1. The Medical Matrix:
Believe it or not, the Board makes the learning objectives for the Internal Medicine Boards available. The Tulane Curriculum is based upon these learning objectives.
Each year all Tulane residents take the In-Service Training Examination. The results of this exam are not used for promotion or evaluation, but rather to alert the Tulane resident to his or her area of greatest improvement. Residents usually choose to do an elective in the area of their greatest weakness in order to tighten up their game. At the bottom of the sheet is a listing (by code) of all of the learning objectives the resident missed on the examination.
 The medical matrix is the key to shoring up these weaknesses. By plugging in the code number of the missed objective, the Tulane Medical Matrix takes the resident to the question he or she missed. By clicking on the learning objective, the matrix takes the resident to a PDF file of a high-yield review article on the topic chosen from the top five internal medicine journals in the past five years. This is important, because after a day of work, you’ll want to have focused, efficient study time in order to catch that great jazz band ready to play on a Tuesday night! (Philosophical tenet #5- there should be no time wasted.)
The task of the Tulane resident, then, is not to waste time trying to figure out what to read, nor to waste time reading again what he or she already knows. Instead, the Medical Matrix focuses the resident on what he or she most needs to know. If you complete the Medical Matrix over your three years at Tulane, I guarantee you will pass the Internal Medicine Boards- 100% of those who have done so have passed their boards with flying colors. (Philosophical tenet #3- shore up your weakness to get the maximum juice for the squeeze).
To help you even further, the Friday School schedule is also based on the ABIM learning objectives (see below). If it sounds too good to be true, it is.
The catch is that the Tulane Medical Matrix is only available to Tulane Residents.
2. Friday School:
Wow, are you going to love this! Friday School is the most innovative and forward-thinking curricular innovation in the country. Click on the link to see Friday School in Action!
3. Work Rounds:
Autonomy is a feature of the Tulane Resident’s experience, and work rounds epitomizes this principle. You can only learn medicine by actively making decisions, and it is the protected hour of work rounds that enables Tulane Residents to learn the important skill of making decisions. Learn more about work rounds in “A Day In the Life.”
4. Morning Report:
Morning report is not a lecture- it is a graduate-level discussion conference where the residents do the talking. Learn more about morning report in “A Day In the Life.”
5. Attending Rounds:
Attending rounds is not a time where you watch your attending write notes, nor is it a time where the attending merely flips cards while you stand passively by. Attending rounds at Tulane is the old-school model of learning medicine at the bedside. Learn more about attending rounds in “A Day In the Life.”
6. Afternoon Teaching:
The learning doesn’t stop when the work is done. Each resident at Tulane is trained in the art and science of medical education, and after this formal training the expectation is clear: All residents at Tulane are expected to teach their team. Learn more about developing mastery in clinical education at Tulane in “Learning to Teach.”
7. Standing Conferences:
Grand Rounds, M&M, CPC, CPS: Grand Rounds occurs each week. Each Friday at noon one of the four standing conferences occurs: CPC, CPS, M&M, Jeopardy. Morbidity and Mortality conferences focus upon areas for improvement in patient care, whether it be mistakes that were made, or systems areas that could be improved to augment patient care. The Clinical Problem Solving conference evokes the expertise of one of Tulane’s Faculty members in solving a difficult or interesting case. The Clinical Problem Solving conference is similar to the CPC conferences, except that the discussant is not provided the case ahead of time, and leads an interactive discussion as the case proceeds.
8. Spartacus -- Coming soon!
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