Will I Learn to Teach?
Every morning, Monday through Friday, all second- and third-year residents on inpatient medicine rotations 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 is a senior faculty member from either the Internal Medicine or Family Medicine Departments.
Two mornings each week, all first-year (R1) residents who are on inpatient medicine rotations meet for one hour to discuss one or two patients with the family medicine chief or the medicine pediatrics chief and a faculty member. Each R1 has an opportunity to present at least two patients over the course of a month.
Teaching Medical Students
There is ample opportunity in the residency for upper level residents interested in teaching to work with medical students. Mostly R3s will have 3rd or 4th year medical students with them in the outpatient clinic as well as on medicine. Students really enjoy when residents do a lot of teaching, as this is the first clinical experience for many medical students. Students expect to see, present and write notes on about four patients per clinic session. Students interview and examine patients independently. Residents facilitate a brief discussion of differential diagnosis and plan. Together, you verify the key elements of the history and physical and close the visit with the patient. The presentation to the preceptor is done by the student with the resident present. At the end of the session the resident and student give each other feedback.
Each month upper level residents present an adult and a pediatric ambulatory medicine topic as a part of the weekly core teaching series. Generally, the resident on Ambulatory Family Medicine rotation presents an adult topic and the resident on Ambulatory Pediatrics presents a pediatrics topic. Faculty members and fellow residents evaluate these presentations and give valuable feedback to each presenter.
R3 Clinical Case Conference
In the third-year residents are matched with a colleague to co-teach a clinical case conference to their peers. The subject matter and format of the case conference is determined by the co-teachers in collaboration with their psychosocial faculty mentor. Topical areas evolve from their clinical and training experiences stemming from the prior year’s Psychosocial Medicine Rotation where video tape interviews have been conducted and discussed. Past topics have included; assessing alcoholism/substance abuse in the elderly, physician self-care and patient management, managing anxiety in the physician/patient encounter, developing a primary care counseling practice as a family physician, discussing end of life issues with patient families and managing angry or intimidating patients.