The clinical experience of the Georgetown residency program provides a unique balance that includes our tertiary referral center, community hospitals, the Veterans Administration Hospital, as well as inpatient clinical research exposure at the National Institutes of Health.
Georgetown University Hospital was founded in 1898 to promote health through education, research and patient care. This mission has been shaped by and reflects Georgetown's Catholic, Jesuit identity and heritage. With a 609-licensed bed hospital and 1,100 physicians, Georgetown University Hospital's clinical services represent one of the largest healthcare delivery networks in the area. Georgetown University Hospital is the academic flagship of MedStar Health and is "home base" for our medicine-pediatric residency program.
Second or third year residents rotate through the National Institutes of Allergy and Infectious Diseases of the NIH, on average one month during the last two years of residency. The residents see a variety of cases from the Inpatient Infectious Diseases Services and often see patients in the ambulatory center in the company of NIH investigators and fellows. Morning Report is held each weekday to provide residents with formal instruction on topics pertinent to these services, as well as exposure to ongoing research in both clinical and basic sciences. In addition, residents who wish to arrange elective time within any of the Institutes are able to do so with the Program Director's approval. Several subspecialty divisions at the University combine fellowship experience with the NIH. Residents may have the opportunity to undertake one year or longer research sabbaticals at the NIH between the second and third years of their residency tenure.
A sophisticated community hospital of approximately 656 beds, INOVA Fairfax Hospital has a Level I Trauma Center and a Cardiac Surgery Unit. The hospital includes a new state-of-the-art Coronary Care Center, three Intensive Care Units of 12 beds each, and 200 General Medicine beds. Second and third year residents continue their general medicine experience on a specially designated inpatient teaching service. The house staff typically see a broad range of community medical problems. Second and third year residents are responsible for supervising the general medicine teams consisting of first year transitional interns, fourth year medical students (acting interns) and third year medical students from several medical schools (including Georgetown). The Fairfax medicine teaching service is organized by Georgetown faculty that includes an Associate Program Director for the Georgetown Residency Program and a full-time Georgetown Chief Resident in addition to a full-time teaching faculty member in critical care. In addition to an extensive clinical experience, house staff participate in morning report, daily lectures, conferences, and teaching attending rounds.
Virginia Hospital Center is a smaller community hospital which draws from the local area directly across the Potomac River from Georgetown, including a large immigrant population. The hospital has an 18-bed combined ICU/CCU with full support staff and facilities. Residents on the general medicine service treat common diseases prevalent in the local community. The attending staff are experienced physicians with a longstanding commitment to teaching. There is an opportunity for leadership and teaching fourth and third year medical students in addition to conference presentations and journal club. Several of the VHC attending staff have recently involved Georgetown residents in their office practices, providing a popular exposure to outpatient private practice. The teaching service is organized by one full-time faculty member and two faculty members who spend approximately 50% of their clinical time entirely dedicated to the teaching program. The faculty includes an ambulatory care coordinator who also arranges ambulatory community-based experience for students and residents, including an elective in women's health, an outpatient HIV clinic and experiences in public health. Virginia Hospital Center is also a site for residents' continuity practice.
Our most recent academic affiliate, WHC is also our newest clinical affiliate in the MedStar health system. WHC serves more than 200,000 patients annually, and has a reputation for excellence in many areas including cardiac care, endocrinology, transplant services, women's health and burn care. Georgetown residents rotate through general medical wards at WHC, on teams which include Georgetown medical students. The educational program consists of morning report, attending rounds with excellent teaching faculty, and daily conferences. WHC offers a night-float system as well as a separate teaching service for selecting excellent educationally valuable cases. There are also opportunities for rotations in cardiac care at WHC, including CCU and cardiology electives.
The Washington Veterans Affairs Medical Center, long affiliated with Georgetown, provides a large inner-city hospital-based experience through all three years of the residency program. Residents in their first year of training rotate through one of the inpatient services for one month. In addition, second and third year residents spend additional time as leaders on these inpatient services, including two senior residents each month assigned as Primary Care Residents. A wide variety of medical problems, ranging from uncontrolled hypertension and diabetes to rarer disorders, are managed by the house officer in primary care, firm-based clinics-including an Active Women's Health Clinic. Attending rounds are held each weekday, as are lectures and conferences. Residents also have the option to involve themselves in a variety of outpatient elective services.