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Program Structure and Curriculum

Conference Descriptions

1.  Morning Report is held Monday, Tuesday, Wednesday and Friday mornings (11:30am-12:10 pm).  Directed by the Assistant Chiefs of Medicine (ACMs), the conference is attended by the Program Director, department chair, faculty, and all interns and residents.  Morning Report is designed to cover high-yield board review topics as well as interesting patient cases.  It provides an opportunity to discuss questions and problems regarding diagnosis and management of real patients in an open and supportive environment.  Case discussions stem from a variety of inpatient and ambulatory settings with an emphasis on developing clinical reasoning skills.  Board-style multiple choice questions are featured at each conference to stimulate discussion and prepare residents for the ABIM exam.

2.  Departmental Grand Rounds is an opportunity for the entire Department of Internal Medicine to convene each Thursday Morning from 8:00-9:00am.  Diverse, engaging topics are delivered by Wake Forest faculty, including those from Internal Medicine and its subspecialties as well as faculty from Radiology and Pathology.  Presentations are often case-based and emphasize current advances in Internal Medicine.  Additionally, one Clinical-Pathological Conference (CPC) is presented each month during which a faculty member from one of the sections of Internal Medicine discusses a challenging clinical case in an interactive venue; this is followed by a pathologist’s interpretation of the pathologic findings that supported the patient’s diagnostic work-up.

3.  Academic Half Days
are an innovative new approach to presentation of the central internal medicine residency curriculum.  Each week, upper level residents have their Academic Half Day on Monday from 2:00 to 5:00 pm and interns have their session on Wednesday from 2:00 to 5:00pm.  The two separate sessions provide an excellent opportunity to tailor the information presented to the appropriate level of experience and educational need; in addition, this facilitates clinical coverage.  Academic Half Day periods are completely protected from clinical responsibilities for residents on most rotations (average of 10 [intern] or 11 [upper level residents] out of 13 blocks annually), with the exceptions of intensive care unit, emergency medicine, ambulatory urgent care, and night float rotations.  Presentations and learning materials for the Academic Half Days are made available to residents on those rotations for which attendance is not possible.

  • Survival Skills Lecture Series is part of the intern Academic Half Day from July through early August and focuses on commonly encountered hospital emergencies as well as other important topics for surviving on wards and in clinics.
  • Core Curriculum Conference is part of the Academic Half Day beginning in September and is designed to cover the breadth of general internal medicine and subspecialty topics over an eighteen month repeating cycle.  These lectures are given by core teaching faculty from each department.
  • Mortality and Morbidity is held monthly to review deaths, autopsy material and discuss end-of-life decision making.  Best available evidence from literature that applies to these patient care issues is discussed.  Incorporated into this conference is a critical event review where system based issues are addressed and recommendations for improvement are made.
  • Board Review Series sessions are concentrated from April through June to aid PGY-3 residents in their final months of preparation.  These didactics focus on specific high yield information in preparation for the Internal Medicine Board Certification Exam.
  • Evidence Based Medicine Seminars & Journal Clubs are part of the Academic Half Day for all residents and complement the basic skills learned in the Intern EBM Seminars (see 11a, below).  ACMs, Program Directors and residents critically appraise the literature to answer clinical questions, review current advances and acquire efficient literature appraisal skills. The seminars also cover skills needed to practice Evidence-Based Medicine including medical informatics, how to keep up to date and complex medical decision making.

 4.  Clinic Minute is held at the beginning of the afternoon continuity clinic.  It is a quick high-yield session which covers ambulatory acute care medicine, chronic disease management, clinical guidelines, and preventative medicine topics.

5.  Internal Medicine Resident Grand Rounds are scholarly presentations delivered on Thursdays at noon by our PGY-3 residents on a clinically relevant question that permits exploration and interpretation of the best available evidence.  Presentations tend to be of case-based topics and are self-selected by each senior resident.  In preparation, residents are encouraged to partner with a faculty mentor to facilitate critical thinking and high-level literature appraisal.

6.  The Research Seminar Series is a part of the residency research curriculum.  Seminars cover   12-14 topics related to methodology, statistical methods, research design and manuscript preparation.  This seminar series prepares residents for patient-oriented research projects and complements the evidence based medicine curriculum.

7.  Resident Research Forums offer residents engaged in research the opportunity to present their work, receive meaningful feedback and participate in scholarly discussions with their peers and established investigators.  Timing of these seminars varies.

8.  Intern Time Out is an informal lunch session that occurs one Friday each month at noon.  It is an opportunity for interns to meet in small groups with ACMs and Program Directors to discuss successes and challenges related to intern year.

9.  House Staff Meeting is a meeting of Program Directors, ACMS and all house staff one Friday each month at noon to discuss and address any house staff concerns as well as upcoming events.

10.  Ambulatory Curriculum is designed such that interns participate in small-group sessions on Thursday mornings (9:00am to 12:00pm) for two blocks out of the year in addition to ambulatory content taught in the academic half day throughout residency.  The didactics fall into one of the several categories below.

  • Intern Evidence Based Medicine Seminar is a small-group tutorial that promotes experience locating, interpreting, and critically appraising medical literature pertaining to specific clinical questions.  Mathematical concepts relating to diagnostic test performance and therapy or harm effects are emphasized to maximize preparedness for the USMLE and ABIM examinations.  
  • Intern Systems Based Practice Seminar is a series that focuses on systems-based issues affecting patients and health care professionals, as well as on quality improvement.  
  • Intern Advanced Communication Skills & Professionalism Seminar is a series during which interns explore aspects of effective doctor-patient relationships, professionalism, and medical ethics.  Specific topics of emphasis include motivational interviewing, agenda-setting in the patient interview, and empathic opportunities in medicine.  
  • The Community Plunge consists of a driving tour of Winston-Salem and discussion with community members to explore challenges in access to health care.  Interns participate in this activity once in the fall.

11.  INOC/ROC report occurs each Thursday afternoon from 5:30-6:00pm and is an opportunity for the house staff working on night shifts to discuss patient workflow and care patterns with the Program Director and ACMs.

    Quick Reference

    Internal Medicine Residency
    Betsy Pike
    Residency Coordinator

    Residency Office

    Wake Forest School of Medicine
    Medical Center Blvd
    Watlington Hall, 3rd Floor
    Winston-Salem, NC  27157
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