Medicine 2011 Annual Report

Education

Residency Programs

Medicine education strives to provide future physicians with the tools to practice value based clinical care, while embedding in their “adaptive unconscious” the concepts that promote quality, patient safety, teamwork, personal accountability, intellectual inquiry, continuous improvement and commitment to excellence.

The Department sponsors the Categorical Internal Medicine Residency Program, along with two combined programs (Medicine-Pediatrics and Emergency Medicine-Internal Medicine), a one-year Preliminary Medicine program, and a Transitional Year program. A strong academic curriculum combined with extensive "hands-on" training offers an outstanding residency experience. Well over 100 faculty and volunteer attending physicians are committed to training the next generation of clinicians and physician leaders in both inpatient and outpatient settings.

Class of 2010-2011

Internal Medicine

Our residency programs prepare well-rounded graduates for the challenges of providing high quality, compassionate, cost-effective care as primary care physicians, hospitalists, and specialists. As many as 40 percent choose to continue their career paths in Delaware. The chart below shows next steps for this year’s graduating residents from the Internal Medicine, Medicine-Pediatrics and Emergency Medicine/Internal Medicine programs.

Curriculum Redesign Results

The Internal Medicine Residency Program redesigned its curriculum to allow residents to focus solely on the outpatient Adult Medicine Office or ambulatory electives without competition from the demands of patient care on inpatient units. This innovative curriculum was presented nationally, resulting in increased recognition for Christiana Care as a national innovator in residency training and visits from program directors from other institutions to observe our success.

Resident outcomes: Resident surveys demonstrated that residents had better focus (on either inpatient or outpatient care), less stress, a better Adult Medicine Office experience, and improved continuity of care in the outpatient setting.

   
Figure 1

Faculty outcomes:  Faculty perceived reduced interruptions in residents’ schedules (Figure 2), an increased sense of residents’ ownership of their practices (Figure 3),and agreement (100% for GIM faculty and 80% for subspecialty faculty) that changing the curriculum was beneficial 

   
Figure 2                             

Figure 3

Medicine-Pediatrics

Celebrating 21 years as a residency program.
The Med-Peds section has 25 active physician members in New Castle County with 19 members with part/all of their job description as part of Christiana Care Health System. Seventeen are graduates from our residency program.

A nationally recognized Transition Care Practice (TCP) at Wilmington Hospital provides care for young adults with special health care needs.

Medicine/Emergency Medicine

Fellowships

Expanding fellowship opportunities have strengthened our standing as a respected academic center.

Cardiology and Interventional Cardiology Fellowship Program Updates
The three-year cardiovascular disease fellowship program welcomed new first year fellows Dimitrios Barmpouletos, M.D., UCONN; Lionel Malebranche, M.D., Christiana Care; Asim A. Mohammed, MB, BS, University of Illinois – Advocate Christ Medical Center; and Subba Reddy Vanga, MB, BS, St. Luke's Hospital, Kansas. Matthew Grove, D.O. and Leonid Mandel, M.D. entered the Interventional Fellowship program in July.

Nephrology Fellowship Update
The Nephrology Fellowship program earned five-year accreditation by the Accreditation Council for Graduate Medical Education. Manthodi Faisal, M.D., who entered the program two years ago as our first fellowship candidate, graduated in June and joined Nephrology Associates, PA–Delaware. The new first year fellow is Brooke Mobley, D.O., who just completed her Internal Medicine residency at Christiana Care. She joins Waqas Ahmed, M.D., who is entering his second year of nephrology fellowship training.

Medical Students

Teaching medical students is an important ongoing commitment. The Department of Medicine is an integral part of the Jefferson Medical College student program. In FY11, 40 second-year students taking "Introduction to Medicine," 64 third-year students and 92 fourth-year students rotated through the Department. In addition, 53 students from 8 medical schools throughout the United States as well as students from 3 medical schools abroad did fourth-year medical student clerkships here. One observer from London did a four-week rotation in Infectious Disease.

International Exchange
In summer, 2011, the Department of Medicine was proud to welcome Abdullah Alkhudayri and Ibrahim Almutairi, fifth-year medical students from the King Fahad Medical City Complex, Riyadh, Saudi Arabia, who spent eight weeks completing medical observerships. Their visit included shadowing Cardiology and Rheumatology physicians at Christiana Hospital.

Undergraduate Students

Medical Scholars Program
The Department introduced two qualified undergraduate students to clinical medicine through the University of Delaware Medical Scholars Program, offered in conjunction with Jefferson Medical College. The Internal Medicine practicum emphasizes the psychosocial aspects of patient care.

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