Internal Medicine Residency
A couple of these experiences include intern learning that prepare you for your clinical rotations. One of these is the Clinical Skills Block which allows interns time to become comfortable in code situations, do simulations of patient encounters and procedures, and makes available stuff, which focuses on developing procedural competency, proficiency at resuscitation, and honing physician exam skills.
At the beginning of the year, interns go through intern boot camp, which senior residents and fellows provide the basis for learning on the wards.
360 degree evaluations allow for good stuff.
Our program has been at the forefront of residency work-hour reform.
We have tried to use a team approach that minimizes the amount of handoffs. In general, our ward residents do not take overnight call and are available to assist in getting interns out when they take overnight call and follow-up on patient care when the post call intern is gone. We have limited the total number of patients interns can care for and the number of admissions, and have continually expanded the number of non-teaching services. We have changed the structure of several of our teams, adding members and eliminating all Q3 overnight call. We have added nightfloats at both UHCMC and CVAH. We have continually expanded our non-teaching services in order to decrease the housestaff work load and keep the focus on education on the housestaff team. At UHCMC we have non-teaching services in cardiology, oncology and general medicine, and we are starting a general medicine non -teaching service at the CVAH. At UHCMC our academic hospitalist attend on our general medicine teams, and we have non-teaching hospitalist services. This year we have established a non-teaching hospitalist service at CVAH.
We have a resident conference every day at noon with food at both UHCMC and CVAH. One noon each week we have a Morbidity and Mortality Conference (done separately at the VA). Once a week there is Grand Rounds, which is 'live' at UHCMC and is broadcast to the VA. Three days a week there are resident noon conferences, which include an annual curriculum and focuses on case-based, interactive teaching. In the beginning of the year some of the noon conferences are "Intern Boot Camp," with the focus on knowledge and skills needed for beginning interns. There is morning report three mornings a week for residents and one morning a week for interns (with the residents carrying the interns' pagers). All the subspecialty divisions have their own clinical conferences, grand rounds and research conferences. Residents are encouraged to attend when they are on those services or based upon their interest.
There is a minimum of one block per year. During this rotation there is no overnight call inpatient responsibility. There is a conference every day at 8 am, subspecialty clinics in the morning and ambulatory electives in the afternoon. One morning a week is devoted to an Evidenced Based Medicine curriculum, and one afternoon a week to a Quality Improvement curriculum and project. Residents interested in primary care can do additional ambulatory blocks and can tailor their experience based upon their career goals.Yes, interns spend two weeks on Neurology consults and PGY2 residents have a two-week outpatient Geriatric experience.
Housestaff have clinic at UHCMC and CVAH and have the option of choosing one of several community sites.
