Conferences

Our educational style is based on adult learning theory and philosophy. In the adult learning tradition, the learner takes an active role in learning. This means that you get a lot of choices in the program, as described earlier.  It also means that we expect our housestaff to be active as learners in this program. Upper level housestaff (R2s and R3s) share teaching responsibility with faculty in many conferences, including morning report, attending rounds, and chief of service rounds. We expect housestaff to prepare cases, critically review relevant literature, and take an active teaching role in these conferences. This participatory style has been shown to improve learning and retention, and to prepare learners for lifelong learning. We believe strongly in it. The sessions are usually case-based, interactive, and provide an intellectually rigorous and clinically useful approach to patient care.

Senior Resident Morning Report (MR) - Five mornings each week (M,T W, Th ,F) from 10:45 to 11:45 AM, all PGY2's and PGY3's on inpatient floor teams meet with the inpatient Chief Resident and one faculty member to present a case-generated question to the group. . Focus of the discussion is selected by the presenting resident - for example some cases may be presented to discuss differential diagnosis, while others are presented to discuss specific management issues. This is followed by an educational prescription.

R1 Morning Report (R1MR) - Three mornings from 8:00 AM to 9:00 AM, all PGY1's on floor teams, the Chief Resident and one additional faculty member meet to discuss one case and one educational prescription. Format is similar to senior resident Morning Report (see above).

Attending Rounds (AR) - Two days each week each resident team meets with their Teaching Attending of the month AM for Attending Rounds. The usual format for these rounds is a single bedside case presentation followed by an in-depth discussion of the patient led by the Attending. The PGY2 or 3 on the presenting team is also expected to give a focused presentation to the group on a specific aspect of the patient's care during the last 15 minutes of rounds. Groups are encouraged to use alternate forms for Attending Rounds such as physical findings rounds where multiple patients with important physical findings are seen by the group to allow additional bedside teaching of physical examination techniques.

Professor's Rounds (PR) - Every Friday afternoon from 1:30 PM to 2:45 PM, all the resident teams meet with a senior member of the faculty (Chair, Associate Chairs, Division Chiefs, Clinical Chiefs). A single case, selected to take advantage of the Professor's area of expertise, is presented, including visit to the bedside, and a discussion of the case is led by the Professor.

Noon Conferences (NC) - The Residency Program Noon Conference Series is held five days of the week and includes: 1) reviews of core topics in Inpatient and Ambulatory Internal Medicine; 2) EKG Conferences. All residents on inpatient floor teams, as well as those on ambulatory block rotations and electives are expected to attend.

Grand Rounds (GR) - Every Thursday morning from 8:30-9:30AM the Department of Medicine holds Grand Rounds. A variety of formats are used: topic review, clinicalpathological conferences, case of the month, etc. All residents on inpatient floor teams, as well as those on ambulatory block rotations and electives are expected to attend.

MICU Conferences:

Ø       Daily Teaching/Management Rounds (TR) (8 am to 10 am) with a critical care attending physician.

Ø       ICU Teaching Conference (TC) (8 am to 9 am ). These are generally given by the ICU attending on a variety of critical care topics.  Three times per week.

Ø       Evening X-ray rounds (Xray C) – Given by one of the MICU attending (4 pm to 5 pm)

Ø       Fundamental Critical Care Support course : this is a two day course given in September to all incoming interns on initial management of critically ill patients.

Ø       Directly Supervised Procedures (DSP) - Residents have the opportunity to learn procedures under the direct supervision of the MICU Attending.   Central venous lines and arterial lines will be done under the supervision of other residents, until an attending has documented satisfactory competency in these procedures. Residents may have the opportunity to participate in the placement of Swan-Ganz catheters; in such cases a Pulmonary/Critical Care   or Cardiology attending is present for the entire procedure.

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