RGV Graduate Medical Education

 

Curriculum / Conference Schedule


The educational purpose of all rotations is to comply with the Internal Medicine Curriculum requirements as mandated by the ABIM. The goals and objectives for this rotation are available at the following link: http://uthscsa.edu/gme/goals-objectives-UTRGV.asp


The fundamental goals of our program are to train competent, qualified, caring and sensitive physicians who are mindful of the significance of their role in the diagnosis and treatment of disease, the alleviation of suffering, the prevention of ill-health and the empathetic support of those directly or indirectly afflicted with medical illness. Our three-year educational program is geared toward a preparation in internal medicine and board certification. We are dedicated to training physicians who will effectively work in the current and future health care systems. Our residents will enjoy training at a state-of-the-art community-based program, Doctors Hospital at Renaissance, which is under the sponsorship of the prestigious University of Texas Health Science Center at San Antonio.


The Department of Medicine endorses a team approach to patient care, while recognizing that residents must have opportunities for individual critical decision-making and patient responsibility as defined by the American Board of Internal Medicine.


Our program, as all others, follows the goals and objectives of the Accreditation Council for Graduate Medical Education, where the curriculum is based around the six core competencies.

  1. Patient Care
  2. Medical Knowledge
  3. Professionalism
  4. Interpersonal and Communication Skills
  5. Practice-based Learning and Improvement
  6. System –based Practice

Our competency-based curriculum and its design allow for an individualized educational experience that corresponds to the career objectives of each resident. We are committed to a strong resident education and to serving our community and the larger Rio Grande Valley population in providing acute and chronic disease health management, preventive care and a longitudinal relationship between our residents and their patient population.


Graduates of our program fulfill the requirements of the American Board of Internal Medicine. The residency program in Internal Medicine includes participation in patient care, teaching rounds, didactic noon conferences, grand rounds, Morbidity & Mortality conferences, among others. DHR provides an on-line library as well other academic teaching resources available from UTHSCSA which can be accessed by the residents from their home.


Mix of Diseases

Residents will encounter patients with a variety of conditions representative of common medical problems in various systems, as well as care for critically-ill patients in the ICU and acute-care patients in the Emergency Department setting. Patients admitted to the teaching service include a wide demographic and ethnic mix from the greater RGV region. There are also a wide variety of socioeconomic situations. This mix provides the residents with a stimulating and enriched training experience with broad diagnostic and challenging opportunities.


Last, but not least, we believe in training leaders in Internal Medicine. Scholarship and discovery are essential components of academic medical leadership, and this will be reflected in your curriculum as a research and scholarly activity rotation. Coupled with that is our participation in hospital quality improvement and patient safety programs.


Welcome to the Rio Grande Valley, a place you will call home for the next three years, and hopefully for many years to follow.



CONFERENCES
  1. Internal Medicine Core Didactic Lecture Series
    • Conference geared towards coverage of the core components of general internal medicine and its subspecialties as they relate to an internist. Lectures are daily one-hour noon lecture series based on the core curriculum. Lecture material topics are prepared by the program director and reviewed for approval by the subspecialty coordinator.
  2. Daily Morning Reports
    • It remains a definite favorite among residents and faculty. This dynamic, interactive, one-hour conference is held three days per week from 8:30 to 9:30 a.m. Current cases from our various inpatient and outpatient services are presented in this forum. The focus of this conference is on:
      • Professional presentation
      • Differential diagnosis
      • Clinical reasoning
      • Evaluation and management
      • Prevention of diagnostic/treatment errors
      • Cost effective decision making
    • Cases are to be presented by our residents under the guidance of our chief resident or faculty member.
    • General internal medicine faculty and sub-specialty attendings provide additional teaching through this case-based format.
  3. Expanded Morning Reports
    • Twice weekly, includes all students, residents, faculty and colleagues in private practice. Usually, by experience, one of the highest rated learning/teaching interactive conferences.
  4. Ambulatory Morning Report / Ambulatory Lecture Curriculum Series
  5. Intern Reports
    • Interns come together once a week for their own didactic time, under the direction of a chief resident (or Junior Faculty). Early in the intern year, the conference focuses on didactics that cover key intern-oriented topics (management and work up of chest pain, EKG essentials, hypotension and shock, evidence-based medicine practice). As the year progresses, the conference shifts to a more case-based format, continuing to focus on high-yield topics valuable in the first year of residency.
  6. Grand Rounds
    • Grand rounds are held every Wednesday morning. This conference brings together a wide academic and community provider population. Topics are applicable to both general internal medicine and subspecialty medicine. These include a week dedicated to clinicopathology conference.
  7. Morbidity and Mortality
    • The department of medicine meets monthly for an interactive case-based discussion focused on patient safety and systems improvement. Cases are selected and facilitated by the chief medical resident. This may also be presented by third year internal medicine resident with guidance from a senior faculty, expert in diagnostic error, patient safety and quality improvement. These conferences represent a safe, collegial, non-accusatory environment with an emphasis on systems improvement and preventive bad outcomes. Many of the systems issues and potential solutions identified at this conference are then presented on to the hospital administration through safety and quality conferences.
  8. Scholarship Conference
    • Held quarterly by faculty and residents who have submitted / finished or participated in a scholarship activity.
  9. Journal Club / Evidence-based Medicine
    • Held weekly, provides opportunity for residents to hone the skills required to critically appraise the literature. Conference is usually led by the program director or associate program director and a faculty from UTHSCSA-research institute in McAllen. EBM is integrated into our Friday conference series. Residents meet twice per month for a critical review of literature and recent publications.
    • Ultimate goals:
      1. Discussing a variety of study types
      2. Acquire the skills to critique randomized controlled trials, case-control and cohort studies, meta-analysis guidelines, decision analysis, cost-effectiveness and ethical issues.
  10. Subspecialty Conferences and Teaching
    • These are activities offered to residents rotating in specialty during elective rotations.
  11. Tumor Board Conference
  12. "State of the Residency Program" Meeting
    • This is a meeting between the program leadership and residents for an update and open feedback sessions.
  13. Board Review Series
    • This weekly conference during the second half of PGY-2, under the guidance of the program director and chief residents, supplements the second year residents' self-study preparation for the ABIM certification exam.
  14. Ethics and Medicine
    • This is a conference presented by an invited speaker twice per year.
  15. The Business of Medical Practice
    • These are two lectures at the 11th month of each year.
  16. Clinical Pathologic Conference (CPC)
    • Conference occurs once every other month (6 times per year) where a case of interest or unusual pathology is presented. Discussion usually is guided by the medical attending on the case and the pathologist.
  17. Radiology Lectures
  18. Formal Basic Research Workshops
  19. Web Based References as Up-to-Date and PubMed


Conference Schedule

 

Day Time Conference and Rounds
Monday 8 - 9 am Morning Report
  12 - 1 pm Noon Conference
  4 - 5 pm Chief of Service Rounds
Tuesday 8 - 9 am Morning Report
  12 - 1pm Noon Conference
  4 - 5 pm Journal Club (Twice per month)
Wednesday 8 - 9 am Grand Rounds
  12 - 1 pm

Morbidity and Mortality (1st and 3rd W of the Month)

 

CPC (2nd W of the Month)

 

Radiology Conference (4th W of the month)

Thursday 8 - 9 am Morning Report
  12 - 1 pm Noon Conference
  4 - 5 pm Chief of Service / PD or Chairman Rounds
Friday 8 - 9 am Morning Report
  12 - 1 pm Noon Conference