Dear Prospective Applicants,

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1 Dear Prospective Applicants, We are excited that you are considering applying to an internal medicine residency! To ease your application process, we created this document which contains detailed information about each Air Force internal medicine program as well as testimonials from two current Air Force medicine residents. We hope that you find this information useful, and look forward to your application. If you are not currently a member of the American College of Physicians, we highly encourage you to join. Membership is free for students, and the Air Force maintains its own active chapter. Feel free to learn more at the chapter website: Air Force ACP Chapter Website Sincerely, The Air Force Chapter of the American College of Physicians

Transcript of Dear Prospective Applicants,

1

Dear Prospective Applicants,

We are excited that you are considering applying to an internal medicine residency! To ease your

application process, we created this document which contains detailed information about each

Air Force internal medicine program as well as testimonials from two current Air Force medicine

residents. We hope that you find this information useful, and look forward to your application.

If you are not currently a member of the American College of Physicians, we highly encourage

you to join. Membership is free for students, and the Air Force maintains its own active chapter.

Feel free to learn more at the chapter website: Air Force ACP Chapter Website

Sincerely,

The Air Force Chapter of the American College of Physicians

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Table of Contents

1) Page 3: Keesler AFB

2) Page 4: National Capital Consortium

3) Page 5: SAUSHEC

4) Page 8: Travis AFB

5) Page 9: Wright Patterson

6) Page 16: A resident’s 4th year experience at SAMMC and Travis SFB

7) Page 18: A resident’s experience at Wright Patterson

8) Page 18: Transportation and Lodging tips at the National Capital Consortium

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Keesler AFB

Program Features:

1) Residents become proficient in procedures. No Fellows means residents do all IM

procedures with staff oversight. Residents also participate in dedicated outpatient

procedure clinic. Electively residents can also complete subspecialist level procedures.

2) 24 resident program with open door policy and access to subspecialists, including

cardiology, GI, endocrinology, infectious disease, pulmonary/CC, rheumatology,

nephrology, genetics, immunology/allergy, geriatrics, neurology, urology, ENT, general

surgery, orthopedic surgery, vascular surgery, oral surgery, radiology, interventional

radiology and ophthalmology.

3) Noon conference, morning reports and senior openers are held daily

4) Residents are given their own desk and lap top computer. Resident offices, call rooms,

and lounge completely renovated in 2015.

5) Rotations during residency:

a. PGY1 residents go to UMMC at Jackson MS for an MICU and cardiology

rotation. Lodging is provided.

b. PGY2 residents go to Gulfport Memorial Hospital for an ER rotation, and to

Jackson MS for MICU and inpatient hematology/oncology rotations.

c. PGY3 residents go to Jackson MS for an MICU rotation. Will also have the

opportunity to go to Landstuhl Germany for a wards rotation. PGY3 may also be

able to do electives at SAMMC or other locations with approval from the program

director.

6) Many graduates pursue fellowship training

Lodging for Active Duty Tours:

1) The Air Force will provide lodging at the Tyre House (base hotel) during your month at

Keesler. Lodging cost is reimbursed. The hotel is located one block from the hospital and

is an easy walk

2) HPSP students are provided a rental car for the month. USUHS students are not always

provided a rental car.

Contact Information:

1) Internal medicine Program Director:

a. Lt. Col. Wayne Latack, MC, FACP, FACN

b. [email protected]

c. 228-376-5537

2) Program website: Keesler AFB IM Program

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National Capital Consortium – Internal Medicine Residency

Walter Reed National Military Medical Center

Program Features:

1) Located in downtown Bethesda next to the National Institutes of Health and Uniformed

Services University, conveniently on the DC Metro Red Line (Metro benefits available).

2) 50 ICU beds, 274 patient rooms, 27 ER beds, 7-story outpatient building.

3) New gym, pool, NSA Base Exchange store and USO facility right next to the Hospital.

4) Joint residency program for the Army/Navy/AF/USPHS.

5) Offers training in internal medicine, 12 IM subspecialties and Faculty Development.

6) Patients include wounded warriors, military beneficiaries, veterans, foreign dignitaries,

and our Nation's Leaders.

7) Active partnerships for global training with Landstuhl Regional Medical Center

(Germany), Naval Hospital Guam, Army/Navy research facilities (Kenya/ Peru/ Djibouti/

Honduras), as well as with area hospitals, including the DC VA Medical Center,

Washington Hospital Center, INOVA Fairfax, and Virginia Hospital Center.

8) Residents of all Services have the opportunity to join available humanitarian assistance

missions on the hospital ship USNS Comfort and other operational platforms.

Contact information:

1) Program Director: CAPT Bill Shimeall, MD MPH FACP

a. [email protected]

b. Phone: (301) 319-8111

2) Program Office/Interviews: Ms. Geraldine Marquez

a. [email protected]

b. Phone: (301) 319-8754

3) Associate Program Directors:

a. LTC Josh Hartzell, MD, FACP [email protected]

b. CDR Casey Flanagan, MD FACC [email protected]

c. MAJ Renee Mallory, MD, MPH, FACP [email protected]

d. Dr. Julie Chen, MD, FACP [email protected]

4) Schedule post clerkship rotations (Uniformed Services University Dept. of Medicine):

a. Ms. Jackie Drake [email protected]

b. Phone: (301) 295-9727

5) Program Website: NCC Program Website

6) Learn more about Internal Medicine and IM subspecialties at Walter Reed Bethesda at:

Learn more about NCC medicine

7) NCC program snapshot (great information!): NCC Program Snapshot

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SAUSHEC

Program Features:

1) Largest and busiest graduate medical education program in the DOD

2) Strong academic program with an excellent board pass rate

3) New hospital completed in 2012

4) Complete rotations at SAMMC, Wilford Hall Ambulatory Surgical Center, University

Hospital, and Texas Center for Infectious Diseases (TB Hospital)

5) Combined Air Force/Army program

6) Option to participate in overseas rotations when available (GEIS, MEDRETEs, Tropical

Medicine Course, humanitarian missions).

Contact Information:

Program Coordinators:

Ms. Carmen Vargas: [email protected]; 210-916-3856

Ms. Yvonne Long: [email protected]; 210-916-3910

Chief Residents, AY15-16

Air Force: Capt Sam Weiss: [email protected]

Army: CPT Brian Y'Barbo: [email protected]

Quality Improvement/Patient Safety (QIPS): Capt Rebecca Barrett:

[email protected]

Chief Residents, AY16-17

Air Force: Capt Lauren Lee: [email protected]

Army: CPT Katie Bello: [email protected]

QIPS: Capt Caroline Green: [email protected]

Associate Program Directors:

Air Force: Maj Kristen Glass: [email protected]

Army: MAJ David Ferraro: [email protected]

Program Director:

LTC Joshua Hawley-Molloy: [email protected]

Program website: http://www.bamc.amedd.army.mil/saushec/gme/residency/internal-medicine

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Travis AFB:

Program Features:

1) Joint program with UC Davis Medical Center, established in 2008

2) The PG1 year of the military tract is spent solely at the UC Davis Medical Center and its

affiliated institutions in Sacramento. During the PG2 and PG3 years, residents spend one

inpatient month and one elective month rotating at DGMC.

3) David Grant Medical Center is a staging platform for expeditionary medical missions for

both combat support and humanitarian missions. Capabilities include setting up

deployable, expandable hospitals, mobile surgical, and critical care teams capable of

managing air transport of critically injured personnel.

4) David Grant Medical Center has 165 beds

5) The outpatient population includes active duty members and their dependents as well as

military retirees and their dependents. The inpatient population includes all Department

of Defense and TRICARE eligible members as well as a limited number of Department

of Veterans Affairs beneficiaries from the immediate San Francisco-Sacramento vicinity.

6) There is a Clinical Investigational Facility, one of seven Air Force wide, which along

with the GME Research Office can fully support, provide training, protocol consultation

and coordination services to residents conducting research projects.

7) UC Davis Medical Center is a 619 bed tertiary referral center that serves a 65,000 square-

mile area that includes 33 counties and 6 million residents across Northern and Central

California. UC Davis admits more than 40,000 patients per year and handles nearly 1

million visits.

8) UC Davis is ranked as Sacramento’s top hospital by U.S. News & World Report. It is

also nationally ranked in multiple specialties including Oncology, Cardiology,

Nephrology, and Pulmonology.

Contact Information:

1) Program Director

a. LTC S. Charles Whang

b. [email protected]

2) Gastroenterology, Staff Physician

a. (707) 423-5041

3) Program website: http://www.travis.af.mil/news/factsheets/factsheet.asp?id=19718

(Please note that the Program Director’s contact information has not been updated and is

incorrect on this website)

4) UC Davis Program Website:

http://www.ucdmc.ucdavis.edu/internalmedicine/residency.html

5) UC Davis Contact information:

a. Internal Medicine Residency Office:

i. (916) 734-7080

ii. (916) 734-7080

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Welcome to the Wright State University

Internal Medicine Residency Program

What is the primary focus of the program?

We are educating clinicians preparing for general internal medicine practice, hospitalist

practice, or subspecialty fellowship training.

What is the WSU program looking for in a resident candidate?

We look for physicians with a clinical medicine career focus. Those selected will be good

“team players" with strong interpersonal skills and an interest in each patient as an individual.

They will maintain a high level of intellectual and clinical curiosity, and will strive to become

lifelong learners and teachers.

What are the strengths of the Wright State program?

highly-skilled supportive residents

strong educational focus

diverse patient mix

dedicated full-time and voluntary faculty

comfortable learning and living environment

multiple opportunities for ambulatory experience

flexible elective rotations

opportunities for research collaboration with clinical or basic science faculty

Which hospitals participate in internal medicine training?

Residents rotate to three teaching hospitals:

Miami Valley Hospital - 960 beds, not-for-profit community hospital

Dayton Veterans Affairs Medical Center – 76 acute care beds, VA hospital

Wright-Patterson Medical Center – 61 acute care beds, U.S. Air Force hospital

All provide free convenient parking and are located within easy driving distance from

downtown Dayton and surrounding communities; average 15-20 minutes travel between sites.

Is there a university hospital in Dayton?

The Dayton community had several well-established hospital residency programs when the

medical school was founded (1974). The school chose to draw on the strengths of the

existing facilities and has grown into a “best of both worlds” learning environment with

academic structure in a community-based setting. There is no “university hospital” but the

above facilities are fully equipped for primary through tertiary care with academic faculty at

each location.

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How often will I be on overnight call?

Beginning 2011, there is no overnight call requirement in any staff rotation for interns or

senior residents. Schedules and team configurations have been revised to be fully compliant

with the new ACGME requirements for duty hours.

Is there a night float system?

Yes, there is a night float system for all inpatient general medicine and critical care

rotations.

What is a typical rotation schedule?

The following is a typical rotation schedule for residents:

R1

4.5 blocks inpatient

general medicine

1.5 blocks night float (two

week blocks, not

consecutive)

2 block intensive care unit

1 block cardiology

1.5 block ambulatory block

2.5 blocks medicine

subspecialty elective

0.5 block practice-based

learning modules

0.5 block leave

R2

3 blocks inpatient general

medicine

1 block night float (two

week blocks, not

consecutive)

1-1.5 blocks intensive care

unit

1.5 block ambulatory block

1 block emergency

medicine

1 block neurology

1 block hospital medicine

3 – 3.5 blocks electives

R3

3 blocks inpatient general

medicine

1.5 blocks night float (two

week blocks, not

consecutive)

1 block intensive care unit

1.5 blocks ambulatory

block

1 block geriatrics

5 blocks electives

Will I have opportunities to do research?

All residents participate in scholarly activity, writing clinical case reports, presenting

abstracts, and learning the basics of research design and interpretation of the medical

literature. Several residents elect to conduct clinical research during training, either as a

separate block elective or contiguous with other assignments. In addition, a research scholar

pathway is available after the completion of the first year of residency. A few residents have

collaborated with medical school faculty in conducting basic science research. Grant money

for resident research is available through awards from local hospitals and the Wright State

University Boonshoft School of Medicine. Residents are encouraged to present abstracts at

an annual citywide Resident Research Forum as well as at the Ohio Chapter, American

College of Physicians annual meeting, the Army/Air Force Physicians Chapter, American

College of Physicians national meeting and at other regional or national venues.

What electives are available?

R1s request an elective from the subspecialties of allergy, gastroenterology,

hematology/oncology, infectious diseases, nephrology, and pulmonary. Senior residents

select from the above plus cardiology (inpatient, ambulatory, or treadmill), endocrinology,

diabetes, rheumatology, allergy, dermatology, palliative medicine, sports medicine, office

orthopedics, anesthesiology, physical medicine and rehabilitation, medical imaging,

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occupational medicine, private office, hospitalist, and psychiatry. Some of these are offered

as two-week options to complete a month with a scheduled night float rotation. A resident

may also participate in a customized elective not listed above (including selected

international or other “away” rotation options) with approval of the program director.

Where will I have my inpatient and continuity experiences?

Military Senior residents will be assigned to continuity clinic at Wright-Patterson Medical

Center, while civilian residents have continuity clinic at the Five Rivers Health Center.

Interns get ambulatory experience in acute care clinics but continuity clinics don’t begin until

the R2 year as part of the long ambulatory block. During training, residents will rotate to all

three participating hospitals and will serve on general medicine teams at three sites (Miami

Valley, Wright-Patterson, and Dayton Veterans Affairs Medical Center). On the inpatient

services, two teams admit patients daily with a “drip system”. Teams are composed of one

senior and one intern working as a group of four supervised by an attending.

What conferences do residents attend?

Senior check-out: all inpatient team sites, M-F

or Openers Senior resident review of patient admissions with chief resident and

faculty; evidence-based approach to clinical questions.

Morning report: all inpatient team sites, M-W-Th-F

Attended by all levels of residents as well as third and fourth year

medical students.

Presentation of case (from recent inpatient or ambulatory service) or

topic with discussion among chief resident, faculty, residents and

students.

Resident forum: MVH every Tuesday afternoon.

2-3 hours of core curriculum with a wide range of topical

discussions including internal medicine subspecialties, ethical and

legal issues, health policy, in-training examination learning

objectives, research design and evidence-based medicine. This is an

opportunity for the entire program to meet for lunch and education.

Noon conference: all inpatient team sites, most M-W-Th-F

Schedules include core conferences such as journal club, morbidity

and mortality, and professor’s rounds, as well as primary care topics,

medical imaging, EKG review, medical subspecialties, Medical

Grand Rounds, and others.

Clinic meetings: MVH or WPMC, 2nd Tues. 1:00 p.m.

This is an interactive session including topic presentation,

continuity site QI review, and practice management discussion.

WPMC discussions will include a portion of the “military unique

curriculum”.

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Are there any special seminars or workshops for residents?

During orientation, first year residents attend a fall procedure workshop using models for

practice of central line insertion, laceration repair, lumbar puncture, etc. They also

participate in a teaching workshop just before moving to supervisory responsibilities in the

second year. Other seminars and workshops include cultural competency, end of life care,

ethics, grant-writing, and research design. Some of these are presented by the School of

Medicine for residents in all Dayton area programs. Residents also have opportunities to

attend selected local CME half-day or full-day events on medicine subspecialty topics.

Finally, the department provides fun, learning experiences by way of annual retreats for each

class.

Where have residents entered practice or fellowship training?

Many residents entering primary care practice or hospitalist practice have stayed in the Ohio

area, with several in Dayton. Residents choosing additional training have been accepted into

the following graduate medical education programs:

Allergy/Immunology

Ohio State University

University of Michigan

University of Tennessee

San Antonio Military

Medical Center

Cardiology

Kettering Medical Center

Michigan State University

Ohio State University

San Antonio Military

Medical Center

Tufts University

University of Cincinnati

Virginia Commonwealth

University

Wright State University

Critical Care

San Antonio Military

Medical Center

Walter Reed Medical

Center

Medical College of Ohio

Wayne State University

Endocrinology

San Antonio Military

Medical Center

University of Kentucky

University of Nebraska

University of Tennessee

University of Wisconsin

Gastroenterology

San Antonio Military

Medical Center

St. Louis University

Touro University

University of Florida at

Gainesville

University of Miami

(Hepatology)

University of North

Carolina

Wright State University

Yale University

Geriatrics

Banner Good Samaritan

Medical Center, Arizona

George Washington

University

Indiana University

Loyola University

Stanford University

Tulane University

University of Hawaii

Hematology/Oncology

Cleveland Clinic

San Antonio Military

Medical Center

Indiana University

Medical College of

Georgia

Montefiore, New York

St. Elizabeth’s Medical

Center, Boston

University of Cincinnati

University of Texas, San

Antonio

University of Wisconsin

Wright State University

Hospice & Palliative Med

Cleveland Clinic

Ohio State University

Wright State University

Infectious Diseases

MD Anderson, Houston

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Ohio State University

Penn State University

San Antonio Military

Medical Center

Southern Illinois

University

St. Louis University

University of Alabama,

Birmingham

University of Cincinnati

University of Connecticut

University of Louisville

Wake Forest University

Wright State University

Nephrology

San Antonio Military

Medical Center

Allegheny General,

Pittsburgh

Brown University

Emory University

Indiana University

Johns Hopkins

Ohio State University

San Antonio Uniformed

Services Health Education

Consortium

St. John’s Hospital,

Michigan

St. Louis University

Thomas Jefferson

University

University of California,

Los Angeles

University of Utah

Virginia Commonwealth

University

Nuclear Medicine

University of Colorado

Pulmonary/Critical Care

Albert Einstein University

Emory University

Indiana University

Ohio State University

San Antonio Military

Medical Center

University of Florida

University of Wisconsin

Washington University

Walter Reed Hospital

Rheumatology

Indiana University

Louisiana State University

Medical College of

Wisconsin

San Antonio Military

Medical Center

University of Alabama,

Birmingham

University of California,

Los Angeles

University of South

Florida, Tampa

How do program graduates perform on the ABIM examination?

The pass rate for the 2014 examination was 89% (national median 85%).

As reported on the ABIM website for all programs, the three-year rolling pass rate for our

program’s first-time takers is 88 %.

Are there any changes anticipated in the program?

The residency program is well-established with three participating hospitals and multiple

ambulatory training sites. All participating hospitals are fiscally sound and well-managed.

The program is fully accredited and in compliance with all ACGME duty hour requirements.

How are resident vacations and holidays scheduled?

Residents submit information regarding “major life events” such as weddings, baby due

dates, and anticipated overseas travel or “away” rotations before the block schedule is created

each year. After the schedule is published, residents request preferred dates for three weeks

vacation, three bonus days, and two personal days each year. (Personal days carry over to

the next year if not needed.) In addition, all residents are allotted five education days to be

used over the three years of residency training; these can be used to attend conferences when

not presenting or to take a Board prep or other course. All residents are allotted

administrative time away from the program for exams, conference presentations, etc.

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Most R1s will have a 2-week vacation, a one week vacation, and three bonus days. R2 and

R3 residents may choose to take three individual vacation weeks plus the three bonus days

or can combine for a vacation of two weeks when the rotation schedule allows.

Does the program make allowances for religious observances?

As we are providing essential patient care, there is no assurance that residents will always

have time off for religious observances, but brief time for prayer during the workday is

practiced by several residents and faculty in our program. Residents are asked before

beginning residency if there is any half day of the week during which they prefer to avoid

scheduling continuity clinic. Residents can schedule their bonus days to coincide with major

religious observances if requested in advance. If not scheduled as official time off, residents

will observe the holiday schedule of the hospital at which they are rotating and, if not on call

or post-call, may have major holidays free of duty assignments.

Are there resident social events or other special activities?

The program hosts a welcome picnic in June and a recognition banquet in May. A popular

annual event is the Medical Challenge. Teams of residents compete in a game-show format,

answering questions on clinical topics, medical trivia from popular culture, and the history

of medicine.

Other events have been sponsored for residents in all Dayton area programs; Resident

Appreciation Week, a night out at a Dayton Dragons minor league baseball game, family

bowling, ice skating, a family day at King’s Island and others.

What are the NRMP and ACGME program numbers?

Wright State University Categorical Program NRMP# 2011140C0ACGME Program

Number 1403821345

Contact Us

Wright State University Internal Medicine

Residency

Department of Internal Medicine

128 E. Apple Street, 2nd floor

Dayton, OH 45409

Program Director– Roberto Colón, M.D.

Phone: 937-208-2860

Fax: 937-208-5304

Email: [email protected]

Associate Program Director (Military) - Paul

F. Haggerty, MD

Phone: 937-257-9655

Fax: 937-522-3285

Email: [email protected]

WPMC Internal Medicine Residency

Program Coordinator- Barbara Carroll

Phone: 937-257-9655

Fax: 937-522-3285

Email: [email protected]

Department Chair – Glen D. Solomon, M.D.

Phone: 937-208-2865

Fax: 937-208-5304

Email: [email protected]

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WSUIM Residency Program Coordinator – Mary Pietrzak

Phone: 1-800-443-9001 or 937-208-2866

Fax: 937-208-5304

Email: [email protected] or [email protected]

Program web sites

IM Residency home page:

http://www.med.wright.edu/im/res/

Other Links

WSU School of Med. home page:

http://www.med.wright.edu

To Learn More About the Dayton Area

Parks and recreation: http://www.metroparks.org/

News and local information: http://www.daytondailynews.com/

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Resident’s Corner:

A resident shares her 4th year experience at San Antonio Military Medical

Center and Travis AFB: Please keep in mind that everyone’s experience is unique and, in my opinion, can largely depend on

the resident/intern, staff, and time of year. This list is by no means all-inclusive, but meant to provide

a brief overview of my ADT experiences at SAMMC and Travis AFB, respectively.

SAMMC: Rotation: wards

Setup: 1 IM resident (either second or third year), 2-3 interns (may be categorical IM, transitional

years, preliminary medicine interns, off-service rotators including EM, psych), 1-2 medical students,

2-4 staff (sometimes they do two weeks straight, sometimes they only do a week at a time)

Staff: may be hospitalists (civilian), internists (active duty typically), or subspecialists in

cardiology, rheumatology, gastroenterology, allergy/immunology, endocrinology, oncology,

pulmonary, etc. (No family medicine)

Call schedule: at the time that I rotated, it consisted of an AM/PM call schedule, but this has since

changed and now consists of 8 ward teams with q4d call (recently changed and may see further

changes in future)

Time of year: I rotated at SAMMC in July of my fourth year of medical school, which also meant

brand new interns and second year residents on wards. I was fortunate, however, to rotate on wards

with a very solid third year resident who had an excellent grasp of the system and medical

knowledge. Because it was the beginning of the year, I was able to act like an intern and many people

thought I was such (in contrast to later in the year when people know who the interns truly are).

Patient population: largely older (60+) retirees and family members, but SAMMC now accepts

civilian traumas and, as a result, ward teams may accept some of these patients if they have medical

issues with no acute indications for surgery; occasionally a VA patient is transferred for the sole

purpose of a procedure (i.e. ERCP on the weekend); also take care of younger active duty population

EMR: AHLTA (outpatient), Essentris/CHCS (inpatient/outpatient)

Residency program: 25-30+ interns/residents per year

My experience: Overall, I had a wonderful experience and was given a lot of independence. At

the time that I rotated, sub-interns were allowed to write orders (to be signed off by

interns/residents/staff) and were expected to write each of the daily progress notes/H&P/discharge

summaries, etc. (Since that time, there have been some changes and some limitations on orders, but

notes are still expected and encouraged). I had a lot of unique patients including one of the first cases

of West Nile virus. I found that the majority of consulting services were friendly and approachable,

in particular, the infectious disease, rheumatology, and oncology services. Every morning we are

expected to attend morning report and Tuesday afternoons are didactic lectures (3 hours), which you

don’t technically have to attend as a medical student. Rounds are highly variable depending on the

staff with regards to length and formality (some bed side rounds, some card flipping, some

independent rounds, some teaching rounds, etc). For the first two weeks, I had a civilian

rheumatologist (prior COL in the Army) and the second was a civilian hospitalist and so there was

generally more teaching with the rheumatologist and more turn around with the hospitalist.

Living situation: I stayed at the Springhill Extended stay suites, which was covered by the

military. It consisted of a small kitchen with on-site laundry services, a gym/pool, internet, etc. I was

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also granted a rental car. This may vary and many people now stay on the SAMMC campus and walk

to/from the hospital.

Advantages: rotating at the flagship hospital for the DoD with access to nearly all subspecialties

and fellowships; San Antonio has a lot of stuff to do (Alamo, River Walk, wineries, Schlitterbahn,

etc, etc).

Drawback: limited cell service in the resident work area (almost none and this may seem like a

trivial thing, but in today’s world, not having access to cell service is quite frustrating), limited WIFI

(have to use the patient login which is spotty)

Travis: Rotation: 3 weeks of wards (family medicine run), 1 week of cardiology

Setup: 1 family medicine resident, 1-2 family medicine interns, 2-4 staff

Staff: mine consisted of a subspecialist in gastroenterology, cardiology, and FP (varies)

Call schedule: I honestly cannot remember (it has been a few years), but it is a MUCH smaller

program with only 1-2 teams from what I can remember

Time of year: I rotated in the fall of my fourth year of medical school (Aug/Sept)

Patient population: largely older (60+) retirees and family members, some active duty younger

population (generally, however, I would say there was far less volume and lower acuity in contrast to

SAMMC)

EMR: AHLTA (outpatient), Essentris/CHCS (inpatient/outpatient)

Residency program: the actual rotation at Travis is done with the family medicine residency

program, but the residency itself for internal medicine is largely done at the UC Davis campus (only

a few rotations are done at Travis) so the rotation probably isn’t the best representation of what you

would expect for residency

My experience: Overall, I had a good experience at Travis, but I felt less intellectually challenged

during the rotation and felt like I didn’t have the demand of seeing multiple patients like I did at

SAMMC. I cannot recall any solid, dedicated conferences or didactics (aside from rounding which

was also highly variable).

Living situation: I stayed at a local extended stay suites and was provided a rental car (about 10-

15 minutes away from base).

Drawback: the rotation may not reflect what residency is like (if you really want to see what

residency is like, perhaps consider doing a rotation at UC Davis) since the majority of your training

will be done at UC Davis and this TDY consists of working with family medicine residents and not

IM residents at Travis. Additionally, if you do residency here, you lose out on all of the military

aspects of your training. Later on when you have to pay back your time, it may be more challenging

to learn the EMR and military way of life. Additionally, if you are interested in fellowships, the

majority (if not all), take place at SAMMC. So, doing residency at SAMMC may be beneficial if you

are interested in pursuing fellowship training (generally speaking, you are more likely to get a

training spot if they know you). Having said all of that, there are occasional deferred fellowship slots

and some may prefer civilian training (thereby avoiding additional tasks such as military-specific

online training, urine drug tests, uniforms, etc). Lastly, something to consider is cost of living which

is far higher in California compared to Texas (not to mention state income tax, etc).

Advantages: as mentioned above residency training at Travis is primarily civilian (done at UC

Davis) and requires only a few military specific obligations so, in theory, you can focus more on the

medical aspect of your training. If you do decide to do an ADT at Travis, you are only a short drive

from things like the Golden Gate Bridge, Sacramento, wineries, etc.

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A Wright Patterson Senior Resident shares his experience: 1) The biggest advantage of the Wright Patterson program is that it is not a pure military

residency. Instead, it offers a great combination of exposure to both military and civilian

medicine which affords a massive variety of patients and pathology

2) There are 25 residents in the program in two tracks, approximately half are military and the

remainder are civilian. The only difference between the civilian residents and the military

residents is the continuity clinic experience

3) The largest affiliated hospital is a community hospital with no academic faculty. Residents

rotate through a VA hospital as well. Since there are no fellows, residents handle the interesting

cases and have more opportunities for poster presentations and research projects

4) Residents complete 6 weeks of nights per year at the most

5) The program consistently has strong in-service scores. Many residents have gone on to obtain

fellowship training in various fields, including one resident who was accepted to a Cleveland

Clinic Rheumatology fellowship

6) Rotations are easy to set up by contacting the program coordinator. The base inn is a great

place to stay throughout your rotation!

Tips for Transportation and Lodging at the NCC: 1) The new go-to for lodging is the Navy Gateway Inn and Suites on campus. If you stay here,

you won’t have to worry about obtaining a rental car.

2) The hospital is on the metro red line which a main metro line and can get you pretty much

anywhere in DC, northern Virginia, and parts of Maryland. Reagan Airport is on the metro, and

Dulles is very nearby to the metro. They have a $5 shuttle from the airport to the silver line

which connects you to the rest of the metro, so if your travel arrangements have you flying to

Dulles not to worry.