Post-IRB Notes - Raj 3.7.08
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"Grand Rounds" differ by department.

  * internal medicine = mostly faculty presenting esoteric research
  * family medicine = approaches to clinical problems
  * peds = varies
  * clinical pathology = case based (CPC or MNM); usually "what went
    wrong" Grand Rounds; once monthly

Will there be general interest

  * faculty members = older; don't blog; reticence about
    wiki/pedia/anon commenting (validity?)
  * need a younger audience
  * what is the back-end going to provide?
  * how is it going to facilitate exchange?

Raj Recommends: go to some grand rounds

  * our new idea is very divergent from our original purpose
  * case stuff--> residents and staff only Morning Reports

ASIDE: Chair of Alumni Society Jim Hayes

Rather than pose as a GR repository, pose as a collection of cases in
an organized location
People don't go back to review Grand Rounds research topix--not
valuable (too specialized, competition)

Think about content (case vs. research talks) not format (Grand
Rounds)

Is Casepedia just an experiment?

Central repository of "Case Conferences'--recognizable term; don't use
the world "Grand Rounds"

Chief Residents of each department:

  * built into leadership
  * run the conferences
  * case-finders (trolling)
  * have some role in coordination/scheduling
  * young
  * BUT ephemeral = 1 year shift
  * more accessible than faculty; a lot more accessible than
    department heads
  * could be hard to find contact info--> Call depts and ask who their
    chiefs this year are

Most rewarding element of their job = education

  * case conferences = Mornign Reports
  * some use ppt
  * images, lab scans (all digital)
  * very dept, even individual-specific

Case Conferences From:

  * Morning Reports = internal
  * Occasinal Grand Rounds (mostly reasearch, though)
  * Quality Improvement Conferences (MNM)--> mostly closed; adverse
    events where ppl screwed up

Definitely a need for a user friendly repository for multimedia items
May get reluctance for morning reports as it would represent extra
work (potentially)--> ppl use whiteboards, index cards, paper

Raj's "Morning Report Machine" c. 1997

Every dept has a listserv for chiefs
Internal Medicine

  * Amanda Osta adnewton
  * Nicholas Slocum nslocum