Didactic Program in Internal Medicine

The internal medicine program provides a wide range of academic programs to supplement the diverse clinical training experiences of trainees. These include:

Journal Club. The monthly Journal Club format developed for the residency is designed to meet one of the research recommendations of the ACP. This format includes curricular components including methods for analyzing, interpreting, and presenting original data published in medical journals. The Journal Club participants use an evaluation tool to assess presentation content and delivery. Attendance at Journal Club is required of all residents in the program.

Board Review. Throughout residency training, chapters from the most current edition of MKSAP are systematically covered in the weekly 90-minute sessions. Each year, all topics are reviewed and discussed, enabling the residents to have covered the information multiple times over the length of the training program. Dedicated faculty lead the interactive question-answer, discussion session. Topics to be discussed are scheduled at the beginning of the academic year and the expectation is for residents to read the material and be prepared for the discussion. Residents in the program, as well as all trainees rotating on medicine and subspecialty services, are required to attend if rotating in-house.

Weekly Half-Day Didactic Sessions: The weekly half-day didactic block is held Thursdays from 12:00-4:00pm. It includes the above mentioned board review followed by faculty driven lectures, as well as Journal Club once per month. The curriculum for this didactic series includes general and subspecialty medicine topics, as well as non-clinical topics like coding & billing, pharmacy services, clinical documentation, ethics updates, etc. Attending faculty and guest speakers are the usual presenters. Attendance is required for lectures on all internal medicine topics, Behavioral Medicine topics and Quality related issues. In addition, the Program Director can designate additional lectures that are required for the internal medicine house staff each month. There is an 80 percent attendance requirement and attendance is tracked monthly.

Morning Report. These educational sessions are faculty moderated, case presentations and discussions led by the residents. Attendance is required for all trainees on in-house medicine and subspecialty services.

Morbidity & Mortality Review. Every month, 2 morbidity and mortality review conferences are held. Internal medicine residents are assigned to present the case and discuss aspects for improvement as part of the practice-based learning core competency. Cases are chosen by residents or attending faculty.

Behavioral & Psychosocial Curriculum. Physician competency includes many aspects beyond knowledge and clinical skills. This includes integrity, respect, ethical behavior, compassion and empathy as embodied and demonstrated by the trainee as they participate in the care of patients and families with their colleagues. These values are incorporated into training primarily through faculty role models who demonstrate these qualities in their interactions with patients, family and colleagues. Under the guidance of faculty, additional didactic components contribute to competency in these areas.

Tumor Conference. Biweekly Tumor Conferences are scheduled at each campus, sponsored by the Oncology Department. Trainees are required to attend while rotating on in-house medicine oncology services.

Research requirement

All residents present journal club presentations and morbidity and mortality case conferences throughout their residency program. Each resident must complete at least two scholarly activity projects during residency, one during first year of residency and one between second and third year of residency. Scholarly activity includes, but is not limited to, case reports, quality improvement projects, or clinical research projects. It is mandatory that all PGY-1s complete a scholarly project and present it as a poster presentation for Henry Ford Hospital Research Forum each year. As per ACGME requirement, residents will be required to work on a CQI (Clinical Quality Improvement) project during their 3 years of training. Residents are greatly encouraged to present their scholarly work at local and national conferences.