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Internal Medicine Residency Program

Main (Program Overview/Mission/Vision/Aims)

SAUSHEC Internal Medicine is the largest graduate medical education training program in the DoD. The program is fully accredited by the Accreditation Council for Graduate Medical Education and offers both categorical internal medicine and preliminary internship positions for the US Army and US Air Force.

Mission Statement: We will forge clinically excellent, mission-ready, and humanistic internists for the Air Force and the Army We will become the top choice in residencies for Air Force and Army medical students interested in internal medicine.

Vision Statement: Resident-centered military medical education to develop ready, patient-centered military internists.

Program Aims:

  1. Produce competent, humanistic internal medicine physicians who will be leaders in military internal medicine
  2. Educate residents on the philosophy of scholarship and lifelong learning
  3. Train internists who are mission-ready and clinically excellent
  4. Recruit the top military medical students to our program to continue our trajectory toward excellence

Curriculum/Rotations/Locations/Partnering Institutions

The SAUSHEC Internal Medicine Residency program utilizes a 4+1 curricular structure. The X-block or 4-week rotations include the following required rotations scheduled at Brooke Army Medical Center:

  • Internal Medicine Wards
  • Hematology/Oncology Wards
  • Medical Intensive Care Unit
  • Coronary Care Unit/Inpatient Cardiology
  • Neurology
  • Emergency Medicine
  • Geriatric/Palliative Medicine
  • Surgical/Trauma Intensive Care Unit
  • Research
  • Night Float

Every 5th week (the +1 or Y week) is an ambulatory week. During these weeks resident see primarily their own assigned PCM patients at either Brooke Army Medical Center or Wilford Hall Ambulatory Surgical Center. Residents also spend 1-2 half-days of clinic in a sub-specialty service.

Our program has a strong partnership with University of Texas Health Science Center San Antonio/University Hospital. Categorical trainees complete two months of IM Wards at University Hospital, can choose between a month of MICU at University Hospital or BAMC in the PGY-3 year, and can select from a number of electives at University Hospital including HIV Medicine.

Elective rotations are scheduled in all three years and include all sub-specialty services as well as unique opportunities such as: Bone Marrow Transplant Unit, Burn Intensive Care Unit, Resident as Teacher, Quality Improvement/Patient Safety, and Point of Care Ultrasound.

The program has a robust didactics arrangement including daily noon conference for X-block, daily morning report for Y week (focusing on ambulatory topics), and a weekly academic half-day with emphasis on small group teaching, problem-based learning, simulation, and POCUS. In AY21-22 the program added Lifestyle Medicine as a formal curriculum. Graduates who complete all elements of this curriculum during their three years of training will be board eligible for Lifestyle Medicine.

Military Relevance (military relevance of specialty/how program prepares trainees to be ready for military mission & first assignment)

Internal Medicine is a core readiness specialty. Internists deploy in a wide range of clinical, administrative, and leadership roles. The SAUSHEC Internal Medicine Residency Program aims to prepare all trainees for these responsibilities upon graduation. Training includes ample simulation in a wide range of procedural and situational settings. The Air Force offers an Operational Internal Medicine position each year through the HPERB at SAUSHEC. Beyond this, all trainees in the program may take advantage of both local and central Army or Air Force readiness training platforms. The program has a Military Unique Curriculum thread with a wide range of operational and military leadership elements.

Application Instructions (Eligibility/Interview Process/Program Application Details)

The program currently accepts Army or Air Force applicants through the HPERB (Military Match) process. Traditionally we accept candidates from the Air Force for preliminary internship or categorical residency positions, including PGY-2 starts for candidates who have served time in the field. For the Army the program accepts candidates for categorical residency positions including PGY-2 starts for those who have served in the field. Application details including selection interview and rotation requests for medical students are published annually by the program at HPSP and USUHS social media sites.

Contact Us

Program Director

Phone: (210) 916-3856/8176
Fax: (210) 916-4721

Chief Resident

Phone: (210) 916-4119/8020

Program Administrator

Phone: (210) 916-3856/8176
Fax: (210) 916-4721

Mailing Address

Brooke Army Medical Center
Department of Medicine
ATTN: SAUSHEC Internal Medicine Residency Program (MCHE-MDX)
3551 Roger Brooke Dr.
JBSA Fort Sam Houston, TX 78234-4504

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