Our Internal Medicine Residency Program is fully accredited with
commendation, with the longest possible accreditation cycle, by
the Accreditation Council for Graduate Medical Education
First Year-Emphasis On Fundamentals
In the first year, the program emphasizes refining patient care
skills, learning to work as a member of the healthcare team, and
building medical knowledge. The ability to focus on pertinent
issues, prioritize, and work efficiently are emphasized at
interactive morning reports, directors' rounds and attending
rounds. Cooperative learning is fostered as teams discuss the
weekly quizzes, EKG, chest x-ray and dermatology challenges that
go out to each resident over the Internet, before they are
reviewed in our daily case-based learning conferences.
receive a subscription to UpToDate and an educational stipend.
They are sponsored to join the American College of Physicians as
Associate Members. First-year residents supervise two core
internal medicine students, refining teaching skills. All
in-hospital rotations have a night float/short call/long call
system. Elective opportunities are available at MedStar Harbor
Hospital as well as the Baltimore/Washington University Centers.
Weekly Grand Rounds are given by Johns Hopkins faculty. Working
hours on the general medical floor and in ICU average 60 to 65
With the assistance of a faculty mentor, the first-year Residents
choose a particularly interesting patient for whom they have
provided care and present the case as a clinical vignette for
presentation at the annual ACP Associates meeting and for
Second Year-Leadership and Research
Second-year Residents make triage decisions in the emergency
department and supervise the function of their team, refining
leadership skills. The residents refine their basic knowledge and
begin to critically evaluate the literature. The directors are
active as career mentors, and help the residents focus on goals
and opportunities, whether they're in primary care, hospitalist
medicine or fellowship.
Four blocks of subspecialty electives
are offered, during which time the residents may take advantage
of working with the program's excellent faculty in the community
setting or rotate through subspecialties at the University of
Maryland Medical Center, Johns Hopkins, and Georgetown
University, with their depth of faculty and fellows in a tertiary
care setting. Many of our residents have taken part in research
at the National Institute on Aging on our fifth floor, as well as
Johns Hopkins and University of Maryland, helping them with their
goal of fellowship training.
Evidence-based medicine is emphasized in our daily conferences,
including case-based learning and the internal medicine lecture
series. Grand Rounds each Friday are presented by Johns Hopkins
faculty. Monthly Journal Club is supervised by Professor Sorkin
from the University of Maryland. Residents are encouraged to be
members of the Hospital's quality and patient safety committees.
In April, all second year residents are sponsored to travel with
key faculty to the National American College of Physicians
Scientific Meeting, fostering the concept of lifelong learning.
Third Year-Knowledge Refinement and Teaching
During the third year of the program, Residents continue to
develop clinical, leadership, teaching and triage skills, while
refining their medical knowledge and understanding of the broader
system of health care in America. Six blocks of electives are
offered, with emphasis on individualizing the curriculum
according to the resident's goals. Residents interested in
primary care work with internists in the community, learning
about practical aspects of office practice. Those interested in
becoming a hospitalist work with our hospitalist faculty and
hospitalists at Johns Hopkins, learning the required skills.
Those aiming for fellowship have ample opportunity to continue
their work at the great university centers in Baltimore and
Many Residents have also taken electives at institutions outside
the region, such as the Cleveland Clinic. Senior residents
graduate from the program as confident, critical thinkers ready
to tackle the challenges of primary care, fellowship or
To develop a personal program of learning to foster continued professional growth with guidance from the teaching staff.
- To participate in safe, effective and compassionate patient care, under supervision, commensurate with their level of advancement and responsibility.
- To participate fully in the educational and scholarly activities of their program and, as required, assume responsibility for teaching and supervising other residents and students.
- To participate as appropriate in institutional programs and medical staff activities and adhere to established practices, procedures, and policies of the institution.
- To have appropriate representation on institutional committees and councils whose actions affect their education and/or patient care