While the vast majority of a resident’s daily routine is devoted towards direct patient care, various conferences and learning activities are also available for academic advancement. These learning endeavors are designed to complement medical education derived from patient encounters.
Bedside Teaching Rounds
Bedside teaching rounds are held 5 days a week (Monday to Friday) for all general medicine inpatient floor teams. During these rounds, medical students and residents deliver focused presentations and updates on their service patients. Under the guidance of a teaching internist, appropriate diagnostic and therapeutic plans are then formulated. Clinical pearls and theoretical aspects are also incorporated.
Teaching rounds are integral part of a resident’s academic development at Monmouth Medical Center.
Morning reports are held thrice a week (Monday, Tuesday and Friday). The previous day/night teams present their admissions to a teaching internist and the chief medical resident. Focused questions are addressed to house staff. Diagnostic and therapeutic decisions are also discussed. Presenters are expected to present a timely journal article relating to their case thereafter.
EKG conferences are held every Wednesday from 9:00 AM to 10:00 AM. Attending cardiologists discuss the basics of EKG interpretation and walk residents through accurate interpretations of the most interesting and relevant EKGs that were performed at the MMC during the week.
M and M conferences present a non-threatening atmosphere where residents can learn from complications and errors, and prevent repetition of medical errors.
Morbidity and Mortality Conferences
Morbidity and mortality conferences are held on the 3rd Thursday of every block from 8:00 AM to 9:00 AM. In this conference, residents present interesting cases highlighting errors in diagnostic and therapeutic management. This forum provides a safe and non-threatening environment to learn from these errors and prevent them from happening again in the future.
Medical Grand Rounds
Medical Grand Rounds are held every 1st, 2nd and 4th Thursdays of every block from 8:00 AM to 9:00 AM. These conferences highlight important updates and advances in the field of medicine. Renowned specialists at the forefront of these medical developments are specifically invited for this purpose.
Noon conferences are held 5 days a week (Monday to Friday) from 12:00 NN to 1:00 PM. In these conferences, various subspecialists deliver up to date and informative lectures pertaining to essential internal medicine topics in their specialty. Noon conferences rotate among the specialties on a daily basis.
Journal Club is held every 4th Thursday of every block from 12:00 NN to 1:00 PM, in place of the regularly scheduled noon conference. In this conference, residents are given interesting research articles from the New England Journal of Medicine. PGY-1s then take turns at discussing the various aspects of the research, and are given opportunities to critically appraise these journal articles. The flow of discussion is directed by teaching internists and experts in medical statistical research.
Noon Conference lectures rotate among the various subspecialty attendings, following a curriculum designed to meet the ABIM blueprint.
Schwartz Center Rounds
Schwartz Center Rounds are held every 2nd Tuesday of every block from 12:00 NN to 1:00 PM, in place of the regularly scheduled noon conference. These conferences offers healthcare providers a regularly scheduled time during their fast-paced work live to openly and honestly discuss social and emotional issues that arise in caring for patients. Panelists from diverse disciplines participate in the sessions, including physicians, nurses, social workers, psychologists, allied health professionals and chaplains. After listening to a panel’s brief presentation on an identified case or topic, caregivers in the audience are invited to share their own perspectives on the case and broader related issues.
Tumor Boards are held every 4th Friday of every block from 12:00 NN to 1:00 PM, in place of the regularly scheduled noon conference. In these conferences, oncologists present atypical presentations of various malignancies. Radiologists then walk the audience through the pertinent imaging studies performed. Discussion of pertinent histopathology is given by attending pathologists. These conferences are mediated by the Director for Cancer Services.
General Internal Medicine Reviews
General Internal Medicine reviews are held every 1st and 3rd Monday of every block from 8:00 AM to 9:00 AM. Pertinent and board-relevant topics in general internal medicine are discussed by teaching internists, using a framework for high-value cost-conscious care that was developed by the American College of Physicians.
Residents who do well in medical jeopardy represent the program yearly at the ACP Challenge Bowl.
These conferences are held once per block from 12:00 NN to 1:00 PM, in place of the regularly scheduled noon conferences. Residents are split into teams and participate in a fast-paced quiz competition highlighting important medical facts and clinical pearls. Successful teams are then drafted to represent Monmouth Medical Center in the annual ACP-NJ chapter Challenge Bowl. This competition feeds to the National ACP Doctor’s Dilemma, which is held each year at the scientific ACP Internal Medicine Meeting.
Research Meetings are held on the 4th Monday of every block from 8:00 AM to 9:00 AM. These conferences include lectures in medical statistics pertinent to research, as well as presentations and updates on both ongoing and forthcoming research spearheaded by medical residents. Meetings are presided by teaching internists and experts in medical statistics.
Psychosocial lectures are held every Tuesday from 4:00 PM to 5:00 PM. These conferences are directed toward PGY-1 residents. An attending psychologist walks residents through a specifically designed curriculum to emphasize empathy and compassion in patient care. Psychosocial aspects of medicine are emphasized. In contrast to traditional medical conferences, the focus is on the human dimension of medicine.
Autopsy conferences are held on-call on Tuesdays, from 8:45 AM to 9:45 AM at the morgue, in place of Morning Report. Mortality cases, for whom autopsy consent was secured, are presented by the medical resident who handled the case. A pathologist then walks the audience through the autopsy findings. Clinical and radiologic correlation of autopsy findings is also performed.
Medicine residents are always well-represented at the annual housestaff research competition. Winners have gone on to present their work at national and international arenas.
Ellen M. Cosgrove, MD Research Competition
This annual competition rewards excellence in scholarly activity in 14 categories among Monmouth’s 107 physicians-in-training. The research competition provides an opportunity for our resident and attending physicians to work together to develop habits of inquiry, learn to evaluate research findings and gain new knowledge in a wide range of medical and surgical areas. The awards recognize the fact that the residents and staff are dedicated to enhancing a collaborative environment among our physicians, which promotes both academic and clinical growth.
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