Education

The William J. Harrington
SCHOOL OF MEDICINE Medical Training Programs for Latin America
UNIVERSITY OF MIAMI

MISSION STATEMENT

The William J. Harrington Medical training Programs for Latin America at the University of Miami Miller School of Medicine are an extension of the age-old tradition of providing state-of-the-art medical education to students and physicians from Latin American countries: Mexico, Central, South America and the Caribbean. Dr. William Harrington felt a sense of responsibility to develop a program in which highly selected physicians and students from Latin American would come to our institution for training, then return home to influence their medical communities through education and leadership.
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Our program comprises the Residency Program in Internal Medicine, Elective Program for Latin American Physicians and the Medical Student Program.

UNIVERSITY OF MIAMI/ JACKSON MEMORIAL MEDICAL CENTRE

The Jackson Memorial Hospital is a 1948 bed General Hospital jointly operated by Miami-Dade Country and the University of Miami.

The Department of Medicine is responsible for the professional services of 160 general medical beds, an eight bed acute impatient dialysis unit, a thirty five bed transplant floor, an eleven bed coronary unit, and a General Clinical Research Center sponsored by the National Institutes of Health.

The Veterans Administration Hospital has more than 750 beds. Of these, 81 are acute medicine beds, including Medical Intensive care Unit, a Coronary Care Unit and Telemetry. In addition to these units, there is a Dialysis Unit, Hospice Unit and home Bound Care Program.

The University of Miami Hospital and Clinic has 40 medical beds and a private diagnostic clinic. The Sylvester comprehensive Cancer Center is an outpatient facility dedicated to cancer treatment.

More information about the University of Miami/ Jackson Memorial Hospital Medical Center is available at www.umjmh.org/JHS/jackson.html

The Veterans Administration Hospital website is www.va.gov/miami

RESIDENCY PROGRAM IN INTERNAL MEDICINE FOR MEDICAL GRADUATES
Training year June 24 to June 23

The Department of Medicine of the University of Miami Miller School of Medicine at Jackson Memorial Hospital offers internship and residency positions to Latin American medical graduates through our Program. Our residency training for Latin American physicians is part of the Jackson Memorial Hospital Residency Training in Internal Medicine. We offer twelve categorical positions to Latin American physicians who have a commitment to return to their home countries after completing their training in the United States. The Categorical Program is a traditional three-year curriculum. Residents progressively assume more responsibility through training and, upon completion, are fully prepared for practice or subspecialty training.

Training in Internal Medicine is supervised by 253 full-time and many voluntary members of our faculty. All subspecialties are represented by full-time faculty members, subspecialty fellows, and residents. There are 253 interns, residents, and subspecialty fellows, and residents in the Department of Medicine. Faculty and fellows conduct regular ward rounds and conferences, and are available for consultations.

The program utilizes primarily the clinical and research facilities of Jackson Memorial Hospital, the U.S. Veterans Administration Hospital, the University of Miami Hospital and Clinic, and the Sylvester Comprehensive Cancer Center. Additional clinical research facilities are provided on-campus by the Papanicolau Cancer Research Institute, the Rosenstiel Medical Sciences Building, the Kathleen and Stanley Glaser Research Building, the Diabetes Research Institute and off-campus, by the Rosenstiel School of Marine and Atmosphere Sciences of the University. House staff (intern and resident) training thereby offers the assets of a large municipal hospital, a U.S Administration Hospital, private teaching hospitals, and well-designed clinical and basic science research facilities.

INTERNAL MEDICINE TRAINING

Each General Medical team consists of two interns (PGY-1) supervised by a PGY-2 or a PGY-3 resident, a full time attending physician, and two medical students. The team cares for an averaged of 20 patients. The intern provides the primary patient care and is given as much responsibility as he is capable of assuming. In general, the initial diagnostic and therapeutic decisions are made by the intern after discussion with the resident and/or faculty physician. It is the resident’s responsibility to supervise and guide the intern in patient care. He is expected to be thoroughly informed about all of the patients in the team. Also important is the resident’s role in teaching interns and students.

STRAIGHT MEDICAL INTERNSHIP (PGY-1)

There are over forty straight medical internship positions. Each intern has eleven months of primary patient care comprised of several months of General Medicine, one month of Emergency Room Medicine, one month in Intensive Care Medicine, two months of Ambulatory Medicine, one month of Neurology. One month for research to define, plan and begin to work on a scholarly academic project to be completed and presented at the end of the residency, and a weekly outpatient continuity clinic. Three weeks of vacation are allowed.

RESIDENCY (PGY-2 and 3)

The PGY-2 and 3 programs are considered as a unit. During this tw0-year period, the PGY-2 resident has a total of eight months of primary patient care and three months of electives. Primary patient care includes assignments to General Medicine, Intensive Care Unit, Emergency Room and/or Critical Care Unit, and interdepartmental consultations. Electives include all medical subspecialties such as Radiology, Neurology, Dermatology, etc. The PGY-3 resident typically will be the team leader on a ward team for two months and will have five months in total of primary patient care and several months of electives. One month is spent on the Medical consultation Service, Emergency room, and continues rotations in the Medical Intensive Care Unit. One month of vacation is allowed each year.

Salary information may be obtained through the website:
www.um-jmh.org\JHS\jackson.html

ROUNDS AND CONFERENCES

The department conference schedule includes faculty rounds in general medicine and conferences with different subspecialty divisions. Each week there are Grand Rounds (clinical seminars on important current problems related to internal medicine), intern’s report, Resident’s report. CPC/Morbidity and Mortality conference, Intern Lecture Series, Basic Science for the Clinician Series, and Noon Conferences.

SUBSPECIALTY TRAINING

The sub-specialty programs are supervised by full time section chiefs and other full-time faculty. In addition to residents rotating through these programs, each has its own fellows. Each section offers options in clinical and research training with regularly scheduled conferences, journal clubs, ward consultations, clinics and basic investigation.

REQUIREMENTS

1. Have an outstanding medical school record.
2. Speak fluent English. Have passed the test of English as a foreign Language (TOEFL) and request the ECFMG to certify the results. Effective June 2004 applicants taking the new step @ Clinical Skills (Step 2 CS) test are not required to take the TOEFL.
3. Have passed the United States Medical Licensing Examination (USMLE) Steps 1 and 2 and have passed the CSA examination. Effective June 2004, have passed the USMLE Step 1 and the new step 2 CK (Clinical Knowledge) and the Step 2 CS (Clinical Skills)
4. Be enrolled in the Electronic Residency Application Service (ERAS). This service is available to foreign medical graduates through the Educational Commission for Foreign Medical Graduates (ECFMG)
5. Be enrolled in the National Resident Matching Program.
6. A 300 word essay, in English, describing future plans in medicine in the next 10-15 years.
7. Recommendation from a faculty member that is well acquainted with the applicant’s work in home country.
8. Letter of recommendation from the Dean of the applicant’s medical school.
9. Personal interview and recommendation, in writing, by one of our Adjunct Faculty in the applicant’s home country. The Adjunct Faculty list is provided by our Program.
10. Commitment to return home, preferably with a role in medical education.
11. Submission of our Program completed application by December 15. completion of application is recommended by November 15 to aid in scheduling interviews

For Further information regarding the USMLE and ERAS write to:

ECFMG
3624 Market Street
4th Floor Philadelphia,
Pennsylvania, 19104 - 2685
USA
Telephone: 215-386-5900. www.ecfmg.org

For TOEFL Information write to:

TOEFL
Box CN6151, Princenton,
New Jersey 08541 – 6151
USA
Telephone: 609-951-1100. Code number to receive TOEFL results directly 5802
www.toefl.org

To enroll in the National Resident Matching Program write to:
National Resident Matching Program
2501 M Street, N.W.,
Suite 1, Washington D.C.,
USA 20037 – 1307
Telephone: 202-828-0566. www.aamc.org/nrmp

ELECTIVE PROGRAM FOR LATIN AMERICAN PHYSICIANS

This program offers individualized options for advanced educational experience to Latin American physicians. The duration ranges between one and three months. This program is in effect the twelve months of the year. Participants travel on B1/B2 visa.

Participation in various activities can be arranged. These include teaching (curriculum design and methodology); patient care in general medicine, medical subspecialties, other specialties, new procedures, methods, etc. as well as a limited number of complimentary registrations at our Annual Postgraduate Courses in Internal Medicine. Participation in our teaching units include attendance to morning rounds, clinics, case presentations, lectures and seminars. Our faculty and staff evaluate the participants at the end of each rotation to monitor their progress.

For a worthwhile educational experience, the specific program for each individual must be scheduled according to availability of space in the area requested.

Many other Clinical and Basic Science Departments in our Medical Center participate in our program. Inquiries concerning programs of other departments not listed may also be directed to us. They will be forward to the appropriate office.

RESEARCH

For opportunities in research, it is advisable to search through the University of Miami website www.miami.edu for the area of interest. Once the area is identified, our Program will be pleased to assist in the application process for acceptance.

REQUIREMENTS

1. Proof of having passed the English Test as a Foreign Language (TOEFL) with a minimum score of 213 points. For information on TOEFL in your country, write to:

TOEFL
Box CN6151, Princenton,
New Jersey 08541 – 6151
USA
Telephone: 609-951-1100. Code number to receive TOEFL results directly 5802
www.toefl.org

2. Personal interview and recommendation, in writing, by one of our Adjunct Faculty in the applicant’s home country. The Adjunct Faculty list is provided by our Program.

3 Recommendation, in writing, from the immediate supervisor department chief, or the director of the institution at which the applicant is presently training or working.

4. Recommendation in writing from the dean of the applicants medical school

5. Certified copy of medical school diploma.

6. Original medical school transcript

7. Curriculum Vitae, in English, including list of publications

8. A 300 word essay, in English, describing the applicant’s long term plan in the medical profession

9. Submission of a completed application form

Acceptance depends on completion of all requirements and availability of space. Due to our limited space, applications should be received in our office, at least, nine to twelve months in advance. Our office will provide the current application deadlines upon request of the application.

An Administrative fee is charged to all applicants accepted in the Program. Payment may be made from a United states Bank, money order, cashier’s check, or a check from a bank in the applicant’s country in US funds.

RECIPROCITY

It is recognized that there are many opportunities for the Faculty of the University of Miami Miller School of Medicine to learn from their Latin American colleagues. Exchanges have been of great value to the faculty here and have enhanced our knowledge and research productivity. We welcome reciprocity with medical schools in Latin America.

ASSISTANCE

Although we are unable to provide travel, housing or financial aid, our office staff will do everything possible to be of assistance to these and any other matters. Per diem support (e.g for room, meals and laundry) has been provided, at times, by the physician’s academic institution or supporting organization. In some instances, travel expenses have been given by various agencies, such as Partners of the Americas, Fogarty International, the Kellogg Foundation or the governments of the respective countries.

The following Departments participate in our elective and Medical Student Program:

Anesthesiology
Ophthalmology
Dermatology
Orthopedics
Family Medicine
Otolaryngology
Internal Medicine
Pathology
Neurological Surgery
Pediatrics
Neurology
Psychiatry
Neuroradiology
Radiology
Nuclear Medicine
Surgery
Obstetrics & Gynecology
Urology

MEDICAL STUDENTS PROGRAM

We accept medical students into our clinical electives in general medicine, its subspecialties and in other areas of medicine depending on availability of space. Most students come from three to six months and are assigned to our teaching units with our students. Participation in our teaching includes attendance to morning rounds, clinics, case presentations, lectures and seminars. To be accommodated, the students are scheduled so as not to dilute the learning experiences of our own students. For a worthwhile experience, the specific program for each student is scheduled according to the availability of space in the areas requested. Our faculty and staff evaluate the students at the end of each rotation to monitor their progress.

This Program is in effect the twelve months of the year.

Participants travel on a B1/B2 visa.

REQUIREMENTS

1. Proof of having passed the English Test as a Foreign Language (TOEFL) with a minimum score of 213 points. For information on TOEFL in your country, write to:

TOEFL
Box CN6151, Princenton,
New Jersey 08541 – 6151
USA
Telephone: 609-951-1100. Code number to receive TOEFL results directly 5802
www.toefl.org

2. Personal interview and recommendation, in writing, by one of our Adjunct Faculty in the applicant’s home country. The Adjunct Faculty list is provided by our Program.

3. Recommendation, in writing, from the immediate supervisor department chief, or the director of the institution at which the applicant is presently training or working.

4. Recommendation in writing from the Director of Medical Curriculum, Director of Clinical Rotations, or the chairman of the Department of Medicine of the applicant’s medical school.

5. Original medical school transcript from the beginning of the medical career to present date. Applicant must have completed one year of clinical rotations at the home country medical school, by the application deadline, to participate in medical clerkships through our Program.

6. Curriculum Vitae, in English, including list of publications

7. A 300 word essay, in English, describing the applicant’s long term plan in the medical profession

8. Submission of a completed application. Acceptance depends on completion of all requirements and availability of space. Due to our limited space, applications should be received in our office, at least, nine to twelve months in advance. Our office will provide with current application deadlines upon request of the application

An Administrative fee is charged to all applicants accepted in the Program. Payment may be made from a United states Bank, money order, cashier’s check, or a check from a bank in the applicant’s country in US funds.

ASSISTANCE

Although we are unable to provide travel, students housing or financial aid, our Program staff will do everything possible to be of assistance in these and any other matters.

METHOD OF APPLICATION

Send correspondence to:

The William J. Harrington
Medical Training Programs for Latin America
Department of Medicine (R-36)
Miller School of Medicine
University of Miami
P.O. Box 016760, Miami, Florida 33101, USA

Telephone: 305-243-6826-Fax 305-243-6830


Residency Program inquiries:
barbaraberto@miami.edu
linanavarro@miami.edu

Elective Program for Latin American Physicians and

Medical Student Program inquiries:

Ahernandez3@med.miami.edu
linanavarro@miami.edu

Street address
Jackson Medical Towers
1500 N.W.12th Avenue, East Building-Room 800
Miami, Florida 33136
Use our street address for messenger mail


J. Donald Temple, M.D.
Program Director

William J. Harrington Jr., M.D.
Co- Director

O. Lina Navarro
Assistant Director

Barbara Breto
Residency Program Coordinator

Arlene Hernandez
Medical Clerkship Coordinator

Carlos Monge C., M.D.
International Liaison

John G. Clarkson, M.D.
Sr. Vice President
For Medical Affairs and Dean

Laurence B. Gardner, M.D.
Vice Dean School of Medicine
Chairman Department of Medicine

Daniel M. Lichtstein, M.D.
General Director
Internal Medicine Residency Program

and

Director Postgraduate Courses
Department of Medicine