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Overview

The Marshall Community Health Consortium Rural Internal Medicine Residency Program is committed to training compassionate, skilled, and adaptable physicians who will serve rural and underserved communities with excellence. Through the strength of our consortium partners, we provide a comprehensive, community-based learning environment that emphasizes continuity of care, resourceful practice, and leadership in rural healthcare.

Our mission is to prepare residents to deliver high-quality, patient-centered medicine while addressing health disparities and improving access to care in rural Appalachia and beyond. We strive to cultivate physicians who advocate for equity, embrace innovation, and make a lasting impact on the communities they serve.

Year 1: Residents will begin their training in Huntington, West Virginia as they gain foundational knowledge and skills.

Years 2-3: The final two years of training will take place at Holzer Health System which is located 42 miles north of Huntington. This hands-on experience in a rural setting will prepare residents to tackle healthcare barriers and treat a wide range of conditions prevalent in rural communities.

Our curriculum is designed to provide comprehensive training in internal medicine while emphasizing the unique challenges and opportunities of rural healthcare. Through structured conferences, ambulatory experiences, and board preparation, we ensure residents develop strong clinical reasoning, adaptability, and leadership skills.


Tuesday Morning Block Conference

Every Tuesday morning, residents gather at Cabell Huntington Hospital Harless Auditorium for a protected educational block from 8:00 AM to 1:00 PM. During this time, residents are relieved of clinical duties, allowing full focus on learning.

  • Grand Rounds: Presentations include guest speakers from regional and national institutions, updates on practice-changing research, and monthly Morbidity and Mortality conferences.
  • Interactive Sessions: A rotating schedule of activities such as Morning Report and Medical Jeopardy fosters collaborative learning and clinical reasoning.
  • Block Lectures: Faculty led sessions from various specialties (general internal medicine, endocrinology, infectious disease, etc.) emphasize board preparation and practical clinical application.

VA Educational Conferences

While rotating at the Hershel “Woody” Williams VA Medical Center, residents participate in additional structured learning:

  • Afternoon Conferences: Held Monday, Wednesday, and Friday from 12:30 PM to 1:30 PM, these sessions are moderated by the VA Education Chief Resident and focus on case-based discussions and clinical reasoning.
  • Thursday Morning Report: From 8:30 AM to 9:00 AM, residents review unique or complex cases admitted overnight.
    All VA conference times are protected, with clinical coverage provided by attending physicians.

Ambulatory Training

Residents gain extensive outpatient experience through:

  • Continuity Clinic: Longitudinal care for rural patients at Holzer Health System, fostering strong provider-patient relationships.
  • Yale curriculum and Point of Care Ultrasound curriculum during ambulatory clinic weeks.
  • Marshall Internal Medicine Walk-In Clinic: Training in managing acute complaints and urgent care needs.
  • Ambulatory Care Project: Each resident completes a project focused on systems-based practice and quality improvement.
  • Practice-Based Learning Project: Annual projects enhance skills in evidence-based medicine and healthcare delivery improvement.

Board Review

To ensure success on the ABIM certification exam:

  • Weekly Sessions: Third-year residents lead topic-focused discussions.
  • Comprehensive Review: A dedicated, faculty-led review session is held each May to prepare graduating residents for board exams.

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Cabell Huntington Hospital

At Cabell Huntington Hospital, approximately 40 of the facility’s 303 beds are staffed by the Marshall Internal Medicine service. Responsibilities are divided between two resident teams, each composed of one senior resident, two interns, a dedicated clinical pharmacist, and medical and pharmacy students.

As an academic tertiary referral center, Cabell Huntington serves southern Ohio, eastern Kentucky, and much of western and southern West Virginia. It is the primary training site for residency programs within the Marshall Joan C. Edwards School of Medicine. The hospital provides extensive opportunities to collaborate with consultants across specialties, including general and neurological surgery, nationally recognized orthopedic services, obstetrics and gynecology, oncology at the Edwards Comprehensive Cancer Center, and pediatrics at the Hoops Family Children’s Hospital.

Residents gain most of their intensive care experience at Cabell’s 38-bed combined medical-surgical ICU and its state-of-the-art burn ICU, both serving as regional referral centers. ICU rotations are structured into two resident teams, each led by a senior resident with two interns. Training emphasizes multidisciplinary collaboration with attending intensivists, pharmacists, nurses, case managers, dietitians, and rehabilitation specialists. Residents also receive hands-on instruction in performing essential bedside procedures for critically ill patients.

To ensure comprehensive coverage, a night float system supports both general medical floor teams and ICU teams.

Why this rotation site matters: Cabell Huntington isn’t just where you train, it’s where you grow into the physician you want to be. You’ll have unmatched exposure to

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St Mary's Medical Center

At St. Mary’s Medical Center, residents step into a dynamic training environment where education and patient care go hand in hand. Of the hospital’s 393 beds, about 40 are staffed by the Marshall Internal Medicine service, with another 30–40 dedicated to the University Cardiology Service. Residents work in two teams, each composed of two senior residents and two interns, supported by a dedicated night float system staffed by one senior resident and one intern to ensure seamless coverage.

As the regional referral center for cardiovascular diseases, St. Mary’s offers a full spectrum of medical and surgical cardiovascular services, along with comprehensive consultative support across specialties. This means residents gain exposure to complex cases while still experiencing the feel of a “community hospital”—a balance that fosters both independence and collaboration.

Education remains front and center. Marshall Internal Medicine faculty serve as attendings for the resident teams, ensuring strong mentorship and guidance. St. Mary’s also plays a key role in medical student training, serving as a primary site for internal medicine clinical rotations.

Why residents love St. Mary’s: You’ll get the best of both worlds; hands-on experience in a community hospital setting, paired with the academic rigor and support of faculty mentors. It’s a place where you’ll grow clinically, gain confidence, and learn to manage diverse patient populations while working closely with specialists in cardiovascular care and beyond.   

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Hershel “Woody” Williams VA Medical Center

Caring for America’s veterans is one of the greatest privileges of residency training. At the Veterans Administration Medical Center (VA), residents gain invaluable experience managing both common medical conditions and rare, complex cases that reflect the unique needs of this patient population.

The VA’s inpatient service includes approximately 70 beds across acute care, intermediate care, and intensive care units. Three resident teams provide the majority of inpatient medical care. Each team is composed of one senior resident, two interns, and often a fourth-year medical student, fostering a collaborative learning environment. The intensive care unit is staffed by a dedicated senior resident, ensuring strong leadership in the care of critically ill patients.

Admissions at the Huntington VA Medical Center follow a modified drip system, with each team receiving new patients every third day. Overnight coverage is provided by a dedicated night float team consisting of one senior resident and one intern, ensuring continuity of care and balanced workloads.

Why this rotation site matters: Training at the VA offers residents the chance to serve a deeply respected patient population while building confidence in managing diverse medical conditions. It’s a setting where teamwork, responsibility, and service come together to shape you into a well-rounded physician.

Holzer Health System

Holzer Health System is a cornerstone of rural healthcare in southeastern Ohio and a proud partner in the Marshall Community Health Consortium. With hospitals in Gallipolis and Jackson, Holzer provides comprehensive medical services across more than 30 specialties, including primary care, cardiology, cancer care, and telehealth. Holzer has 266 patient beds.

As a training site for our Rural Internal Medicine Residency Program, Holzer offers residents hands-on experience in community-based care, critical access hospital operations, and innovative approaches to improving health in underserved areas. Through this partnership, our residents gain the skills and confidence to deliver high-quality, patient-centered care where it is needed most.

Why residents love Holzer: Residents love Holzer because it’s a place where they feel supported, challenged, and valued; where they can grow into confident physicians while serving communities that truly appreciate their care. You’re never a number!

Paid Vacation 3 Weeks Paid Vacation
Sick Leave

Residents accrue 15 days of sick leave annually

CME Days 5 Days
Parking Free
Discretionary Fund

PGY1: $500.00 annually
PGY2 - PGY3: $1,000 annually

BLS/ACLS

Provided

Salary

PGY1 - $56,000.00    

PGY2 - $57,000.00      

PGY3 - $58,000.00 

Plus, a $2,000 Signing Bonus for Categorical Positions NRMP Matched

Educational Material MKSAP, Up-To-Date, Journals, Amboss, Yale Curriculum provided to residents
Licensure Ohio and West Virigina training permits are paid for by program.
Meals

SMMC and CHH provide meals for those on service through meal vouchers/badge.

Holzer Health System provides vouchers for all residents working shifts of 16 hours or more, as well as one voucher per day during continuity clinic week for PGY-1 residents.

Tuesday lecture lunch provided at Cabell Huntington Hospital.

Dinner provided for Journal Club, Board Review, special occasions.

Provider Lounge access at Holzer and Medical Education Commons – stocked with snacks and drinks.

Other Benefits

Marshall Rec Center membership with optional discounted rate for spouses.

Holzer Wellness Center Access.

Additional Funding for Research is available.

10% Off at Victor’s Dry Cleaners.

YMCA 25% off membership fees.

Orange Theory Fitness discounted rates.