A resident-oriented research curriculum, extending across the three years of residency, provides a structure for residents to be involved in meaningful, longitudinal research projects. Beginning intern year, we supervise and guide the selection of mentors and help cultivate informal relationships that develop on the wards. During the PGY-2 year, residents participate in a special course to learn research basics including topics such as IRB application, practical biostatistics and study design.
We also offer the ABIM Research Pathway Track for qualified applicants with previous research experience. After completion of two years of Internal Medicine, residents on this track go directly into fellowship, typically with additional research years during fellowship (please note that a separate application is required for this option).
All Internal Medicine residents are required to perform a research project during their residency. This fosters an understanding of research techniques, biostatistics and interpretation of the literature. Research opportunities are available within all subspecialties and in the basic sciences. The resident outpatient practice, University Medical Associates, offers another source for clinical research projects.
All residents present their research at the end of their third year at the Carey-Marshall-Thorner Research Conference, a university-wide research day. Many residents also publish and present their work at state and national meetings (e.g., American College of Physicians).
Note: If you would like to explore basic or clinical research in greater depth during your residency, please indicate this at the time you arrange an interview and identify one or two subspecialty areas that interest you. We will arrange a tour of our research facilities and a time for you to meet with faculty investigators in your areas of interest.
It was a really amazing to take a study from idea to
protocol to enrollment by the end of my intern year
“There are lots of opportunities to get
meaningfully involved in research at UVA. Everywhere I looked, senior
attendings were happy to go out of there way to get residents involved.
Most people start looking for projects by the end of the first year as
the research methods course gets started. I was lucky enough to get
started early in my first year with the GI department, and had more
opportunities than time to pursue after that. My research has primarily
focused on the "luminal" side of GI.
UVA provides opportunities to pursue interesting and
pertinent research with physicians who are highly respected in their
“Meaningful research opportunities abound for Internal Medicine residents at UVA. Every resident is required to identify a research mentor and design a research project early in the PGY-2 year. This process includes thoughtful statistical design, drafting/obtaining IRB approval, followed by up to 3 months of dedicated research time in the PGY-2/3 years. There is now also dedicated research funding for resident research in addition to the standard departmental policy of time off and recompensation for travel to present scholarly work at conferences. By graduation, almost all residents will generate first-authored original research that must be presented at an internal UVA scholar's day and often is also presented at national meetings or published in well-respected journals. Each resident must also write and present a case report to the American College of Physicians. These general research requirements position graduates of our program exceedingly well for subsequent fellowship applications or academic practice.
My individual research at UVA has focused on early stratification of outcomes following resuscitated out-of-hospital cardiac arrest. Using an existing database of such patients receiving the current post-resuscitation standard of care (intravascular therapeutic hypothermia), we were able to generate a model with 5 independent variables available at presentation that portend a poor neurologic prognosis: age>45, known CAD, asystolic or PEA arrest, initial blood glucose >200, and initial pH <7.0. The goal was essentially to create a 'CHADS2'-like score for resuscitated out-of-hospital cardiac arrest. The p-value for our model was <0.001 and robustly delineated patient outcomes ranging from 100% favorable neurologic outcome at a score of 0 to 0% at a score of ≥4. We anticipate presenting this work in the near future at the AHA Scientific Sessions, with plans for a manuscript and potentially even a validative, prospective, multi-centered trial in the works. Without the enthusiastic support and mentorship of nursing, pharmacy, and physician faculty from departments including cardiology, critical care, emergency medicine, and neurology (an interdepartmental collaboration that is truly the norm at UVA), such work would have not been possible.”