Residents learning from Associate Program Director, Philip Verhoef, MD, PhD
For this year’s procedure didactic and as part of her QI project, resident Patrycja Ashley, MD wanted to focus on educating the residents about vascular access, given that this is such a critical skill in the practice of internal medicine. She and Dr. Philip Verhoef (associate program director) presented didactic education on vascular access, followed by a practicum in which the residents were able to use ultrasound guidance to cannulate fake blood vessels (made from boba straws) embedded in gelatin molds.
On August 10, 2019, a Kaiser Permanente team including several of the Internal Medicine residents volunteered for the annual American Heart Association Oahu Heart Walk. This is 4.5 mile walk that helps to raise funds for cardiovascular research and education, advocate for health, and save lives. More than $650,000 was raised.
Pictured, L to R: Timothy Kim, MD, MS; John Neighbors, MD; Hisami Oba, MD; Diana Kim, MD
The Residency Team went to Breakout Waikiki on July 2, 2019 for team building! All three groups “broke out” successfully and had a blast learning how to work and communicate with one another. Fun fact: this is the same location that former president Barack Obama and family visited—and broke out of—in 2016.
Pictured L to R: Leigh Moyer, MD; Diana Kim, MD; Laina’ala Song, MD; Patrycja Ashley, MD; Andrew Kinimaka, MD; Jennifer Katada, MD
Pictured L to R: Mitch Motooka, MD, FACP; Katharine Wong, MD; Ashley Morisako, MD; Lei Fang, MD; Jonathan Cho, MD; Matthew Chan, MD; Hisami Oba, MD
Pictured L to R: Joseph Hong, MD; William Bae, MD; Krissy Mai; Matthew Yee, MD; Braxton Fukutomi, MD; John Neighbors, MD
In support and recognition of ho‘oku‘ikahi and SELF CARE, more than 500 physicians, providers and admin staff gathered at the Hawaii Convention Center on June 11 for the 2019 HPMG & PPG Health & Wellness Professional Development Day (PDD).
2019-2020 Residency Class
The morning opened with our new residency class, led by Andrew Kinimaka, MD, sharing an oli, “Kūnihi Ka Mauna,” as a ho‘okupu (a traditional gift of respect) to request permission to enter, join, and learn from the HPMG ‘ohana. In response, Maile Tauali‘i, PhD, MPH (Clinical Transformation Health Care Research Consultant), led by Geoff Sewell, MD (President and EMD), Samir Patel, MD (AMD, Primary Care), Linda Kuribayashi, MD (Designated Institutional Official for KP Hawaii; Internal Medicine), and Mitch Motooka, MD (Director, KP Hawaii Internal Medicine Residency Program; Internal Medicine), welcomed the interns on behalf of the medical group. As they were introduced, they received their IM program white coats. The PGY-3 residents were then honored in a graduation recognition ceremony. Cheers were shared as it was announced that the entire class would be joining the Hawaii Permanente Medical Group practice.
Graduating Residents
There were updates and reinforcements about the importance of caring for our underserved members as well as caring for ourselves. The rest of the day was spent in different areas of the Convention Center or around the island as everyone practiced SELF CARE (sleep, exercise, love and laughter, food, compassion, awe, resilience, and engagement)!
New resident Leina’ala Song and her father Dr. Alan Song practice Exercise by surfing!
New residents Andrew Kinimaka and Chelsie Moyer learning about Food with the Plant-Based Cooking activity.
Pictured, L to R: Masaki Takai, MD; Stephen Chan, MD; Maegan Doi, MD; Li-Hsieh Chen, MD; Henry Lew, MD; Daniel Moreno, MD; Valynn Pham, MD; Mitch Motooka, MD; Cathie Ching, MD.
On May 3, PGY3 Internal Medicine Residents presented an evidence-packed Grand Rounds entitled, “Primary Prevention of Atherosclerotic Cardiovascular Disease.” Residents discussed risk stratification tools, the latest evidence regarding aspirin therapy, and the role of cholesterol. Throughout the presentation, residents told the story of “Mr. Miyagi,” a patient who engaged in a shared decision-making discussion with resident Maegan Doi, MD, while viewing the KPARE (Kaiser Permanente ASCVD Risk Estimator) tool.
Program Director, Mitch Motooka, MD, makes a cameo appearance as “Mr. Miyagi” and engages in a shared decision-making conversation with resident Maegan Doi, MD.
Clinical content mentors, Stephen Chan, MD (Assistant Chief, Cardiology); Catherine Ching, MD (Regional Guideline Director); and Masaki Takai, MD (Ambulatory Lead, KP HealthConnect, Hawaii Region) joined the residents to answer questions. Following the Grand Rounds, a proud Program Director, Mitch Motooka, MD, congratulated his graduating residents on their stellar performance!
2019 Graduates (From L-R): Li-Hsieh Chen, MD; Dan Moreno, MD; Valynn Pham, MD; Maegan Doi, MD; Henry Lew, MD
The Kaiser Permanente Hawaii Internal Medicine Residency Program celebrated its 2018-2019 academic year with a banquet on May 18 at Café Julia. Mitch Motooka, MD (Program Director, Kaiser Permanente Hawaii Internal Medicine Residency Program) opened the evening by welcoming residents, executive sponsors, faculty, lead teaching attendings, support staff, and guests. After acknowledging the many hands contributing to the program, he called upon Marcus Iwane, MD (Chief, Nanaikeola Clinic and Continuity Clinic Attending) to share the name he selected for the banquet: ‘aha puka papahana a‘oākauka (To celebrate the transition of our residents to becoming physicians).
The evening continued with a 2018-2019 awards presentation (see below); acknowledgement of Loni Belyea, MD, MBA and Joseph Hong, MD (Outgoing Associate Program Director, Hospital Medicine; and Chief Medical Resident); and a presentation honoring graduates. Dr. Motooka proudly announced that post-graduation, all five graduates would be joining HPMG: Drs. Maegan Doi and Li-Hsieh Chen will be at the Honolulu Medical Office in Primary Care; Drs. Henry Lew and Valynn Pham will be Co-Chief Medical Residents; and Dr. Dan Moreno will be a Pro Tem Provider, Internal Medicine. Congratulations and mahalo to all awardees, graduates, faculty and staff!
On April 5, Gurpreet Dhaliwal, MD (Professor of Medicine, UCSF) dazzled a packed Grand Rounds audience as he presented on “Diagnostic Error and Diagnostic Excellence.” Dr. Dhaliwal described factors and conditions that lead to diagnostic error and offered individual and team approaches to improving diagnostic performance.
After presenting Grand Rounds, Dr. Dhaliwal taught a Faculty Workshop on teaching clinical reasoning and, true to form as the “Sherlock Holmes of Medicine,” engaged residents with a series of questions as he led them through a case presented by PGY2 resident, Hisami Oba, MD.
Gurpreet Dhaliwal, MD, guides residents through the process of developing a differential diagnosis for a case presented by resident Hisami Oba, MD.
Dr. Dhaliwal’s visit was made possible by a Lokahi Grant to strengthen diagnostic reliability in busy and challenging medical practices. As part of this grant, KP Hawaii is also exploring the utility of point-of-care tools, such as VisualDx’s diagnosis generator, in supporting accurate diagnoses within a busy practice.
Gurpreet Dhaliwal, MD, explains the utility of VisualDx in diagnosis generation.
On Saturday, February 23, Internal Medicine Residents,alongside Program Director Dr. Motooka, Associate Program Directors Drs. Jennifer Katada and Loni Belyea, and Chief Resident Dr. Joseph Hong, attended ACP Hawai’i Chapter Scientific Meeting 2019 – “The Art of Being an Internist” at The Pomaika’I Ballrooms at Dole Cannery.
Resident Diana Kim, MD, won 2nd place in Research for her poster, “Successful Aging: The Study of Frailty in Kaiser Permanente Hawai‘i Kai Clinic Seniors Using the FRAIL Scale.” Our Resident Team also placed 2nd in Jeopardy!
Dr. Lisa Camara, ACP Governor, Hawai‘i Chapter (left) honors resident Diana Kim, MD for her second place award in Research.
On January 21st, on Martin Luther King Jr. Day, HPMG hosted the 10th Kaiser Permanente Hawai’i Annual Day of Service. More than 1,000 physicians, providers, staff, family, and community partners participated in numerous projects across eight sites throughout the state to honor the legacy of service left by Dr. Marin Luther King Jr.
Volunteers gave back to their communities by supporting ahupua‘a restoration and cultural preservation. Some of the activities included lo‘i and fishpond restoration, collecting kukui leaves and nuts, mangrove and limu removal, removing invasive plants and weeds, and trail building to just name a few. This year’s theme was ho‘oku‘ikahi which means to unify as one. It reflects our mission to bring together partnerships that improve the health of the communities we serve.
Pictured, L to R: Joseph Hong, MD; Loni Belaya, MD; Geoff Sewell, MD; Jonathan Cho, MD; Henry Lew, MD
Congratulations to our residents, Associate Program Directors & faculty for their numerous recognitions at the November 12th HPMG Research and Innovation Symposium!
Best Research Poster:
Bending the Curve on Melanoma: Early Detection and Mortality Through Automated Population-Based Screening by our very own Jonathan Cho, MD & faculty members, Stacey Honda, MD, PhD; Theresa Devere, MD; and Karen Ching, MD, PharmD.
Pictured, L to R: HPMG President & EMD Geoff Sewell, MD; Stacey Honda, MD, PhD; Theresa Devere, MD; Jonathan Cho, MD; Research Symposium Chairperson, Brian Lee, MD; Associate Medical Director, Knowledge Management, Grant Okawa, MD.
Best "Now" Innovation:
Still Not Your Grandma's Residency: Toolkit to Train Tomorrow's Healers by our Associate Program Directors, Loni Belyea, MD, MBA & Jennifer Katada, MD.
Pictured, L to R: HPMG President & EMD Geoff Sewell, MD; Loni Belyea, MD, MBA; Jennifer Katada, MD; Associate Medical Director, Primary Care, Samir Patel, MD.
Best "Near" Innovation:
Remote Glucose Monitoring by faculty members Kelly Kawaoka, MD, MPH & Jennifer Loh, MD
Pictured, L to R: HPMG President & EMD Geoff Sewell, MD; Kelly Kawaoka, MD, MPH; Assistant Associate Medical Director, Medical Education, Jennifer Loh, MD; Associate Medical Director, Primary Care, Samir Patel, MD.
Best Implementation of the Grand Rounds Strategy in 2017:
"A New Direction for Type 2 Diabetes" byResidents Jonathan Cho, MD; Matthew Chan, MD; Hisami Oba, MD; William Bae, MD & Matthew Yee, MD.
Pictured, L to R: HPMG President & EMD Geoff Sewell, MD; Jonathan Cho, MD; Matthew Chan, MD; Hisami Oba, MD; William Bae, MD; Matthew Yee, MD; Mitch Motooka, MD; Assistant Associate Medical Director, Medical Education, Jennifer Loh, MD.
Best Implementation of the Grand Rounds Strategy in 2018:
"Ravaged Joints: A Rheumatologist's Recommendations for Arthritis" byfaculty member David Finger, MD.
Pictured, L to R: HPMG President & EMD Geoff Sewell, MD; David Finger, MD; Assistant Associate Medical Director, Medical Education, Jennifer Loh, MD.
Residents pose for a quick candid at the Research and Innovation Symposium. Don't they look great?
