101 W. 8th Ave.
Spokane, WA 99204
P (509) 474-3237
F (509) 474-5316
The Purple inpatient team is a novel approach to assisting the senior resident develop skills to successfully manage a team as well as learn/practice educational techniques. Each R2 rotates on this team, with a purposefully smaller number of patients, prior to rotating on traditional inpatient teams with larger numbers of patients and more learners.
Our residents and faculty consider these 10 diagnoses to be the cornerstone to internal medicine. We encourage every R1 to master this list – everything from epidemiology, pathophysiology, diagnosis and treatment.
- ACS (includes STEMI, NSTEMI)
- GI Bleed
Each year the IMRS faculty teach the ACLS course for all of the interns as part of orientation.
Second year residents take an ACLS-EP course given by the IMRS faculty.
ACLS in Spokane offers the following benefits:
- IMRS pays for the course and certificate
- Local faculty run the course so you get a jumpstart on meeting many of us
- We utilize scenarios from our own institutions to begin the familiarization process
- Provides recertification for ACLS (IMRS pays for the course and cards)
- Allows exploration of in-depth, but less common ACLS scenarios
- Toxins, including poisoning
- Severe asthma management
- Lightning strikes
- Advanced electrolyte abnormalities
- Advanced airway procedures(using pig tracheas for cricothyroidotomies)
IMRS is fortunate to have a faculty dedicated solely to medical education. We have experienced very little turnover in faculty (although growth as we have welcomed new faculty each year for the last four years) which allows for consistency of teaching and evaluation. They are creative and innovative in their approach to medicine and are interested in each learner.
Transition to Senior Resident
All of the R1s attend an evening (complete with food) with the Program Director and a senior resident. R1s learn the duties of a senior resident including how to present to attendings at night, guidelines for calls, covering clinic patient calls, etc. In addition, they identify traits they wish to emulate as a senior resident and those they will avoid. Leadership of a team is discussed and they troubleshoot potential problems inherent in a team. This work is continued in the Teach the Teacher workshop.
Teach the Teacher Workshop
Annual workshop organized by faculty and fellows, geared specifically to give tools for success for senior residents.
- Teaching skills for senior residents
- Grading, teaching and managing medical students
- Dealing with difficult interns and faculty
- Being an effective senior on night float
- Conflicts at the workplace
- Managerial skills for senior residents
IMRS provides a vital Medical Humanities curriculum, built on evidence of clinically-relevant empathy and adult learning of "theory of mind." Noon conferences use narrative literature to examine our own stances and assumptions, and navigate difficult ethical and clinical situations. Social science elements build cultural humility and required care competencies. The history of medical thought illuminates physicians' moral and functional role in society. Physical examination skills are taught using in part art-based habits of observation and interpretation. Centrally, IMRS emphasizes Medicine itself as an Art, a set of actions to be practiced and performed, rather than just a body of facts to be known.
IMRS faculty maintain an active education-research program on the impact of humanities work on clinical performance and human empathy. We encourage our residents to participate in scholarly activity, research, publications and presentations in this arena, along with their other clinical interest topics.