Internal Medicine Residency Sites

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Rahdam

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I'll keep this brief.
Of the available US Army Internal Medicine residency sites, which is the most demanding?
That is, which will present me with the most patients and the best learning environment?

Thank you.

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I'll keep this brief.
Of the available US Army Internal Medicine residency sites, which is the most demanding?
That is, which will present me with the most patients and the best learning environment?

Thank you.

I think BAMC or SAMMC is busiest and is the largest Army medical center. As for best learning environment it is very subjective and you should go where you are most comfortable. Board certification rates vary year to year...
 
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BAMC also has a ton of residents. I think you have to look at avg census per resident, not busiest overall
 
From my past observations, the IM programs in the Army are all structured in a very similar manner in terms of how they do their didactics. That is simply because they are inbred. Your attending at Tripler may had done their training at MAMC, the attending at Eisenhower may have trained at NCC, etc. So, at the end of they day, they all seem to have a pre-round --> morning report --> real rounds --> formal lecture, based protocol for training.

Now of course, patient populations and workload differ from MTF to MTF. At WBAMC, there are no fellows, so their residents do it all!! At SAMMC, there are fellows; however, as one person told you, this does somewhat enhance your knowledge event though you may have less hands on action.

Overall, rotate through a couple of places and rank high the places that you feel most comfortable with. You will gain a feel as to whether you like a place or not while there.
 
One of the things I liked about WBAMC was that with no fellows we got to do everything with the staff. Got to go to the cath lab (highest volume in the army), do everything in the MICU, driving the scope in GI / Pulm, placing dialysis caths, etc. The only thing that I felt was deficient was on the surg / onc side. We would occasionally see complications from chemo but didn't really have an onc or transplant ward to see the volume of complications seen at TAMC, SAMMC, WRNMMC. All in all I was very happy with the education and experience.
 
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