IM Enhanced Training Opportunities

Internal Medicine Residency Program

Opportunities exist for Internal Medicine residents to develop enhanced skills and training in multiple domains.

Global Health

Global Health Program

The unique aspect of the global health program is a multidisciplinary approach to global health education. All residency programs at ChristianaCare as well as other staff such as nurses, pharmacists, and other allied health professionals are eligible for this program.

The goals specific to our residents are as follows:

  • To provide practical public health and clinical perspectives on the management of health issues and diseases in resource-poor settings.
  • To train residents to provide culturally competent, patient-centered care for disease management and health promotion.
  • To teach residents to recognize and address the impact of social, economic, environmental, and political factors on health disparities, both abroad and in the U.S.
  • To promote skills in population-based research and community-oriented primary care.

The core curriculum consists of a monthly lecture series. Speakers are both local and guest experts in their respective fields. Annual events also include journal clubs, skills workshops, and resident presentations. In addition to the monthly series, we provide support for residents looking for educational opportunities to participate in rotations in resource-limited settings (international and domestic).

A sample 2 year curriculum of topics includes:

Millennium Development Goals/Intro Emerging Issues in Global Health
Infectious Disease – HIV, TB, Helminths, Malaria, Dengue – Part 1 Infectious Disease – HIV, TB, Helminths, Malaria, Dengue – Part 2
Social Determinants of Health Primary Care in Developing World
Women’s Health Part 1 Global Health Policy
Women’s Health Part 2 Surgery/Trauma basics
Children’s Health Part 1 Travel Medicine
Children’s Health Part 2 Human Rights
Local Global Health Chronic Disease
Research and Ethics Global Health Experience
EM/Disaster Relief Eradication Programs
Skills Workshop

Many of our alumni have participated in the Global Health Track (see below) and continue to remain active in global health initiatives.

Note: Resident travel is not limited to those participating in the global health track, but supported by the track.

Examples of active (recurring) and past experiences of residents include:

  • Dominican Republic (annual opportunity).
  • Haiti (annual opportunity).
  • Gambia (recurring opportunity every 1-2yrs).

Past:

  • Guatemala (Rural Healthcare).
  • Malawi (UNC Project).
  • Cuidad Victoria, Mexico (Community for Children).
  • San Miguel and Guanajuato City, Mexico (¡Bienvenidos a MedSpanish!).
  • Nepal (Rural Healthcare).
  • New Mexico (Indian Health Service).
  • Peru (Medical Ministries International).
  • Port-au-Prince, Haiti (Relief Efforts).
  • Plymouth, England (Healthsystem Survey).
  • Rwanda (Preventive Medicine and Education).
  • Brownsville, TX (Community for Children).
  • Uganda (Hospital Medicine) *Yale/Stanford Johnson & Johnson GH Scholar.
  • Zambia (Village of Hope, Orphanage).

Global Health Track

Residents who complete the Global Health Track receive certification of global health training. The design is for the track to take 2 years to complete, but residents can choose to complete it over the duration of their residency.

The goal of the Global Health Track is to provide an opportunity for a more focused education in global health for residents who many want to pursue:

  • Clinical or academic career in global health.
  • Expand knowledge and experience of under-represented diseases.
  • Career in underserved communities in the US.
  • Improve healthcare for immigrants, refugees, travelers and underserved populations.
  • Increase competency in the care of multicultural society.
  • Increase understanding of disparities of care.

To complete certification in global health, participating residents must:

  • Attend or view the Global Health Lecture curriculum online.
  • Dedicate elective time to global health-related rotations that can include:
    • International destinations.
    • US underserved or Federally Qualified Health Center.
    • Global Health/Public Health Research.
    • Refugee Clinic.
  • Present a global health scholarly activity.
  • Attend 1 national global health conference.
  • Participate in scheduled meetings with a global health faculty mentor.

Leadership Development

LEED-R

LEED-R, also known as Leadership Excellence EDucation for Residents/Fellows, is a two week intensive, interdisciplinary program to develop the skills and tools to be an effective and efficient physician leader in healthcare now and in the future.

The LEED-R program includes a two-week block of protected time for intensive leadership development for a select group of 25 residents/fellows each year using the National Center for Healthcare Leadership competencies utilizing multiple platforms of learning and interaction with ChristianaCare leadership and outside experts on:

  • Self-Awareness & Leadership.
  • Develops People & Creates High Performance Teams.
  • Collaborates & Builds Relationships.
  • Enables Learning & Innovation.
  • Leads & Promotes Change.
  • Creates Value.

Highlights include working with professional media coaches and journalists on presentation skills and a leadership café – a ‘speed dating’ like event to meet 25 senior leaders.

Advanced LEED-R

Graduates of the LEED-R program are eligible to participate in an advanced leadership offering. The goals of the program include:

  • Providing experiential leadership development to emerging resident leaders interested in healthcare leadership.
  • “Bridging the gap” between leadership education and real-world experience.
  • Promoting alignment of resident physician leaders with system leaders.
  • Disseminating leadership and system learning to the broader residency community.

These aims are accomplished by pairing emerging resident leaders with senior leaders in the organization. The mentor-mentee pair will engage in a 9-month micro-mentoring experience consisting of one-on-one meetings and multiple “share-an-experience” sessions.

Quality and Safety

Internal medicine residents have opportunities to take part in multiple learning experiences around quality and safety to include:

  • Longitudinal Quality Improvement Curriculum/Project: Each resident participates in an annual longitudinal quality improvement curriculum that culminates in the completion and presentation of a group project.
  • Achieving Competency Today (ACT): Issues in Quality, Cost, Systems and Safety: A 12 week master’s level interdisciplinary curriculum for systems based practice and practice based learning and improvement. Interprofessional teams of learners collaboratively design and test solutions to identified challenges in healthcare delivery through an improvement project.

Research Principles

Resident Research Training Program Boot Camp

This 9-month longitudinal program provides participants with an infrastructure and core content on research methodologies, with the goal of completing an institutional review board (IRB) ready research protocol by the end of the course. This course will provide didactic and workshop-based activities to walk participants through the fundamental components of a protocol, from development of a research question and conducting a literature review, through crafting an analysis plan, and writing up and presenting results. The course will culminate in a Research Symposium, during which all participants will be required to present a research poster.

Business/Healthcare Administration

Pocket MBA

The ChristianaCare PocketMBA offers to a select group of residents/fellows and attending physicians the unique opportunity to study the business of healthcare by developing knowledge and skills of core MBA and critical healthcare topics. Each month, over the course of the academic year, the selected participants learn about 11 salient business and healthcare topics from leading University of Delaware (UD) faculty from the Alfred Lerner College of Business and Economics and the College of Health Sciences.

The faculty meet with participants online and in-person to review each topic and discuss their application to ChristianaCare. As a capstone, participants compete as teams in a friendly case-competition in which they apply what they learn in the program to developing and presenting solutions to a healthcare industry Harvard Business case study. Their presentations are judged by a panel of UD faculty and ChristianaCare seniors leaders.

The six core MBA topics include:

  • Power and influence.
  • Business ethics.
  • Entrepreneurial thinking.
  • Finance.
  • Accounting.
  • Organizational strategy.

The five critical healthcare topics include:

  • Population healthcare informatics.
  • E-service management in healthcare.
  • Patient experience and engagement.
  • Policy and finance.
  • Leadership and innovation in population health.

Upon the conclusion of the PocketMBA, participants will have a sharper understanding of the business, technology and policy pressures facing healthcare today. They will be better positioned as they advance their careers to balance the competing imperatives of care and cost in American healthcare today.