Teaching Conferences and Rounds

Senior Resident Morning Report

Every morning, Monday through Saturday, all second- and third-year residents on inpatient rotations (and many of those doing electives) meet for an hour to discuss two recently admitted patients. Each case is presented by the admitting resident. As the case unfolds, other residents comment on differential diagnosis, work-up, and management strategy. The senior resident morning report is run by the inpatient chief resident. Also on hand are the program director or department chair, as well as other faculty selected by the residents.

R1 Morning Report

One morning each week, all first-year (R1) residents assigned to floor inpatient and ambulatory rotations meet for one hour to discuss one or two patients with the ambulatory chief resident and the program director. Patients are those either recently admitted or seen recently in the ambulatory setting. The format otherwise is similar to the senior resident morning report.

Strong Memorial Hospital Attending Rounds

Every day, each general medicine floor team meets with their hospitalist attending physician to review cases they share. Less stable patients and those with important physical findings are often seen together by the whole team. On Monday, Wednesday, and Friday, an hour is devoted to more formal teaching about one or two of the team's patients. On the Hematology/Oncology Service, residents make teaching/management rounds daily with the attending physicians from the leukemia and solid tumor services. In the CCU and MICU, housestaff teams have daily teaching/management rounds with the attending physician.

Highland Hospital Teaching Attending Rounds

Every Monday and Wednesday morning, housestaff floor teams meet for 75 minutes with their teaching attending physicians. These attending rounds are purely educational, since the teaching attending physician does not have direct day-to-day responsibility for the care of the team's patients. At each session, residents present a patient at the bedside, where discussion focuses on history taking and physical examination. The group then returns to a conference room to discuss differential diagnosis and management in more detail.

Professor's Rounds

On Thursday mornings, groups of two or three housestaff floor teams meet for one hour with the department chair, vice-chair, program director, or another senior faculty member. They review a case in detail. A bedside presentation is followed by a group discussion of the case in a conference room.

Sign-Out Rounds

Every Monday through Friday at 4:15 p.m., residents on inpatient floor rotations gather to sign out their sicker patients to the evening team before going home. During these sign-out rounds, the inpatient chief resident makes a brief educational presentation on a topic relating to a patient on the service.

Noon Conferences

Noon conferences are held five days a week at both Strong Memorial Hospital and Highland Hospital. Each year, the conference series begins with a discussion of common medical emergencies, evidence-based medicine, and critical appraisal of the literature. For the remainder of the year, the conference series includes core topics in ambulatory and inpatient medicine, a weekly journal club, a twice-monthly EKG conference, and a monthly morbidity and mortality conference. On the first Friday of each month, the noon conference is a program business meeting, so residents can discuss issues and concerns with the program directors and chief residents. Other Friday noon conferences cover a wide range of entertaining non-medical topics. There have been recent presentations on boat building, bicycling, Adirondacks fly fishing, and iconography in sacred art.

Ambulatory Firm Conference

For 30 minutes before the beginning of each faculty-resident firm practice session, residents from the firm and their faculty preceptors meet to review and discuss management of a common ambulatory problem. It usually focuses on a patient being managed by one of the residents in the firm.

Medical Grand Rounds

Medical Grand Rounds are held from 8 a.m. to 9 a.m. every Tuesday, at both Strong Memorial Hospital and Highland Hospital. Speakers may include both University of Rochester faculty and visiting faculty from other academic medical centers. Most of our Grand Rounds are case-based and interactive.

Subspecialty Conferences

Each of the subspecialty units has regularly scheduled conferences. Residents taking subspecialty electives attend and may even present. Subspecialty conferences are open to any other residents.