2011-2012Academic Year Internal Medicine Residency Program 2015-2016 Academic Year Leadership Team About the Residency Program Michael Madaio, MD The MCG-GRU Internal Medicine program accept their choice of subspecialty fellowship or Chair, Department of Medi- was fully reaccredited in 2013 by the Accredita- one of the broad range of practice opportunities cine tion Council for Graduate Medical Education. afforded a general internist. This mission is accom- Laura Mulloy, DO We are committed to plished through Vice Chair, Department of the development of rigorous learner- Medicine outstanding physicians centered educa- Lee Ann Merchen, MD according to the six tion based on Program Director core competencies of outstanding pa- patient care, medical tient care experi- Thaddeus Carson, MD knowledge, practice- ence, leadership Associate Program Director based learning, commu- d e ve l opm e nt, Pascha Schafer, MD nication, professional- and scholastic Associate Program Director ism, and systems-based achievement. practice. With 17 categorical, 10 preliminary, MCG Facts: David Fallaw, MD and 1 research/categorical residents per year, Founded in 1828; 13th oldest medical school in the US Associate Program Director we are a moderate sized program allowing for More than 2,400 students in Schools of Allied health, Dentis- Malinda West MD personalized opportunities for residents with try, Graduate Studies, Nursing and Medicine Chief Medical Resident fluid training. With the aim of developing Inpatient services at the bed MCG medical center and adjacent future leaders in medicine, our faculty and staff VA medical center, and training at nearby University Hospital Parth Jamindar MD foster attitudes, skills, and habits of excellence Chief Medical Resident Approximately 937 full and part time faculty, 455 residents and amongst the residents, both individually and fellows, 88 PhD candidates, and 20 MD-PhD candidates Jordan Powner, DO collectively. A unique combination of longitu- Chief Medical Resident Multidimensional basic, clinical, and translational resident dinal mentorship, resident collegiality, and research patient-centered care mark the program as one Within the University System, MCG has links to Georgia Insti- moving resolutely into the forefront of 21st tute of Technology, Georgia State University and the Universi- century medicine. ty of Georgia Mission Statement: The mission of the De- Fellowships in Allergy, Cardiology, Endocrinology, Gastroenterology, partment of Medicine residency program is to Hematology-Oncology, Infectious Disease, Nephrology, Pulmonology- train and produce outstanding clinicians able to Critical Care, and Rheumatology Lee A Merchen, M.D., Program Director The Medical College of Georgia reflects the diverse goals of our community at large. We are the Residency program welcomes you residents, the needs of our commu- largest residency program at the to Augusta warmly, and we wish nity and changing landscape of University and have a strong repu- you a productive and informative American medicine. The emphasis tation of clinical excellence, dedica- Lee A Merchen, M.D. interview while you are here. Our is on a team approach to patient tion to the art and practice of medi- program is designed to train you to care, with the goal of developing cine, and camaraderie among our Program Structure 2 become a competent internist. physicians as leaders of multi- house staff. I am extremely proud During your training, we will chal- disciplinary teams that focus of of the exemplary work of our resi- Curriculum 3 lenge you and provide opportuni- family centered care, improved dents and equally proud of the Research 4 ties for diverse career paths, as outcomes, compassionate delivery outstanding and eclectic careers practicing physicians, educators, and community health. In this they pursue after graduating. Fellowships 4 physician-scientists and administra- context, we strongly encourage Please enjoy your visit to Augusta. tors. The program is fluid and research that focuses on the needs About Augusta 5-6 Find out the distinctives that make adaptive, and you will have the of our patients, and our faculty in Resident Benefits 6-7 opportunity to mold it to accom- this environment provides an ideal us proud of who we are and what modate both patient and training milieu to address relevant questions we offer here, and know that we Resident Life 7 needs as they evolve. The approach that pertain to the health of the are delighted to welcome you all! Application Process 8 Page 2 Program Structure — Residency Program Tracks Categorical We offer four tracks for categorical medicine residents. This provides residents the opportunity to pursue their personal academic goals while satisfying the requirements of the American Board of Internal Medicine. 1. General Medicine Track: Prepares residents for a career as a general internist working primari- ly in an outpatient primary care or multi-specialty setting. Residents receive special training in prac- tice organization, communication skills and small group leadership. The Old Medical College 2. Research Track: Designed for candidates primarily interested in pursuing a career in re- search, it is a 5 year integrated program that com- “You will find bines training in research with training in clinical warm weather, internal medicine, where the first 3 years are dedi- Southern cated to research work, followed by 2 years of hospitality, and residency training. Throughout the research block, 10% of time is dedicated to outpatient ambula- an exciting quest tory clinic. The coursework will lead to a Master’s Degree in Biomedical Science and will focus on for medical clinical and genetic epidemiology, pharmacology and medical outcomes, among others. knowledge and its application to Preliminary Medicine Internship outstanding This track is for medical graduates desiring strong internal medicine training prior to assuming a patients” residency in specialties such as neurology, dermatology, radiology, emergency medicine, psychiatry, and others. The one year internship is rich in inpatient general medicine, cardiology, nephrology, hematology/oncology and critical care, and establishes key competencies in care of very ill patients that will be of great value during a future career in a variety of specialties. Didactics Afternoon report Monday - Friday at 3:00 PM—Discussion of interesting cases and key multidiscipli- nary management issues (EKG, Heme/Onc, GI, Nephrol- ogy, ID, Rheumatology Unknowns, Board/MKSAP Review, ADR) Medicine Grand Rounds every Tuesday at 12:00 PM—Leaders in their field from GRU and other institutions present cutting edge topics. Resident Report—Evidence-based discussion of current medical topics by PGY 2 residents Journal Club—Structured review of evidence based literature pertaining to specific clinical problems PGY 2 & 3 residents Noon Conference every Monday, Thursday, and Friday—system/specialty based Harrisons based curriculum integrated into Didactic schedule Interdisciplinary Conference every Wednesday at noon, Translational Research conference once a month Morbidity Mortality and Improvement Conference monthly Housestaff Meeting at noon once per month Quality Improvement projects - lead by PGY3’s 2015-16 Academic Year Page 3 Curriculum PGY-1 Blocks PGY-2 Blocks General Medicine Wards 4.5 General Medicine Wards 3 Nephrology Wards 1 Medical ICU 1 Hematology-Oncology Wards 1 Cardiology/CCU 1 Medical ICU 1 Night Float Team 2 Cardiology/CCU 1 ER 1 Patient Centered Care Selective (PCC) 1 Medical Economics 0.5 Night Float 1 Palliative Care 0.5 Electives 2.5 Neurology 0.5 Electives 3.5 PGY-3 Blocks “A strength of our General Medicine Wards 2 program is the MICU 1 moderate size for Cardiology/CCU 1 an academic Geriatrics 0.5 University Hospital 1 program which Women’s Health 0.5 allows intimate, Night Float Team 1.5 personal Quality Improvement Project 1 supervision and Electives 5 mentorship...” Medical Consults 0.5 Daily Schedule/Call Schedule Inpatient Wards Currently there are 3 inpatient wards services at GRU and 3 at the VA. The general medicine teams are composed of 1 Resident and 2 Interns. Hematology/Oncology subspecialty team has 1 MON TUE WED THUR FRI fellow and 2 interns. Nephrology subspecialty team has 1 fellow and 2 interns. 7 – 8:15 RESIDENT WORK ROUNDS/PRE-ROUND WITH ATTENDING ON DISCHARGES The general medicine teams operate on a q4 call sched- 8:15 – 9:30 RESIDENT WORK ROUNDS ule at MCG and q4 at the VA with an incorporated 9:30 – 11:00 ATTENDING ROUNDS Night Float system. When a team is on long call, they 11 – 12 FINISH ROUNDS/WORK ORDERS/PATIENT DISCHARGES will admit patients from 7am-7pm, the Night Float Resi- GRAND 12 – 1 CONFERENCE IRCC CONFERENCE CONFERENCE dent will have admitting responsibilities from 7pm-7am. ROUNDS No overnight call for any housestaff. 1 – 3 UNFINISHED WORK FROM THE AM Both GRU and VA hospitalists will have an inpatient hospitalist service working with the residency program. 3 – 4 AFTERNOON REPORT MICU/CCU 4 – 7 LONG CALL TEAM CAN BEGIN ACCEPTING CHECKOUT At MCG each Critical Care service has 1 Fellow, 2-3 Residents, and 1-2 Interns in addition to 1-2 off-service interns. At the VA, the MICU team consists of 1 Fellow, 1 Resident, and 1 Intern. MICU/CCU Nights covered by rotating intern/resident ICU/Cardiology coverage at night has been incorporated into our Night Float Team system. In-house pulmonary/critical care fellow 4+2 Ambulatory Block Scheduling We are transitioning to a 4+2 block schedule which will consist of 4 week blocks of inpatient duties alternating with 2 weeks of outpa- tient ambulatory experiences and continuity clinic. Inpatient services will not have the distraction of outpatient duties and our outpatient experience will remain protected This will ensure full immersion in the educational experience for our housestaff over the course of their training. Page 4 Augusta, the 2nd largest city in Georgia, is located on the south bank of the Savannah River, only a short distance from the Great Smokey Mountains or the coastal beaches of South Carolina and Georgia. It is a growing and thriving city with a metropolitan area population of 500,000.