WIN OF THE WEEK: DR. O'GLASSER FEATURED ON THE CURBSIDERS

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Dr. O’Glasser, the newly-named Medical Director of the Pre-operative Clinic at OHSU and OHSU IM Social Media Specialist represents our institution proudly as the latest member of the faculty to be featured on the #1 most popular internal medicine podcast, The Curbsiders!! (other representatives have been Dr. Devan Kansagara, ep. 96, and Dr. Renee Dversdal, ep. 108)

Tune in to listen to the ever-enthusiastic Dr. O’Glasser discuss with the Curbsiders team the ins and outs of perioperative medicine, risk assessment, and medical education in general.

Congratulations to Dr. O’Glasser!

WIN OF THE WEEK: CELEBRATING DR. OLDHAM!

Dr. Oldham at Bridgeport, about to wow some applicants as a face of the OHSU IM Residency Program!

Dr. Oldham at Bridgeport, about to wow some applicants as a face of the OHSU IM Residency Program!

IMRESPDX would like to shine a special spotlight on Dr. Hayden Oldham, our VA QI Chief Resident this year. Time and time again he has gone above and beyond the call of duty to help out with a busy interview season, leading dinners, participating in interview days, and just generally making us feel glad that we work with people like him.

Feel free to get in touch with him if you have any questions about working for the VA, QI projects, hospital medicine, or just want to hang out with a great dude.

Thanks Dr. Oldham!

Is There a Doctor On Board?"

The flight attendant’s voice crackles over the speakers, “Is there a doctor on board?!” You, a six-month-old intern, squirm in your seat, having an identity crisis. Do I qualify? Should I volunteer? What if I don’t know what to do? What if I do something wrong? As newly minted physicians, how equipped and/or comfortable are we when facing an in-flight emergency?

A huge thanks to Dr. Riana Wurzburger for addressing the nuts and bolts of in-flight emergencies, something we rarely discuss but are likely to face!

The Stats:

  • 1 medical emergency in every 604 flights… occurs on a daily basis!
  • Mortality Rate: 0.3% (mostly cardiac arrest)
  • Aircraft Diversion: 7%
  • Resolved before landing: 31%
  • Transported to hospital on landing: 37%, Admitted: 9%
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Do I have to respond?

We are not legally required in the US, but most of us will feel ethically compelled to respond. Interestingly, the captain and flight crew make the final decision about whether or not they will allow you to provide care (or give you access to the medical kit).

Who’s on my team?

  • All flight attendants are trained in CPR
  • All domestic airlines contract with ground-based medical consultation services

What do I have?

Campion EW. In-Flight Medical Emergencies during Commercial Travel. NEJM 2015.

Campion EW. In-Flight Medical Emergencies during Commercial Travel. NEJM 2015.

What do I do? Follow your instincts! And consider the table below 😊

Campion EW. In-Flight Medical Emergencies during Commercial Travel. NEJM 2015.

Campion EW. In-Flight Medical Emergencies during Commercial Travel. NEJM 2015.

Amazingly, this topic was just published in JAMA last month with handy dandy cards for approaches to the most common in-flight chief complaints! Check it out here, and print them out with your next boarding pass!

WIN OF THE WEEK: Q4 SCHOLARSHIP!!!

A sampling of OHSU Residents’ Publications over the past few months…

A sampling of OHSU Residents’ Publications over the past few months…

Last month, the program published the Q4 Scholarship Newsletter, collated by Assistant PD Dr. O'Glasser, to help celebrate and disseminate the diversity and quality of research conducted by our residents. As you can tell, our residents have been busy, as always with a huge showing both in peer-reviewed publications as well as national and local conferences! Congratulations to all of our residents and their mentors who participate in this impressive effort!!!

You can read the entire newsletter here.

Adventures in "Family" Medicine*

*pun courtesy of Dr Jared Huber

“Will you check out this mole?” ~Uncle Harold

“I get dizzy when I stand up, but only passed out twice. Should I go to the ED?” ~Cousin Jim

“I ran out of my nausea medicine and feel terrible. Can you write me a small refill?” ~Sister Sue

We’ve all been there…

Today Dr Huber hit us with a one-two punch: an exciting medical case and also an expose into the realities and challenges of providing medical advice and care to our family members.

Shared with the permission of his family member, Dr Huber took us on a tour of abdominal pain and bloody diarrhea, ultimately and unexpectedly caused by a “soft-ball sized” sigmoid lipoma. The work up and management of this case was through the eyes of Dr Huber, by proxy through another family member, over phone calls and text messages, complicated by the fact that the patient did not have insurance (at least until half way through the case). What fun!

To help guide Dr Huber—and in fact all of us—for inevitable future situations like this, we share below this article from the Annals of Internal Medicine (written by OHSU faculty, too boot!).

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WOTW: HOLIDAY BAKE-OFF

Their talents never end!

Their talents never end!

In addition to their hard work on the wards and in the clinics throughout the entire holiday season, residents found time to slow down, spend time with one another, and even participate in a gingerbread baking competition! See if you can spot trammy the tram in the creations above!

Thank you to all our residents for their hard work over the past year! We are thankful for you.

WOTW: HOLIDAY PARTY!

The department-wide celebration was a huge hit!

The department-wide celebration was a huge hit!

Residents, faculty, and the DOM office got together last Friday evening to celebrate another year in the books for the OHSU Internal Medicine Department. This year, our banquet was held at the Sentinel Hotel downtown Portland! We had some very special visitors who captured the hearts of our Chair and Program Director instantly! Our program also filled 4 separate bins with donations for the Neighborhood House, a local charity, for which you should feel proud!

From all of us here at IMRESPDX, Happy Holidays and A Happy New Year!!!

WIN OF THE WEEK: PODCAST PRESENT

Check out our program director Sima Desai on Plenary Session!

Check out our program director Sima Desai on Plenary Session!

Plenary Session, the podcast produced by Vinay Prasad up here at OHSU, features a very special guest last week in the form of Sima Desai, our program director! She and Vinay have a lengthy discussion on the IM application process, what it is like running an IM training program, and how she and the program has been able to prioritize wellness and resiliency while providing rigorous academic training. at the same time!

This is my favoriate quote: "If we don’t really care for ourselves, how is it really possible for you to do a great job caring for others?" -Dr. Desai, Plenary Session

Listen to the full episode and more, here!