The residents are divided by PGY year for individual discussion led by a member from each year. Faculty expert in evidence-based medicine attend. Faculty review important topics in Internal Medicine. Meeting agendas are left open to allow a more spontaneous interchange. The discussion is evidence-based and focused on clinical reasoning, diagnostic testing, and thresholds for treatment of common problems.
Emphasis is placed on preventive health measures such as screening and immunizations.
The ward resident, interns, and students evaluate each patient on the service and determine the plans for the day. The resident is responsible for assuring that the rounds are efficient and educational. All new patients are presented to the attending. Evaluation and treatment plans are discussed in a didactic format which includes a review of the medial literature. The ongoing problems of all patients currently on the service are reviewed.