The clinical environment of the Vanderbilt Residency Program in Internal Medicine offers the advantages of a metropolitan population base and a cohesive, fully integrated multi-hospital system. Training is centered at the Vanderbilt University Hospital, a comprehensive general hospital for the Nashville-midstate area and a referral center for the southeastern and central United States. The adjacent Nashville Veterans Affairs (VA) Medical Center adds to the clinical base, assuring that our residents care for patients from every socioeconomic background and enhancing the opportunity to develop clinical competencies across a wide range of internal medicine problems.
Vanderbilt University Hospital
The 850-bed Vanderbilt University Hospital is both a comprehensive general hospital for Nashville/Davidson County and a major tertiary care center, serving over 52,000 inpatients each year and attracting referrals from the central and southeastern United States and several foreign countries. The staff represent all the major medical and surgical specialties, and the emergency service has Level I trauma certification. The Vanderbilt Clinic system consists of more than 90 ambulatory clinics in various specialties to which patients make approximately 1,500,000 visits annually.
The Department of Medicine inpatient service has over 200 beds organized in 5 clinical units: general medicine, medical subspecialties, CCU/cardiovascular medicine, medical intensive care unit, and bone marrow transplant (BMT) service. Historically, all of the inpatient beds on the medicine service are in individual rooms, a feature conducive to patient comfort while assuring a quiet, private venue for bedside teaching rounds. The facilities include a 34-bed state-of-the-art medical intensive care unit, a bone marrow transplantation center, a dialysis center, and a 27-bed cardiovascular intensive care unit. Additional cardiac beds with full telemetry capability assure an integrated, comprehensive service for the entire spectrum of patients with heart disease, including those undergoing cardiac transplantation. Our residents enjoy the advantages of a mature electronic medical record and a sophisticated computer order-entry system (with built-in educational protocols) that have become the standard for other centers across the country.
Nashville Veterans Affairs Medical Center
The Nashville VA Medical Center is a 334-bed acute care facility with medicine, neurology, surgery, and psychiatry services. Located adjacent to Vanderbilt University Hospital and the Vanderbilt University School of Medicine, the Nashville VA Medical Center functions as a primary care and referral center for eligible veterans in middle Tennessee, southern Kentucky and northern Alabama. There is a strong academic affiliation between the Nashville VA and Vanderbilt University. All VA medical faculty have academic appointments within the Vanderbilt Department of Medicine. Approximately three months of the intern year are spent on rotations at the VA Medical Center.
Residents rotate through the inpatient general medicine service, pulmonary and cardiac intensive care units, subspecialty consult services and outpatient clinics. There are six general medicine inpatient teams as well as a stem cell transplant team. The Nashville site is one of only three VA hospitals in the country that perform stem cell transplantation. Morning report takes place three mornings weekly and is attended by all inpatient house staff as well as senior faculty members. An autopsy conference is held once weekly in conjunction with the department of pathology.
The Nashville Veterans Administration Hospital serves an integral role in the education of our residents. It is physically attached to the Vanderbilt University Medical Center making it easily accessible and allowing residents to remain involved in conferences and clinical endeavors at both hospitals. Within the VA, all patients are admitted to house staff general medicine teams with subspecialty consultation if indicated. This provides the residents with a great opportunity to see a wide range of medical problems, both common and uncommon, and learn about a variety of therapies encompassing both general medicine and subspecialty care.
The faculty at the VA is extraordinarily dedicated to resident education. The majority have spent their careers in medical education. Morning report is regularly attended by several faculty members including the Chief of Staff, Chief of Medicine, and faculty members from multiple different specialties. These faculty members provide exceptional insight into pathophysiology, clinical reasoning, and disease management. Autopsy conference at the VA is one of the most popular sessions with attendance from multiple departments including faculty and fellows. With wonderful patients, outstanding faculty, and a fantastic learning environment the VA is consistently a favorite rotation of the house staff.