Educational Innovation

Medicine Report is our program’s flagship conference that occurs Monday through Thursday during 12-1PM. It is a case-based conference that focuses on clinical reasoning and management using an evidence-based approach. Chief Residents prepare an interactive presentation based on a patient cared for on a resident service. Along with an expert faculty discussant, we work through the differential diagnosis, work up, and management of both core medicine topics and complex cases. Along with an expert faculty discussant, we work through the differential diagnosis, work up, and management of each case. In addition to learning about the relevant evidence and pathophysiology, this allows us to learn the clinical application of these principles and how an expert approaches a complex clinical scenario. All levels of trainees (PGY1s, PGY2s, and PGY3s) at all resident sites attend our daily medicine report, either in person or via Zoom.

Learning Labs are protected educational half days that are built into intern and resident outpatient and elective schedules. These sessions teach high-yield topics using a variety of engaging pedagogical formats including lectures, small group sessions, and hands-on simulation training. Here is a sample schedule from a recent learning lab:

12:00 -1:00PM: Medicine Report with Chief Residents and faculty discussant Dr. Ben Miko 

1:00 - 2:00PM: Core Topic: Congestive Heart Failure for the Internist with Dr. Kelly Axsom

2:00 - 3:00PM:

- Intern Core (PGY1): AKI with Dr. Jake Stevens

- Resident Core (PGY2/3): Advanced PFTs with Teach Resident and Dr. Charlie Murphy

3:00 - 3:15PM: Snack break (Seasonal treats, including ice cream, hot cocoa and apple cider delivered each week!)

3:15 - 4:00PM: Break-out Sessions

- High-Fidelity Simulation: Massive Hemorrahge Transfusion protocol

- POCUS: Bedside lung exam

4:00 - 5:00PM: Journal Club with Teach Resident and Dr. Danielle Carter (The MERINO Trial)

The Intern Core lectures are a series of talks given by the Teach Resident or a Chief Resident focused on high-yield topics for interns on the wards. PGY2s and 3s on the wards assume first-call responsibilities from the interns in the afternoon so that each intern can attend Intern Core.

The Resident Core lectures are a series of talks given by fellows or teaching faculty that expand upon core topics for our senior residents (PGY2/3s), topics inlude interpreting nuanced EKGs and PFTs. 

Grand Rounds are organized by the Department of Medicine and feature distinguished lecturers from around the world. Talks range from basic science to cutting-edge clinical updates. Residents attend Grand Rounds weekly on Wednesday afternoons from 12-1PM, in lieu of Medicine Report. 

Our program has developed grant-winning interdepartmental conferences, including our novel Medicine-Radiology Case Conference. These conferences allow multidimensional learning across different specialties and allow us to get to know colleagues across the hospital. We coordinate interdisciplinary conferences with services such as nursing, clinical pharmacy, physical and occupational therapy, social work, and nutrition services to learn practical skills and foster strong relationships with our inpatient interdisciplinary team.

Residents also present at our monthly “Morbidity and Mortality” conference during which we discuss principles in quality assurance and patient safety. We host several Medical Ethics case conferences throughout the year. “Race, Diversity, and Community Medicine” is a lecture series that tackles the many intersections of race and health, other types of diversity, and the medical community at large as well our hospital and within our residency community.