Welcome to the Internal Medicine Residency Program

Training excellent physicians who will go on to achieve success and become outstanding leaders

Welcome from our Program Director

Greetings from Southern Texas!

 

Thank you for visiting our internal medicine program here at the University of Texas Rio Grande Valley Doctors Hospital at Renaissance.

 

What an exciting time in the Valley!  Our new residents will have the unique opportunity to help form not only their residency but a new medical school and university as well.  The formation of UTRGV presents so many options for teaching as well as research. Our residents with a more clinical focus will also enjoy learning in a community dedicated to under-served populations.  Our goal is to train thoughtful, compassionate, well-prepared physicians who are ready to make a difference. Our community is rich in tradition, with Mexican and Texan influences, and our residents enjoy diverse options for activities, recreation and dining.  Please feel free to share your interests with us while you are here.

 

Welcome to our program.  I encourage you to explore with us how our program can support you in developing into the physician you’ve worked so hard to become.

 

Sincerely,

Michelle Cordoba Kissee, MD

Program Director, Internal Medicine Residency Program

Assistant Professor of Medicine

How to Apply

 

Thank you for your interest in the Internal Medicine Residency Program with the University of Texas Rio Grande Valley at Doctors Hospital at Renaissance. We offer our training program through the National Residency Matching Program (NRMP).

 

We accept applications through the Electronic Residency Application Service (ERAS) offered by the American Association of Medical Colleges. We DO NOT accept applications outside of ERAS. For more information regarding the electronic application process please contact your dean's office or access ERAS at their website www.aamc.org/eras.

 

As part of the ERAS application forms, the following documents are required:

1. The Dean's letter (MSPE)

2. A complete and official medical school transcript

3. Four letters of recommendation. One from your chairman of medicine (or designee) and at least three additional letters of recommendation. Letters from attending physicians supervising your medicine sub-internship or ICU experience are highly suggested.

4. Personal statement

5. Curriculum Vitae (ERAS format is acceptable)

6. United States Medical Licensure Examination (USMLE) transcript (parts I and II)

 

Application deadline is December 1st. This information is reviewed by our residency application committee. We will review the entire application pool and invite our top candidates for an interview.

 

Our interview season extends from October 1 through December 31. We will be holding interviews on Tuesdays and Fridays. We limit the number of applicants on any given day to assure you a more personal view of our training program.

 

Links: NRMP, ERAS, USMLE

Please direct all correspondence and inquiries to:

Jessica Martin, MD, MHSA

Internal Medicine Residency Program

University of Texas Rio Grande Valley – Doctors Hospital at Renaissance

2821 Michael Angelo Dr. Ste. 400

Edinburg, Texas 78539

Phone: 956-362-3553

jg.martin@dhr-rgv.com

FAQ's

 

About Admissions

 

What is your application deadline?

We begin accepting applications September 15. The application deadline is December 1. Applications for PGY-1 positions are only accepted via ERAS.

 

When are your interviews?

We begin interviewing October 15, and continue until January 15.

 

Are USMLE exam scores mandatory?

Non-US medical school applicants must pass steps 1 and 2 (CK and CS) in order to be ECFMG certified.

Only candidates that have passed steps 1 and 2 (CK and CS) USMLE will be considered for ranking.

 

Do you offer preliminary positions?

No

 

Do you hire outside of the NMRP match?

No

 

Do you offer observerships or externships?

Our program does not offer observerships or externships to anyone who is not currently enrolled in an ACGME-accredited residency program.

 

Do you have a minimum USMLE score?

No, but we prefer scores above 215 on USMLE Steps 1 and 2. We expect that individuals will pass the exams in their first attempt.

 

How long can I be out of medical school and still apply for your program?

We do not have a medical school graduation year cut-off, but we prefer individuals who have graduated from medical school within the past 5 years.

 

Are there any special requirements for international medical grads (IMGs)?

We require IMG's to be ECFMG (Educational Commission for Foreign Medical Graduates) certified prior to beginning the program.

 

What types of visas do you sponsor?

J-1 only.

 

How many PGY-1 positions are available?

We have 12 positions available through the Match.

 

Do you accept applications from International Medical Graduates (IMG)?

Yes, we do accept applications from IMGs.

 

 

Do you participate in the couples match?

Yes

 

Do you support the ABIM research pathway?

No

 

 

About the Program

 

What is the clinic schedule?

Residents are assigned their continuity clinics at DHR Internal Medicine Center. Continuity clinic is part of the ambulatory assignment and occurs every 5 weeks.  We follow the X+Y model.

 

How many clinical training sites are there?

We have one main training site which is Doctors Hospital at Renaissance at which you will spend the 3 years of your training.

 

Still have questions? Please feel free to contact us

Program Leadership

Michelle Cordoba Kissee, MD

 

Program Director

Endocrinology Subspecialty Education Coordinator

Clinical Assistant Professor

m.cordoba@dhr-rgv.com

 

Michelle Cordoba Kissee completed her undergraduate degrees in Biology, Spanish and Zoology with comprehensive honors at the University of Wisconsin-Madison. She also attended medical school at the University of Wisconsin. She completed her residency in Internal Medicine and her fellowship in Endocrinology at the University of Arizona.

 

Following training, she worked as an endocrinologist and hospitalist in private practice and at the Veteran’s Administration in Tucson.  She was also faculty at the University of Arizona where she participated as the Associate Program Director for the Endocrinology Fellowship.  Her family relocated to Texas in 2013, where she began work at the Diabetes and Endocrinology Institute at Renaissance.  Shortly thereafter, Dr. Cordoba became the Associate Program Director for the Internal Medicine Residency program, where she is currently serving as Program Director.

 

She has a professional interest in the culture of medicine, medical education for both patients and providers, and addressing health care disparities.  Dr. Cordoba and her family have volunteered with faith-based organizations in both Tucson and McAllen that provide medical and humanitarian aid to migrants.  She also enjoys participating in events regarding endocrinology topics in the community.  Working with a multidisciplinary team, she recently started a gender care clinic to better serve the needs of transgender patients in the Rio Grande Valley.  Dr. Cordoba loves the beach but loves endocrinology even more and is very enthusiastic to be a part of the Internal Medicine Residency Program.

Andrew Dentino, MD

Program Chair

 

Dr. Dentino comes to UTRGV to as the founding Chair of Internal Medicine. His education includes the University of Texas, The Mount Sinai School of Medicine and post-graduate training at Duke University. He is the only physician in the U.S. board certified in internal medicine, geriatric medicine, hospice and palliative medicine and psychiatry and geriatric psychiatry.

 

Dr. Dentino is a Fellow of the American College of Physicians (FACP), the American Geriatrics Society (AGSF), the American Psychiatric Association (FAPA) and the American Academy of Hospice and Palliative Medicine (FAAHPM).

 

Dr. Dentino has been awarded over $20 million career extramural funding, and has over one hundred fifty publications, books and national/international presentations.

 

He proudly represents UTRGV and Internal Medicine nationally as an elected member of the ACGME (Accreditation Council for Graduate Medical Education). Dr. Dentino was Chair of the Ethics Committee of the American Medical Directors Association (AMDA) and is a Certified Medical Director (CMD).

Timothy Heath, MD

 

Internal Medicine

Associate Program Director

Assistant Professor of Medicine

 

Dr. Tim Heath was born and raised in Cocoa Beach, Florida and grew up in the Orlando area.  He saw Cinderella’s castle when it was a wooden frame.  He played basketball in high school and attended the University of Florida (Go Gators!).  Dr. Heath’s family then moved to Texas where he attended The University of Texas Medical School in Houston.  He then returned to Florida for Internal Medicine residency.  He then realized that home is where the family is and returned to Texas where he practiced in general internal medicine for 15 years.  Dr. Heath had always wanted to teach so he joined the faculty at Texas College of Osteopathic Medicine in Fort Worth.  There, he taught Introduction to Clinical Medicine and 3rd and 4th year medical students in internal medicine clinic.  His passions are teaching medicine and golf.  Now in South Texas, Dr. Heath is addicted to Diet Coke and Delia’s Tamales.

Jose D. Bejarano, MD, FHM

 

Internal Medicine

Core Faculty

Assistant Professor of Medicine

 

Jose D. Bejarano was born and raised in Bogota, Colombia, South America, where his parents still reside. He completed his Medical Degree at The Escuela Colombiana de Medicina and graduated in 1999.  After working in emergency room medicine, he obtained a position at the Internal Medicine program at Jackson Memorial Hospital in Miami University in 2004.  Once he completed his residency, he moved to McAllen, Texas to work as a private hospitalist.  Soon after, he became a member and fellow of the Society of Hospital Medicine.  He is board certified in Internal Medicine with a focus practice in Hospital Medicine and is currently working as a hospitalist and faculty at Doctors Hospital at Renaissance.  His interests include research in hospital medicine and he is currently working on different quality improvement projects.  He also works as a nursing home director and as a hospice Medical Director.  When he is not at work, he enjoys his free time with his wife, daughter, and son.  He also enjoys mountain biking and scuba diving.

Celia Pantoja-Rojas, MD

 

Internal Medicine

Core Faculty

Assistant Professor of Medicine

 

Dr. Celia Pantoja-Rojas was born in Lima, Peru where she attended and graduated from Medical School Cayetano Heredia University in Peru in 1999. Upon graduation, she started working as program supervisor for the National Tuberculosis Program of Peru and research fellow for the High Altitude Diseases Research Institute Alexander Von Humboldt, affiliated to her Alma Mater. She also worked as a General Practitioner in private practice.

 

She participated as associate investigator in research projects involving tuberculosis adherence program and failure and relapse of tuberculosis, also participated actively in projects involving chronic lung disease associated with firewood smoke exposure performing on site visits to Andean communities in Peru. She completed her year of Rural Medicine Sevice in Chosica, Peru in 2003. She also pursued master degree studies in Social Projects Management at Cayetano Heredia University. While doing all this, she also prepared for the USMLE exams which she completed in 2003.  Dr. Pantoja trained in the Internal Medicine Residency Program of Bronx Lebanon Hospital associated with Albert Einstein School of Medicine during 2004-2007.  She moved to Iowa where she worked as a primary care physician for Peoples Community Health Center while raising her son. She decided to move to the Rio Grande Valley in 2010 to practice as a Hospitalist where she met and married her husband.

 

Dr. Pantoja joined as an Assistant Professor for the School of Medicine at UTRGV in July 2016. Dr. Pantoja loves to travel with her family, likes to cook peruvian food and enjoy learning new dishes from international cuisine, loves cats. She is thrilled to be part of the UTRGV School of Medicine.

Emilia Dulgheru, MD

 

Rheumatology

Core Faculty

Assistant Professor

 

Dr.  Emilia Dulgheru was born and raised in Bucharest, Romania. She attended medical school at Carol Davila University of Medicine and Pharmacology in Bucharest and graduated in 1995. She completed a residency in Family Medicine at Alexandru Obregia Hospital in 1998.

 

Later that year she relocated to New York and she trained in Internal Medicine at St John’s Episcopal Hospital affiliated with State University of New York at Brooklyn from 1998 to 2001. Then she attended a rheumatology fellowship at State University of New York At Buffalo from 2001 to 2003. She volunteered to teach the clinical practice of medicine clinical module for fourth year medical students as a rheumatology fellow.

In 2003 she left the cold winters of Buffalo behind and moved to the sunny Rio Grande Valley where she worked at Arthritis and Osteoporosis Center until 2006. From 2006 to 2010 she followed her husband to rural Missouri where she served as the only rheumatologist on a 90 miles radius area while working at Kneibert multispecialty clinic. In 2010 she returned to the the Valley where she practiced rheumatology as a solo practitioner. She joined UTRGV internal medicine in May 2017.

 

Dr. Dulgheru is Board certified in Rheumatology and she is a member of American College of Rheumatology. Her interests include systemic lupus erythematousus and cutaneous and pulmonary manifestations of systemic diseases.  She enjoys taking care of chronic conditions while coaching and educating her patients.  She believes that once you understand that giving back is the key, the rest comes naturally in medicine.

 

She loves cats and learned that “twins are unique”. She loves ice skating at Frio Valley Ice Skating Center.

Adolfo Kaplan, MD

 

Internal Medicine

Critical Care Medicine

Pulmonary Medicine

Sleep Medicine

Pulmonary Subspecialty Education Coordinator

Clinical Assistant Professor

 

Dr. Kaplan received his medical degree from Argentina’s National University of Tucuman School of Medicine, from which he graduated cum laude in 1993.  Post-doctoral training in Internal Medicine, Pulmonary and Critical Care Medicine, and Sleep Medicine followed at New York’s Beth Israel Medical Center and the New York University Sleep Disorders Center.

 

Following post-doctoral training, Dr. Kaplan served as Medical Director/Associate Director of Pulmonology, Critical Care, and Sleep Centers in New Mexico and Texas.  For the past decade, he has led or co-led the organization of critical care services at Doctor’s Hospital at Renaissance (DHR), training site for the residency programs at the University of Texas Rio Grande Valley (UTRGV). He has functioned as the medical director for critical care services at DHR since 2010. In addition, he is the subspecialty education coordinator for Pulmonary services for the Internal and Family Medicine Residency programs, and an Assistant Professor in the Department of Internal Medicine at UTRGV.

 

Dr. Kaplan divides his time between outpatient, inpatient and administrative duties. In the Pulmonary and Sleep Center, he provides diagnostic and treatment services for the full-range of pulmonary and sleep disorders. He has a special interest in pulmonary arterial hypertension, and is seeking to establish the first accredited Regional Care Center in the Valley by 2017.  Dr. Kaplan holds membership in multiple national/international medical associations/societies. An invited speaker/faculty at myriad society/association meetings and post-graduate educational courses, recent activity includes chairing the plenary session Preparation for Emergent Situations at the International Pulmonary Arterial Hypertension Conference in Dallas, and Faculty participant in the Advanced Critical Care Echocardiography Course offered in New York by the American College of Chest Physicians.  He has authored/co-authored sundry research abstracts, journal articles, and book chapters in the areas of pulmonary disease and critical care medicine.  His most recent publications are as first author of several book chapters describing echocardiographic assessment and monitoring of right ventricular function and pulmonary artery pressures, and the use of ultrasonography in the diagnosis of venous thromboembolic disease.

 

Despite a very busy schedule, he protects and treasures time with his family, his wife whom he started dating at the age of twenty, and their three teenage children. He loves to play tennis when possible and exercises regularly, practicing what he preaches to everyone around: stay lean and move! Weekends are frequently spent on the road on tennis tournaments with his children. The family loves to travel, and enjoys the opportunity to explore places and cultures together around the world. An avid reader, the day is never completed without pouring over at least a few pages of a good book.

Roberto Mangoo-Karim, MD, PhD, FACP, FASN

 

Internal Medicine

Nephrology

Nephrology Subspecialty Education Coordinator

Clinical Associate Professor of Medicine

 

Roberto Mangoo-Karim, MD, PhD, FACP, FASN is a Clinical Associate Professor of Medicine at University of Texas Rio Grande Valley; Nephrology Education Coordinator Internal Medicine Residency Program at Doctors Hospital at Renaissance; Adjunct Assistant Professor of Medicine at Baylor College of Medicine in Houston, Texas; Preceptor of the Physician Assistant Program and Nurse Practitioner Program at the University of Texas–RGV in Edinburg, Texas; and Adjunct Faculty at the University of Texas RGV Family Practice Residency Program in McAllen, Texas. He is board certified in Internal Medicine and Nephrology.

 

After receiving his MD from the Instituto Tecnologico y de Estudios Superiores de Monterrey in Monterrey, Mexico, Dr Mangoo-Karim obtained his PhD in Pharmacology at the University of Kansas Medical Center in Kansas City. He pioneered basic research on the pathophysiology of renal cystic disease. He then completed his residency at Baylor College of Medicine and a fellowship in nephrology at the University of Kansas Medical Center.

 

Dr Mangoo-Karim has presented his research findings at the annual meetings of the American Society of Nephrology, Federation of American Societies for Experimental Biology, National Kidney Foundation and the International Society of Hypertension. His research findings have been published in such journals as the Proceedings of the National Academy of Sciences, American Journal of Hypertension, Kidney International, International Urology and Nephrology, American Journal of Physiology, Journal of Clinical Pharmacology and Journal of the American Society of Nephrology.

 

Dr Mangoo-Karim is a member of the American College of Physicians, American Society of Nephrology, Texas Medical Association, and Hidalgo County Medical Society.

 

Mario Gomez, MD, FCCP

 

Internal Medicine

Critical Care Medicine

Pulmonary Disease

Clinical Assistant Professor of Medicine

 

Doctor Gomez was born and raised in Lima, Peru.  He completed his medical education at Universidad Peruana Cayetano Heredia in Lima.  This was followed by post-doctoral training in Internal Medicine at Henry Ford Hospital in Detroit, Michigan. He received his Pulmonary and Critical Care fellowship training at the Medical University of South Carolina in Charleston, where he served as Chief Fellow and trained in Interventional Pulmonology.  Dr. Gomez moved to McAllen in 2009 and joined the physicians at Pulmonary and Sleep Center of the Valley.  Dr. Gomez is Board Certified in Internal Medicine, Pulmonary Medicine, Critical Care Medicine, and Interventional Pulmonology. His interests include lung cancer, advanced diagnostic and therapeutic bronchoscopy, endobronchial ultrasound, endobronchial electro-surgery, and pleural disease. His research in the field of Interventional Pulmonology has been presented at major national conferences and has been published in renowned medical journals.  He is actively involved in the education of Internal Medicine Residents at UTRGV at Doctors Hospital at Renaissance rounding with them in the Intensive Care Unit and his Pulmonary Clinic.  Dr. Gomez strives to deliver compassionate, efficient, and up-to-date care to his patients, taking special care in helping them understand the complexities of their diagnostic and therapeutic interventions.  When not immersed in his medical duties, Dr. Gomez is an avid traveler and enjoys spending time at South Padre Island with family and friends.

Carlos Morales, MD

 

Internal Medicine

Cardiovascular Disease

Interventional Cardiology

Clinical Assistant Professor of Medicine

 

Dr. Carlos Morales, MD, FACC, FSCAI is not only the current Chairman of the Cardiology Department and Director of the Cardiac Catheterization Laboratories at Doctor Hospital at Renaissance, but he is also the lead singer, guitar and harmonica player with The Renaissance Rockers, awarded “Best Rock & Roll Band in South Texas” by popular vote. He is also a Black Belt in Tae-Kwon-Do and a licensed bartender at his own “Charlie’s Cantina” where he keeps his extensive guitar collection.

He graduated from Medical School in El Salvador and did his first Cardiology Fellowship at the prestigious National Institute of Cardiology “Ignacio Chavez” in Mexico City. Already a Cardiologist, he decided to get additional training after attending a conference by Andreas Gruentzig, MD, Father of Interventional Cardiology where he described for the first time the technique of balloon angioplasty. To achieve that it required doing 3 additional years of Internal Medicine at Wright State University in Ohio, 3 years of Interventional Cardiology at the Texas Heart Institute in Houston, TX and 3 years of research. Within Interventional Cardiology his main interest is in Structural Heart Disease, specifically trans-cutaneous aortic valve replacement.

 

Dr. Morales is triple boarded in Internal Medicine, Cardiovascular Diseases and Interventional Cardiology. He has multiple publications and book chapters. He has been a speaker on Cardiology topics in the US, Mexico, Central America and Europe. He is fluent in English, Spanish and Portuguese and speaks conversational French.

He started a blog called “Charlie’s Corner” where real cases are discussed every week. “Charlie’s Corner” has now 900 members in 10 countries.

Dinesh K Jain , MD

 

Internal Medicine

Clinical Assistant Professor of Medicine

 

Dinesh K Jain was born and raised in Indore, India. He completed his Medical Degree at MGM Medical College Indore, India and graduated in 1980. He completed his Internal Medicine Residency from MGM Medical College affiliated with Indore University in 1984. After a few years he moved to USA. He obtained his internal medicine residency training from New York Methodist Hospital, Brooklyn, NY from 1994-1997. Once he completed his residency, he moved to McAllen, Texas to work as outpatient primary care physician. A few years later he became a Hospitalist.  Soon after, he became a member and fellow of the Society of Hospital Medicine.  He is board certified in Internal Medicine with a focus practice in Hospital Medicine and is currently working as a hospitalist and Executive Physician of Coding and Documentation Department at Doctors Hospital at Renaissance.  His interests include research in hospital medicine. When he is not at work, he enjoys his free time with his wife, daughter, and son.  He also enjoys biking and outdoor team games.

Jessica Martin, MD, MHSA

 

Internal Medicine Program Administrator

Adjunct Assistant Professor

jg.martin@dhr-rgv.com

 

Jessica Martin completed her undergraduate degrees in Biology and Chemistry at the University of Texas Pan-American in Edinburg, TX. She attended medical school at St. Matthew's University School of Medicine. She completed a Masters in Health Services Administration from Saint Joseph's College of Maine.

 

Jessica has been involved in hospital administration for 13 years. She has led oncology research through NCI-sponsored grants on cancer disparities to cooperative group clinical trials in partnership with UTHSCSA's Cancer Therapy and Research Center. Her research has included publications on colorectal cancer and cancer disparities. As Cancer Center Director at Doctors Hospital of Laredo, she was instrumental in Laredo WINGS program for Breast Cancer patients, an affiliate of WINGS San Antonio. She has also taught health sciences courses at Laredo Community College and Texas A&M International University.

 

Jessica moved to the Rio Grande Valley to join her husband and start a family. She has three small children (a boy and identical twin girls) and is excited to be working with medical education.

Meet our Chief Residents

Brandon Cantazaro, MD

Rank – PGY-3

Universidad Autonoma de Guadalajara School of Medicine

 

Brandon Cantazaro is originally from Scottsdale, Arizona. He completed his undergraduate studies at the University of Arizona and received his medical training from the Universidad Autonoma de Guadalajara School of Medicine. He finished his pre-internship program with New York Medical College. His interests include working with underserved communities and he has a passion for high performance driving and competition and recreational shooting.

Cesar H. Gutierrez, MD

Rank – PGY-3

Facultad de Medicina UANL

 

Cesar Gutierrez comes from Camargo, Tamaulipas, Mexico, a small town 40 minutes away from the McAllen/Edinburg area.  He pursued his medical career in Monterrey, Mexico at the Facultad de Medicina of the Universidad Autonoma de Nuevo Leon.  He graduated as a medical doctor in 2012.  Cesar went on to practice medicine as a private practitioner in Camargo while studying for his boards. He enjoys working with the underserved and providing community education in the colonias of the Rio Grande Valley.  He has an interest in the ambulatory setting of Internal Medicine and hopes to practice in the valley as a UTRGV faculty physician upon completion of his training.  Cesar is a member of UTRGV’s GME Committee.  He enjoys playing soccer and is currently recruiting other residents for a competitive DHR soccer team.  Worth mentioning, Cesar is a HUGE Star Wars fan.

Grigoriy L. Rapoport, MD

Rank – PGY-3

Universidad Autonoma de Guadalajara

 

Grigoriy Rapoport is originally from St. Petersburg, Russia, and grew up in Dallas Texas. He received his medical training from Universidad Autonoma de Guadalajara and completed his pre-internship with New York Medical College. His interests include gastroenterology and community medicine. He enjoys spending time with his family, going to the beach and playing the violin.

Program Description

 

 

Why our program

The Internal Medicine Residency Program at UTRGV DHR has several unique and positive attributes.  Our house staff will enjoy working in a hospital that is well-known within the community for its involvement.  There are always upcoming community events of which DHR is a part or sponsor.  The Internal Medicine residents will benefit from instruction with an emphasis on cost effective, evidence based medicine within the context of cultural consideration.  Perhaps the most outstanding attribute is the opportunity to work in a traditionally underserved population that is now also experiencing tremendous growth.  While RGV could seem geographically isolated, residents of the Valley can enjoy a unique lifestyle rich in Mexican traditions yet distinctly Texan.

 

Block schedule

The program follows a categorical X+Y schedule which allows for a much more robust ambulatory experience.  The X+Y schedule is a 4+2 model.  Residents rotate for 4 weeks on an inpatient rotation or a consult service followed by 2 weeks of mixed continuity clinic and ambulatory experience.  Residents are also assigned their geriatric clinic at the VA during this time.  Quality improvement and/or research protected time is provided to all interns during this 2 week experience.  Seniors may choose QI and/or research as an elective.  Having this dedicated Y block after every 4 week rotation reliably places the residents in their continuity clinics every month, which enhances follow up, continuity and the overall outpatient experience.

PGY1 Block

PGY1 Rotation

PGY2 Block

PGY2 Rotation

PGY3 Block

PGY3 Rotation

1

Wards

1

Ambulatory / Clinic

1

ED

2

ICU

2

Wards

2

Ambulatory / Clinic

3

3

3

Ambulatory / Clinic

ICU

Wards

4

Wards

4

Ambulatory / Clinic

4

ICU

5

5

5

Wards

Inpatient Cardiology

Ambulatory / Clinic

6

Ambulatory / Clinic

6

Elective

6

Elective

7

7

7

Night Float

Ambulatory / Clinic

Night Float

8

ICU

8

Wards

8

Ambulatory / Clinic

9

9

9

Ambulatory / Clinic

Night Float

Inpatient Cardiology

10

ICU

10

Ambulatory / Clinic

10

Consult Service

11

11

11

Wards

Vacation

Ambulatory / Clinic

12

Ambulatory / Clinic

12

Elective

12

Wards

13

13

13

Elective

Ambulatory / Clinic

Vacation

14

ICU

14

Wards

14

Ambulatory / Clinic

ICU

ICU

15

15

15

Ambulatory / Clinic

16

Wards

16

Ambulatory / Clinic

16

Elective

Wards

Neurology

17

17

17

Ambulatory / Clinic

18

Ambulatory / Clinic

18

ED

18

Wards

Night Float

Ambulatory / Clinic

Vacation

19

19

19

20

ICU

20

Wards

20

Ambulatory / Clinic

Ambulatory / Clinic

21

21

21

Night Float

Inpatient Cardiology

22

Wards

22

Ambulatory / Clinic

22

Night Float

Elective

23

Ambulatory / Clinic

Wards

23

23

24

Ambulatory / Clinic

24

Wards

24

Wards

Ambulatory / Clinic

Elective

25

Ambulatory / Clinic

25

25

Rotation Goals

 

Ambulatory Medicine

Residents are be assigned their continuity clinic patient panel which includes patients of diverse ages and genders.  Residents will be responsible for providing primary care, including preventative medicine as well as urgent visits, for their patients.  In addition to learning about the management of common acute and chronic illnesses in general medicine, residents also collaborate with consultants to coordinate sub-specialty care.  Our residents also learn how to coordinate care across multiple settings, including clinic, the hospital, nursing homes, home health and rehabilitation units.

 

Residents are also assigned additional clinic time with medical sub-specialists, dermatologists, sports medicine/orthopedic surgery and ophthalmology to have exposure to common issues that may arise in general medicine clinic and know when a referral is warranted.

 

Residents also are expected to perform their quality improvement and research activities during this time and complete several assignments throughout their residency.

 

Our residents also participate in the completion of a dedicated outpatient curriculum as well.

 

Inpatient Medicine (Wards)

Residents learn how to diagnose and treat both common as well as rare medical disorders.  They learn to participate in multidisciplinary rounds to coordinate care across disciplines and multiple settings.  Residents learn to anticipate social needs and work on discharge planning.  Residents get formal didactics not only on medical conditions but on billing, coding and documentation as well.  Residents are responsible for planning all orders on their patients and are expected to communicate with any consulting physicians as well as outpatient primary care providers.  Our residents get data on their practice habits, including potentially inappropriate antimicrobial use, length of stay and readmission rates. Residents also learn about appropriate documentation, timely documentation completion, and administrative processes.  Residents also identify opportunities for improvement and participate in a monthly morbidity and mortality conference.

 

Critical Care (ICU)

Residents learn to care for critically ill patients in the ICU as well as identify those patients who are at risk of decompensating to prevent ICU admission.  The residents perform ICU consults and are also responsible for the care of the patients in the academic ICU.  Residents round with a multidisciplinary team to coordinate care across specialties and across settings.  Residents learn to communicate with consultants, primary care providers and family.  Learning the indications, contraindications and technical skills for procedures is also key for this rotation.  Additionally, residents learn about ethics, end of life discussions as well as medical futility.

 

Quality Improvement / Patient Safety

Quality Improvement / Patient Safety initiatives are a continuous part of residency.  Residents will have dedicated time to design their own project with guidance from a faculty mentor.  Residents are expected to have completed several projects in order to graduate.  Additionally, residents must participate in safety activities such as the hospital’s root cause analyses and the QI committee.  Residents participate in the monthly morbidity and mortality conference and report their cases as well as loop closures back to the hospital.

 

Research

Residents will develop a project for scholarly activity.  They will meet with faculty to discuss their research goals for residency.  For some, this rotation will be used to form the basis of a longitudinal research endeavor that spans their residency while other residents with a primarily clinical focus may choose a more limited project such as presenting a case report at a conference.  Residents are expected to have completed several projects in order to graduate.  They also have formal didactics on research methods and statistics from UTRGV.

 

Obesity Medicine

Within our culture as well as medical community, there can be a bias against obesity.  On one hand, providers may be concerned for their patients’ well-being.  They should discuss obesity and its detrimental effects on health.  On the other hand, providers’ attitudes towards obesity may be counterproductive in addressing the patients’ needs.  Obese patients may have additional barriers in seeking and utilizing healthcare and maintaining healthy lifestyles.  Residents are encouraged to become more cognizant of their own strengths and biases and reflect on how their attitudes may be affecting how they interact with patients.

 

Residents will understand the indications and contraindications for different medical and surgical weight loss options as well as learn about the pre- and postoperative care, expectations and complications of surgical weight loss.  They will also become familiar with medical management of bariatric surgery patients; recognize the barriers to care, associated comorbidities and underlying psychosocial factors that affect weight maintenance.  They will become cognizant of stereotypes and biases regarding obesity within the medical community and identify medical comorbidities associated with long term obesity. They will familiarize oneself with opportunities in the community for medical professionals to address obesity while applying motivational interviewing techniques.

 

Electives

Residents have a variety of 2-4 week, elective rotation experiences to select from: Anesthesia, Endocrinology, Gastroenterology, Nephrology, Rheumatology, Hematology / Oncology, Women’s Heath, Cardiology, Hospital Medicine, Interventional Radiology, Orthopedic Sports Medicine and Office Ophthalmology.

Curriculum

Curriculum / Conference Schedule

 

 

The educational purpose of all rotations is to comply with the Internal Medicine Curriculum as mandated by the American Board of Internal Medicine.

 

The fundamental goals of our program are to train competent, qualified, caring and sensitive physicians who are mindful of the significance of their role in the diagnosis and treatment of disease, the alleviation of suffering, the prevention of ill-health and the empathetic support of those directly or indirectly afflicted with medical illness.  Our three-year educational program is geared toward a preparation in internal medicine and board certification.  We are dedicated to training physicians who will effectively work in the current and future health care systems.  Our residents will enjoy training at a state-of-the-art community-based program, Doctors Hospital at Renaissance, which is under the sponsorship of the University of Texas Rio Grande Valley.

 

The Department of Medicine endorses a team approach to patient care, while recognizing that residents must have opportunities for individual critical decision-making and patient responsibility as defined by the American Board of Internal Medicine.

 

Our program, as all others, follows the goals and objectives of the Accreditation Council for Graduate Medical Education, where the curriculum is based around the six core competencies.

 

  • Patient Care
  • Medical Knowledge
  • Professionalism
  • Interpersonal and Communication Skills
  • Practice-based Learning and Improvement
  • System –based Practice

 

Our competency-based curriculum and its design allow for an individualized educational experience that corresponds to the career objectives of each resident.  We are committed to a strong resident education and to serving our community and the larger Rio Grande Valley population in providing acute and chronic disease health management, preventive care and a longitudinal relationship between our residents and their patient population.

 

Graduates of our program fulfill the requirements of the American Board of Internal Medicine.  The residency program in Internal Medicine includes participation in patient care, teaching rounds, didactic noon conferences, grand rounds, Morbidity & Mortality conferences, among others.  DHR provides an online library as well other academic teaching resources available from UTRGV which can be accessed by the residents from their home.

 

Mix of Diseases

Residents will encounter patients with a variety of conditions representative of common medical problems in various systems, as well as care for critically-ill patients in the ICU and acute-care patients in the Emergency Department setting.  Patients admitted to the teaching service include a wide demographic and ethnic mix from the greater RGV region.  There are also a wide variety of socioeconomic situations.  This mix provides the residents with a stimulating and enriched training experience with broad diagnostic and challenging opportunities.

 

Last, but not least, we believe in training leaders in Internal Medicine.  Scholarship and discovery are essential components of academic medical leadership, and this will be reflected in the curriculum as a research and scholarly activity rotations as well as participation in hospital quality improvement and patient safety programs.

 

 

 

 

 

 

 

 

 

 

 

Conferences

 

1. Internal Medicine Core Didactic Lecture Series

Conference geared towards coverage of the core components of general internal medicine and its subspecialties as they relate to an internist.  Lectures are one-hour noon lecture series based on the core curriculum.  Lecture material topics are prepared by the program director and reviewed for approval by the subspecialty education coordinator.

 

2. Morning Reports

Current cases from our various inpatient and outpatient services are presented in this forum.  The focus of this conference is on:

 

  • Professional presentation
  • Differential diagnosis
  • Clinical reasoning
  • Evaluation and management
  • Prevention of diagnostic/treatment errors
  • Cost effective decision making
  • Cases are to be presented by our residents under the guidance of our chief resident or faculty member.
  • General internal medicine faculty and subspecialty attendings provide additional teaching through this case-based format.

 

3. Ambulatory Lecture Curriculum Series

Our residents have access and are required to complete the Physician Education & Assessment Center (PEAC) Internal Medicine Curriculum.  PEAC features various didactic modules from the Johns Hopkins Hospital Department of Medicine.  Over 45 interactive modules cover topics in ambulatory care, including acute symptom evaluation, chronic disease management, and preventive care.  Evaluation and resident feedback occurs monthly.

 

4. Grand Rounds

Grand rounds are held every Wednesday morning.  This conference brings together a wide academic and community provider population.  Topics are applicable to both general internal medicine and subspecialty medicine.  These include a week dedicated to clinicopathology conference.

 

5. Morbidity & Mortality

The department of medicine meets monthly for an interactive case-based discussion focused on patient safety and systems improvement.  Cases are selected and facilitated by the faculty.  This may also be presented by a resident with guidance from a senior faculty, expert in diagnostic error, patient safety and quality improvement.  These conferences represent a safe, collegial, non-accusatory environment with an emphasis on systems improvement and preventive bad outcomes.  Many of the systems issues and potential solutions identified at this conference are then presented on to the hospital administration through safety and quality conferences.

 

6. Research Days

Held annually by faculty and residents who have submitted / finished or participated in a scholarship activity.

 

7. Journal Club / Evidence-based Medicine

Journal club provides an opportunity for residents to hone the skills required to critically appraise the literature. Conference is usually led by the program director or associate program director and a faculty from UTRGV research institute.  EBM is integrated into our Friday conference series.  Residents meet monthly for a critical review of literature and recent publications.

 

Ultimate goals:

  1. Discussing a variety of study types
  2. Acquire the skills to critique randomized controlled trials, case-control and cohort studies, meta-analysis guidelines, decision analysis, cost-effectiveness and ethical issues.

 

8. Subspecialty Conferences and Teaching

Residents participate in lectures given by medical and surgical specialists on topics relevant to internal medicine.

 

9. Physician Wellness / Medical Ethics

 ​Residents learn about work-life balance and engage in activities such as yoga, book clubs and program-sponsored social events.  Several times a year, we discuss topics in medical ethics in addition to an ongoing emphasis on ethics during morning report, rounds and clinic.

 

10. Board Review Series

This monthly conference under the guidance of the program director and faculty supplements the second year residents’ self-study preparation for the ABIM certification exam.

 

11. The Business of Medical Practice

These lectures occur several times throughout the year, and the Ambulatory Medicine rotation contains a more formal curriculum addressing the business of medicine, payment models, and negotiating contracts.

 

 

12. Quality Improvement / Research Didactics

 These are ongoing didactics, often in conjunction with faculty from UTRGV, regarding topics such as study design, statistics and research processes such as IRB approval and funding.

 

13. Physician Feedback

​This is a monthly mandatory meeting where residents meet to address changes and concerns with the program.

Time

8 – 9 a.m.

12 – 1 p.m.

Conference and Rounds

Morning report or Grand Rounds

Noon Conference

*Noon Conference consists of didactic lectures 1-3 times weekly, monthly Morbidity & Mortality, monthly Journal Club, monthly Board Review, monthly Physician Wellness / Medical Ethics, and monthly Global Health / Medical Spanish activities.

5501 S. McColl Rd. Edinburg Texas 78539 | (956) 362-8677 | 956-DOCTORS

Copyright © 2015 Doctors Hospital at Renaissance. All Rights Reserved

 

Doctors Hospital at Renaissance proudly meets the federal definition of a “physician-owned hospital” (42 CFR § 489.3). As required by law, a list of the hospital’s physician owners and investors is available at www.dhr-rgv.com. DHR, Ltd. and its affiliated entities comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex.