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Scholarly Activity

Providence Portland Department of Medical Education-Scholarly Activity

We believe scholarly activity amongst our residents and faculty is vital to our missions of high quality, evidence-based and cost-effective patient care and education. Our residents and faculty focus on a wide variety of projects from pure QI areas to qualitative educational projects. Some of our active projects are listed below as well as a selected list of recent presentations, publications and awards.

  • Resident Career Development: A Longitudinal Curriculum Curriculum development and Innovation workshop Alliance Skills and Leadership Conference, Grapevine, TX | October 2017 Sharon Kim, M.D.
  • Taking Time: Resident Resilience and Burnout. Poster Presentation, Collaborative Family Healthcare Association. Houston, TX | October 2017 Ryan Dix, PsyD (poster authors: Dix, R., James, T., Stephens, E., Cohen, R., Shumway, K.)
  • Suboxone: A Team Approach. Poster Presentation, Collaborative Family Healthcare Association Conference. Houston, TX | October 2017 Ryan Dix, PsyD (poster authors: Dix, R., Kai, M., Clark, B., White, J., Engstrom, K.)
  • Ruben Halperin mentors a group of residents working to reduce the unnecessary use of telemetry at Providence hospitals. After analyzing telemetry data on all patients in a non-critical care ward for one month at PPMC, the group realized that nearly 40% of patients started on telemetry did not have an obvious guideline-driven indication for telemetry. The group is working with leadership at PPMC and Providence St. Vincent Medical Center, as well as, cardiology leadership to create Epic order sets that require indication for telemetry and remind physicians after 48 hours to evaluate if telemetry is still necessary.
  • Ryan Dix and Sharon Kim are leading a project focused on hepatitis C screening and treatment algorithms in conjunction with Providence Medical Group and Oregon Clinic Gastroenterology. Given new guidelines for screening all baby boomers for hepatitis C, we anticipate many more patients to be tested for it. The resident team is developing education materials for patients newly diagnosed with hepatitis C, as well as a clinical decision-making tool for physicians to use in talking with their patients about treatment options.
  • Mari Kai and Courtland Childers lead a group focused on training our residents in bedside ultrasound skills. The group has developed a robust curriculum in basic bedside ultrasound techniques which will now be available as an elective for interested residents.

Our residents used many of the skills learned in the Quality Improvement Curriculum to prepare abstracts, posters and oral presentations for the American College of Physicians regional meeting in Salem, November 2017. Twelve of our residents presented clinical case vignettes, QI projects or original research projects. Pen Pedroja, MD (PGY-3) did an outstanding job with his oral presentation and was awarded 1st place in the Quality Improvement category. Elizabeth Hutchinson, MD (PGY-2) made it into the 2nd round in the Clinical Vignette category. John Mastronarde, MD provided an interesting talk on COPD titled, New Insights in COPD Management.

Congrats to Drs. Ryan Dix, Tricia James, Rick Cohen and Elizabeth Stephens for being awarded an IPA Grant to fund the Resiliency Program for interns!

Summary of Project: While it has been recognized in the literature that burnout is quite impactful to medical students, residents and practicing physicians, little has been done in terms of interventions at the residency level to address the concern prior to going into practice. In response we have developed a resiliency curriculum. The purpose of this proposal is to create a cohesive curriculum, which provides residents with the tools necessary to sustain engagement in medicine, reduce the risk of burnout and depression, and ultimately help to create a more fulfilling personal and professional life. We are proposing a multi-faceted approach with a longitudinal curriculum over the course of 3 years to include several interventions. With pre and post assessment we hope to see reduced burnout, reduced depression and increased empathy. We also hope to be able to identify areas that facilitate resiliency more effectively than others than may be shared.

Selected Presentations

Reinvigorating Resident Conference: Out with PowerPoint and Traditional Lectures
Engaging Residents with Collaborative Learning and Technology - Workshop
Stanford Medicine X | Ed conference, Palo Alto, CA, 2015
Courtland Childers, M.D. and Amy Dechet, M.D.

Community Resource Desks: Connecting Patients to Resources in the Medical Home. Poster presentation, Regional Society of General Internal Medicine, Seattle, WA, February 2016
Brinton Clark, M.D.

Oral Presentation at the National SGIM conference in Toronto, Canada May 2015. “Complex Case Conference: Multi-disciplinary Rounds in the Outpatient Setting” with Dr. Brinton Clark (selected as one of the Top 5 medical education innovation abstracts at the meeting)
Brinton Clark, M.D. and Mari Kai, M.D.

Centers for Disease Control and Prevention. Salmonella Typhimurium outbreak associated with egg salad. MMWR 2004; 53 (48): 1132-4
Amy Dechet, M.D.

Managing Compassion Fatigue in the Caregiver Population: Training for the “Marathon”. Oregon Governor’s Occupational Safety & Health Conference, 2015
Ryan Dix, PsyD

Whites, J. Rozenfeld, Y. (2016) Implementing a Multi-disciplinary Tobacco Cessation Clinic in the Medical Home. Poster Presentation. Society of General Internal Medicine Regional Meeting
Ryan Dix, PsyD and Meera Jain, M.D.

Selected Publications

Introduction to Outpatient Medicine: An Innovative Approach. J Grad Med Education June 2014; 365-67. PMID 24949158.
Kai, M. Clark, B. & Rosenberg, M.

A brief mindfulness-based intervention for Primary Care Physicians: A Pilot Randomized Controlled Trial. Am J Lifestyle Medicine, vol XX, no X, 2016.
Schroeder DA, Stephens E, Colgan D, Hunsinger M, Rubin D, Christopher MS

Insulin Therapy in Type 1 Diabetes, Medical Clinics of North America 2015;99:145-156. Stephens, E.

Jain M and Wernick R. Commentary on “In abstinent adults with type 2 diabetes, a daily glass of wine (vs mineral water) improved cardiometabolic factors.” ACP J Club. 2016 Feb. Comment on: Effects of initiating moderate alcohol intake on cardiometabolic risk in adults with type 2 diabetes: a 2-year randomized, controlled trial. Ann Intern Med. 2015; 163:569-79.

Commentary on: Gepner Y et al. Effects of initiating moderate alcohol intake on cardiometabolic risk in adults with type 2 diabetes. Ann Intern Med 2015;163:569-79. ACP Journal Club (Ann Intern Med), Feb 16, 2016, JC17.
Meera Jain, M.D. and Richard Wernick, M.D.

Question of the Quarter: How does clinical evidence guide practical approaches to effective initiation and titration of basal insulin in adults with type 2 diabetes? 2015
Bultemeier N, Miller HB, Stephens, E.

Commentary on: In resistant hypertension, add-on spironalactone reduced SBP more than placebo, doxazosin, or bisoprolol over 12 wk. ACP Journal Club, 2016.
Rosenberg, M. & Stephens, E.