Academic Half Day - Respiratory Medicine

From U of M Internal Medicine Wiki


Academic Half Day
When: Wednesday 13:30 - 17:00
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The Respiratory Medicine Subspecialty Education Program's Academic Half Day is protected time for formal teaching activities. Residents are expected to be present and are exempt from all other activities during this half day, which begins formally on September 1 and runs through to June 30 of the following year. During the summer months (July and August) introductory teaching sessions are organized and the chest conference is continued (see item 4 below). During July and August, trainees are encouraged to attend Department of Medicine lecture series on medical emergencies.

13:00 - 14:30 - Advanced Pulmonary Physiology

  • This course is offered to both the first- and second-year residents. Because the subject matter is advanced, trainees often choose to reinforce what they have learned in their first year by attending this course in their second year. A list of the lectures for 2007–2008 is appended. Advanced pulmonary physiology is an accredited course at the University of Manitoba. The residents receive certification upon its conclusion and successful completion of the final examination.

Pulmonary Function Testing

  • This didactic course on techniques of pulmonary function testing and interpretation is scheduled from September to February of each academic year. Objectives of this course are to prepare residents for the role of consultants who can provide expert interpretation of pulmonary function tests.

Clinical Epidemiology

  • A short course on epidemiology and biostatistics is organized each year. Usually four lectures of 1 to 1½ hours each cover most of the following topics:
  1. Epidemiologic approach to disease and intervention
    1. Measuring the occurrence of disease
    2. Assessing the validity and reliability of diagnostic and screening tests
    3. Assessing the efficacy of preventive and therapeutic measures: randomized trials
  2. Using epidemiology to identify the cause of disease
    1. Cohort studies
    2. Case-control and cross sectional studies
    3. Estimating risk
    4. Bias, confounding, and interaction
  3. Applying epidemiology to evaluation and policy
    1. Using epidemiology to evaluate health policy, etc.
  4. Biostatistics
    1. Types of data analysis
    2. Univariate analysis
    3. Bivariate analysis
    4. Multivariate
    5. Probability
    6. Hypothesis testing
    7. Confidence intervals
    8. Statistical power

14:30 - 15:30 - Clinical Chest Conference

  • The chest conference will follow a strict schedule of presenters (respiratory residents, critical care residents, sleep breathing disorders). The rounds consist of the presentation of two patients, including their radiographs, relevant pulmonary function tests, and relevant pathology. The resident must speak with the pathologist at least two weeks in advance to prepare color slides and arrange for the pathologist to be present at the rounds.
  • Faculty at the St. Boniface Hospital and at Health Sciences Centre is particularly interested in lung pathology and will review the cases and help residents prepare their cases. These rounds are attended by many groups (radiologists, thoracic surgeons, critical care trainees and support staff; pediatric respirologists, etc.).
  • Residents are required to limit the didactic portion of their rounds to 10 minutes per case. They are encouraged to ensure that all relevant attendings involved in the care of the patient are present. Residents are evaluated on the quality of these rounds—that is, their preparation, presentation, and so on.

The specific objectives of the clinical conference are as follows:

  • Target audience: respiratory residents and faculty, rotating residents, and students and allied health professionals.
  • Develop an approach to the differential diagnosis and cost-effective evaluation of patients with respiratory disease.
  • Learn a multidisciplinary approach (clinical-pathological-radiological) and teamwork.
  • Develop an approach to the management of complex clinical problems.
  • Provide a learning experience for the residents in identifying a clinical question, searching the medical literature, and making an informative presentation.
  • Prepare the residents for clinical consultations and Royal College examinations.
  • Provide scientific, evidence-based literature of the clinical topics as continuing medical education for the target audience.
  • Provide an interactive presentation to include both the presenter and the audience.

15:45 - 17:00 - Research in Progress (RIP)

  • Ongoing research activity is presented at these rounds. First-year residents are encouraged to attend, especially if the topic is relevant to an area of research in which they intend to be active. These rounds are compulsory for the second-year respirology residents. These rounds begin in September.

15:45 - 17:00 - Journal Club (alternated with Research in Progress)

  • Critical appraisal of literature is formally taught through the biweekly journal clubs. Articles for review are circulated to all section members a week in advance. Currently these meetings are held every other Wednesday at 1545 hours.

The McMaster University format is recommended to critically evaluate each article. Please read the enclosed articles in the section ‘Critical Appraisal of Medical Literature.’ The objectives of the journal clubs are to provide an understanding of medical literature by:

  • Reviewing articles reporting major new clinical observations.
  • Learning how to review the literature critically.
  • Learning the application of principles developed by the Evidence-Based Medicine Working Group about how to use an article dealing with diagnosis, therapy, and prevention. Developing an evidence-based approach to the evaluation and management of a wide variety of respiratory disorders.