The Department of Medicine at the Medical University of South Carolina offers a complete series of programs in General Internal Medicine and its subspecialties. These programs provide the basis for careers in any aspect of Clinical Internal Medicine, from primary care to subspecialty, in academic medicine, or in clinical or biomedical research. Combined programs of Medicine-Pediatrics and Medicine-Psychiatry offer unique training opportunities. A preliminary program provides an excellent platform from which to launch a career in any other medical specialty.
Residents rotate on ward services, consult services, clinics, and in the ER at two teaching hospitals - Medical University Hospital, including the Ashley River Tower, and Ralph H. Johnson Veterans Affairs Medical Center. Our primary care clinic is located on campus at University Internal Medicine in Rutledge Tower. From this clinic, our residents also rotate at various subspecialty clinics, occasionally at satellite offices. Clinical support teams at each institution minimize the amount of time residents spend on support functions.
In-patient Medicine services at the Medical University Hospital consist of four General Internal Medicine Services and several subspecialty services including Cardiology, Gastroenterology/Hepatology, and Malignant Hematology. Consult services include Endocrine, Rheumatology, Cardiology, Gastroenterology, Hematology, Oncology, Infectious Disease, Pulmonary, Palliative Care and Nephrology. In addition, there is a General Medicine consult service run by a hospitalist and an upper level resident. Additional rotations include the Medical Intensive Care Unit and ER. Residents may also elect to rotate on non-Internal Medicine services such as Dermatology, Psychiatry, Neurology, ENT, Women's Health, and Ophthalmology. There are also uncovered General Medicine services staffed by private hospitalists.
The nearby VA Medical Center is staffed by full-time members of the department's faculty. Patients are cared for on three General Internal Medicine Services and a Geriatric Service where housestaff play a substantive role in clinical decision-making and see patients with a variety of acute and chronic medical problems. The VA’s Medical Intensive Care Unit is a separate rotation where both Cardiology and Pulmonary/Critical Care attendings round together with the housestaff team comprised of senior residents.
In addition, subspecialty and general medical outpatient clinics at each of the hospitals give residents the opportunity to manage follow-up and continuing care of discharged patients under the guidance of full-time faculty.
Housestaff may choose to participate in basic science laboratories maintained by the department at both Medical University Hospital and the VA Medical Center. Residents may also join faculty on clinical research products. Mentorship in each subspecialty and general internal medicine is available with senior faculty. Coordination by Chief residents helps facilitate connections between residents and faculty.
The clinical training program provides house staff with extensive inpatient management and subspecialty consultation experience with a diverse patient population and an opportunity to maintain longitudinal care in the outpatient setting. The Internal Medicine program is made complete by additional training in the emergency room, intensive and coronary care units, geriatric ward and episodic outpatient units, and rotations through non-internal medicine disciplines such as dermatology, psychiatry, neurology, physical medicine and rehabilitation, otolaryngology, ophthalmology and women's health.