1. MEDICAL RESIDENCY IN THE DEPARTMENT OF MEDICINE Structure and Activities Departmentt. of Medicine - FMRP-USP

2. Structure & personnel MEDICAL RESIDENCY Structure & personnel GLOBAL VIEW Medical residents: 165 (32% of all medical residents in the HC-FMRP-USP residency program) Medical residents: 165 (32% of all medical residents in the HC-FMRP-USP residency program) Assistant physicians: 105 Assistant physicians: 105 Faculty: 57 Faculty: 57 University Hospital (HCFMRP-USP) 156 beds University Hospital (HCFMRP-USP) 156 beds Emergency Unit 25 beds Emergency Unit 25 beds About 7000 admissions occur every year About 7000 admissions occur every year Outpatient clinics: 105.000 to 120.000 patients/year. Outpatient clinics: 105.000 to 120.000 patients/year.

3. Beds under the responsability of the DM MEDICAL RESIDENCY Beds under the responsability of the DM University Hospital 181 beds Coronary Unit 5 beds Special Units for the Treatment of Infectious Diseases 16 beds Divisions of the Department of Medicine 135 beds Emergency Unit 25 beds

4. MEDICAL RESIDENCY Department of Medicine General Medicine Residency constitutes a prerequisite for all speciality programs, except for those of Infectious-parasitic Diseases and Radiology. General Medicine Residency constitutes a prerequisite for all speciality programs, except for those of Infectious-parasitic Diseases and Radiology.

5. Evolution of the number of medical residents during the last ten years

6. MEDICAL RESIDENCY – Evolution (1995 to 2005) and new specialities MEDICAL RESIDENCY 19952005 Percentage of the increase General Medicine284871% Cardiology121850% Dermatology08 ------- Endocrinology06 ------- Gastroenterology040650% Hematology060825% Infectious and Parasitic Diseases0615150% Nephrology081250% Nutrology04 ------- Pulmonology040650% Radiology24 ------- Rheumatology04 ------ Allergy and Immunology002new Geriatrics006new Total11416746%

7. THE EVOLUTION OF THE NUMBER OF THE MEDICAL RESIDENTS DURING THE LAST TEN YEARS 1995 TO 2005 NumberofresidentsNumberofresidents Disciplines which increase the number of the residents (1995 vs 2005)

8. Evolution number of residents – 1995 versus 2004 (46% of increase ) NumberofresidentsNumberofresidents year

9. MEDICAL RESIDENCY IN THE DEPARTMENT OF MEDICINE GENERAL MEDICINE 48 POSITIONS SPECIALITIES 117 POSITIONS

10. MEDICAL RESIDENCY General Medicine

11. The first year of the program is designed to provide in-depth clinical training in all aspects of internal medicine, including critically ill patients in the hospital and diagnostic problems in the outpatient clinics. MEDICAL RESIDENCY General Medicine

12. Residency in General Medicine – First year – rotates monthly in each division NutrologyCardiology PulmonologyEndocrinology Emergency – IGastroenterology Emergency – II Hematology Vacation Infectious Diseases RheumatologyNephrology

13. The goal of the second year is to provide training in primary care, critical care, neurology, radiology and psychiatric managements. The goal of the second year is to provide training in primary care, critical care, neurology, radiology and psychiatric managements. MEDICAL RESIDENCY General Medicine

14. Residency in General Medicine – Second year – rotates monthly in each stage Primary careDermatology GeriatricsNeurology Radiology Critical care Emergency – two months Outpatient clinics Vacation Psychiatry General medicine Coronary unit

15. Medical Residency Specialities

16. MEDICAL RESIDENCY Department of Medicine Each Division of the DM maintains a medical residency program in the HCFMRP-USP. Each Division of the DM maintains a medical residency program in the HCFMRP-USP. There are 12 medical specialities: There are 12 medical specialities:

17. Medical Residency programs linked to the Department of Medicine (2005) CardiologyGastroenterology Ecocardiography/ HemodinamicGeriatrics DermatologyHematology/ Hemotherapy Infectious and Parasitic DiseasesNephrology Endocrinology/ MetabologyRheumatology PulmunologyNutrology RadiologyAllergy and Immunology

18. MEDICAL RESIDENCY - Summary 55 certificates of conclusion in the different programs linked to the DM were issued at the end of 2004. 55 certificates of conclusion in the different programs linked to the DM were issued at the end of 2004. The number of medical residents increased in 46% (114 to 167) during the last ten years (1995 versus 2004). The number of medical residents increased in 46% (114 to 167) during the last ten years (1995 versus 2004). Two new medical specialities were created: Geriatrics and Allergy Two new medical specialities were created: Geriatrics and Allergy The residents of the DM represent 32% of the total of the HC-FMRP-USP medical residency program. The residents of the DM represent 32% of the total of the HC-FMRP-USP medical residency program.