Internal Medicine

Didactics

Morning Report – 3/week – Conducted by chief resident or a key faculty member, interesting cases or “bread-and-butter” admissions from overnight are presented to discuss clinical presentations, differential diagnoses, appropriate interventions and therapeutics.

Formal Resident Patient Handoffs – Occurs twice a day to insure the upmost quality and safety with transitioning care to covering residents.

Teaching Rounds – 3 to 5/ week – Each inpatient team lead by one faculty member spend 1.5 to 2 hours discuss patients on the service. Emphasis is placed on bed side teaching.

Grand Rounds – weekly

intmedgrmep1616-web-2Mortality chart review, safety cases and readmission root cause analysis – A regularly occurring conference built on our didactic sessions. The emphasis is on proving safe, timely and effective care, rooting in the 6 core ACGME competencies

Morbidity & Mortality – 1/block – Formal M&M presented by senior level residents at Grand Rounds.

Continuity clinic lecture daily in clinic – Each week, residents are provided reading material addressing multiple aspects of outpatient / ambulatory care medicine which include non-medicine subject matters such as ethics, billing, coding, running a practice, etc. Prior to each clinic, the reading material is discussed with a key faculty member(s) who staff the afternoon clinics.

Core curriculum lectures – weekly – The core curriculum is given as a 3 hour lecture block each Friday. This is protected time free of clinical duties for the education of our residents. All disciplines within the field of medicine are presented by community subspecialists in order to prepare our residents for board certification in internal medicine.

Journal club – 1/block – Upper level residents select peer-reviewed journal articles that are critically reviewed by house staff.

Procedure skills lab – 2/year – This two to three hour session gives residents the opportunity to hone procedure skills such as intubations, thoracentesis, central access, etc. In addition, mock codes are performed.

Research

Manageable and Realistic Resident Research Opportunities: Our Internal Medicine program strongly supports resident research, and many of our faculty are very involved in clinical research. Part of this support comes from our partner institution, Grand Rapids Medical Education Partners (GRMEP), which houses a Research Department, led by Dr. Alan Davis, PhD.

intmedgrmep1716-webGRMEP has developed several tools and resources that will help residents and fellows develop ideas into manageable and realistic research projects. We have found that using these resources saves time and energy, while avoiding typical pitfalls and dead ends. For example, the research project outline facilitates the translation of a good idea into a research project, provides the bulk of the narrative portion of IRB application, and serves as the guide for implementing the project. To access more details, including templates (e.g., study protocol, poster), help request forms and other contact information, visit GRMEP Research.

Our residents develop a research project during their residency training, and have the opportunity to present it at numerous meetings. Some have even been submitted for publication! Our residents present at a city wide Research Day that occurs every year in April. Financial support from available funds can be requested not only from our Internal Medicine program, but the GRMEP Research Department has also pledged financial support for resident projects.

 http://www.mlive.com/news/grand-rapids/index.ssf/2013/02/same-day_discharge_safe_for_he.html#incart_river_news

 

 

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