Again this year, Internal Medicine residents participated in the American College of Physicians (ACP) Clinical Vignette Competition, presenting perplexing cases to their peers and a panel of judges. Moderated by Chief Residents Marie Finkbeiner, MD, and Luke Morrey, MD, the competition began with 25 concurrent presentations across two spaces in University of Iowa Health Care.

Andrew Bryant, MD; Taylor Cox, MD; Brian Gelbach, MD; Reed Johnson, MD; Vicki Kijewski, MD; M. Lee Sanders, MD, PhD; Justin Smock, MD; Jennifer Strouse, MD; and Roger Struble, MD, MPH, served as judges for the simultaneous sessions, and deliberated to select four presentation for the finals, held on Monday, September 16.

ACP Clinical Vignette Competition Finalists 

• Amanda Chang, MD: Muscle Mystery: When the Usual Suspect Isn’t to Blame, Mentor: Manish Suneja, MD, FASN, FACP
• Hunter Frederiksen, MD: Urea-lly Encephalopathic! Mentor: Lisa Antes, MD
• Alex Greiner, MD, PhD: Keen Eyes and Full Hearts: An Electrical Mystery, Mentors: Barry London, MD, PhD, and Abdullah Sohail, MBBS
• Mackenzie Walhof, MD: Rattling the Cascade: A Case of Coagulation Gone Awry, Mentor: Krista Johnson, MD, MME

“All of the presentations were excellent and showcased the best of our residency program,” Vice Chair of Education and Director of Internal Medicine Residency Manish Suneja, MD, FASN, FACP, said. “The judges had an exceptionally difficult time deciding on first place!”

The winner was Alex Greiner, MD, PhD, who presented on an unusual case that resulted in a diagnosis of Brugada syndrome, a potentially life-threatening inherited disease that predisposes patients to fatal cardiac arrhythmias.

As winner of the University of Iowa ACP Clinical Vignette Competition, Greiner will compete against winners of other regional Internal Medicine residency programs during PROGRESS 2024; a continuing medical education event for Family Medicine and Internal Medicine physicians hosted on October 3 at the Hyatt Regency Hotel and Conference Center.