The Department of Medicine is involved in graduate medical education primarily through its categorical medicine program and its large Medicine-Pediatrics combined program. The categorical program has 36 trainees per year with a total cohort of 108 residents while Med Peds is 14 per year or a total of 56 trainees. In addition to these programs, Indiana University Department of Medicine supports training in Medicine-Neurology, a five-year program that provides individuals eligibility to sit for both the medicine and neurology board examinations. We host preliminary residents for other departments on campus but do not have a stand-alone preliminary program. The transitional program is a separately accredited and managed one-year program based at Methodist Hospital under Dr. John Black's direction. Please select the links on the left to see more information about these other training options.
The residency program currently accepts 14 intern candidates into each year's class. One half of each class begins their training in medicine, the other half in pediatrics, with each group rotating between departments every four to five blocks.
Residents in the combined medicine/pediatrics program spend 16 blocks as interns. During this time, they are introduced to rotations on inpatient services at our five major hospitals, interspersed with ambulatory and elective assignments to provide a solid foundation in clinical decision-making. Interns' experiences are sufficiently broad and complete to provide them the confidence to transition to a supervisory role at month seventeen. The Med-Peds residents switch between departments every four to five blocks, allowing for exposure to seasonal illnesses in both adult and pediatric patients. During the remaining 36 blocks, the resident performs as a team leader (corresponding to a second or third year categorical resident) expanding his/her role as both clinician and teacher. The supervisory responsibilities blend inpatient and outpatient services to prepare the resident for a variety of future career options. Elective choices are tailored to individual career needs.
The training exposes the resident to the broad range of adult and childhood illnesses. Designed to meet the combined guidelines established by the American Boards of Internal Medicine and Pediatrics, the curriculum undergoes continual evaluation and development in response to feedback from residents and faculty. The rotations encompass neonatology to geriatrics, ambulatory, inpatient, emergency and intensive care in public, private and managed care settings. With the recent focus on competency-based training we have adopted several other important experiences in to the program, which include a quality improvement project, evidence-based medicine learning, professionalism portfolios and clinic passports.
Inpatient team size varies from 2 to 6 residents. The number of patients per intern usually averages from 6 to 10. Determinants of team size include educational goals and patient volume and acuity on the individual services. Third and fourth year medical students are frequently participants in ward teams. Faculty and, on certain services, fellows are readily accessible at all times for assistance and guidance.
All rotations last approximately 28 days. Night call during the internship will adhere to the 2011 Duty Hour regulations. The subsequent 36 blocks, night call varies from every fourth to sixth night, averaging every fifth night. Housestaff have at least four days free of duties each block. There are a number of ambulatory and elective call free blocks. Residents are encouraged to develop their individual skills via independent scholarly or leadership projects. They also have the opportunity to demonstrate citizenship through participation in residency and institutional committees. Our program strictly adheres to current residency training guidelines.
Didactics are integrated into both departments' activities, including Grand Rounds, morning reports and noon conference series. Each resident is scheduled to present several conferences: a review of a clinical topic, utilization of skills in literature review and journal club review of literature. Conference series are designed to allow residents in the combined program exposure to each department's lecture curriculum over their four years.
Please see the detailed website for the Med-Peds residency program here:
- Started in 2014 in response to demand
- Apply at end of PGY1 year for position-2 per year
- Allows for modified rotation schedule to achieve over 50% outpatient training
- Expanded outpatient elective opportunities
- Sports medicine
- Community office practice
- Opportunity to teach students in outpatient clinics
- Ability to add second weekly outpt clinic PGY 2-3 –choice of general medicine or subspecialty clinic
- Preferential scheduling of desired outpt electives
- Fewer ICU months
- Ability to create new opportunities for electives
In recognition of the importance of training physician scientists, the American Board of Internal Medicine established a research pathway to certification in 1997.
Internal medicine residents at Indiana University may participate in this pathway. The Department is well poised to support residents who desire a career in research. Our faculty are well funded, ranking among the top 10 - 20% of all academic departments of medicine in successfully competing for National Institutes of Health research funding. This pathway is intended for trainees with established experience in scientific discovery and research methodologies who seek academic careers as investigators in basic science or clinical research. The research pathway integrates training in clinical medicine with three years of training in basic or clinical research.
Early planning of this pathway is necessary. Training for this pathway is longer in duration than standard clinical training. Five years are required to complete the research pathway for general internal medicine and six or seven years for the subspecialties and/or added qualifications depending on the discipline.
The requirements for the research pathway are:
- Two years of full-time clinical training in medicine
- Three years of research training
During research training, at least 20% of each year must be spent in clinical experiences, including at least one half-day per week in a continuity clinic. Individuals choosing subspecialty training complete two rather than three years of internal medicine residency training, then they complete the subspecialty fellowship, including any additional research training required by it. Generally, residents should discuss their research interests with the Program Director and Vice-Chair for Research during the first year of residency.
Most individuals entering the Research Pathway choose to work in the laboratories of subspecialty physicians with a commitment by the subspecialty division, faculty and fellowship director to support the career path during specialty training including the clinical fellowship. The advantage over traditional fellowship training is the intensive research experience that makes participants much more competitive for career development grants and more attractive for faculty positions. It is possible to earn a Ph.D. while in this pathway. We will help residents find outstanding laboratories in which to train, as well as advise them in their academic development.
Currently, five residents are in various stages of training in this pathway, two in cardiology, two in hematology/oncology, and one in gastroenterology.
The Department of Medicine has partnered with other training programs on campus to accommodate their PGY-1 residents for the preliminary internal medicine internship prerequisite.
We do not have a stand-alone preliminary program with a unique program identifier for applications and acceptance.
The select few preliminary residents are interviewed and matched through the categorical programs in neurology, dermatology, anesthesiology, radiology, physical medicine and rehabilitation, and radiation oncology. The schedule of rotations is defined by the requirements of the primary departments.
The Indiana University School of Medicine sponsors a Transitional Year Residency Program, which is primarily based at Methodist Hospital.
Twelve positions are available and applications should be made through the ERAS (Electronic Residency Application Service). The Transitional Year program is supported by the Specialty Residency Programs of Anesthesiology, Dermatology, Neurology, Ophthalmology, Physical and Rehabilitation Medicine, Radiation Oncology and Radiology, all of which require a prerequisite clinical year prior to entry. We work with each of these Specialty Programs to tailor the academic experience of each transitional resident.
Applicants who are undecided about a career choice should consider the Transitional Year Program as an avenue to selecting further residency training in any specialty. Transitional year requirements include six months of fundamental clinical skills, one month of Emergency Medicine, and up to five months of electives. The six months of fundamental clinical skills can be taken in Internal Medicine, Pediatrics, Emergency Medicine, Obstetrics and Gynecology, Surgery, or Family Medicine. The elective rotations encompass any rotation offered in the Clarian Health System (Methodist, Riley Children's, Indiana University), or Veterans Administration and Wishard hospitals. The electives offer flexibility of inpatient or outpatient settings, research, out-of-state or -country rotations, with the clinical experience tailored to the resident's needs. We offer special electives in Orbital Dissection and Microvascular Surgery for all ophthalmology-bound trainees and up to three months of radiology electives for the radiology bound trainees. Didactics are available from any department in the School and include conferences emphasizing fundamental clinical skills covered on USMLE Part 3, monthly journal club, and book club.
Click here for more information about this program