Procedure Team (with pics of procedure team from original word document on current website)
In conjunction with the UM/JMH Center for Patient Safety, the Internal Medicine Residency training program has been piloting a novel patient safety and educational initiative: the Procedure Team. This monthly rotation enlists 2nd year residents to participate in a 2 day instructional component, during which they learn invasive bedside procedures by a team of multi-disciplinary faculty. Procedures include thoracentesis, paracentesis, lumbar puncture, knee arthrocentesis, ultrasound-guided central venous catheter insertion, and arterial line placement. Baseline medical knowledge and skills data are gathered at the outset. After completion of the instructional curriculum, the residents comprise the Procedure Team, a consult-like service designed to perform any of the above procedures, anywhere in the hospital. The team is contacted by beeper and consults are triaged in order of importance; we complete the majority of cases within 24 hours, and work from 0800-1700, Monday through Friday. All procedures are directly supervised by an attending. A performance checklist is used to longitudinally assess technical skills and confirm procedural competence.
Born from the flawed “see one, do one, teach one” adage, this initiative seeks to provide uniformity and standardization to the teaching and performance of these procedures. The overarching goal is to improve patient safety; secondary goals are the improvement of resident confidence and competence. The long-term mission of this program is its completion by all house staff responsible for any invasive bedside procedure, regardless of specialty. Please contact the Chief Medical Residents or Dr. Lenchus directly for further information.
RSAP is a 3 phase curriculum aimed to improve the quality of the research projects pursued by the residents and increase the number of projects submitted for publication in peer reviewed journals. The first phase of the curriculum starts in the first year with a series of lectures to facilitate identifying mentors, preparing an IRB proposal and improving epidemiological and biostatistical knowledge. Interns are provided with a designated month or research during their RSAP rotation so that they may begin projects early. The second phase of the curriculum continues with research in progress meetings, in the second year, to assure research milestones and the quality of each project. The third phase is a formal presentation of the research methods and findings in the third year of residency. The mission of RSAP is to have every resident publish their research findings in a peer-reviewed journal prior to the end of their residency.
EBM in Clinical Practice Initiatives
The EBM Clinical Practice Initiative is present in Miami VAMC rotations during daily resident’s report and academic half-day sessions during VA ambulatory sessions. Residents are therefore introduced to the EBM cycle thorugh small group sessions. Residents also practice critically appraising journal articles during these sessions. The mission of this initiative is to train residents to not only independently use EBM to find answers to clinical questions but to also learn to analyze publications in a systematic and academic manner.
International Electives (with pics of residents in Haiti)
We take pride in the fact that international expericnes are not only offered to our global health residents, but to all trainees in our program. Residents are allowed one away elective each year as long as program requirements are met. Our residents have done electivs in Haiti, Central and South America, the Caribbean, Africa, and many parts of the United States. Over 15 of our residents worked in Haiti to provide the disaster relief after the 2010 earthquake.