Regions Hospital

Regions Hospital has an illustrious history dating back almost 150 years. It was originally the public St. Paul-Ramsey County Hospital and later became Regions Hospital, a private, non-profit hospital which still serves as the county hospital for the city of St. Paul and surrounding communities. It is a Level I adult and pediatric trauma center and has a renowned Burn Center. These attributes allow residents to care for insured and uninsured patients with both common and rare diseases, providing a wealth of educational opportunities and experiences.

Regions Hospital greatly values medical trainees and invests much time, effort and resources to provide an atmosphere that fosters learning. Our attending physicians are excellent clinicians and serve as role models and mentors with many long-standing relationships developing over the course of training.

Regions Hospital has a thriving hospitalist program and has won the most National Society of Hospital Medicine awards in the nation. The ward teams are staffed by this group of experienced hospitalists and Regions serves as the main site for the residency program’s Hospitalist Pathway. Many staff physicians remain involved in basic science, clinical research, and quality improvement projects which benefit both residents and patients. There is also a full complement of Medicine subspecialty services through which residents rotate, such as pulmonary and critical care, cardiology, nephrology, infectious disease, hematology/oncology, gastroenterology and palliative care. There is 24-hour access to all surgical subspecialties and Interventional Radiology.

We hope you will consider the University of Minnesota Internal Medicine Program. Regions Hospital is proud to be a part of the training of new physicians. Our staff has an abundance of experience and knowledge, not to mention enthusiasm, to share with our Internal Medicine Residents.

Patient Population

Regions Hospital serves a culturally and economically diverse patient population with a wide variety of medical and surgical problems. These patients include immigrant and refugee groups from Burma, Somalia, West Africa, Cambodia, Vietnam, South and Central America, and Eastern Europe among others.

Cases seen in the recent past include everything from community-acquired pneumonia to miliary tuberculosis; brain tumors to neurocysticercosis; acute hepatic failure from acetaminophen overdose to liver abscesses from amebiasis. With the burn unit and Level I trauma center we also see complex soft tissue, skin, and joint infections. Here at Regions residents will see both rare tropical diseases and common complications of chronic illness such as diabetes, obesity, and heart disease. 

Ward Structure

We have four general medicine ward teams and one general medicine night float team as well as two critical care teams. The four ward teams are divided into three traditional teams consisting of one senior resident and one intern while the fourth team consists of two senior residents. All of our ward teams have 1-2 medical students and the occasional off-service intern from neurology, psychiatry, or podiatry. The three traditional teams admit on a three-day cycle, with a team cap of 14 patients. The fourth team (two senior residents) takes new admissions daily, with a team cap of 15 patients. The night float rotation is split between two weeks of night float and two weeks of daytime ward team. These teams are staffed by hospitalists and general internal medicine attendings. 

There are two critical care teams. One critical care team consists of a medicine resident and intern as well as 1-2 medical students while the other team consists of an emergency department resident and intern as well as medical students. They take new admissions every other day. The ICU night float is a medicine resident in their second or third year. The night float rotation is split between two weeks of ICU night float and two weeks of ICU critical care day team. Attendings for both teams are pulmonary and critical care specialists. An intensivist is available in house during the day as well as in the evenings. A critical care fellow rounds with both teams. The ICU rotation provides excellent, hands-on experiences with adequate procedural exposure. It is one of the highest rated rotations in our program. 

Simulation Center

Regions Hospital is also home to a busy Simulation Center. Dedicated staff and teaching space allows students, residents, fellows, nursing staff, and faculty the opportunity to fine-tune their procedural skills and leadership roles. Hi-Fidelity Simulation Mannequins provide realistic and accurate recreations of code situations - both medical and surgical (adult and pediatric). Mock codes are run for residents twice a month. Procedural models are available for further training on endoscopy, bronchoscopy, arterial and central line placement, intubation, lumbar punctures, and various other common inpatient procedures.

Chief Residents