Teaching Conference & Rounds
Med/Peds residents participate fully in the teaching rounds and educational
conferences of both the Pediatric and Internal Medicine categorical
programs.
In addition to these opportunities, the Internal Medicine/Pediatrics
residency program also offers some unique educational experiences.
These include:
Conferences
- Med/Peds Noon Conference - Once per month a combined
noon conference is held for the categorical pediatric, internal
medicine, and Med/Peds residents. These conferences usually
address a medical topic that affects both pediatric and adult populations. A
common focus of the conference is the smooth transitioning of adolescent
patients with chronic disease from pediatric to adult medical practice.
- Med/Peds Journal Club - Eight evenings per year
the Med/Peds residents and faculty meet to appraise and discuss
a recent medical journal article. An R4 chooses the article
and leads the discussion. This forum provides residents with
the opportunity to review basic concepts of evidence based medicine,
to practice the skill of critical appraisal, and to gain understanding
of the process of incorporating new research into practice.
- Med/Peds Grand Rounds - Once a year Grand Rounds
focuses on a medical topic that is pertinent to both pediatric and
adult populations.
- Med/Peds Ambulatory Conference - For one half-hour
prior to each resident clinic session, residents and their faculty
preceptors meet to discuss the clinical presentation, diagnosis,
and management of a common ambulatory problem. The curriculum
alternates yearly in order to cover a wide spectrum of both pediatric
and adult primary care topics.
- Class Curriculum Meeting - Periodically throughout
the year, each class meets as a group with the program director
to discuss their residency experiences. This forum enables residents
to provide direct input into the curricular and logistic structure
of the residency program.
Special Rotations
- Med/Peds R1 Skills Block - In late fall, all
eight Med/Peds R1s are scheduled for a two-week skills block rotation. During
this distinct rotation, the interns are exposed to a variety of
medical and psychosocial themes. Experiences include interactive
sessions on child development, advanced directives, relaxation techniques,
mentoring, and evidence based medicine; ECG, PFT, and casting workshops;
participation in a quality improvement project; and opportunities
to shadow community subspecialists.
- Combined Electives - We offer pre-arranged electives
in neurology, gastroenterology, AIR, hematology-oncology, and endocrinology
that involve faculty in both adult and child subspecialty services. Other
combined experiences are encouraged and can be arranged.
- Practice-Based Experience - Residents are assigned
to two one-month blocks of practice-based experience (PBE) in a
Med/Peds office over the course of their PGY2 and PGY3 years. During
these months, the resident functions as a junior partner of the
practice, seeing both inpatients and outpatients, thus emulating
the "real life" of a primary care Med/Peds practitioner.
- Medicine/Pediatrics Links to the Community - (M/PLC)
is a two-week community advocacy educational rotation that introduces
first-year residents to local advocacy and public health resources
through site and home visits.
Ambulatory Experience
A continuity experience in an ambulatory setting is a fundamental
part of the Med/Peds program. Residents begin continuity experiences
in a combined Med/Peds practice and continue in that practice throughout
their four years. In the first postdoctoral year, one half day each
week is spent in the practice. In the remaining years, this increase
to two half days per week (except during intensive care and overnight
rotations when the ambulatory experience decreases to once a week).
There are two combined ambulatory sites where the Med/Peds residents
receive their ambulatory training.
- Seven residents out of each class are assigned to the Culver Medical
Group (CMG ), where the four full-time Med/Peds faculty teach residents
in addition to seeing their own ambulatory patients.
- One resident out of each class is assigned to a private Med/Peds
office, run by John Chamberlain, M.D. and staffed by three Med/Peds
practitioners and a Pediatrician. Dr. Chamberlain graduated from
Rochester's Med/Peds program in 1974, and is a wonderful resource
to the residents and faculty. He is the former Chair of the
Med/Peds section of the American Academy of Pediatrics, and teaches
in the Culver Medical Group on a part-time basis.
Evidence-Based Medicine
Evidence-based medicine (EBM) is defined as the explicit and judicious
use of current best evidence to inform decisions about individual
patients. To help residents learn the principals and practice of evidence-based
medicine, we have developed an EBM curriculum - two-week skill
blocks offered in the first and second years - that touch all
major aspects of our program. Residents also have the opportunity to participate in the EBM elective. This 2 week rotation, offered twice a year, allows residents to learn advanced skills in searching the medical literature, statistics, critical appraisal, and putting evidence into practice. The Agency for Health Research Quality
(AHRQ) has stated that we are among the top nine residencies programs
in the country at teaching EBM.
