Clinical Teaching on the Acute Care Floor
| Title | Venue | Teaching Strategy | Type of learners | # Learners in a year |
| Nocturnist Shifts | Acute Care Floor | In-person teaching as we care for new patients admitted to the PHM service. | Pediatric residents, 3rd and 4th year medical students | 60 |
| Inpatient Pediatrics Service Week | Acute Care Floor | In-person bedside teaching, including during Family-Centered Rounds | Pediatric and Rotating residents, medical students | 32 |
As a Pediatric Hospitalist, I work with residents and medical students to care for patients admitted to the Acute Care Floor.
During a week of service, I lead a team of team that is primarily responsible for the care of a cohort of patients. Each day, we have Family-Centered Rounds where we discuss our medical-decision-making (MDM) and have the opportunity for bedside teaching.
During a night shift, I am responsible for taking calls from the Emergency Department to accept patients and staffing those patients with the residents. With each patient, I assess the learners’ ability to gather information and synthesize a patient’s presentation into a cohesive assessment/plan with a significant focus on MDM.
Regardless of the type of shift I am on, I am frequently asked by learners to provide off-the-cuff teaching on a number of topics. Recently, I have discussed chest tube management, IV fluids, hyperbilirubinemia, neonatal fever, bronchiolitis, pneumonia, and finances (that last one seems to be particularly popular).
Recurring Lectures
| Title | Venue | Format | Type of learners | # Learners in a year |
| Neonatal Hyperbilirubinemia | ACH Resident Noon Conference | In-person Lecture | Pediatric and Rotating Residents | 40 |
Other Contributions
| Title | Venue | Teaching Strategy | Types of Learners | # Learners |
| Simulation: Family-Centered rounds | 2023 Intern Boot Camp | Simulation with Standardized Patient | Pediatric 1st-year residents | 6 |
| Simulation: Identifying Sick vs. Not-Sick | 2023 Intern Boot Camp | Simulation with Mannequin | Pediatric 1st-year residents | 8 |
| Lecture Neonatal Fever and Hyperbilirubinemia | 2023 ACH APP Virtual Conference | Recorded Lecture | Advanced Practice Providers | 200+ |
Learner Assessment
| Activity Type | My Role in Learner Evaluation (development, implementation, analysis/synthesis | Evaluation Context | Category of Miller’s Triangle | How does this show evidence of teaching effectiveness? |
| Direct Patient Care on Acute Care Floor | Implementation | Estimated 90+ residents and medical students per year | Does | With feedback and coaching, most residents meet their required ACGME and ABP milestones and become board-certified general pediatricians. |
| Simulation | Implementation | 14 Pediatric PGY-1s | Shows how | By the end of the Intern Boot Camp, all residents are prepared to begin residency in earnest and care for their patients. |
Feedback from Learners
“Always takes time to teach, even on busy nights”
“Dr. Mike loves to teach and uses every opportunity to do so. He goes above and beyond to help residents.”
“Tom is an incredible advocate for residents from the little things to the big ones. He always makes sure that we have eaten and are doing ok on crazy nightshifts. He also does a lot of teaching on nights where there is no built in time to teach. He is so intelligent and understanding and truly wants what is best for the residents when it comes to their learning and wellbeing.”
“Great teaching during nights! He also always offers great feedback and is an excellent resource if you have questions about anything.”
“He is so passionate about medical education that he made a podcast with pearls of inpatient wisdom! He has given chalk talks (while on nights!) on everything from hyperbilirubinemia to saving for retirement. He always advocates for residents when we need help with something.”
“Excellent attending, goes out of his way to teach well on night shifts. Inspiring to see that in such a young attending.”
“He goes out of his way to teach with every patient encounter and listens to resident opinions and really talks about why we’re doing things and why we’re not doing other things.”
“Because he is ALWAYS finding teaching points, even on nights, and makes learning approachable, even for brand new interns!”
“Teaches throughout every presentation, makes this a priority and never is in too much of a hurry to take the time to make sure residents understand what is going on with each patient, excellent lectures on highly relevant topics”
“He is always enthusiastic about teaching, spends extra time with families, advocates for the residents, and is an overall kind human being :)”
“Excellent teacher and very good attending.”
“Always commits to teaching effective, worthwhile lessons while on shift”
“Dr. Mike does an exceptional job with engaging and teaching residents and medical students on nights. Nights can be busy and stressful but Dr. Mike does a great job with balancing autonomy and support for the residents. In addition he creates great resources for learners with his PHM podcast and carves out time to give formal lectures on nights.”
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