NATIONAL NAVAL MEDICAL CENTER INTERNAL MEDICINE RESIDENCY PROGRAM

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NATIONAL NAVAL MEDICAL CENTER INTERNAL MEDICINE RESIDENCY PROGRAM

  1. 1. NATIONAL NAVAL MEDICAL CENTER INTERNAL MEDICINE RESIDENCY PROGRAM
  2. 2. History <ul><li>Original hospital dedicated August 31, 1942 </li></ul><ul><li>Renovated hospital was dedicated November 21, 1980 </li></ul><ul><li>Plan for the new Walter Reed National Military Medical Center to be dedicated in September 2011. </li></ul>
  3. 3. Patient Population <ul><li>Wounded Warriors </li></ul><ul><li>Retired </li></ul><ul><li>Veterans (VA rotation) </li></ul><ul><li>Active Duty </li></ul><ul><li>Dependents </li></ul><ul><li>Foreign military and dignitaries </li></ul><ul><li>Members of Congress </li></ul><ul><li>The President </li></ul>
  4. 4. Walter Reed National Military Medical Center <ul><li>Scheduled to be fully open September 2011 </li></ul><ul><li>296 bed hospital, 50 ICU beds, 27 ER beds, 6 story outpatient building, transplant services </li></ul><ul><li>Merger of Army and Navy Internal Medicine Residency Programs by July 2011 (slots will remain Service-specific) </li></ul>
  5. 5. 2010-2011 Residency Program Leadership <ul><li>CDR William Shimeall, MC, USN </li></ul><ul><li>Program Director </li></ul><ul><li>LCDR Mark Corriere, MC, USN </li></ul><ul><li>Associate Program Director </li></ul><ul><li>LT Rahim Remtulla, MC, USN </li></ul><ul><li>Chief of Residents </li></ul><ul><li>Delilah Roman </li></ul><ul><li>Program Administrator </li></ul>
  6. 6. Residency Program Structure <ul><li>18-20 PGY-1’s </li></ul><ul><li>18-20 total PGY 2’s and 3’s </li></ul><ul><li>13 four week blocks </li></ul>
  7. 7. Rotation and Faculty Affiliations
  8. 8. Uniformed Services University <ul><li>USUHS faculty attend at NNMC </li></ul><ul><li>NNMC is a core site for the MS3 Internal Medicine Clerkship </li></ul><ul><li>Opportunity to teach medical students </li></ul><ul><ul><li>Wards </li></ul></ul><ul><ul><li>Intro to Clinical Medicine courses </li></ul></ul>
  9. 9. Intern Rotations <ul><li>Ward Medicine Navy </li></ul><ul><li>Cardiology/CCU </li></ul><ul><li>Inpatient Oncology </li></ul><ul><li>ICU- Navy or Virginia Hospital Center </li></ul><ul><li>ER Inova Fairfax </li></ul><ul><li>Consult Medicine </li></ul><ul><li>Night Float </li></ul><ul><li>Psychiatry (2 weeks) </li></ul><ul><li>Ophthalmology (2 weeks) </li></ul><ul><li>Gynecology (2 weeks) </li></ul><ul><li>Musculoskeletal (4 weeks) </li></ul><ul><li>Neurology (2 weeks) </li></ul><ul><li>Elective </li></ul>Medicine Specific Rotations GMO Preparatory and Medicine Complimentary Rotations
  10. 10. Sample Intern Schedule
  11. 12. Daily Conferences <ul><li>Morning Report 0730 Monday to Friday </li></ul><ul><ul><li>Wednesday is Intern Morning Report </li></ul></ul><ul><li>Noon Conference lecture series </li></ul><ul><ul><li>Presented by general internal medicine and subspecialty faculty </li></ul></ul>
  12. 13. Periodic Lectures <ul><li>Monthly Practice Improvement Conference (M&M) </li></ul><ul><li>Monthly Research Seminars </li></ul><ul><li>Monthly Evidenced Based Medicine Rounds </li></ul><ul><ul><li>Focus on critically appraising medical literature </li></ul></ul><ul><li>Monthly Journal Club </li></ul><ul><li>Weekly Grand Rounds </li></ul>
  13. 14. Clinic Continuity Experience <ul><li>One afternoon a week (except in ICU or away rotations) </li></ul><ul><ul><li>Interns carry their own continuity “panel” of 30-40 patients </li></ul></ul><ul><ul><li>45 minute pre clinic didactic session each week on core internal medicine topics </li></ul></ul><ul><ul><li>Precepted by general internal medicine and subspecialty faculty </li></ul></ul>
  14. 15. Wards <ul><li>Four week blocks </li></ul><ul><li>Take admissions q3 days </li></ul><ul><li>No overnight call </li></ul><ul><ul><li>Covered by night float </li></ul></ul><ul><li>Team structure includes attending, one R3 or R2, two interns, one sub-intern, and one to two MS3’s </li></ul>
  15. 16. Where do our Intern Graduates go? 2009 PGY-1 Graduates Next Assignment Ultimate Career Goal Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Psychiatry Residency Med/Psych GMO- Gulfport, Mississippi. Seabees Neurology GMO- Fort Meade, Maryland Internal Medicine GMO- Camp Lejeune, Marine Corps Physical Medicine & Rehab GMO- Hawaii. Marine Corps Undecided GMO- Twenty Nine Palms, California. Marine Corps Dermatology GMO- Camp Lejeune, Marine Corps Internal Medicine GMO- Okinawa, Japan. Marine Corps Internal Medicine Flight Surgery Anesthesia Flight Surgery Undecided
  16. 17. Where do our Intern Graduates go? 2010 PGY-1 Graduates Next Assignment Ultimate Career Goal Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Internal Medicine Residency Emergency Medicine Residency- San Antonio Emergency Medicine Radiation Oncology Residency- Duke Radiation Oncology Flight Surgery Undecided Flight Surgery Anesthesia Flight Surgery Internal Medicine Undersea Medicine Emergency Medicine Undersea Medicine Radiology GMO- Gulfport, Mississippi. Seabees Undecided GMO- Okinawa, Marine Corps Emergency Medicine/Internal Med GMO- Camp LeJeune, Marine Corps Emergency Medicine
  17. 18. Where do our Residency Program Graduates go? PGY- 3 Graduates Next Assignment 2010 General Internal Medicine Fellowship 2010 Hematology/Oncology Fellowship 2010 Cardiology Fellowship 2010 Naval Hospital Great Lakes 2010 Naval Hospital Cherry Point 2010 Chief Resident 2010 Nephrology Fellowship 2010 Naval Hospital Lemoore 2010 Pulmonary/Critical Care Fellowship 2009 Naval Hospital Lemoore 2009 Naval Hospital Yokosuka 2009 Pulmonary/Critical Care Fellowship 2009 Naval Hospital Charleston 2009 Office of Attending Physician to Congress 2009 Cardiology Fellowship 2009 Naval Hospital Beuford 2009 Naval Hospital Yokoska 2009 Operational Billet Afghanistan 2009 Naval Hospital Pensacola
  18. 19. Fellowship Training at NNMC/USUHS/NCC <ul><li>Cardiology </li></ul><ul><li>Gastroenterology </li></ul><ul><li>Pulmonary </li></ul><ul><li>Critical Care </li></ul><ul><li>Nephrology </li></ul><ul><li>General Internal Medicine/MPH </li></ul><ul><li>Endocrinology </li></ul><ul><li>Rheumatology </li></ul><ul><li>Hematology </li></ul><ul><li>Oncology </li></ul><ul><li>Infectious Disease </li></ul><ul><li>Allergy/Immunology </li></ul>
  19. 20. Housestaff Research <ul><li>Potential to present at national conferences </li></ul><ul><li>Dedicated research track for PGY 2 and 3 years for interested residents </li></ul><ul><li>Affiliations with USUHS and NIH/NCI </li></ul>
  20. 21. Resident Research: Where our residents have presented their research? <ul><li>National American College of Physicians </li></ul><ul><li>Navy Chapter American College of Physicians </li></ul><ul><li>D.C. Chapter American College of Physicians </li></ul><ul><li>Society of General Internal Medicine </li></ul><ul><li>Chest Conference </li></ul><ul><li>Endocrine Society </li></ul><ul><li>Infectious Disease Society of America </li></ul>
  21. 22. Recent Faculty Publications <ul><li>New England Journal of Medicine </li></ul><ul><li>Cardiology </li></ul><ul><li>Archives of Internal Medicine </li></ul><ul><li>Emerging Infectious Disease </li></ul><ul><li>American Journal of Gastroenterology </li></ul><ul><li>Annals of Internal Medicine </li></ul><ul><li>Clinical Infectious Disease </li></ul><ul><li>Thyroid </li></ul><ul><li>American Journal of Medicine </li></ul><ul><li>Journal of General Internal Medicine </li></ul>
  22. 23. Graduate Board Pass Rates <ul><li>100% board pass rate for graduates of the NNMC Internal Medicine Residency for 2006, 2007, 2008 and 2009 </li></ul><ul><li>40 out of 40 graduates certified by ABIM </li></ul>
  23. 24. Washington DC Metropolitan Area <ul><li>Museums </li></ul><ul><li>Wide range of dining options </li></ul><ul><li>Exciting nightlife </li></ul><ul><li>Professional sports teams </li></ul><ul><li>Outdoor opportunities </li></ul><ul><li>National Landmarks </li></ul><ul><li>Excellent public transportation </li></ul><ul><li>Easy access to NYC, Philadelphia, Boston </li></ul>
  24. 25. Washington DC Metropolitan Area
  25. 26. Cost of Living <ul><li>Wide range of housing options </li></ul><ul><li>Metro Check Program </li></ul><ul><li>Hospital is metro accessible (Medical Center Stop) </li></ul>Rank W/ dep W/O dep O-3E $2562 $2265 O-3 NMCSD NMCP $2433 $2334 $1755 $2148 $2085 $1644 O-4 $2718 $2334
  26. 27. Questions?

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