Report is held
Monday, Tuesday, Wednesday, and Friday mornings (11:30am - 12:10pm). 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 most conferences to stimulate
discussion and prepare residents for the ABIM exam. In the new 3+1 system for 2018-19, Morning Report will be replaced by
Core Content Review (CCR) once weekly on clinical and board-relevant topics. This
conference is currently under development.
Grand Rounds is an opportunity for the entire Department of
Internal Medicine to convene each Thursday morning from 8:00am - 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.
Half Days are an innovative approach to the central Internal
Medicine residency curriculum, which was implemented in 2014. Interns and
upper-level residents have sessions tailored to their level of training and
educational need. While the vast majority of Academic Half Day periods are currently protected time for interns and
upper-level residents, they will be completely protected from clinical
responsibilities for all residents in our new structure for the
2018-19 academic year. In addition, beginning in the 2018-19 academic year,
many Academic Half Day sessions will be held at the state-of-the art Bowman
Gray Center for Medical Education (BGCME) in Downtown Winston-Salem and will
feature a high yield, interactive series focused on board relevant topics.
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
Medicine Resident Grand Rounds are scholarly
presentations delivered on Thursdays at 12:15pm 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
Research Seminar Series is a part of the residency research
curriculum. Annually, 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.
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.
Time-Out is an informal lunch session that occurs monthly.
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.
Meeting is a meeting of Program Directors, ACMS,
and all housestaff one Friday each month at 11:30am to discuss and address any
house staff concerns as well as upcoming events.
Health System (LHS) Seminar: Beginning in the 2018-19
academic year on Thursday mornings from 9:00am - 12:00pm, interns will participate
in small-group sessions during the “Y-weeks” that focus on a number of
important topics to prepare them for effective communication, understanding
health systems, quality improvement and leadership, and lifelong learning in
- 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 harmful 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 and 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 will participate
in this activity once in the fall.
report occurs each Thursday afternoon from 5:00pm - 6:00pm and is an
opportunity for the housestaff working on night shifts to discuss patient
workflow, care patterns, and learning issues from cases with faculty and ACMs.
Care Specific Conferences
Primary Care Track Conference Series occurs the first Friday of
every month and 12:15pm. The focus of the conference is to present topics that
are useful for practicing ambulatory medicine. Speakers consist of subspecialty
faculty, pharmacists, or occasionally GIM faculty. Past conference topics have
included: “Care of ICU Survivors in the Clinic,” “Smoking Cessation Counseling,”
“The Dizzy Patient,” and “Headache Management.”
General Internal Medicine/Primary Care Track Conferences occur
the third Wednesday of every month at 12:15pm and is part of the General
Internal Medicine Faculty Conference Series. In this conference, Primary Care
Track residents co-present with a General Internal Medicine faculty member on
bread and butter issues that are typically seen in the clinic. They pick a case
that one would see in clinic and discuss three to four clinical questions
searching the literature for evidence-based practices. It is a rich discussion
of physicians from different practice sites and a great learning opportunity
for the residents.
Journal Club occurs once per quarter and brings together the
residents and providers from the University Internal Medicine practice to
discuss issues that are faced by Primary Care providers in the community.
Topics such as communication skills, job search, agenda setting, and personal
finance are addressed at this unique conference.