Our residency program has three different formats of morning report, from 8:30 to 9:15am. Thursday morning conference is replaced by Grand Rounds with the entire department of Internal Medicine.
Mondays and Fridays – Resident Morning Report: Residents present a patient case for the other residents to work up. At the end of the case, the presenting resident discusses a PICO question relevant to the patient, based on medical literature. The PICO question identifies a specific patient problem or population who underwent an intervention or diagnostic step, compares it with another group, and discusses the different outcomes amongst those groups.
Tuesdays – Night Float Morning Report: The night float residents present their overnight admissions in a concise, rapid fashion. They showcase their knowledge on initial workup and management of a patient.
Wednesdays – Faculty Morning Report: Residents present a case to a faculty member. This allows our residents to learn how a more experienced physician would manage the patient. Often residents reserve their most challenging patients for this day.
Intern Morning Report
Every other Tuesday is a special Morning Report day just for our interns, lead by the future chief residents. In the beginning of the year, the future chief residents hold informal sessions on intern-pertinent issues such as cross cover, work up of common presenting chief complaints, basic preventative medicine, computer tips, and more. After the first few blocks, the sessions are more similar to classic morning report, with interns presenting a case and discussing the patient informally amongst other interns. Future chief residents give valuable advice to sharpen their presentation skills prior to their PGY 2 year when they must present in front of faculty.
The goal of these conferences is the general education of the housestaff. Faculty and fellows from all subspecialties give lectures on a variety of topics. The first two to three months is dedicated to the Emergency Medicine and Intern Lecture Series. The remaining months are organized by the different medicine subspecialties along with General Internal Medicine. Each block, noon conferences will be interspersed with resident talks, biweekly journal clubs, monthly Morbidity & Mortality conferences, and monthly House Staff meetings.
Two General Medicine journal clubs are held every month during noon conference. Medicine Consult residents discuss an article relating to inpatient care. Clinic Team Leader residents discuss an article relating to outpatient care. These articles are distributed to both residents and faculty of the Internal Medicine Department. These biweekly conference are attended by both residents and faculty, who bring valuable insight not only through their medical knowledge, but also through their analysis of study strengths and weaknesses.
In addition, many of the divisions of the Department have conferences and journal clubs attended by the residents on their subspecialty rotations.