Simulation Training        

Below you will find a listing of our seminars, didactic and online education modules that we are routinely using in our residency training. 

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 totally protected teaching time.

    • The Academic Half Day takes the place of the more conventional noon conferences, and attendance is dramatically higher due to its protected nature.

    • It is a great opportunity for socializing among residents and faculty.

  • The Academic Half Day meets Thursdays from 7:30 to 11:30 for residents, and Fridays from 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 generally on wards). 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). 

    • We have a curriculum for the intern year, and a 2-year curriculum for the PGY2 and PGY3 classes that covers all of the specialties of medicine. 

    • A new ultrasound training course for bedside ultrasound was added last year.  (Residents get procedural ultrasound training at other times during the year).

Morning Report

  • 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. 
  • At the VA and Kaiser sites, some of the morning report time is used for great seminars on radiology reading, M&M, or subspecialist teaching sessions.

Morning

Morbidity, Mortality, Quality and Safety Conference

  • We have a monthly Morbidity, Mortality, Quality and Safety Conference (MMQS) on Monday at noon. 
  • 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 and never 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.

Simulation Training

  • 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.

Ambulatory Seminars and Journal Club (weekly)

  • On Mondays, we have sessions for residents on their Ambulatory rotation. 

    • From 1 pm to 2 pm we do a resident-led, faculty supervised journal club where we cover the essentials of evidence based medicine and critical reading of the literature. 

    • From 2 pm to 3 pm or 4 pm, we do additional seminars on common ambulatory topics, EKG reading, or ultrasound rounds.

  • At the beginning of each year, we have an intensive Clinic Immersion Orientation, where residents learn how to effectively work in their continuity clinic.

    • As part of this orientation, there are key seminars on many topics related to outpatient medicine (e.g. low back pain, diabetes, musculoskeletal disorders, hypertension, immunizations, cancer screening, cognitive disorders, patient-centered interviewing, and lots more). 

    • Residents also get focused training on using the EMR effectively in clinic to augment the management of their panel of patients.

Online Ambulatory Modules

  • We utilize the outstanding online educational modules provided by Johns Hopkins at their 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.

Quality Improvement

  • We have a dedicated series of seminars on quality improvement and patient safety topics, led by our VA hospitalists and VA Chief Resident for Quality and Safety.

  • All residents in our program leave with the essentials of QI. Those interested in more in-depth training join our one-year QI Track.

pre-clinic huddle

Outpatient Morning Report

  • The Primary Care and TEACH residents attend morning report on Tuesdays at UCD 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 throughout 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 regular subspecialty conferences.
  • While at the VA, residents attend noon conferences on a daily basis.