Internal Medicine Residency
The small animal internal medicine
residency program at Texas A&M University creates an
opportunity for our residents to develop a broad background in
internal medicine, while gaining exposure to a wide variety of
other specialties in clinical medicine. The goals of our 3-year
residency program are to provide each resident with the skills to
achieve board certification in the specialty of small animal
internal medicine of the ACVIM, and to be competitive for career
opportunities in the academic or private sectors after finishing
There are 7 small animal internal medicine diplomates in
direct support of our residency program: Drs. John August, Audrey
Cook, George Lees, Kathy Scott, Jöerg Steiner, Mike
Willard and Deb Zoran. Our internists have a wide variety of
clinical expertise and experience. We have two medicine services,
one of which is dedicated to feline medicine. Texas A&M
University also is the home of the Gastrointestinal Laboratory (GI Lab, directed by
Dr. Jöerg Steiner. The GI Lab provides opportunities not only for
clinical research in the areas of canine and feline
gastrointestinal, pancreatic and liver disease, but also for
significant basic research and graduate training programs.
In addition to the seven members of the Internal Medicine
section, Drs. Claudia Barton and Kenita Rogers are both double
boarded in internal medicine and oncology.
Here at Texas A&M, we have 3 cardiologists, 3
oncologists, 2 neurologists, 2 criticalists, 1
radiation-oncologist, and 2 dermatologists in direct support
of the program. As part of the 3-year training program, each
resident will also spend time with our 5 radiologists and
ultrasonographers and with our clinical pathologists to gain
important interpretation skills in imaging and laboratory
Didactic training for the residents includes weekly
reading rounds, journal club, and specialty rounds in
cardiology, oncology, and pathology. The residents are also
required to present 3 seminars over their 3-year training program,
which is not only valuable in development of their presentation
skills, but also provides specific feedback on their projects.
General house officer rounds are also held on a weekly basis.
Morbiidity and mortality rounds and imaging rounds take place every
We are very proud of our residency program and our recent
graduates, who have been extremely successful in completing the
board examination (all of our residents, except one, have passed
the certifying examination in the past 10 years).
Objectives of the Residency Program in Internal Medicine
Medicine residents hold appointments as Veterinary Resident
Instructors. Residents are expected to provide patient care and
teaching assistance in the clinical programs of the College of
Veterinary Medicine and Biomedical Sciences. Faculty will make
extensive efforts to provide an outstanding program, but the
ultimate responsibility for value gained from the program lies with
The training objectives for residents in internal medicine are
- Provide the resident with the opportunity to become proficient
in advanced diagnostic and therapeutic methods in small animal
- Permit the resident to satisfy the requirements for board
certification set forth by the American College of Veterinary
Internal Medicine (ACVIM).
- Prepare the resident to express clinical ideas and concepts to
other members of the veterinary profession in a concise,
professional manner (e.g., seminars, lectures).
- Prepare the resident to flourish in the practice of small
animal internal medicine in the private sector or the academic
setting, or to pursue further advanced training.
Individual Resident Advisor
By October 1st of the 1st year, the resident shall choose a
small animal medicine faculty member to be his/her Residency
Advisor, and shall register him/herself with the ACVIM -- specialty
of IM. The resident's choice of an advisor must be acceptable to
the Chief of Medicine and the Medicine Residency Committee.
Responsibilities of Advisors
Responsibilities of the Head of Department and
- Ensure that the resident is aware of all requirements of the
residency program and options that are available. The resident is
expected to consult with his/her prospective advisor(s) within 30
days after the start of the program to begin developing his/her
- Supervise completion of scheduled requirements according to
guidelines established by the Medicine Residency Committee.
- Suggest reading material to aid in preparation for the general
and/or certifying board examinations.
- Communicate appropriate feedback to the resident regarding
his/her continued progress in the program. Although encouraged at
other times as well, feedback to the resident will be provided each
time the Medicine Residency Committee conducts its evaluations
twice yearly. On these occasions, the resident's advisor also will
inform the Medicine Residency Committee about the resident's
Notify the resident of his/her assigned clinical teaching
responsibilities (i.e., laboratory instruction, didactic lectures,
A Master's degree program to run concurrently with the residency
is optional; residents wishing to pursue a PhD program are strongly
advised to consider a consecutive type of program (e.g., PhD
followed by a residency or vice versa). A resident who wishes to
pursue a degree should discuss available options with the Program
Director for the medicine residency (Dr. Audrey Cook).
Specific requirements of the graduate degree program are described
in greater detail in the Texas A&M University Graduate
Internal Medicine Residency Program
Goals, Related Objectives and
- Completion of a 3-year advanced clinical training program
subject to formal evaluation, under supervision of board-certified
individuals (internal medicine, cardiology, oncology, neurology,
anesthesiology, radiology, behavior, dermatology, emergency
medicine and critical care) designed to educate the resident in the
art and science of internal medicine.
- Preparation of the resident to qualify for examination and
certification by the ACVIM. The resident is required to register
with the Secretary-Treasurer of the ACVIM at the beginning of
his/her training program (see ACVIM General Information Guide
(GIG). The ACVIM website is http://www.acvim.org/ .
- Completion of a resident project is required. A written report
on the project or publication is also desirable. The resident is
required to submit an abstract for consideration at a national or
international meeting (e.g., ACVIM, ECVIM, BSAVA, WSAVA) during the
course of his/her program.
- In-depth training in patient evaluation, performance of
diagnostic procedures, use of therapeutic techniques, and overall
medical management of serious illnesses will be combined with
experience in developing client relationships, fee structure,
instrumentation, radiographic interpretation, and clinical
- Participation in didactic and laboratory instruction of
students in the professional curriculum is another component of
residency training. The resident may be required or elect to help
with laboratories in certain courses.
- Participation in teaching of clinical medicine and patient
management in the professional student program. This affords
teaching experience as well as further professional development.
This may include daily student rounds and to help in the clinical
instruction of third and fourth year veterinary students with
patient care and client communication.
- All residents will be required to present an oral seminar to
the faculty once yearly. This may be based on the resident's
project or another topic of clinical interest.
- Residents may elect to take the ACVIM general examination
either a) after 2 years of his/her residency program, or b) with
the certifying examination after 3 years of the residency. If
option (a) is chosen, application to take the general exam is due
by October 1 of the 2nd year. Application to take the general and
certifying exams or certifying exam alone (if the general exam has
already been passed) is due by October 1 of the 3rd year. Consult
the ACVIM website for specific details needed to apply.
- Formal evaluation by the Section of Medicine will be done at
least twice yearly each year of the 3-year program. The evaluation
process will be conducted by the Medicine Residency Committee.
The academic rank of the resident will be Veterinary Resident
Salaries and Benefits
Certification of Completion of Program
- Salaries are determined annually by the Head of the Department.
They are standard for all residents in the Department of Veterinary
Small Animal Clinical Sciences, and currently salaries increase
with each year of service.
- Residents may participate in the University's medical-surgical
- All courtesies, such as athletic ticket purchases, use of
university facilities, etc., are the same as for other
A certificate of completion of the residency program will be
presented to the resident upon successful completion of the 3-year
medicine residency. A certificate will not be given for partial
completion of a 3-year program or if the resident fails to meet the
requirement for submssion of an abstract. ACVIM bylaws require
institutional certification of completion of the candidate's
residency before an ACVIM diploma is granted.
Duties and Responsibilities
- The clinical service assignments and educational programs are
established to meet, and in most cases exceed, the minimum
requirements for residency training programs in the specialty of
Internal Medicine as outlined in the ACVIM GIG. (Refer to
descriptions of individual years below). Consult the Chielf of
Medicine for questions about scheduling.
- Residents are required to participate in the provision of
emergency services by the Small Animal Clinic which may include
providing backup to interns on emergency cases and taking medicine
transfers. Residents will be required to take case transfers on
weekends to facilitate patient care of medicine referrals. In most
cases this duty will occur when the resident is on an IM rotation.
The schedule will be assigned by the Head Resident using a rotating
schedule. 1st-year residents will be generally required to take
more transfers than 2nd-years, etc. However, variations in
assignments may occur if necessary to facilitate the function of
the Veterinary Teaching Hospital.
- Participation in the departmental faculty-intern-resident
rounds is required. The seminar programs consists of a variety of
scheduled professional development activities (clinicopathologic
conferences, seminars and group discussions) arranged by the Head
Resident in conjunction with a Faculty Coordinator. In general,
activities will be scheduled weekly.
- Residents are expected to present 3 seminars over the course of
the 3-year program in the departmental Intern-Resident Seminar
Series. Details of the requirements can be obtained from the Chair
of the Residency Committee.
- Residents will occasionally be expected to assist in didactic
and laboratory instruction of students in the professional
curriculum. They shall not head or have major teaching
responsibilities for any course, elective, or didactic.
- Participation in phone consultations with veterinarians/clients
will be required. Responsibility will increase as the program
- Holiday duty assignments will be determined by the Chief of
Medicine and the Head Resident.
- Vacation or other time off should be scheduled during
non-internal medicine blocks, unless it cannot be avoided. Requests
for off time must be approved in writing by the service chief, the
resident's advisor, and signed off by the Chief of Medicine. A time
off must be recorded and documented on Leave Traq System.
- Funding for travel to meetings (either to take the board exam
or present research) is the responsibility of the resident. In some
cases, travel funds can be obtained for residents presenting
research abstracts. But, it will be the responsibility of the
resident to use their incentive funds wisely for payment of their
travel expenses. No departmental funds will be used to pay for
residents travelling to take their board exams.
Service Rotation and Educational Program
The clinic schedule is based on a 48 week academic year; 4 weeks
each year are counted as Holiday time, and cover Christmas, New
Year and Spring Break. House officers are required to work at least
2 of these 4 weeks every year, on a rotating schedule.
First-Year Resident in Internal
Second-Year Resident in Internal
- 44 weeks of clinic duty and 4 weeks of
- Registration of the resident and their advisor with the ACVIM
Specialty of Small Animal Internal Medicine MUST be done by October 1st of the 1st
- A research project should be identified during the first year.
Some funding is available for house officer studies, and an
application for funding may be submitted in the first year.
- Faculty-intern-resident Seminar Program Participation
- The Head Resident and Faculty Coordinator for this program will
schedule and assign responsibility for activities within this
program. No more than 2 major
presentations will be required of an individual during the 1st
- Participation in the departmental seminar program is required.
In addition, attending seminars and conferences held by other units
of the college (e.g., radiology, necropsy, pathology, clinical
pathology, physiology, etc.) is encouraged.
- Service Rounds - Daily rounds of assigned clinical service are
required, but the degree of participation will vary with the
service and will by determined by the senior clinician.
- The first-year resident(s) will be assigned to clinical duty
during the ACVIM Forum.
Third-Year Resident in Internal
- Clinical duty assignments: 40 weeks on and 8 weeks
off or 36 weeks on and 12 weeks off (if resident is able to
justify need for time off to complete their project or an
out-rotation). The off clinic time will be scheduled to
meet the needs of the resident and the department by the best
- The 2nd-year resident is generally expected to apply to take
the ACVIM general examination following 2 years of his/her
residency program, and must submit their application to the ACVIM
office by October 1 of the 2nd year.
- Participation in Intern-Resident seminars, clinical rounds,
teaching assignments, and emergency duty is required and will
continue as described in other portions of this document.
- Clinical duty assignments: 32 weeks on and 16 weeks off;
the off blocks to be scheduled to meet the needs of the resident
and the department by the best available compromise and based on
the needs of resident to complete their project or paper. The
resident may be placed in charge of a clinical service and student
group (under guidance of a senior clinician) for up to 4 weeks
(with mutual agreement of the resident, his/her advisor, and the
Medicine Residency Committee).
- Application to take the ACVIM certifying examination (or
general and certifying examination together) is due by October 1 of
the 3rd year.
- Participation in Intern-Resident seminars, clinical rounds,
teaching assignments, and emergency duty will continue as described
in other portions of this document.
- Acceptance of the resident's program (which includes a signed
resident certificate), submission of the credentials packet (which
includes one referred publication) and successful completion of
both the general and certificate exams is required before ACVIM
diplomate status can be obtained.