Explore Our Training Program

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.

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:

Continuity Practice Sites

Massachusetts General Hospital Internal Medicine Residency Program participants are placed in a continuity practice from one of the sites listed below. Residents may also practice at four Mass General Community Health Centers: Charlestown HealthCare Center, Chelsea HealthCare Center, North End Waterfront Health and the Revere HealthCare Center. The health centers have strong ties with their local communities and provide primary care and some specialty services. These centers serve as the major source of patients for the medical teaching service.

Beacon Hill Primary Care

  • Primary Care and Categorical Tracks
  • Residents Placed: 2-10
  • Close to the Mass General main campus, Beacon Hill Primary Care is a busy practice that provides comprehensive adult primary care.

Bulfinch Medical Group (BMG)

  • Primary Care and Categorical Tracks
  • Residents Placed: 20+
  • Bulfinch Medical Group (BMG) is a primary care and consultative internal medicine practice located on the Mass General main campus, featuring an award-winning Diabetes Management Program, Cardiovascular Wellness Program and Patient Education Center.

Mass General Internal Medical Associates (IMA)

  • Primary Care and Categorical Tracks
  • Residents: 60
  • The Internal Medicine Associates (IMA) is a patient-centered primary care practice on the Mass General main campus, offering comprehensive care for the more serious medical issues, on-site case managers, an internal urgent care unit and diabetic counseling. 90% of IMA patients come from Boston and the surrounding areas, spanning a broad range of diverse backgrounds. IMA residents are fully integrated members of the collaborative care team and have the same level of support as that of veteran faculty. The IMA is also one of the two sites for the Crimson Care Collaborative, a Harvard Medical School student-run clinic. Residents have the opportunity to join the teaching staff of the clinic and help precept the students on a weekly basis.

Mass General Broadway Primary Care – Revere

  • Primary Care Track
  • Residents Placed: 2-10
  • Broadway Primary Care-Revere provides high quality adult primary care to patients who live in Revere and its neighboring communities. They have multilingual staff that speak Spanish, Italian, Hindi and Tamil, and also offer interpreter services in languages including but not limited to Arabic, Khmer, Portuguese and Spanish.
  • The health center is actively involved in community-based programs to help enhance the public health of residents in Revere and is committed to population health management through innovative programs in diabetes and hypertension. Each dedicated health care team at Broadway-Revere includes a physician, a nurse practitioner, nurses, a social worker and administrative staff.

Charlestown HealthCare Center

  • Primary Care and Categorical Tracks
  • Residents Placed: 2-10
  • The Charlestown HealthCare Center is located 1.3 miles from the Mass General campus. Charlestown is geographically distinct and more like a small town with its own community identity. About 16,000 people live in just 1.5 square miles. The population served by Mass General Charlestown is economically and culturally diverse, including large segments of low-income, working class and middle class residents. The Charlestown ambulatory care facility sees 26,000 patients annually in its adult internal medicine practice and offers a wide range of services on site. On-site subspecialty services include neurology, dermatology, cardiology, rheumatology, physical therapy and podiatry. Charlestown also works with a number of community outreach programs that include a home visit program, the Charlestown Interagency of Aging, Senior Home Care and an adolescent task force. The health center is also actively engaged in addressing substance use disorders in Charlestown.

Chelsea HealthCare Center

  • Primary Care, Categorical and Global Primary Care tracks
  • Residents Placed: 2-10
  • The Chelsea HealthCare Center opened in 1971 as a part of the incredibly diverse and vibrant city. Mass General Chelsea HealthCare Center includes a walk-in clinic and services in adult medicine, pediatrics, mental health and social services, prenatal care, physical therapy, nutrition, speech and language therapy, and several medical and surgical specialties. In recognition of the diversity and needs of the patient population, the health center has built a large staff of interpreters and outreach workers, and multidisciplinary programs to address issues such as substance abuse, HIV, hepatitis C, diabetes, tuberculosis, cancer screening and refugee health. It is also a site for the Crimson Care Collaborative, Harvard Medical School’s student-run clinic.

MGH Downtown Primary Care

  • Categorical Track
  • Residents Placed: 2-10
  • MGH Downtown Primary Care is a group practice conveniently located in downtown Boston. The clinic offers a complete range of medical services including routine physicals and health screenings, diagnostic work-ups and treatments, and initial consultations for more complex conditions.

Revere HealthCare Center (RHC)

  • Primary Care and Categorical Tracks
  • Residents Placed: 2-10
  • The Revere HealthCare Center (RHC) is located in a beautiful office space overlooking Revere Beach. Revere is seven miles north of the Mass General main campus, and is easily accessible to Boston by car or MBTA subway. Revere is a diverse and medically underserved community. 31% of visits to the adult medicine practice are from patients with Medicaid or without health insurance. The range of services available to patients on site includes a laboratory, radiology for plain films and digital mammography, and echocardiography once a week. On-site subspecialty services include surgery, OB/GYN, neurology, cardiology, nephrology, dermatology, physical therapy, podiatry and speech therapy.

Mass General Waltham

  • Categorical Track
  • Residents Placed: 2-10
  • Mass General Waltham is a group practice that provides comprehensive adult and pediatric primary care. A focus of the group is prevention with active patient involvement in care and treatment. Conveniently located off Route 128 in Waltham, the practice serves the diverse communities west of Boston and handles over 27,000 visits per year ranging in age from newborn to geriatric. As the Mass General Waltham facility has expanded, there is now on-site access to multiple medical and surgical sub-specialists, physical therapists, pharmacy, laboratory and diagnostic imaging.

Massachusetts General Medical Group (MGMG)

  • Categorical Track
  • Residents Placed: 2-10
  • Located adjacent to the Mass General main campus, the Massachusetts General Medical Group (MGMG) is a busy, thriving practice of general internists who provide primary and hospital care to patients from all walks of life. Our medical residents are incorporated into a team-based system that includes ten faculty physicians along with nurse practitioners, registered nurses, medical assistants, administrative staff and others. Residents at MGMG work with a core-group of preceptors who have a keen interest in medical education both at the residency and division level.

North End Waterfront Health (NEWH)

  • Categorical Track
  • Residents Placed: 2-10
  • North End Waterfront Health (NEWH) is a community health center practice about a mile from Mass General. The North End is the most densely populated part of the city and its rich heritage goes back to pre-revolutionary times. Other than primary adult and pediatric care, services include podiatry, ophthalmology/optometry, OB/GYN, dentistry, behavioral health, social work, urgent care, lab and x-ray, and a child care center for the public. Adult medicine providers have an opportunity to see urgent care patients in addition to continuity patients.

Primary Care Associates, Mass General Waltham

  • Primary Care Track
  • Residents Placed: 2-10
  • Located in Waltham, Primary Care Associates provides residents with an opportunity to serve patients from Newton-Wellesley Hospital, a Partners HealthCare affiliate and another key site in resident training. The clinic has on-site phlebotomy in the clinic, as well as comprehensive radiology services and physical therapy. Primary Care Associates works with the Collaborative Care Team to regularly provide a psychiatrist on-site for medication consultation.

Women's Health Associates (WHA)

  • Primary Care and Categorical Tracks
  • Residents Placed: 2-10
  • Women’s Health Associates (WHA) is located in the Yawkey Ambulatory Care Center on the Mass General campus and is a group practice of primary care physicians with a focus on women’s health. WHA provides comprehensive primary care, internal medicine and routine gynecology in an environment that encourages communication, education and prevention. Educational conferences with a focus on the care of women are held monthly.

Electives

The focus of the Internal Medicine Residency Program is on making sure that residents can maximize their elective time to meet their personal educational and professional goals. Residents can use elective time to explore career interests, develop greater skill in a particular clinical area, connect with mentors, or advance their work in research, medical education, advocacy or community health.

In addition to traditional elective offerings by individual divisions–cardiology, hematology-oncology, palliative care, gastroenterology, hepatology, infectious diseases, pulmonology and nephrology–the Internal Medicine Residency Program offers a diversity of added clinical, community and classroom-based electives driven by residents’ interests. If a particular interest is not represented by the elective offerings, residents have the option of a self-design elective block.

Examples of some of our special focused electives include:
  • Women’s Health
  • Hospital Medicine
  • Inpatient Addiction Medicine
  • Medical Writing
  • Research
  • Vascular Medicine
  • Applied Cardiopulmonary Physiology
  • Inpatient Procedure Service
Community-based electives:
  • Elective with Boston Healthcare for the Homeless
  • Refugee and Immigrant Health
  • Correctional Health
  • Advocacy
Classroom-based electives:
  • Resident as Teacher
  • Clinical Reasoning
Innovation and leadership electives:
  • Quality, Safety and Innovation
  • Population Health Management
  • Department of Medicine Operations

Conferences

A strength of the Massachusetts General Hospital Internal Medicine Residency Program is complimenting the extensive direct patient care experiences with a variety of conferences for residents each week that are designed to complement and consolidate the education derived from patient care.

Core Curriculum Series

The Core Curriculum Series is scheduled for the first three months of the academic year and is held five days a week from 12:15-1:00 pm. Faculty members of Mass General and affiliated institutions provide an intensive review of essential internal medicine topics during this time. Lunches are provided daily for residents during these sessions, and teleconferencing allows those rotating at Newton-Wellesley Hospital to participate as well. All core conferences are recorded and available for future review.

Noon Conference Series

Following the Core Curriculum Series the Noon Conference Series transitions to a broader variety of topics, including a more in depth review of topics reviewed during the Core Curriculum Series, as well as conferences focused on quality and safety, medical education, physician well-being, career planning and primary research. Faculty from Mass General and affiliated institutions, as well as visiting professors, lead interactive conferences from 12:15-1:00 pm Monday through Friday.

Case Conference

Case Conference is held on most Fridays from 12:15-1:00 pm and comes in a variety of formats:
  • The New England Journal of Medicine Clinicopathological Cases (CPC) series (“Case Records from the Massachusetts General Hospital”) is a favorite of trainees. Residents involved in patient care present cases to expert discussants who are unaware of the patient’s diagnosis. That expert then takes the audience through a discussion of the case to determine a diagnosis.
  • Clinical Case Reviews, akin to Morbidity and Mortality Conferences, present cases with adverse outcomes or "near misses". This provides a forum to learn from errors in diagnosis and management in a constructive and safe environment. Almost a century ago, Ernest Codman, MD, a Mass General physician, was one of the first physicians to call for case reporting and evaluations of systems-based problems leading to adverse outcomes. The Clinical Case Reviews continues with this tradition.
  • Interdisciplinary Conferences focus on patient cases that illustrate the overlap between medicine, emergency medicine, pediatrics, neurology and surgery are coordinated between departments.
  • Inpatient Intake is hosted by the chief residents, and brings together a variety of expert discussants from medicine specialties to dissect a fresh case together and showcase expert clinical reasoning.
  • Pathways Consult Service Noon Conferences are the culmination of a two-week rotation in which teams of 2-3 residents investigate the pathophysiology of a single patient with extreme or unexplained symptoms. In these conference presentations, Pathways teams guide the audience through the questions and hypotheses they generated regarding the underlying biology of their patient’s disease process. Going a step further, the teams also present potential experiments and ways they may interrogate patient-derived samples to discover mechanisms of disease that might be affecting a much broader population of patients.

Resident Led Talks

Junior and Senior residents, with assistance from faculty advisors, present either independently or in groups on a variety of topics, including their own research, discussion on clinical cases, or provide a talk focused on medical education.

Intern Report

Intern Report is held two mornings each week prior to new patient rounds on the Bigelow for the first four months of the year. Chief Residents, fellows and faculty bring cases illustrating core medical topics and teach in an interactive session.

Resident Report

Resident Report is held Monday through Wednesday mornings before noon conference. Residents present cases to the chief residents and a chosen discussant with the goal of fostering an interactive discussion of diagnostic approach and management.

Medical Grand Rounds

Medical Grand Rounds are held every Thursday morning. Medical Grand Rounds emphasize clinical medicine and present important new developments in biomedical research. National leaders in academic medicine frequently visit Mass General and are asked to speak. Additionally, each division within the Department of Medicine hosts a series of Medical Grand Rounds throughout the year, enriching the diversity of presentations.

Physical Finding Rounds

These rounds emphasize physical diagnosis and bedside teaching skills in the residency program. Each week a senior resident leads a group of medical students to see patients who have instructive physical findings and have agreed to take part in the teaching session. These sessions lead to engaging discussions about the relevant physical exam finding, its historical origins, and clinical relevance.

Research

Massachusetts General Hospital has the largest hospital-based research program in the United States. Mass General’s rich history in basic and clinical research touches on nearly every facet of internal medicine. Our vibrant academic community forms a key component of resident training through support of resident research and scholarly endeavors. Each year, internal medicine residents present at national meetings and publish original research while working closely with mentors who are leaders in their fields. Residents have pursued research in clinical trials, epidemiology, basic science, translational science, health policy and ethics, and international health. The residency program advances research and mentorship through our Tools of Human Investigation course, career pathway conferences and the physician-scientist pathway.

Career Pathways

Throughout the year, residents have the opportunity to learn about different career models in academic medicine through a series of career pathway conferences. Invited speakers from a wide range of specialties and fields discuss their own career development during interactive sessions open to all residents.

Stanbury Physician-Scientist Pathway

Guided by the belief that residents planning careers focused on basic investigation require rigorous clinical training as well as mentorship to foster their scientific careers, the Department of Medicine offers the Stanbury Physician-Scientist Pathway (PSP), led by Carrie Sokol MD, PhD , Jay Rajagopal, MD and Jatin Vyas, MD, PhD. Interns and residents receive mentoring from leading physician-scientists in the Department of Medicine on development of their scientific career. The clinical curriculum can be stylized to meet the needs of individual residents. Residents in the Stanbury PSP can also participate in the American Board of Internal Medicine (ABIM) Research Pathway or "short-track" in which residents complete the clinical component of residency training in two years, followed by extended fellowship training in basic or clinical research. An early elective block in the specialty of interest is incorporated into the internship schedule. During the second year, residents may pursue specific research electives and senior-level clinical rotations at the end of the academic year. Residents interested in a three-year physician scientist pathway receive intense mentoring and research electives to gain exposure to the wide variety of science conducted at Mass General.

Research Opportunities

With the assistance of program leadership, residents identify mentorship and research projects at Mass General and throughout the Harvard system, including Harvard Medical School and other Boston-based research institutions. In addition, the Mass General Center for Global Health provides the opportunity to work abroad to participate in research on an international scale.

Resident experiences with research and mentorship begin early with careful advising from the chief residents, firm chiefs and program directors to define career interests and goals for the residency years. Advisors meet with residents twice yearly with additional guidance as needed, with a focus on identifying mentors at Mass General. Residents may also use the research and mentorship database to explore opportunities for collaboration.

Mass General Basic Research Programs

Research News from Harvard University and Harvard Medical School (HMS)

Related Links

Leadership Program

Due to the ever-growing demands for exceptional physician leadership, both in developing a dynamic health care environment and managing the demands of modern clinical practice, the Mass General Internal Medicine Residency Program has developed a formal Leadership Program for all residents. Led by Christiana Iyasere, MD, MBA and Meridale Baggett, MD, the Leadership Program is based on the case method created at Harvard Business School, and provides residents with hands on learning around key leadership concepts that they can immediately bring to practice in their everyday care environments.

The Leadership Program’s goals are to:
  1. Provide all residents with the essential tools to become effective clinical leaders
  2. Foster an environment of support and understanding of clinical leadership
  3. Continue ongoing research into effective physician-led leadership and clinical teams
Over the course of the three years of medicine residency training, residents are exposed to the key concepts of: Team Dynamics, Leadership Styles, Leading Clinical Teams, Emotional Intelligence, Negotiation, Conflict Management, and Leading Change. These concepts are introduced through multiple settings, including noon conferences, small group discussions of case studies, and experiential learning embedded in the medical simulation and consult curriculums. In addition, the Leadership Program is designed to complement the Internal Medicine Professional Development Coaching Program. The Coaching Program provides residents with one-on-one coaches and offers opportunities for reflection on personal leadership development.

Leadership Research

A key component of the Leadership Program’s success is developing ongoing course assessment and research into concepts of clinician leadership development. Sample research concepts include:
  1. Impact of the Leadership Program as an intervention on clinician professional development and clinical outcomes at Mass General and additional sites
  2. Composition and work habits of effective clinical teams
  3. The role of simulation in teaching and evaluation of leadership skills

Resident Leaders

Each year, senior residents are asked to serve as Leadership Program resident leaders. These resident leaders assist with program logistics and planning, curriculum design and research related to the program. The resident leaders provide important feedback to the program directors and ensure that the program continues to meet residents’ leadership development needs.

Program Benefits

Massachusetts General Hospital is dedicated to providing premier benefits to our Internal Medicine Residency Program participants.

Each Massachusetts General Hospital internal medicine resident is appointed as a Resident in Medicine at Mass General and a Clinical Fellow in Medicine at Harvard Medical School.

Each Mass General Medicine resident is provided with:

  • Malpractice insurance coverage by the hospital
  • One personalized white coats during intern year and more if necessary during junior and senior years
  • Outpatient clinic business cards
  • Lunch every weekday at noon curriculum conference
  • 9:00 pm evening meals covered by the hospital
  • Meal cards for weekend and holiday on-call coverage
  • SafeRide transportation program for those who commute by car
  • Massachusetts Medical Society membership
  • ACP Medical Knowledge Self-Assessment Program (MKSAP) board certification study guides as senior residents
  • Assistance in managing initial costs of rental housing (Partners Lease Guaranty Program)

Each Mass General Medicine resident has full access to:

  • Medical, dental, vision and disability insurance offered by the hospital at a reduced rate
  • Mentoring and career advising opportunities within the Partners community
  • Department computer room 24 hours / 7 days a week
  • Department resident lounge 24 hours / 7 days a week
  • Internet from all hospital computers. VPN remote access is also available, which provides residents with secure access from home
  • Harvard Medical School Countway Library
  • Mass General Treadwell Library
  • House staff intranet for residency-specific information.
  • Gender-specific on-call sleep rooms 24 hours / 7 days a week
  • Subsidized parking and preferred access to selected parking facilities on the main campus or satellite facilities
  • Facilities for free parking and storage of bicycles
  • Reduced membership rates at the nearby Charles River Park Health Club
  • Nearby child care options available with the Mass General Children's Center
  • Mass General Backup Child Care Center when needed in an emergency
  • Mass General partnership with Parents in a Pinch for in-home childcare options

Related Information: