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Program Structure and Curriculum

Conference Descriptions

Morning 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.

Departmental 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.

Academic 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.

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.

Internal 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 literature appraisal.

The 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.

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.

Intern 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.

Housestaff 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.

Learning 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 medicine.  

  • 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.

 INOC/ROC 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.

Primary Care Specific Conferences

  • Monthly 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.”
  • Joint 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.
  • Quarterly 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.

    Quick Reference

    Internal Medicine Residency
    Heather Yates
    Residency Program Administrator

    Residency Office
    336-716-4305

    hcrocker@wakehealth.edu

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