Learning and Teaching Opportunities
Med-Peds residents attend core lectures and grand rounds in both Internal Medicine and Pediatrics at ChristianaCare and Nemours Children’s Hospital. 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.
Academic Half Days
Med-Peds residents participate in both Ambulatory Academic Half Days in both Pediatrics and Internal Medicine on their “y” block with categorical colleagues.
Med-Peds Specific Conferences
Block Meetings
Med-Peds residents, faculty and students gather after hours to have a social, educational, and business meeting every third Wednesday of the block. The theme is determined by our chief residents each year.
Residents are generally not assigned call and are available to participate in most meetings. These meetings comply with the ACGME duty hour requirements.
Quality Improvement
Each spring, each Med-Peds quality 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, vision referrals streamlined, point of care hemoglobin, and lead levels for children, and hypertension control). Our Med-Peds quality improvement teams consist of residents from different years of training and expertise to create balance and synergy.
Current projects include:
- Maguire, M.; Haimes, B.; Elridge, J.; Surampudy, A.; Hossain, T.; Brown, J.; Gangemi A.; Sullivan, D.; Jonson, C.; Bascoy, S.; Vadalia, S.; Friedland A. –Med-Peds Virtual Elective
- Duncan, S. – “All that Shivers is Not Cold: An Unexpected Mimic of COVID-19”
- Brown, J. (Oral Presentation)- “Making the Cut: Reducing Waste from Unused Items in Laceration Trays”
- Storey, E.; Gailing, J.; Duncan, S. – “Cultivating Compassion: Empowering Internal Medicine Residents to Provide Person-Centered Care”
- Sulliva, D.; Storey, E.; Brown, J.; Phillips, M.; Assali, J.; Kay, A.; Eldridge, J.; Testa, K. – “Del-Aware: Implementing Screening for Social Determinants of Health in our Pediatric Patients”
- Hoch, V.; Assali, J.; Storye, E.; Surampudy, A.; Galaati, C. – “Improving Blood Pressure Control Rates at an Urban Underserved Residency Clinic”
- Johnson, C.; Gangemi, A.; Lim, V.; Haraczy, S. – “Empowering Patients to Take Control of Thier Health Care Transition”
- Duncan, S.; Lam, M.; Surampudy, A – “Development of a Sleep Promotion Bundle for Adult Inpatient Wards”
- Johnson, C.; Phillips, M.; Brown, J.; Gangemi, A.; Sullivan, D.; Eldridge, J.; Maguire, M; Haimes, B.; Friedland, A. – “Med-Peds X+Y=Innovation”
Evidence-Based Curriculum (EBM)
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 work together on their “y” block to include EBM. Each year we have a combined journal club with categorical medicine and categorical pediatrics with med-peds together. This past year we had a guest speaker and patients with cystinosis lead a discussion with our residents. We discussed transition of patients with rare and complex conditions from a pediatric, internal medicine and med-peds perspective.
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.
Topics include:
- 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.
ChristianaCare 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 and PGY-3 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. ChristianaCare hosted the second and ninth annual Northeast Med-Peds meetings in 2000 and 2009.