Learning and Teaching Opportunities
Med-Peds residents attend core lectures and grand rounds in both Internal Medicine and Pediatrics at ChristianaCare 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.
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 initiative, vision referrals streamlined, point of care hemoglobin and lead levels for children). Our Med-Peds quality improvement teams consist of residents from different years of training and expertise to create balance and synergy.
Current projects include:
- Ismanie Guillaume, M.D.; Tina Hu, M.D.; Chelsey Johnson, D.O. – “Tackling Transition Today to Improve Care Tomorrow (and Beyond)!”.
- Katelyn Hotaling, D.O. – “Access to Books for Children of Delaware”.
- Devin Sullivan, D.O. – “Post-Partum Depression Screening”.
- Soraya Bascoy, M.D., Shalini Vadalia, MD, Mack Phillips, DO, Nicole Baum, DO – “Goals of Care in the Outpatient Office”.
- Justin Nichols, M.D. – “Adult Vaccinations”.
- Martiza Harper, M.D. – “Assessment of Resident’s Confidence and Knowledge in Ambulatory Women’s Health Skills”.
- Chelsey Johnson, D.O.; Chelsea Hastry, M.D. – “Primary Care Concentration in Med-Peds”.
- Alex Chua, M.D.; Jess Gailing, M.D.; Julie Merriam, M.D. – “Finances: From the Micro to the Macro”.
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 2 week electives in evidence-based pediatrics and/or evidence-based medicine during their residency. 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.
- 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 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.
ChristianaCare is a clinical campus for the Sidney Kimmel Medical College at Thomas Jefferson University and Philadelphia College of Osteopathic Medicine (PCOM). A certain number of third and fourth year medical students from these schools live and have all of their rotations in Delaware. We are the largest teaching affiliate of Jefferson and we get the highest ratings for teaching by students.. Each year hundreds of medical students from Sidney Kimmel, PCOM and other schools rotate here and at duPont Hospital for Children. Residents play an important role in teaching students at all levels in both the inpatient and outpatient settings. Many of ChristianaCare’s 1,300-member Medical/Dental Staff hold their academic appointments at the Sidney Kimmel Medical College and participate with Jefferson faculty in joint conferences and research projects.