An abundance of teaching conferences augment extensive hands-on education at UC San Diego.
At UC San Diego Medical Center in Hillcrest and at the VA San Diego Healthcare System Medical Center, we have a variety of teaching conferences. At the Hillcrest campus, we have Morning Teaching Conference on Monday, Tuesday, Thursday and Friday. The format is case based; one resident will present a recent case he/she has recently encountered. The chief resident then leads a discussion focusing on the differential diagnosis and/or management. In addition, one of our general hospitalists or one of our teaching attendings (usually a sub-specialist or physician-scientist) will present a topic with focused discussion afterwards. This is a well-attended conference by all ward residents, consult residents, medical students, and faculty.
Medicine Grand Rounds are held once a week on Wednesday mornings, where faculty and housestaff meet together at the UC San Diego School of Medicine campus in La Jolla to hear speakers who are nationally recognized in their fields of expertise. The conference is also streamed live to the Hillcrest campus for those unable to attend in person.
Noontime at the medical centers features a lecture series for the housestaff. Morbidity and Mortality conference is held on Tuesdays at the Hillcrest campus and on Thursdays at the VA Medical Center. Noon conferences other days feature a lecture series that covers topics related to those covered that same week at Friday School. Friday School is one of the program’s new curricular initiatives. On two of the four Fridays in a given month, all interns on inpatient rotations are excused for the afternoon to attend this didactic curriculum. For the residents on outpatient rotations, Friday School is held every week.
Intern Report is held every Monday at noon at both the VA Medical Center and the Hillcrest campus. This provides a low-stress environment for high-yield learning amongst our program’s future residents.
Assorted other conferences and conference topics include Evidence-Based Medicine, at which a ward resident presents a clinical question and his/her subsequent literature search in PICO format. The program also holds a Master Clinician Series approximately once per month. In this conference, the tables are turned as an attending is put on the spot and asked to work through a case. He/she is presented with piecemeal information about a case, and the residents learn as the attending “thinks out loud” and arrives at the diagnosis. Lastly, senior resident journal clubs are also featured once every month or two as well.
In our medicine and medicine-pediatrics continuity clinics, residents go through an ambulatory curriculum on common outpatient topics and standards of care. These are done in a case format which is passed out a week in advance and then discussed with a faculty member during the continuity session each week.
In pediatrics, Morning Report occurs three days per week and is attended by all housestaff and medical students, as well as faculty. On two of the days, an interesting case from the wards is presented, for which the differential diagnosis and management are discussed. The other days focus on either an evidence-based medicine question presented by a house officer or an interesting case discussion presented by the chief residents.
Pediatric Grand Rounds is held every Friday morning, attended by medical students, residents, fellows, faculty and community pediatricians. The conference series features a mix of UC San Diego faculty and invited faculty from around the country to speak on leading research and clinical practice themes from their respective fields.
Resident Noon Conference is held five times per week. These conferences cover core pediatric topics throughout the four years of training. Once per month, Professor’s Rounds is held during noon conference, in which primary care faculty unravel an interesting, unknown mystery case in front of house staff. Morbidity and Mortality is also held once a month during noon conference.
A Core Curriculum, designed to approach critical topics in internship, is provided in the afternoon during the first few months of the academic year. In addition, pediatrics is also adopting a "Friday School" format for learning that will be rolled out in 2015-2016.
Evening Journal Clubs occur approximately every two months and take place at a faculty member's home.
On the Primary Care Clinic (PCC) rotation, there are outpatient lectures given every morning.
Lastly, a Clinical Pathologic Correlate (CPC) case presentation is required of every senior resident as part of his/her scholarly activity and is a highlight in demonstrating a senior resident’s critical thinking skills in his/her final year of training.
Once a month, all of the medicine-pediatrics residents meet together for an educational activity which can be in the form of a journal club, hands-on clinical experience, community service event, switch-day event or business meeting in which new aspects or improvements of the program can be discussed.
It is also a great time for all medicine-pediatrics residents to have a chance to interact with one another, the medicine-pediatrics program director, and associate program director.
Innovative Quality Improvement Research in Residency (INQUIRY) Program
The Innovative Quality Improvement Research in Residency
(INQUIRY) Program is an innovative quality improvement seminar series that is offered in the evenings several times a year. Residents are required to complete all five sessions that make up the INQUIRY program and to pass a test after each session. A small QI project is also required to be completed as part of the process to demonstrate understanding of the skills learned for quality improvement. QI is a life-long skill that is important to learn as part of any medical practice and for maintenance of board certification.
Upon completion of this QI seminar series, residents are given a certificate of completion in QI education that can be valuable when applying for hospital privileges after residency.