At 8 a.m. Tuesdays and Thursdays, a 30-minute conference takes place with the discussion of admissions from the previous 24 hours. Led by the chief residents, the conference is designed to encourage discussion between residents and faculty covering topics such as the routine management of common diseases, creating a working differential diagnosis, and evaluating patients with unusual presentations. Residents on electives, outpatient months, in addition to the inpatient wards, heme/onc and hospitalists teams attend these conferences. Residents in the NICU, PICU and Emergency Department have separate lectures/conferences to attend during their month. Several times per month, sign-ins are replaced by Long Cases where each inpatient resident team presents an interesting case from the month to include board content specifications.
At 8 a.m. Wednesdays, a chief resident leads the house staff through a 30-minute conference to go over board-specific content. These conferences are designed to encourage resident participation through board-style questions and high-yield facts by playing games such as Jeopardy, Battleship and Win, Lose or Draw.
At 8 a.m. Fridays, an unknown case is presented and an assigned resident leads the discussion of the initial evaluation, differential diagnosis and management of the case. This is followed by a short didactic lecture on the patient’s primary diagnosis by a member of the faculty.
Our curriculum is designed to follow the PREP curriculum and encourage more independent learning on behalf of the individual resident. Each month covers a different subspecialty, and residents attend twice weekly lectures on different topics in those subspecialties. Lecturers are encouraged to included ABP's content specifications in their lectures. Residents are responsible for working through online PREP questions with completion of them expected by the end of the academic year. In addition to the in-service exam given in July, an in-house spring in-service exam is given so residents can assess the knowledge they have gained and identify continued areas for improvement.
At noon Wednesdays, a didactic lecture is given by current faculty, visiting lecturers or by senior residents to the Department of Pediatrics covering a variety of topics relevant for the general pediatrician. One hour of CME is given for attendance.
On the second Tuesday of the month, Performance Improvement conference is held in place of morning sign-ins. This multi-disciplinary meeting is attended by residents, faculty and other hospital personnel. A variety of topics are discussed concerning administrative aspects and systems-based practices of the hospital.
On the third Tuesday of the month, M&M conference is held in place of morning sign-ins. Inpatient deaths and any significant complications in the care of patients from the previous month are discussed. Cases are presented by a faculty, residents or staff in an effort to identify system-based or practice-based problems and ways of addressing those issues.
At noon each Friday, individuals from a variety of fields are brought in to provide residents with insight into areas such as physician wellness, medical billing, negotiating a contract and managing a practice. Ethics and medico-legal aspects of health care are also discussed. Journal Club is held every other month during one of the Friday conferences and alternates with the Pediatric Resident-Mentor Research Program (PRMRP). The last Friday of the month is dedicated for a resident meeting. Catered lunches are provided at these meetings for the residents.