Morning report has many different formats. This 30-minute session varies between case presentations from teaching teams lead by faculty staff, M&M reports, intern case reports and wellness conferences. For case presentations, the presenting intern/resident is responsible for communicating the case ahead of time to the staff scheduled for morning report at least 48 hours in advance.
As part of our initiative to develop residents as teachers, resident-led morning reports with staff supervision are strongly encouraged. Interns are responsible for providing a two- to three-slide PowerPoint presentation specific to the core topic of the case during the last five minutes of the case-based morning report. A schedule outlining the specific dates during which the teaching teams will be presenting morning report is provided.
General Internal Medicine noon conferences will cover the core medicine topics in an 18-month designed curriculum. Each topic will ideally be discussed twice during the course of internal medicine residency. Tuesday’s noon conferences will vary between third year resident Capstone projects and the Lifestyle Medicine curriculum.
Additionally, 12 conferences throughout the year will be dedicated to the wellness curriculum. Throughout the year, there will be occasional noon conferences during Mondays and Wednesdays for communication curriculum. This curriculum is designed to enhance emotional intelligence and give residents the tools on how to approach difficult conversations.
In general, a third of all conferences will take place at the VA.
Medicine Grand Rounds
The Chairman of Medicine organizes these conferences, and guest speakers and local senior staff are invited to discuss advances in the many fields of medicine. Additionally, third-year residents will present their Capstone projects intermittently during grand rounds.
The Capstone Project now replaces the traditional CPC. This project is designed to allow the resident to provide key updates on certain assigned topics. As an effort to make the project integrated and collaborative, our outpatient providers are given an open based question survey inquiring which aspects of the assigned topic they have questions about. The elicited inquiries are then used to create objectives for the resident to answer during their presentation.
The project will consist of an assigned mentor, topic and case with known diagnosis to the third-year resident. The topic is assigned four weeks in advance to the resident. The resident is expected to discuss the objectives, pathophysiology, and evidence-based medicine as it relates to the case as well as any pertinent radiographic and pathologic findings. We strongly encourage inviting members of other departments, such as radiology and pathology, to discuss the specialized aspects of the case. It is the residents' responsibility to meet regularly with their assigned mentor to review the case presentation.
Attendance Policy for Conference
All residents are expected to attend morning report and noon conference, as well as grand rounds. A minimum of 70 percent conference attendance, which is re-assessed on a bimonthly basis, is required for PGY-2 and PGY-3 residents to be eligible for moonlighting.
Residents are required to attend their respective academic half days. During the weeks residents have their academic half days, they are encouraged, but not expected to, attend regularly scheduled morning report and noon conference.
Academic Half Day
As part of the 4+1 curriculum, our residents are divided in to cohorts that share the same week in clinic. Cohorts will gather every Wednesday during their clinic week for the academic half day. These meetings rely on a team-based learning framework and are built on the spirit of open discussion. The four hours are dedicated to didactic and interactive lectures. Topics include ambulatory conference series, EPIC/workflow issues, and physical exam techniques. The last one-hour of the half day consists of Journal Club, during which clinic staff members lead didactic sessions as well as lead discussions. There are a total of 10 academic half days per cohort.