Call Structure

General and Subspecialty Wards Services

The resident is the team leader on the wards, responsible not only for advising interns and supervising each patient’s plan of care, but also for educating the interns and medical students and collaborating with consultants. General Medicine Wards are the heart and soul of our Internal Medicine Residency Training Program, and our residents possess a tremendous deal of autonomy. However, autonomy does not mean “abandonment” – our faculty take great pride in being available to assist with difficult cases, no matter the time of day or night.

At Parkland Memorial Hospital, residents take overnight call every fourth night and interns rotate on and off a night-float coverage system; each team is comprised of one resident, two day-interns, one night-intern, medical students, and a supervising attending. At the Dallas Veterans Affairs Medical Center, the call structure is the same, but each team has one day-intern instead of two day-interns. At Clements University Hospital, the general ward services do not take overnight call, but follow a drip admissions schedule instead. By varying our team and call structures, we expose our trainees to varying levels of clinical autonomy, patient volume, bedside teaching, and traditional classroom teaching.

In addition to general medicine wards, UT Southwestern offers optional selectives to interested residents in subspecialty ward experiences including cardiology, hematology/oncology, pulmonary, geriatrics, and gastroenterology. Each of these rotations provides further insight and experience into these subspecialties.

MICU
Residents on MICU with Dr. Matt Leveno

Critical Care Services

The Medical and Cardiac ICUs at UT Southwestern provide care for patients with diverse and complex disease processes at a high level of acuity. Residents in the ICUs work closely with the fellows and faculty from our nationally renowned training programs in Cardiology and Pulmonary/Critical Care Medicine. In addition to teaching rounds, we have daily didactic teaching conferences, presented by outstanding clinical faculty, in areas that include sepsis, pulmonary hypertension, ventilator management, and much more.

Our internal medicine residents serve as the team leaders for all cardiac and respiratory arrests at our three hospitals, and as well as seriously ill patients admitted or transferred to the ICU. Residents and interns are exposed to bedside ultrasound use in the ICU under the supervision of attendings, and become well versed in obtaining central venous access and placing arterial lines. At Parkland Memorial and Clements University Hospitals, the MICU admitting team is led by an on-call resident who takes call every fourth night, and is assisted by the critical care fellow and attending, as well as a day-intern, night-intern, and a night-float co-resident. At the VA Hospital, our combined Cardio-Pulmonary ICU is staffed by residents and interns who take 12-hour day or night call on a drip system; without the traditional 28 hour calls.

While all of our ICU experiences are meant to be rigorous, they are closely monitored and protected to ensure ACGME compliance without violations in duty hours or patient caps.

Interested residents may also choose to rotate on the Advanced Heart Failure Unit at Clements University Hospital, as an additional critical care experience. This is a unique opportunity and highly valuable for cardiologists and generalists alike, as the number of patients living with left-ventricular assist devices and heart transplants continues to increase in the general population

Continuity Clinics

Firm System

Learn more about our New 4+1 Firm system

Our ambulatory practice continues to grow. Every resident has their own continuity clinic, either at the VA Medical Center or Parkland. With the 4+1 system, residents have clinic solely during their ambulatory week. This schedule allows the resident to focus their time primarily either on outpatient or inpatient medicine depending on their rotation. The structure is arranged to optimize continuity of care and ensure that each resident is fully trained in primary care internal medicine.

Subspecialty Immersion Experiences – Our New Hybrid Rotations

Brand new this year is our innovative approach to subspecialty exposure, the "hybrid rotation." During the first year, every intern will rotate through a four-week nephrology block that consists of a hybrid model of both inpatient consults and outpatient clinics; as well as an additional two weeks of similar experience in neurology. During the next two years, residents can select subspecialty hybrid rotations in hematology/oncology, endocrinology, rheumatology, gastroenterology/hepatology, or general internal medicine (which is comprised of specialized clinics in preventative cardiology, well women's care, dermatology, ophthalmology, as well as general medicine inpatient consults).

Electives

Research

Check out our Residents' Research

Each intern receives four weeks of elective time, during which they have a vast array of opportunities of which to take advantage. They can pursue QI projects and individualized training, gain further clinical experience in an area of their choice, or initiate/continue a clinical research project with our numerous outstanding faculty researchers. UT Southwestern is internationally renowned for its innovative research and boasts six Nobel Prize winners. Residents’ opportunities to participate in exciting clinical and laboratory research are virtually limitless. Residents often continue their research past their elective time and produce clinically significant publications. Resident research is displayed annually at the Seldin Research Symposium.

In addition to the possibilities listed above, upper level residents may also avail themselves of the procedure rotation, which offers a concentrated course in bedside ultrasound and common bedside procedures; or an international global health elective at Universidad Peruana Cayetano Heredia in Lima, Peru.