Morning report is a resident led conference, moderated by a faculty member every Tuesday and Thursday morning at 7am. Resident teams review interesting clinical cases and discuss the associated topics, including pathophysiology, diagnosis and treatment of the respective medical diseases.

A bi-weekly morning conference where a multi-disciplinary team consisting of medical oncologists, radiation oncologists, surgical oncologists, radiologists and internists. The internal medicine residents and students meet with the multi-disciplinary team to discuss complex cancer cases seen at the institution.

Once per month, members of a multidisciplinary health care team engage in an objective, nonjudgmental review of near misses and adverse outcomes. This resident led conference is one forum that provides clinicians with an opportunity to improve processes and clinical outcomes. The cases presented for discussion are selected because of their educational interest or potential teaching value and incorporate quality improvement tools such as system-based practices and problem-based learning.

Residents attend noon conference, which serves as designated protected time for didactic learning that takes place at noon every Monday, Wednesday and Friday. These conferences are presently conducted via video conferencing in accordance with hospital and local Department of Health guidelines limiting social gathering and are moderated by faculty attending physicians as well as guest speakers from outside institutions. The didactics cover a wide breadth of medical topics including cardiovascular, pulmonary, infectious disease, nephrology, gastroenterology, rheumatology, endocrinology and general medicine. In addition to conferences led by internists and medical subspecialists, residents also participate in the presentation of case studies and journal club discussion of evidence based medicine articles. Workshops on improving communication skills, education and team building are also incorporated into the schedule to promote professional and clinical skills education.

Residents meet monthly with core faculty members to critically evaluate recent articles in medical literature and assess their clinical applicability. Topics discussed include the appropriateness of the research design, the statistics employed, and the appropriateness of the controls that were used. Journal clubs allow residents to review the literature and stay current as well as provide an opportunity to develop critical appraisal skills, stimulate debate, and spark research ideas.

St. John’s Riverside Hospital is committed to furthering institutional excellence by stressing Performance improvement and Quality assurance. Residents are required to participate in a performance improvement or quality assurance project during their time at St. John’s.

Residents meet with Dr. Antonecchia and other performance improvement leaders regularly in order to learn about the processes and protocols used to generate and guide quality assurance and performance improvement efforts. These meetings also serve as a forum for residents to present their own work in performance improvement, quality assurance or patient safety and receive feedback on these projects. Residents will participate in professional clinical patient safety activities, analyze the care they provide, understand their roles within health care teams, and play an active role in system improvement processes.

Performance improvement and patient safety projects currently being conducted include:

• Reducing Clostridium Difficile infections
• Reducing Catheter
• Associated Urinary Tract Infections
• Reducing Patient Falls
• Reducing Hospital-Acquired Pressure Ulcers
• Increasing Hand Washing Compliance

A core philosophy of St. John’s riverside is the importance of proper mentor-ship and an accessible faculty. Each resident is assigned a faculty member who will serve as a mentor. Residents have monthly meetings with their mentor to review their clinical research, performance improvement and patient safety projects. Mentors also discuss board study strategies as well as monitor the resident’s progress in board study. Mentors are designed to give both formal and informal instruction as to the academics and other challenges that residents may face.

SJRH is affiliated with the Lake Erie College of Osteopathic Medicine. We accommodate several medical students per month, assigned to various inpatient and outpatient settings. Residents will have the opportunity to educate and mentor medical students during their core MS3 and MS4 rotations.

Residents are active members of a variety of formal hospital and residency led committees.

The residents from both internal medicine and emergency medicine meet quarterly with no administration present in a Residency Council Forum in order to discuss grievances and concerns regarding the activities and quality of the residency program. These grievances and concerns are brought by elected resident representatives to the Graduate Medical Education Committee for review and resolution.

Elected residents also serve on the Performance Evaluation Committee, which meets quarterly and monitors the quality of the educational activities of the program.

Residents also have the opportunity to serve as a representative on a variety of additional committees including:

• The Performance Improvement Committee
  The Infection Control Committee
  The Stroke Committee
  The Transitions of Care Committee
  The Resident Wellness Committee
  The Diversity Committee
  The Resuscitation Committee