The goal of the residency program at UMMC Midtown Campus is to train future leaders of Internal Medicine. The program provides a wealth of experience and training opportunities, giving our graduates the foundation they need to fulfill their professional dreams and aspirations.
Our Internal Medicine Residency Program is affiliated with the University of Maryland School of Medicine and is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). The University of Maryland Medical Center Midtown Campus offers a friendly, welcoming, and supportive environment for academic medicine in a community hospital setting. The combination of a talented, dedicated faculty, a unique blend of ambulatory and inpatient training, and exposure to known generalists and sub-specialists allow residents and house staff the opportunity to become outstanding clinicians and future leaders in medicine.
UMMC Midtown Campus sponsors the following two programs:
- Categorical Internal Medicine program 1402311154
- Transitional Year Internship program 9992300049
In addition, residents from the University of Maryland Program in Ophthalmology split their time between the University of Maryland Medical Center and our institution. Those who are interested in that program should visit the program’s website.
Fellows from the University of Maryland Critical Care Medicine program rotate through our Intensive Care Unit, which is directed by fulltime faculty from the University of Maryland Division of Pulmonary and Critical Care Medicine. As the University of Maryland Sleep Disorders Center is located on our campus, two sleep medicine fellows also train here. Finally, our program’s separate inpatient teaching services provides an opportunity to serve as the site of training for internal medicine clerkship students from the University of Maryland School of Medicine as well as the American University of Antigua College of Medicine
Baltimore, Maryland is a dynamic city and a model for urban revitalization in the United States. The metropolitan area offers something for everyone -- whether it’s sailing on the Chesapeake Bay, viewing some of the best 19th century architecture in the country, or enjoying lunch at one of the Inner Harbor's many restaurants.
Baltimore is the home of the Baltimore Ravens football team and the Baltimore Orioles baseball team. Both teams have fielded champions in recent years and play their home games in some of the finest sports complexes the major leagues have to offer. Baltimore is also just a short drive from the many cultural and recreational activities Washington, D.C has to offer.
University of Maryland Medical Center Midtown Campus is located in the Baltimore’s Midtown section of the city, adjacent to the Mt. Vernon and Bolton Hill neighborhoods. It is minutes from the city’s Antique Row shopping district, Walters Art Gallery, Meyerhoff Symphony Hall, Maryland Institute College of Art, and Lyric Opera House. As the northern anchor of the city’s West Side Renaissance Program, the hospital is one of the main beneficiaries of a number of private and public investment projects taking place in the neighborhood.
Residents receive extensive training in ambulatory care through their continuity medical clinics and in subspecialty practices, walk-in clinics, the emergency department and private practices. Residents are exposed to a broad variety of patients under close supervision of faculty with expertise in primary care and preventive medicine. Through our noon core curriculum and conferences, residents expand their knowledge of primary care and its related disciplines. The Associate Program Director for Ambulatory Education and the Primary Care Chief Resident are responsible for development and implementation of the ambulatory curriculum.
Continuity Medical Clinics - Academic GIM and X+Y Rotations
Residents immerse themselves in their a continuity medical clinic throughout their residency training. Clinic sites include University Health Center (UHC), the Primary Care Clinics at the VA, the Faculty Practice Office (FPO), and Mercy Medical Center. Based on an X+Y model, scheduling is slightly different for interns and upper level residents. Our continuity clinics are a positive clinical and educational experience for the residents where they establish a 3-year relationship with their attendings, while ensuring a positive balance with their other clinical responsibilities.
- Interns have a fall and spring Academic General Internal Medicine (GIM) block where they attend their continuity clinics in the afternoons and have a wide variety of learning sessions in the morning. During the fall Academic GIM block, interns attend sessions in simulation, ultrasound, literature in medicine, skills boosters and wellness. During their spring Academic GIM block, interns choose from innumerable outpatient practices to meet their learning needs and career goals. Clustering continuity clinics into blocks allows interns to focus on their inpatient rotations and not attend clinic during MICU, CCU, night float and ER rotations. To maintain continuity with their patient panels, interns attend clinic 1/month during floor rotations and 1/week during electives.
- Second and third year residents attend continuity clinics in six 2-week blocks using an X+Y structure. The ambulatory Y blocks are strategically positioned to give residents flexibility for family and personal events or interviewing for fellowships. So we call our system -- FleX+Y. Consolidating continuity clinics into 2-weeks blocks allows residents to focus and build their ambulatory skills and patient panel. Residents attend their continuity clinic in the afternoons and choose outpatient electives during the mornings. These electives are in all the medical subspecialties and primary care. Morning sessions also include sessions in simulation, ultrasound, literature in medicine, wellness, problem based learning and quality improvement projects.
Ambulatory Y Blocks
As noted above, interns complete 2 Academic GIM blocks and upper level residents complete 6 ambulatory Y blocks each year. Residents attend their continuity clinics during the afternoons and choose ambulatory electives for the morning sessions. The Primary Care Chief Resident works with each resident to individualize their morning sessions to meet their career needs -- whether they are deciding among various subspecialties or primary care, or solidifying their commitment to a particular field. For example, residents interested in cardiology elect clinics in advanced heart failure, general cardiology or electrophysiology. Those interested in oncology elect clinics in infectious diseases, medical oncology, hematology and infusion medicine. Residents interested in primary care elect clinics in women's health, orthopedics, rheumatology and travel medicine, and attend private practices in the community to gain exposure to "real life" primary care and learn the business of medicine.
There are several required components in the Ambulatory Y Blocks include geriatrics, neurology, psychiatry, literature in medicine, and completion of practice based learning exercises and a longitudinal QI project, along with simulation and ultrasound curriculum.
- Residents are scheduled for simulation and ultrasound sessions to enhance these skills and build confidence in performing procedures and leading codes using ACLS.
- During Geriatrics, residents learn how a multidisciplinary team addresses the elderly patient's medical, psychological and social concerns.
- In the Neurology practices, residents evaluate and manage problems such as chronic seizure disorders, peripheral neuropathy, movement disorders and headaches.
- Residents participate in Psychiatry Seminars, where they discuss common outpatient psychiatric problems, such as depression and personality disorders.
- A very popular component of the Ambulatory Blocks is Literature in Medicine. Led by a faculty member, the residents read and discuss the works of authors and poets, reflecting on how the writings apply to the practice of medicine and the humanistic aspects of our profession. You can often find this group learning under the trees in the park across the street from the hospital. A wonderful wellness event!
- Residents participate in a problem based learning (PBL) project, where they perform a self-assessment exercise of the patient care they provide in their clinic and formulate an improvement plan based on the results.
- Working in small groups, residents propose and implement a patient safety and quality improvement (PSQI) project that is continued longitudinally throughout their Y blocks.
Various workshops are held throughout the year to help residents transition to their future career. These include workshops in interviewing skills, applying for a fellowship, creating your CV, business of medicine and sessions on specific careers such as subspecialties, hospital medicine, primary care and global health.
- Getting ready to apply for a fellowship or job: Early in the year, senior residents learn the proper timeline for applying for positions, updating their CV and using the internet and headhunters to begin the job search process. Faculty review each CV and coach residents in the application process.
- The fellowship or job interview: Issues discussed include basic approach to the fellowship or job interview, what to know before you go, key questions to ask during the discussion, and appropriate follow-up.
- Assessing a private practice: Residents learn about various aspects of the practice, including how the practice approaches patient care, triages phone calls, and manages charts, documents, call schedules and workload among the physicians.
- Your first job contract: Lawyers join a group discussion to help residents in evaluating their first contract and understanding the key terms for their future practice.
- Office management: Residents learn these skills at their continuity clinic site including information on patient medical insurance, billing, coding, interaction of office personnel and telephone medicine.
Other Ambulatory Experiences
During their ambulatory time, second year residents rotate through our Faculty Practice Office (FPO), where they work alongside our general medicine faculty in a private practice setting. Interns rotate through the Emergency Room at UMMC and the Emergency Care Services (ECS) at the VA and return to ECS in the 2nd and 3rd years, where they receive additional training in outpatient urgent care medicine and emergency medicine. The Emergency Room experience is described under the University of Maryland Medical Center.