internal medicine residencies

8/17/2019 Internal Medicine Residencies

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Dear Prospective Applicants,

We are excited that you are considering applying to an internal medicine residency! To ease your

application process, we created this document which contains detailed information about each

Air Force internal medicine program as well as testimonials from two current Air Force medicine

residents. We hope that you find this information useful, and look forward to your application.If you are not currently a member of the American College of Physicians, we highly encourage

you to join. Membership is free for students, and the Air Force maintains its own active chapter.

Feel free to learn more at the chapter website: Air Force ACP Chapter Website

Sincerely,

The Air Force Chapter of the American College of Physicians

https://www.acponline.org/about_acp/chapters/usaf/https://www.acponline.org/about_acp/chapters/usaf/https://www.acponline.org/about_acp/chapters/usaf/https://www.acponline.org/about_acp/chapters/usaf/


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Table of Contents

1) Page 3: Keesler AFB

2) Page 4: National Capital Consortium

3) Page 5: SAUSHEC

4)

Page 8: Travis AFB5) Page 9: Wright Patterson

6) Page 16: A resident’s 4th year experience at SAMMC and Travis SFB

7) Page 18: A resident’s experience at Wright Patterson

8) Page 18: Transportation and Lodging tips at the National Capital Consortium


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Keesler AFB

Program Features:

1) Residents become proficient in procedures. No Fellows means residents do all IM

procedures with staff oversight. Residents also participate in dedicated outpatient procedure clinic. Electively residents can also complete subspecialist level procedures.

2) 24 resident program with open door policy and access to subspecialists, including

cardiology, GI, endocrinology, infectious disease, pulmonary/CC, rheumatology,

nephrology, genetics, immunology/allergy, geriatrics, neurology, urology, ENT, general

surgery, orthopedic surgery, vascular surgery, oral surgery, radiology, interventional

radiology and ophthalmology.

3) Noon conference, morning reports and senior openers are held daily

4) Residents are given their own desk and lap top computer. Resident offices, call rooms,

and lounge completely renovated in 2015.

5) Rotations during residency:

a.

PGY1 residents go to UMMC at Jackson MS for an MICU and cardiology

rotation. Lodging is provided.

b. PGY2 residents go to Gulfport Memorial Hospital for an ER rotation, and to

Jackson MS for MICU and inpatient hematology/oncology rotations.

c. PGY3 residents go to Jackson MS for an MICU rotation. Will also have the

opportunity to go to Landstuhl Germany for a wards rotation. PGY3 may also be

able to do electives at SAMMC or other locations with approval from the program

director.

6) Many graduates pursue fellowship training

Lodging for Active Duty Tours:1) The Air Force will provide lodging at the Tyre House (base hotel) during your month at

Keesler. Lodging cost is reimbursed. The hotel is located one block from the hospital and

is an easy walk

2) HPSP students are provided a rental car for the month. USUHS students are not always

provided a rental car.

Contact Information:

1) Internal medicine Program Director:

a. Lt. Col. Wayne Latack, MC, FACP, FACN

b.

[email protected] c. 228-376-5537

2) Program website: Keesler AFB IM Program

mailto:[email protected]:[email protected]://www.keesler.af.mil/Units/GraduateMedicalEducation.aspxhttp://www.keesler.af.mil/Units/GraduateMedicalEducation.aspxhttp://www.keesler.af.mil/Units/GraduateMedicalEducation.aspxhttp://www.keesler.af.mil/Units/GraduateMedicalEducation.aspxmailto:[email protected]


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National Capital Consortium – Internal Medicine Residency

Walter Reed National Military Medical Center

Program Features:

1) Located in downtown Bethesda next to the National Institutes of Health and Uniformed

Services University, conveniently on the DC Metro Red Line (Metro benefits available).

2) 50 ICU beds, 274 patient rooms, 27 ER beds, 7-story outpatient building.

3) New gym, pool, NSA Base Exchange store and USO facility right next to the Hospital.

4) Joint residency program for the Army/Navy/AF/USPHS.

5) Offers training in internal medicine, 12 IM subspecialties and Faculty Development.

6) Patients include wounded warriors, military beneficiaries, veterans, foreign dignitaries,

and our Nation's Leaders.

7) Active partnerships for global training with Landstuhl Regional Medical Center

(Germany), Naval Hospital Guam, Army/Navy research facilities (Kenya/ Peru/ Djibouti/

Honduras), as well as with area hospitals, including the DC VA Medical Center,

Washington Hospital Center, INOVA Fairfax, and Virginia Hospital Center.

8) Residents of all Services have the opportunity to join available humanitarian assistance

missions on the hospital ship USNS Comfort and other operational platforms.

Contact information:

1) Program Director: CAPT Bill Shimeall, MD MPH FACP

a. [email protected]

b. Phone: (301) 319-8111

2) Program Office/Interviews: Ms. Geraldine Marquez

a.

[email protected] b. Phone: (301) 319-8754

3) Associate Program Directors:

a. LTC Josh Hartzell, MD, FACP [email protected]

b. CDR Casey Flanagan, MD FACC [email protected]

c. MAJ Renee Mallory, MD, MPH, FACP [email protected]

d. Dr. Julie Chen, MD, FACP [email protected]

4) Schedule post clerkship rotations (Uniformed Services University Dept. of Medicine):

a. Ms. Jackie Drake [email protected]

b. Phone: (301) 295-9727

5)

Program Website: NCC Program Website 6) Learn more about Internal Medicine and IM subspecialties at Walter Reed Bethesda at:

Learn more about NCC medicine

7) NCC program snapshot (great information!): NCC Program Snapshot

mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]://www.wrnmmc.capmed.mil/ResearchEducation/GME/SitePages/InternalMedicine/Residency.aspxhttp://www.wrnmmc.capmed.mil/ResearchEducation/GME/SitePages/InternalMedicine/Residency.aspxhttp://www.wrnmmc.capmed.mil/ResearchEducation/GME/SitePages/InternalMedicine/Residency.aspxhttp://tinyurl.com/walterreedmedicinehttps://learning.usuhs.edu/access/content/group/bed7662c-2c75-4538-a293-3084cc5d5897/Alert%20Roster/Program%20Newsletter/DOM%20GME%20Newsletter/Newsletters/WR%20DOM%20GME%20Snapshot%20Oct_Nov%202015.pdfhttps://learning.usuhs.edu/access/content/group/bed7662c-2c75-4538-a293-3084cc5d5897/Alert%20Roster/Program%20Newsletter/DOM%20GME%20Newsletter/Newsletters/WR%20DOM%20GME%20Snapshot%20Oct_Nov%202015.pdfhttps://learning.usuhs.edu/access/content/group/bed7662c-2c75-4538-a293-3084cc5d5897/Alert%20Roster/Program%20Newsletter/DOM%20GME%20Newsletter/Newsletters/WR%20DOM%20GME%20Snapshot%20Oct_Nov%202015.pdfhttps://learning.usuhs.edu/access/content/group/bed7662c-2c75-4538-a293-3084cc5d5897/Alert%20Roster/Program%20Newsletter/DOM%20GME%20Newsletter/Newsletters/WR%20DOM%20GME%20Snapshot%20Oct_Nov%202015.pdfhttp://tinyurl.com/walterreedmedicinehttp://www.wrnmmc.capmed.mil/ResearchEducation/GME/SitePages/InternalMedicine/Residency.aspxmailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]


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SAUSHEC

Program Features:

1) Largest and busiest graduate medical education program in the DOD

2)

Strong academic program with an excellent board pass rate3) New hospital completed in 2012

4) Complete rotations at SAMMC, Wilford Hall Ambulatory Surgical Center, University

Hospital, and Texas Center for Infectious Diseases (TB Hospital)

5) Combined Air Force/Army program

6) Option to participate in overseas rotations when available (GEIS, MEDRETEs, Tropical

Medicine Course, humanitarian missions).


Program Coordinators:Ms. Carmen Vargas: [email protected]; 210-916-3856

Ms. Yvonne Long: [email protected]; 210-916-3910

Chief Residents, AY15-16Air Force: Capt Sam Weiss: [email protected] Army: CPT Brian Y'Barbo: [email protected] Quality Improvement/Patient Safety (QIPS): Capt Rebecca Barrett:[email protected]

Chief Residents, AY16-17Air Force: Capt Lauren Lee: [email protected] Army: CPT Katie Bello: [email protected]

QIPS: Capt Caroline Green: [email protected]

Associate Program Directors:Air Force: Maj Kristen Glass: [email protected] Army: MAJ David Ferraro: [email protected]

Program Director:LTC Joshua Hawley-Molloy: [email protected]

Program website: http://www.bamc.amedd.army.mil/saushec/gme/residency/internal-medicine

mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]://www.bamc.amedd.army.mil/saushec/gme/residency/internal-medicinehttp://www.bamc.amedd.army.mil/saushec/gme/residency/internal-medicinehttp://www.bamc.amedd.army.mil/saushec/gme/residency/internal-medicinehttp://www.bamc.amedd.army.mil/saushec/gme/residency/internal-medicinemailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]


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Travis AFB:

Program Features:

1) Joint program with UC Davis Medical Center, established in 2008

2)

The PG1 year of the military tract is spent solely at the UC Davis Medical Center and itsaffiliated institutions in Sacramento. During the PG2 and PG3 years, residents spend one

inpatient month and one elective month rotating at DGMC.

3)

David Grant Medical Center is a staging platform for expeditionary medical missions for

both combat support and humanitarian missions. Capabilities include setting up

deployable, expandable hospitals, mobile surgical, and critical care teams capable of

managing air transport of critically injured personnel.

4) David Grant Medical Center has 165 beds

5) The outpatient population includes active duty members and their dependents as well as

military retirees and their dependents. The inpatient population includes all Department

of Defense and TRICARE eligible members as well as a limited number of Department

of Veterans Affairs beneficiaries from the immediate San Francisco-Sacramento vicinity.

6)

There is a Clinical Investigational Facility, one of seven Air Force wide, which along

with the GME Research Office can fully support, provide training, protocol consultation

and coordination services to residents conducting research projects.

7) UC Davis Medical Center is a 619 bed tertiary referral center that serves a 65,000 square-

mile area that includes 33 counties and 6 million residents across Northern and Central

California. UC Davis admits more than 40,000 patients per year and handles nearly 1

million visits.

8) UC Davis is ranked as Sacramento’s top hospital by U.S. News & World Report . It is

also nationally ranked in multiple specialties including Oncology, Cardiology,

Nephrology, and Pulmonology.


1) Program Director

a. LTC S. Charles Whang

b. [email protected]

2) Gastroenterology, Staff Physician

a. (707) 423-5041

3)

Program website: http://www.travis.af.mil/news/factsheets/factsheet.asp?id=19718

(Please note that the Program Director’s contact information has not been updated and is

incorrect on this website)4) UC Davis Program Website:

http://www.ucdmc.ucdavis.edu/internalmedicine/residency.html

5) UC Davis Contact information:

a. Internal Medicine Residency Office:

i. (916) 734-7080

ii. (916) 734-7080

mailto:[email protected]:[email protected]://www.travis.af.mil/news/factsheets/factsheet.asp?id=19718http://www.travis.af.mil/news/factsheets/factsheet.asp?id=19718http://www.ucdmc.ucdavis.edu/internalmedicine/residency.htmlhttp://www.ucdmc.ucdavis.edu/internalmedicine/residency.htmlhttp://www.ucdmc.ucdavis.edu/internalmedicine/residency.htmlhttp://www.travis.af.mil/news/factsheets/factsheet.asp?id=19718mailto:[email protected]


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Welcome to the Wright State University

Internal Medicine Residency Program

What is the primary focus of the program?We are educating clinicians preparing for general internal medicine practice, hospitalist practice, or subspecialty fellowship training.

What is the WSU program looking for in a resident candidate?

We look for physicians with a clinical medicine career focus. Those selected will be good“team players" with strong interpersonal skills and an interest in each patient as an individual.They will maintain a high level of intellectual and clinical curiosity, and will strive to becomelifelong learners and teachers.

What are the strengths of the Wright State program?

highly-skilled supportive residents

strong educational focus

diverse patient mix

dedicated full-time and voluntary faculty

comfortable learning and living environment

multiple opportunities for ambulatory experience

flexible elective rotations

opportunities for research collaboration with clinical or basic science faculty

Which hospitals participate in internal medicine training?Residents rotate to three teaching hospitals:

Miami Valley Hospital - 960 beds, not-for-profit community hospital

Dayton Veterans Affairs Medical Center – 76 acute care beds, VA hospital

Wright-Patterson Medical Center – 61 acute care beds, U.S. Air Force hospital

All provide free convenient parking and are located within easy driving distance from

downtown Dayton and surrounding communities; average 15-20 minutes travel between sites.

Is there a university hospital in Dayton?

The Dayton community had several well-established hospital residency programs when themedical school was founded (1974). The school chose to draw on the strengths of theexisting facilities and has grown into a “best of both worlds” learning environment with

academic structure in a community- based setting. There is no “university hospital” but theabove facilities are fully equipped for primary through tertiary care with academic faculty ateach location.


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How often will I be on overnight call?

Beginning 2011, there is no overnight call requirement in any staff rotation for interns or

senior residents. Schedules and team configurations have been revised to be fully compliant

with the new ACGME requirements for duty hours.

Is there a night float system?Yes, there is a night float system for all inpatient general medicine and critical care

rotations.

What is a typical rotation schedule?The following is a typical rotation schedule for residents:

R1

4.5 blocks inpatientgeneral medicine1.5 blocks night float (two

week blocks, notconsecutive)2 block intensive care unit1 block cardiology1.5 block ambulatory block2.5 blocks medicinesubspecialty elective0.5 block practice-basedlearning modules0.5 block leave

R2

3 blocks inpatient generalmedicine1 block night float (two

week blocks, notconsecutive)1-1.5 blocks intensive careunit1.5 block ambulatory block1 block emergencymedicine1 block neurology1 block hospital medicine3 – 3.5 blocks electives

R3

3 blocks inpatient generalmedicine1.5 blocks night float (two

week blocks, notconsecutive)1 block intensive care unit1.5 blocks ambulatory block1 block geriatrics5 blocks electives

Will I have opportunities to do research?All residents participate in scholarly activity, writing clinical case reports, presentingabstracts, and learning the basics of research design and interpretation of the medicalliterature. Several residents elect to conduct clinical research during training, either as aseparate block elective or contiguous with other assignments. In addition, a research scholar pathway is available after the completion of the first year of residency. A few residents havecollaborated with medical school faculty in conducting basic science research. Grant moneyfor resident research is available through awards from local hospitals and the Wright StateUniversity Boonshoft School of Medicine. Residents are encouraged to present abstracts atan annual citywide Resident Research Forum as well as at the Ohio Chapter, AmericanCollege of Physicians annual meeting, the Army/Air Force Physicians Chapter, American

College of Physicians national meeting and at other regional or national venues.

What electives are available?

R1s request an elective from the subspecialties of allergy, gastroenterology,hematology/oncology, infectious diseases, nephrology, and pulmonary. Senior residentsselect from the above plus cardiology (inpatient, ambulatory, or treadmill), endocrinology,diabetes, rheumatology, allergy, dermatology, palliative medicine, sports medicine, officeorthopedics, anesthesiology, physical medicine and rehabilitation, medical imaging,


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occupational medicine, private office, hospitalist, and psychiatry. Some of these are offeredas two-week options to complete a month with a scheduled night float rotation. A residentmay also participate in a customized elective not listed above (including selectedinternational or other “away” rotation options) with approval of the program director.

Where will I have my inpatient and continuity experiences?Military Senior residents will be assigned to continuity clinic at Wright-Patterson MedicalCenter, while civilian residents have continuity clinic at the Five Rivers Health Center.Interns get ambulatory experience in acute care clinics but continuity clinics don’t begin until

the R2 year as part of the long ambulatory block. During training, residents will rotate to allthree participating hospitals and will serve on general medicine teams at three sites (MiamiValley, Wright-Patterson, and Dayton Veterans Affairs Medical Center). On the inpatientservices, two teams admit patients daily with a “drip system”. Teams are composed of onesenior and one intern working as a group of four supervised by an attending.

What conferences do residents attend?

Senior check-out: all inpatient team sites, M-For Openers Senior resident review of patient admissions with chief resident andfaculty; evidence-based approach to clinical questions.

Morning report: all inpatient team sites, M-W-Th-FAttended by all levels of residents as well as third and fourth yearmedical students.Presentation of case (from recent inpatient or ambulatory service) ortopic with discussion among chief resident, faculty, residents andstudents.

Resident forum: MVH every Tuesday afternoon.2-3 hours of core curriculum with a wide range of topicaldiscussions including internal medicine subspecialties, ethical andlegal issues, health policy, in-training examination learningobjectives, research design and evidence-based medicine. This is anopportunity for the entire program to meet for lunch and education.

Noon conference: all inpatient team sites, most M-W-Th-FSchedules include core conferences such as journal club, morbidityand mortality, and professor’s rounds, as well as primary care topics,

medical imaging, EKG review, medical subspecialties, MedicalGrand Rounds, and others.

Clinic meetings: MVH or WPMC, 2nd Tues. 1:00 p.m.This is an interactive session including topic presentation,continuity site QI review, and practice management discussion.WPMC discussions will include a portion of the “military uniquecurriculum”.


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Are there any special seminars or workshops for residents?

During orientation, first year residents attend a fall procedure workshop using models for practice of central line insertion, laceration repair, lumbar puncture, etc. They also participate in a teaching workshop just before moving to supervisory responsibilities in the

second year. Other seminars and workshops include cultural competency, end of life care,ethics, grant-writing, and research design. Some of these are presented by the School ofMedicine for residents in all Dayton area programs. Residents also have opportunities toattend selected local CME half-day or full-day events on medicine subspecialty topics.Finally, the department provides fun, learning experiences by way of annual retreats for eachclass.

Where have residents entered practice or fellowship training?

Many residents entering primary care practice or hospitalist practice have stayed in the Ohioarea, with several in Dayton. Residents choosing additional training have been accepted intothe following graduate medical education programs:

Allergy/Immunology

Ohio State University

University of Michigan

University of Tennessee

San Antonio Military

Medical Center

Cardiology

Kettering Medical Center

Michigan State University

Ohio State UniversitySan Antonio Military

Medical Center

Tufts University

University of Cincinnati

Virginia Commonwealth

University

Wright State University

Critical Care


Medical Center

Walter Reed Medical

Center

Medical College of Ohio

Wayne State University

Endocrinology


Medical Center

University of Kentucky

University of Nebraska

University of Tennessee

University of Wisconsin

Gastroenterology


Medical Center

St. Louis UniversityTouro University

University of Florida at

Gainesville

University of Miami

(Hepatology)

University of North

Carolina


Yale University

Geriatrics

Banner Good Samaritan

Medical Center, Arizona

George Washington

University

Indiana University

Loyola University

Stanford University

Tulane University

University of Hawaii

Hematology/Oncology

Cleveland Clinic


Medical Center

Indiana University

Medical College ofGeorgia

Montefiore, New York

St. Eliza beth’s Medical

Center, Boston


University of Texas, San

Antonio



Hospice & Palliative Med

Cleveland Clinic



Infectious Diseases

MD Anderson, Houston


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Penn State University


Medical Center

Southern Illinois

University

St. Louis University

University of Alabama,

Birmingham


University of Connecticut

University of Louisville

Wake Forest University


NephrologySan Antonio Military

Medical Center

Allegheny General,

Pittsburgh

Brown University

Emory University

Indiana University

Johns Hopkins


San Antonio Uniformed

Services Health Education

Consortium

St. John’s Hospital,

Michigan

St. Louis University

Thomas Jefferson

University

University of California,

Los Angeles

University of Utah

Virginia CommonwealthUniversity

Nuclear Medicine

University of Colorado

Pulmonary/Critical Care

Albert Einstein University

Emory University

Indiana University



Medical Center

University of Florida


Washington University

Walter Reed Hospital

Rheumatology

Indiana University

Louisiana State University

Medical College of

Wisconsin


Medical CenterUniversity of Alabama,

Birmingham

University of California,

Los Angeles

University of South

Florida, Tampa

How do program graduates perform on the ABIM examination?

The pass rate for the 2014 examination was 89% (national median 85%). As reported on the ABIM website for all programs, the three-year rolling pass rate for our program’s first-time takers is 88 %.

Are there any changes anticipated in the program?The residency program is well-established with three participating hospitals and multipleambulatory training sites. All participating hospitals are fiscally sound and well-managed.The program is fully accredited and in compliance with all ACGME duty hour requirements.

How are resident vacations and holidays scheduled?

Residents submit information regarding “major life events” such as weddings, baby duedates, and anticipated overseas travel or “away” rotations before the block schedule is created

each year. After the schedule is published, residents request preferred dates for three weeks

vacation, three bonus days, and two personal days each year. (Personal days carry over to

the next year if not needed.) In addition, all residents are allotted five education days to be

used over the three years of residency training; these can be used to attend conferences when

not presenting or to take a Board prep or other course. All residents are allotted

administrative time away from the program for exams, conference presentations, etc.


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Most R1s will have a 2-week vacation, a one week vacation, and three bonus days. R2 and

R3 residents may choose to take three individual vacation weeks plus the three bonus days

or can combine for a vacation of two weeks when the rotation schedule allows.

Does the program make allowances for religious observances?

As we are providing essential patient care, there is no assurance that residents will alwayshave time off for religious observances, but brief time for prayer during the workday is

practiced by several residents and faculty in our program. Residents are asked before

beginning residency if there is any half day of the week during which they prefer to avoid

scheduling continuity clinic. Residents can schedule their bonus days to coincide with major

religious observances if requested in advance. If not scheduled as official time off, residents

will observe the holiday schedule of the hospital at which they are rotating and, if not on call

or post-call, may have major holidays free of duty assignments.

Are there resident social events or other special activities?

The program hosts a welcome picnic in June and a recognition banquet in May. A popular

annual event is the Medical Challenge. Teams of residents compete in a game-show format,answering questions on clinical topics, medical trivia from popular culture, and the historyof medicine.

Other events have been sponsored for residents in all Dayton area programs; ResidentAppreciation Week, a night out at a Dayton Dragons minor league baseball game, family bowling, ice skating, a family day at King’s Island and others.

What are the NRMP and ACGME program numbers?

Wright State University Categorical Program NRMP# 2011140C0ACGME Program

Number 1403821345

Contact UsWright State University Internal MedicineResidencyDepartment of Internal Medicine128 E. Apple Street, 2nd floorDayton, OH 45409

Program Director – Roberto Colón, M.D.

Phone: 937-208-2860Fax: 937-208-5304Email: [email protected]

Associate Program Director (Military) - PaulF. Haggerty, MDPhone: 937-257-9655Fax: 937-522-3285

Email: [email protected]

WPMC Internal Medicine ResidencyProgram Coordinator- Barbara CarrollPhone: 937-257-9655Fax: 937-522-3285Email: [email protected]

Department Chair – Glen D. Solomon, M.D.

Phone: 937-208-2865Fax: 937-208-5304Email: [email protected]

mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]


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WSUIM Residency Program Coordinator – Mary PietrzakPhone: 1-800-443-9001 or 937-208-2866Fax: 937-208-5304Email: [email protected] or [email protected]

Program web sites

IM Residency home page:

http://www.med.wright.edu/im/res/

Other Links

WSU School of Med. home page:

http://www.med.wright.edu

To Learn More About the Dayton Area

Parks and recreation: http://www.metroparks.org/

News and local information: http://www.daytondailynews.com/

mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]://www.med.wright.edu/im/res/http://www.med.wright.edu/http://www.med.wright.edu/http://www.metroparks.org/http://www.metroparks.org/http://www.daytondailynews.com/http://www.daytondailynews.com/http://www.daytondailynews.com/http://www.metroparks.org/http://www.med.wright.edu/http://www.med.wright.edu/im/res/mailto:[email protected]:[email protected]


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Resident’s Corner:

A resident shares her 4th year experience at San Antonio Military Medical

Center and Travis AFB:

Please keep in mind that everyone’s experience is unique and, in my opinion, can largely depend onthe resident/intern, staff, and time of year. This list is by no means all-inclusive, but meant to providea brief overview of my ADT experiences at SAMMC and Travis AFB, respectively.

SAMMC:

Rotation: wards

Setup: 1 IM resident (either second or third year), 2-3 interns (may be categorical IM, transitionalyears, preliminary medicine interns, off-service rotators including EM, psych), 1-2 medical students,2-4 staff (sometimes they do two weeks straight, sometimes they only do a week at a time)

Staff: may be hospitalists (civilian), internists (active duty typically), or subspecialists incardiology, rheumatology, gastroenterology, allergy/immunology, endocrinology, oncology,

pulmonary, etc. (No family medicine)Call schedule: at the time that I rotated, it consisted of an AM/PM call schedule, but this has since

changed and now consists of 8 ward teams with q4d call (recently changed and may see furtherchanges in future)

Time of year: I rotated at SAMMC in July of my fourth year of medical school, which also meant brand new interns and second year residents on wards. I was fortunate, however, to rotate on wardswith a very solid third year resident who had an excellent grasp of the system and medicalknowledge. Because it was the beginning of the year, I was able to act like an intern and many peoplethought I was such (in contrast to later in the year when people know who the interns truly are).

Patient population: largely older (60+) retirees and family members, but SAMMC now acceptscivilian traumas and, as a result, ward teams may accept some of these patients if they have medical

issues with no acute indications for surgery; occasionally a VA patient is transferred for the sole purpose of a procedure (i.e. ERCP on the weekend); also take care of younger active duty population

EMR: AHLTA (outpatient), Essentris/CHCS (inpatient/outpatient)

Residency program: 25-30+ interns/residents per year

My experience: Overall, I had a wonderful experience and was given a lot of independence. Atthe time that I rotated, sub-interns were allowed to write orders (to be signed off byinterns/residents/staff) and were expected to write each of the daily progress notes/H&P/dischargesummaries, etc. (Since that time, there have been some changes and some limitations on orders, butnotes are still expected and encouraged). I had a lot of unique patients including one of the first casesof West Nile virus. I found that the majority of consulting services were friendly and approachable,in particular, the infectious disease, rheumatology, and oncology services. Every morning we are

expected to attend morning report and Tuesday afternoons are didactic lectures (3 hours), which youdon’t technically have to attend as a medical student. Rounds are highly variable depending on thestaff with regards to length and formality (some bed side rounds, some card flipping, someindependent rounds, some teaching rounds, etc). For the first two weeks, I had a civilianrheumatologist (prior COL in the Army) and the second was a civilian hospitalist and so there wasgenerally more teaching with the rheumatologist and more turn around with the hospitalist.

Living situation: I stayed at the Springhill Extended stay suites, which was covered by themilitary. It consisted of a small kitchen with on-site laundry services, a gym/pool, internet, etc. I was


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also granted a rental car. This may vary and many people now stay on the SAMMC campus and walkto/from the hospital.

Advantages: rotating at the flagship hospital for the DoD with access to nearly all subspecialtiesand fellowships; San Antonio has a lot of stuff to do (Alamo, River Walk, wineries, Schlitterbahn,etc, etc).

Drawback: limited cell service in the resident work area (almost none and this may seem like atrivial thing, but in today’s world, not having access to cell service is quite frustrating), limited WIFI(have to use the patient login which is spotty)

Travis:

Rotation: 3 weeks of wards (family medicine run), 1 week of cardiology

Setup: 1 family medicine resident, 1-2 family medicine interns, 2-4 staff

Staff: mine consisted of a subspecialist in gastroenterology, cardiology, and FP (varies)

Call schedule: I honestly cannot remember (it has been a few years), but it is a MUCH smaller program with only 1-2 teams from what I can remember

Time of year: I rotated in the fall of my fourth year of medical school (Aug/Sept)

Patient population: largely older (60+) retirees and family members, some active duty younger population (generally, however, I would say there was far less volume and lower acuity in contrast toSAMMC)

EMR: AHLTA (outpatient), Essentris/CHCS (inpatient/outpatient)

Residency program: the actual rotation at Travis is done with the family medicine residency program, but the residency itself for internal medicine is largely done at the UC Davis campus (onlya few rotations are done at Travis) so the rotation probably isn’t the best representation of what youwould expect for residency

My experience: Overall, I had a good experience at Travis, but I felt less intellectually challengedduring the rotation and felt like I didn’t have the demand of seeing multi ple patients like I did atSAMMC. I cannot recall any solid, dedicated conferences or didactics (aside from rounding which

was also highly variable).Living situation: I stayed at a local extended stay suites and was provided a rental car (about 10-

15 minutes away from base).

Drawback: the rotation may not reflect what residency is like (if you really want to see whatresidency is like, perhaps consider doing a rotation at UC Davis) since the majority of your trainingwill be done at UC Davis and this TDY consists of working with family medicine residents and notIM residents at Travis. Additionally, if you do residency here, you lose out on all of the militaryaspects of your training. Later on when you have to pay back your time, it may be more challengingto learn the EMR and military way of life. Additionally, if you are interested in fellowships, themajority (if not all), take place at SAMMC. So, doing residency at SAMMC may be beneficial if youare interested in pursuing fellowship training (generally speaking, you are more likely to get a

training spot if they know you). Having said all of that, there are occasional deferred fellowship slotsand some may prefer civilian training (thereby avoiding additional tasks such as military-specificonline training, urine drug tests, uniforms, etc). Lastly, something to consider is cost of living whichis far higher in California compared to Texas (not to mention state income tax, etc).

Advantages: as mentioned above residency training at Travis is primarily civilian (done at UCDavis) and requires only a few military specific obligations so, in theory, you can focus more on themedical aspect of your training. If you do decide to do an ADT at Travis, you are only a short drivefrom things like the Golden Gate Bridge, Sacramento, wineries, etc.


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A Wright Patterson Senior Resident shares his experience: 1) The biggest advantage of the Wright Patterson program is that it is not a pure militaryresidency. Instead, it offers a great combination of exposure to both military and civilianmedicine which affords a massive variety of patients and pathology

2) There are 25 residents in the program in two tracks, approximately half are military and the

remainder are civilian. The only difference between the civilian residents and the militaryresidents is the continuity clinic experience

3) The largest affiliated hospital is a community hospital with no academic faculty. Residentsrotate through a VA hospital as well. Since there are no fellows, residents handle the interestingcases and have more opportunities for poster presentations and research projects

4) Residents complete 6 weeks of nights per year at the most

5) The program consistently has strong in-service scores. Many residents have gone on to obtainfellowship training in various fields, including one resident who was accepted to a ClevelandClinic Rheumatology fellowship

6) Rotations are easy to set up by contacting the program coordinator. The base inn is a great

place to stay throughout your rotation!

Tips for Transportation and Lodging at the NCC:1) The new go-to for lodging is the Navy Gateway Inn and Suites on campus. If you stay here,you won’t have to worry about obtaining a rental car.

2) The hospital is on the metro red line which a main metro line and can get you pretty muchanywhere in DC, northern Virginia, and parts of Maryland. Reagan Airport is on the metro, andDulles is very nearby to the metro. They have a $5 shuttle from the airport to the silver linewhich connects you to the rest of the metro, so if your travel arrangements have you flying toDulles not to worry.

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