Walter Reed National Military Medical Center Bethesda ... · 2017-2018 . Residency Overview ......

WALTER REED NATIONAL MILITARY MEDICAL CENTER BETHESDA

NATIONAL CAPITAL CONSORTIUM INTERNAL MEDICINE RESIDENCY PROGRAM

2017-2018

Residency Overview • Mission and Vision Statements • History of Our Program • Program Structure • Research Opportunities • The DC-Baltimore Area • Program Leadership/Contact information

To guide the next generation of military leaders in patient care, research, and medical education,

preparing clinicians to meet tomorrow’s challenges in military

and civilian healthcare

Residency Mission

Walter Reed Vision

The patient is at the center Our patients today… …and our patients tomorrow

Clinical care excellence Quality, safety, and exceptional care experience

Scholarship Research, collaboration, and dissemination

Education Teaching, coaching, and mentorship

Leadership Creating military internists ready to lead change in

health care, both now and in the future

Residency Pillars

PROGRAM HISTORY (BRAC 2011)

Two programs, two facilities — each with a rich history — that have come together

History —

Walter Reed General Hospital first opened in 1909

GME programs started in 1920 with first class of 5 interns

Major Walter Reed was famous for his work on Typhoid, Yellow Fever, and Malaria but died young of a ruptured appendix. Hospital was subsequently named in his honor.

History—NNMC Bethesda

1942 – Naval hospital opened at Bethesda

Named Bethesda for small spring-fed pond that reminded President F. D. Roosevelt of the biblical “pools of Bethesda”

Much of initial design from FDR’s ideas

1973 – IM Residency accredited by ACGME

WRNMMC Hospital Capabilities Premier military hospital in the country

Anchors network of 34 military hospitals/clinics

274 beds, 50 ICU beds, 27 ER beds, 6 story outpatient bldg Extensive subspecialty representation July 2011—merged Army/Navy IM Residency Program

Officially “Quad-Service” (Army, Navy, AF, USPHS) ACGME-approved for 93 resident capacity in IM

83 straight IM and 10 IM/Psych

PROGRAM STRUCTURE

75 Internal Medicine Interns and Residents

26 Transitional Years (co-sponsored)

11 Psych; 9 Anesthesia; 3 Neurology; OMFS

12 Fellowships – 80+ Fellows

150+ high-quality, invested clinical faculty USU, VA, FBCH, WRAIR, FDA, NIH Virginia HC, Washington HC, INOVA Fairfax

Incredible administrators & clinical support staff

Department of Medicine

Residency Program Structure 75 Internal Medicine Residents 30 PGY-1

24 PGY 2 21 PGY 3 5 Medicine-Psychiatry combined residents

If interested in IM/Psych residency please contact CPT Allison Webb (NCC IM/Psychiatry Recruitment Chair)

Rotation and Faculty Affiliations

Residency Opportunities… Humanitarian Assistance/Disaster Relief

Landstuhl RMC Wards (Germany)

Naval Hospital Guam ICU Away research rotations in Kenya, Peru, Djibouti, Honduras, India

ICU and Advanced Heart Failure at Washington Hospital Center (WHC)

ICU at Virginia Hospital Center (VHC)

CCU at INOVA Fairfax Elective opportunities in palliative care, HIV clinic, Arlington Free

Clinic, NIH Undiagnosed Diseases Program, and others

USNS Comfort Hospital Ship

Uniformed Services University USUHS faculty attend at WRNMMC

WRNMMC is core site for USU IM Clerkships Academic appointments for residents

Teaching

Intern Rotations Ward Medicine (~12 wks) Ambulatory Medicine (10 wks) Inpatient Cardiology (~4 wks) Oncology (~4 wks) Medical ICU (~4-6 wks) Emergency Medicine (~4wks) Night Medicine (~2 wks) Sports Medicine (~2 wks) Psych & Gynecology (~2 wks) Elective/Vacation (2-4 wks)

Four week blocks – Q2/3 Dual Team Call 5 ward teams 1 inpatient oncology team Night Team (NightHawk and MOD)

Ward Team 1 attending and an R2/R3 Resident 2 interns 1 sub-I and/or 1-2 MS-3

No 24 hour overnight call for interns Clinical Librarian & PharmD support

WRNMMC Wards

“4+1” Sample Resident Schedule Wk 1 Wk 2 Wk 3 Wk 4 Wk 5 Wk 6 Wk7 Wk8 Wk 9 Wk10

Cohort Orange

Clinic MICU MICU MICU MICU Clinic Wards Ward Wards Wards

Cohort Yellow

Wards Clinic Rheum Rheum Rheum Rheum

Clinic Ward Wards Wards

Cohort Green

Spec Spec Clinic Heme Heme Heme Heme Clinic Wards Wards

Cohort Blue

ER ER ER Clinic Ward Ward Ward Ward Clinic Elec

Cohort Red

MSK MSK MSK MSK Clinic CCU CCU CCU CCU Clinic

Daily Conferences Daily Report at Noon

Weekly Medicine Department Conferences

Grand Rounds M&M/Quality Improvement Conferences Clinical-Pathologic Conferences (CPCs)

Resident-led Journal Club Fridays at 1300

Recent Additions • Reflective Practice Curriculum – Quarterly meetings with peers and faculty

• Bedside Ultrasound Course – Monthly hands on ultrasound training – Practice technique and competency for procedures

• Mock Code Curriculum – Practice code situations with video/instructor feedback

at state of the art simulation center

RESEARCH OPPORTUNITIES

Potential to present at national conferences

USU & NIH affiliations Unity of Effort for clinical research funding

Academic facility with emphasis on research and engaged mentorship Research Coordinator: Manish Singla, MD, LCDR, USN

See more about resident research/scholarship

Housestaff Research

Housestaff Research

Quality Improvement

Quality Improvement

2016 National ACP Finalists

2017 Navy ACP Champions

LIFE AFTER INTERNSHIP AND RESIDENCY

Where Do Residents Go? Fellowships: ID, Pulm/CC, GI, Heme-Onc,

Cards, Geri/Pal WRNMMC and all over the world!

Fellowship Training at WRNMMC Cardiology

Gastroenterology

Pulmonary

Critical Care

Sleep Medicine

Nephrology

General Internal Medicine/MPH or MHPE

Endocrinology

Rheumatology

Hematology/Oncology

Infectious Disease/MPH

Allergy/Immunology

Morale and Wellness

Wellness Wednesdays

Hospital Dogs

Team Building

Walter Reed Action Group (WRAG)

Resident-directed group who are dedicated to service, volunteering to help address the health needs of under-

served communities and teaching/mentoring aspiring future healthcare professionals

Washington DC/Baltimore Metropolitan Area

Cost of Living Generous tax-free housing

allowance (BAH)

Wide range of housing options

Metro Check Program Max reimbursement well above average

costs

WRB is metro accessible (Medical Center Stop)

Rank BAH W/ dependents

BAH W/O dependents

O-3 $2700 $2523

O-4 $3108 $2673

WHERE DO PEOPLE LIVE? (ALONG THE RED LINE!)

• Dupont Circle (washington.org/topics/dupont-circle) • Adams Morgan (washington.org/topics/adams-

morgan) • Cleveland Park (clevelandpark.com/) • Friendship Heights (www.friendshipheightsmd.gov/) • Silver Spring, MD (www.downtownsilverspring.com) • Bethesda, MD (www.downtownbethesda.com) • White Flint, MD

(dc.about.com/od/marylandneighborhoods/a/White-Flint-Development-Rockville-Pike.htm)

• Rockville, MD (rockvilletownsquare.com/) • Columbia, MD (www.downtowncolumbiamd.com/)

PROGRAM LEADERSHIP AND POINTS OF CONTACT

CAPT William Shimeall, USN, MD, MPH, FACP

CDR Casey Flanagan, USN, MD, FACC CPT Adam Barelski Dr. Julie Chen Dr. Chin Hee Kim

2017-2018 Leadership Program Director: Associate Program Directors:

IM/Psychiatry PD: MAJ Vincent Capaldi, USA, ScM, MD, FAPA

Chiefs of Residents: CPT Sarah Ordway , USA, MD LT Thomas Mellor USN, DO Program Administrators: Marla Redmond (DOM GME) Geraldine Marquez – Bernadette Roach

Chief, Dept of Medicine: Asst. Chief, DOM : Director for Medicine:

LTC Brian Hemann, USA, MD CDR Todd Gleeson, MD, MPH, FACP CAPT Saira Aslam, MD

2017-2018 Chiefs of Residents CPT Sarah Ordway, MD- sarah.m.ordway.mil@mail.mil LT Thomas Mellor, DO thomas.e.mellor2.mil@mail.mil

2018-2019 Chiefs of Residents

• CPT Joe Maciuba, MD – Joseph.p.happel.mil@mail.mil

• LT Paul Happel, MD – Joseph.m.maciuba.mil@mail.mil

Questions? Residency Program Office: (301) 319-8754

America Building, room 3607 Schedule Interviews: Mrs. Geraldine Marquez

Schedule 4th Year Rotations: Ms. Agnes Moyeno 301-295-4397

Program Director: CAPT “Bill” Shimeall (301) 319-8111

im strong

im strong

im strong

im strong