Department of Internal Medicine Resident applicants

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Department of Internal MedicineResident
applicants

• Welcome!
• Were glad that you are here!
• Bruce Latham, M.D., Program Director
• Internal Medicine Residency Program

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Our Training Goals For You

• To become board certified in Internal Medicine
  and/or Pediatrics
• To become competent in all procedures necessary
  to achieve credentialing at most hospitals
• To learn to work and collaborate as a member of a
  physician team

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Top 10 Reasons

• Why our Internal Medicine
• Residency program is the place
• for you

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10Greenville Hospital SystemUniversity Medical
Center
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10 Greenville Hospital System
University Medical Center
16th largest system in the
US Rehabilitation Hospital Largest hospital
system in the region 5 campuses 1110 beds
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10 Greenville Hospital System
University Medical Center
7500 employees 1000 physicians on staff 230
academic faculty 130 affiliated faculty
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10 Greenville Hospital System
University Medical Center
Annual statistics 6,800 cardiac caths 16,900
vascular procedures 44,000 admissions 1,200,000
office visits
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10 Greenville Hospital System
University Medical Center

• Greenville Memorial Campus
• Acute Care Hospital
• Resident Clinics
• Cardiovascular Institute
• Level I Trauma Center
• Cancer Research Center
• Cancer Treatment Center
• Rehabilitation Hospital
• Psychiatric Hospital
• Childrens Hospital and ER
• Life Center

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10 Greenville Hospital System
University Medical Center

• Patewood Campus
• Internal Medicine
• Womens Medicine
• Rheumatology
• Lung Center
• Steadman Hawkins
• GI Procedure Lab
• Ambulatory Surgery
• Surgical Hospital
• Clemson Research
• Assisted Living

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10 Greenville Hospital System
University Medical Center

• SOUND FINANCES
• Employee Bonuses
• AA Bond Rating
• Consumer Choice Award
• Ranked in top 50 best
• U.S. hospitals
• 2009 U.S. News and
• World Report

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10 Greenville Hospital System
University Medical Center

• Internal Medicine Research
• 16 active clinical trials
• Community acquired pneumonia
• Hospital acquired pneumonia
• Infective endocarditis
• Gram negative sepsis
• HIV HAART treatment
• Diabetes treatment
• Experimental insulin
• Insulin regimens
• Type 1 diabetes risk factors

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10 Greenville Hospital System
University Medical Center

• UNIVERSITY MEDICAL CENTER
• Recognized by USC, MUSC
• All teaching faculty have faculty teaching
  appointments at USC
• SC Health Sciences Collaborative for Research
• Health Sciences Research and Education Campus
• - 100,000 square foot facility
• Upstate Center for Advanced Patient Simulation

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GHS Patient Simulation Center
PGY 1 Internal Medicine residents learn and
practice Intubations Central lines Arterial
lines Thoracentesis Paracentesis Joint
aspirations
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10 Greenville Hospital System
University Medical Center

• Over 150 Residents in 8 Programs
• Internal Medicine 10 / yr
• Preliminary Medicine 4 / yr
• Med/Peds 4 / yr
• Pediatrics 9 / yr
• Preliminary Surgery 4 / yr
• Orthopedics 4 / yr
• Vascular Surgery 2 / yr
• OB/GYN 6 / yr
• Family Practice 7 / yr

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10 Greenville Hospital System
University Medical Center

• Vascular Medicine Fellowship
• One of only three such programs in the U.S.
• Two fellows per year
• Learn venous and arterial imaging and procedures,
  and work closely with vascular medicine and
  surgery
• faculty.

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10 Greenville Hospital System
University Medical Center

• Regional Campus for USC
• School of Medicine
• 22 M-III USC Students - 2009
• 19 M-IV USC Students - 2009
• Visiting Students
• and Acting Interns (AIs)

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10 Greenville Hospital System
University Medical Center

• Education Support Tower
• Resident Work Room
• Conference Center
• Medical Library 24 hrs a day
• Wireless Internet in hospital
• Blackberry Smartphone/pager
• Given to you as a PGY 1
• EMR (EclinicalWorks) in clinic

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10 Greenville Hospital System
University Medical Center

• RESIDENT BENEFITS (as of 7/1/2009)

• Salary
• PGY1 46,114
• PGY2 47,882
• PGY3 49,878
• CME allowance
• PGY1 Blackberry phone plus 500
• PGY2 1000
• PGY3 1200

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10 Greenville Hospital System
University Medical Center
RESIDENT BENEFITS

• Moving expenses 1000
• Optional moonlighting
• 600 / night at LTACH
• Optional 403b
• GHS Credit Union programs

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10 Greenville Hospital System
University Medical Center

• RESIDENT BENEFITS

• Insurance
• Medical/Dental/Vision
• Group term life
• Long term disability
• Group accident
• Workers compensation
• Liability/malpractice

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10 Greenville Hospital System
University Medical Center

• RESIDENT BENEFITS

• 15 days vacation per year
• Plus 1 week in Dec/Jan
• Additional paid time off
• PGY1 7 days
• PGY2 9 days
• PGY3 11 days
• 1 week CME PGY 2 3
• Parental leave
• Family and medical leave

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10 Greenville Hospital System
University Medical Center

• RESIDENT BENEFITS

• Paid membership to
• American College of Physicians
• SC Medical Association
• American Medical Association
• Reimbursement for licenses
• (first year)

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10 Greenville Hospital System
University Medical Center

• RESIDENT BENEFITS
• Free Mealsall of them!
• Free attached covered parking
• Free lab coats and laundry
• 50/yr membership to Life Center

Large exercise room and indoor track at the Life
Center
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9 Greenville
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9 Greenville
A Great Place to Live!
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9 Greenville

• Population 380,000
• 4 Season Climate
• Excellent Schools
• Safe Community
• Low Unemployment

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9 Greenville

• Revitalized Downtown
• 2003 Best in US
• 2005 Featured in Southern Living magazine

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9 Greenville

• 2003 Best in US
• 2007 Top 100 Best Cities
• (RelocateAmerica.com)
• Top 10 U.S. cities
• Forbes and AARP

Reedy Rivers Falls Park - downtown
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9 Greenville

• Bi-Lo Center

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9 Greenville

• Peace Center for the Performing Arts

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9 Greenville

• LOTS TO DO!
• City Parks
• Golf
• Greenville Zoo

• Cycling Clubs
• Greenville Track Club

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9 Greenville

• The Great Outdoors
• 5 state parks nearby
• 3 large lakes

Falls Park at Reedy River
Jones Gap
Caesars Head
Lake Jocassee
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9 Greenville

• GREAT HOUSING
• Many options
• Near hospital
• Affordable
• Low cost of living
• 1000 moving expense
• Preferred rental agreements
• No Down mortgages

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9 Greenville

• Where you live is as important
• as where you train!

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8Opportunities
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8 Opportunities

• Private Practice
• Hospital Medicine
• Fellowships

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8 Opportunities

• Private Practice
• Easy transition
• Group or solo
• Clinical or academic
• Full-time or part-time

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8 OpportunitiesPrivate Practice Recent
Local Graduates

• Hillcrest Internal Medicine
• Woodward Medical Center
• Spartanburg Regional
• Greenwood Internal Medicine

• Internal Medicine Associates
• Easley Internal Medicine
• Medical Associates - Greer
• Eastside Internal Medicine

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8 OpportunitiesPractices in

• Alabama
• Florida
• Georgia
• Indiana
• Kentucky
• Minnesota

• Mississippi
• North Carolina
• South Carolina
• Tennessee
• Texas
• West Virginia

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8 Opportunities

• Hospitalists
• Popular option
• Easy transition
• Starting salary of 180,000/yr
• -- with significant productivity bonus!
• Graduates at
• Greenville Hospital System
• St. Francis Hospital
• Spartanburg Regional
• Mary Black Hospital System

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8 OpportunitiesFellowship Placements Since
2000

• Dr. Charles Greene Allergy Immunology MCV
  2000
• Dr. Kirk Campbell GI LSU 2000
• Dr. Greg Moffitt Endocrinology MUSC 2001
• Dr. Shannon Hopson Endocrinology MUSC 2002
• Dr. Gulzar Merchant Rheumatology Wake Forest
  2002
• Dr. William Curran Pulmonary/CC U FL
  Gainesville 2002
• Dr. James Lee Arter Cardiology East TN
  Knoxville 2002
• Dr. Joey West Pulmonary/CC Wake Forest 2002
• Dr. Cheryl Buttram Nephrology Case Western
  2003
• Dr. Mark Call ID MCV 2003
• Dr. Pallavi Peter Cardiology Research UMDNJ
  2003
• Dr. Lisa Barr Geriatrics University of SC
  2004
• Dr. John Carson Sports Medicine USC 2005
• Dr. Prethi Murty Nephrology Univ of Pittsburgh
  2006
• Dr. Cory White Endocrinology MUSC 2006
• Dr. Kyle Horton Endocrinology MUSC 2008
• Dr. Amy Cohen Geriatrics Asheville VA - 2008
• Dr. Brooke Bond ID MUSC - 2009
• Dr. Nadege Touzin GI U.S. Air Force - 2009

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7Procedures! Procedures!
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7 Procedures

• Procedure Month Rotation
• Stress Test Rotation
• Excellent Documentation System
• ABIM Certification

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GHS Required Procedures
ACLS Arterial puncture Arthrocentesis Central
venous line placement ECG Interpretation Lumbar
puncture Nasogastric intubation Paracentesis Pap
smear / endocervical culture Thoracentesis
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6Ambulatory Training
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6 Ambulatory Training

• Located on the GHS campus next door
• Continuity clinic
• ½ Day / Week PGY 1
• 1 Day / Week PGY 2 3 Non Call Blocks
• ½ Day / Week PGY 2 3 Call Blocks
• No clinic on
• On call days
• Post call days

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6 Ambulatory Training

• Team Approach
• Nurse
• Secretary
• PharmD
• Social Worker
• Inpatient / Outpatient Transition
• Well-Run, High-Volume Clinic
• EMR (Electronic Medical Record) EclinicalWorks

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6 Ambulatory Training

• Clinic Rotation 1 month each year
• Rotate in following clinics

• Cardiology
• Continuity
• Coumadin
• Dermatology
• Endocrinology
• Episodic
• Gastroenterology
• Heart Failure

• Hepatitis C
• Infectious Disease
• Nephrology
• Pulmonary
• Rheumatology
• Sleep Medicine
• Surgical Clearance

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6 Ambulatory Training

• Clinic Rotation
• Ambulatory Morning Report
• 815 845 AM, Monday-Thursday
• Residents
• Attending
• PharmD
• Dietician
• Social workers
• Ambulatory Triage
• Hopkins Ambulatory Medicine Module

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5Conferences
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5 Conferences

• Morning Report Mon Thurs 800 am
• Noon Conference Mon Thurs 1215 pm
• Grand Rounds Fridays 745 am

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5 Conferences

• Morning Report
• Mon Thurs 800 830 am
• Admissions from previous night
• Lead by education resident
• Faculty, residents, students
• Open discussion
• Evidence based
• Once monthly at morning report
• Rash rounds
• Cardiology teaching rounds
• Chest X Ray teaching rounds

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Noon Conference Mon. Thurs. 1215 115 pm
5 Conferences

• Emergency Series
• Primary Care Series
• EKG Series
• Pharmacy Review
• Pain Management

• Not Necessarily Medicine
• Business of Medicine
• Morbidity and Mortality
• Journal Club
• ACP Business Meeting

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5 Conferences

• Business of Medicine
• Monthly conference (repeats every 18 months)
• Office finances
• Coding
• Billing and collections
• Documentation
• Contract negotiations
• Practice plans
• Practice opportunities

Dr. Stanley Von Hofe reviewing life as a
subspecialist
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5 Conferences

• Board Review Course monthly
• Dr. Meenu Jindal
• Everyone has MKSAP or Medstudy
• Board pass rate 2008 9/10 categorical
• 3/3 Med/Peds

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5 Conferences

• Grand Rounds
• Friday 745 845 am
• GHS faculty
• Visiting professors from leading medical centers
• Clinically oriented
• Resident oriented

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• Rising PGY 2 Teaching Retreat

PGY 2 Teaching Retreat, Table Rock State Park
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4Rotations
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4 Rotations

• Inpatient Rotations
• Medical Teaching Service MTS
• Critical Care Teaching Service CC
• Pulmonary Teaching Service PTS
• Cardiology Teaching Service CTS
• Good code experience MTS on-call team runs the
  codes

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4 Rotations

• Medical Teaching Service (MTS)
• 1 attending (GIM, Endo, ID, Heme/Onc,
  Hospitalist)
• 1 PGY 2, 3 or 4
• 1-2 PGY 1s
• 1 MIII student
• 1 MIV student
• Education resident
• Post-call rounds
• Every 4th night call
• 24 hour call

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4 Rotations

• Medical Teaching Service
• Admit patients from
• Resident clinic
• Faculty practices
• Unassigned patients from ER
• Great teaching cases
• Bread and Butter medicine
• Unusual diseases
• True team concept
• Great learning experience

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4 Rotations

• Medical Teaching Service
• 6 periods as PGY 1
• 3 periods as PGY 2
• 2 periods as PGY 3

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4 Rotations

• Medical Teaching Service
• Admission and census caps
• 1 Resident / 1 Intern
• Admissions
• Unassigned 4
• Total 7
• Census 14
• 1 Resident / 2 Interns
• Admissions
• Unassigned 7
• Total 10
• Census 20

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4 Rotations

• Critical Care Teaching Service (CC)
• 1 CC teams with
• 1 Attending pulmonologist
• 4 PGY 2, 3 or 4s (No interns on service)
• Short call every 4th day
• Overnight call every 4th night

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4 Rotations

• Pulmonary Teaching Service (PTS)
• 1 PTS team with
• 1 Attending pulmonologist
• 1 PGY 2, 3 or 4
• 4 PGY 1s
• 1 MIII student
• PGY 1 short call every 4th day
• PGY 1 overnight call every 4th night
• PGY 2, 3 4 work 6 a.m.- 6 p.m. Sun-Fri
• (No overnight call)

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4 Rotations

• Critical Care (CC)
• 3 periods as PGY 2
• 1 period as PGY 3
• Pulmonary Teaching Service (PTS)
• 2 periods as PGY 1
• 1 period as PGY 3

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4 Rotations

• Critical Care Pulmonary Teaching Services
• Intensive care
• Procedures
• Ventilator management

You will know critical care!
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4 Rotations

• Cardiology Teaching Service (CTS)
• 1 Attending cardiologist
• 2 PGY 2s or 3s
• Daily admissions
• Shift 7 am to 7 pm
• Alternate weekends off
• 1 month as PGY 2 and PGY 3
• Excellent cardiology training!

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4 Rotations

• PGY 1
• MTS 24 weeks Every 4th night call
• PTS 8 weeks Every 4th night call
• ER 4 weeks 14 12-hour shifts
• Electives 16 weeks No call or weekends

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4 Rotations

• PGY 2
• MTS 12 weeks Every 4th night call
• CC 12 weeks Every 4th night call
• CTS 4 weeks 7 am to 7 pm
• Electives 24 weeks No call or weekends

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4 Rotations

• PGY 3
• MTS 8 weeks Every 4th night call
• CC 4 weeks Every 4th night call
• PTS 4 weeks No overnight call
• CTS 8 weeks 7 am to 7 pm
• Electives 28 weeks No call or weekends

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4 Rotations

• Other Rotations

• Addiction Medicine
• Administrative Medicine
• Adolescent Medicine
• Allergy
• Anesthesia
• Cardiology
• Dermatology
• Electrophysiology

• Endocrinology
• ENT
• Genetics
• Geriatrics
• GI
• Gynecology
• Hem-Onc
• Infectious Disease

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4 Rotations

• Other Rotations

• Pulmonary
• Rehab Medicine
• Research
• Rheumatology
• Stress Tests
• Vascular Medicine

• Nephrology
• Neurology
• Ophthalmology
• Orthopedics
• Private Office
• Procedures

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4 Rotations

• ACGME Work Hour Limits
• 80 hours per week maximum
• 1 day off in 7
• 24 / 6 post call
• No on call / post call clinics
• Monthly schedule in advance

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3Residency Achievements
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3 Residency Achievements

• USC Best Resident Teacher Award
• 7 of the past 9 years!
• GHS Jackson Award (Best Intern)
• 9 out of the past 10 years!
• RRC Full Accreditation 5 Years

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3 Residency Achievements

• State ACP competition required
• Poster or oral presentation
• 1st or 2nd Place Winner 9 Years Running!

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2Faculty and Administrative Staff
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2 Faculty Support Staff

• Salaried Faculty
• 5 General Medicine
• 3 Geriatrics
• 6 Endocrine
• 5 Infectious Disease
• 3 Neurology
• 1 Hematology
• 13 Pulmonary
• 5 hospitalists

And over 100 Excellent Volunteer Faculty
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2 Faculty

• Practicing physicians
• Great teachers
• Diverse backgrounds
• Duke
• Cleveland Clinic
• GHS
• Johns Hopkins
• Medical College of Georgia
• Medical University of SC
• Medical College of Virginia
• Northwestern University
• Rutgers University
• State University of New York
• University of AL at Birmingham

• University of Florida
• University of Iowa
• University of Miami
• University of Missouri
• University of NC
• University of Pennsylvania
• University of SC
• University of TN Memphis
• University of Virginia
• UT-Southwestern
• Vanderbilt University

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2 Administrative Leadership
Angelo Sinopoli, M.D. Chairman of Medicine
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2 Administrative Leadership
Dr. Bruce B. Latham Program Director
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2 Administrative Leadership
Dr. J. Michael Fuller Associate Program Director
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2 Administrative Leadership

• Dr. Kevin M. Gilroy
• Associate Program Director

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2 Administrative Leadership
Dr. Lori Malvern Clinic Director
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2 Administrative Leadership

• Kristie Stone
• Program Coordinator

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2 Administrative Staff
Diane Smith
Pat Bagwell
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1The Residents
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1 The Residents
A Great Group of Residents!!

• Work well together
• Have fun together
• Look out for each other
• Each year has its own personality

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1 The Residents

• East Carolina University
• East Virginia Medical School
• Louisiana State University
• Medical University of SC
• Medical College of GA
• Medical College of VA
• Mercer University
• Morehouse School of Medicine
• Oklahoma State University of Osteopathic Medicine
  

• Ross University
• Sackler School of Medicine
• St. Georges University
• University Health Sciences Osteopathic (MO)
• University of Arkansas
• University of Cincinnati
• University of Miami
• University of SC
• University of St Eustatius
• Univ of Texas San Antonio

A Diverse Group of Residents
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1 The Residents

• Our Residents
• Comeand stay
• Help direct their training program
• Annual service plan
• Curriculum committee
• Have a great attitude

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Resident Activities

• Intern welcome party
• Thanksgiving feast
• Department Christmas party
• Annual golf tournament
• Graduation ceremony
• Graduation roast

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1 The Residents
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1 The Residents

• Its a lot more than
• just a residency!

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In Summary

• A GREAT Hospital System
• A GREAT Place To Live
• A GREAT Learning Experience
• A GREAT Faculty
• A GREAT Group Of Residents

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Become Part Of Our Exceptional Program