University of Texas Health Science Center San Antonio Joe and Teresa Lozano Long School of Medicine Program

Program Curriculum Overview

Our internal medicine curriculum is designed to develop competent, independent internists prepared for fellowship or general practice. The training spans progressive clinical responsibility across three postgraduate years, combining inpatient service, ambulatory continuity clinic, subspecialty rotations and protected educational time.

Year-by-year Training

- PGY-1: Broad foundational experiences with core inpatient general medicine wards, supervised night float or call, and initial outpatient clinic continuity. Emphasis on developing clinical reasoning, procedural skills, and safe transitions of care.
- PGY-2: Increased autonomy on ward services, exposure to subspecialty inpatient teams, ICU rotations as applicable, and ongoing continuity clinic. Residents take on teaching and supervisory roles for junior trainees.
- PGY-3: Senior leadership with chief-style responsibilities for patient management, complex consults, elective selection for career focus, and preparation for independent practice or fellowship applications.

Core Rotations and Experiences

- General medicine wards and cross-cover shifts
- Medical intensive care unit and step-down units
- Subspecialty elective blocks (cardiology, gastroenterology, pulmonology, nephrology, infectious disease, endocrinology, rheumatology, hematology/oncology)
- Ambulatory continuity clinic that runs longitudinally through training
- Night float or call systems to balance education and duty hours
- Simulation-based training for procedures and critical events

Educational Components

- Daily bedside teaching and case-based rounds
- Regular didactic conferences such as morning report, grand rounds, morbidity and mortality, and journal club
- Procedural skills curriculum with supervised hands-on opportunities
- Quality improvement and patient-safety curricula integrated into clinical work
- Assessment through direct observation, milestone mapping, in-service exams, and multisource evaluations

Evaluation and Feedback

Residents receive structured formative and summative feedback at regular intervals. Faculty evaluations, milestone assessments aligned with ACGME competencies, and individualized learning plans support resident development.

Accreditation

The residency participates in ACGME accreditation and follows ACGME competency frameworks for graduate medical education (program ACGME code: C_1404821425).

Purpose and Goals of the Research Track

The research track provides a formal pathway for residents who wish to pursue intensive scholarly work alongside their clinical training. It emphasizes mentored research, protected time, and skill development in study design, data analysis and scientific communication.

Program Components

- Mentored research projects with faculty advisors from clinical and basic science departments
- Protected blocks or longitudinal time allotted for research activities within the residency schedule
- Formal curriculum elements such as research methodology seminars, biostatistics instruction, and responsible conduct of research training
- Opportunities to present findings at regional and national meetings and to prepare manuscripts for publication

Expectations and Outcomes

Residents in the track are expected to develop a feasible research question, complete project milestones, and disseminate results through conferences or peer-reviewed journals. The track supports career development for trainees pursuing clinician-scientist roles or academically oriented fellowships.

How to Apply and Eligibility

Details on eligibility criteria, application timing, and mentor matching are provided to interested residents. The program outlines milestones, expected deliverables, and evaluation methods to track scholarly progress.

How to Apply

Applicants should submit materials through the Electronic Residency Application Service (ERAS) and follow the timeline and application instructions provided by the program and by the National Resident Matching Program (NRMP).

Application Components

- Completed ERAS application with personal statement
- Medical school transcript and Dean's letter (MSPE)
- USMLE or COMLEX scores as required
- Letters of recommendation (typically including at least one from an internal medicine faculty member)
- Curriculum vitae and any supplemental documents requested by the program

Interview and Selection

The program evaluates applicants holistically, considering academic performance, clinical experiences, letters of recommendation, interpersonal skills, and fit with program values. Selected applicants are invited for interviews during the season established by the program and match timelines.

Additional Information

- International medical graduates should review visa and credentialing requirements where applicable
- The program posts deadlines, interview logistics, and contact information for application questions on this page
- Applicants are encouraged to reach out to the program coordinator or designated contact for clarifications about documentation or deadlines

Meet Our Residents

This section presents profiles of current housestaff, including educational backgrounds, hometowns, clinical interests, research projects, and personal hobbies. Each resident profile highlights training milestones and areas of professional focus.

What Resident Profiles Typically Include

- Medical school and prior training institutions
- Year of training (PGY-1, PGY-2, PGY-3)
- Clinical and scholarly interests (e.g., cardiology, quality improvement, medical education)
- Selected publications, conference presentations, or ongoing research activities
- Personal details such as languages spoken, community involvement, and hobbies

How to Use This Page

Prospective applicants can review profiles to understand cohort diversity, common career pathways, and the collective strengths of the residency class. Current residents use the page as a directory for intra-program collaboration and mentorship.

Compensation and Benefits Overview

Residents receive a competitive stipend and an array of benefits to support health, education, and professional development. Benefit details and eligibility criteria are explained on this page.

Typical Benefits Package Includes

- Annual salary aligned with institutional postgraduate pay scales
- Health insurance options including medical, dental, and vision plans
- Professional liability coverage for clinical duties
- Paid leave policies covering vacation, sick leave, parental leave, and educational time
- Support for continuing medical education, including conference funding and protected CME days
- Access to retirement savings plans and other employee benefits offered by the university or hospital

Additional Support

- Resources to assist with licensing, credentialing, and board exam registration
- Information on dependent and family benefits where applicable
- Guidance on housing stipends or relocation assistance if provided

For specific stipend figures, contribution percentages, and plan enrollment instructions, residents and applicants are directed to the institutional human resources or graduate medical education office.

Daily Life and Community

Residency life balances rigorous clinical training with opportunities for community engagement, social connection, and personal growth. The program supports a collegial environment where residents collaborate across services and participate in organized social and educational events.

Housing and Neighborhoods

Information about local housing options, typical commute patterns, and nearby neighborhoods is provided to incoming trainees. Residents often share resources about rentals, roommate recommendations, and tips for locating convenient accommodations close to clinical sites.

Resident Activities and Traditions

- Regular social gatherings, resident-run interest groups, and wellness events
- Annual and seasonal traditions that foster cohort identity and peer support
- Opportunities to participate in educational leadership, diversity and inclusion committees, and community outreach projects

Work–Life Balance

Schedules are designed to comply with duty-hour regulations while allowing time for rest, family life, and outside interests. The program promotes flexible approaches to scheduling when feasible and encourages residents to use vacation and professional development time.

Logistics and Day-to-Day Support

Resources cover call schedules, moonlighting policies (if applicable), transportation options, on-site amenities, and administrative support for licensure and credentialing matters.

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