Department of Hospital Medicine
About
Program Overview
We provide the majority of adult medical care at each hospital. At CRMH, the average daily census is approximately 260. In general, we have 14 rounders, one admitter and three consult services (inpatient, rehab and psychiatry) with advanced practitioner support. There are three nocturnists each evening on staggered shifts, with night cross-coverage by three advanced practitioners. Carilion New River Valley Medical Center has five rounders, one swing, one nocturnist and advanced practitioner support. Carilion hospitals in Franklin, Rockbridge and Giles counties have 25 beds each.
All physicians and advanced practitioners are Carilion employees. We sponsor a 1-year advanced practitioner fellowship in Hospital Medicine, and many graduates join our practice. Faculty appointments are with the Virginia Tech Carilion School of Medicine, a college of Virginia Tech. Opportunities for teaching exist, but are not required. The Carilion Clinic - Virginia Tech Carilion Internal Medicine Residency has 69 residents and a 96 percent ABIM exam pass rate. Many Hospitalists in our section are graduates of our own Internal Medicine and Family Medicine residencies.
Virginia Tech Carilion Partnership
The Virginia Tech Carilion School of Medicine is across the street from Carilion Roanoke Memorial Hospital and has 49 students per year. Faculty appointments are available, along with opportunities to serve on VTC and Carilion Clinic committees, teach residents and students and provide precepting opportunities and mentorship. Additionally, nearby Radford University Carilion offers more than 25 associate, bachelor, master and doctoral degrees in physical therapy, occupational therapy, respiratory therapy, nursing, physician assistant, nurse practitioner, public health, health sciences and health care administration.
Mission, Goals and Strengths
The section of Hospital Medicine is focused on quality, safe, high-value inpatient care of adults at five sites in the Carilion system. We reflect the mission and vision of Carilion Clinic.
Our Mission: Improve the health of the communities we serve.
Our Vision: We are committed to a common purpose of better patient care, better health and lower cost.
Our Goals: Our goals are to provide the best care possible; be paragons of interprofessional care; demonstrate excellent communication with patients and families; and be experts and leaders in all aspects of hospital service, operations, hospital quality and committee leadership.
Message from Leadership
Department specs
The section chief is located at Carilion Roanoke Memorial Hospital (CRMH). Each of the five Carilion Hospital Medicine sites has a Medical Director and CRMH also has 2 Associate Medical Directors: 1 on A week and 1 on B week. There is outstanding administrative support, with a Senior Director, Practice Manager, Nurse Liaison, and additional support at each site. Staffing matrices are well-established. Opportunities for additional shifts are available to those who so desire.
Volume of Procedures
- Physicians can be credentialed in the usual bedside procedures, but these are not required.
- There is excellent support from Interventional Radiology, the Internal Medicine and Emergency Medicine Residencies and other specialty and subspecialty services.
Quality Measures
- Sepsis care and mortality
- Stroke care and mortality
- Catheter-associated urinary tract infection (CAUTI)
- C. difficile infections
- 7-day hospital followup appointments for patients at moderate to high risk for readmission
- Discharge order times
- Length of stay (LOS)
- Code 44 rates
Services
- Level 1 Trauma Center
- Primary Stroke Center
- Transcatheter aortic valve implantation (TAVI)
- Ventricular assist device (VAD) placement
- Endoscopic peroral surgeries
- Cerebral endovascular thrombectomy
Areas We Serve
- Carilion Roanoke Memorial Hospital (Roanoke)
- Carilion New River Valley Medical Center (Christiansburg)
- Carilion Franklin Memorial Hospital (Rocky Mount)
- Carilion Rockbridge Community Hospital (Stonewall Jackson - Lexington)
- Carilion Giles Community Hospital (Pearisburg)
Contact and Careers
Careers
If you are interested in joining our team, please contact: Karyn Farrell, Physician Recruiter Hospital Medicine KBFarrell@carilionclinic.org 540-400-4081
Publications
Faculty
Education
Overview
The Internal Medicine Residency resides primarily within the section of General Internal Medicine. The section of Hospital Medicine hosts the required inpatient consultation rotation and Hospital Medicine electives, which are highly rated by residents from both the Internal Medicine and Family Medicine residencies.
The Carilion Clinic - Virginia Tech Carilion Internal Medicine Residency has 69 residents and a 96 opercent ABIM exam pass rate. Many Hospitalists in our section are graduates of our own Internal Medicine and Family Medicine residencies, dating back almost 20 years! The Internal Medicine residency is administered by the section of General Internal Medicine.
We sponsor a fellowship in Hospital Medicine for physician assistants and nurse practitioners with a formal didactic curriculum and rotations. Additionally, we host students from various Radford University Carilion (formerly Jefferson College of Health Sciences) health care programs.
For more information on our residency and fellowship programs, visit our Graduate Medical Education website.
The Virginia Tech Carilion medical students do their required Internal Medicine clerkship on the residency teaching teams. CNRV always hosts IM clerkship students from the Edward Via College of Osteopathic Medicine in Blacksburg, Virginia. Prior to COVID-19, Hospital Medicine at CRMH intermittently hosted IM clerkship students from VCOM and Liberty University College of Osteopathic Medicine in Lynchburg.
CME Information
Dr. Weaver coordinates our monthly Hospital Medicine CME conferences.
There are too many other CME opportunities to mention; they are offered by Carilion's CME Department, the Office of Continuing Professional Development and the Teaching Excellence Academy for Collaborative Healthcare.
Grand Rounds
Medical Grand Rounds are Friday mornings at 7:30 a.m. in the 6th floor Medical Center Auditorium at CRMH and are currently offered virtually due to the pandemic. To be included on the weekly distribution/appointment list, please contact LKHawks@carilionclinic.org.
