Inside

Welcome from the Program Director

Spring is here at Duke and Durham! I am excited to celebrate our graduating class of seniors in June and to welcome a new class of interns. It has been a busy five+ months in my transition into the role of Program Director. There is still much to learn and much to accomplish but I am grateful every day for the Duke Med-Peds family – from residents to faculty here at Duke and beyond. I have reached out to several of you in this short time to connect you with trainees and will continue to do so in the future, so thank you in advance. One of the most valuable networks we have is each other. Stay in touch!

Feature Article 1

Graduate Updates 3

Class of 2022 5

Trainee Updates 6

5

Jane Trinh, MD

Program Director

Spring 2018 Newsletter

Duke Medicine-Pediatrics

Inside Duke Med-Peds in Kenya: How the

Physician Strike Impacted Duke MP

Alumni and Residents The nation-wide physician strike in Kenya from Decem-ber 2016 to March 2017 gained international attention for being the “100-day strike” causing devastating impact on patients. The strike was in an effort to improve pay and working conditions for public sector physicians. Public sec-tor physicians in Kenya have long received extremely low wages and worked grueling hours per week. They were also advocating for improve-ment in the conditions of the public healthcare facilities. Physicians are without a doubt in a high demand in Kenya. USA Today reported that there are 2 physicians for every 10,000 people in the

country. So when the physi-cians went on strike to try to create change, even more Kenyans were out of health care. For those who could not afford to see private physi-cians, they went without it and countless died. Of the physicians left to pick up some of the pieces were Duke Med-Peds graduates.

Amy Lee, MD (’17) started her global health rotation in Tenwek, Kenya shortly after the strike began. She had been warned by fellow residents that the already busy clinical site was about to become even busier. Lee recalled, “Tenwek was one of the few hospitals that remained open, so natu-

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Duke Med-Peds in Kenya, continued

the Medical Team Lead for AMPATH, an alliance betwen Moi Teaching and Referral Hospital (MTRH) and medical centers in the United States and Canada. He reflected, “I covered both medicine and pediatrics wards at MTRH and co-ordinated most of the coverage among the long-term North American fac-ulty, plus the residents, for the entire strike. I will say it was the most har-rowing, bordering on traumatic, experience of my professional career.”

Not only was the access to care and patient census enormously challenging, but also Lee and Mercer were treating tropical dis-

rally, we were inundated with patients. I was round-ing on anywhere from 40-60 patients a day with a limited number of clinical/medical officers as some chose to participate in the strike.”

Patients traveled long jour-neys to reach hospitals that were still open, often be-coming sicker and sicker along the way. Lee stated “they were incredibly sick and often knocking at death's door…. Tenwek was always at maximum capaci-ty and bursting at its seams. There was no such thing as being on divert.” Often the beds held 2-3 patients at one time. Tim Mercer, MD, MPH (’15) was in Eldoret, Kenya during the strike as

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Duke Patient Safety and Quality Meeting Jenn Ladd (peds), Jon Pelletier (peds), Ashley Hanlon, &

Sarah Cohen

Duke Patient Safety and Quality Meeting

John Paul Shoup

Katie Wood presenting her poster at NC ACP.

Duke residents and alumni reunite at SGIM. From left:

Azaela Kim (medicine), Joel Boggan, Matt Aitken

(medicine), John Paul Shoup, and Tim Mercer

Amy Lee with students

(left) and the medical

team (below) in Kenya.

Graduate and Faculty Updates Suzanne Woods (1998) was awarded the 2018 Leadership in Med-Peds Award at the National Med-Peds Program Directors Association conference.

Rebecca Sadun (2014) was elected into the Duke University School of Medicine chapter of the Alpha Omega Alpha Medical Honor Society. She will be completing fellowship this year and staying with Duke Rheumatology with funding from 2 grants: The Rheumatology Research Foundation and Translating Duke Health Immunology.

Amy Lee (2017) will be completing her Palliative Care fellowship this year and staying on as faculty at Duke. She will be working in the Duke Med Peds Faculty Resident Clinic.

David Ming (2010) was promoted to be the Associate Director of QI and Research for Hospital Medicine at Duke University Hospital.

Kristen Ito (2003) was promoted to be the Chief of Medicine at Lincoln Community Clinic in Durham.

Tim Mercer (2015) was promoted to be the Director of Global Health at The University of Texas Dell Medical School.

Dana Clifton (2016) and Dan Ostrovsky published “A Tablet-Based Educational Tool: Toward More Comprehensive Pediatric Patient Education” in Clinical Pediatrics, March 2018.

Nick Turner (2016) published his article “Influence of Reported Penicillin Allergy on Mortality in MSSA Bacteremia” in Open Forum Infectious Diseases in March 2018.

Carrie Herzke (2008) published “A Method for Attributing Patient-Level Metrics to Rotating Providers in an Inpatient Setting” in Journal of Hospital Medicine in December 2017.

Weijan Chang (1998) was promoted to Chief of the Division of Pediatric Hospital Medicine at Baystate Children ’s Hospital.

Ketan Shah (2012) was recognized for his procedural skills performing Transoral Incisionless Fundoplication (TIF). Check out more here: http://ow.ly/vX9n30jNU7S

Bimal Patel (2017) will be leaving his job as a Duke Regional Hospital hospitalist and starting to work as a Med Peds physician through the Indian Health Service in Shiprock, NM.

Phoebe Jane Greene was born December 5, 2017 to John (2015) and Emily Greene and big brothers, Teddy and Henry.

Duke Med-Peds Spring 2018 Newsletter

Jenn Ladd (peds), Jon Pelletier (peds), Ashley Hanlon, &

Sylvie Monaco Turissini was born on March 20, 2018 to par-ents, Matthew Turissini (2017) and Laura Ruhl and big sister, Mila.

Current residents and past graduates celebrate Sue Woods at

Watts Grocery in December.

Med-Peds in Kenya, continued

The Duke Med-Peds

Residency Fund

This fund supports our current

Med-Peds residents in a variety of

educational experiences, including

participation in research projects,

attendance at national meetings,

preparation and presentation of

scholarly work, global health

opportunities and involvement in

community outreach programs.

Please consider making a

contribution online at

SupportMedTraining.duke.edu

and clicking Combined Medicine-

Pediatrics Residency Program

from the list, or send a check to

Duke Health Development Office,

Attn. Duke Med-Peds Residency

Fund, 710 W. Main Street, Suite

200, Durham, NC 27701.

eases rarely or never seen during their training at Duke, such as cerebral malaria, tetanus, TB men-ingitis, cholera, and ty-phoid.

Since the strike ended in January 2017, there have been several other strikes. Matthew Turissini, MD (’17), who succeeded Mercer in his role with AMPATH, stated that there was a nurse strike during the summer of 2017, and that there is currently a strike of Uni-versity physicians, which includes medical students and residents. Logan Eberly, MD (’18) spent his global health rotation in Eldoret from January to March of this year, also helping to treat patients

during trying times. Throughout all of this strife, the people of Kenya and the physicians working during these conditions have proven their resilience. Lee remem-bered, “there were always uplifting messages scattered throughout the hospital, such as "mungu anakupenda" or “God loves you”, and "usikufe moyo" or “never give up”, sometimes in the most unsuspecting places - from the walls to the win-dows, from old wooden benches to random places on the ground.” She said, “Even though it was incredibly busy and patients came in-credibly sick, there was a strong sense of purpose, hope and camaraderie that was always uplifting.”

Med-Peds current residents (E-

Beth Ockerman and husband,

Matt Hubbard, Austin Wesevich

and fiancé, Megan Lynch, and

Henry Foote) cleaning around

Eno River as part of the Keeping

Durham Beautiful project.

Current residents Monty

Natour, Claudia Leung,

and Govind Krishnan

(holding Shiv, son of

Ruchi Doshi) hanging out

at the Spring Med Peds

Potluck.

Logan Eberly (‘18) rounding with the medical

team in Kenya. During the strike, he was one of

few physicians in the hospital to treat patients.

Duke Med-Peds Spring 2018 Newsletter

Meet the Class of 2022!

Sam Dizon, MD BS: Loyola University Maryland MD: University of Maryland School of Medicine Hometown: New York, NY

Erin Frost, MD BS: Canisius College MD: University of Buffalo– Jacobs School of Medicine &Biomedical Sciences Hometown: Buffalo, NY

Christopher Zheng, MD BS: Cornell University MD: The Ohio State University College of Medicine Hometown: Beijing, China

Zach Sutton, MD BS: UNC-Chapel Hill MD: Brody School of Medicine at East Carolina University Hometown: Kinston, NC

Kevin Prier, MD BA: Brigham Young University MD: University of Texas South-western Medical School at Dallas Hometown: Houston, TX

Grace Lee, MD BS: University of Maryland MD: University of Maryland School of Medicine Hometown: Bethesday, MD

Dinner among current

and past Med-Peds

residents. Matt McCulloch,

Aimee Chung, Govind

Krishnan, and Justin

Yoo at the Spring

Potluck.

Duke Med-Peds Spring 2018 Newsletter

Congratulations to Logan and Ellie Eberly for getting married on December 31st.

Academic Products

Ashley Hanlon presented her work titled “Androgen deprivation therapy (ADT) and cardiovascular mortality (CVD) in men with early-stage prostate cancer (PC) receiving curative radiation therapy (RT)” at the ASCO Cancer Survivorship Symposium: Advancing Care and Research Conference in Orlando, FL in February, 2018.

Kathleen Wood and Jane Trinh. Syphilis: The Great Pretender is Still among Us. Presented at the NC ACP Meeting in Greensboro, NC in February.

Amy Lee, Julie Childers, Amanda Johnson, Ashley Naughton, David Noyd, Heather Hills, Zachary Long, Megan Jordan, Heather McLean, Jennifer Rothman, and Kristen Meade MD. Improving pain management for pediatric patients with sickle cell disease admitted for uncomplicated vaso-occlusive episodes. Presented at the Duke Health Patient Safety and Quality Conference in Durham, NC in March and the Duke Pediatric Research Retreat in April. Sarah Cohen, Jon Pelletier, Jenn Ladd, Ashley Hanlon, Colby Feeney, Sophie Shaikh, Vicky Parente. Improved resident participation in safety reporting: the experience of the Duke Pediatric Residency Safety Council. Presented at the Duke Health Patient Safety and Quality Conference in Durham, NC in March .

Jon Pelletier, Clay Musser, Sarah Cohen, Jenn Ladd, Ashley Hanlon, Colby Feeney, Sophie Shaikh, Vicky Parente. Systematic Analysis of Epic BestPractice Advisory Leads to Dramatic Reduction in Firing with No Clinical Harm. Presented at the Duke Health Patient Safety and Quality Conference in Durham, NC in March and the Duke Pediatric Research Retreat in April.

Sarah Cohen, Ashley Naughton, Rebecca Ruf, and James Fox, MD. Close the Loop: Resident perceptions of feedback on the diagnostic process. Presented at the Duke Health Patient Safety and Quality Conference in Durham, NC in March and the Duke Pediatric Research Retreat in April.

John Paul Shoup, R.T. Keenan, A.H. Cho, D. Phinney, J. Anderson, and K. Shah. Improving Primary Care Patient Access to Rheumatology via E-Consults. Presented at the NC ACP in Greensboro, NC in February, the Duke Patient Safety and Quality Conference in Durham, NC in March, and at the Society of General Internal Medicine Meeting in Denver in April.

Rebecca Ruf, Scott Sexton, Carolyn Avery, Jane Trinh. "Who is this patient's PCP?" - A Quality Improvement Initiative to Improve the Accuracy of the EMR PCP Field. Presented at the Duke Pediatric Research Retreat in April.

Congratulations to the Class of 2018! Logan Eberly — Adult Cardiology at Emory

Ashley Hanlon — Adult Hematology/Oncology at Duke Haley Hostetler — Allergy/Immunology at Duke

Laura Miller — Neonatology at Duke Pavle Milutinovic — Allergy/Immunology at NIH

John Paul Shoup — Durham VA Medical Center Quality Improvement and Patient Safety Chief

Trainee News

Created by:

Colby Feeney, MD

Jane Trinh, MD

Duke Med-Peds

Residency Program

Ashley Bowes

DUMC Box 3127

Durham, NC 27704

Ashley.bowes@duke.edu

Rebecca Ruf at the NC ACP

Trivia Bowl.

Claudia Leung and Dan

Ostrovsky at the Potluck.