Background: Novel strategies such as the block system have been implemented to address resident teaching while maintaining continuity of care. Studies assessing block scheduling and adequate delivery of quality improvment (QI) concepts are limited. The aim of this study is to show how utilizing the 4+1 block system can deliver a longitudinal quality improvement (QI) curriculum and increase the [...]

Background: The Accreditation Council for Graduate Medical Education (ACGME) realizes the importance of ambulatory medicine as an integral part of internal medicine (IM) training. Therefore, program requirements specify that at least one third of the training needs to be spent in ambulatory settings. ACGME requires residents to spend between 4 to 8 weeks in emergency [...]

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: Point-of-care ultrasound (POCUS) is becoming an important part of internal medicine (IM) residency training. Achieving competency requires performing a large volume of clinical exams which can be difficult within the constraints of residency. Often cited barriers include insufficient resident time and the interruption of daily workflow. Methods: Prospective cohort study within a 700-bed, quaternary [...]

Background: The National Board of Medical Examiners (NBME) mandates shelf examinations for all upper-level medical students completing the Internal Medicine (IM) clerkship. Undergraduate medical curricula have adopted many disparate strategies for succinctly delivering “high-yield” topics to students prior to their examinations, such as PowerPoint presentations, mock examinations, and review of challenging questions from question banks [...]

Background: Feedback on clinical management and diagnostic accuracy may enhance physicians’ learning and reduce diagnostic error. Residents on night admitting rotations rarely receive feedback on their clinical management and seldom have the opportunity to reflect on their patients’ clinical courses. Barriers include the lack of a structured approach to feedback and reflection, discontinuous training environments, [...]

Background: The Hospitalist Service of Wellstar-MCG Health run the Family Medicine In-Service (FMIS) rotations. It is a month-long rotation with a team consisting of a hospitalist attending, one or two senior residents, and several interns. A large portion of learning to care for inpatients occurs during these rotations. There currently is no process in place [...]

Background: Third year medical students (MS3s) have not regarded the Pediatrics Clerkship at our institution with as high praise as other clerkships. Students cite a relative lack of teaching on the floors from pediatric residents as a key etiology. Interestingly, said residents endorse a desire to teach more. The most common barriers cited are time, [...]

Background: Clinicians, researchers, educators, and administrators have grappled with the implications of generative artificial intelligence (AI) in healthcare since the release of the first publicly available large language model (LLM) in late 2022. Efforts have been directed towards evaluating LLMs’ performance in common clinical and scholarly tasks and debating important considerations including patient safety, information [...]

Background: Millions of patients are discharged to skilled nursing facilities (SNFs) each year. In teaching hospitals, resident physicians are often responsible for organizing this transition. Understanding residents’ knowledge and experiences of this care transition has the potential to inform residency training, education, and clinical experience. This study aimed to explore residents’ attitudes and experiences in [...]