Internal Medicine Subspecialties

Cardiology - The division of Cardiology consists of board-certified cardiologists practicing in the Sentara Heart Hospital which has been named among the top 50 cardiac care hospitals by the US News and World Report for many years. The division has extensive experience in noninvasive, diagnostic, interventional, and electrophysiologic cardiology.

Residents on this rotation gain experience in inpatient and outpatient consultative cardiology. Residents may also obtain experience in and exposure to echocardiography, CT angiograms, cardiac MRI, EKG interpretation, cardiac catheterization, and cardiac transplantation.

Dermatology - Dermatology diagnosis and management is a key component in any general internist's practice. At EVMS, our Department of Dermatology provides Internal Medicine residents with an extensive experience in dermatologic diagnoses and management, as well as familiarizing residents to the various procedures they will perform in their offices.

Endocrinology and Metabolism - Residents rotating on Endocrinology/Metabolism have the opportunity to see patients at the internationally known Strelitz Diabetes Institute. In addition to its clinical expertise, the institute is home to some of the most innovative research in endocrinology. The division consists of top endocrinologists, who are leaders in their field. On this elective, in addition to their extensive ambulatory experience, residents will gain great knowledge from an inpatient consultative component.

Gastroenterology - The Division of Gastroenterology has numerous practicing board-certified gastroenterologists on the teaching staff roster, including Division Chief, Dr David Johnson. Residents will gain experience in inpatient and ambulatory consultative gastroenterology. In addition, if residents desire, they can receive training in procedures such as flexible sigmoidoscopy and colonoscopy. Rotations in this specialty are available at Sentara Norfolk General and the VA Medical Center.

Geriatrics - The Accreditation Council for Graduate Medical Education requires that all Internal Medicine residents perform at least one month of Geriatrics. Our Geriatric division consists of board-certified staff in Geriatrics as well as a wide array of adjunct staff. The Glennan Center for Geriatrics and Gerontology is nationally and internationally known for its role in geriatrics research. Residents in this rotation will receive inpatient, ambulatory, nursing home, and assisted living experiences. Geriatric assessment is stressed throughout the rotation. At the completion of this rotation, residents should feel comfortable approaching all aspects of geriatric care.

Hematology/Oncology - All general internists should have a working knowledge of how to care for patients with disorders of hematology and oncology. Residents gain their knowledge through excellent outpatient experiences at the VA Medical Center and Sentara Norfolk General Hospital. Inpatient consultation experience is also obtained at the VA Medical Center. In addition to the expertise residents gain in the medical care of these patients, residents will also gain expertise in the performance of bone marrow aspiration and biopsies, as well as interpretation of hematological slides.

Infectious Disease - The division of Infectious Disease is highly active in caring for patients with the full spectrum of infectious diseases, and is one of the premier providers of HIV care in Virginia. Its division chief, Edward C. Oldfield III, MD, is a nationally and internationally known infectious disease specialist. Residents will attend both inpatient and ambulatory experiences. At the completion of this rotation, residents should have an extensive understanding of all aspects of the principles of infectious disease care.

Nephrology - Residents who opt for this rotation will gain experience in consultative inpatient and ambulatory nephrology. With a highly active transplant program at Sentara Norfolk General Hospital, residents may take advantage of the opportunity to learn how to care for this unique group of patients.

Neurology - Neurological diseases are among the most common seen by the general internist. Our Department of Neurology provides residents with the working knowledge they will need to succeed in caring for their patients. The Sentara Norfolk General Hospital stroke program has earned the Gold Seal of Approval and Disease Specific Care Certification from the Joint Commission on Accreditation of Healthcare Organizations. This program provides cutting edge treatment including thrombectomy performed by a very active Interventional Radiology department with the medical school. This experience takes place both in the ambulatory and inpatient settings.

Pulmonary/Critical Care - For their critical care experience, residents perform three one-month blocks on the intensive care service at Sentara Norfolk General Hospital, spread over their residency.

Residents may take an elective in pulmonary medicine where they receive experience in inpatient and outpatient consultative pulmonary medicine. Experience in pulmonary function test analysis, sleep medicine and bronchoscopic techniques may be gained from this elective.

Rheumatology- Residents are exposed to a wide variety of both inpatient and ambulatory rheumatologic experiences. In addition to caring for patients with all aspects of rheumatologic disease, residents will also gain knowledge of the vast array of diagnostic tests that internists must be aware of in order to properly diagnose and manage such patients.