Internal Medicine Residency Program House Staff Meeting October

Internal Medicine Residency Program House Staff Meeting October 28 th, 2020 CHANGING MEDICINE. CHANGING LIVES. ®

General Information

Birthdays! 25 th: Matthew Bauer Internal Medicine Residency Program

Kudos and thank you! • Melissa Ludgate for her presentation at the Med-Psych national conference and receiving the 2020 Fenton Award from the Association of Medicine and Psychiatry • Alicia Kilian for winning UIHC ACP Clinical Vignette Competition; 2 nd place in the Iowa ACP Chapter meeting • Yana Zemkova for surviving four 24 hour calls in 10 days • Wendy Liu and Stephen Peltier for an extra week of MICU coverage • Jon Day for having 3 abstracts accepted at national/international conferences • Alick Feng for publication in Hepatology: “Recurrent Isolated Hyperbilirubinemia from Druginduced Impaired Hepatic Bilirubin Uptake” • Adam Prescott for diagnosing necrotizing fasciitis • Hildur Jonsdottir for SGIM Midwest Young Scholars Internal Medicine Residency Program

ACP Laureate Award • Congratulations to Dr. Katie Harris on winning this years Iowa ACP Laureate Award • Given to honor those who achieve excellence as a teacher, while advancing the goals of ACP; to those who promote scholarship and contribute to the medical literature and provide significant innovations or contributions to healthcare services Internal Medicine Residency Program

RLC Updates Craig Rosenstengle MD

Education & VA Updates Amanda Heuszel MD Manish Suneja MD

ACP In-Training Exam Award • Each year ACP awards $500 to the outstanding score in each PGY-2 class on the ITE • This year’s recipient is…. Dr. David Olafsson! Internal Medicine Residency Program

Conference Attendance • Reminder that in person conference attendance is required – – Zoom is offered for individuals on VA rotations (seniors only), IRL COC, ACCESS If using Zoom, you MUST turn on your camera to receive credit You MUST drop off pagers outside Bean (exception is the Code Blue Pager) Chiefs will get you if you need to answer a page • Med Alum and Bean are usually both available for in person attendance • If we are unable to safely socially distance, a Chief will dismiss you back to your team room where you can log on to Zoom • You will not be marked for attendance if you arrive after 12: 10 Internal Medicine Residency Program

Quik. Coach App • Now available for Android users! • Reminder to have 4 filled out each year Internal Medicine Residency Program

VA Updates • We have transitioned from VA to UIHC pagers at all times – Call team will still carry VA Code Pager – If you do not receive a pager about RRT/Code, please notify VA Chief ASAP – Plug your pager into night intern before you leave (call UIHC operator or use Smart. Web) • ONLY inpatient residents should park on the top level of the garage in spots labeled “on-call resident” – If all spots full, email Amanda Heuszel. These spots are for our INPATIENT residents only – Residents on VA ED, neurology, or COC are NOT allowed to park in these spots. Doing so will risk us losing parking privileges for all residents • VA now using SLUMS over MOCA for those with cognitive concerns • Reminder to use 2 patient identifiers at all times (DOB and name) • Nick Arnold taking over as VA chief on Monday, November 9 th – Pager 9698, cell 573 -231 -9591 Internal Medicine Residency Program

VA Updates - COVID • COVID+ patients can be on any inpatient unit • Wear surgical mask at all times, even when entering VA; NO CLOTH MASKS • If using PAPR, you must keep your surgical mask on underneath • Testing for COVID is now on Biofire respiratory panel (includes flu) Internal Medicine Residency Program

VA Updates - COVID • Effective 10/29/20 0700, COVID-19 patients going to VA teaching teams • Max of 2 COVID-19 patients per resident team • When 1 -2 COVID-19 patients admitted to a team, cap decreases to 12 – No redistribution to get to cap • COVID-19 patients admitted directly to ICU/SD will be admitted by pulm/ICU staff ONLY, not resident teams • No redistribution of patients from GOLD team – If there are extreme circumstances, a Chief will reach out to your team Internal Medicine Residency Program

UIHC Updates Roger Struble MD, MPH

General Reminders UIHC Chief Roger Struble took over as UIHC chief on Monday October 26 th Pager 9884, cell 785 -342 -6930 Morning Report In person attendance required for anyone not on VA ER, ACC or access clinics If you need to Zoom, email the chiefs on the attendance email and let them know Wards 101 Attendance for interns now mandatory while on inpatient rotations Do not attend if it is your day off and you are at home You must turn on your camera Internal Medicine Residency Program

UIHC Updates • Do not remove patient drug allergies from the medical chart – If concerned that record is not accurate and listed allergy is a side effect may consult with pharmacy. • MICU – Reminder that acuity is high right now and good communication between interns, residents, and fellows is paramount for patient care. Residents are there to help interns with all patients. Do not be afraid to escalate to staff on call if needed. Internal Medicine Residency Program

COVID Updates Flu-like illness or cold symptoms? Page chief oncall immediately Then call ILI 319 -356 -3631 – Resident is responsible for following up test results. – Generally resulted in 4 -6 hours. • You CAN look at your own EPIC chart, just DO NOT change anything – Call chief on call IMMEDIATELY with test result. – Resident expected back to work as soon as possible if test negative. Internal Medicine Residency Program

COVID Updates • All services are functioning normally • Jeopardy 3 -5 is updated through January 3 rd, 2021 • Program policy: if you are pregnant, you will not carry the code pager • COVID-19 expected to spike during flu season. Please be vigilant about wearing your PPE and keeping a safe space. Internal Medicine Residency Program

COVID Updates • Cards teaching: – SARS-Co. V-2 positive patients transfer to CV hospitalist or CMP – Exception is if needing vasoactive drips then stay on cards teaching • If 1 -2 COVID-19 patients are on cards teaching, the cap drops to 10 • Maximum of 2 COVID-19 patients allowed on service Internal Medicine Residency Program

COVID Updates • Heme / Onc: – May accept COVID-19 patients if meet criteria for Heme / Onc Admissions. If 1 -2 COVID-19 patients, the cap drops to 12 – Max of 2 COVID-19 patients at one time Internal Medicine Residency Program

COVID Updates • Up. To. Date is a great reference for therapeutics and monitoring • Hospitalists are always here and available to take questions if needed • Various trials happening at UIHC. Usually trials will contact you if patient is eligible Internal Medicine Residency Program

Recruitment & HWC Roger Struble MD, MPH

Recruitment Updates • Recruitment season is here! Mondays and Fridays through February!! Internal Medicine Residency Program

Recruitment Happy Hour • Separate zoom link • 5 -6 residents prior to interview day from 6: 30 -7: 30 pm. Order dinner from designated restaurant. – Instructions for dinner in email. PLEASE READ! – Assigned leader will break up into two breakout rooms. – Switch halfway through to meet other applicants. – $30 meals provided by some of Iowa City’s finest • Delivery fee comes out of your end, pick up if you would like • No alcohol on the order from the restaurant • Can order past the $30, comes out of your pocket Internal Medicine Residency Program

Recruitment Tours • Done via Zoom • Applicants watch tour video you answer questions afterwards • Keep conversation fun and light Internal Medicine Residency Program

Recruitment Conference • Conference attendance in Bean in designated seats. Students and overflow will be in Med Alumni auditorium • Special food from One-Twenty-Six, Andale, Olive Garden, Panera, and more!! • Pager coverage on recruitment days. Thank you Denise! • Zoom from recruitment day link, please keep your cameras on • Chat will be monitored Internal Medicine Residency Program

Recruitment Updates • Please send us photos (day to day or home having fun), follow us on Twitter and Instagram • Please email me your first author publications • Please give any feedback you have for website and chief blog Internal Medicine Residency Program

Humanities & Wellness Updates Congratulations to our contest winners of our writing contest!! 1 st Place: Erin Briggie 2 nd Place: Roger Struble 3 rd Place: Tyler Bullis Sorry for delay on jackets, was debating different vendors. Expect email sign-ups in next week. Will have a few options for colors, vests. Internal Medicine Residency Program

QI Updates Matt Soltys MD

Updates/Info • Congrats to all the teams on their SGIM Presentations! • Reminder that QI huddles are mandatory and we hope these spur along your projects. • Gentle reminder to send Abbey & Cindy your A 3 forms so you can get attendance Internal Medicine Residency Program

Internal Medicine Residency Program Questions? uihc. org CHANGING MEDICINE. CHANGING LIVES. ®