Teaching rounds are done 3-5 times per week for 1 to 1 ½ hours during rounds. Medical students and interns present cases for an in-depth discussion of differential diagnosis and management. The team resident assists the teaching attending by reviewing one aspect of the case using an evidenced based approach. Bringing supporting articles is strongly encouraged. Bedside rounds take place at least once a week to evaluate and review history taking and physical exams.
In addition to teaching rounds, residents round every 1-2 days with hospitalists with whom they share a significant number of patients. When the hospitalist is also the teaching, attending these rounds are merged with teaching rounds.
Resident Morning Report
Two mornings a week all PGY (Post Graduate Year) -2’s and PGY-3’s on inpatient floor teams meet with the Chief Resident and other faculty members to discuss patients admitted the previous day and cases are presented. Focus of the discussion is selected by the presenting resident.
Intern Morning Report
Once a week, all PGY-1’s on floor team meet with the Chief Resident and other faculty members to discuss one or two patients admitted the night before.
Takes place between 12:00 p.m. - 1:00 p.m. every day. There are a number of different types of conferences that occur during this noon conference time. Residents lead management conference with discussion focusing on either diagnosis/management that is evidence-based. Didactic lectures are presented by attendings on different topics from all specialties. Didactic lectures are rotated on an 18-month basis to ensure residents are exposed to as many topics in medicine as possible. Finally, morbidity/mortality conferences occur at regular intervals and serve as an opportunity to evaluate the care of the physician and of the whole healthcare system.
Substitutes for noon conference once/week. Physicians/professors from within Mercy Catholic Medical Center and from various other hospitals/universities present lectures on different topics mostly dealing with current trends and practices in specific topics.
Journal Club discussions take place once per month. Selected PGY3 residents present a full review of articles including methodology, critical analysis and application to patient care.
Behavioral Medicine Rounds
Once a month, cases with specific behavioral questions are presented to a psychologist or psychiatrist. The discussion focuses on managing strategies to help deal with the different attitudes of patients and the challenges that healthcare members face and strategies that may be useful in dealing with these challenges. The psychological impact on disease, patient’s coping mechanisms and how disease impacts their lives are also discussed.
Each team rounds monthly with an Infectious Disease attending to discuss antibiotic usage on their patients and reinforce general principals of clinical infectious disease.
Monthly interdisciplinary conference to discuss the difficult emotional and social issues that arise in caring for patients
Inpatient floor residents meet with attendings, case managers, social workers, discharge planners, and others to discuss the ongoing care of patients.