Our curriculum touches on all facets of medicine. It is a dynamic curriculum and is constantly being updated. Our goal is to engage our residents in active learning and to challenge them to become the best physicians possible.
Review sessions are held weekly to prepare residents for the ABIM certification exam. These sessions are for second and third year residents, with a different organ system reviewed each month. Board review is coordinated by the associate program director for education and is provided by AGH/West Penn faculty members. The Board Review program has been extremely well received by the residents and faculty.
Residents meet each day with the program director or a senior faculty member to review admissions from the previous evening. The setting is informal and discussion is focused on interesting cases and difficult patient management problems.
ICU Morning Reports
Once a week, an ICU resident presents a case. It is an interactive discussion with residents, and subspecialists in pulmonary and critical care or cardiology. Core teaching points are emphasized in a short didactic session.
Core Curriculum Noon Conferences
Faculty members from all subspecialties actively participate in this lecture series. Lectures take place daily and attendance is mandatory for all residents on the inpatient service. Noon lectures cover a broad variety of topics from routine outpatient management to complex inpatient topics. All conferences will be recorded for review by residents who are unable to attend.
This weekly conference covers a variety of broad topics in internal medicine with an emphasis on translational research. Lecturers include leaders in their fields from around the nation.
During the ambulatory week, one half day is dedicated to ambulatory didactics. The day is divided into lectures, Yale cases and other didactic modalities.
The educational needs of interns differ from those of residents so to ensure excellence in intern teaching each week the interns meet with Chief Residents for Intern Report. These one- hour sessions take the format of morning report and emphasize evidence-based medicine.
Senior Resident Lecture Series
Senior residents are responsible for preparing a lecture about a topic of their choice. House officers are encouraged to make the lectures evidence based. Residents receive a list of expectations prior to beginning to help prepare them for their talk. Each resident picks a faculty mentor. This mentor helps the resident prepare their presentation and participates actively in the conference.
Morbidity and Mortality
Our Morbidity and Mortality Conference provides the basic structure for a broad performance improvement program that relates to multiple competencies including medical knowledge, clinical skills, communication skills, system-based practice and practiced-based learning. The conference is attended by all internal medicine residents including subspecialty attendings, fellows and all core faculty. The entire medical staff is invited to participate. This conference meets once monthly.
EM/IM Morbidity and Mortality
Once a month, an EM/IM senior resident presents a morbidity and mortality conference. One or two cases in which an unwanted or unexpected outcome took place are presented and reviewed. Opportunities for improved collaboration between the two departments are identified and root cause analysis is frequently performed to improve our patient care. New policies and processes often stem from these sessions.
Monthly, a senior resident selects a journal article based on a clinical question and presents the study in a structured way for review. The goal is both to gain medical knowledge from the studies themselves and to improve the residents’ skill at reading and analyzing a scientific paper.
The Simulation, Teaching, and Academic Research Center incorporates state-of-the-art mannequins that mimic the symptoms of a wide range of health conditions. This provides hands-on learning opportunities to allow aspiring and practicing health professionals to perfect their skills in situations closely resembling the clinical environment.
Health Sciences Medical Library
The Health Sciences Library at AGH and West Penn Hospital contains more than 11,000 volumes, maintains subscriptions to 166 journals, and offers all major indices and citation retrieval services on-site to support clinical, educational, and research activities of residents and medical staff members. The library is supervised by a full-time medical librarian. AGH/West Penn's library offers online bibliographic services and individualized literature searches. The medical librarian provides individualized teaching and assistance to residents for Medline searches and general information retrieval.
In addition to the medical library, house officers in the Department of Medicine may use the computer library, which contains reference material recommended by the American College of Physicians and personal computers that are available 24 hours a day, seven days a week, for use by residents in conducting on-line literature searches. UpToDate, Micromedix and over 150 E journals are available at your fingertips. Home access to the medical library is also available for all residents. We have an online sign out system for our patients on a daily basis.
Electronic Health Records
Both hospital sites have electronic health records for inpatients. The Sunrise Healthcare Clinical Manager is our global electronic health records system. We also have Physicians Portal and PRISM Portal for patient data and documentation. There is access to these records all throughout the hospital system as well as from home. The Allscripts electronic health record is used in the continuity clinics.