Group Learning Activities
Wednesday Afternoon Didactic Lectures
Wednesday afternoon is our dedicated educational conference time. All residents are excused from their rotations and patient care duties. We have two one-hour didactic lectures. Encompassing all aspects of family medicine, the lecture topics were carefully determined by considering the most common diagnoses in family medicine as well as by ACGME guidelines. Lecturers include our faculty as well as other attendings and specialists. Active participation and questions are encouraged.
For the first half of the academic year, there is a unique lecture series designed just for the new interns. Topics include those most needed early on in residency, such as “Common Nursing Calls” and “Management of Chest Pain and Shortness of Breath.”
There are a number of practical, hands-on workshops designed to explain and teach procedural skills. Some of these include musculoskeletal exams, joint injection, endometrial biopsy/IUD placement, suturing, and splinting and casting.
FMC Teaching Rounds
Dr. Fann leads this practical, interactive case-based series on bimonthly basis. Real outpatient cases collected over the years serve as the discussion point to illustrate an important concept in family medicine. Other times, the cases highlight common cognitive errors that can lead to a misdiagnosis or delayed diagnosis in the outpatient setting. Residents are expected to ask the history and ask what they would like on the physical exam. (It’s not uncommon for Dr. Fann to pretend to be the patient, answering only those questions which are asked.) This differs from typical teaching rounds in that the focus is on the thought process, not the disease or treatment. Discussion centers on how a diagnostic error may have occurred. For example, was there an imcomplete H & P or failure to recognize the significance of an abnormality? Was there premature closure, anchoring, or attribution? As family physicians, we are outpatient specialists and these teaching rounds augment the outpatient educational experience.
Every resident presents two grand rounds during residency to illustrate the multi-dimensional problems in family medicine and reflect the “whole person” model of care that is the hallmark of our discipline. Traditional, formal, case-based grand rounds are one format.
We also have an alternative grand rounds format that delves more into clinical questions and the evidence-based answers. As lifelong learning is a requirement for a physician, knowing how to efficiently and effectively find evidence-based answers to questions at the point-of-care is an essential skill. This allows residents the opportunity to build upon their clinical questioning skills, to learn which evidence-based resources are most useful to a busy practicing clinician, and to learn how to more easily incorporate “looking it up” into their daily practice.
Regardless of which grand rounds format the resident chooses, live interviews with the patient and/or the family is strongly encouraged.
Dr. William Schwer, Chair of the Department of Family Medicine at Rush University Medical Center, facilitates these problem-oriented monthly sessions with a resident. The resident presents a case and Dr. Schwer guides the group through a discussion on the work-up and differential diagnosis. Not only does the resident have to prepare a case, he/she gets to pick what’s for lunch, compliments of Dr. Schwer!
Teaching Rounds occur several times per week for the inpatient team. The format is at the discretion of the attending on call that week and may include a case presentation and differential diagnosis discussion, radiology rounds, or bedside teaching rounds.
These resident-led noon conferences are held several times per week and focus on the discussion of a recent article from American Family Physician.
Journal Club is held every other month and is led by Dr. Choi. This is invaluable to teaching the necessary tools to efficiently and critically evaluate the literature. Articles are specifically chosen to illustrate an important concept or to discuss a new medical finding.
Quarterly Review in Family Medicine (QRFM)
Quarterly Review in Family Medicine is a resident led review of the latest literature on a variety of topics pertinent to family medicine. Two residents direct the quarterly discussion on 5-6 recently published articles, highlighting the most salient points. Most of the articles are from our journal, American Family Physician.