Curriculum of the Texas Health Harris Methodist Hospital Hurst-Euless-Bedford and Texas Health Presbyterian Hospital Denton Internal Medicine Residency is a well-balanced mix of inpatient and outpatient experiences in general internal medicine and subspecialties. This enables the resident to become an excellent primary care physician and provides a solid internal medicine foundation for the resident entering a subspecialty fellowship. Residents rotate on the campuses of both Texas Health HEB and Texas Health Denton for equal academic experience.
6 months of general medicine wards*
2 months of ICU**
3 months of electives/selectives****
5 months of general medicine wards*
2 months of ICU**
1 month of emergency medicine
4 months of electives/selectives****
4 months of general medicine wards*
2 months of ICU**
5 months of electives/selectives****
* During general medicine ward months, residents are on call every fourth night. All residents receive one day off per week. Additional vacation days are not permitted.
** During ICU months, residents work from 7 a.m. to 7 p.m. Residents are not on call at night and have one day off per week. Vacation days are not permitted.
*** During elective/selective months, residents work Monday through Friday. Residents do not take overnight call and are generally allowed to take up to five consecutive vacation days during elective/selective months. Residents can be on back up for ICU and wards.
The following is a list of selective rotations that categorical residents must complete during their three-year residency:
1 month of Cardiology
1 month of Endocrinology
1 month of Gastroenterology
1 month of Geriatrics
1 month of Hematology
1 month of Nephrology
1 month of Neurology
1 month of Pulmonary Medicine
1 month of Rheumatology
1 month of Oncology
The following is a list of elective rotations:
Core Curriculum Lecture Series
The core curriculum lecture series is held every Thursday afternoon as a protected time. Faculty from each subspecialty of internal medicine present lectures covering basic science and pathophysiology. Reading material will be e-mailed to residents one week prior to lecture. This series also includes lectures on neurology, psychiatry, orthopedics, ophthalmology, pain management, emergency medicine, dermatology, geriatrics, sleep medicine and a variety of other topics.
Clinical Pathological Conference (CPC)
CPC is held once a month. A challenging case is presented by a resident and discussed by a faculty member after relevant imaging is presented by a radiologist. A pathologist then reviews pathology and the final diagnosis.
Residents enjoy Jeopardy competition, ACP style. Faculty identifies and works with the program’s team for the ACP Texas chapter competition.
Patient Safety & Quality Improvement - Morbidity and Mortality Conference
Morbidity and Mortality (M&M) conference is held once per month at noon. Residents present patients who expired or had unexpected complications. Teaching points and learning opportunities are emphasized by the presenting resident, faculty and program directors. Root cause analysis is share with administrators.
Program directors and core faculty conduct noon report daily on Monday, Tuesday, Wednesday and Friday, from 12 to 1 p.m. Cases of great academic value are chosen from among ward teams, ambulatory clinic, ICU and selective/electives teams. Diagnosis and management are discussed. 80% attendance is required except for when night rotations are being conducted or when the resident is excused from participation by the program director.
A resident-led journal club is held once a month on a Thursday. Residents and faculty participate in a discussion of recent medical literature, applying concepts of evidence-based medicine and biostatistics to evaluate published research studies.
Once a month, residents meet to discuss program issues and bring proposals to program directors of suggested improvement to the program.
Project in Progress
Residents present their quality improvement project update to program directors. Two of the best quality improvement projects are selected for ACP competition once a year.