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A typical day during Memorial University Medical Center inpatient service:
7 a.m. to 7:30 a.m.,
Patient handoff/sign-out rounds
7:30 a.m. to 9 a.m., Resident work rounds
9 a.m. to 10 a.m., Morning report (inpatient teams only)
10 a.m. to 12:30 p.m., Attending rounds
12:30 p.m. to 1:30 p.m., Noon conference
1:30 p.m. to 4 p.m., Work rounds and inpatient duties
4 p.m. to 4:30 p.m., Afternoon patient handoff/sign-out rounds
9 a.m. to noon / 1:30 p.m. to 5 p.m., Half day of outpatient internal medicine clinic
Educational conferences in varying formats are a large part of our program. Our conferences complement our curriculum and include team-based learning, case presentations, Journal Clubs, and much more. These conferences are highly rated and well attended. An explanation of each conference is provided below.
Morning Report
Daily meetings are held Monday, Tuesday, and Thursday from 9 a.m. to 10 a.m. for all house staff and faculty currently on medical wards. These are resident-driven conferences in which one to two cases recently admitted are presented to a teaching faculty member for an in-depth interactive teaching session. Each session focuses on differential diagnoses, treatment modalities, and interpretation of laboratory and radiographic data.
Team-Based Learning
This is a new educational initiative. We cancel noon conference for one entire week. On Friday, the residents give their pagers to the attendings and attend a three-hour team-based learning course. This is an active learning initiative that has generated considerable excitement. Residents are divided into teams to develop a deeper understanding of various medical conditions.
Resident Career Enhancement
A career enhancement program is scheduled monthly. This covers areas such as getting a job, contracts, overhead, healthcare financing, bank loans, disability insurance, setting up an office, promoting a practice, getting a fellowship, opportunities
in clinical research, etc.
Grand Rounds
Our Grand Rounds are held weekly on Friday mornings from 8 a.m. to 9 a.m. in the state-of-the-art Medical Education Auditorium at Memorial University Medical Center. Breakfast is provided. Distinguished guest lecturers are invited from around the country to give a broad spectrum of presentations.
Performance Improvement Conference
Scheduled on the fourth Wednesday of every month, these conferences provide a forum where both faculty and residents can examine current cases and provide continuous quality assessment and improvement.
Noon Conferences
These meetings are held Monday through Friday from 12:30 p.m. to 1:30 p.m. for all house staff and teaching faculty. Lunch is provided. There is a three-year revolving curriculum provided by subspecialists and general medicine faculty. The curriculum addresses all aspects of internal medicine in preparation for the American Board of
Internal Medicine Examination.
Evidence-Based Medicine (Journal Club)
Three to four formal evidence-based medicine conferences are scheduled per month. During these conferences, we utilize a Web-based format directly covering the
content of the New England Journal of Medicine, Annals of Internal
Medicine, and ACP Journal Club. These conferences provide comprehensive coverage of emerging evidence and the format ensures that content is current with the medical literature.
ACGME Competencies
These monthly conferences teach important concepts regarding professionalism and communication skills.
Board Review
Weekly board review sessions are scheduled every Friday and facilitated by our faculty.
Subspecialty Lectures
Our 50 subspecialty attendings regularly present in all of the disciplines of internal medicine.
Tumor Board
This multidisciplinary conference is attended by radiation oncology, pathology, hematology/oncology, surgery, and residents on hematology/oncology service (or any other rotation). The board discusses interesting oncology cases and upcoming evaluation and treatment plans.
Outpatient Internal Medicine Clinic
Interns and residents spend a half day each week in their own continuity clinic and provide hospital follow-up care to patients seen at Memorial University Medical Center
(occurs pre-call day if on medicine wards). Our Center for Internal Medicine Clinic opened in 2002. It allows residents to practice medicine in a real private-practice setting.
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