Program Structure and Curriculum
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.
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.
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.
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.
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.
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
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.
Systems Based Practice Seminar is a series that focuses on systems-based
issues affecting patients and health care professionals, as well as on quality
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
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
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.