began to modernize the facilities by tearing down 5 buildings and replacing them with 4 bigger brand new buildings to bring many services closer. Some buildings were evacuated but maintained as they are considered historical landmarks and plans are in progress to renovate them as a museum or administrative offices for the hospital. Teaching hospital HST is one of the biggest teaching hospitals of the country. It is considered a level I trauma center. The hospital has the following teaching programs: Medical internship, that lasts 2 year and it consists on a traditional rotational internship. Medical Residencies on the following medical specialties: OB/GYN, Internal medicine, Anesthesiology, Surgery, Orthopedic surgery, Neurosurgery, Urology, Otorhinolaryngology, Radiology, Pneumology, Pathology, Ophthalmology, Dermatology, Emergency Medicine, Intensive care medicine and Vascular surgery. Also medical, nursing, physiotherapy and odontology students have rotational programs as part of their education. Medical specialties available Anesthesiology Cardiology Cardiovascular surgery Critical care medicine Dermatology Endocrinology Gastroenterology General Surgery Hematology Infectology Internal medicine Maxillofacial surgery Nephrology Neurology Neurosurgery Nuclear Medicine Obstetrics and gynaecology Ophthalmology Orthopedic surgery Otorhinolaryngology Physiotherapy Plastic surgery Pneumology Psychiatry Radiology Thoracic surgery Urology External links Alonso Roy's account of the inauguration of St. Thomas Hospital Building in 1924. Hospitals in Panama Hospital buildings completed in 1819 Hospital buildings completed in 1924 Hospitals established in the 1700s 1703 establishments in the Spanish Empire Buildings and structures in Panama City