How to apply
Welcome from our Program Director
Dear Medical Student,
Thank you for exploring our internal medicine program at LewisGale Hospital Montgomery located in beautiful Blacksburg, Virginia! Our program is well-established and has been training residents since 2008.Read the full letter
The LewisGale Hospital Montgomery 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.
The Internal Medicine Program was founded in 2008 as an American Osteopathic Association program, then we converted to ACGME in 2017. Our program accepts up to seven residents per year.
Our program boasts a solid faculty team. Many of our core faculty members graduated from our program and have been teaching our residents for several years. Our core faculty is dedicated to teaching, mentoring, and encouraging residents to become the best possible physicians they can be.
Each resident is assigned a faculty mentor upon entering the program. Mentors provide one on one support to their residents and serve as a guide throughout their residency.
Our residents have gone on to many fellowships including nephrology, cardiology, interventional cardiology, endocrinology, pulmonology/critical care, geriatrics, palliative care, neuromuscular medicine, and sports medicine.
All of our programs come together annually for a formal resident wellness retreat. This retreat is held off-campus and allows for team building and socialization between all residents. Beyond this GME sponsored event, residents gather together informally on a regular basis and celebrate together as often as possible!
Get to Know the Team
William S. Cox, DO Program Director
Located in the Blue Ridge Mountains of Appalachia in Southwest Virginia, our program boasts an amazing area to train in. Hiking, camping, tubing, and other outdoor activities in the mountains offer amazing views and hours of entertainment.
If the great outdoors isn't for you, then Blacksburg offers all of the things you'd expect from a college town! Festivals, live music, breweries, delicious restaurants all have the same beautiful mountain backdrop. If bigger city life is more your style, Roanoke, Virginia is about 45-min away.
HCA Healthcare is the leading GME provider in the nation, and we are proud to be a part of HCA Healthcare’s Graduate Medical Education initiative as a legacy program. Being part of HCA Healthcare allows access to great career opportunities after graduation within HCA’s national network.
Residents also rotate at the Salem VA Medical Center (about 40 minutes away). This allows exposure to different patient populations and clinical experiences.
Our program has formed a consortium with Edward Via College of Osteopathic Medicine Virginia Campus. Together we educate medical students and residents for the demands of being a physician.
Curriculum & Rotation Schedule
Our expertly crafted programs are designed to provide resident physicians with all the experiences and training necessary for professional success.
Daily Reports are held three times a week, Tuesday through Thursday, from 12:15pm – 1:00pm.
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 noon – 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.
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 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 are conducted 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.
Salary & Benefits Information
Frequently Asked Questions about our Internal Medicine Program
Yes, we have initial accreditation. Our ACGME program number is 1405100900.
No, unfortunately, our program does not accept visa applicants
Yes, we do.
No, we do not. Nights are covered by the block night teams with the exception of Saturday nights. These night calls are covered by a random call schedule.
Yes, our program offers simulation through our local VA hospital partner. Residents attend trainings during their continuity clinic week. A large portion of this training is focused on POCUS currently, and we intend for our residents to be POCUS certified.
Our program is part of HCA, which houses the largest amount of patient information available. As a resident, you would have access to this data for research purposes. Furthermore, you will be able to pull from the robust local resources as well, including our division research director, Dr. Brady DeHart. Our VA affiliate also offers faculty and resources to our research efforts. Combined, this makes research options almost limitless.
Residents receive $975 per academic year to pay for on-call meals.
Our graduates have gained employment across the country. A few of the many places include:
- New York City
- Santa Barbara, CA
- Oakland, CA
- Ketchican, AK
- Salem, VA
- Richmond, VA
- Lynchburg, VA
- New Mexico
- Las Vegas
Likewise, our residents have entered fellowships all over the nation:
- Endocrinology - University of Tennessee
- Cardiology - Medical City Fort Worth, TX; Heart & Vascular Institute, Mason City, IA
- Interventional Cardiology - Riverside Medical Center, Kankakee, IL
- Geriatrics - NY Presbyterian Hospital Weill Cornell and Medical College of Wisconsin
- Nephrology - University of Virginia
- Palliative Care - Ohio Health Riverside Methodist Hospital
- Pulmonology/Critical Care - Corpus Christi Medical Center, University of North Texas
- Sports Medicine - Michigan
- Neuromuscular Medicine - VCOM-Virginia