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May 2018

Exciting Changes to the Inpatient Medicine Service at NYU Langone Tisch Hospital

The campus transformation associated with the opening of the Kimmel Pavilion is an incredibly exciting time for the Medicine Service. There are a multitude of geographic, educational and structural changes that will occur in June, July and beyond. Here is an update from Dr. Brian Bosworth, Chief of Medicine at NYU Langone Tisch Hospital:

Medicine Service in Kimmel

  • As part of the growing Bone Marrow Transplant Program, under the leadership of Dr. Samer Al-Homsi, both the Hematology and BMT patients will move to Kimmel 18. This new environment of care will allow for a smoother transition from outpatient to inpatient as well as back home again. The medicine residents will continue to learn and benefit from the teaching of the hematology attendings on these complicated patients.
  • The majority of the Cardiology service including Heart Failure, Electrophysiology, and Structural Heart disease will move to Kimmel 12. Their education will be enhanced by having a two-attending model along with a cardiology fellow. This multidisciplinary floor will also hold acute care cardiothoracic surgery and post-heart transplant patients.
  • A Cardiology Step Down Unit will be in place on Kimmel 13.

Medicine Housestaff Service in Tisch

  • We are undertaking a major restructuring of the housestaff service.
  • 3 Team Model
    • We are increasing the resident staffing of each team and fundamentally changing the nature of their work. Instead of a “night float” system where the interns ‘cross-cover’ and the residents hand off admissions to various teams in the morning, the new team will be continuous across a 24-hour period.
    • The nocturnal resident and intern will collaboratively admit and care for the team’s patients overnight and present those patients on rounds the following morning. Additionally, they will ensure that everything is prepared for those patients being discharged the following day.
    • The daytime resident and interns will continue the care initiated overnight and engage with consultants. They will also admit new patients onto the service and provide continuity care for existing patients.
    • Sub-Specialty Teams: Over the past year we introduced a gastroenterologist onto one of the medicine teams and a pulmonologist onto another. These additions have greatly enhanced learning opportunities and exposure to specialty faculty for the housestaff. With the opening of Kimmel, we will be able to better geographically localize these patients to these teams.
  • The teams will be located on 17E and 14E.

Nurse Practitioner & Physician Assistant (NPPA) Service In Tisch

  • There will be 3 NPPA teams, each led by a hospitalist attending. Thus expanding the role of this facet of the medicine service.
  • The patients will be geographically localized and allow for a more cohesive team approach including bedside management and integrated social work / care management interdisciplinary rounds.
  • The teams will be located on 17E and 17W.

Medicine Step Down and Intensive Care Units in Tisch

  • The Step Down Units will move from 17E and 17W to 15E (the current Surgical Intensive Care Unit).
  • This move will occur the week after the opening of Kimmel to allow for terminal cleaning of all the rooms and any clinical engineering updates which might need to occur.

"A Force to Be Reckoned With":
Department of Medicine Holds 17th Annual Research Day

On Wednesday, May 23, members of the NYU Langone Health research community gathered in the Alexandria Center's Apella event space to attend the 17th annual Department of Medicine Research Day. The standing room–only event ran the gamut of research realms—from basic science to clinical and population health—showcasing an astonishing total of 200 ongoing projects.

Read the story on atNYULMC

View the photo gallery [password: elsa]

FACULTY NEWS & NOTES

Ian Fagan, MD, assistant professor in the Division of General Internal Medicine & Clinical Innovation, received the Distinguished Teaching Award in Clinical Sciences at the NYU School of Medicine Graduation Awards Ceremony. Dr. Fagan was also recently named Associate Director of General Inpatient Medicine at NYC H+H/Bellevue.

Kathryn J. Moore, PhD, Jean and David Blechman Professor of Cardiology and professor of Cell Biology, was recently awarded the Mentor of Women Award from the American Heart Association's Arteriosclerosis, Thrombosis, and Vascular Biology Council. The award is presented annually to a member of the council who has shown exceptional support of the careers of women in these fields on an individual and global basis through mentoring and advocacy. Read an interview with Dr. Moore on atNYULMC.

Dr. Andrew Wallach has been appointed Clinical Chief of Primary Care across NYC Health + Hospitals. Dr. Wallach will continue in his role at Bellevue as the Clinical Director of Ambulatory Care as well as remain the Associate Director for Clinical Affairs in DGIMCI. He will be stepping down as the Bellevue Section Chief of General Internal Medicine.

The Center for the Prevention of Cardiovascular Disease is pleased to add to its leadership, with Dr. Jeffrey S. Berger sharing the title of co-director of the Center with Dr. Edward A. Fisher.

Patient Priorities Care, a project co-led by Caroline Blaum, MD (with Mary Tinetti, MD, of Yale), launched a website for information and resources to help patients and clinicians alike adopt the Patient Priorities Care approach, which aligns care decisions for patients with multiple chronic conditions around health goals and priorities identified by the patient. You can learn more at www.patientprioritiescare.org or by following @PtPriorities on Twitter. Additionally, an upcoming issue of the Journal of the American Geriatrics Society will feature two articles authored by the Patient Priorities Care team.

Susan Cohen, MD, was honored as the NYC Health + Hospitals system-wide awardee at Doctor's Day on April 16. She was recognized for her achievements and contributions to NYC H+H/Bellevue in the specialty of palliative care.

Colleen Gillespie, PhD, associate professor in DGIMCI, received the Scholarship in Medical Education Award at the Society for General Internal Medicine Annual Meeting. This award brings greater attention to the many types of original work that SGIM members have performed to improve medical education on a national level. Read more about DGIMCI at SGIM in the Events & Conferences section below.

Benjamin Wu, MD, instructor in the Division of Pulmonary, Critical Care, and Sleep Medicine, received one of two Rising Stars awards from the PI-TB assembly of the American Thoracic Society (ATS), as well as the 2018 ATS Abstract Scholarship from the Assembly on Sleep and Respiratory Neurobiology Program. Dr. Imran Sulaiman, Pulmonary & Critical Care Fellow, was awarded an PAR Abstract Scholarship from ATS PAR member Nontuberculous Mycobacteria Information and Research, Inc (NTMir). On behalf of the ATS Section on Medical Education, Deepak Pradhan, MD, FCCP, interviewed expert Dean Parmelee, MD, from Wright State University for a podcast on Team-Based Learning (TBL): A Practical Approach.

Seth A. Gross, MD, associate professor of medicine in the Division of Gastroenterology & Hepatology, has been named President of the New York Society for Gastrointestinal Endoscopy.

James S. Park, MD, associate professor of medicine in the Division of Gastroenterology & Hepatology, has been named President-elect of the Korean American Medical Association.

Peter S. Liang, MD, MPH, instructor in medicine in the Division of Gastroenterology & Hepatology, has been named Co-chair, World Endoscopy Organization’s Coalition to Reduce Inequities in Colorectal Cancer Screening Expert Working Group.

Shannon Chang, MD, MBA, and Melissa Latorre, MD, MS, in the Division of Gastroenterology & Hepatology, have been accepted to the American Society for Gastrointestinal Endoscopy’s Leadership Education and Development (LEAD) Program.

FLASHBACK PHOTO

The photo above features the Class of 1999-2000 from our Internal Medicine Residency Program. Do you recognize a colleague? Are you in the photo yourself? We’d love to identify all of the alumni in the photo who are still at NYU Langone. [Click here for a closer look]

Send your comments and guesses to DOMCommunications@nyumc.org

Adding Immunotherapy Reduces Risk of Death by One Half in Lung Cancer

Leena Gandhi, MD, PhD, and colleagues report that adding the immunotherapy drug pembrolizumab (Keytruda) to standard chemotherapy halves the risk of death in patients with the most deadly type of lung cancer (NEJM, April 2018). The phase 3 trial was conducted in 616 patients with metastatic nonsquamous non-small-cell lung cancer who lacked EGFR and ALK alterations - two genes that are commonly mutated in this disease. Targeted therapy is already available to people whose cancer cells carry those mutations, but fewer options have been available for people whose cancer cells do not carry them. Read the paper & watch a video.

Award News

  • Benjamin Han, MD, assistant professor in the Division of Geriatrics and Palliative Care Medicine, received a K23 award from the National Institute on Drug Abuse: Chronic Disease and Health Outcomes of Older Adults with Opioid Use Disorder.
  • Nicole Ali, MD, clinical assistant professor in the Division of Nephrology, has received a Center for Healthcare Innovation and Delivery Science (CHIDS) grant: "Using Patient-Centered Education to Shorten Waiting Time to Kidney Transplantation."

Select Recent Publications


EVENTS & CONFERENCES

On May 1st and 2nd, PrMEIR celebrated Dr. Murray Berenson and the Murray J. Berenson, MD Distinguished Scholar in Physician-Patient Communication Program by welcoming Dr. Alicia Fernandez as the Distinguished Scholar. Dr. Fernandez is a Professor of Clinical Medicine at UCSF and an attending physician in the General Medical Clinic and the Medical Wards at San Francisco General Hospital.
          Dr. Alicia Fernandez’s research focuses on health and health care disparities. More particularly, she is interested in diabetes, Latino health, immigrant health, and language barriers. As part of the Berenson program, Fernandez delivered a series of talks and workshops including a grand rounds talk entitled "Chronic Disease Care across Language Barrier."

[In the above photo, Dr. Fernandez, third from right, poses with Drs. Melanie Jay, Kathleen Hanley, Colleen Gillespie, Sondra Zabar, Lisa Altshuler, and Adina Kalet.]

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Members of the Division of General Internal Medicine and Clinical Innovation presented 35 posters, 10 oral presentations, and 3 workshops at the Society for General Internal Medicine Annual Meeting held April 11-14th in Denver, Colorado. Dr. Sondra Zabar's oral abstract, "Simulated First Night-on Call (FNOC): Establishing Community and a Culture of Patient Safety for Incoming Interns," was selected as the Best Oral Presentation in Quality Improvement and Patient Safety. 

The division was also well-represented at the Society of Hospital Medicine conference held April 8-11th. Dr. Michael Tanner gave a lecture titled “Hypertension from the PCP Side of Things" and 22 posters were presented by residents, medical students and faculty.

Geriatrics faculty and fellows attended the annual meeting of the American Geriatrics Society from May 3-5 in Orlando, Florida. Meeting highlights included:

  • Ben Han, MD, received the 2018 American Geriatrics Society Outstanding Junior Research Manuscript Award. He also chaired a special interest group on alcohol, tobacco, and other drug use among older adults.
  • Caroline Blaum, MD, served as panelist for a discussion of NIA grantsmanship for early stage researchers.
  • Josh Chodosh, MD, moderated an AGS/Humana-sponsored session on Volume-Based Care as applicable to Geriatricians, and participated as a panelist on a session dedicated to eHealth (telehealth).
  • Nine posters were presented.

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The annual Palliative Care conference was held on Tuesday, April 24, offered for the first time with support from NYU CME office. Susan Block, MD, was the keynote speaker and attendees were broken out into discussion groups focused on specific areas of palliative care. The Division also hosted Dr. Block, a national leader in the development of palliative medicine and an internationally-recognized expert in medical education and faculty development, for Medicine Grand Rounds on Wednesday, April 25.

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Led by course directors David P. Hudesman, MD, Lisa B. Malter, MD, and Feza Remzi, MD, the "Big Gut Seminars: Focus on Complex Inflammatory Bowel Disease" CME-MOC course was held at NYU Langone Health on March 9, 2018. This was the third annual Big Gut IBD conference, sponsored jointly by the Division of Gastroenterology and Hepatology and the Department of Surgery. Two hundred registrants from 20 states attended the course.

[In the above photo, Dr. Mark Pochapin poses with the Big Gut course directors and guest faculty during a break in the sessions.]

Events & Opportunities

JUN
13

Grand Rounds: Annual Department of Medicine Awards Ceremony

Schwartz E @ 7:45 am

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