York Hospital Pa Internal Medicine Residency Personal Statement

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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

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.

 

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.

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.

 

 

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