Interactive Program Information

Interactive Program Booklet

Program PDF

Contact Us

For more information about our program, please contact Zachary Martin at (540) 444-4817.

Email our Program Coordinator

How to Apply

  • ERAS: 1405100436
  • NRMP: 2129140C0

Find out when to Apply

Mission Statement

The LewisGale Medical Center Internal Medicine Residency Program’s mission is to develop the next generation of physicians and physician leaders. As a part of HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life.

This program is designed to offer residents a rewarding, educational environment where residents are provided individualized learning opportunities by faculty and staff who support and sustain one another throughout quality care delivery. Our faculty are committed to ensuring the residents' clinical experience and educational needs are fulfilled while expanding residents’ perspectives to be inclusive of cultures, values, and ideals.

Welcome from our Program Director

Thank you for exploring our internal medicine program at LewisGale Hospital Montgomery located in beautiful Blacksburg, Virginia!

Program Overview

The Internal Medicine Residency program at LewisGale Medical Center accepted its first residents in 2017 and graduated its first class of 17 residents in June 2020. In the 2021 cycle, we will be recruiting 20 residents for categorical training.

What sets this program apart is the collegiality, approachability and work ethic.

Our physicians are warm, respectful, caring, and skillful with a focused interest in teaching. For those seeking a personalized educational experience and a program that is adaptive to specific needs, the GME program provides the necessary guidance by offering one-on-one mentoring, flexible elective schedules and ambulatory care.

The goal is to provide the necessary resources and the educational experiences to produce doctors who are competent and comfortable practicing medicine in their chosen field whether as a subspecialty physician, a hospitalist or ambulatory primary care physician upon graduation.

We place an emphasis on providing exemplary opportunities that will translate to achieving superb board scores and high-level placement in fellowships and to ultimately become a well-balanced, effective and fulfilled physician.

Conference Schedule

Daily Report

Daily Reports are held three times a week, Tuesday through Thursday, from 12:15 p.m. – 1 p.m.

The discussion which follows will address important aspects of the history and physical examination, formulation of a complete differential diagnosis, and management of the disease process for an individual patient.

In order to effectively discuss each case, the presenter should prepare to answer pertinent questions concerning the patient's workup, including lab values and test results.

Any available radiology studies, EKGs, or slides should be brought to the presentation when possible. The presenter should have detailed knowledge about the patient's diagnosis and management.

This is not intended to be a morbidity and mortality conference; however, the residents should prepare to defend their decisions and reasoning. Attendance at morning report is required for all residents on site.

Internal Medicine Lecture Series

Blocked didactics are held Friday afternoons from 12:30-4:30pm.

The internal medicine lecture series is a mandatory conference for all residents who are present and on-site.

Lecturers are a combination of faculty members, subject experts, and peer residents who present topics from a scheduled curriculum designed to provide each resident with a broad knowledge base of internal medicine.

In addition, the lecture series covers topics in preventive medicine, pain management, end-of-life care, and substance abuse. The conferences are directed at providing information pertinent to the American Board of Internal Medicine certification examination.

Grand Rounds

As part of Friday didactics, the Salem VA Medical Center hosts internal medicine grand rounds from 12:30-1:30pm on Friday afternoons.

The purpose of these lectures is to further provide specialist lectures to the residents. The lectures are presented at the VA and are transmitted to the GME Classroom at LGHM for those on services in Blacksburg.

Morbidity and Mortality

Morbidity and Mortality is held monthly as part of the regularly scheduled Internal Medicine Lecture Series. Residents present cases with unexpected or unusual outcomes with the intent to avoid future adverse outcomes and improve the quality of patient care.

Journal Club

Journal Club is held every month as part of the regularly scheduled IM Lecture Series. This is an established academic exercise in the residency training curriculum to obtain critical appraisal skills, update knowledge on current literature and enhance proficiency in clinical practice.

Board Review Sessions

HCA hosts monthly Internal Medicine Board Review sessions in conjunction with the New England Journal of Medicine Knowledge+ learning tool. These sessions are required for our residents to attend.

Third years are provided the Virtual ACP Board Review materials.

Additionally, as time allows, resident-led Board Review Sessions during the IM Lecture Series and as part of Daily Reports.

Yale Outpatient Medicine Curriculum

This review occurs at the Internal Medicine Continuity Clinic under the supervision of the clinic faculty members. Yale curriculum is covered prior to each clinic session during the resident's assigned clinic weeks.

It is a resident-led review that follows a weekly schedule and includes discussions of cases and review of assigned literature, which will be distributed in the GME mailroom.

The cited literature is linked in the Yale cases. Occasionally unscheduled weeks will occur within the curriculum, during which additional activities will be scheduled.

Get to Know the Team

William S. Cox, DO,
Program Director

Program Details

The program attracts a diverse group of faculty from all over the country. It mirrors the local population, which is a mix of lifelong residents and people spanning the globe that have chosen to make southwest Virginia their home.

The faculty's unwavering commitment to our patients ranks us as one of the top hospitals in Virginia and the nation for quality of care including patient safety, patient satisfaction and health outcomes.

Our growing integrated network of care includes four hospitals, six outpatient centers, two cancer centers and 700 physicians at more than 160 affiliated locations stretching from Alleghany Highlands and Rockbridge County to the Roanoke and New River Valleys.

LewisGale Medical Center is located in Roanoke-Salem Virginia in the heart of the Blue Ridge Mountains. For more than 100 years the LewisGale name has been synonymous with high-quality, compassionate healthcare.

A young and growing region, Roanoke-Salem has a great deal to offer prospective residents: affordable housing, great opportunities for families with children and nationally-recognized schools, plenty of extracurricular activities. Residents at LGMC enjoy Smith Mountain Lake and the New River for fishing, kayaking and boating and the mountains and woods for miles of hiking and biking trails throughout the region.

For beachgoers, the Atlantic Ocean is about a five hour drive east and the Chesapeake Bay area can be reached in four. Virginia Tech, University of Virginia, and Liberty University offer intercollegiate sports at the Division I level in all sports and Radford University competes in Division I in basketball.

For stock car enthusiasts, Bristol, Martinsville, and Richmond are within easy driving distance. The state also has a growing brewing, winemaking and cidery industry scattered throughout the Blue Ridge and Virginia Highlands.

Curriculum & Rotation Schedule

Our expertly crafted programs are designed to provide resident physicians with all the experiences and training necessary for professional success.

Salary & Benefits Information


Year Salary
PGY1 $54,267
PGY2 $55,869
PGY3 $57,637

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