FAQs

Internal Medicine Residency Program


About the Program
How is wards coverage work distributed?

Residents on inpatient wards service (ICU, inpatient medicine, night float) are divided into teaching teams, with senior residents supervising interns.

This is similar for both VA and Renown sites.

Patient care is distributed equally among the teaching service teams.

What is the status of the program's ACGME accreditation?

The UNR Internal Medicine program has been fully accredited since 1981.

Has the program received any ACGME citations?

We have not received any citations.

When is the next Residency Review scheduled?

2023

What is the board pass rate of the graduates?

Our 3 year rolling pass rate is 97%

Where do the graduates go?

We have seen prior graduates enter into competitive positions in the following areas:

  • Fellowships
    • Pulmonary/Critical Care (UNLV, Stony Brook, Albany Med Ctr, Virginia Tech, Mayo Clinic)
      • Interventional Pulm (Northwestern)
    • Cardiology (Univ of NV Las Vegas , Howard Univ, Texas Tech, Ascension Providence, St Joseph Univ Med Ctr)
    • Gastroenterology / Hepatology (Emory, Univ of Chicago, Univ of Maryland, Univ of Michigan, Univ of Missouri: Columbia)
    • Nephrology (Mayo Clinic Arizona)
    • Allergy/Immunology (Penn State)
    • Infectious Disease (UCSF Fresno)
    • Geriatrics (UNR, Univ of Nebraska, Beaumont health: MI)
    • Rheumatology (Univ of Tennessee, Yale)
    • Endocrinology (Med College Wisconsin, Univ of Arizona, UT Houston, Creighton Univ)
  • Hospitalists (Nevada, California)
  • Primary Care (Nevada, California, Texas)

(last update: 2020-12-06)

Where do residents get matched for fellowships?
Internal medicine former residents by Name, Specialty, Match Location, and Year
NameSpecialtyInstitutionYear
Rajkumar DoshiCardiologySt. Joseph University Medical Center2020
Erik JensenInfectious DiseaseUCSF Fresno2020
Vania LinRheumatologyYale University Medical Center 2020
Anjleen SaundGeriatricsBeaumont Health, Michigan2020
Abubaker AbdallaGastroenterologyEmory2020
David KwonInterventional PulmonologyNorthwestern2020
2019
CY HsuGastroenterologyUniversity of Michigan2018
Htun LattCardiologyTexas Tech University2018
Hafiz MahboobPulmonary/Critical CareUniversity of Nevada, Las Vegas2018
Mohammad AliEndocrinologyUniversity of Texas, Houston2018
Sandeep GuptaRheumatologyUniversity of Tennessee2017
Hardik PatelCardiologyAscension Providence2017
David KwonPulmonary/Critical CareUniversity of California Irvine2017
Priyanka AgarwalEndocrinologyMedical College of Wisconsin2017
Joseph HejkalGeriatricsUniversity of Nebraska2016
Yunwei WangGastroenterologyUniversity of Chicago2016
Reece JonesAllergy/ImmunologyPenn State/Hershey MC

2016

Alhareth AljubooriHepatologyUniversity of Missouri

2016

Bjorn FloraPulm/Critical CareStony Brook2015
Chris KeenPulm/Critical CareAlbany Medical Center2015
Faisal SiddiquiPulm/Critical CareVirginia Tech2014
Lindsay SandersNephrologyMayo Clinic Arizona2014
George ThottEndocrinologyUniversity of Arizona2014
Shien HuGastroenterologyUniversity of Maryland2013
Tam LeSleep MedicineUniversity of Arizona2012
Olena LineberryPulm/Critical CareUniversity of Nebraska2011
Vanessa WalkerPulm/Critical CareDuke University2011
Pralad ReddyRheumatologyUniversity of Missouri2011
Leigh AndersonPulm/Critical CareUniversity of Nebraska2011
Thomas HovenicInfectious DiseaseUniversity of Missouri2011
Omer DeenNutritionCleveland Clinic2011
Bryan WolfRheumatologyUniversity of Virginia2011
Saman HayatdavoudiPulm/Critical CareUniversity of New Mexico2010
Venkatesh LakshminarayananPulm/Critical CareUniversity of Missouri2010
Quang NguyenEndocrinologyBanner Good Samaritan (Arizona)2006
Vivek ManchandaPain SpecialistUniversity of Missouri2006
Kavitha PandyHematology/OncologyUniversity of California, Irvine2005
Greatest strengths of the program?
  • Clinical education
  • Diverse patient population from large geographical area
  • Variety of Urban, Suburban, and Rural patient populations
  • Plenty of opportunities for hands-on experience
  • Large number of experienced faculty who is interested in education, research, and mentorship programs
  • Large number of procedures are available
  • Research-oriented staff and basic research at the University of Nevada
  • Good support for post-residency career planning
  • Tons of extracurricular activities in the greater-Reno area!
    • World-class skiing, Lake Tahoe, hiking, restaurants and breweries, outdoor sports…
Major research interests within the department
  • Basic research at University of Nevada
  • Ongoing research with Cardiology, Gastroenterology at VA and Renown Medical center.
  • Mentor-ship for the ACP presentations and research block every year as an elective.
Volume of patients in inpatient and outpatient services

At VA and Renown inpatient service between 6-10 per intern and 12-16 patients per resident.

In the clinic interns start with 2-3 patients per day and gradually increase to 4-5 patients by the end of the year.

Senior residents typically participate in the care of 5-8 clinic patients.

What are the hours?

In inpatient wards, residents sign out 4:30 pm and on call residents sign out at 7 pm. Electives are 8 am to 5 pm.

What are the sizes of teams?

Our inpatient teams consist of an attending physician, a supervising senior resident, 2 interns, and 1-2 medical / PA students.

There is also a team consisting of 2 senior residents, providing an opportunity for close mentorship with the attending physician and increased resident autonomy in the later years of training.    

There are similar team structures at both VA & Renown sites.

What is the level of contact with attending staff?

Attendings lead daily inpatient rounds with the team and are available on-site and over the phone 24 hours a day.

What are the non-clinical responsibilities?

We have ample ancillary staff working with us in the hospital and residents are therefore saved from "scut work" that might otherwise take away from their clinical and educational time.

Is housing provided when residents rotate through Rural site in Elko, NV?

Yes, we have a university-sponsored apartment with modern amenities that residents find suitably comfortable. WiFi is also provided.

Curriculum of the Program
Is there a formal didactic curriculum, and what is its structure?

Noon conferences include a structured curriculum that affords residents an opportunity to gain didactic exposure to the wide breadth and substance of Internal Medicine subspecialities.

Daily didactic sessions include multiple weekly case reports & noon didactic conferences. These sessions provide formal, evidence-based lectures covering the entire internal medicine curriculum over a three-year cycle. During the first part of each year, topics are directed towards the timely diagnosis and treatment of various medical emergencies.

Weekly Friday SimLabs use state-of-the-art ACLS Simulation Mannequins and task trainers to equip resident physicians with the skills and dexterity necessary for bedside medical procedures. In addition to ACLS simulations, simulator training also includes paracentesis & thoracentesis (with and without ultrasound guidance), lumbar puncture, and ultrasound-guided central venous catheter placement.

Didactics feature both university-based faculty members as well as our community faculty members. This variety of viewpoints helps prepare our residents to provide the best possible health care.

Journal Club, Morbidity and Mortality Rounds, Grand Rounds, and Board Review sessions are also given regularly.

What programs exist for resident education (e.g. lectures, grand rounds, board review courses.)?

Renown - Monday-Friday Daily noon conferences and Friday SimLabs 

VA - Daily Academic Conferences for on-site case discussions and to communicate important VA site-specific topics and logistics.

All residents have access to Mon-Fri virtual noon conferences. We have fully embraced socially-distanced virtual learning! 

Topics include General Internal Medicine, Subspecialty Lectures, Morbidity and Mortality Conferences, Board Reviews, and Journal Club.

Department-wide Grand Rounds are also scheduled at least once each month.

Contact the IM Chiefs if you are interested in participating remotely!

unrimchief@lists.med.unr.edu 

What are the required rotations for the first year? Subsequent years? Where do they take place?

Sample Schedules can be found below:

PGY-1

  • 22 weeks Wards
  • 4 weeks ICU
  • 6 weeks NF (not sequential)
  • 10 weeks Clinic
  • 10 weeks Elective

PGY-2

  • 8-9 weeks Wards
  • 6 weeks ICU
  • 4 weeks Elko
  • 3-4 weeks NF
  • 10 weeks Clinic
  • 20 weeks Elective

PGY-3

  • 8-9 weeks Wards
  • 6 weeks ICU
  • 4 weeks Hospitalist or Elko
  • 3-4 weeks NF
  • 10 weeks Clinic
  • 20 weeks Elective

Please note, we also operate on a 4+1 "rotation" + clinic schedule:

"4+1" Example Clinic Week

  • 7 Half-days of clinic
  • 1 Half-day of didactics and wellness
  • 1 Half-day of QI
  • 1 Half-day of Research
Are research opportunities provided to residents?

Yes both basic science and clinical research are available for the residents, please refer to our website. We offer one month of research elective per year for interested residents.

Please see our Research Page for more information.

What type of structure for supervision is in place?

Opportunities for supervision include both direct in-person guidance and bedside teaching, as well as indirect chart review of resident work.

How does the resident's autonomy change as they progress through the program?

Autonomy increases with resident ability, tailored for each resident as she progresses. 

By 3rd year, senior residents are the primary decision maker for wards teams, with support and supervision of the attending.

Are changes anticipated in the curriculum?

While there are no planned changes in our immediate future, we strive to constantly review our curriculum and incorporate all feedback.

We take our resident input seriously and have made numerous changes in recent years to improve the quality of their experience & academics.

Continuing Education
Is there funding for continuing medical education courses and conferences?

ACP membership fees are provided by the program.

Further funding is also provided to those residents with presentations accepted to national & local conferences.

What elective opportunities are available?

Core Electives:

  • Cardiology
  • Gastroenterology
  • Pulmonology
  • Endocrinology
  • Rheumatology
  • Infectious Diseases
  • Hematology/Oncology
  • Ambulatory clinic-experience in ENT and ophthalmology
  • Nephrology
  • Neurology
  • Geriatrics
  • ER

Non-core Electives:

  • Anesthesiology
  • Radiation Oncology
  • Dermatology
  • Physical Medicine and Rehabilitation
  • Radiology
  • Research block
  • Orthopedics
  • Allergy
  • Pathology
  • Psychiatry
What is unique about the institution?

Friendly atmosphere, joyful staff, enthusiastic teaching faculty, social nights for residents (when possible), excellent hands-on procedure experiences.

We also offer training at multiple inpatient sites, from Renown Regional Medical Center and the Sierra Nevada VA site.

Do residents get help in finding jobs?

Yes, a lot of recruiter dinners and network support from the recent graduates and faculty.

How is feedback and evaluation given?

At the end of each rotation, there is an evaluation form delivered via New-Innovations residency management suite.

Residents can then review their experience on a given rotation, as well as their experience with a given attending.

Similarly, residents are evaluated by the attendings with whom they have worked.

Attrition rate for residents?

Two residents have chosen to leave within the last five years, both due to personal/family reasons.

Which Medical schools are represented among current residents?

Residents have been accepted from a wide variety of Allopathic and Osteopathic medical schools including the University of Nevada, many US medical schools, as well as Caribbean and International medical schools.