The WRH Internal Medicine Residency training program consists of three years of general Internal Medicine. The first year may be an AOA-approved specialty track internship with concentration in Internal Medicine and its sub-specialties. An additional option of two years of general Internal Medicine and one year of training in a subspecialty of Internal Medicine is also available.
The education content of the program includes the neuromuscular component of disease with the osteopathic concept of evaluating and treating the whole patient in inpatient and ambulatory settings. It provides a setting for the resident to develop basic cognitive skills and knowledge as pertaining to normal physiology and pathophysiology of body systems and the correlating clinical applications of medical diagnosis and management. Residents will gain sufficient experience and training in the required procedures and development of respective interpretation skills as stated in the ACOI Basic Standards. Verification by the program director of experience and competency in required procedures occurs through the use of simulation modules, computer testing, and direct observation.
Affective content is included throughout training with regard to psychosocial and behavioral aspects of patient care. These include the interaction between the patient and physician, the patient and his/her environment, and the patient and related health problems. The WRH IM program encourages the resident to understand the contingencies of health and illness and the development of a mature concern regarding human interrelations and concern for quality patient care. The resident is required to develop community and intra-professional relationships.
Elective training may be included during training and can be offered as an inpatient or ambulatory experience in general medicine, medical subspecialty, or certain non-medical specialties. All elective training must be approved by the program director.
The program provides suitable arrangements as needed for outside rotations to ensure the complete education of the resident and for broadening the scope of training. At least 24 months of training will include meaningful patient responsibility and no more than six months of training will be assigned in non internal medicine services.
The primary care track may be chosen for developing in-depth skills in the diagnosis and medical management of the ambulatory patient, with associated skills in the routine continuity management of the hospitalized patient. It is recommended that the primary care track not be utilized as a pathway to an internal medicine subspecialty.
The purpose of the primary care track is to progressively increase the Residents' exposure to continuity ambulatory care, through each year of the three-year program. The resident must spend a minimum of 20 percent of the three years in such experience (e.g., two one-half days per week). The exposure is structured as continuity in nature to allow residents to progressively increase the number of patients in their case loads, and allow the patients to recognize the resident as their primary physician throughout ambulatory and inpatient phases of care. The ambulatory training will be supervised by general internists who function as a resource for Resident questions and guidance. The continuity experience may not be completed in an internal medicine subspecialty. Behavioral (bio-psycho-social) skills and aspects of patient management are included and integrated throughout the program both in ambulatory rotations and hospital care.
Primary care Track rotations offered in various specialties are ambulatory in exposure and may be primary care in orientation and nature. Individual ambulatory rotations are not continuity in nature and will not count toward the 20 percent requirement. Examples of various primary care rotations will include: office gynecology, office orthopedics, office ENT, adolescent medicine, substance abuse, disease prevention/wellness, geriatric medicine, community medicine/epidemiology, emergency medicine, allergy and dermatology.
Experience during the three-year program includes the following subspecialties: cardiology, endocrinology, gastroenterology, hematology/oncology, infectious disease, pain management, pulmonary disease, nephrology, neurology and rheumatology. At least three months of critical care (ICU/CCU) exposure will occur during the three-year primary care track program.
The traditional track is the preferred training for development of hospital-based skills or movement towards a subspecialty pathway. This track will incorporate approximately 18 months in general Internal Medicine rotations. An ambulatory continuity of care experience is done one-half day per week over the three year program. The program will provide for progressively increasing the continuity of care experience as the resident progresses to each successive training year.
The first year emphasizes inpatient experiences in general Internal Medicine. The first year includes 4 months of General IM, 1 month of ICU experience, 3 months of IM subspecialty rotations, and 1 month each of Emergency Medicine, Women's Health, and General Surgery. The second and third years place continued emphasis on the inpatient experience with increased ambulatory care experience. Approximately 25 to 50 percent of the time will be spent in general Internal Medicine, with exposure to the ACOI required subspecialties, elective subspecialties, and continued ambulatory care experiences.
The following is an at-a-glance view of the 3 year schedule
OGME-2 and OGME-3
Emergency Medicine (1 month)
*Non-med surgical subspecialties
General Internal Medicine (8 - 16 months)
* May be completed together or separate
Internal Medicine Selective (1 month each)
Critical Care Medicine (1 month)
Electives (2 months)
Cardiology (1 month)
Women's Health (1 month)
Surgery Selective (1 month)
Continuity Clinic - 36 weeks per program year at 1/2 day per week for traditional track
Internal Medicine Didactics 2015-2016
Todd Lisy, MD Program Director
Despina Isihos, DOPGY-III
Edward via Virginia College of OSteopathic Medicine
Rachel Johnson, DOPGY-III
Lake Erir College of Osteopathic Medicine
David Merrill, DOPGY-III
Arizona College of Osteopathic Medicine of Midwestern University
Edward Erwin, DOPGY-II
West Virginia School of Osteopathic Medicine
Kyle Marcotte, DOPGY-II
A.T. Still College of Osteopathic Medicine
Chandni Patel, DOPGY-II
Edward via Virginia College of Osteopathic Medicine
Kasey Schaef, DOPGY-II
Ohio Univerity College of Osteopathic Medicine
Alex Balmir, DOPGY-I
William Carey University College of Osteopathic Medicine
Rob Heffernan, DOPGY-I
Tyler Rigney, DOPGY-I
Lake Erie College of Osteopathic Medicine
Wilhelm Castellon, DOPGY-I