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Program Requirements * : Step 1 cut-off 75 Program Type: University-based The Department of Internal Medicine has a long and distinguished history of pursuing its clinical, academic, and service missions.
Education
All MD and PhD faculty members are educators, serving at the bedside, in the classroom, or at the laboratory bench. The clinical, education, and research programs are organized within nine divisions . Postgraduate medical education includes Residency in Internal Medicine and Medicine/Pediatrics. There are eight subspecialty fellowship programs as well. Contemporary medical care, research, and education is at its best when it is highly integrated, and to facilitate this there are extensive interactions between programs in Internal Medicine and those in other Departments, Centers, and Institutes at UAMS. Most of the programs of the Department are based on the main UAMS campus, but telemedicine is used to extend clinical and education programs. Their scientific collaborations are national and international. All MD and PhD faculty members are educators, serving at the bedside, in the classroom, or at the laboratory bench. The clinical, education, and research programs are organized within nine divisions .
Patient Care
For patients, the physicians provide a host of outstanding, contemporary clinical services. These clinical services range from primary care and disease prevention for those who wish to maintain good health, to complex interventions and organ transplantation for those with advanced disease. Research Two important functions of the Department are to make significant discoveries in biomedical science that will ultimately benefit human health, and also to convey the discoveries and process of scientific inquiry to the next generation of physicians and scientists. Therefore, many of the 110 full-time faculty members conduct very active research programs that range from fundamental molecular biology to population-based studies of human disease patterns. Overview
 This graph provides a guide to the layout of the UAMS Internal Medicine Training Program.
For Internal Medicine residents, there may be slight variations in the number of months assigned to various activities depending on the organization and arrangement of the services at our two major teaching hospitals as well as the wishes of individual residents. In general, the program provides 24 months of primary patient care on medical wards, the Ambulatory Care Center and intensive care units (MICU or CCU). There is 1 month in the Emergency Department along with 11 months of electives. Post Graduate Year 1 (PGY-1) residents • 5 months on wards • 2 months on intensive care units • 1 month of night float • 1 month in the Emergency Department • 1 month of ambulatory care • 2 months of electives Post Graduate Year 2 and 3 residents • After the first year, the distinction between 2nd and 3rd year residents becomes less obvious. There is little difference in responsibilities or duties. Overall, the program is designed to allow for more elective time and less months on inpatient wards and units as one progresses through the years of the residency. Structure
The Internal Medicine Residency program involves extensive training in both inpatient and outpatient settings. This training is divided between UAMS Hospital and the Central Arkansas Veteran Affairs Hospital. Each ward team is staffed by a faculty physician. The subspecialty teams may involve a fellow in addition to the Internal Medicine resident and interns. The MICU and CCU are closed units and equally staffed.
Table 2 below describes the ward teams at the VA. There are 4 General Medicine teams and 1 Cardiology team. The MICU and CCU are again closed units at the VA.
Call System
The night float call system was implemented in 1991 and was one of the first night float systems in the country. It dramatically reduced the amount of overnight call the house officers spend in the hospital. This program has continued to be very popular with residents and faculty. This system has allowed our housestaff members to maintain well balanced lives while still receiving an excellent education.
At UAMS, the ward float team consists of one upper level resident and two interns who handle all overnight responsibilities from 8pm to 8am Monday through Friday. They have weekends off. The ward team residents and interns therefore take rotating short call during the week till 8 pm and rotating overnight call on the weekends only.
In the units at both UAMS and the VA as well as on the wards at the VA, there is a similar night float system in place for the upper level residents only. Interns in the MICU, CCU or VA Wards therefore do traditional overnight call. This call usually is q4-5 in the units and q6 on VA Wards.
Money for food is provided for all residents and interns when they are on call or on a night float rotation.
Rotations/Electives
Internal Medicine residents split time between UAMS and the VA. Rotations at both hospitals include general medicine wards, specialty wards, MICU, CCU, night float rotations and numerous electives. Formal teaching rounds on all wards/units are held from 10 am to noon at both hospitals. The table below is a list of some of the elective rotations available. Most of these rotations are available at both UAMS and VA.
Residents can also request block rotations dedicated to research in order to allow our residents the opportunity to pursue research projects in collaboration with our faculty.
Med/Ped residents will also have many elective rotations available to them at Arkansas Children's Hospital.
Conferences
Education remains the cornerstone of this residency program. The residents have ample time for reading and learning. In addition, daily conferences are held for residents. These conferences include traditional morning reports, subspecialty conferences, resident presentations and pathology conference. In addition, they have a weekly Board review conference designed to help prepare residents for the ABIM certifying exam. As part of this preparation, all residents receive both MKSAP (Medical Knowledge Self Assessment Program) as well as Medstudy. MKSAP is a board review series produced by the American College of Physicians, and Mestudy is another popular board review series. These books are funded by the Department of Medicine and provided free of charge to all Internal Medicine and Med/Peds residents.
The chart below describes various morning and noon conferences. Lunch is provided at most noon conferences.
Morning Report at UAMS is run by former chairman, Dr. Andreoli, personally. It is a traditional intake morning report in which all patients admitted overnight are discussed. It remains an intensely popular part of our program. At the VA, the morning report is run by the VA Chief Resident. This morning report varies from day to day and may include intake report, case presentations, board review topics, ACLS review or other types of conferences.
Clinical Pathway
The Department offers an American Board of Internal Medicine (ABIM)-sanctioned Clinical Investigator Pathway for those interested in research or academic medicine. After completing the PGY-1 and PGY-2 years, house officers enter a four-year period of training, (the PGY-3 to PGY-6 years), in a subspecialty. During three of the years, at least 80 percent of the candidate's time is in research; one year is devoted to clinical training. Trainees can be certified by the Program Director as eligible for the ABIM certifying exam in Internal Medicine during the PGY-4 year, and therefore can take the exam with individuals with whom they began training. In the fall of the PGY-6 year, trainees also become eligible for the certifying examination in their subspecialty.
In the four years since this program was introduced, each resident who chose this type of training has become an enthusiastic advocate for the program. Program anticipate that one or two house officers every year or two will choose to prepare themselves in this manner for a career in an academic setting or a subspecialty practice. Residents interested in this pathway should declare themselves late in the PGY-1 year for this training route. This allows scheduling their PGY-2 year to provide a broader than usual clinical experience since they will miss the usual clinical exposure in the traditional PGY-3 year.
Fellowship Information
Whether they choose primary care or subspecialty training, the graduates are consistently successful and highly sought after. Roughly two-thirds of our internal medicine graduates choose to pursue fellowship training. Graduates have an excellent record of achieving their desired fellowships, both at UAMS and at other prestigious programs throughout the country.
Application Procedure
ERAS The UAMS Department of Internal Medicine participates in the Electronic Residency Application System (ERAS), developed by the Association of American Medical Colleges, for the following residency programs:
Internal Medicine - Categorical Internal Medicine/Pediatrics - Categorical
To be considered for an interview for an Internal Medicine categorical position, an applicant should have passed both parts I & II of the USMLE with a score of 213 (or greater) or have clinical experience (at least two months ) at an accredited institution in the United States.
To be considered for an interview for an Internal Medicine/Pediatrics categorical position, an applicant should have passed both the USMLE Steps I & II with a score of 213 (or greater) and have one year of clinical experience in an accredited US institution (clerkships at US accredited medical schools meet this requirement).
All applications are due by November 15th through ERAS.
US Graduates
Candidates for admission to any of the UAMS Internal Medicine residency programs must have received the degree of Doctor of Medicine or its equivalent from an accredited US medical school. Graduates who have already completed some training at other institutions also are considered for appointments. International Graduates
To apply for a training program at UAMS Internal Medicine Program, International Medical Graduates must hold a current ECFMG certificate (issued by the Educational Commission for Foreign Medical Graduates). Sponsorship is available for both J-1 clinical and H-1B visas. Interview Experiences *: Residency Experiences *: |
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