Categorical Internal Medicine Resident Program
The Internal Medicine Residency Program is a fully accredited three-year residency.
It is designed to provide practical and didactic education in the broad field of internal
medicine. Board-certified subspecialty faculty teach all of the major internal medicine
specialties. Electives are available in all of the subspecialties of medicine as
well as Dermatology, Neurology, Physical Medicine & Rehabilitation, Otorhinolaryngology,
Orthopedics and Anesthesiology. Each resident has the opportunity to become proficient
in all procedures common to the internist.
The hospitals associated with the training program include Medical Center Hospital
in Odessa, Midland Memorial Hospital, and Veterans Administration Medical Center in
The Internal Medicine Residency Program also provides primary continuity-of-care experience
in the ambulatory internal medicine clinics. A new initiative for Academic Year 2016-2017
involves conversion to a 4 + 1 schedule (4 weeks of a hospital-based rotation followed
by 1 week of outpatient continuity clinic), with residents following their own cadre
of patients. As part of this effort, the new Odessa VA Clinic has been added to the
TTUHSC Midland and Odessa clinics as a resident continuity clinic site. This allows
each resident to follow the evolution of disorders typically seen by the internist,
to observe the response to therapy, and to understand the unique comprehensive health
care needs of ambulatory patients.
Experienced full-time attending faculty supervise ambulatory clinics while providing
on-site consultation and patient care discussions. These discussions include not
only patient management, but also cost effective and evidence-based medicine.
The PGY1 year is designed to provide comprehensive experience in general internal
medicine. Upper level residents, the attending faculty, supervise PGY1 residents.
On general internal medicine services, the PGY1 resident has primary responsibility
for patients. The PGY1 schedule includes 15 days of vacation per year.
The PGY2 year 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
hospitalization. The PGY2 resident has a primary teaching role for the first year
residents. The PGY2 schedule includes 15 days of vacation per year.
The PGY3 resident is given maximum house staff responsibility in the care of general
medicine and subspecialty patients. The year is designed to increase the resident's
total patient management skills. The resident serves as a consultant and primary
teaching resident for assigned junior residents. The resident serves as a general
medical consultant for other services. The PGY3 schedule includes 20 days of vacation
All residents participate in the education and supervision of third and fourth year
Residents are taught the basics of scientific research and are expected to complete
at least one research project during their three years of training. Residents who
successfully complete this training program are prepared for a career in internal
medicine or for subspecialty training and are qualified to take the certifying examination
of the American Board of Internal Medicine.
Formal Teaching & Conferences
Didactic lectures are given daily at noon. Lectures cover all areas of medicine including
Cardiology, Pulmonary, Endocrinology/ Metabolism, Gastroenterology, Rheumatology,
Neurology, Infectious Diseases, Oncology/ Hematology, and Geriatrics. Additional lectures
are given in Critical Care Medicine, Radiology, Psychiatry, Epidemiology, Statistics,
and Legal Issues in Medicine, Medial Ethics, and Use of Computers in Medicine, Practice
Management, and Proper Coding for Insurance Purposes. Lectures in the surgical specialties
include Ophthalmology, Gynecology, Orthopedics, Urology, and Otorhinolaryngology.
Lectures related to the treatment of acute medical problems (acute myocardial infarction,
congestive heart failure, respiratory failure, acute renal failure, diabetic ketoacidosis,
etc.) are repeated on an annual basis. All other lectures are repeated on a biannual
basis. Internal Medicine Grand Rounds are broadcast by interactive video ("Health
Net") from Lubbock on a weekly basis. The residents and other attending faculty evaluate
each lecture as to content, relevance, and presentation. Residents are required to
attend no less than sixty percent (60%) of the didactic lectures.
Morning Report is held daily on each service with attending faculty members followed
by teaching and management rounds.
The Texas Tech University Health Science Center at Permian Basin has a medical library
that is accessible seven days per week. The library has a wide range of reference
books and journals as well as educational audio-visual resources. The library references
can be accessed after hours via computer and modem. MEDLINE searches are available;
other computerized literature searches are also available. An interlibrary loan system
is available with most requests being received within 72 hours.
Appointment & Promotion
Residents are appointed and promoted on the basis of their knowledge, experience and
ability to master the clinical as well as attitudinal skills required for each level
of the program. In recent years the Program has been comprised of a total of 36 residents,
12 at each level. Beginning with Academic Year 2016-2017, we have been approved for
16 PGY1's, along with the 12 PGY2's and 12 PGY3's, for a total of 40. Plans are underway
to continue this process to yield 16-16-12 next year (total 44) and then 16-16-16
the following year (total 48). Each resident is provided appropriate interaction
with residents from the other disciplines at the institution (Ob/GYN and Family Medicine). as well as 3rd year medical students. In addition, each resident is provided a full time faculty advisor to assist with
research, career development, problems and questions that may arise. All full-time
faculty members are available to each resident for additional support and advice.