Internal Medicine Residency

From our Program Director

Marc Shalaby MDThank you for your interest in Penn’s Internal Medicine-Primary Care Residency program. Since its inception in 1997, the program has been a national leader in primary care training. The program is fully integrated with the department's categorical residency training program, yet distinct in its emphasis on primary and ambulatory care. This unique residency program meets the educational needs of trainees anticipating careers in academic or community-based general internal medicine practice. The program also is well suited for residents considering general medicine fellowship training leading to careers in health policy, health services research, quality improvement, clinical epidemiology, or medical education. Even though there is an emphasis on primary care, many of our residents choose to pursue fellowship training in a variety of specialties. It is our belief that the exceptional ambulatory training is beneficial to many of the medical specialties. Through a separate match, six individuals are selected for the internship class. In addition, up to two additional categorical residents are permitted to join the program for their second and third years.

From the Chairman of Penn's Department of Medicine

Michael Parmacek MDThe Primary Care Program builds upon Penn’s long tradition of education, patient care, and research in general internal medicine.  Since 1976, when the Division of General Internal Medicine was founded, Penn has maintained special programs for the education and training of residents and fellows interested in primary care and general internal medicine. The emergence of a large primary care network, the acquisition of Penn Presbyterian Medical Center, a community-oriented academic hospital on the outskirts of the Penn campus, and the growing demand for increased primary care training have enabled the Department to develop further its generalist curriculum and offer, to a selected number of trainees, an innovative and enriched program in primary care internal medicine.

From the Chief of Medicine at Penn Presbyterian Medical Center

Greg Tino MDAllow me to add to Dr. Shalaby & Dr. Parmacek’s welcoming comments and describe in greater detail the very special role that the Primary Care program plays at Penn Presbyterian Medical Center. Presbyterian is a principal teaching hospital for the Penn Department of Medicine, and service to our West Philadelphia community is central to our mission here. The Penn Presbyterian general internists practice alongside the primary care residents in the Penn Center for Primary Care, a model teaching facility, dedicated to community-based primary care. Our educational programs at Penn Presbyterian, including rounds, seminars, and daily conferences, are focused on community practice and general internal medicine. Likewise, the subspecialty faculty at Penn Presbyterian are keenly devoted to the mission of the primary care program. On behalf of the faculty at Presbyterian, generalists and subspecialists alike, I want to thank you for your interest in our primary care program, and hope you have an opportunity to learn more about what we do at Penn and at Penn Presbyterian.

From the Past Chief of Medicine at Penn Presbyterian Medical Center & Current Schaeffer Professor of Medicine at the Perelman School of Medicine

Jack Ende MDThank you for your interest in Penn’s Primary Care Program. As a catalyst in starting the primary care program in 1997, and as a general medicine attending who continues to practice at PCPC, I have been intimately involved with the program since its inception, helping to train the scores of talented physicians that have passed through our doors. With an emphasis on generalist training, the Program provides a strong educational and clinical experience and trains physicians for the future of medicine. It is no secret that this future rests squarely on the shoulders of a prepared, effective primary care work force. This requires ably-trained clinicians with additional skills to lead this work. I am very proud of how the program has flourished over the last 2 decades, and have no doubt it will continue to help talented physicians meet the challenges ahead. Best of luck to you in your journey.

Distinguishing Features

Even among primary care programs, the Penn program is distinct.

Fully integrated: The program is fully integrated with Penn’s categorical internal medicine residency program. Primary care residents rotate on the same inpatient teams as the traditional track residents. They are taught by the same faculty and have as inpatient training sites the same teaching hospitals. While the inpatient educational experiences are identical, primary care residents have a smaller number of inpatient rotations to allow for a focus on ambulatory education. All internal medicine residents teach University of Pennsylvania medical students and work closely with the residents, fellows, faculty and consultants from the other departments within the Penn Health System.

Penn General Internal Medicine Faculty: The program's core faculty is drawn from the Department's nationally prominent Division of General Internal Medicine (DGIM), which includes outstanding clinician-teachers, leaders in healthcare, and distinguished investigators in the relevant disciplines of clinical epidemiology, health services research, bioethics and medical education. The Society of General Internal Medicine's Journal of General Internal Medicine is edited by members of the DGIM, and many of the Division's faculty have joint appointments at the Leonard Davis Institute of Health Economics, the Center for Health Policy, the Center for Clinical Epidemiology and Biostatistics, the Center for Bioethics, and the Medical Center's offices of Quality Management and Managed Care. These important relationships contribute to the exciting educational atmosphere of the residency program through seminars, conferences, and electives. The clinical and research faculty are equally committed to providing an outstanding educational experience for residents in the primary care program.

Two continuity practice sites: Primary care residents take advantage of the enormous educational resources found within the University of Pennsylvania Health System. In addition to the three on-campus teaching hospitals, the primary care program utilizes the faculty and community practice sites of Clinical Care Associates, the Health System's primary care network of office practices. Primary Care Residents have two continuity practices: a hospital-based practice at Presbyterian Medical Center (PMC), and a second, community-based site. Interns spend a one-month intensive experience at their community sites and then assume a weekly practice at that same site for the second and third years.

To apply: The program has a separate match number. Otherwise, the application process for the primary care track is part of the same process used for the categorical track. Please indicate your interest in primary care by checking the appropriate box on the application form. Interviews and information sessions are held on the same days for both programs.

Good Luck,
Marc Shalaby, M.D., F.A.C.P.
Program Director, Primary Care Residency
Department of Medicine
Presbyterian Medical Center
39th and Market
Philadelphia, PA 19104-2699
(215) 662 9233