The educational approach of the Drexel University College of Medicine/Hahnemann University Hospital Internal Medicine Residency program combines patient-centered learning with traditional didactic education, case-based learning, small-group learning activities and state-of-the-art simulation scenarios. We believe that this combination of strategies encourages the development of lifelong learning skills and critical thinking while covering the vast body of knowledge that must be mastered for patient care.
Held daily, residents present cases for discussion to their peers, attendings and program leadership. At the end of each session, residents present a review of the literature to the group on the topic of the day.
Ambulatory Education and the Academic Half Day
Our residency uses the “x+1” scheduling formula, which is reviewed in the Rotations and Schedules section. This gives residents a concentrated week of ambulatory medicine between major rotations. Two 4-hour sessions of protected education time are built into each ambulatory week which contain PGY level-specific lectures and learning activities. Every ambulatory group will have the same content presented to them over the course of the residency, minimizing gaps in educational experiences among our residents.
Medical Grand Rounds
Every Wednesday, a renowned educator presents recent scientific developments and their impact on clinical medicine. These lectures attract residents, students, faculty and visiting practitioners from the community. This is followed by the clinical case discussion, described below.
Clinical Case Discussion
After medical grand rounds, residents have the opportunity to meet the grand rounds speaker in a more intimate setting where cases are presented by residents and analyzed with the visiting presenter. Interaction with these speakers stimulates more sophisticated thinking about medical topics.
Recent impactful or sentinel literature is presented by residents. The articles for discussion are chosen based on a clinical vignette given to the residents in advance. Residents search the literature to choose the most relevant article to answer the clinical question. The residents presenting articles, together with an expert in the topic’s specialty, analyze the articles, learn to interpret the validity of the data and teach peers how to integrate this knowledge into daily practice.
Interns have their own case-based conference during the academic half-day of the ambulatory week. This protected educational experience allows interns to present interesting cases to their peer group with discussions aimed at improving clinical skills pertinent to their level.
Through an innovative level-specific curriculum, residents are provided with the guidance to understand the principles of scientific research. This serves to increase their ability to interpret and utilize the medical literature as well as to gain the skills necessary to develop their own research projects. From the basics of project planning and statistics to instruction on effective presentation skills, our residents are provided with the tools to be successful in their diverse scholarly activities.
Drexel/HUH internal medicine residents receive training in medical care and procedures through simulation. Drexel University College of Medicine is fortunate to have the state-of-the-art Independence Blue Cross Simulation Center located at the Queen Lane Campus, as well as a small simulation unit located within our resident ambulatory practice. These practice sessions with an attending simulate a range of scenarios including rapid responses, codes and a variety of procedures.
High-Value Care & Impact Cases
These are monthly lectures with a focus on cost-effective and efficient care. Residents are encouraged to consider optimal diagnostic and treatment strategies when considering the case at hand, with the goal of incorporating these principles into their developing practice.
Our Firm System divides the residency into smaller groups, each of which is led by an associate program director, chief resident and other key faculty. Each firm is a mix of first-, second- and third-year residents and includes the interns in the Preliminary Medicine program. Firms promote career counseling, mentoring and social support, as well as provide the venue for small-group learning.
Our curriculum includes direct instruction in the assessment of quality of care, evaluation of health care systems and understanding mechanisms of change. The Department of Medicine then conducts quality improvement conferences twice a month throughout the academic year. It is our aim to discuss issues dealing with patient safety, medical error reduction and improvement in both clinical care and systems of practice. Conference objectives include case discussion, critical analysis of medical management and strategies to improve health care delivery. In addition to our QI conferences, our residents are required to develop and complete quality improvement projects, under faculty guidance, during their training.
ABIM Board Review
Categorical internal medicine residents will be eligible to sit for certification by the American Board of Internal Medicine at the completion of their training. Preparation for this exam is an important focus of the third year of training. Weekly board review sessions, led by the faculty and the chief residents, are held for all third-year residents to review high-yield topics.
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Please note that residents and fellows are employed by and insured by the hospital; they are not employees of Drexel University.