General Overview
The Marshall University Joan C. Edwards School of Medicine is a regional and national leader in educating students and residents in primary care. Residents are fully integrated into both medical education and patient care, often experiencing one-on-one interaction between teacher and student.
The focus of the Internal Medicine Residency Program is comprehensive training in general medicine and its subspecialties throughout the required three postgraduate years. Internal Medicine residents
participate in every aspect of patient care and assume increasing responsibility appropriate to the level of training. All requirements and recommendations of the American Board of Internal Medicine for experience and instruction are satisfied during the three years of training.
The Inpatient Care Team is composed of senior residents, PGY-1 residents, and third and fourth year medical students. The participation of senior residents in teaching medical students is encouraged to promote self-education as well as the education of others. Many times a clinical pharmacist rounds with our teams. We adhere to national policy guidelines regarding primary responsibility for residents.
The faculty of the Department of Medicine recognizes the importance of establishing an environment conducive to learning for residents in medicine. Accordingly, the residency adheres to guidelines providing for:
- No more than 80 hours work per week, averaged over four weeks
- One 24-hour period off from work each week
- The assignment of no more than 10 inpatients to each PGY-1 resident
- No more than five admissions for a PGY-1 resident on call
- A maximum of one-in-four night call schedule for residents in all years of training
- A maximum of 30 hours when on call (24 hours call and up to 6 additional hours for continuity Patient care)
Benefits
| Paid Vacation | 3 weeks paid vacation |
| Insurance |
|
| Sick Leave | Residents accrue 15 days of sick leave annually. |
| Parking | Free |
| Meals | On - call meals are provided by the hospital |
| Book Fund | PGY I: $500.00 annually PGY II - PGY V: $1,000 annually |
| ATLS/ACLS/PALS Training | Provided |
| Salary | PGY I: $49,000 Plus a $2,000 Signing Bonus for Categorical Positions NRMP Matched |
Sample Schedule
Internal Medicine Resident Schedules (updated 2/09/2009)
The PGY-1 resident schedule (categorical and preliminary year residents) includes the following:
- 6-7 months of inpatient hospital service
- 2 months of intensive care unit (ICU)
- 1 month of ambulatory clinic (Walk-In Clinic)
- 1-3 months of elective rotations
- 3 weeks vacation and 1 week educational leave (taken only in 2 week blocks or 4 week block during PGY-1 year). Vacations blocks of 2 weeks may be combined with a 2 week elective for that particular month. Vacation cannot be taken while on hospital service.
The PGY-2 resident schedule includes the following:
- 4-5 months of hospital service
- 1 month of intensive care unit (ICU)
- 1 month of ambulatory clinic
- 1 month of emergency medicine
- 6 weeks of night float
- 2-3 months of elective rotations
- 3 weeks vacation and 1 week educational leave. Vacation cannot be taken while on hospital service or the required Cardiology rotation.
The PGY-3 resident schedule includes the following:
- 2-3 months of hospital service
- 1 month of ICU
- 6 weeks of night float
- 1 month of geriatric medicine
- 5-6 months of elective rotations
- 3 weeks vacation and 1 week educational leave. Vacation cannot be taken while on hospital service or the required Cardiology rotation.
- Core Elective rotations include the following: Cardiology (required for all residents in either PGY-2 or PGY-3 year), Neurology (required for all residents).
During residency, you must also complete 6 of the 8 listed selective elective rotations listed below:
- Endocrinology
- Gastroenterology
- Hematology/Oncology
- Infectious Diseases
- Nephrology
- Neurology
- Pulmonary
- Rheumatology
- Other elective rotations are available including: Anesthesiology, Dermatology, ENT, Optometry Psychiatry, Radiology, Stress Testing/Echo and other rotations may be arranged upon request if possible.
Clinical Sites
The Internal Medicine Residency maintains affiliations with St. Mary’s Medical Center (SMMC), Cabell Huntington Hospital (CHH) and the Veterans Administration Medical Center (VAMC). The three hospitals are geographically close to Marshall University Medical Center and each other (no more than 15 minutes apart). The Department of Internal Medicine and its residency provide inpatient services at all three hospitals, enabling a broad exposure to various care venues during training.
The inpatient service at the Veterans Administration Medical Center comprises approximately 70 beds and includes acute care, intensive care and intermediate care. Two teaching services of residents and medical students, and one intensive care team of residents and medical students provide direct patient care for patients.
Approximately 100 beds are devoted to the care of internal medicine patients at St. Mary’s Medical Center. The University Service and the Department of Internal Medicine comprises approximately 30 beds. The University Cardiology Service comprises an additional 30-40 beds. There is one teaching service of residents and medical students and one cardiology teaching service in the hospital.
The University Service of the Department of Medicine comprises approximately 40 beds at Cabell Huntington Hospital. A single team of residents, interns and medical students participate in patient care activities on this service. There is a separate intensive care unit team consisting of an intensivist, who directs care and education of a resident team.
We are committed to excellence in ambulatory care experiences for our residents. All residents have a ½ day continuity clinic per week of the three years of residency. One half of this time is spent in the Marshall University Medical Center and the other half if spent either at the VAMC, St. Mary’s Medical Center Clinic or Ebenezer Outreach Clinic. Residents are given graduated levels of responsibility in the clinic as they progress through the residency. Residents complete a structured monthly ambulatory curriculum geared toward ambulatory topics, including MSKAP style questions, a case of the month, and the Resident Forum.
Faculty & Research
Our faculty members complete attending and teaching rounds on a daily basis. The faculty physicians of the Department of Internal Medicine are full-time university faculty committee to educating residents and students. All inpatients cared for by University Internal Medicine are admitted to the general medicine teaching service.
Internal Medicine residents are encouraged to collaborate with faculty of the Department of Medicine in their clinical research activities. The department has a considerable range of research activities supported by intramural funds and grants. Residents in the Department of Internal medicine have presented their research at national meetings such as the American College of Physicians, Society of General Internal Medicine, and the American Gastroenterology Association.
Our Center for Pharmacologic Studies is an excellent example of research activities in the Department of Medicine. Multiple clinical trials in the area of pharmacology are conducted with the participation of our residents. These projects follow multidisciplinary activities enhancing basic science and clinical research principles for residents.