Internal Medicine Residency: Didactics

Dedicated faculty, active learning, and a dynamic curriculum

Didactic Opportunities

The Internal Medicine residency offers numerous didactic opportunities, including traditional educational methods like morning report and noon conference coupled with small group case-based learning, simulation, and procedural training.

Morning Report

  • Held daily, immediately before morning rounds.
  • Coffee and light breakfast provided.

Includes:

  • Chief residents run an interactive, case-based learning session that attracts approximately 30 residents and medical students daily.
  • Attended by Dr. Scott Davies, Chief of Medicine, and other key teaching faculty, and other key teaching faculty
  • Cases focus on deductive reasoning in diagnosis, interpretation of physical exam and laboratory studies, and generation of a nuanced differential diagnosis.

Noon Conference

  • Daily, Monday through Friday.
  • Also available online.

Includes:

  • Grand Rounds, teaching staff and visiting professors discuss areas of innovation and developing research.
  • Core Curriculum Lectures - clinical updates on the management of common diseases
  • Rotating Case-Based Subspecialty Discussions - Case-based conferences include Clinical Cardiology, Chest/ID conference, and a monthly Morbidity and Mortality conference highlighting a systems-based approach to reducing medical errors.

Friday School

  • Monthly academic half-day session for all residents.
  • 2-3 hour teaching case focused on an area of medical knowledge
  • Residents work in small groups to answer several questions on a topic such as dysnatremias or cardiac arrhythmias, using online access to evidence-based medical resources.
  • Focuses on how to acquire, assess, and apply the best evidence to a specific case.
  • Simulation training, code training, palliative care, and cost-conscious care topics addressed.
  • Specialists discuss cases and review key learning points.

Evidence-Based Medicine Course

  • One month course, meets two hours weekly.
  • For residents in both the PGY-2 and PGY-3 years.
  • Faculty provide training on study design, including how to assess and apply evidence to answer clinical questions.

Bedside Ultrasound Course

  • One-on-one training sessions with HCMC’s echocardiogram technologists to develop bedside echocardiography skills.
  • Led by the pulmonary critical care and cardiology divisions.
  • Coursework includes assessment of global cardiac function, valvular function, pericardial abnormalities, and assessment of IVC/volume status.
  • Hands-on training includes both models and critically ill patients in the MICU.
  • Emphasis on practicality and utilizing bedside information to improve clinical decision-making.

Global Health Course

  • Tropical and Travel Medicine course held annually at the University of Minnesota.
  • Accredited by the American Society of Tropical and Travel Medicine.
  • Open to all residents as an elective rotation.
  • Features lectures from experts on infectious disease, public health officials, and leaders of major aid organizations.
  • Includes applied lab work and information on setting up direct care and research initiatives abroad.

Simulation Center Activities

  • Comprehensive simulation and procedure curriculum.
  • Conducted in HCMC’s new state-of-the-art Interdisciplinary Simulation and Education Center.
  • Focus areas include code response, cardiovascular emergencies, ambulatory scenarios, and central line teaching.
  • Opportunities exist for residents to develop their teaching skills through curriculum design and execution of simulation scenarios.

Ambulatory Conference

  • Weekly pre-clinic small group conference.
  • These interactive, case-based teaching sessions focus on the evidence base for outpatient management of common diseases, and foster both collaborative learning and teaching skills in senior residents.

Research Opportunities

  • In PGY-1, we pair each resident with a faculty advisor, who may also serve as a research advisor.
  • Residents may apply up to one month per year of Electives toward research.
  • Each PGY-2 resident completes a Quality Improvement Project using a systems-based practice and personal clinical experience.
  • Additional opportunities exist for clinical outcomes-based or quality improvement research.
  • Our residents routinely present at national specialty organizations.
  • HCMC operates the Minnesota Medical Research Foundation, a non-profit research organization that ranks in the top seven percent nationally of all institutions receiving research grants from the National Institutes of Health.