Didactics
Morning Report
Morning Report is monthly interactive case-based learning. Residents present cases admitted in the previous 24 hours, to review differential diagnosis and management dilemmas.
Grand Rounds
Grand Rounds occurs every Thursday morning. Various topics focusing on current medical updates, are presented by guest lecturers from other prominent institutions or by our faculty. These lectures are attended not only by our residents, but also by our faculty, and other SBH Health System faculty or surgical services.
Weekly Conference
In addition to Grand Rounds and Morning Reports, other AM conferences include a series on primary care topics, pulmonary and critical care curriculum, and other conferences given by sub-specialty faculty including journal clubs, and presentations by our Pharmacy and Culinary departments.
Morbidity & Mortality Conference
A one-hour M&M is held once a month at noon to discuss specific cases to highlight various educational focuses. These conferences allow all our patient care team members to follow the case presentation and discussion with an analysis of standard set of factors that contribute to errors in the emergency department. This involves a systems-based approach, which is analyzed not only for errors in judgment or decision-making, but also for contributing factors such as breakdowns in teamwork and communication, availability of departmental and institutional resources, and societal factors that led to a particular outcome. These sessions help make recommendations to our clinical leadership to remedy identified deficits.
Journal Club
Monthly journal club focuses on the ability to read, interpret and evaluate current literature in the field of Emergency Medicine. Some journal clubs are hosted by our Specialty Tracks, providing an insight into current research in different niche fields of Emergency Medicine. Other journal clubs are hosted during our Wednesday conference; training residents on the skills to read and evaluate a paper in real-time.
Afternoon Conferences
For those residents working on the In-Patient unit, there is a daily 2 pm conference to discuss patient diagnosis and workup, review of specific in patient topics, discussion and lectures with subspecialists.
Board Review
Once a month, the chief residents present a board review session focusing on one particular area of medicine, followed by a quiz. These reviews are well received by the residents and help prepare our residents for the In-Service exams and the Internal Medicine Boards.
Curriculum
Residency Rotations
PGY1
5 Blocks of General Medicine Inpatient Service
3 Blocks of Ambulatory Clinic
2 Blocks of Intensive Care Unit
1 Block of Admitting/Neurology
1 Block of General Medicine Inpatient Service (Night Float)
1 Block Vacation
PGY2
2 Blocks of General Medicine Inpatient Service
2 Blocks of Ambulatory Clinic
1 Block of Intensive Care Unit
1 Block of Rheumatology/Palliative
1 Block of Endocrinology
1 Block of Nephrology/Geriatrics
1 Block of Infectious Diseases or Hematology-Oncology
1 Block of Emergency Medicine
1 Block of Back-up Team
PGY3
2 Blocks of General Medicine Inpatient Service
2 Blocks of Ambulatory Clinic
1 Block of Intensive Care Unit
1 Block of Infectious Diseases or Hematology-Oncology
1 Block of Intensive Care Unit-Plus
1 Block of Admitting/Senior House
1 Block of General Medicine Inpatient Service (Night Float)
1 Block of Gastroenterology
1 Block of Pulmonary Diseases
1 Block of Cardiology
1 Block of Vacation
Simulation Laboratory:
Simulation is an integral and essential component of medical education. At SBH Health System, we use mannequin-based simulators during clinical scenarios, to learn and practice procedures and running codes.
POCUS (point of care ultrasound):
Point-of-Care Ultrasound (POCUS) is an integral part of internal medicine residency training; providing residents with essential diagnostic and procedural skills at the bedside. We have incorporated POCUS into the curriculum so that residents learn to rapidly assess and diagnose conditions such as cardiac dysfunction, pleural effusions, and deep vein thrombosis, thereby enhancing clinical decision making and patient care. Hands-on workshops, bedside teaching, and regular image review sessions are offered to ensure proficiency, while didactic sessions and case review reinforce theoretical knowledge. This training prepares residents to effectively integrate POCUS into their daily practice, improving patient outcomes and fostering a culture of continuous learning and quality improvement.
Primary Care Tract:
For those residents who plan to practice primary care, we offer PGY-2 or PGY-3’s the option to do more rotations in primary care (instead of ICU rotations), have additional teaching opportunities in the primary care setting, and be involved in quality improvement projects pertaining to primary care . This tract grants the same degree as the conventional IM residency program.
Nutrition curriculum:
SBH health system is fortunate to have a fully staffed teaching kitchen, a chef, and a nutritionist. The kitchen is available to our residents as well as to the SBH community. Nutrition is taught in monthly conferences, and residents have the opportunity to cook in the kitchen and to help with teaching classes for community members.
Research opportunities:
The IM residency program supports residents who are interested in working on research projects. The senior residents are involved in supporting fellow residents by offering conferences, and specialized journal clubs (such as cardiology, pulmonary, endocrinology etc.). As a result, residents publish case reports, observational and retrospective studies, and on occasion prospective studies. Residents who have their work accepted at a medical conference, are encouraged to present their work in person at these conferences.