Education & Curriculum

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 30-32 categorical (three-year) and 10-12 preliminary (one-year) positions annually.

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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. The clinical experience is supplemented by daily teaching conferences covering a broad range of medical topics. Residents at both teaching hospitals are able to attend these conferences due to their close proximity. Each intern is assigned a resident mentor to help with the initial transition into residency training.

Off-Campus Intern Retreat - A day of fun in the sun!

At the end of the intern year, we hold an off-campus Intern Retreat – 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.

Learn more about Rotations

Preliminary Internships

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).

4 + 1 Schedule

Our resident group is divided into cohorts, each on a rotating 4+1 schedule. During the +1 week or Ambulatory Week, residents and interns manage their continuity patients in clinic. The Ambulatory Week also gives our residents the opportunity to take part in ongoing Quality Improvement & Patient Safety projects. These projects are original and many of our residents’ works are presented at local and national conferences. The +1 schedule also allows for a “golden weekend” where resident are free from clinical duties and can enjoy local San Antonio or other nearby attractions.

Categorical PGY-1 Blocks

4-5 Internal Medicine Ward months, including half a month on Palliative Care
1 Night Floats month
1 ICU month
1 Cardiology/CCU month
1 Procedure Team month
1 Elective month
1 Ambulatory week after each 4-week block

PGY-2 Blocks

2-3 Internal Medicine Ward months
1 Neurology month
1 ICU month
1 Cardiology/CCU month
1 ER month
2-3 Elective months
1 Ambulatory week after each 4-week block

PGY-3 Blocks

2-3 Internal Medicine Ward months, including 1 month on HIV Wards
1 Night Float month
1 ICU month
1 Cardiology/CCU month
1 Medicine Consults month
3-4 Elective months
1 Ambulatory week after each 4-week block
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