A variety of general medicine and subspecialty conferences are given daily from 12:30 P.M. until 1:30 P.M. Monday through Thursday. The subspecialties covered include allergy/immunology, cardiology, dermatology, endocrinology, gastroenterology, geriatrics, hematology/oncology, infectious diseases, neurology, nephrology, rheumatology, pulmonary/critical care medicine hospital medicine, and general internal medicine.
Attending Rounds are held from 11:00 A.M. until noon Monday, Wednesday, and Friday. In this group setting consisting of three resident teams, an attending physician conducts rounds on appropriate teaching patients while emphasizing bedside teaching, physical diagnosis, and pathophysiology.
The Chief Resident holds morning report on Tuesdays and Thursdays from 11 A.M. until noon. PGY-1 residents present cases to the group proceeded by a discussion focusing on the differential diagnosis, diagnostic strategy and management. This forum is fun and interactive serving as comfortable learning environment for medical students, residents and attending physicians alike.
Recently covered cases/topics include:
- Mycobacterium avium complex infection in an immunocompetent host
- Addison's disease and the polyglandular autoimmune syndromes
- Cardiac tamponade
- Pneumococcal pneumonia
- Acute chest syndrome in sickle cell disease
- Wolf-Parkinson-White syndrome
- Non-alcoholic steatohepatitis
- Ethylene glycol intoxication
- IgA Nephropathy
- Disseminated gonoccocal infection
- Chronic myelogenous leukemia
- Incarcerated Meckel's diverticulum
- Hepatopulmonary syndrome
- Microscopic colitis
- Superior mesenteric artery syndrome
- Acute monoarthritis
- Solitary pulmonary nodule
- Toluene toxicity
- Invasive Klebsiella Liver abcess syndrome
- MAC and IRIS
- Disseminated histoplasmosis
- Hepatorenal syndrome
Recent workshops held during the hour:
- Shoulder injections
- Knee aspiration and injection
- Central line workshop with simulator
- "Evidence based medicine: accessing the medical literature"
- Simulation Center
Night Float and inpatient teams meet Monday through Friday at 7:30 and briefly discuss overnight admissions and cross cover issues in presence of a full time faculty member. This also serves as a learning tool to teach proper patient handoffs.
Medical Jeopardy is held in lieu of the last morning report of the month. This activity provides an enjoyable and relaxed setting with which to review pertinent teaching cases encountered over the past month.
Medical Grand Rounds are conducted on the first Wednesday of each month. A variety of internal medicine and subspecialty topics are presented by visiting and local physicians/professors regarding new and updated information.
Professors' Rounds immediately follow Grand Rounds and provide an opportunity for the house staff to interact with a visiting professor in a short case/Q&A format.
Residents are afforded the opportunity to give one conference yearly on a topic of their choosing.
The Residents' Journal Club is held throughout the year. This conference, which consists of a resident-led discussion of an original article, is designed to educate each resident on the intricacies of research methodology and its applicability to the medical literature.
CPC is held every other month and is designed in the same format as that of the New England Journal of Medicine. It consists of a case presentation, followed first by a discussion of its clinical significance, then by a visual presentation and discussion of the pathologic findings of the case.
The purpose of CQI is to provide a forum to discuss medical errors, morbidity, mortality, and error prevention. This conference is designed to elucidate problems with healthcare delivery both in terms of systems error and human error.
UTHSC Internal Medicine
Tracey Doering, M.D.
Department of Medicine
St. Thomas Midtown Hospital
2000 Church Street
Nashville, TN 37236