Internal Medicine Residency: Didactics
Pairing Faculty and Peer Insights with Advanced Technology
The Internal Medicine residency offers numerous didactic opportunities, including weekly conferences, hands-on procedural activities, and support for clinical research and quality improvement projects. As an academic institution, we emphasize protected time and maintain a culture that actively supports learning.
- Held daily, immediately before morning rounds.
- Coffee and light breakfast provided.
- 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 Dr. David Williams, Assistant Chief of Medicine.
- This critical part of our curriculum focuses on deductive reasoning in diagnosis, interpretation of physical exam and laboratory studies, and generation of a nuanced differential diagnosis.
- Daily, Monday through Friday.
- Also available online.
- Grand Rounds, where our own teaching staff and visiting professors discuss areas of innovation and developing research.
- Core Curriculum Lectures where HCMC faculty provide clinical updates on the management of common diseases, such as pancreatitis, acute myocardial infarction, or coagulopathies.
- Case-Based Subspecialty Discussions are featured on a rotating basis, such as Clinical Cardiology, Chest/ID conference, and a monthly Morbidity and Mortality conference highlighting a systems-based approach to reducing medical errors.
- Weekly academic half-day session during ward rotation.
- Residents participate in a 2-3 hour teaching case designed to enhance knowledge and promote camaraderie.
- 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.
- 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.
- 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.
- 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.