Why Choose UPMC's Internal Medicine Residency Program?

What's Unique About Our Program

 

Resident-Led Rounds

  • Second- and Third-year residents lead walk rounds on all medicine floor inpatient rotations. While Attendings are always immediately available, they join walk rounds just once a week, primarily to provide feedback on medical decision-making and teaching skills. Interns and medical students present to the resident, who makes all medical decisions on rounds and leads the bedside teaching. After rounds, the resident meets with the attending to discuss all patients. This format offers significant time with Attendings  as they do their daily afternoon attending rounds and staff all new admissions. This rounding structure is unique and invaluable in the development of residents’ autonomy and their expertise as educators.

 

Customized Courses – Tracks

Tracks: Generalist, Women’s Health, Global Health, Clinical Scientist, Research Pathway, Geriatrics

  • There is a weekly Noon Conference specific to each track. Also available are additional mentorship, track rotations, and career guidance specific to track members’ career goals. Residents who choose not to join a track still benefit: all residents can attend track lunches, take track rotations as electives, and avail themselves of the dedicated mentorship within the tracks.

 

Four + Four Schedule

  • Residents alternate call months (ICUs, Floors) with off-call months (Consult Electives, Ambulatory, Outpatient Electives). This provides more elective time during First Year while they are completing an optimal number of inpatient call months. This schedule enables Interns to gain additional exposure to different sub specialties that many residents may want to pursue for fellowship and that augment all residents’ education. This schedule also provides more time for self-directed learning during elective months, meaning  that Interns can pursue research opportunities earlier in their training than they would otherwise. Although our elective rotations do not have overnight call or weekend shifts, they are still intensive, offering a wide  breadth of clinical cases as well as the autonomy and teaching necessary to help build our residency’s strong internal medicine foundation.

 

Focus on Medical Education

  • Resident teaching retreats: All residents participate in regular teaching retreats throughout their training. Clinical coverage is provided, giving residents essential protected time so they can be trained to run ward teams effectively and to be skilled educators throughout their residency.
  • Resident teaching opportunities: Residents are mentored to effectively share evidence-based teaching points when they present morning report, EBM Journal Club, and other elective journal clubs, including Health Policy and Addiction Journal. Residents have numerous options for medical student teaching, in addition to the teaching they provide students rotating with them on various services.
  • Teaching to Teach Elective: Residents gain additional teaching training and experience on all aspects of clinical and didactic teaching, while receiving feedback from expert faculty educators. Teaching First- and Second-Year medical students is a component of this elective.
  • Medical Education Teaching Certificate: For those wanting teach throughout their careers, this certificate enables residents to gain additional training during Second and Third Year by completing of another Teaching Elective Rotation, “Residents as Teachers”.
  • Faculty Development: Many of our faculty members have master’s degrees in Medical Education, and all General Internal Medicine teaching faculty spend a half day each week in faculty development. In addition, clinician-educators have protected time to teach, which permits direct education across the spectrum and unique curricular innovations.

 

Bedside Multi-Disciplinary Rounds

  • Daily rounds occur in conjunction with case management and nursing staff facilitating coordinated team-based care and discharge planning.
  • The program’s rounding process is efficient and effective: it optimizes students’ and Interns’ presentations skills, preserves efficient rounding so it is completed in two hours or less, and provides ample opportunity for the resident’s team leadership and education.

 

In addition to these innovations, our program offers:

  • Daily Resident Morning Reports at all sites
  • Weekly Intern Reports
  • Daily Noon Conferences with Free Lunch
  • World-class case exposure:

○ Our hospital has a very wide patient catchment area and receives referrals from PA, OH, WV, and VA, including a very diverse case mix including rare pathology. We are also a huge transplant center which provides a unique and educationally outstanding opportunity, as all of our services admit patients who are pursuing and who have received transplants.

○ The ICUs have extremely high acuity patients and include the opportunity to develop procedural expertise

○ The experience at the VA traditionally offers more “bread and butter” Internal Medicine, which complements the exposure to the rare and/or very complicated case variety more often seen at the university hospital.

○ The experience at Shadyside provides world class oncology exposure and training including the opportunity to care for patients undergoing CAR-T cell therapy

Career Interest-Focused Activities

 

Specialized Training in Addiction Medicine

  • Specialized Addiction consult service
  • Monthly Addiction Journal Club
  • Numerous research opportunities related to diagnosis, treatment and prevention

 

Global Health and Underserved Populations

  • Intern rotation in Chinle, Arizona, with the Indian Health Service
  • Introduction to Global Health Rotation, which includes tropical medicine, global health policy, and ultrasonography training
  • Global Health Electives in Mozambique, Malawi, Guyana, Ghana
  • Birmingham Free Clinic as continuity clinic
  • Social Determinants of Health Curriculum
  • Home visit program
  • Weekly global health conferences
  • Monthly hands-on training in ultrasound

 

Women’s Health

  • Women’s Health track, which allows for specialized training in gender-specific care across a woman’s lifetime;  comprehensive contraception education, including placement of nexplanon/IUDs; and rotations in both primary and subspecialty care of women across the spectrum
  • Mentorship with focus on promoting leadership within medicine and career planning
  • Weekly lunch lectures reviewing the cutting-edge management of issues encountered in women’s health
  • VA Center of Excellence for Women’s Health

 

Clinical Reasoning Committee

  • Residents complete a validated training curriculum on Clinical Reasoning with reinforcement on all rotations throughout their three years of training
  • Opportunities to be involved in developing new and innovative ways to teach Clinical Reasoning
  • Structured reinforcement of Clinical Reasoning skills in Morning Reports
  • Ability to present Clinical Reasoning cases at local and national conferences
  • Significant research opportunities for projects related to Academic Education
  • Learn more HERE

 

Point-of-Care Ultrasound Training in Internal Medicine

  • Intern introduction to point-of-care ultrasound curriculum
  • Ultrasound Interest Group: Meetings at least once a month to review and practice common ultrasound findings and techniques
  • Central Line training: part of the MICU rotations, this includes work in the simulation center practicing central line placement, with teaching guidance from a number of Critical Care faculty members

 

ACTION – Health Policy Group

  • Resident-directed health policy and advocacy group that comprises residents of all experience levels.  We have monthly meetings to discuss current events that focus on health care. Our mission is to educate and advocate.
  • Residents have the opportunity to participate in health care debates held at different times during the year.
  • We participate in real-time advocacy, including rallies, writing op-eds, and contacting out local and state representatives.
  • We have attended the Society for General Internal Medicine Hill Day.

 

Clinical Skills Enhancement/Moonlighting opportunities:

All PGY2s and 3s may moonlight while on off-call rotations. This facilitates additionall development of clinical decision-making and autonomy, and offers a high hourly pay rate.

  • Intensive Care Units
  • Medicine Teaching Service
  • Hem/Onc inpatient service at Shadyside

Research Opportunities

See: LEAD Program (LEadership And Discovery Program)

 

Assigned Faculty Research Point People in Each Department

These faculty members know the details of their department’s research and help Interns/Residents find a mentor with similar interests to their own. Divisions also continually update a list of “shovel-ready projects,” i.e. projects with a principal investigator who is experienced in mentoring residents and projects on a timeline conducive to scholarly productivity.

 

Presentation and Publication Opportunities

Residents have access to coverage to present at national conferences during all three years of Residency. They also receive funding to help with travel and lodging expenses.

 

Research Track

The Internal Medicine Residency offers TWO research focused tracks (ABIM Research Pathway and Clinical Scientist Track) that provide additional focused training to help succeed in a career as a Physician-Scientist.

 

PICTOR StARR R38

Through an NIH R38 grant and in collaboration with the Departments of Pathology, Pediatrics, and Surgery, the Pittsburgh Innovation in Collaborative Training of Residents alliance, or PICTOR alliance program, provides residents with dedicated research time during residency to foster the next generation of physician scientists. Drawing upon the experience of established investigators focused on research along the continuum of the lifespan, from childhood to adulthood and from health to disease, residents may focus in either basic translational or clinical translational research in the cardiovascular, lung, sleep, and blood fields.

Resident Stories

 

Harnoor Mann, MD
Internal Medicine Resident (PGY-1)

Harnoor Mann, MD

What was the most important factor in your choice of Pitt for residency?
For me, it came down to the people and the environment of care/advocacy. UPMC is an immensely strong institution, and so is our residency program- whether you look at our clinical training, educational opportunities, research opportunities, mentorship and more. But what sets this program apart for me is how kind and generous the UPMC community is, making all the facets above that much more accessible. In my couple months of working here, everyone I have interacted with been welcoming and understanding. We have spent time in our training not only learning how to handle a viral pandemic, but also learning how to handle microaggressions in our daily interactions. There is a natural sense of advocacy built into the way people practice medicine here that was crucial for me in my decision-making.

What are your favorite parts of Pittsburgh?
Having grown up in a really small town in Massachusetts, and having spent the last 4 years in Philadelphia, I can confidently tell you that Pittsburgh strikes a special and unique balance between city and green. I absolute love Phipps Conservatory, running on the trails in Frick Park, picnicking in Schenley, and strolling around in Shadyside and Squirrel Hill.

What do you like best about your residency so far?
I really like my co-residents, and the sense of camaraderie that we’re building, even with social distancing in place. I also have to mention the focus on teaching at UPMC- there is a great deal of focus by attendings and the program to fit teaching into natural workflow that fosters an important environment of learning.

What do you like to do in your free time?
I recharge by spending time outside, staying active, cozying up with a good book, catching up with friends and family, and blasting R&B while trying new recipes (sometimes unsucessfully) in the kitchen.

What advice do you have for incoming residents?
Don’t rush yourself. Your growth will happen when it is supposed to and when it needs to- don’t get lost in the anticipation of future stress/change. Keep doing whatever makes you human. Your future patients won’t bond with you over medical facts, but they will bond with you over that book/sports team/song. Take care of yourself. In hindsight, there isn’t a single workout or baking session that I regret, even if I double-thought it in the moment. Keep your people updated with how you’re feeling. We don’t make it through our training in silos- we make it through as teams.

UPMC Training Programs: Become a Part of Life Changing Medicine

Naudia Jonassaint, MD, MHS

Vice Chair, Diversity & Incusion
Department of Medicine

UPMC Training Programs: Become a Part of Life Changing Medicine

Naudia Jonassaint, MD, MHS

Vice Chair, Diversity & Incusion
Department of Medicine