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The Internal Medicine residency program at Kettering Medical Center has two major goals:

• To train internists who, at the completion of the program, are ready to practice general internal medicine, enter a hospitalist practice or continue training in a subspecialty fellowship.
• To provide training in internal medicine that will lead to board certification

Our residents are from LCME-accredited schools in the U.S. and Canada, or from qualified international medical schools.


Medical schools from which KMC IM residents have come include, among many others:

Ten residents are accepted each year.

Applicants may apply through the Electronic Residency Application Service (ERAS).

Residents are chosen through the National Resident Matching Program (NRMP).

First Year

As a first year resident, you spend six four-week blocks on inpatient general medicine services where you are the primary physician. You are responsible for admission history and physical examinations, discharge summaries, daily progress notes, and following patients in intensive care, telemetry, and ward environments. You are expected to make the initial assessment, integrate this with initial laboratory data and outline a plan of action, write orders, confer with the supervising resident and maintain primary responsibility throughout the patient's hospital stay.

You spend one four-week block of general medicine in the ambulatory arena where you are exposed to other aspects of adult care, including dermatology, ENT, and gynecology.

An additional four-week block is spent in pulmonary and intensive care settings. These rotations are closely supervised by senior residents and experienced subspecialists in the respective areas.

First Year schedule consists of the following:

• 6 blocks General Internal Medicine
• 1 block Pulmonary/ICU
• 1 block Emergency Medicine
• 1 block Geriatric Medicine
• 1 block Addiction Medicine
• 1 block SPCC Ambulatory
• 1 block Elective

Vacation during 5 no-call blocks.

Second Year

During your second year of training, you have the opportunity to supervise and teach first year residents and medical students. You have increased flexibility with three blocks to spend on subspecialty electives.

Second Year schedule consists of the following:

• 3 blocks General Medicine
• 11 block Pulmonary/ICU
• 1 block Critical Care Medicine - Home-call
• 1 block Cardiology/CCU
• 1 block Neurology
• 6 weeks Night Hospitalist Experience - Call
• 2 Weeks - SPCC Ambulatory
• 4 blocks Electives

Vacation during 3 Elective & SPCC blocks

Third Year

Third year of residency will provide you with a wide variety of subspecialty training. You'll spend three blocks as the supervising resident on the general medicine services. The schedule affords you a great deal of autonomy, with time available for research. You'll take call for approximately four blocks during the year.

Third Year schedule consists of the following:

• 4 blocks General Medicine
• 11 block Outpatient Hematology/Oncology
• 1 Block Sycamore Primary Care
• 1 Block Night Hospitalist Experience - Call
• 6 blocks Electives (1 Block must be ambulatory)

Vacation during Elective & SPCC blocks

Electives

Month	First Year	Second Year	Third Year
July	Outpatient	Gastro	Card Lipid Mgmt
August	Medicine	Cardio	Cardio
September	Geriatrics	Pulmonary/ICU	Medicine
October	Medicine	Allergy	Cardio
November	Cardio	Medicine	Medicine
December	Pulmonary/ICU	Critical Care	Amb Primary Care Med
January	Anesthesia	Addiction Medicine	Medicine
February	Medicine	Medicine	Endocrine
March	Medicine	Nephrology	Hem/Onc
April	Emergency Medicine	Infectious Disease	Infectious Disease
May	Medicine	Neuro	Nephrology
June	Medicine	Medicine	Gastro

Our major ambulatory practice site, located at the Sycamore Primary Care Center, is approximately two blocks west of Sycamore Hospital. The site consists of Internal Medicine, Pediatrics, and Dermatology. When residents are scheduled on inpatient rotations, they attend just one half-day session each week. If they are on less demanding rotations, they attend two half-day sessions each week.

Patterned after a private medical office, Sycamore Primary Care Group integrates the health team concept with the group practice model.

Computers are an integral part of the center's operations. All residents are actively involved with a computerized medical record, which was begun in the early '80s. The goals of this system revolve around increasing resident computer literacy; assuring legibility and continuous access to medical records; increasing efficiency; and promoting ambulatory clinical research.

The overall ambulatory curriculum also emphasizes ambulatory training experiences at other sites. In addition, special electives are provided in private physicians' offices for residents wanting more ambulatory training.

Chief Medical Resident: Weiffenbach Scholar

There are two fourth year positions available each year, Chief Medical Resident and Weiffenbach Scholar. Each position offers a range of opportunities which include participating in a Stanford University Clinical Teaching Course designed to develop the mastery of teaching skills.

The Chief Resident spends some time as the attending physician on the ward and participates in an outpatient practice, is responsible for an academic morning report daily and coordinates other Internal Medicine teaching conferences. The CR also creates the call schedule and is a liaison between the residents and program directors. This is a very flexible year, tailored to meet the individual needs of the physician.

The Clara Weiffenbach Scholarship has offered physicians the opportunity to study a wide range of topics in the field of internal medicine and subspecialties. In this position, a physician designs his or her program under the guidance of the program director. Some of our graduates have studied critical care medicine, substance abuse, academic medicine, computers in medicine, and ambulatory medicine, just to name a few.

KMC now offers a Cardiology Fellowship. About 50% of internal medicine resident graduates elect fellowships to the sub-specialty of their choice, and of those, more than 95% are accepted. Institutions for these fellowships have included:

Baylor University	Infectious Disease
Duke University	Rheumatology
Indiana University	Rheumatology
Indiana University	Oncology
Kettering Medical Center	KMC Cardiology
Loma Linda University	Cardiology
Oregon Health and Science University	Critical Care Medicine
Providence Hospital	Cardiology
SUNY	Infectious Diseases
SUNY Buffalo	Nephrology
SUNY Stonybrook	Cardiology
University of California - Irvine	Hematology/Oncology
University of Cincinnati	Addiction Medicine
University of Cincinnati	Allergy/Immunology
University of Cincinnati	Pulmonary Critical Care
University of Cincinnati	Rheumatology
University of Illinois	Gastroenterology
University of Kentucky	Cardiology
University of Kentucky	Endocrinology
University of Kentucky	Gastroenterology
University of Maryland	Hematology/Oncology
University of Nebraska	Cardiology
University of Pittsburgh	Rheumatology
University of Rochester	Infectious Disease
University of Tennessee, Memphis	Oncology
University of Texas (San Antonio)	Endocrinology
University of Virginia	Gastroenterology
Vanderbilt University	Infectious Diseases
Vanderbilt University	Rheumatology
Wake Forest University	Hematology/Oncology
Wright State University	Geriatric Medicine
Wright State University	Infectious Diseases

Wright State School of Medicine (all residents / fellows are Jr. Clinical Instructors at WSU).

Loma Linda University School of Medicine

DAGMEC (Dayton Area Graduate Medical Education Consortium)

Fully accredited by the Accreditation Council for Graduation Medical Education (ACGME). Our last approval for Continued Full Accreditation: November 1, 2007 - receiving maximum time allowed, which is 5 years. This program has been fully accredited since it began in 1972.

You have several options to visit and explore our programs one-on-one, with opportunities to talk with residents and faculty. In addition to one day interviews, you can check out our programs through informal visits or …

Senior Electives - Apply Now
Applicants must be from LCME-approved schools.

Electives last from one to two months. To reduce the expense of visiting Kettering Medical Center and the Dayton area, we provide students with meals, housing, local transportation, and travel subsidies.

Senior Elective Choices

Internal Medicine
General Internal Medicine

IM Subspecialties Incuding:
Addiction Medicine
Cardiology
Gastroenterology
Infectious Diseases
Neurology
Oncology
Pulmonary/ICU

*Others available by request

Contacts
Internal Medicine Rotations - Julie Dicken - Email Julie
Emergency Medicine - Lynn DeWine - (937) 395-8839
Surgery - Carlene Hunt - (937) 395-8686