Research & Education
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Educational Opportunities
| Morning Report | Noon Conferences | Board Review | Journal Club | Ward Rounds | Procedural Skills | Resident Retreat |
Morning Report
Morning Report starts each weekday after 7:30 a.m. following a brief review of admissions and diagnoses from the call night. This 30-minute session affords the house staff an opportunity to review a case with a senior staff member. The staff can take advantage of Morning Report to comment on differential diagnosis and plans for workup of the patient's problem. Brief follow-up from the case is provided the following morning.
Different weekday mornings bring different attending physicians with their varied perspectives.
- Mondays, John Starr, M.D., former Chairman of Medicine, brings his colorful and extensive differential diagnoses to the case.
- Infectious Disease topics usually dominate Tuesdays with Dr. Douglas Hurley.
- Wednesday mornings, a staff Pulmonary Intensivist discusses cases in pulmonary medicine or critical care.
- Thursdays, interns have a separate report with a different emphasis and focus.
- Fridays, selected cases are presented on a rotating basis by other subspecialty faculty.
Noon Conferences
The daily noon conferences encompass a diversity of topics and presentations. Resident lunches are provided.
- July kicks off with the Medical Emergencies series to help new interns with initial case management of urgent medical situations.
- After July, Mondays - Wednesdays include the monthly
- The Thursday noon conference is Board Review and Medical Jeopardy.
- The Friday noon conference is either Grand Rounds or CPC conference
- Additionally, the subspecialty divisions host a variety of teaching conferences that are open to residents throughout the week.
The first Monday noon conference of each month is devoted to the Integrated curriculum organized by the director of GME.
The topics cover selected curricula in
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A monthly Morbidity and Mortality Conference is also held. Dr. David Rice, one of our key faculty members presents a case or cases that illustrate an adverse outcome. Following the presentation, attendees discuss means of improving the process to change or improve future care in that setting. Appropriate radiologic and pathologic material is included.
A Resident's Hour presentation is required of all PGY-1 residents. The resident chooses a medical-related topic of interest, develops a computer-based presentation, and delivers the presentation to the staff and house staff. Resident's Hour develops residents’ formal presentation skills and cultivates their proficiency with PowerPoint and other computerized visual aids.
The Potpourri Conference occurs once a month. Residents present two to three brief cases to the faculty and house staff. Residents call on the audience to help them reach a diagnosis. This is a wonderful opportunity to watch the faculty and house-staff interact as they attempt to reach the correct diagnosis on these clinical vignettes.
Ambulatory and core curriculum topics are also presented during noon conference times. These typically include topics that are difficult to cover during bedside or clinical teaching venues. Topics come from the medical subspecialties as well as non-medical areas such as OB/GYN, ENT, Orthopedics, Psychiatry, Adolescent Medicine and other areas. These topics cover the spectrum of subjects that are necessary for completing a comprehensive three-year curriculum.
A CPC conference is presented by each third year resident. These conferences are designed to teach residents how to consolidate their approach to complex patients. CPC conferences direct residents in to how to develop a working differential diagnosis and how to consolidate historical, physical and laboratory information so as to ultimately guide the physician in diagnosis. A case is presented in much the same fashion as is done in the NEJM. It becomes a final test of PGY-3 residents to see if they have developed the fine art of integrating facts to formulate a complete but pertinent differential diagnosis.
Grand Rounds are held on Fridays. These are arranged by the Chairman of Medicine and are conducted by visiting professors and local senior staff. Topics include many state-of-the-art discussions about advances in basic and clinical knowledge in many fields of Internal Medicine.
Board Review is held on Thursdays at noon. The sessions are divided among the major content areas as defined for the ABIM exam. Several sessions will include a medical jeopardy game to allow residents to self-assess their knowledge.
Journal Club
Journal club consists of monthly noon meetings in which residents and staff review articles chosen by the residents. Residents first discuss the articles and the staff later offers additional commentary. The focus of this conference is to learn critical appraisal of the literature.
Ward Rounds
Ward rounds are conducted daily at Scott & White and at the VA hospital. In addition to the teaching points covered on these rounds, residents have a minimum of 4.5 hours per week of dedicated teaching rounds conducted by faculty members who have a strong interest in resident education. Whenever possible, these rounds are at the patient's bedside in order to teach physical examination and review findings that are pertinent to the patient's diagnosis and care.
Procedural Skills
Residents will generally find plentiful opportunity for developing procedural skills. Each specialty includes "their particular" procedure's instruction as part of their didactic teaching (i.e. pulmonary-thoracentesis, gastroenterology-paracentesis) in discussing indications, complications, techniques, etc. We have a formal central line-training program for all residents. Procedural training computer aids are also available for review.
Resident Retreat
In addition to our more typical educational opportunities such as those mentioned above, it is important to have an opportunity to leave our duties behind for a bit and focus our energy on selected areas of the program. We do this at our annual Resident Retreat. Residents from the internal medicine and med/peds programs, the Program Directors and key faculty join together in a relaxing location away from the hospital to direct attention towards taking the program to the next level. Each year, the retreat presents a different theme that relates to the educational environment beyond the usual and operational issues.
The afternoon includes team-building activities, feedback from focus groups and vigorous attention towards improving the residency program. Family and friends join us in the early evening for relaxation and recreation before dinner.
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