|Monday||Medicine Subspecialty Lecture Series|
|Tuesday||Resident Morning Report||Medicine Subspecialty Lecture Series|
|Wednesday||Ambulatory Didactic Session, Journal Club||
Medicine Subspecialty Lecture Series-Ambulatory
General Medical Conference
Simulation Session (Interns)
|Friday||Medical Grand Rounds||Cheif's Seminar|
Resident Morning Report
Morning Report takes place once a week and is designed to be a clinical reasoning exercise. It is supervised by carefully selected internist or sub-specialist role models and is structured to address clinical dilemmas and to successfully prepare house staff for the American Board of Internal Medicine certifying examination.
Intern Report is a weekly teaching conference led by an Associate Program Director. Typically, an intern presents an admission and relevant elements of the history and physical exam are discussed. Interns participate in generating a work up, differential diagnosis and management approach to the patient.
Practice of Medicine in the 21st Century:
This unique program is geared toward developing skills that internists will need in a post ACA world.
- Clinical Reasoning is a skill that must be practiced in order to master. In order to avoid making diagnostic errors (mistakes) doctors must acknowledge dual process theory and not allow quick, intuitive system one to govern unchecked by slow, deliberative system two. Built upon the writings of Croskerry, Kassirer, Graber, and others residents explore cases that challenge them to become de-biased and avoid the traps of early closure, anchoring, availability and other sources of diagnostic mistakes.
- Evidence Based Medicine is the set of skills needed to engage in life-long learning. It is also the basis of Practice Based Learning and Improvement. Our residents systematically pick apart different kinds of clinical literature both to keep up to date and to understand how to measure the validity and therapeutic effect of clinical research.
- High Value Care is a set of deliberate exercises that teach residents to be less wasteful in their care. Given that close to 40% of current US health care expenditures are wasted, these may be the most important lessons learned by residents in a post Affordable Care Act world.
- Quality and Safety is our curriculum that helps the internist participate in the new quality and safety movement. Solving real problems, residents learn to use the tools of quality improvement and patient safety. These highly interactive sessions are not only helping us with our goal of "safest care available" but also prepare graduates to become leaders in their future organizations.
Our new curriculum in medical humanities is not offered anywhere else in this way. The Peabody Club is named for Francis Peabody who so famously said, "the secret of caring for the patient is to care for the patient". The curriculum is offered in a variety of venues including bedside teaching, role play, simulation, small and large group interactive discussions and even self directed learning. It covers palliative care (the relief of suffering), medical ethics, geriatrics (caring for one of our most vulnerable populations), and cultural competency (shrinking the disparities in caring for minority groups).
Stanford 25 Sessions
Do you know how to recognize a Trendelenburg gait? Have you ever seen a patient with Grey-Turner's sign? We have. Each week, program leadership goes out on the floors and in the clinics and reviews a chapter of the "Stanford 25" physical diagnosis curriculum. These 25 physical exam skills are considered essential components of every internist's tool box. When we first started the Stanford 25 sessions we thought that residents would be bored to review skills last taught in medical school. The truth is that with up to 30 months of experience treating patients, putting these skills into perspective is like teaching a weekend warrior to lead a safari expedition.
Medicine Subspecialty Lecture Series
The Medicine Subspecialty Lecture Series includes the relevant topics in a variety of subspecialties including gastroenterology, cardiology, hematology/oncology, nephrology, HIV medicine, pulmonology, infectious disease, rheumatology, allergy/immunology, endocrinology, dermatology, critical care and palliative care in a core curriculum.
General Medical Conference
Our general medical conferences are given by one of our PGY-2 or PGY-3 residents. Each resident will present a comprehensive evidence-based review of a disease entity or topic of their choice. Our faculty provides assistance with preparation, literature search and review of the presentation.
Medical Grand Rounds
Medical grand rounds include clinico-pathological conferences, and combined medical-surgical conferences that are presented by both Lenox Hill Hospital faculty and nationally known guest speakers addressing medical topics of current interest.
The Chief's Seminar is a novel practice based teaching curriculum for resident education. The curriculum incorporates MKSAP based crossword puzzles, concept map techniques and small group interactive sessions.
The simulation program at Lenox Hill includes a curriculum tailored to the level of training. PGY-1 trainees are exposed to the approach to the sick inpatient, the physical exam, and scenarios involving basic organ dysfunction syndromes. The PGY-2 and PGY-3s curriculum involves simulation of complex cardiovascular, respiratory, metabolic and neurologic diseases and ACLS protocols. These sessions, which employ a Laerdal SimMan Essential mannequin, are led by critical care faculty, hospitalists and chief residents. The SimMan sessions are intended to stimulate the development of critical thinking skills central to training in Internal Medicine.
Additional Academic Components
A wide variety of academic resources are available within the hospital. In addition to our Health Science Library, house staff have institutional-wide access on the hospital network to EMIL-the Electronic Medical Information Library (electronic access to full-text articles from 6000+ clinical journals), Up-To-Date, DYNAMED, MDConsult, Cardiosource Plus and the Cochrane Database of Systematic Reviews. Residents are also provided with their own Lenox Hill e-mail account, and home access to multiple online resources.
Fundamental Critical Care Support course
The High Value, Cost-Conscious Care Curriculum (HVCCC) has been jointly developed by the American College of Physicians (ACP) and the Alliance for Academic Internal Medicine (AAIM) in an effort to shape the habits of future physicians regarding cost-consciousness and stewardship of resources, hopefully to instill stringent long-term practice behaviors. The overarching goal of this curriculum is to teach internal medicine residents to deliver high value cost conscious care with a simple 5 step model.
- Understand the benefits, harms, and relative costs of the interventions that are routinely ordered
- Decrease or eliminate the use of interventions that provide no benefits and/or may be harmful
- Choose interventions and care settings that maximize benefits, minimize harms, and reduce costs (using comparative-effectiveness and cost-effectiveness data)
- Customize a care plan with the patient that incorporates their values and addresses their concerns
- Identify system level opportunities to improve outcomes, minimize harms, and reduce healthcare waste
This seminar series starts in April through June at a critical period when PGY-1 trainees are preparing to transition into PGY-2 residents.
Nutritional and Culinary Education Program
Click here to learn more about Lenox Hill Hospital's Nutritional and Culinary Education Program
The Physician Alcoholism and other Addiction Training Program (PAAT) is an immersive learning experience where the resident physician participates in a weeklong seminar with residents from other NYC residency programs. The resident learns about every aspect of alcoholism and substance abuse through various lectures and interactive teaching modules. The resident physician will even be teamed up with an Alcoholics Anonymous buddy at the start of the program and will attend an AA meeting with this buddy. After the meeting the resident will discuss all aspects of addiction and recovery with their buddy for a completely immersive experience.
HIV Care Training
The department offers a track for training internal medicine residents interested in specialized HIV care. Successful care of HIV patients requires physicians with specific medical knowledge, a compassionate approach, and a capacity for managing a complex myriad of medical and social issues. This program will allow specialized clinical training for this generation of physicians who will take the lead in shaping the care for HIV-infected patients. Learn more about the HIV Care Training Program
Primary Care Track
The Department of Medicine at Lenox Hill Hospital has developed a primary care track for the internal medicine residency. This track provided enhanced and focused training for physicians with a desire to practice community-based general internal medicine. The aim of this program is to develop and support primary care providers who provide compassionate, efficient, and evidence-based comprehensive care to the communities they serve. Learn more about the Primary Care Track.