title: Chief's seminar: turning interns into clinicians.
abstract: BACKGROUND
  Recent changes in healthcare delivery have necessitated residency education reform. To adapt to these changes, graduate medical education can adopt a chief resident-led clinical curriculum. Chief residents are ideal clinical instructors, as they are recent graduates who have excelled in their residency programs. To effectively use the limited time available for education, chief residents can implement active learning techniques. We present a chief resident-led, small-group, problem-based curriculum for teaching first-year internal medicine residents, and provide preliminary data supporting the efficacy of this approach.
  
  
  METHODS
  The seminar consisted of 11 4-week modules. Week 1 was a team-based crossword competition. Weeks 2-4 were small-group, problem-based clinical reasoning sessions taught by chief residents. The program was evaluated via pre- and post-module multiple-choice tests. Resident satisfaction data were collected via self-reported, anonymous surveys.
  
  
  RESULTS
  Preliminary results revealed a statistically significant increase from pre-test to post-test score for 9 of the 11 modules. The chest pain, fever, abdominal pain, shock, syncope, jaundice, dizziness, anemia, and acute kidney injury modules achieved statistical significance. Additionally, resident satisfaction surveys show that this teaching approach was an enjoyable experience for our residents.
  
  
  CONCLUSIONS
  Our chief seminar is an evidence-based, clinical reasoning approach for graduate medical education that uses active learning techniques. This is an effective and enjoyable method for educating internal medicine residents. Because of its reproducibility, it can be applied throughout residency education.
authors.affiliation: Department of Internal Medicine, Lenox Hill Hospital, North Shore-LIJ Health System, New York, 10075, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Dittus
authors.affiliation: Department of Internal Medicine, Lenox Hill Hospital, North Shore-LIJ Health System, New York, 10075, USA.
authors.forename: Vanya
authors.initials: V
authors.lastname: Grover
authors.affiliation: Department of Research, Lenox Hill Hospital, North Shore-LIJ Health System, New York, 10075, USA.
authors.forename: Georgia
authors.initials: G
authors.lastname: Panagopoulos
authors.affiliation: Department of Internal Medicine, North Shore-LIJ Health System and Hofstra North Shore LIJ School of Medicine, Great Neck, 11021, USA.
authors.forename: Kenar
authors.initials: K
authors.lastname: Jhaveri