Medical Medicine

TANU DUGGAL

MBBS, MD Email: **********@*****.***; Ph: 347-***-****

EDUCATIONAL QUALIFICATIONS

*/**** ********* ** ********** American Board of Internal Medicine (ABIM) 7/2016-7/2017

Fellowship in Transplant Nephrology

Henry Ford Hospital, Detroit, Michigan

8/2014 Certified in Internal Medicine American Board of Internal Medicine (ABIM) 7/2014- 6/2016 Fellowship in Nephrology

Virginia Commonwealth University,

Richmond, Virginia

6/2011-6/2014 Residency in Internal Medicine JHU/ Sinai Hospital of Baltimore, Maryland 10/2009 –11/2010

Completed Step 3

ECFMG Certified

Completed Step 2, CS June, Pass

Completed Step 2, 96/232

Completed Step 1, 97/232

Education Commission for Foreign Medical

Graduates, USA

8/2003 –

5/2009

Medical Diploma – Degree in Bachelor

of Medicine and Surgery (MBBS)

Maulana Azad Medical College, University of

Delhi, New Delhi, India

7/2003 Intermediate (Schooling) Delhi Public School, New Delhi, India WORK EXPERIENCE

Lawrence General Hospital (LGH), Lawrence, Massachusetts (8/2017- to date) I am currently working as a hospitalist in LGH- while serving my 3yr waiver program. The challenge in practice here often lies in patient education, identification of barriers to continued treatment and follow up plans as the community is medically complex and has poor insurance coverage. The ills of opioid epidemic and other substance abuse are often seen and it is humbling as a physician to recognize circumstances truly beyond the scope of training. We have an excellent staff and paraclinical social workers and case managers who help us work with our community. I am also involved in directly teaching residents working with the Greater Lawrence Family Health Center –Family Medicine program based at LGH.

Transplant Nephrology Fellowship, Henry Ford Hospital, Detroit, Michigan (7/2016 – 7/2017) One-year fellowship dedicated to learning the finer details in Kidney, Pancreas and Simultaneous Liver Kidney Transplants transplant. At Henry Ford Hospital, there are about 110+ kidney only transplants every year including deceased and live donors. I was involved in all steps of the transplants- right from assessing and evaluation of patients and donors for suitability, to observation of procedures and procurements at Gift of Life procurement center in Ann Arbor, Michigan, to post transplant follow up of patients and donors. I was also part of multidisciplinary meetings, weekly and monthly presentations and updates including journal clubs, Morbidity and Mortality meets and Grand rounds for faculty and colleagues. Nephrology Fellowship, VCU Medical Centre, Richmond VA (7/2014 -6/2016) VCU Medical center is a premier medical institute in the US and its Department of Nephrology is ranked highly in the country. It in one of the largest tertiary care centers. I had the opportunity to see a multitude of patients, in both outpatient and inpatient setup afflicted with kidney disease allowing me exposure with rotations at the Mcguire VA Medical Center, Richmond VA. I was involved in care ranging from management of Chronic Kidney Disease from various etiologies, institution of Dialysis, both Hemodialysis and Peritoneal Dialysis and also Renal Transplant patients. VCU has one of the largest critical care service in the region and has dedicated Neuro, Cardiac, Surgery, Medicine ICU,Burn ward. Patients on LVADs,ECMO,CRRT were frequently followed by our service under the esteemed guidance of our attendings. HDL Project

(7/2015 – 7/2016)

Worked on HDL project- designed to study how HDL efflux mechanisms differ in CKD and CAD patients with respect to controls, to determine how effluxed cholesterol is utilized by hepatocytes and whether there is any co-relation between the severity of CAD /CKD with the efficiency of efflux utilization by hepatocytes TANU DUGGAL

MBBS, MD Email: **********@*****.***; Ph: 347-***-**** Internal Medicine Residency, JHU/ Sinai Program, Sinai Hospital of Baltimore MD (6/2011 – 6/2014) Sinai Hospital is a 450-bedded community hospital in the outskirts of Baltimore. I worked through different postings including Emergency Room, Floors, Night Float, ICU, outpatient clinics and various electives. Also Supervised interns and coordinated patient care. Work included procedures such as central Line placements, lumbar puncture, drawing arterial blood gases and venous blood John Hopkins

Bayview Medical

Center

(2/2013 – 3/2013)

Evaluated and discussed Acute Kidney injury consults during residency, on floors with JHU attendings

John Hopkins

Kidney Transplant

Rotation

(9/2013 – 10/2013)

As an IM resident, involved in workup of various clinical conditions transplant patients presented with requiring further inpatient workup. Admitted under the service of transplant nephrologist

Thombosis

Research Lab

(9/2012– 10/2012)

Worked with Kevin Bliden under Dr. Paul Gurbel on

1. MAGMA - Multianalyte, Genetic and Thrombogenic Markers of Atherosclerosis, Sinai Hospital of Baltimore, MD

To determine association between findings on cardiac catheterizations and coronary vascular findings and blood work

To find a co-relation between various biochemical and genetic blood markers and see how well they can be used as a proxy to atherosclerotic complications in patients with known CAD

To allow a more complete risk assessment in the future by possible inclusion of platelet reactivity tests routinely

2. Pilot Study for thrombogenicity following elective lower extremity arthroplasty- hip and knee:

Conducted in coordination with RIAO institute at Sinai, to compare the efficacy of ASA vs Arixtra as antithrombotic agents in patients undergoing elective knee/hip replacement and to assess their role in prevention of post operative complications of Venous Thromboembolism

Helped in blood collection, data collection, tabular formulation, synthesis of data and analysis

Observer, Cardiology, St. Joseph Health System, Lexington KY (7/2010 – 8/2010)

Shadowed Dr Jonathan Waltman, Cardiologist through his day managing both out and in patient work, elective and emergency procedures, from cath laboratory work to follow up cases. Allowed me a closer look at the US health care system for the first time. Volunteer, Mother Child and General Clinic, Delhi, India (11/2009 – 5/2010) Volunteered at a local clinic in providing people of Kotla Mubarakpur, a small community in Delhi with routine health care services like ante natal check up, follow up of various chronic diseases and family welfare services

Junior Resident, Blood Bank & Transfusion Medicine, Department of Pathology Kasturba Hospital, Delhi, India (6/2009 – 10/2009)

Responsible for screening and bleeding of blood donors Volunteered to accompany the Indian Red Cross Society team during their blood donation drives at TANU DUGGAL

MBBS, MD Email: **********@*****.***; Ph: 347-***-**** voluntary blood donation camps – at malls, workplaces, remote locations around Delhi Junior Resident, Department of Anaesthesia Kasturba Hospital, Delhi, India (2/2009 – 5/2009)

Responsible for inducing local and general anaesthesia

Included induction of spinal anaesthesia under supervision

Management of intraoperative complications

Also involved in monitoring during the operation and carrying out pre-anesthetic check up and post- operative patient evaluation and monitoring

Internship, Lok Nayak Hospital, Delhi, India (1/2008 – 12/2008)

Managed patients in medicine wards and general medicine OPDs including specialty clinics like Nephrology

Assisted in management of emergency cases and triage during ER rotation

Short stint in the Tuberculosis unit covering the basics of TB diagnosis and practical management under different categories of anti tubercular therapy follow up

During my Pediatrics rotation, apart from observing the faculty and residents at work in the wards and OPD, I also got to be a part of activities like Well Baby clinics and special OPDs like Endocrinology and Cardiology

Academic activities

Presentations

Fellowship presentations

o Renal Grand rounds –Hyperuricemia : To Treat or Not to Treat, Renal Amyloidosis

o Worked on a Quality Improvement project where we will be changing the signout format – to assess adequacy and safety of the new sign out with a before and after questionnaire

o Monthly Morbidity and Mortality meetings for new Transplant cases during Transplant Nephrology training

Poster presentation

o Presented a poster titled ‘Weakness of CT evaluation in case of and abscess presenting as lymphoma’ at MD ACP Poster presentation- Baltimore, Maryland, May 2013

Case presentations

o Altered mental status from Hypercalcemia

o Spontaneous Bacterial Peritonitis

Journal club studies

o Age adjusted D Dimer cut off levels to rule out pulmonary embolism/Adjust PE study

o Effects of Fluid resuscitation with colloids vs crystalloids on mortality on critically ill patients presenting with hypovolemic shock/Cristal trial,High frequency oscillation trial in ARDS/OSCAR trial

o Restrictive vs liberal strategies in blood transfusion in patients of GI bleed o Multiple monthly presentations during Transplant Nephrology training

Clinical pearls

o Fecal flora and their relation to health and food composition o Advanced dementia in elderly population

TANU DUGGAL

MBBS, MD Email: **********@*****.***; Ph: 347-***-****

Diagnostic dilemma:

o Resistant Atrial flutter

o Tumor lysis Syndrome

o Syncope

o Diagnostic dilemma Pott's spine

Awards

o Best teacher award for Family Medicine residents for Greater Lawrence Family Health Center in 2018

Publications/

Submissions

Duggal T, Segal PE, Shah M, Carter-Monroe N, Manoharan P and Geetha D. Anca vasculitis associated with influenza vaccination: American Journal of Nephrology Aug

;2013 and presented at ASN in Nov 2013

Duggal T, Shafi T. Progressive Multifocal Leukoencephalopathy (PML) in a Kidney Transplant Recipient - Case Presentation and Review of Literature: Submitted for ASN

(not accepted)

Duggal T, Das M, Arora P. ANCA Associated Crescentic Glomerulonephritis in a HIV Positive Patient with Disseminated Kaposi Sarcoma. ASN-2016 Abstract Supplement of JASN, and Kidney Week 2016 Program Builder

Duggal T, Nagai S, Patel A, Venkat K, Kartikeyan V. Value of Medical History and Physical Examination in Predicting Presence of Carotid Arterial Disease on Doppler Studies in Kidney Transplant Candidates. Submitted for AST Abstract 2016(not accepted)

Duggal T, Dempster M, Prashar R. Case Review: Calcineurin Tacrolimus induced Neutropenia in post renal transplant recipient case. American Journal of Case reports

(Accepted- July 2019)

Conferences

Nestle Nutrition-science for better nutrition, role of micronutrients (2007)

Annual Surgery & Medicine updates held in Maulana Azad Medical College (2007)

Various Obstetrics & Gynecological conferences held in MAMC

Participated & helped in smooth running of ENT CME program organized by our unit(2007)

Received Surgical Skills Course and Environment protection & Waste management (2008)

American Society of Nephrology Conference, San Diego, CA (2015)

AST Fellows Symposium on Transplantation, Dallas, TX (2016)

American Transplant Congress- ATC, Chicago, Il (2017)

Board Review Series for Nephrology, Boston MA organized by MGH Department of Nephrology .August 2017

Extra Curricular

Committee

Memberships

Sinai Hospital -CPR committee, Blood and Tissue Management Committee (2012)

VCU Nephrology Program Evaluation Committee (2014)

ACP Health & Public Policy Committee membership Since March 2019- to date

MMS Committee on Women’s Health Since May 2019- to date Community

Service

Accompanying doctor in blood donation drives organized by the Indian Red Cross spread all over in National Capital Region

TANU DUGGAL

MBBS, MD Email: **********@*****.***; Ph: 347-***-****

Regular & active participant in the Pulse Polio Immunization drive

Served at medicine Outpatient Clinics, Antenatal Clinics, Well Baby clinics and awareness programs at Community centers in Barvala,Gokulpuri in National Capital Region, India

Represented Our Medical school in The Perfect Health Mela 2008, organized each year for the promotion of healthy living and early screening of diseases. OTHER INTERESTS

Listening to music, Watching movies, Trivia, Travelling, Tweeting and cooking

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