WIN OF THE WEEK: INTERN SKIP DAY!!!!!!!

Interns soaking up Portland life!

Interns soaking up Portland life!

On Monday February 4th, the OHSU IM Interns were surprised with an annual tradition: INTERN SKIP DAY! With upper-levels covering all clinical duties, they were treated to a chief-led scavenger hunt and sponsored lunch out and about in the city they call home. Though the day was colder than anticipated (first day of snow!), they managed to soak up the sights and found a lot of time for team bonding!

How did they get on the ice??? also, we are no longer allowed near the Benson Hotel.

How did they get on the ice??? also, we are no longer allowed near the Benson Hotel.

Dr. Zach Dale performs a masterful macarena!

Dr. Zach Dale performs a masterful macarena!

Thanks Interns, for all your hard work day in and day out! We are glad you got to have the day off!!

WIN OF THE WEEK (Pt. 2): ESCAPE TO BOISE

Our OHSU IM Community treks to Boise to represent us among all PNW IM Programs!

Our OHSU IM Community treks to Boise to represent us among all PNW IM Programs!

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Residents and Faculty (from both OHSU and the Portland VA) proudly represent us at the annual regional Society of General Medicine meeting in Boise, Idaho! This meeting is being held in Idaho for the first time (it is usually in either Portland or Seattle).

Good luck to all our residents who presenting posters or oral sessions!

Stay tuned for more updates throughout the day!

LIVE UPDATE: Dr. Hunter Spencer presenting his clinical case “Bile Cast Nephropathy” as an oral presentation this afternoon!

LIVE UPDATE: Dr. Hunter Spencer presenting his clinical case “Bile Cast Nephropathy” as an oral presentation this afternoon!

LIVE UPDATE: Dr. Hunter Spencer presenting his clinical case “Bile Cast Nephropathy” as an oral presentation this afternoon!

More pictures just in from Boise!

More pictures just in from Boise!

Stay S.A.N.E.!

For her Noon Report, Dr. Kelsi Manley presented the sobering case of a young woman found down and unresponsive, a victim of sexual assault. Did you know that the lifetime prevalence of sexual assault for women in Oregon is 1 in 4?! As physicians, we MUST be equipped to provide thorough and sensitive care for these patients.

Accompanying Dr. Manley was a nurse practitioner who is finishing up her S.A.N.E. (Sexual Assault Nurse Examiner) training. Both RNs and NPs can complete this training, and they have become the standard of care for patients who have suffered sexual assault.

What does immediate care for sexual assault look like at OHSU?

  1. Contact Sexual Assault Advocate
  2. Contact SANE nurse
  3. Determine mandatory reporting/patient's desire to report
  4. Sexual Assault History & Physical Exam/Evidence Collection (Performed by SANE nurse)
  5. Appropriate Pregnancy Prophylaxis, STI Prophylaxis, Follow-Up Care (standard of care is outpatient medical visit within 2 weeks of assault)

Dr. Manley has provided us a user-friendly resource guide if/when we find ourselves in this situation:

Sexual Assault, Domestic Violence, & Mandatory Reporting Resources

Recommendations for Acute Care:

  • Sexual Assault Task Force 21 page document with ALL recommendations for contraception, STI prophylaxis, and recommended laboratory testing

http://oregonsatf.org/wp-content/uploads/2016/12/MEDICAL-FORENSIC-GUIDELINES-RevSep2016.pdf

Mandatory Reporting:

  • Who: Age less than 18, adults over 65, and adults over 18 with developmental disability or mental health under care of a facility or community resource.
  • When: Legally, timing is “immediate”, within 24 hours
  • How: Contact Oregon Department of Human Services:

WIN OF THE WEEK: INTERVIEW SEASON COMPLETED!!!

Congratulations to everyone who helped pull off an incredible interview season!

Congratulations to everyone who helped pull off an incredible interview season!

The 2018-2019 OHSU IM Residency Interview Season is in the books! The last candidates came by to visit our progra on Wednesday 1/23, and were of course wowed by the professionalism and camraderie that our program displays every day.

Many thanks to the countless hours put in by our residents, Education staff, DOM staff, and program leadership to demonstrate to the newest intern candidates what life at OHSU is really about. We are proud to be a part of the program and can't wait to see the results in a few weeks!

Thank you!

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!