Internal Medicine Residency

Frequently Asked Questions

GENERAL INFORMATION - (PDF version)

HUP INFO

VA HOSPITAL (PVAMC) FACTS:

PRESBYTERIAN MEDICAL CENTER (PMC) FACTS:

OUTPATIENT CONTINUITY PRACTICE:

EMERGENCY DEPARTMENT:

MENTORING AND WELLNESS:

RESEARCH:

INTERNATIONAL PROGRAMS:

LIVING IN PHILADELPHIA:

OTHER AMENITIES:

AFTER RESIDENCY:

UNIQUE TO PENN:


GENERAL INFORMATION

Q: How many PGY-1 positions are available?
A: There are 36 categorical, 4 Physician Scientist, 6 Primary Care, 4 Medicine-Pediatric, and 10 preliminary.

Q: Where do these interns come from?
A: Our housestaff come from all over - the current intern class represents 43 different medical schools.

Q: By what criteria are Housestaff selected?
A: WOur program is built on a shared commitment to outstanding patient care, and the desire to nurture the careers of an exceptional group of young physicians. Our primary goal is to identify a group of interns who will be valued team members and additions to the Penn family. We look for applicants who value professionalism and teamwork, and who are eager to embrace graded patient care responsibility. Our residents have a strong academic record and a wide range of interests with excellent academic potential.

Q: What is the salary?
A: Next year’s salary has not been announced. The current PGY-1 salary is $53,664.00.

Q: How does the cost of living in Philadelphia compare to other larger cities?
A: The cost of living is 42% higher in New York, 38% higher in San Francisco and 17% higher in Boston. Philadelphia is very affordable.

Q: How many clinical training sites are there?
A: Three. The Hospital of the University of Pennsylvania (HUP), The Philadelphia Veterans Affairs Medical Center (PVAMC), and the Presbyterian Medical Center (PPMC). Each site has a faculty site director, a Chief Resident and a coordinator.

Q: What type of communication devices are there?
A: All housestaff receive iPhones at orientation. This has greatly improved the efficiency of our residents, as well as communication with all providers.

Q: How much time do I spend at each site as a PGY1?
A: HUP: 8 - 10 months
PVAMC: 1 - 2 months
PPMC: 1 - 2 months

Q: What is the program's approach to duty hour reform?

A: The program takes adherence to the duty hour standards very seriously, and encourages open and honest reporting at regularly scheduled meetings. All schedules have been designed to promote full compliance. Interns typically work 8-13 hour shifts, 5-6 days a week. There is at least 1 day off in 7 on average over a given rotation, with some rotations supporting golden weekends (Saturday/Sunday off). The supervising resident may be on a rotation with extended shifts or may be working a 13 hour shift as well. About 80-85% of an intern’s work is assigned as day work. Interns will rotate through approximately 4-5 weeks of night medicine, 5-6 nights per week on various rotations. Housestaff are expected to log their duty hours in MedHub – the institutional GME management system. The program can generate reports by rotations and promptly address any violations.


Q: What is the 6+2 scheduling model?

A: 6+2 is a block scheduling system. For most of the year, categorical interns spend 6 weeks in a row on inpatient services followed by 2 weeks in the ambulatory setting. This system simplifies scheduling, makes it predictable, avoids burnout, and separates inpatient from outpatient responsibilities. Furthermore, it increases intern camaraderie by creating intern cohorts that travel through intern year together.


Q: What is the breakdown of rotations?

A: Intern
MICU 4 weeks
Wards 20 weeks
Cardiology 4 weeks
Oncology 6 weeks
Ambulatory*
12 weeks
Jeopardy 2 weeks
Vacation 4 weeks

* Preliminary interns are not required to participate in the ambulatory curriculum, and typically opt to use most of this time as elective. Some preliminary interns are required to use a small portion of this time for other non-call rotations, as determined by their future programs.

Junior Resident
MICU 4 weeks
Inpatient Medicine*

10 weeks

Cardiology
6 weeks
Oncology 4 weeks
Ambulatory/Elective 16 weeks
Geriatrics 2 weeks
Neurology 2 weeks
ER 2 weeks
Jeopardy 2 weeks
Vacation 4 weeks
A. Senior Resident
MICU 4 weeks
Inpatient Medicine*

16 weeks

Cardiology
4 weeks
Oncology
2 weeks
Ambulatory/Elective 18 weeks
Jeopardy 2 weeks
ER 2 weeks
Vacation 4 weeks

* Inpatient medicine denotes a mix of inpatient general internal medicine and subspecialty experiences in pulmonary, infectious diseases, and gastroenterology.


Q: How are my shifts distributed and when do I take admissions?
A: On the general medicine services, at HUP, a team is 1 resident and 2 interns. Each shift starts at 7:00 a.m.or 8:00 a.m. depending on the day of the call cycle. The resident admits 9:00 a.m.-10:00p.m. every 4 days. The resident stays overnight to finish up admissions received by the team and cross cover their own team’s patients. The primary interns admit from 9:00 a.m.-7:00 p.m., leaving by 9:00 pm. On the fourth day of the resident call cycle, the team admits short call from 7:00 am-6:00 pm. Your intern service cap is 10. You cannot admit more than 4 patients in any shift. On the general medicine services at HUP, the residents work extended shifts every 6th night. At Penn Presbyterian, the call cycle is slightly different and residents work shifts every 4th night. At the VA, there is no overnight call.

On the specialty services, all residents and interns are on day or night shifts with a maximum of 13 hours of consecutive duty. Each specialty service has two teams of one resident and one intern. The teams alternate days with admitting duties. The intern service cap is 8-10 patients depending on the service. An intern cannot admit more than 4 patients in any shift.

In the ICU’s, residents take extended call every fourth night, interspersed with day shifts. Interns work either day and night shifts of up to 13 hours' duration.

Q: When are my days off?
A: All housestaff get 1 day off in 7 when averaged over a rotation. These days off are preset in the online schedule such that housestaff know their days off for the year, and plans can be made in advance.


Q: What is “jeopardy”?
A: Penn maintains a jeopardy sick call system in order to support housestaff well-being by providing easily accessed coverage in times of illness or personal emergency. Residents assigned to jeopardy must keep their phones on and be prepared to work on short notice.


Q: Do attending rounds occur daily?
A: Yes. Rounds consist of bedside presentations, didactics, and evidence-based medicine. They last 2-3 hours.


Q: Are there Multi-disciplinary Care Rounds?
A: On some services, MCR occur separately from attending rounds. They include nursing, housestaff, social work, clinical resource management and pharmacists. They are designed to facilitate patient flow by assisting with discharge planning. In general medicine and oncology, social workers, clinical research managers nd pharmacists are assigned to resident teams and participate in attending rounds.

Q: How does the program teach quality improvement?
A: Quality Improvement (QI) is taught in a variety of activities and forums. All QI activities are supervised and evaluated by faculty with training and interest in quality and safety.

Interns complete a project involving evaluation of the care delivered to their panel of continuity outpatients, and develop a plan to improve that care.

Residents are involved in a QI activity chosen by their continuity practice while on their “firm” rotation. The nature of resident involvement depends on the status of the project at a given time of year, but may include activities as diverse as process mapping, root cause analysis, patient education, dissemination of practice improvement tools, team-building or post-intervention data collection.

All residents receive clinical data about their own panel of outpatients in semi-annual face-to-face feedback sessions with a clinic preceptor. This resident-specific and practice-specific data helps residents and faculty generate action plans and learning objectives for the upcoming half-year.


Q: Does the program have a patient safety curriculum?

A: Yes. One of the Assistant Program Directors is one of HUP’s Patient Safety Officers. She plans and implement the curriculum. One resident report each month is used to teach basic safety concepts around real cases that represent errors or near misses. Didactic content is included in the ambulatory curriculum. A robust M&M occurs as part of Grand Rounds 6 times per year. Residents are involved in all aspects of these conferences and also participate in Root Cause Analyses.


Q: What is the Healthcare Quality and Leadership Track?

A: This track is designed for individuals wishing to pursue advanced training in healthcare quality and leadership. Residents apply in the spring of internship and begin in the PGY2 year. The track has an annual 2 weeks of core didactics and monthly seminars. Residents are also active members of the Unit Based Clinical Leadership teams.


Q: Are there required ambulatory rotations?

A: Yes. During intern year there are 12 weeks of ambulatory rotations divided into ambulatory block rotations, elective rotations, and firm rotations.

Ambulatory Block Rotations: All but preliminary interns participate in ambulatory block rotations. Highlights include:

  • A standardized curriculum of interactive talks and seminars on physical diagnosis, screening and prevention, common outpatient illnesses, the patient-doctor relationship, ethics, medical informatics, and critical appraisal of the literature.
  • Selected clinics in medical and non-medical office-based specialties.
  • An increased amount of time building a patient panel in their own continuity practices.
  • Simulated training in procedures at the Penn Simulation Center.
  • Standardized patient experience to improve communication skills.
  • An innovative Theme-Based Ambulatory Experience gives interns the opportunity to focus their ambulatory education in a structured way by organizing various educational components on one general theme at a time. Components of this experience include an interactive online forum (moderated by a subspecialty expert), review of selected landmark papers and guidelines/
Ambulatory Elective Rotation: Interns choose from a variety of clinical experiences.


Firm Rotations: Each PGY 1 and 3 has one, and each PGY 2 has two required firm rotations designed to solidify their ambulatory skills. The experience is designed to provide an immersion in the practice with a focus on in-depth attention to their primary patient panel, acute outpatient medicine, phone triage and quality improvement.

  • Each resident on the firm rotation will participate in team based care including:

    o Phone medicine:
    A core curriculum in phone medicine is reviewed, and the firm attending does daily reviews with each resident to insure comfort and facility with phone management.
    o EPIC Inbox and Firm Mailbox management:
    Residents are responsible for the Ambulatory Resident Pool in EPIC for their firm with the goal of developing co-practice skills. This includes calls and labs concerning firm patients cared for by all interns and residents on wards, elective, ICU, ER, and vacation. Residents review a curriculum of proper management of abnormal laboratory results and patient communication skills. Residents also assist with form completion and mailbox management for colleagues who are schedued to be away from the office.
    o Quality Improvement
    Residents on the firm rotation play an important role in firm-based quality improvement projects, as detaild above.


Q: How is the curriculum organized?

A: The blueprint for the curriculum has been created by the Curriculum Committee made up of Core Faculty from each specialty of Internal Medicine. These individuals create the curriculum based on what they feel is most important for a general internist to know about that specialty. This curriculum integrates resident report, ambulatory conferences, and clinic curricula, while also supplying self-directed learning resources such as videos, reference articles, and a broad array of podcasts recently developed by a group of our residents.


Q: What is the conference curriculum?
A: An integrated conference curriculum provides interns and residents with broad exposure to the principles and competencies of core internal medicine. The purpose and format of each conference is slightly different to provide residents with diverse learning venues. In addition, a variety of both clinical and basic science conferences are held throughout the week in all of the specialties. The weekly conferences include:

Resident report: (12:00 - 1:00 p.m - Monday, Wednesday, and Thursday)
This is the highlight of the curriculum. It is a didactic, patient based conference held 3 times a week. It is run by the chief residents with faculty support. There is equal emphasis on inpatient and outpatient cases. Multiple formats are used including intake, formal case presentations and clinical skills sessions. Integrated here are a physician scientist and a patient safety series.

Intern report: (1:15 - 2:15 p.m. - Monday, Wednesday, and Thursday)
This is similar to resident report but is focused for interns. It is run by the chief residents and occurs three times a week with equal emphasis on inpatient and outpatient cases. Interns are encouraged to forward phone calls to their residents during intern report in order to insure a focused educational experience (and opportunity to eat lunch in peace).

Management Conference: (12:00 - 1:00 p.m. - Friday)
This is a combined intern and resident conference highlighting core management topics given by selected faculty. A monthly favorite is the combined Med/Path conference where two deaths with autopsies are presented and discussed by residents and faculty from both departments.

Grand Rounds: (12:00 - 1:00 p.m. - Tuesday)
This is the premier didactic conference for the entire Department showcasing topics by departmental, regional and national faculty. The formats include formal lectures, panel discussions of controversial issues, and CPC's and M&M presentations facilitated by senior residents. These conferences are webcasted to all major clinical sites in the health system, and are archived and available online.

Tuesday didactic sessions: (8:00 - 11:45 a.m.) For residents and interns on elective or firm rotation
These conferences are devoted to inpatient and outpatient management topics presented by core faculty. These sessions are more advanced, case-based discussions aimed at the resident level.

Pre-clinic conference (1:00-1:30 p.m. on clinic days)
Residents and faculty meet for 30 minutes before the session begins for a resident-led, faculty supervised case-based discussion of a common ambulatory problem.

Nighttime Intern series (12:00 a.m.-12:30 a.m. - Monday, Tuesday, Wednesday, Thursday, Friday)
These conferences are taught by a senior resident in house. They focus on teaching scripts designed by residents and reviewed by faculty experts, and highlight inpatient management issues.

Night Float report (7:30 a.m.-8:00 a.m. - Tuesday, Thursday, Friday)
This is an intake report for all interns and residents on the night shift that occurs three mornings per week. Selected outstandig teaching faculty, including the program director and associate program directors, are the designated facilitators.

Penn POD
This innovative podcast series is one of our newest curricular offerings. Initially suggested and designed by residents on our medical education elective, the podcasts offer condensed, practical talks designed to be ‘just in time’ learning for interns or housestaff returning to rotations after a long absence. The talks are offered by residents, though all have been reviewed and approved by Penn faculty experts. There are over 50 Penn Podcasts that range in length from 5 to 15 minutes.

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HUP FACTS


Q: How are the teams organized?
A: The HUP ward medicine teams include: 3 Oncology (2 liquid tumor and 1 solid tumor oncology), 2 subspecialty (1 GI, 1 combined ID & pulmonary) and 6 general medicine teams. The general medicine and liquid tumor teams are made up of one attending, one resident, two interns, and 1 third year medical student. The other teams are made up of 1 attending, 1 resident, 1 intern and 1 third year medical student.

Q: Are there non-housestaff covered patients?
A: Yes. There are 2 non-teaching services at HUP: Cardiology and Oncology. The total number of patients managed by non-teaching services is about 120/day.

Q: What is the patient mix?
A: HUP serves a diverse patient population that varies somewhat by service. On many ward medicine services, quite a few of our patients come from the surrounding West Philadelphia area, which is a very diverse urban population. Our more specialized services also care for the local community while simultaneously drawing referrals from the region of the Delaware Valley and many states in the Mid-Atlantic region.


Q: Are there private attendings?
A: No. Each teaching service has 1 attending for a 2 week block. For example, the pulmonary division has 1 faculty member on general consults for each 2 week block. Any pulmonologist admitting a patient will admit to that attending and service. Thus, there is only 1 pulmonary attending for all general pulmonary admissions.

Q: What are the hospitalist services?
A: We have had hospitalists since 1999. They staff the Martin Service – named after a beloved Program Director at Penn. There are 23 hospitalists, six of whom are on service every month. All unassigned admissions and admissions from many of the Penn Medicine general medicine practices come to this service. These individuals are the teaching attendings as well as the attending of record for their services.


Q: What systems are in place at HUP to support duty hour reform?
A:
  • Web-based patient identification and sign out system.
  • 24-hour blood culture, and phlebotomy services.
  • Dedicated clerical support to make post discharge appointments and obtain outside hospital records.
  • Telemetry transport services.


Q: What type of technology is available at HUP?
A: HUP has the following resources:

  • iPhones provided to all housestaff
  • Wireless network throughout hospital
  • Wireless computer on wheels for each team
  • Computers at each patient's beside
  • Sunrise Electronic Order Entry System
  • Clinical Portal called Medview to pull all clinical systems into one use friendly portal
  • New app for handheld devices called Connexus that links to patient signouts, labs, and medications for quick reference
  • Online discharge summaries
  • EPIC Outpatient EMR
  • Access to the School of Medicine biomedical library with extensive collection of electronic editions of leading textbooks and journals
  • Up-to-Date Clinical resource.
  • The Department of Medicine is actively engaged in creating pilot applications for IPads and IPhones.
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    VA HOSPITAL (PVAMC) FACTS:

    Q: Where is the VA Hospital located?
    A: An 8-minute walk across campus from HUP.

    Q: How do the facilities compare to the HUP facilities?
    A: There is an 8 story clinical addition which houses all of the outpatient clinics, a MICU, and a nursing home.

    Q: How much time will I be spending there?
    A: On average, each senior resident spends 1 month per year at the VA. Most resdients will spend 2-4 weeks at the VA.
    Q: What is the structure of the VA service?
    A: The inpatient service at the VA was remodeled in July 2012 to be the site of our new Intensive Teaching Service. The experience has been designed to optimize the resident’s opportunity to teach and supervise students. A teaching curriculum is embedded in this rotation with the goals of enhancing bedside teaching, feedback and evaluation. The VA team structure consists of 3 medicine teams, each with an attending, 1 resident and 2 sub-interns (or 1 resident and 1 intern during the months without sub-interns). Each team is on long-call every third day from 8:00 am – 10:30pm. There is a night float resident that cross-overs for the day teams from 9:30 pm – 10:00am, so there is no overnight call. Each team is capped at 12 patients.

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    PRESBYTERIAN MEDICAL CENTER (PPMC) FACTS:

    Q: Where is PMC?
    A: A 12 - 15 minute walk through campus from HUP.

    Q: How much time will I spend there?
    A: Approximately 1-2 months per year as an intern; 2-3 months as a resident.

    Q: What teaching services are at PPMC?
    A: General Medicine, Acute Care for Elderly (ACE), Cardiology Care Unit (CCU). All attendings are Penn Medicine faculty, including many outstanding Penn general internal medicine physicians on the general medicine service who also attend in the office practices.

    Q: What is the admitting/shift schedule?
    A:

    • The General Medicine system is similar tothe HUP system, except that call is every fourth night for residents. Team size and structure are unchanged.
    • The PPMC CCU has 4 interns and 4 residents. The residents take extended call every fourth night. Interns are on 13 hour shifts that may be either day or night shifts.
    • The ACE Unit has 4 residents who take extended call every 4th night.


    Q: Are there non-housestaff covered patients?
    A: Yes; there is a large non-teaching service for peri-procedure Cardiology patients and for private specialty and general medicine admissions. Housestaff do not cover these patients at night but provide emergent care when necessary.


    Q: What is the ACE unit?
    A: The ACE unit is the Acute Care for the Elderly unit and is the core of our geriatric curriculum. Each second year resident spends 2 weeks on this rotation. There is a strong emphasis on interdisciplinary team management and care. The Geriatrics faculty are the attendings for this rotation.

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    OUTPATIENT CONTINUITY PRACTICE:

    Q: Where will I practice?
    A: Housestaff practice in groups at one of three sites: PVAMC, 3701 Market Street or Penn Center for Primary Care. You will practice as a member of your firm for three years.

    Q: When will I have outpatient office hours?
    A: There are no outpatient practice responsibilities during the majority of inpatient clinical rotations. This is a recent change that allows housestaff to focus on inpatient care while simultaneously enhancing the outpatient experience when it takes place. Second and third year residents have occasional office hours during inpatient rotations in order to ensure continuity of care with their primary patients, and consistent with the programs structured and graduated responsibility. Any such clinics are scheduled on non-admitting days. Residents on elective have at least 3 office sessions (half days) every two weeks, with more frequent scheduling allowed for residents considering primarily outpatient-based careers.


    Q: What is the faculty to resident ratio in the office practice?
    A: At most the faculty to resident ratio is 1:3, though it is often 1:2.

    Q. What is a firm?
    A. Those residents that practice at 3701 Market Street belong to one of 4 firms that are run by a faculty firm chief with 2-3 core faculty preceptors. Each resident has their own panel of patients within the practice that they keep throughout the three years of residency. Residents attend their practices up to two half-days a month when on some call rotations and then 2 times a week when on elective rotations. Each PGY 1 amd 3 has one required firm rotation, and eah PGY2 has 2 required firm rotations designed to solidify their ambulatory skills learned in residency. The experience is designed to provide an immersion in the practice with a focus on acute medicine and quality improvement.

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    EMERGENCY DEPARTMENT:

    Q: How many patients are admitted to medicine services through the Emergency Department?

    A: The HUP Emergency Department treats over 90,000 patients per year. Although the patient population comprises an undifferentiated sample of the medical problems managed by academic emergency departments, the acuity level is considerably higher than many other such departments and accounts for 35% of all admissions to HUP.

    Q: What is the ED experience like?
    A: Emergency Medicine is a separate Department. Medical Housestaff play a critical role in evaluating and triaging all types of patients who present for care.

    Q: How often do I work in the Emergency Department?
    A: Each PGY2 and 3 spends 2 weeks in the ED.

    MENTORING & WELLNESS:

    Q: Is there an advising program?
    A: Yes, interns are assigned in groups to key selected faculty. They meet both in groups and individually to discuss various topics both within and outside the workday. There is an intern retreat in the fall where the entire class gets together for a night and the following day. By the end of the internship, career path dictates the choice of additional faculty mentors, but the assigned program advisor remains with the intern throughout his or her training.

    Most residents end up with multiple mentors including research, career and life mentors. For residents interested in research-based academic careers, the Clinical Investigator Toolbox elective jump starts the research mentoring process in July of the second year. Other mentoring is frequently provided by faculty running the various tracks and by the program director and associate program directors.


    Q: Is there career counseling?
    A: Yes, there is extensive counseling by the Program Director, Chair and Division Chiefs of each subspecialty. There are also identified faculty in each division for this purpose. Residents get help with preparing their CV's and personal statements. There is an annual career fair at the junior resident career day, as well as other structured opportunities for career guidance.


    Q: Is there a Wellness Program?
    A: Absolutely – our program recognizes the stresses of residency and is fully committed to supporting housestaff through both success and struggles that may come during the training process. There is a longitudinal Self-Care Curriculum for Interns with the goal of teaching various self-care strategies and more importantly, normalizing self-care as an expectation of residency training and beyond.

    There are four sessions distributed longitudinally throughout intern year, delivered during Ambulatory Blocks. Sessions are usually mixed didactic/experiential and include:

    • Self-Care Strategies Session – This session reviews concrete self-care strategies in both physical and emotional domains. Interns are given a handout with contact numbers of local PCPs, GYNs, urologists, dentists and mental health professionals and empowered to identify their own health teams and are given four (program leadership approved) ½ days a year, to be taken during their ambulatory blocks, that they can utilize for their own health appointments, in addition to reassurance that any time needed for personal health will be accommodated by the program.
    • Physician Impairment Session - This mostly didactic session is aimed at helping interns identify warning signs of distress, burnout and disability. Emotional and physical health resources will again be provided with the session materials.
    • Awareness Exercise Session - This is a guided self-reflection exercise explores the factors in each participant’s lives (at work and outside of work) that are draining and sustaining.
    • Emotion Handling Session - This is a mixed didactic/interactive session reviewing communication strategies to use with patients who are expressing emotions like anger, anxiety, grief, etc. The session is then transitioned to discussing and normalizing the complex emotions that interns themselves experience during their daily encounters and emotional handling strategies are reviewed.


    RESEARCH:

    Q: Is there a “scholarly requirement”?
    A: Yes. Each resident in the categorical and the primary care programs must complete a scholarly project. Scholarship is broadly defined and includes reviews of clinical topics, original work resulting in abstracts or manuscripts, laboratory experience and community service.

    Q: How does the program support resident research?
    A: The program has created a two week course for junior residents entitled the Clinical Investigator Toolbox. It is designed to teach the basics of research design, principles of informed consent, working with the IRB, etc. Speakers include faculty from across the School of Medicine to provide diverse exposure to careers in academic medicine. Each resident identifies their research interests and then the course directors match those interests with various faculty. Residents subsequently meet with identified faculty to further define their interests and select a research project.

    The program supports residents who present at regional or national meetings including help with post production and financial support for travel and meeting expenses.

    Q: How productive are the residents?
    Very productive. Over the last two years they have published over 130 peer-reviewed manuscripts. Please review the program bibliography

    Q: Are there research electives?
    A: Yes. Research electives are available to all trainees within the three year program. The amount of time available is based on the research goals.

    Q: Is there a Research Pathway?
    A: Yes. It is possible to enter the ABIM Research Pathway after two years in the standard program followed by a clinical fellowship and three years of research. It enables those with physician scientist aspirations to differentiate a year earlier. This decision is usually made during the Spring of the PGY-1 year. Those in the pathway become members of the William Osler Society in Medicine, which serves as a forum for gatherings around research meetings, visiting speakers and provides time and opportunity for mentoring. See link to ABIM Research Pathway.
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    INTERNATIONAL PROGRAMS:


    Q: What is Penn Medicine at Botswana?
    A: In 2003, the Department of Medicine and the School of Medicine entered into a collaborative agreement with the government of Botswana and the Gates and Merck Foundations to develop an HIV care program for the citizens of Botswana. We now have an inpatient firm at Princess Marina Hospital in the capital of Gaborone, Botswana that includes multiple full time faculty. At any time there are multiple rotating residents and medical students.


    Q: What is the Global Health Track?
    A: Individuals interested in serving the global community as a career path can apply to the Global Health Track as part of the categorical application process or as interns. The track can accommodate up to four people each year. The curriculum begins in the PGY2 year with a core month of intensive course work in community health. International immersion experiences substitute for elective time in the 2 nd/3 rd years. See link to Global Health.


    LIVING IN PHILADELPHIA:

    Q: Where will I live?
    A: Most residents live across the bridge in Center City. A few live in nearby suburbs or West Philadelphia (University City). Please see extensive housing list compiled by the Office of Off Campus Services for a review of neighborhoods and popular buildings.

    Q: What about transportation to and from work?

    A: The hospital supplies parking or commputer passes to all housestaff. If parking is desired, the value of the commuter pass is applied to the cost of parking. Those rotating at PPMC can park on-site if they choose the parking option..


    Q: What is there to do outside of work?
    A: Philadelphia is a multi-cultural city with something for everyone. There are museums, parks, theaters, a renowned orchestra, a passionate sports community, the waterfront and much more. Philadelphia also has a wide variety of restaurants for every budget, with several nationally acclaimed five star delights. See link to Philly Fun Guide.

    Q: How do the housestaff get to know each other?

    A: Through rotations together – especially their ambulatory medicine months. Each ambulatory group sponsors a party each month for the rest of the program. There are monthly happy hours as well and special social events each month. Although ours is a larger program it is also a very close knit program where a sense of family and community is central to the experience.

    OTHER AMENITIES:

    Q: How will I eat?
    A: Debit cards for meals are provided by the Office of Graduate Medical Education. Rotations requiring greater than 60 hours/week receive a monthly benefit. Lunch is served at Resident, Intern Report and Management Conference. Philadelphia is noted for its excellent and affordable restaurants.

    Q: Are white coats available?
    A: The Department provides long white coats to all housestaff. Free laundering is available through the department. We provice 3 white coats; 2 in intern year and another one in 2nd year.

    Q: Are scrubs available?
    A: Yes.

    Q: Are lockers available?
    A: Yes.

    Q: Are their program sponsored social events?
    A: Yes. There is a very active social committee that sponsors 1-2 events/month.

    Q: Is there a retirement plan?
    A: You can contribute to a 403B but there is no matching.

    Q: Does the program support professional society membership?
    A: Yes. The program pays for an Associate level membership for all senior residents to the American College of Physicians. The program buys MKSAP for all senior residents.

    Q: Does the program support professional regional/national conference attendance?
    A: Yes. The program will pay many of the associate costs for any resident presenting original research at a meeting. In addition, the program is usually able to arange coverage to allow residents to present even when on inpatient rotations.


    AFTER RESIDENCY:

    Q: What do most of your residents do after completing the program?
    A: A large portion of our residents go on to train in a subspecialty fellowship, including general medicine fellowships. Increasingly, we are seeing more of our residents enter general medicine practice. See link to List.

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    UNIQUE TO PENN
    • Outstanding breadth of clinical training at 3 sites
      • HUP: A university-based tertiary care referral center
      • PPMC: An academic community hospital
      • PVAMC: A Veterans Affairs medical center
    • Extensive Career Counseling
    • Clinical research training course
    • Tremendous research opportunities plus research support (Department of Medicine ranked #3 in NIH funding)
    • Diverse and closeknit housestaff from a wide range of backgrounds.
    • Active social committee
    • Penn Medicine at Botswana
    • Large non teaching services to enable housestaff to focus on the more interesting and complex cases
    • Global Health Track
    • Integrated patient safety curriculum.
    • Extensive conference curriculum.
    • Days off scheduled up front for the year.
    • Smart phones to support enhanced text and verbal communication with all care providers.

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    Updated: 8/30/2011