Internal Medicine Residency - Mentoring and Benefits
Do you have a mentoring program to help residents achieve their goals?
Our mentoring program is comprehensive and very successful. Interns meet with one of the directors to review their career goals and interests and then are paired with one or more faculty members with similar interests and who take a strong interest in our residents' well-being. The director checks in frequently with the faculty-resident pair to ensure that the resident's needs are being met. Residents entering fellowships are able to start a research project early in their training, present at our Maryland ACP meeting, and develop a robust CV to ensure a successful fellowship match. Residents interested in hospital medicine are paired with one or more of academic hospitalists. These residents can become involved in various ongoing projects in quality improvement and safety, or strengthen their skills in inpatient practice. Lastly, residents who are destined for a career in primary care are paired with one of our academic generalists with whom they develop the appropriate electives and curriculum to meet their needs. We have many, many connections with practices in the community, which are invaluable in helping our residents secure a primary care position at the end of their training. All residents are strongly encouraged to present their research or a clinical vignette at our annual Maryland ACP meeting -- a highlight of the spring. Our residents present over 40 research abstracts and clinical vignettes at the annual meeting. The Department of Medicine provides $750 in support for residents who present their work at national meetings.
How many electives and call-free months do I get as a first year resident? How about vacation time?
Interns have 5-6 blocks without call. The non-call blocks for categorical interns include 1.5 electives, 1 Academic GIM, 1/2 month of ER, 1 month of ambulatory (episodic care), and 1-1.5 months of Night Float. The non-call blocks for preliminary interns include 3 electives, 2 Night Float months, and 1/2 month of VA episodic care.
Interns have 4 weeks off, taking 3 weeks of vacation during the academic year (one 2-week block and 1 week during an elective of their choosing). Since interns start a week early on June 24th each year, they end their internship a week early on June 23rd and have their 4th week of vacation at the end of June. The paid 4th week of vacation at the end of June is only applicable for residents continuing their training at Maryland.
Upper level residents have 4 weeks of paid vacation per year with one 2-week vacation block and two 1-week vacations taken during elective time.
Do you have a night and day float system?
We have the both night and day floats at University Hospital and the VA. The night float team comes on duty at 9 pm 7 nights per week, takes all admissions and does all cross coverage for the medical teams. Interns and residents do 5 night float shifts in a row. Interns on-call take their last admission at 6 pm and can leave the hospital around 9-10 pm. Thus, interns and residents on floor teams do not have overnight call. The Night Team presents their admissions to the team attending the following morning - thus ensuring continuity of care, accountability and educational feedback for their work. Both the University and VA Night teams are essential components of the residency program allowing our residents to be more rested, stay under the 80-hour workweek cap and attend more conferences. The day float resident starts their responsibilities at 12 PM and stays through 10 PM, assisting the post-call team, long-call team and ICU's as needed.
What kind of call system do you have?
Call is every 4th night on all services and in all hospitals. We have team call on all general medicine services at UMMC and the VA. These teams are covered by a University or VA Night Team so that residents may leave at 9-10 PM on their days on call. On the ICU's at University and the VA and in the Cancer Center, upper level residents take q4 over-night call and leave within 28 hours.
We participated in the iCOMPARE trial - a national trial to assess how resident work hours impact resident satisfaction and patient outcomes. We have continued the structure of that trial with interns only taking q4 overnight call in the MICU and CCU at UMMC. We saw a positive impact on patient continuity and resident satisfaction. For all other services, interns do not take overnight call.
How many chief residents do you have and what are their responsibilities?
We have 7 chief residents at the University of Maryland. Five of the chiefs have completed their training in internal medicine and are board eligible/certified and include 2 University-VA Chief Residents, a Primary Care Resident, a chief resident in Patient Safety and Quality Improvement, and the Mercy Chief Resident. We have 2 chief residents in their final year of training in the Med-Peds and EMIM programs.
- The University-VA Chief Residents are responsible for all the educational activities for the residents at the two hospitals, including noon conference, CPC, and other teaching conferences. They create all the monthly and on-call schedules in accordance with the curricular requirements of the program. They attend on the inpatient units and in the continuity medical clinics. Our chiefs are wonderfully creative and have an enormous amount of enthusiasm for teaching. They have a huge impact on the program, interacting with the residents on a daily basis, and are the primary advocates and support for the residents.
- Our Primary Care Chief Resident is responsible for all the outpatient conferences and core curriculum in primary care, coordinates the continuity clinic schedules and works with the Associate Program Director for Ambulatory Education on the Flex program. This chief also serves as an attending on the inpatient service and in the residents' continuity clinics.
- The Chief Resident in Patient Safety and Quality Improvement oversees a broad system-wide program to enhance resident skills in this area through both conferences and hands-on learning. Principles are reinforced during core conference and M&M. Residents apply these skills through practice based learning exercises in their continuity clinics and participation required longitudinal QI projects with their classmates.
- The Chief Resident at Mercy Medical Center is responsible for the preliminary interns at Mercy and the University residents and students who rotate at that hospital. The chief coordinates Morning Report, Grand Rounds, M&M, core curriculum and Journal Club, is responsible for the yearly call schedule and ensures that the master curriculum is delivered to all residents rotating at Mercy. The chief also attends on the inpatient service and on all medical consultations at Mercy.
- The Med-Peds and EMIM Chief Residents are help coordinate the combined curricula, including conferences for Med-Peds and EMIM residents, rotation schedules, support groups and social activities for the combined residents. These chief residents are important advocates for the combined programs.
What benefits do residents receive and what is the current salary?
In addition to routine health benefits, residents receive free parking, meal coupons for dinner while on call, lunch at noon conferences, annual $100 book allowances and a $750 educational stipend in the senior year. If residents' research is accepted for presentation at a national meeting, residents receive $750 to support their trip. For those electing international rotations, the Emily Fairchild Endowment provides funds to assist with travel costs. For the current salary and additional information, please see Salary and Benefits.