Morning Report: Monday, Wednesday, Friday 8:15 to 9 AM
Morning Report is a fun and interactive experience that embraces the concepts of adult learning theory. Residents present a recent case from the outpatient clinic or inpatient ward and the audience asks questions and creates a differential diagnosis. Faculty facilitators lead the session with the assistance of the chief resident. Once per week, the session is lead "Mc Chief" style in which the audience is divided into teams who compete to derive a comprehensive differential diagnosis and management plan.
Noon Conference: Tuesday through Friday, noon to 1 PM
The Noon Conference series serves as a comprehensive board review. The curriculum which composes this series is derived from the American Board of Pediatrics specifications. Didactic sessions are presented by pediatric faculty and repeated twice over the three years of residency training. Once per month, a PL1 is responsible for providing a didactic lecture on a general pediatric topic in our "Peer Lecture Series". The noon conferences also includes lectures on bioethics, research, evidence based medicine, career development and quality improvement.
Grand Rounds: Tuesdays, 8 to 9 AM
Grand Rounds provides cutting edge information on a wide variety of pediatric topics and is directed toward faculty, community pediatricians and hospital staff. In addition to our extensive pediatric subspecialty and surgical faculty, presenters include both local and national speakers.
Morbidity and Mortality Conference: monthly
The M&M conference begins with a fascinating and complex case presented by the resident caring for the patient. Faculty member from each of the involved pediatric disciplines (e.g., radiology, pathology, infectious disease, surgery) discuss various aspects of the case and review evidence-based data on the particular topic. A lively discussion ensues.
Board Review (Breaking the Boards, Team-Based Learning)
Board Review sessions are held weekly and are moderated by the chief residents, senior residents and attendings. Board Review is conducted in several different styles to reflect the different methods of learning. "Breaking the Boards" is a monthly session, which utilizes an audience response system to review two Pediatrics In Review articles and relevant Pediatrics Review and Education Program (PREP) questions. An attending expert is always present to answer questions from the residents regarding both the articles and the PREP questions. "Team-Based Learning" is another monthly session run by the senior resident supervising the outpatient clinic, and also reviews two Pediatrics in Review articles. Residents are grouped into teams where they discuss and answer PREP questions relevant to the articles. At the end of the hour, the senior resident moderating the session provides a brief explanation of the answers and an overview of the articles. Other forms of board review include Jeopardy, PREP question and answer, and Zitelli Rounds.
Journal Club/Evidence-Based Medicine Workshops
Journal Club is held monthly and consists of a PL2 and PL3 each reviewing a different journal article. The presentation always starts with a patient story that led to the literature search. A Critically Appraised Topic, or CAT, format is employed to analyze the validity and applicability of the research to the case at hand. The goal of the session is to demonstrate the attributes necessary to be good consumers of clinical research. Several faculty members as well as the director of pediatric research are present to discuss and critique the analysis.
Procedural Skills Workshops
Interactive workshops on a variety of procedural skills are held throughout the year. These include peripheral IV's, intubations, central line placement, pelvic exams, otology and splinting. Faculty demonstrate the techniques on models and residents are provided the time to develop the manual dexterity and knowledge necessary to perform these procedures.
Residents practice their resuscitation skills in a state-of-the-art simulation lab located in our inpatient unit. Simulations are held every 1 to 2 weeks, where residents and nursing staff are assigned to participate in these sessions. These sessions are followed by a debriefing during which participants receive feedback on both the medical and teamwork components of resuscitation.
We also utilize the Simulation Lab to introduce proper techniques of procedures, such as lumbar punctures, bladder catheterizations and IV placements prior to real-life application on the wards. Lutheran General Hospital is currently working toward developing a full simulation center for both adults and pediatric patients, with the pediatric department serving as the model for the rest of the hospital.