Internal Medicine Residency

Rotations

PGY-1

• Cardiología
• Elective
• Medicina de emergencia
• MICU
• Night Float
• Nefrología
• Enfermedad infecciosa
• Pulmonary
• Wards

PGY-2

• Cardiología
• Elective
• Medicina de emergencia
• MICU
• Night Float
• Wards
• Gastroenterología
• Hematology and Oncology
• Endocrinología
• Geriatría

PGY-3

• Ambulatory Clinic
• Practice Management
• Cardiología
• Elective
• MICU
• Wards
• Hematology and Oncology
• Reumatología
• Nefrología

Continuity clinic

Our residents see patients one half day a week at a resident clinic where they are supervised by board-certified internal medicine physicians who are always present in the clinic and consult with subspecialists who are available on an as-needed basis.

Residents are the primary healthcare providers for this group of patients and follow the same patients through three years of training to establish continuity of care. The resident clinics are located at Baylor Scott & White Clinic – Round Rock, 425 University Drive, and Baylor Scott & Clinic – Georgetown (Sun City), 4945 Williams Drive. The clinics operate Monday through Thursday.

Conferences

Morning report

These resident-led, 30-minute sessions with staff supervision vary between interesting admissions from the previous day and case presentations from teaching teams. The presenting resident is responsible for communicating the case ahead of time to the staff scheduled for morning report at least 48 hours in advance. Morning report is attended by faculty, residents, and medical students. A schedule outlining the specific dates during which the teaching teams will be presenting morning report is provided.

Noon conference

An hour of protected educational time is provided each weekday at noon for didactics. General Internal Medicine noon conferences will cover the core medicine topics in an 18-month designed curriculum. Each topic will ideally be discussed twice during the course of internal medicine residency. Thursday’s noon conferences are combined with the Family Medicine Residency Program and also serve as the programs’ Medicine Grand Rounds. Furthermore, other topics are interspersed throughout the month including: Journal Club, Resident Board Review and monthly House Staff meetings. In addition, Wellness lectures/activities, skill-based lectures/activities and quality improvement lectures are also incorporated on a regular basis.

Journal club

The goal of journal club is to allow residents to become familiar with scientific literature and how to critically read and apply an article, and learn statistics and the basics of evidence based medicine principles. Each month, a resident is assigned an article to present. Articles are provided in advance and non-presenting residents are expected to prepare for the discussion by reading the article and completing a critical appraisal worksheet. Residents are required to present three times – one in each year of residency.

Quality and patient safety initiative

Residents will be oriented at the beginning of residency by the Chair of Quality and Patient Safety Committee. A structured Quality and Patient Safety lecture series is held 7-8 a.m. on the third Friday of every month. Residents are provided online educational modules and have online access to “Quality Best Practice Toolkit” and “Stop the Line” policy for anytime access.

Attendance policy for conference

All residents are expected to attend morning report and noon conference. A minimum of 80 percent conference attendance is required.

Investigación

Faculty and physician residents actively participate in research and scholarly activities that work to advance the practice of medicine. All residents are expected to participate in a scholarly activity by the completion of their residency. All residents are encouraged to both publish their work and present at national and local meetings.

Every resident is required to complete a minimum of one quality improvement project with measured outcomes by the time he or she graduates. Resident will be working with his or her assigned mentor and Chair of Quality and Patient Safety Committee to develop and implement this project. Progress on this project will be monitored by Clinical Competency Committee and Program Director during semi-annual evaluations.

Residents will also be given one on one support through consultation, mentorship or collaboration through our centralized Office of Academic Research Development at our sponsoring institution in Temple. These activities are coordinated through our Regional Director/Chair of Quality and Patient Safety Committee.