Texas Health Harris Methodist Hospital Hurst-Euless-Bedford and Texas Health Presbyterian Hospital Denton are two acute care hospitals in Texas Health Resources, a nonprofit health system that cares for more patients in North Texas than any other provider.
A large and diverse patient population provides residents with experience in treating both rare and common diseases. Residents also gain exposure to a variety of healthcare payors, including Medicare, Medicaid, indigent care, managed care and private insurers. Residents provide increasingly independent patient care as they progress to the next postgraduate year level. The Texas Health HEB and Texas Health Denton Internal Medicine Residency Program will equip residents to provide independent, comprehensive medical care, even for patients with the most complicated and severe illnesses.
Residents receive admissions from the emergency room, private attending physicians, the ambulatory clinic patient population and two hospitalist groups. Each ward team is on call every fourth day and consists of two interns, a resident (who is in the second year of the program or higher) and an attending. Each intern cares for a maximum of 10 patients at a time.
Interns are responsible for admitting and discharging patients, writing orders and daily progress notes and following up on tests. The resident is encouraged to develop teaching skills and review medical literature to provide interns with guidance to manage patients optimally. Each member of the ward team is scheduled for one day off each week.
Formal teaching rounds are conducted every day by a faculty member. Pathophysiology, diagnosis and treatment plans for patients are discussed in detail.
The ICU rotation is an opportunity for residents to develop proficiency in the care and management of critically ill patients. ICU multidisciplinary rounds allow team members to collaborate to determine the best course of treatment for patients, emphasizing quality care and patient safety. The team consists of intensivists, residents, nurses, respiratory therapists, pharmacists and social workers. Texas Health HEB and Texas Health Denton are recognized for excellence in critical care.
Categorical residents spend one week in the Internal Medicine Clinic every four weeks of ward and elective rotation. Residents are assigned patients for whom they are responsible during the entire three-year training experience. This continuity of care model provides residents with exposure to a patient care setting similar to one many will enter upon completion of their training. An additional month dedicated to ambulatory medicine must also be completed in the second or third year of training.
The clinic staff consists of experienced faculty, registered nurses, medical assistants and a patient care representative. A multidisciplinary approach to patient care is practiced, using the services of nurses and a pharmacist for patient education.
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 an optimal subspecialty learning experience. Interns and residents have no scheduled night-call responsibilities while on consultation services and do not work on weekends. Interventional radiology elective rotation will help the residents develop competency on procedures.
Private Practice Experience
Faculty members have very active private practices, and residents have the opportunity to work with these physicians in their offices. This experience provides exposure to both the medical and the business aspects of private practice.
During the interventional radiology rotation, an ultrasound-guided internal medicine procedures workshop is conducted to give residents ample confidence in performing live procedures.