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.

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.


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

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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