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Rounds and Conferences

1. Morning Report
All PGY-2’s and PGY-3’s that are in-house are required to attend Morning Report three to four times per week, where interesting cases are presented. An extensive differential diagnosis is formulated and management is discussed in detail. Principles of Evidence Based Medicine are also reviewed as they pertain to the cases. NSUH and LIJ each have their own separate resident reports.

2. Intern Report
Intern Report is held three times per week. This is analogous to Resident Report, except that it is geared towards the PGY-1 level. An intern is pre-selected to present an interesting case in front of his/her colleagues. Proper presentation skills are discussed, as well as differential diagnoses and management of the case presented. This conference is run by the Chief Residents and faculty, and is mandatory for all PGY-1’s on inpatient rotations. NSUH and LIJ each have their own separate intern reports.

3. Grand Rounds
Every Thursday morning from 8:00 to 9:00 AM the Department of Medicine hosts Grand Rounds. During this time, an invited speaker presents a pre-determined topic of interest to the entire Internal Medicine community. Both campuses will view the same Grand Rounds, one live and the other via full audiovisual satellite.

4. Morbidity and Mortality Conferences
Once a month, a member of the housestaff will present a morbidity and mortality case during Grand Rounds. The conference is run in conjunction with the radiology and pathology departments who reveal important radiographic and pathologic material. The conference is led by a panel of various specialty attendings and internists that help formulate a differential diagnosis and discussion of the related topics.

5. Noon Conference
Noon conference will take place 4-5 days a week. Each month, a topic is chosen and lectures are on the selected subspecialty topic. Throughout the year, all core medicine topics are covered as outlined by the ACGME.

6. Academic Half Day
Academic Half Day is a two hour session where case based scenarios are presented and exercises are worked on in small groups. The conference is run by the chief residents and an expert in the field and occurs once/week.

7. Systems Based Practice Rounds
Once a week, housestaff have formal meetings with hospitalists and clinical care coordinators assigned to a particular floor. During these meetings, discharge planning is discussed, and all attempts are made to coordinate all aspects of patient care.

8. Practice Based Learning Conference
Once a month conference led by housestaff where cases involving “near misses” are discussed in an effort to evaluate systems issues that may need to be addressed for enhancing patient care. Faculty moderate the conference and cases are chosen by the housestaff.

9. Sign Out Rounds
Every afternoon from 5:00 to 5:30 PM, PGY-1’s on inpatient rotations prepare an electronic sign-out for the Night Float team. Short presentations, including necessary tests to be followed, are supervised by their PGY-2’s or PGY-3’s.

10. Evidence Based Medicine Curriculum
Instructors: Sandy Balwan, MD, Frank Cacace MD, Saima Chaudhry, MD, Jason Ehrlich MD, David Rosenberg, MD, Tanya Shkolnikov, MLS.
The program has a formal curriculum in Evidence Based Medicine that involves small group learning in groups of 10 residents per faculty member. The curriculum runs over 5 weeks at each campus during the ambulatory week.

11. Physical Diagnosis Course
Course Directors: Frank Cacace MD and Mark Stokes MD
The Physical Diagnosis course is a weekly course given during the first 12 weeks of each academic year. All organ systems are covered in detail with multimedia presentations used to enhance learning.

12. Simulation Training
The program is fortunate to have access to a state of the art simulation center at the Patient Safety Institute located between North Shore and LIJ campuses. The Patient Safety Institute offers PC-based interactive, high-fidelity, digitally enhanced mannequins, and partial and full body task trainers. Clinicians can take vital signs, insert intravenous lines, CVP lines and practice airway management, run mock codes and rapid response scenarios. All training is supervised with full time faculty in the Department of Medicine with a debriefing/feedback session at the end of each simulation exercise. All incoming interns are gain extensive day long instruction on rapid responses and code scenarios during orientation.

13. Procedure Team
Instructor: Barbara Barnett, MD

14. R-2 Retreat
Each fall the entire second year class will have the day off from clinical duties to attend a special retreat aimed at teaching them how to become great teachers. The day long retreat focuses on teaching techniques, leadership skills, how to evaluate and give feedback. The hands-on workshop involves didactics, videotape review, and role playing.

15. Library Services
The hospitals have an excellent library facility with well-trained library personnel assist all staff with computer services. Additionally, we have an inter-library loan service with other academic centers and the Department of Medicine has its own 24-hour library that contains all major textbooks and over 3800 journals. The Department of Medicine library computer is equipped to access the National Library of Medicine (MedLine) and an institutional UP-TO-DATE. WebCat, is the online catalog and lists all holdings and may be accessed remotely through Healthport as well as directly on site.

16. Board Review
Once weekly in lieu of noon conference, faculty members and Chief Residents review board-style questions in detail.

17. Resident Lecture
Once monthly, PGY-2’s and PGY-3’s each present an hour long presentation on a medicine topic of interest to the housestaff and faculty. Evidence based diagnosis and management of patient topics are discussed.

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