Internal Medicine Residency

Medicine-Pediatrics Combined Program


Q: How many residents are in your program?
A: Currently we have 16 residents in our program. There are 4 positions available for each intern class.

Q: Where do your residents work?
A: Our residents rotate at three sites: The Children’s Hospital of Philadelphia (CHOP), the Hospital of the University of Pennsylvania (HUP), and Penn Presbyterian Medical Center (Presby).

CHOP: CHOP is a large academic pediatric teaching hospital. It has been consistently ranked the number one children’s hospital in the country in both US News and World Report, and “Parents” magazine. CHOP serves as both a community hospital for the neighborhood of West Philadelphia, as well as a tertiary care referral center for patients from around the country, and around the world.

HUP: HUP is a large, tertiary care, academic medical center. It is consistently ranked among the best adult hospitals in the country. Medical services include a hospitalist general medicine service, as well as subspecialty services in cardiology, oncology, pulmonary, gastroenterology, and infectious disease. Residents also spend time in the busy medical intensive care unit at HUP, as well as in the cardiac care unit.

Presby: Presby is also a member of the University of Pennsylvania Health System, and is also located in West Philadelphia, approximately 6 blocks from HUP. It is a smaller community hospital, where our residents receive exposure to “bread and butter” general medicine, and have the opportunity to work with outstanding educators in general internal medicine. Residents spend time on the general internal medicine service at Presby, as well as on the inpatient geriatrics unit, and in the cardiac care unit.

Q: Where do Med-Peds residents have continuity clinic?
A: Currently, our residents have two separate continuity clinic practices, one at the Edward S. Cooper general internal medicine practice, where residents are precepted by core med-peds faculty, and another at the CHOP Karabots Pediatric Care Center. Both clinic sites have long-standing traditions of providing primary care to the underserved West Philadelphia community. In order to care for these complex patients, both clinics have on-site social workers, care coordinators, and in the case of the Edward S. Cooper clinic, an on-site pharmacist. Having a presence in both internal medicine and pediatrics clinics positions our residents to learn from their categorical peers and preceptors, and also allows them to provide resources to colleagues seeking to transition pediatric patients to adult care.

While on ward rotations, residents alternate clinics, with one week spent in their internal medicine clinic, and the next in their pediatric practice. When they are not on ward rotations, our residents have more frequent clinics, allowing them to broaden their exposure to outpatient medicine and pediatrics.

We are in the process of developing a combined med-peds clinic, which will serve both adult and pediatric patients. The clinic will act as the primary practice site for all of our residents, and will be staffed by med-peds faculty. Stay tuned for further details!

Q: How often do residents rotate between medicine and pediatrics?
A: Our interns start with one month of inpatient service and then inpatient pediatrics (or vice versa) in order to familiarize themselves with both systems. After this initial one month switch, interns and residents rotate between medicine and pediatrics rotations about every 3 months. Schedules are more flexible in the final two years of the program in order to accommodate specific electives, global health travel, and personal requests.

Q: Will I be on service with other med-peds residents?
A: We keep half of the med-peds residents doing medicine or pediatrics at the same time, and some attempt is also made to pair up med-peds interns with upper year med-peds residents. Therefore, there will usually be a cohort of med-peds residents on-service together at a given hospital.

Q: Is there a med-peds specific conference series?
A: Yes! We have a formal journal club that occurs as part of the weekly med-peds conference series; this journal club focuses on evaluation of study design, review of statistical concepts, and critical appraisal of the literature. We also have an informal, resident-driven journal club that meets in the evenings once per month. This journal club allows our residents the opportunity to review seminal literature in medicine and pediatrics. It’s also a great time for our residents to get together and socialize.

Q: Is there a Med-Peds Chief Resident?
A: Yes. There is a dedicated 5th year med-peds chief resident, whose responsibilities include scheduling for the med-peds residents, curriculum development, and advocating for the med-peds program. The chief also precepts the med-peds residents once per week in both medicine and pediatrics outpatient clinics, and spends 8 weeks on inpatient service at HUP and CHOP.

Q: Is there a formal mentoring program?
A: Yes. Each resident is assigned a med-peds faculty mentor, and med-peds mentoring group upon entering the program. Mentoring groups consist of one core med-peds faculty member, and one resident from each med-peds class, allowing for intramural mentoring among residents. The formal mentoring program serves to assist residents in career planning and fellowship application, and is also meant to act as a support system for residents throughout their residency training. Residents are also encouraged to find career-specific mentors at either HUP or CHOP, where faculty are always happy to connect with and mentor residents.

Q: Are there med-peds trained faculty?
A: There are several med-peds faculty at both HUP and CHOP, and the med-peds community is growing all of the time! Med-peds faculty members are available as mentors and for career counseling, and are eager to interact with our residents. Many of the faculty also have research interests, and are happy to guide our residents through research projects during the course of their training.

Q: Is there flexibility in the schedule?
A: Yes, absolutElective time is built into the schedule to allow residents opportunities to explore career interests, perform research, participate in subspecialty clinics, and travel internationally.

Q: Will I be able to do research?
A: Definitely. Each graduating med-peds resident is required to complete a scholarly activity prior to graduation. Research opportunities are available in basic science and clinical research, as well as in the fields of health policy and health services research, and global health. Many residents collaborate on research projects with scholars throughout the University of Pennsylvania. Structured elective courses for residents to learn about clinical research and careers in academic medicine are also offered, and have been highly rated by our residents.

Q: Are there opportunities for international health experiences?
A: There are a wide variety of international opportunities available through CHOP and HUP. All med-peds residents are also invited to apply for participation in the Global Health Equity Track, which offers a special conference series, research mentoring, and protected international travel time. The University of Pennsylvania has a strong partnership with Princess Marina Hospital and the University of Botswana in Gaborone, Botswana, and many med-peds residents choose to participate in international electives at this site. Med-peds residents have also traveled to the Dominican Republic, Haiti, Kenya, India, Ethiopia, Liberia and Mexico in recent years.

Q: What are the best parts of your program?
A: The best parts of our program are our colleagues (both med-peds and categorical), and our phenomenal faculty mentors and teachers. They are some of the most supportive, brilliant, fun, and kind physicians in the country. We also feel lucky to have access to all of the resources afforded by the large CHOP and Penn categorical programs, while still being able to maintain a close-knit bond that the smaller med-peds program provides.