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A typical day during Memorial University
Medical Center inpatient service:
8 a.m. to 9 a.m., morning report (Mondays, Tuesdays, and Thursdays)
or Grand Rounds (Fridays)
9 a.m. to 12:30 p.m., Internal Medicine Outpatient Clinic (Monday
through Friday), or
9 a.m. to 10:30 a.m., work rounds and inpatient duties and
10:30 a.m. to 12:30 p.m., attending rounds
12:30 p.m. to 1:30 p.m., lunch conference
1:30 p.m. to 5 p.m., Internal Medicine Outpatient Clinic (Monday
through Thursday), or
1:30 p.m. to 3 p.m., work rounds and inpatient duties and
3 p.m. to 5 p.m., attending rounds
Educational Conferences
Morning Report
- Resident driven conferences: Daily
meeting held Monday, Tuesday, and Thursday from 8 a.m. to 9 a.m.
for all house staff and faculty currently on medical wards. This
is a resident-driven conference in which one to two cases recently
admitted are presented to a teaching faculty member for an in-depth
interactive teaching session focusing on differential diagnoses,
treatment modalities, and interpretation of laboratory and radiographic
data.
- 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, how to
get a fellowship, opportunities in clinical research, etc.
- Grand Rounds: Conference held weekly on Friday mornings
from 8 a.m. to 9 a.m. in the state-of-the-art Medical Education
Auditorium with breakfast provided. Distinguished and renowned
guest lecturers are invited from all over the country to give a broad
spectrum of presentations.
- Morbidity and Mortality Conference: Scheduled on the
fourth Wednesday of every month, this conference provides a forum
where both faculty and residents can examine current cases in
an effort to provide continuous quality assessment and improvement.
Lunch Teaching
- Noon conferences: Daily meeting held Monday through
Friday from 12:30 p.m. to 1:30 p.m. for all house staff and teaching
faculty with lunch provided. There is a three-year revolving curriculum
addressing all aspects of internal medicine in preparation for
the American Board of Internal Medicine Examination given by sub-specialist
and general medicine faculty. The first month of each year, 20
topics pertinent to acute ward medicine are presented, including
upper GI bleed, myocardial infarction, CVA, acute respiratory
failure, etc.
- Evidence-based medicine (Journal Club): Four to five
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 all are current with the medical literature.
- Board review: Weekly board review sessions are scheduled
during the month.
- Core curriculum: We utilize Cecil's Essentials of
Medicine textbook. Specific chapters are covered three days
per month during the noon conference. Over three years, we will
cover the entire textbook.
WebCT: This is a a Web-based board review program
that the residents are required to complete monthly. Utilizing a
Mercer University test-taking program (WebCT), we provide board
review questions each month. These questions will add to the MSKAP
board review experience.
Tumor board: Multidisciplinary conference attended
by radiation oncology, pathology, hematology/oncology, surgery,
and residents on hematology/oncology service, subspecialty clinic
service, and consult service. 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 realistic, private-practice
setting.
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