grand rounds
We are pleased to feature some of the clinically relevant presentations from the University of Louisville Internal Medicine Grand Rounds. The current schedule can be found here as well as the complete video archive.
Our new Chair of the Department of Medicine, Dr. Kim Williams, presents his first Grand Rounds on the topic of Nutrition, Health Equity, and CV Mortality. First, Dr. Williams discusses some of the main issue in the United States including being its expensive and broken healthcare system. With the expectance of an increase in cardiovascular disease and stroke mortality in the US in the upcoming decades, particularly in minority groups, Dr. Williams believes our poor nutrition promotes and accentuates health inequities and ethnic disparities. Dr. Williams encourages the implementation of education around plant-based diets which are associated with lower rates of of systemic hypertension, hyperlipidemia, obesity, and diabetes.
Dr. Joe Rotella presents "From Burnout to Joy- Healing the Healers " by first describing the consequences and causes of clinician burnout as well as the rise of national initiatives to support clinician well-being. He then uses stories and illustrations to trace one physician's journey from burnout to joy and growth as a medical leader. And finally, Dr. Rotella explores how we can help each other thrive in this difficult and important work.
In this Grand Rounds, Dr. Jonathan Bernstein discusses chronic cough by first describing the evaluation and differential diagnosis of a patient presenting with chronic cough. He then determines the pathogenesis of chronic cough and defines the approach to diagnosis and treatment of chronic cough.
Dr. Joseph Kvedar presents his book "The Internet of Healthy Things" for Grand Rounds. "The Internet of Healthy Things" marks the invention of a radically new way to deliver healthcare and inspire wellness.
Dr. Stephen Winters presents "Klinefelter Syndrome" through multiple cases. He discusses the diagnoses of patients with Klinfelter Syndrome as well as what to look for in men and women. He then explains the quality of life for someone with KS as well as different treatments offered by various authors.
Dr. Tao Le presents "Accelerating Innovation in Academic Medicine" with the help three panelists: Dr. In Kim, Dr. Gerard Rabalais, and Dr. Brad Sutton. Dr. Le discusses various topics like design thinking, team based learning, and the innovation code.
Dr. Anupama Raghuram discusses "Hepatitis A: An Update in the Context of an Outgoing Multi-state Outbreak" by first reviewing the epidemiology and pathogenesis of hepatits A virus (HAV) infections. She then presents the clinical manifestations and management of HAV infections. After, Dr. Raghuram addresses strategies for prevention of transmission in a variety of clinical settings and finally, reviews data on the ongoing multi-state HAV outbreak in the US.
Dr. Yvonne J. Huang presents Human Microbiomes and Asthma Phenotype: Next Frontiers by first reviewing evidence linking the microbiome in early life to childhood asthma. She then discusses recent evidence linking the airway microbiome to asthma phenotype in adults. After, she discusses the challenges and new directions to understanding how microbiota influence asthma phenotype.
Dr. Vivek R. Sharma presents "Hemophilia in the 21st Century: Current Practice and Future Directions" by first discussing the history of hemophilia. He then discusses management throughout the years and finally the remaining challenges.
Dr. Chris Reed presents an overview of congenital arrhythmogenic pathologies by first focusing on two families of diseases: structural and conduction. He then discusses pathophysiology and cause of disease and after, the diagnostic workup and what to include in a consultation. Finally, Dr. Reed presents management plans and when to pursue intervention.