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DIDACTIC

CUrriculum

Our residents consider our didactics to be one of the highlights of our program. Monday to Friday, from 11:45 AM to 1:15 PM, is protected education time for our residents. Here, you can learn more about our various didactics and educational opportunities that have helped our program achieve a three-year rolling 96% ABIM board pass rate on their first attempt.

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Morning Report

Morning report is on Tuesday through Thursday each week from 11:45-12:30pm. Interesting cases are presented by our Chief Residents and Clinician-Educator Track residents with a focus on developing a differential diagnosis, clinical reasoning, and patient management as interns and residents work through the cases in a discussion-based format.

Noon Conference

Following morning report on Tuesday through Thursday, from 12:30-1:15pm we welcome our subspecialty faculty to provide lecture-based didactics to cover clinically high yield and board relevant topics.  This includes faculty from the Cardiology, Critical Care, Endocrinology, Gastroenterology, Hematology, Hospital Medicine, Infectious Disease, Nephrology, Oncology, and Pulmonology departments and is based on our three-year rolling curriculum to provide a comprehensive review of content on the American Board of Internal Medicine (ABIM) board examination.

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Intern Survival & Transition to Upper Level Series

During the month of July, we provide focused Morning Report and Noon Conferences for our new interns as they transition from medical student to practicing physician.  The goal is to introduce them to the fundamentals of history taking and physical examination, clinical decision making, and efficiency.  There are also a series of resident lectures throughout the month that focus on topics related to leading a team as they transition to their role as an upper level.

Complex Case Conference

Once per month, our Clinician Educator Track Residents, alongside core sub-specialty faculty, take a deeper dive into a medically complex case that was diagnostically or ethically challenging.  The goal is to review and discuss the case in an inter-specialty format to introduce residents to more advanced clinical reasoning skills.

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Simulation Training

The Geisinger Education & Medical Simulation (GEMS) Center was designed to provide learners with an opportunity to further their clinical skills through hands-on and simulation-based training experiences.  Our interns and residents spend time at the GEMS Center during the Simulated Rapid Response to Critical Illness Curriculum with Dr. Swinden,  Osteopathic Manipulative Medicine Training through the Osteopathic Recognition, Point-of-Care Ultrasound Curriculum, and procedural workshops available throughout the year.

Journal Club

Residents present monthly Journal Club with the goal of developing an approach to critical appraisal of the literature as they work to become stewards in the practice of evidence-based medicine. A new or landmark article is discussed, and the residents work their way through interpreting the article from a clinical viewpoint. Following Journal Club is a brief biostatistics session aimed at teaching residents how to interpret basic biostatistics in bite-sized chunks.

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Internal Medicine Ambulatory Curriculum (IMAC)

During ambulatory rotation each morning from 7:45-8:15am residents participate in case-based discussions utilizing Yale’s Office-Based Medicine Curriculum with a focus on common outpatient complaints and diagnoses.

OMT & Musculoskeletal
Workshops

New this year is the integration of our Musculoskeletal & Physical Exam session with the existing OMT workshops. Residents have the opportunity to brush up on physical exam maneuvers and hone their diagnostic skills while practicing appropriate hands-on osteopathic manipulative medicine (OMM) training at the GEMS Center. Osteopathic Recognition residents also have the opportunity to participate in journal clubs related to OMM throughout the year, monthly Osteopathic Grand Rounds, and dedicated clinic half days during ambulatory rotations where they can treat patients with OMM and practice their skills under the supervision of one of our DO attendings.

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Quality Improvement

During intern year, learners are introduced to the foundations of QI during their ambulatory rotations through a series of didactic sessions.  Interns will also complete a personal QI project to reinforce the principles of Quality Improvement throughout the year.  Our residents then become more integrated into QI as they are given the opportunity to participate in multi-disciplinary QI projects at the institutional level within Geisinger during the second and third year of residency.

Grand Rounds

Once per month the Geisinger Medicine Institute invites well-known physician and guest speakers to lecture in their area of expertise. 

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Morbidy & Mortality

One Friday per month is dedicated to Morbidity and Mortality conference.  These sessions are resident-led as they review cases in the presence of Internal Medicine and Sub-Specialty faculty.  The goal is to review adverse patient outcomes through a root cause analysis in hopes to improve patient care.

Board Review

The month of June is focused on preparing our upper level residents for their Internal Medicine board examinations as conference time is dedicated to reviewing high-yield topics based around the ABIM Blueprint. Periodically throughout the year, our residents enjoy friendly competition while participating in our Medical Jeopardy board review sessions.

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Point-of-Care Ultrasound (POCUS) Workshop Series

The goal of the POCUS curriculum at Geisinger Medical Center is to introduce Internal Medicine residents to the knowledge and theory of ultrasonography, the basics of image acquisition and interpretation skills, and the appropriate integration of POCUS into clinical practice while at the same time outlining its common pitfalls and limitations.

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