1. JUNE HOUSESTAFF MEETING June 1st, 2011

2. Dr. Ridgway

3. Dr. Schwartz, Chair of the Department of Medicine

4. Dr. Suzanne Brandenburg  Annual ACGME survey  Please finish ASAP!  Institutional site visit June 2011  Fellowship match timeline changed for next year  No fellowship interviews next year  Pushed back to fall of 2012  Thank you for all of your hard work!

5. Incoming CMRs!

6. Kazarian Award  Annual award which honors a former resident who exemplified humanism, professionalism and dedication to the practice of medicine  This year’s recipient is Mim Ari

7. Interns leaving us…  Thank you for all of your hard work this year!  Adam Bartlett – UMDNJ Newark, PM&R  Zach Jones – UT Houston, Anesthesiology  Brian Keogh - Indiana University, PM&R  Megan Furlong – UC Denver, Anesthesiology  Shin Kayama – UC Denver, Anesthesiology  Alex Mohler – UC Denver, Neurology  Dan Wells – UC Denver, Radiology  Zeke Volkert – University of Rochester, Internal Medicine

8. Clinic Updates  All clinics follow the same ACGME rules  Each clinic can decide their own template for scheduling based on their unique populations  All 7 clinic sites are very similar:  DHHA uses R1/R2/R3 graduated template of 5/6/7 max with 20% no show rate  High Street – 7 max template with 20% no show rate  University – 6 max template with 10-15% no show rate  VA – 5 max template with 15-20% no show rate

10. ACP Associates Conference!  Combined UCD/St. Joe’s Resident meeting  Presentation of Oral Clinical Unknown Vignettes (guess the diagnosis!)  Poster Presentations  Judging, cash prizes for presenters  Free Dinner and time to hang, socialize!  Held at St. Joes, Tuesday June 7, 2010, 4-9:30 PM

11. ACP Associates Conference!  Congrats to UCD Presenters:  Steph Seiki Carrie Brown  Rudy Kimmerling Erin Marcum  Shabi Showell Ben Scheier  Tracey Hansel Andrew Sweatt  Alison Landrey Kirsten Regalia  Please RSVP to cochapteracp@msn.com  Stay tuned for additional info by email…

12. Congratulations!  Noelle Northcutt and Chi Zheng  Selected to receive the Humanism and Excellence in Teaching Award  Nominated by third year medical students  Also nominated from our program:  Eric Young, Maria Astiz, Christopher King, Brian Keogh, Zachary Reese, Jennifer Fraser, Mark Learned, and Rachael Dirksen

13. Upcoming Events  Residency Continuation Ceremony (AKA Trivia Bowl)  June 2 nd 6:30 PM at the Wynkoop  It is not too late for your stories, pictures, etc…  R1 to R2 Transition Day  June 3 rd  Interns will be excused from clinical responsibilites  Thanks senior residents for pitching in to help!

14. Upcoming Events  R3 Graduation Ceremony  June 5 th 6:00 PM at Maggiano’s Downtown  Please RSVP to Kristy Zanao if you have not already  Intern Welcome Dinner  June 22 nd at Wash Park  All residents invited!  Intern Orientation, June 15-22  Interns will join teams at the site where they will be starting on 21 st and 22 nd

15. Research In Progress Dinner  The year’s last RIP dinner will be Wednesday, 6/14/11, at 6:30PM  Chili and the fixin’s, beverages courtesy of Dr. Ginger Borges  Any level of interest/experience is welcome!  Stay tuned for Evite, and please RSVP so we can ensure plenty of food!

16. Program Requirements  2010-2011 Residency Requirements  CEX 4 this academic year 2 in primary clinic 1 in OBMT, 1 on inpatient service CEX forms on the residency website To be completed by both resident and preceptor Due May 1 st, 2011  Hopkins Modules Back Pain, Immunizations, Professionalism: Challenging Conversations and Encounters Due May 1 st, 2011

17. Email Accounts  For residents leaving this year  Email accounts will terminate on 6/23/11 or 6/30/11 (Last day of employment)  No exceptions!  Forward to new address or activate “out of office” assistant Will be active for approximately 45 days  Contact Jennifer Weber or Tibor if you have other questions!

18. Housekeeping  For Continuing R1 and R2 residents  VA paperwork and Mandatory Modules Training need to be completed ASAP!  If you took the mandatory training modules after March 2010, you only need to take the Refresher Course  All forms/paperwork must be given to Kristy Zanao by May 13, 2011  Badging/Fingerprinting cannot be done unless the VA HR office has all the completed paperwork  For those leaving  Formal clearance procedure required  Forms will be mailed to you

19. Housekeeping  Annual PPDs  Exiting residents can have PPD placed also

20. Jeop-o-meter  May: 3 shifts called  2 for illness, 1 for capping  Thanks to those who served!  Theresa Medina  Sarah Hubbell  Dan Hoody  REMINDERS:  Call starts at 7! (thus pager and cell must be on by that time…!)  If called in, you are responsible to stay till 12pm the next day, present pts

21. Jeop-o-meter  “Percentage of Jeopardy Used”  3 % of total jeopardy coverage  9 % of R3 Short jeopardy coverage  “Percent of Teams that called jeopardy for cap”  5 services every day that could cap…   “155 jeopardizeable days”  1 day, 1 team   ”our services exceeded cap < 1 % of the time”

22. Journal Club Classics  Intern Classics at Karen Chacko’s (6/8)  Light’s Criteria & SAAG  R2/R3 Block June Classics (6/15)  PneumoVax & FluVax

23. Shout-Outs  For those who went above and beyond in May…  Jonathan Schwartz Chipped in for paternity leave  Zuzanna Czernik One woman MICU team!  Dan Hoody Jeopardized to MICU, admitted 4 sick patients  Theresa Medina Covered another resident’s jeopardy shift, got called to DG ICU  The President’s Awards for Outstanding Clinical Care Kristen Stratton Sarah Christensen Megan Key?

25. News from UH  New restraints policy  Q4 hour renewals  Thanks to Drs. Kahr, Olson and Mohler  ICU transfer process changed!  MICU, Floor, New ACE service to start June 23 rd  Oncology service to start July 1st  Resident Liaison Project to be piloted mid September  Inpatient EPIC to roll out 9/3/11

26. New University Team Names  Finalists  Jonathan Schwartz ACE Gold, ACE Silver Medicine Copper, Medicine Bronze, and Medicine Platinum  Davey Williams ACE Teams: Eagle, Hawk Gen Med Teams: Elk, Deer, Coyote  Runners up  Neiss, Lemond, Marx, Heppe, Griffith

27. UCH Numbers  Floors:  Porter/Earle/Lutgring: 97  Warner/Olson/Mohler:  Pisney/Patel/Sachs:  Moles/Hall/McCormick: 90  Cards:  Duong/Ari: 46  Northcutt/Chou: “ More than Jenny, Less than Syki”  Fraser/Sprague: 55  Kimmerling/Isfort: 35-40

28. More UCH Numbers  ICU:  Kim/Nordsrom:  Turcotte/Goodson: 45  Schneider/Stotts: 56  Olson/Narish:  ACE:  Harry et al: 55  Onc:  Tomlinson/Dirksen – 50ish

29. Challenging Cases…  Primary Adrenal Insufficiency  + 21-hydroxylase antibodies  Cutaneous T cell lymphoma  Aortic Dissection  Not seen on initial TTE or CT PE  New Diagnosis of Myasthenia Gravis  Elderly couple presented with AMS  Had unknowingly eaten pot brownies prior to church!

30. P/SL

31. Updates from P/SL  Continuing to refine the new “split-intern call” that complies with new duty hours…  New Chief Resident is waiting in the wings…

32. Admission Numbers (4/23-5/22)  Most admissions, and won a free dinner!  LeMond/McCaffrey/Bartolini/Harada/Jung: 48  Runners-up (but might still get a dinner yet…)  Kao/Foley/Neidert/Regalia/Bratton: 47  Solid numbers, and took home the quiz dinner!  Sumey/Keogh/Pollitt/E. Martin/Haeussner: 38  Lots of high-quality teaching on call days:  Jovanovich/Burkee/Yang/Chou/Mawad: 32

33. Unusual & Challenging Cases  51 yo woman, p/w gastric ulcer, no therapeutic GI at outside hosp, so txfrd. Got 14+ units PRBC, eventually partial gastrectomy.  69 woman, p/w AMS, rigidity. Appeared to have O/D’d on compazine. Complete reversal with physostigmine.  54 yo man w/ HIV, p/w Pneumococcal meningitis. Prior AAA seemed involved, likely mycotic aneurysm. After 2 weeks, gradually progressed, d/c’d on hospice…

34. Greetings from the Veteran’s Hospital!

35. May Admissions  Near Record Numbers!  Team Hernia – carried the heaviest load of vets Lin/Dunn/Volkert (90!)  Sweatt Sixteen - always at 16 patients Sweatt/Hutchison/Grayson (too busy to count)  Team Denver Health – treating and streeting Reither/Kamaya/Marx (80+)  Team Jovial Annis/Griffith/Theobald - ? (probably not as many patients because always in a good mood)

36. Memorable May Cases  Vet who exerted himself so little his unstable angina only manifested when he ate  CK of 68,000 after two “intensive weight training sessions”  Recurrent syncope from tumor compressing carotid sinus body requiring pacer and midodrine  Ridiculous subQ emphysema

37. Other news…  Inter-ward Jeopardy Battle (OBMT no-show)  Still epic  Wards victory!!  Sales at the pizza truck on Friday booming

38. Denver Health

39. DH Prepares for Mike Mohning’s Takeover  Maintenance crews working overtime to complete his list of requests for up-grades to the chief office  New, more colorful paint for the walls  Espresso machine  Big-screen TV  Pull-up bar  Denver Health is looking forward to their new chief!

40. Denver Health Admissions  May Floor Admissions  Longs : 79 (Davis/Scheier)  Pikes : 76 (Keys/D. Sprague & Anderson/Liu)  Evans : 75 (Mohning/Melzer)  Aspen : 68 (Gerimaro/Hou)  Juniper : 65 (Freese/Czwornog)  Spruce : 56 (Christensen/King & Brown/Collins)

41. Denver Health Admissions  May MICU Admissions  Allyn/Cobb/Hou: 56  Stitt/Johnston/Scheier: 54  Jackson/Czernik/Czwornog: 46  Finehout/Colbert/Johnson: 44

42. Cool cases  61 y/o F on chronic anticoagulation with compartment syndrome due to a massive bleed into the thigh after falling out of bed  Severe thrombocytopenia due to abciximab for treatment of STEMI  Paradoxical reaction to TB therapy causing a sepsis-like syndrome  54 y/o M with history of latent TB admitted with fevers, chills, sweats and found to have a pyogenic liver abscess CT

43. Birthdays and Announcements! BenScheier6/1 TraceyHansel6/2 RozinaChowdhery6/3 KirstenRegalia6/4 RyanMcWilliams6/14 JoeLutgring6/18 MarkNavarro6/13 AndreMelendez6/23 MaryAnderson6/23 KathrinHarrington6/29 RudyKimmerling6/24

44. Rockies Game

45. Congratulations