The residency program at Providence St. Vincent Medical Center is committed to fostering an environment of inquiry and scholarship among its residents. The medical center, with its many specialty centers, is actively engaged in ongoing clinical and outcomes research, and residents are encouraged to become involved.
PSVMC is a teaching affiliate of Oregon Health & Science University, where many of our faculty and physicians hold academic appointments. An ongoing commitment to evidence-based practice and critical review of the literature is part of the foundation of the residency program. All residents participate in scholarly activities under the mentorship and guidance of faculty. The program provides financial support for such projects and activities, which include regional and national American College of Physicians (ACP) posters and oral presentations; submission for publication of case reports, clinical vignettes and original clinical research; Principles of Quality Improvement projects, which often lead to presentable posters; quarterly practice examinations for American Board of Internal Medicine (ABIM) certifying examination preparation; senior presentations to the faculty and residents and annual resident In-Training Examination. In addition, residents are encouraged to take advantage of the many ongoing research opportunities based at PSVMC, and interested residents may devote elective time to such efforts. A partial list of clinical trials currently active at PSVMC is catalogued below.™
Providence St. Vincent residents have brought home both state and national awards for their clinical vignettes.
Drs. Karin Kuhl and Elke Lorence were invited to present their posters at the National ACP meeting in Philadelphia in April 2006. Dr. Kuhl’s poster, “D-Lactic Acidosis” and Dr. Lorence’s poster, “Refractory Thrombocytopenia in a Patient with Systemic Mastocytosis” were chosen by national ACP judges from 1400 entries.
At the Oregon American College of Physicians meeting in November 2005, a total of 12 residents gave presentations. Dr. Shelley Sanders won first prize for her Clinical Vignette Poster titled “Right Atrial Mass and Pulmonary Embolism: More than Meets the Eye.” Dr. Patricia Michels won second prize for her oral clinical presentation titled “Insidious Aspect of a Common Virus” and was invited to the Alaska state ACP meeting in 2006 to present her talk.
In April 2005, Man Tran, M.D. won the National ACP Abstract competition for his case of "Hepatic Hydrothorax without Ascites." Dr. Tran gave a PowerPoint presentation of this case at the 2006 National ACP (American College of Physicians) convention in San Francisco. He was one of 20 national abstract winners that were chosen from 1700 abstracts from 400 internal medicine residency programs.
Hall McGee, M.D., and Imran Mohamedy, M.D., represented Oregon at the ACP meeting, held in New Orleans in April 2004. Dr. McGee was one of 10 winners competing against 70 applicants from around the country. He was awarded for his poster presentation in the research division, examining the differences in patient care provided by residents over their course of training. Dr. Mohamedy was one of ten winners out of 100 applicants across the United States, winning for his poster presentation in the clinical vignette division. He presented a case of Creutzfeldt Jakob disease, a neurodegenerative condition that is both difficult to diagnose and not completely understood.
Providence St. Vincent Medical Center residents have won numerous awards for academic accomplishments through the ACP. In 2003, PSVMC residents won first prize in both the oral poster presentation of clinical vignettes and clinical research division at the national meeting of the American College of Physicians in New Orleans, an extraordinary accomplishment for any program, but especially one of this size. In addition, two other residents took second place finishes at the Oregon State ACP chapter annual meeting.
ABIM Board Passage Rate and In-Training Examinations:
The residency program is committed to achieving American Board of Internal Medicine (ABIM) certification for all of its residents. Every categorical resident receives a copy of the Medical Knowledge Self-Assessment Program (MKSAP) published by the American College of Physicians. Current three-year rolling ABIM pass rate is 95 percent.On the In-Training Examination, our program scored in the 8th Decile for all medicine programs nationally.
Partial List of Clinical Trials:
SPIRIT IV Study – Principal Investigator: Todd Caulfield, M.D.
A study to evaluate the safety and efficacy of the XIENCETM V Everolimus Eluting Stent for the treatment of up to three de novo native coronary artery lesions.
PERSEUS Study – Principal Investigator: Todd Caulfield, M.D. A study to evaluate the safety and efficacy of the TAXUS® ElementTM Paclitaxel Eluting Coronary Stent for the treatment of de novo native coronary artery lesions.
AWARE Study – Principal Investigator: Todd Caulfield, M.D.
A randomized, double blinded, placebo-controlled gene therapy study for the treatment of women with chronic stable angina who are not candidates for revascularization.
RESPECT Study – Principal Investigator: Todd Caulfield, M.D. A randomized study comparing PFO closure with the AMPLATZER PFO Occluder to medical management for patients with recurrent cryptogenic stroke.
CHAMPION Study – Principal Investigator: Todd Caulfield, M.D. A study comparing Cangrelor, an IV platelet inhibitor, to Clopidogrel in patients requiring PCI.
ELITE Study – Principal Investigator: Todd Caulfield, M.D. A randomized study to evaluate the safety and efficacy of the CYPHER® ELITETM Sirolimus Eluting Coronary Stent in up to two de novo native coronary artery lesions.
USCDP – Principal Investigator: Tony Furnary, M.D. United States CABG Diabetes Project. Extending tight glycemic control in CABG patients into the outpatient setting for one year.
GlucoLight Studies – Principal Investigator: Tony Furnary, M.D. An unblinded, non-randomized feasibility study to evaluate the accuracy of the optical continuous glucose monitor in post-cardiac surgery patients.
PROACT Study – Principal Investigator: E. Charles Douville, M.D. Clinical trial of the On-X® valve using low dose anticoagulation; low dose warfarin vs. Plavix® and aspirin.
Poster and Oral Presentations:
Dr. Quinn Emerson poster presentation at Oregon Chapter ACP Meeting, Eugene OR, November 2007
2005 Oregon State ACP Presenting Residents
Stroke Upstream: An Unusual Cause for Collapse Ryan Adams, M.D. – 2007 Oregon ACP Meeting
Gone and Now Forgotten? Late Complications of Jejunoileal Bypass Margaret Cook, M.D. – 2007 Oregon ACP Meeting
Written Invitations Improve Abdominal Aortic Aneurysm Screening:
A Randomized Controlled Trial James Edwards, M.D. – 2007 Oregon ACP Meeting
Diabetic Muscle Infarction: A Rare Complication of a Common Disease Quinn Emerson, D.O. – 2007 Oregon ACP Meeting
Postsplenectomy Sepsis: Opportunity Lost in No Paradise Jay Ham, M.D. – 2007 Oregon ACP Meeting
Varicella Meningitis in a Patient Treated with Fludarabine for Non-Hodgkin’s Lymphoma Sarah Rahkola, M.D. – 2007 Oregon ACP Meeting
Arrhythmia with an Iron-Clad Explanation Stacy Reed, M.D. – 2007 Oregon ACP Meeting
Refractory Cellulitis in a Patient with Crohn’s Disease Sarah Schultz, M.D. – 2007 Oregon ACP Meeting
A Case of Persistent Fever in a Young Healthy Male Olga Senashova, M.D. – 2007 Oregon ACP Meeting
Cloud of Smoke – A Case of Moyamoya Disease Evagelia Baros, D.O. – 2006 Oregon ACP Meeting; Third Place Clinical Vignette
Don’t Lose Your Nerve! Post-Infectious Central Nervous System Demyelination Timothy Hill, M.D. – 2006 Oregon ACP Meeting
D-Lactic Acidosis Karin Kuhl, M.D.– 2006 National ACP Meeting; Philadelphia; chosen by National ACP judges from 1,400 entries
Perils of Plumbism Karin Kuhl, M.D. – 2006 Oregon ACP Meeting
Adult-Onset Still’s Disease – A Diagnosis of Persistence Summer Lam, M.D. – 2006 Oregon ACP Meeting
Candida Pericarditis in a Patient with AML Elke Lorence, M.D. – 2006 Oregon ACP Meeting
Refractory Thrombocytopenia in a Patient with Systemic Mastocytosis Elke Lorence, M.D.– 2006 National ACP Meeting; Philadelphia; chosen by National ACP judges from 1,400 entries
A Rash From the Past: A Classic Presentation of a Once Common Disease Elizabeth Liles, M.D. – 2005 Oregon ACP Meeting
Insidious Aspect of a Common Virus Patricia Michels, M.D. – 2005 Oregon ACP Meeting; Second PlaceClinical Vignette
Multiple Myeloma with a Heparin-Like Inhibitor Jeremy Mills, D.O. – 2005 Oregon ACP Meeting
Right Atrial Mass and Pulmonary Embolism: More than Meets the Eye Shelley Sanders, M.D. – 2005 Oregon ACP Meeting; First PlaceClinical Vignette
Hepatic Hydrothorax without Ascites Man Tran, M.D. – 2005 National ACP Meeting; San Francisco, CA
An Unusual Pathogen in Pericarditis John Watford, M.D. – 2005 Oregon ACP Meeting
Insidious Aspect of a Common Virus Second Place, Oral Presentation, 2005 Oregon ACP Meeting Patricia Michels, M.D.
Monitoring Amiodarone Toxicity in a Community Hospital Clinic Research Poster, 2005 Oregon ACP Meeting Christopher Baldwin, M.D.
They Came From Beneath the Sand Clinical Vignette Poster, 2005 Oregon ACP Meeting Michael Czarnecki, M.D.
An Unusual Pathogen in Pericarditis Clinical Vignette Poster, 2005 Oregon ACP Meeting John Watford, M.D.
A Case of Postpartum Venous Thromboembolism Clinical Vignette Poster, 2005 Oregon ACP Meeting Evagelia Baros, D.O.
A Rash from the Past: A Classic Presentation of a Once Common Disease Clinical Vignette Poster, 2005 Oregon AP Meeting Elizabeth Liles, M.D.
Refractory Thrombocytopenia in a Patient with Systemic Mastocytosis
Clinical Vignette Poster, 2005 Oregon ACP Meeting Elke Lorence, M.D.
Multiple Myeloma with a Heparin-Like Inhibitor Clinical Vignette Poster, 2005 Oregon ACP Meeting Jeremy Mills, D.O.
Right Atrial Mass and Pulmonary Embolism: More than Meets the Eye First Place, Clinical Vignette Poster, 2005 Oregon ACP Meeting Michelle Schoepflin Sanders, M.D.
State and National Awards:
SPIRIT IV Study – Principal Investigator: Todd Caulfield, M.D.
