Conferences & Scholarly Activities

Conferences

In order to ensure an adequate level of training, it is crucial that the residents must be exposed to conferences that will allow them to participate and maintain on-going knowledge of current topics. The following conferences are an attempt to ensure that these goals are obtained:

Ambulatory Care Conference

This conference is held once a month 12:00 p.m. – 1:00 p.m., deals with patient care issues occurring in the outpatient setting.

Hematology/Oncology Multidisciplinary Conference

This conference is held every Thursday afternoon. Residents present cancer patients for discussion. Subspecialties in attendance will include oncology, internal medicine, surgery, pathology and radiology.

Noon Conference

Noon conference is held Monday–Friday throughout the year and is the major didactic session in which general medical and specialty topics are discussed. Lecturers for Noon Conference include staff attending physicians, guest lecturers, and periodically, resident lecturers.

Morbidity & Mortality Conference

Held one or two times per month at noontime, this conference provides an opportunity to discuss management problems on resident-covered patients. This conference is conducted by members of the medical staff, with a resident presenting each case.

Hospitalist Conference

This conference deals with patient care issues occurring in the inpatient setting and occurs once a month.

Journal Club

This is intended to be a critical review of current medical literature emphasizing evidence-based medicine. During each session, two or three journal articles will be presented by assigned teams of residents who will also be responsible for researching related articles. Journal Club is conducted once or twice a month by a designated staff attending physician.

Quality Conference

This conference is held four times a year and focuses on cost efficiency and patient safety.

Rounds & Reporting

A short case preparation with review of the literature occurs Tuesday through Friday.

Monday–Friday 7:15–8:15 a.m.

Each Morning Report will be conducted by a faculty member and will be attended by the admitting senior residents (AOD, AON) and all residents currently working on the medical ward teams. The format may vary from month to month in an attempt to keep the exercise dynamic and educational. Morning Report is expected to be an active discussion session involving the residents, chief resident and faculty members. All pertinent x-rays and copies of EKGs should be brought to Morning Report by the intern.

Morning Report will serve several functions, including:

  • Development of communication skills between the residents
  • Discussion of interesting patients and management problems arising from the previous night's admissions
  • Discussion of pertinent related topics with regard to the presented patients

Attendance at Morning Report is mandatory for residents on the ward in-patient service, including the admitting residents (AOD and AON).

Work Rounds

Each month an attending physician will be designated to conduct teaching rounds for each medical ward team and for the combined ICU/CCU Team. Teaching rounds will be held a minimum of 4-1/2 hours per week. Subject matter to be discussed will include patient care problems, bedside evaluations and demonstrations of appropriate examination techniques, and discussions of relevant didactics.

Teaching rounds for the intensive care unit will be conducted by both a cardiologist and a pulmonologist. Each specialist will emphasize issues pertaining to his/her discipline. Members of both the ICU/CCU teams will attend the combined intensive care teaching rounds.

Procedures

All medical residents are required to demonstrate proficiency in performing certain required procedures and an understanding of the indications and interpretations. Residents are instructed on proper techniques during their orientation, one-on-one instruction by an attending physician or senior resident, and in special conferences designed for that purpose.

The performance of all procedures is supervised by an attending physician or by a senior resident who has demonstrated proficiency and has been certified in that procedure. Documentation of all procedures is via the Internet.

A procedure note is the responsibility of the resident performing the procedure. Each note should include indications, description of the procedure, complications and any specimens obtained or tests ordered as a result of the procedure.

Signed informed consent must be obtained and placed in the patient's chart prior to each procedure. Any additional information to document the circumstances or parties involved in obtaining informed consent is added as a progress note or included in the procedure note that is placed in the medical record.

Required procedures:

  • Advanced cardiopulmonary resuscitation
  • Access techniques to obtain venous and arterial blood
  • Arthrocentesis of the knee
  • Bladder catheterization
  • Central venous line placement with ultrasound guidance
  • Nasogastric intubation
  • Lumbar puncture
  • Abdominal paracentesis
  • Thoracentesis.

Elective procedures:

  • Arterial line placement
  • Bone marrow aspiration
  • Elective cardioversion
  • Endotracheal intubation
  • Flexible sigmoidoscopy
  • Change of gastrostomy tube
  • Assistance in placement of percutaneous endoscopic gastrostomy (PEG)
  • Pulmonary artery balloon flotation catheter placement
  • Skin biopsy (punch)
  • Temporary pacemaker placement
  • Ambulatory electrocardiographic interpretation
  • Treadmill exercise testing, supervision and interpretation

Research, Publication & Awards

The Jewish Hospital – Mercy Health residents have, in recent years, been prolific in the area of clinical research. Through our close relationship with the Cholesterol Center and its chief investigator, Charles J. Glueck, MD, residents have been involved in many important scientific investigations for which they have been recognized. In 2009 one of our chief residents, Waqas Ahmed, MD, won the American College of Physicians (ACP) National Competition held in Philadelphia for his oral presentation on Vitamin D and Statin Induced myalgias. In 2008, he also won the American College of Physicians, Ohio Chapter competition. In addition to these honors, our residents have also presented their abstracts at various important meetings such as the Central Society for Clinical Research in Chicago, the Regional ACP conference in Columbus, American Medical Association (AMA) annual conference in Houston TX, American College of Gastroenterology in San Diego, National Kidney Foundation Annual Conference and the National ACP conference in Philadelphia. We are proud of our residents’ accomplishments and fully support their efforts. Below is a partial listing of the recently published research papers and awards that The Jewish Hospital residents have achieved:

Publications

1. Serum 25(OH) Vitamin D levels (<32nmol/L) are associated with reversible myalgias-mild myositis in Statin-treated patients.
Waqas Ahmed, Naseer Khan, Charles J.Glueck, Suman Pandey, Ping Wang, Naila Goldenberg, Muhammad Uppal, Suraj Khanal.
Manuscript Published in Translational Research Journal. January 2009.

2. Insulin Resistance and Triglycerides.
Glueck CJ, Khan NA, Umar M, Uppal MS, Ahmed W, Morrison JA, Goldenberg N, Wang P.
Manuscript Published in The Journal of Investigative Medicine. October 2009.

3. Should high creatine kinase discourage the initiation or continuance of statins for the treatment of hypercholesterolemia?
Glueck CJ, Rawal B, Khan NA, Yeramaneni S, Goldenberg N, Wang P.
Published in Metabolism. February 2009; 58(2):233-8.

4. Enoxaparin-metformin and enoxaparin alone may safely reduce pregnancy loss.
Ramidi G, Khan N, Glueck CJ, Wang P, Goldenberg N.
Published in Transl Res. January 2009;153(1):33-43.

5. High Insulin and C-Peptide: Close Association with Hypertriglyceridemia and Hypoalphalipoproteinemia A. Rehman, N Khan, W Ahmed, M Uppal, P Wang, CJ Glueck
Abstract published in The Journal of Investigative Medicine. March 2009.

6. Factor V Leiden mutation, a treatable etiology of recurrent and sporadic pregnancy loss.
N.A Khan, W Ahmed, M.S Uppal, S Pandey, N Goldenberg, P Wang, CJ Glueck
Abstract published in The Journal of Investigative Medicine. March 2009.

7. High Factor XI is a common, ubiquitous thrombophilic abnormality for both arterial and venous thrombosis.
CJ Glueck, J.A. Zacharias, A. Rehman, M Uppal, P Wang, W Ahmed
Abstract published in The Journal of Investigative Medicine. March 2009.

8. Statin Intolerance and Vitamin D Supplementations.
Khayznikov M, Kumar A, Wang P, Glueck CJ. N Am J Med Sci. 2015 Jul;7(7):339-40. No abstract available. PMID:26258085 [PubMed] Free PMC Article

9. Risk of Venous Thromboembolism in Men Receiving Testosterone Therapy
Baillargeon J, Urban RJ, Morgentaler A, Glueck CJ, Baillargeon G, Sharma G, Kuo YF, Mayo Clinic Proc. 2015 Aug;90(8):1038-45,doi: 10.1016/j,mayocp.2015.05.012. Epub 2015 Jul 20. PMID:26205547 [PubMed in process]

10. Diagnostic ramifications of ocular vascular occlusion as a first thrombotic event associated with factor V Leiden and prothrombin gene heterozygosity.
Schockman S, Glueck CJ, Hutchins RK, Patel J, Shah P, Wang P. Clin Ophthalmol. 2015 Apr 3; 9:591-600. doi: 10.2147/OPTH.S80714. eCollection 2015.

11. Statin Intolerance Because of Myalgia, Myositis, Myopathy, or Myonecrosis Can in Most Cases be Safely Resolved by Vitamin D Supplementation.
Khayznikov M, Hemachrandra K, Pandit R, Kumar A, Wang P, Glueck CJ. 

12. Testosterone therapy, thrombophilia, and hospitalization for deep venous thrombosis-pulmonary embolus, an exploratory, hypothesis-generating study. 
Glueck CJ, Friedman J, Hafeez A, Wang P.
Med Hypotheses. 2015

13. Testosterone, thromphilia, thrombosis.
 Freedman J, Glueck CJ, Prince M, Riaz R, Wang P.
Transl Res. 2015

14. Testosterone therapy, thrombophilia-hypofibrinolysis, and hospitalization for deep venous thrombosis-pulmonary embolus: an exploratory, hypothesis-generating study.
Glueck CJ, Richardson-Royer C, Schultz R, Burger T, Bowe D, Padda J, Wang P.
Med Hypothesis. 2013

15 Thrombosis in three postmenopausal women receiving testosterone therapy for low libido.
Glueck CJ, Bowe D, Valdez A, Wang P.
Womens Health (Lond Engl). 2013

Awards

1. Winner American College of Physicians (ACP) April 2009 Annual Research Paper
National Competition. Awarded to Waqas Ahmed, MD

2.Winner American College of Physicians October 2008
Ohio Chapter Abstract Competition. "It can happen even the next day. Duloxetine induced SIADH."
Awarded to Waqas Ahmed, MD

3. Featured Young New Investigator Award January 2009
Translational Research/Central Society of Clinical Research. Awarded to Waqas
Ahmed, MD

4.Trainee Travel Awards April 2009 and 2009. Awarded to Naseer Khan MD, Waqas
Ahmed MD and Joseph Zacharias, MD. Case Report Presentations

Posters and Presentations

1. A rare cause of co-existing systemic lupus nephritis (SLE) and microscopic polyarteritis (MPA) presenting as pulmonary renal syndrome.
Waqas Ahmed , Naseer Khan, Bishal Rawal ,T Braverman, M A Khan
Poster presented at National Kidney Foundation Annual Meeting March 2009,
Nashville, TN.

2. A rare cause of anemia in patient with inflammatory bowel disease.
Waqas Ahmed , Naseer Khan , Puneet Bains, James Essell
Poster presented at American College for Gastroenterology Annual Meeting 09, San Diego, CA

3. Recurrent Pleural Effusions, It could be Yellow Nail Syndrome”, A Case report and review of Literature
Waqas Ahmed , Naseer Khan, David Dortin
Poster presented at Annual Hospital Medicine Conference; 2008 Chicago, IL

4. Paraneoplastic Limbic Encephalitis Manifesting as Facial Tics in a Patient with Small Cell Lung Carcinoma: A Case Report
Waqas Ahmed , Naseer Khan, Imran Naqvi , Puneet Bains, Jeffrey Bloomer
Abstract presented at the American College of Physician (ACP) Ohio Chapter meeting, October 2009. Columbus, OH

5. A Rare and Life Threatening Cause Of Cyanosis after Transesophageal
Echocardiography. W Ahmed , N khan , I Naqvi, J Bloomer
Abstract presented at American Medical Association Annual Competition 2009, Houston, TX

6. Successful anticoagulation for bilateral retinal artery occlusion.
Naseer Khan, W Ahmed , CJ Glueck .
Abstract presented at American Medical Association Annual Competition 2009, Houston, TX

Quality Research

Research is ongoing in the following:
1. Hand Off
2. Efficiency of Consultations
3. Antibiotic Stewardship
4. End of Life Decision-Making