Division Director: William P. Moran, M.D., MS
Division Administrator: Brian Collins, MHA
The Division of General Internal Medicine is committed to supporting and enhancing the mission of the Medical University of South Carolina (MUSC) in the domains of patient care, education, research, and healthcare leadership development. With over 60 clinical and research faculty, the Division lives up to this commitment by providing exemplary patient care and maintaining a supportive environment conducive to academic excellence in education and research.
Outpatient General Internal Medicine: Our primary care section is led by Kimberly Davis, M.D. The resident and faculty practice are on campus at University Internal Medicine (UIM), located on the 8th floor of Rutledge Tower, and provides almost 32,000 patient visits per year. The community-based practice, University Internal Medicine – East Cooper, is located in Mount Pleasant. Both practices are NCQA-accredited Patient Centered Medical Homes (PCMH). A PCMH is a team-based model of care led by a personal physician who provides continuous and coordinated care throughout a patient's lifetime to maximize health outcomes. This care model promotes improved access and communication, care coordination and integration, care quality and safety, preventive services, treatment of acute and chronic illness, and assistance planning end-of-life care. We have developed interprofessional teams within these practices to more fully address the entire spectrum of medical needs of primary care and aging patients to improve outcomes and quality of life. The transformation of our University Internal Medicine and University Internal Medicine – East Cooper practices to PCMH’s is allowing us to provide a much more personalized level of care based on individual patient needs. In particular, UIM cares for more than 2,400 Medicare patients who are served by the MUSC Medicare accountable care organization (ACO).
Geriatrics: With an ever-growing geriatric population in the Lowcountry of South Carolina, the Division has expanded its focus on Geriatric teaching, patient care, and research to help our seniors to age with dignity. Board Certified Geriatricians, Mark Newbrough, M.D. (section head) and Amanda Overstreet, D.O. joined the Division in 2016, along with Julianna Marwell, M.D. in 2017, and see outpatients in UIM and staff a Geriatric consult service in University Hospital and Ashley River Tower.
Hospitalist Medicine: The Division staffs five teaching and seven non-teaching inpatient services located in University Hospital and the Ashley River Tower. Our large and growing group of hospitalist physicians, nurse practitioners, and physician assistants also staff the General Internal Medicine consult service, preoperative clinics and support perioperative medical co-management services, as well as supervising care in our transitional care management service. In addition, our hospitalists lead quality improvement efforts throughout the hospital system to improve the value of care and patient experience at MUSC.
Palliative Care: Our palliative care section is led by Pat Coyne, RN MSN. The mission of the Palliative Care Program is to maintain or restore the quality of life for persons with serious illness and their families through the multidisciplinary delivery of expert symptom management and palliative care. This mission is based on the conviction that the symptoms, pain, and suffering that may be associated with serious illnesses should be addressed and relieved in every manner possible, with the goal of improving quality of life for both the patient and family. The Program strives to deliver compassionate care which is aligned with and guided by the mission and values of MUSC.
The palliative care program within MUSC cares for patients of all ages as well as their families. An outpatient palliative care clinic is established in Hollings Cancer Center. The Palliative Care fellowship, directed by Leigh Vaughan, was established in 2016 and accepts two fellows per year. However, the faculty and staff are establishing a telehealth program to support palliative care delivery across the state of South Carolina, with funding from the Duke Endowment. Palliative Care faculty are also active in research, supported by grants from the Duke Endowment, the Cambria Foundation, as well as others.
The Division of General Internal Medicine plays a major role in educating and training the next generation of Internal Medicine physicians, supporting a large proportion of inpatient and outpatient clinical experience in Internal Medicine, and mentoring students and residents in clinical research, quality, and safety. Our goal is to model and teach high value evidence-based care across all clinical venues. The Division’s teaching excellence is well established and we are frequently named the Department of Medicine Division of the Year by the Internal Medicine residents. A number of faculty in the Division are designated as Master Teachers and thus play a major role in early clinical training in the College of Medicine. In post-graduate training, our two year HRSA funded Academic Generalist Faculty Development program provides superb preparation for a career in academic medicine and includes a Master of Public Health. Additionally, each spring the Division also sponsors the annual Updates in General Internal Medicine for Primary Care CME Conference in historic downtown Charleston
Division research, conducted at the highest scientific standards, targets research areas such health care disparities, hypertension, diabetes mellitus, access to care of underserved populations, aging and geriatric care, professional education, and medical informatics. Clinical and health services research is conducted in collaboration with faculty of the Department of Public Health Sciences, College of Medicine, the College of Nursing, SC College of Pharmacy, College of Health Professions, and the Ralph H. Johnson VA Medical Center.
The Center for Health Disparities Research brings together core faculty from several MUSC Colleges to develop clinical research infrastructure and enhance MUSC competitiveness in obtaining extramural research support in health disparities research. The Center emphasizes collaborative research to build bridges across colleges on campus and across institutions within the state of South Carolina. Research within the Center focuses on three main areas including: 1) primary, secondary, and tertiary prevention of chronic diseases in diverse populations, 2) interventions at the patient, provider, and health systems levels to reduce or eliminate racial/ethnic, gender, and socioeconomic differences in quality of care and health outcomes, and 3) novel interventions to improve health care delivery and health outcomes for rural dwelling residents.
The Section of Health Systems Research & Policy performs collaborative health systems research and quality improvement initiatives to ensure efficient and effective delivery of high quality, clinically appropriate prevention and care strategies to optimize population health and well-being. The Section’s areas of expertise include predictive analytics and modeling, outcomes assessment, process engineering and informatics, and technology assessment (e.g., Telemedicine, Bluetooth).