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The design of the curriculum at CHS Blue Ridge is aimed at creating an active and dynamic learning environment. Please see below for an overview of the components of the educational program.

Intern Bootcamp
In order to meet the needs of individual interns and to improve intern integration into the program, interns participate in high yield group-based activities at the beginning of the year. This is comprised of sessions covering topics such as the 10 most common acute care issues in the hospital, EKGs, ABGs, high yield physical exam, ACLS, starting insulin, GI bleeds and many more. 

Senior Resident Leadership Training
In order to prepare advancing residents for the transition into a supervisory role, leadership training is provided during the month of June for all rising PGY2s and PGY3s. 

Noon Report
Noon report takes place every Wednesday from 12:30 - 1:30pm. It is run by core faculty and is resident led. Residents prepare case presentations on relevant topics, focusing on clinical pearls and guidelines. 

Grand Rounds 
Third-year residents are mentored to present grand rounds with a topic expert and program director mentorship.

Journal Club and Morbidity and Mortality Conference
Journal club and M&M are held regularly at CHS Blue Ridge. These conferences are run by a PGY2 or PGY3 resident with mentorship from a core faculty member. During journal club, the resident presents a pertinent clinical question and a journal article that answers the question. During this time, the group discusses validity of the article, results and clinical applicability of the findings. Morbidity and Mortality conference focuses on the concept of root cause analysis of a case that had an adverse outcome. This conference is multidisciplinary with multiple departments of the hospital often represented. The goal of this conference is to educate residents on patient safety and increase awareness of system-based issues that contribute to individual nurse or physician error.

Board Review
A board reviewed FOCUS series based on MKSAP is delivered by the program director weekly.The residents generally use the MKSAP question bank to review questions with the input of faculty. Additionally, residents use the New England Journal of Medicine’s Knowledge + for board preparation. This is an online board prep series purchased for each resident and available starting during the intern year. PGY3s attend a more in-depth board review series to prepare for the ABIM exam. 

Invited Lectures
At least twice a month, specialists provide lectures on clinically relevant topics.

Didactics
An 18-month cycle of weekly didactics covering all clinically relevant topics are taught on Fridays. Friday afternoons are protected time for didactics, invited lectures, and board review. 

Simulation and Online Learning 
In addition to didactic education, residents have a variety of simulation and online learning. 
• Johns Hopkins modules in topics such as hypertension and anemia
• Simulation learning including procedure workshops, doctor patient relationships and code blue
• Intern Patient Safety Skills OSCE held at CMC main 
• PGY2 Common Critical Care Curriculum held at CMC main
• Women’s Health online modules

Committee Participation
As part of residency training, residents are cycled through various institutional committees to gain an understanding of hospital administration and quality. These committees include infection prevention and control, antibiotic stewardship, an optional administrative/research month with the CMO, stroke committee, etc. 

Testing
The Internal Medicine Residency Program participates in the ACP In-Training Exam in Internal Medicine every September. The residents are also required to take the following exams during residency.


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