Texas Health Presbyterian Hospital Dallas is one of 13 hospitals in the Texas Health Resources hospital network, the largest health care system in North Texas. Texas Health Dallas is a community hospital with 866 beds located in North Dallas and a major referral center. 

A large and diverse patient population provides the residents with ample exposure to both rare and common diseases. Residents also gain exposure to a variety of health care delivery systems including Medicare, Medicaid, indigent care, managed care, and private payors. The diversity of patient population and health care delivery systems assures residents a comprehensive exposure to the full spectrum of medical problems.

Residents provide increasingly independent patient care as they progress to the next postgraduate year level. By completion of their Internal Medicine training, all residents are able to provide independent comprehensive medical care, even for patients with the most complicated and serious illnesses.

Inpatient Experience
Residents receive admissions from private attending physicians, the ambulatory clinic patient population and from our large hospitalist group. Each ward team, which is on-call every fourth night, consists of one resident and one or two interns. Each intern can carry a maxiumum of 10 patients.

Interns are responsible for admitting and discharging patients, writing orders and daily progress notes and following up on studies. The resident is encouraged to develop teaching skills and review medical literature in order to provide the interns with guidance to optimally manage patients. Each member of the ward team is scheduled four days off per month.

Formal teaching rounds are conducted three times a week by a faculty member. Pathophysiology, diagnosis and treatment plans for patients are discussed in detail.

Subspecialty Experience
In addition to providing primary care for hospitalized patients, residents at all levels perform subspecialty consultations. Each resident will have the opportunity to spend at least one month in each subspecialty of Internal Medicine. One-on-one teaching and mentoring from faculty provide for the optimal subspecialty learning experience. Interns and residents have no scheduled night call responsibilities while on consultation services and generally do not work weekends.

Continuity Clinic
Categorical residents spend one afternoon (Monday, Tuesday, Wednesday or Thursday) per week in the Jackson Internal Medicine Clinic. Each resident is assigned patients for whom he or she is responsible during the entire training experience. This continuity of care and long-term patient follow-up provide the resident with exposure to a patient care setting similar to one many will enter upon completion of their training.

The clinic staff consists of registered nurses, medical assistants and a patient care representative. A multidisciplinary approach to patient care is practiced by utilizing the services of nurses for patient education as well as a pharmacist and registered dietitian who specializes in diabetes education.

Private Practice Experience
Presbyterian's faculty members have very active private practices. The residents have the opportunity to work with these physicians in their offices. This experience provides exposure to both the medical as well as the business issues of private practice.