the Program

PROGRAM FACTS

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EDUCATIONAL INNOVATION PROJECT

Dot LineThe Aurora Health Care (AHC) Internal Medicine Residency Program is one of 19 elite Internal Medicine residency programs in the country, which was selected by the Accreditation Council for Graduate Medical Education (ACGME) to participate in the national Educational Innovation Project (EIP).

This project allows each program the freedom to develop innovative approaches to educating internal medicine residents with more latitude than the current accreditation guidelines permit. The ultimate goal of the ACGME is to assess whether improved educational outcomes lead to improved patient care outcomes. Essential to the EIP Program is the active participation in all aspects of this project by the residents.

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Goals of the AHC Internal Medicine EIP project:


Goal 1: Apprenticeship Experiences

Three new rotations have been integrated into the PG-1 year:

In-Patient Apprenticeship.

During this rotation each resident works one-on-one with a member of the Hospitalist faculty. The overall goal of this rotation is to improve skills in the evaluation, diagnosis and management of the hospitalized patients early in training.

Ambulatory Apprenticeship.

A second month is spent in the ambulatory setting working directly with fulltime general medicine faculty. The curriculum emphasizes chronic care management, documentation, billing, coding and focused physical exam skills involving breast, pelvic, and otoscopic examinations. Video review sessions using trigger tapes of resident encounters form the basis for teaching and assessing doctor-patient communication skills. The goal is to expedite and enhance the resident's ambulatory skills early in training.

Multi-Disciplinary Apprenticeship.

The third month is designed to develop resident understanding of the key role nurses and social workers play in delivering quality patient care. Residents are assigned to a nursing unit and Social Services. The resident focuses on available resources both within the hospital and community. Residents get the chance to view area shelters, nursing home facilities and attend competency hearings. Residents are far better prepared to navigate the complicated system of hospital medicine at the conclusion of this rotation.

Goal 2: The Resident Report Card

Each resident receives reports showing the clinical outcomes of their patient panel. This allows the resident to assess their own practice skills as compared to national standards and institutional guidelines.

Goal 3: Competency-Based Learning

The Program believes that there exists a core of skills, knowledge and attitudes that define an Internist independent of career choices. The Program is developing a competency-based core curriculum with the understanding that all residents do not learn at the same pace. The core includes specific experiences within all venues of care: inpatient, ambulatory, critical care, subspecialty care and emergency medicine.
The full resources of the Aurora Health Care system are available to the resident for expanded training experiences. New technologies involving a fully integrated electronic medical record system (EPIC/SmartChart), simulation models, video teleconferencing, audience response systems and the eICU system are just some of the newer teaching and patient care advantages of our program.

Goal 4: Individual Learning Plan (ILP)

A resident achieving full competency in the defined core will then be able to tailor his/her remaining rotations based on a chosen career path. For example, an ILP for those residents interested in pursuing a career as a Hospitalist could include the following: inpatient apprenticeship, hospitalist peri-operative and inpatient consult service, palliative care, ultrasound-guided procedural training, and hospital-based quality improvement project. The resident could chose from other rotations relevant to hospital medicine, rotating with different hospitalist groups, critical care units, the EICU and the Acute Care for the Elderly (ACE) unit.