81st Medical Group

The 81st Medical Group operates one of the largest Air Force medical facilities in the Air Force. Its primary mission is to maintain medical readiness for worldwide contingencies by providing quality, cost-effective health care for more than 27,000 enrollees, including almost 7,500 active-duty members. In addition, the 81st MDG commander oversees the Gulf Coast Multi-Service Market, which includes five military medical treatment facilities from Mobile, Ala., to New Orleans, coordinating care for 80,000 eligible beneficiaries along the Gulf Coast.

For more information about the 81st MDG click here.

Residents And Staff

Internal Medicine

Program Director:  Lt. Col. Wayne Latack, Nephrology

Chief Resident:  Capt. Taylor Atchley 

 

Associate Program Directors:  Lt. Col. Maj. Diane Homeyer, Capt. Joshua Coker

 

Core Faculty: 12

Total Faculty: 35

 

About Graduate Medical Education

Keesler Air Force Base is home to Keesler Medical Center, a busy 60 bed hospital that cares for active duty service members and their families, retired service members and VA patients. The medicine residency is a three year program that provides training in inpatient medicine, ambulatory medicine and preventative care. Upon graduation, Keesler residents are board eligible internal medicine physicians and many go on to subspecialties to include pulmonary critical care, cardiology, nephrology and hematology/oncology.

Leadership

Designated Institutional Official:                                                  Internal Medicine Program Director:

Col. Rita Duboyce, MC                                                                    Lt. Col. Wayne Latack, MC, FACP, FACN
 rita.duboyce@us.af.mil                                                                   wayne.latack@us.af.mil
 228-376-3829                                                                                  228-376-5537

Internal Medicine Coordinator:

Marie Routhier
marie.routhier@us.af.mil
228-376-3728

FAQs

For more information and the latest updates, follow the official Keesler Internal Medicine Residency Program

How big is Keesler Medical Center?

  • The hospital has approximately 60 beds, 10 ICU beds and 50 medical/surgical beds.

Why should I come to Keesler?

  • Keesler is an unopposed residency program meaning that there are no fellowships or other residency programs (except for surgery) that will detract from your learning opportunities/procedures. 

  • Most of the intern class is signed off on procedures to include thoracentesis, paracentesis, arterial lines, and central venous catheter placement by the end of their first year.

  • Keesler is a smaller program so you won’t be “just another resident”.  As there are no fellowships at Keesler, you have direct access to subspecialists who are current in their respective fields. Most attendings have an “open door policy” and are willing to answer questions as they arise.

  • The program has excellent didactics to include morning report (a lecture by the chief resident highlighting interesting cases) and noon conference. Noon conference occurs most weekdays and is led by either a subspecialist or a staff internist. Topics include high yield information that every resident needs to know as well as topics specific to each subspecialty.

  • Many of Keesler’s residents have gone into fellowships to include Hematology/oncology, Pulmonary Critical Care, Nephrology, Allergy,  Cardiology, and Genetics.

Where will I stay during an ADT?

  • The Air Force will provide lodging at the Tyre House (base hotel) during your month at Keesler. Lodging cost is reimbursed. The hotel is located one block from the hospital and is an easy walk.

  • Go to:  af.dodlodging.net/propertys/Keesler-AFB for more details.

Will I be provided transportation during my ADT?

  • Yes if you are HPSP. HPSP students are provided a rental car for the month and is reimbursed by the AF upon completion of the month.

  • USUHS students are not always provided a rental car and it is up to the clinical coordinator/school to decide as to whether or not one will be provided.  

What services are available at KMC?

  • Keesler has all of the medicine subspecialties to include; cardiology, GI, endocrinology, infectious disease, pulmonary/CC, rheumatology, nephrology, genetics, immunology/allergy as well as neurology, urology, general surgery, orthopedic surgery, vascular surgery, oral surgery, radiology, interventional radiology and ophthalmology.
  • The only services that are not available are cardiothoracic surgery and Neurosurgery but several hospitals in the immediate vicinity have these capabilities. 

     

    What procedures will I learn as a resident?

  • Upon completion of residency, residents are expected to be able to intubate in a code situation, place an arterial line and central venous catheters. Perform thoracentesis and paracentesis. Additionally will be able to perform pelvic exams, urine microscopy, know the basic of blood smears, ABG analysis, and be able to interpret EKGs.

     

    How often will I travel during residency?

  • During PGY-1, resident will go to University of Mississippi Medical Center at Jackson MS for an ICU rotation and a cardiology rotation. Lodging is provided

  • PGY-2 residents will go to Gulfport MS for an ER rotation (approximately 10 miles from Biloxi) and Jackson MS for an ICU and Hematology/oncology rotation.

  • PGY-3 residents will go to Jackson MS for an ICU rotation and will have the opportunity to go to Landstuhl Regional Medical Center, Germany, for a wards rotation.

  • Additionally 3rd year residents will have the opportunity to set up elective rotations at SAMMC or other locations at their discretion and approval by the program director.

     

    How many hours will I be expected to work?

  • ACGME restricts interns to working 80 hours or less in a given week and Keesler enforces a strict adherence to this policy. (see link for ACGME guidelines) During wards months a typical intern will work between 60-80hrs on average.

How much vacation will I get as a resident?

  • Interns are allowed two weeks of vacation to be taken during elective months

  • PGY-2s are given one month of leave

  • PGY-3s are given one month of leave

  • Weekends and holidays are not included unless the resident is leaving town

     

    Do you rotate at any other locations other than Keesler?

  • Yes, see the link “rotations/schedule”

     

    Where is there to eat at Keesler?

  • KMC has a cafeteria open from 0600-8000 on weekdays and up Fridays. Subway is open every weekday from 0700-1500. There is also a coffee shop on the ground-level floor that serves fresh coffee, muffins and other snack foods.

     

    Will I have my own office or be expected to share work space?

  • Residents are provided their own desk and computer. A new residency collaboration area has been built which features a kitchen, break area/lounge, personal lockers, showers and each desk is equipped with personal storage space and shelving.

    Are there call rooms available?

  • Yes, two call rooms are available for night medicine. Clean bedding is provided daily and there are showers available in the call rooms.

ACGME Rules And guidance

  • Work caps

    • Interns will be responsible for the continuing care of up to 10 patients (not counting cross-cover), but no more

    • Interns can be assigned/admit up to 5 patients per call day, but no more

    • Interns can be assigned up to 8 new patients in 48 hours

       

    • Supervising residents will be responsible for the continuing care of up to 14 patients

    • Residents will not admit more than 10 patients per call day

      • An additional 4 transfers may be accepted

      • Consults are not capped, but notify CMR for numerous consults

    • Supervising Residents can be assigned up to 16 new patients in 48 hours

      • As long as they don’t exceed the continuing care of 14 patients at any one time

         

  • Work hours

    • Both interns and residents will have 4 days off averaged over 4 weeks

      • Weekends should preferentially be used, especially for interns

    • Both interns and residents will work no more than 80 hours per week

      • Averaged over 4 weeks

    • Interns MUST (without exception);

      • MUST have 8 hours off after their call day, and preferably will have 10 hours off

      • On non-call days, 10 hours should be encouraged

    • Residents (PGY2 and 3) may work up to 24 hours

      • An additional 4 hours may be used for the care of a single patient

      • No specific time off is required

        • But, 8 hours after a normal day or 14 after a 24-hour call is encouraged

    • Resident’s will not take in house call more than every 3rd day

    • There is no “Home-Call” for residents

       

  • Questions will be directed to the Attending of Record, Chief Medical Resident, Program Director, and Associate Program Directors as available, and in real-time

IM Residency Goals & objectives for promotion by trainee skill level