Learning and Teaching Opportunities
Med-Peds residents attend core lectures and grand rounds in both Internal Medicine and Pediatrics at Christiana Care and Alfred I. du Pont Hospital for Children. Our grand rounds series features local and visiting professors of national and international stature. Most conferences are teleconferenced across the campuses, and grand rounds are recorded so they may be reviewed at off times. We encourage residents to broaden their knowledge through professional meetings and contributions to medical publications. Stipends are available for residents to attend one conference each year. Interns participate in morning report, care conferences, chief resident conferences and intern-specific procedure workshops and lectures.
Med-Peds Specific Conferences
Med-Peds residents, faculty and students gather after hours to have a social, educational, and business meeting every third Tuesday of the block. Block meetings take place at the home or office of one of the Med-Peds Residents, Med-Peds Faculty, or Med-Peds Practitioners.
Residents are generally not assigned call and are available to participate in most meetings. These meetings comply with the ACGME duty hour requirements.
These conferences occur at the beginning of each clinic session. Assigned Med-Peds residents, students and/or faculty give a 15-minute presentation to the group. The same topic will be presented for all three Med-Peds sessions for that given week and included board review, systems issues, billing and coding and germane clinical topics in both pediatrics and internal medicine..
Performance Improvement Conference
Each spring, each Med-Peds performance improvement team presents its data to the rest of the Med-Peds residency, faculty and hospital administration. Previous projects have won hospital-wide awards and have continued as the standard of care in the resident practice (autism screening initiative, vision referrals streamlined, point of care hemoglobin and lead levels for children). Our Med-Peds performance improvement teams consist of residents from different years of training and expertise to create balance and synergy.
Current projects include:
- Fluoride varnish to prevent caries in children.
- Patient Centered Medical Home for residency practices.
- Point of Care HIV testing in Adult and Adolescent Patients.
- Colorectal Assistance Program for Screening (CRAPS project).
- Pediatric developmental screening.
- Diabetic eye exams.
. Residents have improved their skills to locate and assimilate evidence from scientific studies related to their patients’ health problems using information technology to optimize learning. Residents may also choose electives in evidence-based pediatrics or evidence-based medicine during their residency. Each med-peds resident presents at a formal journal club to peers and faculty.
Achieving Competence Today
Achieving Competence Today (ACT) is our mandatory master’s level transdisciplinary 12-week course that has the following primary goal:
To increase learner’s competence in systems and practice improvement while stimulating interprofessional learning and collaboration.
- Quality and Performance improvement skills including measurement and outcome analysis.
- Patient safety.
- Interdisciplinary team concepts.
- Health care economics and health policy.
- Change theory.
- Budgets and approval processes as they relate to conducting a performance-improvement project.
Christiana Care was one of six top-performing ACT sites identified by the Robert Wood Johnson Foundation-funded Partnerships for Quality Education national initiative, which was piloted at 20 leading U.S. teaching hospitals. Other top-performing sites include University of Pennsylvania, University of Virginia, Johns Hopkins University, University of Missouri and Harvard affiliated Beth Israel Deaconess Medical Center.
All PGY-2 Med-Peds residents participate in this program.
Professional Meetings (including the Northeast Regional Med-Peds meeting)
Residents are encouraged to broaden their knowledge through professional meetings. Funds are available for residents to attend one seminar or conference each year. We encourage our residents to go to the National American Academy of Pediatrics, American College of Physicians, Northeast Med-Peds meetings and National Med-Peds Resident’s Association meeting. Christiana Care hosted the second and ninth annual Northeast Med-Peds meetings in 2000 and 2009.
The Jefferson Connection
Christiana Care hospitals and family medicine centers comprise Delaware’s medical school and the largest teaching affiliate of the Sidney Kimmel Medical College at Thomas Jefferson University. Residents play an important role in teaching students at all levels in both inpatient and outpatient settings. Many of Christiana Care’s 1,300-member Medical/Dental Staff hold academic appointments at the Sidney Kimmel Medical College and participate with Jefferson faculty in joint conferences and research projects.