To support the goal of avoiding fragmentation in both the residents’ clinical experience and educational opportunities, the Internal Medicine Residency Program has chosen to focus on the following schedule grouping didactics and other educational opportunities around noon conferences and a weekly academic half-day.
|Mon||Rotating Conference||12:15-1:00||Pharmacy & Therapeutics Conference|
|Critical Care Conference|
|Coach’s Corner/PC Update|
|Tues||Weekly (July-Aug)||12:00-1:00||Fundamentals of Acute Medicine|
|Weekly (Sept-June)||12:00-1:00||Medical College of Georgia Medicine Grand Rounds – Live Stream|
|Wed||Weekly||12:15-1:00||Rotating Sub-specialty Conference|
|Weekly – Continuity Clinic Residents||1:00-2:00||General Internal Medicine/Ambulatory Conference|
|Weekly – Continuity Clinic Residents||2:00-5:00||Sim Lab/Communication/Schwartz/Ethics & Values Rounds|
|Thurs||Bi Weekly||12:15-1:00||Virtual / Visual Diagnosis Rotating Conference|
|Bi Weekly||12:15-1:00||EBM / Journal Club|
|Fri||Weekly – Academic Half-Day||1:00-2:00||Friday Report / Chief’s Conference|
|2:00-3:00||Topical Reading Review – All|
|3:00-5:00||MKSAP / Board Review – PGY 3|
|3:00-5:00||Resident as Teacher & Leader – PGY-1/2|
|Monthly – 3rd Friday||2:00-4:00||Osteopathic Conference – PCOM Live Stream / Transitional Year Conference|
|Quarterly||1:00-6:00||Wellness Retreat / Event|
Faculty from all medical and other specialties present topical discussions from their respected specialties. Cases are often presented and didactic, small group, and flipped-classroom settings are utilized.
Peer-reviewed journal articles are presented lead by residents and supervised by Dr. Brian Keefe, senior core faculty, who leads discussions focusing on a systematic analysis of the article according to the fundamentals of evidence-based medicine. All residents are expected to attend. Faculty are also welcome.
Every Friday afternoon from 1:00 pm to ~ 5:00 pm, residents have protected time for academic conferences of various types. Academic half-day begins with “Noon Report/Chief’s Conference” – patterned after traditional morning report where a case is presented and dissected using principles of clinical reasoning. Following this, topical presentations are given based on weekly MKSAP curricula. The residents then split into groups where various topics are presented and PGY-3s devote focused time to Board preparation and review. Formats include didactic presentations, small group discussions, as well as simulation experience.
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.
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.
medicine Grand Rounds
We are pleased to partner with our academic affiliate, Medical College of Georgia, as they live-stream their Medicine Department Grand Rounds too all their affiliate campuses weekly on Tuesdays from September through June.
osteopathic grand rounds
Every third Friday during Academic Half-Days, our Osteopathic residents participate in a live stream Grand Rounds on a monthly OM topic from our academic affiliate, Philadelphia College of Osteopathic Medicine. This is followed by an Osteopathic focused discussion, and Osteopathic Committee meetings. Following this, residents meet at our Osteopathic Education Director Dr. Christopher Knitig’s home for dinner 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.
Monday – Thursday, inpatient teams from the General Medicine and Admit Team services meet to present the “Case of the Day,” supported by the GIM inpatient and other program faculty.
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.
“The practice of medicine is an art, not a trade; a calling, not a business; a calling in which your heart will be exercised equally with your head.”
– William Osler
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.
In addition to those listed above, subspecialty conferences occur and residents on individual related rotations are invited to attend: Cardiac Cath Conference (Cardiology/EP rotation), Tumor Board (Hematology-Oncology rotation), and Chest Conference (Pulmonary rotation).
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. Projects will be proposed and developed in coordination with a faculty coach/mentor during PGY-1 and implemented during PGY-2. All CQI projects will be completed by end of PGY-2 and prepared for either publication, abstract and/or poster presentation during PGY-3.
In addition, all PGY-1 and -2 residents are required to submit a clinical case vignette for presentation at a regional or national meeting such as the Georgia American College of Physicians annual conference. Other scholarly activity is encouraged and may take on one of many formats depending on the interest of the individual resident. Basic, clinical or translational research opportunities are available through either the multi-institutional Sarah Cannon Research Institute developed by HCA, multiple clinical research projects undertaken by Harbin Clinic, or as part of our affiliation with the Medical College of Georgia and Philadelphia College of Osteopathic Medicine. Other activity may include medical education/curriculum development, medical humanities, creative writing, as well as others. Redmond’s Residency Program will hold a resident/faculty Scholar Symposium each year, but also provide support for resident and faculty poster and abstract presentations at regional and national meetings and specialty conferences.