While the vast majority of a resident’s daily routine is devoted
towards direct patient care, various conferences and learning activities
are also available for academic advancement. These learning endeavors
are designed to complement medical education derived from patient encounters.
Bedside Teaching Rounds
Bedside teaching rounds are held 5 days a week (Monday to Friday) for all
general medicine inpatient floor teams. During these rounds, medical students
and residents deliver focused presentations and updates on their service
patients. Under the guidance of a teaching internist, appropriate diagnostic
and therapeutic plans are then formulated. Clinical pearls and theoretical
aspects are also incorporated.
Morning reports are held twice a week (Tuesday and Friday). The previous
day/night teams present their admissions to a teaching internist and the
chief medical resident. Focused questions are addressed to house staff.
Diagnostic and therapeutic decisions are also discussed. Presenters are
expected to present the current literature updates regarding the conditions
EKG conferences are held every Wednesday from 8:30 AM to 9:30 AM. Attending
cardiologists discuss the basics of EKG interpretation and walk residents
through accurate interpretations of the most interesting and relevant
EKGs that were performed at the MMC during the week.
Morbidity and Mortality Conferences
Morbidity and mortality conferences are held on the 3rd Thursday of every
block from 8:00 AM to 9:00 AM. In this conference, residents present interesting
cases highlighting errors in diagnostic and therapeutic management. This
forum provides a safe and non-threatening environment to learn from these
errors and prevent them from happening again in the future. This is a
multidisciplinary conference with inputs from nursing, pharmacy as well
as other specialties involved in care of the patient.
Medical Grand Rounds
Medical Grand Rounds are held every 1st, 2nd and 4th Thursdays of every
block from 8:00 AM to 9:00 AM. These conferences highlight important updates
and advances in the field of medicine. Renowned specialists at the forefront
of these medical developments are specifically invited for this purpose.
Noon conferences are held 5 days a week (Monday to Friday) from 12:00 Noon
to 1:00 PM. In these conferences, various sub-specialists deliver up to
date and informative lectures pertaining to essential internal medicine
topics in their specialty. Noon conferences rotate among the specialties
on a daily basis.
Journal Club is held every 4th Thursday of every block from 12:00 Noon
to 1:00 PM, in place of the regularly scheduled noon conference. In this
conference, residents are given interesting research articles from the
New England Journal of Medicine. PGY-1s then take turns at discussing
the various aspects of the research, and are given opportunities to critically
appraise these journal articles. The flow of discussion is directed by
teaching internists and experts in medical statistical research.
Schwartz Center Rounds
Schwartz Center Rounds are held every 2nd Tuesday of every block from 12:00
Noon to 1:00 PM, in place of the regularly scheduled noon conference.
These conferences offers healthcare providers a regularly scheduled time
during their fast-paced work live to openly and honestly discuss social
and emotional issues that arise in caring for patients. Panelists from
diverse disciplines participate in the sessions, including physicians,
nurses, social workers, psychologists, allied health professionals and
chaplains. After listening to a panel’s brief presentation on an
identified case or topic, caregivers in the audience are invited to share
their own perspectives on the case and broader related issues.
Tumor Boards are held every 4th Friday of every block from 12:00 Noon to
1:00 PM, in place of the regularly scheduled noon conference. In these
conferences, oncologists present atypical presentations of various malignancies.
Radiologists then walk the audience through the pertinent imaging studies
performed. Discussion of pertinent histopathology is given by attending
pathologists. These conferences are mediated by the Director for Cancer
Services. There are additional multidisciplinary breast cancer and gastrointestinal
tumor boards which may be attended by residents on hematology-oncology rotation.
General Internal Medicine Reviews
General Internal Medicine reviews are held every 1st and 3rd Friday of
every block from 1:30 PM to 2:30 PM. Pertinent and board-relevant topics
in general internal medicine are discussed by teaching internists, using
a framework for high-value cost-conscious care that was developed by the
American College of Physicians.
These conferences are held once per block from 12:00 NN to 1:00 PM, in
place of the regularly scheduled noon conferences. Residents are split
into teams and participate in a fast-paced quiz competition highlighting
important medical facts and clinical pearls. Successful teams are then
drafted to represent Monmouth Medical Center in the annual ACP-NJ chapter
Challenge Bowl. This competition feeds to the National ACP Doctor’s
Dilemma, which is held each year at the scientific ACP Internal Medicine Meeting.
Research Meetings are held on the 4th Monday of every block from 8:00 AM
to 9:00 AM. These conferences include lectures in medical statistics pertinent
to research, as well as presentations and updates on both ongoing and
forthcoming research spearheaded by medical residents. Meetings are presided
by teaching internists and experts in medical statistics.
Psychosocial lectures are held every Tuesday from 4:00 PM to 5:00 PM. These
conferences are directed toward PGY-1 residents. An attending psychologist
walks residents through a specifically designed curriculum to emphasize
empathy and compassion in patient care. Psychosocial aspects of medicine
are emphasized. In contrast to traditional medical conferences, the focus
is on the human dimension of medicine.
Autopsy conferences are held on-call on Tuesdays, from 8:45 AM to 9:45
AM at the morgue, in place of Morning Report. Mortality cases, for whom
autopsy consent was secured, are presented by the medical resident who
handled the case. A pathologist then walks the audience through the autopsy
findings. Clinical and radiologic correlation of autopsy findings is also
Ellen M. Cosgrove, MD Research Competition
This annual competition rewards excellence in scholarly activity in 14
categories among Monmouth’s 107 physicians-in-training. The research
competition provides an opportunity for our resident and attending physicians
to work together to develop habits of inquiry, learn to evaluate research
findings and gain new knowledge in a wide range of medical and surgical
areas. The awards recognize the fact that the residents and staff are
dedicated to enhancing a collaborative environment among our physicians,
which promotes both academic and clinical growth.
MEDICINE RESIDENTS ARE ALWAYS WELL-REPRESENTED AT THE ANNUAL HOUSESTAFF
RESEARCH COMPETITION. WINNERS HAVE GONE ON TO PRESENT THEIR WORK AT NATIONAL
AND INTERNATIONAL ARENAS.