The Medical University of South Carolina
Internal Medicine Residency Program
Tertiary care university hospital and research center
596 beds with >30,000 inpatients per year
13 MICU beds / 10 CCU beds
Level 1 trauma center, 24 hour Service
VETERAN’S AFFAIRS MEDICAL CENTER
90 acute care beds and 28 nursing home beds
40 Internal Medicine beds and 8 MICU beds
Geriatrics Service
Full, 24 hour ancillary services
Full outpatient clinic care and Urgent Care walk-in clinic
CHARLESTON MEMORIAL HOSPITAL
Transitional Care Unit managed by Hospitalist Team
Emergency Department site for ER rotation and electives
New Hospital Building
Estimated Completion: 2007
Medicine Housestaff
87 Medicine Housestaff
PGY-1: 21 Categ, 4 Prelim,
2 Med/Peds,
1 Med/Psych
PGY-2: 20 Categ, 2 Med/Peds,
3 Med/Psych
PGY-3: 21 Categ, 3 Med/Peds,
3 Med/Psych
PGY-4: 2 Med Peds,
2 Med/Psych
PGY-5: 1 Med/Psych
Chief residents: 2
2007-2008: 24 Categ,
7 Prelim, 2 Med/Peds,
2 Med/Psych
Intern Schedule
► Ward months: 8-9
► Call Rotations
Gen Med (4-5 mo)
Specialties (3-4 mo)
MICU (1 month)
► Non-Call Rotations:
ambulatory, ER
► Continuity clinic ½ day a
week
Inpatient Services
►
►
VA wards (3 teams)
General Medicine wards (4
teams)
Cardiology (2 teams)
► GI (2 teams)
► Pulmonary
► Nephrology
► Hematology
► Oncology
► MICU
► VICU
► CCU
►
Example Intern Schedule
July
August
September
October
November
December
January
February
March
April
May
June
VA ward
Renal ward
MICU
Ambulatory Clinic
VA ward
VA Urgent Care*
Cards ward
Oncology ward
Gen Med ward
ER
*Holiday off
Gen Med ward
Pulmonary ward
Resident Schedule
► Ward months
PGY-2: 5 months + 2 ICU
PGY-3: 3-4 months + 1-2
ICU
► Night Float 1
month/year
► Ambulatory
► Consult
► Elective & research
Call Service Design
Short/Long call
 MUH GM wards
 VA wards
► Specialty
services
 Onc/Pulm/Renal/Heme
 GI/Cards
Call at MUH
Interns
q8: General Medicine
q6: Renal, Pulmonary, Oncology, Hematology
q6: Cardiology, GI (liver & luminal)
Residents
q4: MICU
Night float
On ward services 1-2 overnight calls per month
Call at VAMC
Intern Call: q6
Interns stay overnight q6 and
until 8pm q6
Residents stay until 8pm q 3 and
take 2-3 weekend calls
Resident Night Float
MICU: q3
Beds: 8
Closed unit
ACGME Compliance
► Admission
caps in 24 hours
Interns 5 patients
Residents 10 patients
► Work
hours
Maximum 80 hour work week
Days off average 1 in 7
Maximum shift 30 hours (no post-call clinic!)
Night Float Schedule
Week 1
Float 8pm-8am, Sun-Thurs
Week 2
Vacation or VA GM Consults
Week 3
Float 8pm-8am, Sun-Thurs
Week 4
Float 8pm-8am, Sun-Thurs
(2nd,3rd year only)
Consult Opportunities
► Gastroenterology
► Endocrinology
► Cardiology
► Allergy
► Pulmonology
► Infectious
Disease
► Hospitalist
► Nephrology
► Rheumatology
/ Asthma
► Neurology
► Research electives
► Others:
Dermatology
Radiology
Surgery, etc
Ambulatory Sites
► Continuity
clinics
 University Internal Medicine
 VA Primary Care Clinics and Urgent Care
► Each
location with social workers, diabetes
educators, dieticians, and clinical pharmacists
► General Internal Medicine and sub-specialty clinics
for referral
University Internal
Medicine (UIM)
8th floor Rutledge Tower
Primarily Medicare, Medicaid
and Private patients
Full service subspecialty
referrals
Pharmacy
Rutledge Tower
Laboratory
>310,000 square feet
Radiology
265,000 patient visits/yr
PT/OT
Connected to MUSC
VA Primary Care Clinics
Patient regional
attachment area
>175,000 in NC, SC, and
GA
Three primary care teams
Urgent Care walk-in clinic
Full Medical and Surgical
specialties
Complete electronic
medical record
Conferences & Education
Morning Report
Monday, Wednesday, Friday
VAMC
MUH
Conferences & Education
Attending Rounds
Daily, following morning report
Bedside teaching
Medical students
Pharmacists, Care
Managers, etc.
Conferences & Education
Noon Conferences
Attending Directed
►Emergency
Lecture Series
►Division Lectures
Resident Directed
►Morbidity
and Mortality
►Clinical Pathology Conference
►Journal Club
►Medicine in the News
►Senior Talks
Conferences & Education
Medicine Grand Rounds
 Outside speakers
 Patient case Grand Rounds
Intern Conference
Board Review Sessions
Second Year Leadership Conference
Division Conferences
 Cardiology Grand Rounds
 Pulmonary Case Conference, etc
Average 40% graduates enter General
Internal Medicine practice and 60% enter
sub-specialty fellowships
Practice Where?
Charleston Area
Orangeburg, SC
► Summerville, SC
► Florence, SC
► Yonges Island, SC
► Columbia, SC
► Denver, CO
► Galveston, TX
► College Station, TX
► Ocean Springs, MD
► Washington, DC
►
►
Atlanta, GA
Tucson, AZ
► Raleigh, NC
► Durham, NC
► Savannah, GA
► Cleveland, OH
► Philadelphia, PA
► Little Rock, Arkansas
► Nashville, Tennessee
► Naples, Italy
►
►
Fellowships Where?
►
►
►
►
►
►
►
►
►
►
►
MUSC
University of Virginia
University of North Carolina
Baylor University
Washington University, St. Louis
University of Chicago
Indiana University
Ohio State University
Albert Einstein College of
Medicine
Medical College of Virginia
University of Michigan
►
►
►
►
►
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►
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Temple University
Louisiana State University
South Alabama
University of Texas, Galveston
University of South Florida
Wake Forest
East Carolina University
Medical College of Georgia
Vanderbilt University
UC- San Diego
Oschner Clinic
University of Arizona
Salary and Benefits
►
Resident salaries 2006-2007 (10/1/06 – 9/30/07)
PGY-1:
PGY-2:
PGY-3:
PGY-4:
PGY-5:
►
$39,169
$40,857
$42,634
$44,481
$46,416
Insurance benefits
 Health
 Dental
 Disability
►
Wellness Center membership
Salary and Benefits
►3
weeks paid vacation plus holiday
► Paid
SC, DEA, DHEC licenses
ACP membership
Step 3 USMLE
► Parking
► Embroidered lab coats
► On-call meals, weekend take-out
► Conference / presentation funding
► Simon-Web paging system
MUSC
Charleston Housing
► Resident
living (approximate)
50% rent / 50% own
► Several
diverse locations close to MUSC
► Rental Costs by location (2 BR apt per month):
Downtown
James Island
Mt. Pleasant
N. Charleston:
West Ashley:
$1210/mo
$950/mo
$1045/mo
$820/mo
$960/mo
Finding a Residency
► “Did
I like those people? Can I work with
them?”
► “Did I like that city? Can I live there? Can
my spouse/significant other live there? How
will I enjoy my days off?”
► “What did it feel like while I was there?”
QUESTIONS ???