Internal Medicine Residency
Explore the Leadership Program
Due to the ever-growing demands for exceptional physician leadership, both in developing a dynamic health care environment and managing the demands of modern clinical practice, the Mass General Internal Medicine Residency Program has developed a formal Leadership Program for all residents. Led by Christiana Iyasere, MD, MBA and Meridale Baggett, MD, the Leadership Program is based on the case method created at Harvard Business School, and provides residents with hands-on learning around key leadership concepts that they can immediately bring to practice in their everyday care environments.
The Leadership Program’s goals are to:
- Provide all residents with the essential tools to become effective clinical leaders
- Foster an environment of support and understanding of clinical leadership
- Continue ongoing research into effective physician-led leadership and clinical teams
Over the course of their training, residents are exposed to the key concepts of: Team Dynamics, Leadership Styles, Leading Clinical Teams, Emotional Intelligence, Negotiation, Conflict Management and Leading Change. These concepts are introduced through multiple settings, including noon conferences, small group discussions of case studies at program-wide retreats, and experiential learning embedded in the medical simulation and consult curriculums.
A key component of the Leadership Program’s success is developing ongoing course assessment and research into concepts of clinician leadership development. Sample research concepts include:
- Impact of the Leadership Program as an intervention on clinician professional development and clinical outcomes at Mass General and additional sites
- Composition and work habits of effective clinical teams
- The role of simulation in teaching and evaluation of leadership skills
Through the Leadership Program, all residents are exposed to key concepts in leadership that they can immediately bring to bear in their clinical roles, providing opportunities for deliberate practice of skills that will serve them in their future careers.
By allowing two weeks for residents to investigate a case that has puzzled even senior consulting physicians, residents on the Pathways Consult Service in the Department of Medicine at Massachusetts General Hospital are able to read primary literature and speak with world experts to inform their analysis.
Through piecing together complex medical histories, interpreting the perspectives of multiple diverse experts and reading literature on the forefront of what is known, Pathways Consult Service allows residents to hone and develop their critical thinking skills. Additionally, often the hypotheses the Pathways Consult Service teams propose settle on mechanisms very few people have studied in depth.
Residents learn more about disease mechanisms to which they may not have had prior experience. They benefit from working in an interdisciplinary team to break down traditional organ-based silos in their investigation.
The rotation culminates with a noon conference during which the Pathways team guides the audience through the questions and hypotheses they generated regarding the underlying biology of their patient’s disease process. Going a step further, the team also presents potential experiments and ways they may interrogate patient-derived samples to discover mechanisms of disease that might be affecting a much broader population of patients.
Point-of-Care Ultrasound (POCUS)
Thank you for your interest in Point-of-Care Ultrasound in the Mass General Department of Medicine Internal Medicine Residency! As a Mass General resident, you will have access to 6 total Butterfly iQ handheld ultrasounds in addition to cart-based ultrasound machines on our procedural service and our intensive care units. We have a longitudinal curriculum of weekly bedside ultrasound rounds named Gel Rounds led by our ultrasound-trained faculty alongside residents which are open to all interested housestaff. Additionally, we have scheduled residency-wide POCUS Residents Reports and bimonthly meetings of our Ultrasound Interest Group though which opportunities exist to update and edit our new POCUS training manual (affectionally known as the Gray Book).
Residents can also participate in a 2-week POCUS elective, during which they will have a unique experience designed to introduce them to the world of point-of-care technology in Internal Medicine. Using a low learner-faculty ratio, residents will take part in an integrated curriculum consisting of didactic sessions that will utilize large group content delivery and breakout small group scanning sessions in the mornings. Further image acquisition and interpretation will be enforced on real patients during dedicated afternoon scanning sessions with hopes to expose the learner to real pathology. Content delivery will be recapitulated by frequent rapid-fire image review and clinical integration sessions.
Simulation and Experiential Learning
The Internal Medicine Simulation and Experiential Learning program is a resident-led curriculum aimed at enhancing inpatient and ambulatory care through deliberate practice in a safe, collaborative environment. The intern inpatient curriculum is integrated into the Bigelow rotation and concentrates on common clinical management scenarios. The Junior curriculum builds on the skills learned as an intern and focuses more on critical care emergencies. Each sim session is led by one of the Senior Sim Chiefs and is facilitated by upper level residents, allowing residents to practice and develop their facilitation, debriefing, leadership and clinical reasoning skills. Feedback to enhance teaching skills is provided by faculty and Sim Chiefs. In addition to inpatient simulation, the sim team is collaborating with other divisions and programs to develop curricula and provide training on ambulatory medicine, medical intensive care sim, and a focus on communication skills including code status training, aggressive patient training and gun violence prevention.
In addition to the program-wide initiatives, residents can also participate in a 2-week simulation elective. The simulation elective is an immersive, educational experience designed to expose residents to a range of simulation and teaching opportunities and provide an introduction to simulation-based research. Through these opportunities, residents:
- Obtain experience in teaching with simulation
- Understand the basic techniques in debriefing and the background behind them
- Obtain experience in case writing for simulation
- Obtain experience in giving feedback with simulation
- May participate in projects to advance the teaching and research missions of the program