Strengths of Program

Special Features of the Program 

Sinai-Grace Residency Website: www.sgintmed.org  This is a website used for a wide range of issues related to the training program: communication with the residents, evaluation, testing, schedule posting, an online suggestion box, and links to - electronic medical resources, the house staff manual, the hospital clinical information system and many more useful links (PRACTICE-BASED LEARNING SKILL). 

Harrison’s Club: This course is for categorical PGY-1. This is a one-hour interactive session weekly. The course is designed to integrate basic science into clinical practice (i.e., from classroom to the bedside). Interns choose a topic from Harrison book then summarize and present it in an interactive format on PowerPoint to their classmates with observation and feedback form CMRs.

Peripheral Smear Rounds:  Every floor team reviews their patient’s peripheral smears with the hematologist. The patient’s smears are projected on to a screen through a teaching microscope, and residents and medical students participate in interpreting the smear, while the hematologist review the findings. This helps to improve their patient care competency (MEDICAL KNOWLEDGE/PATIENT CARE SKILLS).

PERKS:  The Pursuit of Excellence in Resident Knowledge and Skills is a once-a-month teaching session focusing on strengthening of physical exam skills. One faculty member is stationed at the bedside to demonstrate and teach interesting physical findings. We recruit inpatients that are agreeable to have five to groups of resident students examine them for their finding of interest. Five stations are arranged for each PERKS which usually lasts for about 90 minutes focusing on the following core competencies (PATIENT CARE/ PROFESSIONALISM/ INTERPERSONAL-COMMUNICATION SKILLS).

Intern Retreat:  This workshop is required for all graduating Interns before they become official  teachers/leaders. This 2 day retreat is conducted in May in a camp site, away from work and the interns go through interactive lectures, video review and role play of various teaching methodology using the Stanford model of “Teaching Teachers To Teach”. This retreat is both educational and fun filled with plenty of social activities, including sports, team building, fishing, campfire etc. (INTERPERSONAL/COMMUNICATION and PROFESSIONALISM SKILLS).

Research:  In general, one-third to one-half of our trainees may use up to two months of their elective time (usually during their PGY-2 year) to conduct basic science research. There is a very specific set of criteria that needs to be met for the research projects to gain approval. Upon completion of the projects, the residents must produce abstracts and/or posters suitable for presentation at local, regional, or national meetings, as well as they can submit to peer-reviewed journals. A faculty supervises the process of research projects from initiation to completion and completes an evaluation of each resident’s performance for the project (PRACTICE-BASED/COMMUNICATION SKILLS).

Poster/Oral Presentations: Each PGY-1 is required to prepare and submit an abstract for a poster presentation for the Michigan Chapter ACP Associates Meeting held each spring. Generally, most abstracts are accepted as either poster or oral presentations. The PGY-1s work with the faculty and CMRs, to develop their case reports and EBM (evidence-based medicine) cases and to turn them into posters or presentations. Typically, the material presented is an interesting case report or case series worthy of presentation at a regional meeting at the resident level. The majority of the posters and oral presentations are also accepted for presentation at the Michigan Chapter ACP Meeting held in September of each year, as well as other venues (PRACTICE-BASED/COMMUNICATION SKILLS).

Evidence-Based Medicine Course Evidence-based Medicine course is offered to our PGY-1s within the first four months of training, and it consists of a series of lectures on clinical epidemiology, biostatistics, quality improvement projects, clinical decision making using EBM, diagnostic probabilities, social determinants of health, and the IRB process 

(PATIENT CARE/MEDICAL KNOWLEDGE/PRACTICE-BASED LEARNING/ SYSTEM-BASED PRACTICE/PROFESSIONALISM/INTERPERSONAL-COMMUNICATION SKILLS).

Monthly Exams:  Each September through May, the residents take “the monthly exam.” It is a timed (40 minute) 20-question online exam. Each exam covers a medical subspecialty topic (e.g., Cardiology or Endocrinology). The exam is available online for a few days once it has been announced.  The answers are also available online after residents have taken the exam.  The scores are tracked and used to help identify residents who have medical knowledge deficits and plan interventions accordingly (MEDICAL KNOWLEDGE SKILL).

Journal Club: Each week, a brief article is assigned for advance reading and then discussion at a short (15 to 20 minute) pre-clinic conference. The topics covered are those relevant to outpatient primary care such as low back pain, current guidelines, or headache syndromes (PRACTICE-BASED/MEDICAL KNOWLEDGE/PATIENT CARE SKILLS).

Board Review: A question series based on MKSAP is used to help prepare the PGY-2/3s for the ABIM certifying examination is held weekly as a 2 hour per session throughout the year (MEDICAL KNOWLEDGE SKILL).

• Outcome research

• Establishing a research curriculum to track projects from A to Z

• Template building in specific areas of health disparities 

• National leader in Accountable Care Organization

 

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