Vital Signs
Annmarie Thompson, MD

Dr. Annemarie Thompson
Residency Program Director

September 12, 2019

Dear Colleagues,

Now that the new academic year is underway, it seems fitting to take a look back to summer, give a welcome shout-out to all of our new folks, and say a fond farewell to Jessica Burkhart, who will begin her new position with our Duke GME office next week. Read below for all the deets.

The summer begins with an ending, specifically the end of our CA-3 residents’ training and a celebration of their achievements. In June, we graduated an outstanding group of physicians that will embark on new journeys. We wish them the best and know they will succeed in their endeavors. Graduation was a special event at Bay 7 in Durham, where the evening was filled with warm expressions of gratitude to faculty mentors, resident colleagues and patients.

View the Graduation Post and Photos

A few weeks later, we welcomed a new group of newly-minted doctors into our intern class and CA-1s into the operating room to begin their long-awaited life’s work of caring for patients before, during and after surgery. We also hosted our second Intern Book Club, reading Paul Kalanithi’s When Breath Becomes Air. Others did more “practical” activities, taking (and all passing) the BASIC exam.

2019 Intern and CA1 Class
Residents Training

Drs. Jared Roberts, Doug Wackerle, and Bryan Chow

Drs. Jared Roberts, Doug Wackerle, and Bryan Chow

This time of year also brings mountains of paperwork in ACGME annual updates, institutional process improvement plans, and general program maintenance. In the vein of program maintenance, I am excited to announce our 2019-2020 Social Chair Committee! Your class representatives are Jared Roberts, Doug Wackerle and Bryan Chow. We are looking forward to their collaboration!

Jared Roberts, MD

Jared Roberts, MD

Congratulations to Jared Roberts, a CA-3 resident, who was selected through a highly competitive process to be a Feagin Scholar. The Feagin Leadership Program engages the medical community at Duke to develop leaders through coaching, leadership education, expert perspectives, self-reflection, and group project participation. It is an honor to have one of our very own residents participating in this prestigious program.

On August 24th, the annual departmental event at the Durham Bulls Athletic Park was held. It was the highest attendance we have ever had at the event, with faculty, residents, fellows and their friends enjoying the cookout, the ice cream, the game, and the FIREWORKS! They were spectacular this year. Based on the feedback and attendance, we are likely to continue this tradition, so be on the lookout for the 2020 date.

On the national scene, Doximity ratings are out for the 2019-2020 year. We are officially ranked 5th in the nation! I believe our program and residents (current and alumni) are ranked higher than that by clinical skill and overall passion and commitment to patients and the profession, but it is still an honor to be acknowledged as one of the best. Congratulations to all programs committed to excellence for future generations of anesthesiologists!

And lastly, it is time to say farewell to Jessica Burkhart, who will be joining the Duke GME office next week. She will miss the esprit de corps of our group and working with our residents, but it will be a positive thing to have her in her new GME role to support and advocate for continuous improvement and efficiency in residency and fellowship management here at Duke. For those of you who may not remember, she was instrumental in redesigning not one, but two, resident lounges, and she helped to keep resident administrative tasks to a minimum. Her enthusiasm for innovation has helped in so many areas. She is a great person and a loyal friend to both our department and me. Best of luck, Jessica!

Have a great weekend all! ~ Warmly, Annemarie

James Dierkes MD
Jared Roberts, MD

Being presented at the 2019 ASA Annual Meeting

“Delayed Neuromuscular Blockade Reversal With Sugammadex Following Vecuronium, Desflurane, And Magnesium Administration”

James Dierkes, M.D., Alison F. Brown, M.D., Julien M. Cobert, M.D., Catherine M. Kuhn, M.D., Stuart Grant, M.B.,Ch.B.
Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA.


A variety of factors are known to prolong neuromuscular blockade including several medications commonly used in anesthetic practice. We present a 58 year-old healthy male who underwent robot-assisted laparoscopic prostatectomy for prostate cancer. He received general anesthesia using desflurane, vecuronium, and magnesium infusion with delayed neuromuscular blockade reversal following sugammadex administration. A higher than anticipated total dose of sugammadex was required for adequate reversal, and quantitative neuromuscular monitoring was essential to ensuring complete neuromuscular recovery prior to extubation in this case. The use of magnesium, desflurane, and vecuronium may necessitate the need for higher than expected doses of reversal.

Drs. Alison Brown and Delbert Lamb

– CA-3 on-call pager (9313) is covered by CA-3 on general OR call.
– Liver call pager (7320) is always covered.
– Regional resident pager (5317) is covered by regional resident starting at 0630, then PACU/attending once regional resident leaves. This pager is covered by CA-3 on call on the weekends.
– PACU CA-3 pager (5325).

Please stop by during the office hours listed below. Or, please feel free to contact any of our leadership to schedule a meeting outside of standard office hours.

Dr. Annemarie Thompson (Program Director): Per request.

Dr. Brian Colin and Dr. Ankeet Udani (Assistant Program Directors): Per request.

Shelby Schultz (Junior Program Coordinator): Monday – Friday, 8 – 4 p.m. in HAFS office

Duke Health wants to showcase our residents online! Please contact Jennifer Schwabel and Shelby Schultz if you’re interested in creating a video for your physician profile page! Check out Dr. Thomas Buchheit’s profile video for a great example.

Wellness Opportunities
Want to talk with someone?

Personal Assistance Service (PAS) is the faculty/employee assistance program of Duke University that is FREE. The staff of licensed professionals offers assessment, short-term counseling, and referrals to help resolve a range of personal, work, and family problems. PAS services are available at no charge to Duke faculty and staff, and their immediate family members. An appointment to meet with a PAS counselor may be arranged by calling the PAS office at 919-416-1PAS (919-416-1727), Monday through Friday between 8:00 A.M. and 5:00 P.M. Four premium time appointment slots are being offered each week for GME trainees only. Two appointments are at 7 am (Tuesdays and Fridays), and two appointments are at 5 pm (Mondays and Wednesdays), each week.

24 x 7 behavioral health support for GME trainees, including urgent support for those experiencing behavioral health crises during nights and weekends: During normal business hours, and for non‐urgent behavioral health care needs, PAS (919‐416‐1727), Duke Psychiatry (919‐684‐0100) or Employee Health (919‐684‐3136) are resources to access timely behavioral health care.

Intern Lectures
Sep 12: “Acute Pain Management” with Dr. Neil Ray

CA-1 Lectures
Sep 03: “Pulse Oximetry and Capnography” with Dr. David Lindsay
Sep 10: “Pharmacokinetics of TIVA: Induction Agents & Analgesics” with Dr. David MacLeod
Sep 17: “Control of Ventilation and the Anesthesiologist” with Dr. Richard Moon
Sep 24: “Gas Laws and Fluid Mechanics in Anesthesia” with Dr. Anne Cherry

CA-2/3 Lectures
Sep 04: “Embolic Events in Pregnancy and Delivery” with Dr. Matthew Buck
Sep 11: “Hematology, Bleeding, and Clotting in Pregnancy” with Dr. Terrence Allen
Sep 18: “Cardiac Disease in Pregnancy” with Dr. Cameron Taylor
Sep 25: “Neonatal Evaluation and Resuscitation” with Dr. Abigail Melnick

Thursday Lectures
Sep 12 at 4:30 pm: “Program Leadership Meeting ” with Dr. Annemarie Thompson
Sep 12: “Discussion ” with Dr. Brad Taicher
Sep 19: “Journal Club” with Dr. Ankeet Udani
Sep 26: “Productive Conversations” with Leadership Didactic Series Team

To view the complete list of job postings, visit the Box Account. Email Shelby to get added!

Duke Anesthesiology Residency Program

Department of Anesthesiology

GME Mistreatment Reporting Site

Confidential Comment Line: all submissions are strictly confidential unless you chose to complete the optional section requesting a response

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