Information for Applicants
The Internal Medicine Residency Training Program at the University of Texas Southwestern Medical Center is among the best in the nation. The program combines superb clinical and research facilities, an internationally known and respected faculty that is committed to teaching, and a large and heterogenous patient population, providing an experience for Internal Medicine residents that is outstanding in every respect.
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The program provides a stimulating and challenging internship during which the fundamental skills of an internist are acquired. While working as part of a team, the intern is the physician directly responsible for the care of patients on the wards and in the ICU. Interns help to formulate the patient’s plan of care, write the orders, and perform the majority of invasive procedures under supervision.Interns in the UT Southwestern Internal Medicine Training Program rapidly become adept at a wide variety of procedures, including central line placement, intubation, and lumbar puncture, among many others. By the end of the first year, house officers are both confident and competent to lead a team and to care for even the most critically ill patients.
The resultant sense of patient ownership, when coupled with the complexity and diversity of our patients and excellent mentorship by our faculty, guarantees that every graduate of the program will be proficient in the skills required to be an exceptional academician, specialist, or primary care provider.
The three years of residency provide time for consolidation and reinforcement of the skills acquired during internship as well as extensive exposure to selected subspecialties and time to pursue extracurricular activities. We will be opening new hospitals for both Parkland and the University, so our rotation structures will continue to evolve as new educational opportunities arise for the housestaff . The residency experience itself can be loosely grouped into five categories: wards, ICUs, clinics, consults, and electives.
Curriculum by Year
Program Year 1
Program Year 2
Program Year 3
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. Ward months are the heart and soul of our internal medicine 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.
Currently at Parkland, there is no overnight call. The call cycle is split into a five day cycle during which teams have early and late admitting days. Teams are comprised of one resident, one to two interns, one attending, and medical students. At the VA, teams take overnight call every fourth night, and interns rotate on and off a night float coverage system.
In addition to general medicine wards, UT Southwestern offers subspecialty ward experiences including cardiology, hematology/oncology, pulmonary, and transplant nephrology. Each of these rotations provides further insight and experience into these subspecialties.
Intensive Care Units
The 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. Residents are responsible for managing cardiac and respiratory arrests as well as seriously ill patients admitted or transferred to the ICU. Many residents ultimately choose to pursue a fellowship in Cardiology or Pulmonary/Critical Care Medicine because of their positive experiences in the ICUs.
Cardiology and ICU rotations at each hospital are comprised of four admitting teams that take overnight call every fourth night. Each team is comprised of an intern and resident, and on some rotations an upper level resident aids with admissions and cross-cover on a night float 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 Memorial Hospital. 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. Our primary care clinics are broken down into a system of small teams. Each house officer is part of a team practice of five providers, and together, those five residents co-manage all their team’s patients. Thus, if a primary care provider is absent, a member of his or her practice is always available to see their patient. This arrangement not only provides optimal continuity of care but also allows residents to experience primary care in a more real world setting.
We have expanded our focus on outpatient subspecialty medicine, adding ambulatory rotations in infectious disease, rheumatology, and endocrinology, and these rotations are some of our most highly rated. There are also subspecialty clinic experiences for each +1 ambulatory week. These clinics have been chosen based on resident feedback and provide a wide variety of clinic experiences through UT Southwestern University Hospital, Parkland Memorial Hospital, and Dallas Veterans Affairs Medical Center.
In the last two years of residency, about half the time is spent on subspecialty, ambulatory, and consult rotations. The resident, working closely with attending faculty, handles most of the consultations on each service. Consult services give house officers the opportunity for more in-depth training in each of the medical specialties, by actively participating in the decision-making under the close supervision of faculty. Popular consult rotations include nephrology, infectious disease, hematology, gastroenterology, and a multitude of others.
All interns will have a two-week rotation on Geriatrics to gain additional experience in managing geriatric patients in the outpatient setting.
Each intern receives four weeks of elective time either to gain further experience in subspecialties of their choosing or to enhance their research experience. UT Southwestern is internationally renowned for its innovative research and boasts five Nobel Prize winners from the Department of Internal Medicine. 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.