hill, North Carolina, | |
|Grover |Madhusudan |Publication |Grover M, Gupta A, Wagner D, Orringer M. Hard to |Published |American Journal of Medicine | |
| | | |Swallow. American Journal of Medicine, 2007, Dec; | | | |
| | | |120(12): 1023-1025 | | | |
|Grover |Madhusudan |Abstract |Small Intestinal Bacterial Overgrowth in Irritable |Presented |th Annual National Meeting of the Functional Brain-Gut| |
| | | |Bowel Syndrome; Association with Colon Mobility, Bowel| |Research Groups Functional GI Disorders Young | |
| | | |Symptoms, and Psychological Distress | |Investigators' Forum in La Jolla, California | |
|Grover |Madhusudan |Article |Small Intestinal Bacterial Overgrowth in Irritable |Published |Neurogastroenterol Motil (2008) doi: | |
| | | |Bowel Syndrome; Association with Colon Mobility, Bowel| |10.1111/j.1365-2982.2008.01142.x | |
| | | |Symptoms, and Psychological Distress | | | |
|Gupta |Ashwani |Poster Presentation | “A Distributed Lag Model for Hemoglobin (Hb) response|Presented |American Medical Informatics Association(AMIA) Annual | |
| | | |to Epoetin alfa (EPO) in Hemodialysis (HD) Patients” | |Meeting 2007 | |
|Gupta |Ashwani |Poster Presentation | “A Time Series Model for Hemoglobin Response to |Presented |National Kidney Foundation (NKF) Spring Clinical | |
| | | |Erythropoietin in Dialysis Patients” | |Meeting 2007 | |
|Gupta |Ashwani |Poster Presentation |“Cross-Correlation Analysis of Hemoglobin (Hb) to |Presented |American Society of Nephrology (ASN) Annual Meeting | |
| | | |Epoetin Alfa Dose (EPO) in Hemodialysis (HD) Patients”| |2007 | |
|Karnchanasorn |Rudruidree |Poster Presentation |Sustained-Release Diltiazem Overdoese; An Uncommon Yet|Presented |2008 Lansing Research Day | |
| | | |Lethal Poisoning | | | |
|Karnchanasorn |Rudruidree |Poster Presentation |Sustained-Release Diltiazem Overdose; An Uncommon Yet |Presented | 2008 ACP Michigan Chapter Associates Day, Sterling | |
| | | |Lethal Poisoning, | |Heights , MI | |
|Last Name |First Name |Type |Title |Status |Meeting |2007-2008 Award |
|Kosuri |Kalyan |Publications |Aldasouqi SA, Kosuri K, Mattewal A, Gossain VV (2007) |Published |Visual Vignette, Endocrine Practice 2007 | |
| | | |Visual Vignette, Endocrine Practice 2007, 13(4); 429. | | | |
|Kosuri |Kalyan |Publications |Tonelli A., Kosuri K. (2007) Seizures as the first |Published |Journal of Medical Case Reports 2007, | |
| | | |manifestation of chromosome 22q11.2 deletion syndrome | | | |
| | | |in a 40-year old man: a case report, Journal of | | | |
| | | |Medical Case Reports 2007, 1:167 | | | |
|Latif |Sahibzada |Abstract |Pediatric Pancreatitis; Incidence and Analysis of |Award |2007 GIM Johns Hopkins Housestaff Research Award |Honorable Mention |
| | | |Etiologies and Recurrence". | | | |
|Latif |Sahibzada |Abstract Presentation |"Pediatric Pancreatitis; Incidence and Analysis of |Accepted |Neil R. Powe Award for achievemnet in clinical |Honorable Mention at the |
| |(Usman) | |Etiologies and Recurrence" | |epidemology and outcomes of research |Johns Hopkins GIM |
| | | | | | |Housestaff Research |
| | | | | | |Program |
|Latif |Sahibzada |Abstract Presentation | “cAMP is an Important Signaling Molecule in the |Accepted | NASPGHAN (North American Society of Pediatric |Poster of Distinction |
| |(Usman) | |Aberrant Calcium Signal Associated with Pathologic | |Gastroenterology Hepatology and Nutrition) Annual | |
| | | |Pancreatic Zymogen Activation and Pancreatitis”, | |meeting at Uttah, USA. | |
|Latif |Sahibzada |Poster Presentation | “A series of unfortunate events in a patient with |Presented |ACP Michigan chapter meeting at Kalamazoo,Michigan | |
| |(Usman) | |Non-occlusive mesenteric ischemia,” | | | |
|Latif |Sahibzada |Poster Presentation | “Gastric perforation secondary to a Naso-Gastric tube|Presented |ACP (America College of Physicians) Michigan chapter | |
| |(Usman) | |placement in a patient with severe hemodynamic | |meeting at Kalamazoo, Michigan. | |
| | | |instability” | | | |
|Latif |Sahibzada |Poster Presentation |“Cyclic-AMP Increases the Speed of Carbachol-Induced |Presented | APA (American Pancreatic Association) annual meeting | |
| |(Usman) | |Apical to Basal Calcium Waves in Pancreatic Acinar | |at Chicago. | |
| | | |Cells” | | | |
|Last Name |First Name |Type |Title |Status |Meeting |2007-2008 Award |
|Latif |Sahibzada |Poster Presentation |An Intriguing Case of Leflunomide-Induced Hepatic |Presented |2008 Lansing Research Day | |
| | | |Cirrhosis | | | |
|Latif |Sahibzada |Poster Presentation |An Intriguing Case of Leflunomide-induced Hepatic |Presented | 2008 ACP Michigan Chapter Associates Day, Sterling | |
| | | |Cirrhosis, | |Heights , MI | |
|Makol |Ashima |Abstracts | "Anti-TNF Agents in Rheumatoid Arthritis: A Double |Accepted |ACP National Clinical Vignette Poster Competition will|Accepted for ACP National|
| | | |Edged Sword !" | |take place on Friday, May 16, 2008 in the Walter E. |Meeting May 2008 |
| | | | | |Washington Convention Center . | |
|Makol |Ashima |Abstracts |Your abstract titled, "Anti-TNF Agents in Rheumatoid |Accepted |ACP National Clinical Vignette Poster Competition will|Accepted for ACP National|
| | | |Arthritis: A Double Edged Sword !" has been selected | |take place on Friday, May 16, 2008 in the Walter E. |Meeting May 2008 |
| | | |by the Abstract Review Board for presentation as a | |Washington Convention Center . | |
| | | |poster finalist and will be judged on-site at Internal| | | |
| | | |Medicine 2008 in Washington, DC. | | | |
|Makol |Ashima |Oral Presenation |A Quality Improvement Project for the Diabetic Foot, |Presented | 2008 ACP Michigan Chapter Associates Day, Sterling |FIRST PLACE EBM Series |
| | | | | |Heights , MI | |
|Makol |Ashima |Poster Presentation | 2. “Anti-TNF agents in Rheumatoid arthritis- a |Presented |American College of Physicians’ Michigan Chapter, |Selected to present at |
| | | |double edged sword?” | | |National ACP in |
| | | | | | |Washington, May 2008 |
|Makol |Ashima |Publication |Grover M, Makol A, Laird-Fick H. Fatty Liver disease. |Accepted |Encyclopedia of obesity | |
| | | |Encyclopedia of obesity, SAGE publications, 2007. | | | |
|Makol |Ashima |Publication |Makol A, Aggarwal C, Singh NP. Acute Renal Dysfunction|Accepted |Indian Journal of Nephrology, 2007 | |
| | | |in patients with burns-Incidence, Mortality and | | | |
| | | |Prognosticating factors. | | | |
|Last Name |First Name |Type |Title |Status |Meeting |2007-2008 Award |
|Makol |Ashima |Poster Presentation | 1. “Effect of Rheumatoid Factor levels on Response to|Presented |American College of Rheumatology National | |
| | | |Standard DMARD-Combination Treatment in patients with | |Meeting-2007, Boston, Massachusetts, | |
| | | |Rheumatoid Arthritis” | | | |
|Makol |Ashima |Oral Presenation |Ashima Makol, MD: Effect of Rheumatoid Factor (RF) |Presented |2008 Lansing Research Day | |
| | | |Levels on Response to Stamdard Dmard-Combination | | | |
| | | |Treatment in Patients with Rheumatoid Athritis (RH). | | | |
|Makol |Ashima |Poster Presentation |Anti-TNF Agents in Rheumatoid Arthritis: A Double |Presented |2008 Internal Medicine ACP abstract competition to be | |
| | | |Edged Sword! | |held in Washington D.C, | |
|Mukerji |Siddharth |Publication |Crawford TC, Mukerji S, Good E, Chugh A, Bogun F, |Published | J Cardiovasc Electrophysiol. | |
| | | |Pelosi F, Oral H, Morady F, Jongnarangsin K. Utility | | | |
| | | |of atrial and ventricular cycle length variability in | | | |
| | | |determining the mechanism of paroxysmal | | | |
| | | |supraventricular tachycardia. J Cardiovasc | | | |
| | | |Electrophysiol. 2007 Jul; 18(7):698-703. | | | |
|Mukerji |Siddharth |Publication |Patel RB, Mukerji S, Abela GS. Crossing atrial |Published |Clin Cardiol. | |
| | | |thrombus in a patient with pulmonary embolism. Clin | | | |
| | | |Cardiol. 2007 Oct 23. | | | |
|Patel |Kevin |Abstract |Evaluation of the Prevalence and Economic Burden of |Award |2007 GIM Johns Hopkins Housestaff Research Award |Honorable Mention |
| | | |Adverse Drug Reactions Presenting to the Medical | | | |
| | | |Emergency Department of a Teriary Referral Centre: A | | | |
| | | |Prospective Study. | | | |
|Patel |Kevin |Abstract |Evaluation of the Prevalence and Economic Burden of |Award |2007 GIM Johns Hopkins Housestaff Research Award |Honorable Mention |
| | | |Adverse Drug Reactions Presenting to the Medical | | | |
| | | |Emergency Department of a Teriary Referral Centre: A | | | |
| | | |Prospective Study. | | | |
|Last Name |First Name |Type |Title |Status |Meeting |2007-2008 Award |
|Patel |Kevin |Poster Presentation |Rare and Unusual Presentation of Poorly Differentiated|Presented |2008 Lansing Research Day | |
| | | |Neuroendocrine Tumor of Epoglottis | | | |
|Pham |Albert |Poster presentation |Case Report – Bronchiectasis as a result of ammonia |Presented |Michigan ACP in Lansing, Michigan | |
| | | |inhalation | | | |
|Puttarajappa |Chethan |Poster Presentation |Leukocytosis and Hupercalcemia in a Patient with |Presented |2008 Lansing Research Day | |
| | | |Exophageal Cancer | | | |
|Puttarajappa |Chethan |Poster Presentation |Peripheral Facial Paralysis as the Initial |Presented |2008 Lansing Research Day | |
| | | |Manifestation of Hypertension | | | |
|Sarzynski |Erin |Poster Presentation |Common Manifestations of Hereditary Hemorrhagic |Presented |2008 Lansing Research Day |Best Case Study |
| | | |Telangiectasia | | | |
|Sural |Neethi |Abstract Presentation | "A for Angiotensin Converting Enzyme Inhibitors and A|Presented |ACP National Clinical Vignette Poster Competition will|Accepted for ACP National|
| | | |for Angiodema: A complication internist should not | |take place on Friday, May 16, 2008 in the Walter E. |Meeting May 2008 |
| | | |forget. | |Washington Convention Center . | |
|Sural |Neethi |Poster Presentation |A for Angiotensin Converting Enzyme Inhibitors and A |Presented |2008 Lansing Research Day |Best Case Study |
| | | |for Angiodema: A Complication Internists Should Not | | | |
| | | |Forget | | | |
|Sural |Neethi |Poster Presentation |Poorly Differentiated Lung Adenocarcinom, Scleroderma |Presented | 2008 ACP Michigan Chapter Associates Day, Sterling | |
| | | |and Vasculitis, Presenting Together as One or | |Heights , MI | |
| | | |Seperately at One Time, | | | |
|Vaidya |Robert |Oral Presenation |Robert Vaidya, DO: Secondary Prevention Guidelines for|Presented |2008 Lansing Research Day | |
| | | |Stroke in Diabetics. | | | |
|Vaidya |Robert |Oral Presenation |Robert Vaidya, DO: Secondary Prevention Guidelines for|Presented |2008 Lansing Research Day | |
| | | |Stroke in Diabetics. | | | |
|Vaidya |Robert |Oral Presenation |Glycemic Control, and ACE Inhibitor and ARB use, among|Presented | 2008 ACP Michigan Chapter Associates Day, Sterling | |
| | | |Diabetics Hospitalized for Acute Ischemic Stroke and | |Heights , MI | |
| | | |Transient Ischemic Attack | | | |
|Last Name |First Name |Type |Title |Status |Meeting |2007-2008 Award |
Child and Adolescent Psychiatry Residency
Madhvi Richards, MD, Program Director
Academic Year Highlights:
1. Internal Site Review by GMEI - April 10, 2008
2. Michigan School Counselors Association's conference at MSU - Presentation by all the child fellows (Alyse Ley, DO, Denial Zak, DO and Tia Knower, DO), June 2008
3. CATCH Grant - Working in collaboration with Deptartment of Pediatrics on a CATCH grant from the American Academy of Pediatrics
Graduating Residents:
Alyse Ley, DO - MSU, Dept of Psychiatry
Denial Zak, DO - Pine Rest Hospital, Grand Rapids
Incoming Residents:
Jillian Moneypenny, DO - MSU
Emily Brown, DO - MSU
Furhut Mansour, DO - MSU
Research publications/presentations (resident and faculty):
Alyse Ley, DO - Grand Rounds, Dept of Psychiatry, MSU
Tia Knower, DO - Grand Rounds, Dept of Psychiatry, MSU
Jed Magen, DO, MS and Madhvi Richards, MD - Workshop on GME funding at AADPRT, March 2008
Tia Knower, DO - Presentation on Sex Education for the Genesee County School District
Paul Quinlan, DO, MS - Epidemiology Chapter accepted to Clinical Psychiatry Essentials textbook
Brian Smith, MD and Madhvi Richards, MD - Psychiatric Emergencies, chapter accepted to Clinical Psychiatry Essentials textbook
Paul Quinlan, DO - Poster presentation at the American Association of Suicidology, Boston, 2008
Christopher Giuliano, Ph.D - Poster presentation at the American Association of
Suicidology, Boston, 2008
Brian Smith, MD - Publication - Self Injurious behavior, Psychiatric Times
Margaret Semrud-Clikeman, Ph.D - MRI study on Children with Autism and
ADHD
Michael Boivin, Ph.D - Cerebral Malaria Study in collaboration with Malawi NIH funding
Honors (resident and faculty):
Brian Smith, MD -Awarded Lilly Teaching fellowship
Goals for upcoming year:
AOA site visit for August 2008
ACGME site visit for April 2009
Recruiting for upcoming years
Participation in Lansing Community Research Day
Presentations at MSMS annual meeting in October 2008 - Jed Magen, DO, MS, Paul
Quinlan, DO, Madhvi Richards, MD, and Brian Smith, MD
Core competency highlight:
1. Patient care
Chart reviews
Review of patient outcomes on inpatient unit
Rating form
Faculty evaluation on all rotations
2. Medical knowledge
Child PRITE Exam
Diagnostic assessments (Mock boards)
Review of charts and records
Faculty evaluation
Resident presentations
3. Practice-based learning and improvement
Resident seminar presentations
Required written case presentations
Seminar discussions Journal clubs
4. Interpersonal and communications skills
Staff feedback
Survey of patient satisfaction
Direct observation
Faculty evaluations
5. Professionalism
Faculty evaluations
Direct observation
Attendance sheets
Patient satisfaction survey
6. Systems-based practice
Faculty evaluation Resident QIA project in outpatient clinic
Physical Medicine and Rehabilitation Residency
Michael Andary, MD, Program Director
Academic Year Highlights:
1. Moving the primary inpatient residency over to Sparrow Hospital
a. Opening a resident clinic at Sparrow Professional Building
b. Residents were the Team Physicians for MSU Women's Ice Hockey Club
Graduating Residents:
Emily DeSantis: Non-ACGME accredited fellowship in interventional spine. Scottsdale Health Care, Scottsdale, AZ
Nanette Joyce: University of California Davis, ACGME accredited fellowship in neuromuscular medicine
Incoming Residents:
Casey Chamberlain: Ohio University College of Osteopathic Medicine
Mike Homer: Philadelphia College of Osteopathic Medicine
Ravi Sankaran: Manipal Academy of Higher Education, Manipal, India
Research publications/presentations (resident and faculty):
Cannon, DE, Dillingham, TR, Miao, H, Andary, MT Pezzin, LE: Musculoskeletal Disorders in Referrals for Suspected Lumbosacral Radiculopathy Amer J of Phys Med & Rehab., 2007; 86:957-961.
Cannon, DE, Dillingham, TR, Miao, H, Andary, MT Pezzin, LE. Musculoskeletal disorders in referrals for suspected cervical radiculopathy Archives of Physical Medicine and Rehabilitation 2007; 88(10):1256-9.
Farooq MU, Martin JH, Andary MT Unusual presentation of hereditary neuropathy with liability to pressure palsies Journal of Brachial Plexus and Peripheral Nerve Injury 2008, 1749-7221.
Jeff Pederson presented at Lansing Community Research Day, "The effectiveness of
Spurling's maneuver, with Extension, as a predictor of cervical radiculopathy."
Accepted to poster presentation at AANEM 2008 "The effectiveness of Spurling's
maneuver, with Extension, as a predictor of cervical radiculopathy."
Dr. Joyce is working on a presentation and case study for publication on
neurodegenerative disorders in pediatrics.
Honors (resident and faculty):
None reported
Goals for upcoming year:
Maintain viability of the program.
Complete the ACGME and AOA inspections.
Core competency highlight:
1. Patient care
Monthly evaluations
2. Medical Knowledge
Monthly evaluations
Self assessment exams
3. Practice-based learning and improvement
Portfolio
Monthly evaluations
4. Interpersonal and communications skills
MiniCEX
Monthly evaluations
5. Professionalism
Monthly evaluations
Portfolio and Monthly
6. Systems-based practice
Monthly evaluations
Pediatrics Residency
Yakov Sigal, MD, Interim Program Director
Academic Year Highlights:
1. Peter Jennings, MD, announced his resignation as program director. Dr. Jennings will be relocating to Florida. Yakov Sigal, MD, has been promoted to interim program director.
Graduating Residents:
No report
Incoming Residents:
No report
Research publications/presentations (resident and faculty):
No report
Honors (resident and faculty):
No report
Goals for upcoming year:
No report
Core competency highlight:
No report
Psychiatry Residency
Jed Magen, DO, Program Director
Academic Year Highlights:
1. The Psychiatry Residency underwent an ACGME site visit in October, 2007, receiving a full five-year accreditation
Graduating Residents:
• Nancy Pinagel, DO: Atascadero State Hospital-California
• Stephanie Commings, MD: private practice Lansing area
• Rishi Mahabir, DO: private practice, Carson City Hospital, Carson City, MI
• Erin Fry, DO: Olin Health Center, MSU
Incoming Residents:
• Jose Herrera MD: College of Human Medicine, MSU
• Christine Leszewski MD: College of Human Medicine, MSU
• Joe Reiman DO: Ohio University College of Osteopathic Medicine
• Roohi Sualah MD: Dow Medical College, Karachi, Pakistan
• Jennifer Lentini MD (PGY-II): University of Toledo College of Medicine
Research publications/presentations (resident and faculty):
• Alyse Ley, DO – Grand Rounds, Dept of Psychiatry, MSU
• Tia Konzer, DO – Grand Rounds, Dept of Psychiatry, MSU
• Jed Magen, DO, MS and Madhvi Richards, MD – Workshop on GME funding at AADPRT, March 2008
• Jed Magen DO MS, Alyse Ley DO, Deborah Wagenaar DO MS- “Life Phases Chapter in Foundations of Osteopathic Medicine
• Tia Konzer, DO – Presentation on Sex Education for the Genesee County School District
• Paul Quinlan, DO, MS – Epidemiology Chapter accepted to Clinical Psychiatry Essentials textbook
• Brain Smith, MD and Madhvi Richards, MD – Psychiatric Emergencies. Chapter accepted to Clinical Psychiatry Essentials textbook
• Paul Quinlan, DO – Poster presentation at the American Association of Suicidology, Boston, 2008
• Christopher Giuliano, PhD – Poster presentation at the American Association of Suicidology, Boston, 2008
• Brian Smith, MD – Publication – Self Injurious Behavior, Psychiatric Times
• Margaret Semrud-Clikeman, Ph.D – MRI study on children with Autism and ADHD (Foundation Funding)
• Michael Boivin, Ph.D – Cerebral Malaria Study in collaboration with Malawi NIH funding
Honors (resident and faculty):
• Farha Abbasi, MD - APA/SAMSHA Award for Minority Residents
Goals for upcoming year:
• Recruiting for upcoming years
• Participation in Lansing Community Research day
• Presentations at MSMS annual meeting in October 2008 – Jed Magen, DO, MS, Paul Quinlan, DO, Madhvi Richards, MD and Brian Smith, MD
• Reformat Part I Psychiatry Board Exams as they move into residency
Core competency highlight:
1. Patient care
• Chart reviews
• Review of patient outcomes on inpatient unit
• Rating form
• Faculty evaluation on all rotations
2. Medical Knowledge
• PRITE Exam
• Diagnostic assessments (Mock boards)
• Review of charts and records
• Faculty evaluation
• Resident presentations
3. Practice-based learning and improvement
• Resident seminar presentations
• Required written case presentations
• Seminar discussions
• Journal clubs
4. Interpersonal and communications skills
• Staff feedback
• Survey of patient satisfaction
• Direct observation
• Faculty evaluations
5. Professionalism
• Faculty evaluations
• Direct observation
• Attendance sheets
• Patient satisfaction survey
6. Systems-based practice
• Faculty evaluation
• Resident Q/A project in outpatient clinic
MSU Surgery Residency
Andrew Saxe, MD, Interim Program Director
Academic Year Highlights:
1. The Surgery Residency realigned its conference schedule to allow residents rotating in both Lansing and Flint to attend required didactic sessions.
2. The Department of Surgery accepted the resignation of Keith Apelgren, MD, as program director. Andrew Saxe, MD, was named interim director.
3. The Department engaged in a national search for a department chair to replace the retiring James Harkema, MD. The new chair is expected to be named early in the new academic year.
4. The Surgery Residency was notified in June that it was placed on probation by the ACGME. The program has already rectified many of the concerns listed in the RRC letter and is working diligently to completely address all concerns within the next year.
Graduating Residents:
No report
Incoming Residents:
No report
Research publications/presentations (resident and faculty):
No report
Honors (resident and faculty):
No report
Goals for upcoming year:
1. Address and rectify all concerns listed by the RRC.
Core competency highlight:
No report
Cardiology Fellowship
George Abela, MD, Program Director
Academic Year Highlights:
1. Hired new attending, Dr. Ibrahim Shah
2. Started a Nuclear Cardiology program with MSU Radiology
3. Started a vascular lab at MSU
Graduating Residents:
• Adam Elhaddi, M.D.: Borgess Hospital for Interventional Program
• Appa Rao Bandi, M.D.: TCI as Attending Faculty member
Incoming Residents:
• Maria Viqar, M.D.: Mayo Clinic Rochester, MN; King Edward Medical College Graduation 12/99
• Ameeth Vedre, M.D.: MSU Cardiovascular Research Lab.; M.S. Ramaiah Medical College Graduation 12/00
• Shalabh Chandra, M.D., MPH and prize awardee: MSU Internal Medicine Residency. Seth G.S. Medical College Graduation 2003
Research publications/presentations (resident and faculty):
• Abela GS, Aziz K, Huang R, DeJong J. Statins Inhibit Cholesterol Crystallization and Prevent Perforation of Biological Membranes and Intima in Human Coronary Arteries of Patients with Acute Coronary Syndrome. J Am Coll Card 49; 358A, 2007.
• Abela GS, Rosen B, Huang R. Effects of Ultraviolet and Infrared Laser on Cholesterol Crystals: Implications for Heart Attacks and Strokes. Lasers in Surg and Med Suppl 19;150:2007.
• Abela GS, Aziz K, Danielewicz D, Huang R, DeJong J, Pridjian AK, Talbott JD. Cholesterol Crystallization Induces Volume Expansion to Cause Plaque Rupture while Statins or Ethanol Interrupt this Process to Stabilize Plaques. J Clinic Lipidol 1;162 (301), 2007.
• Katki KA, Huang R, Karve A, Shah I, Bowers MC, Chiasson VL, Supowit SC, DiPette DJ, Abela GS. Deletion of the Mouse Alpha Calcitonin Gene-Related Peptide Gene Increases the Vulnerability of the Heart to Ischemia/Reperfusion Injury (AHA Council on HBP 2007).
• Rubinstein J, Abela OG, Vedre A, Abela GS. Ezetimibe is Protective from Myocardial Effects of Thrombus Triggering in an Atherosclerotic Model (ACC-MI, 2007).
• Patel R, Vedre A, Rubinstein J, Huang R, Abela AJ, Abela GS. Cholesterol Lowering with Ezetimibe Inhibits Intimal Injury by Cholesterol Crystallization and Reduces Arterial Thrombosis. (ACC-MI, 2007). Recipient of second prize.
• Vedre A, Rubinstein J, Abela AJ, St. John L, Gaymer J, Ferguson D, Huang R, Abela GS. Increasing Myocardial Cholesterol Causes Left Ventricular Systolic Dysfunction while Lipid Lowering with Ezetimibe Preserves Systolic Function (ACC-MI, 2007).
• Vedre A, Aziz K, Huang R, Abela GS. Aspirin Prevents Cholesterol Crystallization: A Potential Mechanism of Plaque Stabilization. J Am Coll Card 51;A318, 2008.
• Abela GS, Vedre A, Pathak DR, Martin CJ, Huang R, Lum C, Koochesfahani M. Physical Conditions that can Trigger Cholesterol Crystallization leading to Plaque Rupture J Clinic Lipidol 2:207 (200), 2008.
• Rubinstein J, Vedre A, Huang R, Abela GS. Hypercholesterolemia Causes Systolic and Diastolic Dysfunction. Euro Congress Cardiol (in press), 2008.
• Punnam SR, Holiday J, Janes R, Touma R, Li H, Patel M, Abela GS, Thakur RK. Hemodynamic Collapse During Left Ventricular Lead Implantation. PACE 30:1112-1115, 2007.
• Johnstone E, Friedl SE, Maheswari A, Abela GS. Distinguishing Characteristics of Erythrocyte-Rich and Platelet-Rich Thrombus by an Intravascular Ultrasound Catheter System. J Thromb Thrombol 24;233-239:2007.
• Huang R, Karve A, Shah I, Bowers MC, DiPette DJ, Supowit SC, Abela GS. Detection of the Mouse α-Calcitonin Gene-Related Peptide Gene Increases the Vulnerability of the Heart to Ischemia/Reperfusion Injury. Am J Physiology Circ Physiol 294:H1291-129:2008.
• Aziz K, Berger K, Claycombe K, Huang R, Patel R, Abela GS. Non-Invasive Detection and Localization of Vulnerable Plaque and Arterial Thrombosis Using CTA/PET Circulation 117; 2061-2070, 2008.
• Patel R, Mukerji S, Abela G. Crossing Atrial Thrombus in a Patient with Pulmonary Embolism. Clin Card (in press).
• Punnam S, Hadid TT, Franklin PP, Gandhi DB, Abela GS, Shah DD, Prieto AR. Shaft Aneurysm of a Femoropopliteal Expanded Polytetrafluoroethylene Graft Treated with Covered Stent. Vascular and Endovascular Surgery (in press).
• Dhoble A, Patel M, Shah I, Thakur RK, Abela GS. Cor-triatriatum Sinister with Bicuspid Aortic Valve – A Rare Association. Clin Card (in press).
• Vedre A, Pathak DR, Crimp M, Lum C, Koochesfahani M, Abela GS. Physical Factors that Trigger Cholesterol Crystallization Leading to Plaque Rupture. Atherosclerosis (in press).
• Rubenstein J, Abela GS. Sinoatrial Nodal Reentry Tachycardia: An Unusual Type of Sinus Tachyarrhythmia. Resident and Staff Physician 54;14-19,2008.
• Shamoun F, Sural N, Abela GS. Peripheral Arterial Disease: Advances in Medical Therapy. Expert Review of Cardiovascular Therap 6:539-553, 2008.
• Khunnawat C, Mukerji S, Daniel Havlichek, Jr, Rabih Touma, Abela GS. Cardiovascular Manifestations in Human Immunodeficiency Virus-Infected Patients. Am J Card (in press)
• Aziz K and Abela GS (Editors). Nuclear Cardiology and Cardiac CT Handbook. Lippincott Publisher, Inc. New York, NY, (in press).
Honors (resident and faculty):
• Kusai Aziz, MD. First place on Resident Research Day, 2006
• Jack Rubinstein, MD. First place on Resident Research Day; Young Investigator Award Presentation at Northwestern University, 2008
• Dr. Abela – Top Cardiologists of the year; Madison’s Who’s Who
Goals for upcoming year:
• Hiring new attendings is a major goal and challenge.
Core competency highlight:
1. Patient care
All patients are seen by the attending in both the out-patient clinics and in the hospital. Direct observation of fellows examining patients occurs during cases when both attending and fellow are together. Also, all procedures are monitored by an attending while fellows are performing cardiac catheterization including Swan-Ganz insertion, trans-esophageal echo, and on occasion trans-thoracic echos as well.
2. Medical Knowledge
Board Review Courses are provided to all fellows. There is a weekly cardiology grand rounds where a topic is presented. These include core lectures at the beginning of the year. These are presented by attendings. Later in the year, fellows present various topics. Echo conference and EKG conference that is set up in the format of the board questions. There is a bi-weekly journal club where the fellow presents a paper with a formal slide presentation that is followed by an analysis and discussion. There is a monthly pathology conference with Dr. Shirley Siew reviewing histological and morphological specimens of various cardiovascular conditions.
3. Practice-based learning and improvement
There is a weekly Friday morning conference where a specific case is discussed and then relevant articles are provided related to the case. These include problem cases and discussion is related to management issues. Similarly, a weekly catheterization conference is presented and complications of specific cases are shown with an in depth discussion of those issues. This is a multi-disciplinary including cardio-thoracic surgery and cardiology.
4. Interpersonal and communications skills
A monitored study will be conducted on the pager response time. The officially designated response time is within 15 min. We will page fellows randomly and a response time determined. If in excess of the expected response, feedback to the fellows will be provided.
5. Professionalism
There is a 360 degree feedback on professional behavior. On any occasion that a fellow does not seem to be complying with the appropriate professional behavior, there is a meeting held to address the issue. Likewise a similar feedback is provided to the attending based on any unprofessional behavior.
6. Systems-based practice
A system was developed with the participation of one of the fellows related to a “rapid response pager” that is activated when an acute myocardial infarction comes into the emergency department. Once this system is activated the fellow carrying that pager will respond any time, day or night. This is the first step in the cascade that then leads to activation of the cardiac catheterization laboratory and alerting the interventional attending. This is designed to help reduce delays in delivery of care to patients with acute cardiac events.
Finally, work hours. Our fellows take call from home. However it is possible that they may be in the hospital all night. Given such a circumstance, we have provided fellows who have had such night shifts to leave for home the next day by noon. We will provide a back up from a fellow on the non-invasive service or other services as needed. Also, we now do not have the fellow on Clinical I service, our busiest service to take call during the week but rather give them only one day and night call over the weekend. This has greatly reduced the stress on the Clinical 1 service.
Endocrinology Fellowship
Ved Gossain, MD, Program Director
Academic Year Highlights:
1. 1st fellow graduating
2. ACGME site visit completed June 4, 2008
Graduating Residents:
• Anjana Myneni, MD - Private practice, Pittsburgh, PA.
Incoming Residents:
• Saadia Mian, MD - Michigan State University College of Human Medicine
Research publications/presentations (resident and faculty):
• Nelson P, Gossain V. (2008, April). A Large Solitary Fibrous Tumor Causing Hypoglycemia. Poster presented at Lansing Research Day, East Lansing, Michigan
• Nelson P, Gossain V. Cushing's Syndrome. Essential Evidence Plus. In press
• Anjana Myneni, MD; Ved Gossain, MD. Comparison of Insulin Infusion Pumps Versus Basal/Bolus Insulin Injections for Treatment of Type l Diabetes Mellitus in Clinical Practice. Diabetes, 57: (suppll).
• Anjana Myneni, MD, Saleh Aldasouqi, MD, et al. Graves' Ophthalmopathy-An Imitator. American Association of Clinical Endocrinologists. April2007:72-73
• Anjana Myneni, MD, Panchali Khanna, MD et al. Type 1 Diabetes Versus Type 2 Diabetes: A Classification Dilemma. American Association of Clinical Endocrinologists. April 2007:9
• Sahibzada Latif, MD, Anjana Myneni, MD et al. Interferon Induced Thyroid Dysfunction in a Patient with Hepatitis C. American Association of Clinical Endocrinologists. April 2007:76
• Anjana Myneni, MD; Saleh Aldasouqi, MD. Orlistat. Encyclopedia of Obesity. Sage
Publications, Inc. Volume 2: page 563-564.
• Anjana Myneni, MD; Saleh Aldasouqi, MD. Pheochromocytoma chapter. Essential Evidence Plus. John Wiley & Sons. (In press)
• Prevalence and Mechanism of Aspirin Resistance in Patients with Type 1 Diabetes Mellitus. Principal Investigator: Ved Gossain, MD. Co-Investigators: Kenneth Schwartz, MD; Anjana Myneni, MD. Michigan State University, East Lansing, MI
• Insulin Infusion Pumps versus Basal/Bolus Injections for Type 1 Diabetes. Principal Investigator: Ved Gossain, MD. Co-Investigators: Saleh Aldasouqi, MD; Anjana Myneni, MD, Michael Carella, MD. Michigan State University, East Lansing, MI -(in the process of submitting manuscript)
Honors (resident and faculty):
No report
Goals for upcoming year:
Our challenge remains that we have insufficient number of faculty members. We need at least one more (and preferably two) full time faculty members, in the Division of Endocrinology.
Core competency highlight:
1. Patient care
No report
2. Medical knowledge
No report
3. Practice-based learning
Fellows are routinely questioned when on the management rounds. This provides the fellows and the faculty an idea of the medical knowledge of the fellows. The fellows are asked to present at our weekly "core conference". To prepare for their presentation, they are required to perform a current literature search which provides them with an idea of their current medical knowledge. We also incorporate in our "core conference" series a self assessment program provided by the Endocrine Society and the American Association of Clinical Endocrinologists. This exercise allows us to identify knowledge gaps and also provides an opportunity for the fellows to direct their learning to remedy their knowledge gaps.
4. Communications skills
ndocrinology service predominantly functions as a consultation service. Therefore, opportunities for our fellows to function as team members and team leaders are rather limited. However, in the diabetes clinic our fellows work with nurse practitioners, diabetes educators and nutritionists. The care of the patients is thus coordinated between the fellows (always backed by a faculty person) and the nurse practitioner.
5. Professionalism
Professional behavior is modeled by the faculty as far as interaction with patients and their families, staff, and other health care professionals. Ethical behavior is constantly emphasized not only in the patient care, but other aspects of life. If issues of "ethical concerns" arise, they are discussed between the fellows and the attendings at the clinical case conferences. If a particularly difficult situation should arise, we plan to have consultants from the MSU Center for Ethics and Humanities come and discuss these with us on an as needed basis.
6. Systems-based practice
System based practice is learned through a variety of mechanisms. One of our fellows serves as a representative to the Graduate Medical Education Committee (GMEC). At least once a year the issues of patient safety and system based practice are discussed in this committee, so that the fellows become familiar with these issues.
Secondly, the fellows learn to navigate the system on a case by case basis. For example, recently we encountered a patient who could not afford any of her medications for the treatment of hypocalcemia. Our fellow was able to contact a social worker at the hospital and was able to secure some medications for her. This patient also made frequent visits to the Emergency Room due to hypocalcemia. Since this patient required frequent calcium infusion, the fellow was advised to contact the infusion center. She was able to arrange with the infusion center of the hospital for the patient to receive calcium infusion, thus essentially eliminating her emergency room visits and netting substantial cost savings.
The fellows also coordinate the care of patients after discharge from the hospital, when follow-up is needed in the Endocrine/Diabetes clinic. Similarly they also coordinate the care, if patients need procedures in Radiology (1-123 uptake/scan) or treatment with 1-131 for hyperthyroidism.
In addition our nurses have educated our fellows on how some very expensive medications can be obtained for patients who cannot afford these through the programs sponsored by pharmaceutical companies. Some of our patients with acromegaly are receiving Sandostatin through the pharmaceutical company which they otherwise could not afford.
Hematology and Oncology Fellowship
Kenneth Schwartz, MD, Program Director
Academic Year Highlights:
1. All fellows have passed boards
2. All but one first-year fellow has published at least an abstract
3. Program review approved with full accreditation
Graduating Residents:
• Dexter Estrada, MD – VA, California
• Sunil Nagpal, MD - Private practice, with Dr. Arora, Flint, MI. Will be key faculty in our program.
• Ganapathy Krishnan, MD - private practice, Chillicothe, Ohio.
Incoming Residents:
• Vijay Chaudhary, MD - University of New Delhi, New Delhi, India
• Simona Chivu, MD - University Transilvania Brasov, Romania
Research publications/presentations (resident and faculty):
• Amato RJ, Messman R, Hernandez-McClain J, Conley B. A Phase Ib Study of Folatelmmune (EC90) with GP1-0110 Adjuvant Followed by (EC17). Submitted to ASCO 2007.
• Krishnan GS, D'Silva K, AI-Janadi A. "Cetuximab Induced Tumor Lysis Syndrome in a Patient with Metastatic Colon Carcinoma”. Case report accepted for publication in the Journal of Clinical Oncology 2008.
• Rastogi P, Anderson S, Bear HD, Geyer CE, Kahlen berg MS, Robidoux A, Margolese RG, Hoehn JL, Voget VG, Dakhil Sr, Tamkus D, et al. Preoperative Chemotherapy: Updates of NSABP Protocols B-18 and B-27. J Clin Onc 26(5), February 10, 2008, pp. 778-785.
• Siebert JE, DeLano, MD, Latourette MT, Schwartz, Krishnan GS and Siddique, MK. R2 Quantitation Reveals that Serum Ferritin is an Unreliable Surrogate for Tissue Iron Concentration in Myocardium and Liver. Abstract ISMRM meeting Berlin, May 19-25, 2007.
• Dimitrov NV, Colucci P, Nagpal S. “Some Aspects of the Endocrine and Management of Hormone Dependent Male Breast Cancer”. The Oncologist, 2007; 12:798-807.
• Mehrotra A, Barry H, Dimitrov N. Lipodema, Underestimated Entity. Submitted J Fam Prac 2007.
• Krishnan GS. Efficacy and Safety of Rituximab in Post Transplant Lymphoproliferative Disorders (PTLD): Pooled Analysis and Review of the Literature. Abstract ASH Meeting, Atlanta, GA, December 11, 2007.
• Faber EA. Positive Axillary Lymph Node and BRCA Gene Mutation in a Patient with DCIS. ACP Michigan Chapter. Traverse City, September 7, 2007.
• Krishnan GS, Chaudhary V, AI-Janadi A, Ramanarayanan J, D'Silva K. BCHU Toxicity Presenting with a Large Pericardial and Pleural Effusion. Ann Transplant 2008; 13(1):44-47.
• Krishnan GS, D'Silva K, AI-Janadi A. Cetuximab Induced Tumor Lysis Syndrome in a Patient with Metastatic Colon Carcinoma. Case report accepted for publication in the Journal of Clinical Oncology 2008.
• Chandana SR, Mowa S, Arora M, Singh T. Primary Brain Tumors in Adults. American Family Physician May 15, 200877:10), pp. 1423-1430.
• Chandana SR, Conley BA. Salivary Gland Cancers: Current Treatments, Molecular Characteristics and New Therapies. Expert Rev Anticancer Ther. 2008 Apr; 8 (4):645-52.
• Kaiser L, Davis J, Patterson J, Boyd R, Oliver NB, Bohart G, Schwartz KA. Iron Does Not Cause Arrhythmias in the Guinea Pig Model of Transfusional Iron Overload? Comparative Medicine, 57(4), August 2007, pp. 383-389
• Schwartz KA, Schwartz 0, Barber, K, Reeves M, DeFranco A. Low Prevalence of Minimal Platelet Inhibition in Aspirin Compliant Patients. Submitted to Thrombo & Haem. 2008
Honors (resident and faculty):
• The Breslin Cancer Center was honored in April by the American Cancer Society
with a Five Star Community Investor Award and a Five Star Investor Award.
Goals for upcoming year:
1. Retaining key faculty
2. Helping junior faculty develop their research interest and become productive. This will insure that the publication record of key faculty is not cited by the next ACGME review.
Core competency highlight:
1. Patient care
No Report
2. Medical knowledge
No Report
3. Practice-based learning
One of the learning activities in which the fellow's strengths, deficiencies and limits in their knowledge and expertise are evaluated is their presentations at the Michigan State University's Hematology/Oncology Seminar. The goal of this exercise is to help the fellow learn how to present a "State of the Art" lecture on a hematology/oncology topic of their choice.
The fellow must choose a hematology/oncology topic that is focused enough so that primary reports as well as review articles can be used in a logical presentation. Through the use of Michigan State University's electronic library the fellow must assemble a bibliography using one of several medical databases that rely on the national library of medicine. Primary reports as well as review articles from peer reviewed journals are reviewed.
The information from these readings is then organized into a logical lecture. In addition, fellows are encouraged to use appropriate graphics to either introduce the audience to a new concept such as a biochemical signal transduction pathway or survival data from a clinical trial evaluating new therapies. The use of "PowerPoint" is encouraged. Fortunately, the fellows are facile with computer retrieval of specific information and the use of "PowerPoint" slides.
These lectures are critiqued by Dr. Schwartz and other faculty members. Usually, fellows have problems with organizing and assembling data into a clearly understandable format. Occasionally, concepts and facts that are presented reflect poor understanding by the fellow. Learning and improvement goals are then set for the fellow's subsequent presentations.
These exercises in learning how to collect, assimilate, organize and present information are skills that the fellow will use in part or together for the rest of their medical care. Life-long learning is enabled by helping the fellows develop the skills necessary for finding and incorporating new information. Fellows who have trained in the program have voluntarily given very positive feedback for teaching them how to prepare for and deliver a focused lecture. I believe it is true that the person who learns the most from a lecture is the lecturer.
4. Communications skills
Fellows must rotate through the in-hospital rotation that takes care of the MSU Hematology and Oncology hospitalized patients. In addition, consultations are provided for other hospital groups such as surgery, general medicine and intensive care units. During this in-hospital rotation fellows develop skills that competently allow them to effectively communicate with patients, families, physicians, other health professionals and health related agencies.
5. Professionalism
Professional behavior by fellows and faculty is promoted via role modeling. Senior faculty as well as experienced oncology nurses demonstrate appropriate professional behavior in their interactions with patients and health care colleagues.
Professional behavior is modeled in the outpatient clinic, during in-hospital rotations, during educational lectures, journal club and other attending fellow interactions. It is also passed down from second and third year fellows to fellows beginning the program. It may be demonstrated as simply as an unstated standard of dress or a greeting or a polite thank you. Our experienced oncology nurses also help faculty and fellows promote professional behavior. These seasoned health care professionals serve as role models that faculty and fellows either consciously or subconsciously emulate.
Faculty serve as role models demonstrating for fellow’s appropriate professional behavior. Modeling occurs during interactions with patients, nurses and other health care professionals. This is also demonstrated during educational and other meetings when faculty displays the polite way to disagree with a colleague. It is the job of the supervising attending to correct breaches of professional behavior as they occur.
6. Systems-based practice
Fellows attend tumor boards at the different hospitals and tumor multidiscipline clinics. Surgeons, radiologists, pathologists, radiation therapists, psychologists and medical oncologists attend these conferences. A particular patient is discussed with the group coming to a consensus as to the best diagnostic and therapeutic plan. It is during these experiences that fellows learn how to work effectively in inter-professional teams to enhance the quality and safety of the patient's care.
Learning about systems based practice is integrated into the fellow's patient care experiences. Faculty, social workers, discharge planers and physicians from other disciplines help with this aspect of the fellows' education.
Infectious Disease Fellowship
Daniel Havlichek, MD, Program Director
Academic Year Highlights:
1. Worked with EWSH Infection Control and Prevention Office to review MRSA susceptibilities to other antibiotics. This work was sent to all EWSH physicians.
Graduating Residents:
• MaryAnn Tran, MD, MSU College of Human Medicine, Division of Infectious Diseases
Incoming Residents:
• Suresha Rajaguru, MD University of Colombo, Sri Lanka
Research publications/presentations (resident and faculty):
• MaryAnn Tran, MD: "Streptococcus intermedius: molecular identification and typing of isolates from a spectrum of clinical cases," submitted with Vincent B. Young, MD. Book chapter in press: 2007
• MaryAnn Tran, MD: Subacute bacterial endocarditis. Evidence at Hand, with Mary Nettleman, MD. Internet chapters: 2007
• MaryAnn Tran, MD: Non-genital Herpes Simplex Infections. , with Mohamad EI Mortada, MD and Mary Nettleman, MD 2008
• MaryAnn Tran, MD: HIV Update. , with Mary Nettleman, MD.
• MaryAnn Tran, MD: "Phenotypic and Genotypic Analyses of MRSA Isolates with Decreased Susceptibility to Vancomycin," submitted to ICAACIIDSA Washington, DC, October 2008.
• MaryAnn Tran, MD: "Reduced susceptibility of MRSA isolates in a community/teaching hospital," Michigan Infectious Diseases Society”. Novi, MI March 2008.
Honors (resident and faculty):
None reported
Goals for upcoming year:
• Rapid integration of new faculty and new fellow into Lansing environment.
Core competency highlight:
1. Patient care
We closely monitor patient care provided by fellows .
2. Medical knowledge
We conduct monthly board reviews and journal clubs directed by the fellows.
3. Practice-based learning and improvement
Fellows do literature reviews for patients they see and this is kept in their files. During the year, they also present at core conference concerning their practice.
4. Interpersonal and communications skills
A patient survey was done concerning appropriateness of communication skills.
5. Professionalism
Timeliness of medical records.
6. Systems-based practice
Worked with EWSH Infection control and prevention office to provide data to physicians about MRSA sensitivities.
Neonatology Fellowship
Ira Gewolb, MD, Program Director
Academic Year Highlights:
No report
Graduating Residents:
No report
Incoming Residents:
No report
Research publications/presentations (resident and faculty):
No report
Honors (resident and faculty):
No report
Goals for upcoming year:
No report
Core competency highlight:
No report
Cardiac Electrophysiology Fellowship
R.K. Thakur, MD, Program Director
Academic Year Highlights:
No report
Graduating Residents:
No report
Incoming Residents:
No report
Research publications/presentations (resident and faculty):
No report
Honors (resident and faculty):
No report
Goals for upcoming year:
No report
Core competency highlight:
No report
Interventional Cardiology Fellowship
Tim Fischell, MD, Program Director
Academic Year Highlights:
No report
Graduating Residents:
No report
Incoming Residents:
No report
Research publications/presentations (resident and faculty):
No report
Honors (resident and faculty):
No report
Goals for upcoming year:
No report
Core competency highlight:
No report
Sparrow MSU Fellowship in Surgical Critical Care
Chet Morrison, M.D., Program Director
Graduating residents and destinations:
N/A
Incoming residents (include medical school attended):
• Benjamin Mosher, MSU CHM graduate and MSU faculty member
Major accomplishments over previous year:
• Fellowship categorically approved by ACGME
Research publications/presentations (resident and faculty):
• Pending
Honors (resident and faculty):
None reported
Challenges/opportunities for upcoming year:
• First year of fellowship
• Get fellow integrated and clinically and academically productive
Briefly address at least one way your program addresses each of the ACGME Core Competencies:
1. Patient care
• Teaching rounds
• Presentations at didactic session as noted below.
Proposed Schedule for Didactic Instruction, Surgical Critical Care
General
Week # Title Instructor Competencies
|Week 1 |The Administrative Structure of the ICU/Patient care and safety initiatives |Morrison |Systems based practice |
|Week 2 |Hemodynamic monitoring – the invasive and the non-invasive |TBA |Patient Care |
|Week 3 |Systemic Response to Injury Shock and Resuscitation including endpoints |TBA |Medical Knowledge |
|Week 4 |Basic research models and performing clinical research |TBA |Systems based practice |
|Week 5 |Patient Counseling, Informed Consent, Risk Management in ICU |Anderson |Communication and |
| | | |interpersonal skills |
|Week 6 |Hemostasis Principles and Coagulation Disorders |TBA |Medical Knowledge |
|Week 7 |Transfusions pro & con/Principles of transfusion therapy |Morrison |Patient Care |
|Week 8 |Ventilators I |TBA |Medical Knowledge |
|Week 9 |Ventilators II/Liberation from mechanical ventilation |TBA |Patient Care |
|Week 10 |Sedation and delirium in the ICU: Current guidelines for management |TBA |Practice=Based Learning & |
| | | |Improvement |
General
Week # Title Instructor Competencies
|Week 11 |Introduction to trauma systems, injury severity scoring and critical illness scoring |TBA |Systems based practice |
| |systems | | |
|Week 12 |Strategies in Management of Renal Failure |TBA |Medical Knowledge |
|Week 13 |The critical care of the acute abdomen and complex postoperative surgical patient |TBA |Patient Care |
|Week 14 |Traumatic injury: Cranial trauma |TBA |Patient Care |
|Week 15 |Traumatic Injury: Chest/abdominal/pelvic injury |Morrison |Patient Care |
|Week 16 |Traumatic injury: Extremity, airway management and spinal trauma |Kepros |Patient Care |
|Week 17 |Mediators of acute inflammation: The molecular basis of critical care/ Basic Science |Toledo |Medical Knowledge |
| |Week | | |
|Week 18 |Pneumonia/ Acute lung injury |TBA |Medical Knowledge |
|Week 19 |Skin/soft tissue infections, indications for hyperbaric oxygen |Missavage |Patient Care |
|Week 20 |Catheter related and other bloodstream infections/recommendations for prevention |TBA |Practice-Based Learning & |
| | | |Improvement |
|Week 21 |Other ICU infections: CNS, urologic and atypical presentations of fever |TBA |Patient Care |
|Week 22 |Novel therapies for sepsis: Evidence based guidelines |TBA |Practice based learning and |
| | | |improvement |
|Week 23 |Nutrition in the ICU: Enteral and parenteral caloric replacement |TBA |Patient Care |
|Week 24 |Cardiac pathology and treatment of Acute MI and acute cardiac syndromes |TBA |Medical Knowledge |
|Week 25 |Cardiac dysrythmias, pathophysiology and treatment |TBA |Medical Knowledge |
|Week 26 |Fluid and Electrolytes/Acid base disorders |TBA |Medical Knowledge |
|Week 27 |Physiology and treatment of Burns |Missavage |Missavage/Patient Care |
|Week 28 |Environmental injuries and envenomations |TBA |Patient Care |
|Week 29 |ICU pharmacology; rational dosing of commonly used medications |TBA |Medical Knowledge |
|Week 30 |MCCKAP review |TBA |Medical knowledge |
|Week 31 |Transplantation and the biology of immunosuppression |TBA |Medical Knowledge |
|Week 32 |Gastrointestinal bleeding and hepatic failure |TBA |Patient Care |
|Week 33 |Pulmonary embolism, deep vein thrombosis and Heparin Induced Throbocytopenia |TBA |Patient Care |
|Week 34 |AIDS and the intensivist |TBA |Patient Care |
|Week 35 |Antibiotics for the intensivist |TBA |Medical Knowledge |
|Week 36 |Crush injury, compartment syndrome, and rhabdomyolysis |TBA |Patient Care |
|Week 37 |Non-traumatic central nervous system pathology: Stroke, seizures and infections |TBA |Patient Care |
|Week 38 |RESEARCH PRESENTATIONS |N/A |Communication and |
| | | |interpersonal skills |
|Week 39 |Cost containment in Critical Care/billing strategies |TBA |System-Based Practice |
|Week 40 |Care of the special population I: The obstetric patient |TBA |Patient Care |
|Week 41 |Care of the Special Population II: The pediatric patient |TBA |Patient Care |
|Week 42 |Care of the Special Population III: The morbidly obese |TBA |Patient Care |
|Week 43 |Fundamentals of disaster management |TBA |Systems-Based Practice |
|Week 44 |Toxicology and Drug Overdoses |Reed |Medical Knowledge Reed |
| | | |Morrison |
General
Week # Title Instructor Competencies
|Week 45 |Critical care in the Coming Decade: A long term secular Growth Story. Options In career |Morrison |Professionalism |
| |Choices | | |
|Week 46 |Biostatistics and critically reading a study |Davis |Systems based practice |
|Week 47 |Ethics in the ICU, including the withholding of care and |TBA |Communication & IP Skills |
| |End of Life Decisions | | |
|Week 48 |Palliative Care in the ICU |TBA |Professionalism |
2. Medical Knowledge
• Assigned readings and didactic schedule
3. Practice-based learning and improvement
• Review of Medical Critical Care Course Curriculum
• Board review session planned
4. Interpersonal and communications skills
• Fellow involved in discussions with family, teaches junior residents and does primary interactions with nursing staff
5. Professionalism
• Fellow will present during rounds and academic sessions
• Frequent evaluations will be conducted
6. Systems-based practice
• Fellow participates in ICU keystone and QI initiatives
• Represents department in critical care staff meetings
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