University of Miami Hospital
The Division of Hospital Medicine contributes significantly to the educational mission of the Department on Internal Medicine at the University of Miami Hospital.
General Internal Medicine Ward Teaching Teams: The Division of Hospital Medicine staffs two ward internal medicine teaching teams consisting of internal medicine residents and University of Miami medical students at the University of Miami Hospital. Unique to the University of Miami Hospital and the training program, there is 24/7/365 coverage by Hospital Medicine Faculty for the residents and medical students who rotate there. At nights, the Nocturnists (Hospitalists dedicated to working night shifts only) provide in house care and supervision of the housestaff. Division faculty attends resident report three days per week to facilitate the educational experience (the only Division on the Department of Medicine to do so). Furthermore, the Chief Academic Mentor of the Division leads Friday morning Intern Report. Dr. Jessica Zuleta, serves as site director for University of Miami Hospital as Associate Program Director for the Internal Medicine Residency.
Internal Medicine Consult Service: Directed by a renowned Perioperative Medicine guru, Dr. Steven Cohn, he created a novel curriculum highly rated by the Internal Medicine residents who rotate there. The outcomes-based curriculum covers a daily didactic literature review with a pre and post-test. Each morning residents rotate at the University of Miami Preoperative Assessment Center to perform preoperative risk assessments, then they make hospital rounds in the afternoon to see internal medicine consults.
Jackson Memorial Hospital
Bedside Procedure Service: This novel outcomes-based curriculum is a month long rotation is the most popular rotation in the Internal Medicine Residency. Created by Dr. Joshua Lenchus, this rotation teaches internal medicine residents to safely perform under direct faculty supervision: thoracentesis, paracentesis, lumbar puncture, central venous line placement, dialysis catheter placement. Dr. Lenchus has received > $1.3M in grants to study this concept and published the experience in multiple articles.
Internal Medicine Consult Service: Like its counterpart at the University of Miami Hospital, the Internal Medicine Consult rotation at the Jackson Memorial Hospital focuses on perioperative medicine. It also includes consultation on obstetrics, neurology, and rehabilitation patients. It also has a set curriculum.
Other Educational Offerings
Hospital Medicine Track for Internal Medicine Residents: At present this two year longitudinal track is on hold. This longitudinal track 2 year track consisted of a month long rotation for second and third year internal medicine or internal medicine/ pediatrics residents who select this rotation. The curriculum is didactic featuring a lecture series and workshops in 4 domains: Patient Safety, Quality Improvement, Professional Development and Leadership, and Clinician Educator skills. Residents are then paired with faculty mentors to conduct their resident scholarly activity project-usually a quality improvement project or research over two years. Many residents presented posters and published in journals. This track was placed on hold fiscal year 2014 due to inability to adequately protect faculty time to run the curriculum. Prior projects included the handoff of hospitalized patients, appropriate VTE prophylaxis in hospitalized patients, management of hyperglycemia in hospitalized cancer patients, a survey of hospital medicine residents’ interest in receiving education in the core competencies of hospital medicine.
Hospital Medicine Fellowship
At present, there are no nationally accredited ACGME fellowships in Hospital Medicine, which is a detriment to the profession since there are no formal ACGME accredited pathways to produce academic hospitalists nor provide mentorship for them.
Hospital Medicine Grand Rounds: Monthly lecture series on a selected topic in the core competencies of Hospital Medicine- with UM and visiting faculty.
Division of Hospital Medicine Journal Club: Monthly journal club reviewing pertinent literature in the Hospital Medicine presented by Division Faculty.
Division of Hospital Medicine Professional Development Series: This is a combination didactic and workshops based series to teach junior members of the Division of Hospital Medicine skills to flourish in an academic setting. The skills taught fall under the following realms: How to be an effective clinician-educator (teaching skills), billing and coding, and how to perform a quality improvement or research project.