Research
Residents must complete scholarly activity each year. Residents are encouraged to complete a research project during their training. At a minimum, residents must complete a case paper each year to present in the spring to the IM faculty & take part in a quality improvement project.
Quality Improvements (QI)

QuESST is a research competition open to all residents and fellows currently enrolled in a training program sponsored by the Detroit Medical Center (DMC) and the Children’s Hospital of Michigan (CHM).
Accepted projects for QuESST will be placed into one of two distinct competitions:
- Quality improvement: Projects must be related to improving the quality of patient care or other protocols and/or enhancing patient safety (e.g., CLABSI reduction, cost effectiveness, patient safety, delivery of patient care, transitions in care, and health care disparities.
- Research: Projects must be a systematic investigation designed to develop or contribute to generalizable knowledge (e.g., assessment of new clinical treatments, evaluation of novel clinical procedures, identifying predictors of disease susceptibility, comparison of health outcomes across patient characteristics).
This competition was started with the following outcomes in mind:
- Highlight the importance of Quality and Safety as part of the GME training experience.
- Recognize and reward contributions of residents/fellows in DMC Quality and Safety.
- Recognize the efforts of residents/fellows participating in quality improvement (QI) and clinical research activities.
- Ensure compliance with institutional and regulatory requirements (ACGME) for resident/fellow training and participation in quality improvement activities
Robert Woodruff Certified CWIA Protocol QI
Prizes will be awarded to the resident/fellow indicated as primary author on the QuESST project application via employee payroll (taxes will be withheld on all prizes awarded).
Quality Improvement
First Place: $1,500
Second Place: $1,000
Third Place: $750
Research
First Place: $1,500
Second Place: $1,000
Third Place: $750
Grand Rounds
Guest speakers, sub-specialists, research topics.
Journal Club
Journal club is arranged by the chief resident and hosted by a different subspecialty each month. Journal club is hosted either at the hospital, a local restaurant, or a physician’s home. There are a minimum of 10 journal club sessions held each year.
Board Review
Residents participate in board review every Friday from 12:00pm – 1:00pm. Sessions are led by chief resident. This is education protected time and free of clinical duties.
Noon Report
Daily case presentation & discussion, Monday through Friday.
Conferences
Residents attend several local and national conferences, including American College of Physicians (ACP) National Conference, ACP Michigan, American College of Osteopathic Internists, Michigan Osteopathic Association, Statewide Campus System Quality Summit, and others of special interest.
A Week at Glance
- ~70–80% clinical work
- ~20–30% structured academics
Morning Rounds
- Attending-led rounds with the team
- Case discussions + bedside teaching
- Decision-making + care planning
Noon Conference — Protected time
Daily teaching session:
- Most reliable teaching time
- Attendance expected unless on critical duty
- Mon: Clinical topic lecture
- Tue: Case-based discussion
- Wed: Subspecialty lecture
- Thu: Morbidity & Mortality (M&M) or quality improvement
- Fri: Board Review (high-yield exam prep)
Afternoon
- Discharges, admissions, consults
- Follow-ups on labs/imaging
- Coordination with specialists
Late Afternoon Wrap-Up
- Sign-out to night team
- Final patient updates
Call / Night Structure
Night Float (instead of 24h call in many cases)
- ~6:00 PM – 7:00 AM shifts
- Covers admissions + cross-cover
Why Night Float?
- Reduce burnout
- Improve compliance with duty hours

