Internal Medicine
At A Glance
Program Type: Military Medicine
Location: Bethesda, MD
Accredited: Yes, Accreditation Council for Graduate Medical Education (ACGME)
Program Length: 3 years
Required Pre-Requisite Training: Medical School Graduation, if prior completed internship, may start at PGY2 level with approval
Categorical Year in Specialty Required: Yes
Total Approved Complement: 93
Approved per Year (if applicable): N/A
Dedicated Research Year Offered: No
Medical Student Rotation Availability: 4th year
Additional Degree Concurrent with Training (e.g. MPH): No
Program Description
Our residents and faculty are our greatest resource, and the residents drive continued positive change in the program.
The National Capital Consortium's Internal Medicine Residency at Walter Reed National Military Medical Center (WRNMMC) brings together the best of Military Internal Medicine. Located in the heart of federal medicine next to the National Institutes of Health and Uniformed Services University of the Health Sciences (USUHS), WRNMMC anchors an integrated military health care system with 50 ICU beds, 296 patient rooms, 40 inpatient acute psychiatric beds, 27 ER beds, a 7-story outpatient building, a gym, and a pool.
The multiservice (Army/Navy/Air Force/Public Health Service) NCC-IM residency program is a 3-year program that offers internal medicine and subspecialty training. We are a busy academic medical center with a dedicated teaching faculty and a history of excellence in clinical education and research. Given our proximity to USUHS, our residents have many opportunities to teach and mentor medical students in the pre-clerkship and clerkship timeframes. Our patients include wounded warriors, military beneficiaries, veterans, foreign dignitaries, and our nation's leaders. Ultimately, we train residents to be leaders in military medicine and primary and specialty care.
On the outskirts of Washington D.C., WRNMMC is within easy reach of the National Zoo and Mall, many sporting venues/restaurants, and numerous historic/military sites. It is conveniently located on the D.C. Metro on the Red Line at the Medical Center stop.
Mission, Vision and Aims
Mission
To train military physicians to be expert clinicians, operationally ready adaptable leaders, and skilled educators who challenge the status quo and positively impact outcomes in any environment.
Vision
Developing Military Medical Corps Officers to Transform American Medicine!
Aims
- To develop excellent and independent internal medicine doctors who can practice in any environment
- To train military physicians to be leaders in clinical and operational settings
- To produce skilled educators who can teach patients and mentor students and enlisted personnel
Curriculum and Schedules
- Daily Noon Conference
- Grand Rounds
- Weekly Sub-Specialty Academics
- Quality Improvement Conferences
- Morbidity and Mortality Conferences
- Small Group Curriculum
- Ultrasound Curriculum
- Communication Curriculum
- Ambulatory Academics (Friday Mornings on Clinic)
- Evidence Based Medicine Curriculum
- Health Systems Science Curriculum
- Social Determinants of Health Curriculum
1st Year | 2nd & 3rd Year |
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- DC VA: Washington, D.C. Veteran's Affairs Hospital
- INOVA FFX: INOVA Fairfax Hospital
- VHC: Virginia Hospital Center
- WHC: Washington Hospital Center
- WR: Walter Reed National Military Medical Center
- Cardiology
- Pulmonary
- Infectious Disease
- Hematology/Oncology
- Endocrinology
- Gastroenterology
- Nephrology
- Rheumatology
- Sleep Medicine
- Allergy/Immunology
- Radiology
- Research
- Medical Genetics
- Antimicrobial Stewardship (VA)
- Obesity Medicine (VA)
- Procedure Rotation (WHC)
- Advanced Heart Failure (WHC or INOVA FFX)
If there is an elective you are interested in, please let us know!
- All but one of our rotations uses a day float/night float system.
- Walter Reed Wards consist of three teams (Red, Yellow, White). From 6 a.m. - 3 p.m., incoming admissions are distributed in a trickle system. One of the teams is on long call from 3 p.m. - 5:30 p.m. – they are the only team taking admissions from this time.
- Night Float is from 5:30 p.m. - 6 a.m.
- Integrated curriculum to introduce a military context to internal medicine problems.
- Continuation and improvement of our ultrasound curriculum.
- All interns not on a continuous contract and third year residents attend the Combat Casualty Care Course, which provides hands on experience in operational medicine, including TCCC and ATLS.
- Third year residents are offered the opportunity to attend the Medical Care of Biologic and Chemical Casualties Course at Fort Dietrick and Aberdeen Proving Ground.
Combat Casualty Care Course is required for all trainees, either in their first year of training (interns not on a continuous contract) or their final year of training.
- We use the simulation center for the ultrasound curriculum and the communication curriculum.
- The ultrasound curriculum uses simulation for teaching and practice, both on state of the art manakins as well as on standardized patients.
- The communication curriculum provides our residents feedback on difficult situations, such as delivering bad news or disclosing a medical error. Trainees receive feedback from both faculty and standardized patients.
Incorporated into the academic curriculum is Lead 2.0, which includes the topics of giving feedback, identifying core values, followership as leadership, burnout and resilience, and mentoring, coaching and scholarship, and more.
Scholarly and Professional Development Opportunities
- Interns are expected to submit one abstract for presentation at a local, regional, or national conference. This provides a natural avenue for mentorship in a subspecialty of interest, allows you to be come a subject matter expert on a topic, and teaches you the process of submitting and presenting scholarship.
- We strongly support scholarship of any kind (case reports, abstracts, medical education research, clinical research), and we have resident research coordinators who can help set you up with available projects!
- Our residents are agents of change within the hospital – they led quality improvement projects to improve the care of our patients at Walter Reed. In addition to our Health Systems Sciences Curriculum, we provide mentorship and guidance to ensure lasting change within the institution. You are also given access to population data for your panel of patients so that you can devise ways to improve the health of your panel as a whole.
- One recent initiative is to improve the rates of Candida auris screening for patients transferred to the Intensive Care Unit.
- If interested in education, we encourage residents to enroll in a certificate program at the Center for Health Professions Education at the USUHS.
- We provide lectures and direct mentoring on military evaluations (FITREP/OERs) in order to prepare you for your career as a military officer.
Participating Sites
- Landstuhl Regional Medical Center – Germany
- Tropical Medicine Training Program
- Washington Hospital Center
- Inova Fairfax Hospital
- Virginia Hospital Center
- DC-Veterans Affairs Medical Center Medicine Wards
- Combat Casualty Care Course
- Medical Management of Chemical and Biological Casualties (MCBC) Course
Applicant Information, Rotation and Interview Opportunities
USUHS Students should reach out to the USUHS Advanced Clerkship Coordinator to make their initial requests. Once scheduling is confirmed, they will connect the student to the GME Office to receive more information. HPSP Students should reach review the guidance from the WRNMMC/NCC Medical Student team to schedule a rotation.
Sub-Internship Options
- Oncology
- Ward Medicine
- Medical ICU
- Inpatient Cardiology
Clinic/Consult Rotation Options
- Cardiology
- Pulmonary
- Infectious Disease
- Hematology/Oncology
- Endocrinology
- Gastroenterology
- Nephrology
- Rheumatology
- Sleep Medicine
- Allergy/Immunology
Interview Season
July 15 - October 15
Prior to interview, provide:
- A current CV (current contact information/e-mail/phone)
- Personal Statement
- Dates of availability for an interview
Uniform options for interview:
- Army - ASU/AGSU
- Navy - Summer White or Service Dress Blue
- Air Force – Service Dress Blue
Interview Contact:
Program graduates take the American Board of Internal Medicine exam. This exam is offered annually. To become fully board certified, applicants are eligible to take board certification exam following graduation. To be eligible to take specialty board exams, graduates must complete all pre-requisites required by the ABIM by August 31st of the year of examination. More information regarding the prerequisites and eligibility can be found on the ABIM Site.
Teaching Opportunities
- All residents are given an opportunity to lead noon conferences and get feedback on their teaching.
- Additionally, PGY-3s are expected to give a Grand Rounds on the topic of their choice.
- If interested in education, we encourage residents to enroll in a certificate program at the Center for Health Professions Education at the USUHS.
Internal Medicine Residents can teach in the pre-clinical setting at the Uniformed Services University with multiple opportunities throughout the year.
Faculty and Mentorship
Faculty from all sub-specialties often attend noon conference to provide expertise to your academics. Faculty and fellows also lead the weekly subspecialty academics.
- The residency is divided into thirds and assigned to each Chief Resident. You will meet with the Chief Resident multiple times throughout the year to discuss your progress and discuss next steps.
- Mentorship also occurs via research and scholarship – all interns are expected to submit one case report to a conference prior to graduating internship.
- Our doors are always open!
Well-Being
Well-being is not an event but is considered in everything we do. When thinking of programmatic ways to address well-being, we specifically address the six areas of work-life satisfaction: workload, control, reward, community, fairness, and values. In the past, we have given extra time back to residents, including extra admin afternoons, and we strongly encourage residents to take all the vacation time they are allotted. While we cannot increase pay, we can recognize residents for their hard work through military awards, paying for travel to present at conferences, and through formal recognition. The program has multiple social events and fitness challenges throughout the year to build esprit de corps, and we work hard to develop a culture of fairness and authenticity in the residency so that every resident flourishes personally and professionally.
Contact Us
Internal Medicine Program
Location: Walter Reed National Military Medical Center, Building 19
Monday–Friday
8 a.m. to 5 p.m.
Phone: 301-400-0977
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