Goals & Objectives

Didactic Goals & Objectives

Core Topics in Internal Medicine Primary Care

• •To teach residents the core bread and butter principles of outpatient medicine

• •To teach skills related to high yield information gathering, management, follow up, prevention, and behavior change for the most common conditions encountered in primary care

• •To enhance resident effectiveness in chronic disease management and support of patient self-management

This is an hour long, resident-led session reviewing a topic from the Hopkins Ambulatory Care Modules, with the goal of covering the entire curriculum over three years. While residents are expected to cover all medical content within their assigned Hopkins Module, they do not need to follow the format and are encouraged to vary the method of teaching and presenting the material. Residents should use this forum to try various teaching modalities to improve teaching skills. At the end of the session, residents will participate in self-directed feedback with a faculty member to reinforce effective teaching methods and discuss strategies to further improve teaching skills.

Please check the schedule and prepare EARLY. The schedule and assignments for the entire year will be available in July. Please feel free to reach out to the Chief Residents and faculty to coach you prior to your session.

Teaching Curriculum

• To mentor residents through expanding teaching skills across environments

• To provide residents teaching opportunities to implement deliberate practice

All resident-led presentations will be given coaching feedback immediately following the didactic session. The intention is to help coach each resident to use deliberate practice of teaching skills to improve their ability to engage their audiences through varied teaching methods.

Clinical Skills Seminar

• To enhance self reflection and build intention around the use of interview skills using video review and sharing of practices

The goal of this seminar is to build intention around interview and exam skills using self-reflective practice and a shared coaching model. Residents will be assigned to select short (<2 min) video segments of their own patient encounters that demonstrate examples of effective interview skills or that serve as a prompt to solicit constructive feedback from the group. Each resident’s total time including discussion should be about 15 minutes.

Psychosocial Rounds

• To foster a supportive environment to discuss stressful situations and give residents a forum to work through those difficult situations together

• To enhance professionalism through spreading best practices in handling difficult interactions

• To instill an appreciation of the impact of psychosocial elements in the care of patients

This is a forum for residents to discuss challenges faced as a physician in training and is meant to offer peer support to problem solve. 2-3 residents will be assigned to present cases each session. Others with pressing cases may volunteer as well. Vegas Rules: All matters discussed during the session are not to be discussed elsewhere. Cases may be:

• • Any difficult interaction/situation related to patients, peers, superiors, staff, etc.

  • Unresolved, without a clear answer

  • A short prompt to spark discussion around humanism in medicine

  • Reviewed with an Attending/Chief beforehand if helpful

Journal Club

• To present and evaluate landmark outpatient articles to gain insight into evidence that informs practice

A resident led discussion around a landmark outpatient article, dissecting the attributes and how it changed practice. A rubric can be found on the kingsambcare.com website.

Scholarly Work In Medicine (SWIM)

• To coach on a scholarly approach to performance improvement, creating a project, collecting/analyzing data, writing and submitting for presentation/publication.

A comprehensive guided practicum on the scholarly approach to writing and submitting for presentation/publication. Residents will be divided into small groups focused on completing a scholarly project, with the intent of presenting at professional conferences.

Leadership & Career Development

• To further career and professional development

This series is dedicated to furthering resident career development through topics like CV writing workshop, job hunting, how to survive as an internist, etc.

Outpatient Report

• To create a resident-led discussion of an outpatient case that illustrates approaches to diagnosis, clinical reasoning, management, or skills practice

This is a practical, case-based session. A resident will present a case with concise teaching points and facilitate group discussion. Examples of topics may include diagnosis, clinical reasoning, management, or skills practice. In general, focusing on approaches that can be generalized to other situations would be preferable over “zebra” cases. Residents are encouraged to use these sessions to try different teaching strategies and techniques to maximize learner engagement (such as group facilitation and clinical microskills). Faculty and Chief Residents will be available for coaching beforehand and will partner with the resident to reflect on performance at the end of the teaching session.

Professionalism Guidelines

• Attendance and punctuality is mandatory for all didactics and schduled clinics.

• All residents are assigned presentations at the beginning of the year.

• You are responsible for that time slot and material assigned.

• Failure to present or lapses in attendance will be reflected in your evaluations, and you will still be required to present the material outside of scheduled didactic time.

• Should issues arise please let your chief or program leadership know as early as possible.