A Day in the Life

Daily Schedule

6a-7a

Interns arrive, receive sign out from night float

7a-9a

Interns and Resident complete “Work Rounds”, often with pharmacy team member

9a-10a

Morning Report

10:30a-12p

Attending Rounds (including rotation specific teaching, radiology rounds)

12p-1p

Noon Conference; Medical Grand Rounds on Friday

1p-6p

Admissions, discharges, note writing, and opportunities for med student teaching

6p

Interns sign out to night float

6p-7a

Night float coverage

*Inpatient interns generally admit patients with resident supervision until 8pm every fourth day

**Medical ICU call schedule is self-contained with extensive and dedicated night float coverage.

Educational experiences

Morning Report:
Educational cases seen at Tufts are presented in an interactive format focusing on developing clinical reasoning skills every morning by our residents and Chief Residents. A faculty member from the relevant specialty is present for every morning report to enhance resident education. 

This remains our most highly rated educational experience. In fact, our morning report was the prototype used to develop the clinical problem solving cases in the NEJM by Dr. Jerome Kassirer (former Vice Chairman of the Department of Medicine at Tufts and former Editor-in-Chief of the New England Journal of Medicine). Dr. Kassirer still attends and supervises morning report on Friday mornings! 

Journal Club:
Residents present a recent journal article twice a month. They are assigned a faculty mentor (content expert) along with a methods expert to gain a deep understanding of the article and its place in the larger literature on that specific topic. Presentations are interactive where residents are asked to critically evaluate the article and focus on the fundamentals of study design and biostatistics.

Interdepartmental Morbidity & Mortality Conference: 
Held every month, this conference focuses on Quality Improvement. Our residents work closely with our Quality Improvement experts to disentangle the case and learn the fundamentals of a root cause analysis. They present their findings during this conference which is moderated by department of medicine leadership. 

Noon Conference:

This daily interactive conference is designed to teach a variety of general medicine and subspecialty topics to the residents directly from our expert faculty members in a case-based format. For the first two  weeks of the academic year this conference is dedicated to incoming interns and designed to refresh their knowledge on fundamental internal medicine topics (during this time they are provided coverage for their clinical duties).  

Intern Noon Conference:
Every 2 weeks this conference provides interns with ongoing education in the fundamentals of medicine. Topics include bread and butter internal medicine topics, ultrasound training, physical diagnosis (eg. Approach to cardiac murmurs, joint exam, gait abnormality, etc), clinical reasoning, and how to review the medical literature (part of our Evidence Based Medicine curriculum). During these conferences interns are provided coverage for their clinical duties. 

Medical Grand Rounds:
Every Friday at noon we invite  a mix of guest lecturers and Tufts Medical Center faculty to present a wide variety of medicine topics in their area of expertise. Internal Medicine residents and Chief Residents present cases in an interactive format several times during the year as well. View past ground rounds >

Patient Safety/Quality Improvement: 
Interns have 1 week dedicated to Quality Improvement education. During this time they work closely with Patient Safety and Quality Improvement experts at Tufts Medical Center and receive didactic and interactive lectures on this topic. Additionally, they gain hands-on experience to apply these skills under close supervision to a real Patient Safety event or Quality Improvement project.

Other Conferences:
During subspecialty rotations, residents are invited to attend specialty clinical and research conferences in the respective division. While on their Primary Care rotation, residents have dedicated lectures on primary care topics.
 
In conjunction with the Graduate Medical Education office at Tufts Medical Center we launched a Professional Development and Business curriculum in 2019 designed to enhance resident education in topics such as macro and microeconomics of the US Healthcare System, quality metrics, and medico-legal basics along with panel advice from physicians in a wide variety of different clinical, research, and administrative positions. 

Lastly, the Graduate Medical Education office at Tufts Medical Center sponsors several educational conferences for trainees during the year on topics such as review of job contracts, conflict resolution, and leadership.