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The primary purpose of the fellowship is to provide trainees with an opportunity to experience inpatient care as provided through a Hospital Medicine Service, an approach that is becoming increasingly common in hospitals across Canada. The specific educational goals and objectives, classified by CanMEDS roles, include:
During the rotation,
most learning occurs directly in association with patient care activities, including reviewing case presentations, discussing investigation and management strategies, and discharge planning, in conjunction with the attending physician and the rest of the team. All residents and fellows are also encouraged to attend Morning Report, IC/DC (Bullet) Rounds, Noon Rounds, and Medical Grand Rounds. When patient care responsibilities permit, they are encouraged to participate in scheduled educational sessions organized for the General Medicine Teams. While didactic educational sessions provide value, the education emphasis of this
clinical fellowship will be found in the daily assessment and management of patients. This is a competency-based learning fellowship, which means that the learning is “by doing”, including bedside teaching and patient care reviews. Classroom-based learning is de-emphasized. The Hospital Medicine attending will provide a minimum of 2 structured Team teaching sessions per week, at 3:00 pm on Tuesdays and Thursdays (or other agreed-upon days) on topics related to Hospital Medicine.
All residents and fellows will have a formal evaluation at the completion of each block using standard U of T in-training evaluation forms. Informal feedback is provided by the Attending Physician at the midpoint of the rotation, as well as on an ongoing regular basis.