Department of Internal MedicineUNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
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Teaching ConferencesProgrammed Conferences and other Learning Activities:
Orientation Program for New InternsAn important series of lectures are given at the start of the residency for new residents. These include:
Morning ReportsDaily activities start with the Morning Report at 7:15 am. Residents make a brief presentation of all admissions made to all services by the on duty or Floater Team. The Chief Resident and faculty in attendance make sure that patients were admitted to the appropriate services or sections in the Department and that proper immediate care was provided to these patients. Brief discussion of the essentials of each case from the standpoint of history, physical examination, differential diagnosis, immediate orders for treatment and initial clinical management, follows each presentation. The morning report ends at 8:00 am and the resident teams go on to their respective services and work areas. Attendance of all residents with in-hospital rotations as well as the senior resident on duty is mandatory in this activity. Faculty members in charge of the supervision of the particular residents' teams are also present. General Internal Medicine ConferencesOn Mondays and Thursdays during the first half of the academic year a series of lectures are given on topics related to General Internal Medicine; particularly, those related to ambulatory medicine. Staff MeetingsStaff Meetings are held every Tuesday at 11:30 a.m. All residents rotating in the various medical clinical services attend this meeting. All hospital statistics of the Department are reviewed; including admissions to the various services, transfers, allergic and blood reactions, mortality and morbility. Staff meetings are directed by the Chief Resident with the Department Chair, the Vicechair of the Department at the University Hospital and the Training Program Director in attendance. Grand RoundsForemost among the teaching activities of the Department of Medicine are weekly Grand Rounds conducted on Tuesdays from 8:00 - 9:00 a.m. The Chief Resident programs the Grand Rounds in consultation with the Chief of Sections and the Attending Staff assigned to the wards and with the approval of the Chair of the Department. Clinico Pathologic Conferences (CPC)CPC's are held every other Wednesday from 8:00 to 9:00 a.m. in collaboration with the Department of Pathology. Whenever possible the cases discussed are those of patients previously admitted to the University Hospital to the various services of the Department of Medicine. Most of the faculty and all residents rotating in the departments clinical services attend these conferences. Clinico Pathologic Conferences Schedules Medicine - Pathology case reviewsOnce a month cases of patients admitted to medicine, in whom biopsies or autopsies were performance are discussed with the residents and autopsy or biopsy material is presented. These reviews are directed by the Chief Residents of Medicine and Pathology. Review of the Medical Knowledge Self Assessment Program (MKSAP) of the American College of PhysiciansOn Wednesdays, and Fridays for 1 1/2 to 2 hours, the current MKSAP is discussed. This is done in a systematic manner, each service or section covering the topics that pertain to their particular field. Information to residents is pertinent and up to date and time is set out for the discussion of questions among the residents and the Chief Resident. Floater RoundsFloater rounds are conducted immediately following the Morning Reports on Mondays, Thursdays, and Fridays. The Floater Team on duty the night before meets with the Chief Resident and the Program Director or one of the Key Faculty members and go over the cases admitted to the Hospital by the Floater Team. Cases are discussed at bedside and the history is reviewed, as well as physical findings, admission orders and the immediate management upon admission. Mortality ConferencesMortality Conferences are held, the last Tuesday of each month. A case seen in the Hospital that presents a particular management problem or concern is discussed, usually by the attending physician in charge of the patient while in hospital. All cases have autopsy findings wich are discussed by the pathologists. Resident' SeminarsReview of applied basic medical sciences to the clinical aspects of patient's management is one of the objectives of this teaching exercise. A specific topic is assigned to each resident for presentation. A member of the Attending Staff supervises the activity and discusses any controversial points. The resident prepares a written report with appropriate references that is distributed at the presentation. Journal ClubIn order to maintain the resident staff abreast of the literature, a Journal Club is conducted every week. The residents participate on rotating basis. The Journal to be discussed is announced before each session in order to permit everyone to participate actively. One attending is assigned to each session and is responsible for overseeing the activity. Emergency Medicine ConferencesThese are directed mostly to the new PG1s as they start residency training. Conferences are given every day in July from 8:00 - 9:00 a.m., to instruct these residents in the recognition and initial management of medical emergencies. In-Training Exam ReviewFrom late August to mid October a series of lectures are given to residents in preparation for the yearly In-Training Examination. The Chief Residents prepare a set of pertinent references on important topics in medicine and these serve as basis for general discussion for this review. Visiting LecturersEvery year, particularly during Winter and early Spring, the Department receives a large number of visiting lecturers. These conferences are presented as Grand Rounds or as special topics in Internal Medicine. |
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