2009 UTGSM Viewbook


Published on

Published in: Health & Medicine, Education
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

2009 UTGSM Viewbook

  1. 1. UT Graduate School of Medicine An Overview...............................................................3 Our Campus - University of Tennessee Medical Center......................4 Our City - Knoxville, Tennessee..................................5 Preston Medical Library..............................................8 Medical Simulation Center.........................................9 Research Initiatives....................................................10 Our Residency Programs Anesthesiology..........................................................14 Family Medicine.......................................................15 General Dentistry......................................................16 General Surgery.........................................................17 Internal Medicine......................................................18 Nuclear Medicine......................................................19 Obstetrics and Gynecology........................................20 Oral and Maxillofacial Surgery..................................21 Pathology..................................................................22 Radiology..................................................................23 Transitional Year........................................................24 Urology.....................................................................25 Our Fellowship Programs Advanced Obstetrics..................................................26 Behavioral Medicine..................................................26 Cardiovascular Disease..............................................27 Cytopathology...........................................................28 Emergency Medicine.................................................28 Oral/Head and Neck Surgery....................................29 Pulmonary Medicine.................................................30 Sports Medicine........................................................31 Surgical Pathology.....................................................31 Surgical Critical Care................................................32 Vascular Surgery........................................................32 Table of Contents 1 Educating physicians and dentists.  Conducting life-changing research.  Building a healthier world…beginning in Tennessee. 1 The UT Graduate School of Medicine and its clinical partner, University Health System Inc., form the University of Tennessee Medical Center, the only academic medical center in the region.   Our mission focuses on four distinct, but linked, concepts: Education. Research. Patient Care. Service.    We are committed to providing medical and dental education and research endeavors that impact today’s families…and tomorrow’s generations. The University of Tennessee is an EEO/AA/Title VI/Title IX/Section 504/ADA/ADEA institution in the provision of its education and employment programs and services. R08-4005-011-008-10 (10PB14DN-GE-102009) 1
  2. 2. What we do each day at UT Graduate School of Medicine impacts our nation’s well being, whether it is through the training of excellent physicians and dentists or new medical treatment opportunities created by our cutting-edge research. We influence the healthcare of Tennesseans and reach beyond our region to affect the treatment protocols of tomorrow. We are proud of the footprint we are leaving, and we are excited about our future, a future we see every day in the faces of our residents and in the labs of our researchers. We know that only through a spirit of exploration, a passion for teaching and a compassion that restores can we succeed. We look forward to many more years of educating medical professionals and seeking answers for a lifetime. We hope you will join us as you reach to achieve your educational goals. James J. Neutens, Ph.D., Dean UT Graduate School of Medicine UT Graduate School of Medicine Overview 1 At the University of Tennessee Graduate School of Medicine, almost 200 resident physicians, dentists, and fellows participate in our 12 residency and 11 fellowship programs to gain advanced training in specialties, such as Dentistry, OB/GYN or Family Medicine. Along with our clinical partner, University of Tennessee Medical Center, we provide the foundation for excellent resident training as well as medical student core M3 and M4 electives. Our numerous linkages with the main campus of the University of Tennessee, the UT School of Veterinary Medicine, and Oak Ridge National Laboratories provide residents and fellows unique learning and research opportunities. UT Graduate School of Medicine in Knoxville, TN is part of UT Health Science Center College of Medicine. The college is comprised of three fully-integrated campuses located in Memphis, Chattanooga, and Knoxville. Our leadership and faculty have created an environment that has provided more than 13,000 students and trainees with the education and experiences that make them skilled, compassionate physicians, dentists, and researchers. The academic medical center in Knoxville is a vibrant institution with approximately 200 residents, 200 teaching physicians and researchers, and more than 180 volunteer faculty physicians and dentists. Our physicians and dentists lead the way in educating students, residents and fellows, while continuing to practice medicine and conduct research of their own. We believe that practicing physicians and dentists make better educators. And in this evolving body of knowledge we call medicine, we believe the best medical and dental educators are those who never stop learning. UT Graduate School of Medicine Teaching Programs Residencies • Anesthesiology • Family Medicine • General Dentistry • General Surgery • Internal Medicine • Nuclear Medicine • Obstetrics and Gynecology • Oral and Maxillofacial Surgery • Pathology • Radiology • Transitional Year • Urology Fellowships • Advanced Obstetrics • Behavioral Medicine • Cardiovascular Disease • Cytopathology • Emergency Medicine • Oral/Head and Neck Surgery • Pulmonary Medicine • Sports Medicine • Surgical Pathology • Surgical Critical Care • Vascular Surgery To learn more about the benefits of working at the UT Graduate School of Medicine in Knoxville, visit our Web site at: http://gsm.utmck.edu/prospective/main.cfm Follow us on Twitter: twitter.com/UTGSM We educate physicians and dentists. 2 3
  3. 3. UT Medical Center The University of Tennessee Medical Center is a 581 bed acute care teaching hospital with an additional 21 skilled nursing facility beds. Designated by the state of Tennessee as the region’s Level I Trauma Center, the medical center provides the broadest and most comprehensive array of medical services in one location of any facility in the East Tennessee region. A Level I Pediatric Trauma Center, Level III Intensive Care Nursery, and Pediatric Intensive Care Unit enable the medical center to provide the region’s most comprehensive tertiary medical services for infants and children. The University of Tennessee Medical Center also serves as a state of Tennessee Regional Perinatal Center. The Division of Aeromedical Services (UT LIFESTAR) is one of the nation’s most renowned aeromedical programs. The LIFESTAR staff trains more than 3,000 emergency care personnel annually as a public service, and has consulted with official regulatory agencies to develop and refine regional and national standards for aeromedical operations. Our new dedicated heart hospital—the region’s first— meets the increasing demand for heart, lung, and vascular services, while providing the appropriate environment to achieve the best possible patient outcomes. The four-story addition includes a beautiful atrium lobby, an expanded endoscopy department, a new 24-bed private-room cardiovascular intensive care unit, and two floors to eventually accommodate 32 patient beds per floor for post-ICU cardiovascular patients. Recognized as a • Level I Trauma Center • Level I Pediatric Trauma Center • Level III Neonatal ICU • Certified Primary Stroke Center • Pediatric Dialysis and Renal Failure Center • Biomedical Imaging Center • Aeromedical Service Base • Adult & Children Transplantation Center Centers of Excellence • Heart Lung Vascular Institute • Brain and Spine Institute • Cancer Institute • Emergency and Trauma Services • Center for Women & Children’s Health To learn more about The University of Tennessee Medical Center, visit our Web site at: www.utmedicalcenter.org 1 Why Choose Knoxville? Knoxville, Tennessee has been voted “one of America’s most…” by several organizations. The city is one of the gateways to the Great Smoky Mountains National Park and is within a day’s drive of nearly 75% of the U.S. population. The metropolitan Knoxville area was ranked the “best place to live in the United States and Canada” among cities with a population of fewer than 1 million. The results confirmed what most people in this area have known for a long time - Knoxville is one of the best cities in the country! To learn more about the benefits of working at the UT Graduate School of Medicine in Knoxville, visit our Web site at: http://gsm.utmck.edu/prospective/ main.cfm 1 We take pride in our campus – The University of Tennessee Medical Center Our City, Knoxville, Tennessee Knoxville metro area ranked #1 Best Place to Live for cities under 1 million population. (354 Metros Ranked) Source: Places Rated Almanac, Special Millennium Edition Knoxville ranked 4th on the “Best Cities for Relocating Families” list for Mid-Size Markets. Source: Worldwide ERC and Primacy Relocation, May 2008 Metropolitan Knoxville named No. 10 on the list of Forbes Magazine “Best Places for Business and Careers.” Source: Forbes Magazine, March 2008 Knoxville Metropolitan area named 3rd among all mid-sized cities in the nation in its annual “Best Metro for Business and Expansion” competition. Source: Expansion Management Magazine, August 2007 Knoxville named one of the “10 Best Places to Live And Boat.” Source: Boating Life Magazine, July 2007 Knoxville ranked 1st on the “Best Cities for Relocating Families” list. Source: Worldwide ERC and Primacy Relocation, May 2007 Knoxville named one of “America’s 50 Hottest Cities,” cities that are best places to expand or relocate a business. Source: Expansion Management Magazine, February 2007 Three areas within the Innovation Valley - Knoxville, Loudon and Gatlinburg -- ranked among the top 100 most popular spots in the nation to retire. Source: Where to Retire Magazine, February 2007 Knoxville metro ranked 1st in “Best Place for Recent College Graduates” as most affordable city for a college graduate just entering the workforce. Source: Economic Research Institute, July 2006 Knoxville ranked 7th in the CNNMoney.com’s “Most Affordable Vacation Destination.” Source: CNNMoney.com, May 2006 4 5
  4. 4. Life In and Around Knoxville An important part of your residency experience includes the community in which you live. UT Graduate School of Medicine is located in the East Tennessee city of Knoxville. Recognized as one of America’s most livable communities, the city is nestled between the majestic Cumberland and Great Smoky Mountains and offers a superior quality of life. In the millennium edition of Places Rated Almanac, Knoxville was ranked the 13th best place to live among all U.S. cities. Surrounded by five of the great lakes of the south, East Tennessee has four gentle seasons, low cost of living, and year-round recreation. It is famous for its fall colors, abundant arts and culture, and magnificent scenic beauty. UT Graduate School of Medicine and its academic partner, The University of Tennessee Medical Center, are located across the river from the flagship of UT’s statewide campuses and a very short drive from downtown Knoxville. Residents can enjoy many local activities, such as UT’s 140,000 square feet recreation complex, college sports, free weekly concerts in the spring, summer, and fall, Clarence Brown theatre plays, Knoxville Museum of Art exhibits, and performances of the Knoxville Symphony and Appalachian Ballet Company. Outdoor sports and recreational activities abound in East Tennessee – snowboarding, waterskiing, mountain biking, sailing, hiking, camping, rock climbing, whitewater rafting, kayaking, and canoeing. From the cities to the numerous mountains and lakes, there’s something for everyone! To learn more about Knoxville, visit our Web site at: http://gsm.utmck.edu/prospective/knoxville.cfm 1 Our Community 76
  5. 5. Preston Medical Library In January 1967, the Howard P. Preston Medical Library opened it doors at the University of Tennessee Memorial Research Center and Hospital, the predecessor to today’s University of Tennessee Medical Center and UT Graduate School of Medicine. Today, Preston Medical Library, a department of the UT Graduate School of Medicine, is a nationally recognized academic medical library. Virtually double in size from its original facility, it assists healthcare professionals not only from University of Tennessee Medical Center but also from hospitals and medical groups across the region and nation 24 hours a day. In addition, it is an invaluable resource for other professional groups, such as researchers, pharmacists and attorneys. At the University of Tennessee Medical Center, our librarians teach evidence-based medicine sections of the Foundational Curriculum, and they work with all residency program directors to provide instruction in research skills for first-year residents. They also teach an evidence-based medicine (EBM) program for third-year medical students in Family Medicine and work with first- and second-year residents on EBM and research skills. Outside of required instruction for students and residents, librarians offer classes in the use of knowledge-based information resources for all University of Tennessee Medical Center staff and provide outreach instruction for area physicians, consumers, and other librarians. Preston Library also offers a unique service to the community—the Consumer and Patient Health Information Service (CAPHIS). CAPHIS is free public service available to anyone in the community, state or nation who desires medical information. Those seeking information need only contact the library with their questions, and our professional medical librarians will conduct confidential research on their behalf. Preston Medical Library is recognized for its outreach programs designed to teach regional librarians, healthcare professionals and others how to access reliable online health information. It is accessible to UT faculty and clinical staff 24 hours a day, 7 days a week. To learn more about Preston Medical Library, visit our Web site at: http://gsm.utmck.edu/med_library/main.cfm 1 Medical Simulation Center The Medical Simulation Center, established in early 2008, offers medical teams at the UT Graduate School of Medicine opportunities to increase medical skills using life- size human mannequins, laparoscopic simulators, and other skills-building models. Medical simulation is immersive training with feedback during which users practice tasks and processes in life-like scenarios. In addition to feedback from observers, peers, and video, simulators also provide numerous performance metrics to assist in the assessment and improvement of clinical skills. At the UT Graduate School of Medicine’s Medical Simulation Center, physicians and students can attain individual improvement in skills or learn as part of a medical team while their reactions and decision-making abilities as individuals and team members are measured. This type of training improves critical thinking, decision making, and clinical techniques all without risk to a real patient. The Simulation Center monitors, records, and measures performance using audiovisual equipment and post-exercise debriefing. New laparoscopic trainers offer surgeons the ability to practice a variety of skills, such as suturing, dissection and pattern cutting, and allow physicians to improve their visual, tactile, and coordination skills. These training procedures range from the basics, such as drawing blood, to more sophisticated procedures, such as endovascular surgery and trauma care. Sim Man, a full-sized patient simulator, offers training using pre-programmed scenarios, instructor-created scenarios, and “on-the-fly” training. Simulations can include planned manipulations of blood pressure, pulse, cardiac rhythms, breath sounds, drug recognition, and response. X-rays and laboratory data may be provided during a scenario. Some mannequins, such as Sim Baby, can move limbs and cry. Its pulse, blood pressure, and breathing can be controlled for training purposes to enhance the reality of the created situation. Training through medical simulations, from simple injuries to complex illnesses, can be played out in realistic emergency room and operating room settings, allowing the medical team to make rapid decisions that may one day be required in real-time emergencies. To learn more about our Medical Simulation Center, visit our Web site at: http://gsm.utmck.edu/simulation/ main.cfm 1 8 9
  6. 6. Research 1 Anesthesiology Research The Anesthesiology Research Laboratory supports the faculty, residents, and fellows of the Department of Anesthesiology by performing clinical research on pain and nausea management, regulation and monitoring of blood clotting during trauma, aspirin resistance in cardiovascular disease, and the effects of anesthesia visualized using Positron Emission Tomography. Researchers in the lab assist with the design and execution of proposed research projects and final statistical analysis. The research endeavors also provide training for pre- and post-doctoral students interested in careers in biomedical research. Cancer Cell Biology Research The Cancer Cell Biology Laboratory focuses on how growth and death of breast and ovarian cancer cells are regulated by estrogens and chemotherapy agents like paclitaxel. Specifically, researchers study the signal transduction pathways through which estrogens and paclitaxel regulate the cell cycle and apoptosis in cultured human breast and ovarian cancer cells. Studies may lead to identification of novel cellular targets, which may prevent growth and/or induce death in cancer cells. Conformational Diseases and Therapeutics Research Research in the Conformational Diseases and Therapeutics Research laboratory finds that the damage of neurodegenerative diseases, such as Huntington’s, occurs in the steps before the aggregation of specific misfolded protein takes place. Researchers work to identify compounds that can stabilize intermediate stages of the aggregation process in order to study them, determine if they are toxic, and ultimately render them inert. In addition, these compounds can be used to change the structure of the aggregate, rather than prevent its formation, allowing healthy cells to destroy it. Health Literacy The Department of Family Medicine Office of Education/ Research is passionate about conducting health literacy research that may someday improve the way in which individuals obtain, process, and understand a vast array of health-related information. Faculty researchers are particularly interested in improving much of the health- related information, such as prescription and over-the- counter medication labeling, consumer medication information, and informed-consent forms currently disseminated to patients. The office also works to understand the dynamics of the clinical encounter as a function of patients’ health literacy skills. Human Immunology and Cancer Program The Human Immunology and Cancer Program is a multifaceted basic and clinical scientific endeavor devoted to advancing understanding of the pathogenesis of primary (AL) amyloidosis and developing innovative diagnostic and therapeutic means. Research efforts are directed toward the precise identification and characterization, through immunological, biochemical, and molecular biological techniques, of the protein components that are largely responsible for the devastating manifestations of this disorder. The National Cancer Institute has prepared one of the lab’s “anti-amyloid” monoclonal antibodies in a form that can be administered to humans and is currently producing a sufficient amount of this clinical-grade reagent for a Phase I/II trial in patients with amyloid disease. We conduct life-changing research Our faculty physicians, dentists and researchers are at the forefront of medical discovery in basic (bench) science studies, translational research and clinical research. The treatments used today by physicians, surgeons, oncologists, or other medical professionals might have originated right here in the labs at UT Graduate School of Medicine. And tomorrow’s therapies might be seen at this moment under the microscopes of our researchers. We seek answers that will one day lead to cures for the world’s diseases and disorders. To learn more about our research initiatives, visit our Web site at: http://gsm.utmck.edu/research/main.cfm 10 11
  7. 7. Research continued 1 Medical Genetics The Department of Medical Genetics offers the opportunity to expand the clinical, academic, and research opportunities in this rapidly developing discipline. It works to apply new research developments in genetics to clinical practice; teach medical genetics to physicians, residents, fellows, medical students, and graduate students; and collaborate in research in areas where genetics influence clinical care. This research activity offers both a clinical department and the UT Graduate School of Medicine Genetics Center, providing clinical genetic care and specialized laboratory services in cytogenetics, biochemical genetics and molecular genetics. Molecular Imaging and Translational Research Program The mission of the Molecular Imaging and Translational Research Program is to create a world-class center for translational research using molecular imaging. The imaging program involves clinical research studies, such as assessment of chemotherapy response in non-small cell lung cancer; evaluation of Positron Emission Tomography/Computed Tomography in the management of patients with oral/head and neck cancer; and the study of vulnerable atherosclerotic plaques. The translational research program addresses the development of new molecular biomarkers, evaluation of such biomarkers in appropriate animal models, and their subsequent introduction into the clinical arena for patient imaging. Preclinical and Diagnostic Molecular Imaging Laboratory The Preclinical and Diagnostic Molecular Imaging Laboratory is a small-animal imaging facility dedicated to the study of disease and the development and evaluation of novel treatments and diagnostic techniques. The aim of the laboratory is to facilitate the translation of novel therapies and diagnostic agents for patients by providing proof-of- principle data in animal models of disease, as required by the U.S. Food and Drug Administration. The laboratory focuses on research into amyloid-associated disorders, cancer, atherosclerosis, and diagnostic veterinary imaging. Shock Trauma and Nutrition Research Laboratories The Shock Trauma and Nutrition Research Laboratories are part of the Department of Surgery, Division of Surgery Research. Surgical residents, undergraduate and graduate students, medical students, and critical care and vascular fellows are involved in ongoing research and are encouraged to initiate their own investigations under faculty guidance. Collaborative investigators in the departments of Medical Genetics, Anesthesiology, Pathology, Medicine, Radiology, and the UT College of Veterinary Medicine also offer an extensive assortment of projects. Each year, one resident is selected for participation in this highly competitive program. Vascular Research Laboratory The Vascular Research Laboratory is a basic and translational research facility dedicated to the study of peripheral vascular disease and the identification of critical rate-limiting steps where targeted interventions could prevent or hinder development of vascular pathologies.  The laboratory focuses on research into the molecular and cellular mechanisms of vascular restenosis, intimal hyperplasia development, and vessel graft failure.  Significant emphasis is placed on defining the role of hormone replacement therapy in the exacerbation of these pathologies in post-menopausal women. our Residency & Fellowship programs 12 13
  8. 8. For more than 50 years, the Department of Anesthesiology has trained physicians to become consultants in anesthesiology and diplomates of the American Board of Anesthesiology. In addition to a wide array of routine and challenging clinical cases, the residency program affords opportunities in clinical and basic science research. The academic staff is comprised of 25 anesthesiologists with subspecialty training in pediatric, neurosurgical, obstetric, and cardiovascular anesthesiology; pain management; critical care medicine; as well as perioperative transesophageal echocardiography. The staff anesthesiologists provide 24-hour, in-house call. More than 19,000 surgical and 3,200 obstetrical procedures are performed at the University of Tennessee Medical Center each year. In addition to routine surgical caseloads, the residency program offers excellent experience in managing various subspecialty surgical procedures such as robotic valvular heart repairs, complex pediatric cardiac procedures, neonatal surgery, neurosurgery, transplantations, and bariatric surgery. Superb clinical training is also provided in diverse areas of critical care medicine, acute/chronic pain management, and high- risk obstetrics. An active trauma service is supported by a sophisticated air ambulance program, which flies more than 2,500 missions annually. The anesthesiology residency program consists of three years of training after the first post-graduate year (PGY- 1). The first year of residency (PGY-2) emphasizes the academic knowledge and technical skills necessary for clinical practice. Subspecialty rotations in PGY-3 year include pain management, critical care, cardiovascular, regional, neurosurgical, obstetric, pediatric, and thoracic anesthesia. During the PGY-4 year, residents pursue individual areas of interest within the field of anesthesiology as progressive experience and increased individual responsibility for patient management are obtained. Departmental educational resources include a computer- based resident educational media room networked to the Internet as well as the hospital intranet to access the medical library for reference, research, and instructional guidance. Electronic anesthesia resources such as PubMed, Cochrane, Micromedex and MDConsult can be accessed from home or anywhere in the hospital. Three separate lecture rooms equipped with LCD projectors and screens provide a casual and comfortable environment for didactic activities. Simulation training is incorporated into all levels of anesthesia training with further expansion planned. The departmental research effort is directed by a full-time, doctoral-prepared investigator and research assistants. Residents are encouraged to participate in ongoing projects as well as to pursue areas of their own interests. The Department of Anesthesiology encourages residents to complete the first year of post-graduate training in the transitional year program at the University of Tennessee Graduate School of Medicine. This specially designed program emphasizes direct patient care and consists of clinical rotations through general surgery, surgical intensive care, emergency medicine, obstetric anesthesiology, and pediatrics. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/anesthesiology/main.cfm Anesthesiology 1 Family Medicine 1 The Family Medicine residency program began in 1970 as the 43rd program in the United States. The three-year program is approved for 24 residents, and offers the benefits and resources of an academic center in a community hospital setting. The curriculum blends clinical and didactic academic experiences with a psychosocial understanding of behavior, which enables residents to acquire the technical skill and medical knowledge of a family physician. Residents learn clinical care, preventive guidance, an array of outpatient procedures and behavioral counselling for individuals and families under faculty supervision. An individualized education program allows residents to minimize weaknesses, maximize strengths, and work toward accomplishing personal and professional goals over the course of the three year program. The Family Medicine educational experience is obtained in the Harry H. Lyon, Sr. Family Medicine Center located adjacent to the University of Tennessee Medical Center. Here residents provide continuous ambulatory care for their patients under faculty supervision. A resident’s Family Medicine clinics are constant throughout the year and increase in number each year. The Family Medicine curriculum is designed to allow exposure to a variety of disciplines and related clinical faculty. First-year rotations include pediatrics, general surgery, emergency medicine, obstetrics and gynecology, and inpatient family medicine. In-depth experiences in several medical and surgical subspecialties are obtained in the second and third years. Geriatrics, nutrition, behavioral science, and practice management are taught in a linear fashion throughout the residency. Daily teaching conferences occur at morning report and noon. These educational conferences are expounded with skills labs, journal clubs, grand rounds and board review, all sponsored by the Department of Family Medicine. Unique and innovative electives are available to satisfy the individual needs of residents. Research projects relevant to clinical family practice are required, with faculty advisors assisting in project design. Residents and students are taught by full-time and part- time faculty. The faculty offers diversity in educational background and practical experience. The department sponsors fellowships for graduate physicians in advanced obstetrics, behavioral medicine, emergency medicine, geriatrics and sports medicine. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/family_medicine/main.cfm ResidencyResidency 14 15
  9. 9. The General Dentistry residency program prepares the resident to comfortably enter private practice. Emphasis is placed on clinical training including cosmetic dentistry, fixed and removable prosthodontics, operative dentistry, and restorative aspects of osseointegrated implant prosthodontics. Residents also receive extensive training in hospital dentistry and in comprehensive treatment of medically-compromised patients. Dentistry residents are encouraged to accelerate at their own pace, beginning with relatively simple cases under close supervision. As the year progresses, residents assume more independence and responsibility for their patients, with attending staff available for consultation. Dentistry offices in Medical Office Building A, Third Floor, Suite 340, closely parallel a traditional private practice. Residents are appointed patients and remain responsible for the dental health of those patients throughout the residency. Dentistry residents complete one-month rotations in Anesthesiology, Oral Surgery, and Internal Medicine, and other rotations in the emergency department. Rotations off campus include those sponsored by the Knox County Health Department. Didactic training and clinical supervision are provided by attending staff from general dentistry and each dental specialty. Monthly lecture series are conducted, and residents participate in research projects. The general dentistry program offers an optional additional year in which residents undertake advanced training in the treatment of medical and dental cases of greater complexity. Additional operating room experience and elective studies are included in the optional second year. In 2008, forensic dentistry was introduced into our educational offerings. Residents may actively participate in forensic oral autopsy procedures in the Regional Forensic Center. Residents can gain dissection expertise and learn the resulting antemortem – postmortem comparison of traditional and digital films and records to achieve the positive identification process using oro-facial skeletal remains. Candidates for the program must be a graduate of a dental school accredited by the American Dental Association Council on Dental Accreditation. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/dentistry/main.cfm General Dentistry 1 General Surgery 1 The Department of Surgery offers a non-pyramidal residency program that encourages scholarship while providing the surgeon-in-training closely supervised, early operative experience. Due to an active surgical service, the resident receives broad exposure to a large number of operative cases. Full-time and volunteer faculty actively participate in the teaching of students and housestaff. The Department of Surgery maintains the following divisions: • Cardiothoracic Surgery • General Surgery • Neurosurgery • Pediatric Surgery • Plastic and Reconstructive Surgery • Ophthalmology • Orthopedics • Otorhinolaryngology • Surgical Oncology • Trauma/Critical Care • Urology • Vascular/Transplantation During the first two years, the surgeon-in-training is exposed to a core curriculum, which includes anatomy, physiology, metabolism, surgical pathology, wound healing, resuscitation, oncology, and surgical nutrition. Concurrently, the resident learns practical skills common to all disciplines. The residency emphasizes complete preoperative assessment, the mastering of surgical techniques through performance, and total postoperative care of patients with surgical illnesses. Opportunities for fundamental research are also available to the resident and critical surgical thinking is encouraged through clinical research projects. The resident receives enhanced exposure to, and experience in, surgical specialties as both the operating surgeon and first assistant. Advanced endoscopic and endovascular techniques, gynecology, and anesthesiology are included as required experience for surgical house officers. The Department of Surgery has active outpatient offices that provide supervised resident learning experiences in ambulatory and outpatient surgical practice. Consistent with the role of the University of Tennessee Medical Center as a Level I Trauma Center, resident staffing on the trauma service includes experience in resuscitation, shock management, operative management of major thoracoabdominal injuries, and overall care of patients with multisystem injuries. The Department of Surgery adheres to a strict work hours policy and provides educational activities that ensure that all of the Accreditation Council for Graduate Medical Education mandated competencies are achieved and that the trainee is prepared to practice general surgery competently and independently. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/surgery/residency.cfm ResidencyResidency 16 17
  10. 10. Internal Medicine residency graduates complete the program well prepared for any setting whether it be in academia or clinical practice in an urban or rural area. During the three-year program, the resident is placed in highly patient-oriented, clinical environments, which encourage an individualized pace of professional development and a personal lifetime commitment to continuing medical education. Throughout the residency program, each resident carries a panel of patients through the medicine continuity clinic, supervised by practicing general medicine faculty. During the first year of training, the resident spends much time in general internal medicine, supervised by both general medicine and subspecialty staff. Through this training, the resident is closely associated with a number of physicians who utilize different methodologies and technologies. Rotations through several services provide the resident experience with various disciplines as well as exposure to individual approaches and diverse clinical problems. The first year focuses on training the resident to construct treatment plans for various clinical problems and to develop communicative skills as a physician.  State-of-the-art simulator training is provided to help residents gain confidence with invasive procedures. The second year is designed around an initial assignment in general internal medicine followed by rotations through internal medicine subspecialty areas for more in-depth exposure. The resident’s third year can be customized to provide experiences tailored for the resident’s chosen specialty, whether it be primary care, hospitalist practice, or fellowship, as well as continued practice as a senior resident in inpatient and outpatient services. The Department of Medicine emphasizes interaction between the resident and an attending staff comprised of active clinicians and full-time faculty from the hospital and research center. By maintaining general internal medicine practitioners and a high density of sub-specialists on staff, the department promotes a balance of clinical care and expert technology. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/internalmed/main.cfm Internal Medicine 1 Nuclear Medicine 1 The Nuclear Medicine residency program is a three-year training program, which follows the completion of an ACGME-accredited yearlong internship as a prerequisite, and offers two alternative tracks. For residents who are board eligible or board certified in a clinical specialty, such as Internal Medicine, the training requirement is two years. For residents who are board eligible or board certified in Diagnostic Radiology, the training requirement is only one year. Our training program meets all current requirements of the American Board of Nuclear Medicine. During the course of the training, residents acquire an understanding of the basic science and instrumentation underlying nuclear medicine, training in the basic and specific applications of radionuclides, clinical competency through active participation and involvement in patient care, instruction and training in the diagnostic uses of radiotracers for imaging, and training in use of radionuclides for isotope therapy and radioimmunotherapy. Clinical nuclear medicine instruction includes a combination of regular didactic lectures, mini-lectures on selected topics, case reviews, weekly conferences (especially general oncology, chest, and head and neck) and monthly journal clubs. The teaching of the basic sciences involves didactic weekly lectures in physics, radiation safety, mathematics, radiopharmacy, radiation biology, and the use of computers in imaging and is supplemented by additional online courses and Oak Ridge National Laboratory’s REACTS course. Clinical rotations include General Nuclear Medicine, Nuclear Cardiology, PET-CT, and Diagnostic CT. Additionally, a one-month rotation in Oncology, inclusive of Radiation Oncology, is being added. Attending faculty supervise all scan readings and procedures. The program also includes an ongoing biweekly practicum in nuclear medicine procedures, quality control and nuclear pharmacy. The presence of an in-house PET-tracer production facility and the expected opening of a commercial nuclear medicine pharmacy for SPECT tracers will add significantly to the residents’ training. Clinical research is strongly encouraged. Optional research rotations can be arranged in basic science and small animal research. The section of Nuclear Medicine works in close association with a number of university-based research groups. Opportunities for presentation include regional and national conferences (e.g., SNM, RSNA). The field of nuclear medicine is evolving rapidly and our training program is incorporating molecular imaging and therapy, metabolism, cell proliferation, receptor-targeted agents, reporter genes, apoptosis, hypoxia, angiogenesis, and amyloid detection. New hybrid systems, such as PET- MRI, dedicated breast imaging systems, and new areas of cardiovascular imaging (artherosclerosis, fatty acid, adrenergic) are included. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/radiology/nuc_res.cfm ResidencyResidency 18 19
  11. 11. The Obstetrics and Gynecology residency program provides training for residents who wish to pursue a career in private practice or academic medicine. Graduates are well trained to serve as primary caregivers for women of all ages, or to continue with subspecialty fellowship training. To attain this objective, the department has subspecialists in maternal-fetal medicine, reproductive endocrinology and infertility, and gynecologic oncology. In addition, third- and fourth-year residents receive extensive training in urogynecology. To address the learning needs for primary and preventive ambulatory health care, first-year residents rotate with the Department of Medicine, the Department of Family Medicine and the Department of Emergency Medicine. Additionally, an external rotation in outpatient Family Medicine occurs during the second year. A total of twelve residents, three per level, promotes abundant clinical opportunities in obstetrics, gynecology, and the subspecialties. This program size fosters positive resident-faculty interaction as well as resident-resident camaraderie. An academic atmosphere is provided through faculty research efforts, close association with the main campus of the University of Tennessee, and the departmental Division of Education, which oversees graduate and undergraduate medical education. At the graduate level, the didactic program is patterned after the Educational Objectives developed by the Council on Resident Education in Obstetrics and Gynecology (CREOG). To enhance educational endeavors, the call schedule utilizes a night float system. Rotating family medicine residents also support the call schedule. Attending coverage is provided on-site around the clock. The medical center provides a full complement of radiology and laboratory services. Support services include phlebotomy, patient transportation, and transcription services. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/obgyn/main.cfm Obstetrics and Gynecology 1 Oral and Maxillofacial Surgery 1 The Department of Oral and Maxillofacial Surgery provides the highest standard of surgical care for patients with benign and malignant tumors of the head and neck region, soft and hard tissue trauma of the oral and maxillofacial region, dentofacial and cleft deformities, and basic oral surgical procedures including removal of teeth and the placement of implants. The Oral and Maxillofacial Surgery residency program is a fully accredited, four-year program integrated in the University of Tennessee Medical Center, a tertiary care institution with centers of excellence in the Heart Lung Vascular Institute, Brain and Spine Institute, Cancer Institute, Emergency and Trauma Services, and Center for Women and Children’s Health. Two residents are matched each academic year. The program is designed to provide the resident with the opportunity for sufficient didactic and clinical education to meet the requirements for certification by the American Board of Oral and Maxillofacial Surgery, and to become a knowledgeable and competent practitioner. The residency program includes an optional Doctor of Medicine degree at the conclusion of the four-year program. Four board- certified oral and maxillofacial surgeons and one basic science researcher comprise the in-house faculty. The residency is also supported by five, active part-time volunteer faculty. Many of the faculty have distinguished themselves with international reputations for their subspecialty clinical activities. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/oral_surg/main.cfm ResidencyResidency 20 21
  12. 12. Specifically designed to provide broad, but in- depth training, the Pathology residency program prepares the resident to enter practice in either an academic or private practice setting, successfully complete the American Board of Pathology examination, gain entrance into a fellowship of their choice, and become a lifelong learner. The program is accredited by the ACGME for 10 residents, allowing a high level of personal attention from staff pathologists. The faculty has subspecialty certification in dermatopathology, immunopathology, blood banking, cytopathology, neuropathology, medical management and medical microbiology, as well as clinical pathology and anatomic pathology. Considerable program flexibility and a large specimen volume allow the resident opportunities to far exceed the basic requirements of the Pathology RRC and the American Board of Pathology. The Graduate School of Medicine offers a four- year training program leading to qualification for board examination in anatomic and clinical pathology. Fellowship programs are offered in surgical pathology and cytopathology. Throughout training, the resident is educated in and practices both anatomic and clinical pathology. In addition to completing rotations, the resident receives formal didactic instruction covering all aspects of pathology. Primary responsibility for achieving competency, however, rests with the individual. Education in anatomical and clinical pathology include: Anatomic • Surgical Pathology • Dermatopathology • Autopsy Pathology • Forensic Pathology • Cytopathology • Electron Microscopy • Molecular Pathology • Immunopathology • Neuropathology The division into anatomical and clinical is administrative. These disciplines are integrated as much as possible, for that is how they are practiced. Each major area is covered in a minimum of two rotations, one completed as a junior resident and the other as a senior resident. Numerous subspecialty electives are available, as are research electives in pathology and with other clinical departments. Residents participate in the presentation of numerous inter- and intra-departmental conferences. The Department of Pathology is completely computerized, featuring a Cerner Laboratory Information System (PowerChart). Each resident is provided with a personal computer workstation. Additionally, education in all aspects of quality control, quality assurance, and laboratory management is offered. A complete library of pertinent pathology texts and monographs is available, as well as extensive glass and Kodachrome study sets and video disc/interactive educational programs. Additional reference materials are available from the Graduate School of Medicine Preston Medical Library or university libraries. Pathology 1 Clinical • Blood Banking/ Transfusion Medicine • Clinical Chemistry/Toxicology • Endocrinology • Hematology/Coagulation/ Clinical Microscopy/ Flow Cytometry • Microbiology (Virology, Mycology, Mycobacteriology) • Immunology • Medical Informatics/ Laboratory Management Radiology 1 The Radiology residency program is a four-year post-graduate program, which commences in the PGY-2 year after a clinical year in an ACGME- accredited clinical program such as Transitional, Preliminary Medicine, or Preliminary Surgery. The program is structured to provide the core training in all areas of radiology during the first three years of radiology training with more advanced and elective training available during the PGY-5 year. Resident learning is a “hands-on” experience with increasing responsibilities as the resident gains knowledge and skill. A comprehensive lecture-based course on imaging encompasses magnetic resonance imaging, ultrasound, computed tomography, mammography, nuclear medicine/molecular imaging, interventional radiology, and radiation biology. The physics course augments the clinical education in radiology and enhances the understanding of the “how and why” of different technologies utilized in the practice of Diagnostic and Interventional Radiology. The department employs the latest technology including PET/CT, high field strength MRI, multi detector CT scanners, and digital mammography. The interventional suite utilizes the latest in 3D road mapping and CT imaging acquired from C arm fluoroscopy. Clinical facilities and electronic chemistry and research facilities are available to further enrich the learning experience. Clinical radiologists, chemists, physicists, and engineers assume a role in residency education. Collaboration with the department of Obstetrics and Gynecology and Department of Surgery provides additional training in obstetrical ultrasound and vascular ultrasound. Training is enhanced by the opportunity to attend the Armed Forces Institute of Pathology for pathology/radiology correlation in the PGY-4 year. Training in pediatric radiology occurs throughout the four years and is particularly enhanced by two months of training at Vanderbilt Children’s Hospital. Housing is provided for attendance at AFIP and Vanderbilt Children’s Hospital. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/radiology/rad_res.cfm ResidencyResidency To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/pathology/main.cfm 22 23
  13. 13. The Graduate School of Medicine offers a transitional year residency program jointly sponsored by the departments of Internal Medicine and Family Practice. This academically rigorous one-year program gives residents the opportunity to craft a personalized schedule in multiple departments to best meet the needs of their future chosen field or to help establish career goals. The majority of transitional year residents at our institution continue in the fields of radiology, anesthesiology, ophthalmology, dermatology, and neurology. The transitional year may serve as a clinical base year for other advanced specialty programs or military service. Required rotations during the transitional year include three months of general inpatient medicine, one month of medical ICU, one month of ambulatory care, and one month of emergency medicine. The transitional year program director works directly with each resident to fulfill the requirements for a clinical base year in their chosen field. Cardiology is strongly recommended for all transitional year residents. Our program is greatly enhanced by access to electives in the ACGME-accredited programs at the Graduate School of Medicine. Inpatient and outpatient rotations are available in Internal Medicine, Family Medicine, General Surgery, Radiology, Anesthesiology, Pathology, and Obstetrics and Gynecology. In addition, opportunities are available for subspecialty training within each major department, including orthopedic surgery, dermatology, ophthalmogy, and neurology among others. The transitional year residency emphasizes direct patient care responsibility. Transitional year assignments and opportunities are identical to those of categorical interns under the supervision of senior residents in the respective specialty fields. Residents attend grand rounds and the core lecture series in the department of medicine as well as didactics specific to each of their rotations. Simulation Center sessions are offered to the transitional residents for common procedures. The transitional year residents meet monthly in sessions that emphasize the development of basic scholarly skills. Mentorship for academic projects is available. The emphasis our institution places on bedside teaching and development of basic clinical skills results in a transitional year resident well prepared for many clinical pathways. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/transitional/main.cfm Transitional Year 1 The graduate program in Urology is a four-year residency with an additional one-year preliminary position in General Surgery. The Division of Urology is a section of General Surgery and the only surgical subspecialty offered at The University of Tennessee Medical Center in Knoxville. The educational mission for the Urology residency program is to provide a well-balanced program capable of training residents for careers in clinical and academic urology. To achieve this goal, we believe all residents should participate in significant research as well as have extensive experience with both inpatient and outpatient evaluation and management of adult and pediatric urologic patients with proper supervision. The pre-urology year is required at The University of Tennessee Medical Center campus under the direction of the chairman of the Department of Surgery. The general surgery rotations include general, oncologic, trauma, vascular, thoracic, and pediatric surgery as well as surgical critical care. Urology training is unique, as throughout the four years, the resident is working on a one-on-one basis with a faculty member and is wholly responsible for day-to-day inpatient and outpatient care of that faculty member’s patients. During the first year, the resident serves as a junior member of the team with the primary goal to learn and improve endoscopic and open techniques. Rotational experience includes all aspects of urology including pediatrics, transplant, and radiology. The second through fourth years are designed to further broaden the resident’s experience to the point that the resident is responsible for the decision making, planning, operative execution, and postoperative care of outpatients and hospitalized patients. During the urology three (PGY-4) year, there is a unique community urology rotation with clinical faculty at Methodist Medical Center in Oak Ridge, Tennessee. The Division of Urology, like the Department of Surgery, adheres to a strict work hours policy and provides educational activities that ensure that all of the ACGME- mandated competencies are achieved and the trainee is prepared to practice urology independently with full competence. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/surgery/urology.cfm Urology 1 ResidencyResidency 24 25
  14. 14. The Department of Family Medicine provides one position yearly for advanced training in obstetrics. The applicant must have completed a three-year Family Medicine residency in Knoxville. The fellowship provides instruction in operative obstetrics (C-sections and post-partum tubal ligation) and management of pregnancy, labor and delivery for Family Medicine residents interested in providing those services, often in rural areas. This experience is obtained at the University of Tennessee Medical Center under the direction of the departments of Obstetrics and Gynecology and Family Medicine. Electives during the year are available in newborn nursery, neonatal intensive care, and anesthesiology. Participation in teaching students and residents in the Family Medicine Ambulatory Clinic and the Department of Obstetrics and Gynecology is expected. Back-up and consultation for the Family Medicine obstetric patient population is also provided by the fellow. To learn more about this fellowship program, visit our Web site at: http://gsm.utmck.edu/family_medicine/ advancedob.cfm Advanced OBGYN 1 The Department of Family Medicine in conjunction with a community behavioral medicine/primary care provider offers a fellowship in Behavioral Medicine. Fellows will develop clinical skills in the evaluation, diagnosis, and treatment of the majority of behavioral health problems as they present in the primary care setting. To learn more about this fellowship program, visit our Web site at: http://gsm.utmck.edu/family_medicine/behavioral.cfm Behavioral Medicine 1 Cardiovascular Disease 1 The three-year Cardiovascular Disease fellowship program at the University of Tennessee Graduate School of Medicine is designed to develop the Internal Medicine residency program graduate into an expert consultative cardiologist capable of pursing a clinical or academic career or further subspecialty training in cardiovascular medicine. At the beginning of the program, the professional goals of the fellow are solicited, and a program is designed to facilitate the fellow’s progress toward meeting those goals. During the fellowship, the fellow has the opportunity to pursue more specialized training in invasive cardiac catheterization, echocardiography, electrophysiology, nuclear cardiology, or computed tomographic cardiac imaging through program design and the appropriate selection of electives. The fellow will fulfill the ACC recommendations for Core Cardiology Training in Adult Cardiovascular Medicine (COCATS). Inpatient training takes place at the University of Tennessee Medical Center at Knoxville, a tertiary referral center and Level I Trauma Center serving the entire East Tennessee region. The patients have a broad spectrum of acute and chronic cardiovascular conditions. During the consultative and critical care rotations, the fellow treats inpatients with the entire range of cardiovascular disorders. During the required and elective rotations, the fellow receives extensive training in electrocardiography, exercise stress testing, echocardiography, nuclear cardiology, and diagnostic cardiac catheterization. Higher level training is available in any of the above subsubspecialty areas at the fellow’s request and with program director approval. Ambulatory training takes place in the Heart Lung Vascular Institute, which adjoins the hospital, where the fellow will evaluate cardiovascular disease patients in a private practice setting as well as following their own panel of patients in a continuity clinic. Throughout the fellowship, the fellow works closely with a research mentor on a research project of the fellow’s choosing. The fellow is provided with six months of dedicated research time during the fellowship to complete the research project. To learn more about this fellowship program, visit our Web site at: http://gsm.utmck.edu/internalmed/ fellowships/fellowships_cardio.cfm FellowshipFellowship Fellowship 26 27
  15. 15. The one-year fellowship in Cytopathology emphasizes the achievement of competence in interpreting cytopathologic preparations that includes total accessions 49,100; gynecologic 43,700; non-gynecologic 4,400; and fine needle aspirations 1,000, including with endoscopic ultrasound guidance. Approximately 98% of all gynecologic specimens are currently evaluated via one of two liquid based techniques and exposure to image-guided screening. The fellow is exposed to ancillary techniques such as flow cytometry, molecular biology, image analysis, in-situ hybridization, and immunohistochemistry. Correlation with associated surgical pathology material is emphasized. There is ample opportunity for training and performance of clinical fine needle aspiration, and the fellow assumes junior staff sign-out responsibilities under faculty supervision. The fellow has an active role in teaching residents and medical students rotating on the pathology service and participates in the weekly cytology slide review conferences. A research project is a requirement during the fellowship year, with strong support from the department and office of Graduate Medical Education. The Department of Pathology, which includes over twenty faculty, has an excellent computer information technology base (Cerner, Powerchart, CoPath) and incorporates state-of-the-art facilities. To learn more about this fellowship program, visit our Web site at: http://gsm.utmck.edu/pathology/cytopathology.cfm Cytopathology 1 The Emergency Medicine fellowship provides residency-trained family physicians with an additional year of training. The fellow works most of the year in the Emergency Department at the University of Tennessee Medical Center and East Tennessee Children’s Hospital under the supervision of experienced emergency medicine physicians. Additional training in trauma and medical intensive care is provided with one-month rotations on each service. Regular didactic sessions include topic reviews and procedural skills labs. To learn more about this fellowship program, visit our Web site at: http://gsm.utmck.edu/family_medicine/ emergencymed.cfm Emergency Medicine 1 Oral/Head and Neck Surgery 1 The Department of Oral and Maxillofacial Surgery offers a one-year fellowship in oral/head and neck oncologic surgery, which focuses on the surgical management of benign and malignant tumors of this anatomic region.  The applicant must possess an MD and/or DDS/DMD degree and have completed a four- or six-year residency program in oral and maxillofacial surgery. During the program, the fellow gains significant experience in the preoperative workup and operative ablation of patients with oral/head and neck neoplasms, including squamous cell carcinoma of the oral cavity, sarcomas of the jaws, odontogenic tumors, facial skin cancer, and salivary gland tumors.  Immediate and delayed reconstructive surgery techniques also are reviewed during the fellowship experience.  The fellow is expected to become involved in a research project during the year.  Other activities include participation in head and neck tumor board meetings and review of histology pertaining to extirpated tumors.  At the conclusion of the one-year experience, the fellow will be properly equipped to accept a teaching/clinical position in an academic medical center or private practice depending on his or her career interests. To learn more about this residency program, visit our Web site at: http://gsm.utmck.edu/oral_surg/main.cfm FellowshipFellowship Fellowship 28 29
  16. 16. The two-year pulmonary Disease fellowship program at the UT Graduate School of Medicine provides the Internal Medicine residency program graduate with the opportunity to obtain the education, training, clinical skills and research experience necessary to become an outstanding and compassionate pulmonary consultant and to pursue a clinical academic career or a clinical practice in pulmonary medicine. The fellowship program is an integral part of the Department of Medicine and will benefit not only pulmonary care but also internal medicine residency training. The program will provide additional opportunities for resident involvement in research, didactics and clinical training. It also gives our residents the possibility of continuing their training in a competitive subspecialty discipline. With a fellow-to-faculty ratio of 1:4, the Pulmonary Disease fellow receives a great deal of individual attention and training in a program tailored to meet the professional goals of the fellow. During inpatient training at the University of Tennessee Medical Center in Knoxville, the fellow treats the entire gamut of pulmonary disorders. Rotations include an inpatient consult service; applied pulmonary physiology; sleep medicine; pulmonary rehabilitation; chest radiology; critical care medicine; surgical critical care; and cardiothoracic surgery. During the fellowship, fellows spend one month at Vanderbilt University in middle Tennessee studying lung transplantation and cystic fibrosis. Ambulatory training takes place both in the hospital chest clinics and in the busy offices of the pulmonary faculty private practice, with the fellow seeing a panel of his own patients in continuity clinic. Fellows have the opportunity to work in pulmonary specialty clinics, such as the pulmonary hypertension clinic, and train in a variety of interventional pulmonary procedures. Throughout the fellowship, the fellow works closely with a research mentor on a research project of the fellow’s choosing. The well-structured research curriculum is designed to accommodate both the novice and experienced researcher. To learn more about this fellowship program, visit our Web site at: http://gsm.utmck.edu/internalmed/ fellowships/fellowships_pulmo.cfm Pulmonary Disease 1 Sports Medicine 1 The primary care Sports Medicine fellowship is a one- year accredited program. Sponsored by the Department of Family Medicine, the fellowship is designed to provide comprehensive experience that will enable the fellow to apply primary care medical training to the assessment, treatment and management of sports injuries in a compassionate, ethical, efficient and economical manner. Patients may range from the professional, collegiate and high school athlete to the “weekend warrior.” The fellow will have ample opportunities to work with athletes from the point of injury through the diagnosis, treatment, and rehabilitation process. The fellow will also have opportunities to educate athletes, coaches, and the community concerning injury prevention and to determine when and how to interact with coaches, parents, and others in medical decision making. To learn more about this fellowship program, visit our Web site at: http://gsm.utmck.edu/family_medicine/sportsmed.cfm The one-year fellowship in Surgical Pathology emphasizes the achievement of competence in interpreting frozen sections (approximately 2,000 cases per year), surgical pathology material (greater than 22,000 accessions per year), and associated cytopathology material (greater than 35,000 accessions per year). The fellow is given responsibility in signing out with appropriate supervision by senior faculty. Teaching activities include an unknown case conference, journal club, case presentations, conference presentation, and research presentations where applicable. Rotations include gross room and sign-out, special techniques: electron microscopy, molecular pathology, flow cytometry, etc. A wide spectrum of specimens (GU, GI, renal, lung, liver, muscle, brain, skin, etc.) provide extensive experience. The fellow participates in interdepartmental conferences and has an active role in supervising and teaching pathology residents. A research project is not a requirement during the fellowship year; however, it is highly encouraged and supported. The Department of Pathology, which includes over 20 faculty, has an excellent information technology base (Cerner, PowerChart, CoPath) and incorporates state-of-the- art facilities. To learn more about this fellowship program, visit our Web site at: http://gsm.utmck.edu/pathology/surgicalpath.cfm Surgical Pathology 1 FellowshipFellowship Fellowship 30 31
  17. 17. The Surgical Critical Care fellowship is designed to provide a concentrated experience in the management of the critically-ill surgical patient. Expanding upon experience that has been gained during the standard general surgical residency, it incorporates teaching, research, and administrative duties necessary to succeed in academic surgery. The fellowship emphasizes basic science principles required to manage the critically-ill patient and offers the opportunity to experience first-hand the latest technological advances that can be applied to these patients. The fellowship is conducted through didactic sessions, research, clinical training, and the opportunity to function as a junior attending within the Division of Trauma/Critical Care. The critical care service combines elements of the Department of Anesthesiology and the Department of Surgery. The Surgical Critical Care fellow functions as the leader of the critical care team, supervising residents rotating onto the service, assisting with the education of medical students, and communicating with the patient’s primary and consulting physicians. This is all accomplished under the direct supervision of the critical care service attending. The Division of Trauma/Critical Care has three full-time surgeons with added qualifications in surgical critical care. The surgical critical care service averages 10 to 20 patients at a time, providing exposure to critically-ill trauma and surgical patients, and the opportunity for experience in the management of vascular, neurological, transplant, cardiac, and pediatric patients. Ongoing research is conducted within the division, including both clinical and basic research dealing with changes in the fibrinolytic system in trauma patients, ischemia-reperfusion, and acute respiratory failure. Additional training in trauma is available by expanding the fellowship to two years. To learn more about this fellowship program, visit our Web site at: http://gsm.utmck.edu/surgery/fellowship/trauma.cfm Surgical Critical Care 1 The Vascular Surgery fellowship emphasizes proficiency in the diagnosis and treatment of diseases of the arterial, venous, and lymphatic systems. Also stressed is knowledge in the basic science associated with the etiology, natural history, anatomy, diagnostic, and therapeutic modalities of vascular disease. Through didactic sessions, research, and closely supervised clinical training, fellows will become proficient in the care of vascular patients. Fellows receive intensive education in vascular diagnosis through rotations in interventional radiology and in the noninvasive laboratory. Concentrated experience in techniques, interpretation, and basic mechanisms of diagnostic and therapeutic tools in those areas enable the Vascular Surgery fellow to understand the use, limitations, complications, and validity of the studies performed each week, all with fellow participation. The case mix includes peripheral arterial, carotid, aorta and its branches, portal system, vascular access, and venous disease, as well as a wide spectrum of endovascular procedures. Ongoing basic research is conducted in the areas of atherosclerosis and vessel injury, coagulation, gene therapy, immunology, platelet rheology and vascular grafts. To learn more about this fellowship program, visit our Web site at: http://gsm.utmck.edu/surgery/fellowship/vascular.cfm Vascular Surgery 1 Education • Research • Patient Care • Service The University of Tennessee Graduate School of Medicine is one of three campuses of the University of Tennessee College of Medicine, which is accredited by the Liaison Committee on Medical Education (LCME). UT Graduate School of Medicine residency and fellowship programs are accredited by the Accreditation Council for Graduate Medical Education (ACGME). We are a member of the Association of American Medical Colleges (AAMC) as well as a member of the Council of Teaching Hospitals (COTH). Our residency program in Family Medicine is accredited by the American Osteopathic Association (AOA) as well as the ACGME. Our General Dentistry and Oral and Maxillofacial Surgery programs are accredited by the American Dental Association (ADA). Fellowship Fellowship University of Tennessee Graduate School of Medicine 1924 Alcoa Highway Knoxville, Tennessee 37920 Toll-free: (800) 596-7249 Local: (865) 305-9290 Fax: (865) 305-6819 Email: gme@utmck.edu Visit us online: http://gsm.utmck.edu The University of Tennessee is an EEO/AA/Title VI/Title IX/Section 504/ADA/ADEA institution in the provision of its education and employment programs and services. R08-4005-001-009-10 (10PB13DN-GE -092009)32