Grand Rounds, Morning Report and Board-Review Conferences
Grand rounds occur each week and feature an hour-long presentation by a visiting expert speaking on a particular disease topic or therapeutic intervention.
Examples of speakers and topics presented at grand rounds include:
- Genomics for the primary care physician
- Health care-asssociated infections
- Multiple sclerosis update 2014
Morning report takes place four days a week. During the first 10 minutes of morning report an internal medicine medical knowledge self-assessment program question is reviewed and discussed.
Following the review, the long-call resident or intern presents on one of their most interesting and challenging admissions to the rest of house staff, as well as the internal medicine residency program director and associate director.
The session is held in an interactive format and house staff and students are split up into teams to try and make the diagnosis based on available history and physical information. Radiologic images and EKGs are presented on a screen for group interpretation. There is also discussion of further diagnostic work-up, management and clinic course, as well as key teaching points of the case.
Noon conference is an hour-long didactic session that takes place daily. Lunch is provided at each conference. A wide variety of topics are covered based on a three year rotating curriculum that attempts to cover the field of internal medicine and related subspecialties that apply to the practice of internal medicine. There are also monthly journal clubs and bedside cardio-vascular limited ultrasound examination (CLUE) presentations. Presentations are given by faculty specialists, subspecialists, residents, and visiting speakers.
Categorical resident presentations
Categorical second and third year residents present hour-long topics of their choice as well as one morbidity and mortality case during their residency. Both categorical and transitional year residents present a half-hour long topic of their choice.
Board review sessions
Board review sessions are held throughout most of the year except for “interview season” and focus on preparing categorical residents for the Internal Medicine Board Exam and for the practice of internal medicine.
These sessions consist of weekly 90 minute didactics consisting of lecture, case discussions, radiology interpretation, laboratory interpretation, EKG interpretation and board-style review questions.
Scripps Mercy Internal Medicine residents have one of the highest Internal Medicine Board pass rates in the country. The review sessions contribute largely to the impressive scores.
Weekly EKG review
Every week an EKG is assigned for residents to work on to hone their skills of EKG analysis and diagnosis. Each week, an electrophysiologist reviews the EKG with house staff and offers insight into the interpretation of the EKG, explains how it guides patient management and determines whether further work-up is required.
Monthly radiology conferences are given by Scripps Mercy Radiologists. These sessions can be topic based or case based.