Daily Didactic Conference
All residents meet 5 days/week between 12 and 1 p.m. for a formal didactic conference.
Core Internal Medicine Didactics
Dr. Fleming and residents at a noon conference.
Faculty members provide didactic lectures in core internal medicine topics over an 18-month cycle. Lectures are firmly based in clinical medicine, applying basic and clinical sciences to understand the management of patients. These topics are supplemented by additional lectures in medicolegal aspects of medicine, ethics, biostatistics, and research methods.
Internal Medicine Grand Rounds, held weekly from September to June, brings expert faculty drawn from Mercy, the local area’s medical schools, and beyond to lecture on cutting-edge topics drawn from clinical medicine.
Resident-led management conference
A few times each academic year PGY2 and PGY3 residents are given the podium! In these didactic lectures, residents discuss evaluation and management of both common and uncommon disease processes using a case-based approach. By leading these discussions our residents become local experts, enriching both their own education as well as that of their peers.
Morbidity and Mortality Conferences
Residents participate in monthly interdisciplinary morbidity and mortality conferences in which the department of medicine, as a whole, learns from challenging cases.
A few times each year residents participate in Mercy’s interdisciplinary tumor board during which evaluation and treatment of patients with newly diagnosed cancer is discussed by experts from surgery, oncology, radiation oncology, pathology, and radiology. During these combined tumor boards residents are placed “front and center’ and are asked to present the patients to the group.
Interns meet once a week at each hospital for intern report. During these sessions, current or recently discharged cases are discussed. These cases are used to help interns improve medical knowledge and sharpen clinical reasoning.
PGY2 and PGY3 residents meet twice each week at each hospital for resident report. Using a current or recently discharged patient, faculty preceptors guide the residents to consider the subtleties of evaluation and management, helping them to prepare for independent practice.
A few times each month, inpatient teams gather to discuss important aspects of the care they deliver. During antibiotic stewardship rounds, residents discuss appropriate use and discontinuation of antibiotics on their patients under the guidance of an expert infectious disease consultant. In ethics rounds, challenging cases are discussed with a multi-disciplinary ethics teams. Expert cardiologists and pulmonologists meet with our ICU team to discuss finer points of management of these patients.