Learning from MTV - Department of Anesthesiology - Duke University

Monday, August 1, 2011 • Volume 13, Issue 29
Learning from MTV
by Jeffrey Taekman, MD | From The News and Observer on August 1, 2011
DURHAM -- Happy 30th
birthday, MTV. And thanks
for what you’ve taught us.
I’m not referring to shows
like “Jersey Girl” or “16 and
Pregnant.” Rather, MTV
has forced academicians
like me to re-examine
our outdated methods of
education, and to look for
new ways to engage with
our students.
Until the advent of MTV, which first aired on Aug. 1, 1981, music was
primarily a single-sense medium. Music videos transformed music into a
visual and auditory experience. Embedded within each short music video
was a vivid story - a narrative - that made the song (and story) more
memorable.
Today, we, as entertainment consumers, no longer just watch and listen
- we control and create. With increasingly powerful personal computers
and the ubiquity of the Internet, a great deal of our time is spent
interacting with multimedia - music on iTunes or videos on YouTube. The
answer to any question is available immediately through Google. Ondemand
movies, music and games are available 24/7. Many of these
items can now be downloaded, remixed and shared with others.
Neuroscientists tell us that the more senses we engage, the easier it is to
retain and apply information. MTV can take some credit for this rewiring
of our brains. All of this helps explain why we in education need to change
our traditional lecture format. Under this antiquated approach, learners
must forgo their control over pace, content and context of the topic. They
are not allowed to control what, when or why they are learning.
So despite numerous advances in technology and the science of learning,
the majority of our teaching remains lecture-based, for no better reason
than it is the easiest approach. It is time for a change.
We, as educators, must adapt to our new roles as guides or facilitators
rather than the end-all, be-all oracles spewing forth knowledge. If we fail
to adapt, our learners will revolt, leaving us obsolete.
Educational methods that embrace technological advances are needed
to enhance the learning experience. I believe that games-based learning
is a powerful solution to these challenges. With online games, users
hear and see the virtual world around them, but also directly control the
narrative. They are able to see the outcome of their actions in real time.
If they make a mistake, they reflect on other approaches and try again.
The reward center of the brain fires when they achieve the micro-goal,
encouraging them to tackle the next challenge.
http://anesthesiology.duke.edu
News
This cycle of trying, making mistakes, reflecting and trying again is central
to learning. The best consumer games chain together micro-challenges
into something that is neither so easy as to become boring nor so hard
that the user gives up. Gaming technology offers many other advantages
over traditional methods, including the ability to compress time, augment
reality, pace yourself, collaborate with others and obtain instant feedback.
Because the environment is served from a computer, we can track every
choice the individual makes, both correct and incorrect. Remediation is
immediately available.
Students today crave creation, collaboration and feedback in small,
immediately accessible doses. They also have the greatest visual acuity
of any generation, and rely on technology to improve their efficiency. It is
the teachers who must adapt.
At Duke University, for instance, health care educators are deemphasizing
lectures in favor of more interactive forms of education such
as team-based learning, simulation and games-based learning. These
changes have been slow in coming, but are necessary for the new breed
of learners. Based on our students’ emerging preferences and my own
experience both as a facilitator and learner using interactive techniques,
I truly believe digital game-based learning will have a prominent place in
the future of education, especially in health care.
So thanks, MTV. Your influence is a powerful catalyst for educational
reform.
Dr. Jeffrey Taekman, an anesthesiologist, is
director of the Human Simulation and Patient
Safety Center and assistant dean for educational
technology at Duke University School of Medicine.
The Art and Science
of Freediving
National Record Holders
Ashley Futral Chapman and
Erin Magee
• Physiology of Apnea Diving
• Physical and Mental Training Aspects
• Safety in Freediving
• Pursuing a National Record!
Wednesday, August 3, 2011
5:00‐6:00PM
Davison Markee,Green Zone,
Room M224, Duke South
1

ThIs Month In the DepArtMent of AnesthesIology
August 2011
MonDAy tUesDAy WeDnesDAy thUrsDAy frIDAy
1 2 3 4 5
7:15-8:00 a.m., RM203-Pain
Clinic
MRC Pain Conference
2:30-3:30 p.m., VAMC
VA Echocardiography
Conference
5-6 p.m., 5685-HAFS
Faculty Meeting
6-7:30 p.m., 5685-HAFS
Executive Team Meeting
5-6 p.m., 5685-HAFS
CT Conference: CANCELLED
5-6 p.m., 2001DN
CA-1 Resident Lectures: “Uptake
and Distribution of Inhaled Anesthetics”
- Atilio Barbeito, MD
7:00 a.m., 2001DN
Grand Rounds: “Why, After 30
Years of Failure, I’m More Optimistic
Than Ever For A Breakthrough
In Neuroresuscitation”
- David Warner, MD
4:30 p.m., 5685-HAFS
Advanced Resident Lecture: “Anesthesia
for spinal cord surgery
and intraoperative spinal cord
monitoring” - Luke James, MD
7:15-8:00 a.m., RM203-Pain
Clinic
MRC Pain Journal Club
4-5 p.m., 5680A-HAFS
Pediatric Conference
8 9 10 11 12
7:15-8:00 a.m., RM203-Pain
Clinic
MRC Pain Conference
2:30-3:30 p.m., VAMC
VA Echocardiography
Conference
5:30-6:30 p.m., 5680A-HAFS
Perioperative Leadership
Group Meeting
5-6 p.m., 5685-HAFS
CT Conference
5-6 p.m., 2001DN
CA-1 Resident Lectures: “Design
and Function of Anesthetic Vaporizers,
CO2 absorption and Gas
Analysis” - Richard Moon, MD
IrB Deadline
7:00 a.m., 2001DN
Grand Rounds: “Waking Up is
Hard to Do: Postoperative Delirium”
- Terri Monk, MD
4:30 p.m., 5685-HAFS
Advanced Resident Lecture:
“Anesthesia management of
subarachnoid hemorrhage”
- Cecil Borel, MD
7:15-8:00 a.m., RM203-Pain
Clinic
MRC Pain Journal Club
12-1 p.m., 2003DN
Critical Care Grand Rounds:
“SICU M&M”
4-5 p.m., 5680A-HAFS
Pediatric Conference
5-6 p.m., 7683-HAFS
Resident Education Session:
“Acute Transfusion Reactions:
Diagnosis and Management” -
Evelyn Lockhart, MD
15 16 17 18 19
7:15-8:00 a.m., RM203-Pain
Clinic
MRC Pain Conference
2:30-3:30 p.m., VAMC
VA Echocardiography
Conference
5-6:30 p.m., 5685-HAFS
Executive Team Meeting
5-6 p.m., 5685-HAFS
CT Conference
5-6 p.m., 2001DN
CA-1 Resident Lectures:
“Pressure Monitoring”
- Jonathan Mark, MD
IrB Deadline
7:00 a.m., 2001DN
Grand Rounds: “New perspectives
in subarachnoid hemorrhage”
- Daniel Laskowitz, MD
4:30 p.m., 5685-HAFS
Advanced Resident Lecture: “Not
so easy: Lung isolation and one
lung ventilation” -
Alina Nicoara, MD
7:15-8:00 a.m., RM203-Pain
Clinic
MRC Pain Journal Club
12-1 p.m., 2003DN
Critical Care Grand Rounds
4-5 p.m., 5680A-HAFS
Pediatric Conference
5-6 p.m., 5685-HAFS
Education Committee Meeting
22 23 24 25 26
7:15-8:00 a.m., RM203-Pain
Clinic
MRC Pain Conference
2:30-3:30 p.m., VAMC
VA Echocardiography
Conference
5-6 p.m., 5685-HAFS
CT Conference
5-6 p.m., 2001DN
CA-1 Resident Lectures: “Properties
of Gases: What Every Anesthesiologist
Needs to Know”
- Anne Cherry, MD
7:00 a.m., 2001DN
Grand Rounds: “Perioperative
Stroke” - David McDonagh, MD
4:30 p.m., 5685-HAFS
Advanced Resident Lecture: “The
perils of pericardial windows”
- Burkhard Mackensen, MD
Upcoming:
2011 Duke Anesthesiology Alumni reception
Sunday, October 16, 2011, The Field Museum Chicago, IL
2011 AsA
October 15-19, 2011 | McCormick Place Convention Complex, Chicago, IL
2011 Duke Anesthesiology holiday party
Saturday, December 3, 2011 | The Cotton Room at Golden Belt, Downtown Durham, NC
7:15-8:00 a.m., RM203-Pain
Clinic
MRC Pain Journal Club
12-1 p.m., 2003DN
Critical Care Grand Rounds
4-5 p.m., 5680A-HAFS
Pediatric Conference
5-6 p.m., 7683-HAFS
Resident Education Session:
“Journal Club”
http://anesthesiology.duke.edu 2

Grant Overview
The DREAM Innovation Grant (DIG) supports
innovative high-risk, and potentially high-reward
investigations to accelerate anesthesia and pain
management research.
Research deemed innovative may introduce a new
paradigm, challenge current paradigms, look at
existing problems from new perspectives, or exhibit
other uniquely creative qualities. The DIG promotes
new ideas; therefore, proposals need not include
preliminary data. However, a solid rationale for
the work must be provided. Proposed work should
not be the next logical step of previous work, but
should have a high probability of revealing new
avenues of investigation. This program aims to
provide pilot funding that will lead to successful
competition for additional funding beyond the pilot
period. The research concept, scientific team, and
explicit plans for how this work will lead to followon
funding will be the primary criteria for judging.
These points should be specifically addressed in
the application.
The principal investigator (PI) is responsible for
clearly and explicitly articulating the project’s
innovation and the potential impact on anesthesia
and pain management research.
Eligibility
All faculty members of the Department of
Anesthesiology at Duke are eligible to apply.
One of the grants will be reserved to support a
beginning scientist (within 5 years of completion
of residency or fellowship) by encouraging and
adequately funding projects that can contribute to
bridging the gap between training and progression
to independent investigator status. The other
speCIAl AnnoUnCeMent
DREAM Innovation Grant (DIG)
award(s) will be used as a seed grant to help
investigators with promising science obtain
preliminary data to support follow-on funding
applications.
Funding
A maximum of $30,000 will be awarded to each
recipient. None of the funds awarded are to pay
for faculty salary or overhead expenses. The
number of grant recipients and grant amount
will be determined by the DREAM Innovation
Grant Committee after all applications have been
received.
Application and Deadline
Applications and questions should be submitted to
David S. Warner, M.D. at david.warner@duke.edu.
1. A Statement of Intent (Deadline July 28, 2011):
a. Abstract (150 word max)
b. Preliminary Budget (Budgets should not
include salary support for a faculty, resident, or
fellow)
c. NIH formatted Biosketch
2. NIH R03-like Application Format (Deadline
September 6, 2011): i.e., up to 1 page for Specific
Aims and up to 6 pages for the background,
preliminary data and/or rationale, experimental
plan, description of roles of scientific team
members, timeline for milestones and completion,
and definition of plans to advance work beyond
this funding interval (all pages single-spaced, 11
point Arial font). Applications should include NIH
biosketches of all participants.
3. Winners will be announced October 16, 2011
during the ASA Alumni Reception.
http://anesthesiology.duke.edu 3

new Departmental research grant Award
Joseph p. Mathew, MD, Mhsc, Professor of
Anesthesiology and Chief of the Division of
Cardiothoracic Anesthesia and Critical Care
Medicine received a 2-year $431,750 NIH
Exploratory/Developmental Research Grant
Award (R21) from the National Heart, Lung,
& Blood Institute (NHLBI) entitled “Cortical
Beta-amyloid Levels and Neurocognitive
Performance after Cardiac Surgery”. In this
research proposal, the team, which includes Dr.
Murali Doraiswamy from Psychiatry and Dr. Ed
Coleman from Radiology, plans to determine
the relationship between global cortical betaamyloid
deposition and postoperative cognitive
dysfunction (POCD). Additional goals are to
assess the regional patterns of amyloid deposition in patients with POCD
and to assess the effect of APOE4 genotype on amyloid burden. Defining
the role of amyloid burden in POCD using molecular imaging markers
that reveal the earliest neuronal changes may generate new mechanistic
insights into this common complication after cardiac surgery.
Duke Anesthesia Using sonosite
Ultrasound for regional Anesthesia
http://anesthesiology.duke.edu
AnesthesIology neWs
Check out our very own Drs. Grant
and Martin as they star in a video
by SonoSite demonstrating the
use of Ultrasound for Regional
Anesthesia at Duke University
Medical Center. When you see
them, ask for an autograph!
View the video here: http://www.youtube.com/watch?v=PSEFMEB9BJ4
send Us your photos!
The office of Alumni Development and Affairs is
looking for both past and current photos of the Duke
Anesthesiology team for possible inclusion in our
commemorative edition of the BluePrint publication.
Please send us one or more of your favorite photos
with a brief caption telling us who is featured and
(if necessary) what is happening to blueprint@
mc.duke.edu. The deadline for photo submissions is August 31st. Kindly
remember that we cannot use photos that may identify a current/former
patient without the appropriate permission forms.
Comings and goings
Please welcome Thomas John Van de Ven to the department. Dr. Van de
Ven is a new Assistant Professor working in the VA division. He started
on July 31, 2011.
Dr. Michael Shaughnessy has transferred from a Fellow to Faculty
effective today, August 1, 2011. He is a new Assistant Professor working
in the Regional division.
Cathy Cox, Administrative Assistant has transferred to another program
at Duke. Her last day with us was July 21, 2011. Best of luck to you in
your new endeavors.
Kristine Brown, Research Technician II working in the Basic Sciences
division transferred to another department within Duke on July 25, 2011.
Best of luck to you in your new endeavors.
We wish a fond farewell and good luck to Swapna Chaudhuri, MD,
Professor and David Wright, MD, Assistant Professor who recently left
the department. Dr. Chaudhuri’s last day was July 31, 2011 and Dr.
Wright’s last day is today, August 1, 2011.
A fond farewell and good luck Heather Stevenson, Research Technician
II who left the department on July 18, 2011.
Leaving the department soon? Let’s keep in touch! Please contact Lauren
Marcilliat at lauren.marcilliat@duke.edu with your new mailing and email address
prior to your departure so that we can add you to our database!
“Check yourself” Campaign
Check Yourself…
Are you
who you think
you are?
Beginning Aug. 29, Duke will
launch a campaign called
“Check Yourself” to encourage
all staff and faculty to review
and update their personal data
and information in the “My
Profile” section of the Duke@
Work self-service website.
Because it is critical to keep
this information current, all
1 Visit the Duke@Work self-service website (work.duke.edu) between Aug. 29-Sept. 20.
faculty and staff will be asked to review and update work and home
2 Review your information under “My Profile” to see if you have one of five golden tickets.
addresses, phone Find numbers, the race/ethnicity, county of residence and
Duke@WORK Golden Ticket
dependent information Find one between of five golden tickets Aug. 29 – Sept. 20.
Review and Update
n Home address & phone number
in your personal information,
and you could win
n a pair of Duke men’s basketball tickets
n a $200 gift certificate for a performance at the Durham
n Work address & phone number
Two new fields – one Performing for Arts “work Center cell phone” and “other cell phone” – have
n Cell phone numbers
n a 50-minute deep-tissue massage at Duke
n also Race/ethnicity
Integrative Medicine
been added to n a night’s Duke@Work stay and breakfast for two at the Washington to allow faculty and staff to register
n County of residence
Duke Inn & Golf Club
for n emergency Dependent information
n a piece of the floor from the Duke men’s basketball
text messaging. Numbers for all Duke-purchased cell
2010 NCAA Championship
*Available prizes will be awarded on a first come, first served basis.
phones and those previously registered for emergency text messaging
Find a golden ticket? Call 919-684-5600 to redeem it!
will automatically be transferred to Duke@Work. Cell phone numbers will
not appear in the online directory, unless individuals list it as a primary
work number.
In an effort to encourage broad participation, an image of a golden ticket
will be added to the personal information of five randomly selected
individuals. These golden tickets can be redeemed for prizes, including
a pair of tickets to a Duke men’s basketball game, a $200 gift certificate
for a show at the Durham Performing Arts Center, a 50-minute deeptissue
massage at Duke Integrative Medicine, a night’s stay for two and
breakfast at the Washington Duke Inn & Golf Club, and a piece of the
basketball floor from the 2010 NCAA Championship.
Individuals must check all of their personal data fields to learn if they have
one of the five golden tickets. Those who find a golden ticket should call
the Human Resources Information Center at (919) 684-5600 to redeem
the ticket for one of the available prizes. Golden ticket holders will be
offered prizes on a first-come, first-served basis.
August 1 - 7 Birthday Wishes
Jaime Cooke Meredith Muncy
Dr. Stephen Esper Mary Frances Sittig
Dr. G. Burkhard Mackensen Dr. Thomas Stanley III
Note: If you do not want your name listed here, please send a removal notice to
keith010@mc.duke.edu. See errors? Please report them to the business office.
4

Classifieds
real estate/rentals
for sale: Large and Beautiful Kerr Lake Home
with Guest House. $5000 Finders fee paid to anyone
who brings us a closing buyer! 4 Bedrooms,
3 Full, 2 Half Baths. 5 garage Bays, 3 with HVAC
(1 used as workshop). Large covered, floating boat
dock with swim/sun platform. For more info and Pix:
kjmaltais@gmail.com 252-213-1468. Visit our website:
http://maltaisrealestate.ning.com/
for sale: House on Quiet Cul-de-Sac 5 minutes to Duke.
10 DuBarry Court, Durham, NC 27705 *$224,900* 3 bedroom,
2 bath in Westwood Estates on quiet cul-de-sac.
Approx. 1940 sq. ft. on approx. .42 acres. Berini Built
home. 3 large bedrooms, 2 bathrooms, large eat-in kitchen,
formal dining room, formal living room, entrance foyer,
family room/den, fireplace with gas logs, laundry closet off
of kitchen, deck, storage shed in backyard, carport with storage room, hardwood
floors throughout except kitchen and family room. Call 919-475-1780 or 919-724-
0924 if you would like more information or see the house.
Merchandise
services
Precor Ellptical #5.31. Just like new $2,500. Normally retails for
$4,000. If you are interested, please contact Jeff at 919-306-6645.
Babysitter Available: She is a first year medical student at UNC, just graduated
from Vanderbilt. Her name is Julie Lucas and she is an acquaintance of my son’s.
You can reach her way by her my cell phone, which is 336-207-4135 or email:
julie.h.lucas@vanderbilt.edu. She has references which I can send on request
from the Assistant Dean of Admissions at Vandy and a pediatrician at Vandy.
Thanks, Kathy Grichnik.
Matt and Krista Mauck are the proud
parents of a beautiful a baby boy
born on July 27 th !
Henry “Hank” Richard Mauck
8 lbs 6 oz
19.5 inches long
http://anesthesiology.duke.edu
AnesthesIology neWs
Upcoming CMe Activities
4th Annual UnC-Duke pediatric Anesthesiology Conference
“Best practices in pediatric Anesthesia Care”
August 27, 2011 | the William & Ida friday Center for Continuing education
| Chapel hill, nC
Please visit: http://www.med.unc.edu/cme/events/4th-annual-unc-duke-pediatricanesthesiology-conference-best-practices-in-pediatric-anesthesia-care
for more
information and to register.
Due to their many anatomic, physiologic, and developmental differences, infants
and young children constitute a high-risk population for undergoing anesthesia
and surgery. A collaborative approach requires that all team members function
with the most up-to-date information on providing safe pediatric anesthesia care.
Ultrasound for every Anesthesiologist
Pre-ASA Workshop
october 14, 2011 | the W hotel, lakeshore | Chicago, Il
for more information, email Katherine siler: siler006@mc.duke.edu.
This is a one-day intensive hands-on workshop specifically designed to teach
ultrasound to Anesthesiologists of all skill levels ensuring that ultrasound is being
used correctly and to its full potential. The use of ultrasound guided regional
anesthesia could increase patient cases and success in patient outcome.
Collaborative Anesthesia and obstetric Care of the highrisk
Delivery: What’s new in patient safety?
november 12, 2011 | rizzo Conference Center | Kenan-flagler Business
school, Chapel hill, nC
for more information, email Bridget White: bridget.white@duke.edu.
This one-day course will focus on the obstetric and anesthetic considerations and
preparations for the management of high-risk parturients.
Ultrasound guided regional Anesthesia
preceptorship Course
2011 Dates Available | Duke University Medical Center, Durham, nC
for more information, email Katherine siler: siler006@mc.duke.edu.
Participants in the Duke Preceptorship will spend three days in the regional block
area, operating rooms and on the floor with post surgery patients observing ultrasound
guided single shot nerve blocks and catheter techniques in a wide variety
of clinical scenarios. They will learn how to set up the block area for maximum
efficiency in the OR environment, improve their decision making ability and make
choices in the performance of regional anesthesia. A one-on-one discussion with
the Duke Faculty member reviewing cases, scanning techniques and the image
library as well as covering handout materials will augment the preceptorship
experience.
Visiting preceptorship in Intraoperative
transesophageal echocardiography
2011-2012 Dates Available | Duke University Medical Center, Durham, nC
for more information, email Jaime C. Cooke: jca24@notes.duke.edu.
Participants in the Duke Intraoperative TEE Preceptorship spend one three-day
session in the cardiac operating suites, observing techniques of intraoperative
TEE and interpretation of images. Preceptors will participate in active discussions
with cardiothoracic anesthesia faculty and fellows, and learn the basic TEE
exam. They will also learn how to troubleshoot difficult cases and enhance their
decision-making skills in the operating room. Cases will be reviewed with fellows
and faculty and images from pathology libraries will be used to augment the
preceptorship experience.
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