Conferences and Online Education
Listed below is a listing of seminars, didactic and online education modules that we are routinely using in our residency training. We are constantly revising and upgrading these.
Internal Medicine Academic Half Day Conference (weekly)
On our 4+1+1 schedule, interns and residents go to their Academic Half Day whenever they are on the 1+1 part of their schedule. So they have their Academic Half Day for two consecutive weeks, every 6 weeks. They have no clinical activities scheduled for that Half Day, and thus it is protected teaching time. The Academic Half Day meets Mondays from 1-5 for residents, and Fridays 8-noon for interns. On the “4” part of their schedule, they do not go to the Academic Half Day (that is when residents are on wards).
The Academic Half Day takes the place of the more conventional noon conferences, and attendance is dramatically higher due to its protected nature. Residents from all clinical sites attend these seminars, which cover a broad internal medicine curriculum months. It is a great opportunity for socializing among residents and faculty. Lunch or breakfast is provided.
We cover a large number of areas of medicine, including seminars on distinct disease-specific topics (e.g. diabetes care, anemia, leukemia, ventilator management, Journal Clubs, EKG reading, medical interviewing, evidence-based medicine, cost-conscious care, clinical reasoning, and quality improvement, among others. A new ultrasound training course for bedside ultrasound will be added to these conferences this academic year (2016-17). (Residents get procedural ultrasound training at other times during the year).
Morning Report (Tuesday through Friday)
Each site has its version of Morning Report, where Chief Residents moderate a case discussion on common and uncommon medical cases with faculty participation. We emphasize the process of clinical reasoning using problem representation, illness scripts, and analytical modes of evaluating cases.
Morbidity, Mortality, Quality and Safety Conference (monthly)
We have a monthly Morbidity, Mortality, Quality and Safety Conference (MMQS) on Monday at noon. Here we do M&M cases with faculty and residents over a great lunch, and we add in topics relating to quality improvement and patient safety. We work hard to have this be an educational, not punitive, conference. It is a resident favorite.
Internal Medicine Grand Rounds (weekly)
Grand Rounds is held every Thursday at noon and is videocasted to all hospital sites. One quarter of these Grand Rounds are dedicated to case-based clinical topics, such as Clinical Solving Problem Cases, where expert clinicians work through an unknown case presented by our chief residents. Once a month, we have our Clinical Grand Rounds, where one of our residents presents an outstanding case from our service, with the resident and experts discussing the complexities and learning points from the case.
UC Davis has a state of the art simulation suite, called the Center for Virtual Care. Our residents regularly go to the CVC for training on ultrasound machine for thoracentesis, paracentesis, placing central lines, and performing ophthalmoscopic exams. We also have simulation for common joint injection and aspiration procedures.
Journal Club (weekly)
All residents on ambulatory rotations join this 1-hour conference on Friday mornings. Two residents each present aone article of their choosing and lead a discussion with the residents, with faculty assistance when necessary.
Online Ambulatory Modules (monthly)
We utilize the outstanding online educational modules provided by Johns Hopkins at their PEAC Physician Education and Assessment Center. Residents are assigned 8 modules on common ambulatory topics that must be completed in the academic year. Each takes only 1-2 hours, but they are great self-study education modules. There are upwards of 30 modules available each year, so ambitious residents can complete as many as they wish – we require only 8.
Consultative & Perioperative Medicine Essentials for Hospitalists Modules
Residents complete modules from this online curriculum as part of their General Medicine Consultation Service rotation. We assign a core selection to the residents, but there is a whole library of valuable modules to choose from. This is an outstanding self-study resource that complements the consult curriculum perfectly.
Outpatient Morning Report (weekly, Tuesday AM at UCD)
The Primary Care and TEACH residents attend morning report on Tuesdays and we do an outpatient morning report, concentrating on educational cases from clinic, to allow focused discussion on common outpatient problems.
General Medicine Pre-Clinic Huddle (weekly)
Every week, we have a pre-clinic huddle, where faculty and residents in clinic that day meet for 20 minutes before clinic to discuss many aspects of ambulatory care, including some quality improvement, and practice management techniques. The clinic nurses and staff often participate.
Internal Medicine Board Review
Periodically during the year, we do board review sessions in the residents’ Academic Half Day. Here we have specialists cover the main topics in their expertise area and also cover basic test-taking skills, and general medicine topics in detail.
Other Internal Medicine Conferences (weekly)
When on subspecialty rotations (consults or CCU), residents can also attend the subspecialty conferences, which are regularly held. While at the VA, residents attend noon conferences on a daily basis.