Internal Medicine Residency Overview

SAUSHEC Internal Medicine Residency is the largest in the Department of Defense with 96 accredited training positions. The program offers a beautiful new addition to the main hospital, completed in 2012, and broad exposure to a diverse, large patient population, facilitating robust training. Residents selecting SAUSHEC as their training site will have the advantage of frequent contact and teaching with all internal medicine subspecialties, ensuring both excellent patient care and many opportunities to explore subspecialty training. The residency complies with all Accreditation Council for Graduate Medical Education (ACGME) requirements and abides by their guidance regarding duty hours and rigorous academic standards.

Residents at SAUSHEC Internal Medicine are led by a Program Director, three Associate Program Directors, and two Chief of Residents, who are board-certified Internists from both the Army and the Air Force. They are well-informed about the unique requirements of each service for producing high-quality Internists, and they lead the program in a team-oriented fashion. Faculty are readily available, located near the residents, and a one-on-one mentoring program for academic and career guidance is an integral part of the residency experience.

Inpatient services are provided at SAMMC (formerly Brooke Army Medical Center), located on the East side of San Antonio. Some clinic rotations are performed at Wilford Hall Ambulatory Surgical Cetner (WHASC) on the Southwest side of San Antonio. Residents also rotate at the local University Hospital, the downtown Infectious Disease clinic, and with the Fort Sam Houston Adolescent Clinic. A unique feature of this program is the opportunity to complete medically-related military courses and experience Medical Readiness Training Exercises (MEDRETEs) throughout the world. Some of the recent military courses completed by our residents include Combat, Chemical, Casualty Course (C4), Tactical Combat Medical Care (TCMC), Chem/Bio Warfare Course, and Expert Field Medical Badge (EFMB). MEDRETE experiences, usually lasting about two weeks, have included Haiti, Dominican Republic, Guatemala, and Suriname, to name a few. On these missions, residents learn to care for the local populace while being guided by staff physicians, and how to manage resources for their patients.

Daily academic instruction includes a 45-minute “morning report” where a case is presented, reviewed, and discussed. General internal medicine and subspecialty staff attendance is highly encouraged, and these faculty add to the education of the residents during morning report. Conference follows morning report, lasts about 45 minutes, and a topic from the subspecialty theme of the month is presented by a clinical faculty. Morning report and conference are reviewed daily by the Senior Teacher, who distributes a review document with discussion of topics of interest brought up in the morning didactics. Board review is typically held in the afternoons, with a variety of media utilized including lectures, interactive discussions, audience response, and DVDs. Unique to our program, core conferences are podcasted and available 24/7 on any mobile device or computer with internet access.

In SAUSHEC Internal Medicine, opportunities for advanced training, international experiences, and military-unique training are abundant. The program offers all required and desired components of a rigorous training program that prepares its graduates to serve the internal medicine needs of their patients.