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Internal Medicine

Residency Program » Information for Applicants

Texas Tech University Health Sciences Center offers a fully accredited three-year residency training program in internal medicine. We have 14 first year positions; two of which are preliminary positions and the remaining twelve are categorical. There are 12 second year and 12 third year positions as well, which make for a total program size of 38. While this is a relatively small program, workload is such that the residents have the opportunity to learn from our internationally known faculty on rounds and at teaching conferences. The faculty is accessible and eager to teach.

Our program is designed to provide practical and didactic education in the broad field of internal medicine. All of the major internal medicine subspecialties are taught by board-certified subspecialty faculty, and resident-elected rotations are available in each. 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 a comprehensive experience in general internal medicine.PGY1 residents are supervised by upper level residents, the chief resident, and attending faculty. 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 3 week vacation.

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 hospital admission. It includes general internal medicine inpatient rotations plus subspecialty rotations of the resident's choice. The PGY2 resident has a primary teaching role for assigned medical students and first-year residents. PGY2 residents have a 3 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 serves as a first-line consultant for the junior house staff and medical students. The resident serves periodically as a general internal medicine consultant for other services in the hospital and supervises the admission of patients to the internal medicine services. The third year resident has major bedside and didactic teaching responsibilities for medical students and assigned junior house staff. The PGY3 schedule includes a three week vacation.

Texas Tech University Health Sciences Center's residency program provides primary continuity-of-care experience in the ambulatory internal medicine clinics. All residents spend one half-day per week seeing their own cadre of patients in a modern 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. Experienced full-time attending faculty supervises the ambulatory training and provides 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.

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