Teaching Conferences and Rounds
Senior Resident Morning Report
Every morning, Monday through Saturday, all second- and third-year residents on inpatient rotations (and many of those doing electives) meet for an hour to
discuss two recently admitted patients. Each case is presented by
the admitting resident. As the case unfolds, other residents comment on differential diagnosis, work-up and management strategy. The senior resident morning
report is run by the inpatient chief resident. Also on hand are the
program director or department chair, as well as other faculty
selected by the residents.
R1 Morning Report
One morning each week, all first-year (R1) residents assigned to floor
inpatient and ambulatory rotations meet for one hour to discuss one or two patients with the ambulatory
chief resident and the program director. Patients are those either recently admitted
or seen recently in the ambulatory setting. The format otherwise
is similar to the senior resident morning report.
Strong Memorial Hospital Attending Rounds
Every day, each general medicine
floor team meets with their hospitalist attending physician for at least an hour to review
patients they share and for formal teaching. Less stable patients and those with important
physical findings are often seen together by the whole team. On the Hematology/Oncology
Service, residents make teaching/management rounds daily with the attending physicians from the leukemia and solid tumor services. In the CCU
and MICU, housestaff teams have daily teaching/management rounds with the
attending physician.
Highland Hospital Teaching Attending Rounds
The housestaff team meets with the teaching attending on Monday, Wednesday and Friday mornings. These attending rounds are purely educational, since the teaching attending does not have direct day to day responsibility for the care of team’s patients.
The emphasis of these rounds is on bedside presentations and emphasizes the development of developing good physical diagnosis skills.
Various sub specialists conduct these rounds on Wednesdays. These include ‘Stethoscope’ rounds concentrating on development of auscultation skills, ‘Bugs and Drugs’ rounds to help select appropriate antibiotics and ‘Pharmacy’ rounds to study the use of medicines and discuss drug interactions etc.
Friday rounds are called ‘Holmes’ rounds and the primary emphasis is to hone resident’s physical diagnostic and observational skills. A Biopyschosocial conference is conducted once a month.
Master Teacher Rounds
On Tuesday and Thursday afternoons at Strong, groups of two or three
housestaff floor teams meet for one hour with a master teacher, a senior faculty member selected for his or her teaching skills and enthusiasm. A bedside presentation of one of the teams' patients is followed
by a group discussion of the case in a conference room.
Sign-Out Rounds
Every Monday through Friday at 4:15 p.m. (except Tuesdays and Thursdays at Strong, where Master Teacher Rounds replaces Sign-Out Rounds), residents
on inpatient floor rotations gather to sign out their sicker patients
to the evening team before going home. During these sign-out rounds,
the inpatient chief resident makes a brief educational presentation
on a topic relating to a patient on the service.
Noon Conferences
Noon conferences are held five days a week at both Strong Memorial Hospital and Highland Hospital. Each year, the conference
series begins with a discussion of common
medical emergencies, evidence-based medicine, and critical appraisal of
the literature. For the remainder of the year, the conference series
includes core topics in ambulatory and inpatient medicine, a weekly
journal club, a twice-monthly EKG conference, and a monthly morbidity
and mortality conference. On the first Friday of each month, the noon conference
is a program business meeting, so residents can discuss issues and concerns
with the program directors and chief residents. Other Friday noon conferences
cover a wide range of entertaining non-medical topics. There have been recent presentations on boat building, bicycling, Adirondacks fly fishing, and iconography in sacred art.
Ambulatory Firm Conference
For 30 minutes before the beginning
of each faculty-resident firm practice session, residents from the
firm and their faculty preceptors meet to review and discuss management
of a common ambulatory problem. It usually focuses on a patient being
managed by one of the residents in the firm.
Medical Grand Rounds
Medical Grand Rounds are held from 8 a.m. to 9 a.m. every Tuesday, at both Strong Memorial Hospital and Highland Hospital. Speakers
may include both University of Rochester faculty and visiting faculty
from other academic medical centers. Most of our Grand Rounds
are case-based and interactive.
Subspecialty Conferences
Each of the subspecialty units has regularly
scheduled conferences. Residents taking subspecialty electives
attend and may even present. Subspecialty conferences are open to
any other residents.
