FAQs

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.

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

We have not received any citations.

2023

Our 3 year rolling pass rate is 97%

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)}

• 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…

• asic 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.

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.

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.

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.

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

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.

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

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.

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 

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

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.

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

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

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

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.

ACP membership fees are provided by the program.

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

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

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.

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

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.

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

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.