ICU/CCU Attending Rounds
The critical care team rounds on patients in the ICU from 7:30 to 9:00am, followed by CCU rounds from 9:00 to 10:00am.
Floor Attending Rounds
Each floor team meets with an internal medicine preceptor to discuss and examine patients, write orders and plan their management. Each medicine floor rotation includes a wide variety of pathology. Bedside teaching is emphasized.
Three times a week
Residents and faculty discuss an admission in detail with emphasis on history and physical exam, diagnostic data, presentation skills, and assessment and plan.
Academic Half-Day Lectures and Workshops/Journal Club
Our curriculum presents the wide spectrum of internal medicine topics covered in the American Board of Internal Medicine (ABIM) certifying exam. The first lecture is a formalized lecture followed by a workshop reinforcing the material from the lecture or a journal club on a similar topic. Journal articles are selected from the New England Journal of Medicine, the Annals of Internal Medicine or another significant journal. The method, results, statistics and conclusion are discussed to teach the residents how to interpret these articles and how to use them in their clinical practice. Review of ACP or cost-conscious care questions are discussed during the workshops as well.
These weekly lectures include topics on new advances in medicine, clinical cases with answers to evidence-based medicine questions, ethics, and multidisciplinary cases featuring multiple medical issues with a variety of medical specialists who come together and discuss their expertise.
Residents present short excerpts of their patients to a radiologist who interprets the appropriate films to the group.
Weekly per floor team
The Program Director/Chairman meets on a daily basis with one of the four medicine teams to discuss and examine patients. Pathophysiology, differential diagnoses, and management are discussed.
Three times a month
Residents review American Board of Internal Medicine (ABIM) board review material, usually from the Medical Knowledge Self-Assessment Program (MKSAP), and twice a month, a designated resident prepares answers to 15-20 questions for discussion. After two of these sessions in a particular discipline, a faculty member prepares, administers, and reviews the material on the quiz. These quiz grades are tabulated and trended.
Morbidity and Mortality Conference
During this multidisciplinary conference, a PGY-2 resident presents a case that reveals a potential systems error, near miss or quality/patient safety concern. Attendants include risk management, quality improvement, nursing, and pharmacy. The resident identifies concerns, assigns the appropriate competency, and develops improvement strategies with assistance from the group to prevent further occurrences.
Evidence-Based Medicine Conference
A case is discussed and evidence-based questions are generated by the group. The resident selects the three or four most interesting questions to investigate and present at a subsequent Grand Rounds.
Ambulatory Care Conference
Comprehensive curriculum on ambulatory care is discussed in a small setting by our ambulatory preceptors and other faculty.
Lectures on communicating medical information to patients and families, including bad news and disclosing errors, informed consent, conflict of interest, beneficence, maleficence, etc.
The group reads evocative literary pieces relevant to medicine and participates in writing exercises to enhance their humanistic perspectives. Resident writing is incorporated into the individual resident's portfolio, and occasionally pieces may merit publication in various online forums.
Palliative Care Conference
Residents assigned to geriatrics and palliative care work with supervising faculty to present cases of educational interest from a palliative perspective. Discussion focuses on evidence-based approaches to prognostication and to the risk/benefit profiles of various treatments, as well as principals of bioethics and end-of-life care.
Select residents express their insights about patients and their practice that cannot be expressed in the medical chart, with the group listening and responding to these reflections. This helps clinicians understand more fully what both physicians and patients experience in clinical practice.