Academic Environment/Didactics

Learning Venues:

Teaching takes place daily at bedside and during multiple didactic sessions as described below.  

Morning report:

Weekdays between 8 and 9 a.m. This is an attending/chief resident-led discussion geared to reviewing pathophysiology, fundamentals of physical diagnosis and early skills of clinical decision-making. There is focus on patient evaluation and clinical reasoning skills. The presentations are scheduled to include cases from the inpatient wards, as well as interesting cases from residents in ambulatory care or elective rotations.

Noon conferences:

Weekdays between noon and 1 p.m. This daily conference is developed as a programmed yearly curriculum, focusing on the core concepts that have been selected by the Curriculum Committee as the critical components of the discipline of internal medicine. It is designed to prepare our residents for the American Board of Internal Medicine exam. Conferences are presented by internists and subspecialty faculty. Noon Conference presentations are posted on New Innovations™ for residents to review as needed throughout training.

Management Review Conferences and Clinico-pathologic Conferences:

These are high quality, resident-run conferences held on Friday mornings. Residents present a case and then deliver a Grand Rounds style lecture on the topic that the case highlights. Residents are assigned to do at least three of these conferences by the time they graduate, which contributes to gaining a uniquely large amount of oral presentation experience during training. These conferences are approved for Category 1 CME credit for the participants.

Journal Club:

A monthly conference during which the residents select and critically appraise articles published in major medical journals, the practical application of statistical methods, and presentation skills. This practice emphasizes the skills necessary to analyze and implement information conveyed in medical journals. Timely and clinically relevant articles are selected to illustrate core topics of evidence based medicine.

M & M Conferences: 

Patient care scenarios in which the outcome was unexpected are discussed in a multidisciplinary team setting. It is a self-reflection exercise to identify opportunities to improve patient care quality and safety and identify issues related to the systems of care.

Grand Rounds:

Held on Friday mornings monthly, with a mix of both external and local experts, our Grand Rounds cover a variety of topics in both general internal medicine as well as subspecialties.

Senior Conference Series:

Senior residents present an interesting case or topic to the fellow residents and faculty once a month.

Intern Boot Camp:

A series of 30 minute sessions held in the beginning of the PG1 year, addresses the most practical issues Interns have when beginning residency. Topics are selected by Interns and Senior Residents. Senior Residents present information in an informal format. Some topics include: “Medication Reconciliation”, “Effective Communication with Team Members” and “RRT/Code Blue, the Intern’s Role”.

Are You Ready to be a Senior?:

A series of topics designed to assist Interns in their transition to the Senior Resident role. Some of the topics include: “You are the RRT Leader”, “How to Write a Medical Consult” and “Approach to Mechanical Ventilation”.

R.A.T.S:

Resident as Teacher Sessions are informal sessions designed to develop and refine Senior Resident teaching skills through presentations as they move toward independent practice.

Bedside Attending Teaching Rounds:

Daily bedside attending rounds are conducted with the entire team, where the art of history-taking and physical exam skills are refined, as well as the management of each patient case by case.

Board Review Sessions:

Conducted throughout the academic year, questions are selected from MKSAP, and only the most board relevant questions are reviewed to ensure a more valuable teaching session with the residents. Board Review sessions are led by Internal Medicine and Sub-Specialty faculty physicians.

Hand-Off

Handoff is held three times a day to transition patients from day time coverage to night coverage to morning coverage. It is a verbal and written face-to-face activity designed to provide a safe transition of all teaching patients to the next provider of care. These discussions are supervised by Faculty, Chief Residents or Senior Residents.

Resident Research/Scholarly Activities:

All Capital Health residents participate in research and scholarly activities, which are mentored by faculty advisors. Each resident designs and implements a research project, which is presented at the "Annual Research Day" in their PG3 year. A panel of physicians from the Medical Staff judge the projects and the best three receive awards at graduation.

Residents are highly encouraged to submit abstracts of their research projects, as well as case reports and performance improvement projects, to regional and national meetings and to scientific publications. Senior residents whose projects are accepted to regional and national meetings receive a stipend toward the expense to attend the meeting.

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