walter reed national military medical center bethesda ... · 2017-2018 . residency overview ......
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WALTER REED NATIONAL MILITARY MEDICAL CENTER BETHESDA
NATIONAL CAPITAL CONSORTIUM INTERNAL MEDICINE RESIDENCY PROGRAM
2017-2018
Residency Overview • Mission and Vision Statements • History of Our Program • Program Structure • Research Opportunities • The DC-Baltimore Area • Program Leadership/Contact information
To guide the next generation of military leaders in patient care, research, and medical education,
preparing clinicians to meet tomorrow’s challenges in military
and civilian healthcare
Residency Mission
Walter Reed Vision
The patient is at the center Our patients today… …and our patients tomorrow
Clinical care excellence Quality, safety, and exceptional care experience
Scholarship Research, collaboration, and dissemination
Education Teaching, coaching, and mentorship
Leadership Creating military internists ready to lead change in
health care, both now and in the future
Residency Pillars
PROGRAM HISTORY (BRAC 2011)
Two programs, two facilities — each with a rich history — that have come together
History —
Walter Reed General Hospital first opened in 1909
GME programs started in 1920 with first class of 5 interns
Major Walter Reed was famous for his work on Typhoid, Yellow Fever, and Malaria but died young of a ruptured appendix. Hospital was subsequently named in his honor.
History—NNMC Bethesda
1942 – Naval hospital opened at Bethesda
Named Bethesda for small spring-fed pond that reminded President F. D. Roosevelt of the biblical “pools of Bethesda”
Much of initial design from FDR’s ideas
1973 – IM Residency accredited by ACGME
WRNMMC Hospital Capabilities Premier military hospital in the country
Anchors network of 34 military hospitals/clinics
274 beds, 50 ICU beds, 27 ER beds, 6 story outpatient bldg Extensive subspecialty representation July 2011—merged Army/Navy IM Residency Program
Officially “Quad-Service” (Army, Navy, AF, USPHS) ACGME-approved for 93 resident capacity in IM
83 straight IM and 10 IM/Psych
PROGRAM STRUCTURE
75 Internal Medicine Interns and Residents
26 Transitional Years (co-sponsored)
11 Psych; 9 Anesthesia; 3 Neurology; OMFS
12 Fellowships – 80+ Fellows
150+ high-quality, invested clinical faculty USU, VA, FBCH, WRAIR, FDA, NIH Virginia HC, Washington HC, INOVA Fairfax
Incredible administrators & clinical support staff
Department of Medicine
Residency Program Structure 75 Internal Medicine Residents 30 PGY-1
24 PGY 2 21 PGY 3 5 Medicine-Psychiatry combined residents
If interested in IM/Psych residency please contact CPT Allison Webb (NCC IM/Psychiatry Recruitment Chair)
Rotation and Faculty Affiliations
Residency Opportunities… Humanitarian Assistance/Disaster Relief
Landstuhl RMC Wards (Germany)
Naval Hospital Guam ICU Away research rotations in Kenya, Peru, Djibouti, Honduras, India
ICU and Advanced Heart Failure at Washington Hospital Center (WHC)
ICU at Virginia Hospital Center (VHC)
CCU at INOVA Fairfax Elective opportunities in palliative care, HIV clinic, Arlington Free
Clinic, NIH Undiagnosed Diseases Program, and others
USNS Comfort Hospital Ship
Uniformed Services University USUHS faculty attend at WRNMMC
WRNMMC is core site for USU IM Clerkships Academic appointments for residents
Teaching
Intern Rotations Ward Medicine (~12 wks) Ambulatory Medicine (10 wks) Inpatient Cardiology (~4 wks) Oncology (~4 wks) Medical ICU (~4-6 wks) Emergency Medicine (~4wks) Night Medicine (~2 wks) Sports Medicine (~2 wks) Psych & Gynecology (~2 wks) Elective/Vacation (2-4 wks)
Four week blocks – Q2/3 Dual Team Call 5 ward teams 1 inpatient oncology team Night Team (NightHawk and MOD)
Ward Team 1 attending and an R2/R3 Resident 2 interns 1 sub-I and/or 1-2 MS-3
No 24 hour overnight call for interns Clinical Librarian & PharmD support
WRNMMC Wards
“4+1” Sample Resident Schedule Wk 1 Wk 2 Wk 3 Wk 4 Wk 5 Wk 6 Wk7 Wk8 Wk 9 Wk10
Cohort Orange
Clinic MICU MICU MICU MICU Clinic Wards Ward Wards Wards
Cohort Yellow
Wards Clinic Rheum Rheum Rheum Rheum
Clinic Ward Wards Wards
Cohort Green
Spec Spec Clinic Heme Heme Heme Heme Clinic Wards Wards
Cohort Blue
ER ER ER Clinic Ward Ward Ward Ward Clinic Elec
Cohort Red
MSK MSK MSK MSK Clinic CCU CCU CCU CCU Clinic
Daily Conferences Daily Report at Noon
Weekly Medicine Department Conferences
Grand Rounds M&M/Quality Improvement Conferences Clinical-Pathologic Conferences (CPCs)
Resident-led Journal Club Fridays at 1300
Recent Additions • Reflective Practice Curriculum – Quarterly meetings with peers and faculty
• Bedside Ultrasound Course – Monthly hands on ultrasound training – Practice technique and competency for procedures
• Mock Code Curriculum – Practice code situations with video/instructor feedback
at state of the art simulation center
RESEARCH OPPORTUNITIES
Potential to present at national conferences
USU & NIH affiliations Unity of Effort for clinical research funding
Academic facility with emphasis on research and engaged mentorship Research Coordinator: Manish Singla, MD, LCDR, USN
See more about resident research/scholarship
Housestaff Research
Housestaff Research
Quality Improvement
Quality Improvement
2016 National ACP Finalists
2017 Navy ACP Champions
LIFE AFTER INTERNSHIP AND RESIDENCY
Where Do Residents Go? Fellowships: ID, Pulm/CC, GI, Heme-Onc,
Cards, Geri/Pal WRNMMC and all over the world!
Fellowship Training at WRNMMC Cardiology
Gastroenterology
Pulmonary
Critical Care
Sleep Medicine
Nephrology
General Internal Medicine/MPH or MHPE
Endocrinology
Rheumatology
Hematology/Oncology
Infectious Disease/MPH
Allergy/Immunology
Morale and Wellness
Wellness Wednesdays
Hospital Dogs
Team Building
Walter Reed Action Group (WRAG)
Resident-directed group who are dedicated to service, volunteering to help address the health needs of under-
served communities and teaching/mentoring aspiring future healthcare professionals
Washington DC/Baltimore Metropolitan Area
Cost of Living Generous tax-free housing
allowance (BAH)
Wide range of housing options
Metro Check Program Max reimbursement well above average
costs
WRB is metro accessible (Medical Center Stop)
Rank BAH W/ dependents
BAH W/O dependents
O-3 $2700 $2523
O-4 $3108 $2673
WHERE DO PEOPLE LIVE? (ALONG THE RED LINE!)
• Dupont Circle (washington.org/topics/dupont-circle) • Adams Morgan (washington.org/topics/adams-
morgan) • Cleveland Park (clevelandpark.com/) • Friendship Heights (www.friendshipheightsmd.gov/) • Silver Spring, MD (www.downtownsilverspring.com) • Bethesda, MD (www.downtownbethesda.com) • White Flint, MD
(dc.about.com/od/marylandneighborhoods/a/White-Flint-Development-Rockville-Pike.htm)
• Rockville, MD (rockvilletownsquare.com/) • Columbia, MD (www.downtowncolumbiamd.com/)
PROGRAM LEADERSHIP AND POINTS OF CONTACT
CAPT William Shimeall, USN, MD, MPH, FACP
CDR Casey Flanagan, USN, MD, FACC CPT Adam Barelski Dr. Julie Chen Dr. Chin Hee Kim
2017-2018 Leadership Program Director: Associate Program Directors:
IM/Psychiatry PD: MAJ Vincent Capaldi, USA, ScM, MD, FAPA
Chiefs of Residents: CPT Sarah Ordway , USA, MD LT Thomas Mellor USN, DO Program Administrators: Marla Redmond (DOM GME) Geraldine Marquez – Bernadette Roach
Chief, Dept of Medicine: Asst. Chief, DOM : Director for Medicine:
LTC Brian Hemann, USA, MD CDR Todd Gleeson, MD, MPH, FACP CAPT Saira Aslam, MD
2017-2018 Chiefs of Residents CPT Sarah Ordway, MD- [email protected] LT Thomas Mellor, DO [email protected]
2018-2019 Chiefs of Residents
• CPT Joe Maciuba, MD – [email protected]
• LT Paul Happel, MD – [email protected]
Questions? Residency Program Office: (301) 319-8754
America Building, room 3607 Schedule Interviews: Mrs. Geraldine Marquez
Schedule 4th Year Rotations: Ms. Agnes Moyeno 301-295-4397
Program Director: CAPT “Bill” Shimeall (301) 319-8111
im strong
im strong
im strong
im strong