DEPARTMENT OF INTERNAL MEDICINE LAS VEGAS: RESIDENCY
HOSPITALS
Our inpatient health system is primary based at one teaching hospital, University Medical Center (UMC). UMC is Southern Nevada’s primary acute care, non-profit teaching hospital which provides the community with both inpatient and outpatient health care needs. The majority of our residents’ training takes place at UMC, including the medicine wards, intensive and cardiovascular units, and many subspecialty rotations. At UMC, the residents have access to its diverse patient population and exceptional ancillary services.
CONTINUITY CLINIC
UMC’s Lied Adult Outpatient Clinic is our major site for ambulatory training. The residents maintain their own patients and follow them throughout their residency. The clinic is precepted by faculty members and chief residents. The clinic provides care for Southern Nevada’s underserved population.
Some residents have the opportunity to maintain an alternate week continuity clinic in the Veterans Administration Southern Nevada Healthcare System.
CURRICULUM
We try to vary the format of our morning reports in order to foster a stimulating learning environment. Case selection varies from a fresh post-call case in which the discussion is focused on diagnostic evaluation and management issues, to a case followed by a resident on a subspecialty consult service in which the subspecialty attending adds his or her expertise to the case discussion. Additionally, we also discuss pertinent journals or relevent evidence based medicine topics. We also incorporate medical jeopardy, history of medicine, and medical mysteries, which allows a more festive venue to our curriculum.
The daily noon conference curriculum also provides a diverse educational experience, as many clinical topics in internal medicine are covered throughout the academic year. In the noon conference curriculum, we also include a monthly morbidity and mortality conference, as well as a journal club and senior ground rounds.
We are very proud of the patient-based educational experience at the University of Nevada School of Medicine. Through our affiliation with UMC, we provide our residents with an invaluable exposure to a variety of clinical problems from a diverse patient population.
MEDICAL SIMULATION CENTER
Our new state of the art simulation center is directed towards reinforcing resident education and performance. This center promotes clinical excellence, advances patient safety, improves team performance, and is an innovative way of learning
Medical simulation center is a safe controlled artificial environment designed to educate health care providers. It includes high tech mannequins, simulation labs, multimedia classrooms and standardized patients. This center will provide realistic hands on learning opportunities for our residents.
CALLS
Each medicine ward team is comprised of one resident and two interns. The team is on overnight call every fourth day.
During the intensive care unit (ICU) and cardiovascular care unit (CCU) rotations, overnight calls are every fourth day for interns and residents.
The 30 hour call limit and 80 hour average weekly limit are enforced.
Post-call clinics are cancelled.
ADMISSIONS AND CAPS
For each medicine call, each intern is responsible for five new admissions.
Medicine rotation:
Each intern is the primary provider for up to 10 patients, with the exception of cross-cover while on call, or on weekends.
The total team cap per medicine team is 20 patients.
ICU/CCU rotation:
There is a total team cap of 24 patients. These patients are divided amongst the residents in the team.
All interns and residents are guaranteed at least four complete days off per block.
SCHEDULE
The academic year is divided into 13, four-week blocks.
PGY1- 4-6 blocks medicine wards, 1 block ICU, 1 block CCU, 4 blocks subspecialty, 2 blocks elective.
PGY2- 2 blocks medicine wards, 1block ICU, 1 block CCU, 1-2 blocks oncology, remainder subspecialty and elective.
PGY3- 2 blocks medicine wards, 1 block ICU, 1 block CCU, 1 block ambulatory, remainder subspecialty and elective.
Subspecialty and elective rotations include emergency medicine, geriatrics, hospital medicine, endocrinology, cardiology, infectious disease, cardiology, neurology, outpatient oncology, gastroenterology, rheumatology, ambulatory- quick care, nephrology, pulmonary, dermatology, orthopedic ourpatient clinic, research, ophthalmology, pathology, allergy & immunology, radiology, forensic pathology, pain medicine, rehabilitation medicine, and HIV wellness
FELLOWSHIPS
Our residents have been accepted into various fellowships in the past, including cardiology, hematology-oncology, nephrology, endocrinology, infectious disease, geriatrics and rheumatology.
RESIDENT
|
FELLOWSHIP
|
UNIVERSITY
|
Jimmy Diep
|
Cardiology |
University of California
Irvine
|
Alireza Farabishahadel |
Infectious Disease |
|
Fanny Chan |
|
University of Florida
Gainesville
|
Suneet Sidhu |
Geriatric Medicine |
Kaiser Permanente
California (Fontana)
|
Prabjhot Dhanju |
Nephrology |
University of Kansas Medical Center Program |
|
Joseph El Youssef |
Endocrinology |
Oregon Health & Sciences University Program |
Cuong Nguyen |
Nephrology |
University of Utah Program |
Harinder Singh |
Endocrinology |
Dartmouth-Hitchcock Medical Center Program |
Elham Taherian |
Rheumatology |
Case Western Reserve University Program |
Amer Beitinjaneh |
Hematology/Oncology |
Unvieristy of Minnesota Program |
David Miller |
Infectious Disease |
University of Southern California |
Maninder Paul Bains |
Pulmonary/Critical Care |
Caritas St. Elizabeth's Medical Center Program |
Sabina Mian |
Rheumatology |
University of Southern California |
Radhika Janga |
Nephrology |
University of Arizona Program |
Mandana Ahmadian |
Endocrinology |
Banner Good Samaritan Medical Center |
Suchada Kwunyeun |
Rheumatology |
University of California (Irvine Program) |
Luon Peng |
Nephrology |
University of Arizona |
Latha Radhakrishnan |
Endocrinology |
Oregon Health & Sciences University Program |
Natalya Usupov |
Hematology/Oncology |
Scripps Clinic/Scripps Green Hospital Program |
Steven Mashour |
Pulmonary/Critical Care |
Henry Ford Hospital Program |
Alexandre Mihelson |
Infectious Disease |
University of California (Irvine Program) |
Ishtiaque Mohiuddin |
Cardiovascular Disease |
Cleveland Clinic Foundation Program |
ACCREDITATION
The Internal Medicine Residency Program has been accredited by the ACGME since 1982. Our most recent ACGME Accreditation Site Visit was very successful and the program was reaccredited for an additional three years.
BOARD RATE
Over the past few years, more than 90% of our graduating residents have passed the ABIM examinations.
SALARY
| |
PGY1 |
PGY2 |
PGY3 |
| Annual Salary |
$43,840 |
$46,032 |
$48,224 |
| Vacation |
1.25 days/mnth |
1.25 days/mnth |
1.25 days/mnth |
| Paid Sick Leave |
1.25 days/mnth |
1.25 days/mnth |
1.25 days/mnth |
| Maternity/Paternal Leave |
Included in above |
Included in above |
Included in above |
| Leave of Absence Availability |
Yes |
Yes |
Yes |
MEDICAL AND DENTAL INSURANCE
Residents have a choice of medical insurance between Sierra Health Services, Inc. (PPO provider) or Health Plan of Nevada (HMO provider). Spouses and dependents are included at no additional cost. Dental insurance is provided with Blue Cross / Blue Shield of Nevada, also available for family members but with monthly deduction.
RETIREMENT PLAN
A retirement plan is started for all residents. Contributions are pre-tax and matched by the program. Upon separation from service, you have the option to leave deposits in the account to continue interest and/or earnings, transfer to another 403(b) plan, or withdraw funds in accordance with federal distribution rules.
MALPRACTICE INSURANCE
Professional liability insurance is provided for all School of Medicine activities and includes tail coverage. Disability insurance is also provided under group policy G-49344 with Paul Revere Life Insurance Company.
MEALS
Vouchers are available for meals on call days.
PARKING
Parking is free and covered/uncovered.
VACATION AND LEAVE
Fifteen days of vacation are allowed per year. Vacations must be taken in one five day and one ten day block. Vacation requests must be made at the beginning of the year and it may not be possible to honor all requests. Vacation may not be forwarded from one year to the next. Preliminary interns will be required to take at least part of their vacation time in the last week(s) of June.
Sick leave is accrued at 1.25 days per month for a total of fifteen days per year. For parental (maternity/paternity) leave a resident may use sick leave up to fifteen days and then an additional fifteen days of vacation for a total of six weeks absence without loss of pay or delay of graduation.
CAREERS IN LAS VEGAS
Las Vegas provides opportunities for both private practice as well as HMO based practice. During your residency you will interact with many private physicians which will provide a good network should you choose to remain in Las Vegas. Graduates from our residency have gone on to successfully start their own practice right out of residency - both outpatient as well as hospitalist based. Some have joined local HMO groups to provide both inpatient as well as outpatient care.
FREQUENTLY ASKED QUESTIONS
If you have any further questions, please feel free to contact us either by phone or e-mail.
ACLS and BLS training
Q - Does the program provide for ACLS and BLS training?
A - Yes, it's part of orientation in June, and the program will arrange for re-certification prior to your third year.
Moonlighting
Q - Is moonlighting allowed?
A - No, moonlighting is not allowed under Nevada State law. In any case, it would be problematic for any program to allow and still meet ACGME guidelines of a maximum 80 hour work week.
Ancillary Services
Q - How well do ancillary services work? Will I be required to draw blood, start IV's and so forth?
A - Ancillary services work better here than in the majority of public hospitals. This is in part because the hospital also caters to a large number of private patients. A phelebotomy team will always be available for all blood draws including ABGs and blood cultures. You will not be starting IVs. That is what the medical student is there for. Just kidding... if nursing or the IV team cannot obtain adequate IV access, then interventional radiology is available as backup. You will not be transporting patients either. While you are certainly encouraged to become competent in these procedures and are allowed to draw your own labs, it is never mandatory. Your focus here is on being a physician and learning to manage the patient's treatment plan.
Language Interpretation
Q - Do I need to speak Spanish to work in Nevada?
A - It would be helpful, but it is really not necessary. The hospital provides an on-site interpreter for Spanish. When the interpreter is not available or another language is necessary, a professional phone translation service is available. It is currently not recommended that we utilize family members for interpretation.
Call Rooms
Q - What are the call rooms like?
A - Call rooms are individual rooms with secure access. You will have access to computers, television, refrigerator, microwave, and showering facilities.
