WIN OF THE WEEK: Resident Scholarship!!

WOWT 3.19.PNG

Every year we are fortunate to highlight some of our resident's recent presentations at national conferences in one action packed Grand Rounds! This years presenters were:

Dr. Ambika Bhushan-Invited oral presentation, International Meeting of the American Thoracic Society, 2018

Dr. Joel Burnett -1st place oral presentation, Oregon American College of Physicians, 2018

Dr. Logan Jones -3rd place oral presentation, Oregon American College of Physicians, 2018

Dr. Patricia Liu -Invited oral presentation, International Meeting of the American Thoracic Society, 2018

Dr. Ashray Maniar-Invited oral presentation, Infectious Disease Society of Oregon, 2018

Dr. Hunter Spencer-Invited oral presentation, Northwest Society of General Internal Medicine, 2019

It was a fantastic showing- Congratulations to all participants!

WEEK OF THE WINS!!!!!!!!!! Our OHSU IM Final Four....

Well this was a week for the history books here at IMRESPDX.COM, the premier blog for IM Residency Fans in the Pacific Northwest. Instead of choosing one Win this week outright, since we had SO MANY options to choose from, and to celebrate the fact that it is MARCH, we decided to go with a FINAL FOUR format before revealing the ultimate recipient of this weekly honor.

final four.png

So, after this busy week of incredible wins for the program, who do you have in your bracket?!

Will the final honor go to.....

We welcomed back two esteemed recent alumni (c/o 2018) to deliver great noon conference lectures to our housestaff. We also held our annual “thank you for being you!” Residency-wide appreciation luncheon to celebrate the end of interview season.

We welcomed back two esteemed recent alumni (c/o 2018) to deliver great noon conference lectures to our housestaff. We also held our annual “thank you for being you!” Residency-wide appreciation luncheon to celebrate the end of interview season.

As celebrated last week, Dr. Mansoor and the R2s completed their Workshopping, learning to become experts in teaching topics to other housestaff and med students.

As celebrated last week, Dr. Mansoor and the R2s completed their Workshopping, learning to become experts in teaching topics to other housestaff and med students.

Much of the residency gathered at VoiceBox NW to welcome the onset of Spring with a few blistering hours of Karaoke!

Much of the residency gathered at VoiceBox NW to welcome the onset of Spring with a few blistering hours of Karaoke!

Dr. Desai receives her richly deserved honor in an award ceremony in FL this week

Dr. Desai receives her richly deserved honor in an award ceremony in FL this week

What a week! Unfortunately, like it is every single March, only one can emerge victorious. That is why, with pride, we present to your our "One Shining Moment" of the week of 3/5/2019.

....

Chief Resident Dr. Neukam could not believe her ears nor eyes in the face of the ferocious beats

Chief Resident Dr. Neukam could not believe her ears nor eyes in the face of the ferocious beats

WIN OF THE WEEK: RESIDENTS AS TEACHERS!

Educating the next generation of our colleagues!

Educating the next generation of our colleagues!

Several of our second-year residents volunteered their time to lead an incredible session for the graduating 4th year med students’ “Intern Year Boot Camp” on “Surviving and Thriving on Nights”!

Organized by Dr. James Kornfield, their sessions on supplemental oxygenation, inpatient pain management, capacity, and delirium among others were extremely well received and hopefully our medicine program can continue this tradition of educating our next set of colleagues!

Your committment to education and assistance to our med students makes you the Win of the Week!

WIN OF THE WEEK: IMRC ACTIVITIES!

wotw 1.PNG

Our IMRC has been hard at work this year working to represent resident interests and needs. In addition, they have taken on a huge role in the social and volunteer missions of our residency, planning activities such as the Tofurkey Bowl, and planning many volunteer events!

They have an upcoming event -- the SW Hope "Feed the Hungry" 5K on Saturday, April 6th. Register to run under the "OHSU Internal Medicine" team @  https://www.swhope5k.com/registration/ or sign up to volunteer at https://www.swhope5k.com/volunteer/.

Also be on the look out for emails about upcoming volunteer and Happy Hour events. We will be placing another order for OHSU IM shell jackets around June for the upcoming year!

Last call for boarding flight TB-009 to Portland!

Yesterday Dr Tyler Wells shared an exciting case of a 25 year old female from Hawaii who had flown to Portland for her rheumatology clinic appointment with a complaint of upper back pain who had a history of Behcet’s disease, previously briefly on immunosuppressant medications.

We began with a differential for upper back pain in the setting of Behcet’s with questionable immune status and clarified that in addition to common MSK etiologies once must, rather uniquely, consider both infectious causes and also vascular (arterial and venous).

As a result of the thoughtful Dr Wells’ information gathering, we were able to learn that the patient brought with her a CD-rom of a recent CT chest scan that revealed a LUL cavitary lesion! Dum dum dum…..

cavitary mass.png

The differential you ask? Try a C.A.V.I.T.Y!

  • C- CANCER: primary (ex. Squamous cell carcinoma), metastasis
  • A- AUTOIMMUNE (GPA, Rheum nodules)
  • V- VASCULAR (pulmonary infarct)
  • I- INFECTION (TB, bacterial abscess, septic emboli, cocci, actinomycosis, nocardiosis, crypto)
  • T-TRAUMA (pneumoatoceles)
  • Y-YOUTH/CONGENITAL (bronchogenic cyst)

Long story short, that mass got biopsied and she was also found to have a positive Quantifuron gold. TB!

Interestingly, we are still not quite sure what her risk factors were: ?3 months of Etanercept several years ago, travel to Indonesia in 2017?

Perhaps the most novel learning point from this case, however, was thinking about the question: “OH MY GOSH, SHOULD SHE HAVE BEEN ON THAT PLANE?!”

tb guide.png

The WHO Guidelines for Tuberculosis and Air Travel comment more on established cases of TB versus suspected, however, it does seem like for flights <8 data-preserve-html-node="true" hours the concern for risk of transmission is lower. That said, if you are involved in a cases of confirmed TB in an airline passenger, here are the guidelines for the health care provider.

tb doc.png

WIN OF THE WEEK: WE'RE GOING TO NATIONALS!!!

Screen Shot 2019-02-15 at 2.45.18 PM.png

CONGRATULATIONS to this year's OHSU Internal Medicine "Doctor's Dilemma" (it's like jeopardy but with medicine questions) who competed against fierce competition at the local Oregon Regionals last week and emerged on top!

Now our fearsome trio are headed to the City of Brotherly Love in April to test their mettle against the BEST TEAMS FROM AROUND THE COUNTRY in an epic battle for the ages!

Introducing.... the OHSU IM NATIONAL COMPETITORS:

Dr. Pranav Chandrashekar (R2)

Dr. Logan Jones (R2)

Dr. Jenna Petersen (R2)


You are our champions.