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Internal Medicine Training

Denver Health


Internal Medicine Residency Training Site 

Denver Health is a level one trauma center providing integrated primary and acute care to 25% of the residents of Denver County. The Denver Health system consists of a main hospital, with nearly 500 licensed beds, and 8 outlying community clinics. Denver Health is a nationally renowned model for “safety net” hospital systems with its unique integration of inpatient, urgent care, and outpatient facilities with shared diagnostic facilities and medical record. The hospital offers newly renovated ward floors, a recently constructed ICU, an electronic medical record system, and state of the art computerized physician order entry.

 
Denver Health serves a diverse patient population, with a spectrum of indigent to fully insured patients. Additionally, there is a large Spanish-speaking population. Residents and interns in internal medicine, as well as interns in other departments care for patients with basic medical problems, unusual and rare diagnoses, and advanced presentations of all illnesses. In addition to the large teaching service, Denver Health has grown its hospitalist division from 6 physicians to over 20 in the past five years. These non-teaching teams off-load patients from the resident-run services protecting their service-to-education ratios.
 
The general medicine ward service includes eight upper-level residents and eight interns working in a day/night shift system with geographic patient assignments. Each team has three weeks of day shifts and one week of night shifts. The shift system affords interns substantial autonomy, while maintaining 24/7 backup from upper level residents and in-house hospitalists. The teaching services, built upon geographic rounding, utilize an interprofessional rounding model with intimate involvement with all disciplines including nursing, social work, therapy, and pharmacy.
 
Finally, there is a closed CCU/MICU staffed by teams of one third-year resident and one intern.  These services are supervised by both a cardiologist and an intensivist, with fellows of the respective services also closely involved in teaching and patient care. The ICU teams rotate in a traditional q4 call cycle. The ICU cares for many patients presenting with sepsis, complications of drug and alcohol abuse, and esoteric problems in critical care.  The MICU team is heavily involved in multiple ongoing research trials and is an active member of the ARDS Network of academic healthcare centers.

 

 

 

Denver Health Medical Center