Ambulatory Block Education Thursdays
Every Thursday morning all of the residents in ambulatory block come together for "Education Thursdays." During these half-day sessions all of the residents participate in a variety of different types of high yield educational activities. Some of the highlights are: ambulatory morning report, EBM training (from our most enthusiastic EBM experts), small group case-based ambulatory curriculum emphasizing ambulatory illness diagnosis and management, skills sessions (e.g., practice performing specific physical exam techniques), and quality improvement/patient safety teaching and discussion.
Senior Resident Morning Report
Every weekday morning at both Strong Memorial Hospital and Highland Hospital, all second- and third-year residents on general medicine inpatient 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. 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 members selected by the residents.
Every Thursday at noon, all first-year residents assigned to inpatient and ambulatory rotations meet for one hour to discuss one or two patients with the Chief Resident, the program director, and another key faculty member. Patients are presented by the intern who initially evaluated them and are either recently admitted or recently seen in an ambulatory setting. The format is similar to senior resident morning report.
Inpatient Attending Rounds - Strong Memorial Hospital
Attending rounds on all inpatient services at Strong Memorial Hospital are combined teaching and management rounds. On the general medicine teaching service, each resident team rounds daily with their hospitalist attending, seeing most patients at the bedside. History and physical findings are reviewed and a proposed management plan for each patient is presented by the residents for discussion with the attending and the patient. Teaching focuses on bedside skills and on basic science and clinical knowledge relevant to each patient's unique situation. Similar teaching/management rounds with appropriate subspecialty attending physicians are held daily on the inpatient hematology-oncology service and in the MICU and CCU.
Inpatient Teaching Rounds - Highland Hospital
Residents work closely with URMC faculty in the specialties of hospital medicine, geriatrics, nephrology, cardiology, pulmonology and endocrinology. Residents on the inpatient general medicine service have daily bedside teaching on a subset of patients, and also participate in a variety of didactic and interactive teaching experiences including:
- Sherlock Holmes Rounds. Conducted by master clinician Bilal Ahmed, MD, with an emphasis on observations skills in clinical medicine
- Clinical Reasoning Rounds. Conducted by Dr. Nicholas, with an emphasis on physician cognition, clinical decision making, and identification and management of cognitive biases.
- Challenging Case Rounds. Conducted with the assistance of our clinical psychology faculty, often dealing with emotionally and ethically difficult patient cases.
- Daily upper level morning report, Weekly intern report and Weekly grand rounds are other regular teaching venues, staffed by medicine attending faculty
Every Monday through Friday at 4 PM residents on inpatient services at both Strong Memorial Hospital and Highland Hospital 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 related to a patient currently on service, often related to the discussion from morning report.
Noon conferences are held five days a week at both Strong Memorial Hospital and Highland Hospital. Each year, the series begins with coverage of common medical emergencies. For the remainder of the year, the conference series covers core topics in ambulatory and inpatient internal medicine. Also included are monthly journal club, twice-monthly EKG conference, and monthly morbidity and mortality conference. On the first Friday of each month, noon conference is a program business meeting, so residents can discuss issues and concerns with the Chief Residents and Program Directors. Other Friday noon conferences (referred to as Fun Fridays) cover a wide range on entertaining non-medical topics.
Medical Grand Rounds
Department of Medicine Grand Rounds occurs Tuesday mornings at Highland Hospital and Tuesday at noon at Strong Memorial Hospital. Local and national presenters teach clinically relevant and cutting edge topics.