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Internal Medicine Residency at MedStar Harbor Hospital

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.

Residents 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 hours weekly.

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 publication.

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 Washington.

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 hospitalist medicine.

Residents' Responsibilities

  • 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