THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION

INTERNAL MEDICINE CONFERENCE CURRICULUM

2013 - 2014

501 Madison AvenueScranton, Pennsylvania 18510

Phone: 570.343.2383Fax: 570.343.4800

www.thewrightcenter.orgThe Wright Center views didactic conferences as an essential component of the educational experience. Each academic year begins with an intensive series of daily lectures covering emergent situations Interns are likely to encounter in Internal Medicine as well as commonly seen cases throughout the year. This series is referred to as the Intern Survival Series and lasts about two (2) weeks. A group of lectures coinciding with a uniquely designed didactic curriculum follow.

Lectures throughout the course of the academic year include Morning Reports, Inpatient/Outpatient Didactic Sessions, Grand Rounds and Noon Conferences – all taking on a variety of formats, including case presentations, ambulatory lectures, subspecialty lectures, morbidity and mortality conferences, EKG and Radiology classes. Additionally, an evidence-based medicine Journal Club and RICU (Resident Intensive Care Unit) course are scheduled once per month.

All Wright Center Residents are responsible for maintaining an 80% conference attendance rate, which must be upheld throughout the academic year. For further information on conference policy, please see the document Standard Operating Procedure for Conference Communication.

CONFERENCE STRUCTURE

MORNING REPORT: 7:30 – 8:30 AM, Wednesdays and Thursdays

Wednesday lectures are focused around subspecialties including Cardiology, Pulmonary, Nephrology and Rheumatology case presentations and MKSAP review.

Thursday lectures are known as ICU Morning Report and are typically facilitated by Dr. Dzielak, Dr. Prior, Dr. Kabak or Dr. Yeager – the Moses Taylor ICU Attendings. It focuses on an ICU case presentation by an ICU resident, RICU lectures, Journal Club, Radiology or ABG classes.

GRAND ROUNDS / NOON CONFERENCE: 12:00 – 1:00 PM, Mondays, Wednesdays and Fridays Residents traditionally present at Grand Rounds in Regional Hospital of Scranton on the third (3 rd) Monday of each month and once per month on a Wednesday in Moses Taylor Hospital. These educational conferences are staffed by faculty and subspecialists. The form varies from case presentations and management to formal topical presentations.

TUMOR BOARD / INTERDISCIPLINARY ROUNDS: 12:00 – 1:00 PM, Tuesdays

Tumor Board occurs every second (2nd) and fourth (4th) Tuesday of the month at Geisinger – CMC. Alternately, IDT Rounds are conducted the first (1st) Tuesday of each month and are staffed by faculty, subspecialists, residents, nurses, case managers, physiotherapists and pharmacists.

DIDACTIC SESSIONSOUTPATIENT DIDACTIC: 7:00 – 8:00 AM, TuesdaysINPATIENT DIACTIC: 11:30 AM – 1:30 PM, Thursdays

Revised: 7/23/13

Outpatient sessions are geared toward Residents posted in primary care rotations during a given block. Session content includes ambulatory case presentations and lectures on topics including common ambulatory conditions, root cause analyses and outpatient billing.

Inpatient sessions are geared toward Residents posted in service and elective rotations. Session content includes case presentations by inpatient Residents and Attending topic presentations.

There are two additional didactic sessions for all Residents, outpatient and inpatient alike, on the first Wednesday and third Friday of each month from 4:00 – 6:00 PM at Tobin Hall.

Primarily, the focus of these sessions encompass System-based Practice, Practice-based Learning and topics such as transitions of care, billing, quality improvement, sleep deprivation, safe care transition, pathology, EMR, population management, CQI process, and so forth. TWC’s Clinical Quality Improvement Leader designs these sessions.

SENIOR PRESENTATIONS: 12:00 – 1:00 PM

PGY 3 Residents present their project work or specific topic including review of latest trials on the subject within the last six months of their training. These conferences can be held at Regional Hospital of Scranton, Moses Taylor Hospital or Geisinger - CMC. Dates will be announced by Richard May as they are scheduled.

JOURNAL CLUB / RESEARCH CONFERENCE: Second Thursday of Month, 11:30 AM – 12:30 PM

Journal Club is conducted within the structure of the Inpatient Didactic Session. Curricular components include methods for analyzing, interpreting and presenting original data published in medical journals. Drs. Robert Paulino and Sandhya Samavedam head TWC’s research efforts and provide valuable input regarding research design and statistics during these sessions. Often, detailed discussion is initiated surrounding a recently published study to enhance the research activities of the residents and better understanding of research methods.

RAP SESSION: Last Friday of Block, 7:30 – 8:30 AM

Chief Residents facilitate discussion of any issues or concerns which may have arisen during the block.

MORBIDITY & MORTALITY CONFERENCES:

The Wright Center considers Morbidity and Mortality (M&M) conferences to be powerful opportunities for learning and reflection. Traditionally, M&M conferences provide a forum for faculty and trainees to explore the management details of particular cases wherein morbidity or mortality resulted. In carefully reviewing the records and specifics of care, we are able to revisit errors in order to gain insight in a blameless environment focused only on patient safety and quality improvement. A minimum of two M &M conferences are required every six (6) months.

Revised: 7/23/13

EXPECTED ATTENDANCE

DAY CONFERENCE IN ATTENDANCE EXCUSEDMONDAY Noon Conference All Service and Elective rotations

Scranton-based Ambulatory rotationsVA Rotations, Wayne Clinic, Susquehanna

Clinic, WCPC – MVP & C/S, Night Float, MTH ICU

TUESDAY Outpatient Didactic Wayne ClinicSusquehanna Clinic

WCPC – MVP, Scranton & C/SDPW

All Service, ICU and Elective rotations

VA rotationsScranton Primary

Tumor Board All Service and Elective rotationsScranton-based Ambulatory rotations

VA Rotations, Wayne Clinic, Susquehanna

Clinic, WCPC – MVP & C/S, Night Float, MTH ICU

WEDNESDAY Morning Report All Service and Elective rotationsScranton-based Ambulatory rotations

VA Rotations, Wayne Clinic, Susquehanna Clinic, WCPC – MVP, Anesthesia , P & SM,

MTH ICU, RHS NF SeniorGrand Rounds All Service and Elective rotations

Scranton-based Ambulatory rotationsVA Rotations, Wayne Clinic, Susquehanna

Clinic, WCPC – MVP & C/S, Night Float, Service D

Interactive Professionalism

All Service, Elective, Ambulatory & VA rotations

Night Float MVP Seniors

On CallTHURSDAY ICU AM Report MTH ICU

All Service & Elective rotationsWCPC – MVP, Wayne Clinic, Susquehanna Clinic, Service D, VA

rotations, Anesthesia, P & SM, RHS NF Senior

Inpatient Didactic All Service and Elective rotationsScranton Primary

VA Rotations, Wayne Clinic, Susquehanna

Clinic, WCPC – MVP, C/S & Scranton, Night Float

FRIDAY Noon Conference All Service and Elective rotationsScranton-based Ambulatory rotations

VA Rotations, Wayne Clinic, Susquehanna

Clinic, WCPC – MVP & C/S, Night Float, MTH ICU

VP Time Block All Service, Elective, Ambulatory & VA rotations

Night Float MVP Seniors

On Call

Revised: 7/23/13

CONFERENCE VENUES

DAY MORNING REPORT NOON CONFERENCE EVENING DIDACTIC*MONDAY Regional Hospital of ScrantonTUESDAY Tobin Hall Geisinger – CMC

WEDNESDAY Geisinger – CMC Moses Taylor Hospital Tobin HallTHURSDAY Moses Taylor Hospital Moses Taylor Hospital

FRIDAY Tobin Hall Regional Hospital of Scranton Tobin Hall

* When Applicable

Revised: 7/23/13