The clinical environment of the Vanderbilt Residency Program in Internal Medicine offers the advantages of a metropolitan population base and a cohesive, fully integrated multi-hospital system. Training is centered at the Vanderbilt University Hospital, a comprehensive general hospital for the Nashville-midstate area and a referral center for the southeastern and central United States. The adjacent Nashville Veterans Affairs (VA) Medical Center adds to the clinical base, assuring that our residents care for patients from every socioeconomic background and enhancing the opportunity to develop clinical competencies across a wide range of internal medicine problems.
Vanderbilt University Hospital
The 1,000-bed Vanderbilt University Hospital is both a comprehensive general hospital for Nashville/Davidson County and a major tertiary care center, serving over 65,000 inpatients each year and attracting referrals from the central and southeastern United States and several foreign countries. The staff represent all the major medical and surgical specialties, and the emergency service has Level I trauma certification. The Vanderbilt Clinic system consists of more than 90 ambulatory clinics in various specialties to which patients make approximately 1,500,000 visits annually.
The Department of Medicine inpatient service has over 250 beds organized in 5 clinical units: general medicine, medical subspecialties, CCU/cardiovascular medicine, medical intensive care unit, and bone marrow transplant (BMT) service. Historically, all of the inpatient beds on the medicine service are in individual rooms, a feature conducive to patient comfort while assuring a quiet, private venue for bedside teaching rounds. The facilities include a 34-bed state-of-the-art medical intensive care unit, a bone marrow transplantation center, a dialysis center, and a 27-bed cardiovascular intensive care unit.
Nashville Veterans Affairs Medical Center
The Nashville VA Medical Center is a 334-bed acute care facility with medicine, neurology, surgery, and psychiatry services. Located adjacent to Vanderbilt University Hospital and the Vanderbilt University School of Medicine, the Nashville VA Medical Center functions as a primary care and referral center for eligible veterans in middle Tennessee, southern Kentucky and northern Alabama. There is a strong academic affiliation between the Nashville VA and Vanderbilt University. All VA medical faculty have academic appointments within the Vanderbilt Department of Medicine. Approximately three months of the intern year are spent on rotations at the VA Medical Center.
Residents rotate through the inpatient general medicine service, pulmonary and cardiac intensive care units, subspecialty consult services and outpatient clinics. There are six general medicine inpatient teams as well as a stem cell transplant team. The Nashville site is one of only three VA hospitals in the country that perform stem cell transplantation. Generally, morning report takes place three mornings weekly and is attended by all inpatient house staff as well as senior faculty members; an autopsy conference is held once weekly in conjunction with the department of pathology. However, during the COVID pandemic the conference schedule was adjusted, and conferences were held online via teleconference. We are hoping to return to our previous in-person conferences as soon as possible.
Gabriel Sandoval, MD
Our training hospitals expose residents to a wide variety of complex and rare cases as well as a substantial volume of common diseases. The Vanderbilt University Medical Center and Nashville Veterans Affairs Hospital sit nestled next to one another just two miles from downtown Nashville. The close proximity and skybridge allow residents to seamlessly transition between the two hospitals. Vanderbilt’s medical school is located on the same campus, and medical students rotate on resident teams throughout the academic year. Attending rounds at both hospitals emphasize bedside learning, and graduated responsibility fosters decision-making and teaching skills in both our intern and upper-level residents.
In addition to the excellent clinical exposure, residents partake in a wide array of teaching conferences including morning report, clinical reasoning conference, and autopsy conference. Conferences are attended by our outstanding faculty including the Chief of Medicine, department chairs, and subspecialists. The inspiring patients, exceptional faculty, and ongoing scientific discovery provides outstanding training and a foundation for a future in a myriad of general and subspecialty fields.