1 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

IM Residents and Faculty Advance in

Regional Innovation Competition

Internal Medicine Residents and Faculty presented Innovation Proposals during the National Capital Region – Medical Directorate round 2 of “Shark Tank” style Innovations, overseen by NCRMD Di-rector RDML David Lane. Twelve projects were presented, with Team IM earning three of the six final third round selections. 3

Resident Perspectives…Patient Load and Complexity 9

Great performance by NCC

Dermatology Resident Jeopardy

Team 6

Military Medicine Dominates at

American College of Chest Physi-

cians 4

USU Clerkship Director Receives

Kudos for Exceptional Workshop 10

highlights

December 2016

WALTER REED DOM

GME Snapshot

GRADUATE MEDICAL EDUCATION

Department of Medicine

Walter Reed Bethesda

Gastroenterology

Faculty and Fellows

Present to World-

Wide Audience 2

Six IM Residents Promote

Science-based Education

at Area High School 10 Resident Shows

Initiative and

Leadership at

National Level 11

IM Resident Awarded Joint Service Achieve-ment Medal for Excep-tional Leadership and Humanism 11

DOM team members recognized for pro-fessionalism and dedication to mission at Walter Reed Bethesda 12

Endocrinology — Hail to the new Program Director - virtues of compassion, commit-ment and understanding 15

Joint Services GME Selection Board Results 15

Rheumatology –

Publication Powerhouse 8 Internal Medicine’s Annual Holiday Party – a special occasion 16

Team Cardiology Wins ACC Cardiology Fellows Jeopardy Competition 5

2 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

research and academic success research and academic success

GASTROENTEROLOGY

FELLOWSHIP PROGRAM

Faculty and Fellows Present

to World Wide Audience ACG Annual Scientific Meeting

Our faculty and fellows presented to more than 5,000 gastroenterologists and other health care professionals from around the world at the 2016 American College of Gas-troenterology’s (ACG) 81st Annual Scien-tific Meeting in Las Vegas, where the most recent scientific advances in gastrointesti-nal research, treatment of digestive diseas-es and clinical practice management were reviewed.

Walter Reed Bethesda's Department of Medicine was well represented! Seven fellows and five residents presented post-ers on cases and research mentored by the attendings from Division of Gastroenterol-ogy, and CAPT Patrick Young won the Board of Governors Service Award! PLENARY PRESENTATION

CAPT Patrick Young (GI Program Director), Dr. Fouad Moawad (former WRNMMC and USU Faculty) ̶ “Development and Validation of a Prediction Model Associated with Neoplastic Progression of Barrett’s Esophagus (BE): Data from a Multi-Center Prospective Cohort.”

POSTER PRESENTATION WRNMMC GI Fellows: Dustin Albert ̶ "Positive predictive value of physician database diagnostic codes for identifying Crohn's disease" Jonathan Francis ̶ "Two Cases of Brunner's Gland Hamartoma: A Potentially Difficult to Recognize Duo-denal Lesion" Jisun Hahn ̶ "Confounding Presentation of Small Bowel Ischemia in an IBS Patient and Diagnosis and Treatment Utilizing CO2 Angiography" Noah Hall (GI Fellow) ̶ “A Chylous Mesenteric Cyst Masquerading as a Pancreatic Mass” Phillip Lindholm ̶ "CMV Collitis Presenting as Pseudo-membranes"

Charlene Vestermark ̶ "Salmonella-associated Clos-tridium difficile Infection Presenting as New Onset Ascites for Adults with Inflammatory Bowel Disease" Charlene Vestermark ̶ "Uncovering the Mask: A Rare Presentation of Autoimmune Hepatitis Type 2 in a 54-Year-Old Man" Noah Hall ̶ "A Validation Study on the Diagnosis of Celiac Disease in Military Service Members" Kimberly Zibert ̶ Isolated Jejunal Vasculitis in a Young Male Treated with Exchange Blood Transfu-sion" Kimberly Zibert ̶ "Males with Inflammatory Bowel Disease Have a High Prevalence of Hypogonadism and Erectile Dysfunction" Kimberly Zibert ̶ "An Elusive Fishbone: The Role for Repeat Imaging and Rigid Endoscopy"

WRNMMC IM RESIDENTS:

Benjamin Collen ̶ Acute Sickle Cell Intrahepatic Cholestasis (SCIC) Successfully Zachary Junga ̶ Rare Malignancy Found on Endosco-py for GERD Associated with Dysphagia Alison Lane ̶ More Than Skin Deep: A Rare Cause of Dysphagia Sarah Ordway ̶ Hepatic Granulomas: An Unusual Presentation of Sarcoidosis Michael Skaret ̶ Colonic Extramedullary Leukemia: A Liquid Tumor Solidified

AWARDS

INTERNAL MEDICINE

Twenty-Eight Presenters at Navy ACP Meeting in Norfolk, VA Congratulations to the following Residents and Recent Internship Graduates for the their selection to present abstracts as posters and podiums at the upcoming Navy American College of Physi-cians Scientific Meeting in Nor-folk, VA on 13-14 January (results not available at press time).

Click here to see the complete list of twenty-eight presenters: https://learning.usuhs.edu/x/niXyL0 The abstracts include everything from Near Lemierre" to "Food Fright." Also speaking at the meeting, Navy ACP Governor and Rheu-matology Service Chief CAPT Michael Keith, BUMED Chief Medical Officer and former DOM Chief CAPT Kevin Dorrance, and WRB Chief of Medical Residents Brett Sadowski.

CPT Zachary Junga

CAPT Patrick Young ̶ Board of

Governor’s Service Award

3 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

NATIONAL CAPITAL REGION

IM Residents and Faculty Advance to Round 3 of Regional Innovation Competition

“Shark Tank” Style Innovations

Three projects from Internal Medicine were chosen to move forward to Round 3! Presenters were given 5 minutes to “pitch” their ideas, including a problem description and pro-

posed solution with scope and mission applicabil-ity. Each presenter then answered key questions from judges and RDML Lane.

Dr. Julie Chen (IM Associate Program Director): “Promoting Provider Well-being and Mitigating Burnout in Medi-cine Providers” LT Krystle Salazar (Pulmonary/Critical Care Fellow), LCDR Raj Singaraju (IM Resident): “Required end of life training and documentation” LT Patrick Moon (IM Resident): “Mobile Health Applications in Modern Military Medicine” Congrats to presenters and their men-tors. It was a fun morning and great to see all of our residents, fellows and fac-ulty move forward in the competition!!

What’s next?

For those who advance to Round 3 of the Innovation Competition, NCRMD provides business support to write out each candidate’s pilot proposal to en-sure that all bases are covered for the business case and feasibility. Once pilot studies are developed (late January/early February time frame), they will be presented to Rear Admiral Lane and his board of directors (all of the Command-ing Officers/Directors across the NCR) to

determine which pilots move forward for support and execution across the region.

Good luck with Round 3!!

Previously, and just as Impressive: Before the 2nd Round, innovators were hand selected by RDML Lane, from 42 submis-sions for the Shark Tank Style Event, based on alignment with strategic goals for the region. The majority of the ideas were se-lected from the across the region at the NCRMD Quality Symposium. RDML Lane had also attended proposal presentations for the Internal Medicine Residency Quality Improvement Program and encouraged trainees to submit their work. Their ideas strongly align with the quadruple aim of the NCRMD, and show great potential for the region. According to panel members, LCDR Singaraju and LT Salazar also deserve credit for “bravely addressing an incredibly im-portant” topic.

Very Respectfully, Michelle Hartman Lane, Ph.D. LT, MSC, U.S. Navy Flag Aide to RDML David Lane NCRMD/DHA

research and academic success research and academic success

L-R: Dr. Julie Chen, LT Krystle Salazar, LCDR Raj Singaraju, LT Patrick Moon move to Round 3

Innovation Contestants in Round 2 (L-R): LCDR Raj Singaraju (IM Resident), Dr. Julie Chen (IM Faculty), LT Paul Tanjutco, Mr. Ted Mueller (IM), LT Krystle Salazar (Pulmonary/Critical Care Fellow), LTC Mike McCown (Pediatrics), LT Pat Moon (IM Resident), Ms. Gayathri Vemuri (Social Work), CAPT Moira McGuire (IM)

4 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

research and academic success

DIVISION OF PULMONARY,

CRITICAL CARE, AND

SLEEP MEDICINE

WRNMMC-SAMMC CHEST 2016 Military Medicine Makes Impact at American College of Chest Physicians

The Walter Reed Bethesda Division of Pulmo-nary, Critical Care, and Sleep medicine had a very successful performance at the American College of Chest Physicians annual meeting in Los Angeles this past October. Internal medicine residents CPT Ross Humes, CPT Rebecca Wetzel, MAJ Jason Unger, LT Benjamin Kurth, and LCDR Bob Chiaruttini all presented posters. LT Camille Costan-Toth presented original sleep research with her mentor LTC Aaron Holley. They were joined by PCCM fellows MAJ Mike Sobieszczyk who presented a podium presentation, USAF Capt Whitney Warren who mentored Dr. Humes and also served as faculty in a faculty develop-ment course, and MAJ Billy Londeree who pre-sented a poster.

LCDR Andrew Philip (PCCM Associate Program Director) was selected as Fellow in the American College of Chest Physicians. Walter Reed Be-

thesda staff leading multiple educational ses-sions during the meeting included LTC(P) John Sherner (PCCM Program Director), COL Lisa Moores (USU), and COL William Kelly (USU). CHEST 2016 - WRNMMC/USU Accomplishment Details Fellows, Residents and Staff MAJ Mike Sobieszczyk “Biopsy of a Peripheral Nodule Using Navigation-al Bronchoscopy and an Off Airway Access Tool” COL Lisa Moores (USU) “Effective Small Group Teaching” Update: "The Antithrombotics Living Guidelines" COL William Kelly (USU) “Remediating Deficiencies in Medical Knowledge. (Part of: The Art of Teaching Medi-cine Clinician Educator Symposium.)” And over 1300 meeting attendees played one or more of Dr. Kelly's medical knowledge arcade-style and live games. LTC John Sherner Case Based Interactive Discussion: Clinical Use of Non-Vitamin K Anticoagulants in 2016 Capt Whittney Warren Faculty Development Seminar: "Teaching the Teacher" CPT Ross Humes Poster: "A Lady and Her Bird" LCDR Bob Chiaruttini Poster: "Primary Pulmonary Choriocarcinoma" CPT Rebecca Wetzel Poster: "Doctor's Orders: A Case of Unintention-al Overtreatment"

MAJ Jason Unger Poster: "A New Case of Cerebral Angiitis in the ICU" LT Benjamin Kurth Poster: "Consider What's below the diagphragm when evaluating Pulmonary Hypertension"

LTC John Sherner Faculty Panel Multidisciplinary Session. Cased Base Reviews: Evidenced Based Guidelines for Diagnosis, Staging, and Specimen Acquisition and Treatment of Late Stage Lung Cancer"

Capt Whittney Warren Faculty Development Seminar: "Teaching the Teacher" CPT Billy Londeree Poster: "Balloon broncho-plasty for radiation in-duced bronchial stenosis" COL Lisa Moores Presentation: CHEST Foundation 101 Flipped Classroom Work-shop: Effective Mentoring

LTC Aaron Holley, LT Camille Costan-Toth Podium presentation: "Using a novel cpap deliv-ery platform to improve compliance in patients diagnosed with OSA and co-morbid PTSD" Ses-sion: Research investigations in obstructive sleep apnea

research and academic success

LT Camille Costan-Toth delivered a

wonderful research podium presentation

LT Benjamin Kurth proudly

stands in front of his poster

CPT Rebecca Wetzel

Capt Whittney

Warren

CPT Ross Humes

LCDR Andrew Philip in Fellow Regalia

posing with his family

5 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

research and academic success research and academic success

American College of Allergy, Asthma, and Immunology 2016 Annual Meeting IM Resident LT Hyun “Robert” Park and Allergy Fellow CPT Camellia Hernandez presented the following cases at the ACAAI Conference in San Francisco in November: LT Park’s poster was entitled, “Metastatic Cancer Treatment In A Pediatric Patient Causes Life Threatening Reaction: No Plan B.” Click on this link to view LT Park’s poster: https://learning.usuhs.edu/x/Gpv5Df CPT Camellia Hernandez’s poster was entitled, “Barley Allergy Manifesting as Beer Anaphylaxis”

Congratulations to both of you and your mentors!

Impressive Showing by Cardiology Fel-lows (L-R) MAJ Jason Reese, LCDR Lau-ren Weber and CPT Jeremy Docekal who represented us at the Mid-Atlantic Capitol Cardiovascular Sympo-sium (MACCS)

[In mid November], our team participated

in and WON the ACC cardiology fellows Jeopardy competition for DC/Maryland, crushing teams from the Washington Hos-pital Center and an all-star team that was a combined Johns Hopkins/University of Maryland team (team Baltimore). As a result, our Walter Reed Bethesda team will represent Maryland and DC in the national fellowship cardiology Jeopardy competition at the 2017 ACC meeting in D.C. I am thinking that this team has the makings of a national champion? As you

can see in the photo above, this is an im-pressive team! Additionally,…they compet-ed in an exhibition match against the win-ning teams from the states of Pennsylvania and Virginia and were edged out by a single point. Finally, Jason Reese moderated a session at the meeting where he and other fellows from the Mid-Atlantic region reviewed key studies from the recent AHA scientific ses-sions. Thanks to all! Todd TODD C. VILLINES COL, MC, USA Program Director, NCC Cardiovascular Diseases Fellowship Director, Cardiovascular Research and Cardiac CT Program

Good Luck at the 2017 ACC in DC!!

Cardiology Team Wins the ACC Cardiology Fellows Jeopardy Competition for DC/Maryland

Congratulations Colonel Jess Edison with an academic

promotion at USU to Associate Professor in the Department of

Medicine, SOM.

CPT Camellia Hernandez

LT Hyun “Robert” Park

6 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

research and academic success research and academic success

DERMATOLOGY

NCC Dermatology Resident Jeopardy Team Came in 2nd Place American Society of Dermatological Surgeons

Walter Reed Bethesda Dermatolo-gy Residency had a strong perfor-mance at the American Society of Dermatological Surgeons in the New Orleans. In the premier na-tional dermatological surgical com-petition, LT John W. Roman and LT Thomas Evans competed against top programs in the nation and earned a silver medal in the Gold-en Scalpel Knowledge Bowl. They demonstrated their knowledge in dermatology and surgical princi-pals to outperformed 12 of the leading dermatological residencies in the nation. Congratulations on performing so well in such a competitive compe-tition! MEET THE TEAM

ID Week 2016

Infectious Disease Fellows and Internal Medicine Resident Present Their Post-ers

ID Fellow CPT Evan Ewers - "Preliminary Clinical and Microbiological Characteristics of Campylobacter Infection at a Military Medi-cal Center in Hawaii" Click on the link to view the abstract: https://learning.usuhs.edu/x/1C2qvc

ID Fellow CPT Jack Hutter - "Acid Suppres-sion with Histamine[H2] Blockers and Proton Pump Inhibitors[PPIs] is not Associated with an Increased Risk of Traveler's Diarrhea [TD]" Click on this link to view the poster: https://learning.usuhs.edu/x/Qh4m3Y IM Resident LT Alison Lane - “Effectiveness of Alcohol-Based Hand Sanitizers in Reducing Bacterial Colonization of Stethoscopes” Click on this link to view the poster: https://learning.usuhs.edu/x/USA9kz

INFECTIOUS DISEASES American Society of Tropical Medicine and Hygiene (ASTMH 2016), 13-17 November, Atlanta, GA

POSTER “Post-artesunate delayed hemol-ysis in a returning traveler” LT Sara Robinson, MD, CPT Na-thanial Copeland, MD, MAJ Jason Blaylock, MD, Dept of Internal Medicine & Infectious Diseases, Walter Reed National Military Medicial Center, Bethesda, MD

Congratulations

LT Robinson

and mentors!

ID Fellow CPT Jack Hutter, IM Resident LT Alison Lane, ID Fellow CPT Evan Ewers

LT Thomas

Evans

LT John

W. Roman

7 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

research and academic success

IM Residents Deliver Resident QI projects Project Proposals to Improve Patient Safety, Efficiency, and Resource Utili-zation

On three separate occasions In No-vember/December, we learned about the WRB internal med-icine resident qual-ity improvement project proposals. 14 different pro-jects aimed to im-prove patient safe-ty, efficiency, and resource utiliza-

tion. Attendees, including RDML David Lane, Director of NCRMD, provided sup-port and feedback to our residents as they refined their projects. Some of the proposals included, “Automation of the I-PASS Tool to Reduce Errors in Transitions of Care,” “Improve procedure completion rates for internal medicine residents,” and “Improving weight-based vancomycin dosing.” To view the complete list of 2016-2017 QI Teams and proposals: https://learning.usuhs.edu/x/pjlM6a Thank you Dr. Chin Hee Kim (Assistant Chief, General Internal Medicine, Inpa-tient Medicine), the IM Chiefs of Resi-dents LT Brett Sadowski and CPT Hector Medina, and others who led this effort.

Impressive Accomplishment! Intern LT Richard Wu Selected for Chrysalis Project

The Chrysalis Pro-ject presents a great opportunity to explore a ca-reer in allergy / immunology. The core of the pro-ject is a program that takes place during the Ameri-can Academy of

Allergy Asthma & Immunology (AAAAI) Annual Meeting, the premier allergy / immunology event of the year. Participant selection is based on research experience, publications, presentations and a career goals statement.* * http://www.aaaai.org/about-aaaai/service-and-stewardship/chrysalis-project

“Hymenoptera Venom Hypersensiti Evalu-aation (HVHE): A prospective study” Richard Wu (a), Jeannie Bay (b) DO, Cecilia Mikita (b) MD, Sarah Spriet (b) MD, Douglas Beakes (b) MD (a) Uniformed Services University of the Health Sciences, Bethesda, MD, United States (b) Walter Reed National Military Medical Center, Bethesda, MD, United States Click here to view the poster: https://learning.usuhs.edu/x/7i5qFa

Strong work! This is a great accom-plishment and we are happy to see you have this success in your field of interest.

research and academic success

INTERGRATED HEALTH

The Mindful Minute

Small changes can have a big impact!

Coming soon: The Mindful Mi-nute presents practical skills for improved health and well-being through weekly podcasts and videos via the intranet. In just 60 seconds learn tools and tech-niques to support a healthy life-style, promote wellness, and maintain good health. The pro-gram launches in January. You’ll find a link to the Mindful Minute by clicking on the Quick Link Icon for Staff Information.

Join the Integrative Health & Wellness Team every Wednesday morning for your Mindful Mi-nute!

For more information, please contact: Lynne Valdes, MS, C-IAYT Mind-Body/Yoga Therapist Integrative Health and Wellness Services (IHWS) lynne.m.valdes.ctr@mail.mil office: 301.295.8752

LT Mickey Skaret presents

his QI project

8 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

education scholarship, and outreach publications

RHEUMATOLOGY

Publication Powerhouse Big Publication Quarter for Rheumatology Former Fellow: Vanya Wagler Staff: Robert O'Brian Wagler, Vanya D; Mitchum, Marsha D; O'Brian, Robert J. “Proton PumpInhibi-tor-Associated Subacute Cutaneous Lupus Erythematosus in a Patient With Granulomatosis With Polyangiitis.” Journal of Clinical Rheumatology. 2016; 22(8):436-437. PMID 27870768. Fellow: Jeff Eickhoff Staff: Jess Edison Eickhoff JC, Smith J, Landau M, Edison JD. “Iatrogenic thenar eminence atro-phy after Botox A injection for (Secondary) Raynaud's Phenomenon.” J Clin Rheumatol. 2016 Oct;22(7):396-7. PubMed PMID: 27410925 Fellow: Rodger Stitt Staff: Christopher Tracy, Jess Edison Stitt R, Edison JD, Tracy C. “An Unusual Case of a Swollen Elbow. Arthritis Rheumatol.” 2016 Oct 9. doi: 10.1002/art.39949. [Epub ahead of print] Pub-Med PMID: 27723278. Staff: Jess Edison, Chris Tracy Former Fellows: Melissa Butts, Sharon Frattalone Edison J, Frattalone S, Tracy C, Woodard GE, Butts M, Moratz CM. “Inhibition of Sphingosine-1-phosphate receptors in ischemia reperfusion injured autoim-munity-prone mice.” Cell Immunol. 2016 Oct 27. pii: S0008-8749(16)30120-4. doi: 10.1016/j.cellimm.2016.10.005. [Epub ahead of print] PubMed PMID: 27816167.

Abstract at the American College of Rheumatology Annual Scientific meeting. Staff: Jess Edison Robbins RC, Tracy C, Edison J, Peng S, Moratz C. “Coagulation Pathway Function in Ischemia/Reperfusion Tissue Injury in Autoimmune Prone Mice [abstract].” Arthritis Rheu-matol. 2016; 68 (suppl 10). http://acrabstracts.org/abstract/coagulation-pathway-function-in-ischemiareperfusion-tissue-injury-in-autoimmune-prone-mice/. Accessed November 30, 2016. Former Fellow: Vanya Wagler Staff: Michael Keith Kurth BJ, Wagler V, Keith M. “Cardiac tamponade as a manifesta-tion of severe dermatomyositis.” BMJ Case Rep. 2016; Sep 23. PMID 27664227.

Former Fellow: Patricia Papadopoulos Staff: Michael Keith Affiliate Staff: William Gilliland Bardenheier BH, Duffy J, Duderstadt SK, Higgs JB, Keith MP, Papadopoulos PJ, Gilliland WR, McNeil MM. “Anthrax vaccine and the risk of rheumatoid arthri-tis and systemic lupus erythematosus in the US Military: A case-control study.” Mil Med. 2016:181(10):1348-1356. PMID 27753574.

Staff: Michael Keith “Dysregulation of innate and adaptive serum mediators precedes systemic lupus erythematosus classification and improves prognostic accuracy of autoan-tibodies.” Lu R, Munroe ME, Guthridge JM, Bean KM, Fife DA, Chen H, Slight-Webb SR, Keith MP, Harley JB, James JA. J Autoimmun. 2016 Nov;74:182-193. PMID: 27338520 Staff: Michael Keith “Altered type II interferon precedes autoantibody accrual and elevated type I interferon activity prior to systemic lupus erythematosus classification.” Munroe ME, Lu R, Zhao YD, Fife DA, Robertson JM, Guthridge JM, Niewold TB, Tsokos GC, Keith MP, Harley JB, James JA. Ann Rheum Dis. 2016 Nov;75(11):2014-2021. PMID: 27088255

Also see Rheumatology’s Jeff Eickhoff, helping out at USU Specialty Night on page 9. Chris Forster, and Nancy Sein

also helped (not shown in picture).

COL Jess Edison, Program Director,

Rheumatology Fellowship, and CPT

Rachel Robbins

Left to right: Jason Weiner - he's doing an outservice fellowship at Duke University, Jeff Eickhoff - 2nd year fellow, Michael Keith, Christopher Forster, Rachel Robbins (Back Row) - graduate / staff at DDEAMC, Nancy Sein - 1st year fellow, Nick Kortan (back row) - graduate / staff at LRMC, Sharron Frattalone = graduate / staff at SAMC, Robert O'Brian (Back row), Rodger Stitt - 2nd year fellow, Patrick Mastin (Back row) - 1st year fellow , Jess Edison

9 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

education scholarship, and outreach

Internal Medicine Was Well Rep-resented at USU Alpha Omega Alpha (AOA) Military Medical Specialty Night The WRB Internal Medicine Residency Program and associated subspecialties were well represented at the recent Mili-tary Medical Specialty Night held Novem-ber 15th at the Uniformed Services Uni-versity (USU), hosted by the USU Gamma chapter of AOA. Over 250 medical stu-dents from 35 different medical schools attended the event, including USU and HPSP students from all branches of the military and from around the country. Students had the opportunity to discuss career goals with program directors rep-resenting all military graduate medical education programs. One of the most popular events was Iron Med, a picture-based challenge organized by WRB IM residents to spark interest in internal medicine.

LT Jeff Gray & LT Alison Lane WRB IM Residents

Alliance for Academic Internal Medicine Skills Development Conference (AIMM)

For the Alliance for Academic Internal Medi-cine Skills Development Conference on Oct.20th, 2016, (photo L-R) Dr. Monica Yepes-Rios (USU DOM Faculty), MAJ Renee Mallory (USU DOM Faculty) and Dr. Julie Chen (WRB Internal Medicine Residency Associate Pro-gram Director) led a workshop entitled "Faculty Development: Evaluation and Effec-tive Feedback in the Continuity Clinic - Chal-lenges and Innovations in an X+Y Block Sys-tem." The workshop outlined use of an inno-vative tool for evaluation, which helps miti-gate the decrease in continuity that comes with an X+Y block system, while concomitant-ly promoting meaningful feedback in the clinic setting.

Academic Mission and Patient Care

Internal Medicine Realigns, Restructures for Enhanced Academic Mission and Delivery of Primary Care Internal Medicine is in the process of restructuring for better alignment with its academic mission and enhanced delivery of its Patient-Centered Medical Home (PCMH) model of primary care. It is moving from a structure that embeds interns and residents in all of its nine medical home to one that focuses them in just four teams. By focusing its GME efforts on just four teams, leadership anticipates a more tightly integrated structure among residents and core faculty, aca-demic schedules, rotations, and the demanding requirements of a robust program in the context of a complex clinical setting. The six additional PCMH teams, which will still accommodate medical, Physician Assistant (PA) and Nurse Practitioner (NP) students, will gain the flexi-bility needed to implement the PCMH model with better adherence to military guidelines and for more effective patient health outcomes. The restructuring effort, slated to begin the end of December, is expected to be completed by early January 2017.

publications

RESIDENT PERSPECTIVES…

Walter Reed Bethesda Offers Pa-tient Load and Complexity in Resi-dent Training Program

My name is Zach Junga and I am a PGY-3 in the Internal Medicine Residency Training Program at Walter Reed Na-tional Military Medical Center (WRNMMC) in Bethesda, MD. In my 2.5 years training here, the patient load and complexity have increased significantly. As an intern in 2014, I was impressed by the patient complexity at WRNMMC, but there were some slow times throughout the year. Since that time, there has been a steady increase in our patient numbers and the com-plexity has risen with it. This has been especially apparent in the medical intensive care unit where we have seen the number of critically ill patients reach new levels. Concerns over pa-tient numbers and complexity are im-portant but you need not have them here at Walter Reed Bethesda. Ultimately your training is what you make of it, and at WRNMMC, you will have every opportunity to work with the best physicians with some of the best resources at your disposal on a patient population that is complex and varied. - Internal Medicine PGY3 Zach Junga

A packed house for AOA specialty night to

showcase military medicine’s training

programs to medical students traveling from

near and far.

Jeff Eickhoff (Rheumatology) shows senior

physicians the value of ultrasound while trying to

diagnose Adam Barelski’s aches and pains

10 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

well-deserved recognition education scholarship, and outreach

INTERNAL MEDICINE

USU/WRB Inpatient Clerkship Director Receives Kudos for Exceptional Workshop

LCDR Mary Andrews, Uniformed Services Universi-ty/Walter Reed Bethesda inpatient clerkship direc-tor (who is GIM Fellowship trained), presented a workshop on developing improvement plans for residents at Alliance for Academic Internal Medi-cine Skills Development Conference in October in Maryland, and received some very complementary kudos on the AAIM/APDIM List-serve stream. The excerpt is pasted below.

Link to meeting website for materials: http://www.im.org/p/cm/ld/fid=1466 Link to Dr. Andrew’s workshop materials: http://www.im.org/d/do/7931 KUDOS: “Dr. Andrews' presentation was based on ongoing work that she is doing with collaborators COL Wil-liam Kelly (USU) and COL Kent DeZee (TAMC). I attended her workshop and it was exceedingly well done and had the room buzzing. Mary, a nice demonstration of real-time impact of your ground-breaking work!” - A better-educated attendee

“At the AAIM Skills Develop-ment Conference last week, I also attended a great work-shop by Mary Andrews and colleagues at Uniformed Services University (I think #110) on self-regulated learning. There materials on the AAIM website include a worksheet and the materials are quite thorough. I am using this now and find it to be a wonderful resource to help me help my residents.” - Jacqueline Darcey, MD

INTERNAL MEDICINE

Army and Navy Medicine Community Service

IM Residents Promote Science-Based Education

Six Internal Medicine Residents participated in a conference attended by hundreds of high school students across Howard County to promote awareness about the importance and applications of a science-based educa-tion.

Sarah and team, Thank you for coordinating our presence and vol-unteering at this great opportunity to show a bunch of talented high school students some of the possibilities that military medicine has to offer. You clearly gave them a great view of the future of Army and Navy Medicine. Cathy ('Chili Dog') Po-padiuk, is that your flight helmet that I saw on the table? Strong work! V/r, CAPT Bill Shimeall IM Program Director

As a part of the Walter Reed Action Group, I'd like to acknowledge and thank IM Residents CPT Joe Maciuba, LT Jeff Gray, LT Mickey Skaret, CPT Cynthia Philip and LCDR (SEL) Cathy ‘Chili Dog’ Popadiuk for volunteering for 4 hours last Thurs-day by leading 2 panel discussions at the Science in Society Conference at River Hill High School (RHHS) in Maryland. The conference was held for approxi-mately 300 high school students across Howard County to promote awareness about the im-portance and applications of a science-based edu-cation to high school students. They each discussed why they chose careers in medicine and shared some of their experiences. They encouraged the students to consider careers in military medicine, and represented Walter Reed Bethesda with pride and professionalism. Thank you again for volunteering your precious time to potentially make a difference in the lives of these high school students! V/R Sarah, CPT Sarah Ordway Founder of Walter Reed Action Group (WRAG) 2017 IM Chief of Residents

IM Residents LT Mickey Skaret, , CPT Sarah Ordway, LT Jeff Gray, LCDR (SEL) Cathy ‘Chili Dog’ Popadiuk, CPT Cynthia Philip, and CPT Joe Maciuba volunteering by leading two panel discussions at the Science in Society Conference at River Hill High School in Maryland.

LT Mickey Skaret and CPT Joe Maciuba talking with

two RHHS students during the conference. Also see page 11 to read about how CPT Sarah Ordway received the Joint Service Achievement Medal.

11 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

well-deserved recognition

INTERNAL MEDICINE

Initiative and Leadership

CPT Zach Junga Elected to the ACP Council of Resident/Fellow Members at the National ACP Level Outstanding news! Thanks Zach for your initiative and leadership, and for repre-senting Military Internal Medicine on a national stage! With LT Ayee Azah [see p. 5, “LT Azah Inspired and Humbled by Award “ in the summer edition of DOM GME Snapshot], we now have at least two graduates of our Internship/Residency Program on the ACP CRFM. - CAPT Bill Shimeall This is a great accomplishment. He was selected from a pool of very qualified applicants. I can't wait to serve alongside him on the CRFM! - LT Ayee Azah

Hail to the Chief New Addition: Congrats to our IM Chief of Residents CPT Hector

Medina and his wife, on welcoming their baby!

INTERNAL MEDICINE

Exceptional Leadership Skill and Humanism Future Chief of Residents Receives Joint Ser-vice Achievement Medal for Demonstrating Exceptional Leadership Skill and Humanism

CITATION TO ACCOMPANY THE AWARD OF

THE JOINT SERVICE ACHIEVEMENT MEDAL

TO

SARAH M. ORDWAY

Captain Sarah Ordway, United States Army, distin-guished herself by exceptionally meritorious service as Internal Medicine Resident, Medicine Depart-ment, Walter Reed National Military Medical Cen-ter, Bethesda, Maryland from May 2015 to June 2016. Demonstrating exceptional leadership skill and humanism, Captain Ordway founded the ser-vice-oriented Walter Reed Action Group, or “WRAG”, which is a volunteer organization that provides opportunities for over 1500 resident physi-cians and medical students to take part in various service activities. She established partnerships with seven community organizations and created recur-ring volunteer events totaling over 650 volunteer hours. While training in a demanding residency program, Captain Ordway personally volunteered 30 hours of direct service while dedicating another 50 hours to coordination efforts. Captain Ordway established connections between volunteer efforts of Walter Reed Bethesda and the Uniformed Ser-vices University, ensuring sustainability of volunteer efforts and fostering morale, camaraderie, and joint service ethos among military trainees. The distinc-tive accomplishments of Captain Ordway reflect credit upon herself, the United States Army, and the Office of the Secretary of Defense.

Click here to read the entire narrative: https://learning.usuhs.edu/x/bzYiZr

ENDOCRINOLOGY

The Legacy Continues Endocrine Fellows First Time Board Pass Rate of 100%

Dear all, In the holiday spirits, we are proud to announce that our Endocrine Fellows MAJ Nicole Vietor (WRNMMC) and MAJ Geoffrey Chin (WBAMC) have also successfully passed their board exam maintaining our legacy of 100% first-time board pass rate for many years. CONGRATULATIONS AND HAPPY NEW YEAR !!!!

CDR Vinh Q. Mai, DO, FACP, FACE Service Chief, Endocrine Division Associate Professor, USUHS

&

Congratulations Geoff and Nicole and great work to all who have supported them along the way! LTC Brian Hemann

Brian A. Hemann MD FACC Lieutenant Colonel, U.S. Army Medical Corps Chief of Medicine Walter Reed National Military Medical Center

CDR Thanh Hoang is taking the reins of a strong Endocrinology

program. See bio. on p. 15

education scholarship, and outreach

12 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

well-deserved recognition

Professionalism and Dedication Recognized There was a lot of cheering and clapping dur-ing this year’s DOM award ceremony. LTC(P) Brian Hemann (Chief of Medicine) COL (ret.) Pangaro (Professor and Chairman MED, USUHS) , and their team did a terrific job or-ganizing, running, and presenting the second annual event. DOM attendees also appreciat-ed the thoughtful remarks by CAPT Nations, Director for Medical Services, to kick off the recognition of the outstanding professionals that helped to make DOM’s success in 2016 possible. Lots of competition - Nominees and awardees were thrilled and honored to be recognized for their professionalism and dedication to our mission at Walter Reed Bethesda.

The 2016 DOM Awardees: ENLISTED PERSON OF THE YEAR PO1 Heather Rosado (Gastroenterology) EXTERNAL SUPPORT PERSON OF THE YEAR Mr. Antonio Alicia (IT) TECHNICIAN OF THE YEAR Ms. (Terri) Theresa Collins (Cardiology)

CLINICAL SUPPORT PERSON OF THE YEAR Mrs. Jean Ward (Hematology Oncology) & Mrs. Maria O’Dowd (Internal Medicine) This year, DOM received the most number of nomi-nations for Clinical Support Person of the Year, and there were two that were truly outstanding.

ADMINISTRATIVE SUPPORT PERSON OF THE YEAR Ms. Cheryl Markham (USUHS)

BUSINESS MANAGER OF THE YEAR Mr. Shon Copeland (Nephrology)

SPECIAL ACHIEVEMENT AWARDS

Dr. Matthew Needleman (Cardiology) Dr. Needleman was selected for his voluminous clinical accomplish-ments and service as a pioneer in the field of electrophysiology which include the implantation of the first leadless pacemaker in the DOD and becoming one of the nation’s leader in flouroless abla-tion techniques Mr. Nitin Shinde (Dermatology) Ms. Priscilla Cullen (Gastroenterology) Ms. Lisa Mitchell (Hem/Onc) Dr. Anu Ganesan (Infectious Disease) Mrs. Shakita Fultz (Internal Medicine) Mrs. Fultz was selected for her dedication to the critical mission of inpatient to outpatient medicine while serving as the administrative coordinator to the internal medicine inpatient teams which in-cludes booking over 170 timely follow up appoint-ment on a monthly basis and serving as the critical link of ensuring discharge summaries are readily available to outpatient providers in the electronic medical records. Ms. Lauren Hale (USUHS)

PROVIDER OF THE YEAR Dr. Manish Singla (Gastroenterology)

“The provider we selected has demonstrated dedica-tion to patients, trainees, and the greater medical mission. This provider demonstrates excellence as a clinician, an educator, and researcher. They mentor numerous trainee physicians

both at the resident & fellow level as well as new staff providers. Dr. Singla’s clinical skills have been recognized with the Associate Master Clinician Award, which is reserved for the top 10% of provid-ers at Walter Reed Bethesda.” REGIONAL IMPACT AWARD Service of Dermatology “This award was created to recognize our effort to care for our patients not just in this facility, but to answer the call and go to where the patients are. … [Walter Reed Bethesda is] charged with providing outstanding care to the region … to meet the clinical demands of our beneficiaries in the National Capitol Region. Many services have been at the forefront of this effort… One service has led the pack however with leading cultural changes to enhance regional productivity and forward thinking allocation of physicians and support staff to offer a true regional perspective to almost all of the outlying facilities in the NCR includ-ing – Fort Meade, Fort Meyer, Fort Belvoir, the White House, the US Capitol, The Pentagon, Annap-olis with plans to expand to Fairfax, Dumfries, and Quantico this year.”

SERVICE OF THE YEAR Service of Cardiology We would also like to thank all of the other pre-senters, including DOM Senior Enlisted Leader CPO Lozano, Assistant DOM Chiefs LTC Rose Ressner and Ms. Terri Lavoie, and DOM Administrator Mr. Brian Vazzano. “While 2016 has been a year of dramatic improve-ment for the Department of Medicine, our success would not have been possible without the consider-able assistance of many other departments, agen-cies and organizations, among them being HR, fi-nance, customer service, data quality, and a dozen more. “

well-deserved recognition

Department of Medicine Annual Awards Ceremony 2016

CDR Matthew Needleman (recipient of Special Achievement Award) is shown implanting a leadless pacemaker implant with Dr. Joe Lee

Ms. Jean Ward Ms. Maria O’Dowd

Ms. Cheryl Markham

Ms. Lauren Hale Mrs. Shakita Fultz

Dr. Manish Singla

13 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

well-deserved recognition well-deserved recognition

HEMATOLGOY/ONCOLOGY

Board Certified First Try!

I am pleased to announce that our most recent fellowship graduates, and some prior grads, have passed 2016 American Board of Internal Medicine subspecialty board certification exams on their first attempt. Both of this year's graduates, MAJ Emily McDuffee and MAJ Eric Scofield, are now certified in Hematology. Last year's graduate, MAJ Nestor Ramos, is now certified in Medical Oncology (he previously certified in Hematology 2015). Prior 2014 graduate, LCDR Dawn (Mandeville) Pettebone, is now certified in Hematology (she previously certified in Medical Oncology 2014). While they are all now serving at other commands, if you see any of these excel-lent physicians, please offer them con-gratulations for this well-deserved achievement. Sincerely, David C. Van Echo, MD LTC MC USA Program Director NCC Hematology/Oncology Fellowship Congrats "Team Onc" on your accom-plishments! Such feats take strong per-sonal effort as well as support from peers, faculty and staff. Well done!

Hail to the Chief New Addition: We

would like to welcome CPT Sarah Ordway’s baby to the

Internal Medicine GME Family.

INTERNAL MEDICINE

Setting a Great Example

LCDR Joseph Lopreiato, GIM Core Facul-ty, received the following anonymous complement from one of our housestaff:

“Great addition to staff here at WR, tre-mendous beside manner sets great exam-ple for the rest of the house staff.”

Great to have you back on our team at Walter Reed Bethesda, Dr. Lopreiato!!

POSTIVE FEEDBACK

Adam, thank you for your work with the residents as Core Faculty! Here is an anonymous evaluation of Attending, CPT Adam Barelski, repre-senting the National Capital Consortium - Internal Medicine program: “Dr. Barelski is a true inspiration for all of the interns and residents. He has an envi-able wealth of knowledge, and he proudly utilizes that knowledge to educate and better the clinical performance of train-ees. He is the type of attending physician that I aspire to be one day.”

WELCOME BACK

CAPT Hawk, we are relieved and grateful

for your return to Internal Medicine.

BEYOND PATIENT CARE

Resident & Warrior Transition Care

Team Go Beyond Patient Care.

Tremendous teamwork to give

a patient and his family quality

time together

This was a note we received to include

in the GME newsletter:

“I wanted to share a case with you that

might be of interest for the next IM

newsletter. Red team IM took care of a

young active duty patient with widely

metastatic cancer. With the assistance

of the WTU liaison, case manager and

discharge planning nursing..., we were

able to send the patient and his family

(Wife, parents, 5 children) straight

from the hospital to a major theme

park with hospice care for 5 days. Af-

ter the trip he will return to home hos-

pice. It was wonderful to see the tre-

mendous teamwork in planning this

logistically challenging operation.”

- CPT Sarah Ordway (Internal Medi-

cine PGY3, Chief of Residents 2017-

2018)

Mr. Harris (NCM), who was a key

player in the planning process, Ms.

Brown (WTU liaison) and Dr. Sarah

Ordway, have shown us what it

means to truly care for a patient.

We are honored to work on the

same team.

Congratulations to LCDR Manish Singla (Gastroenterology) also on your selection as Walter Reed Be-thesda Navy GME Intern Advisor.

14 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

well-deserved recognition

POSTIVE FEEDBACK

Nancy, with gratitude, thank you for your work with the residents as Core Faculty!

Here is an anonymous evaluation of Faculty member Dr. Nancy Baxi, Assistant Professor of Medicine, USUHS, repre-senting the National Capi-tal Consortium - Internal Medicine program: “Dr. Baxi is an outstanding clinician. Her clinical ex-pertise is immediately

evident. She expects a great deal from the trainees who staff with her, and in doing so she fosters a unique learning experience. She is very supportive of the learning process.”

Additional comment: “Over the years, Nancy has consistently re-ceived glowing feedback from the residents. Thanks Nancy!”

Dr. Joan Ritter

Response From Dr. Baxi:

Thank you for sharing the feedback! I really enjoy teaching the residents, plus we're also going to need good doctors when we get old! :)

Best, Nancy

Nancy Baxi, MD Department of Internal Medicine, WRNMMC Assistant Professor of Medicine, USUHS

hails, farewells, and promotions

INFECTIOUS DISEASE

CONGRATULATIONS to our 3rd year Fellow CPT(P) Matthew Perkins

“Clostridium sphenoides Chronic Osteomye-litis Diagnosed Via Matrix-Assisted Laser Desorption Ionization Time of Flight Mass Spectrometry, Conflicting With 16S rRNA Sequencing but Confirmed by Whole Ge-nome Sequencing”

CPT Matthew J. Perkins, MC USA*; Erik Snesrud, BS†; Patrick McGann, PhD†; CDR Christopher A. Duplessis, MC USN‡

ABSTRACT We report a case of successful treatment of chronic osteomyelitis (emanating from contaminated soil expo-sure) caused by Clostridium sphenoides, an organism infrequently identified as a cause of human infection and more saliently oste-omyelitis (only 1 reported case in the litera-ture). Additional impetus for reporting this case resides in the insights gained regarding pathogen identification exploiting sophisti-cated molecular platforms coupled to tradi-tional microbial culture-based methods. The fastidious nature of cultivating anaero-bic organisms required initial attempts at 16S rRNA sequencing to identify a Clostridi-um species (Clostridium celerecrescens). However, on exploiting matrixassisted laser desorption ionization time of flight (MALDI TOF) technology, C. sphenoides was identi-fied, and confirmed on whole genome se-quencing. The discrepancies noted in the varying platforms require vigilance to seek complementary testing for conflicting re-sults. when resources allow to dictate opti-mal treatment… To read the complete publication: http://militarymedicine.amsus.org/doi/pdf/10.7205/MILMED-D-15-00535

JUST PUBLISHED WINNING PROFILE

ACP Hospitalist's Top Hospitalists for 2016 In the previous GME Snapshot, p 11, “Talented and Dedicated – Modest Walter Reed Bethesda Provider Wins Top Doc Award”, we learned that Dr. Chin Hee Kim was nominated and chosen as one of ACP Hospitalist's Top Hospitalists for 2016! Their editorial board reviewed dozens of nominations to select 10 physicians to be profiled in the November issue. Here is Dr. Kim’s profile: http://acphospitalist.acponline.org/archives/2016/11/ Dr. Kim, Congratulations and well-deserved recognition! Very nice write-up on your efforts below and thanks Brett and Hector for your leadership in her nomination. This rare recognition by the largest internal medicine specialty society in the world is tremendous. Walter Reed Bethesda, both in Internal Medicine and beyond, is clearly a better and safer place to both heal as a patient and learn as a student or resident because of your vision and hard work

since before integration. Your efforts and endur-ing impact on our patients and residents embody what the ACGME had in mind when they set out to hold institutions accountable for the clinical learning environment (and you started this long before CLER visits were even a thing...). With continued thanks, BZ! Bill William Shimeall, MD MPH FACP Program Director, National Capital Consortium - Internal Medicine

15 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

well-deserved recognition hails, farewells, and promotions

A Milestone for Many Joint Services GME Selection Board Results Team DOM GME, Congratulations to Chiefs of Residents Brett Sadowski and Hector Medina who were both selected to GI and Rheumatolo-gy Fellowship, respectively. Three Army residents were selected to their fellowships of choice here at Walter Reed Bethesda (100% success rate!): CPT Alex Dew - Heme/Onc CPT Zach Junga - GI CPT Cynthia Philip - Cardiology Navy Fellowships were tight except for Pulm/CC due to manning concerns and we had several strong alternates, and select-ed Navy Residents were (WRNMMC unless indicated): LCDR Ian Grasso - Pulm/CC LT Jeannette Collins - Pulm/CC LT Patrick Moon - Pulm/CC (San Diego) LT Alison Lane - ID/MPH Navy GMO's selected were from residency all prior graduates of the NCC IM Program: LT Allison Bush LT Allison Gould LCDR Frank Hartge LCDR Marshall Hoffman Current WRNMMC/NCC Navy IM interns selected for PGY-2 IM positions are: LT Tyler Church (WRNMMC/NCC Bethesda) LT Paul Cusmano (NMC San Diego) LT Jeff Gray (WRNMMC/NCC Bethesda)

LT Nora Maddy WRNMMC/NCC Bethesda) LT Cory Manly (WRNMMC/NCC Bethesda) LT Aaron Tallant (WRNMMC/NCC Bethesda)

Current Navy interns selected for FS are: LT AJ Greco LT Allan Nicotra LT Sydney O'Malley LT Keenan Wheeler We had the deepest bench among the three Navy programs, IMHO, and have

eleven of our current interns on the alter-nate list. We also will welcome Army CPT Seth Klusewitz and USAF Capt Kimberly Wiley as new PGY-2 Residents this coming sum-mer. Seth and Kim are currently internal medicine interns at SAUSHEC. FYGME/PGY-1 (Medical Students) selec-tions (currently): Eleven Army Medical Students: Thomas Carbone John Curtin Mary Gasser Hassan Khan Michael Loncharich Chris Macomb Andrew Mertz Alex Peters John Shumar Kimberly Stoudt Jendy Weppler Seventeen Navy: Erik Anderson Ryan Azzam Patrick Bagley Laura Barba Kevin Bobeck Nicolas Giuliani Zachary Grice-Patil Spencer Hirt Guenola Hunt Kang Feel Matthew Nelson Sean Oimet Dawn Quigley Michael Roth Jaime Stull Michael Sumner Thong Tran Two Army IM/Psychiatry Shane Hodson Courtney Kandler Seven of our incoming interns are from USU. We are proud of all of our applicants, selectees and alternates. V/r, Bill CAPT William Shimeall Program Director, NCC - Internal Medicine

Endocrinology Fellowship Program

Hail to the new Endocrinology Fellowship Program Director, CDR Thanh D. Hoang

Dr. Hoang’s early experiences in Vietnam and his health-related work throughout the years have culti-vated virtues of compassion, commitment and under-standing.

Since immigrating to the United States in 1991, his cross-cultural challenges have strengthened his maturi-ty and perseverance. Despite initial feelings of isolation and unfamiliarity with the new culture and its lan-guage, he strived to excel in his studies in high school and college. He earned his Bachelor of Science degree in Biochemistry and graduated with cum laude from the University of Maryland, College Park. He received his medical degree from Lake Erie College of Osteo-pathic Medicine in 2004 and completed his internship and residency training at the National Naval Medical Center (NNMC), Bethesda, Maryland in 2007.

Commander Hoang had served as a staff internist at the U.S. Naval Hospital Yokosuka, Japan from 2007-2009 and received a Teacher of the Year award 2008-2009 from the USNH Yokosuka Intern Alumni Club. CDR Hoang completed his fellowship training at NNMC and is board certified in endocrinology, diabetes and metabolism. He served as a staff endocrinologist at NNMC (2011-2012) and at NMC Portsmouth (2012-2013). He served as Head, Endocrinology and Metabo-lism Division and Diabetes Champion at the Naval Medical Center San Diego (2013-2016) and Associate Professor in medicine, Uniformed Services University of the Health Sciences. He is a Fellow of the American College of Physicians and the American College of Endocrinology. He has authored a variety of publica-tions, including peer-reviewed articles, letter to the editor, and book chapters. He was recognized with the “Associate Master Clinician Award” (2014) from NMCSD. He came back to WRNMMC, Bethesda in November 2016 to join the Endocrinology clinic here and to serve as the NCC Endocrinology Fellowship Program Director.

(Welcome

Back)

16 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

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Internal Medicine’s Annual Holiday Party 2016

This is a special occasion to celebrate our achievements and successes with friends, family, and colleagues.

A special note of appreciation went out to family and friends who

supported us, and to our IM Residency Education Committee, and to our entire amazing faculty. Also, there were a lot of laughs to be had during the traditional acceptance for the “GIFT of the IMREC.”

We are looking forward to future projects, challenges and learning opportunities.

Another IM Holiday Party tradition was to hand out The James J. Leonard Award for Excellence in Teaching Internal Medicine to honor house staff who showed excellence in teaching. At each medical center site, depending on size, The Leonard Award is given to 2 interns, 2 residents, one staff from wards, one staff from clinics, and one teaching preceptor (a medicine staff that meets with students twice per week) They included:

CPT Daniel Selig MAJ Jason Unger

LT Jeanette Collins CPT Cynthia Philip

Dr. Harjinder Kumar Dr. Joan Ritter

CAPT Michael Keith

LTC Brian Hemann (Chief of Medicine), COL (ret.) Pangaro (Professor and Chairman MED, USUHS), CAPT Shimeall (IM Program Director), and LCDR Mary Andrews (Assistant Clerkship Director, USUHS) had the honor of handing out the awards.

Background on the James J. Leonard Excellence in Teaching Award: Dr. James J. Leonard II (17JUN1924 – 16DEC2005) “His leadership in developing the careers of a generation of doctors and educational leaders at the University of Pittsburgh School of Medicine, USUHS [first Chair of Department of Medicine, 1977], Walter Reed Army Medical Center, the National Naval Medical Center, Bethesda [as Chief], and Wilford Hall Air Force Medical Center had helped shape the character and quality of the practice of medicine through the next century”

Lastly, a BIG THANK YOU to our outstanding social chairs Jed Mangal, Tanner Slayden, and Gregory Czaja, to our Chiefs of Residents LT Brett Sadowski and CPT Hector Medina, and to the others involved in doing such a wonderful job organizing and coordinating this grand cele-bration!! “Gift of the IMREC”:

Caffeinated residents are happy residents

Awardee Dr. Joan Ritter (GIM), with COL Jim Oliver

(L-R) Ms. Geraldine Marquez and Ms. “Bernie” Roach

GME Leadership and some of The J. Leonard Awardees

Pictures above and below show staff, residents, and leadership enjoying the IM Holiday Party

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17 December 2016 previous publications — click: http://tinyurl.com/walterreedmedicine

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shared events & deadlines

JANUARY 2017 Navy ACP 2016 -17 American College of Physicians Chapter Meeting Norfolk, VA January 13-14 (details not available at press time) 2017 Research and Innovation Month Hosted by The Department of Research Programs at Walter Reed National Military Medical Center Here are three links to see the complete list of important dates, deadlines, and links for the 2017 Research and Innovation Month: 1. R&I Important Dates and Deadlines:

https://learning.usuhs.edu/x/sAZynS , 2. R&I Competition Rules: https://learning.usuhs.edu/x/eUrWcX 3. Competition Categories: https://learning.usuhs.edu/x/9Y0NLo Jan 1 to May 24 (date range of events) MHS Research Symposium 2017 Click here for the MHSRS website (date and location TBD) Accepting abstracts from January 17, 2017 through March 6, 2017 FEBRUARY 2017 Maryland ACP (Jeopardy and IRON MED) Turf Valley Conference Center, Ellicott City, MD Click here for more information February 17-18 MARCH 2017 14th Annual Medical Students' Steps to Success Meeting MedStar Harbor Hospital Click here for more information March 4 2017 ACGME Annual Education Conference Rosen Shingle Creek, Orlando, FL Click here for more information March 9-12 MMCBC – Medial Management of Chemical and Biological Casualties Aberdeen Proving Grounds

at Fort Detrick, MD Click here for more information March 11-17 Walter Reed Bethesda IM Residency Annual Retreat NSA Bethesda USO (Conference Rooms A, B, C) March 17 AAIM - The New Academic Internal Medicine Week Baltimore Convention Center, Baltimore, MD Click here for more information March 19-22 2017 National ACP Meeting – American College of Physicians San Diego, CA Click here for more information March 30 – April 2 LONG-TERM PLANNING SGIM Annual Meeting 2017 Washington, DC Click here for more information April 19-22 2017 Mulholland-Mohler Residents Meeting St. Agnes Hospital, 900 S. Caton Avenue, 21229, Main Entrance and Alagia Auditorium Click here for more information MAY 18 , 8:30 AM (Poster set up) Research Abstracts March 4 - residents submit abstracts to PDs Clinical Vignettes April 8 -residents submit abstracts to PDs For further information, you may email Maryellen Woodward, Chapter Staff at mew4work@aol.com Click to see a copy of the regulations and abstract submission form NCC/WRNMMC Graduation Ceremony Strathmore Hall, Bethesda, MD June 23, 1000-1200 1300 on Wednesday (June 21) prior is reserved for graduation rehearsal

To share the incredible things our residents, fellows, administrators, and faculty are doing, contact

Sean Lynch, Editor, at Sean.M.Lynch36.CTR@mail.mil, or (301) 319-4399

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