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Practice airway access and PICC insertion at Internal Medicine 2010

From the March ACP Hospitalist, copyright © 2010 by the American College of Physicians

By Stacey Butterfield

Sidebar: Scientific program holds more for hospitalists Find mentoring and networking events

Whether they’re going eye-to-eye with a disembodied head or opening the airway of a mannequin, hospitalists attending Internal Medicine 2010 will find a number of opportunities for hands-on training.

The Herbert S. Waxman Clinical Skills Center, an annual feature of the meeting, includes several new activities this year that target inpatient practice.

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William Schweickert, MD, (left) instructs about soft tissue injection at the Herbert S. Waxman Clinical Skills Center during Internal Medicine 2009.

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Hospitalists and physicians in training will be the likely attendees of a new workshop on advanced airway techniques, according to Patrick Alguire, FACP, director of education and career development for ACP. Participants will practice intubation on mannequins and learn the advantages and disadvantages of rapid sequence intubation. They’ll also pick up rescue techniques in the event of failed intubation.

“They practice over and over and get expert advice,” said Dr. Alguire. “I anticipate it’s going to be a real success.”

Two other inpatient procedures were added to the center’s roster this year. A lumbar puncture training exercise will include demonstration, practice on a simulator and expert feedback. The new peripherally inserted central catheter (PICC) activity will give physicians the chance to practice placement of PICC lines, using simulators and hand-carried ultrasounds.

Both inpatient and outpatient clinicians—but especially educators—may want to attend the debut of the ophthalmology station, an educational resource developed in-house by ACP. “This is our first foray into making our own simulator,” said Dr. Alguire.

The activity consists of mannequin heads (like those used in wig stores) with models of the human eye implanted in them. “We’ve done a little surgery on the mannequin heads,” quipped Dr. Alguire. Participants will use ophthalmoscopes to view various abnormalities of the eye.

The exhibit may provide ideas for educators wanting to create simulators for their own institutions, suggested Dr. Alguire. They’ll have plenty of time to admire the handiwork, because the ophthalmology activity is self-guided. “You can sit there and stare as long as you want,” said Dr. Alguire. “This is a low-pressure way to learn.”

Because it’s self-guided, the ophthalmology activity doesn’t require tickets. The other activities do, but tickets are free and can be obtained on-site at the meeting.

Old favorites will also be returning to the Waxman Clinical Skills Center this year, including abscess drainage, Harvey the cardiopulmonary patient, and the self-guided cardiac murmurs tour.

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Scientific program holds more for hospitalists

The hospitalist track, a popular component of the last several meetings, has been expanded for Internal Medicine 2010.

This year’s track will include 40 sessions, covering new topics such as challenges in transfusion medicine, controversies in perioperative medicine, and teaching in the hospital. Some sessions, including “Ten Rules for Caring for Hospitalized Seniors,” will be offered more than once during the meeting.

“We really focused on the needs of internists and subspecialists and hospitalists in terms of updating their knowledge and translating advances in research over the past year to the real clinical needs at the bedside,” said Howard H. Weitz, FACP, chair of ACP’s scientific program subcommittee and director of cardiology at Jefferson Medical College in Philadelphia.

Hospitalists may also be interested in two new hands-on precourses that will be offered in the days before the main session. On Tuesday, “Fundamentals of Mechanical Ventilation” will serve as a refresher on topics such as the management of ARDS and asthma patients. “Advanced Concepts in Mechanical Ventilation” on Wednesday will address novel techniques and new modes of ventilation. Both sessions will include break-out small group sessions featuring live ventilators, mannequins and simulators.

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Find mentoring and networking events

Celebrate, learn and network with these special programs at Internal Medicine 2010. More information is available online. You must be logged in to ACP Online to access your registration record for Internal Medicine 2010.

Celebrate

Reception for African American Physicians. (Friday, 6:00–7:30 p.m., Fairmont Royal York Hotel, Ontario Room): Attend a brief program relating to minorities in medicine followed by socializing and networking with African American physicians and medical students, their colleagues, and College leadership. Pre-registration is requested but not required.

Medical Student, Associate, and Young Physician Recognition Reception. (Saturday, 6:30–7:30 p.m., Fairmont Royal York Hotel, Upper Canada Room): Join us to recognize the winners of the Medical Student and Associate Poster Competitions and the 2010 ACP Doctor’s Dilemma Championship. Meet and network with members of the Council of Student Members, Council of Associates, and Council of Young Physicians. Pre-registration is not required.

Learn

Medical Students Mentoring Breakfast. (Saturday, 7:00–8:30 a.m., Fairmont Royal York Hotel, Upper Canada Room): Take advantage of this opportunity for medical students to meet with internist mentors to discuss career options in internal medicine. Please note that although there is no charge for this event, attendees must present a ticket to enter.

Young Physicians Mentoring Breakfast. (Friday, 7:00–9:00 a.m., Fairmont Royal York Hotel, Ontario Room): Network with more experienced physicians, learn about advancing to Fellowship, and discuss common problems related to medical practice today. Please note that although there is no charge for this event, attendees must present a ticket to enter.

Network

Associates Luncheon Forum: 2010. Friday, 12:45–2:15 p.m., Convention Center, Room 701 A/B): Meet your Council of Associates representatives and voice issues and concerns important to you. Please note that although there is no charge for this event, attendees must present a ticket to enter.

Networking Luncheon for Women Physicians. (Friday, 12:45–2:15 p.m., Fairmont Royal York Hotel, Ontario Room): Meet new friends, share experiences, and discuss challenges facing women physicians in practice today. Please note that although there is no charge for this event, attendees must present a ticket to enter.

Volunteerism Networking Luncheon. (Thursday, 12:45–2:15 p.m., Convention Center, Room 104): Share plans, talk about your volunteer experiences, or gain information about medical volunteer work within the U.S. and internationally. Please note that there is no charge for this event, but attendees must present a ticket to enter.

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ACP Hospitalist provides news and information for internists about the practice of medicine and reports on the policies, products and activities of ACP. All published material, which is covered by copyright, represents the views of the contributor and does not reflect the opinion of the American College of Physicians or any other institution unless clearly stated