Facilities
Patients from the immediate metropolitan area, from surrounding communities
as well as the geographic region present with a variety of both common and
rare medical conditions requiring the latest in medical care. The Medical
Center serves not only Lexington, but the area extending from central
Kentucky in the west to West Virginia in the east, from the Ohio river in
the north to northeastern Tennessee in the South. For many of these patients
our internal medicine residents provide both primary as well as tertiary
care.
The clinical facilities at the University of Kentucky represent, modern,
attractive, state-of-the-art units all contiguously located on the
University campus. Those components include:
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The UK Hospital is a 472-bed facility with state-of-the art Intensive and Coronary Care Units. Last year, 4105 patients were admitted to the general medicine services. There are inpatient services for all the surgical subspecialties, for Pediatrics, and for Obstetrics and Gynecology in addition to those for Internal Medicine. In the modern, spacious and attractive Trauma and Emergency Center, 3,700 patients are seen monthly. The hospital is the site of a new Magnetic Resonance Imaging Facility, capable of the latest in structural and spectroscopic MRI analysis. A Gamma Knife Facility affords neurosurgery patients access to the newest techniques for intracranial disease. There are separate intensive care units for Pediatrics, Neonatalogy, Cardiothoracic Surgery, Trauma and Emergency Medicine, Neurosurgery and General Surgery. An NIH-funded Clinical Research Center facilitates the inpatient clinical research programs of College faculty. Kidney, lung, heart, and liver transplant procedures are performed in the University Hospital. There are plans for a new hospital and the first phase will open July 2010. More information is available at www.ukhealthcare.uky.edu.
Construction has begun on a new state-of-the-art hospital and the first phase will open July 2010. More information is available at www.ukhealthcare.uky.edu.
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The VA Medical Center
and the UK Medical Center are connected and function effectively as a single hospital from the perspective of both faculty and residents. The VAMC is a 107-bed facility in which 3,753 Internal Medicine patients are hospitalized yearly. The facility includes a modern Intensive Care Unit and Coronary Care Unit and a 14-bed Telemetry Care Unit, in addition to 5 optional telemetry beds on the general Internal Medicine service. Besides full clinical laboratory and radiology services, the VAMC has its own nuclear medicine, computerized tomography (CT), and MRI services. The two hospitals,
UKMC and VAMC, are connected which permits VAMC inpatients easy access to a variety of services at UK. Residents in Internal Medicine see patients in both subspecialty and continuity clinics at the VAMC.
UK HealthCare Good Samaritan Hospital
UK HealthCare Good Samaritan Hospital (GSH) located less than a mile from UK Chandler Hospital, is a 302-bed acute care facility. Adding rotations at Good Samaritan hospital has allowed our residents a broader experience in inpatient medicine. By providing a opportunity to work in a hospitalist model in a medium-sized community hospital, residents can see what medicine is like outside of the academic medical center. This rotation has been hugely popular with the housestaff.
Founded in 1888, the hospital has a long tradition of providing exceptional patient care in a community-hospital atmosphere. Its acquisition in July 2007 by UK HealthCare added these resources to UK HealthCare. UK GSH is home to the second-largest orthopaedic and joint replacement program in Kentucky, a state-of-the-art diagnostic center for CT, MRI and X-ray, and specialty services including orthopaedics, urology, vascular surgery, plastics surgery, general surgery, ENT, podiatry, gynecology, thoracic surgery and neurosurgery. In addition, UK GSH has a large internal medicine service, both teaching and non-teaching, which provides general inpatient medical care and consultative services to these specialties. The Center for Behavioral Health provides inpatient psychiatric care for children, adolescents and adults, offering admissions and services 24 hours a day, seven days a week.
Other services offered at UK GSH include the Wound Care Clinic, Emergency Services, the Sleep Center, which assists in the accurate diagnoses and successful treatment of sleep disorders such as apnea, periodic limb movement, night terrors and narcolepsy, as well as comprehensive Rehabilitation Services, including physical therapy, occupational therapy and speech-language pathologists; aquatic therapy and other outpatient services are also available. Finally, UK GSH houses Select Specialty Hospital, a Long-Term Acute Care Hospital (LTAC).
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The Gill Heart Institute is made up of a state-of-the-art cardiac care facility as well as world renowned clinicians and researchers. David J. Moliterno, MD, an interventional cardiologist, is Chief of the Division of Cardiology as well as Vice-Chair of the Department of Medicine and Co-Director of the Gill Heart Institute. Dr. Moliterno has assembled a team of physicians that are leaders in the field of cardiovascular medicine, thereby, thrusting the Gill Heart Institute into the national spotlight. The Gill building houses outpatient cardiac clinics, non-invasive echocardiography suites, a heart station, cardiac catheterization suites for inpatient and outpatient treatment, electrophysiology laboratories, a procedural recovery area as well as space currently being designed as an advanced cardiovascular imaging center.
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The Markey Cancer Center (MCC) opened in 1986. Approximately 2,100 patients annually are admitted with medical and surgical oncological problems. In addition, bone marrow transplant patients are managed on a special unit within the Center. Dr. Kevin McDonagh was recently recruited as Division Chief, along with two other new key senior faculty - Dr. Robert Means and Dr. John Reinhart - to lead the expanded research and clinical programs in the Division of Hematology and Oncology and the Markey Cancer Center.
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Also connected to the University Hospital, the Kentucky Clinic is where outpatient primary care as well as subspecialty consultative services are provided to our patients. Annually, over 20,000 visits occur in General Internal Medicine or subspecialty clinics at the Kentucky Clinic. The total number of clinic visits for all specialties is over 280,000. In this setting, residents see patients in their continuity clinics as well as in subspecialties during their elective rotations.
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St. Claire Medical Center and the Morehead Clinic
Sixty-five miles due east of Lexington on Interstate 64 lies Morehead, Kentucky, a town of 8,300 serving the medical needs of a large area of eastern Kentucky and the home of Morehead State University. The St. Claire Medical Center is a modern, attractive 159-bed acute care hospital, adjacent to which is the Morehead Clinic, a group practice of 8 internists. In their first year, residents spend a month working with the Internists at the Morehead Clinic caring for hospitalized patients. In the second year, each primary care track resident spends one month working in the outpatient setting with the Internists at the Morehead Clinic. During the Morehead rotation residents have the opportunity to experience primary care Internal Medicine as it is practiced in a rural community. Residents also have the opportunity to hone their endoscopic skills working with Dr. Ewell Scott of the Morehead Clinic in addition to performing treadmill exercise tests at the St. Claire Medical Center. While rotating at Morehead, residents and their families may live in Morehead in housing provided by St. Claire or commute from Lexington if they wish.
Additional Offsite Rotations
Residents in the Primary Care Residency Track may also elect in their second
or third years to rotate with Dr. Ed Roberts at the Mary Chiles Medical
Center in Mt. Sterling, Kentucky, 20 miles from Lexington. Additional
elective rotations are available with Drs. George Schlomer and Patrick
Kelleher in Berea, Kentucky, located 40 miles south of Lexington on I-75;
and Dr. Nancy Morris in London, Kentucky, about 65 miles south on I-75. All
theses physicians are outstanding Internists and teachers, and rotations
with them are highly rated by our residents.
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