Active resident participation in program innovation is an important and vital part of our program. Resident driven innovations that have been adopted in the last few years include Block Scheduling on both Medicine and Pediatrics, our Pediatric Academic Half Day, the Internal Medicine Inpatient and Outpatient Academic Half Days, our intern Med-Peds ambulatory rotation and a noon conference lecture series led by Med-Peds residents. Our curriculum is designed to offer residents over 12 blocks of elective time. This allows for ample innovation of curriculum and ample time for career development. With the guidance of our program leadership, residents have been allowed to design elective rotations suited for their individual career development. Examples include the Global Health Readiness Elective and the Pediatric Procedure Elective. A Med-Peds resident is also the first to pursue a newly created Urban Health Track.
In order for foster inter-class collaboration and mentorship, the program has been divided into five houses comprised of 1 resident from each PGY year. In a friendly competition, the houses compete for points through activities in scholarship, mentorship, leadership and professionalism. The Houses have evolved into clinical practice groups in our Med-Peds Clinic, providing coverage for follow-up visits and patient care when other team members are on vacation or on high acuity rotations such as intensive care units.
In conjunction with the UM/JMH Center for Patient Safety, we participate in a novel patient safety and educational initiative: the Procedure Team. This monthly rotation enlists 2nd and 3rd-year residents to participate in a 2-day sim-lab experience, during which residents learn invasive bedside procedures including paracentesis, thoracentesis, lumbar puncture and central line placement. Residents are taught by a team of multi-disciplinary faculty in our UM-JMH Center for Patient Safety. The residents then spend 4 weeks on the hospital Procedure Team, a consulting service that performs these procedures full-time under direct faculty supervision.
Research Scholarly Activity Program (RSAP)
All residents participate in a formal research development curriculum entitled “Resident Scholarly Activity Program” or RSAP. This is a 3-phase curriculum aimed to improve the quality of the research projects pursued by the residents and increase the number of projects submitted for publication in peer-reviewed journals. The first phase of the curriculum starts in the first year with a series of lectures to facilitate identifying mentors, preparing an IRB proposal, and improving epidemiological and biostatistical knowledge. The second phase of the curriculum continues with research in progress meetings in the second year to assure research milestones and the quality of each project and the third phase is a formal presentation of the research methods and findings in the third year of residency. The program was originally conceived and designed by a few members of our Department of Medicine Clinical Research Division and has grown a robust and active leadership team consisting of three directors and one administrative director. The directors ensure the operational and executive functions of the program while the board provides the guidelines, milestones and vision for the program and its growth.