Training Programs : Innovative Program Initiatives

Innovative Initiatives-Overview

Women’s Health Track

The goal of the women’s health track is to develop internists who have an understanding of how diseases present differently in women and expertise in providing comprehensive care to female patients. This track will provide residents with a base of knowledge and skills that will enhance their future subspecialty training or primary care practice. They will also be given the opportunity to network and obtain mentorship from physicians with clinical and research interests in women’s health. Residents who complete this program will move on to clinical or research careers that will be enhanced by their experience in this program.

Resident Scholarly Activity Program (RSAP)

RSAP is a 3 phase curriculum aimed to improve the quality of research projects pursued by residents and increase the number of projects submitted for publication in peer reviewed journals. Residents are provided support in picking mentors, designing projects and presenting their work in their last year of training.

Procedural Competency Initiative

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 and 3rd-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. 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. A performance checklist is used to longitudinally assess technical skills and confirm procedural competence.

EBM in Clinical Practice Initiative

The Miami VA Ward rotation – residents report, and Academic half-day during Ambulatory have developed sessions to emphasize the use of Evidence Based Medicine in Clinical practice. In a small group setting residents are introduced to the Evidenced based cycle, and level of knowledge/ proficiency in EBM assessed. Sessions with our medical librarian’s is scheduled to ensure residents have the appropriate skills to find the information they need quickly and effectively.We have established a website,” http://calder.med.miami.edu/portals/calderportals-ebmpractitioners.html “:http://calder.med.miami.edu/portals/calderportals-ebmpractitioners.htmlour main library to assist Evidenced Based Medicine practitioners.

Department of Community Service (DOCS)

DOCS is student run community service organization at the University of Miami Miller School of Medicine. This department runs annual health fairs in underserved communities in South Florida, such as Hialeah, Little Haiti, Florida City, Pompano Beach, and communities in the Florida Keys. Jackson resident-physicians serve as volunteer mentors for medical students providing care to needy populations otherwise unable to seek care. For more information, visit their website at http://umdocs.mededu.miami.edu

Language training and Competency

Miami has a culturally diverse population that sometimes presents challenges in terms of language and communication. The training program feels strongly that this is an asset for residents who will be exposed to disease processes they otherwise would never see. To facilitate language proficiency, the program has given access to learning resources (Pimsleur, Rosetta Stone) for our trainees. Effective 2011 we started a Spanish language elective in collaboration with Gables campus. Other on-campus resources include accelerated 7 days language courses through UM’s Office of intensive Language Institute, at http://www6.miami.edu/alc/. This year JMH will sponsor a 5 day intensive Spanish language training course June 9-13 with UM’s language institute.

National and International Away Electives

Our residents have done away electives in every part of the country, and International electives in Haiti, central and South America, the Caribbean and Africa. The training program and institution supports these educational opportunities for residents allowing up to one away rotation each year, as long as program requirements are met.