Curriculum

 

Quiz BowlConsiderable time is provided for attending a well-organized, comprehensive curriculum. Our curriculum uses multiple modalities emphasizing active learning, case-based learning, simulation and role play to stimulate residents' various styles of learning. These formats range from traditional didactic lectures given by leading experts in the field, to case-based learning in both large and small groups, to self-directed learning at conferences given completely by residents on various topics, including evidence based medicine, critical reviews of the literature, and quality improvement. Of special note is that our curriculum on professionalism was recognized at the national meeting of the American College of Physicians-American Society of Internal Medicine and we were honored with the Evergreen Award. This is the second time our residency's curriculum was given this prestigious award; the first was for our resident's manuscript writing project. Please see the outline below to explore our extensive and nationally recognized curriculum.

Orientation

  • We have a detailed, week-long Department of Medicine-specific orientation before beginning the intern year. This has proven to be a nice way for our interns to get to know one another and the program leadership.  During these sessions we help each intern plan ahead of time how she/he will approach the first couple rotations.
  • We also have full day professional development days before beginning the PG2 and PG3 year during which we emphasize leadership, professionalism, teaching and establishing a positive work environment.

Didactic Survey of Internal Medicine

  • Each summer we have a focused intern lecture series to introduce interns to common problems seen on the wards and on call.
  • We also have a comprehensive Internal Medicine didactic lecture series for interns that takes place 2 hours per week over the course of the entire year at a time when the senior residents can stay on the wards.  These are video captured.
  • Department of Medicine Grand Rounds occurs weekly and is given by both prestigious visiting speakers as well as UW faculty who are leaders in their field.
  • All didactic sessions are video captured and store on the department's intranet for future reference.

Case based learning

  • We offer morning report four times weekly at UW and also  at the VA hospital . They are interactive sessions led by the chief resident, and while there are faculty present every day, most of the contribution comes in the form of discussion among residents. Residents from all 3 classes attend and participate in morning report.
  • Intern morning report occurs once weekly. It is geared towards interns and is led as an "unknown" case discussion by the Program Director.
  • Tissue conference is a monthly "unknown", case-based, clinical pathological conference given by residents, a fellow, a faculty member, and the Radiology and Pathology departments.
  • M&M conference has cases presented by well-coached interns and discussed in small group break out sessions with a focus on patient safety and a systems-based approach to improving the quality of care we provide.
  • We have a three-year comprehensive primary care curriculum which occurs weekly before continuity clinic. It is a case-based, small group discussion among residents and the continuity clinic attending. The cases are on the web and fully referenced.

Residents Teaching Residents

  • Residents perform a critical review of the literature in their selected area of interest and give an hour presentation of the topic to their peers and faculty in our weekly Advances conference. All residents do this once as a PG2 and once as a PG3. These evaluated exercises allow every resident to demonstrate that they have the skills for life-long learning.
  • Interns give a well-coached journal club conference. This is supplemented with evidence based medicine preparatory sessions given by faculty and health science library experts; and provides a basis for the Advances project above.
  • During the PG3 year, all residents will give one conference on a quality improvement project that they selected and performed as part of our QI program. This faculty-mentored program assures each resident that she or he graduates with the skills needed for life-long clinical performance improvement in patient care outcomes.

Research

  • We have a unique SWIFT (Speed Workshop for Interns and Faculty to Talk about research) program for PG1s to introduce them to our key faculty researchers in the department in a "speed dating" format.
  • There is an annual research seminar on writing grants and manuscripts.
  • The Department of Medicine sponsors an annual Research Day dedicated for residents, fellows, and faculty to showcase their research to others within the department.
  • Individual intern discussions with program directors in September / October and December / January and with chief residents and research faculty in February / March help assure all our trainees of a mentored research experience.
  • Please click here to see a list of national and regional resident publications and presentations.

Simulations

  • All residents participate in multiple simulation-based experiences including: Pap/Pelvic Workshop, Acute Situation Management, BLS/ACLS, mock code, patient-doctor communication and critical care skills.
  • All residents prior to fellowship and job interviewing have training in interviewing skills and mock interviews with experienced faculty members who offer them important feedback.

Key Seminars

  • Examples of annual seminars in which all residents participate include: Professionalism, Empathy, Patient Communication, Self-Care, Career Development, Teaching, Critical Care, Domestic Violence, Leadership, High Value Care, and Evidence-Based Medicine.