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By offering several training tracks, our broad and flexible curriculum helps our residents pursue their professional and personal goals.


This three year track provides residents with the skills necessary to pursue a private or academic career or general internal medicine or in subspecialty. The categorical track provides a core inpatient and critical care rotation along with ample opportunities for elective and ambulatory blocks so a resident can tailor his or her curriculum. Our ambulatory rotations provide experience in office orthopedics and sports medicine, otolaryngology, podiatry, pain medicine, dermatology, adolescent health, allergy, office gynecology, and care of the underserved at the Bradley Free Clinic. There are opportunities to become expert in all the core internal medicine inpatient and ambulatory procedures. All residents have a faculty mentor who works closely with him or her throughout their residency. Interest in Primary Care setting funded elective block in rural southwest Virginia in private practice.


This one-year track provides the training required before entrance to an advanced residency program, such as anesthesiology, dermatology, neurology, ophthalmology, physical medicine, or radiology.

The curriculum is a modification of the first year of the categorical track. There is generally one less inpatient medicine block, one additional elective block, and there is no continuity clinic. All preliminary medicine residents also have a faculty mentor.


Our program is fully accredited by both the American Osteopathic Association (AOA) and the Accreditation Council for Graduate Medical Education (ACGME).

The osteopathic track is accredited for a total of 18 osteopathic residents and we intend to match from 4 to 6 osteopathic graduates each year. Although it is preferred that osteopathic students enter the program through the "Osteopathic Match" (the National Matching Service), osteopathic students may also enter the program through the "MD Match" (National Resident Matching Program - NRMP). All osteopathic residents, regardless of how they enter the program, are registered with both the AOA and ACGME and must complete the combined curriculum.

The osteopathic track is fully integrated into the ACGME categorical internal medicine residency. Graduates of this track are eligible to sit for both the American Osteopathic Board of Internal Medicine and American Board of Internal Medicine certifying exams. Graduates will have completed an accredited osteopathic internship program, as well. Osteopathic residents interested in pursuing fellowship training will have the unique opportunity of being recognized as an approved candidate for both AOA and ACGME programs.

Our vision is to be one of the premier osteopathic internal medicine residencies in the country. The program director of the osteopathic internal medicine residency program, Richard Butler, D.O., F.A.C.O.I., has extensive experience in osteopathic graduate medical education. Our faculty is committed to ensuring that each osteopathic resident receives the highest quality training, emphasizing the development of an osteopathic approach to care that recognizes the importance of patient-centered care, the body's innate ability to heal itself, and the appropriate use of osteopathic manipulative treatment (OMT).