The Combined Emergency and Internal Medicine program provides a unique opportunity to train in two specialties. However, the breadth of information across the two disciplines can sometimes be overwhelming. At Kings County Hospital / Downstate Medical Center, there is a wealth of didactic opportunities to enlighten emerging doctors.

Systems based curriculum / Noon Conference
  • The Internal Medicine residency features a systems-based curriculum. Each month a specific system is emphasized and the resident is expected to independently study. Biweekly noon conferences further reinforce this learning. Conferences cover essential core topics and by the end of the month housestaff are well prepared to sit for a review exam.

Intern Morning Report
  • Weekly Intern-Morning reports allow integration of academics with patient care. Anyone from a chief resident to department chair will lead and facilitate discussions on a particular topic or a case presentation. This is a valuable time where junior house-staff have the opportunity to develop differential diagnoses and approaches to complicated cases.

Resident Morning Report
  • For the resident on the inpatient service, there are triweekly Resident-Morning reports. Chief residents, attendings and the chief of service all present for these gatherings. A variety of topics are covered from hospital policies and practices, integration of evidence-based medicine, and the discussion of complex patient presentations. Round table meetings often move to the patient’s bedside to incorporate Hippocratic-style teaching into the academic discussions.

  • Morbidity and Mortality Conference is once per month and helps to highlight safety issues while reviewing a case in which different approaches to management are discussed. These conferences are well attended by faculty and chairs from the various medicine subspecialties. These conferences are prepared and presented by medical housestaff.

Grand Rounds
  • Grand Rounds combines didactics with state of the art research and technology. Once weekly, an invited speaker will discuss a particular topic in medicine. This is usually an update on where we are in the state of medicine and the advances on the horizon. Grand Rounds are held in the Alumni Auditorium to facilitate the enormous audience which this presentation draws.

Wed EM Conference
  • To ensure coverage of the core topics of emergency medicine, there is a weekly conference each Wednesday morning that is comprised of lectures and specialized case conferences on a variety of topics. Residents and faculty share responsibility for the preparation of these conferences.  This provides residents an opportunity to research topics deeply and become comfortable organizing and presenting lectures to large groups. The curriculum has been organized so the core-content of emergency medicine is completely covered every two years. Additionally, senior residents attend other specialized lectures.  These are geared to advanced practitioners and cover topics in greater detail (eg. Medico-legal topics, contracts, billing, and EM leadership)
  • EM/IM residents take part in all the same educational experiences as the categorical residents while on EM rotations.  EM/IM residents take active leadership roles in the critical care conference series and core content series.  See EM Categorical Didactics