Welcome

Welcome to the Mass General Internal Medicine Residency Program

White Coat Day 2018

At Massachusetts General Hospital, the Department of Medicine categorical, primary care, global primary care and preliminary year residency training programs provide intensive exposure to the practice of internal medicine and prepare graduates for a wide variety of careers in medicine.

The Categorical Program and the Primary Care Program are three-year programs that provide core clinical training in internal medicine and meet the requirements of the American Board of Internal Medicine (ABIM). Completion of either program qualifies the candidate as board-eligible in internal medicine. The principal difference between Mass General’s Categorical and the Primary Care Programs is the amount of time allocated to training and education in the ambulatory setting. Candidates may apply to any or all of our programs, but will complete one.

We offer broad clinical experience across both inpatient and ambulatory settings, dedicated teaching faculty who are leaders in their fields, a strong camaraderie, resident research opportunities and top-ranked fellowship and career placement. With these resources, the program enables residents to develop excellent clinical skills while attaining long-term career goals.

Consult the following links for more information about each program:

Categorical Program

Provides residents with standard-setting health care training in a wide variety of rotations and leadership roles.

Stanbury Physician-Scientist Pathway

Pathway for careers in research-oriented academic medicine. Trainees have the option of completing residency in two years as part of our Categorical Program followed by clinical fellowship and further research training.

Primary Care Program

Trains residents to provide comprehensive care for patients, including excellent ongoing primary care of patients and inpatient care for acutely ill patients. Primary care residents serve on inpatient general medical teams, as well as spend nearly 40% of clinical training time in outpatient settings.

Global Medicine Program

An ACGME-approved, three-year multidisciplinary residency in internal medicine, followed by a one-year clinical fellowship and faculty development program that integrates the principles and practice of global health and care for vulnerable populations in order to develop future leaders to advance health equity and strengthen health systems in the United States and around the world.

Preliminary Program

Training in primary care for interns completing a preliminary year before moving on to other specialties.

Medicine-Pediatrics Program

A four-year training program in general internal medicine and pediatrics. Residents in this program rotate through the Mass General internal medicine and pediatric residencies and are essential members of both programs. The goal of the Harvard Mass General Program is to afford outstanding clinical training in both internal medicine and pediatrics, while fostering development in research and community service.

Fellowships at Mass General

After completing training in internal medicine, many of our graduates continue their training in medical subspecialties - either at Mass General or other institutions. Mass General offers fellowship training across a wide spectrum of medical subspecialties.

View all of our fellowship programs within the Department of Medicine.

Our Training Program

The Massachusetts General Hospital Department of Medicine’s Internal Medicine Residency Program is structured to train thoughtful and independent physicians who are prepared for diverse careers in medicine. The principal strength of the Mass General program is the significant time devoted to direct inpatient and outpatient care in a manner which promotes both meaningful responsibility and appropriate supervision. On the inpatient rotation, residents alternate through general medicine services, intensive care units, the Emergency Department and consultation services. Outpatient education is provided by the ambulatory care rotation (ACR), ambulatory subspecialty elective (ASE) and a weekly continuity clinic. 

 

Dr. Stephanie Rutledge

"It is the people who make Mass General. The culture of community and collegiality, and the vast network of educators and researchers inspire me every day. Anything seems possible."

 - Stephanie Rutledge, MD 

   Categorical resident

Experience gained from patient care in both the inpatient and outpatient settings is complemented by daily and weekly conferences which range from formal didactic lectures to case-based interactive discussions. Electives provide time for residents to pursue other interests in medical subspecialties, research and self-designed rotations. A wide spectrum of basic and clinical research is conducted every year by Mass General residents and countless opportunities are available at Mass General and throughout the rest of the Harvard community. For those with an interest in international health, the Global Health Program complements traditional training with international health experiences.

More information about our curriculum can be found on the following page links below:

Resources

The strength of the Mass General Internal Medicine Residency Program draws from the significant resources that our community provides. For more information about benefits, please consult the link below.

Our Faculty

Our Faculty - Depth and Breadth

The Department of Medicine Internal Medicine Residency Program provides educational opportunities for residents that draw from the expertise of hundreds of active clinicians, physician-scientists and investigators. The firm system, our clinician educator service and the leadership of our chief residents provide residents with an educational support system that encourages them to seek mentorship and pursue educational opportunities to best enhance their own time in training. Faculty with a formal programmatic role in the residency program appear below.

The strength of the program draws from the significant diversity of interests and activities of both residents and faculty. We bring our unique perspectives together with the common goal of making residency at Mass General an enjoyable, enriching and educational experience. Learn more about our clinical and educational leadership and residency-related initiatives:

Firm Chiefs & Chief Residents

Core Educator Faculty

Directors

Associate Program Directors

Firm Chiefs

Learn more about our Firm System

Resident Community

Residency can be an intense and challenging experience, but is also likely to be one of the most rewarding periods of a physician’s life. The Massachusetts General Hospital Department of Medicine Internal Medicine Residency Program is deeply invested in its residents and strives to ensure that residents have time for meaningful growth in both their professional and personal lives.

2018-2019 Internal Medicine Residency Classes

Life as a Resident

Community Outreach Program (COP)

The Community Outreach Program (COP) is a volunteer effort founded and coordinated by residents interested in providing needed service within the community, enhancing collegiality and relationships among residents, and building relationships with local communities, shelters and charitable organizations. Participating residents organize service projects throughout the year. Residents prepare and serve meals at local homeless shelters, participate in fundraisers for charitable organizations, and organize resident participation in races and contests that support charitable causes.

Dr. Kate Takvorian

“Though my husband and I were daunted about the prospect of having a child during intern year, the Internal Medicine Residency Program was supportive of our happy news and worked to arrange my schedule to ensure minimal impact on both my colleagues and my new family. Now, whether it is get-togethers with the resident parents group, child-friendly barbecues at our program director’s house, or even remote noon conference didactic broadcasts, I feel supported in my role as a parent."

 - Kate Takvorian, MD, Categorical resident

Resident Wellness

For residency to be truly meaningful, it is important to have time for maintaining healthy relationships with family and friends, pursuing outside hobbies and interests, and reflecting on successes and challenges. With many demands on a resident's time, our program recognizes that residents have lives outside of the hospital. To continually support this balance, we reserve personal wellness time on ambulatory blocks to help residents schedule essential obligations, such as doctor’s appointments. Our program facilitates inpatient team dinners, residency-wide Red Sox games, reflection sessions with trusted leaders, and celebrations for major milestones including intern orientation, holidays and graduation.

Through major life events, such as marriage, childbirth and family emergencies, the program is committed to supporting each resident in the best possible way. For example, the program creates a supportive environment for parents by developing a personalized parental leave plan for each resident, helping to arrange coverage for prenatal appointments and supporting residents who encounter intra- or postpartum complications.

Our coaching program is designed to promote a culture of well-being by allowing residents time to reflect, process their experiences, set goals, recognize their accomplishments and connect with the parts of their work that bring them meaning and purpose. All residents are assigned a faculty coach outside of their field of interest to create a safe space for these discussions.

Vacation and Holiday Blocks

In addition to four weeks of vacation time each year, all residents also get a four or five-day holiday block off (i.e., Thanksgiving, Christmas, New Years or the Jewish High Holidays).

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Diversity & Inclusion

Led by Sherri-Ann Burnett-Bowie, MD, MPH, the Department of Medicine Internal Medicine Residency Program works closely with the Mass General Center for Diversity and Inclusion (CDI) to attract and advance the careers of under-represented in medicine (URM) students, physicians and researchers, as well as to develop culturally competent physicians. We believe this mission is essential for providing our patients with the very best health care and for improving the health of the diverse communities we serve. The Residency Program and CDI have designed mentorship and career development programs for residents during their training at Mass General. The CDI also sponsors welcoming receptions and networking opportunities to enhance the work environment and build community. The CDI Resident and Fellow Committee (RFC) promotes the mentorship and development of URM residents and fellows at Mass General. The RFC sponsors opportunities to network, develop careers and become involved in the communities of Harvard and Boston.

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Women in Medicine

The MGH Internal Medicine Residency Program is dedicated to the advancement of female physicians-in-training and the development of future women leaders in medicine. Women play a key role in the leadership of the residency program starting with Katrina Armstrong, MD, who serves as the physician-in-chief for the Department of Medicine. 

The Women in Medicine Trainees Council (WIMTC) was created by the Department of Medicine and the Office of Women’s Careers to actively support the personal and professional development of women trainees at MGH. The efforts of this council are focused on creating opportunities for mentorship and providing a formal space for the MGH community to discuss important issues to women physicians such as work-life balance, gender equity, and career development. Major events organized by the WIMTC in the last calendar year included negotiation workshops, mock interviews, and dinner series on topics germane to women pursing academic medical careers. In addition, the WIMTC serves as a voice to advocate for gender equity in the academic medical setting in partnership with colleagues in other departments at MGH.

Major Areas of Focus:

· Promoting gender balance and equity in residency and fellowship recruitment

· Empowering female trainees to mitigate gender bias

· Supporting female physician-scientists

· Facilitating female mentorship and career development

· Promoting opportunities to facilitate work/life balance and wellness

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History

A Closer Look | Mass General History

The Massachusetts General Hospital first opened the doors of its historic Bulfinch Building to patients in 1821 after a petition was signed by the Massachusetts legislature in 1811 to create a general hospital which would serve Boston’s poor and ill. In the now-famous Circular Letter written in 1810, Drs. James Jackson and John Collins Warren called the city to action by stating that “When in distress every man becomes our neighbor”. In 1830, the hospital appointed a House Physician and a House Surgeon with 1 year of medical training under their belts – most of whom had recently graduated from Harvard Medical School. Their responsibility would be to care for patients on Bulfinch wards and to oversee the House Pupils, junior doctors who would live alongside them in the hospital. In the late 1850s, the hospital appointed a physician as the administrative head of the house staff, named the Resident Physician. The medical housestaff would learn under the tutelage of James Jackson and a variety of visiting community physicians, known as the “Visits”. In 1922, the term house pupils was abandoned and trainees became known as house officers, interns or residents. Since then, our training program has grown over almost 200 years and inhabited various buildings and wards throughout the hospital – expanding with the development of intensive care units and specialty wards to care for patients on the cardiology and oncology services. Throughout its time, the Bigelow Medical Service has taken many iterations but over the last 40 years has centered around the team-based care of the patient and has served as an arena for the formation of generations of leaders in clinical care, medical education and biomedical research, all of whom are grounded in clinical medicine.

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Getting to Know Boston

Resident hiking trip
Resident hiking trip

Boston is an amazingly diverse city, known for both its historical attractions and its rich cultural offerings. While it’s almost impossible to distill all that Boston has to offer into a single day, if you only have 24 hours in Boston, here are a few recommendations for can’t-miss historical, cultural and culinary activities!

Activities

Historical

  • Freedom Trail: The famous Freedom Trail is a 2.5-mile route (demarcated by a continuous red-brick line) that wends its way through the heart of historical Boston. Starting in Boston Common and ending at the USS Constitution, the Freedom Trail will transport you back to 18th-century Boston. You will see, among other things: Faneuil Hall,the Old North Church(where Paul Revere hung his famous lanterns), the site of the Boston Massacre, and the peak of Bunker Hill, where the famous 1775 battle was fought (NB: for all you American history buffs out there, the Battle of Bunker Hill was actually fought on neighboring Breed’s Hill, but hey, close enough, right?)
  • Fenway Park: Fenway Park (home of the Boston Red Sox) is the oldest Major League Baseball stadium in the U.S. and offers stadium tours year-round (even when the Sox aren’t playing). If you haven’t been, this is a Boston must!

Cultural

  • Museum of Fine Arts: One of the largest museums in the United States. Be sure to see the wonderful collection of Winslow Homer and Mary Cassatt oil paintings
  • Isabella Stewart Gardener Museum: Gorgeous art collection housed in a beautiful mansion with an outdoor courtyard that often hosts concerts and outdoor events
  • Boston Symphony Orchestra (BSO): One of the best orchestras in the world, the BSO performs year-round at Symphony Hall in Back Bay
Dr. Thomas  Roberts

"Intern year is busy, but the residency program makes sure I have time to do the things I enjoy – I’ve joined a local running club and am training for the Boston Marathon"

 - Thomas Roberts, MD 
   Primary Care resident

Park and Outdoor Activities

  • The Fens: Urban wilderness park designed by Frederick Law Olmstead (who also designed Central Park in NYC)
  • Charles River Esplanade: A great place for a bike/run/walk after a long interview day. Maybe even rent a kayak and go paddling on the Charles!

Dining

This list is a selection of restaurants recommended by our residents; the list is not exhaustive by any means but it's a great introduction to Boston food. Bon appétit!

Fenway

  • El Pelon: Famous taqueria, very fast/cheap
  • Island Creek Oyster Bar: Phenomenal oysters and fresh seafood

South End

  • Myers and Chang: Probably the most famous Chinese restaurant in the city
  • Beehive: Live music, excellent brunch

Beacon Hill

  • Artu: Small, intimate Italian
  • Anna’s Taqueria: Famous burrito chain in Boston, great for a quick meal
  • 75 Chestnut: Intimate setting with excellent American fare, great for an impromptu date

Back Bay

  • Select Oyster Bar: New, hip oyster bar with a great selection of beers and ciders
  • Toro: Consistently ranked one of the best restaurants in Boston; excellent tapas

North End

  • Trattoria Di Monica: famous Italian-style lunch sandwiches
  • The Daily Catch: Fresh Italian seafood. A well-known spot so get there early

Cambridge

  • Border Café: Great Mexican food

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Our Graduates

Over the past five decades, graduates of the Internal Medical Residency Program at Massachusetts General Hospital have led distinguished careers in medicine, science and society. This record of achievement is a testament to the remarkable quality of the training programs that foster a profound spirit of learning, scholarship and accomplishment. A majority of our program graduates enter post-graduate fellowship training programs but many enter medical practice following completion of the residency program. The James Jackson Society is the Department of Medicine's alumni organization and encompasses all current faculty, as well as current and former trainees affiliated with the Internal Medicine Residency Program.

Dr. Pierre Ankomah

“Residency training at Mass General champions and cultivates critical thinking, lifelong learning and scholarship skills which challenged me, in an incredibly rewarding way, to deliver the most informed and optimal care to all my patients everyday."

 - Pierre Ankomah, MD, PhD 
   Stanbury resident

 

 

Primary Care Graduates

Primary Care Program graduates have become leaders in academic general internal medicine as well as primary care practice. They pursue careers in clinical practice combined with medical education, research, health care administration and community leadership roles. The Primary Care Program has no one model for a successful career in general internal medicine. While many graduates go on to obtain additional training in health services research, clinical epidemiology, geriatrics, public health, health policy or health care management, others continue directly into primary care practice or general internal medicine faculty positions.

Some of our notable graduates include

  • J. Michael Bishop, 1989 Nobel Laureate in Physiology or Medicine
  • Michael S. Brown and Joseph L. Goldstein, 1985 Nobel Laureates in Physiology or Medicine
  • Mandy Cohen, Chief Operating Officer and Chief of Staff, Centers for Medicare and Medicaid Services
  • N. Anthony Coles, Chairman and Chief Executive Officer of Yumanity Therapeutics and Former President, Chairman and Chief Executive Officer of Onyx Pharmaceuticals
  • Roman DeSanctis, Former Director of Clinical Cardiology, Mass General, and recipient of the Massachusetts General Physicians Organization’s Trustees’ Medal
  • Gerald Edelman,1972 Nobel Laureate in Physiology or Medicine
  • Lee Goldman, Executive Vice President for Health and Biomedical Sciences and Dean of the Faculties of Health Sciences and Medicine, Columbia University
  • Jennifer Leaning, Director, Program on Humanitarian Crises and Human Rights, Harvard School of Public Health
  • George R. Minot, 1934 Nobel Laureate in Physiology or Medicine
  • Ferid Murad , 1998 Nobel Laureate in Physiology or Medicine
  • Dean Ornish, Best-selling author, Professor of Medicine, University of California, San Francisco.
  • Kenneth I. Shine, Executive Vice Chancellor for Health Affairs, The University of Texas. Founding Director of the RAND Center for Domestic and International Health Security. Former Director of the Institutes of Medicine
  • Eve Slater, Senior Vice President for Policy, Pfizer, and Former Assistant Secretary, US Department of Health and Human Services
  • Peter Slavin, President, Massachusetts General Hospital
  • Ralph M. Steinman, 2011 Nobel Laureate in Physiology or Medicine
  • Samuel O. Thier, Former President and CEO, Partners HealthCare

Careers

A majority of our program graduates enter post-graduate fellowship training programs but many enter medical practice following completion of the residency program.

Categorical Program Graduates

Categorical Program Graduate Placement

Primary Care Program Graduates

Primary Care Program Graduate Placement

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