SUB-SPECIALTY CONFERENCE

Rotating weekly conference presented by subspecialty and other faculty: Cardiology, Pulmonary, Nephrology, Hematology/Oncology, Gastroenterology, Endocrinology, Rheumatology, Women’s Health, Geriatrics, Neurology

JOURNAL CLUB

Peer-reviewed journal articles are presented by residents and supervised by senior core faculty. Topical presentations and discussions focus on a systematic analysis of several related articles based on the fundamentals of evidence-based medicine. All residents are expected to attend. Faculty are also welcome.

ACADEMIC HALF-DAY

Every Wednesday afternoon from 1:30 pm to ~ 5:00 pm, residents have protected time for academic conferences of various types.  Academic half-day begins with a resident-driven topical presentation mapped to the MKSAP Internal Medicine Curriculum. Residents then split into groups where various topics are presented to PGY-1/2s and PGY-3s devote focused time to Board preparation and review.  Formats include didactic presentations, small group discussions, flipped classroom.

Board Review

PGY-3 residents are provided focused time for topical board-type reviews utilizing the MKSAP. These interactive sessions focus on broadening knowledge base and achieving familiarity with topics that are emphasized on the ABIM/AOBIM certifying examinations. During the sessions, study questions are reviewed to reinforce clinical knowledge and test taking strategies.

Ambulatory/general medicine Curriculum

The General Internal Medicine/Ambulatory Core Curriculum occurs every Wednesday afternoons for +1 week residents.  These conferences are mapped to and supplemented by an electronic syllabus utilizing the Johns Hopkins Ambulatory Internal Medicine Curriculum. Residents are assigned relevant topics throughout the year and present these topics in a small group setting.

Osteopathic Rounds

Osteopathic focused discussions and Committee meetings occur monthly throughout the year. Residents meet with our Osteopathic Education Director Dr. Christopher Knitig for presentations, discussion and practical hands-on OMT training.

M & M/Patient Safety Conference

Monthly, several cases are presented with a focus on medical morbidity and patient safety.  Clinical quality improvement issues such as near misses or actual adverse clinical events are presented in a CQI format. Systems issues or cognitive errors may be discussed as opportunities for systems improvement and not focused on individuals. These conferences are an integral part of the core curriculum as well as the medical system’s Quality Improvement and Patient Safety initiatives.

MORNING AND EVENING HAND-OFF

Every morning and evening, designated on-site residents will meet supervised by a chief resident and/or faculty designate for hand-off/sign-out rounds. Focused feedback is provided on the hand-off process.

SIMULATION AND FUTURE LEARNING

Simulation is arguably the most prominent innovation in medical education over the past 15 years. The Redmond Center for Interdisciplinary Simulation Education (RISE Center) is a fully self-contained learning laboratory utilizing high fidelity patient simulators like Laerdal’s SimMan® 3G and Clinical Skills Training Models like CAE’s Blue Phantom central line mannequin with ultrasound capability. The goal of the Simulation Curriculum is to foster a highly experiential and contextual learning environment for our residents and other health professionals. Central venous catheter placements, chest tubes, endotracheal intubations, and “RUSH” ultrasound exams are among the many experiences provided that promote patient safety and quality patient care. Residents train and perfect their procedural skills as well as work through various patient scenarios that reflect best practices in the care of acute disease processes. The opportunity to work with other disciplines during these scenarios will allow for skill building in inter-professional teamwork and communication. Sessions can also be recorded for self-reflection, debriefing and formative feedback purposes.

RESEARCH OPPORTUNITIES

All residents will participate in a Continuous Quality Improvement (CQI) project as a requirement for graduation. Instruction in Quality Improvement models and project development will take place during PGY-1. Dedicated faculty to support scholarly development including director of scholarly activity and QI director.  Ample opportunities for identifying and completing research projects with faculty mentorship.