Program combines lectures delivered in a state-of-the-art center of education with group learning and bedside teaching activities.
We believe a variety of teaching modalities are essential to developing the lifelong learning skills and critical thinking capabilities necessary for mastering patient care. Curriculum includes:
- Case based morning report is held every morning at 7:00am in a conference room conveniently situated next to the patient care areas, supervised by the program director/faculty and chief resident.
- The report constitutes short discussions on a number of patients admitted to the teams during the previous night. The initial emphasis is on using clinical information in order to arrive at a differential diagnosis and then asking for further investigative data.
- The skills of deduction, evidence–based decision making and cost–effective care will be demonstrated and taught.
- Following the meeting, research questions raised by the residents during the morning report and the questions will be revisited–now with greater background knowledge–at sign out time in the afternoon.
- Teaching faculty cover core topics in internal medicine, humanities in medicine, patient communication skills and procedural skills.
- An 18 month Lecture Curriculum outlines the topics, enabling each lecture to be covered at least twice in a 3-year period.
- A monthly Resident Journal Club reviews evidence–based research and how it affects our clinical decision making.
- Journal Club will be supervised either by the program director or a faculty member, who will review common clinical scenarios encountered on the floors, new literature and value–based care.
- In each Journal Club, two current articles are discussed as well as one of the classics. The Journal Club Classics curriculum covers 48 of the landmark trials that every internist should know.
- At the beginning of the residency, a USB-drive is given to each resident, containing among other items an electronic compendium of the articles covered in Journal Club Classics.
Clinical Grand Rounds
- Clinical grand rounds are held monthly and are provided by exceptionally skilled guest faculty from prestigious academic centers in Florida and nationwide.
- One hour per week and open to all OHH physicians and staff. MGR will include a variety of educational conferences and curricular initiatives. Occasionally MGR is live streamed from other HCA institutes.
Morbidity and Mortality Conference
- Analyses of unexpected deaths, adverse outcomes and clinically challenging cases.
- Morbidity and Mortality Conference provides the basic structure for a broad performance improvement program that relates to multiple competencies, including medical knowledge, clinical skills, communication skills, system-based practice, and practiced-based learning.
- All internal medicine residents, including subspecialty attendings, and all core faculty, attend the conference.
- The entire medical staff is invited to participate
Tumor Board – Clinical Pathology Conference:
- The house staff runs the Tumor Board; usually two residents present individual cases.
- Pertinent images are discussed by the radiologists and pathologists review pathologic histology.
- Management plans are discussed in a multi-disciplinary format with input from surgeons, medical oncologists, and radiation oncologists.
- This conference is also approved for two hour of CME
Board Review Sessions
- A faculty–lead board review is required to achieve a 100 percent pass rate for certification by The American Board of Internal Medicine.
- All residents are expected to sit for the ABIM in–training examination every year.
Attending Bedside Rounds (required):
- Following the Oslerian Principles of Medicine, bedside teaching and management rounds are conducted daily including weekends.
- After the Morning Report, the floor teams go to see their patients. The senior resident then informs the respective attending, & the team rounds begin..
- A unique innovative curriculum is followed during teaching and management rounds by the faculty and residents.
- The goals and objective of each floor rotation is different for each year of resident training, with the ultimate goal of achieving projectile progression on the ACGME Milestones.
- Rounds are multidisciplinary including Nurse Care Managers, Social Work, Pharmacists, and Nursing.
Resident as Teacher:
- Core clinical faculty observe residents teaching the team on the wards.
- Residents are evaluated end of each rotation providing bedside rounds and presentations related to a patient on service.
- Also before graduating to PGY-2, all PGY-1 residents are required to review the AAIM Resident as Teacher Curriculum and Modules.
Program Director Rounds:
- The program director conducts weekly bedside rounds with the in-patient teams to review physical diagnostic skills at 3:30 pm every Monday.
- One or two cases are presented; pathophysiology, bedside physical diagnosis, differential diagnosis and therapy are discussed.
- The Stanford 25 Curriculum for Bedside Teaching is followed.
- The Oak Hill Hospital Internal Medicine program collaborates with Nature Coast EMS to provide the Human Patient Simulator.
- A library of pre-created scenarios has already been selected, which include medical emergencies like tachyarrhythmias, difficult airway, shortness of breath etc. Simulation training provides a forum where the interdisciplinary team has an opportunity to practice various procedures and to hone skills in a comfortable environment.
- The goal of simulation training is to help staff become more proficient which in turn provides consistency leading to better patient outcomes by reducing infections, number of procedures and costs. Residents run mock rapid response and code simulations with nurses, respiratory therapist, students, and faculty.
- Professional Video feedback of the participants will be both individually and as a group, a final skill check is performed and signed off by the faculty moderating the simulation.