Department of Medicine

General Internal Medicine and Geriatrics


We value broad-based training of students, residents, and postdoctoral candidates to fulfill local, state, national, and international needs. We will train highly skilled, compassionate, and altruistic professionals, both generalists and specialists, to be future leaders in medical practice, academia, and industry. All faculty will devote time to teaching both themselves and others, and all teaching, research, and clinical venues will be receptive to learners. We strive to be recognized for the students we train and for the development of innovative methods for teaching and tools for assessing our learners' progress.

The Division's Education Section continues to provide leadership to the Department's teaching mission with its faculty credited with more than half of the Department of Medicine's total amount of teaching. In addition, it serves as the home of fellowships in geriatrics (funded by the VA, IU Health Partners, and the Hartford Foundation), medical informatics (funded by the National Library of Medicine), and general internal medicine. The VA's HSR&D program has fellowships in health services research, patient safety, and medical informatics. Greg Gramelspacher, M.D. has also established a fellowship program in palliative care funded by an IU Foundation endowment. The internal medicine and medicine-pediatrics residency programs are led by Division members Mitch Goldman, M.D. and Alex Djuricich, M.D., respectively. Noelle Sinex, M.D. serves as the Associate Program Director for Ambulatory Education and the VA.

The residency program continues to receive recognition for its EIP project innovations as the training is restructured to shift the focus toward patient-centered care with safety, quality, and system improvement. A web-based curriculum campus-wide on patient safety was developed and implemented. In addition, the patient safety curriculum includes a dedicated rotation with opportunity for hands-on experience. Residents receive reports profiling their patient care outcomes in their continuity clinic, and spend dedicated time in clinic outside of their regularly scheduled clinic session focused on learning and improving their own clinic system.

The residency program provides an annual teaching retreat led by Glenda Westmoreland and Bob Vu (director of the 3rd year clerkship and 4th year subinternship). Bob has developed a wonderful tool for students to journal and write narrative stories about their experiences around the issues of professionalism, demonstrating the richness and power of personal storytelling in medical education. Meg Gaffney and Klaus Hilgarth continue to lead the state-wide course on Introduction to Clinical Medicine (ICM). Klaus developed an objective structured clinical examination (OSCE) to assess the history taking and physical examination skills of students completing ICM-II.