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Internal Medicine

Residency Program Description

The Internal Medicine Residency Program is a fully accredited residency program and currently has a six-year accreditation cycle awarded by the ACGME. It is designed to provide practical clinical and didactic education in the broad field of internal medicine. Board-certified subspecialty faculty teaches all of the major internal medicine specialties, and resident-elected rotations are available in each specialty. Subspecialty consultation is readily available to the residents on the general internal medicine services and in the clinics. During the three years of training, each resident has an opportunity to become proficient in all procedures common to the internist.

The PGY1 (first or internship year) is designed to provide comprehensive experience in general internal medicine on the Ward, ICU, ER, and the clinic. Upper level residents, the chief resident, and attending faculty, supervise PGY1 residents. On general internal medicine services, the PGY1 resident has primary responsibility for patients and is expected to actively participate as a teacher of junior and senior medical students assigned to the resident/faculty team. The PGY1 schedule includes a three-week vacation.

The PGY2 is designed to provide the resident with increasing responsibility, which includes leading the health care team, supervising the inpatient care of acutely and chronically ill patients, and making decisions regarding a patient's need for hospital admission. The PGY2 includes general internal medicine inpatient as well as subspecialty electives. In addition, second-year residents have a primary teaching role for assigned medical students and first-year residents. PGY2 residents have a three-week vacation.

The PGY3 resident is given maximum house staff responsibility in the care of general internal medicine and subspecialty patients. The year is designed to increase the resident's total patient-management skills. The resident leads the team in the ICU and serves as a first-line consultant for junior house staff and medical students during subspecialty electives. The resident services periodically as a general internal medicine consultant for other services and supervises the admission of patients to the internal medicine. PGY3 residents also have the opportunity to rotate on non-medicine electives such as Dermatology, ENT and Ophthalmology. In addition, third-year residents have major bedside and didactic teaching responsibilities for medical students and assigned junior house staff. PGY3s may also rotate on electives at William Beaumont Army Medical Center, a large teaching hospital 10 minutes from Texas Tech. The PGY3 schedule includes a four-week vacation.

TTUHSC's residency program also provides primary continuity-of-care experience in the ambulatory internal medicine clinics. PGY1's, PGY2's, and PGY3s all spend one half-day per week seeing their own patients in the general internal medicine clinic. This system allows the resident to follow the evolution of disorders typically seen by the internist, to observe the response to outpatient therapy, and to understand the unique comprehensive health care needs of ambulatory patients. The ambulatory training is supervised by experienced full-time attending faculty who provide on-site consultation and patient care discussions. The resident's clinic responsibility increases during each year of training. Residents who successfully complete the training program are prepared for a career in internal medicine or for fellowship training and are qualified to take the certifying examination of the American Board of Internal Medicine.

The campus includes the Texas Tech University Health Sciences Center-Paul L. Foster School of Medicine, Texas Tech University HSC clinics, University Medical Center of El Paso, laboratory services, library and the administrative offices.

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