Internal Medicine Residency

Medicine-Pediatrics Combined Program


Q: How many residents do you accept?
A: 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 or two children’s hospital in the country in U.S. News and World Report. CHOP serves as both a community hospital for the neighborhood of West Philadelphia, as well as a tertiary care referral center for pediatric patients from around the country (and world). Most of the inpatient wards at CHOP have a combination of general pediatrics hospitalist service a subspecialty service such as benign hematology, neurology, pulmonology, adolescent medicine, nephrology, or endocrinology. There are also dedicated floors and rotations to oncology, cardiology, and pediatric intensive care unit.

HUP: HUP is a large, tertiary care, academic medical center. It is consistently ranked among the best adult hospitals in the country. Medicine services include a hospitalist general medicine service, as well as subspecialty services in cardiology, oncology, pulmonology, gastroenterology, and infectious disease. Residents also spend time in the medical intensive care unit and the cardiac care unit. While on pediatrics, Med-Peds residents rotate through the Well Baby Nursery and the Neonatal Intensive Care Unit which are also located at HUP.

Presby: Presby is 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 on a general internal medicine service, as well as the inpatient geriatrics unit.

Q: Where do Med-Peds residents have continuity clinic?
A: Our residents have an Internal Medicine Clinic at the Edward S. Cooper general internal medicine practice. Pediatrics clinics are held at Karabots Pediatric Care Center or Cobbs Creek Care Center. These clinics have a long-standing tradition of providing primary care to the West Philadelphia community. The resident clinic experience is aimed to promote increasing autonomy in caring for clinic patients and take advantage of learning from categorical colleagues and preceptors as well as fellow med-peds residents and preceptors.

While on inpatient pediatric rotations, residents have one clinic session per week (alternating between medicine or pediatrics). While on inpatient internal medicine rotations, residents have continuity clinic in keeping with the "6+2" schedule of our categorical internal medicine colleagues.

At thoughtfully timed intervals, we weave Med-Peds Primary Care and elective blocks into our curriculum to allow residents regular periods of outpatient time and ambulatory education.

Q: How often do residents rotate between medicine and pediatrics?
A: For the most part, interns and residents rotate between medicine and pediatrics rotations every 3 months.

For interns, we do an early switch within the first 3 months in order to familiarize each intern to the various hospital systems.

In the final two years of residency it is possible to be more flexible in order to accommodate specific electives, career interests, global health rotations or personal requests.

Q: Will I be on service with other med-peds residents?
A: Yes. At any given time, approximately half of our med-peds residents are on internal medicine rotations and half are on pediatrics. We strive to pair-up med-peds interns with upper year med-peds residents whenever possible.

Q: Is there a med-peds specific conference series?
A: Yes. We have a weekly noon conference for Med-Peds residents which includes a variety of interactive learning opportunities from case reports to journal clubs to didactic lectures to a resident wellness series. It is protected time for our residents to learn from faculty experts as well as each other and a great venue for both residents and core Med-Peds faculty to convene weekly.

Q: Is there a Med-Peds Chief Resident?
A: Yes. There is a dedicated 5th year med-peds chief resident, whose core responsibilities focus on Med-Peds clinical teaching in the inpatient and outpatient settings, Med-Peds conference planning, categorical conference teaching, committee involvement and administrative oversight of the Med-Peds program. The Med-Peds Chief resident works alongside the categorical chief residents at both HUP and CHOP, ensuring smooth operations for our residents as they rotate among the various hospitals.

Q: Is there a formal mentoring program?
A: Yes. Each resident is assigned to a mentor family, that consists of a Med-Peds-trained faculty member and a resident in each year of med-peds training. Each faculty member meets with their residents as a group and individually throughout the year. Within each mentoring family, fourth-- years serve as advisors to interns and third- years serve as advisors to second-years to make transitions smoother. Faculty members provide career planning advice while a peer mentor provides rotation specific tips. At all levels we provide psychosocial support and wellness. The program director and core faculty also help residents to find other career specific mentors at HUP or CHOP as needed.

Q: Are there med-peds trained faculty?
A: Yes. There are many med-peds trained faculty members at both HUP and CHOP, and the med-peds community is growing all the time! While there are too many to list here, the program keeps a running list med-peds trained faculty that we share with residents. Med-Peds residents often appreciate their insight as additional mentors, career counselors or supervisors on research projects.

Q: What is your curriculum?
A: Medicine-Pediatrics Curriculum

Q: Is there flexibility in the schedule?
A: Yes. Elective time is built into the schedule to allow residents opportunities to explore career interests, perform research, participate in subspecialty clinics, and pursue global health electives.

Q: Will I be able to do research?
A: Yes. Each graduating med-peds resident is required to complete a scholarly activity prior to graduation. Research opportunities are available in basic science, clinical research, health policy, health services, advocacy 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: Yes. Med-Peds interns are invited to apply for the highly-rated Global Health Equities Track. Med-Peds residents who participate in the Track have the opportunity for fully-funded travel for global health electives yearly during the 2nd, 3rd, and 4th year. The UPenn/CHOP partner sites for the Global Health Equities Track are located in Botswana and the Dominican Republic. For residents who are not in the Track, opportunities are still available for international rotations during 3rd or 4th year.

Q:What else is unique about the Penn-CHOP resident experience?
A: Penn and CHOP are constantly looking for innovative ways to improve the education of their residents.

There are several advance skills that Med-Peds residents can acquire during their residency. Med-Peds residents are invited to apply to the internal medicine Medical Education, Quality Improvement, Health Policy Tracks and the Clinical Investigator's Toolbox for additional research training. Med-Peds residents are also invited to apply to pediatric advanced skills programs in bioethics, medical education, integrative medicine, health policy, clinical informatics, behavioral & mental health, business of medicine and practice management, or quality improvement. There are also several unique opportunities for med-peds residents to get involved in projects and training regarding transitions from pediatric to adult care for patients with pediatric onset chronic illness including a consult service and quality improvement initiative on transitions at CHOP.

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. We also feel lucky to have access to all of the resources afforded by the large CHOP and UPenn categorical programs, while still being able to maintain a close-knit bond that the smaller med-peds program provides.