Internal Medicine

Didactics

Morning Report

Many of our residents find morning report to be the most valuable didactic experience of residency. Residents present interesting admissions from the previous day. Our program director, Dr. Poston, leads an interactive discussion and challenges residents to develop a complete differential diagnosis, utilizing elements from the history and physical exam. Morning report is attended by faculty, residents, and medical students. Medical students also have a separate morning report two days a week led by one of our associate program directors.

Noon Conference

Noon conferences are led by general medicine and subspecialty faculty. Lectures range from common clinical scenarios to high-yield board topics. Several are peer-to-peer sessions each month (Doctor’s Dilemma, Evidence-based Medicine, and Ethics). Conferences are televised in order to include residents working at the Dorn VA. Click here for an example of our noon conference schedule.

Departmental Grand Rounds

Grand Rounds are held every Thursday at 8 AM in the hospital auditorium. Our general medicine faculty and specialists from around the country speak about their area of expertise and educate the audience on the latest developments in internal medicine.

PGY3 Resident Grand Rounds

These sessions take place on the first Monday of each block at 7:30 a.m. Topics are chosen by each PGY3.  Residents are guided by a self-selected faculty mentor whom they meet with on a regularly scheduled basis prior to their presentation.  These grand rounds are open to all faculty and private practice physicians to attend for CME credits.

Evidence-based Medicine Noon Conference 

Each block, a PGY 1 and Dr. Allen Brett work together to present an evidence-based medicine noon conference. They lead a discussion reviewing a recent peer-reviewed journal article. The goals of these conferences are to practice critically analyzing the medical literature and highlight trials which will change our clinical practice.  

Board Review

We have a three-year board review curriculum designed to prepare our graduating residents to sit for and pass the American Board of Internal medicine exam. Because learning styles differ, the curriculum consists of varying formats of teaching styles from lectures to small groups to individual mentorship. During their first year, residents take a practice shelf test to assess where they are in terms of knowledge and test-taking abilities. Second years present a noon conference in the style of Jeopardy to teach important, high-yield facts often tested on boards. Third years – with the help of a board-certified faculty member – present a comprehensive two-hour review on an internal medicine subspecialty. Lastly, for residents who feel they would benefit from individualized attention, we assign a faculty member to meet individually and review specific issues. Last year our board passage rate was 100%.

Journal Watch Noon Conference

Dr. Allan Brett serves as our director of general internal medicine and Editor-in-Chief of the general medicine division of Journal Watch. This publication summarizes and provides clinical commentary on the latest and most relevant research in general internal medicine. Each month, Dr. Brett leads a group discussion reviewing highlighted articles from the most recently published editions of Journal Watch.

Critical Care Morning Report

The last Friday of each block the critical care team presents a challenging case admitted to the MICU in the past month. The case often represents a diagnostic dilemma and underscores a key clinical pearl of critical care medicine.

Perioperative Course for Rising Senior Residents

Late in the PGY 1 year, general medicine faculty members lead a two-day course to prepare interns for the transition to the role of senior resident. Emphasis is on medical student teaching, approach to consultant tasks, cross cover scenarios, and leading a medical team.

Fundamentals of Critical Care Support (FCCS)

FCCS is a two-day comprehensive course in the PGY-1 year. The course addresses fundamental management principles for the first 24 hours of critical care. The primary goal of the course is to prepare house staff for the care of critically ill patients.

Medical Ethics Noon Conference

The GME department of Prisma Health–Midlands has developed a resident medical ethics and professionalism series. Several times throughout the year residents from various programs will lead a group discussion on an ethics topic of interest. Over the last five years, residents from our program have been a driving factor and leader of this series.

Ultrasound Curriculum 

The University of South Carolina School of Medicine and Prisma Health–Midlands place great emphasis on ultrasound and its importance in medical education.  You will find that the bedside utilization of ultrasound is ubiquitous in the Prisma Health–Midlands/USC environment.  Ultrasound training is provided through multiple didactic experiences: noon conference lectures, hands-on simulation and standardized patient encounters at the Ultrasound Institute of the University of South Carolina, bedside teaching during general medical wards, and during subspecialty rotations.  In addition to the standard didactics, there is the opportunity to immerse yourself in ultrasound during a 4-week elective.  At Prisma Health–Midlands and the Dorn VA there is 24 hour access to state of the art ultrasound technology to employ for diagnostic or procedural purposes.

Prisma Health–Midlands Simulation Center 

The Simulation Center provides our residents with experiential learning opportunities through patient simulation encounters.  Using high fidelity patient simulators and advanced technology, the simulation specialist, facilitator and evaluator can recreate low risk or high risk patient care scenarios. Through direct observation, they can guide the learner through the skill and the decision-making process in real time. This type of encounter allows the learner to be immersed into a realistic situation, which allows for a strong cognitive, visual and kinesthetic learning environment. 
 
Throughout training, residents will participate in many simulation center courses. These include orientation sessions, procedure workshops, ACLS certification and renewal courses, and Fundamentals of Critical Care Support.