Conferences and Educational Programs

Bedside ultrasound assessment is becoming more and more relevant in routine patient assessment and St. John is proud to be at the forefront of providing POCUS training to its residents. Through the use of handheld butterfly and portable ultrasound machines by graduation each resident will be proficient in a number of procedures providing skills that will lay the foundation of a successful internist. Our curriculum provides routine training in the following.

• Ultrasound guided central line placement
• Ultrasound guided arterial line placement
• Ultrasound guided IV placement
• Ultrasound guided thoracentesis
• Ultrasound guided paracentesis
• Bedside assessment of lung parenchyma with emphasis on identifying disease processes such as pneumonia, pulmonary edema, pleural effusion, pneumothorax
• Bedside assessment of the IVC to assess for fluid status
• Bedside assessment for DVT
• Limited bedside echocardiography to assess for pericardial effusion, depressed ejection fraction, valvular abnormalities

Utilizing our simulation center twice monthly residents participate in small group interactive sessions lead by our internal medicine faculty as well as pulmonary critical care faculty covering topics including.

• Ventilatory Management
• Approach to pressor management
• Mock codes
• Approach to Rapid Responses
• Ethics and approach to hospice and palliative care
• Procedure skills

Regimented lecture series in June and July geared toward helping new senior residents and interns to adjust to their roles with topics including.

• Management of Hypoxia
• Approach to Hospice and Palliative Care Discussions
• Tachycardia and Bradycardia Management
• Approach to Shock and Vasopressors
• Acute Management of Delirium
• Code Blue Management
• Code Stroke Management
• Surviving ICU Nights
• Intern Survival Guide
• Approach to IV Fluids
• Approach to the Outpatient Clinic
• Heart Failure Management
• Clinical Decision Making Strategies

Regional and national experts present in their given field. Notable examples include:

• Rana Awdish, MD: Pulmonary Critical Care at Henry Ford, author of In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope.
• Emily Somers, PhD, ScM: Associate Professor of Internal Medicine and Rheumatology at University of Michigan
• Sanjay Saint, MD, MPH: Chief of Medicine at the VA Ann Arbor Healthcare System and the George Dock Professor of Internal Medicine at the University of Michigan.
• Hallie Prescott, MD, MSC: Pulmonary Critical Care at University of Michigan
• Safwan Badr, MD, MBA: Professor of Internal Medicine, Physiology and Biomedical Engineering, Chief of the WSU Division of Pulmonary, Allergy, Critical Care and Sleep Medicine
• Joel Topf, MD: Clinical Nephrologist at Ascension St. John, Assistant Clinical Professor at Oakland University William Beaumont School of Medicine, and featured speaker on the Internal Medicine Curbsiders Podcast
• Fatima Cody Stanford, MD, MPH, MPA: Obesity medicine physician scientist, educator, and policy maker at Massachusetts General Hospital and Harvard Medical School

Subspecialists from our expert staff at Henry Ford St. John present on a breadth of topics ranging from material mapped to the ABIM blue print to the latest advances in their fields. Conference occurs Monday through Friday from 8:00 am - 9:00 am and 12:00 pm - 1:00 pm.

Faculty Members Included:

• Nancy Mesiha, M.D.
  Program Director, Cardiology
• Josephine Dhar, M.D.
  Rheumatology
• Mohammed Barawi, M.D.
  Gastroenterology
• Leonard John, M.D.
  Program Director, Infectious Disease
• John Lee, M.D.
  Program Director, Critical Care
• Rene Franco, M.D.
  Associate Program Director, Pulmonary and Critical Care

Conferences dedicated to research project design, data collection and statistical analysis. The Internal Medicine Department and the Office of Graduate Medical Education both support clinical and bench research activities. All residents are required to complete at least one research project presented initially at a departmental level. The best projects from each department are selected for the hospital wide research day where the winners are selected for prizes and the opportunity to present on a national level.

This is a monthly session held to discuss mortality and morbidity occurring on the Medicine Service. A review of the facts of the case is followed by discussion of what occurred — including diagnosis, treatment, behavioral and ethical issues. These are anonymous and the discussion focuses on learning and quality improvement for patient safety.

This is a monthly session held to discuss mortality and morbidity occurring on the Medicine Service. A review of the facts of the case is followed by discussion of what occurred — including diagnosis, treatment, behavioral and ethical issues. These are anonymous and the discussion focuses on learning and quality improvement for patient safety.

The ethics conferences occur bimonthly and are dedicated to discussion of the principles of medical ethics. A case review format is used to generate discussion of moral options and ethical behaviors within a given set of circumstances. The hospital has an active ethics committee and a full time ethicist who help with these difficult areas.

At Henry Ford St. John we are not only focused on learning and practicing established medical guidelines, but also critically appraising new medical literature. Journal Club is a conference held once to twice monthly at noon. Faculty mentors and resident presenters collaborate, reviewing recent literature relevant to general internal medicine and with the potential to be practice-changing. Once an article is selected the resident and mentor review the article together in order to put together a brief summary presentation. Following the presentation the residents break up into small groups of 6-10 residents, each group lead by a faculty member. After small group discussion we return to a large group format to discuss key points presented by each group and finish with a final take home message about the validity of the journal article and whether or not the article is practice-changing. Our goal is to enable each resident to think critically about medical literature by the time they graduate.