Grand Rounds videos online

    The Emory University Department of Medicine’s ACCME-accredited Grand Rounds is a weekly conference that features speakers from within the Emory community and across the globe. Medicine Grand Rounds takes place on Tuesdays at noon in the Emory University Hospital auditorium (2E).
    Grand Rounds are recorded and presentations will be available on the Department of Medicine's YouTube page (please allow 2-3 weeks to post). Past Grand Rounds are listed below.
    Note: There will no longer be paper sign-in sheets at Medicine Grand Rounds. To sign in/receive CME credit, you will need to take the online survey (full list available here). 
    Questions? Please contact Emily Thomas at emily.thomas@emory.edu.

    CPC: Multi-Organ System Failure in a Young Pregnant Woman

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    4/25/2017

    SPEAKERS:
    Presenter: John Ricketts, MD
    Internal Medicine PGY-3
    Emory School of Medicine

    Discussant: Wendy Armstrong, MD, FIDSA, FACP
    Professor of Medicine, Division of Infectious Diseases
    Vice Chair of Education and Integration

    LEARNING OBJECTIVES:

    • Recognize the various manifestations of thiamine deficiency
    • Understand the elevated lactate in the absence of acidosis
    • Expand the differential diagnosis of multi-organ system failure in pregnancy

    Transgender Medicine: What should an internist know?

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    4/11/2017


    SPEAKER:
    Vin Tangpricha, MD, PhD
    Associate Professor of Medicine
    Department of Medicine
    Director of Fellowship Program
    Division of Endocrinology, Metabolism and Lipids

    LEARNING OBJECTIVES:

    • List the guidelines and available resources for the diagnosis and treatment of transgender patients
    • Describe the initiation and monitoring of hormonal therapy in transgender patients
    • Identify potential risks of hormone therapy in transgender patients

    CPC: A 68-year-old male with fever, back pain, and `B¿ symptoms

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    4/4/2017


    SPEAKERS:
    Haritha Katakam, MD - Presenter
    Assistant Professor of Medicine
    Emory University Hospital - Hospital Medicine

    David Krakow, MD - Discussant
    Assistant Professor of Medicine
    Site Director, Emory University Hospital - Hospital Medicine


    LEARNING OBJECTIVES:

    • Apply a problem list method to diagnose a complex clinical and laboratory patient presentation
    • Construct a differential diagnosis for a patient with fever and back pain
    • Experience the exercise of clinical reasoning and logically narrowing the differential diagnosis

    Sickle Cell: A Forgotten Disease Remembered

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    3/21/2017


    SPEAKER:
    Morgan McLemore, MD
    Assistant Professor, Hematology & Medical Oncology
    Emory University School of Medicine
    Director, Adult Sickle Cell Anemia Program
    Grady Health System

    LEARNING OBJECTIVES:

    • Understand the history of sickle cell disease and its impact on care
    • Understand current challenges in the care of adult patients with sickle cell disease
    • Gain knowledge of new strategies and treatments in sickle cell disease

    Dementia Prevalence and the Internist

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    3/14/2017


    SPEAKERS:
    Richard A. Goodman, MD, MPH
    Program Director, Emory University Preventive Medicine Residency Program
    Professor of Medicine, Emory Department of Family and Preventive Medicine
    Professor, Emory's Rollins School of Public Health

    Thomas Wingo, MD
    Assistant Professor, Departments of Neurology and Human Genetics, Emory University School of Medicine
    Staff Physician, Division of Neurology, Atlanta VA Medical Center

     

    LEARNING OBJECTIVES:

    • Know the basic definition of clinical recognition and diagnosis of dementia
    • Understand the descriptive epidemiology and burden of dementia in the United States, with a focus on improved characterization of the occurrence of dementia subtypes in the Medicare population
    • Identify priorities and practice pointers for improved diagnosis of dementia in clinical settings

    Health Information Technology: Has Its Adoption Been Worth It?

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    TOPIC: “Health Information Technology: Has Its Adoption Been Worth It? " (3/7/2017)


    SPEAKER:
    Salahuddin Kazi, MD (Vice Chair of Education; Director of Residency Training; Professor of Medicine, Division of Rheumatic Diseases, Department of Internal Medicine, UT Southwestern Medical Center)

    LEARNING OBJECTIVES:

    • Recognize the factors that accelerated the adoption of electronic health records in medical practice
    • Understand the regulations behind the use of health information technology
    • Identify the unintended consequences of health information technology

    Does Hospital Design Matter? The Built Environment and Health Care-Associated Infections

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    TOPIC: “Does Hospital Design Matter? The Built Environment and Health Care-Associated Infections" (2/28/2017)


    SPEAKER:
    James P. Steinberg, MD (Professor of Medicine, Emory University Division of Infectious Diseases; Chief Medical Officer & Associate Dean for Clinical Affairs, Emory University Hospital Midtown)

    LEARNING OBJECTIVES:
    • Discuss design features that have been linked to HAI.
    • Describe how the built environment can mitigate infection risk.
    • Appreciate that the built environment impacts many aspects of health care delivery in addition to infection risk.

    Cardiac Arrest and Percutaneous Mechanical Circulatory Support for Cardiogenic Shock

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    TOPIC: “Cardiac Arrest and Percutaneous Mechanical Circulatory Support for Cardiogenic Shock: Cases and a Review of the Literature" (2/14/2017)

    LEARNING OBJECTIVES:
    • Review recent Emory clinical cases of cardiac arrest and cardiogenic shock.
    • Review a treatment algorithm for cardiac arrest with a focus on prognostic factors and the roles of coronary angiography and targeted temperature management.
    • Review a treatment algorithm and recent evidence for use of percutaneous mechanical circulatory support in cardiogenic shock.

    SPEAKERS:
    Emory Cardiology Fellows -
    —Matthew Crim, MD, MSc, MA
    —Neal Kumar Bhatia, MD
    —Frank Corrigan, MD

    The Management of Lupus Nephritis: A Nephrologist's Perspective (Rovin)

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    TOPIC: The Management of Lupus Nephritis: A Nephrologist's Perspective (2/7/17)

    SPEAKER:
    Brad H. Rovin, MD, FACP, FASN (Director, Division of Nephrology; Vice Chair for Research, Department of Internal Medicine, The Ohio State University Wexner Medical Center)

    LEARNING OBJECTIVES:
    • Understand testing to diagnose lupus nephritis in SLE patients and the importance of the kidney biopsy
    • Understand induction therapy
    • Understand maintenance therapy

    Socratic Dialogue: Patient with Exertional Dyspnea (Morris)

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    TOPIC: Socratic Dialogue: Patient with Exertional Dyspnea (1/31/17)

    LEARNING OBJECTIVES:

    • Gain a better understanding of Socratic Dialogue
    • Learn how to apply the various technology available to assess LV function
    • Learn the flaws applicable to biomarkers


    SPEAKERS:
    Douglas Morris, MD (Professor of Medicine, Emory Division of Cardiology)

    Stephen Clements, MD (Professor of Medicine, Emory Division of Cardiology)

    Divya Gupta, MD (Assistant Professor Medicine, Emory Division of Cardiology)

    Micah Fisher, MD (Assistant Professor of Medicine, Emory Division of Pulmonary, Allergy, Critical Care and Sleep Medicine)

    Stamatios Lerakis, MD (Professor of Medicine, Division of Cardiology; Professor of Radiology and Imaging Sciences, Department of Radiology; Adjunct Professor of Biomedical Engineering, Georgia Institute of Technology; Director, Cardiac Imaging, Emory Structural and Valve Heart Center; and Director, Cardiac MRI, Emory University Hospital, The Emory Clinic)

    "Short of Breath and Short of Bowel": A CPC (del Rio)

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    DISCUSSANT: Carlos del Rio, MD (Chair, Department of Global Health, Rollins School of Public Health; Professor of Medicine; Emory Division of Infectious Diseases; Program Director, Emory AIDS International Training and Research Program; Co-Director, Emory Center for AIDS Research)

    PRESENTER: Dustin Staloch, MD (PGY2, Emory’s J. Willis Hurst Internal Medicine Program)

    TOPIC: "Short of Breath and Short of Bowel": A CPC (1/24/17)

    LEARNING OBJECTIVES:

    • Explore the differential diagnosis of chronic, innumerable pulmonary nodules.
    • Outline the work-up, including methods of imaging and tissue acquisition.
    • Appreciate the challenges and risks facing TPN-dependent patients.

    "It's Not What You Think": Improving Medical Educational Culture (Wiese)

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    SPEAKER: Jeffrey G. Wiese, MD, FACP (Associate Chair, Department of Medicine; Professor of Medicine; Associate Dean for Graduate Medical Education; Director, Internal Medicine Program, Tulane University)

    TOPIC: "It's Not What You Think": Improving Medical Educational Culture (1/10/17)

    LEARNING OBJECTIVES:

    • Discuss strategies for improving medical educational culture
    • Discuss the role of the adaptive unconscious in physician performance

    A 33-Year-Old Man with HIV, Fever, and Rash (Gluth, Hunt)

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    SPEAKERS: Aaron Gluth, MD (Presenter, Emory Division of Hospital Medicine) and Dan Hunt, MD, FACP (Discussant, Emory Division of Hospital Medicine)

    TOPIC: "A 33-Year-Old Man with HIV, Fever, and Rash" (CPC - 11/29/16)

    LEARNING OBJECTIVES:

    • Apply a problem-list method to diagnose a complex clinical and laboratory patient presentation
    • Construct a differential diagnosis for a patient with HIV who presents with fever and a diffuse rash
    • Appropriately incorporate extreme laboratory abnormalities to narrow a broad differential diagnosis

    Update on ANCA-Associated Vasculitis (Tiliakos)

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    SPEAKER: Athan Tiliakos, DO (Emory Division of Rheumatology)

    TOPIC: “Update on ANCA-Associated Vasculitis" (11/22/16)

    LEARNING OBJECTIVES:

    • Understand the role of ANCAs
    • Understand the pathophysiology of AAV
    • Understand induction/maintenance therapies in AAV

    Microbiome Manipulation to Treat (or Prevent) Infections (Kraft, Neish)

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    SPEAKERS: Colleen Kraft, MD, MSc (Associate Professor, Emory Division of Infectious Diseases; Emory Department of Pathology and Laboratory Medicine) and Andrew Neish, MD (Professor, Department of Pathology and Laboratory Medicine)

    TOPIC: “Microbiome Manipulation to Treat (or Prevent) Infections" (11/15/16)

    LEARNING OBJECTIVES:

    • Recognize how the dynamic changes in the microbiota can affect normal physiology and pathology
    • Understand how decreased microbiota diversity leads to colonization by resistant organisms
    • Determine which patients may benefit from therapeutics targeting the microbiome

    Bad Pancreatitis is Bad (Wilcox)

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    SPEAKER: C. Mel Wilcox, MD, MSPH (Director, Division of Gastroenterology and Hepatology, UAB)

    TOPIC: “Bad Pancreatitis is Bad" (11/8/16)

    LEARNING OBJECTIVES:

    • Recognize the new classification for pancreatic fluid collection
    • Appreciate the changing indications for antibiotics in acute pancreatitis
    • Understand the predictors of long-term outcomes in severe pancreatitis

    Effects of Acromegaly on Calcium and Bone Metabolism (Ioachimescu)

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    SPEAKER: Adriana Ioachimescu, MD, PhD, FACE (Co-Director, Emory Pituitary Center)

    TOPIC: “Effects of Acromegaly on Calcium and Bone Metabolism" (11/1/16)

    LEARNING OBJECTIVES:

    • Recognize perturbations of calcium homeostasis in acromegaly
    • Identify acromegaly patients at risk of fracture
    • Discuss mechanisms of bone disease in acromegaly

    A Tale of Two Brains: Rekindling the Artist Within (Mangione)

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    2016 Paul W. Seavey Distinguished Lecture

    SPEAKER: Salvatore Mangione, MD (Thomas Jefferson University Hospital)

    TOPIC: “A Tale of Two Brains: How to Rekindle the Artist Within" (10/25/16)

    LEARNING OBJECTIVES:

    • Identify the differentiating features of the right and left-brain modes of engagement
    • Learn how to rekindle a right-brain world view
    • Understand why a right-brain world view is important for a physician
    • See how many physical findings were first observed by artists

    Dysphagia, Aspiration Syndromes, and Tube-Feeding Decisions (Von)

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    SPEAKER: Anna Von, MD (Emory Division of Hospital Medicine)

    TOPIC: “Hard to Swallow: Dysphagia, Aspiration Syndromes, and Tube-Feeding Decisions" (10/18/16)

    LEARNING OBJECTIVES:

    • Describe the major aspiration syndromes and summarize important points in diagnosis and management
    • Define the physiology and objective evaluation of dysphagia
    • Identify key benefits and burdens of tube-feeding for specific patient groups

    Innovation in Transplantation: Improving Outcomes (Pearson)

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    SPEAKER: Thomas Pearson, MD, PhD (Executive Director, Emory Transplant Center)

    TOPIC: “Innovation in Transplantation: Improving Outcomes" (10/4/16)

    LEARNING OBJECTIVES:

    • Understand the current state of transplantation in the United States
    • Define the concept and mechanism of action of co-stimulation blockade
    • Define the successes and challenges with the use of co-stimulation blockade for immunosuppression in kidney transplantation

    Biologics in IBD: Can We Afford to Use Them? (Cohen)

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    SPEAKER: Russell D. Cohen, MD (Director, Inflammatory Bowel Disease Center, University of Chicago)

    TOPIC: “Biologics in Inflammatory Bowel Disease: Can We Afford to Use Them?" (9/27/16)

    LEARNING OBJECTIVES:

    • Identify the major cost-drivers in the care of patients with inflammatory bowel disease (IBD)
    • Understand the difference and impact of direct vs. indirect costs in IBD
    • Identify the impact of the biologics on overall costs in IBD

    Stress Cardiomyopathy (Mehta)

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    DATE: 9/20/16

    SPEAKER: Puja K. Mehta, MD, FACC, FAHA

    TOPIC: "Takotsubo (Stress) Cardiomyopathy"

    LEARNING OBJECTIVES:

    • To understand the definition, sex-specific prevalence, typical and atypical presentations, and natural history of stress cardiomyopathy (SC)
    • To understand that there are structural patterns on imaging that can indicate SC
    • To discuss potential underlying pathophysiological mechanisms implicated in SC date