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Didactics and Educational Resources

Our program offers a comprehensive didactic curriculum which provides an up-to-date and evidence-based review of subjects designed to complement resident clinical learning. Mid-day conferences are held four times per week, and Academic Half Days are offered each Tuesday (outpatient and Sim Lab) and Wednesday (all residents).

Academic Half Days

Tuesday: Residents in their ambulatory clinic weeks will have protected time for cased-based outpatient educational topics, simulation, and ultrasound training.

Wednesday: Residents will have protected time from 2:00 p.m. to 5:00 p.m. for educational activities. The program will follow the ABIM boards blueprint for educational topics. Topics are presented by attending faculty and guest speakers and are designed to be interactive, team-based learning. Lecture examples include organ specific disease processes, EKG reviews, visual diagnosis, board review questions, high value and cost-effective care, healthcare disparities, and wellness topics. All residents are expected to attend except for MICU and night float teams.

Simulation and Point-of-Care Ultrasound:

The Internal Medicine residency program at Mary Washington Healthcare has developed an interactive ultrasound curriculum comprised of a series of point-of-care ultrasound diagnostic and procedural skills integral to the practice of an internist.

Our residents will follow the Montefiore-10 curriculum and are introduced to ultrasound skills and knowledge including:

  • Performing paracentesis, thoracentesis, and lumbar puncture under ultrasound
  • Performing peripheral venous and arterial catheterization under ultrasound
  • Ultrasound-guided central venous catheter placement
  • Cardiopulmonary diagnostic ultrasound
  • Diagnosis of deep vein thrombosis with ultrasound
  • Review of anatomical ultrasound for many solid organs

Residents will participate in a two-hour simulation and ultrasound half day on Tuesday afternoons during their clinic week within the 4+2+2 schedule.

By the end of PGY3 year, internal medicine residents will have had ample bedside ultrasound and complicated patient/code training.

Resident-led Didactics

Residents participate in the education of students, peers, and other health care professionals as part of our didactic schedule. With the support of attending faculty, residents at all PGY levels present articles at Journal Club and lead case conferences and MMI presentations.

Sample Schedule:

Monday 12:00 p.m.–1:00 p.m.
Rotating lectures consisting of Business of Medicine topics, Journal Club, and Mortality, Morbidity, Mortality and Improvement (MMI) Conferences.

Tuesday: 12:30 p.m.–1:00 p.m.
Intern lecture series for PGY-1 residents during the first six months and then transition to Program Director Case Conference

Tuesday: 1:30 p.m.–5:00 p.m. (During 2-week Clinic Block)
Outpatient Academic Half Day and Sim/POCUS

Wednesday: 2:00 p.m.–5:00 p.m.
Full program Academic Half Day

Thursday: 12:00 p.m.–1:00 p.m.
Grand Rounds, Resident Town Hall, or 30 minute Resident Case Conference

Friday: 12:30 p.m.–1:00 p.m.
Clinical Reasoning cases, Humanities/Social Medicine, Resident Case Conference, or New Guidelines Friday

Educational Resources:

The program offers residents a $1,000 dollar a year academic stipend to use on various items such as Step 3 exam, conference attendance, scholarly activity, additional educational material, and board review courses. Additionally, the program provides access to MKSAP, UpToDate, DynaMed, AMA modules, Hopkins Ambulatory Modules, Med Challenger Question bank, Access Medicine medical textbooks including Harrison’s Guide to Internal Medicine, New England Journal of Medicine, New England Journal of Medicine Journal Watch, and multiple other peer reviewed journals. The program provides a yearly resident membership into the American College of Physicians.

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