Culture of Teaching

A Culture of Teaching

A devotion to and ability for teaching represents the most important criterion for recruiting new faculty members.  Our faculty take pleasure in one-on-one and small group teaching and always put teaching opportunities ahead of their other academic pursuits.  We also continuously develop new and innovative approaches to medical education, our progressive ward structure, our weekly theme-based noon conferences, and our expanded QI program are all examples of recent innovation.

Other programs include:

  • Integration of evidence-based medicine into everyday teaching and practice
  • Close collaboration between faculty and subspecialty medical staff for inpatient learning
  • Opportunities for interdisciplinary care that allow residents to teach and learn from other healthcare professions
  • An emphasis on systems-based practice with programs to implement best practices through computerized order entry
  • Specialized rotations and learning modules to teach medical skills, such as ECG and chest radiograph interpretation and the performance of procedures
  • Learning a receptiveness to life-long learning, by both giving and receiving effective feedback

We believe in continuous improvement for our program, which means we value resident feedback and identifying opportunities to further advance our teaching effectiveness.  An open environment welcomes direct verbal feedback and provides electronic resources for confidential comments to the program.  Residents share in governance decisions regarding curriculum.

Faculty mentorship and individualized teaching

  • Each resident has a member of the faculty as a mentor who meets regularly with the resident through the year to ensure their personal and professional success and wellbeing.
  • One faculty preceptor is always available for every three residents during continuity clinics
  • Collaborative practices have either a 1:1 or 1:2 faculty-resident ratio
  • Subspecialists work directly with residents on ward teams and in subspecialty rotations, providing highly individualized teaching based on direct observation
  • Residents choose a faculty mentor to help in the development of American College of Physicians presentations and other scholarly projects

Subspecialist Teaching

  • Providence Portland Medical Center does not have internal medicine subspecialty fellowships, so residents work directly with master subspecialty clinicians.  Our resident on inpatient rotations have opportunities for advanced patient care, problem solving, and procedures usually reserved for fellows at university programs.
  • Residents on subspecialty rotations work one-one-one with subspecialty clinicians.  An experienced subspecialist staffs resident consultations providing an effective experience for learning complex physical examination skills, clinical reasoning, and targeted diagnostic and therapeutic approaches.

Inpatient Teaching

  • Work rounds are designed to facilitate team clinical decision-making on assigned patients. Each team works with a full time hospitalist and a core generalist from Medical Education. This blending allows different approaches to be highlighted and facilitates direct observation.
  • Morning report is lively, participatory, academic and stimulating. It is based around a formal case presentation and a daily, resident-prepared literature review. All contributions are treated respectfully, and residents find the process educational and enjoyable.
  • Subspecialty consults are done by subspecialty faculty who interact directly with the ward team–getting direct teaching from experienced, committed attendings.

Resident as Educator

  • There is a defined core curriculum on teaching during our noon conference series.
  • Second and third year residents serve as educators in Morning Report which includes a case discussion and the presentation of an evidence-based answer to a specific clinical question.
  • Prior to R2 year, a special two part “Teaching on the Wards” workshop is held. 
  • Each senior resident presents a capstone conference to faculty and residents in a Grand Rounds format.
  • During the QI rotation, residents present a formal analysis to the core EBM faculty. A subset are selected to present at Grand Rounds.
  • Residents are often key contributors to medical student education on the wards, in the ICU, and during subspecialty electives.

Outpatient Teaching

  • Preceptor involvement in the ambulatory setting is intense.  There is one faculty preceptor per three residents during continuity clinics.
  • Collaborative practices have a 1:1 faculty-resident ratio and longitudinal relationship between faculty and resident.
  • In continuity clinics, residents develop their own panel of patients for whom they become the primary care provider.

Mentorship

  • Each resident is assigned a faculty advisor who assists in resident development and achievement of learning goals
  • Residents choose a faculty mentor to help in the development of ACP presentations and other scholarly projects