The BCRP features an intensive orientation process with the specific intention of better preparing interns for the first day of internship. Besides the traditional information sessions, we deliver simulation exercises to enhance the function of interns in their inpatient rotations, and provide modules and clear guidelines about written documentation, oral presentations, procedures, the I-PASS handoff curriculum, and on-call expectations. We also orient new interns to the information systems and have them gain competence in writing orders, viewing medical information, laboratory results, and images, and in navigating the electronic health record systems. Although the Orientation covers many work topics, it is balanced by social events to facilitate new interns getting to know their classmates. This year’s orientation was held virtually except for small group sessions for learning Pediatric Advanced Life Support and the Neonatal Resuscitation Program and a large group session for the White Coat Ceremony on the Harvard Medical School Quadrangle.
Intern Boot Camp
Based on feedback from current residents and staff, last year the BCRP added a new clinical boot camp into intern orientation a few years ago. During the boot camp, incoming interns will spend time on the wards taking care of a small number of patients in a highly supervised fashion. Among other topics, there will be instruction on how to present a patient on family centered rounds, how to call a consult, how to safely enter orders and how to document effectively and efficiently. Interns will be able to practice these skills with increased supervision and guidance and therefore be better prepared for clinical practice on day 1 of their first rotation. This program was enthusiastically received by the interns who felt it gave them confidence and better prepared them to start internship.
There are two residency-wide retreats held in the fall and late winter in which we address a variety of topics that are part of the basic culture or values of the residency program. In the past, we addressed themes such as teaching, leadership, feedback, work-life balance, patient-centered care, communication skills, the I-PASS handoff curriculum, Patient and Family Centered Rounds based on the I-PASS mnemonic, and skills training. It is an opportunity for all residents to spend a day together to reflect on the topics and have a welcome break from the day-to-day grind of residency.
Residents provide the program with enormous feedback during these retreats, and this feedback drives curricular innovation, renovation and, at times, transformational change for the BCRP.
Rising Class Orientations
In the late spring, we host class-wide orientation for Rising Juniors and Rising Seniors, in which we focus on new aspects of the curriculum, leadership skills, and personal and professional development.