Overview, Highlights and Benefits

Overview

The Internal Medicine Residency Program at UT Health San Antonio is fully accredited by the Accreditation Council on Graduate Medical Education (ACGME). Our program offers approximately 28-30 categorical (three-year) and 13-15 preliminary (one year) positions annually.

Internship Curriculum

The curriculum provides a diverse experience for interns. The rotations consist of night float, general medicine wards, cardiology, critical care, ambulatory care, palliative care, procedure team, and one elective. Each intern is assigned a resident mentor to help with the initial transition into residency training.

At the end of the intern year, we hold an Intern Retreat off campus – seen pictured above. The day is devoted to preparing for the role of resident and offers workshops on leadership, managing a ward team, and understanding the role of a senior resident. After all the workshops, our newly minted Residents get to enjoy the rest of the day in the water and sun!

Resident Curriculum

At the completion of their intern year, our residents attend a highly successful leadership retreat to prepare them for their new role as an upper level resident. At this level of training, the resident assumes team leadership and teaching responsibilities for both students and interns. Required inpatient rotations during the second year include internal medicine wards, cardiology, critical care, emergency medicine, and neurology. In addition to the required curriculum, the second year resident has two months of electives and can choose from a broad range of clinical disciplines. Rotations for the third year resident include medicine consultation, night float, critical care, cardiology, and 2-3 internal medicine wards, including HIV services. Senior housestaff have three to four months of electives to choose from, which includes a board study month.

Preliminary Internships

The program accepts 13-15 preliminary residents from diverse programs: Dermatology, Radiology, Radiation Oncology, Neurology, Ophthalmology, Anesthesiology, Physical Medicine and Rehabilitation, and other advanced programs.

Preliminary residents have the same 4+1 schedule (4-week rotation followed by one week of primarily outpatient activities) as categorical residents.

Preliminary interns rotate through internal medicine wards, Cardiology, MICU, and night float. They also receive an elective month and their ambulatory weeks which may be used to rotate in areas of their chosen specialty (such as neurology, radiology, anesthesia or ophthalmology).

Preliminary residents have a customized schedule of activities with their advanced programs during their “+1” weeks. This unique schedule allows preliminary residents to have longitudinal exposure to their specialty throughout the year.

Program Highlights

  • Wide range of patients with diverse and interesting pathology, seen between our two large hospitals – University Hospital (public hospital) and Audie L. Murphy VA Hospital.
  • Rolling ABIM board pass rate of 95%.
  • A broad range of fellowships with a great track record of success in acquiring fellowships. A faculty mentorship program to help provide guidance and support your career goals.
  • Research Fair to match residents with research mentors.
  • Robust scholarly activities including oral and poster presentations at numerous state and national meetings, authoring book chapters and publications in peer-reviewed journals. Financial support for travel for presentations.
  • Off-site access to electronic journals and electronic medical records.
  • The popular ‘4+1’ schedule which helps residents focus on their inpatient 4-week blocks and spend time with their patients in ambulatory +1 week. Additionally, this allows for a weekend off every 5th week.
  • Internal Medicine UTHSCSA offers two special tracks in the match:
    • Advanced Inpatient Medicine Skills (AIMS) – Designed to provide residents with skills relevant to the care of inpatients now and in the future. Applicants accepted into this track will have the opportunity to obtain certification in inpatient ultrasound through a combination of formal coursework, development of an ultrasound portfolio, and successful completion of an ultrasound examination. Residents will also participate in a program to enhance their skills in the design and execution of a Quality Improvement Program. Opportunities for electives in Teaching Skills, Hospital Medicine, Advanced Airway Management, and Consult Medicine will further enhance preparedness for careers in Hospital Medicine, Academics, and other inpatient-oriented specialties.
    • Advanced HIV Medicine Skills (AHMS): This track is designed to provide residents with skills in the management of HIV+ patients in both the inpatient and outpatient settings. Applicants selected for this track will be assigned longitudinal continuity training in a clinic that serves HIV+ patients. Residents will also rotate on an HIV inpatient service and will have the opportunity to participate in a global health rotation with a focus on HIV. Residents will be assigned mentors who participate in HIV related research and care for HIV+ patients. Participants will have the opportunity to become certified as an HIV specialist by the American Academy of HIV Medicine through a combination of didactic sessions, clinical experiences, and successful completion of a certification examination.
  • Residents also have the option of choosing the Ambulatory Track in their final year of training. This is an opportunity for all those interested in primary care or outpatient-based sub-specialties. Residents spend time in continuity clinics, Texas Diabetes Institute and Primary Care Mental Health clinics. Residents also learn focused Musculoskeletal Medicine and Dermatology for the primary care physician.
  • Protected weekly intern didactics where interns work with a faculty mentor to master basic interpretive skills, case-based learning, and undergo boot camps to prepare them for high-intensity rotations.
  • Variety of innovative and interactive noon conferences including noon report, board review, M&Ms, journal club, and ethics conferences.
  • Dedicated procedure and patient safety service where interns perfect procedural skills and engage in root-cause-analyses, longitudinal quality improvement projects, mock codes, etc.
  • Unique elective opportunities including POCUS (point-of-care ultrasound), Teaching elective, Medical Spanish elective & Global Health opportunities (Botswana, Chinle, etc.)
  • A supportive and collegial environment for training with friendly Attendings and program leadership, as well as residents who like to work hard and play hard!

Salary and Benefits

Salaries (2019)

  • PGY-1 $53,078.98
  • PGY-2 $54,541.30
  • PGY-3 $56,295.90

San Antonio has a favorable cost of living.

Major Benefits

  • Health Insurance
  • Dental Insurance
  • Life Insurance
  • Disability Insurance
  • Professional Liability Insurance

Permit

  • TMB PIT Permit application fee reimbursed

Academic Allowance

  • $200 per year for each PGY-1 and $500 per year for each PGY-2 & PGY-3 to purchase educational and study materials

Vacation Time & Sick Leave

  • 3 weeks of paid vacation time per year.
  • 10 paid days of sick leave per year for injury or illness.
  • Sick leave can be carried over through academic years during residency.

Meals, Parking & Uniforms

  • Monthly meal stipend for extended call at University Hospital and Veteran’s Hospital
  • Complimentary parking for all residents provided by University Hospital
  • White lab coats provided free of charge to incoming residents by University Hospital

Maternity or Paternity Leave

  • Although not a separate leave or extended leave, residents may use a combination of sick leave, and vacation time for maternity, paternity, or other extended leave.