The Department of Internal Medicine is committed to a robust and comprehensive educational environment. We believe our conferences to be one of the areas where we distinguish ourselves from other training programs.
There are two unique morning report sessions within the residency. For those on inpatient or consult rotations, morning report occurs on Mondays, Wednesdays, and Fridays. These are formatted where two cases are presented by residents currently on inpatient rotations. Cases are described fully up to the point where a clinical question is posed. This absolves attendees from the responsibility of obtaining a history and instead allows residents to discuss higher-level diagnostic and therapeutic issues in small groups. Cases generally have been resolved prior to presentation at morning report so that conclusions and a teaching point can be made.
For those on outpatient rotations, there is a separate morning report that occurs in our clinic. These conferences are shorter and also case-based where a resident presents a concept illustrated through the evaluation and management of an actual or imaginary patient. This morning report has an interdisciplinary component with at least one conference weekly including another area of the medical field such as psychiatry, pharmacy, nursing, or case management.
Academic Half Day
The Internal Medicine Residency has transitioned to a modified “Academic Half Day” for the first time this year. The format is, to our knowledge, unique to our institution. On Tuesdays of every week, all interns are excused from any clinical responsibility to attend this educational conference from 12:15 p.m. through 2:15 p.m. Residents continue clinical duties during this time so that patient care is uninterrupted. On Thursdays, roles are reversed to where all residents are excused from clinical commitments from 12:15 p.m. to 2:15 p.m. and interns continue their clinical roles.
We believe our unique format offers several advantages. Because this educational block is truly protected, learners can engage in conferences without fear of interruption or lapses in patient care. Only those rotating in the ICU or on nights are excused from attendance which ensures all house staff can attend the vast majority of conferences throughout the year. We have limited the total time to 2 hours (with breaks) which we feel is a more reasonable length of time to stay engaged in learning. The time restriction prevents educational content from becoming a barrier to accomplishing clinical responsibilities before the end of the work day.
Conferences are broken up into three separate sessions within the two hour block. Each week has a core medical knowledge topic, but we also include subjects related to the practice of medicine such as Financial Education, Evidence Based Medicine, Health Policy, Career Development, Quality Improvement, Adult Education/Teaching, Board Review, and others. All sessions are meant to be interactive and engaging.
Because this is a new format, the effects of this change are being studied to evaluate resident satisfaction, resident wellness, and retention of knowledge. Data from this study will help drive continued improvement in this conference series.
Medicine Grand Rounds
The Department of Internal Medicine hosts Grand Rounds each Thursday morning. This conference is meant to bring in experts from various fields to present topics of interest within Internal Medicine. This forum is meant to present timely issues that have implications across the department.