Background: Quality improvement and patient safety (QI/PS) methods are being used to drive positive change in healthcare. To date, these efforts have led to slow and inconsistent change. Insufficient expertise remains a significant rate-limiting step at many institutions. To address this barrier, trainees need opportunities to learn about and participate in QI/PS. At the University [...]

Background: Writing and presenting case reports provides opportunity for scholarly activities and promotes scientific writing and critical thinking. This study assesses Internal Medicine residents’ perceived benefits, challenges, and barriers regarding writing and presenting case reports. Methods: A Qualtrics survey was emailed to total 125 Internal Medicine Residents of the Medical College of Wisconsin. The survey [...]

Background: Research using the inpatient setting for interprofessional education (IPE) is sparse. At Duke Regional Hospital, the interprofessional team caring for general medicine teaching service patients includes residents, interns, medical students, physician assistant (PA) students, pharmacy students and residents, pharmacists, nurses, case managers and attending physicians. Purpose: To determine the educational and operational measures needed [...]

Background: A recent study showed over 80 percent of internal medicine residents reported being uncomfortable or very uncomfortable with dermatologic issues. Formalized teaching in dermatology in medicine residency may be prudent. This teaching could occur in both inpatient and outpatient settings. Our objective was to study the effect of a dermatology curriculum on knowledge and [...]

Background: Duty hour restrictions for resident physicians have led to the ubiquity of night float systems. While this change has positively influenced well-being and supervision, limited studies indicate a negative impact of night float rotations on resident education. Nocturnists have been identified as a key resource for improving the educational value of night float rotations, [...]

Background: Self-reflection is an essential tool to foster professional and personal development during medical training. The inpatient setting presents specific challenges to developing physicians, as housestaff grapple to negotiate death and dying, difficult patient interactions, and building therapeutic alliances within limited time. It’s not surprising that burnout and compassion fatigue increase during training. Integrating reflective [...]

Background: Attending evaluations by medical students have many implications including promotion, teaching opportunities, job satisfaction and reputation both for individuals and for groups. In addition to teaching on traditional ward teams with housestaff and students, hospitalists are more commonly teaching in an apprenticeship model, where an attending, often carrying a full census, directly supervises and [...]

Background: Quality improvement (QI) has been recognized as a core component of medical resident training and progressive engagement with QI is required by the American Council of Graduate Medical Education’s Clinical Learning Environment Review. Prior to 2015, no formal QI education was provided within our internal medicine residency program. This deficiency prompted residency program leadership [...]

Background: Incoming interns must understand the specific culture of safety at their new institution as well as processes that they are expected to know on day 1 of residency. As part of an immersive half-day simulation program for incoming interns called First Night On Call (FNOC), we developed a hypotension Group Observed Standardized Clinical Encounter [...]

Background: The transition from medical student to intern presents a major patient safety concern. Incoming interns must understand the specific culture of safety at their new institution and processes that they are expected to perform on day 1 of residency without direct supervision. We developed an immersive, integrated First Night On Call (FNOC) simulation to [...]