Beth Israel Medical Center

Residents start the day by leading bedside teaching and work rounds with the team. Team members review the progress of each patient, incorporating patient management, teaching and discussion of clinical decision making.

Residents, interns and students from the Albert Einstein College of Medicine regularly present and discuss patients during rounds with the teaching faculty. A dedicated teaching attending is assigned to each resident team. Discussions range from the bench to the bedside, with a focus on clinical teaching and covering the curriculum for a particular rotation.

The Chairman of the Department of Medicine rounds with one of the ward teams each week. The house staff present a case, which is then discussed, often at the bedside.

In a dynamic, interactive forum, house staff meet with the chief medical residents, the program directors and the teaching faculty to present and discuss interesting and instructive cases.  The history, physical and all test results are reviewed, with faculty pointing out pertinet findings on labs, ECGs or radiologic studies. Rotating senior ward residents and residents rotating on night medicine (aka "nightfloat") present cases, often along with articles they have chosen from the medical literature, pictures they have taken of patients (with consent!), or other supporting educational materials.

Each day residents are provided a noon conference that can take many formats. Case presentations and lectures are delivered in an interactive format, with audience response technology used to enhance the learning experience. Lunch is provided. The noon conference curriculum covers the range of clinical Internal Medicine and subspecialty topics, as well as topics such as ethics, cost-effectiveness and health care systems.

 

Using the Socratic method, the chief medical residents meet with the interns weekly to discuss physiology, pathophysiology and treatment in a relaxed environment. Major areas of Internal Medicine are covered in this year-long curriculum.

 

Each resident presents a clinical or research topic of their choosing to their house staff peers and selected facutly. The session is moderated by a faculty member who is an expert in the field. During the presentation, the resident presents a scholarly review of the topic, including basic science background, current trends, and future directions. Journal club allows the presenting resident to become an expert on that particular topic, expose them to the faculty in that field, and practice public speaking.

  

Each year residents are enrolled in a Board Review Course. The Residency Program covers the cost of the course for all PGY-3 residents.  

During the PGY-2/PGY-3 year, residents select, critically appraise and present an article from the recent literature in an informal presentation to their house staff colleagues and faculty. Direct one-on-one mentoring and preparation is given to each resident by a Chief Resident. Although a Chief and a Program Director are always present, residents are encouraged to be presenter-teachers and are taught evidence-based concepts that can be imparted to others, and incorporated into their own practice.

    

During a medicine grand rounds forum, house staff, medical students, and faculty present current cases of extraordinary interest, with outstanding CPC-style discussion by attendings from medicine, pathology and radiology.

Each week, Beth Israel faculty and distinguished invited local, national and international speakers discuss topics of major interest and current advances in medicine.

 

 

The Alice and Richard Netter Simulation Center

With the days of "see one, do one, teach one" gone, simulation training has become an essential part of the residency experience. Our Pulmonary/Critical Care faculty has published research on simulation training, in addition to teaching simulation at both the regional and national level. 

Beth Israel boasts a newly-renovated state-of-the-art simulation center. Our advanced simulation "dummy" (SIM Man) can be programmed to mimic a great variety of clinical scenarios, including neurologic emergencies, seizures, cardiac and respiratory emergencies, metabolic derangements, and cardiopulmonary arrest, among others.

Under the guidance of a Chief Resident and faculty, our house staff undergo high-fidelity traning for managing a wide variety of emergent clnical situations. From behind a one-way mirror, dedicated Sim Center staff and faculty throw out scenarios for teams in training to handle.  Interns are taught proper airway management and chest compressions. Medical residents serve as Code Team and Rapid Response Team leaders for all such calls throughout Beth Israel, and recieve intensive clinical and leadership training in these areas. Communication and other tools adapted from the aviation industry and the military are taught and practiced.  Multiple video cameras record all angles and aspects of a team's performance, down to the sureness of the seal of an ambu-bag on Sim Man's mouth (there's a camera directly overhead of the airway team member.) Post exercise team debriefing includes a video review, allowing residents to see themselves in action and reflect on their performance. This is widely viewed among the house staff as a superb learning experience.

Residents also learn central line insertion and other procedures in the Sim Center.