Facilities
Four hospitals are integrated into the Internal Medicine Residency Program. In addition to the hospital-based teaching facilities, there are ambulatory care facilities in Johnson City and Kingsport that are provided by the ETSU Health Physicians' and Associates practice group and by regional public health clinics. The university medical complex acts as a tertiary referral center for Northeast Tennessee and adjacent areas of Virginia, North Carolina, and Kentucky. The population is in excess of one million within a 50-mile radius and four million within a 100-150-mile radius of Johnson City.
Johnson City Medical Center, the flagship of Mountain States Health Alliance, Johnson City, TN
Johnson City Medical Center (JCMC)
The Johnson City Medical Center, in Johnson City, TN is a 500-bed facility opened
in 1980. The facility is located next to the Veterans Affairs Medical Center and medical
college campus, permitting access to departmental research facilities and the medical
school library. All of the rooms are private and self-contained, with charts, medications,
and other patient needs located next to the rooms for convenience of care. Support
services are state-of-the-art. The hospital has a very active ICU, a cardiac catheterization
laboratory and an active cardiac surgery program. The geographically segregated Center
for Women's Health and The Children's Hospital provide state-of-the-art services to
women and children. Magnetic resonance imaging and a cancer treatment center are recent
additions to the services provided by the hospital. Patients are referred primarily
from Washington, Carter, and Unicoi counties in upper east Tennessee.
The internal medicine residency service provides care for all of the hospitalized patients of the full-time faculty and for the ambulatory patients of the university's general internists. The university service is limited to a maximum of 30 inpatients, providing a comfortable resident-patient ratio. The patient population is an excellent one, encompassing all ages and disease processes.
The pace of the service is designed to provide ample reading time for the residents. The increasing importance of state-of-the-art ambulatory evaluation of patients is emphasized during this rotation.
James H. Quillen Veterans Affairs Medical Center, Johnson City, TN
James H. Quillen Veterans Affairs Medical Center (VAMC)
The James H. Quillen Veterans Affairs Medical Center is a large facility consisting
of 57 buildings located on 220 acres immediately adjacent to the university campus
and the Johnson City Medical Center. The College of Medicine is located on the VAMC
grounds. In addition to the main 446-bed acute care hospital, there is an 85-bed intermediate
care unit, and a 580-bed nursing care unit, and a 550-bed domicile. A newly opened
clinical support facility provides updated outpatient, laboratory and subspecialty
facilities for the hospital. As with all of the university hospitals, the VAMC provides
non physician personnel for all blood drawing (including blood cultures and arterial
blood gases), intravenous therapy, respiratory therapy, and patient transport services.
The internal medicine service includes four general internal medicine teams and one
subspecialty team (hematology/oncology). In addition there is an intensive care unit,
a coronary care unit, a respiratory intensive care unit, and a coronary care step-down
unit. The geriatric service consists of the 85-bed intermediate care unit and the
58-bed nursing home care unit.
Holston Valley Hospital and Medical Center, Kingsport, TN
Holston Valley Medical Center (HVMC)
The Holston Valley Hospital and Medical Center in Kingsport TN has a permanent ETSU
Internal Medicine faculty as full-time attendings. They admit to the hospital from
private practice and conduct clinics. Residents are involved in both outpatient and
inpatient care of their patients. They also receive elective experience as well as
emergency room rotations. During ward rotations, in addition to caring for their
patients, the attending physicians only have responsibility for teaching and supervision
of ward residents. At this site, residents experience the dynamics of group practice.
Bristol Regional Medical Center, Bristol, TN
Bristol Regional Medical Center (BRMC)
The Bristol Regional Medical Center in Bristol, TN gives residents experience working
with a large, premier multi-specialty practice. One member of the group is the attending
for these patients. It closely matches many practice opportunities in a large, modern,
community hospital. The BRMC also offers an ICU rotation with practicing, board certified
critical care specialists and ETSU pulmonary-critical care fellows which broadens
the resident’s experience with critically ill patients.
Having rotations at the major teaching institution (VAMC) and the three other participating institutions in upper East Tennessee gives our residents exposure to an extensive interstate regional population which encompasses the entire socio economic spectrum of patients.