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| RWMC Christmas Party 2011 |
Friday, December 9, 2011
Thursday, October 6, 2011
Tuesday, September 13, 2011
Dr. Steven M. Sepe named Chairman of Medicine at Roger Williams
RHODE ISLAND PEOPLE
Published Thursday Sep 8, 2011
Steven M. Sepe, MD, PhD
PROVIDENCE, RI – Following an extensive national search, Steven M. Sepe, MD, PhD. has been appointed Chairman of the Department of Medicine at Roger Williams Medical Center. As Chairman, Dr. Sepe will be responsible for providing leadership within the Department of Medicine, including oversight of clinical affairs, quality, and program development. He also joins the Board of Directors of University Medical Group.
Dr. Sepe has held a number of leadership positions in a variety of health care settings. Most recently, he was Global Medical Lead, Medical Affairs at Onyx Pharmaceuticals. Dr. Sepe has also held positions at Gilead Sciences, Vertex Pharmaceuticals, and several other research and pharmaceutical firms. Dr. Sepe has over 20 years of experience in clinical care, research and teaching. He was previously Medical Director of the Cooperative Care Center at Rhode Island Hospital and Women & Infants Hospital. He has also held a number of other leadership positions at Rhode Island Hospital and Brown University School of Medicine.
In 1992, Dr. Sepe co-founded Coastal Medical, Inc., the first large primary and specialty medical group in southeastern New England. He was the President and CEO of Coastal from 1992-2002. Dr. Sepe has served on numerous civic, academic and hospital committees and boards. His society memberships include the American College of Physician Executives and the Alpha Omega Alpha Honor Medical Society.
“This is a critically important position for our clinical and teaching programs,” said Kenneth H. Belcher, President and CEO of Roger Williams Medical Center. “I look forward to Dr. Sepe sharing his vision of quality care, medical education, and clinical collaboration with the rest of the Medical Center.”
Dr. Sepe is a cum laude graduate of Boston University School of Medicine, where he also received his PhD in Immunopathology. Dr. Sepe is a member of the clinical faculty of The Warren Alpert School of Medicine at Brown University, where he holds the title of Clinical Associate Professor. He is also an Adjunct Professor in the College of Pharmacy at the University of Rhode Island College of Pharmacy
Wednesday, September 7, 2011
A Doctors next toy and why
We have seen many new innovations over the past few years in terms of personal digital assistance (PDA's) with the palm pilot and the IPOD and IPhone, then the android based phones. These latter devices could do "almost" everything your computer can do, however we wanted a device that wasn't as big as a laptop, but had the power and ability to function as a desktop. 
Android has done this. My first tablet was an Adam Notion Ink which I purchased because I was excited about the computer and their young CEO. Their product was not like all the others and was in fact one of the first to come out with the pixel Qi screen among other components you don't find on your other tablets. However, you may face pitfalls when deciding to buy a tablet from a new start up company. Shipping, support, warranty and software updates are a few areas where there may be problems. Despite this I purchased the Adam Notion Ink NVidia Duo Core Tegra 250 device. This device was one of a kind in its beginning. It came with a transflective screen, 185 degree panoramic perspective camera, FULL HD 1080 P video playback, 2 Full Size USB ports, min-usb, Full HDMI port, mini-SD card slot and 3G. Moreover, it had 3G, Bluetooth, GPS and 802.11n. I was satisfied with the product, however the software was not being updated at the rate I would had liked. I had installed the updates from the company, but then I did a little research and found AdamComb1.2 which provided me with a more stable honeycomb operating system which would allow me to run program more efficiently. I might add I have always been happy with the battery life as it gives me at least a full day with wifi (not playing games.
I utilized the tablet through the end of my year as chief resident. I was able to access the citrix driven POE through firefox. I took full advantage of Googles free services including their android apps. I created forms in Google Documents, and used them to take attendance. While rounding on the floors or in morning report I could look up information on google or a specific android app and instantaneously have the information. I was able to take notes or record video at high enough quality to upload it for other residents to view.
At home I had the ability to plug my Adam tablet into my HDMI cable to my HDTV along with a keyboard and mouse and use the tablet as a fully functioning computer. My external hard drives would seamlessly connect and be recognized by the device and I could use drop box if I needed access to documents on the go. The 16 GB of onboard memory was plenty for me at the time.
MY NEXT TABLET IS ON ITS WAY
Here are some of the specs
SPECIFICATIONS
NVIDIA® Tegra™ 2 Dual-Core 1GHz processor
Android™ 3.1
10.1” WXGA (1280x800) 16:10 IPS panel with Corning® Gorilla® Glass
Multitouch display with digitizer input (pen optional)
Starting at 1.65 lbs
Up to 8 hours battery life (with WiFi enabled)
Up to 64GB storage
Bluetooth®, WiFi and 3G connectivity
Native USB 2.0 and micro-USB ports, full-size SD card slot and mini-HDMI output
I have been reading the blogs and have supported IBM, now known as Lenovo for many many years. I have only bought thinkpad laptops because of their durability, high quality customer support and backup software. I then heard they were coming out with a tablet unlike their Windows based tablets. They were coming out with a Thinkpad Android 3.1 Honeycomb based system. I knew they were not going to produce a product like all others. I was correct.
The Thinkpad Android tablet has its pros and cons. First the negative. The thickness and weight. It is approximately 1.6 lbs and 0.6 cm thin. The reason being it is thick is because of all the ports you don't see on other tablets.
The Thinkpad Android tablet is in a league of its own and its application in industry will soon be recognized one of innovation and productivity.
Transfer media files and documents from USB keys and SD cards
View and edit MS Office documents
Project 1080 video to External Displays
Handwriting and text conversion
Jot down handwritten notes
Securely connect to corporate e-mail
For Business Professionals:
Stay connected to colleagues and friends with easy
e-mail, pre-installed social networking applications;
a 2MP front-facing camera for video calls and Social
Touch—a unique application that pulls it all together in an
easy to use widget View and edit Microsoft® Office documents with Documents to Go by DataViz
Write naturally and jot down handwritten notes, that automatically convert to handwritten text, mark up documents, and draw pictures with the accurate pressure sensitive ThinkPad Tablet Pen*
Comfortably type long e-mails, create documents and enter data in forms or spreadsheets, thanks to the convenient ThinkPad Tablet Keyboard Folio* with built-in optical TrackPoint®
Here are full specs
You can probably guess, I have purchased one and expect to find new ways of implementing this new tablet into the healthcare industry. The most important advantage of this tablet is the digitizer pen which converts handwriting to text. This can prove to be a useful tool in integrating EMR's with android tablets. A big Plus for the Thinkpad is the additional docking and famous thinkpad keyboard along with the Gorilla Glass screen by corning.
I will keep you updated on the new Lenovo Thinkpad Android 3.1 Tablet when it arrives.
My next post will be on my Top Free Android Applications for Medical Professionals
Android has done this. My first tablet was an Adam Notion Ink which I purchased because I was excited about the computer and their young CEO. Their product was not like all the others and was in fact one of the first to come out with the pixel Qi screen among other components you don't find on your other tablets. However, you may face pitfalls when deciding to buy a tablet from a new start up company. Shipping, support, warranty and software updates are a few areas where there may be problems. Despite this I purchased the Adam Notion Ink NVidia Duo Core Tegra 250 device. This device was one of a kind in its beginning. It came with a transflective screen, 185 degree panoramic perspective camera, FULL HD 1080 P video playback, 2 Full Size USB ports, min-usb, Full HDMI port, mini-SD card slot and 3G. Moreover, it had 3G, Bluetooth, GPS and 802.11n. I was satisfied with the product, however the software was not being updated at the rate I would had liked. I had installed the updates from the company, but then I did a little research and found AdamComb1.2 which provided me with a more stable honeycomb operating system which would allow me to run program more efficiently. I might add I have always been happy with the battery life as it gives me at least a full day with wifi (not playing games.
I utilized the tablet through the end of my year as chief resident. I was able to access the citrix driven POE through firefox. I took full advantage of Googles free services including their android apps. I created forms in Google Documents, and used them to take attendance. While rounding on the floors or in morning report I could look up information on google or a specific android app and instantaneously have the information. I was able to take notes or record video at high enough quality to upload it for other residents to view.
At home I had the ability to plug my Adam tablet into my HDMI cable to my HDTV along with a keyboard and mouse and use the tablet as a fully functioning computer. My external hard drives would seamlessly connect and be recognized by the device and I could use drop box if I needed access to documents on the go. The 16 GB of onboard memory was plenty for me at the time.
MY NEXT TABLET IS ON ITS WAY
Here are some of the specs
SPECIFICATIONS
NVIDIA® Tegra™ 2 Dual-Core 1GHz processor
Android™ 3.1
10.1” WXGA (1280x800) 16:10 IPS panel with Corning® Gorilla® Glass
Multitouch display with digitizer input (pen optional)
Starting at 1.65 lbs
Up to 8 hours battery life (with WiFi enabled)
Up to 64GB storage
Bluetooth®, WiFi and 3G connectivity
Native USB 2.0 and micro-USB ports, full-size SD card slot and mini-HDMI output
I have been reading the blogs and have supported IBM, now known as Lenovo for many many years. I have only bought thinkpad laptops because of their durability, high quality customer support and backup software. I then heard they were coming out with a tablet unlike their Windows based tablets. They were coming out with a Thinkpad Android 3.1 Honeycomb based system. I knew they were not going to produce a product like all others. I was correct.
The Thinkpad Android tablet has its pros and cons. First the negative. The thickness and weight. It is approximately 1.6 lbs and 0.6 cm thin. The reason being it is thick is because of all the ports you don't see on other tablets.
The Thinkpad Android tablet is in a league of its own and its application in industry will soon be recognized one of innovation and productivity.
Transfer media files and documents from USB keys and SD cards
View and edit MS Office documents
Project 1080 video to External Displays
Handwriting and text conversion
Jot down handwritten notes
Securely connect to corporate e-mail
For Business Professionals:
Stay connected to colleagues and friends with easy
e-mail, pre-installed social networking applications;
a 2MP front-facing camera for video calls and Social
Touch—a unique application that pulls it all together in an
easy to use widget View and edit Microsoft® Office documents with Documents to Go by DataViz
Write naturally and jot down handwritten notes, that automatically convert to handwritten text, mark up documents, and draw pictures with the accurate pressure sensitive ThinkPad Tablet Pen*
Comfortably type long e-mails, create documents and enter data in forms or spreadsheets, thanks to the convenient ThinkPad Tablet Keyboard Folio* with built-in optical TrackPoint®
Here are full specs
You can probably guess, I have purchased one and expect to find new ways of implementing this new tablet into the healthcare industry. The most important advantage of this tablet is the digitizer pen which converts handwriting to text. This can prove to be a useful tool in integrating EMR's with android tablets. A big Plus for the Thinkpad is the additional docking and famous thinkpad keyboard along with the Gorilla Glass screen by corning.
I will keep you updated on the new Lenovo Thinkpad Android 3.1 Tablet when it arrives.
My next post will be on my Top Free Android Applications for Medical Professionals
Saturday, June 18, 2011
Free Amazon gift cards and Free CME
I signed up for QuantiaMD which is an excellent online resource for CME learning. Not only will you get CME credits but each time you refer someone you will get quality points which add up to free gift cards at Amazon depending on how many referrals you have. Sign up by clicking the link below and get an Amazon Gift Card!
Saturday, June 11, 2011
Saturday, May 21, 2011
Wednesday, May 4, 2011
Top Doc: Dr. Jody Meharg
Top Doc: Dr. Jody Meharg: "Dr. Jody Meharg is named a Top Doc from Rhode Island Monthly magazine."
Friday, April 15, 2011
Thursday, April 14, 2011
Saturday, April 2, 2011
Sunday, March 6, 2011
A Great Housestaff Event in March
This past week Housestaff of the Internal Medicine Residency Spent time discussing the business side of outpatient medical practice. It was a great time and learning experience. 
Internal Medicine Residency Site
Saturday, February 26, 2011
Android Market Medical Applications
To access the Android Market Medical Applications click the link below. You will find many good free apps as well as low cost ones. Very good for Resident/Interns/Fellows or any medical professional.
https://market.android.com/apps/MEDICAL/
https://market.android.com/apps/MEDICAL/
Sunday, February 20, 2011
Tuesday, February 15, 2011
Saturday, February 12, 2011
Thursday, February 10, 2011
Wednesday, February 2, 2011
Tuesday, February 1, 2011
Saturday, January 15, 2011
Friday, January 14, 2011
Saturday, January 8, 2011
Friday, January 7, 2011
Residents Council Roger Williams Medical Center
The Graduate Medical Education (GME) Residents Council was created to provide a forum for representation of ACGME Residency programs at Roger Williams Medical Center. Residents of the ACGME programs and Fellows are invited to be a part of the Resident Council. The Internal Medicine Residents in each year vote for the peer who they feel would best represent the needs, goals and objectives of the program. The PGY-1 year is represented by both Preliminary and Categorical Housestaff. Fellows are encouraged to do the same.
The President of the Residents Council is voted in by his/her peers. The chief resident (4th year) and two PGY-2 + President, three PGY-2, three PGY-1 (1 prelim, 1 categorical) make up the Resident Council.
The Residents Council meets monthly to discuss issues, relaying concerns or suggest ways to improve the way things are currently done.
Following this monthly meeting (which typically occurs just prior to our Monthly Housestaff Meeting with the Program Director) the President of the Resident Council and Chief Resident share their ideas with all of the Residents and ask for others opinions or concerns. Concerns from residents are brought to the attention of the Resident council by electing to be present at a meeting, email or placing a note in our anonymous suggestion box.
The Housestaff and Resident Council then discuss their concerns at the Housestaff Meeting. Concerns which cannot be immediately addressed and require further discussion are brought to the attention of the Graduate Medical Education Committee which is represented by the following:
* Chief Medical Resident (4th Year)
* President of the Resident Council
* Third Year Resident
The monthly Housestaff Meeting and GMEC meetings provide a forum for Resident Council members to act as liaisons or advocates for positive change within the ACGME programs. The Resident Council Meetings are open to all Housestaff and fellows of the ACGME Programs.
Our Mission is to:
Represent the interests of residents and fellows in decisions either GMEC or Hospital Administration make on behalf of the GME Training Programs.
Advocate for Housestaff and fellows on issues which are important to the Housestaff and Fellows as a whole and concerns which affect the care we provide our patients.
Serve as a means of communication between Housestaff, Fellows and GME
Provide proposals and means of communicating the shared ideas in order to enhance the resident/fellows education and life in such a way that there is balance to education and service.
Ways to voice your concerns:
* Come to a Resident Council Meeting
* Send an email to: rwmcresidentcouncil@gmail.com
* Complete and submit a suggestion into the box in the Resident Lounge
* Fill in the Form Below
The President of the Residents Council is voted in by his/her peers. The chief resident (4th year) and two PGY-2 + President, three PGY-2, three PGY-1 (1 prelim, 1 categorical) make up the Resident Council.
The Residents Council meets monthly to discuss issues, relaying concerns or suggest ways to improve the way things are currently done.
Following this monthly meeting (which typically occurs just prior to our Monthly Housestaff Meeting with the Program Director) the President of the Resident Council and Chief Resident share their ideas with all of the Residents and ask for others opinions or concerns. Concerns from residents are brought to the attention of the Resident council by electing to be present at a meeting, email or placing a note in our anonymous suggestion box.
The Housestaff and Resident Council then discuss their concerns at the Housestaff Meeting. Concerns which cannot be immediately addressed and require further discussion are brought to the attention of the Graduate Medical Education Committee which is represented by the following:
* Chief Medical Resident (4th Year)
* President of the Resident Council
* Third Year Resident
The monthly Housestaff Meeting and GMEC meetings provide a forum for Resident Council members to act as liaisons or advocates for positive change within the ACGME programs. The Resident Council Meetings are open to all Housestaff and fellows of the ACGME Programs.
Our Mission is to:
Represent the interests of residents and fellows in decisions either GMEC or Hospital Administration make on behalf of the GME Training Programs.
Advocate for Housestaff and fellows on issues which are important to the Housestaff and Fellows as a whole and concerns which affect the care we provide our patients.
Serve as a means of communication between Housestaff, Fellows and GME
Provide proposals and means of communicating the shared ideas in order to enhance the resident/fellows education and life in such a way that there is balance to education and service.
Ways to voice your concerns:
* Come to a Resident Council Meeting
* Send an email to: rwmcresidentcouncil@gmail.com
* Complete and submit a suggestion into the box in the Resident Lounge
* Fill in the Form Below
Monday, January 3, 2011
For Pioneering Hospitalists, 2011 Starts with a New Designation :: Article
For Pioneering Hospitalists, 2011 Starts with a New Designation :: Article
First recognition of Focused Practice in Hospital Medicine (FPHM) from the American Board of Hospital Medicine (ABIM)
First recognition of Focused Practice in Hospital Medicine (FPHM) from the American Board of Hospital Medicine (ABIM)
Are there any guidelines about “bouncing” patients between teaching and nonteaching services in a teaching hospital?
From: The Hospitalist, January 2011
http://www.the-hospitalist.org/details/article/972751/Turn_to_ACGME_for_Transfer_Resident_Supervision_Rules.html
Hospitalist-run, nonresident-covered medical services help solve duty-hour restrictions
by Dr. Hospitalist
DR. HOSPITALIST
I have doubts: Are there any guidelines about “bouncing” patients between teaching and nonteaching services in a teaching hospital?
Srikanth Seethala, MD
Pittsburgh
Dr. Hospitalist responds: Several thoughts came to my mind when I read your question. What did you mean by the term “bouncing”? When you refer to “nonteaching service,” are you referring to the cohort of inpatients in your teaching hospital cared for by attending physicians without the involvement of trainees? Of course, the most obvious question is what is causing your “doubt”?
As you may know, all U.S. postgraduate physician training programs are governed by the rules and standards set forth by the Accreditation Council for Graduate Medical Education (ACGME). You can find all of ACGME’s rules online at www.acgme.org. Regardless of whether you are a trainee or an attending physician, the ACGME expects the same interpretation and enforcement of their standards.
Our general medical service is divided into the resident-covered service and a separate, nonresident-covered service. Resident-covered service means IM residents are involved in the care of the patient under the supervision of an attending physician. No residents are involved in patient care on the nonresident-covered service. The development of our nonresident-covered service was clearly a product of ACGME duty-hour standards, which were originally enacted in 2003 and recently revised.
Our IM program has the same number of residents that we did before the new rules were put in place. Before 2003, we did not have a nonresident-covered medical service because we had a sufficient number of residents to care for all patients on our medical service. We found that the 2003 standards restricted the number of hours our residents could work in our hospital, so despite no change in the size of our medical service or the number of residents, we found ourselves without sufficient numbers of residents to meet the clinical demand. To meet this demand, we developed a hospitalist-run, nonresident-covered medical service.
Ask Dr. Hospitalist
Do you have a problem or concern that you’d like Dr. Hospitalist to address? E-mail your questions to drhospit@wiley.com.
We discussed a number of issues during the planning stages of our new service:
* How many hospitalist full-time equivalents (FTEs) would we need to staff this service?
* Would we have hospitalists physically in the hospital 24/7 or take call from outside the hospital?
* How much would it cost?
* Do we have two groups of hospitalist staff, one for the resident-covered service and a separate one for the nonresident-covered service? Or do we maintain one cohort of hospitalists and ask the staff to work on both the resident- and nonresident-covered services?
* Do we ask our hospitalists to rotate month by month or week by week, separately on the resident- and then the nonresident-covered service? Or do we ask hospitalists to see both patients on any given day?
* Do we geographically cohort our resident-covered patients on floors separate from our nonresident-covered patients?
The new rules fueled a lot of discussion between educators and trainees. Your question about the transfer of patients between resident- and nonresident-covered services does not surprise me. Some training programs tried to minimize the necessary number of attending level staff in the hospital by allowing trainees to “cross-cover,” or essentially care for patients on the nonresident-covered service, when the attending staff was not present in the hospital. It is my understanding that trainees are never allowed to cross-cover patients on the nonresident-covered service.
To my knowledge, however, there are no rules against transferring patients from the nonresident-covered service to the resident-covered service, or vice versa. TH
http://www.the-hospitalist.org/details/article/972751/Turn_to_ACGME_for_Transfer_Resident_Supervision_Rules.html
Hospitalist-run, nonresident-covered medical services help solve duty-hour restrictions
by Dr. Hospitalist
DR. HOSPITALIST
I have doubts: Are there any guidelines about “bouncing” patients between teaching and nonteaching services in a teaching hospital?
Srikanth Seethala, MD
Pittsburgh
Dr. Hospitalist responds: Several thoughts came to my mind when I read your question. What did you mean by the term “bouncing”? When you refer to “nonteaching service,” are you referring to the cohort of inpatients in your teaching hospital cared for by attending physicians without the involvement of trainees? Of course, the most obvious question is what is causing your “doubt”?
As you may know, all U.S. postgraduate physician training programs are governed by the rules and standards set forth by the Accreditation Council for Graduate Medical Education (ACGME). You can find all of ACGME’s rules online at www.acgme.org. Regardless of whether you are a trainee or an attending physician, the ACGME expects the same interpretation and enforcement of their standards.
Our general medical service is divided into the resident-covered service and a separate, nonresident-covered service. Resident-covered service means IM residents are involved in the care of the patient under the supervision of an attending physician. No residents are involved in patient care on the nonresident-covered service. The development of our nonresident-covered service was clearly a product of ACGME duty-hour standards, which were originally enacted in 2003 and recently revised.
Our IM program has the same number of residents that we did before the new rules were put in place. Before 2003, we did not have a nonresident-covered medical service because we had a sufficient number of residents to care for all patients on our medical service. We found that the 2003 standards restricted the number of hours our residents could work in our hospital, so despite no change in the size of our medical service or the number of residents, we found ourselves without sufficient numbers of residents to meet the clinical demand. To meet this demand, we developed a hospitalist-run, nonresident-covered medical service.
Ask Dr. Hospitalist
Do you have a problem or concern that you’d like Dr. Hospitalist to address? E-mail your questions to drhospit@wiley.com.
We discussed a number of issues during the planning stages of our new service:
* How many hospitalist full-time equivalents (FTEs) would we need to staff this service?
* Would we have hospitalists physically in the hospital 24/7 or take call from outside the hospital?
* How much would it cost?
* Do we have two groups of hospitalist staff, one for the resident-covered service and a separate one for the nonresident-covered service? Or do we maintain one cohort of hospitalists and ask the staff to work on both the resident- and nonresident-covered services?
* Do we ask our hospitalists to rotate month by month or week by week, separately on the resident- and then the nonresident-covered service? Or do we ask hospitalists to see both patients on any given day?
* Do we geographically cohort our resident-covered patients on floors separate from our nonresident-covered patients?
The new rules fueled a lot of discussion between educators and trainees. Your question about the transfer of patients between resident- and nonresident-covered services does not surprise me. Some training programs tried to minimize the necessary number of attending level staff in the hospital by allowing trainees to “cross-cover,” or essentially care for patients on the nonresident-covered service, when the attending staff was not present in the hospital. It is my understanding that trainees are never allowed to cross-cover patients on the nonresident-covered service.
To my knowledge, however, there are no rules against transferring patients from the nonresident-covered service to the resident-covered service, or vice versa. TH
Sunday, January 2, 2011
Saturday, January 1, 2011
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