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Preliminary Internal Medicine Residency at MedStar Harbor

Our Preliminary Internal Medicine Residency is fully accredited with commendation, with the longest possible accreditation cycle, by the Accreditation Council for Graduate Medical Education. The preliminary internal medicine residency offers a solid foundation for subsequent training in ophthalmology, radiology, radiation oncology, dermatology, anesthesiology, emergency medicine, neurology, physical medicine and rehabilitation, psychiatry, or public health. For students unsure of their subsequent pathways for training, it offers a well balanced PGY-1 experience.

The Preliminary Internal Medicine Residency consists of 13 four-week blocks, five general medicine, one night float, two ICU/CCU, three electives, one emergency department, and one ambulatory block. All in-hospital rotations have a night float/short call/long call system. Electives may be taken on campus at MedStar Harbor, or at any of our affiliates, including Johns Hopkins, the University of Maryland, Georgetown University, and the MedStar Washington Hospital Center. In addition, residents may choose to do electives out of the region.

Internal Medicine

We emphasize 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 and economically are emphasized at very interactive conferences, directors' rounds and hospitalist rounds. Conferences include our internal medicine lecture series and case-based learning presentations, daily, Monday through Friday. All residents receive a subscription to UpToDate and have an educational stipend.

Preliminary Internal Medicine Residents are sponsored to join the American College of Physicians as Associate Members, fostering the concept of lifelong learning. Weekly quizzes, as well as EKG, dermatology, and radiology cases of the week are sent out to all trainees over the Internet. Each learning enrichment exercise is discussed with expert faculty in our case-based learning conferences and subsequently the key teaching points are sent to all learners via their e-mail. Preliminary Internal Medicine Residents supervise two core internal medicine students. With the assistance of a faculty mentor, the Preliminary Internal Medicine Residents choose a particularly interesting patient and develop a clinical vignette for presentation and publication at the annual Maryland ACP Associates meeting. MedStar Harbor Hospital Residents are well known in Baltimore for their academic achievements and the quality of their leadership and teaching.

Bedside teaching is stressed. In the ICU, room-to-room multidisciplinary rounds with our Board Certified intensivists occur daily. The work week averages 60 to 65 hours on the general medical floor and in the ICU. Night float work hours are 50 to 55 hours per week. 

Ambulatory

There are four weeks split between our pediatric and adult medicine clinics adjacent to MedStar Harbor Hospital under the supervision of our ambulatory faculty, Monday through Friday. 

Emergency Department

We have a very busy Emergency Department with a faculty that enjoys teaching and learning with our residents. The resident sees patients from all specialties. Wound management and suturing are stressed. There are 16 ten-hour shifts in the four-week block.



Electives

The sky is the limit, from excellent electives at MedStar Harbor Hospital and other MedStar hospitals, as well as at our affiliates, Johns Hopkins Hospital and the University of Maryland. Our Preliminary Internal Medicine Residents often do electives outside the region.

Bottom Line

You have the opportunity to grown in an academic atmosphere with high expectations and great opportunities in a friendly, supportive environment.