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UTMB Internal Medicine Residency Program

UTMB internal medicine residents

Our Curriculum

CONTINUITY CLINIC
The heart of the ambulatory curriculum is each resident's continuity of care clinic, which consists of one half-day clinic per week during each year of residency. Some of the resident's patients are followed after having been cared for on inpatient ward rotations; others are referrals. These patients belong to the residents, and are followed by a single resident primary care provider throughout his or her training at UTMB.

In the continuity care clinics, categorical residents will see an average of 5 patients per half-day clinic and interns will see an average of 3-5 patients per half-day clinic. There is an average of 1.5 supervisory faculty physicians for every 4 residents in the continuity clinic. The house staff is also supported in the clinic by resident Team Leaders for each group practice, general medicine faculty, registered nurses, a social worker, and health care technicians (phlebotomist, medical assistants). Clinic is preceded by a 30 minute clinic conference dedicated to the practice of outpatient medicine.

continuity clinic room

The continuity clinics are held in two locations. The Primary Care Pavillion is across the street from the training hospitals. Residents may also choose to hold their clinics at the new, upscale Victory Lakes Multispecialty Center in League City. Each room is equipped with all of the necessary medical equipment, in addition to a computer system for accessing the computerized medical record, order entry system, and online databases. We also have a large team room with multiple tables, chairs and computers for the residents to use while awaiting patients' arrival, discussing patients with the faculty preceptors and/or completing any necessary documentation or order placement. Both locations also have on-site labs and radiology for patient convenience.

continuity clinic staff


Subspecialty / Nonmedicine Opportunities

UTMB is a large academic institution, with the ability to offer our residents a broad array of medicine, medicine subspecialty and nonmedicine outpatient opportunities. Residents can rotate with UTMB GIM faculty in their off-campus or on-campus clinics. Medicine subspecialty elective opportunities include cardiology, endocrinology, rheumatology, geriatrics, gastroenterology/hepatology, allergy/immunology, pulmonology, oncology and weight management. Non-medicine elective options include dermatology, anesthesiology, radiology, PT and ENT clinics. Residents may also set up their own on-campus and off-campus electives, with approval from our department.

Online Curriculum

UTMB is a tertiary care center made up of two hospitals, John Sealy Hospital as well as the Texas Department of Corrections Hospital - Hospital Galveston. With this mix, we are exposed to all disease processes from the common presentations of the common illnesses to the uncommon presentations of uncommon illnesses. These hospitals are conveniently located on the same campus, connected via an interior tunnel, utilizing the same electronic medical records system.

Ward opportunities include general internal medicine wards, oncology wards, HIV/infectious disease ward, geriatrics, nephrology wards, cardiology/CCU and MICU.

We also provide numerous consult rotation opportunities such as cardiology, endocrinology, hematology/oncology, pulmonary, gastroenterology, nephrology, rheumatology, infectious disease, transplant medicine, and palliative care.

Inpatient Online Resources

The academic year is broken down into 13 four-week blocks. They are scheduled by PGY years as follows. Residents can take up to 3 weeks of vacation per year. Vacation time rolls over to the next year.

PGY 1
  • General Medicine / Subspecialty Wards: 4-5 Blocks
  • Medical Intensive Care Unit: 1 Block
  • Cardiology: 1 Block
  • Cardiology Clinics: 0-1 Block
  • Emergency Medicine: 1 Block
  • Neurology: 1 Block
  • 2 weeks Night Float with 2 weeks Continuity Clinics: 1-2 Blocks
  • Vacation: 3 weeks. Can be broken down into individual days.
  • Elective: 3 Blocks
PGY 2
  • General Medicine / Subspecialty Wards: 3-4 Blocks
  • Medical Intensive Care Unit: 2 Block
  • Cardiology: 0-1 Block
  • Cardiology Clinics: 0-1 Block
  • Clinic Team Leader: 1 Block
  • 2 weeks Night Float with 2 weeks Continuity Clinics: 1-2 Blocks
  • Vacation: 3 weeks. Can be broken down into individual days.
  • Elective: 4 Blocks
PGY 3
  • General Medicine / Subspecialty Wards: 3-4 Blocks
  • Medical Intensive Care Unit: 1 Blocks
  • Cardiology: 0-1 Block
  • Cardiology Clinics: 0-1 Block
  • Clinic Team Leader: 1 Block
  • Medicine Consults: 1 Block
  • 2 weeks Night Float with 2 weeks Continuity Clinics: 1-2 Blocks
  • Vacation: 3 weeks. Can be broken down into individual days.
  • Elective: 5-6 Blocks

Global Health staff Combined Programs
The combined residency programs integrate multiple disciplines and a MPH degree into a four year training program. They bring diversity and unique talents to our campus. The highly competitive UTMB/NASA Aerospace Medicine Program combines the facilities, faculty, and expertise of two great institutions and several partners to provide space-based aerospace medicine training to the flight surgeons and researchers of tomorrow. We have the only integrated Aerospace program in the country. Our Preventative Medicine Program focuses in arenas of Health Maintenance, Disease Prevention and Correctional Health care. This is one of five programs in the country.

Global Health

UTMB has a variety of programs and institutes that focus on Global Health: Global Health Education Program; Center to Eliminate Health Disparities; Global Health Consortium; Center for Training in International Health; Center for Tropical Diseases; Global Health Inter-professional Core Course; Global Grand Rounds; Global Health Lecture Series; Field Epidemiology Course; Institute for Human Infection and Immunology.

"I would highly recommend spending one month in Kenya because you get to see an entirely different patient population. You become more autonomous in clinical decision-making and work in a new environment with fewer resources than what we are used to here. Being immersed in such a different culture for one month was an unforgettable experience. I felt like I was able to broaden my mind as a physician as well as a person. "
- Kiran Ubhayakar, MD

"Kenya was an invaluable experience for me. Not only did I gain medical experience, but it also made me appreciate the resources we have available in the US."
- Cindy Lyou, MD
At a minimum, each resident has an opportunity to spend one elective month at sites in Africa (Kenya) and South America (Peru). The residing guides the process and, at times, provides money for transportation. For those with career aspirations in global health, arrangements can be facilitated for pursuit of one or more of the following options: MPH; MS; A Pathway towards the qualification to sit for the ASTMH certification examination in travel and geographic medicine. During the 2010-2011 academic year, 7 residents/fellows went to Kenya for a one month elective.

Global Health Expansion

  • The UTMB Residency Global Health Program is expanding, with new and exciting opportunities to work abroad at one of our sister sites
  • Residents are able to spend a one month in Kenya or in Peru at our partner hospitals where they will work as a an upper level resident on a wards team
  • Site options include:
    • Kijabe Hospital, 40 miles outside of Nairobi on the slopes of the Great Rift Valley
    • University of Nairobi, Kenyatta National Hospital
    • Maua hospital (100 miles north east of Nairobi)
  • 5 Internal Medicine faculty are involved in the program and over 40 medical students have also dedicated one month abroad under Department of Medicine supervision.
  • UTMB is also part of the Rwanda Health Consortium, a USAID-funded plan to re-make the Rwanda healthcare system. Other partner institutions include Harvard, Duke, Yale, Dartmouth, Columbia, Colorado, Maryland and others.

Research Tract
At UTMB, we have a large number of residents who do research projects within the timeframe of a standard 3 year residency. The ABIM has established a mechanism for outstanding residents to shorten this clinical training and integrate into residency and/or fellowship a prolonged period of mentored research. We are very willing to facilitate this research training for residents who have outstanding skills and are committed to academic medicine.

Academic Tract

Residents who have outstanding performance and a commitment to research, teaching and/or education administration may be qualified to integrate into a 3-year residency special training options. This tract is built around the Clinical Research Tools and Techniques Seminar which occurs Mondays from 5-7pm. The full course of 40 sessions can be completed over a 3-year period. This tract would also be useful for those residents who plan to apply to higher competitive fellowship programs.

Preventive Medicine and Aerospace Medicine
The University of Texas Medical Branch offers combined Internal Medicine residency tracks with the department of Preventive Medicine and Community Health in both General Preventive Medicine and Aerospace Medicine tracks. Through partnership with the National Aeronautics and Space Administration (NASA) at Johnson Space Center, UTMB is proud to be the home of the only Internal/Aerospace Medicine combined residency in the United States. Residents from our combined program are trained to provide medical support for pilots, SCUBA divers and astronauts, with a focus on high G-stress, hyper- and hypobaric environments, and radiation exposure.

The General Preventive Medicine (GPM) Residency Program at the UTMB is designed to give physicians a firm educational foundation and a proficient competence in the practice of general preventive medicine. It is our mission to train physicians armed with knowledge and skills of preventive medicine and public health, to acquire leading roles in the field of public health and to work proficiently towards the health of individuals and populations in order to promote and maintain health and well-being and prevent disease and disability.

The impetus for the program originated out of a unique relationship between UTMB and the Texas Department of Corrections (now known as the Texas Department of Criminal Justice-TDCJ). Because of this relationship, UTMB has provided healthcare to TDCJ inmates for decades, and the program's success has broadened in line with UTMB's core values to focus its efforts on ensuring access of quality healthcare to the socioeconomically disadvantaged.

More information can be located at the GPM website: http://pmch.utmb.edu/

All combined residents have the opportunity to complete a Master of Public Health (MPH) degree as a component of their training, with MPH classes integrated into their Internal Medicine rotation schedule, providing a unique combination of clinical exposure, didactics, and research during their second and third years.

 

As part of a continuous effort towards the constant improvement of resident education, the department of internal medicine has implemented a culture of uninterrupted weekly question and answer with scheduled readings.  Through the utilization of multiple educational sources residents benefit from mastery of all areas of internal medicine through repetition.  The success of this program has been reflected in higher mean ITE scores, improvement in conference discussions and education, ultimately leading to improvement in patient care.  Sample sources based on PGY level:

  • PGY 1: ACP Medicine Curriculum, 15 questions weekly.
  • PGY 2: MKSAP review and Q&A, 25 questions weekly.
  • PGY 3: Medstudy Videos, Text and questions, 50 questions weekly.   
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