Internal Medicine Residency – Categorical Medicine
The Categorical Internal Medicine Track comprises 40 interns per year. Around 80% of these residents complete the traditional three years of residency and 20% enter subspecialty fellowship after two years (“short-tracking”). Of the graduating categorical residents each year, approximately 80% go on to complete subspecialty training, with the others focusing on Hospital Medicine, General Internal Medicine, Health Policy or other careers.
The Categorical Track experiences are divided between inpatient care, outpatient care and a variety of clinical, research and other electives, during which residents can choose to enter one of the focused residency tracks.
Housestaff rotate through several inpatient services including General Medicine, Cardiology, Oncology, ICU and CCU at the main teaching hospital. Other inpatient rotations include General Medicine and ICU care at Faulkner, and General Medicine, Cardiology and ICU at the West Roxbury VA. Each rotation lasts for two weeks, though ITU and some of the off-site rotations are four weeks.
There is a comprehensive curriculum that covers the spectrum of internal medicine topics, cost-effective and quality care, communication and humanism in medicine. Core medicine conferences include (but are not limited to): Morning Report, Intern Workshops, Procedural Simulation Curriculum, Noon Conference Series (Summer-Emergency topics; Fall to Spring-Core topics), Morbidity and Mortality, Clinicopathological Case Discussions (which appear in NEJM), Master Physical Examination Series and Journal Club.
Each member of the medical housestaff has a weekly outpatient session either at Brigham and Women's Hospital or at one of the several practice sites throughout the Boston area. The single largest training site is The Phyllis Jen Center for Primary Care Clinic, which is at Brigham. Sites also include several bilingual Spanish-English community health centers, such as Southern Jamaica Plain Health Center as well as other affiliated sites. The housestaff serve as the primary care providers for their patients, working as members of ambulatory care teams along with staff internists, nurse practitioners and secretarial staff. Residents are assigned a preceptor at the beginning of intern year and remain with them for all 3 years to foster mentorship.
In addition to the weekly continuity clinic, residents have five 2-week blocks of outpatient medicine rotation during both their first and second years. During these blocks, the residents participate in an ambulatory didactic curriculum planned over the course of two years to include important ambulatory internal medicine topics. Residents also have additional continuity clinics, see patients in urgent care and rotate through several core sub-specialty rotations and also rotations of their choice. Sub-specialty rotations provide an intensive outpatient clinical experience in core areas such as pulmonology, rheumatology, cardiology, infectious disease, allergy, addiction medicine, etc.
The BWH is proud to feature two primary care training programs for residents with dedicated interest in ambulatory and general medicine, advocacy, epidemiology and health policy.