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Internal Medicine
A Message from the Chairman

Randall J. Urban, MD
Randall J. Urban, MD
Department Chairman
The Department of Internal Medicine is committed to the principles of excellence, integrity, fairness and accountability. We are achieving our missions of clinical care, education and research by focusing on three key strategic directions for the department — advancing quality improvement, promoting global health initiatives and expanding chronic disease research.

Our clinical and educational programs are centered on using these three areas to model the future of patient care and education. The department features an annual quality and resident research forum with a national speaker in quality. All departmental divisions have active quality improvement projects for clinical care and education.

We are also developing interdepartmental partnerships in these areas to increase funding for our department´s basic, clinical and translational research programs. With the opening of the Galveston National Laboratory on the UTMB campus, the department is uniquely suited to develop excellence in global health in both education and research. In particular global health programs are ongoing in Kenya, Rwanda and Peru.

Our internal medicine faculty have clinical and translational research strengths in many chronic disease-related areas that include diabetes and metabolic syndrome, cardiovascular disease, aging, and inflammation. Investigators are playing critical roles in these diseases through UTMB’s NIH CTSA. In the past year, we have also developed “Internal Medicine Research Clusters” to promote cross-divisional collaborations in chronic disease research and to increase the volume and breadth of our federal funding. New Faculty, fellows and residents are strongly encouraged to participate in these clusters to further their research training with senior mentors.

With a young and vigorous faculty, the department is excited about the future of medical care, education and research at UTMB.

Randall J. Urban, MD
Edward Randall and Edward Randall, Jr.
Distinguished Chair in Internal Medicine
Professor and Chair
Department of Internal Medicine

The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.

Currently available protocols are:
  • CAP - Community Acquired Pneumonia Order set
  • Congestive Heart Failure (CHF)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetic Ketoacidosis Adult, ICU
  • General Medicine Admission
  • Immunodeficiency Flow Panel
  • MICU/CCU Admission Order Set
  • Oral Analgesic Medications
  • Parenteral Opioids
  • Sepsis, Adult ICU
  • 111 - Stroke Alert
  • 112 - Stroke Activation
  • 300086 - Stroke Floor Admission
  • 3000000001 -  Stroke Critical care without tPA
  • 300088 Stroke - Transfer from Critical care to floor
  • 3004002 - Stroke Discharge

All protocols can be found in the EPIC order set section.

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The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.

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