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Department of Internal Medicine
The Department of Medicine is the largest service and educational component of the hospital. There are approximately 11,500 medical admissions (2,500 unassigned “house staff service” admissions) annually, and an average daily medical inpatient census of 110. All teaching patients, both house staff and private, are admitted to the general medical service (GMS) to maximize the variety and breadth of the training experience. Cases managed by the house staff are approximately one-half service cases and one-half patients of private attendings. An active emergency room (50,000 visits/year) is the source of most service admissions. Because of Union Memorial’s location in Baltimore, our patients represent a wide variety of social and economic backgrounds. This contributes to the spectrum of medical problems seen and is an important strength of the program. Elderly patients are admitted to the remodeled acute Geriatrics Unit, and all categorical residents rotate on this unit under the supervision of geriatricians. Critically ill patients receive their care from medical residents in our state-of-the-art 26-bed Critical Care Unit under the supervision of five critical care attending physicians. Approximately 36 percent of training is in the ambulatory medicine. This takes place in five different outpatient settings that range from an inner city free clinic to private practice offices in rural western Maryland. In 2009 Union’s department of medicine received added distinction by having the endocrine and geriatrics division recognized as being in the top 50 in the country by U.S. News and World Reports.
Union Memorial has very strong ties to the University of Maryland. In 2002, we were recognized as a major academic affiliate of the University of Maryland School of Medicine — the first time this had ever been done. The association between Union Memorial and the University of Maryland is broad and deep, as illustrated below:
Maryland first-year medical students (MS Is) participate in our summer research program. In 2006, a major change took place where, for the first time, Introduction to Clinical Medicine first-year students began regular rotations at Union Memorial. MS IIIs have their core medicine rotations on our GMS I service.
For 20 years, all University Family Practice residents have received all of their inpatient medical and critical care training at Union Memorial. Currently, we are part of five University of Maryland fellowship programs and intend to do more, either as part of Maryland's program or through individual sponsorship. Maryland subspecialty fellows in gastroenterology, infectious diseases, rheumatology and geriatrics have major rotations at Union Memorial.
As you can see, the relationship is deep and broad. Our residents often perform subspecialty elective rotations at the University and many of our graduates have obtained fellowship positions at Maryland.
For more information about residency opportunities at Union Memorial Hospital, please call 410-554-2284 or email fran.violanti@medstar.net
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