the Program


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Dot LineThe Aurora Health Care (AHC) Internal Medicine Residency Program is one of 19 Internal Medicine residency programs in the country 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. Although the EIP is entering its final stages, we have learned a great deal from this experience, and it will continue to positively impact our curriculum and the quality of our training experiences.

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Goals of the AHC Internal Medicine EIP project:

Goal 1: Apprenticeship Experiences

Three rotations have been integrated into our rotational curriculum:

In-Patient Apprenticeship (PG1).

During this rotation each resident works one-on-one with a members of the full-time and 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, and to orient and familiarize the new resident with the systems of care conducted in the inpatient setting.

Ambulatory Apprenticeship (PG 1).

A month is spent working with core General Internal Medicine faculty in a variety of ambulatory settings, including the Bread of Healing Clinic, Aurora Sinai Clinic, and the St. Luke's faculty private clinic. The curriculum emphasizes chronic care management, documentation, billing, coding and focused physical exam skills involving breast, pelvic, and otoscopic examinations. Residents will also receive training in patient safety and quality improvement, and will work with key faculty to initiate a small clinic-based QI project. 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.

Business of Medicine Apprenticeship-(PG 2).

This rotation, conducted by a core Internal Medicine faculty, is designed to provide the resident with training and experience in the practice of medicine, including many important financial, legal, regulatory, and logistic issues relevant to today's evolving health care environment. The resident will spend time reviewing and understanding their own ambulatory practice performance, and will consider and implement initiatives for improvement.

Goal 2: The Resident Report Card

Based on the data gathered through our system-wide electronic medical record (EPIC) each resident receives reports on a monthly or quarterly basis showing the clinical performance and outcomes of their patient panel. This allows the resident to assess their own practice skills as compared to national standards and institutional guidelines, and to direct them toward efforts and initiatives to improve their own performance.

Goal 3: 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.