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Subspecialties
Residents
have a wide array of subspecialty experiences available to them. Our
program believes that a residency should be extremely flexible to meet
the needs of its residents. Thus, the only required rotations are in
Geriatrics and Intensive Care Medicine, both of which are required by
the Accrediting Council for Graduate Medical Education.
Residents
may choose whatever subspecialties in which they desire to participate,
based on their assessment of their strengths, weaknesses, and career
goals. The total number of elective months during the three years of
training is approximately twelve months.
Below are
brief descriptions of Internal Medicine subspecialties available to
residents:
Division of
Cardiology
The
division of Cardiology consists of twenty-six board-certified
cardiologists. The division has extensive experience in noninvasive,
diagnostic, interventional, and electrophysiologic cardiology.
Residents
on this rotation gain experience in inpatient and outpatient
consultative cardiology. At the completion of their rotation, in
addition to feeling comfortable taking care of patients with any
cardiovascular disease, residents will receive certification in EKG
interpretation and treadmill stress test performance. Should they
desire, they may also obtain an experience in basic echocardiography.
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Department of
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 in the various procedures they will perform in their offices.
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Division of
Endocrinology and Metabolism
Residents
rotating on Endocrinology/Metabolism have the opportunity to see
patients at the national and internationally known
Strelitz Diabetes Institutes. In
addition to its clinical expertise, the institutes are home to some of
the most innovative research in endocrinology. The division consists of
five board-certified endocrinologists, several of whom are leaders
nationally and internationally in their field. On this elective, in
addition to their extensive ambulatory experience, residents will gain
great knowledge from an inpatient consultative component.
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Division of
Gastroenterology
The
Division of Gastroenterology includes eleven board-certified
gastroenterologists. 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. Rotation in this specialty is available
at DePaul Medical Center, Sentara Norfolk General and the VA Medical
Center.
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Division of
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 three 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.
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Division of
Hematology/Oncology
All
general internists should have a working knowledge of how to care for
patients with disorders of hematology and oncology. Our division of
Hematology/Oncology consists of three board-certified physician; our
division chief is nationally and internationally known for her research
and clinical care in breast cancer. 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.
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Division of
Infectious Disease
The
division of Infectious Disease is
highly active in caring for patients with the full spectrum of
infectious diseases. The division consists of 3.5 physicians
board-certified in Infectious Disease. The division is one of the
premier providers of HIV care within the state. Its division chief is a
nationally and internationally known infectious disease specialist.
Residents will perform 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.
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Division of
Nephrology
The
Division of Nephrology consists of nine board-certified nephrologists.
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.
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Department of
Neurology
Neurological diseases are among the most common seen by the general
internist. Our Department of Neurology, with its nine board-certified
neurologists, provides residents with the working knowledge they will
need to succeed in caring for their patients. This experience is gained
both in the ambulatory and inpatient settings.
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Division of
Pulmonary/Critical Care
The
Pulmonary division consists of four board-certified pulmonary/ critical
care and one board-certified multidisciplinary critical care physicians.
For their critical care experience, residents perform three one-month
blocks on the intensive care service at Sentara Norfolk General
Hospital, spread over their PGY2 and 3 years. PGY1, 2, and 3, residents
also gain ICU experience while they are on inpatient rotations at the
DePaul and VA Medical Center hospitals.
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.
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Division of
Rheumatology
This
division consists of five board-certified rheumatologists. Residents are
exposed to both inpatient and ambulatory 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.
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Other
Rotations
Many
other rotations are available to our residents. Some of these include
Allergy-Immunology, Nutrition, Women's Health, Gynecology, Orthopedics,
Ophthalmology, Sports Medicine, Otolaryngology/Head and Neck Surgery,
and Radiology, to name a few.
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