Curriculum

Inpatient Medicine

University of Nevada, Reno (UNR) internal medicine ward teams consist of an attending physician, 1 supervising residents, 2 interns and a variable number of students. Interns care for an average of 6 - 8 patients, learning both basic bedside management and evidence-based literature as it applies to their patients. Ward rotations are at either Renown Regional Medical Center (RRMC) or the Ioannis Lougaris Veterans Affairs (VA) Medical Center. Ward teams at RMC work with their own attending physician who has primary responsibility for all patients on that service. Attending physicians conduct work and teaching rounds daily.

Intensive care rotations are conducted in closed units at either RRMC or the VA. Intensive care teams at the VA are comprised of a supervising senior resident, 2 interns, students, and an attending pulmonary-critical care specialist. Intensive care teams at RRMC are comprised of one 3rd year and 2 Senior Residents. They work with private Critical Care specialists as attendings. Residents are responsible for performing invasive procedures on their patients, under appropriate supervision.

Ambulatory Medicine

For Categorical Residents, approximately 33% of the overall training experience is spent
in ambulatory settings at either the University Health System (UHS Plumas) and the VA Primary
Care Clinic Outpatient resident continuity clinic is held primarily at University of Nevada, Reno School of Medicine Resident Clinic. This site is attached to Renown Regional Medical Center. At their continuity clinics, residents provide primary care, acquiring experience in long-term ambulatory and group practice. Additional rotations emphasize outpatient management of various subspecialty problems.

Available outpatient electives include sports medicine, dermatology, orthopedics, radiology, correctional medicine, allergy, and neurology, in addition to the full range of internal medicine subspecialties.

Didactics

Didactic sessions include morning report and Academic Half Day which provide formal, evidence-based lectures covering the entire internal medicine curriculum over a 3 year cycle. During the first part of each year topics are directed towards the timely diagnosis and treatment of various medical emergencies, and Advanced Cardiac Life Support instruction is offered to and certification is required of each resident. Additional didactics are offered in the form of Journal Club, Morbidity and Mortality Rounds and Board Review sessions. Faculty also offer formal lectures as part of their teaching rounds.

Research

All categorical residents must participate in a research/scholarly activity prior to graduation. Residents have presented at The American Federation for Medical Research Western Regional meeting, the Bierkamper Research Forum, ACP regional and national meetings, and international conferences. Financial support and administrative leave are provided to residents presenting at research or clinical meetings.

Available Electives:

Core Electives

• Ambulatory Clinic
• Cardiology
• Emergency medicine
• Endocrinology
• Gastroenterology and Hepatology
• Geriatrics
• Hematology and Oncology
• Infectious Diseases
• Neurology
• Nephrology
• Pulmonology
• Research Block
• Rheumatology
• Rural Medicine Block in Elko

Non-Core Electives

• Allergy
• Anesthesiology
• Dermatology
• Hospice and palliative Care Medicine
• Pathology
• Physical Medicine and Rehabilitation
• Radiology
• Sports Medicine
• Quality Improvement Rotation