How to build a better health system: 8 expert essays
Department Of Internal Medicine
Internal Medicine is the largest department in the School of Medicine with more than 145 physicians and scientists who are national and international leaders in vaccines, liver, lupus, kidney, and aging just to highlight recent accomplishments in setting standards of excellence in research.
The Department of Internal Medicine at the Saint Louis University School of Medicine offers state-of-the-art facilities, a faculty of outstanding clinical scholars and rapidly expanding research programs. Of equal importance, you will find a friendly, caring atmosphere and a love for learning that are part of the culture of this Jesuit University and medical center.
Ours is a well-established program with deep historical roots. In 1911, Charles Hugh Neilson, M.D., was appointed as the first director of the Department of Internal Medicine, marking the foundation of the department. The department celebrated its Centennial in 2011.
Letter from the ChairWelcome to the Department of Internal Medicine. For over 100 years, we have excelled in patient care, education, research, and community services. Internal Medicine is the largest department in the School of Medicine with more than 145 physicians and scientists who are national and international leaders in vaccines, liver, lupus, kidney, and aging just to highlight recent accomplishments in setting standards of excellence in research. The department is also a leader in undergraduate, graduate and postgraduate medical education teaching with 10 specialty divisions and 12 accredited residency training programs and our faculty are dedicated to teaching our residents and medical students.
Residency Training Programs Explore our residency training program, as well as our subspecialty residency training programs, including:
Internal Medicine ResearchFrom 2010 to 2018, 23 researchers in the Department of Internal Medicine have received funding from the National Institutes of Health (NIH), totaling $67,528,705. This funding has led to significant discoveries and inventions that have already had a major impact on the health of Americans.
Center for Vaccine DevelopmentSLU's Center for Vaccine Development has played a key role in the development of vaccines that have saved lives and protected the public from important diseases, such as influenza, herpes virus infection and zika. It has also played a role in our national response to terrorism with its rapid testing of potential vaccines against smallpox.
Saint Louis University Liver CenterThe Saint Louis University Liver Center is notable for its research on hepatitis C, with studies that have sought to understand the fundamentals mechanisms of how the hepatitis C virus attacks the liver and causes cirrhosis and liver cancer. Members of the Saint Louis University Liver Center have also been at the forefront of efforts to develop effective treatments for chronic hepatitis C, a battle that now seems largely won and may lead to the saving of hundreds of thousands of lives around the world.
Rheumatology ResearchResearchers in the Division of Rheumatology have helped to develop effective treatments for systemic lupus erythematosus (SLE, or more simply Lupus), a disabling and often deadly autoimmune disease that disproportionately affects women and African Americans. We continue to obtain insights into how lupus is caused and how it damages target organs.
Research in Geriatric MedicineFaculty in the Division of Geriatric Medicine have been national leaders in teaching people about aging successfully. They have studied and developed approaches to managing delirium, frailty and even Alzheimer's Disease. Our researchers have pioneered the use of a unique mouse model, the SAMP8, to study mechanisms of Alzheimer's and, more recently, to develop a novel therapeutic approach to this common disease of aging through the use of antisense RNA that blocks the conversion of amyloid precursor protein to beta amyloid.
Nephrology Research Researchers in the Division of Nephrology have become national leaders in finding ways to increase the number of kidney transplants done each year, including the safe use of kidneys donated by liver donors. Our researchers have recently studied both the mechanism by which secondary hyperparathyroidism occurs in patients with chronic renal failure and the role of growth genes such as the SALL family in renal growth and development.Ravi P. Nayak, M.D., FCCPJames B. And Ethel D. Miller Endowed Chair in Internal MedicineInterim Chairman and Professor of Internal Medicine
Internal Medicine Residency
The Montgomery Internal Medicine Residency Program provides high-caliber graduate medical education for trainees seeking diverse clinical experiences in both inpatient and outpatient settings, and in subspecialty and general medicine services.
Residents practice in a rich training environment and are exposed to a diverse patient population in a variety of practice settings. Our primary teaching hospital, Baptist Medical Center South, is a community-based facility with nationally-recognized cardiology, cancer and stroke services. Our residents treat patients in the UAB Montgomery Internal Medicine Clinic, offering continuity of care for patients seeking hospital follow ups.
Our growing preliminary year program provides trainees with great foundation in general medicine and prepares them to take the next steps in their medical career. With the exception of continuity clinic, our preliminary interns receive the same level of rigorous training as our categorical interns.
We endeavor to find the perfect balance between resident autonomy and faculty supervision for our residents to become competent, compassionate and independent physicians. Our goal is to graduate outstanding physicians with a love of life-long learning and the tools to continue learning for life.
Modesto Hospital Approved As Training Site For New Doctors. The First Arrive Next Year
Modesto is moving up in the graduate medical education world as healthcare needs grow in the Northern San Joaquin Valley.
Sutter Health announced Thursday that Memorial Medical Center received national accreditation for an internal medicine residency and a second training program for family practice doctors. Residency programs teach medical school graduates to effectively care for patients in medical clinics and hospitals.
Sutter's Memorial Medical Center, at Briggsmore Avenue and Coffee Road, will be a training facility for 26 resident physicians in an internal medicine program starting in June 2025. In addition, a family medicine residency with 13 doctors-in-training will begin the same month. Both are three-year programs.
The internal medicine program will have 19 residents in each annual class, plus seven residents who are there for a one-year internship before going on to specialized training in a field such as anesthesiology. The three-year family medicine program will have 13 residents in each class, or a total of 39 in the program.
A Sutter news release said the Central Valley has a disproportionately low number of healthcare providers, yet it's one of the fastest-growing regions in California. Nationally, the primary care field has not attracted as many new physicians as young doctors aspire to work as specialists.
The resident physicians coming to Modesto may be from any medical school in the country and will receive training in primary care, which includes family medicine, internal medicine, obstetrics and pediatrics.
Dr. Robert Altman, president and chief executive officer of Gould Medical Group, said it's more difficult to recruit doctors to the Central Valley, where homes are being built again and medical care needs are growing faster than in the coastal counties.
Sutter Health needs to keep up with the demand. From Riverbank to Tracy and Mountain House in San Joaquin County, the Sacramento-based nonprofit system is projecting 30,000 housing starts in the next three years.
"We hope the majority of the (resident physicians) stay, but it's not a requirement," Altman said Thursday. "Some may decide to set up their own private practice. The goal is to bring as many good doctors to work with us as we can."
Health organizations that invest in graduate medical education are heartened by studies showing that a substantial number of doctors stay within 25 to 50 miles of where they completed residency training.
Sutter Health has residency and fellowship programs across its Northern California service territory in Sacramento, Davis, Oakland, San Francisco and Santa Rosa, offering training in family practice, surgery, cardiology, gastroenterology and organ transplants. The two new programs are a first for Sutter in Modesto.
With its expansion of graduate medical education, Sutter said it aims to turn out 1,000 graduates each year by 2030.
In Modesto, the resident physicians will receive rigorous training at Memorial Medical Center and a continuity clinic on Sylvan Avenue.
Altman said a Sutter Health residency may offer a range of experience for new doctors, from rural primary care clinics to high levels of care such as organ transplants at California Pacific Medical Center in San Francisco.
Altman said the residents will learn from Sutter physicians. At the same time, a residency program keeps practicing physicians updated on medical knowledge as they educate the new physicians. It's possible the residency programs in Modesto will attract a few physicians to the area who are interested in teaching.
Awareness of the Valley's diversityThe doctors-in-training will work with patients from a diverse community in Stanislaus County. Latinos represent about half the county population and Sutter will keep that in mind as resident physicians are chosen for the programs, the news release said.
"One of the larger goals of our graduate medical education programs is to have our residents and fellows reflect the diversity of the patients we serve," Dr. Raeleigh Payanes said in the news release. Payanes will oversee the family medicine residents in Modesto. "We look forward to welcoming some of the best and brightest minds next summer, who will come from all walks of life and bring their unique experiences to help care for those here in the Central Valley."
A family medicine residency has operated in Stanislaus County for decades with training at Doctors Medical Center and county health clinics. The three-year program operated by the Valley Consortium for Medical Education has 12 residents in each class. In July, physicians with Golden Valley Health Centers will assume the role of supervising the residents at the Paradise Medical Office in west Modesto.
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