Attending rounds for inpatient ward teams and the critical care units take place every morning. There is an emphasis on bedside rounds, integrating didactics with clinical skills.
Senior ward residents are expected to round with their interns prior to attending rounds to provide supervision and education to the interns, and to nurture clinical leadership. The clinical plan can be initiated when appropriate, and presented at attending rounds.
Signout happens in the residency room for ward teams, with interns and residents signing out to their respective night float residents. This insures that any potentially active patients overnight will be known to both the intern and resident night float.
Conferences are grouped into a themed week chosen from the recommended ACP curriculum. All morning reports, noon conferences, and high-value teaching sessions build on this theme. The week ends with a dedicated Board Review session which wraps up each week.
Morning reports occur Tuesdays and Thursdays. These are case presentations often presented by a resident, with a discussion lead by the chief resident. Journal club is also held during this time, which is an evidenced based discussion lead by a senior resident.
Noon conferences are held Tuesday, Wednesday, and Thursdays and are didactic lectures by subspecialty attendings or general internists with a focus on the latest guidelines, evidenced based medicine, and board preparation.
Radiology conference is held every Monday with review of common/interesting findings on imaging studies from patients on the wards teams, under the direction of the radiology department.
ECG conference is hosted once monthly by our staff electrophysiology attendings with an emphasis on reading and identifying key ECG findings.
Intern report occurs for the first 6 months of the year on Fridays. Senior residents cover the interns’ pagers during this time and the chief residents or a program director leads the session. Emphasis is on fundamental clinical skill development and core medical knowledge. Later in the year there are sessions on clinical teaching.
Grand rounds for the entire Division of Internal Medicine is Fridays from 7:30-8:30.
Visting professorships occur at least once per year. A nationally recognized physician is invited and presents at grand rounds, as well as smaller sessions specifically for the house staff. A dinner and luncheon also occur, allowing residents a less formal opportunity to talk with the physician.
This is held monthly. We also send 4 residents annually to participate in the ACP Medical Jeopardy Contest.
Simulation sessions occur weekly during continuity clinic. Emphasis is on procedural skills in a simulated environment. The education includes on-line didactics, faculty didactics and hands-on practice. Other sessions include patient scenarios to train clinical, leadership and communication skills. The Simulation Center at Lahey Clinic has several mannequins, including a heart/lung model, to enhance the experience.
The residents informally socialize outside of work. This is a result of the great camaraderie of our house staff. Formal events include a welcome cookout for incoming interns and a graduation celebration for all house staff and faculty in the spring.